" ! SENATE 

111TH CONGRESS

2d Session 

REPORT

111–243 

Calendar No. 504 

DEPARTMENTS OF LABOR, HEALTH AND 

HUMAN SERVICES, AND EDUCATION, AND 

RELATED AGENCIES APPROPRIATION BILL, 

2011 

R E P O R T 

OF THE

COMMITTEE ON APPROPRIATIONS 

U.S. SENATE 

ON

S. 3686 

AUGUST 2, 2010.—Ordered to be printed 
Departments of Labor, Health and Human Services, and Education, and Related Agencies 

Appropriation Bill, 2011 (S. 3686) 
57–694 PDF 

Calendar No. 504 

111TH CONGRESS REPORT " ! SENATE 2d Session 111–243 

DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATION BILL, 2011 

AUGUST 2, 2010.—Ordered to be printed 

Mr. HARKIN, from the Committee on Appropriations, 

submitted the following 

R E P O R T 

[To accompany S. 3686] 

The Committee on Appropriations reports the bill (S. 3686) making appropriations for Departments of Labor, Health and Human 

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

ending September 30, 2011, 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 ............. $731,887,768,000 

Amount of 2010 appropriations ........................ 738,707,813,000 

Amount of 2011 budget estimate ...................... 732,873,505,000 

Bill as recommended to Senate compared to— 

2010 appropriations .................................... ¥6,820,045,000 

2011 budget estimate ................................. ¥985,737,000 
(2) 

C O N T E N T S 

Page 

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

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

Other Highlights of the Bill .................................................................................... 12 

Title I: Department of Labor: 

Employment and Training Administration .................................................... 13 

Employee Benefits Security Administration .................................................. 26 

Pension Benefit Guaranty Corporation .......................................................... 27 

Wage and Hour Division .................................................................................. 28 

Office of Labor-Management Standards ......................................................... 28 

Office of Federal Contract Compliance Programs .......................................... 29 

Office of Workers’ Compensation Programs ................................................... 29 

Occupational Safety and Health Administration ........................................... 32 

Mine Safety and Health Administration ........................................................ 34 

Bureau of Labor Statistics ............................................................................... 35 

Office of Disability Employment Policy .......................................................... 36 

Departmental Management ............................................................................. 37 

General Provisions ........................................................................................... 40 

Title II: Department of Health and Human Services: 

Health Resources and Services Administration ............................................. 42 

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

National Institutes of Health .......................................................................... 95 

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

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

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

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

Administration on Aging .................................................................................. 162 

Office of the Secretary ...................................................................................... 168 

General Provisions ........................................................................................... 181 

Title III: Department of Education: 

Education for the Disadvantaged .................................................................... 183 

Impact Aid ......................................................................................................... 188 

School Improvement Programs ........................................................................ 189 

Indian Education .............................................................................................. 195 

Innovation and Improvement .......................................................................... 196 

Safe Schools and Citizenship Education ......................................................... 207 

English Language Acquisition ......................................................................... 209 

Special Education ............................................................................................. 210 

Rehabilitation Services and Disability Research ........................................... 213 

Special Institutions for Persons With Disabilities: 

American Printing House for the Blind ................................................... 219 

National Technical Institute for the Deaf ............................................... 220 

Gallaudet University ................................................................................. 221 

Career, Technical, and Adult Education ........................................................ 221 

Student Financial Assistance .......................................................................... 224 

Student Aid Administration ............................................................................ 225 

Higher Education ............................................................................................. 226 

Howard University ........................................................................................... 238 

College Housing and Academic Facilities Loans ............................................ 238 

Historically Black College and University Capital Financing Program 

Account .......................................................................................................... 238 

Institute of Education Sciences ....................................................................... 239 

Departmental Management: 

Program Administration ........................................................................... 242 

Office for Civil Rights ............................................................................... 242 
Page

3 

Title III—Continued 

Departmental Management—Continued 

Office of the Inspector General ................................................................ 243 

General Provisions ........................................................................................... 243 

Title IV: Related Agencies: 

Committee for Purchase From People Who Are Blind or Severely Disabled ............................................................................................................... 245 

Corporation for National and Community Service ........................................ 245 

Corporation for Public Broadcasting ............................................................... 250 

Federal Mediation and Conciliation Service .................................................. 250 

Federal Mine Safety and Health Review Commission .................................. 251 

Institute of Museum and Library Services ..................................................... 252 

Medicare Payment Advisory Commission ...................................................... 253 

National Council on Disability ........................................................................ 253 

National Health Care Workforce Commission ............................................... 253 

National Labor Relations Board ...................................................................... 254 

National Mediation Board ............................................................................... 254 

Occupational Safety and Health Review Commission ................................... 254 

Railroad Retirement Board .............................................................................. 255 

Social Security Administration ........................................................................ 256 

Title V: General Provisions ..................................................................................... 260 

Compliance With Paragraph 7, Rule XVI of the Standing Rules of the Senate .......................................................................................................................... 260 

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

Senate ................................................................................................................... 261 

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

Senate ................................................................................................................... 261 

Budgetary Impact of Bill ......................................................................................... 266 

Disclosure of Congressionally Directed Spending Items ...................................... 266 

Comparative Statement of New Budget Authority ............................................... 321 
(4) 

SUMMARY OF BUDGET ESTIMATES AND COMMITTEE 

RECOMMENDATIONS 

For fiscal year 2011, the Committee recommends total budget au- thority of $731,887,000,000 for the Departments of Labor, Health 

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

Of this amount, $169,626,000,000 is current year discretionary 

funding, including offsets. 

The bill provides discretionary program level funding of $13,919,000,000 for the Department of Labor, $74,566,000,000 for 

the Department of HHS, $66,415,000,000 for the Department of 

Education and $14,726,000,000 for related agencies. The comparable fiscal year 2010 levels were $13,696,000,000 for Labor, 

$72,424,000,000 for HHS, $63,717,000,000 for Education and 

$13,890,000,000 for related agencies. 

OVERVIEW 

The Labor, HHS, and Education and related agencies appropriations bill is the product of extensive deliberations, driven by the realization that no task before Congress is more important than safeguarding and improving the health and well-being of all Americans. This bill is made up of over 300 programs, spanning three 

Federal departments and numerous related agencies. But the bill 

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

bill reflects the traditional ideal of democracy: that every citizen 

deserves the right to a basic education and job skills training; protection from illness and want; and an equal opportunity to reach 

one’s highest potential. 

The Committee wrote this year’s bill in a period of great uncertainty. Although the economy is expanding again, far too many 

Americans still can’t find a job, and the threat of a double-dip recession looms large. In the longer term, the national debt continues 

to rise to frightening levels. As the largest nondefense Federal appropriations bill being considered by Congress this year, this bill 

must respond to both sets of challenges, addressing today’s hard 

economic realities while taking every possible opportunity to reduce 

waste, fraud, and abuse. 

Three themes permeate the Committee’s recommendation. First, 

this bill invests in critical programs that help people gain the skills 

they need to find jobs, protect workers from safety hazards, and 

provide a safety net for the neediest Americans. Second, 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. Finally, just because times are lean 

doesn’t mean that innovation should cease. This bill launches several new initiatives that will leverage reform and transform key 

Federal services. 

Each theme is described more fully below. 
5 

SUPPORTING ECONOMIC RECOVERY AND GROWTH

Aid to Workers 

With the Nation’s unemployment rate at 9.5 percent, programs 

that help Americans find jobs and upgrade their skills are critically 

needed. This bill continues and expands support for programs that 

provide important job training and education services to workers. 

Job Training.—The Committee provides an increase of $163,582,000 over the fiscal year 2010 level for State grants for job 

training and for employment services, for a total of $3,836,607,000. 

These programs provide education and job training to workers who 

have lost their jobs as a result of plant closings or mass layoffs, 

low-income individuals, and disadvantaged youth, particularly 

those who have dropped out of school. In addition, this funding 

level supports services that connect job seekers to employment opportunities and help employers find a qualified and diverse workforce. 

The Committee also provides $1,712,205,000, an increase of $4,000,000, for the Office of Job Corps. This amount will enable 

125 Job Corps Centers across the country to help more than 60,000 

young people learn a career, earn a high school diploma or GED, 

pursue higher education, and find a new job. Finally, the bill includes $110,000,000, an increase of $7,500,000, for the YouthBuild 

program to provide education, employment training and job placements to disadvantaged youth at risk of long-term unemployment. 

Green Jobs.—The bill also provides a $25,000,000 increase for the Green Jobs Innovation Fund, for a total of $65,000,000. This 

fund provides workers with job training in green and renewable energy industries as well as sustainable agriculture, transportation 

and green construction. 

State Paid Leave.—When jobs are hard to come by, many workers are unable or reluctant to take time off to care for loved ones 

who need their help. The Committee takes an important step in addressing this problem by providing $10,000,000 to create a new 

State Paid Leave Program. This program will provide competitive 

grants to help States establish paid leave programs, which typically offer up to 6 weeks of benefits to workers who must take time 

off to care for a seriously ill child, spouse, or parent, or to bond 

with a newborn or recently adopted child. 

Worker Rights, Safety, and Health 

Employers have an obligation to provide a safe and healthy 

workplace for their employees; pay them the wages and benefits 

they earn for their efforts; respect employee voices in the workplace; and prevent discrimination on the basis of race, disability or 

military service. Some workers’ rights are more vulnerable today 

because of the downturn in the economy, since employees are less 

likely to report abuses that may jeopardize their employment. In 

addition, staffing cuts to the Department of Labor and related 

agencies during the previous administration have limited their 

ability to carry out their missions. 

The Committee bill takes additional steps to reverse this diminished capacity by making important investments in key agencies 

that enforce rules protecting the health, safety, and rights of work-
6 

ers, including $574,096,000, an increase of 2.8 percent over fiscal 

year 2010, for the Occupational Safety and Health Administration; 

$377,000,000, an increase of 5.5 percent, for the Mine Safety and 

Health Administration; and $244,240,000, an increase of 7.3 percent, for the Wage and Hour Division. In general, these investments will bring the staffing levels of these agencies back to levels 

last seen a decade ago. 

International Labor Rights.—The bill also preserves jobs here in 

the United States and supports the adherence to internationally 

recognized labor rights around the globe by making sure our international trading partners don’t exploit workers, particularly children. The Committee bill provides $117,000,000 for the Bureau of 

International Labor Affairs for its efforts in this area. This amount 

is an increase of $24,331,000 over the fiscal year 2010 level. This 

significant investment comes at a critical juncture, with trade relationships increasing around the world and the global economic 

downturn presenting threats to worker rights and the possible exploitation of children. 

Mine Safety Appeals.—The explosion at the Upper Big Branch 

mine in West Virginia earlier this year is a tragic reminder of the 

important role the Federal Government must play in ensuring the 

safety of our Nation’s miners. A key component of this is the timely 

adjudication of mine safety violations at the Federal Mine Safety 

and Health Review Commission. The number of contested mine 

safety violations has more than quadrupled since 2006, while staffing at the Commission has not kept pace to promptly review these 

cases. As a result, the number of cases awaiting review has increased fourfold and it now takes over 400 days to issue a final decision. These delays can undermine mine safety efforts and ultimately puts miners at risk. The Committee addresses this issue by 

providing a total increase of $23,397,000 for the Department of 

Labor and the Commission to begin working down this backlog and 

reduce the time it takes to review contested mine safety and health 

violations. 

Safety Net for Neediest Americans 

For many Americans, especially in a struggling economy, programs funded in this bill make the difference between going hungry and having a meal, attending college or ending their education 

after high school, and having a warm place to stay or sleeping on 

the street. The Committee targets many of the increases in this bill 

to those who need help the most. 

Child Care.—Quality child care helps children develop the skills 

they need to succeed in school while allowing their parents to 

maintain employment. The American Recovery and Reinvestment 

Act included important investments in child care, allowing States 

to increase assistance for low-income families and support quality 

improvement activities. The Committee maintains the funding level 

provided for in the Recovery Act by providing an increase of 

$1,000,000,000 over the fiscal year 2010 level, for a total of 

$3,127,000,000. 

Head Start.—The Committee provides $8,223,958,000 for Head 

Start, an increase of $990,278,000 over the fiscal year 2010 appropriation. This will allow Head Start programs to provide com-
7 

prehensive early childhood development services to 978,000 low-income children, and maintain increases in families served through 

Recovery Act funding in fiscal years 2009 and 2010. 

Senior Nutrition Services.—The Committee bill includes 

$857,552,000 for local programs that provide congregate and homedelivered meals to seniors. This amount is an increase of 

$38,199,000 over the fiscal year 2010 appropriation. 

Homeless Services.—The Committee bill addresses the problem of 

homelessness in a number of ways. 

With many families unable to afford housing, a growing number 

of children are at risk of having their education disrupted by frequent moves from shelter to shelter. The Committee notes that the 

most recent data reported to the Department of Education show 

that a total of 956,914 homeless students were reported enrolled in 

school districts in the 2008–2009 school year, a 20 percent increase 

from the 2007–2008 school year. The Committee bill increases 

funding for the education of homeless children and youth by 

$10,000,000, for a total of $75,427,000. 

The bill also includes $159,362,000, an increase of $17,009,000, 

for substance abuse and mental health services targeting the homeless. Funds are included to support a new initiative with the Department of Housing and Urban Development that will help individuals at risk of chronic homelessness move into, and remain, in 

permanent supportive housing. 

Finally, the economic climate has put increasing pressure on all 

families, which in turn, has increased the number of runaway and 

homeless youth. The Committee provides $123,705,000 for runaway 

and homeless youth programs, an increase of $8,000,000 over last 

year. This supports emergency shelter and related services, transitional living programs, and outreach activities for this vulnerable 

population. 

Refugee Social Services.—Refugees are eligible for cash and medical assistance for their first 8 months in the United States. However, the economic downturn has made an already challenging 

transition more difficult as newly arrived refugees struggle to find 

employment and ultimately become self-sufficient within that time 

period. Refugee Social Services supports a variety of employment 

and support services to address barriers to employment for newly 

arrived refugees. The Committee provides an increase of 

$33,000,000 for this activity, for a total of $187,005,000. 

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

includes $14,942,401,000 for title I grants to local education agencies for improving education for low-income students. This amount 

is $450,000,000 higher than the budget request and the fiscal year 

2010 funding level. These funds provide support to 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. 

Student Financial Aid.—The Committee includes 

$19,453,809,000 for student financial assistance, maintaining the 

maximum discretionary Pell Grant Program award level at $4,860. 

Combined with mandatory funding provided in the Health Care 

and Education Reconciliation Act of 2010, the maximum award is 

maintained at $5,550 for the 2011–2012 school year. The Pell 
8 

Grant program supports an estimated 8,743,000 low- and middleincome students. 

Health Professions 

Healthcare training provides dual benefits—improving access to 

necessary health services for patients and opening doors to those 

who seek a career change as a response to long-term unemployment. While precise estimates vary, no one disputes that 

healthcare workforce shortages exist nationwide and are likely to 

increase as baby boomers age and access to healthcare expands. 

These shortages are particularly striking in a time of record unemployment and a shrinking middle class. 

The Committee includes an additional $170,000,000 over the fiscal year 2010 level for a total of $706,807,000 to expand health 

training programs. 

The Committee recommendation invests heavily in occupations 

at the first rung of a career ladder, and occupations that pay a 

wage sufficient to support those struggling to raise families or support aging dependents. Among the programs increased: 

Nurse Career Ladders.—The Committee includes $10,000,000 

within the Nurse Education, Practice and Retention program to 

support programs that provide a continuous career ladder from certified nurse assistants through advanced practice nursing. 

Nurse Faculty Loan Forgiveness.—Over 50,000 students were 

turned away from nurse training programs last year, largely due 

to a lack of faculty. The Committee recommendation more than 

doubles the resources available to provide loan forgiveness to 

nurses who agree to teach, from $24,947,000 in fiscal year 2010 to 

$53,309,000 in fiscal year 2011. 

Primary Care Training.—The Committee includes $90,000,000, 

an increase of $51,077,000, for primary care training activities. In 

recognition of the rapid expansion of coverage required by the Patient Protection and Affordable Care Act over the next 3 years, the 

Committee includes bill language allowing the Department of 

Health and Human Services to direct more than 15 percent of the 

resources to physician assistant training. 

Psychology Education.—The health professions initiative includes 

an increase of $5,737,000, for a total of $8,682,000 within the Allied Health appropriation directed to the training of mental and behavioral health specialists. 

Oral Health Training.—The Committee includes an increase of 

$15,063,000 for training programs in oral healthcare, for a total of 

$47,982,000. 

Public Health Workforce.—The Committee increases by 

$20,000,000 the public health workforce training programs at the 

Centers for Disease Control and Prevention, for a total of 

$57,939,000. 

Rural Physician Pipeline.—The Committee includes $5,100,000 

for a newly authorized program to create opportunities for primary 

care physicians to train in rural areas, in hopes they will continue 

to serve in these shortage areas. 
9 

FISCAL ACCOUNTABILITY

Reducing Waste, Fraud, and Abuse 

For fiscal year 2011, the Committee increases funding for a variety of 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 

from Federal entitlement programs—unemployment insurance, 

Medicare and Medicaid, and Social Security. 

Unemployment Insurance Program Integrity.—The Committee 

recommendation includes $65,000,000, an increase of $5,000,000 

over the fiscal year 2010 level, to conduct eligibility reviews of 

claimants of unemployment insurance [UI]. The recommendation 

will support the continuation and expansion of this initiative in approximately 40 States and will save State UI Trust funds an estimated $210,000,000—representing a return on investment of more 

than $3 for every $1 spent. 

Social Security Program Integrity.—The Committee provides $796,000,000 for Social Security Administration program integrity 

activities. This amount is a $38,000,000 increase over fiscal year 

2010. These funds ensure that Federal benefits are paid correctly 

by reviewing factors that could affect eligibility and benefit 

amounts. Efforts include conducting continuing disability reviews 

and redeterminations of Supplemental Security Income program 

eligibility. The Committee also includes funding for the completion 

of a financial asset verification initiative. Combined, these activities have a return on investment of $9 for every $1 spent and are 

expected to save over $7,000,000,000 for the Social Security, Medicare, and Medicaid programs over 10 years. 

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 $561,000,000 for Health Care Fraud and Abuse Control 

activities at the Center for Medicare and Medicaid Services. This 

amount is a $250,000,000 increase over the fiscal year 2010 level 

of $311,000,000. 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. 

Inspectors General.—The bill provides $214,000,000, an increase 

of $12,000,000, for the inspectors general at the three Departments 

and the Corporation for National and Community Service to conduct additional audits and investigations of possible waste and 

fraud in Government programs. 

Improving Oversight of Federal Contracts.—The Committee bill 

includes $16,096,280 to supplement existing acquisition workforce 

improvement activities at the three Departments and the Social Security Administration. These funds will help agencies acquire goods 

and services at reduced costs and in ways that are better aligned 

with the agencies’ missions. 

Program Eliminations.—Lean economic times require tough 

choices and a critical look at all programs in the bill, even those 
10 

that have been funded for decades. The Committee bill eliminates 

23 programs totaling $371,467,000. 

LEVERAGING REFORM

Workforce Innovation Funds.—The Committee includes a total of 

$242,000,000 for five new Workforce Innovation Funds that are intended to reform the Nation’s workforce investment system by improving the delivery of education and training programs to workers. To ensure coordination of Federal investments in education 

and training, these funds will be administered jointly by the Secretaries of Labor and Education. The funds consist of $55,000,000 for 

dislocated workers, $35,000,000 for adult job training, $95,000,000 

for youth, $27,000,000 for disabled individuals and $30,000,000 for 

adult education programs. Resources for the Innovation Funds 

come from funding provided for State grants for these programs. 

Early Learning Challenge Fund.—The Committee includes 

$300,000,000 for a new Early Learning Challenge Fund that will 

provide competitive grants to States to raise the bar for early childhood programs. 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 Early Learning Challenge Fund will encourage States 

to coordinate quality improvement activities across early learning 

settings, including child care, Head Start and pre-kindergarten programs; expand the number of low-income children in high-quality 

programs; and ensure that more children enter kindergarten ready 

to succeed. 

Prevention Fund.—The Patient Protection and Affordable Care 

Act included $750,000,000 in mandatory spending for the Prevention and Public Health Fund. The Committee is responsible for allocating the resources by transferring them in this bill to various 

programs within the Department of Health and Human Services 

that are intended to improve public health and reduce healthcare 

costs. The Committee has focused on community-based programs 

that make healthy options more available and preventive services 

more accessible. 

Chronic Disease Block Grant.—Obesity is predominant risk factor 

in 3 of the top 5 most prevalent chronic diseases in this country: 

diabetes, heart disease, and arthritis. Yet, the public health response to these diseases has historically been fragmented and the 

relationship between the States and the Centers for Disease Control and Prevention [CDC] has evolved into five discrete ‘‘silos’’ that 

compete for resources at both the Federal and State levels. 

The Committee consolidates the funding streams and requirements of these programs and adds additional resources to create a 

comprehensive $687,151,000 public health initiative to prevent and 

reduce obesity-related chronic disease. The initiative includes: 

$308,978,000 for community-based programs, $251,000,000 for 

State planning and policy change, $75,723,000 for national research and surveillance, and $51,450,000 for the CDC to develop 

new models, evaluate current activities and produce cutting edgescience. 
11 

Race to the Top.—The Committee includes $675,000,000 for the 

administration’s signature education reform program. Race to the 

Top was created in the American Recovery and Reinvestment Act 

but this will be the first time it is funded in the Labor, Health and 

Human Services, and Education 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. Tennessee and Delaware have been awarded funds so far and 36 States applied for 

phase 2 grants that will be awarded over the next 2 months. 

Grants funded by the fiscal year 2011 bill may be awarded to local 

school districts as well as States. 

Investing in Innovation.—The Committee bill includes 

$250,000,000 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 but this will be 

the first time it is funded in the Labor, Health and Human Services, and Education appropriations bill. 

School Improvement Grants.—The Committee bill provides $625,000,000, an increase of 14.5 percent over the fiscal year 2010 

level, for school improvement grants. The bill requires that 40 percent of school improvement grant funds be directed to low-performing high schools and their feeder middle schools, as part of an 

initiative to improve the academic skills and graduation rates of 

secondary students. The bill also doubles—to $100,000,000—funding for the high school graduation program. 

Extended Learning Time.—A growing body of evidence suggests 

that students benefit academically from a longer school day and a 

longer school year. The Committee includes bill language that will 

allow grants for the 21st century community learning centers program to be used to help communities establish or expand extended 

learning time that includes both academic instruction and enrichment opportunities, and to support a more systemic restructuring 

of the school year. The bill includes an increase of $100,000,000 for 

the 21st century community learning centers program, for a total 

of $1,266,166,000. 

Cures Acceleration Network.—Too often, basic biomedical research will suggest a promising path for a cure or treatment, but 

funding falls short to pursue the idea to its fullest potential. The 

Committee bill includes $50,000,000 to create a new Cures Acceleration Network [CAN] within the National Institutes of Health 

that 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 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 CAN. 

Medical Home Demonstration.—The Committee includes 

$40,000,000 for two new authorizations that support the creation 

of patient-centered medical homes. Research indicates that medical 

homes result in improved quality, reduced errors, fewer emergency 

visits, and fewer hospitalizations, which all result in savings to the 

healthcare system. While the concept has been attempted in var-
12 

ious medical systems since 1967, the Committee hopes this demonstration will identify the best ways of organizing and funding 

medical homes to maximize their benefit. 

Social Innovation Fund.—The Committee recommendation provides an increase of $10,000,000 for the Social Innovation Fund at 

the Corporation for National Community Service, for a total of 

$60,000,000. 

OTHER HIGHLIGHTS OF THE BILL 

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

$32,007,237,000, an increase of $1,002,036,000, to fund biomedical 

research at the 27 Institutes and Centers that comprise the NIH. 

The 3.5 percent increase provided for the NIH is equal to the rate 

of biomedical inflation. 

Education for Individuals With Disabilities.—The Committee bill 

provides $11,925,211,000 under section 611 of part B grants to 

States for educating students with disabilities. This amount is 

$420,000,000 more than the fiscal year 2010 level and $170,000,000 

more than the budget request. 

Institute of Education Sciences.—The Committee bill includes 

$722,756,000 to support the Institute’s activities related to education research, data collection and analysis, and assessment of 

student progress. This funding level is $63,750,000 more than the 

amount provided in the fiscal year 2010 appropriations bill and will 

expand much-needed investments in research, development and 

evaluation to generate solutions to critical problems in education. 

These funds also will support evaluation of reforms taking place 

under the Race to the Top fund and School Improvement Grants 

program. 

Corporation for National and Community Service.—The Committee bill recommends $1,365,586,000 for the Corporation for National and Community Service. This level is $215,865,000 above the 

fiscal year 2010 level. The recommendation is sufficient to increase 

the number of AmeriCorps members from 87,000 to over 97,000. 

Social Security Administration.—The Committee bill includes 

$12,378,863,000 for the administrative expenses of the Social Security Administration. This amount is an increase of $932,363,000 

over the fiscal year 2010 level and will allow the SSA to continue 

to work toward eliminating the disability hearings backlog by the 

end of fiscal year 2013 while keeping up with an unprecedented 

level of disability and retirement claims. It also includes 

$796,000,000, an increase of $38,000,000, in program integrity 

funding. 

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 

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. 
(13) 

TITLE I 

DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION

TRAINING AND EMPLOYMENT SERVICES

Appropriations, 2010 ............................................................................. $3,828,530,000 

Budget estimate, 2011 ........................................................................... 3,925,475,000 

Committee recommendation ................................................................. 3,877,478,000 

The Committee recommends $3,877,478,000 for this account, 

which provides funding primarily for activities under the Workforce 

Investment Act [WIA]. The fiscal year 2010 comparable amount is 

$3,828,530,000 and the budget request provides $3,925,475,000 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 2011 will support the program from July 

1, 2011, through June 30, 2012. A portion of this account’s funding, 

$1,772,000,000, is available on October 1, 2011, for the 2011 program year. 

Pending reauthorization of WIA, the Committee is acting on the 

basis of current law. 

As requested by the administration, the Committee recommends 

designating a portion of the appropriations from the WIA formula 

programs to create a workforce innovation fund to make competitive awards for workforce innovation activities under the act’s pilot 

and demonstration authority. These activities would test innovative 

strategies or replicate proven practices that support systemic reform of the workforce investment system and substantially improve 

education and employment outcomes for participants. To support 

alignment at the Federal level, the Committee expects the Secretary to make such awards in cooperation with the Secretary of 

Education. Awards would be made to either: States in partnership 

with local workforce investment boards; or a local workforce investment board or consortium of such boards that serve a regional 

labor market. Priority will be given to applicants that demonstrate 

significant alignment across workforce development, education, and 

supportive services at the State, regional, or local level and that 

support economic development goals and improved education and 

employment outcomes for participants, particularly those who are 

hardest to serve. Awards would also prioritize applicants that demonstrate comprehensive strategic planning and coordination at the 

State, regional, or local level. The Committee directs that the Department provide a briefing to the Committee not less than 30 days 
14 

prior to the release of a solicitation of grant applications for this 

program. 

The Committee recommendation includes language in section 106 

of the general provisions requiring that the Department take no action to amend, through regulatory or other administrative action, 

the definition established in 20 CFR 677.220 for functions and activities under title I of WIA until such time as legislation reauthorizing the act is enacted. This language is continued from last year’s 

bill. 

Grants to States 

The Committee recommends $3,133,031,000 for Training and 

Employment Services Grants to States, including a total of 

$185,000,000 for the Workforce Innovation Fund. The fiscal year 

2010 comparable amount is $2,969,449,000 and the budget request 

provides $3,178,031,000 for this purpose. 

The bill continues 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. The bill also continues legislative language that allows a local workforce board to contract with eligible training providers to facilitate the training of multiple individuals in high-demand occupations, as long as it does not limit customer choice. This 

authority is continued from the American Recovery and Reinvestment Act and is intended to support local efforts to provide workers 

with the skills they need to find and sustain employment. 

Adult Employment and Training.—For Adult Employment and 

Training activities, the Committee recommends $896,884,000. The 

fiscal year 2010 comparable amount is $861,540,000 and the budget request provides $906,884,000 for this purpose. 

This program is formula-funded to States and further distributed 

to local workforce investment boards. Three types of services for 

adults will be 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. 

Funds made available in this bill support program year 2011 activities that occur from July 1, 2011, through June 30, 2012. The 

bill provides that $184,884,000 is available for obligation on July 

1, 2011, and that $712,000,000 is available on October 1, 2011. 

Both categories of funding are available for obligation through 

June 30, 2012. 

The bill would make available to the Secretary of Labor not more 

than $35,000,000 of the appropriated amount for workforce innovation activities that strengthen the workforce investment system to 

enhance program delivery and improve education and employment 

outcomes for program beneficiaries. The administration requested 
15 

5 percent of the funding for Adult Employment and Training activities, $45,344,000, for this purpose. 

Youth Training.—For Youth Training, the Committee recommends $995,000,000. The fiscal year 2010 comparable amount is 

$924,069,000 and the budget request provides $1,025,000,000 for 

this purpose. 

The purpose of Youth Training 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, 

and activities related to leadership development, citizenship, and 

community service. Funds made available for youth training support program year 2011 activities, which occur from April 1, 2011, 

through June 30, 2012. 

The bill would make available to the Secretary of Labor not more 

than $95,000,000, for a new youth innovation fund to test and 

evaluate activities that strengthen the workforce investment system to enhance program delivery and improve education and employment outcomes for at-risk youth, particularly out-of-school 

youth. The administration requested 15 percent of Youth Training 

funds, or $153,750,000, for this purpose. As requested in the budget, the bill provides that the Governor may reserve not more than 

10 percent of the youth formula funds allotted to the State for 

statewide activities. It also provides that not less than 30 percent 

would be used for projects providing summer employment activities 

for youth. 

Dislocated Worker Assistance.—For Dislocated Worker Assistance, the Committee recommends $1,241,147,000. The fiscal year 

2010 comparable amount is $1,183,840,000 and the budget request 

provides $1,246,147,000 for this purpose. 

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

addition, States 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. 

The bill would make available to the Secretary of Labor not more 

than $55,000,000 for workforce innovation activities that strengthen the workforce investment system to enhance program delivery 

and improve education and employment outcomes for program 

beneficiaries. The administration requested 5 percent of Dislocated 

Worker Assistance funds, $62,307,000 for this purpose. 

Funds made available in this bill support program year 2011 activities, which occur from July 1, 2011, through June 30, 2012. The 

bill provides that $381,147,000 is available for obligation on July 

1, 2011, and that $860,000,000 is available on October 1, 2011. 
16 

Both categories of funding are available for obligation through 

June 30, 2012. 

Federally Administered Programs 

Dislocated Worker Assistance National Reserve.—The Committee 

recommends $229,160,000 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 2010 level and the budget 

request. 

Funds made available in this bill support program year 2011 activities, which occur from July 1, 2011, through June 30, 2012. The 

bill provides that $29,160,000 is available for obligation on July 1, 

2011, and that $200,000,000 is available on October 1, 2011. Both 

categories of funding are available for obligation through June 30, 

2012. 

The Committee bill continues language authorizing the use of 

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

workers and assistance where there have been dislocations across 

multiple sectors or local areas of a State. 

Native American Programs.—The Committee recommends 

$55,000,000, the same amount as the budget request, for Native 

American programs. The comparable fiscal year 2010 level is 

$52,758,000 for this program. This program is designed to improve 

the economic well-being of Native Americans (Indians, Eskimos, 

Aleuts, and Native Hawaiians) through the provision of training, 

work experience, and other employment-related services and opportunities that are intended to aid the participants in securing permanent, unsubsidized employment. 

Migrant and Seasonal Farmworker Programs.—The Committee 

recommends $87,378,000, the same amount as the budget request, 

for Migrant and Seasonal Farmworkers. The comparable fiscal year 

2010 level is $84,620,000 for this program. Authorized by the 

Workforce Investment Act, this program is designed to serve members of economically disadvantaged families whose principal livelihood is derived from migratory and other forms of seasonal farmwork, 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 $80,868,000 be 

used for State service area grants. The Committee recommendation 

also includes bill language directing that $6,000,000 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 $510,000 to be used for section 167 training, 

technical assistance and related activities, including funds for migrant rest center activities. Finally, the Committee wishes to ad-
17 

vise the Department regarding WIA requirements in selecting an 

eligible entity to receive a State service area grant under section 

167. Such an entity must have already demonstrated a capacity to 

administer effectively a diversified program of workforce training 

and related assistance for eligible migrant and seasonal farmworkers. 

Women in Apprenticeship.—The Committee recommends 

$1,000,000 for program year 2011 activities as authorized under 

the Women in Apprenticeship and Non-Traditional Occupations Act 

of 1992. This amount is the same as the fiscal year 2010 level and 

the fiscal year 2011 budget request. 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 $110,000,000 for the 

YouthBuild program. The fiscal year 2010 comparable amount is 

$102,500,000. The budget request includes $120,000,000 for the 

Youth Build program. 

National Activities 

Pilots, Demonstrations, and Research.—The Committee recommends $73,559,000 for pilots, demonstration and research authorized by section 171 of the Workforce Investment Act. The comparable fiscal year 2010 level is $93,450,000 and the budget request includes $46,556,000 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 bill provides that up to $40,000,000 can be used 

to demonstrate and evaluate transitional job program models. 

Transitional job models combine a comprehensive set of support 

services including pre-job placement assessment, skills development, job readiness training, and case management for an individual in a subsidized transitional job that leads to placement and 

continued support in competitive employment. This represents the 

second year of funding for this initiative. The Committee is aware 

that these models have shown great potential in studies that evaluated employment outcomes for individuals with multiple barriers to 

employment. 

The budget proposes bill language to authorize the transfer of up 

to 10 percent of the transitional jobs funds to the Departments of 

Health and Human Services or Justice. The Committee provides 

the requested transfer authority to assist with the effective implementation of transitional jobs projects, including support for 

leveraging resources under their control, and to enable the Department of Labor to evaluate such projects. Given that various Federal 

funding streams currently support transitional jobs programs 

around the United States, the Committee intends that the funds 

provided not simply replace existing resources for such programs, 

but leverage other resources to support program growth. The Committee requests that the Department submit a plan and timeline 

for the solicitation of grant applications as well as advance notice 

prior to its publication in the Federal Register. 
18 

The Committee remains 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 continue to examine and publish successful strategies and best practices that can 

help adults with low literacy levels improve their overall skills and 

employment opportunities. 

The Committee recognizes the importance of building stronger 

linkages between title I job training programs and title II adult 

education and literacy programs in the Workforce Investment Act 

of 1998 in order to create career pathways that enhance participants’ long-term economic success. The Committee strongly urges 

the Department to expand funding to community-based 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 the integration of title I job training programs with title II adult literacy 

programs. 

The Committee notes the ongoing need for training and education programs that prepare participants for employment in high 

demand and emerging industry sectors such as healthcare. The 

Health Care Training Initiative works to define career pathways 

across the healthcare sector. As part of this initiative, the Committee encourages the funding of replicable demonstration programs that create apprenticeships for jobs in healthcare. 

The Committee recommendation includes language providing 

funding for the following activities in the following amounts: 

Amount 

AFL–CIO Working for America Institute, Washington, DC, for employment and training programs .................. $1,000,000 

Apprentice Training for Electrical Industry, Philadelphia, PA, for a job training program ................................ 100,000 

Arrowhead Economic Opportunity Agency, Virginia, MN, for an educational and transportation assistance 

program for job seekers .................................................................................................................................. 100,000 

Association of Village Council Presidents, Bethel, AK, for workforce development and training ...................... 500,000 

Baltimore City Mayor’s Office of Employment Development, Baltimore, MD, for a summer jobs program ....... 150,000 

Brevard Workforce Development Board, Rockledge, FL, for a job training initiative ......................................... 600,000 

Capps Workforce Training Center, Stoneville, MS, for workforce training .......................................................... 500,000 

Catholic Charities, Baltimore, MD, for a job training and job placement program .......................................... 250,000 

Center for Education, Business and the Arts, Interlocal Agency, St. George, UT, for workforce development 

program in green jobs ..................................................................................................................................... 108,000 

Chesapeake Bay Trust, Annapolis, MD, for a job training program and development of a training curriculum ............................................................................................................................................................. 200,000 

City of Buffalo, NY, for youth employment readiness programs ........................................................................ 500,000 

City of Jackson, MS, for workforce training ........................................................................................................ 100,000 

College of Southern Idaho, Twin Falls, ID, for job training in green construction ............................................ 150,000 

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

Des Moines Area Community College, Ankeny, IA, for the development of the Perry Career Technical Academy .................................................................................................................................................................. 400,000 

Easter Seals of Southern Nevada, Las Vegas, NV, for a job training program for dislocated workers ............ 200,000 

Envirolution, Reno, NV, for a green jobs resources center ................................................................................. 200,000 

Expertise, Inc, Las Vegas, NV, for job readiness and employment training ...................................................... 100,000 

Finishing Trades Institute, Kenner, Louisiana, for job training and workforce development ............................ 150,000 

First African Community Development Corporation, Philadelphia, PA, for training in green and technologyrelated jobs ...................................................................................................................................................... 100,000 

Fletcher Community College, Houma, Louisiana, for job training and workforce development ......................... 200,000 

Florida Institute of Technology, Melbourne, FL, for training in cyber security ................................................... 250,000 

Foundation for an Independent Tomorrow, Las Vegas, NV, for job search support program ............................ 125,000 

Fox Valley Technical College, Appleton, WI, to expand truck driver training program ...................................... 250,000 

Fund for the City of New York, NY, for an academic success and workforce development program ............... 200,000 

Goodwill Industries of Southeastern WI, Inc., Milwaukee, WI, for community job center .................................. 750,000 
19 

Amount 

Goodwill of Southern Nevada, Las Vegas, NV, for the career connections job training program ..................... 100,000 

Great Basin College, Elko, NV, for job training program .................................................................................... 200,000 

Haven for Hope, San Antonio, TX, for job training and education for the homeless ........................................ 200,000

Hispanic Federation, New York, NY, for a Latino Workforce Training Initiative ................................................. 100,000 

Holmes Community College, Goodman, MS, for workforce training .................................................................... 225,000 

Hopkins House, Alexandria, VA, for workforce development and training in early childhood education ........... 150,000 

Iowa Workforce Development, Des Moines, IA, for the IowaWORKS Integration Project ..................................... 1,000,000

Jobs for Mississippi Graduates, Inc., Jackson, MS, for career development for at-risk youth .......................... 125,000 

Lakeshore Technical College, Cleveland, WI, to support the training of workers for manufacturing jobs ....... 750,000 

Las Vegas-Clark County Urban League, Las Vegas, NV, to provide job development and workforce readiness 

skills for unemployed or underemployed individuals ...................................................................................... 145,000 

Lawrence Technological University, Dearborn, MI, to train displaced workers in green jobs ............................ 150,000 

Maine Centers for Women, Work, & Community/University of Maine at Augusta/University of Maine System, 

Augusta, ME, for job training and workforce development ............................................................................ 100,000 

Maui Community College, Kahului, HI, for remote rural Hawaii job training .................................................... 2,300,000 

Maui Community College, Kahului, HI, for the Samoan/Asian Pacific Job Training program ........................... 2,000,000 

Maui Economic Development Board, Kihei, HI, Rural Computer Utilization Training ......................................... 300,000

Maui Economic Development Board, Kihei, HI, to recruit, train and retain women and minorities in STEM 

careers ............................................................................................................................................................. 450,000 

MedTech Association, Inc., Syracuse, NY, to identify career pathways that connect to bioscience jobs .......... 150,000 

Metropolitan State College of Denver, Denver, CO, for the purchase of equipment for aviation training program ................................................................................................................................................................ 100,000 

Milwaukee Area Technical College, Milwaukee, WI, for Solar Jobs Training Center ........................................... 300,000 

Mississippi Gulf Coast Community College, Perkinston, MS, for workforce training ......................................... 250,000 

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

System ............................................................................................................................................................. 375,000 

Mississippi Technology Alliance, Ridgeland, MS, for the Mississippi ILED training program ........................... 250,000 

Montana State University—Northern, Havre, MT, for Energy Training Center ................................................... 200,000 

Moore Community House, Biloxi, MS, for workforce training .............................................................................. 100,000 

New Hampshire Manufacturing Extension Partnership, Concord, NH, for incumbent worker retraining initiative ................................................................................................................................................................... 200,000 

Nine Star Education & Employment Services, Anchorage, AK, for job training for prisoner reentry programs ............................................................................................................................................................... 100,000 

Nine Star Education and Employment, Anchorage, AK, to expand Math for the Trades course ....................... 200,000 

North Carolina Rural Economic Development Center, Raleigh, NC, for Community Mobilization Project for 

Dislocated Workers .......................................................................................................................................... 150,000 

North Dakota State College of Science, Fargo, ND, for biosciences workforce training and equipment .......... 400,000 

Parnassa Fund, Inc., New York, NY, for EPI Emergency Employment and Job Creation Network ...................... 150,000 

Partners in Careers, Vancouver, WA, for workforce development for female veterans ...................................... 100,000 

Peralta Community College District, Oakland, CA, for the East Bay Green Jobs Project .................................. 500,000 

Philadelphia Opportunities Industrialization Center, Philadelphia, PA, for salaries and equipment ................ 100,000 

Plattsburgh-North Country Chamber of Commerce, Plattsburgh, NY, for an on the job training program ...... 100,000 

Rapides Parish Police Jury Office of Economic & Workforce Development, Alexandria, LA, to train displaced 

workers in demand occupations including green jobs ................................................................................... 200,000 

Regional Education & Training Center at Satsop, Elma, WA, for programs focused on rapid certifications, 

entry-level degrees, and advanced certifications ........................................................................................... 900,000 

River Valley Resources, Inc., Madison, IN, for workforce training ...................................................................... 100,000 

San Mateo County Community College District, San Mateo, CA, for curriculum development, job placement 

and job retention services at the Allied Health Career Advancement Academy ........................................... 150,000 

Scranton Electricians JATC, Scranton, PA, for training in green technologies ................................................... 100,000 

SEIU Healthcare NW Training Partnership, Federal Way, WA, for training of home care aides, including 

equipment ........................................................................................................................................................ 300,000 

South Delta Planning and Development District, Greenville, MS, for workforce training .................................. 400,000 

Southwest Alaska Vocational & Education Center, King Salmon, AK, for workforce development programs in 

rural Alaska ..................................................................................................................................................... 100,000 

Southwest Mississippi Community College, Summit, MS, for workforce training .............................................. 350,000 

Spectrum Resources, Des Moines, IA, to expand the Project Phoenix job training program ............................. 200,000 

St. Bernard Project, Chalmette, LA, for operational and equipment expenses .................................................. 200,000 

State of Vermont Department of Public Safety, Waterbury, VT, for firefighting and emergency services training support ...................................................................................................................................................... 100,000 

Steamfitters Local 449 and Plumbers Local 27, Pittsburgh, PA, for training program for those entering the 

pipe trades industry ........................................................................................................................................ 100,000 

Total Action Against Poverty, Roanoke, VA, to provide job training to help individuals obtain and retain 

employment ...................................................................................................................................................... 250,000 

Twin Cities RISE!, Minneapolis, MN, to expand job training program, and support program replication in 

other cities ....................................................................................................................................................... 100,000 
20 

Amount 

United 4 Economic Development, Salt Lake City, UT, for workforce development and training ....................... 250,000 

Utah Capital Investment Corporation, Salt Lake City, UT, for workforce development, education and training .................................................................................................................................................................... 250,000 

Vermont HITEC, Williston, VT, for the Vermont HITEC Job Training Initiative .................................................... 500,000 

Vermont Technical College, Randolph Center, VT, for development of a paramedicine program ..................... 300,000 

Vermont Technical College, Randolph Center, VT, for Green Jobs Workforce Development ............................... 500,000 

Veterans Leadership Program of Western Pennsylvania, Pittsburgh, PA, for a jobs program for veterans ...... 150,000 

Washington State Workforce Board, Olympia, WA, to better engage employers with regional workforce development systems ............................................................................................................................................... 1,000,000 

Women’s Initiative for Self Employment, San Francisco, CA, for an economic self sufficiency program for 

low-income women .......................................................................................................................................... 100,000 

Workforce Development Council of Seattle-King County, Seattle, WA, to align K–12 and post-secondary education to better meet the workforce skill needs in King County ................................................................... 400,000 

Year Up Boston, Boston, MA, to support the expansion of curriculum development and career placement 

services for urban youth ................................................................................................................................. 100,000 

Youthcare, Seattle, WA, to provide youth with education and training in the telecommunications industry ... 100,000 

YWCA Middle Rio Grande, Albuquerque, NM, for a transitional living program for at-risk women veterans 

and their children to prepare them for entry into the workforce ................................................................... 150,000 

Green Jobs Innovation Fund.—The Committee recommends 

$65,000,000 for the Green Jobs Innovation Fund. The budget request includes $85,000,000 for the Fund and the comparable fiscal 

year 2010 level is $40,000,000. The funds requested will be used 

for competitive grants to help workers access green training and 

green career pathways. Funds could be awarded for activities including enhanced pre-apprenticeship and Registered Apprenticeship programs, and innovative partnerships that connect community-based organizations in underserved communities with the 

workforce investment system. The Committee notes that other programs within the Employment and Training Administration such 

as Job Corps and YouthBuild are developing green jobs curricula 

or programs, and it encourages the close coordination of this Fund 

with other activities in the Department to prevent duplication and 

ensure the sharing of best practices. The Committee requests a report on the implementation of this program and its coordination 

with other green jobs initiatives within 90 days after enactment of 

this act. 

Reintegration of Ex-offenders.—The Committee recommends 

$98,000,000, the same as the fiscal year 2011 budget request, to 

continue funding for the Reintegration of Ex-offenders program. 

The comparable fiscal year 2010 level is $108,493,000. The Responsible Reintegration of Ex-offenders program targets critical funding 

to help 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 court-involved 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. 

Evaluation.—The Committee recommends $11,600,000, the same 

as the fiscal year 2011 budget request, to provide for new and continuing rigorous evaluations of programs conducted under the 

Workforce Investment Act, as well as of federally funded employ-
21 

ment-related activities under other provisions of law. The comparable fiscal year 2010 level is $9,600,000 for this purpose. 

Career Pathways Innovation Fund.—The Committee concurs in 

the budget request to eliminate funding for this program. The comparable fiscal year 2010 level is $125,000,000. This program focuses on expanding career pathway programs at community colleges. The Committee is confident that significant other funding 

sources exist to support community colleges. Most recently, the 

Health Care and Education Reconciliation Act of 2010 provided 

$500,000,000 for each of fiscal years 2011–2014 for the Community 

College and Career Training Grant program. 

Workforce Data Quality Initiative.—The Committee recommends 

$13,750,000, the same as the requested level, for the Workforce 

Data Quality Initiative. The comparable fiscal year 2010 amount 

for this program is $12,500,000. Funds will be 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 

also will help improve the quality and accessibility of performance 

data being produced by training providers. 

OFFICE OF JOB CORPS

Appropriations, 2010 ............................................................................. $1,708,205,000 

Budget estimate, 2011 ........................................................................... 1,707,363,000 

Committee recommendation ................................................................. 1,712,205,000 

For Job Corps, the Committee recommends $1,712,205,000. The 

comparable fiscal year 2010 amount is $1,708,205,000. The budget 

request includes $1,707,363,000 for Job Corps. 

The recommendation for operations of Job Corps centers is 

$1,577,095,000, comprised of $986,095,000 in fiscal year 2011 funds 

and $591,000,000 in advance appropriations from last year’s bill. 

For operations, the Committee also recommends advance funding 

of $591,000,000, which will become available on October 1, 2011. 

The recommendation for administration is $30,110,000. 

The Committee understands that construction on the new Job 

Corps center in Ottumwa, Iowa, will be completed in March 2011. 

The Committee’s recommended level for operations includes funds 

to ensure that competitively awarded contracts will be in place to 

enable the Ottumwa center to open on or before July 2011 and to 

serve the contracted capacity of 300 students. 

The Committee also recommends $5,000,000 in construction, renovation and acquisition funds, which are available from July 1, 

2011, to June 30, 2014. In addition, $100,000,000 in construction, 

rehabilitation and acquisition [CRA] funds are provided in advance 

funding, which will make these funds available on October 1, 2011, 

through June 30, 2014. 

Job Corps received $211,646,000 in CRA funds in the American 

Recovery and Reinvestment Act of 2009. These funds helped address a number of Job Corps facility needs. In light of this recent 

influx of capital funds and consistent with the budget request, the 

Committee directs Job Corps to use its authority to transfer up to 

15 percent of CRA funds to meet the operational needs of Job 

Corps centers. 
22 

For 3 years, Congress has highlighted the need to expand Job 

Corps programs in areas experiencing increased numbers of high 

school dropouts, unemployed youth, youth aging out of foster care, 

and homeless youth. In fiscal year 2010, the Committee included 

$5,000,000 to begin the process of establishing a minimum of two 

new Job Corps centers, particularly in large metropolitan areas 

without a Job Corps center and areas focused on the acute socioeconomic needs of America’s poorest rural youth. To date, the Department has yet to begin the expansion process. The Committee 

directs the Department to announce a competition for a minimum 

of two new Job Corps centers as stated in House Report 111–366. 

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

Appropriations, 2010 ............................................................................. $825,425,000 

Budget estimate, 2011 ........................................................................... 600,425,000 

Committee recommendation ................................................................. 600,425,000 

The Committee recommends $600,425,000, the same as the fiscal 

year 2011 budget request, for community service employment for 

older Americans. The comparable fiscal year 2010 level is 

$825,425,000. The fiscal year 2010 appropriation included a onetime program expansion designed to serve additional unemployed 

low-income seniors affected by the economic downturn. 

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

provides part-time employment in community service activities for 

unemployed, low-income persons aged 55 and over. It is a forwardfunded program, so the fiscal year 2011 appropriation will support 

the program from July 1, 2011, through June 30, 2012. 

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

proven effective network in every State and in practically every 

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

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

and fringe benefits. 

The program provides a wide range of vital community services 

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

areas and minority neighborhoods. 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. 

Bill language is continued from last year to enable the Department to recapture and obligate unneeded program funds at the end 

of a program year for support of technical assistance, incentive 

grants or other purposes, as authorized by the Older Americans 

Act. The budget did not propose continuing this language. 

FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

Appropriations, 2010 ............................................................................. $1,818,400,000 

Budget estimate, 2011 ........................................................................... 1,938,200,000 

Committee recommendation ................................................................. 1,938,200,000 
23 

The Committee recommends $1,938,200,000, the same as the fiscal year 2001 budget request, in mandatory funds for Federal unemployment benefits and allowances. The fiscal year 2010 comparable amount is $1,818,400,000. Trade adjustment benefit payments are expected to increase from $1,067,000,000 in fiscal year 

2010 to $1,595,000,000 in fiscal year 2011, while trade training expenditures in fiscal year 2011 are estimated to be $278,200,000 for 

the expected certification of 321,000 trade-affected workers. 

The Trade and Globalization Adjustment Assistance Act of 2009 

[TGAAA] reauthorized the Trade Adjustment Assistance [TAA] programs. The reauthorization expanded TAA coverage to more workers and employers, including those in the service sector. It also 

made benefits available to workers whose jobs have been lost to 

any country, not just those countries involved in a trade agreement 

with the United States. The expansions authorized under TGAAA 

sunset after December 31, 2010. 

The TAA program assists trade-impacted workers with services 

including: training, income support, employment, case management, and assistance with health insurance coverage. In addition, 

the program, through Reemployment Trade Adjustment Assistance, 

includes a wage insurance option for certain workers at least 50 

years old. 

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE

OPERATIONS

Appropriations, 2010 ............................................................................. $4,113,681,000 

Budget estimate, 2011 ........................................................................... 4,435,327,000 

Committee recommendation ................................................................. 4,440,327,000 

The Committee recommends $4,440,327,000 for this account. The 

recommendation includes $4,348,924,000 authorized to be drawn 

from the Employment Security Administration account of the unemployment trust fund, $91,403,000 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 $3,581,389,000 for unemployment insurance activities. 

For unemployment insurance [UI] State operations, the Committee recommends $3,570,079,000. These funds are available for 

obligation by States through December 31, 2011. However, funds 

used for automation acquisitions, for re-employment and eligibility 

assessments discussed below and funds awarded to States under 
24 

the misclassification initiative are available for obligation by States 

through September 30, 2013. The recommendation includes $65,000,000 to conduct in-person 

reemployment and eligibility assessments [REAs] and unemployment insurance improper payment reviews, as proposed in the 

budget request. The recommendation will support continuation and 

expansion of the REA initiative in approximately 40 States. This 

important program integrity initiative will save State UI trust fund 

accounts an estimated $210,000,000 representing a return on investment of more than 3 to 1. The Committee intends for a portion 

of the funds to be used for additional technology-based overpayment prevention, detection, and collection activities. 

In addition, the Committee recommendation provides for a contingency reserve amount should the unemployment workload exceed an average weekly insured claims volume of 6,051,000, as proposed in the budget request. This contingency amount would fund 

the administrative costs of the unemployment insurance workload 

over the level of 6,051,000 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 

$11,310,000. 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 $703,576,000, which includes $22,683,000 in general 

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

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

budget request and the fiscal year 2010 comparable funding level. 

The Committee also recommends $20,994,000 for Employment 

Service national activities. This is the same level as the budget request and the comparable amount for fiscal year 2010. The administration of the work opportunity tax credit accounts for 

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

technical assistance, training, and the Federal share of State Workforce Agencies Retirement System payments. The fiscal year 2010 

Committee report encouraged the Department to focus a technical 

assistance program on services to individuals with disabilities 

available through State Employment Services and the One-Stop 

Career Center Network. The Committee anticipates a report on the 

Department’s response to that request. 

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

$65,648,000, the same amount proposed in the budget request. The 

fiscal year 2010 comparable amount is $68,436,000. In addition, 5 

percent of 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 $68,720,000. The budget request includes 
25 

$63,720,000, the same as the fiscal year 2010 comparable amount 

for these activities. The Committee recommendation includes 

$17,000,000 for the Employment and Training Administration 

[ETA], in collaboration with the Office of Disability Employment 

Policy [ODEP], to implement a 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. These practices include the effective deployment of staff in selected States to: improve coordination among employment, training, and asset development programs carried out at 

the State and local level such as the Ticket to Work program; and 

build effective community partnerships that leverage public and 

private resources to improve services and employment outcomes for 

individuals with disabilities. The Committee requests that ETA 

and ODEP develop appropriate objectives and performance measures by which this initiative will be evaluated. The Committee eagerly awaits the issuance of the solicitation for grant applications 

for fiscal year 2010 funds consistent with language in the fiscal 

year 2010 Committee report that described this initiative. 

STATE PAID LEAVE FUND

Appropriations, 2010 ............................................................................. ........................... 

Budget estimate, 2011 ........................................................................... $50,000,000 

Committee recommendation ................................................................. 10,000,000 

The Committee recommends $10,000,000 for the State Paid 

Leave Fund, which is a new activity. The budget request includes 

$50,000,000 for the Fund. The Fund will provide competitive 

grants to help States establish paid leave programs. Currently, 

California, New Jersey, and Washington have passed legislation to 

offer such programs, which are called family leave insurance. Typically, the programs offer up to 6 weeks of benefits to workers who 

must take time off to care for a seriously ill child, spouse, or parent, or to bond with a newborn or recently adopted child. The programs are typically employee funded through small payroll premiums. 

Grants will support State start-up activities relating to the implementation of paid leave programs, such as program infrastructure in States that have passed but not implemented paid leave 

programs. The Committee is interested in the capacity of this new 

initiative to encourage passage of paid leave programs in additional 

States. Accordingly, these funds will have a 2-year period of availability to allow sufficient time for States to consider and pass legislation authorizing paid leave programs. The Committee directs the 

Department to provide a briefing not less than 30 days prior to the 

release of a solicitation of grant applications and provide regular 

updates on the status of this initiative and State efforts to pass 

paid leave legislation. 
26 

ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS

Appropriations, 2010 ............................................................................. $120,000,000 

Budget estimate, 2011 ........................................................................... 200,000,000 

Committee recommendation ................................................................. 200,000,000 

The Committee recommends $200,000,000 in mandatory funds, 

the same as the fiscal year 2011 budget request, for this account. 

The fiscal year 2010 funding level is $120,000,000 for this purpose. 

The appropriation is available to provide advances to several accounts for purposes authorized under various Federal and State 

unemployment compensation laws and the Black Lung Disability 

Trust Fund, whenever balances in such accounts prove insufficient. 

The Committee 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, 2010 ............................................................................. $147,656,000 

Budget estimate, 2011 ........................................................................... 162,042,000 

Committee recommendation ................................................................. 162,042,000 

The Committee recommends $104,904,000 in general funds for 

this account, as well as authority to expend $57,138,000 from the 

Employment Security Administration account of the unemployment 

trust fund, for a total of $162,042,000. The fiscal year 2010 comparable amount is $147,656,000, and the budget request provides 

$162,042,000 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. 

The Committee recommendation includes funds requested to continue essential oversight, monitoring, and closeout activities related 

to the American Recovery and Reinvestment Act of 2009. 

EMPLOYEE BENEFITS SECURITY ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $154,861,000 

Budget estimate, 2011 ........................................................................... 161,995,000 

Committee recommendation ................................................................. 161,995,000 

The Committee recommends $161,995,000 for the Employee Benefits Security Administration [EBSA]. This amount is the same as 

the budget request. The comparable fiscal year 2010 amount is 

$154,861,000. 

The EBSA plays a critical role in improving health benefits and 

retirement security for American workers and their families. The 

EBSA is responsible for the enforcement of title I of the Employee 

Retirement Income Security Act of 1974 [ERISA] in both civil and 

criminal areas. EBSA is also responsible for enforcement of sections 8477 and 8478 of the Federal Employees’ Retirement Security 

Act of 1986. EBSA provides funding for the enforcement and com-
27 

pliance, policy, regulation, and public services, and program oversight activities. 

The Committee expects this appropriation to help the 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. 

PENSION BENEFIT GUARANTY CORPORATION

The Pension Benefit Guaranty Corporation’s estimated obligations for fiscal year 2011 include single employer benefit payments 

of $6,677,000,000, multi-employer financial assistance of 

$102,000,000 and administrative expenses of $466,301,000. Administrative expenses are comprised of three activities: (1) Pension insurance activities, $71,896,000; (2) pension plan termination expenses, $249,408,000; and (3) operational support, $144,997,000. 

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 from last year’s bill 

a contingency fund for the 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, 2012. The Committee bill continues this provision to ensure 

that the PBGC can take immediate, uninterrupted action to protect 

participants’ pension benefits. The Committee expects to be notified 

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

The President’s budget also continues language included in last 

year’s bill 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 Senate. 

The single-employer program protects about 33,600,000 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. 
28 

WAGE AND HOUR DIVISION

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $227,606,000 

Budget estimate, 2011 ........................................................................... 244,240,000 

Committee recommendation ................................................................. 244,240,000 

The Committee recommends $244,240,000, the same amount as 

the budget request, for the Wage and Hour Division. The comparable fiscal year 2010 amount is $227,606,000. 

The Wage and Hour Division was formerly part of the Employment Standards Administration, which was disbanded last year. 

The Wage and Hour Division 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 the Wage and Hour Division is 

charged with administering and/or enforcing. 

The Committee recommendation provides sufficient funding to 

support the continued rebuilding of the Wage and Hour Division’s 

capacity to conduct inspections and investigations of industries 

with high concentrations of low-wage and other vulnerable workers, and industries with high levels of wage and hour violations, including overtime violations. The Committee is particularly interested in the continued focus of the Wage and Hour Division on increased employer compliance with the special minimum wage program authorized under section 14(c) of the Fair Labor Standards 

Act. 

The Committee recommendation also supports the administration’s misclassification initiative. The budget request includes 

$12,000,000 for the Wage and Hour Division to participate in a 

joint Department of Labor-Department of the Treasury initiative to 

detect and deter the inappropriate misclassification of employees as 

independent contractors. When employees are inappropriately 

misclassified, it deprives them of important benefits, such as overtime and unemployment insurance, and reduces revenues that 

ought to be paid into the Treasury and Unemployment Insurance 

programs. The Committee expects to be updated on actions taken 

to implement this important initiative. 

OFFICE OF LABOR-MANAGEMENT STANDARDS

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $41,367,000 

Budget estimate, 2011 ........................................................................... 45,181,000 

Committee recommendation ................................................................. 45,181,000 

The Committee recommends $45,181,000, the same amount as 

the budget request, for the Office of Labor-Management Standards. 

The comparable fiscal year 2010 amount is $41,367,000. The Office 

of Labor-Management Standards was formerly part of the Employment Standards Administration, which was disbanded last year. 

The Office of Labor-Management Standards administers the 

Labor-Management Reporting and Disclosure Act of 1959 and related laws. These laws establish safeguards for union democracy 
29 

and financial integrity. They also require public disclosure by 

unions, union officers, employers and others. In addition, the office 

also administers employee protections under federally sponsored 

transportation programs. 

OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $105,386,000 

Budget estimate, 2011 ........................................................................... 113,433,000 

Committee recommendation ................................................................. 112,433,000 

The Committee recommends $112,433,000 for the Office of Federal Contract Compliance Programs. The comparable fiscal year 

2010 amount is $105,386,000 and the budget request includes 

$113,433,000 for this office. The Office of Federal Contract Compliance Programs was formerly part of the Employment Standards 

Administration, which was disbanded last year. 

The Office of Federal Contract Compliance Programs protects 

workers and potential employees of Federal contractors from employment discrimination as prohibited under Executive Order 

11246, section 503 of the Rehabilitation Act of 1973 and the Vietnam Era Veterans’ Readjustment Assistance Act of 1974. 

OFFICE OF WORKERS’ COMPENSATION PROGRAMS

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $118,295,000 

Budget estimate, 2011 ........................................................................... 127,346,000 

Committee recommendation ................................................................. 126,346,000 

The Committee recommends $126,346,000 for the Office of Workers’ Compensation Programs. The budget request is $127,346,000. 

The comparable fiscal year 2010 amount is $118,295,000. The bill 

provides authority to expend $2,181,000 from the special fund established by the Longshore and Harbor Workers’ compensation Act. 

The Office of Workers’ Compensation Programs was formerly 

part of the Employment Standards Administration, which was disbanded last year. The Office administers four distinct compensation 

programs which include 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, 

which provides services to offices that were previously part of the 

Employment Standards Administration. 

DIVISION OF ENERGY EMPLOYEES OCCUPATIONAL ILLNESS

COMPENSATION

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $51,900,000 

Budget estimate, 2011 ........................................................................... 53,778,000 

Committee recommendation ................................................................. 53,778,000 

The Committee recommends $53,778,000 for the Division of Energy Employees Occupational Illness Compensation. This amount is 
30 

the same as the budget request. The comparable fiscal year 2010 

amount is $51,900,000. 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, 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, which was part of the Employment Standards Administration until it was reorganized last year. 

In 2011, the volume of incoming claims under part B of the 

EEOICPA is estimated at about 6,400 claims from Department of 

Energy [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 6,800 new claims will be received 

during fiscal year 2011. Under this authority, the Department provides benefits to eligible DOE contractor employees or their survivors who were found to have work-related occupational illnesses 

due to exposure to a toxic substance at a DOE facility. 

SPECIAL BENEFITS

Appropriations, 2010 ............................................................................. $187,000,000 

Budget estimate, 2011 ........................................................................... 183,000,000 

Committee recommendation ................................................................. 183,000,000 

The Committee recommends $183,000,000, the same as the budget request, for this account. The comparable fiscal year 2010 

amount is $187,000,000. 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, which was formerly part of the 

Employment Standards Administration, which was disbanded last 

year. 

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

account numbers by individuals filing claims under the Federal 

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

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

a new employer for a portion of the salary of a newly re-employed 

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

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

thereafter. 

The Committee recommendation also continues language allowing carryover of unobligated balances from fiscal year 2010 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 draw-
31 

down date allows flexibility for continuation of benefit payments 

without interruption. 

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

Postal Service, the Tennessee Valley Authority, and other entities 

are required to pay to cover their fair share of the costs of administering the claims filed by their employees under FECA. 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, 2010 ............................................................................. $225,180,000 

Budget estimate, 2011 ........................................................................... 203,220,000 

Committee recommendation ................................................................. 203,220,000 

The Committee recommends a mandatory appropriation of 

$158,220,000 in fiscal year 2011 for special benefits for disabled 

coal miners. This is in addition to the $45,000,000 appropriated 

last year as an advance for the first quarter of fiscal year 2011. 

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. The Office was part of the Employment Standards Administration until it 

was reorganized last year. 

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

December 31, 1973. In fiscal year 2011, an estimated 24,000 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 

$41,000,000 for the first quarter of fiscal year 2012. 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, 2010 ............................................................................. $662,874,000 

Budget estimate, 2011 ........................................................................... 709,523,000 

Committee recommendation ................................................................. 709,523,000 

The Committee recommends $709,523,000 for this mandatory appropriations account. This amount is the same as the budget request. The comparable fiscal year 2010 amount is $662,874,000. 

This benefit program is administered by the Division of Coal 

Mine Workers’ Compensation, which is part of the Office of Workers’ Compensation Programs. The Division was part of the Employment Standards Administration until it was reorganized last year. 
32 

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

benefit payments. The recommendation assumes that $228,389,000 

for benefit payments will be paid in fiscal year 2011. In addition, 

the appropriation bill provides for transfers from the trust fund for 

administrative expenses for the following Department of Labor 

agencies: up to $33,075,000 for the part C costs of the Division of 

Coal Mine Workers’ Compensation Programs, up to $25,394,000 for 

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 25,250 individuals will receive black lung 

benefits financed through the end of the fiscal year 2011. 

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, 2010 ............................................................................. $558,620,000 

Budget estimate, 2011 ........................................................................... 573,096,000 

Committee recommendation ................................................................. 574,096,000 

The Committee recommends $574,096,000 for this account. The 

comparable fiscal year 2010 amount is $558,620,000. The budget 

request includes $573,096,000. This agency is responsible for enforcing the Occupational Safety and Health Act of 1970 in the Nation’s workplaces. 

In addition, the Committee has included language to allow 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 carried in last year’s bill effectively exempting 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 safe-
33 

ty 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 14 workers suffered a fatal occupational injury each day during calendar year 

2008. While an improvement over 2007, 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 health standards development, and maintain robust compliance assistance programs. The Committee recommends $105,893,000 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 fiscal year 2011 resources offered for support of their State plans. 

The Committee continues to be concerned that a significant proportion of work-related injuries and illnesses appear not to be captured on the OSHA Log of Work-related Injuries and Illnesses or 

in the annual Bureau of Labor Statistics [BLS] Survey of Occupational Injuries and Illnesses. The Committee understands that several recent studies have found that the BLS survey may miss between 25 percent and 70 percent of all nonfatal injuries and illnesses, when compared to State workers’ compensation information. While there is some explanation for why these data systems 

won’t match completely, the Committee believes the apparent level 

of underreporting raises serious questions, particularly when firms 

may have economic incentives to underreport and workers may fear 

retaliation for reporting injuries. 

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

understand the completeness of employer-provided data. Specifically, the Committee directs OSHA to continue oversight and enforcement of its recordkeeping standard to ensure complete and accurate recording and reporting by employers. Within the Committee recommendation, funds are available to continue a recordkeeping enforcement initiative on injury and illness recording. The 

Committee intends for this effort to enable OSHA to review the 

completeness and accuracy of individual employers’ injury and illness records and determine whether there are employer policies or 

practices in place that cause incomplete reporting of injuries and 

illnesses by employees. The Committee expects OSHA to keep it 

updated of its actions in this area. 

The Committee strongly supports the Department’s goal of giving 

workers a voice in the workplace and OSHA’s critical role in that 

effort, which involves the enforcement of 17 whistleblower protec-
34 

tion statutes. The Committee notes that OSHA used a portion of 

the fiscal year 2010 appropriation to provide an increase of 25 fulltime equivalent [FTE] staff for its work in this area. The Committee requests that future congressional budget justifications 

identify funding and FTE levels for whistleblower activities and the 

specific performance goals and measures addressing program quality and timeliness issues. 

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 $11,000,000 for the OSHA Susan Harwood 

Training Grant Program. 

MINE SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $357,293,000 

Budget estimate, 2011 ........................................................................... 360,780,000 

Committee recommendation ................................................................. 377,000,000 

The Committee recommendation includes $377,000,000 for the 

Mine Safety and Health Administration [MSHA]. The comparable 

fiscal year 2010 amount is $357,293,000. The budget request includes $360,780,000 for MSHA. 

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 explosion at Upper Big Branch earlier this year was a tragic 

reminder of the important role that MSHA must play in preventing 

injury and death in our Nation’s mines. The Committee believes 

that MSHA must utilize effectively its authority and resources to 

prevent another disaster through vigorous enforcement of mine 

safety law and regulations. The Committee has added $16,520,000 

above the budget request to support MSHA’s efforts. This appropriation should be used to address several key areas, as described 

below. 

The Committee recommendation provides funding to support the 

costs of the Upper Big Branch investigation and internal review. 

The families of the deceased and injured miners, the Department 

of Labor, MSHA, Congress, and the public must have a complete 

understanding of what went wrong and why, as well as the steps 

planned to address any issues identified. However, the Committee 

believes that the yet-to-be-completed investigation is not a reason 

to delay a single action that would strengthen MSHA’s ability to 

improve the health and safety of our Nation’s miners and help 

mine operators carryout their responsibilities to provide for a safe 

workplace. 

Miners know the conditions of their mine and equipment, and potential safety and health threats, but the Committee believes 

MSHA should take additional actions to ensure that miners are 

trained properly in and aware of their rights to identify and report 
35 

safety hazards in their workplaces. The Committee has provided 

additional funds for MSHA to support training on miner rights in 

the workplace, focused particularly on identifying and reporting 

safety and health hazards. Miners and their families also must be 

protected from discrimination for reporting safety and health hazards in the workplace and the Committee urges MSHA to take action to ensure their rights are protected. The Committee also has 

provided additional funds to enhance MSHA’s hazard conditions 

complaint system. 

While every effort must be made to avoid a mine accident, the 

Committee recommendation includes additional funds to strengthen MSHA’s emergency response capability in case one does occur. 

Funds also are provided for the Office of Assessments to effectively 

identify mines that meet a pattern of violation status and support 

necessary rulemaking activities. Sufficient funds are available to 

support adequate staff for meeting MSHA’s mission, including its 

inspection requirements, technical support, and review of mining 

plans. 

The Committee requests that MSHA prepare an operating plan 

for this appropriation that describes how funds will be utilized in 

carrying out its mission. This report shall be provided to the Committees on Appropriations of the Senate and House of Representatives not later than 30 days after enactment of this act. 

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

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

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

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

for such activities. 

The Committee also recommends $1,500,000 to the United Mine 

Workers of America to continue an award for classroom and simulated rescue training for mine rescue teams at its Beckley, West 

Virginia, and Washington, Pennsylvania, career centers. 

BUREAU OF LABOR STATISTICS

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $611,447,000 

Budget estimate, 2011 ........................................................................... 645,351,000 

Committee recommendation ................................................................. 634,851,000 

The Committee recommends $634,851,000 for this account. The 

comparable fiscal year 2010 amount is $611,447,000. The budget 

request includes $645,351,000. The recommendation includes 

$67,438,000 from the Employment Security Administration account 

of the unemployment trust fund, and $567,413,000 in Federal 

funds. Language pertaining to the Current Employment Survey is 

retained from prior-year bills. 
36 

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 continues to be concerned about the significant 

discrepancies found in comparisons of BLS injury and illness survey data, which are based on employer-reported injury logs provided to the Occupational Safety and Health Administration 

[OSHA], and State worker compensation information. The research 

identified that the BLS data were only capturing as few as onethird of injuries under certain State worker compensation systems. 

While there is some explanation for why data from State worker 

compensation systems won’t match perfectly with the BLS survey 

data, the research conducted to date raises serious questions about 

the completeness of the national workplace injury surveillance system. 

Therefore, the Committee recommendation includes resources to 

continue BLS efforts to: strengthen the current BLS examination 

of the differences between workers’ compensation information and 

BLS survey data; better understand employer injury and illnesses 

recording practices; and conduct a pilot study of using multiple 

data sources to capture injury and illness data. The Committee expects to be kept apprised of BLS work in this area. The Committee recommendation also includes $1,500,000 to continue the Mass Layoff Statistics Program. 

The Committee notes that the fiscal year 2011 request for BLS 

includes a number of proposals to reduce the cost of its programs, 

including restructuring the current employment survey program 

and developing an alternative source of data for locality pay surveys. These actions will allow BLS to continue its production of 

high-quality data at lower costs. 

The Committee bill does not contain language included in the fiscal year 2010 bill that requires the BLS to continue the women 

worker series within the current employment statistics program. 

The administration’s fiscal year 2011 budget request proposes deleting the language. The Committee understands BLS will continue 

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

OFFICE OF DISABILITY EMPLOYMENT POLICY

Appropriations, 2010 ............................................................................. $39,031,000 

Budget estimate, 2011 ........................................................................... 39,138,000 

Committee recommendation ................................................................. 44,138,000 

The Committee recommends $44,138,000 for this account in fiscal year 2011. The comparable fiscal year 2010 level is $39,031,000. 

The budget request is $39,138,000. 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 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 em-
37 

ployment 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 recommendation includes $17,000,000 for the 

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, including 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 build effective community partnerships that leverage 

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

DEPARTMENTAL MANAGEMENT

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $356,006,000 

Budget estimate, 2011 ........................................................................... 428,624,000 

Committee recommendation ................................................................. 432,624,000 

The Committee recommendation includes $432,624,000 for the 

Departmental Management account. The comparable fiscal year 

2010 amount is $356,006,000 and the budget request includes 

$428,624,000 for this purpose. An amount of $327,000 is available 

by transfer from the Black Lung Disability Trust Fund. 

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

promote the interests of American workers. The departmental management appropriation finances staff responsible for formulating 

and overseeing the implementation of departmental policy and 

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 an increase above the 

budget request of $16,000,000 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]. The Committee remains concerned that the 

backlog of cases at the FMSHRC has increased by greater than 400 

percent over historical levels. The Committee understands that this 

backlog is largely due to 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 
38 

the FMSHRC, as described later in the report, to reduce the backlog by engaging additional judges and support staff, and continue 

the transition to an electronic case management system. 

The Committee intends these funds 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. Up to $7,200,000 of these additional funds for legal services may 

be transferred to the Mine Safety and Health Administration for 

related costs and other activities designed to improve the safety 

and health of miners. The Committees on Appropriations of the 

Senate and House of Representative shall be notified not later than 

10 days prior to the transfer of such funds. The Committees further 

expect the Department and Federal Mine Safety and Health Review Commission to continue to implement activities that will reduce incentives for mine operators to challenge cases and improve 

the efficiency by which challenges are heard. The Committee requests that the Department and FMSHRC submit such a plan not 

later than 30 days after enactment of this act, and provide quarterly progress reports thereafter on the status of activities identified in the plan, including an explanation for any activity that is 

not completed within the timeframe identified in the operating 

plan. The Committee recommendation includes $117,000,000 for the 

Bureau of International Labor Affairs [ILAB]. The comparable fiscal year 2010 appropriation is $92,669,000 and the budget request 

includes $115,000,000. These funds are available to help improve 

working conditions and labor standards for workers around the 

world and 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. Of the funds provided 

for ILAB, $40,000,000 is designated for the United States’ contribution to the International Labor Organization’s International Program on the Elimination of Child Labor. 

The budget request proposes making the appropriation for ILAB 

available for obligation through December 31, 2011. The Committee 

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

quarter, as was provided in the fiscal year 2010 appropriations act. 

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 Committee strongly supports ILAB’s initiatives designed to 

ensure compliance with internationally recognized worker rights. 

The Committee believes that is important for ILAB to support 

projects that enhance the capacity of governments at all levels to 

enforce core labor standards; build support with industry to ensure 

compliance with core labor standards throughout the entire supply 

chain; and become self-financed monitoring programs. In line with 

this goal, the Committee supports extending monitoring efforts 
39 

throughout the entire supply chain to ensure that the worst forms 

of child labor are not used to produce goods in target sectors. The 

Committee requests that ILAB consult with the Committee on the 

planned and proposed uses of all technical assistance activities and 

other programs planned to be undertaken with funds available to 

ILAB. 

The Committee believes that the oversight committee created in 

2006 to report publicly on the progress of the implementation of 

the Harkin-Engel protocol, a public private partnership to eliminate the worst forms of child labor and adult forced labor in the 

cocoa sector of West Africa, has been beneficial to all stakeholders. 

The Committee intends for ILAB to continue to support the implementation of the Harkin-Engel Protocol by providing assistance to 

countries that helps them strengthen partnerships; collect data; develop, expand, and evaluate effective programs in order to substantially reduce the worst forms of child labor in the cocoa sector. 

The Committee continues to support ILAB’s worker rights technical assistance projects and programs, for which the budget proposes additional resources. These projects will support the implementation of model programs designed to address worker rights in 

countries with which the United States has trade preference programs or free trade agreements. 

The Committee notes that ILAB is statutorily required to compile and report to the Congress annually on the extent to which 

each foreign country that has trade and investment agreements 

with the United States enforces internationally recognized worker 

rights. This report is required under multiple U.S. laws and promotes core labor standards as embodied in the ILO Declaration on 

Fundamental Principles and Rights at Work as adopted and reaffirmed in 1998. The Committee once again directs the Secretary 

to include in the 2010 report all former GSP recipients that have 

achieved a Free Trade Agreement with the United States over the 

preceding year. 

The Committee recommendation includes $4,536,900 for the departmental management working capital fund, as proposed in the 

budget request. These funds are available, pursuant to section 108 

of the title I general provisions of this act. With 15-day advance notification of the Committees on Appropriations of the Senate and 

House of Representatives, the Secretary may transfer amounts 

made available to the fund to supplement existing acquisition 

workforce improvement activities, including training existing staff 

and hiring additional staff. The Committee expects these funds to 

help DOL agencies acquire goods and services at reduced costs and 

better aligned with achievement of agencies’ missions. 

VETERANS EMPLOYMENT AND TRAINING

Appropriations, 2010 ............................................................................. $256,127,000 

Budget estimate, 2011 ........................................................................... 262,494,000 

Committee recommendation ................................................................. 262,494,000 

The Committee recommends $262,494,000 for this account, including $50,971,00 in general revenue funding and $211,523,000 to 

be expended from the Employment Security Administration account of the unemployment trust fund. 
40 

This account includes resources for the Veterans’ Employment 

and Training Services [VETS] that enable it to maximize employment 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. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2010 ............................................................................. $84,014,000 

Budget estimate, 2011 ........................................................................... 85,082,000 

Committee recommendation ................................................................. 85,082,000 

The Committee recommends $85,082,000, the same amount as 

the budget request, for the Office of the Inspector General [OIG]. 

The bill includes $79,090,000 in general funds and authority to 

transfer $5,992,000 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 comparable fiscal year 2010 amount is $84,014,000. 

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. 

GENERAL PROVISIONS

General provision bill language is included to: 

Provide for general transfer authority (sec. 101). 

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. 102). 

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. 103). 

Require the Secretary to award competitively funds available for 

section 414(c) of the American Competitiveness and Workforce Improvement Act of 1998 (sec. 104). 

Limit compensation from Federal funds to a rate not greater 

than Executive Level II for any recipient or subrecipient of funds 

under the heading, ‘‘Employment and Training Administration’’ 

and 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. 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). 

Provides 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 
41 

those services will be more efficently performed by Federal staff 

(sec. 107). 

Provides $4,536,900 to the Departmental Management, Working 

Capital Fund in support of an acquisition workforce initiative and 

allows funds to be transferred to any other account in the Department of Labor, subject to 15-day prior notification of the Committees on Appropriations of the Senate and House of Representatives 

(sec. 108). 

Rescinds $3,900,000 in funds available for the Investment in Reinvention Fund (sec. 109). 
(42) 

TITLE II 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

HEALTH RESOURCES AND SERVICES ADMINISTRATION

HEALTH RESOURCES AND SERVICES

Appropriations, 2010 ............................................................................. $7,507,994,000 

Budget estimate, 2011 ........................................................................... 7,626,658,000 

Committee recommendation ................................................................. 7,515,663,000 

The Committee provides a program level of $7,515,663,000 for 

Health Resources and Services. The Committee recommendation 

includes $7,490,663,000 in budget authority and an additional 

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

Health Service Act. The fiscal year 2010 comparable program level 

was $7,507,994,000. The budget request for fiscal year 2011 was 

$7,626,658,000. 

HRSA activities support programs to provide healthcare services 

for mothers and infants; the underserved, elderly and homeless; 

migrant farm workers; and disadvantaged minorities. This appropriation supports cooperative programs in community health, AIDS 

care, healthcare provider training, and healthcare delivery systems 

and facilities. 

BUREAU OF PRIMARY HEALTH CARE

COMMUNITY HEALTH CENTERS

The Committee provides $2,185,146,000 in this bill for the community health centers program. Combined with the $1,000,000,000 

appropriated for fiscal year 2011 in Public Law 111–152, the fiscal 

year 2011 program level totals $3,185,146,000. The fiscal year 2010 

comparable program level was $2,185,146,000. The budget request 

for fiscal year 2011 in this bill was $2,479,993,000. 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 strongly 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 

$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 and allowing 

costs associated with the health centers tort liability relief program 

to be paid from the fund. The Committee intends that the fund be 

used to pay judgments and settlements, occasional witness fees and 

expenses, and the administrative costs of the program, which include the cost of evaluating claims, defending claims, and conducting settlement activities. 
43 

The Committee supports the proposal in the President’s budget 

to continue providing funds to health centers to care for the 3 million patients added through the American Recovery and Reinvestment Act [ARRA]. Within the fiscal year 2011 program level, the 

Committee directs HRSA to continue the Increased Demand for 

Services funding and continue to support the new access points established through ARRA. 

The Committee strongly supports the expansion of primary care 

services in school settings. Within the funds available for new access points and expanded medical capacity, the Committee directs 

HRSA to give priority to applications that include school-based 

care. The Committee further encourages HRSA to provide technical 

assistance to community health centers on how they can form partnerships with school districts and local health departments that 

currently operate school-based health centers within the service 

area of the community health center. 

In addition, the Committee supports continued efforts to expand 

the Health Centers program into those areas of the country with 

high need and inadequate access to services to meet such need. The 

Committee notes that the Government Accountability Office [GAO], 

in an August 2008 report, found that 60 percent of the Medically 

Underserved Areas [MUAs] in the Midwest Census Region States 

are without a federally supported health center site. These States 

had the highest percentage of MUAs without a health center site 

in the United States, according to the GAO report. The Committee 

urges HRSA to make funding available to increase capacity at existing centers, and for service expansion awards to expand access 

to behavioral health services, oral health services, and pharmacy 

services provided by community health centers. The Committee expects HRSA to implement any new expansion initiative using the 

existing, and statutorily required, proportionality for urban and 

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

Child Maltreatment Prevention.—The Committee continues to believe that parent training is a promising strategy for preventing 

child maltreatment that should be tested in primary care settings 

such as community health centers. The Committee urges HRSA to 

ensure that community health centers are actively engaged in the 

new home visitation initiative funded in the Patient Protection and 

Affordable Care Act. 

Substance Abuse Coordination.—The Committee is aware of the 

initiative in the President’s budget to expand behavioral and mental health services in community health centers. Insofar as those 

services include substance abuse treatment, the Committee encourages HRSA to issue guidance to community health centers on collaboration with State substance abuse agencies to ensure the promotion of State standards of care, coordination of referrals, and 

further services. 

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 
44 

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 2011. 

The Committee encourages HRSA to support efforts to expose 

our Nation’s youth to potential careers in the health professions; 

for example, in nursing, pharmacy, and public health. It is especially important that youth in rural America and from a range of 

ethnic groups, including Native Hawaiians, have access to early career counseling and ‘‘hands on’’ experiences. 

The Committee encourages HRSA to work collaboratively with 

appropriate federally qualified community health centers to develop 

screening, prevention and treatment initiatives addressing the extraordinarily high incidence of kidney disease among Filipino citizens. 

STATE HEALTH ACCESS GRANTS

The Committee does not provide funding for State Health Access 

Grants. The fiscal year 2010 comparable level was $74,480,000 and 

the budget request for fiscal year 2011 was $75,000,000. 

This program gives grants to States to develop new models for 

expanding access to healthcare coverage. The Committee notes that 

the Patient Protection and Affordable Care Act imposes new requirements on States relating to all activities currently funded by 

this program. Therefore, there is no longer a need for this program. 

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 Public Health Service Act. The fiscal year 2010 comparable 

level and the budget request for fiscal year 2011 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 $16,109,000 for the National Hansen’s 

Disease Program, the same as the budget request for fiscal year 

2011. The fiscal year 2010 comparable level was $16,075,000. The 

program consists of inpatient, outpatient, long-term care, training, 

and research in Baton Rouge, Louisiana; a residential facility at 

Carville, Louisiana; and 11 outpatient clinic sites in the continental 

United States and Puerto Rico. 

NATIONAL HANSEN’S DISEASE PROGRAM BUILDINGS AND FACILITIES

The Committee provides $129,000 for the repair and maintenance of buildings at the Gillis W. Long Hansen’s Disease Center. 

The fiscal year 2010 comparable level was $128,000 and the budget 

request for fiscal year 2011 was $129,000 for this program. 
45 

PAYMENT TO HAWAII FOR HANSEN’S DISEASE TREATMENT

The Committee provides $1,976,000 for Hansen’s Disease serv- ices. The fiscal year 2010 comparable level was $1,976,000, the 

same as the budget request for fiscal year 2011. 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 $141,420,000 in this bill for National 

Health Service Corps [NHSC] activities. Together with 

$290,000,000 appropriated in fiscal year 2011 in the Patient Protection and Affordable Care Act, the recommendation for the fiscal 

year 2011 program level is $431,420,000. The fiscal year 2010 comparable level was $141,420,000. The budget request for fiscal year 

2011 in this bill was $168,589,000. 

This program provides full-cost scholarships or sizable loan repayment to students in exchange for an agreement to serve as a 

primary care provider in a high-priority federally designated health 

professional shortage area. These funds should support multi-year, 

rather than single-year, commitments. Salary costs of most new assignees are paid by the employing entity. 

The Committee continues to recognize that the NHSC is an essential tool for 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 reducing application documentation requirements, allowing for pre-qualification of applicants, instituting rolling deadlines, 

and planning a part-time service demonstration. The Committee 

encourages HRSA to continue with these and other improvements, 

as well as collaboration with the Health Centers program in order 

to maximize the investment in the NHSC. 

The Committee is aware that psychologists are among the occupations eligible to participate in the NHSC if they agree to practice 

in underserved areas, and the Committee encourages HRSA to ensure that mental health professionals are aware of this opportunity. 

The Committee is aware that specialty care is increasingly rare 

in communities that have been declared a public health emergency 

and may be critically needed to respond to injuries or illnesses sustained in the emergency. The Committee notes that HRSA has the 

authority to consider requests by local entities for alternative provider types with special considerations. Therefore, the Committee 

encourages HRSA to provide technical assistance to communities 

experiencing public health emergencies to ensure that they can utilize all available options to respond to needs resulting from the disaster. 

HEALTH PROFESSIONS

The Committee provides $648,868,000 for HRSA health professions programs. The fiscal year 2010 comparable level was 
46 

$496,835,000. The budget request for fiscal year 2011 was 

$503,903,000. 

The Committee urges HRSA to maximize the capacity of health 

professions education programs to be inter-professional in nature in 

order that healthcare professionals educated through these programs graduate competent to provide patient-centered, team-based 

care. 

In addition, the Committee is aware of research findings that 

suggest a neurological basis for women’s experience of greater pain 

sensitivity which may account for the greater degree to which 

women seek help for chronic pain. Therefore, the Committee encourages HRSA to undertake a health professional education effort 

regarding these conditions. Such an effort should include the development of continuing medical education courses and other curricula 

to reduce gender-based barriers to effective care. 

Training for Diversity 

Centers of Excellence 

The Committee provides $24,602,000 for the Centers of Excellence program, the same as the budget request for fiscal year 2011. 

The fiscal year 2010 comparable level was $24,550,000. 

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. Located in poor communities and usually with little State funding, 

they serve the healthcare needs of their patients, often without 

payment. 

Health Careers Opportunity Program 

The Committee provides $22,133,000 for the Health Careers Opportunity Program, the same as the budget request for fiscal year 

2011. The fiscal year 2010 comparable level was $22,086,000. 

This program provides funds to medical and other health professions schools for recruitment of disadvantaged students and preprofessional school preparations. 

Faculty Loan Repayment 

The Committee provides $6,266,000 for the Faculty Loan Repayment program. The budget request for fiscal year 2011 and the fiscal year 2010 comparable level were $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 $49,342,000 for the Scholarships for 

Disadvantaged Students program, the same as the budget request 
47 

for fiscal year 2011. The fiscal year 2010 comparable level was 

$49,236,000. 

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 $90,000,000 for Primary Care Training 

and Enhancement programs. The fiscal year 2010 comparable level 

was $38,923,000. The budget request for fiscal year 2011 included 

$39,275,000 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 has 

included bill language specifying that no less than 15 percent of 

funds must be used to train physician assistants. The Committee 

urges HRSA to prioritize training physician assistants due to the 

ability of programs to rapidly expand to graduate high numbers of 

clinicians to fill the growing need for primary care. 

The Committee notes the findings of the recent ‘‘Annals in Internal Medicine’’ study ranking medical schools based on the communities where their graduates worked and whether those doctors 

practiced primary care. The Committee urges HRSA to prioritize 

applications from schools with a proven record of educating primary care physicians who go on to serve in shortage areas. 

Training in Oral Health Care 

The Committee recommends $47,982,000 for Training in Oral 

Health Care programs. The fiscal year 2010 comparable level was 

$32,919,000 and the budget request for fiscal year 2011 was 

$32,982,000. 

These programs support a variety of training opportunities in the 

field of oral health, authorized under sections 748 and 340G of the 

Public Health Service [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. 

Within the funds provided, the Committee intends no less than 

$2,000,000 be used for public health dental residencies. The Committee further intends that no less than $15,000,000 be allocated 

for grants to training programs authorized under section 748 of the 

PHS Act and that State Health Workforce grants be funded at no 

less than $22,500,000. 

The Committee supports efforts by States to develop licensure requirements and by universities to develop curricula for advanced 

dental hygiene practitioners. 

The Committee strongly supports the continued development of 

the faculty loan repayment program and expects HRSA to allocate 

no less than last year’s level to this newly authorized activity. The 

Committee encourages HRSA to prioritize applications from schools 

with a proven track record of graduating dentists who go on to 

practice in underserved areas. 
48 

The Committee is supportive of programs that link oral 

healthcare with primary care training. In addition, the Committee 

is supportive of dental public health specialty training, including 

the completion of the Master of Public Health or an equivalent degree and the 1-year residency program. 

Rural Physician Training 

The Committee includes $5,100,000 for the Rural Physician 

Training Grants program. This is a new program authorized by the 

Patient Protection and Affordable Care Act. The budget request for 

fiscal year 2011 did not propose funding. 

This program will provide funds to health professions schools to 

establish, improve, or expand a rural-focused training program. 

Funds may be used to design curricula on issues prevalent in rural 

care, provide clinical practice experience in rural settings, and recruit students most likely to practice in rural communities. 

Interdisciplinary, Community-based Linkages 

Area Health Education Centers 

The Committee provides $33,345,000 for the Area Health Education Centers [AHEC] program, the same as the budget request 

for fiscal year 2011. The fiscal year 2010 comparable level was 

$33,274,000. 

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 $10,617,000 for the Allied Health and 

Other Disciplines programs. The fiscal year 2010 comparable level 

was $4,880,000. The budget request for fiscal year 2011 was 

$4,890,000. 

The Committee recommendation is sufficient to continue Chiropractic Demonstration programs at the same levels as in fiscal year 

2010. 

The Committee has included bill language providing $8,672,000 

for mental and behavioral health training grants authorized in section 756 of the Public Health Service Act. The Committee urges 

HRSA to allocate no less than last year’s level for graduate psychology education. 

These programs seek to improve the diversity of allied health 

practitioners and their distribution to areas of need. The programs 

also improve access to comprehensive and culturally competent 

healthcare services for underserved populations. 

The graduate psychology education program trains psychology 

graduate students while they provide supervised behavioral and 

mental health services to underserved populations. The Committee 

is concerned that current economic conditions are significantly increasing the numbers of people seeking mental health services as 
49 

they struggle with unemployment, job and income loss, and the 

many associated problems that result. The Committee supports efforts by HRSA that would help integrate health service psychology 

trainees at Federally Qualified Health Centers to provide behavioral and mental health services to underserved populations. In addition, the Committee encourages HRSA to focus on supporting 

programs with demonstrated, scientifically based potential to improve the outcome of mental and behavioral healthcare services. 

These programs should include academic institutions with a demonstrated commitment for improving health outcomes, as documented by science-based accreditation processes. 

Geriatric Education 

The Committee provides $33,747,000 for Geriatric Education programs, the same as the budget request for fiscal year 2011. The fiscal year 2010 comparable level was $33,675,000. 

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. 

Health Professions Workforce Information and Analysis 

The Committee is recommending $13,781,000 for health professions workforce information and analysis. The budget request for 

fiscal year 2011 was $8,781,000. The fiscal year 2010 comparable 

level was $2,826,000. 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 the 

conduct of program evaluation and assessment. 

The allied health professions, like nurses and primary care physicians, face serious workforce shortages due to student recruitment, shortages of faculty and clinical sites. The Committee encourages HRSA to include allied health professions in any comprehensive workforce study of the health professions. 

The Committee is aware that hospice and palliative medicine 

[HPM] improves quality, controls cost, and enhances patient/family 

satisfaction for the rapidly expanding population of patients with 

serious or life-threatening illness. Therefore, the Committee encourages HRSA to study workforce trends, training capacity and 

need for HPM physicians, physician assistants and nurse practitioners in our Nation’s academic medical centers, hospice organizations and palliative care programs. 

Public Health and Preventive Medicine Training Programs 

The Committee provides $19,668,000 for these programs. The fiscal year 2010 comparable level was $9,647,000. The budget request 

for fiscal year 2011 included $9,668,000 for these programs. The 

Committee intends that the increase over the fiscal year 2010 appropriated level be used to expand fellowships and training in the 

area of preventive medicine. 

This funding supports awards to schools of medicine, osteopathic 

medicine, and public health to provide for residency training pro-
50 

grams in preventive medicine and public health; and for financial 

assistance to trainees enrolled in such programs. 

Nursing Workforce Development Programs 

The Committee provides $292,285,000 for the Nursing Workforce 

Development programs. The fiscal year 2010 comparable level was 

$243,553,000. The budget request for fiscal year 2011 was 

$243,872,000. 

The Committee recognizes that efforts to alleviate the Nation’s 

shortage of Registered Nurses [RNs] must focus on addressing the 

nurse faculty shortage. According to the latest survey from the 

American Association of Colleges of Nursing, more than 50,000 

qualified applicants were turned away from baccalaureate and 

graduate nursing programs in 2009 due primarily to a shortage of 

nurse faculty, including nearly 7,000 applicants to master’s and 

doctoral programs. Supporting programs that prepare more nurse 

educators is the key to stabilizing the nursing workforce and reversing the RN shortage. 

The Committee recommends funding for the following activities 

in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2010 

comparable 

Fiscal year 2011 

request 

Committee 

recommendation 

Advanced Education Nursing ..................................................................... 64,301 64,438 74,438 

Nurse education, practice and retention ................................................... 39,811 39,896 50,000 

Nursing workforce diversity ....................................................................... 16,073 16,107 16,107 

Loan repayment and scholarship program ............................................... 93,864 93,864 93,864 

Comprehensive geriatric education ........................................................... 4,557 4,567 4,567 

Nursing faculty loan program ................................................................... 24,947 25,000 53,309 

Within the allocation for advanced education nursing, the Committee encourages HRSA to allocate funding for nurse anesthetist 

education at no less than last year’s level. 

The increase provided for nurse education, practice, and quality 

is intended to make grants for career ladder programs, authorized 

in the Patient Protection and Affordable Care Act. 

In all programs, the Committee encourages HRSA to prioritize 

grant applications from institutions with a proven track record for 

graduates practicing in underserved areas. 

The Committee also encourages HRSA to support schools of nursing in the development and implementation of both traditional and 

telehealth outreach programs in rural underserved communities. 

Children’s Hospitals Graduate Medical Education Program 

The Committee provides $317,500,000 for the Children’s Hospitals Graduate Medical Education [GME] program, the same as 

the budget request for fiscal year 2011. The fiscal year 2010 comparable level was $316,824,000. 

The program provides support for health professions training in 

children’s teaching hospitals that have a separate Medicare provider number (‘‘free-standing’’ children’s hospitals). Children’s hospitals are defined under Medicare as those whose inpatients are 

predominantly under the age of 18. The funds in this program are 

intended to make the level of Federal Graduate Medical Education 
51 

support more consistent with that of other teaching hospitals, including children’s hospitals that share provider numbers with other 

teaching hospitals. Payments are determined by formula, based on 

a national per-resident amount. Payments support training of resident physicians as defined by Medicare in both ambulatory and inpatient settings. 

Patient Navigator 

The Committee recommendation includes $5,000,000 for the Patient Navigator Outreach and Chronic Disease Outreach program, 

the same as the budget request for fiscal year 2011. The comparable funding level for fiscal year 2010 was $4,965,000. 

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. 

National Practitioner Data Bank 

The Committee provides $21,000,000 for the national practitioner 

data bank. This amount is the same as the budget request for fiscal 

year 2011. The fiscal year 2010 comparable level was $19,750,000. 

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. 

Healthcare Integrity and Protection Data Bank 

The Committee provides $4,000,000 for the healthcare integrity 

and protection data bank. This amount is the same as the administration request for fiscal year 2011. The fiscal year 2010 comparable level was $3,758,000. The Committee assumes that full 

funding will be provided entirely through the collection of user fees 

and will cover the full cost of operating the data bank. 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 data bank is intended to collect, maintain, and report on certain actions taken against healthcare providers, suppliers, and practitioners. 

MATERNAL AND CHILD HEALTH BUREAU

The Committee is pleased to learn of the successful launch by the 

National Healthy Mothers-Healthy Babies Coalition of the 

Text4Babies program, a program that sends text messages to expectant woman and new mothers to help keep the mothers and 

their babies healthy. Within the first 5 months of the program, 

more than 25,000 women in more than 45 States have registered 

for the free service, which is supported largely by private contributions for this public-private partnership. 
52 

MATERNAL AND CHILD HEALTH BLOCK GRANT

The Committee provides $673,187,000 for the maternal and child 

health [MCH] block grant, the same as the budget request for fiscal 

year 2011. The fiscal year 2010 comparable level was $660,710,000. 

The Maternal and Child Health Block Grant program provides a 

flexible source of funding that allows States to target their most urgent maternal and child health needs through development of community-based networks of preventive and primary care that coordinate and integrate public and private sector resources and programs for pregnant women, mothers, infants, children, and adolescents. The program supports a broad range of activities including 

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 identifying 

$93,999,263 for the Special Projects of Regional and National Significance [SPRANS] set-aside. Within that total, the Committee 

recommendation includes sufficient funding to continue the setasides for oral health, epilepsy, sickle cell, doula programs, and 

fetal alcohol syndrome at no less than last year’s level. 

Epilepsy.—The Committee has provided funding to continue outreach, technical assistance, and State demonstration programs that 

develop and implement systems of care to improve access to comprehensive, coordinated healthcare and related services for children 

and youth with epilepsy living in medically underserved areas. 

Oral Health.—The Committee has provided funding to continue 

and expand 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 WIC, Head Start, and others. 

Vision Screening.—The Committee is pleased that the Maternal 

and Child Health Bureau has created the National Universal Vision Screening for Young Children Coordinating Center. The center’s mission is to develop the public health infrastructure to promote and ensure a continuum of eye care for young children within 

the healthcare delivery system. The Committee supports the mission and goals of this new center and looks forward to hearing 

about its progress. 

SICKLE CELL ANEMIA PROGRAM

The Committee provides $4,750,000 for the sickle cell anemia 

demonstration program, the same as the budget request for fiscal 

year 2011. The fiscal year 2010 comparable level 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 

identifying and establishing other efforts related to the expansion 

and coordination of education, treatment, and continuity of care 

programs for individuals with sickle cell disease. 
53 

TRAUMATIC BRAIN INJURY PROGRAM

The Committee provides $9,939,000 for the traumatic brain injury program, the same as the budget request for fiscal year 2011. 

The fiscal year 2010 comparable level 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. 

AUTISM AND OTHER DEVELOPMENTAL DISORDERS

The Committee provides $55,000,000 for the autism and other 

developmental disorders initiative, the same as the budget request 

for fiscal year 2011. The fiscal year 2010 comparable level was 

$47,898,000. 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 2011 grants 

may be awarded for multi-year activities, as the authorization bill 

intended. 

Within the funding provided for autism and other related developmental disorders, an increase of no less than $2,000,000 is provided to continue and expand research on evidence-based practices 

for interventions for individuals with autism and other developmental disabilities, for development of guidelines for those interventions, and for information dissemination. In addition, an increase of no less than $2,000,000 is provided to continue and expand the Leadership Education in Neuro-developmental and Related Disabilities program. 

NEWBORN SCREENING FOR HERITABLE DISORDERS

The Committee provides $10,013,000 for the newborn heritable 

disorders screening program, as described in section 1109 of the 

Newborn Screening Saves Lives Act of 2008. The fiscal year 2010 

comparable level was $9,992,000 and the fiscal year 2011 budget 

request was $10,013,000. 

This program provides funding to improve the ability of States 

to provide newborn and child screening for heritable disorders. 

Newborn screening provides early identification and followup 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 2011 included 

$500,000 for these activities. The fiscal year 2010 comparable level 

was $499,000. The Committee is pleased with the materials created 

in this program and encourages HRSA to distribute the materials 

through the Maternal Child Health Bureau’s programs. 
54 

The purpose of the program is to provide information and support services to families receiving a positive test diagnosis for down 

syndrome, spina bifida, dwarfism, or other prenatally and 

postnatally diagnosed conditions. Grants may be made to States, 

territories, localities, and nongovernmental organizations with expertise in prenatally and postnatally diagnosed conditions. 

HEALTHY START

The Committee provides $103,200,000 for the Healthy Start infant mortality initiative. The fiscal year 2010 comparable level was 

$104,776,000 and the budget request for fiscal year 2011 was 

$110,186,000. 

The Committee intends these funds to fully provide for continuations of previously awarded grants. The Committee is aware that 

the Patient Protection and Affordable Care Act [PPACA] includes 

$250,000,000 in fiscal year 2011 for home visitation programs to 

improve maternal and child birth outcomes, and that Healthy Start 

grantees are eligible to apply for this funding. In awarding the 

PPACA funds, the Committee encourages HRSA to give full and 

fair consideration to grantees currently and formerly funded in 

Healthy Start and in the home visitation initiative under the Administration for Children and Families. 

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 for infants, and 

evaluate these efforts. 

UNIVERSAL NEWBORN HEARING SCREENING AND EARLY INTERVENTION

The Committee provides $19,000,000 for universal newborn hearing screening and early intervention activities, the same as the 

budget request for fiscal year 2011. The fiscal year 2010 comparable level was $18,960,000. 

The Committee expects HRSA to coordinate projects funded with 

this appropriation with projects related to early hearing detection 

and intervention by the National Center on Birth Defects and Developmental Disabilities, the National Institute on Deafness and 

Other Communication Disorders, the National Institute on Disability and Rehabilitation Research, and the Office of Special Education and Rehabilitative Services. 

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 $22,500,000 for emergency medical services for children [EMSC]. The fiscal year 2010 comparable level 

was $21,454,000 and the budget request for fiscal year 2011 was 

$21,500,000. The program supports demonstration grants for the 
55 

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. 

HIV/AIDS BUREAU

ACQUIRED IMMUNE DEFICIENCY SYNDROME

RYAN WHITE AIDS PROGRAMS

The Committee provides $2,340,345,000 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 2010 comparable level was $2,312,179,000 and the budget request for fiscal year 2011 was $2,330,401,000. 

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. 

The Committee is aware that many of the benefits currently provided through Ryan White Care Act programs will become available to people living with HIV/AIDS over the next few years 

through State high-risk pools, health exchanges and other newly 

authorized programs. The Committee expects HRSA to offer a plan 

for how to transition Ryan White benefits into a larger system of 

care so that Ryan White resources may be targeted to the areas of 

most need. The plan should include a year-by-year list of actions 

needed by the administration, the Congress and the States in order 

to ensure the smoothest possible transition for beneficiaries. The 

Committee expects the plan no later than 8 months after enactment of this act. 

EMERGENCY ASSISTANCE

The Committee provides $679,074,000 for emergency assistance 

grants to eligible metropolitan areas disproportionately affected by 

the HIV/AIDS epidemic. This amount is the same as the fiscal year 

2010 comparable level and the budget request for fiscal year 2011. 

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 notes that the fiscal year 2010 comparable level 

included a provision directing funds to particular metropolitan 

areas facing dramatic cuts as a result of the changes to the Ryan 

White formula. The Committee has not continued this provision in 

fiscal year 2011. 

COMPREHENSIVE CARE PROGRAMS

The Committee provides $1,303,791,000 for HIV healthcare and 

support services. The fiscal year 2010 comparable level was 
56 

$1,278,791,000 and the budget request for fiscal year 2011 was 

$1,283,791,000. 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 $885,000,000 for 

AIDS medications in the AIDS Drug Assistance Program [ADAP]. 

The fiscal year 2010 comparable level was $860,000,000 and the 

budget request for fiscal year 2011 was $855,000,000. 

The Committee is very concerned by the vulnerability of State 

funding for ADAP, the continuing increases in drug prices, and the 

ongoing unemployment that has caused spikes in enrollment. Sufficient funding is included to continue the emergency allocations 

from fiscal year 2010 and extend additional life-saving support in 

fiscal year 2011. 

The Committee strongly supports the use of ADAP funds to pay 

coverage premiums as a means of getting ADAP beneficiaries additional services while simultaneously reducing the cost and expanding the number of individuals that can benefit. The Committee 

urges HRSA to work with States, the Centers for Medicare and 

Medicaid Services, and the Office of Personnel Management to 

maximize this resource mechanism. The Committee directs HRSA 

to report in the fiscal year 2012 budget submission on the number 

of individuals and the amount of funds being used from ADAP and 

each portion of the Ryan White Care Act to support premiums. 

In addition, the Committee requests that HRSA include in the 

fiscal year 2012 submission the average cost to ADAP of each drug 

included in the ADAP formulary and the cost of that prescription 

drug to ADAP over the previous 3 fiscal years. 

EARLY INTERVENTION SERVICES

The Committee provides $206,383,000 for early intervention 

grants, the same as the fiscal year 2010 comparable level. The 

budget request for fiscal year 2011 was $211,877,000. 

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 $77,787,000 for grants for coordinated 

services and access to research for women, infants, children, and 

youth. This amount is the same as the budget request for 2011. 

The fiscal year 2010 comparable level was $77,621,000. 

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. 
57 

AIDS DENTAL SERVICES

The Committee provides $13,565,000 for AIDS Dental Services, 

the same as the fiscal year 2010 comparable level. The budget request for fiscal year 2011 was $15,429,000. 

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. 

AIDS EDUCATION AND TRAINING CENTERS

The Committee provides $34,745,000 for the AIDS education and 

training centers [AETCs], the same as the fiscal year 2010 comparable level. The budget request for fiscal year 2011 included 

$37,443,000. 

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 $27,991,000 for organ donation and 

transplantation activities. The fiscal year 2010 comparable level 

was $25,991,000 and the budget request for fiscal year 2011 was 

$26,049,000. 

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 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. Although an average of 80 patients received transplants each day last year, a daily average of 18 patients died due to the unavailability of organs. Healthcare professionals, particularly physicians, nurses, and physician assistants, if 

given enhanced knowledge and training, can positively impact 

organ donation. Therefore, the Committee has included $500,000 

for the development of curriculum and continuing education programs for targeted health professionals. The remainder of the increase is intended to support additional projects to increase organ 

donation. 

National Cord Blood Inventory 

The Committee has provided $13,883,000 for the National Cord 

Blood Inventory, which is the successor of the National Cord Blood 

Stem Cell Bank program. The fiscal year 2010 comparable level 

was $11,957,000 and the budget request for fiscal year 2011 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. 
58 

C.W. Bill Young Cell Transplantation Program 

The Committee provides $26,544,000 for the C.W. Bill Young 

Cell Transplantation Program, which is the successor of the National Bone Marrow Donor Registry. The fiscal year 2010 comparable level was $23,467,000 and the budget request for fiscal 

year 2011 was $26,544,000. 

Office of Pharmacy Affairs 

The Committee provides $5,220,000 for the Office of Pharmacy 

Affairs, the same as the budget request for fiscal year 2011. The 

fiscal year 2010 comparable level for this program was $2,220,000. 

The Office of Pharmacy Affairs promotes access to clinical and costeffective pharmacy services among safety-net clinics and hospitals 

that participate in the 340B Drug Pricing program. Section 340B 

of the Public Health Service Act requires drug manufacturers to 

provide discounts or rebates to a specified set of HHS-assisted programs and hospitals that meet the criteria in the Social Security 

Act for serving a disproportionate share of low-income patients. 

These funds will be used to help resolve deficiencies that could not 

be addressed within resources available for the normal operations 

of the office. Specifically, these deficiencies include noncompliance 

with the 340B pricing requirements and errors and omissions in 

the office’s covered entity database. 

The Committee strongly supports a definition of patient that protects the 340B drug program’s integrity while ensuring the Nation’s healthcare safety net is not weakened. The Committee expects HRSA to provide guidance to 340B-covered entities based 

upon current law. 

The Committee also requests that HRSA and CMS convene a 

working group to ensure that all phases of the 340B drug discount 

program are administered without redundancy or contradiction by 

the two agencies of jurisdiction. 

Poison Control Centers 

The Committee provides $29,314,000 for Poison Control Center 

activities, the same as the budget request for fiscal year 2011. The 

fiscal year 2010 comparable level was $29,250,000. The Poison Control Centers program currently supports a mix of grantees: Most 

grantees serve entire States; a few grantees serve multi-State regions; and, in a handful of cases, more than one grantee serves a 

single State. 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. 

Declines in State budgets have reduced the staffing of poison 

control centers, causing many centers to curtail marketing their 

services. Given that first-time parents are one of the main consumers of poison control services, marketing efforts are essential to 

reach this ever-changing group. The Committee notes that current 

technology allows for very efficient routing of calls. The Committee 
59 

requests HRSA to submit a report 3 months after enactment of this 

act on the advantages and disadvantages of the current system 

compared to a regional system or a national system. The report 

should include cost projections for each approach. 

Medical Home Demonstration Programs 

The Committee recommends $40,000,000 for medical home demonstration programs. These programs have not been funded previously, and the fiscal year 2011 budget request did not include 

funds for this purpose. 

Programs eligible for funding include the Community Health 

Teams authorized in section 3502 of the Patient Protection and Affordable Care Act and the Community-Based Collaborative Care 

Network authorized in section 340H of the Public Health Service 

Act. Under these authorizations, funds may be used for the creation and support of interdisciplinary patient care teams, assistance to low-income individuals to access care, case management, 

benefit enrollment, and other assistance. 

The Committee requests an operating plan no later than 90 days 

after enactment of this act detailing the number and size of awards 

to be made under each authorization. 

RURAL HEALTH PROGRAMS

Rural Healthcare Services Outreach Grants 

The Committee provides $57,266,000 for rural health outreach 

grants, the same as the budget request for fiscal year 2011. The fiscal year 2010 comparable level was $55,905,000. This program supports projects that demonstrate new and innovative models of outreach in rural areas, such as integration and coordination of health 

services. 

Frontier Extended Stay Clinics.—The Committee is aware that a 

research program is underway at the Centers for Medicare and 

Medicaid Services related to frontier extended stay clinics. The 

Committee urges HRSA to maintain its existing relationship with 

the clinics, so that there are no complicating factors in the interpretation of the research results. 

Rural Health Research 

The Committee provides $9,950,000 for the Rural Health Research program, the same as the budget request for fiscal year 

2011. The fiscal year 2010 comparable level 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 $41,200,000 for rural hospital flexibility 

grants, the same as the budget request for fiscal year 2011. The fiscal year 2010 comparable level was $40,915,000. 
60 

Under this program, HRSA works with the States to provide support and technical assistance to Critical Access Hospitals to focus 

on quality and performance improvement and to integrate emergency medical services. Of the amount provided, the Committee includes $15,000,000 to continue the Small Rural Hospital Improvement Grant Program, as authorized by section 1820(g)(3) of the Social Security Act and Public Law 107–116 and outlined in House 

Report 107–342. The program provides support for small rural hospitals and focuses on quality improvement and adoption of health 

information technology. 

The Committee remains strongly 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. 

Delta Health Initiative 

The Committee has included $34,927,000 for the Delta Health 

Initiative as authorized in section 219 of division G of Public Law 

110–161. The fiscal year 2010 comparable level was $34,927,000. 

The budget request for fiscal year 2011 did not include funds for 

this purpose. 

Rural and Community Access to Emergency Devices 

The Committee provides $2,526,000 for rural and community access to emergency devices. This is the same amount as the budget 

request for fiscal year 2011. The fiscal year 2010 comparable level 

was $2,521,000. 

This appropriation provides funding for both the rural program 

under section 413 of the Public Health Service Act and the community access demonstration under section 313. The Committee urges 

HRSA to prioritize rural communities. 

Funding will be used to purchase automated external 

defibrillators, place them in public areas where cardiac arrests are 

likely to occur and train lay rescuers and first responders in their 

use. 

The Committee encourages the placement of additional automated external defibrillators [AEDs] in rural areas. Only an estimated 8 percent of victims who suffer a sudden cardiac arrest outside of a hospital survive. Immediate 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. 
61 

State Offices of Rural Health 

The Committee provides $10,075,000 for the State Offices of 

Rural Health, the same as the budget request for fiscal year 2011. 

The fiscal year 2010 comparable level was $10,005,000. 

The State Offices of Rural Health program helps the 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 $7,200,000 for black lung clinics. This is 

the same amount as the budget request for fiscal year 2011. The 

fiscal year 2010 comparable level 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 $1,952,000 for activities authorized by 

the Radiation Exposure Compensation Act. This is the same 

amount as the budget request for fiscal year 2011. The fiscal year 

2010 comparable level 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 its mining and milling at nuclear test 

sites. 

Native and Rural Alaskan Healthcare 

The Committee does not provide funding for the Denali Commis- sion. The fiscal year 2010 comparable level was $10,000,000 and 

the budget request for fiscal year 2011 did not include funding for 

this program. 

These funds support the construction and renovation of health 

clinics, hospitals and social service facilities in rural Alaska, as authorized by Public Law 106–113. 

Family Planning 

The Committee provides $327,356,000 for the title X family planning program, the same as the budget request for fiscal year 2011. 

The fiscal year 2010 comparable level was $316,832,000. 

Title X grants support primary healthcare services at clinics nationwide. About 85 percent of family planning clients are women at 

or below 150 percent of poverty level. Title X of the Public Health 

Service Act, which established the family planning program, authorizes the provision of a broad range of acceptable and effective 

family planning methods and preventive health services to individuals, regardless of age or marital status. This includes FDA-approved methods of contraception. 

The Committee urges HRSA to use the increased funds to augment the awards for existing grantees to offset the rising cost of 

providing healthcare services. In addition, the Committee encourages the Department to provide a portion of the increase provided 
62 

for family planning to be used to provide technical assistance to 

grantees to be prepared for healthcare reform, including the expansion of Medicaid, technology upgrades and participating as essential community providers. 

The Committee is aware of a 2009 Institute of Medicine [IOM] 

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 in response 

to the IOM report. The Committee encourages the Office of Family 

Planning to consider additional ways to strengthen the program’s 

infrastructure and service delivery needs. 

Healthcare-related Facilities and Activities 

The Committee provides $156,329,000 for the construction and 

renovation (including equipment) of healthcare-related facilities 

and other healthcare-related activities. In fiscal year 2010, 

$337,300,000 was provided and the budget request for fiscal year 

2011 included $100,000,000 for these activities. 

The Committee expects HRSA to use no more than 1 percent of 

the funds allocated for projects for agency administrative expenses. 

These funds are to be used for the following projects and in the following amounts: 

Amount 

Aberdeen Area Tribal Chairmen’s Health Board, Rapid City, SD, for facilities and equipment to improve 

prenatal care ............................................................................................................................................... $450,000 

Alameda County Medical Center, Oakland, CA, for facilities and equipment ................................................ 775,000

Alaska Medicare Clinic, Anchorage, AK, for facilities and equipment ........................................................... 500,000 

Alaska Native Tribal Health Consortium, Anchorage, AK, for facilities and equipment ................................ 1,000,000 

Alaska Native Tribal Health Consortium, Anchorage, AK, for the oral health disparities project ................. 250,000 

Alexian Brothers Hospital Network, Arlington Heights, IL, for facilities and equipment ............................... 375,000 

Anchorage Neighborhood Health Center, Anchorage, AK, for facilities and equipment ................................. 500,000 

Anchorage Project Access, Anchorage, AK, for outreach, care coordination, and support of oral healthcare .............................................................................................................................................................. 200,000 

Apple Tree Dental, Minneapolis, MN, for facilities and equipment related to oral healthcare ..................... 150,000 

Archbold Medical Center, Thomasville, GA, for facilities and equipment ...................................................... 150,000 

Arkansas Methodist Hospital Corporation, Paragould, AR, for facilities and equipment .............................. 500,000 

Assiniboine and Sioux Tribes of the Fort Peck Reservation, Poplar, MT, for facilities and equipment related to dialysis ........................................................................................................................................... 200,000 

Association for Utah Community Health, Salt Lake City, UT, to implement an electronic medical record 

system .......................................................................................................................................................... 106,000 

Barbara Ann Karmanos Cancer Institute, Detroit, MI, for facilities and equipment ..................................... 250,000 

Barnabas Uplift, Waverly, IA, for a healthcare job training program ............................................................ 300,000 

Baton Rouge Children’s Health Project, Baton Rouge, Louisiana, for the purchase of mobile mental 

health units ................................................................................................................................................. 200,000 

Baxter Regional Medical Center, Mountain Home, AR, for facilities and equipment .................................... 450,000 

Baylor Health Care System and City of Dallas, Dallas, TX, for facilities and equipment ............................. 110,000 

Bear Lake Memorial Hospital, Montpelier, ID, for facilities and equipment .................................................. 150,000 

Beebe Medical Center, Lewes, DE, for facilities and equipment related to nurse training .......................... 150,000 

BioOhio, Columbus, OH, for a national vaccine manufacturing and logistics center study ......................... 100,000 

Bi-State Primary Care Association, Montpelier, VT, for education and outreach ........................................... 40,000 

Bi-State Primary Care Association, Montpelier, VT, for equipment and support of a dental clinic .............. 110,000 

Bozeman Deaconess Hospital, Bozeman, MT, for facilities and equipment, including electronic health 

records ......................................................................................................................................................... 250,000 

Briar Cliff University, Sioux City, IA, for health training equipment and online instruction ......................... 100,000 

Broadlawns Medical Center, Des Moines, IA, for facilities and equipment ................................................... 500,000 

Brookhaven Memorial Hospital Medical Center, Patchogue, NY, to establish the Brookhaven Breast Cancer Coalition ................................................................................................................................................ 100,000 

Cassia Regional Medical Center, Burley, ID, for facilities and equipment .................................................... 150,000 
63 

Amount 

Center for Asbestos Related Disease, Libby, MT, for facilities and equipment, including information technology ........................................................................................................................................................... 300,000 

Center for Enhanced Diabetic Eye Care, Pikesville, MD, for programs related to diabetic retinopathy, including equipment ....................................................................................................................................... 100,000 

Central Arkansas Radiation Therapy Institute, Little Rock, AR, for facilities and equipment ...................... 500,000 

Central Maine Medical Center College of Nursing and Health Professions, Lewiston, ME, for facilities and 

equipment .................................................................................................................................................... 200,000 

Central Maine Medical Center, Lewiston, ME, for health professions training, including equipment .......... 225,000 

Chestnut Health Systems, Bloomington, IL, for facilities and equipment ..................................................... 350,000 

Children’s Medical Center—Dallas, Dallas, TX, for facilities and equipment ............................................... 300,000 

Children’s Memorial Hermann Hospital, Houston, TX, for facilities and equipment ...................................... 200,000 

Children’s Aid and Family Services, Paramus, NJ, for facilities and equipment ........................................... 200,000

Children’s Hospital of Wisconsin and Health System, Milwaukee, WI, for facilities and equipment ............ 700,000 

Children’s Hospital, Aurora, CO, for information technology upgrades .......................................................... 150,000 

Children’s Mercy Hospital, Kansas City, MO, for facilities and equipment ................................................... 500,000 

Chippewa Valley Free Clinic, Eau Claire, WI, for facilities and equipment ................................................... 500,000 

CHRISTUS St. Frances Cabrini, Alexandria, LA, for electronic health record implementation ....................... 200,000 

Chronic Disease Fund, Plano, TX, to expand chronic disease program ......................................................... 500,000 

Clarian Health, Indianapolis, IN, for outreach and education services for diabetes ..................................... 100,000 

Cleveland State University, Cleveland, OH, for facilities and equipment ...................................................... 100,000 

Coastal Carolina University, Conway, SC, for facilities and equipment ........................................................ 200,000 

Coastal Family Health Center, Astoria, OR, for facilities and equipment ...................................................... 100,000 

Columbus Regional Hospital, Columbus, IN, for facilities and equipment .................................................... 100,000 

Community Dental, Portland, ME, for dental health services, including equipment ..................................... 450,000 

Community Foundation of Southwest Kansas, Dodge City, KS, for facilities and equipment ....................... 150,000 

Community Health Access Project, Inc., Mansfield, OH, for facilities and equipment .................................. 250,000 

Community Health Center of Ft. Dodge, Ft. Dodge, IA, for facilities and equipment .................................... 100,000 

Community Health Center, Inc., Middletown, CT, for a residency training program for nurse practitioners ................................................................................................................................................................ 150,000 

Community Health Centers of Arkansas, North Little Rock, AR, for facilities and equipment ...................... 250,000 

Community Health Centers of Southeastern Iowa, Burlington, IA, for facilities and equipment .................. 100,000 

Community Health Centers of Southern Iowa, Leon, IA, for facilities and equipment .................................. 250,000 

Community Health, Chicago, IL, for facilities and equipment ....................................................................... 150,000 

Comprehensive Community Action Inc., Cranston, RI, for health center facilities and equipment .............. 500,000 

Concordia University School of Pharmacy, Mequon, WI, for facilities and equipment .................................. 500,000 

Connecticut Children’s Medical Center, Hartford, CT, for facilities and equipment ...................................... 500,000 

Coos County Family Health Services, Berlin, NH, for facilities and equipment ............................................. 150,000 

Copper River Native Association, Copper Center, AK, for facilities and equipment ...................................... 500,000 

Council Bluffs Community Health Center, Council Bluffs, IA, for facilities and equipment ......................... 350,000 

County of Riverside, Moreno Valley, CA, for facilities and equipment related to trauma care ..................... 1,000,000 

Crouse Hospital, Syracuse, NY, for facilities and equipment ......................................................................... 150,000 

Cure for the Kids Foundation, Las Vegas, NV, for facilities and equipment ................................................. 500,000 

Dakota Wesleyan University, Mitchell, SD, for health training equipment ..................................................... 200,000 

Dallas County Community College District, Dallas, TX, for a health careers resource center ...................... 250,000 

Dartmouth Hitchcock Medical Center, Lebanon, NH, for facilities and equipment ........................................ 400,000 

Dean McGee Eye Institute, Oklahoma City, OK, for facilities and equipment ................................................ 150,000 

Delta State University, Cleveland, MS, for facilities and equipment ............................................................. 1,300,000 

Denver Hospice, Denver, CO, for facilities and equipment ............................................................................. 150,000 

Dillard University, New Orleans, LA, for facilities and equipment at the Gentille Center for Health Disparities and Disease Prevention ................................................................................................................. 250,000 

Drew Memorial Hospital, Monticello, AR, for facilities and equipment .......................................................... 500,000 

East Carolina University, Greenville, NC, for facilities and equipment .......................................................... 500,000 

East Carroll Parish Hospital, Lake Providence, LA, for facilities and equipment .......................................... 600,000 

East Orange General Hospital, East Orange, NJ, for facilities and equipment ............................................. 200,000

Easter Seals Joliet Region, Inc., Joliet, IL, for facilities and equipment related to autism .......................... 200,000 

Eastern Maine Healthcare System, Brewer, ME, for a hospice and palliative care initiative ....................... 385,000 

Eastern Shore Rural Health System, Inc., Nassawadox, VA, for equipment related to oral healthcare ........ 150,000 

Egyptian Public & Mental Health Department, Eldorado, IL, for facilities and equipment at a rural health 

clinic ............................................................................................................................................................ 275,000 

Flathead Valley Community College, Kalispell, MT, for health professions training, including equipment .. 100,000 

Floyd Medical Center, Rome, GA, for facilities and equipment ...................................................................... 100,000 

Free Clinics of Iowa, Des Moines, IA, for coordination of care ...................................................................... 350,000 

Garfield Memorial Hospital, Panguitch, UT, for facilities and equipment ..................................................... 106,000 

Gillette Children’s Specialty Healthcare, St. Paul, MN, for facilities and equipment .................................... 100,000

Global to Local Health Initiative, Seattle, WA, for a health disparities program, including equipment ....... 400,000 

Good Samaritan Health Clinic of Cullman, Inc., Cullman, AL, to implement an electronic medical records 

system .......................................................................................................................................................... 100,000 
64 

Amount 

Goodall Hospital, Sanford, ME, for facilities and equipment ......................................................................... 300,000 

Grays Harbor Community Hospital, Aberdeen, WA, for facilities and equipment ........................................... 750,000 

Greater Sioux Community Health Center, Sioux Center, IA, for facilities, equipment, supplies, and outreach ............................................................................................................................................................ 600,000 

Habersham Medical Center, Demorest, GA, for facilities and equipment ...................................................... 100,000 

Harms Memorial Hospital District, American Falls, ID, for facilities and equipment .................................... 100,000 

Harris County Hospital District, Houston, TX, for facilities and equipment ................................................... 250,000 

Hawkeye Community College, Waterloo, IA, for health education facilities and equipment .......................... 400,000 

Health Work Force Institute, Seattle, WA, for programs to identify and address workforce needs ............... 300,000 

Healthy Howard Health Plan, Inc, Columbia, MD, for outreach, support and care coordination .................. 500,000 

Hidalgo Medical Services, Lordsburg, NM, for facilities and equipment in Silver City ................................. 250,000 

Hospice of the Panhandle, Martinsburg, WV, for facilities and equipment ................................................... 3,000,000 

Houston Community College, Houston, TX, for recruitment and nurse training ............................................ 250,000 

Howard Community College, Columbia, MD, for health education facilities and equipment ........................ 250,000 

Hudson Perinatal Consortium, Jersey City, NJ, for a program to improve birth outcomes ............................ 200,000 

Idaho State University, Pocatello, ID, for facilities and equipment ............................................................... 150,000 

Innovis Health, Fargo, ND, for facilities and equipment ................................................................................ 175,000 

Integrated Service Solutions, Caribou, ME, to implement an electronic health record system ..................... 255,000 

Iowa CareGivers Association, West Des Moines, IA, for the Direct Care Worker Resource and Outreach 

Center .......................................................................................................................................................... 300,000 

Iowa Healthcare Collaborative, Des Moines, IA, to improve healthcare provider efficiency and effectiveness ............................................................................................................................................................. 650,000 

Iowa Nebraska Primary Care Association, Des Moines, IA, for planning grants ............................................ 600,000 

Iowa State University, Ames, IA, for facilities and equipment for the Institute for Novel Vaccines and 

Anti-Microbial Design .................................................................................................................................. 1,000,000 

Iowa Valley Community College District, Marshalltown, IA, to assist underserved individuals in pursuing 

a healthcare career ..................................................................................................................................... 100,000 

Iowa Western Community College, Council Bluffs, IA, for facilities and equipment for the nursing center ................................................................................................................................................................ 250,000 

J.C. Blair Memorial Hospital, Huntingdon, PA, for facilities and equipment ................................................. 100,000 

Jackson Laboratory, Bar Harbor, ME, for facilities and equipment ................................................................ 100,000 

Jackson Park Hospital, Chicago, IL, for facilities and equipment .................................................................. 250,000 

Jackson State University, Jackson, MS, for facilities and equipment ............................................................ 1,000,000 

Jacksonville State University, Jacksonville, AL, for a nursing education program including equipment ...... 100,000 

Jameson Health System, New Castle, PA, for facilities and equipment ........................................................ 100,000 

Kalihi-Palama Health Center, Honolulu, HI, for a program on renal disease ................................................ 250,000 

Kanawha-Charleston Health Department, Charleston, WV, for a chronic disease management program .... 350,000 

Kauai Community Health Center, Lihue, HI, for facilities and equipment ..................................................... 200,000 

Kennesaw State University, Kennesaw, GA, for facilities and equipment ...................................................... 200,000 

King County Project Access, Seattle, WA, for facilities and equipment ......................................................... 40,000 

La Clinica del Valle Family Health Care Center, Inc., Medford, OR, for facilities and equipment ............... 200,000 

Lake Area Technical Institute, Watertown, SD, for health training equipment .............................................. 100,000 

Lanai’i Community Health Center, Lanai’i City, HI, for facilities and equipment ......................................... 100,000

Leflore County Health Center, Inc, Greenwood, MS, for a patient navigator initiative, including equipment ............................................................................................................................................................. 250,000 

Legacy Health System, Vancouver, WA, for telemedicine programs, including equipment ............................ 125,000 

Lewis-Clark State College, Lewiston, ID, for facilities and equipment .......................................................... 150,000 

Linn Community Care, Cedar Rapids, IA, for facilities and equipment ......................................................... 250,000 

Little Company of Mary Hospital, Evergreen Park, IL, for facilities and equipment ...................................... 400,000 

Livingston Health Care, Livingston, MT, for facilities and equipment ........................................................... 150,000 

Los Angeles Community College District, Los Angeles, CA, for health professions training, including 

equipment .................................................................................................................................................... 150,000 

Loyola University, Chicago, IL, for facilities and equipment related to nurse training ................................. 400,000 

Maine Medical Center, Portland, ME, for physician recruitment, including scholarships ............................. 355,000 

Manchester College, Fort Wayne, IN, for facilities and equipment ................................................................ 150,000 

Maniilaq Association, Kotzebue, AK, for facilities and equipment ................................................................. 1,500,000 

Marcus Autism Center, Atlanta, GA, for rural health outreach ...................................................................... 200,000 

Marquette University, Milwaukee, WI, for a comprehensive dental outreach program .................................. 850,000 

Marshall University, Huntington, WV, for facilities and equipment related to genetic research .................. 2,300,000 

Massachusetts League of Community Health Centers, Boston, MA, for workforce training and development ............................................................................................................................................................. 100,000 

Maui Medical Center, Wailuku, HI, for health professions training, including equipment ............................ 100,000 

Mental Crisis Services, Denver, CO, for electronic health record implementation ......................................... 150,000

Mercy Medical Center, Inc., Canton, OH, to implement an electronic medical records system .................... 250,000 

Mercy Medical Foundation, Des Moines, IA, for pediatric care facilities and equipment .............................. 500,000 

Minidoka Memorial Hospital, Rupert, ID, for facilities and equipment .......................................................... 150,000 
65 

Amount 

Minot State University, Minot, ND, for its Great Plains Autism Treatment Program to serve transition-age 

youth with autism spectrum disorders ....................................................................................................... 200,000 

Mission Health System, Asheville, NC, for facilities and equipment ............................................................. 150,000 

Mississippi Blood Services, Inc., Jackson, MS, for facilities and equipment ................................................. 485,000 

Mississippi County Hospital System d.b.a. Great River Medical Center, Blytheville, AR, for facilities and 

equipment .................................................................................................................................................... 200,000 

Mississippi Primary Health Care Association, Jackson, MS, for facilities and equipment ............................ 350,000 

Mississippi State University, Mississippi State, MS, for biomedical engineering facilities and equipment ............................................................................................................................................................. 1,000,000 

Mississippi State University, Mississippi State, MS, for facilities and equipment ........................................ 500,000 

Mississippi University for Women, Columbus, MS, for facilities and equipment ........................................... 190,000 

Missouri River Medical Center, Fort Benton, MT, for facilities and equipment ............................................. 300,000 

Moses Cone Health System, Greensboro, NC, for facilities and equipment ................................................... 200,000 

Murray State University, Murray, KY, to purchase a mobile health unit ........................................................ 500,000 

Nathan Adelson Hospice Foundation, Las Vegas, NV, for facilities and equipment ...................................... 590,000 

National Jewish Health, Denver, CO, for facilities and equipment ................................................................ 250,000 

Native Women’s Health Care Center, Rapid City, SD, for facilities and equipment ...................................... 100,000 

Navos, Seattle, WA, for facilities and equipment ........................................................................................... 100,000 

Nevada Cancer Institute, Las Vegas, NV, for equipment ............................................................................... 750,000 

New Mexico Foundation for Dental Health, Research and Education, Albuquerque, NM, for outreach, care 

coordination, and support of oral healthcare ............................................................................................. 100,000 

New York Presbyterian Hospital, New York, NY, for facilities and equipment ............................................... 150,000 

New York University Langone Medical Center, New York, NY, for facilities and equipment ......................... 750,000 

North Colorado Medical Center, Greeley, CO, for facilities and equipment ................................................... 250,000 

North Dakota Medical Association, Bismarck, ND, to set up a statewide quality improvement network ..... 250,000 

North Idaho College, Coeur d’Alene, ID, to expand the physical therapy program ........................................ 100,000 

North Shore Long Island Jewish Health System, Great Neck, NY, to implement electronic medical records ............................................................................................................................................................ 500,000 

Northeast Missouri Health Council, Inc., Kirksville, MO, for facilities and equipment .................................. 750,000 

Nye County, Pahrump, NV, for facilities and equipment ................................................................................ 400,000 

Oakwood Healthcare, Inc., Dearborn, MI, for facilities and equipment related to orthopedics ..................... 150,000 

Oglala Sioux Tribe, Pine Ridge, SD, for facilities and equipment related to emergency care ...................... 250,000 

Ohio State University Comprehensive Cancer Center—James Cancer Hospital and Solove Research Institute, Columbus, OH, for facilities and equipment ..................................................................................... 200,000 

Ohio University, Athens, OH, for health outreach and services in Appalachia Ohio ..................................... 200,000 

Oklahoma Medical Research Foundation, Oklahoma City, OK, for facilities and equipment ........................ 100,000 

Olympic College, Bremerton, WA, for facilities and equipment related to nurse training ............................. 350,000 

Our Lady of the Lake University, San Antonio, TX, for nursing curriculum development, including equipment ............................................................................................................................................................. 110,000 

Palmer College of Chiropractic and Myrna Brind Center of Integrative Medicine, Davenport, IA, to develop 

a model integrative healthcare program for the treatment of pain .......................................................... 400,000 

Parkland Health and Hospital System, Dallas, TX, for facilities and equipment .......................................... 400,000 

Parkview Medical Center, Pueblo, CO, for facilities and equipment .............................................................. 250,000 

Peace Health Whatcom Region, Bellingham, WA, for facilities and equipment ............................................ 200,000 

Pennsylvania Breast Cancer Coalition, Ephrata, PA, for screening programs and outreach ........................ 100,000 

Penobscot Community Health Care, Bangor, ME, for a rural dental health initiative ................................... 150,000 

Penobscot Valley Hospital, Lincoln, ME, for facilities and equipment ........................................................... 395,000 

Peoples Community Health Clinic, Waterloo, IA, for facilities and equipment .............................................. 250,000 

Pierce College Puyallup, Puyallup, WA, for health training equipment .......................................................... 130,000 

Pioneer Valley Life Sciences Institute, Springfield, MA, for facilities and equipment ................................... 100,000

Pratt Regional Medical Center, Pratt, KS, for facilities and equipment ........................................................ 500,000 

Primary Care Association of Hawaii, Honolulu, HI, to support community health centers, including equipment ............................................................................................................................................................. 1,850,000 

Providence Alaska Family Medicine Residency, Anchorage, AK, for physician recruitment and retention 

initiative in rural Alaska ............................................................................................................................. 500,000 

Providence ElderPlace Seattle, Seattle, WA, for facilities and equipment ..................................................... 300,000 

Providence St. Peter Hospital, Olympia, WA, for facilities and equipment .................................................... 135,000 

Regis College, Weston, MA, for facilities and equipment related to nurse training ..................................... 100,000 

Renown Health, Reno, NV, to expand nurse training ...................................................................................... 500,000 

Rhode Island Free Clinic, Providence, RI, for coordination of care, data collection and analysis ................ 250,000 

Rice Lake Area Free Clinic, Rice Lake, WI, for facilities and equipment ....................................................... 100,000 

Rice University, Houston, TX, for facilities and equipment ............................................................................ 200,000 

Richmond Medical Center dba Richmond University Medical Center, Staten Island, NY, for facilities and 

equipment .................................................................................................................................................... 350,000 

Rosebud Sioux Tribe, Rosebud, SD, for facilities and equipment .................................................................. 450,000 
66 

Amount 

Rosebud Sioux Tribe, Rosebud, SD, for facilities and equipment including purchase of a vehicle related 

to elderly care .............................................................................................................................................. 50,000 

Saint Elizabeth’s Medical Center, Wabasha, MN, for facilities and equipment ............................................ 100,000 

Saint Patrick Hospital and Health Sciences Center, Missoula, MT, for facilities and equipment ................ 150,000 

Salish Kootenai College, Pablo, MT, for facilities and equipment related to health professions training ... 100,000 

Salve Regina University, Newport, RI, for facilities, equipment, and training for an expanded nursing 

program ....................................................................................................................................................... 500,000 

San Luis Valley Regional Medical Center, Alamosa, CO, to implement electronic medical record system .. 250,000 

Sanders County Community Development Corporation, Thompson Falls, MT, for facilities and equipment 

at the Hot Springs Medical Clinic .............................................................................................................. 300,000 

Seton Medical Center—Austin, Austin, TX, for facilities and equipment ...................................................... 200,000 

Sherman County Health District dba Moro Medical Clinic, Moro, OR, for facilities and equipment ............. 150,000 

Snow College, Ephraim, UT, for facilities and equipment .............................................................................. 150,000 

Solaris Health System—JFK Medical Center, Edison, NJ, for facilities and equipment ................................ 400,000 

Somerset Hospital, Somerset, PA, for facilities and equipment ..................................................................... 100,000 

Southeast Missouri State University, Cape Girardeau, MO, for the S.H.O.W. mobile initiative, including 

equipment .................................................................................................................................................... 200,000 

Southeastern Community College, West Burlington, IA, for facilities and equipment ................................... 200,000 

Southeastern Ohio Regional Medical Center, Cambridge, OH, for information technology upgrades ........... 250,000 

Southern Nevada Immunization Coalition, Las Vegas, NV, for a community immunization project ............. 200,000 

Southwest Colorado Mental Health Center, Inc., Durango, CO, for facilities and equipment at the Cortez 

Clinic ............................................................................................................................................................ 250,000 

Sparrow Ionia County Memorial Hospital, Lansing, MI, for facilities and equipment ................................... 500,000 

Spokane County Medical Society Foundation, Spokane, WA, for outreach and care coordination ................. 100,000 

St. Alexius Medical Center Foundation, Bismarck, ND, for facilities and equipment .................................... 300,000 

St. Charles Health Council, Inc., Pennington Gap, VA, for a mobile respiratory care clinic, including 

equipment .................................................................................................................................................... 150,000 

St. John Medical Center Foundation, Longview, WA, for health professions training equipment .................. 100,000 

St. Joseph Hospital, Nashua, NH, to implement an electronic medical record system ................................. 250,000 

St. Joseph’s Mercy Health Foundation, Hot Springs, AR, for facilities and equipment ................................. 200,000 

St. Jude Children’s Research Hospital, Memphis, TN, for facilities and equipment ..................................... 1,600,000 

St. Louis Children’s Hospital, St. Louis, MO, for facilities and equipment ................................................... 500,000 

St. Mary’s Foundation for St. Mary’s Regional Medical Center, Reno, NV, for planning and support of oral 

healthcare .................................................................................................................................................... 300,000 

St. Mary’s Hospital, Cottonwood, ID, for facilities and equipment ................................................................ 100,000 

St. Mary’s Janesville Hospital, Janesville, WI, for facilities and equipment .................................................. 700,000 

St. Mary’s Medical Center, Huntington, WV, for facilities and equipment ..................................................... 250,000 

St. Vincent Hospital, Billings, MT, for facilities and equipment .................................................................... 250,000 

State of Maryland, Baltimore, MD, for facilities and equipment related to emergency care ........................ 1,250,000 

Straub Hospital Burn Center, Honolulu, HI, for facilities and equipment ...................................................... 150,000 

Temple University Health System, Philadelphia, PA, for facilities and equipment ........................................ 100,000 

Teton Valley Hospital, Driggs, ID, for facilities and equipment ..................................................................... 100,000 

Texas Children’s Hospital, McAllen, TX, for education and outreach programs at the Vannie E. Cook Jr. 

Children’s Cancer and Hematology Clinic .................................................................................................. 250,000 

Texas Health Institute, Austin, TX, for emergency response initiative, including purchase of equipment ... 200,000 

Texas Medical Center, Houston, TX, for facilities and equipment .................................................................. 650,000 

Texas Tech University Health Sciences Center, Austin, TX, for facilities and equipment ............................. 200,000 

Texas Women’s University, Denton, TX, for facilities and equipment ............................................................ 300,000 

Thomas Jefferson University Hospital, Philadelphia, PA, for facilities and equipment ................................. 100,000 

Thompson Health, Canandaigua, NY, for facilities and equipment ............................................................... 150,000 

Touro University Nevada, Henderson, NV, for facilities and equipment at the College of Optometry ........... 750,000 

Tulane University School of Medicine, New Orleans, LA, for facilities and equipment ................................. 300,000 

Tulare Regional Medical Center, Tulare, CA, for facilities and equipment .................................................... 550,000 

Tyrone Hospital, Tyrone, PA, for facilities and equipment .............................................................................. 100,000 

Union Hospital, Terre Haute, IN, for facilities and equipment ....................................................................... 100,000 

United General Hospital, Sedro Woolley, WA, for facilities and equipment .................................................... 150,000 

University at Albany SUNY, Albany, NY, for facilities and equipment related to orphan disease research .......................................................................................................................................................... 200,000 

University Hospitals, Cleveland, OH, for facilities and equipment ................................................................. 200,000 

University Medical Center of Southern Nevada, Las Vegas, NV, for a diabetes management program ....... 300,000 

University of Alabama, Tuscaloosa, AL, for facilities and equipment ............................................................ 15,000,000 

University of Arkansas for Medical Sciences, Little Rock, AR, for facilities and equipment ........................ 500,000 

University of Arkansas for Medical Sciences, Little Rock, AR, for facilities and equipment ........................ 200,000 

University of California Davis Medical Center, Davis, CA, for facilities and equipment ............................... 500,000 

University of California, Riverside, Riverside, CA, for facilities and equipment at the School of Medicine .............................................................................................................................................................. 750,000 
67 

Amount 

University of Central Arkansas, Conway, AR, for facilities and equipment related to training mental 

health professionals .................................................................................................................................... 250,000 

University of Colorado—Denver School of Medicine, Aurora, CO, for facilities and equipment for the 

Linda Crnic Institute for Down Syndrome ................................................................................................... 400,000 

University of Colorado—Denver, Aurora, CO, for a health professions training program ............................. 150,000 

University of Hawaii at Hilo School of Nursing, Hilo, HI, to develop advanced degrees and expand rural 

nurse training .............................................................................................................................................. 350,000 

University of Hawaii at Hilo, Hilo, HI, for a clinical pharmacy training program ......................................... 1,600,000 

University of Hawaii School of Medicine, Honolulu, HI, for curriculum development .................................... 200,000 

University of Hawaii School of Nursing-Manoa, Honolulu, HI, for rural nurse training programs ................ 350,000 

University of Iowa, Carver College of Medicine, Iowa City, IA, for facilities and equipment for the Institute for Biomedical Discovery ..................................................................................................................... 2,000,000 

University of Iowa, Iowa City, IA, for facilities and equipment at the College of Public Health .................. 1,000,000 

University of Kansas Hospital, Kansas City, KS, for facilities and equipment .............................................. 500,000 

University of Kansas, Lawrence, KS, for facilities and equipment ................................................................. 550,000 

University of Kentucky Research Foundation, Lexington, KY, for a colorectal cancer research program, including equipment ....................................................................................................................................... 1,900,000 

University of Kentucky Research Foundation, Lexington, KY, to establish a program to reduce heart disease in rural areas ...................................................................................................................................... 2,000,000 

University of Louisville Research Foundation, Louisville, KY, for facilities and equipment .......................... 4,000,000 

University of Louisville Research Foundation, Louisville, KY, for facilities and equipment .......................... 900,000 

University of Louisville Research Foundation, Louisville, KY, for facilities and equipment .......................... 700,000 

University of Maryland Medical System, Baltimore, MD, for equipment and information technology upgrades .......................................................................................................................................................... 200,000 

University of Maryland—Baltimore, Annapolis, MD, for facilities and equipment related to stem cell research .......................................................................................................................................................... 1,000,000 

University of Massachusetts Memorial Health Care, Worcester, MA, for implementation of an electronic 

medical record ............................................................................................................................................. 250,000 

University of Mississippi Medical Center, Jackson, MS, for facilities and equipment ................................... 4,384,000

University of Mississippi, University, MS, for facilities and equipment ......................................................... 5,000,000 

University of Nevada—Reno, NV, for health professions training and public education efforts related to 

pediatric Chron’s disease ............................................................................................................................ 300,000 

University of New Mexico, Albuquerque, NM, for outreach, training and technical assistance related to 

cerebral cavernous malformations .............................................................................................................. 100,000 

University of North Carolina—Greensboro, NC, for a telespeech initiative, including equipment ................ 300,000 

University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, for facilities and 

equipment .................................................................................................................................................... 175,000 

University of Pittsburgh Cancer Institute, Pittsburgh, PA, for equipment ..................................................... 100,000 

University of Rhode Island, Kingston, RI, for equipment related to nursing education ................................ 500,000 

University of Southern Mississippi, Hattiesburg, MS, for facilities and equipment ...................................... 6,000,000 

University of Texas Health Center at Tyler, Tyler, TX, for facilities and equipment ...................................... 500,000 

University of Texas Health Science Center at San Antonio, San Antonio, TX, for facilities and equipment ............................................................................................................................................................. 500,000 

University of Texas Health Science Center—Houston, Houston, TX, for facilities and equipment ............... 200,000 

University of Texas MD Anderson Cancer Center, Houston, TX, for facilities and equipment ....................... 250,000 

University of Utah, Salt Lake City, UT, for facilities and equipment ............................................................. 1,000,000 

University of Vermont, Burlington, VT, for equipment related to DNA sequencing ........................................ 500,000 

University of Washington, Seattle, WA, for facilities and equipment related to dental care ........................ 570,000 

University of Wisconsin—Rock County, Janesville, WI, for a higher education collaboration to promote 

degrees in nursing ...................................................................................................................................... 250,000 

Utah Department of Health, Salt Lake City, UT, for facilities and equipment .............................................. 100,000 

Utah Department of Health, Salt Lake City, UT, to expand Monticello health education and screening initiative ........................................................................................................................................................... 106,000 

Utah Medical Education Council, Salt Lake City, UT, for the purchase of a mobile dental unit ................. 500,000 

Utah Valley University, Orem, UT, for facilities and equipment ..................................................................... 400,000 

Vanderbilt University, Nashville, TN, for facilities and equipment ................................................................. 2,400,000 

Virginia Community College System, Richmond, VA, for expansion of the Emergency Medical Technician 

program ....................................................................................................................................................... 100,000 

Virginia Mason Medical Center, Seattle, WA, for facilities and equipment ................................................... 500,000 

Virginia State University, Petersburg, VA, for facilities and equipment related to nurse training ............... 100,000 

Washington County, NC, Plymouth, NC, for facilities and equipment ............................................................ 400,000 

Weber State University, Ogden, UT, for expansion of nursing programs, including equipment .................... 350,000 

Wesley College, Dover, DE, for facilities and equipment related to nurse training ....................................... 200,000

West Hawaii Community Health Center, Kailua-Kona, HI, for facilities and equipment ............................... 250,000 

West Virginia Northern Community College, Weirton, WV, for facilities and equipment related to health 

professions training ..................................................................................................................................... 3,000,000 
68 

Amount 

West Virginia University Health Sciences, Morgantown, WV, for facilities and equipment ........................... 1,000,000 

West Virginia University, Morgantown, WV, for the construction of a Multiple Sclerosis Center .................. 2,300,000 

Western Kentucky University, Bowling Green, KY, for facilities and equipment ............................................ 2,500,000 

Whatley Health Services, Greensboro, AL, for facilities and equipment ......................................................... 150,000 

Wheeling Jesuit University, Wheeling, WV, for the HealtheWV program, including equipment ...................... 2,500,000 

White River Medical Center, Batesville, AR, for facilities and equipment ..................................................... 500,000 

Whittemore-Peterson Institute for Neuro-Immune Disease, Sparks, NV, for facilities and equipment .......... 1,000,000 

Williamsport Hospital, Williamsport, PA, for facilities and equipment .......................................................... 100,000 

Woman’s Christian Association Hospital, Jamestown, NY, for facilities and equipment ............................... 150,000 

Yankton Sioux Tribe, Marty, SD, for facilities and equipment related to dialysis care ................................. 100,000 

Telehealth 

The Committee provides $15,000,000 for telehealth activities. The budget request for fiscal year 2011 was $11,600,000. The fiscal 

year 2010 comparable level 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. 

Program Management 

The Committee provides $154,808,000 for program management 

activities for fiscal year 2011. The fiscal year 2010 comparable level 

was $147,052,000 and the budget request for fiscal year 2011 was 

$153,808,000. 

Within the total provided, the Committee has included $1,000,000 for a GAO study on hospital contract management. The 

Committee recognizes the challenges that rural and safety-net hospitals face in managing contracts, including contracts for health 

professional services, information technology, supplies and pharmaceuticals. The Committee intends the GAO study to analyze the potential cost savings these hospitals can realize from the use of electronic contract management, in particular any possible savings to 

public assistance programs like Medicare and Medicaid. Electronic 

contract management provides for the construction of a database to 

administer the contracts necessary for hospital operations and to 

provide comprehensive Web-based access to such database through 

a software-as-a-service application. The Committee expects a recommendation from the GAO on the efficacy of an electronic contract management service for rural, safety-net hospitals, especially 

those hospitals participating in disproportionate share hospital 

payments under the Medicaid and Medicare programs. 

HEALTH EDUCATION ASSISTANCE LOANS PROGRAM

The Committee has transferred the administration of the Health 

Education Assistance Loans program to the Department of Education, as proposed in the President’s budget. The fiscal year 2010 

comparable level was $2,847,000. 

VACCINE INJURY COMPENSATION PROGRAM TRUST FUND

Appropriations, 2010 ............................................................................. $122,410,000 

Budget estimate, 2011 ........................................................................... 122,410,000 

Committee recommendation ................................................................. 122,410,000 

The Committee provides that $122,410,000 be released from the 

vaccine injury compensation trust fund in fiscal year 2011, the 
69 

same as the comparable level in fiscal year 2010 and the budget 

request for fiscal year 2011. Of that amount, $6,502,000 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. 

COVERED COUNTERMEASURE PROCESS FUND

Appropriations, 2010 ............................................................................. ........................... 

Budget estimate, 2011 ........................................................................... $2,500,000 

Committee recommendation ................................................................. 2,500,000 

The Committee provides $2,500,000 for the administration of the 

Covered Countermeasure Process fund and for costs under the 

Smallpox Emergency Personal Protection Act of 2003. The fiscal 

year 2011 budget request was $2,500,000. The fiscal year 2010 appropriation did not include funds for this purpose. 

The Covered Countermeasure Process fund provides compensation for individuals injured from the manufacture, administration, 

or use of countermeasures that the Secretary has declared necessary to respond to a public health threat. Funds are available 

until expended. 

CENTERS FOR DISEASE CONTROL AND PREVENTION

DISEASE CONTROL, RESEARCH, AND TRAINING

Appropriations, 2010 ............................................................................. $6,804,946,000 

Budget estimate, 2011 ........................................................................... 6,891,695,000 

Committee recommendation ................................................................. 6,905,810,000 

The Committee provides a program level of $6,905,810,000 for 

the Centers for Disease Control and Prevention [CDC]. The Committee recommendation includes $6,527,235,000 in discretionary 

budget authority, an additional $138,358,000 via transfers available under section 241 of the Public Health Service Act, an additional $55,358,000 in mandatory funds and assumes $184,859,000 

in balances from Public Law 111–32 in accordance with the budget 

request. In addition, the Committee recommends $663,000,000 be 

transferred to the CDC from the Prevention and Public Health 

Fund. The fiscal year 2010 comparable program level was 

$6,804,946,000, and the program level budget request for fiscal 

year 2011 was $6,891,695,000. 

The activities of the 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 encourage responsible behavior and adoption of lifestyles that are conducive to good health. 
70 

The Committee is aware that the CDC began reorganizing itself 

in August 2009 and the reorganization took place in fiscal year 

2010. That reorganization is largely complete; personnel have been 

moved and new leadership positions have been filled. Despite repeated requests, the Committee has yet to receive a reprogramming notification that would align the budget with the reorganization. Therefore, the recommendation that follows reflects the structure of the CDC Centers as they existed in fiscal year 2009. In addition, the Committee has included enacted figures in the internal 

funding tables in order to provide a better frame of reference as 

programs experience transfers, reorganizations and 

reprogrammings over the course of fiscal year 2010. 

NATIONAL CENTER FOR IMMUNIZATION AND RESPIRATORY DISEASES

The Committee has included a program level of $735,807,000 for 

the activities of this Center in fiscal year 2011. The comparable 

level for fiscal year 2010 was $718,460,000. The budget request for 

fiscal year 2011 included $579,463,000 for this Center. The Committee recommendation includes $12,864,000 in transfers available 

under section 241 of the Public Health Service Act and 

$116,344,000 in transfers from Public Law 111–32 in accordance 

with the budget request. 

The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2010 enacted 

Fiscal year 2011 

request 

Committee recommendation 

Section 317 Immunization Program .......................................................... 496,847 511,062 511,062 

Vaccine Purchase Grants .................................................................. 261,977 289,546 289,546 

State Infrastructure Grants .............................................................. 234,870 221,516 221,516 

Program Operations ................................................................................... 62,621 65,630 65,630 

National Immunization Survey (PHS Evaluation Transfers) (nonadd) .............................................................................................. 12,864 12,864 12,864 

Immunization.—The Committee supports the expansion of the 

section 317 immunization program contained in the Patient Protection and Affordable Care Act, and encourages the CDC to publish 

guidance expeditiously. The Committee requests that the CDC 

identify in the fiscal year 2012 budget justification a detailed 

breakdown of adult vaccines purchased by the States using the new 

authority. The Committee encourages the CDC to create and manage a broad public education campaign targeted at improving adult 

immunization rates, with active participation by and collaboration 

with State and local public health departments. The Committee 

further encourages the CDC to increase its capacity to measure 

adult immunization coverage rates and support enhanced development, interoperable functionality, and use of State and regional immunization registries and/or take advantage of advances in electronic medical health records. 

Influenza.—The Committee recommendation includes 

$159,115,000 for influenza activities, of which $116,344,000 is assumed to be transferred from Public Law 111–32 balances, consistent with the budget request. However, the Committee is concerned by the administration’s proposal to use previously appro-
71 

priated emergency funds to pay the salaries of the scientists and 

staff in the Influenza Division of this Center. Therefore, the Committee has provided $40,000,000 in budget authority for the pandemic influenza program. The Committee intends these funds to be 

used to pay the costs of FTE. 

NATIONAL CENTER FOR ZOONOTIC, VECTOR BORNE, AND ENTERIC

DISEASES

The Committee includes $80,488,000 for fiscal year 2011 for this Center. The comparable fiscal year 2010 level was $76,647,000 and 

the fiscal year 2011 budget request was $58,027,000. This Center 

provides outbreak investigation, infection control and scientific 

evaluations of zoonotic, vector borne, and enteric diseases; and conducts food-borne illness surveillance and investigation. 

The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2010 enacted 

Fiscal year 2011 

request 

Committee recommendation 

Vector-borne Diseases ............................................................................... 26,717 ........................ 26,717 

Lyme Disease ............................................................................................. 8,938 9,055 10,000 

Food Safety ................................................................................................ 26,942 35,195 35,195

Chronic Fatigue Syndrome ......................................................................... 4,825 4,598 4,825 

Chronic Fatigue Syndrome.—The Committee urges the CDC to 

follow recommendations made by the CFS Advisory Committee and 

the 2008 peer review panel to prioritize laboratory efforts aimed at 

the identification of diagnostic subtypes and therapeutic biomarkers with increasing efforts in viral etiology. Intervention, including 

vaccination studies, against pathogens with known associations 

with CFS should be pursued in collaboration with other agencies 

and investigators to support genetic, genomic and intervention 

studies. The Committee continues to support efforts to make data 

accumulated since 1984 by the CFS research program available to 

outside researchers to maximize the value of this data. 

Food Safety.—The Committee strongly supports the administration’s proposal to expand food safety surveillance. In particular, the 

Committee believes that efforts to improve multi-jurisdictional outbreak investigations are crucial to improving the safety of the Nation’s food. Further, the Committee believes that PulseNet should 

be a model program at the CDC for the way in which it allows officials at the Federal, State and local levels to submit and view information on outbreaks that are happening or could be happening 

within their jurisdictions. 

Prion Diseases.—The Committee has not included funding specifically for prion diseases. The fiscal year 2010 enacted level was 

$5,474,000 and the President requested $5,390,000 for this activity. 

Prion diseases are most often transmitted through food. The Committee has increased funding for food safety efforts by the CDC and 

intends that surveillance for prion diseases be incorporated into the 

national food safety detection and control programs. 

Vector Borne Disease.—The Committee has rejected the administration’s proposal to eliminate funding for research and surveillance of vector-borne disease. The Committee notes that recent nat-
72 

ural disasters like hurricanes or floods result in unavoidable pools 

of standing water that are breeding grounds for mosquitoes, and 

changes in weather patterns extend the areas in our country that 

are hospitable to mosquitoes. For these reasons, the Committee believes it would be irresponsible to eliminate funding to track vector 

borne diseases and premature to cancel research on prevention 

methods. 

NATIONAL CENTER FOR HIV, VIRAL HEPATITIS, STD, AND TB

PREVENTION

The Committee includes $1,072,004,000 for the activities at this 

Center in fiscal year 2011. The fiscal year 2010 level was 

$1,045,382,000 and the fiscal year 2011 budget request was 

$1,083,286,000. The Committee has included funding for the following activities at the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2010 

enacted 

Fiscal year 2011 

request 

Committee 

recommendation 

Domestic HIV/AIDS Prevention and Research ............................................ 727,980 758,540 746,041 

HIV Prevention by Health Departments ............................................ 328,887 343,062 328,887 

HIV Surveillance ................................................................................ 109,455 109,113 109,455 

National/Regional/Local/Community/Other Organizations ................ 134,793 135,052 134,793 

Enhanced HIV Testing ....................................................................... 65,273 63,680 65,273 

Improving Program Effectiveness ..................................................... 89,572 107,633 107,633 

Viral Hepatitis ............................................................................................ 19,259 21,107 21,107

Sexually Transmitted Diseases .................................................................. 153,875 160,588 160,588 

Tuberculosis ............................................................................................... 144,268 143,051 144,268 

Hepatitis Testing.—The Committee recognizes the high incidence 

of hepatitis and its often undocumented state. In fiscal year 2010, 

the Committee requested the CDC to formulate a plan for significant testing for hepatitis, including the implementation of rapid 

testing technology as a means of ascertaining the prevalence of 

hepatitis and updating its testing guidelines. The Committee encourages the development of a pilot testing program to enhance 

this effort. 

HIV Prevention.—The Committee fully supports the goals of the 

National HIV/AIDS Strategy. Racial and ethnic minorities, men 

who have sex with men [MSM], and women are disproportionately 

affected by HIV in the United States. The Committee encourages 

the CDC to expand the range of interventions available through 

the Diffusion of Evidence-based Interventions program by increasing support for the development of promising ‘‘home grown interventions’’ that can be rapidly evaluated and disseminated into the 

field. The Committee also encourages the CDC to increase technical 

assistance and training activities to community-based organizations involved in adapting promising evidence-based interventions 

to new settings. 

HIV/AIDS Surveillance.—The Committee commends ongoing efforts by the CDC to enhance HIV/AIDS surveillance activities that 

monitor the HIV/AIDS epidemic and provide data for targeting the 

delivery of HIV prevention, care, and treatment services. 

HIV Testing.—The Committee commends ongoing efforts by the 

CDC to expand HIV testing among African Americans in clinical 
73 

settings and encourages health departments to work with community-based organizations to expand testing in nonclinical settings. 

Improving Program Effectiveness.—The Committee commends 

the CDC efforts to improve the effectiveness of existing HIV prevention programs and to develop new tools for HIV prevention. 

Within the total provided, $10,000,000 is for efforts to integrate 

data in ways that improve program performance. 

Special Populations.—Recent CDC reports have shown that MSM 

account for more than one-half of all new HIV infections each year, 

with African-American MSM making up a disproportionate share of 

these infections, and that MSM are 44 times more likely to acquire 

HIV than other men. The Committee urges the CDC to enhance 

prevention programs tailored to gay and bisexual men that integrate behavioral and biomedical interventions, community-level 

interventions, and structural interventions to shift social norms in 

support of safer sex and family acceptance of young gay men. 

Viral Hepatitis.—The Committee is aware of the January 2010 

Institute of Medicine report that outlined a national strategy for 

prevention and control of hepatitis B and C. Therefore, the Committee encourages the CDC to address the report’s recommendations and continue to validate interventions focused on the motherchild transmission issue. Also, as the hepatitis B virus is the single 

greatest health disparity impacting the Asian and Pacific Islander 

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 these populations. 

NATIONAL CENTER FOR PREPAREDNESS, DETECTION AND CONTROL OF

INFECTIOUS DISEASES

The Committee includes $168,689,000 for fiscal year 2011 for 

this Center. The fiscal year 2010 level was $168,689,000 and the 

budget request for fiscal year 2011 was $192,075,000. In addition, 

the Committee recommends $50,000,000 in transfers from the Prevention and Public Health Fund. This Center builds epidemiology 

and laboratory capacity and provides technical assistance to identify and monitor infectious diseases. 

The Committee recommendation provides sufficient funding to 

maintain all existing activities at the fiscal year 2010 enacted level. 

Epidemiology and Laboratory Capacity [ELC] Grants.—The Committee includes $50,000,000 for ELC grants from amounts transferred from the Prevention and Public Health Fund. The Committee has included bill language exempting the awards from statutory funding floors that exceed the transferred amount. The administration transferred $20,000,000 for this purpose in fiscal year 

2010. The Committee is aware that the number of genetic and metabolic disorders included in State newborn screening programs 

ranges from 4 to 36 and that most States screen for 8 or fewer disorders. Tandem mass spectrometry has greatly increased the number of disorders that can be detected, but States have varying resources to acquire this technology. The Committee encourages the 

CDC to consider bulk purchasing to increase States’ ability to utilize this life-saving technology. 

Lyme Disease.—The Committee requests that the CDC report on 

its implementation of its Lyme disease plan. In particular, the re-
74 

port should include details on grants on diagnostic methods, longterm complications, plans to support community-based Lyme disease prevention and control programs, and the development of 

Lyme disease education for physicians and communities. The Committee is supportive of innovative advancements and technologies 

that provide opportunities for improved diagnostics beyond the 

technologies employed today. 

NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH

PROMOTION

The Committee recommends $931,154,000 for chronic disease 

prevention and health promotion. The comparable level for fiscal 

year 2010 was $931,154,000 and the budget request for fiscal year 

2011 was $937,307,000. In addition, the Committee recommends 

$542,000,000 in transfers from the Prevention and Public Health 

Fund. 

Chronic diseases are the most prevalent and costly healthcare 

problems in the United States, but are often preventable. Nearly 

half (45 percent) of all Americans suffer from at least one chronic 

disease. More than two-thirds of all deaths are caused by one or 

more of five chronic diseases: heart disease, cancer, stroke, chronic 

obstructive pulmonary disease, and diabetes. Many chronic diseases are lifelong conditions, and their impact lessens the quality 

of life not only of those suffering from the diseases, but also of their 

family members, caregivers, and others. 

Chronic disease not only affects health and quality of life, but is 

also a major driver of healthcare costs and threatens healthcare affordability. Research from the CDC indicates that chronic disease 

accounts for about 75 percent of the Nation’s aggregate healthcare 

spending—or about $5,300 per person in the United States each 

year. In taxpayer-funded programs, treatment of chronic disease 

constitutes an even larger proportion of spending—96 cents per dollar for Medicare and 83 cents per dollar for Medicaid. Much of the 

persistent increase in spending over the past two decades is attributable to rising disease prevalence, lower clinical thresholds for 

treatment, and new medical innovations that have emerged to treat 

chronic and other diseases. 

Unhealthy behavior and increased incidence of chronic disease 

are also extremely costly in terms of healthcare coverage affordability. Since 2000, health insurance premiums for employer-sponsored family coverage have increased by 87 percent. Healthcare 

costs for people with a chronic condition average $6,032 annually— 

five times higher than for those without such a condition. 

For these reasons, the Committee has included a major initiative 

in fiscal year 2011 to transform the chronic disease activities undertaken by the CDC in cooperation with State health departments. 

Currently, CDC funding to help States plan their approaches to 

addressing many of these chronic diseases is allocated through 

competitive, discrete, State-based programs. In fact, many States 

have received funding from the CDC to create separate plans for 

up to 4 of the 5 top chronic diseases, with only chronic obstructive 

pulmonary disease not directly funded. With the exception of the 

comprehensive cancer program, each of the other State funding 
75 

streams has nearly identical target populations and largely overlapping public health interventions. Yet the programs that fund 

and manage these State plans have remained separate and distinct. 

The States and the CDC have long struggled with how to coordinate these separate programs through a variety of management devices. The President’s budget, for example, includes statutory authority to allow States to redirect 10 percent of their CDC chronic 

disease funds to supplement any other CDC grant on chronic disease that addresses the top five chronic diseases in that State. 

Compounding the problem, the amount of funding available to 

States to create or implement their multiple chronic disease plans 

have been far less than needed. Heart disease and stroke plans are 

being implemented in only 14 States. Nine of the remaining 36 

States did not receive any funding in fiscal year 2010 to create a 

plan. Diabetes plans, meanwhile, were created in every State, but 

only one State has more than $1,000,000 to address a disease that 

currently affects nearly 24 million Americans and will soon strike 

an estimated 57 million more. 

The Committee believes that the time is long past for a comprehensive approach to chronic disease, in particular, those chronic 

diseases for which obesity is the prime risk factor. Therefore, the 

Committee recommendation includes new bill language creating a 

State block grant for chronic disease that will consolidate several 

of the individual existing chronic disease programs. The Committee 

believes that this new approach will increase efficiency at the State 

level by breaking down the ‘‘silos’’ that currently divide each program. In addition, the Committee recommendation includes substantially more funding for the block grant than is currently available for the various programs combined. This increase will ensure 

that States receive funding to address all of the top obesity-related 

chronic diseases, rather than apply to the CDC for competitive 

funds for each one. 

The Committee includes $687,151,000 for chronic disease efforts 

by the CDC, including $410,000,000 from the Prevention and Public Health Fund. The comparable fiscal year 2010 funding level was 

$301,327,000. Within this total, $308,978,000 is for community 

grants, $251,000,000 is for a new chronic disease block grant, 

$75,723,000 is for national activities, and $51,450,000 is for CDC 

leadership activities. 

Community Grants 

The Committee includes $308,978,000 for community grants, including $270,000,000 in transfers from the Prevention and Public 

Health Fund. This amount includes $220,000,000 for the community transformation grants authorized under section 4201 of the 

Patient Protection and Affordable Care Act [PPACA] and 

$88,978,000 for the Racial and Ethnic Approaches to Community 

Health [REACH] program. 

The Committee intends the increase in the REACH program primarily to increase the efforts of existing Action communities. The 

Committee is particularly interested in ensuring that REACH communities are taking full advantage of all the preventive benefits included in the PPACA. 
76 

The Committee has not included funding for the Healthy Communities program with the intention that the CDC should use community transformation grants funds to complete all obligations 

made under that program. Within the community transformation 

grants, the Committee directs the CDC to give full and fair consideration to nonprofit organizations that have pioneered effective 

models for community transformation in cooperation with the CDC. 

The Committee has not included specific funding for the administration’s proposed Big Cities Initiative. The budget for fiscal year 

2011 proposed $20,000,000 for this initiative. The Committee intends that funding for the community transformation grants be 

structured in such a way that all communities may fully participate. For that to happen, the Committee is strongly supportive of 

efforts to ensure that municipal areas compete with areas of similar size. 

State Grants 

The Committee recommendation includes $251,000,000, including $140,000,000 from the Prevention and Public Health Fund, to create a Chronic Disease block grant. Of this amount, $25,000,000 is 

available until September 30, 2012. 

Included in this block grant are existing State grant programs on 

diabetes; heart disease, and stroke; nutrition, physical activity, and 

obesity; arthritis; and school health, which totaled $111,000,000 in 

fiscal year 2010. Sufficient funding is included at the Committeerecommended level for every State to receive more funding from 

the block grant than it currently receives from the individual programs combined. 

The goal of the block grant shall be to decrease the incidence of 

preventable chronic diseases through surveillance, planning, policy 

change, and the implementation of evidence-based public health 

interventions. Funds may be awarded to States, the District of Columbia, territories, and tribal nations. 

Of the amounts provided, $226,000,000 shall be awarded by formula based on rates of chronic disease and population to create 

and implement a comprehensive chronic disease plan. No State 

shall receive less than $2,000,000. 

In addition, $25,000,000 shall be awarded competitively for 

bonus payments. In the first year of this initiative, bonus payments 

shall be awarded based on a review of the strength of the comprehensive plan submitted. The Committee has included 2-year 

availability for these funds to ensure that entities have sufficient 

time to complete quality plans. In subsequent years, a bonus payment shall be awarded to any State that achieves a goal from the 

comprehensive plan or enacts a major policy change in line with 

the comprehensive plan. 

The strength of the plan shall be determined by reviewing the 

degree to which the plan includes: 

—Active participation from the State Departments of Public 

Health, Education, Human Services, Aging and Transportation; 

—An assessment of the burden of chronic disease in the State, 

a review of the existing programs and strategies in place, and 

a plan for ongoing surveillance for chronic diseases; 
77 

—A review of and a plan to increase the number, reach, and 

quality of policies and standards related to chronic disease; 

—Implementation and evaluation plans for culturally appropriate, evidence-based interventions and prevention strategies 

aimed at reducing the top chronic diseases related to obesity, 

including but not limited to: diabetes, heart disease, stroke, 

and arthritis; 

—Efforts to address special populations currently impacted by 

chronic disease and those at particular risk for future chronic 

diseases (i.e., people with disabilities, racial and ethnic populations, school-age youth, seniors, etc.); 

—A plan for increasing public awareness of chronic disease and 

prevention options; 

—An effort to increase collaboration between community, public 

and private sector partners, including the engagement with 

health professionals to increase screening, referral to treatment and connections with public health interventions; and 

—A plan to increase access to and use of environments to support healthful eating and physical activity in various settings; 

National Activities on Chronic Disease 

The Committee includes $75,723,000 for national activities on 

chronic disease. This funding includes research, demonstration programs, outreach, surveillance and evaluation efforts. 

Arthritis.—The Committee is aware of the work by the CDC and 

stakeholders to develop a national public health agenda for osteoarthritis. This effort will use evidence-based strategies to prevent 

and reduce the burden of osteoarthritis, which today affects more 

than 27 million Americans. 

Diabetes.—The Committee recognizes that approximately onethird 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 is impressed by the success of the National Diabetes Prevention program and is encouraged by private-sector implementation of this evidence-based 

model. The Committee encourages the CDC to continue expanding 

this model through public and private efforts including wide-spread 

distribution of training standards and models for training programs. The Committee further encourages the CDC to continue 

translating research findings into clinical and public health practice; supporting the National Diabetes Education Program; and 

strengthening public health surveillance. The Committee feels 

strongly that CDC efforts to develop, advance, and implement innovative interventions and national programs will improve diabetes 

outcomes and prevent diabetes. 

Diabetes in Native Americans/Native Hawaiians.—The high incidence of diabetes among Native American, Native Alaskan, and 

Native Hawaiian populations persists. The Committee is pleased 

with the CDC’s efforts to target this population and assist the leadership of the Native Hawaiian and Pacific Basin Islander communities in addressing this disease. The Committee encourages the 

CDC to build on its historical efforts in this regard. 

Diabetes and Women’s Health.—The Committee is concerned by 

the rising incidence of type 2 diabetes mellitus. Although the onset 
78 

of type 2 diabetes can be prevented or delayed through prevention 

methods, obstetricians and other women’s healthcare providers and 

their patients are often unaware of the woman’s later risk and 

need for followup and preventive measures. Less than one-half of 

women with gestational diabetes receive recommended glucose testing at a postpartum visit. The Committee encourages the CDC to 

promote education and awareness among both patients and providers. 

Heart Disease and Stroke.—The Committee has included sufficient funding within chronic disease national activities to maintain 

the CDC’s Paul Coverdell National Acute Stroke Registry. In addition, the Committee is supportive of the effort to establish a cardiovascular disease surveillance system to monitor and track these 

disorders at the national, State, and local levels. The Committee 

further notes that the CDC has developed an ‘‘ABCS’’ Initiative, 

which promotes appropriate, low-dose aspirin therapy, improved 

high blood pressure and cholesterol control and prevention, and 

smoking avoidance and cessation. The Committee urges the CDC 

to continue its work with communities, other Federal agencies, and 

food manufacturers to reduce sodium in food, thus helping control 

heart disease and stroke. 

The Mississippi Delta Region experiences some of the Nation’s 

highest rates of chronic diseases, such as diabetes, hypertension, 

obesity, heart disease, and stroke. The Committee recognizes CDC’s 

expertise in implementing research and programs to prevent the 

leading causes of death and disability. The Committee recommendation for chronic disease national activities provides a total 

of not less than $5,000,000 to expand CDC’s background community assessment of health and related social and environmental 

conditions in the Delta. 

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 2010 enacted 

Fiscal year 2011 

request 

Committee recommendation 

Office of Smoking and Health ................................................................... 110,704 107,214 197,214 

Prevention and Public Health Fund Transfer (non-add) .................. 14,500 ........................ 90,000 

Health Promotion ....................................................................................... 29,856 26,724 29,866 

BRFSS ................................................................................................ 7,316 7,179 7,316 

Community Health Promotion ........................................................... 6,468 6,365 6,468 

Sleep (non-add) ....................................................................... 861 845 861 

Mind-Body Institute .......................................................................... 1,500 ........................ 1,500 

Glaucoma .......................................................................................... 3,519 3,524 3,524 

Visual Screening Education .............................................................. 3,229 3,234 3,234 

Alzheimer’s Disease .......................................................................... 1,846 1,813 1,846 

Inflammatory Bowel Disease ............................................................ 686 ........................ 686 

Interstitial Cystitis ............................................................................ 660 ........................ 660 

Excessive Alcohol Use ....................................................................... 2,500 2,474 2,500 

Chronic Kidney Disease .................................................................... 2,132 2,135 2,132 

Prevention Centers ..................................................................................... 33,675 33,136 43,675 

Prevention and Public Health Fund Transfer (non-add) .................. ........................ ........................ 10,000 

Cancer Prevention and Control .................................................................. 370,346 355,152 385,177 

Breast and Cervical Cancer ............................................................. 214,850 210,935 217,550 

WISEWOMAN—Total (non-add) ................................................ 20,787 20,787 20,787 

Breast Cancer Awareness for Young Women ................................... 5,000 5,006 5,000 

Cancer Registries .............................................................................. 51,236 51,303 54,000 

Colorectal Cancer .............................................................................. 44,532 44,590 44,590 
79 

[In thousands of dollars] 

Budget activity Fiscal year 2010 enacted 

Fiscal year 2011 

request 

Committee recommendation 

Comprehensive Cancer ..................................................................... 20,693 20,730 30,000 

Johanna’s Law .................................................................................. 6,807 ........................ 6,807 

Ovarian Cancer ................................................................................. 5,707 5,714 5,707 

Prostate Cancer ................................................................................ 13,638 13,656 13,638 

Skin Cancer ....................................................................................... 2,190 2,200 2,190 

Geraldine Ferraro Cancer Education Program .................................. 4,677 ........................ 4,677 

Cancer Survivorship Resource Center .............................................. 1,016 1,018 1,018 

Oral Health ................................................................................................. 15,000 14,607 25,000 

Safe Motherhood/Infant Health .................................................................. 44,782 55,643 46,782 

Pre-term Birth (non-add) .................................................................. 2,005 2,008 2,008 

Sudden Infant Death Syndrome (non-add) ...................................... 207 207 207 

Community Health Workers (Prevention and Public Health Fund Transfer 

non-add) ................................................................................................ ........................ ........................ 30,000 

Prevention Outreach Activities (Prevention and Public Health Fund 

Transfer non-add) ................................................................................. ........................ ........................ 2,000 

Epilepsy ...................................................................................................... 7,976 7,817 7,976

Lupus ......................................................................................................... 4,505 4,425 4,505

Psoriasis ..................................................................................................... 1,500 1,498 1,500

Genomics .................................................................................................... 12,308 11,708 12,308 

Aortic Aneurysms.—The Committee notes the release of new 

treatment guidelines for the management of aortic aneurysms by 

leaders in the professional cardiology community. The Committee 

encourages the CDC to raise awareness of the guidelines, which 

are of importance to millions of patients suffering from familial 

aortic aneurysms, Marfan syndrome, and other related conditions. 

Autoimmune-related Disease.—Correct diagnosis of autoimmune 

diseases often takes more than 4 years and approximately four doctors. The Committee recognizes the importance of increased awareness for early intervention and treatment of autoimmune disease. 

The Committee also recognizes the chronic nature of autoimmune 

disease and the importance of targeting minority communities and 

women that may be underserved or disproportionately affected by 

autoimmune diseases. 

Cancer Screening.—The Committee is aware that CDC’s cancer 

screening programs cover only 1 in 10 eligible Americans and is 

strongly supportive of the dramatic expansion of preventive screening coverage authorized under the recent health reform legislation. 

The Committee has included additional funding with the intention 

that it be used to ensure that community-based screening programs 

are able to effectively transition from grant funding to reimbursement based care. The Committee requests the CDC to submit to 

the Committee no later than 8 months from enactment of this act 

a plan for ensuring that CDC-funded screening programs are able 

to be reimbursed by the new high-risk pools and private insurers. 

The plan should include projections for the number and proportion 

of screenings conducted by grant funds, Medicare, Medicaid, highrisk pools, private insurance, and by other funding sources over the 

next 5 years. 

Childhood Cancer.—The Committee is pleased with the efforts 

the CDC has undertaken to implement the Conquer Childhood 

Cancer Act, which requires the CDC to track the epidemiology of 

pediatric cancer in a comprehensive nationwide registry. Additional 

funding is included in the Committee recommendation to continue 

the development of rapid reporting and simplifying the procedure 
80 

for biomedical researchers to utilize registry data. The Committee 

is hopeful that these improvements will strengthen the registry for 

all forms of cancer. 

Chronic Obstructive Pulmonary Disease.—COPD is the fourth 

leading cause of death in the United States and the only 1 of the 

top 5 causes of death that is on the rise. The Committee encourages the CDC to develop, in consultation with appropriate stakeholders, a Federal plan to respond to this disease. 

Chronic Pain Conditions in Women.—The Committee encourages 

the CDC to build on its previous related epidemiological work to 

undertake a study of the prevalence, overlapping nature, and 

shared risk factors of chronic pain conditions which solely or disproportionately impact women, including vulvodynia, TMJ disorders, endometriosis, fibromyalgia, interstitial cystitis, and chronic 

fatigue syndrome. The Committee further encourages the CDC to 

educate the public about the seriousness and societal costs of these 

conditions; make available and promote sources of reliable information on the symptoms, diagnosis, treatment, and overlapping nature of the conditions; and make available information to women 

with chronic pain about how to communicate effectively with their 

health professionals about these conditions. 

Community Health Worker Demonstration.—The Committee recommendation includes $30,000,000 in transfers from the Prevention and Public Health Fund for grants to hire community health 

workers, newly authorized in the Patient Protection and Affordable 

Care Act [PPACA]. The Committee encourages the CDC to 

prioritize applications that include increasing awareness of the new 

preventive benefits covered in the PPACA. 

Deep Vein Thrombosis [DVT] and Pulmonary Embolism [PE].— The Committee believes that public education and awareness are 

key to reducing the death rate blood clots that form in the legs 

[DVT] and then travel to the lungs [PE]. Therefore, the Committee 

encourages the CDC to expand its efforts to increase public and 

health provider awareness about the causes and prevention of DVT 

and PE, expand surveillance activities, and stimulate research. 

Epilepsy.—The Committee strongly supports the CDC epilepsy 

program, which has made considerable progress over the past decade in establishing and advancing a public health agenda to meet 

the needs of Americans with epilepsy. This funding allows for national programs to improve the lives of youth, seniors, young adults 

and others living with epilepsy; research activities that promote 

self-management and improved quality of life for people with epilepsy; and epidemiologic and surveillance research to improve understanding of the causes and prevalence of epilepsy among higherrisk subpopulations, as well as their needs and ability to access 

quality care. 

Excessive Alcohol Use.—The Committee applauds the work being 

done by the CDC to prevent underage and excessive alcohol use 

and encourages the development of tools that will support the 

translation of prevention strategies that have been shown to be effective through scientific reviews into public health practice. 

Inflammatory Bowel Disease [IBD].—The Committee continues to 

prioritize CDC’s inflammatory bowel disease epidemiology study 

and has included funding to continue current research focused on 
81 

the etiology of IBD, why the course of illness varies among individuals, and what factors may improve patient outcomes. 

Interstitial Cystitis.—The Committee is pleased with CDC’s education and awareness campaigns on interstitial cystitis. Funding is 

included to continue education outreach activities to healthcare 

providers. 

Office of Smoking and Health.—The Committee includes 

$197,214,000 for the Office of Smoking and Health, including 

$90,000,000 in transfers from the Prevention and Public Health 

Fund. The Committee has long recognized that efforts to reduce tobacco use are among the most effective and cost-effective investments in prevention that can be made. 

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 only grow in importance 

as the FDA continues to implement the Family Smoking Prevention and Tobacco Control Act. The Committee expects the Office of 

Smoking and Health to transfer no less than the amount it did in 

fiscal year 2010 to the Environmental Health Laboratory to support this work. 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. The Committee has included $55,000,000 through the Prevention 

and Public Health Fund for a media campaign to prevent tobacco 

use in youth. In addition, the Committee has long supported counseling through quitlines, and has increased funding for quitlines by 

$15,000,000 through the Prevention and Public Health Fund. 

To complement the efforts of the quitlines, the Committee is rec- ommending $20,000,000 for a new demonstration program on providing expanded smoking cessation services to low-income and uninsured individuals. The Committee intends for the CDC to coordinate the existing quitlines and the new cessation program so that 

individuals with the hardest struggle can avail themselves of the 

best chance of success. The Committee requests to be briefed on the 

program model prior to funds being announced. 

Oral Health.—The Committee understands that preventing oral 

disease through broad-based community programs can ultimately 

result in significant cost savings. The Committee has increased 

funding for the Division of Oral Health to invest in community prevention of oral disease and to expand its program to States to 

strengthen their oral health infrastructure programs. The Committee remains concerned about the high incidence of tooth decay 

among American Indian/Alaska Native [AI/AN] children and therefore encourages the Division to collaborate with the Indian Health 

Service to assess the current Early Childhood Caries [ECC] epidemiology in AI/AN children. The Committee encourages the CDC 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 and reduce the large disproportionate disease burden in Native American children. 

Prevention Outreach.—The Committee includes $2,000,000 for 

the education and outreach campaign authorized in section 4004 of 

the Patient Protection and Affordable Care Act, funded through 

transfers from the Prevention and Public Health Fund. 
82 

Prevention Research Centers.—The Committee recommendation 

includes $43,675,000 for the Prevention Research Centers, including $10,000,000 in transfers from the Prevention and Public Health 

Fund. The Committee intends the additional funding be used to expand existing centers and create new centers. 

Primary Immune Deficiency Diseases.—The Committee remains 

strongly supportive of this program and believes it has demonstrated success in identifying, and moving into treatment, persons with undiagnosed diseases that pose a public health threat. 

Psoriasis.—As many as 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. Recent studies show that people 

with psoriasis are at elevated risk for other chronic and debilitating health conditions, such as heart attack, diabetes, Crohn’s 

disease, obesity, and liver disease, and that people with severe psoriasis have a 50 percent higher risk of mortality. The Committee 

encourages the CDC to continue to refine and implement the psoriasis and psoriatic arthritis data collection and registry process. 

Pulmonary Hypertension.—The Committee notes the significant 

increase in FDA-pproved therapies for pulmonary hypertension in 

recent years and encourages the CDC to expand awareness of the 

disease and its new treatment options among the general public 

and healthcare providers. 

Safe Motherhood/Infant Health.—The Committee is concerned 

about late preterm infants, who are at greater risk of morbidity 

and mortality, and it encourages the CDC to expand work in this 

area and to improve national data systems to track preterm birth 

rates and expand epidemiological research that focuses especially 

on the causes and prevention of preterm birth and births at 37– 

38 weeks gestation. 

Stillbirths.—The Committee is aware that there are more than 

25,000 stillbirths and more than 4,000 Sudden Unexpected Infant 

Deaths [SUIDs] each year. In addition, in 2006 about 1 in 11 

newborns were late preterm in the United States—an increase of 

20 percent from 1996. Late preterm births make up 71 percent of 

all preterm births, and late preterm infants are at greater risk of 

morbidity and mortality. The Committee believes the CDC should 

continue to research and evaluate these issues. The Committee includes additional funding within the Safe Motherhood funding to 

improve and expand national and state data systems to track stillbirth, SUIDs, and preterm birth rates and expand epidemiological 

research that focuses especially on the causes and prevention of 

stillbirth, SUIDs, and preterm births. 

Vision Health.—The Committee recognizes that good vision is an 

integral component to health and well-being, affects virtually all 

activities of daily living, and impacts individuals physically, emotionally, socially, and financially. Vision-related conditions affect 

people across the lifespan from childhood through elder years. The 

Committee supports the Vision Health Initiative, which aims to improve State-based public health approaches to address vision and 

eye health; research on evidence-based public health interventions; 

and initiatives to address the growing problem of diabetes among 
83 

children and the associated impacts of diabetic retinopathy, which 

can develop later in life. 

Well-integrated Screening and Evaluation for Women Across the 

Nation [WISEWOMAN].—WISEWOMAN screens uninsured and 

under-insured low-income women ages 40 to 64 for heart disease 

and stroke risk and provides counseling, education, referral and followup to those with abnormal results. From 2000 to mid-2008, 

WISEWOMAN reached more than 84,000 low-income women, provided more than 210,000 lifestyle interventions, and identified 

7,647 new cases of high blood pressure, 7,928 new cases of high 

cholesterol, and 1,140 new cases of diabetes. Among those participants who were re-screened 1 year later, average blood pressure 

and cholesterol levels had decreased considerably. 

NATIONAL CENTER ON BIRTH DEFECTS, DEVELOPMENTAL

DISABILITIES, DISABILITY AND HEALTH

The Committee includes $145,289,000 for birth defects, developmental disabilities, disability, and health in fiscal year 2011. The 

comparable level for fiscal year 2010 was $143,347,000 and the fiscal year 2011 budget request was $143,539,000. 

Within the total provided, the following amounts are provided for 

the following categories of funding: 

[In thousands of dollars] 

Budget activity Fiscal year 2010 

enacted 

Fiscal year 2011 

request 

Committee 

recommendation 

Birth Defects and Developmental Disabilities .......................................... 64,697 65,442 71,613 

Birth Defects ..................................................................................... 21,342 20,819 26,492 

Prevention and Public Health Fund Transfer (non-add) ......... ........................ ........................ 5,000 

Craniofacial Malformation (non-add) ...................................... 1,878 1,882 2,028 

Fetal Death (non-add) ............................................................. 846 848 848 

Alveolar Capillary Dysplasia (non-add) ................................... 247 ........................ 247 

Fetal Alcohol Syndrome ..................................................................... 10,140 9,990 10,140 

Folic Acid .......................................................................................... 3,126 3,110 3,126 

Infant Health ..................................................................................... 8,028 7,696 8,028 

Autism ............................................................................................... 22,061 23,827 23,827 

Human Development and Disability .......................................................... 58,759 57,854 66,473 

Disability and Health (includes Child Development Studies) .......... 13,611 13,361 18,361 

Prevention and Public Health Fund Transfer (non-add) ......... ........................ ........................ 5,000 

Charcot Marie Tooth Disorders ......................................................... 1,000 1,002 1,000 

Limb Loss .......................................................................................... 2,906 2,908 2,908 

Tourette Syndrome ............................................................................ 1,749 1,749 1,749 

Early Hearing Detection and Intervention ........................................ 10,888 10,689 10,888 

Muscular Dystrophy ........................................................................... 6,291 6,021 6,021 

Special Olympics Healthy Athletes ................................................... 5,534 5,545 6,000 

Paralysis Resource Center ................................................................ 6,882 6,886 6,886 

Attention Deficit Hyperactivity Disorder ............................................ 1,751 1,755 1,751 

Fragile X ............................................................................................ 1,905 1,909 1,909 

Spina Bifida ...................................................................................... 6,242 6,029 7,000 

Congenital Heart Failure ................................................................... ........................ ........................ 2,000 

Public Health Approach to Blood Disorders .............................................. ........................ 20,243 ........................

Hemophilia ................................................................................................. 17,203 ........................ 17,203 

Birth Defects Research and Surveillance.—The Committee commends the CDC’s work in the area of birth defects surveillance, research, and prevention and has provided $5,000,000 through the 

Prevention and Public Health Fund for CDC to analyze genetic 

samples obtained through the National Birth Defects Prevention 

Study. The Committee believes it is important to begin analyzing 

these samples because the identification of genetic risk factors for 
84 

certain birth defects will further preventive efforts by targeting 

interventions to women at the highest-risk for certain defects. 

Blood Disorders.—The Committee recommendation rejects the 

administration’s proposal to create a new public health approach to 

blood disorders. The Committee notes that the plan for the new 

program was significantly delayed and did not adequately address 

the transition from the current approach to the new structure. The 

Committee has included sufficient funding to maintain the Hemophilia Treatment Centers at the fiscal year 2010 enacted level. 

However, the Committee did not restore funding for thallasemia, 

diamond blackfan anemia or hemachromatosis. 

Congenital Disabilities.—The Committee encourages the CDC to 

continue to increase scientifically sound information and support 

services provided to patients receiving a positive test result for 

Down syndrome or other pre- or postnatally diagnosed conditions. 

The Committee further urges CDC to disseminate current and accurate information about the tested condition; coordinate the provision of, and access to, supportive services for patients and families; 

and provide assistance to State and local health departments to integrate the results of prenatal testing and pregnancy outcomes into 

State-based vital statistics and birth defects surveillance programs. 

Charcot-Marie-Tooth [CMT] Disorders.—The Committee has included funding to continue the national CMT resource center. This 

center will foster collaboration between CMT patients and their 

providers and ensure that patients are being properly diagnosed 

and treated with the latest standards of care. 

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 includes $150,000 

above last year’s funding level for the enrichment of a physician 

awareness program on craniostosis for its dissemination not only to 

craniofacial centers throughout the United States, but also to medical schools, pediatricians, and fetal medicine doctors nationwide. 

This physician awareness program will be developed from already 

created medical postcard programs with the information and data 

presented at the March 2010 conference in Atlanta, and will include Web-based courses for pediatricians, nurses, obstetricians 

and fetal medicine doctors on craniosyntosis to be developed starting in 2011. 

Disability and Health.—The Committee recommendation includes $18,361,000 for disability and health, including $5,000,000 

in transfers from the Prevention and Public Health Fund. The 

Committee intends the increase to be used to expand research 

grants into health promotion for people with disabilities. 

Folic Acid Education Campaign.—The Committee strongly supports the folic acid education campaign. The Committee encourages 

the CDC to explore strengthening this campaign by incorporating 
85 

its message in other prevention education initiatives aimed at improving birth outcomes, such as obesity prevention and medication 

use during pregnancy. 

Fragile X Syndrome.—The Committee has included funding to 

support the National Fragile X Public Health Initiative. 

Hereditary Hemorrhagic Telangiectasia [HHT].—The Committee 

is aware of a recent conference on HHT and encourages the CDC 

to review strategies and recommendations from that conference 

aimed at increasing the knowledge, education, and outreach on this 

preventable condition. 

Maternal Mortality.—The Committee encourages the CDC to address maternal mortality, given that each day two to three women 

in the United States die from delivery complications. The Committee encourages the CDC to expand its work gathering information on pregnancy-related deaths, collecting and providing information about women’s health and behaviors around pregnancy, and 

translating findings and guidelines on preconception care into everyday practice and healthcare policy. 

Obesity Research, Treatment, and Prevention.—Obese pregnant 

women are at increased risk for poor maternal and neonatal outcome. The Committee urges the CDC to conduct research and 

interventions to address the increased risk of birth defects and 

stillbirths in obese women, especially those receiving infertility 

treatment; ways to optimize outcome in obese women who become 

pregnant after bariatric surgery; and the increased future risk of 

childhood obesity in their offspring. 

Spina Bifida.—The Committee recognizes that spina bifida is the 

most common permanently disabling birth defect in the United 

States. While spina bifida and related neural tube defects are highly preventable through adequate daily folic acid consumption, there 

are an estimated 166,000 individuals living with all forms of this 

complex birth defect. The Committee intends the funding provided 

for the National Spina Bifida Program to be used to support the 

implementation of a patient registry to improve the efficiency and 

quality of care. 

Tourette Syndrome.—The Committee commends CDC for its 

work in developing a public health education and research program 

on Tourette syndrome. The Committee encourages CDC to use 

these funds to continue to educate physicians, educators, clinicians, 

allied professionals, and the general public about the disorder and 

to expand on the scientific knowledge base on prevalence, risk factors, and co-morbidities of Tourette syndrome. 

NATIONAL CENTER FOR HEALTH STATISTICS

The Committee recommendation includes $161,883,000 for the 

National Center for Health Statistics [NCHS]. This amount is the 

same as the budget request for fiscal year 2011. The fiscal year 

2010 comparable funding level was $138,683,000. 

In addition, the Committee recommendation provides 

$34,000,000 in transfers from the Prevention and Public Health 

Fund. The administration transferred $20,000,000 for these activities in fiscal year 2010. 

Statistics collected by NCHS provide policymakers with critical 

data to assess the health of the Nation and make informed deci-
86 

sions about how best to direct resources and activities. Health statistics also provide researchers with population-based trends that 

help identify the best targets for research and the data needed to 

reach reliable conclusions, and they help enable individuals to 

make informed choices in their lives and the lives of their families. 

National Health and Nutrition Examination Survey 

[NHANES].—Since 1959, NHANES has provided critical data 

about the state of the Nation’s health. This information has resulted in a number of highly successful public health actions, including removing lead from gasoline and vaccinating all infants 

and children against hepatitis B infections. While these national 

data have been extremely important, many of our most pressing 

public health challenges are faced at the State and local level. The 

Committee encourages NHANES to consider ways to expand the 

applicability of NHANES reports to the State and local level. 

Sodium.—The Committee is strongly supportive of the work that 

the CDC is doing to determine the most appropriate method for ongoing surveillance of sodium intake. The Committee requests to be 

briefed by the CDC on the results of the various survey-design research efforts. The Committee further requests that the briefing include cost estimates for implementation. 

Vital Statistics.—The Committee strongly supports the effort to 

transition vital statistic collection to electronic systems, in particular the effort to phase in electronic death records. The Committee also encourages the CDC to work with the Centers for Medicare and Medicaid Services and the Office of the National Coordinator to pilot test the integration of electronic birth and death 

records and electronic medical records. 

NATIONAL CENTER FOR PUBLIC HEALTH INFORMATICS

The Committee recommendation includes $67,285,000 for the National Center for Public Health Informatics. The budget request for 

fiscal year 2011 was $67,285,000. The comparable level for fiscal 

year 2010 was $70,597,000. 

The Committee is concerned that, despite approximately 

$70,000,000 in appropriations to the informatics division in fiscal 

year 2010, programs of the CDC routinely contract for informatics 

support outside the agency. The Committee reiterates its belief 

that the public health informatics division should serve the programs of the CDC. 

Information systems and information technology are critical to 

the practice of public health. The activities of this Center reflect 

ongoing efforts to build a national network of public health information systems that will enhance public health partner capabilities 

in detection and monitoring, surveillance, data analysis and interpretation, and other public health activities. 

NATIONAL CENTER ON HEALTH MARKETING

The Committee recommendation includes $72,180,000 for the National Center for Health Marketing. The budget request for fiscal 

year 2011 was $77,779,000. The comparable level for fiscal year 

2010 was $79,374,000. In addition, the Committee provides 

$7,000,000 through transfers from the Prevention and Public 
87 

Health Fund. The administration transferred $5,000,000 for this 

purpose in fiscal year 2010. 

The CDC links directly with the people whose health it is trying 

to improve. This activity uses commercial, nonprofit, and public 

service marketing practices to better understand people’s health-related needs and preferences; to motivate changes in behaviors; and 

to enhance the CDC’s partnerships with public and private organizations to more effectively accomplish health protection and improvement. 

Task Force on Community Preventive Services.—The Committee 

recommendation includes $12,000,000 for the task force, including 

$7,000,000 in transfers from the Prevention and Public Health 

Fund. 

NATIONAL CENTER FOR ENVIRONMENTAL HEALTH

The Committee recommends $190,710,000 for Environmental 

Health in fiscal year 2010. The fiscal year 2010 comparable funding 

level was $187,090,000 and the budget request for fiscal year 2011 

was $182,350,000. 

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 or not these substances are harmful to humans, and at 

what level of exposure. 

The Committee recommendation includes funding for the following activities: 

[In thousands of dollars] 

Budget activity Fiscal year 2010 

enacted 

Fiscal year 2011 

request 

Committee 

recommendation 

Environmental Health Laboratory .............................................................. 43,346 41,980 43,346 

Newborn Screening Quality Assurance Program (non-add) ............. 6,915 6,755 6,915 

Newborn Screening for Severe Combined Immuno. Diseases (nonadd) .............................................................................................. 988 982 988 

Environmental Health Activities ................................................................ 78,043 75,022 82,016 

Safe Water (non-add) ....................................................................... 7,237 7,001 8,737 

Environmental and Health Outcome Tracking Network (non-add) .. 33,124 32,548 33,124 

Amyotrophic Lateral Sclerosis Registry (non-add) ........................... 6,014 5,795 7,000 

Climate Change (non-add) ............................................................... 7,540 7,567 7,540 

International Emergency & Refugee Health (non-add) .................... 6,262 6,250 6,262 

Built Environment & Health Initiative (non-add) ............................. ........................ 4,000 4,000 

Asthma ....................................................................................................... 30,924 30,734 30,734 

Health Homes/Childhood Lead Poisoning .................................................. 34,805 34,614 34,614 

Asthma.—The Committee continues to encourage the CDC to 

work with States and the asthma community to implement evidence-based best practices for policy interventions, with specific 

emphasis on indoor and outdoor air pollution. The Committee requests an update on the status of implementation in the CDC fiscal 

year 2012 budget justification. 

Biomonitoring.—The Committee applauds the CDC’s ongoing national biomonitoring efforts, which gather data that are invaluable 
88 

in understanding the population’s exposure to environmental 

chemicals and in helping prioritize research into the health impacts 

of those chemicals. The Committee commends the CDC for the publication of the Fourth National Report on Human Exposure to Environmental Chemicals. Funds may be used for State biomonitoring 

programs; intramural programs such as providing expertise, training and technical assistance to States; development and simplification of laboratory methods for detecting chemicals; studies to investigate the relationship between exposure to chemicals and adverse 

health effects; ongoing support to the National Children’s Study; 

and measurements for new priority chemicals. 

Built Environment.—The Committee has included funding for the 

administration’s built environment initiative, including the Healthy 

Community design activities. The Committee strongly supports efforts to integrate health impact assessments into community planning as universally as possible and as quickly as possible. For that 

reason, the Committee is concerned that the CDC’s planned activities focus almost exclusively on adding personnel to health departments, rather than on designing toolkits and health assessment 

curricula that can be adopted by all actors in community planning. 

The Committee once again urges the CDC to design materials that 

can be used by nonhealth experts, and engage with urban planning 

schools and professional organizations. Further, the Committee 

notes that the new chronic disease State grant program seeks to 

incorporate State Departments of Transportation in the chronic disease planning and policy change process. The Committee urges the 

CDC to utilize the built environment resources to engage with 

State transportation officials to support this effort. 

National Environmental Public Health Tracking Network.—An 

estimated 125 million Americans suffer from at least one chronic 

condition. These chronic conditions account for three-quarters of 

healthcare spending and 7 out of every 10 deaths in the United 

States. Since 2002, Congress has provided funding for, and the 

CDC has administered, the National Environmental Public Health 

Tracking program. The program’s objective is to analyze environmental hazard data in relation to health outcome data to identify 

possible public health interventions and prevention strategies. 

Polycythemia Vera Cluster.—The Committee has not continued 

funding for research into polycythemia vera clusters. The Committee is pleased by the research completed and published in 2010, 

funded by the CDC. The Committee notes that the 2-year award 

made in fiscal year 2009 is complete and the Agency for Toxic Disease Registry closed its investigation in 2008. The Committee expects the CDC to continue funding ongoing surveillance through 

the cancer registry program in the National Center on Chronic Disease Prevention and Health Promotion. 

NATIONAL CENTER FOR INJURY PREVENTION AND CONTROL

The 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 the CDC encompasses 
89 

nonoccupational 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 recommends $147,729,000 for injury prevention 

and control activities at the CDC. The comparable fiscal year 2010 

funding level was $148,593,000. The budget request for 2011 was 

$147,570,000. 

The Committee recommendation includes $6,152,000 for Traumatic Brain Injury programs, the same as the enacted fiscal year 

2010 level. The President’s budget request for fiscal year 2011 was 

$5,985,000. In addition, the Committee has included $5,000,000 for 

the National Violent Death Reporting System. The enacted fiscal 

year 2010 level was $3,544,000 and the budget request for fiscal 

year 2011 was $5,008,000. All other activities are funded at the 

budget request level. 

Explosives.—The Committee recognizes the most likely cause of 

injuries in a man-made disaster will be related to explosives, and 

yet our emergency medical system is unprepared for bomb blast injuries, especially in a mass casualty situation. The Committee encourages the CDC to continue its ongoing work in preparing cities 

and hospital systems to respond to such events, with a special emphasis on assessing the bomb blast response capacity of high-risk 

cities and communities. 

Injury Control Research Centers.—Funds are provided to the centers to support core operations; conduct the research necessary to 

fill gaps in the evidence base for developing and evaluating new injury control interventions and improving translation of effective 

interventions; conduct training of injury control professionals; and 

undertake other programmatic activities to reduce the burden of injury. 

National Violent Death Reporting System.—The Committee supports the National Violent Death Reporting System [NVDRS], a 

State-based system aimed at preventing violent deaths by developing an understanding of the circumstances surrounding them. 

The program enables the collection and analysis of data from medical examiners, coroners, police, crime labs, and death certificates. 

NVDRS information is then used to develop, inform, and evaluate 

violence prevention programs at the national, State and community 

level. The Committee urges the CDC to continue to work with 

States to develop electronic portals at the State level for the submission of NVDRS data. States that apply for funding and demonstrate the ability to collect electronic data should be given priority. 

Suicide Prevention.—The Committee encourages the CDC to support evaluation efforts to identify promising and effective suicide 

prevention strategies that follow the public health model and prevent self-directed violence by promoting and strengthening connectedness among individuals, families, and communities. 

Traumatic Brain Injury [TBI].—The Committee has included 

funding to continue programs authorized by the Traumatic Brain 

Injury Act as amended in 2008, including public awareness and 

education efforts, grants to States for TBI registries, and studies on 

the incidence and prevalence of TBI in the United States. 
90 

Violence Against Women.—The Committee encourages the CDC 

to continue research on the psychological sequelae of violence 

against women and expand research on special populations and 

their risk for violence, including adolescents, older women, ethnic 

minorities, women with disabilities, immigrant women, and other 

affected populations. 

Youth Violence Prevention.—The Committee supports the CDC’s 

efforts to foster innovation in evidence-based youth violence prevention strategies through its Striving to Reduce Youth Violence 

Everywhere program. 

OCCUPATIONAL SAFETY AND HEALTH

The Committee recommends a program level of $453,293,000 for 

occupational safety and health programs. The fiscal year 2010 program level was $373,129,000 and the budget request for fiscal year 

2011 was $456,042,000. 

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 2010 

enacted Fiscal year 2011 request Committee recommendation 

Education and Research Centers .............................................................. 24,370 24,460 26,460 

Personal Protective Technology .................................................................. 17,218 16,892 16,892 

Healthier Workforce Center ........................................................................ 5,036 5,055 5,459 

National Occupational Research Agenda [NORA] ..................................... 117,406 124,528 117,406 

NORA—Budget Activity .................................................................... 25,682 32,804 95,682 

NanoTechnology (non-add) ...................................................... 9,500 16,544 9,500 

NORA—PHS Evaluation Transfers .................................................... 91,724 91,724 21,724 

World Trade Center—BA ........................................................................... 70,723 150,137 150,137 

Mining Research ............................................................................... 53,705 52,736 53,705 

Other Occupational Safety and Health Research ............................. 84,713 82,234 83,234 

Miners Choice (non-add) ......................................................... 648 650 650 

National Mesothelioma Registry and Tissue Bank 

(non-add) ............................................................................. 1,024 1,028 1,028 

Construction Research.—Construction is one of the most dangerous industries for its workers. Every year, some 1,200 construction workers are killed on the job and thousands more die from occupationally related diseases. In 1990, Congress directed NIOSH to 

develop a comprehensive prevention program directed at health 

and safety problems affecting construction workers. The Committee 

is aware that the National Academy of Sciences/Institute of Medicine’s Review of the NIOSH Construction Research Program, published in 2009, concluded that the NIOSH Construction Research 

Program has been highly relevant and has had an impact in improving safety and health in the construction industry. The Committee requests NIOSH to include in the fiscal year 2012 budget 
91 

justification a description of plans to implement the recommendations of the report. 

Food Processing.—Within the funding for Occupational Safety 

and Health Research, the Committee has included additional funding for NIOSH to conduct a study on the relationship between line 

speed and worker safety in the meat packing, poultry and food 

processing industries. The Committee intends this study to be 

multi-year and industry-wide. 

National Occupational Research Agenda.—NIOSH continues to 

work with partners and stakeholders across the country to update 

the National Occupational Research Agenda [NORA]. This collaborative effort has produced strategic plans for priority research in 

each of the eight sectors into which the U.S. economy is divided. 

Several plans, such as that for agriculture, mining, and construction, are also informed by the major program reviews and positive 

feedback from the National Academies. Important issues cutting 

across all the different sectors are also addressed by NORA, such 

as developing methods of reducing the impact of stressful workplaces on psychological and physical health. The Committee is very 

concerned that the research coming from NORA be designed in a 

way that facilitates expeditious translation into practice. The Committee requests a report in the CDC fiscal year 2012 budget justification on the steps the agency is taking to integrate 

translational goals into the NORA prioritization system. 

Volcanic Emissions.—The Committee has included increased 

funding for NIOSH to continue to study the impact of potentially 

toxic volcanic emissions. In particular, pre-existing respiratory conditions such as asthma, chronic bronchitis, and emphysema seem 

to be particularly susceptible to the effects of sulfur dioxide. Further study is warranted on the acute and long-term impact that 

these emissions have on both the healthy and the residents predisposed to illness. The Committee strongly advises the establishment of a dedicated center that embraces a multi-disciplinary approach studying the short- and long-term health effects of the volcanic emissions. 

GLOBAL HEALTH

The Committee recommends $353,294,000 for global health-related activities at the CDC in fiscal year 2011. The fiscal year 2010 

comparable level was $336,075,000 and the budget request for fiscal year 2011 was $351,944,000. 

The Global Health Center leads and coordinates the CDC’s global 

programs to promote health and prevent disease in the United 

States and abroad, including ensuring rapid detection and response 

to emerging health threats. The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2010 enacted 

Fiscal year 2011 

request 

Committee recommendation 

Global AIDS Program ................................................................................. 118,979 118,092 118,092 

Global Immunization Program ................................................................... 153,676 151,792 153,191 

Polio Eradication ............................................................................... 101,800 100,601 102,000 

Other Global/Measles ........................................................................ 51,876 51,191 51,191 

Global Disease Detection ........................................................................... 37,756 37,805 37,756 
92 

[In thousands of dollars] 

Budget activity Fiscal year 2010 enacted 

Fiscal year 2011 

request 

Committee recommendation 

Global Malaria Program ............................................................................. 9,405 9,173 9,173 

Other Global Health ................................................................................... 16,308 35,082 35,082 

The Committee has included bill language that would allow the 

CDC to administer the Afghanistan Health initiative formerly appropriated to the Office of the Secretary. The Committee has not 

specified a recommended amount in statute, consistent with the administration’s fiscal year 2011 budget request. 

Chronic Disease.—The Committee is greatly concerned by the 

spread of chronic disease throughout the world. The Committee 

strongly supports the expansion of the Field Epidemiology Training 

programs to increase the capacity of other countries to conduct surveillance and evaluate local interventions to address this growing 

global crisis. 

Hepatitis B.—The Committee notes that there are 400 million 

people chronically infected with hepatitis B worldwide, with more 

than 120 million of these individuals in China. While hepatitis B 

transmission requires direct exposure to infected blood, worldwide 

misinformation about the disease has fueled inappropriate discrimination against individuals with this vaccine-preventable, 

blood-borne, and treatable disease. The Committee encourages the 

CDC to consider global programs to increase the rate of vaccination, reduce mother-child transmission and promote educational 

programs to prevent the disease and to reduce discrimination targeted against individuals with the disease. 

Malaria.—The Committee is pleased with the CDC’s continuing 

contribution to global malaria prevention and control efforts, particularly as part of the President’s Malaria Initiative. In particular, 

CDC scientists and doctors excel in ‘‘downstream’’ research that 

connects basic science to practical field applications in order to develop new or modify existing prevention and control tools, enhance 

monitoring and surveillance to track outbreaks and measure disease control success. 

Neglected Tropical Diseases [NTDs] and Diarrheal Diseases.— 

NTDs are infections that affect more than 1.4 billion people worldwide, many of them in the poorest nations. NTDs—including diarrheal and arboviral diseases—stigmatize, disable, and inhibit individuals from caring for themselves or their families, thereby promoting poverty. The Committee recognizes that the CDC has had 

a long history of working on NTDs and has provided much of the 

science that underlies those global policies and programs in existence today. The Committee encourages the CDC to continue its 

work on NTDs, diarrheal diseases believed to kill 2 million children 

ages 5 and younger worldwide each year, and arboviruses, such as 

Japanese encephalitis and dengue. 

PUBLIC HEALTH PREPAREDNESS AND RESPONSE

The Committee provides $1,464,668,000 for public health preparedness and response activities. The amount requested by the 

administration in fiscal year 2011 was $1,464,656,000. The comparable fiscal year 2010 level was $1,549,128,000. The Committee 
93 

recommendation includes funding for the following activities in the 

following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2010 

enacted 

Fiscal year 2011 

request 

Committee 

recommendation 

State and Local Preparedness and Response Capability ......................... 761,100 757,793 757,793 

Public Health Emergency Preparedness Cooperative Agreement 

(non-add) ...................................................................................... 714,949 714,738 714,738 

Academic Centers for Public Health Preparedness (non-add) ........ 30,013 30,009 30,009 

Advanced Practice Centers (non-add) .............................................. 5,263 5,262 5,262 

CDC Preparedness and Response Capability ............................................ 192,509 183,330 183,342 

BioSense (non-add) .......................................................................... 34,404 34,362 34,362 

Quarantine (non-add) ....................................................................... 26,518 26,485 26,518 

Strategic National Stockpile ...................................................................... 595,749 523,533 523,533 

Public Law 111–32 Transfer (non-add) ........................................... ........................ 68,515 68,515 

Biosurveillance Activities.—The Committee supports efforts by 

the CDC and State public health laboratories to strengthen national and international biosurveillance systems for effective, rapid 

detection and identification of influenza, emerging infectious diseases, biothreats, and ‘‘all-threats’’ detection. The Committee encourages the CDC to collaborate with other global and Federal 

agencies and continue to assist State laboratories in advancing 

these important efforts. 

PUBLIC HEALTH RESEARCH

Public Health Research.—The Committee has provided $31,170,000 to fund the Public Health Research program. This 

amount is the same as the fiscal year 2010 comparable level and 

the fiscal year 2011 budget request. In addition, the Committee 

recommends $20,000,000 in transfers from the Prevention and Public Health Fund, which is intended to support extramural grants 

for research on public health and prevention. 

The Committee is strongly supportive of public health and prevention research, which bridges the gap between medical research 

discoveries and behaviors that people adopt by identifying the best 

strategies for detecting new diseases, assessing the health status of 

populations, motivating healthy lifestyles, communicating effective 

health promotion messages, and acquiring and disseminating information in times of crisis. 

PUBLIC HEALTH IMPROVEMENT AND LEADERSHIP

The Committee provides $209,808,000 for public health improvement and leadership activities at the CDC. The fiscal year 2010 

comparable level was $211,404,000 and the budget request for fiscal year 2011 was $192,916,000. 

The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2010 

enacted 

Fiscal year 2011 

request 

Committee 

recommendation 

Leadership and Management .................................................................... 149,986 142,469 142,469 

Director’s Discretionary Fund ..................................................................... 3,000 2,508 5,000 

Public Health Workforce Development ....................................................... 37,826 47,939 57,939 
94 

Disability.—The Committee is pleased by the formation of the 

first Disability and Health Work Group at the CDC. The Committee hopes the work group will advance the health of people with 

disabilities by facilitating collaboration on disability inclusion within and across all relevant components and activities, including surveys, showcasing best practices, and ensuring that relevant issues 

for people with disabilities are reflected in the CDC’s programs and 

policies. 

Institutional Research Training Grant Program.—The Committee 

encourages the CDC to continue the Institutional Research Training Grant program. 

Leadership and Management Savings.—The Committee strongly 

believes that as large a portion as possible of funding should go to 

programs and initiatives that improve the health and safety of 

Americans. To facilitate this goal, any savings in leadership and 

management may be reallocated to the Director’s Discretionary 

Fund upon notification of the Committee. 

Public Health Workforce.—The Committee has included funding 

above the President’s budget request for public health workforce efforts. Of the increase, the Committee intends that $5,000,000 be 

used for section 776 of the PHS Act and the remainder be used to 

supplement the Epidemiology Intelligence Service. In addition, the 

Committee is strongly supportive of the administration’s proposed 

Health Prevention Corps and encourages the CDC to consider creating an inter-agency agreement with the Corporation for National 

and Community Service [CNCS] to provide loan repayment to participants through the CNCS Education Award Program. 

In addition, the Committee has included sufficient funding for 

the following projects in the following amounts for fiscal year 2011: 

Amount 

Chicago Public Schools, Chicago, IL, for nutrition and health education programs, including equipment ......... $150,000 

City of Fort Wayne, IN, for outreach, screening and education for Burmese refugees .......................................... 100,000 

East Carolina University, Greenville, NC, for a health disparities behavioral and chronic disease management 

initiative ............................................................................................................................................................... 300,000 

Fibrous Dysplasia Foundation, Washington, DC, for the development of a patient network ................................. 200,000 

Fletcher Allen Health Care, Burlington, VT, to expand the Center for Nutrition and Healthy Food Systems ........ 100,000 

Hawaii Primary Care Association, Honolulu, HI, to continue a program on childhood asthma ............................ 200,000 

John M. Tedeschi Pediatric Institute at Virtua, Camden, NJ, to establish an outreach and education program 

to combat childhood obesity ............................................................................................................................... 750,000 

Lower Brule Sioux Tribe, Lower Brule, SD, for health education and promotion programs ................................... 100,000

Mary Bird Perkins Cancer Center, Baton Rouge, Louisiana, for cancer outreach initiatives ................................ 200,000

National Council of La Raza, Washington, DC, for the Institute of Hispanic Health ............................................ 1,000,000 

PE4life Foundation, Kansas City, MO, for expansion and assessment of PE4life programs across Iowa ............ 300,000 

Shelburne Farms, Shelburne, VT, to expand Farm-to-School activities .................................................................. 250,000 

Silent Spring Institute, Newton, MA, for studies of the impact of environmental pollutants on breast cancer 

and women’s health ............................................................................................................................................ 200,000 

South Dakota State University, Brookings, SD, for research on health promotion ................................................ 200,000 

University of Georgia, Athens, GA, for obesity intervention and prevention ........................................................... 100,000 

University of Hawaii at Hilo, HI, for occupational safety and health research ..................................................... 100,000 

University of Northern Iowa, Cedar Falls, IA, for a health literacy program .......................................................... 300,000 

Waterloo Fire Rescue, Waterloo, IA, for FirePALS, a school-based injury prevention program .............................. 150,000

PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT

The Committee provides $102,034,000, the same as the fiscal 

year 2011 budget request, for the Preventive Health and Health 
95 

Services block grant. The fiscal year 2010 comparable level was 

$102,019,000. 

The block grant provides funding for primary prevention activities and health services that address urgent health problems in 

local communities. This flexible source of funding can be used to 

target concerns where other funds do not exist or where they are 

inadequate to address the extent of the health problem. The grants 

are made to the 50 States, the District of Columbia, two American 

Indian tribes, and eight U.S. territories. 

BUILDINGS AND FACILITIES

The Committee provides $12,000,000 for buildings and facilities 

of the Centers for Disease Control and Prevention. The fiscal year 

2010 comparable level was $69,140,000 and the budget request for 

fiscal year 2011 did not include funding for this activity. 

The Committee again provides bill language to allow the CDC to 

enter into a single contract or related contracts for the full scope 

of development and construction of facilities, and instructs the CDC 

to utilize this authority when necessary. 

The Committee has provided the statutory authority and sufficient funding for the CDC to conduct the necessary repairs to the 

Lake Lynn laboratory. The Committee is concerned that this 

unique research facility has been closed due to unsafe conditions, 

making it impossible for the United States to conduct some types 

of mine safety research, including research on mine explosions. 

This situation is unacceptable. 

BUSINESS SERVICES AND SUPPORT

The Committee provides $382,152,000 for business services support functions. This amount is the same as the administration request for fiscal year 2011. The fiscal year 2010 comparable level 

was $369,814,000. These funds will be used to support agency-wide 

support functions. 

NATIONAL INSTITUTES OF HEALTH

The Committee recommends an overall funding level for the National Institutes of Health [NIH] of $32,007,237,000, the same as 

the budget request. This amount is $1,002,036,000 more than the 

fiscal year 2010 level. 

The Committee recognizes that the NIH faces an imposing ‘‘funding cliff’’ following the historic increase—nearly $10,400,000,000— 

provided by the American Recovery and Reinvestment Act of 2009 

[ARRA]. Negotiating the softest possible landing is critical to maintaining the scientific momentum gained over the past 2 years and 

ensuring that young investigators in particular can find a bright 

future in the field of biomedical research. While the 3.2 percent increase proposed by the administration and recommended by the 

Committee is less than what would have been desired in stronger 

economic times, it keeps up with biomedical inflation—a distinction 

that was all too rare during the mid-2000s. The Committee hopes 

that this will mark the first of several years of growth for the NIH 

that, if not spectacular, are at least steady and predictable. 
96 

Within the increase provided, the Committee includes $50,000,000 to create the Cures Acceleration Network [CAN], 

which is described more fully in the section on the Office of the Director, which will administer the new program. The Committee recommends $561,629,000 for the Common Fund. 

This is the same amount as the budget request. The fiscal year 

2010 level was $544,109,000. 

NATIONAL CANCER INSTITUTE

Appropriations, 2010 ............................................................................. $5,100,906,000 

Budget estimate, 2011 ........................................................................... 5,264,643,000 

Committee recommendation ................................................................. 5,256,409,000 

The Committee recommends an appropriation of $5,256,409,000 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 2011 is 

$5,264,643,000, and the comparable level for fiscal year 2010 is 

$5,100,906,000. 

The Committee commends the NCI for launching programs that 

will translate knowledge gained from sequencing the cancer genome into benefits for patients, such as the cancer Human Biobank 

[caHUB], a tissue acquisition and storage center; and BIG Health, 

an interoperable information technology program that is an offshoot of the highly successful cancer Biomedical Informatics Grid 

[caBIG]. 

Adolescents.—NCI is encouraged to give additional consideration 

to adolescents, whose overall risk of contracting most cancers is 

lower than for adults, but who, because of factors peculiar to adolescence, are less likely to participate in clinical trials and often diagnosed at later stages. In particular, a research focus on health 

communication strategies for adolescents, their families and their 

health providers is encouraged. 

Behavioral Research on Tobacco Control.—The Committee notes 

that NCI’s research on smoking cessation, smokeless tobacco and 

collaborations with NIDA, NICHD, and NHLBI are critical to 

building knowledge to reduce the use of tobacco by adolescents. The 

Committee also believes that behavioral science should facilitate 

FDA regulation of tobacco, including consumer perceptions, development of warning labels, product development and response, risk 

communication, and cultural effects, and recommends that the NCI 

support such research. 

Bone Defects.—The Committee urges research on how to repair 

bone defects caused by cancer cells, mechanisms by which cancer 

cells affect the bone’s endogenouse cells, the biology of tumor dormancy and the role of tumor stroma in conferring therapeutic resistance. 

Breast Cancer Surveillance.—The Committee commends the 

NCI’s commitment to breast cancer research and evaluation 

through the support and funding of the Breast Cancer Surveillance 

Consortium. This research program is critical for improving breast 

cancer surveillance and improving clinical and community practices. The NCI is urged to maintain support for this program in 

order to further the advancement of lifesaving breast cancer prevention research, improve quality of care, and save lives. The Com-
97 

mittee also urges the NCI to expand current data collection and 

surveillance systems to monitor utilization and quality of other 

widely prescribed cancer screening tools. 

Breast Cancer Vaccines.—The Committee strongly urges the NCI 

to support research on and clinical development of prophylactic 

breast cancer vaccines. 

Clinical Trials Network.—The Committee is concerned by the 

findings of the recent Institute of Medicine [IOM] report regarding 

the NCI clinical trials network. The IOM concluded that the network is too bureaucratic, underfunded, and poorly coordinated. The 

Committee understands that the NCI requested the report and 

plans to consider seriously its recommendations. The Committee 

requests an update on the NCI’s progress in implementing the recommendations in the fiscal year 2012 congressional budget justification. 

Gastric Cancer.—The Committee remains concerned about the 

rise in deadly gastrointestinal cancers in young people, as highlighted in a recently published study by NCI scientists. The Committee strongly supports the NCI’s efforts to address gastric cancer 

and is pleased to see the inclusion of gastric cancer in the Cancer 

Genome Atlas. The Committee recommends that NCI convene a 

workshop of experts in the field of gastric cancer to stimulate research and quickly analyze forthcoming data on this lethal cancer. 

Liver Cancer.—The Committee encourages a stronger focus on 

liver cancer and urges the funding of a series of Specialized Programs of Research Excellence [SPOREs] focused on this cancer. 

While SPOREs currently exist for other major cancers, none are focused on liver cancer. 

Lung Cancer.—The Committee continues to urge the NCI to support increased research for lung cancer diagnosis and treatment. 

Melanoma.—The Committee continues to encourage NCI to work 

with advocates, researchers, and industry to fund the areas of research—basic, translational, clinical, and prevention—identified by 

the strategic research plan and to utilize all available mechanisms. 

The Committee is aware of recent successes in the therapy of molecularly classified subgroups of melanoma that are the result of 

translating basic research efforts on the genetic signature of melanomas, and is encouraged by the NCI’s recent decision to support 

inclusion of melanoma in the Cancer Genome Atlas [TCGA]. The 

Committee urges the NCI to develop new models of alliances between industry, academia and foundations in the field of melanoma 

research to foster earlier validation of biomarker-driven therapies 

in the laboratory and clinical trials involving key therapeutic 

agents, regardless of whether they are within the NCI portfolio. 

Since initial data suggest that concomitant administration of two 

or more therapies will be required to cure the majority of melanomas, NCI is urged to participate in efforts to develop rational 

therapeutic drug combinations, including through the use of novel 

partnerships. The Committee also encourages the Developmental 

Therapeutics Program to incorporate a more relevant panel of 

melanoma cell lines based on molecular subtypes, many of which 

have been developed with NCI funding, to facilitate its goal of identifying novel chemical leads and biologic mechanisms relevant to 

the prevention and treatment of melanoma. Lastly, the Committee 
98 

encourages the NCI to explore the feasibility of a screening program, with a focus on high-risk individuals. The Committee requests an update on these requests in the fiscal year 2012 congressional budget justification. 

Nanoparticles.—The Committee encourages the NCI to accelerate 

the testing and development of nanoparticles for the improved 

treatment of cancer that are composed of nontoxic materials and 

remain at the nano-scale in biological fluids, resisting aggregation. 

Neuroblastoma.—The Committee continues to encourage NCI to 

expand genetic and clinical research on neuroblastoma and convene 

a state of the science conference on treatment options for high-risk 

and relapse patients. 

Pancreatic Cancer.—The Committee is disappointed with the 

lack of progress toward a pancreatic cancer-specific research initiative. The Committee again calls upon the NCI to establish a discrete pancreatic cancer research grant program; re-institute a policy of ‘‘exceptions’’ funding for grant applications whose primary 

focus is pancreatic cancer; and include more experts in pancreatic 

cancer on scientific review panels. Further, the Committee notes 

that the NCI released the ‘‘Consensus Report of the National Cancer Institute Clinical Trials Planning Meeting on Pancreas Cancer 

Treatment’’ 2 years after the meeting was held and that the report 

does not include an action plan. The Committee strongly encourages the NCI to develop and implement action steps for research 

on this disease. 

Social Media.—The Committee encourages the NCI to fund research on how social media can be used to promote health behaviors and social support. 

NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

Appropriations, 2010 ............................................................................. $3,095,349,000 

Budget estimate, 2011 ........................................................................... 3,187,516,000 

Committee recommendation ................................................................. 3,182,524,000 

The Committee recommendation includes $3,182,524,000 for the 

National Heart, Lung, and Blood Institute [NHLBI]. The budget request for fiscal year 2011 is $3,187,516,000, and the comparable 

level for fiscal year 2010 is $3,095,349,000. 

Aortic Aneurysm and Dissection.—The Committee commends the 

NHLBI for its strong support of the Genetically Triggered Thoracic 

Aortic Aneurysms and Other Cardiovascular Conditions Registry 

(GenTac). 

Congenital Heart Disease.—The Committee commends the 

NHLBI for the development and implementation of the Bench to 

Bassinet program in an effort to provide multidisciplinary 

translational research for congenital heart defects across the lifespan. The Committee urges the NHLBI to continue its work with 

patient advocacy organizations, other NIH Institutes, and the CDC 

to expand collaborative research initiatives and other related activities targeted to the diverse life-long needs of congenital heart 

defect survivors. 

Diamond-Blackfan Anemia [DBA].—The Committee understands 

that NHLBI’s research initiatives regarding DBA continue to demonstrate the benefits of translational research and have led to important insights into the biology of blood disorders, birth defects, 
99 

and cancer development and to a breakthrough in one of the first 

human disorders linked to a ribosomal protein defect. The Committee understands that, prior to this discovery, changes in the 

ribosomal protein gene expression were considered inconsequential 

but have now proven to be a fundamental unit of cellular function. 

The Committee commends the NHBLI for its attention to this important area of disease research and strongly encourages the Institute to continue efforts to make understanding the role of 

ribosomal proteins in DBA and related marrow failure diseases an 

investigative priority. 

Heart Disease.—The Committee strongly urges the NHLBI to aggressively expand and intensify its investment in basic, 

translational, and clinical heart research to capitalize on advances 

and burgeoning scientific opportunities. The Committee supports 

the allocation of increased resources for heart research to expand 

current studies; support promising and novel research; through all 

available mechanisms, as appropriate; and accelerate implementation of priorities highlighted in its Division of Cardiovascular Diseases Strategic Plan. 

Marfan Syndrome.—The Committee commends the NHLBI for 

its continued support of research related to Marfan syndrome, particularly in the area of pediatrics. The Committee encourages the 

Institute to facilitate support of research related to surgical outcomes for adult patients who undergo procedures to repair compromised aortas and valves. 

Pulmonary Hypertension [PH].—The Committee continues to 

support research in this area and commends the NHLBI for convening a working group on pulmonary hypertension to identify priority research topics. The Committee urges support for the working 

group’s agenda and encourages the Institute to collaborate with the 

PH community to raise awareness of the disease among the general 

public and healthcare providers. 

Sarcoidosis.—The Committee is concerned that little progress 

has been made in understanding the cause of sarciodosis, which 

can cause chronic debilitating or life threatening heart, neurological, and internal organ disease. To date, there are no effective 

treatments options. The Committee strongly encourages the 

NHLBI to place a higher priority on sarcoidosis by intensifying its 

investments in basic research, clinical investigations and trials. 

Sleep Disorders.—The Committee is impressed by research demonstrating a clear association between sleep disruption and cardiovascular disease, diabetes, hypertension, and stroke, as well as 

workplace and traffic accidents. The Committee encourages increased research and education programs to decrease the impact of 

sleep problems on health and safety. 

Social Network Analysis.—The Committee commends the NHLBI 

for contributing to a recent trans-NIH initiative on social networks. 

Social network analysis can be used to study the transmission of 

viral infections, behaviors, attitudes, information, or the diffusion 

of medical practices within social networks. 

Sudden Cardiac Arrest [SCA].—The Committee is deeply concerned by the prevalance of and mortality rates associated with 

SCA and urges the NHLBI to make this condition a top research 

priority. In particular, the Committee strongly encourages the 
100 

NHLBI to investigate the use of induced hypothermia therapy as 

both a life-saving treatment for SCA victims and one that is demonstrating promise in improving neurological outcomes for patients. 

In addition, the Committee encourages the NHLBI and the NINDS 

to enhance and coordinate data collection associated with SCA and 

hypothermia therapy in particular. 

NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH

Appropriations, 2010 ............................................................................. $413,014,000 

Budget estimate, 2011 ........................................................................... 423,511,000 

Committee recommendation ................................................................. 422,845,000 

The Committee recommendation includes $422,845,000 for the 

National Institute of Dental and Craniofacial Research [NIDCR]. 

The budget request for fiscal year 2011 is $423,511,000, and the 

comparable level for fiscal year 2010 is $413,014,000. 

Behavioral Research.—The Committee applauds the NIDCR’s 

recognition of behavior as a critical factor in oral health, and it encourages research on the development of educational and behavioral oral health promotion interventions to improve maternal and 

infant oral health. 

Craniofacial Skeleton.—The Committee urges continued support 

for research on the effects on the craniofacial skeleton of systemic 

drugs prescribed for the treatment of bone diseases, including factors predisposing individuals to osteonecrosis of the jaw, as well as 

novel approaches to facilitate bone regeneration. 

Temporomandibular Disorders [TMJD].—The Committee appreciates the Institute’s recent support for research on TMJD but 

notes that prospects for significant progress are hampered by the 

lack of a coherent body of knowledge on the etiology and pathogenesis of these conditions. Therefore, as it did last year, the Committee requests the NIDCR to take the lead in developing a comprehensive multidisciplinary 5-year TMJD research plan that articulates the strategies and goals necessary to resolve the issues 

that have plagued the TMJD field over the decades. The plan 

should include research to develop definitive diagnostic criteria; 

support an updated epidemiology, including a count of co-morbid 

conditions; examine genetic and other factors that increase risk for 

TMJD; and support endocrine, immune, and nervous system research on pain mechanisms and treatments. The plan’s research 

goals should incorporate the appropriate mix of multidisciplinary, 

basic, clinical and translational science, recruitment strategies to 

recruit scientists from the many pertinent disciplines, and meaningful training programs to enlarge the pool of investigators and indicate what funding mechanisms should be employed. The Committee requests an update on this request in the fiscal year 2012 

congressional budget justification. 

NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY

DISEASES

Appropriations, 2010 ............................................................................. $1,807,094,000 

Budget estimate, 2011 ........................................................................... 1,857,589,000 

Committee recommendation ................................................................. 1,854,674,000 

The Committee recommendation includes $1,854,674,000 for the 

National Institute of Diabetes and Digestive and Kidney Diseases 
101 

[NIDDK]. The budget request for fiscal year 2011 is 

$1,857,589,000, and the comparable level for fiscal year 2010 is 

$1,807,094,000. 

Childhood Liver Disease Research and Education Network (ChiLDREN).—The Committee commends the NIDDK for funding 16 

ChiLDREN centers to study biliary atreisa and seven other rare 

pediatric liver diseases. 

Chronic Kidney Disease [CKD] and Asian/Pacific Islanders.— The Committee notes that the incidence of CKD among the Asian/ 

Pacific Islander [API] population is higher than for most other 

groups. The Committee urges the NIDDK to focus research efforts 

on preventing chronic kidney disease among this population. 

Drug-induced Liver Injury and Acute Liver Failure.—The Committee supports the NIDDK’s decisions to continue funding the 

Drug Induced Liver Injury Network for an additional 5 years and 

continue funding the adult and pediatric acute liver failure multicenter networks. 

Glomerular Disease Research.—The Committee is pleased that 

the NIDDK and the NCMHD are collaborating on a scientific conference on the MYH9 gene, which has been linked to the high prevalence of focal segmental glomerulosclerosis among 

AfricanAmericans, and it urges the NIDDK to collaborate with the 

NCMHD to support expanded research on this condition through 

the Nephrotic Syndrome Rare Disease Clinical Research Network. 

Inflammatory Bowel Disease [IBD].—The Committee encourages 

expanded support for research on IBD as identified in the NIH National Commission on Digestive Diseases report and the scientific 

community’s Challenges in IBD Research agenda, particularly as 

they relate to pediatrics. 

Inflammatory Digestive Diseases in Children.—Some inflammatory digestive diseases begin in childhood and progress through 

life. Examples include inflammatory bowel disease, gluten sensitive 

enteropathy, autoimmune enteropathy, necrotizing enterocolitis 

with resultant intestinal failure, acute and chronic pancreatitis, 

autoimmune hepatitis, autoimmune cholangitis, and primary 

sclerosing cholangitis. As more effective interventions in the pediatric age group could reduce the burden of these illnesses in children and adults, the Committee urges the NIDDK to encourage 

more research leading to earlier diagnosis and treatment of these 

and other digestive diseases that are lifelong burdens. 

Interstitial Cystitis [IC].—The Committees supports the important work of the Multidisciplinary Approach to the Study of Chronic Pelvic Pain [MAPP] Research Network but encourages the 

NIDDK to continue to expand its portfolio specifically on IC research. 

Irritable Bowel Syndrome [IBS].—The Committee encourages the 

NIDDK to consider collaborating with the IBS patient and scientific community to host a state of the science conference focusing 

on recent breakthroughs in the etiology and epidemiology of IBS. 

National Commission on Digestive Disease.—The Committee requests a progress report on implementing recommendations in the 

Commission’s final report issued in March 2009. This report should 

be included in the NIDDK’s annual report and include the NIDDK 

digestive disease research funding history over the past 3 years. 
102 

Pediatric Kidney Disease.—Because many adult kidney diseases 

originate prenatally or during childhood, the Committee encourages 

the NIDDK to assign a higher priority to pediatric kidney disease 

research, especially congenital kidney abnormalities, pediatric glomerular disease, pediatric acute kidney injury, and pediatric chronic kidney disease. Due to the unique challenges of recruiting children into clinical trials, an emphasis on funding for both infrastructure and collaborative registries to enhance comparative 

multicenter pediatric prospective clinical/translational trials that 

will improve patient outcomes is strongly encouraged. 

Polycystic Kidney Disease [PKD].—The Committee applauds the 

NIDDK’s commitment to the CRISP and HALT–PKD clinical studies, the four PKD Centers of Excellence, research grants supporting 

the development of PKD biomarkers, high-throughput screening assays, and additional PKD specific translational research. The Committee suggests that the NIDDK’s strategic plan for PKD complement current public/private partnerships such as the FDA partnership designed to speed the development of PKD therapies to 

market and the establishment of PKD diagnostic and clinical treatment centers in collaboration with the NIH. To expand and solidify 

this integrated approach, the Committee urges the NIDDK to consider sponsoring an international PKD strategic planning meeting. 

Vitamin D and Chronic Kidney Disease.—The Committee encourages support for research on the relationship between vitamin D 

and morbidity and mortality in chronic kidney disease. Research is 

also needed on the value of anti-resorptive therapies, the link between renal insufficiency and diabetic bone disease, the differences 

in calcification of blood vessels, the mechanisms of metastasis of 

renal cell carcinoma, and diseases that occurs in patients with end 

stage chronic renal disease on hemodialysis. 

NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

Appropriations, 2010 ............................................................................. $1,635,477,000 

Budget estimate, 2011 ........................................................................... 1,681,333,000 

Committee recommendation ................................................................. 1,678,696,000 

The Committee recommendation includes $1,678,696,000 for the 

National Institute of Neurological Disorders and Stroke [NINDS]. 

The budget request for fiscal year 2011 is $1,681,333,000, and the 

comparable level for fiscal year 2010 is $1,635,477,000. 

Charcot-Marie-Tooth [CMT].—The Committee commends the 

NINDS for its recent efforts to advance understanding and development of therapies for CMT and related neurodegenerative diseases. 

The Committee supports translational research that has the greatest potential to rapidly develop therapies for patients with CMT 

and other degenerative disorders. The Committee encourages the 

NINDS to develop innovative communications mechanisms to ensure that information on treatments can be shared in an accurate 

and timely manner with practitioners and patients. 

Dystonia.—The Committee commends NINDS and the Office of 

Rare Disease Research for supporting the Dystonia Rare Disease 

Clinical Research Coalition, part of the Rare Diseases Clinical Research Network. 

Epilepsy.—The Committee applauds the NINDS for recognizing 

epilepsy as a priority area and for developing new research oppor-
103 

tunities that will accelerate the rate at which research will be conducted. Following on the heels of the Curing Epilepsy 2007 Conference that resulted in community-determined benchmarks designed to forward the progress of finding a cure for epilepsy, these 

new grant opportunities will provide avenues for cooperative programs in translational research and high-risk transformative research programs designed to yield new information about epilepsy. 

The Committee continues to be particularly interested in three 

areas of epilepsy research—epileptogenesis, co-morbidities, and 

sudden unexplained death—and encourages the NINDS to focus attention on existing and new grants and mechanisms to address 

these areas. 

Frontotemporal Dementia.—The Committee commends the 

NINDS and NIA for establishing a frontotemporal dementia [FTD] 

module of the Uniform Data Set [UDS], with data collected in a 

uniform manner across the Alzheimer’s Disease Centers [ADCs] 

and maintained within the National Alzheimer’s Coordinating Center database. The Committee encourages the two Institutes to establish a pilot program of FTD core centers within the existing 

ADCs to characterize and follow patients with FTD longitudinally 

in order to prepare for participation in drug trials. 

Spinal Cord, Brachial Plexus, and Peripheral Nerve Injuries.— The Committee encourages research support into the 

pathophysiology of spinal cord, brachial plexus, and peripheral 

nerve injuries in order to develop targeted therapies to improve 

neural regeneration and functional recovery. 

Stroke.—The Committee is concerned that the NIH continues to 

invests only 1 percent of its budget on stroke research, recognizing 

that funding and resources for this often deadly and disabling disease is not commensurate with current scientific opportunities, the 

number of Americans afflicted, the increasing prevalence of stroke 

in an aging population, and the economic toll it exacts on our Nation. In light of the exorbitant burden that stroke places on our society now and in the future, the Committee urges the NIH to aggressively expand and intensify its investment in basic, 

translational and clinical stroke research to capitalize on advances 

and burgeoning scientific opportunities. 

Stroke in Women.—Many studies have shown significant gender 

differences concerning stroke. For example, women often receive 

fewer diagnostic tests and intervention procedures; women have a 

much higher rate of death from brain aneurysms; and hormone replacement therapy and oral contraceptives increase risk of stroke. 

The Committee encourages the NINDS to give specific attention to 

gender-related differences in stroke risk, preventative measures, 

acute stroke management, post-stroke recovery, long-term outcomes, and quality of care. Also of particular concern is the underrepresentation of women in many NIH-sponsored trials of stroke. 

Stroke Rehabilitation.—The Committee is pleased that the 

NINDS has convened an expert panel to discuss issues related to 

stroke treatment and recovery and how people reintegrate into 

their daily lives following a stroke. Given that stroke produces a 

substantial financial and emotional stress on the caregiver who is 

more often than not the female companion, wife, or daughter, the 

Committee encourages the NINDS to support studies that address 
104 

the long-term consequences of stroke on the family and quality of 

life. 

NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

Appropriations, 2010 ............................................................................. $4,816,051,000 

Budget estimate, 2011 ........................................................................... 4,977,070,000 

Committee recommendation ................................................................. 4,969,301,000 

The Committee recommendation includes $4,969,301,000 for the 

National Institute of Allergy and Infectious Diseases [NIAID]. The 

budget request for fiscal year 2011 is $4,977,070,000, and the comparable level for fiscal year 2010 is $4,816,051,000. Included in 

these funds is $300,000,000 to be transferred to the Global Fund 

to Fight HIV/AIDS, Malaria, and Tuberculosis. The fiscal year 2010 

transfer amount was also $300,000,000. 

Antimicrobial Resistance.—The Committee strongly urges the 

NIAID to devote additional resources to developing new antibacterial drugs. Priority bacteria include Enterococcus faecium, 

Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter 

baumannii, Pseudomonas aeruginosa, and ESBL positive bacteria 

such as E. coli and Enterobacter species, which cause the majority 

of healthcare-associated infections. Rapid diagnostic tests that support antibacterial clinical trials and antibiotics’ appropriate use are 

also needed. 

Chronic Hepatitis B.—The Committee understands that while 

there are now a number of medications approved for the treatment 

of hepatitis B, they are of limited therapeutic value since they 

mostly target the same virus functions. The Committee urges additional 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. 

Eosinophil-associated Disorders.—The Committee urges the 

NIAID, in consultation with the NIDDK, NICHD, and NIMH, to 

convene a working group to develop a research agenda aimed at 

improving the diagnosis and treatment of eosinophil-associated diseases. The Committee requests an update on this effort in the fiscal 

year 2012 congressional budget justification. The Committee understands that a number of private sector organizations are interested 

in funding research in this area and encourages the NIAID to collaborate with these organizations as well as other NIH Institutes 

in supporting relevant research activities. 

Inflammatory Bowel Diseases [IBD].—The Committee encourages 

the NIAID to expand support for IBD research through its Immune 

Tolerance Network and Autoimmune Disease Prevention Centers 

in collaboration with the IBD community. 

Microbicides.—The recent results of the CAPRISA study in South 

Africa mark an important milestone for the field of HIV prevention. 

The Committee urges the NIH to continue to work with USAID, 

CDC, and other appropriate agencies to coordinate and increase investment in microbicides research and development, prioritizing 

support for ‘‘next generation’’ ARV-based microbicides. The NIH is 

encouraged to support public-private partnerships that have a robust ARV product pipeline. 
105 

Neglected Tropical Diseases.—The Committee is pleased that the 

NIH has included global health as one of its research priorities. 

The Committee encourages NIH to continue and expand its investment in neglected tropical disease, diarrheal, and arbovirus research and coordinate that work with other Government agencies 

to maximize resources and ensure development of basic discoveries 

into useable solutions. 

Organ Donation.—The Committee recognizes the need for more 

intensive screening processes to prevent the transmission of viral, 

bacterial, and fungal infections from donors, and it urges additional 

research in this area in collaboration with the United Network for 

Organ Sharing. 

Tuberculosis [TB].—The Committee applauds the NIAID for its 

increased attention to the development of new TB diagnostics, 

drugs and vaccines, and it urges the Institute to continue to expand these efforts to halt the spread of TB, including drug-resistant TB. 

Vaccine Development for Hepatitis C.—The Committee urges a 

refocused effort on the development of a hepatitis C vaccine and requests an update in the fiscal year 2012 congressional budget justification. 

NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

Appropriations, 2010 ............................................................................. $2,050,665,000 

Budget estimate, 2011 ........................................................................... 2,125,090,000 

Committee recommendation ................................................................. 2,121,783,000 

The Committee recommendation includes $2,121,783,000 for the 

National Institute of General Medical Sciences [NIGMS]. The budget request for fiscal year 2011 is $2,125,090,000, and the comparable level for fiscal year 2010 is $2,050,665,000. 

Behavioral Research Training.—The Committee applauds the Institute’s leadership role in the OppNet initiative, which will support basic behavioral science throughout the NIH. The Committee 

encourages the NIGMS to support basic behavioral research to its 

fullest potential, and to incorporate basic behavioral training in its 

forthcoming training plan. 

EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH

AND HUMAN DEVELOPMENT

Appropriations, 2010 ............................................................................. $1,328,828,000 

Budget estimate, 2011 ........................................................................... 1,368,894,000 

Committee recommendation ................................................................. 1,366,750,000 

The Committee recommendation includes $1,366,750,000 for the 

Eunice Kennedy Shriver National Institute of Child Health and 

Human Development [NICHD]. The budget request for fiscal year 

2011 is $1,368,894,000, and the comparable level for fiscal year 

2010 is $1,328,828,000. 

Adverse Pregnancy Outcomes.—The Committee is concerned that 

women with severe, early adverse pregnancy outcomes are at increased risk for long-term chronic health problems, including hypertension, stroke, diabetes, and obesity. The Committee urges the 

NICHD to undertake studies to identify women at risk for longterm morbidity and develop strategies to prevent long-term adverse 

outcomes in these women. 
106 

Behavioral Neuroscience.—The Committee is pleased that the 

NICHD supports a broad spectrum of behavioral neuroscience research, particularly as it relates to real-world problems. The Committee encourages further work on the effects of socioeconomic adversity on children’s brain development. 

Chromosome Abnormalities.—The Committee again urges the 

NIH to convene a state of the science meeting on chromosome abnormalities involving multiple contiguous genes in order to create 

a plan to collect data regarding dosage-sensitive and dosage-insensitive genes and establish phenotyping and genotyping standards 

for data collection. The Committee also encourages the NIH to provide 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. 

Contraceptive Research and Development.—The Committee encourages the NICHD to strengthen its support for contraceptive research and development for the prevention of unintended pregnancies and the efficacy and safety of hormonal contraceptives 

among overweight and obese women. The Committee additionally 

urges the Institute to identify opportunities and research priorities 

in contraceptive development, such as the need for nonhormonal 

contraception, postcoital contraception, and multipurpose technologies that would prevent both pregnancy and sexually transmitted infections. 

Demographic Research.—The NICHD’s historic support for demographic research on the nonaged population has yielded landmark 

scientific findings, confirming how health and well being in the 

early years affects long-term health and socioeconomic outcomes. 

Many of these advances have derived from the Institute’s investment in large-scale, longitudinal studies, such as the National Longitudinal Study of Adolescent Health and Child Development Supplement to the Panel Study of Income Dynamics, and inter-agency 

studies, including the National Survey of Family Growth and National Longitudinal Survey of Youth. The Committee expects the 

Institute to sustain its support for these important resources and 

reaffirm its commitment to supporting research on how maternal 

factors before and during pregnancy and early life events affect 

health and well being in later life. 

Fragile X Syndrome.—The Committee encourages the NIH to implement the NIH Research Plan on Fragile X Syndrome and Associated Disorders and continue to fund translational research that 

shows significant promise of a safe and effective treatment for 

Fragile X-associated Disorders [FXD]. 

Intellectual and Developmental Disabilities Research Centers 

[IDDRCs].—The Committee continues to recognize the outstanding 

contributions of the IDDRCs toward understanding the causes for 

a wide range of developmental disabilities including autism, Fragile X syndrome, Down syndrome and other genetic and environmentally induced disorders. The Committee is particularly pleased 

with how the IDDRCs have collaborated with each other to leverage resources and scientific capital on such efforts as developing a 

pilot national registry of patient populations and training and supporting young scientists. These centers received administrative 
107 

supplements through the American Recovery and Reinvestment Act 

of 2009 that were used to purchase equipment and develop enhanced scientific core services. However, the Committee urges the 

NICHD to provide additional resources to the IDDRC network to 

help bring about progress in expanding registries to include larger 

samples across different disorders, support and mentor new investigators, and develop opportunities for translational research efforts. 

Maternal Fetal Medicine Units Network.—The Committee continues to encourage the NICHD to support this network. 

Metabolic Disease and Bone Health.—The Committee urges more 

research in the emerging field of metabolic disease and bone health 

in children and adolescents, especially childhood obesity, anorexia 

nervosa and other eating disorders. Research is also needed on 

what the optimal vitamin D levels should be in children to achieve 

maximal bone health and the implications of chronic seasonal vitamin D deficiency to the growing skeleton. Development and testing 

of therapies and bone-building drugs for pediatric patients are also 

a pressing clinical need. 

Pediatric Research Acceleration.—The Committee recognizes that 

the NIH and the NICHD in particular use a variety of mechanisms 

to support pediatric research, including condition-specific centers, 

clinical trials networks, and the Clinical and Translational Science 

Awards. The Committee nevertheless remains concerned as to the 

overall level of support for pediatric biomedical research, particularly for initiatives that focus on the continuum from basic to 

translational research; that provide infrastructure support, particularly to early-career researchers; and that are connected through a 

networked approach that encourages resource sharing and collaboration. The Committee urges the NIH to support a networked pediatric research consortia model and requests an update on this request in the fiscal year 2012 congressional budget justification. 

Preterm Birth and Stillbirth.—The Committee urges the NICHD 

to expand its support of preterm birth related research by exploring the feasibility of establishing integrated transdisciplinary research centers as recommended by the Institute of Medicine and 

the Surgeon General’s Conference on the Prevention of Preterm 

Birth. NICHD is also encouraged to take advantage of highthroughput technologies to understand the causes of preterm birth 

and stillbirth, and to support genomics, proteomics, and 

metabolomics studies focusing on prediction and prevention of 

preterm birth and stillbirth, as well as the use of existing biobanks. 

Psychosocial Stress in Children.—The NICHD is encouraged to 

develop a program of research to better understand the immediate 

and long-term effects of stress in children, in contexts including 

families of deployed military personnel, and experiences in natural 

disasters and war zones. 

Vulvodynia.—The Committee is encouraged by positive signs 

that the NICHD is devoting greater attention to this long-neglected 

condition, especially with regard to stimulating interest in the research community and ensuring adequate representation of 

vulvodynia experts on peer-review panels. The Committee expects 

to be updated on progress in these areas. The Committee also notes 

that vulvodynia coexists with other persistent pain conditions, in-
108 

cluding 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, 2010 ............................................................................. $706,659,000 

Budget estimate, 2011 ........................................................................... 724,360,000 

Committee recommendation ................................................................. 723,220,000 

The Committee recommendation includes $723,220,000 for the 

National Eye Institute [NEI]. The budget request for fiscal year 

2011 is $724,360,000, and the comparable level for fiscal year 2010 

is $706,659,000. 

Cataracts.—The Committee is encouraged by the NEI’s collaboration with NASA in developing a new diagnostic technology that 

identifies those at risk for cataract development before it is clinically detectable. 

Improving Clinical Practice.—The Committee recognizes the 

NEI’s leadership in conducting several comparative effectiveness 

clinical trials to improve ophthalmic care, including the Diabetic 

Retinopathy Clinical Research Network’s comparison of drug therapies as an alternative to laser treatment for diabetic macular 

edema and proliferative diabetic retinopathy. The Committee is 

also encouraged by the use of new analytic techniques to evaluate 

published data from clinical trials for therapies for Primary Open 

Angle Glaucoma that enable researchers to compare the merits of 

multiple interventions without conducting additional clinical trials, 

which will also substantially impact clinical practice. 

Leber Congenital Amaurosis.—The Committee is encouraged by 

recent reports of initial success in treating Leber congenital 

amaurosis with gene therapy and is pleased that the NEI will 

evaluate gene transfer in younger patients with less severe disease. 

The Committee urges the Institute to pursue studies of this promising treatment on an expedited basis in other genetically inherited, retinal degenerative diseases. The Committee requests an update on such efforts in the fiscal year 2012 congressional budget 

justification. 

Trachoma.—The Committee is pleased that a recent NEI clinical 

trial of a multi-dose treatment course of the antibiotic azithromycin 

in severely affected communities led to the eradication of trachoma, 

the leading cause of blindness in the developing world. 

Training Program.—The Committee is pleased that the NEI is 

committed to developing the next generation of vision researchers 

by expanding its institutional training grant program with a program in ocular statistical genetics to provide the vision research 

community with expertise in mathematics, modeling, and computation. 
109 

NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

Appropriations, 2010 ............................................................................. $689,462,000 

Budget estimate, 2011 ........................................................................... 707,339,000 

Committee recommendation ................................................................. 706,227,000 

The Committee recommendation includes $706,227,000 for the 

National Institute of Environmental Health Sciences [NIEHS]. The 

budget request for fiscal year 2011 is $707,339,000, and the comparable level for fiscal year 2010 is $689,462,000. 

Alternative Methods of Testing.—The Committee supports the implementation of the National Research Council’s report ‘‘Toxicity 

Testing in the 21st Century: A Vision and a Strategy’’ to create a 

new paradigm for risk assessment based on use of advanced molecular biological methods in lieu of animal toxicity tests. The Committee urges the NIH to play a leading role by funding relevant intramural and extramural research projects. Current activities at 

the NIESH, the NIH Chemical Genomics Center and the Environmental Protection Agency show considerable potential, and the 

NIH is strongly encouraged to explore additional opportunities to 

augment this effort. 

Endocrine Disruption.—The Committee urges the NIEHS to continue to increase its research in the effects of endocrine-disrupting 

chemicals on women’s health outcomes. The Committee requests an 

update on these efforts in the fiscal year 2012 congressional budget 

justification. 

Genes and Environment Initiative.—The Committee continues to 

support NIEHS’s leadership in this trans-Institute initiative. 

Sister Study and Breast Cancer.—The Committee requests an 

update on this important study in the fiscal year 2012 congressional budget justification. 

Women’s Health and the Environment.—The Committee urges 

the NIEHS to increase its research in several areas of special importance to women’s health: exposures that may initiate or promote 

autoimmune diseases; exposures associated with risk of uterine 

fibroids; the effects of engineered nanomaterials in consumer products, especially cosmetics and personal care products; and environmental exposures that are associated with increased time to pregnancy. 

NATIONAL INSTITUTE ON AGING

Appropriations, 2010 ............................................................................. $1,109,634,000 

Budget estimate, 2011 ........................................................................... 1,142,337,000 

Committee recommendation ................................................................. 1,140,547,000 

The Committee recommendation includes $1,140,547,000 for the 

National Institute on Aging [NIA]. The budget request for fiscal 

year 2011 is $1,142,337,000, and the comparable level for fiscal 

year 2010 is $1,109,634,000. 

Age-related Bone Loss.—The Committee encourages research to 

better define the causes of frailty, age-related bone loss and fractures, and reduced physical performance, including identifying epigenetic changes, with the aim of translating basic and animal studies into novel therapeutic approaches. The prevention and treatment of other metabolic bone diseases, including osteogenesis im-
110 

perfect, glucocorticoid-induced osteoporosis, and bone loss due to 

kidney disease, should also be priority research areas. 

Behavioral Economics.—The Committee is pleased with the 

NIA’s focus on this emerging area of research, which is yielding insights into the neural and behavioral underpinnings of a variety of 

social and economic behaviors, and the Committee encourages additional work on this topic. 

Demographic and Economic Research.—The Committee urges the 

NIA to continue to invest in its demographic research portfolio, 

particularly large-scale longitudinal studies such as the Health and 

Retirement Study. The Committee also urges the NIA to continue 

working with other Federal agencies, including the Fogarty International Center, to support and expand its investment in national 

and international demographic research projects. 

Roybal Centers for Translational Research on Aging.—The Committee urges the NIA to continue supporting these important centers. 

NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN

DISEASES

Appropriations, 2010 ............................................................................. $538,773,000 

Budget estimate, 2011 ........................................................................... 555,715,000 

Committee recommendation ................................................................. 554,846,000 

The Committee recommendation includes $554,846,000 for the 

National Institute of Arthritis and Musculoskeletal and Skin Diseases [NIAMS]. The budget request for fiscal year 2011 is 

$555,715,000, and the comparable level for fiscal year 2010 is 

$538,773,000. 

Bone Loss.—The Committee urges support for research into the 

pathophysiology of bone loss in diverse populations in order to develop targeted therapies to reduce fractures and improve bone density, bone quality and bone strength. 

Epidermolysis Bullosa [EB].—The Committee is aware that EB 

is a group of heritable skin-blistering conditions for which there is 

no cure. The Committee commends NIAMS for its support of EB 

research and encourages continued and enhanced efforts to address 

this painful and disabling condition. 

Marfan Syndrome.—The Committee commends NIAMS for its 

continued support of collaborative, multi-investigator research related to Marfan syndrome and encourages expanded support for research on the orthopedic manifestations of the disease. 

Outcomes Measurement.—The Committee notes with approval 

the success of the NIAMS-led PROMIS initiative, which aims to 

revolutionize the way patient-reported outcome tools are chosen 

and used in clinical research and practice. 

Scleroderma.—The Committee continues to prioritize research on 

scleroderma and commends the Institute for its work in this area. 

The Committee requests an update on the NIAMS scleroderma research portfolio as part of its fiscal year 2012 congressional budget 

justification. 

Temporomandibular Joint Disorders [TMJDs].—As the 

temporomandibular joint is a joint in the body, the Committee continues to believe that its inclusion in the NIAMS portfolio is clearly 

warranted. NIAMS scientific expertise and funding would greatly 
111 

accelerate the basic and clinical understanding of this joint, which 

is critical to such functions as speaking, breathing, eating, swallowing and making facial expressions. The Committee calls on 

NIAMS to collaborate with the NIDCR to develop multidisciplinary 

research teams involving basic and clinical scientists to study the 

jaw anatomy, physiology and the complex neural, endocrine, and 

immune systems interactions that orchestrate jaw function and 

trigger jaw joint pathology. NIAMS should integrate the findings 

from interdisciplinary studies of the structure, mechanical function, 

metabolism, and blood flow of bone, joints, and muscles with studies of central and peripheral neural pathways, and the endocrine, 

paracrine, and cytokine factors that impact upon these craniofacial 

structures, as a means to understanding the underlying causes of 

pain and dysfunction. The Committee requests a response from 

NIAMS, in addition to the response from NIDCR, in the fiscal year 

2012 congressional budget justification. 

NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION

DISORDERS

Appropriations, 2010 ............................................................................. $418,594,000 

Budget estimate, 2011 ........................................................................... 429,007,000 

Committee recommendation ................................................................. 428,331,000 

The Committee recommendation includes $428,331,000 for the 

National Institute on Deafness and Other Communication Disorders [NIDCD]. The budget request for fiscal year 2011 is 

$429,007,000, and the comparable level for fiscal year 2010 is 

$418,594,000. 

Early Detection and Intervention.—The Committee urges continued support for research on early detection, diagnosis and intervention of children with hearing loss. The NIDCD is encouraged to 

fund studies that follow speech, language, voice, and auditory behavior outcomes for children identified early in life and for children 

using various hearing devices and interventions. 

Hair Cell Regeneration.—The Committee continues to place a 

high priority on research involving hair cell regeneration and stem 

cells. 

Hearing Aids and Cochlear Implants.—The Committee strongly 

encourages the NIDCD to support research to make hearing aids 

more accessible to the millions of Americans with mild to moderate 

hearing loss. It urges investigative collaborations into low-cost 

hearing aids between industry, scientists, clinicians and consumers 

so that more of the population who need hearing aids can obtain 

them at affordable costs. Regarding cochlear implants, the Committee recognizes the need to study the expansion of electrical 

speech processing in children and adults, and to conduct research 

into mechanisms of acoustic hearing loss in subjects using acoustic 

plus electric speech processing. 

Noise and Environmentally Induced Hearing Loss.—The Committee recognizes that while there is increasing susceptibility to 

noise and environmentally induced hearing loss as one ages, young 

individuals are also at risk. The Committee urges the NIDCD to 

study how to identify school-age children with sound-induced hearing loss and address its negative consequences on their academic 

achievements and social interactions. It understands the poten-
112 

tially deleterious effects of noise and environmental pollutants in 

water and air on the inner ear’s hair cells, synapses and auditory 

nerve and encourages studies of protective agents. It recommends 

research, including proteomic studies, to identify, characterize and 

prevent effects of toxicants, including such chemicals as lead, mercury and carbon monoxide on hearing, especially during aging, and 

during prenatal and early postnatal development. The Committee 

also commends the NIDCD for its efforts to raise public awareness 

of the omnipresent threats to the auditory system posed by environmental noise. 

Otitis Media.—The Committee recognizes the threat to infants’ 

and children’s health and development from ear infection. The 

Committee therefore urges the NIDCD to accelerate its support to 

investigate the pathogenesis of ear infection and its consequences. 

Studies should include identification of genetic risk factors; new 

treatments for chronic and recurrent otitis media; new methods for 

delivery of drugs to the middle ear; and development of vaccines. 

Plasticity.—The Committee continues to support research on 

functional changes of synapses of the central auditory nervous system, including the cortex, following developmental hearing loss. It 

encourages research that builds on understanding of the dramatic 

dysfunction that occurs and explores experimental approaches to 

restoration of normal function of these synapses. Basic research of 

ways to use auditory training/learning tasks to restore perception 

in normal adult subjects and those with auditory or vestibular deficits is also recommended. 

Presbycusis.—The Committee urges the NIDCD to continue its 

support of physiological and neurological studies of the peripheral 

and central mechanisms of presbycusis. 

Tinnitus.—The Committee commends NIDCD for hosting a 

multi-agency collaborative workshop to support new and expanded 

research into tinnitus. The Committee recommends that the 

NIDCD expand its research into causal mechanisms underlying peripheral and central tinnitus and pursue research devoted to preventions, treatments and cures of this prevalent disorder, which is 

also the largest service-connected disability for returning military 

personnel. 

Vestibular Research.—The Committee continues to urge the 

NIDCD to conduct vestibular research in animal models and humans to improve the diagnosis, intervention strategies and treatment of vertigo and balance disorders, including studies to prevent 

the severe vertigo attacks and disequilibrium associated with 

Meniere’s disease. 

NATIONAL INSTITUTE OF NURSING RESEARCH

Appropriations, 2010 ............................................................................. $145,578,000 

Budget estimate, 2011 ........................................................................... 150,198,000 

Committee recommendation ................................................................. 149,963,000 

The Committee recommendation includes $149,963,000 for the 

National Institute of Nursing Research [NINR]. The budget request 

for fiscal year 2011 is $150,198,000, and the comparable level for 

fiscal year 2010 is $145,578,000. 
113 

NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

Appropriations, 2010 ............................................................................. $462,098,000 

Budget estimate, 2011 ........................................................................... 474,649,000 

Committee recommendation ................................................................. 473,904,000 

The Committee recommendation includes $473,904,000 for the 

National Institute on Alcohol Abuse and Alcoholism [NIAAA]. The 

budget request for fiscal year 2011 is $474,649,000, and the comparable level for fiscal year 2010 is $462,098,000. 

Collaboration With State Substance Abuse Agencies.—The Committee applauds the NIAAA for working with State substance 

abuse agencies and encourages collaborative initiatives to ensure 

that research findings are relevant and adaptable by publicly funded State substance abuse systems. 

Comorbidity. —The Committee recognizes that information from 

NIAAA’s National Epidemiologic Survey of Alcohol Related Conditions and the National Longitudinal Alcohol Epidemiologic Survey 

has transformed our understanding of alcohol use disorders in the 

U.S. population at large. These unique resources have provided important information on the extent and nature of alcohol use disorders and their relationship to other substance use problems and 

co-occurring mental disorders. 

NATIONAL INSTITUTE ON DRUG ABUSE

Appropriations, 2010 ............................................................................. $1,059,288,000 

Budget estimate, 2011 ........................................................................... 1,094,078,000 

Committee recommendation ................................................................. 1,092,369,000 

The Committee recommendation includes $1,092,369,000 for the 

National Institute on Drug Abuse [NIDA]. The budget request for 

fiscal year 2011 is $1,094,078,000, and the comparable level for fiscal year 2010 is $1,059,288,000. 

Behavioral Genetics.—The Committee encourages NIDA’s continued investment in behavioral genetics, especially in studies that 

combine genetic and behavioral approaches. The Committee particularly commends research on the relationships among behavior, 

genetics and nicotine addiction, and how they impact cognitive 

function. 

Blending Research and Practice.—The Committee is pleased with 

the continued success and progress of NIDA’s National Drug Abuse 

Treatment Clinical Trials Network, enabling an expansion of treatment options for providers and patients, and applauds NIDA for its 

collaborative Blending Initiative with SAMHSA. 

Comparative Effectiveness Research.—The Committee encourages 

NIDA to continue its investment in comparative effectiveness research so that proven models of drug abuse prevention and treatment can be further refined. 

Engaging the Medical Community.—The Committee is pleased 

with NIDAMed, an initiative designed to reach out to physicians, 

physicians in training, and other healthcare professionals regarding substance abuse. The Committee also supports NIDA’s ongoing 

efforts around the Centers of Excellence for Physician Information 

and its Screening, Brief Intervention, and Referral to Treatment 

initiative. The Committee urges the Institute to continue its focus 

on activities to provide physicians and other medical professionals 
114 

with the tools and skills needed to incorporate NIDA-funded research findings into their clinical practices. 

HIV/AIDS and Criminal Justice Populations.—The Committee is 

concerned about drug abuse and HIV/AIDS in criminal justice populations, and it supports research efforts to empirically test the 

‘‘seek, test, and treat’’ paradigm. NIDA should continue its initiative in this area, which will yield important linkages to appropriate 

health services and effective HIV prevention, intervention, and 

treatment in these populations. 

Medications Development.—The Committee encourages NIDA to 

continue to support research to develop new, effective medications 

that could, either by themselves or combined with validated behavioral therapies, help alleviate the personal and social impact of this 

complex disease. 

Military Personnel, Veterans, and Their Families.—The Committee understands that NIDA has joined with the VA and two 

other NIH Institutes to support research on substance abuse and 

associated problems among U.S. military personnel, veterans, and 

their families. Many returning military personnel need help confronting a variety of 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 and asks for 

an update in the fiscal year 2012 congressional budget justification. 

Pulmonary Hypertension.—The Committee commends NIDA for 

its interest in pulmonary hypertension related to methamphetamine abuse and requests an update in the fiscal year 2012 congressional budget justification on efforts to initiate a large scale 

survey to access the frequency of pulmonary hypertension in methamphetamine users. 

Relapse Prevention.—The Committee applauds the NIDA for supporting emerging research on the use of cognitive-enhancing therapy to reduce drug abuse relapse. The Committee understands that 

this research is currently conducted with animal models, and it encourages the NIDA to support research that tests this model in 

clinical populations. 

Teens and Drug Abuse.—The Committee commends NIDA for its 

educational efforts to raise awareness among teens regarding the 

harmful health effects associated with drugs of abuse. 

Tobacco Addiction.—The Committee applauds the recent 

progress of NIDA-supported researchers toward identifying genetic 

factors that contribute to nicotine dependence and affect the efficacy of smoking cessation treatments, and it urges NIDA to continue developing much-needed evidence-based treatments, medications, and prevention strategies to combat nicotine addiction. 

NATIONAL INSTITUTE OF MENTAL HEALTH

Appropriations, 2010 ............................................................................. $1,489,569,000 

Budget estimate, 2011 ........................................................................... 1,540,345,000 

Committee recommendation ................................................................. 1,537,942,000 
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The Committee recommendation includes $1,537,942,000 for the 

National Institute of Mental Health [NIMH]. The budget request 

for fiscal year 2011 is $1,540,345,000, and the comparable level for 

fiscal year 2010 is $1,489,569,000. 

Behavioral Management Drugs for Children.—The Committee is 

aware that powerful psychotropic medications are being prescribed 

for children as young as 5 years old. The NIMH is encouraged to 

expand its research to better understand the effects these medications have on the development of children, as well to support research on treatment modalities that will lessen both providers’ reliance and children’s dependence on these medications for behavior 

management. 

Children’s Mental Health.—Early diagnosis, prevention, and 

treatment is critical for the millions of families affected by autism, 

attention deficit hyperactivity disorder, anxiety disorders, depression, bipolar disorder, and eating disorders. The NIMH is encouraged to continue supporting clinical trials to demonstrate the evidence base for effective pharmacological and behavioral interventions and treatments for child and adolescent populations with 

these disorders. 

Dissemination of Research Results.—The Committee commends 

the NIMH for leading a multi-Institute research initiative to identify, develop, and refine effective methods for disseminating and 

implementing research-tested health behavior change interventions 

into public health and clinical practice settings. 

Immigrant Health.—The Committee recognizes that immigrants 

to the United States experience unique stresses, prejudice and poverty, and it urges the NIMH to direct research on the adaptation, 

development, health, and mental health needs of diverse immigrant populations. 

NATIONAL HUMAN GENOME RESEARCH INSTITUTE

Appropriations, 2010 ............................................................................. $515,799,000 

Budget estimate, 2011 ........................................................................... 533,959,000 

Committee recommendation ................................................................. 533,127,000 

The Committee recommendation includes $533,127,000 for the 

National Human Genome Research Institute [NHGRI]. The budget 

request for fiscal year 2011 is $533,959,000, and the comparable 

level for fiscal year 2010 is $515,799,000. 

NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING

Appropriations, 2010 ............................................................................. $316,405,000 

Budget estimate, 2011 ........................................................................... 325,925,000 

Committee recommendation ................................................................. 325,415,000 

The Committee recommendation includes $325,415,000 for the 

National Institute of Biomedical Imaging and Bioengineering 

[NIBIB]. The budget request for fiscal year 2011 is $325,925,000, 

and the comparable level for fiscal year 2010 is $316,405,000. 

Bone Disease.—The Committee encourages research on bone diseases and disorders utilizing bone imaging. The Committee further 

encourages the Institute to use engineering strategies to replace 

and regenerate bone and soft tissue affected by trauma. 
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NATIONAL CENTER FOR RESEARCH RESOURCES

Appropriations, 2010 ............................................................................. $1,268,329,000 

Budget estimate, 2011 ........................................................................... 1,308,741,000 

Committee recommendation ................................................................. 1,306,695,000 

The Committee recommendation includes $1,306,695,000 for the 

National Center for Research Resources [NCRR]. The budget request for fiscal year 2011 is $1,308,741,000, and the comparable 

level for fiscal year 2010 is $1,268,329,000. 

Under the Committee’s recommendation, a portion of the costs of 

the Clinical and Translational Science Awards [CTSAs] program 

will continue to shift to the NCRR from the Common Fund. The 

Committee recommendation includes a total of $500,403,000 for the 

CTSAs in fiscal year 2011, divided as follows: $477,700,000 from 

the NCRR, compared with $457,700,000 in fiscal year 2010; and 

$22,703,000 from the Common Fund, down from $25,425,000 in fiscal year 2010. The fiscal year 2010 total for CTSAs was 

$482,945,000. 

Chimpanzee Breeding.—The Committee is aware that the NCRR 

instituted a breeding moratorium on chimpanzees that it owns and 

supports in 1995, and that in 2007 it reaffirmed that moratorium 

by declaring, ‘‘NCRR has determined that it does not have the financial resources to support the breeding of chimpanzees that are 

owned or supported by NCRR.’’ Nevertheless, disturbing questions 

have been raised about whether this moratorium is being followed 

at the New Iberia Research Center [NIRC], which is supported by 

the NCRR and maintains a mix of chimpanzees that are federally 

owned and privately owned. Records provided by the NIRC to animal rights groups suggest that in the case of as many as 123 infant 

chimpanzees born at the NIRC since 2000, either the dam or the 

sire, or both, were federally owned. The Committee asks the NCRR 

to investigate this matter promptly, take all steps necessary to ensure that the NIRC is complying with the moratorium, and update 

the Committee on the results. 

Human Tissue Supply.—The Committee remains committed to 

matching the increased needs of NIH-funded researchers who rely 

upon human tissues and organs to study human diseases and 

search for cures. Therefore, the Committee encourages the NCRR 

to increase its core support for its nationwide human tissue and 

organ procurement network and urge other Institutes to expand 

their support as well. 

Primate Research.—The Committee continues to support the National Primate Research Centers [NPRCs], which provide the necessary facilities, animal models, animal care experts, and the 

translational research scientists for NIH-supported institutions to 

conduct nonhuman primate research that is essential to improving 

human health. 

Research Centers at Minority Institutions [RCMI].—The Committee continues to support the RCMI program and encourages the 

NCRR to strengthen participation from the minority health professions schools. 
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NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE

MEDICINE

Appropriations, 2010 ............................................................................. $128,772,000 

Budget estimate, 2011 ........................................................................... 132,004,000 

Committee recommendation ................................................................. 131,796,000 

The Committee recommendation includes $131,796,000 for the 

National Center for Complementary and Alternative Medicine 

[NCCAM]. The budget request for fiscal year 2011 is $132,004,000, 

and the comparable level for fiscal year 2010 is $128,772,000. 

NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES

Appropriations, 2010 ............................................................................. $211,474,000 

Budget estimate, 2011 ........................................................................... 219,046,000 

Committee recommendation ................................................................. 218,705,000 

The Committee recommendation includes $218,705,000 for the 

National Institute on Minority Health and Health Disparities 

[NIMHD], which was elevated from center status this year by the 

Patient Protection and Affordable Care Act. The budget request for 

fiscal year 2011 is $219,046,000, and the comparable level for fiscal 

year 2010 is $211,474,000. 

The Committee is pleased with the Centers of Excellence program, which sponsors multidisciplinary and interdisciplinary research on debilitating diseases affecting health disparities populations. The Committee also recognizes the importance of the research endowment program, which promotes health disparities research capacity building, recruits diverse faculty, and enhances recruitment and retention of underrepresented students. 

Urban-based Network.—The Committee encourages the Institute 

to support a new network of urban-based academic 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. 

JOHN E. FOGARTY INTERNATIONAL CENTER FOR ADVANCED STUDY IN

THE HEALTH SCIENCES

Appropriations, 2010 ............................................................................. $69,997,000 

Budget estimate, 2011 ........................................................................... 73,027,000 

Committee recommendation ................................................................. 72,914,000 

The Committee recommendation includes $72,914,000 for the 

Fogarty International Center [FIC]. The budget request for fiscal 

year 2011 is $73,027,000, and the comparable level for fiscal year 

2010 is $69,997,000. 

Global Health Research Training and Workforce Capacity.—The 

Committee believes that the U.S. effort to improve health in the 

developing world can only succeed if other countries can contribute 

the necessary expertise and knowledge to fight malaria, neglected 

tropical diseases, and other infectious diseases that disproportionately impact the global poor. The FIC plays a strong role by supporting long-term research and training partnerships between U.S. 

research institutions and those in developing countries. The Committee supports the FIC’s continued work in this area. 
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NATIONAL LIBRARY OF MEDICINE

Appropriations, 2010 ............................................................................. $350,557,000 

Budget estimate, 2011 ........................................................................... 364,802,000 

Committee recommendation ................................................................. 364,254,000 

The Committee recommendation includes $364,254,000 for the 

National Library of Medicine [NLM]. The budget request for fiscal 

year 2011 is $364,802,000, and the comparable level for fiscal year 

2010 is $350,557,000. An additional $8,200,000 is made available 

from program evaluation funds. Of the funds provided, $4,000,000 

is for improvement of information systems, to remain available 

until expended. 

Access to Research Information.—The Committee applauds the 

NLM and the Nation’s medical librarians for their continuing efforts to improve public access to biomedical information, and it encourages the NLM to continue to work with the network of medical 

libraries to ensure rapid access to valuable health information. 

Disaster Information Management.—The Committee encourages 

NLM’s continued efforts to identify and implement best practices 

for providing information during disasters, develop innovative products and services to serve emergency responders and preparedness 

activities, and conduct research to support disaster health information management and recovery efforts. The Committee also encourages the NLM to make accessible the broad range of literature on 

disaster health, including an information portal for traumatic brain 

injury and post traumatic stress disorders. 

Funding Needs.—The Committee is concerned that NLM funding 

of extramural research and training programs has declined precipitously, to the point where research opportunities across the full 

range of biomedical informatics are being deferred, and the necessary cadre of trained informatics scientists and innovators is 

lacking. The Committee encourages the NLM to contract with the 

National Research Council of the National Academies of Science to 

provide: (1) an assessment of the extramural biomedical 

informatics training programs supported by the NLM, including 

funding trends and the career paths of graduates; (2) an assessment of both current and past biomedical informatics extramural 

research activities funded by the NLM; (3) an assessment of the 

funding available for extramural biomedical informatics research 

and education, including trends over time; (4) the identification of 

promising research opportunities that are not represented in the 

current NLM portfolio; and (5) an estimate of funding needed to 

support additional opportunities in biomedical informatics research 

and education programs, including recommendations on such funding goals as the field evolves further over the next decade. 

Public Access.—The Committee strongly supports the NIH’s public access policy. As the last report on the policy’s implementation 

was completed in July 2008, shortly after it became mandatory, the 

Committee requests a follow-up report by May 1, 2011. The report 

should address updated figures on participation rates by authors, 

collaborations with publishers, and efforts to ensure compliance by 

NIH-funded researchers. In a related matter, NLM international 

partners are now depositing their manuscripts in PubMed Central, 

enhancing the benefits of this database to U.S. researchers. The 
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Committee believes the results of NIH-funded research should likewise be shared with these NLM partners, further accelerating the 

discovery process and advancing global public health. 

OFFICE OF THE DIRECTOR

Appropriations, 2010 ............................................................................. $1,176,844,000 

Budget estimate, 2011 ........................................................................... 1,220,478,000 

Committee recommendation ................................................................. 1,268,580,000 

The Committee recommendation includes $1,268,580,000 for the 

Office of the Director [OD]. The budget request for fiscal year 2011 

is $1,220,478,000, and the comparable level for fiscal year 2010 is 

$1,176,844,000. 

Within this total, the Committee recommendation includes bill 

language appropriating $50,000,000 to create the Cures Acceleration Network, which was newly 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 will be administered under the Office of the Director and 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 CAN. 

Two types of awards are authorized-grant awards and partner- ship awards, the latter of which require a $1 to $3 match. In both 

cases, the grants may be a maximum of $15,000,000 per project in 

the project’s first fiscal year. 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]. 

The Committee hopes to fund CAN at higher levels in future 

years, but notes that there will be limited time in fiscal year 2011 

to award grants through this program, considering that a CAN Review Board must first be established. 

The Committee appreciates the information that the NIH provides each year on how each Institute and Center plans to use its 

appropriation by mechanism, both in the annual congressional 

budget justification and again in an update it provides by August 

1 each year. The Committee understands that small changes in 

mechanism totals may occur between August 1 and the end of the 

fiscal year as grants are awarded. Therefore, the Committee requests that the NIH begin providing the final mechanism totals for 

each fiscal year, in table form, by November 30. 
120 

National Children’s Study.—The Committee includes bill language providing $194,400,000 for continuation of the National Children’s Study [NCS]. The Committee appreciates the improvements 

to the management and oversight of this study that have occurred 

in the past year. While the implementation of the main study has 

been delayed, the Committee believes this will allow more time to 

evaluate the project’s scope and cost, and allow the NIH and Congress to make better-informed decisions about its future. 

OFFICE OF BEHAVIORAL AND SOCIAL SCIENCES RESEARCH [OBSSR]

Basic Behavioral and Social Sciences.—The Committee is pleased 

that the Basic Behavioral Opportunity Network (OppNet) was 

launched in fiscal year 2010 with the support of 24 Institutes and 

Centers and the NIH Director. The Committee has addressed basic 

behavioral science in many previous reports, and it applauds NIH’s 

recognition that basic behavioral research is essential in efforts to 

improve the Nation’s health. The Committee understands that 

OppNet represents a minimum of a 5-year, cross-NIH initiative designed to fill critical gaps in the NIH’s basic behavioral research 

enterprise. The Committee requests an update on OppNet’s 

progress in the fiscal year 2012 congressional budget justification. 

OFFICE OF RARE DISEASES [ORD]

Dystonia Consortium.—The Committee commends the ORDR for 

providing funding for 19 research consortia including the Dystonia 

Coalition, as part of the second phase of the Rare Diseases Clinical 

Research Network. The Committee requests an update on the 

Dystonia Coalition research activities in the fiscal year 2012 congressional budget justification. 

OFFICE OF RESEARCH ON WOMEN’S HEALTH [ORWH]

The Committee commends the ORWH for convening a series of 

town hall meetings across the Nation to receive input from stakeholders regarding the strategic direction of women’s health research over the next decade. The Committee encourages the ORWH 

to continue its dialogue with the scleroderma and pulmonary hypertension communities in this regard. 

Health Disparities Research in Women.—Women of racial and 

ethnic minorities face higher rates of diseases including obesity, 

cancer, diabetes, heart disease, and HIV/AIDS, when compared 

with white women. There is also a disproportionately higher rate 

of pre-term birth among African-American women that cannot be 

accounted for by known risk factors. The Committee encourages 

the ORWH to support research into the causes of 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. 

Stroke in Women.—The Committee encourages the ORWH to 

support research to determine the biologic basis, including studies 

of genetic susceptibility factors, as to why brain aneurysms are 

much more frequent in women compared to men, particularly at 

younger ages, and initiatives to advance the understanding of 
121 

stroke care in women, including poststroke rehabilitation, and the 

identification of stroke treatment and rehabilitation. 

Vulvodynia.—The Committee notes the lack of resources allocated to the vulvodynia educational campaign in fiscal years 2009 

and 2010, and it urges the Director to reinvigorate this initiative 

by allocating sufficient resources to expanding the scope of this important effort. Developed educational materials should be widely 

disseminated to Federal funded health centers and college health 

clinics, as well as to the public, patient and medical communities. 

In addition, the Committee requests that the ORWH support a 

vulvodynia conference to be held in fiscal year 2011. 

MULTI-INSTITUTE RESEARCH INITIATIVES

Amyotrophic Lateral Sclerosis [ALS].—The Committee urges the 

NIH to collaborate and develop partnerships with voluntary health 

associations and Government agencies, including the Food and 

Drug Administration, in implementing programs targeting those 

with ALS and other conditions with unmet medical needs. NIH’s 

collaboration with FDA to fast track innovations that focus on 

translational and regulatory science is an example of the type of 

partnership that may speed the delivery of new treatments to people with ALS. 

Angiogenesis.—The Committee supports the ongoing research on 

angiogenesis to examine the ability to detect and treat diseases at 

early stages. The Committee strongly encourages the Director to 

coordinate with all relevant Institutes to study correlation of platelet proteomes to angiogenesis with the goal of developing a health 

marker. 

Autoimmune Diseases.—The Committee urges the Director to facilitate increased basic research on environmental triggers and biomarkers of autoimmune diseases in collaboration with the Directors of related research Institutes through the NIH Autoimmune 

Diseases Coordinating Committee. The Committee believes that 

basic research is needed to identify the mechanisms that drive the 

autoimmune response. 

Basic Cell Research.—The Committee believes that the funding 

of basic biomedical research is an important investment in the future health and well-being of our Nation. Ideas that may one day 

result in the development of cures and treatments for cancer and 

other diseases begin with basic research into the understanding of 

how cells work. The Committee believes that basic biomedical research should remain a key component of both the intramural and 

extramural research portfolio at the NIH. 

Career Development Awards.—The Committee recognizes the role 

of clinical researchers as a primary resource for advancement and 

innovation in biomedical science. In order to ensure and expand the 

pool of highly talented patient-oriented researchers, the Committee 

supports the preservation of K awards as a critical training mechanism. 

Chronic Fatigue.—The Committee is aware that in October 2009, 

a group of researchers announced that it had performed blood tests 

on patients with Chronic Fatigue Syndrome [CFS] and found sufficient evidence of the presence of xenotropic murine leukemia virusrelated virus [XMRV] to suggest a correlation between XMRV and 
122 

CFS. While the work has not yet been replicated, the reported research warrants further discussion and investigation. The Committee is aware that NIH will host an international symposium on 

XMRV in September 2010 to address the pathogenesis and clinical 

and public health implications of the XMRV virus and to obtain 

input in developing a coordinated strategy for XMRV research. The 

Committee also is aware that the second State of the Knowledge 

Conference is being planned by the Trans-NIH Working Group on 

Chronic Fatigue Syndrome for 2011 and is encouraged that this 

conference will likely make additional recommendations about future funding opportunities for XMRV and CFS research. 

Class B Animal Dealers.—The Committee noted with strong interest the April 2010 report issued by the NIH titled ‘‘The Use of 

Random Source Class B Dealers in NIH-Supported Research.’’ The 

report concludes that the best way to phase out the use of class B 

dealers as the providers for random-source dogs and cats in NIHsupported research is to supplement class A dealers so that they 

can provide these animals instead. The 3- to 4-year timeline projected by the NIH to complete this transition is longer than the 

Committee would have preferred, especially considering that the 

NIH largely ignored this issue for years. However, the Committee 

is pleased that the NIH is on track to meet the early milestones 

of this timeline. The Committee expects this pace to continue and 

requests an update in the fiscal year 2012 congressional budget 

justification. 

Clinical and Translational Science Awards [CTSAs].—The Committee strongly supports the CTSA program, a nationwide network 

of research institutions that aims to increase the translation of 

basic science, speed the delivery of treatments and cures to the 

public, and foster the development of the next generation of diverse, highly trained clinical and translational science professionals. The Committee believes that greater involvement from all 

27 Institutes and Centers [ICs] would help the program reach its 

full potential. Therefore, the Committee requests that the Director 

consider developing a formal, NIH-wide plan on how to align the 

CTSAs with the programmatic and funding priorities of the ICs. 

Communication of Research Findings.—The Committee is 

pleased that the NIH has continued to support NIH MedlinePlus 

magazine, which provides consumers and health professionals with 

easy-to-read health information based on the latest NIH-supported 

research, and a new bilingual version of the magazine, NIH 

MedlinePlus Salud. While the bulk of the support for the magazine 

comes from the NLM, the Committee urges the Director to work 

with the Institutes and Centers to provide the resources necessary 

to increase the distribution of these important sources of consumer 

health information to reach all physician offices, federally qualified 

health centers, hospitals, libraries and free-standing health clinics. 

Diabetes.—The Committee recognizes that more research and 

education is needed on the disparate effects of diabetes on minority 

populations. Therefore, the Committee urges the NIH to expand, 

intensify, and support ongoing research and other activities with 

respect to pre-diabetes and diabetes in minority populations, including research to identify clinical, socioeconomic, geographical, 

cultural, and organizational factors that contribute to diabetes in 
123 

such populations. Specifically, the Committee encourages NIH to 

research 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 the NIH, through 

the 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. 

Down Syndrome.—The Committee is pleased that the NINDS is 

co-hosting a conference in December to further identify and explore 

the issues involved in the development of a national Down syndrome patient registry and one or more biobanks, and it encourages additional support for this effort. As increased Federal funding for translational research is important to fostering a better understanding of Down syndrome and exploring therapeutic treatments, the Director is encouraged to dedicate sufficient resources 

to the implementation of the 2007 NIH Research Plan for Down 

syndrome. Finally, the Committee continues to urge the NIH to establish workshops and mentoring programs to encourage young researchers and scientists to successfully pursue NIH grants for 

Down syndrome research. 

Fibromyalgia.—The Committee recognizes that fibromyalgia is a 

disorder that impacts the lives of millions of Americans and is 

deeply concerned regarding the lack of a sustained commitment to 

fibromyalgia-specific research at the NIH. While NIAMS has been 

the lead Institute for fibromyalgia, the NINDS should also play a 

key role because of substantial evidence implicating pathology 

within the central nervous system in the development and expression of fibromyalgia symptoms, including abnormal brain activity, 

abnormal concentrations of a variety of neurotransmitters in cerebrospinal fluid, dysautonomia and neuroendocrine dysfunction. The 

Committee urges both Institutes to stimulate interest in this field 

by supporting additional research through all available funding 

mechanisms and by convening a conference to open the door to new 

scientific findings. Areas of particular interest include 

neurotransmitter abnormalities and other neurological problems revealed by prior brain and cervical neck imaging studies, as well as 

further investigation of sleep disturbances and genetic factors. 

Lung Disease.—The Committee encourages the Director to work 

with the NHLBI, NIEHS, NIAID, and FIC to develop cross-Institute initiatives on the causes, identification, treatment and prevention of lung disease. 

Lupus.—The Committee continues to support additional basic, 

clinical and translational research on lupus. 

Lyme Disease.—The Committee is encouraged that the NIH has 

signaled its intent to hold a scientific conference on Lyme and 

other tick-borne diseases in coordination with the NIAID. The 
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Committee believes that the conference should represent the broad 

spectrum of scientific views on Lyme disease as well as individuals 

with Lyme disease. 

Lymphatic Research and Lymphatic Disease.—The Committee 

applauds the Trans NIH Coordinating Committee for Lymphatic 

Research for the success of recent NIH lymphatic-related symposia 

and for eliciting multidisciplinary extramural recommendations 

from a Lymphatic Research Working Group. The Committee is disappointed, however, that the NIH’s June 2009 report on lymphatic 

research did not fulfill the Committee’s request ‘‘to set forth short 

and long-term strategic plans to advance research of the lymphatic 

system and lymphatic diseases, and specifically addressing the 

Trans-NIH Working Group 2008 Recommendations.’’ Therefore, the 

Committee again asks each of the Institutes and Centers [ICs] with 

an interest in lymphatic research (NHLBI, NCI, NIDDK, NICHD, 

NINR, NEI, NIAID, NIAMS, NIBIB, and ORD) to set forth explicit, 

prospective, actionable plans and implementation strategies for 

each Working Group recommendation for the years 2011–2014, including but not limited to: (a) the creation of centralized core facilities for experimental molecular and diagnostic lymphatic imaging; 

(b) the development and standardization of research reagents; (c) 

the generation of virtual networks to facilitate basic, translational, 

and clinical research; (d) the development of techniques for the 

quantitative and molecular imaging of lymphatic function, lymphatic malformations, and lymph nodes; (e) the creation of interdisciplinary programs to train new investigators in lymphatic research; (f) the support of patient registries and the creation of a 

lymphatic disease tissue bank; (g) the generation and characterization of animal models to foster and facilitate investigations in lymphatic biology; and (h) the identification of suitable panels of biomarkers for lymphatic disease. In addition, the Committee once 

again urges all relevant ICs to continue to expressly include lymphatic system research in related funding mechanism requests 

where a lymphatic research component is appropriate. 

Mitochondrial Disease and Dysfunction.—The Committee supports the effort to make greater progress in researching 

mitochondrial disease and dysfunction, and believes that the Director should therefore continue to prioritize research on functional 

variations in mitochondria under the Transformative Research 

grants program and other Common Fund activities. In light of the 

large number of NIH Institutes and Centers that have some involvement in mitochondrial-related research, the Committee urges 

the Director to enhance efforts to coordinate and promote such research. 

Neurodegeneration with Brain Iron Accumulation [NBIA].—The 

Committee urges the NINDS, NICHD, NEI and ORDR to put a 

higher priority on research involving NBIA, a group of rare disorders for which there is no treatment or cure. 

Neurofibromatosis [NF].—The Committee continues to place a 

high priority on NF and requests an update in the fiscal year 2012 

congressional budget justification on the research being supported 

by the multiple NIH Institutes with an interest in this disease. 

Neurogenic Bladder.—The Committee encourages the NIDDK, 

NICHD and NINDS to study the causes and care of the neurogenic 
125 

bladder in order to improve the quality of life of children and 

adults with spina bifida; to support research to address issues related to the treatment and management of spina bifida and associated secondary conditions, such as hydrocephalus; and to invest in 

understanding the myriad co-morbid conditions experienced by 

children with spina bifida, including those associated with both paralysis and developmental delay. 

Overlapping Chronic Pain Disorders.—The Committee again 

notes the growing body of evidence demonstrating considerable 

overlap among chronic fatigue syndrome, endometriosis, 

fibromyalgia, headache, interstitial cystitis, irritable bowel syndrome, temporomandibular joint and muscle disorders, and 

vulvodynia. These poorly understood and neglected conditions impact millions of Americans and cost the Nation tens of billions of 

dollars each year. The Committee requested last year that the Director coordinate a trans-NIH research initiative, and the NIH responded that this work would be carried out by the Trans-NIH 

Working Group for Research of Chronic Fatigue Syndrome 

[CFSWG]. The Committee is not satisfied with that response, as 

the scope of the proposed initiative spans well beyond the purview 

of the CFSWG, and strongly urges the NIH to take a more comprehensive approach to these conditions. The Committee urges the 

NIH to promptly develop and coordinate, with all relevant ICs, a 

trans-Institute research initiative to support studies aimed at identifying etiological pathways of these overlapping conditions with 

the goal of identifying potential therapeutic targets. 

Pain.—The Committee applauds the NIH for entering into negotiations with the Institute of Medicine to convene a ‘‘Conference on 

Pain’’ to develop recommendations on how to significantly improve 

the state of pain research, assessment, diagnosis, treatment, and 

management, as authorized by the Patient Protection and Affordable Care Act [PPACA]. The Committee urges the NIH to assure 

that appropriate attention is given to chronic pain conditions that 

solely or disproportionately impact women, including chronic fatigue syndrome, endometriosis, fibromyalgia, interstitial cystitis, 

temporomandibular disorders, and vulvodynia. The Committee also 

urges the NIH to promptly appoint and convene a new Interagency 

Pain Research Coordinating Committee, as described in the 

PPACA. This committee will provide important visibility to existing 

efforts, help identify critical research gaps in this field, stimulate 

pain research collaboration with other Government agencies such 

as the Departments of Defense and Veterans Affairs, and provide 

an important avenue for extramural stakeholder involvement as 

the pain research agenda evolves. 

Palliative Care.—The Committee strongly urges the NIH to develop a trans-Institute strategy for increasing funded research in 

palliative care for persons living with chronic and advanced illness. 

Research is needed on: treatment of pain and common non-pain 

symptoms across all chronic disease categories, which should include cancer, heart, renal and liver failure, lung disease, Alzheimer’s disease and related dementias; methods to improve communication about goals of care and treatment options between providers, patients, and caregivers; care models that maximize the 

likelihood that treatment delivered is consistent with patient wish-
126 

es; and care models that improve coordination, transitions, caregiver support, and strengthen the likelihood of remaining at home. 

Psoriasis.—The Committee recognizes that additional genetics, 

immunology and clinical research focused on understanding the 

mechanisms of psoriasis and psoriatic arthritis are needed, and it 

encourages the NIAID and NIAMS to further study the genetic 

susceptibility of psoriasis; develop animal models of psoriasis; identify and examine immune cells and inflammatory processes involved in psoriasis; and elucidate psoriatic arthritis specific genes 

and other biomarkers. The Committee also recognizes the mounting evidence of co-morbidities associated with psoriasis and the 50 

percent higher risk of mortality for people with severe psoriasis. 

The Committee urges the NHLBI to consider these factors in its research, specifically that individuals with severe psoriasis have an 

increased risk of heart attack, independent of other major risk factors such as hypertension, diabetes and obesity, and that for people 

in their 40s and 50s with severe psoriasis, the risk of heart attack 

is more pronounced. The Committee also urges the NIDDK and 

NIMH to consider in its research that diabetes and psychiatric 

symptoms are more prevalent for patients with severe psoriasis 

than for those with mild disease. 

Regenerative Medicine.—The field of regenerative medicine represents a unique approach to treating diseases and disorders by enabling the body to repair, replace, restore, and regenerate damaged 

or diseased cells, tissues, and organs. The Committee believes that 

the NIH should carefully and deliberatively consider how best to 

organize and undertake research in this promising field, with input 

from experts in multiple disciplines. The Committee urges the Director to develop a plan that would: assess current research; identify research gaps including research methodologies; develop a 

mechanism to allow for the coordination of research between Institutes; consider the development of a separate study section; and in 

coordination with FDA, develop clinical trial methodologies and 

measures to assure the safety and efficacy of therapies, including 

data and sample registries. The Committee requests a response in 

the fiscal year 2012 congressional budget justification. 

Sex Differences.—The Committee urges the NIH to put a higher 

priority on understanding the basic biology of the impact of sex/ 

gender in development, diagnosis, and treatment of disease. Topics 

should include the cellular and molecular basis of sex differences 

in the natural history of development of and treatment for disease; 

a clearer definition of the impact of the hormonal milieu on risk 

and progression of diseases in women; and an integrated approach 

to understanding how neurological/physiological factors impact development of disease in women. The Committee recommends that 

study sections should be better equipped to evaluate such proposals 

of sex differences in disease, as these typically are complex integrated physiological problems requiring a multidisciplinary approach. The Committee requests an update on these efforts in the 

fiscal year 2012 congressional budget justification. 

Spinal Muscular Atrophy [SMA].—The Committee is concerned 

that the declining NIH investment in developing treatments for 

SMA comes at a time when treatments are closest to the clinic and 

the community will benefit from NIH support most. When SMA 
127 

was designated by NIH in late 2003 as the model disease for a 

therapeutics development program (the SMA Project), it was 

viewed as an unprecedented opportunity to find treatments for this 

devastating and relatively common childhood disease. The Committee strongly supported this NINDS-initiated program to enable 

the development of therapeutic candidates for the treatment of 

SMA. Since then, the Committee understands that research supported by private voluntary organizations and the NINDS SMA 

Project have led to multiple potential treatments for SMA that are 

advancing rapidly through the drug development pipeline, with the 

most promising drug candidates expected to reach the clinical trials 

stage within 12 months. To complete development of any of these 

potential new treatments, NIH support is needed to put into place 

the infrastructure for clinical trials. The Committee requests an 

update in the fiscal year 2012 congressional budget justification. 

Spinal Muscular Atrophy [SMA] Carrier Screening.—The Committee continues to support the development of a pan-ethnic carrier 

screening program for SMA. While the Committee is pleased that 

in October 2009 the NHGRI, NICHD, and NINDS collectively sponsored a meeting of representatives from government, academia, 

professional societies, advocacy groups, and industry to explore the 

scientific basis for SMA carrier screening, many challenges remain 

to implementing a comprehensive pan-ethnic carrier screening protocol for SMA. The Committee is particularly concerned that contradicting recommendations from professional societies and inconsistencies between various industry-published educational materials for SMA carrier screening are creating confusion among professionals and the public. The Committee strongly encourages the 

NHGRI, NICHD, and NINDS to collaborate with stakeholder 

groups to develop unified, specific, and consistent recommendations, guidelines, and educational materials for providers and patients. 

Tuberous Sclerosis Complex [TSC].—The Committee applauds 

the research funded to date by the NIH that has led to a better 

understanding of TSC and its multiple manifestations. The Committee encourages the Office of the Director to launch a new, multiInstitute approach focused on translational research that will lead 

to the identification of new drug targets and new treatments for individuals with TSC. In addition, since TSC is a gateway into understanding autism spectrum disorder, the Committee encourages 

NIH to support research in this area. 

OFFICE OF AIDS RESEARCH

The Office of AIDS Research [OAR] coordinates the scientific, 

budgetary, legislative, and policy elements of the NIH AIDS research program. The Committee recommendation does not include 

a direct appropriation for the OAR. Instead, funding for AIDS research is included within the appropriation for each Institute, Center, and Division of the NIH. The recommendation also includes a 

general provision which directs that the funding for AIDS research, 

as determined by the Director of the National Institutes of Health 

and the OAR, be allocated directly to the OAR for distribution to 

the Institutes consistent with the AIDS research plan. The recommendation also includes a general provision permitting the Di-
128 

rector of the NIH and the OAR to shift up to 3 percent of AIDS 

research funding among Institutes and Centers throughout the 

year if needs change or unanticipated opportunities arise. 

The Committee includes bill language permitting the 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 2010 level 

and the budget request. 

HIV/AIDS Behavioral Research.—The Committee urges the NIH 

to support behavioral research aimed at reducing the likelihood of 

HIV infection by determining risk factors in various populations as 

well as the ways in which interventions need to be tailored for specific populations at greatest risk of becoming infected. 

BUILDINGS AND FACILITIES

Appropriations, 2010 ............................................................................. $99,985,000 

Budget estimate, 2011 ........................................................................... 125,581,000 

Committee recommendation ................................................................. 125,420,000 

The Committee recommendation includes $125,420,000 for NIH 

buildings and facilities. The budget request for fiscal year 2011 is 

$125,581,000, and the comparable level for fiscal year 2010 is 

$99,985,000. 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

Appropriations, 2010 ............................................................................. $3,562,701,000 

Budget estimate, 2011 ........................................................................... 3,673,596,000 

Committee recommendation ................................................................. 3,668,418,000 

The Committee recommends $3,668,418,000 for the Substance 

Abuse and Mental Health Services Administration [SAMHSA] for 

fiscal year 2011. The comparable fiscal year 2010 level is 

$3,562,701,000 and the administration request is $3,673,596,000. 

The recommendation includes $132,234,000 in transfers available 

under section 241 of the Public Health Service Act. SAMHSA is responsible for supporting mental health programs and alcohol and 

other drug abuse prevention and treatment services throughout the 

country, primarily through categorical grants and block grants to 

States. In addition, the Committee recommends that $40,000,000 

be transferred to SAMHSA from the Prevention and Public Health 

Fund. 

The Committee has provided funding for programs of regional 

and national significance under each of the three SAMHSA centers: 

mental health services, substance abuse treatment, and substance 

abuse prevention. Separate funding is available for the children’s 

mental health services program, projects for assistance in transition from homelessness, the protection and advocacy program, data 

collection activities undertaken by the Office of Applied Studies 

and the two block grant programs: the community mental health 

services block grant and the substance abuse prevention and treatment block grant. The Committee has provided $159,362,000 for grants throughout 

SAMHSA that fund mental health and substance use treatment 

services targeted to homeless and at-risk families, youth and individuals. This funding includes $15,800,000, as requested by the administration, for a new inter-Departmental Homeless Initiative. In 
129 

this initiative, mental health and substance abuse treatment funding from SAMHSA, together with Medicaid resources and housing 

vouchers from the Department of Housing and Urban Development, will be used to demonstrate effective approaches to providing 

permanent supportive housing for those who experience chronic, 

long-term homelessness. The Committee notes that research shows 

a wide range of positive benefits from permanent supportive housing programs, such as long-term housing stability and lower criminal justice costs, as well reductions in emergency room use, hospitalizations and other high-cost health services. 

CENTER FOR MENTAL HEALTH SERVICES

Appropriations, 2010 ............................................................................. $1,004,869,000 

Budget estimate, 2011 ........................................................................... 1,027,552,000 

Committee recommendation ................................................................. 1,041,677,000 

The Committee recommends $1,041,677,000 for mental health 

services. The comparable level for fiscal year 2010 is 

$1,004,869,000 and the administration request is $1,027,552,000. 

The recommendation includes $21,039,000 in transfers available 

under section 241 of the Public Health Service Act. In addition, the 

Committee recommends that $40,000,000 be transferred to the 

Center for Mental Health Services from the Prevention and Public 

Health 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 $386,309,000 for programs of regional and national significance. The comparable level for fiscal 

year 2010 is $361,352,000 and the administration request is 

$374,184,000. In addition, the Committee recommends that 

$40,000,000 be transferred to this activity from the Prevention and 

Public Health Fund. Programs of regional and national significance 

[PRNS] address priority mental health needs through developing 

and applying best practices, offering training and technical assistance, providing targeted capacity expansion grants, and changing 

the delivery system through family, client-oriented and consumerrun activities. 

Within the total provided for CMHS programs of regional and 

national significance, the Committee recommendation includes 

funding for the following activities: 

[In thousands of dollars] 

Budget activity Fiscal year 2010 

comparable 

Fiscal year 2011 

request 

Committee 

recommendation 

CAPACITY: 

Co-Occurring State Incentive Grant ................................................. 2,168 3,611 3,611 

Seclusion & Restraint ....................................................................... 2,449 2,449 2,449 

Youth Violence Prevention ................................................................ 94,333 94,502 94,502 

National Traumatic Stress Network .................................................. 40,800 40,800 44,800 

Children and Family Programs ......................................................... 9,194 9,194 9,194 

Performance Management and Coordination Activities ................... 3,166 3,530 3,530 
130 

[In thousands of dollars] 

Budget activity Fiscal year 2010 

comparable 

Fiscal year 2011 

request 

Committee recommendation 

Consumer and Family Network Grants ............................................. 6,236 6,436 6,436 

Mental Health System Transformation & Health Reform ................. 29,106 30,924 26,924 

Transformation activities ......................................................... 29,106 26,924 26,924 

Mental Health/Substance Abuse SBIRT ................................... ........................ 4,000 ........................

Project LAUNCH ................................................................................. 25,000 27,000 29,000 

Depression Centers of Excellence ..................................................... ........................ ........................ 10,000 

Primary and Behavioral Health Care Integration ............................. 14,000 14,000 14,000 

Prevention and Public Health Fund (non-add) ....................... 20,000 ........................ 40,000 

Community Resilience and Recovery Initiative ................................ 5,000 5,000 5,000 

Suicide Lifeline ................................................................................. 5,522 7,522 7,522 

Garrett Lee Smith—Youth Suicide State Grants ............................. 29,738 30,438 29,738 

Garrett Lee Smith—Youth Suicide Campus Grants ........................ 4,975 5,400 4,975 

American Indian/Native Suicide Prevention Initiative ...................... 2,944 5,888 5,888 

Homelessness Prevention Programs ................................................. 32,250 39,696 39,696 

Older Adult Programs ....................................................................... 4,814 4,814 4,814 

Minority AIDS ..................................................................................... 9,283 9,283 9,283 

Criminal and Juvenile Justice Programs .......................................... 6,684 6,684 6,684 

SCIENCE AND SERVICE: 

Garrett Lee Smith—Suicide Prevention Resource Center ................ 4,957 4,957 4,957 

Information Dissemination and Training .......................................... 9,001 8,528 8,528 

National Registry of Evidence-based Programs & Practices ........... 544 544 544 

SAMHSA Health Information Network ............................................... 2,673 2,644 2,644 

Consumer & Consumer Support Technical Assistance Centers ....... 1,927 1,927 1,927 

Minority Fellowship Program ............................................................. 4,279 4,279 4,279 

Disaster Response ............................................................................ 1,054 1,054 1,054 

Homelessness .................................................................................... 2,306 2,306 2,306 

HIV/AIDS Education ........................................................................... 974 774 774 

Child Trauma.—The Committee continues its strong support for 

the National Child Traumatic Stress Network [NCTSN]. The recommendation includes $44,800,000 for the NCTSN in recognition of 

its contribution to the recovery of children and youth impacted by 

a wide range of trauma, including physical and sexual abuse, violence in families and communities, natural disasters and terrorism, 

life-threatening injury and illness, and refugee and war experience. 

The comparable level for fiscal year 2010 is $40,800,000. With the 

additional funding provided, the Committee encourages SAMHSA, 

in collaboration with the NCTSN, to broaden the national impact 

of this critical program while at the same time ensuring that the 

network’s expertise and experience in the field of trauma-related 

disorders is maintained. 

The Committee recognizes the extraordinary value of the core 

data set developed by the National Center for Child Traumatic 

Stress [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 to the NCCTS for the continued 

data analysis and reports related to the core data set. 

Clinical Training.—The Committee is aware that a new clinical 

accreditation program aims to ground practitioner training in empirically supported treatments to ensure that mental health and 

substance abuse treatment providers are scientifically equipped. 

The Committee is aware that SAMHSA is planning a conference on 

these issues, in collaboration with relevant professional organizations, and it encourages SAMHSA to continue this collaboration so 
131 

that those seeking services are assured of receiving scientifically 

sound treatment. 

Depression.—The Committee notes that depression and bipolar 

disorder afflict 1 in 5 Americans and are the second most costly 

medical disorders in the United States, following only heart disease. The Committee recommendation includes $10,000,000 to implement the Establishing a Network of Health-Advancing National 

Centers of Excellence for Depression, or ENHANCED, Act. This 

funding will support the establishment of a national network of depression centers of excellence to help translate academic treatment 

advances into clinical care. This network will help address the need 

for earlier clinical detection of depression and new strategies to 

prevent recurrences of depressive illnesses, as well as ways of reducing their length and severity. 

Minority Fellowship Program.—The Committee notes that minorities represent 30 percent of the population and are projected to 

increase to 40 percent by 2025. Yet only 23 percent of recent doctorates in psychology, social work, and nursing were awarded to 

minorities. The Committee commends the Minority Fellowship Program for training an increasing number of culturally competent 

mental health professionals. 

Primary and Behavioral Healthcare Integration.—The Committee 

notes that people with serious mental illness [SMI] die, on average, 

25 years earlier than people in the general population. Many of 

these deaths are caused by preventable conditions such as cardiovascular disease and diabetes. The Committee strongly believes 

that a crucial element to eliminating this disparity is building new 

practice models that integrate primary healthcare into community 

mental health settings. These community programs will provide 

people with SMI with better access to screening and care management, including wellness programs that encourage more physical 

activity, better nutrition, help with medications and smoking cessation programs. 

The Committee applauds the administration’s goal of increasing 

the lifespan for people with severe mental illness by 10 years by 

2018. Because the Committee believes aggressive action is necessary to meet this goal, the Committee has allocated funding for 

a major expansion of the Primary and Behavioral Health Care Integration grants at SAMHSA. The Committee provides $54,000,000 

for this program, which includes $14,000,000 provided in discretionary appropriations and $40,000,000 in transfers from the Prevention and Public Health Fund. The comparable level for fiscal 

year 2010 is $34,000,000. 

Project LAUNCH.—The Committee reiterates its strong support 

for this program, which it created in fiscal year 2008 to assist local 

communities with the integration of behavioral and mental health 

into primary care settings. The Committee, however, is disturbed 

that the administration proposes to split management of this program between CMHS and the Center for Substance Abuse Prevention [CSAP], as well as to fund a program evaluation focusing solely on substance abuse prevention. The Committee directs SAMHSA 

to manage this program exclusively at CMHS, as originally intended. The Committee also intends that activities funded by this 

program not duplicate activities funded by other programs, such as 
132 

the new Home Visitation program created by the Patient Protection 

and Affordable Care Act. 

The Committee recommendation includes bill language providing 

funding for the following activities in the following amounts: 

Amount 

Children’s Hospital Boston, Boston, MA, for Expansion of Mental Health Capacity in Massachusetts 

Schools ............................................................................................................................................................. $200,000 

Clifford W. Beers Guidance Clinic, Inc., New Haven, CT, to expand child and family trauma services ........... 100,000 

Family Service Agency of Marin County, San Rafael, CA, for suicide prevention and mental health services .................................................................................................................................................................. 250,000 

Help Center–211, Bozeman, MT, for suicide intervention and outreach services .............................................. 100,000 

Lindsey Wilson College, Columbia, KY, for professional development and mental health services for the Appalachia region ................................................................................................................................................ 100,000 

Maniilaq Association, Kotzebue, AK, for suicide prevention activities in Northwest Alaska .............................. 200,000 

Oregon Partnership, Portland, OR, to provide suicide prevention services to soldiers and military families ... 200,000 

Pen Bay Healthcare, Rockport, ME, for mental health services ......................................................................... 100,000 

COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT

The Committee recommends $420,774,000 for the community 

mental health services block grant. This amount is the same as the 

comparable fiscal year 2010 level and the administration request. 

The recommendation includes $21,039,000 in transfers available 

under section 241 of the Public Health Service Act. 

The community mental health services block grant distributes 

funds to 59 eligible States and territories through a formula based 

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 $126,214,000, the same as the administration request, for the children’s mental health services program. The comparable fiscal year 2010 level for this program 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 $70,000,000, the same as the administration request, for the PATH Program. The comparable fiscal 

year 2010 level is $65,047,000. PATH provides outreach, mental 

health, case management, and other community support services to 

individuals with serious mental illness who are homeless or at risk 

of becoming homeless. 

The Committee recognizes that the PATH program makes a significant difference in the lives of homeless persons with mental illnesses. Multidisciplinary teams provide a continuum of services addressing mental illness, co-occurring substance abuse and medical 

issues. The Committee has provided additional funds to PATH in 
133 

recognition that it is a key component in ongoing strategies to end 

chronic homelessness. 

PROTECTION AND ADVOCACY

The Committee recommends $38,380,000 for the protection and 

advocacy for individuals with mental illness [PAIMI] program. The 

comparable fiscal year 2010 funding level and the administration 

request were both $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. The Committee notes that the PAIMI program is playing an increasing role in correctional facilities due to 

the fact that people with mental illness frequently do not receive 

the community supports they need and often end up incarcerated. 

The Committee recommendation includes additional funding in recognition of the unmet need for protection and advocacy services for 

the mentally ill. 

CENTER FOR SUBSTANCE ABUSE TREATMENT

Appropriations, 2010 ............................................................................. $2,253,051,000 

Budget estimate, 2011 ........................................................................... 2,287,273,000 

Committee recommendation ................................................................. 2,272,123,000 

The Committee recommends $2,272,123,000 for substance abuse 

treatment programs. The comparable fiscal year 2010 level is 

$2,253,051,000 and the administration request is $2,287,273,000. 

The recommendation includes $87,796,000 in transfers available 

under section 241 of the Public Health Service Act. This appropriation funds substance abuse treatment programs of regional and national significance and the substance abuse prevention and treatment block grant to the States. 

Programs of Regional and National Significance 

The Committee recommends $473,532,000 for programs of regional and national significance [PRNS]. The comparable fiscal 

year 2010 level is $454,460,000 and the administration request is 

$488,682,000. The recommendation includes $8,596,000 in transfers available under section 241 of the Public Health Service Act. 

Programs of regional and national significance include activities 

to increase capacity by implementing service improvements using 

proven evidence-based approaches as well as science to services activities which promote the identification of practices thought to 

have potential for broad service improvement. 

Within the total provided for CSAT programs of regional and national significance, the Committee recommendation includes funding for the following activities: 

[in thousands of dollars] 

Budget activity Fiscal year 2010 

comparable 

Fiscal year 2011 

request 

Committee 

recommendation 

CAPACITY: 

Co-occurring State Incentive Grants ................................................ 4,263 4,113 4,113 

Opioid Treatment Programs/Regulatory Activities ............................ 8,903 8,903 8,903 

Screening, Brief Intervention, Referral, and Treatment [SBIRT] ...... 29,106 37,106 29,106 
134 

[in thousands of dollars] 

Budget activity Fiscal year 2010 

comparable 

Fiscal year 2011 

request 

Committee 

recommendation 

SBIRT ........................................................................................ 29,106 22,106 29,106 

Mental Health/Substance Abuse SBIRT ................................... ........................ 15,000 ........................

Targeted Capacity Expansion—General ........................................... 28,989 28,481 28,481 

Pregnant & Postpartum Women ....................................................... 16,000 17,350 17,350 

Strengthening Treatment Access and Retention .............................. 1,775 1,775 1,775 

Recovery Community Services Program ............................................ 5,236 5,236 5,236 

Access to Recovery ........................................................................... 98,954 108,854 98,954 

Children and Families ...................................................................... 30,678 30,488 30,488 

Treatment Systems for Homeless ..................................................... 42,750 47,360 47,360 

Minority AIDS ..................................................................................... 65,988 65,888 65,888 

Criminal Justice Activities ................................................................ 67,635 84,191 84,191 

Services Accountability ..................................................................... 20,647 20,816 20,816 

Prescription Drug Monitoring [NASPER] ........................................... 2,000 2,000 4,000 

SCIENCE AND SERVICE: 

Addiction Technology Transfer Centers ............................................ 9,081 9,081 9,081 

Minority Fellowship Program ............................................................. 547 547 547 

Special Initiatives/Outreach .............................................................. 2,400 2,420 2,420 

Information Dissemination ................................................................ 4,553 4,353 4,353 

National Registry of Evidence-Based Programs and Practices ....... 893 893 893 

SAMHSA Health Information Network ............................................... 4,255 3,782 3,782 

Program Coordination and Evaluation ............................................. 5,214 5,045 5,045 

Hepatitis Testing.—The Committee recognizes the high incidence 

of hepatitis and its often undocumented state, particularly among 

substance abusers. The Committee commends SAMHSA on its goal 

of providing HIV testing to 80 percent of all clients accessing the 

services of its HIV/AIDS grantees and recommends that SAMHSA 

consider a similar program for hepatitis testing. In addition, the 

Committee requests that SAMHSA assess the feasibility of a demonstration project to provide persons who use drugs with viral hepatitis prevention services including patient education and testing, 

as well as to support hepatitis education and training for substance 

abuse treatment providers. 

HIV Screening.—The Committee notes that mental disorders and 

substance use or dependence are common among people with HIV. 

However, HIV screening is not widely available in settings where 

mental health and substance use services are provided. The Committee encourages SAMHSA to explore opportunities to expand 

HIV screening throughout mental health and substance abuse 

treatment delivery systems, and to collaborate with the CDC to increase HIV/AIDS training opportunities for providers in these programs. The Committee requests a progress report on the implementation of its HIV screening efforts in the SAMHSA fiscal year 2012 

budget justification. 

Screening, Brief Intervention, and Referral to Treatment 

[SBIRT].—The Committee does not provide the additional funds requested by the administration for expanding the SBIRT program. 

The Committee is very supportive of SBIRT, and notes that research shows that the program can result in significant reductions 

in alcohol use among problem drinkers when used in healthcare 

settings. However, the Committee is concerned that the administration proposes to expand the SBIRT program to include mental 

health disorders, as well as to non-medical settings such as social 

service centers. The Committee notes that insufficient evidence exists to suggest that SBIRT is effective in these settings, and urges 
135 

SAMHSA to instead concentrate its efforts on promoting widespread adoption of the existing evidence-based SBIRT model. 

Substance Abuse Testing.—The Committee continues to support 

SAMHSA in its efforts to revise its drug testing policies and update 

its alternative testing matrix to reflect the advances in science and 

offer an alternative to testers including rapid, hair and oral fluid 

testing. The Committee requests a progress report on the status of 

these policy deliberations in its fiscal year 2012 budget justification. 

Treatment Drug Courts.—The Committee recommendation includes $84,191,000, the same as the administration request, for 

criminal justice activities. The comparable fiscal year 2010 funding 

level is $67,635,000. The Committee has included funding at the 

administration’s proposed level for the drug court, ex-offender reentry, and adult criminal justice treatment programs. The Committee has provided increased funding for fiscal year 2011 in the 

recognition that, although the number of treatment drug courts has 

grown, the availability of treatment and recovery support services 

for individuals involved in the criminal justice system remains extremely limited. The Committee expects that SAMHSA shall ensure that applicants for any drug treatment court grant in 

SAMHSA’s criminal justice portfolio continue to demonstrate extensive evidence of working directly and extensively with the corresponding State substance abuse agency in the planning, implementation, and evaluation of the grant. 

The Committee recommendation includes bill language providing 

funding for the following activities in the following amounts: 

Amount 

City/County Alcohol Drug Programs, Rapid City, SD, for substance abuse and recovery programs ................. $200,000 

Luna County Healthy Start, Deming, NM, for drug abuse treatment services for women ................................. 400,000 

Rosebud Sioux Tribe, Rosebud, SD, for a drug and alcohol treatment program ............................................... 150,000 

Substance Abuse Prevention and Treatment Block Grant 

The Committee recommends $1,798,591,000 for the substance 

abuse prevention and treatment [SAPT] block grant. The amount 

is the same as the comparable level for fiscal year 2010 and the 

administration request. The recommendation includes $79,200,000 

in transfers available under section 241 of the Public Health Service Act. The block grant provides funds to States to support alcohol 

and drug abuse prevention, treatment, and rehabilitation services. 

Funds are allocated to the States according to a formula. State 

plans must be submitted and approved annually. 

The Committee is aware that an independent and comprehensive 

evaluation released in June 2009 found that the SAPT block grant 

ensures accountability through Federal-State communication, program monitoring, and data reporting. This data reporting includes 

information on the positive impact services have on jobs, housing 

and criminal justice activity. In particular, SAPT block grant outcomes data found that, at discharge, 74 percent of clients were abstinent from illegal drugs and 78 percent of clients were abstinent 

from alcohol. 
136 

CENTER FOR SUBSTANCE ABUSE PREVENTION

Appropriations, 2010 ............................................................................. $202,039,000 

Budget estimate, 2011 ........................................................................... 223,075,000 

Committee recommendation ................................................................. 222,492,000 

The Committee recommends $222,492,000 for programs to prevent substance abuse. The comparable fiscal year 2010 level is 

$202,039,000 and the administration request is $223,075,000. 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 $222,492,000 for programs of regional and national significance [PRNS]. Through the PRNS, CSAP 

supports: development of new practice knowledge on substance 

abuse prevention; identification of proven effective models; dissemination of science-based intervention information; State and community capacity building for implementation of proven, effective substance abuse prevention programs; and programs addressing new 

needs in the prevention system. 

Within the total provided for CSAP programs of regional and national significance, the Committee recommendation includes funding for the following activities: 

[In thousands of dollars] 

Budget activity Fiscal year 2010 

comparable 

Fiscal year 2011 

request 

Committee 

recommendation 

CAPACITY: 

Strategic Prevention Framework ....................................................... 111,607 103,511 129,811 

State Incentive Grant ............................................................... 99,941 69,682 79,682 

Partnerships for Success ......................................................... 11,666 33,829 50,129 

Mandatory Drug Testing ................................................................... 5,206 5,206 5,206 

Minority AIDS ..................................................................................... 41,385 41,385 41,385 

Performance Management ................................................................ 6,300 6,300 6,300 

Sober Truth on Preventing Underage Drinking [STOP Act] .............. 7,000 8,000 11,000 

National Adult-Oriented Media Public Service Campaign ...... 1,000 1,000 1,000 

Community-based Coalition Enhancement Grants .................. 5,000 6,000 9,000 

Intergovernmental Coordinating Committee on the Prevention 

of Underage Drinking .......................................................... 1,000 1,000 1,000 

Steroid Use Education Campaign ..................................................... ........................ ........................ 1,000 

Project LAUNCH ................................................................................. ........................ 9,683 ........................

Prevention Prepared Communities .................................................... ........................ 22,600 ........................

SCIENCE AND SERVICE: 

Fetal Alcohol Spectrum Disorder ...................................................... 9,821 9,821 9,821 

Center for the Application of Prevention Technologies .................... 8,511 8,511 8,511 

Science and Service Program Coordination ..................................... 4,789 4,789 4,789 

National Registry of Evidence-based Programs and Practices ....... 650 650 650 

SAMHSA Health Information Network ............................................... 2,749 2,548 2,548 

Minority Fellowship Program ............................................................. 71 71 71 

The Committee applauds the administration for proposing a significant funding increase for CSAP. The Committee is concerned, 

however, that the administration proposes to blend substance 

abuse and mental health funding throughout SAMHSA. The Committee recognizes that common risk and protective factors exist for 

both mental illness and substance abuse. However, the Committee 

notes that not every program will be effective at addressing both 
137 

issues. Furthermore, the Committee recognizes that many substance abuse prevention programs are unique in focusing on the 

environmental strategies for preventing drug and alcohol abuse. 

According to the Task Force on Community Preventive Services at 

the Centers for Disease Control and Prevention [CDC], many of 

these strategies have been proven to be effective regarding preventing excessive alcohol use. 

The Committee is also concerned that the latest results from the 

Monitoring the Future survey, funded by the National Institute on 

Drug Abuse, shows that the perceptions of harm and social disapproval of drug use are declining among youth, and that youth 

substance use and abuse are beginning to rise. The Committee does 

not believe that this is the time to homogenize prevention efforts 

across centers within SAMHSA or to abandon universal prevention 

efforts to stop substance use before it starts. Given the paucity of 

resources for bona fide substance use and underage drinking prevention programs and strategies, the Committee instructs that 

money specifically appropriated to CSAP for substance use prevention purposes shall not be used or reallocated for other programs 

or initiatives within SAMHSA. In addition, the Committee is instructing SAMHSA to maintain a specific focus on environmental 

and population based strategies to reduce drug use and underage 

drinking due to the cost effectiveness of these approaches. 

HIV Screening.—Mental disorders and substance use or dependence are common among people with HIV. However, HIV screening 

is not widely available in settings where mental health and substance use services are provided. The Committee encourages 

SAMHSA to explore opportunities to expand HIV screening 

throughout mental health and substance abuse treatment delivery 

systems, and to collaborate with CDC to increase HIV/AIDS training opportunities for providers in these programs. 

Partnerships for Success.—The Committee provides $50,129,000, an increase of $38,463,000 for the Partnerships for Success program. The administration requested $33,829,000 for this program. 

The Committee applauds CSAP for its Partnerships for Success 

program, which is designed to achieve quantifiable declines in substance use and abuse rates. The program, which evolved from the 

Strategic Prevention Framework State Incentive Grant [SIG], helps 

States partner with organized communities to determine need, leverage resources, set goals, and implement evidence-based approaches to substance abuse prevention. The initiative also includes a financial incentive to those grantees that meet or exceed 

performance outcomes. The Committee urges SAMHSA to use the 

additional funds provided to the SIG program to maximize the 

number of States and tribes eligible for a Partnerships for Success 

grant. The Committee also expects SAMHSA to ensure that States 

who receive Partnership for Success grants give current and former 

drug-free communities grantees priority status as subrecipient 

grantees when working with communities within their States. 

Performance Enhancing Drugs.—The Committee continues to be 

concerned about the use and abuse of steroids and other performance enhancing drugs by young people. The Committee recommendation includes $1,000,000 for SAMHSA, in collaboration 

with the Department of Education, to develop and carry out a cost- 
138 

effective national education campaign focused on preventing the 

use of anabolic steroids and other performance enhancing drugs by 

young people. The Committee intends that this campaign should be 

school-based as well as community-based, and should focus on both 

athletes and non-athletes. 

Prevention Prepared Communities.—The Committee recommendation does not provide funding for the administration’s proposed Prevention Prepared Communities initiative. According to 

the proposed budget, this new program would use the Strategic 

Prevention Framework to implement evidence-based programs to 

promote the wellness of individuals aged 9 to 25. While the Committee commends the administration for its commitment to prevention, it believes the proposal would be redundant given the work 

of Partnerships for Success. As a result, the Committee is redirecting funds for this proposal to the Partnerships for Success 

program. 

Underage Drinking Prevention.—The Committee recommendation 

includes $9,000,000 for the Community-based Coalition Enhancement Grant program authorized under the Sober Truth on Preventing [STOP] Underage Drinking Act. The administration requested $6,000,000 for these grants. STOP Act grantees focus on 

implementing community-wide strategies which address the broader culture and context regarding underage drinking. The Committee provides additional funds above the administration request 

in the recognition that STOP Act grants are a cost-effective means 

of investing Federal dollars in underage drinking prevention activities at the community level. 

The Committee recommendation includes bill language providing 

funding for the following activities in the following amounts: 

Amount 

Hamakua Health Center, Honoka’a, HI, for a youth anti-drug program ............................................................ $200,000 

Waimanalo Community Health Center, Waimanalo, HI, for drug abuse prevention ........................................... 200,000 

West Virginia Prevention Resource Center, Charleston, WV, for drug abuse prevention ................................... 1,000,000

PROGRAM MANAGEMENT

The Committee recommends $132,126,000 for program management activities of the agency. The comparable level for fiscal year 

2010 is $101,947,000 and the administration requested 

$135,696,000. The recommendation includes $23,399,000 in transfers available under section 241 of the Public Health Service Act. 

The program management activity includes resources for coordinating, directing, and managing the agency’s programs. Program 

management funds salaries, benefits, space, supplies, equipment, 

travel, and departmental overhead required to plan, supervise, and 

administer SAMHSA’s programs. 

The Committee recommendation includes $19,000,000, the same 

as the administration request, for the increased costs associated 

with the agency’s data systems and analytic studies. The recommendation will also support a new initiative, proposed by the 

administration, for the design and implementation of a communitylevel early warning system that will detect the emergence of new 

drug threats. 
139 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

Appropriations, 2010 ............................................................................. $397,053,000 

Budget estimate, 2011 ........................................................................... 610,912,000 

Committee recommendation ................................................................. 397,053,000 

The Committee recommends $397,053,000 for the Agency for 

Healthcare Research and Quality [AHRQ]. This amount is the 

same as the comparable funding level for fiscal year 2010. The administration requested $610,912,000 for AHRQ. The Committee 

recommendation is funded entirely from transfers available under 

section 241 of the Public Health Service Act. In addition, the Committee recommends that $17,000,000 be transferred to AHRQ from 

the Prevention and Public Health Fund. 

The Agency for Healthcare Research and Quality was established 

in 1990 to enhance the quality, appropriateness, and effectiveness 

of health services, as well as access to such services. In order to 

fulfill this mission, AHRQ conducts, supports and disseminates scientific and policy-relevant research on topics such as reducing medical errors, eliminating 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. 

HEALTH COSTS, QUALITY, AND OUTCOMES

The Committee provides $267,290,000 for research on health 

costs, quality and outcomes [HCQO]. The comparable funding level 

for fiscal year 2010 is $270,653,000 and the administration requested $478,899,000 for this activity. In addition, the Committee 

recommends that $17,000,000 be transferred to HCQO from the 

Prevention and Public Health 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 for HCQO, the Committee provides $35,000,000 

for patient-centered outcomes research, also known as comparative 

effectiveness research [CER]. The administration requested 

$272,750,000 for this activity. The comparable funding level for fiscal year 2010 is $21,000,000. The Committee notes that the Patient 

Protection and Affordable Care Act [PPACA] created the Patient 

Centered Outcomes Research Institute as a new non-governmental 

entity to manage and prioritize this research. Since AHRQ will conduct much of the research funded by this Institute, the Committee 

did not provide the funding increase for CER requested by the 

President, as it did not want to duplicate this effort. The Committee recommendation includes sufficient resources for AHRQ to 

continue evidence generation and systematic reviews already underway. The funding provided will also allow AHRQ to sustain its 

research infrastructure until the new Institute is fully operational. 

The Committee is aware of the valuable work being done by the 

Centers for Education and Research in Therapeutics [CERTs], 

which produce scientific data on the safety and effectiveness of prescribed medications and medical devices. The research performed 
140 

by these Centers, in such areas as the appropriate use of antipsychotics and the safe and effective use of medications by older 

adults, plays an important role in improving healthcare quality by 

preventing adverse effects and improving clinical practice. Within 

the HCQO total, the Committee recommendation includes 

$13,463,000, the same as the comparable level for fiscal year 2010, 

to continue the work of the 14 CERTs and the coordinating center. 

The administration proposed to eliminate funding for the existing 

CERTs. 

The Committee recommendation for HCQO includes $10,000,000 

for quality measurement activities. This is a new activity authorized under section 3013 of the PPACA. These funds will be used 

to identify gaps in quality measurement and develop patient-centered measures to fill those gaps. The Committee notes that strong 

quality measures that fill in current gaps will help reduce geographic variations in care quality and health disparities, improve 

the delivery of healthcare services, eliminate waste and improve efficiency. In providing these funds, the Committee recognizes the 

need for a measures development process that is transparent, consensus-based, involves input from stakeholders and other relevant 

organizations, and includes strong conflict of interest policies. 

Building the Next Generation of Researchers.—The Committee 

encourages AHRQ to offer more pre- and post-doctoral training 

grants and fellowships for both clinician and non-clinician researchers. This investment in the next generation of researchers 

will help build capacity to respond to increasing demands for 

health services research and will ensure America stays competitive 

in the global research market. 

Chronic Pain Conditions in Women.—The Committee notes that 

up to 50 million American women suffer from one or more poorly 

understood and often overlooked chronic pain conditions. The Committee urges AHRQ to analyze the healthcare expenditures associated with chronic fatigue syndrome, endometriosis, fibromyalgia, 

interstitial cystitis, temporomandibular [TMJ] disorders, and 

vulvodynia. The analysis should quantify costs associated with the 

failure to promptly and adequately diagnose and treat these conditions, as well as those incurred by employers due to lost productivity, increased number of sick days and increased disability 

claims. 

Clinical Preventive Services Research.—The Committee has included $10,000,000 in transfers from the Prevention and Public 

Health Fund for clinical preventive services research at AHRQ. 

This research would allow the agency to address new research priorities as described in the Patient Protection and Affordable Care 

Act [PPACA], and as determined by the Secretary and the National 

Prevention and Health Promotion strategy. The Committee intends 

that these funds will be used to focus on the areas of health risk 

assessment, patient safety, health equity, and implementing clinical preventive services in primary care practice. 

Clinical Trial Recruitment.—The Committee recognizes that clinical trials play an important role in the development of biomedical 

research, in addition to providing treatment options to patients 

with understudied or rare conditions. The Committee encourages 

AHRQ to collaborate with voluntary health organizations to expand 
141 

and improve patient registries, which will connect patients to resources for treatment and assist clinical researchers in recruitment. 

HIV Research Network.—The Committee recognizes the HIV Research Network [HIVRN] as a unique source for information on the 

cost and cost-effectiveness of HIV care in the United States and 

notes that HIVRN data and analyses are critical to implementing 

health reform and an effective National HIV/AIDS Strategy. Within the HCQO total, the Committee provides $1,413,000, the same 

as the comparable level for fiscal year 2010, to the HIVRN to continue evaluating healthcare utilization and clinical outcomes in 

HIV-infected children, adolescents and adults. The administration 

did not request funding for this activity. 

Liver Disorders.—The Committee encourages AHRQ to develop a 

comprehensive agenda that would promote health services research 

and implementation science with regard to the broad spectrum of 

liver disorders. 

Lyme Disease.—The Committee continues to encourage AHRQ to 

create a comprehensive clearinghouse of peer-reviewed literature 

on tick-borne diseases. It should include literature on persistent infection organized for use by the scientific community, treating physicians, and the public. In the posting of treatment guidelines for 

Lyme disease, the Committee supports AHRQ’s efforts to reflect 

the full spectrum of creditable science and diverse clinical viewpoints. 

Preterm Birth and Pregnancy-related Depression.—The Committee continues to be concerned with the rate of pre-term births 

in the United States. The Committee believes that AHRQ’s comparative effectiveness research may lead to a better understanding 

of the range of interventions for preterm labor, such as different 

drugs, tocolytics, preventive tools, and the role of ultrasound care 

treatments and practices in the diverse patient populations in 

which they are used. Additionally, the Committee encourages 

AHRQ to support research evaluating the efficacy of perinatal/ 

postpartum screening tools and whether they can impact the outcome of pregnancy and perinatal depression. 

Restoring Innovation and Competitiveness.—Investigator-initiated research forms the backbone of AHRQ’s ability to improve 

healthcare with creative and innovative approaches to ongoing and 

emerging healthcare issues. The Committee recommendation includes $40,360,000, the same as the comparable funding level for 

fiscal year 2010, for investigator-initiated research. This funding 

level will allow ARHQ to support new investigator-initiated research grants to advance discovery and the free marketplace of 

ideas. The Committee urges AHRQ to provide these opportunities 

through its Crosscutting Activities Related to Quality, Effectiveness 

and Efficiency Research portfolio, as well as other core programs, 

including the Effective Health Care program. 

U.S. Preventive Services Task Force [USPSTF].—The Committee 

provides $11,700,000 for the USPSTF. The recommendation includes $4,700,000 in evaluation transfers, consistent with the budget request, and $7,000,000 in transfers from the Prevention and 

Public Health Fund. 
142 

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 2010 is $58,800,000. 

MEPS collects detailed information annually from families regarding healthcare use and expenditures, private and public health insurance coverage, and the availability, costs and scope of health insurance benefits. The data from MEPS is used in the development 

of economic models projecting the costs and savings of proposed 

changes in policy, as well as estimates of the impact of policy 

changes on payers, providers, and patients. 

PROGRAM SUPPORT

The Committee recommends $70,463,000 for program support. 

The comparable funding level for fiscal year 2010 is $67,600,000 

and the administration requested $72,713,000. The Committee recommendation does not include $2,250,000 requested by the administration for 15 new staff to support the patient-centered outcomes 

research portfolio. Since it did not provide the funding increase requested by the administration for this research, the Committee 

does not believe additional staffing is necessary. 

CENTERS FOR MEDICARE AND MEDICAID SERVICES

GRANTS TO STATES FOR MEDICAID

Appropriations, 2010 ......................................................................... $220,962,473,000 

Budget estimate, 2011 ...................................................................... 173,143,799,000 

Committee recommendation ............................................................. 173,143,799,000 

The Committee recommends $173,143,799,000 in mandatory 

funding for Grants to States for Medicaid. This is the same amount 

as the administration’s request for fiscal year 2011. The fiscal year 

2010 comparable level was $220,962,473,000. The fiscal year 2011 

recommendation excludes $86,789,382,000 in fiscal year 2010 advance appropriations for fiscal year 2011. In addition, 

$86,445,289,000 is provided for the first quarter of fiscal year 2012, 

as requested by the administration. 

The Medicaid program provides medical care for eligible low-income individuals and families. It is administered by each of the 50 

States, the District of Columbia, Puerto Rico, and the territories. 

Federal funds for medical assistance are made available to the 

States according to a formula, which determines the appropriate 

Federal matching rate for State program costs. This matching rate 

is based upon the State’s average per capita income relative to the 

national average, and shall be no less than 50 percent. 

PAYMENTS TO HEALTH CARE TRUST FUNDS

Appropriations, 2010 ......................................................................... $214,590,070,000 

Budget estimate, 2011 ...................................................................... 229,664,000,000 

Committee recommendation ............................................................. 229,664,000,000 

The Committee recommends $229,664,000,000 in mandatory 

funding for Payments to Healthcare Trust Funds. This is the same 

amount as the administration’s request for fiscal year 2011. The 

fiscal year 2010 comparable level was $214,590,070,000. 
143 

This entitlement account includes the general fund subsidy to 

the Federal Supplementary Medical Insurance Trust Fund for 

Medicare part B benefits and for Medicare part D drug benefits 

and administration, plus other reimbursements to the Federal Hospital Insurance Trust Fund for part A benefits and related administrative costs that have not been financed by payroll taxes or premium contributions. 

The Committee provides $173,873,000,000 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 $54,393,000,000 

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 does not include funding for 

hospital insurance for the uninsured, consistent with the budget request. The Committee also recommends $275,000,000 for the Federal uninsured benefit payment. This payment reimburses the Hospital Insurance Trust Fund for the cost of benefits provided to Federal annuitants who are eligible for Medicare. 

The Committee recommendation also includes $382,000,000 to be 

transferred to the Supplementary Insurance Trust Fund as the 

general fund share of part D administrative expenses. The Committee recommendation includes $561,000,000 in reimbursements 

to the Health Care Fraud and Abuse Control [HCFAC] fund. 

PROGRAM MANAGEMENT

Appropriations, 2010 ............................................................................. $3,470,242,000 

Budget estimate, 2011 ........................................................................... 3,601,147,000 

Committee recommendation ................................................................. 3,574,527,000 

The Committee recommends $3,574,527,000 for CMS program 

management. The administration requested $3,601,147,000. The 

fiscal year 2010 comparable level was $3,470,242,000. 

Research, Demonstrations, and Evaluations 

The Committee recommends $41,300,000 for research, demonstrations, and evaluation activities. The Committee includes sufficient funding to fulfill the President’s request for: the Medicare 

Current Beneficiaries Survey; the Real Choice Systems Change 

grants; other activities; and continuations of the demonstrations 

begun in fiscal year 2010. 

CMS research and demonstration activities facilitate informed 

rational Medicare and Medicaid policy choices and decisionmaking. 

These studies and evaluations include projects that measure the 

impact of Medicare and Medicaid proposed policy changes, measure 

the impact of Medicare and Medicaid on healthcare costs, measure 

patient outcomes in a variety of treatment settings, and develop alternative strategies for reimbursement, coverage, and program 

management. 
144 

Diabetes.—According to research conducted by AHRQ, the Medi- care program has costs of up to $1,300,000,000 attributable to diabetes-related hospital costs that could potentially be avoided by 

proper disease management. Using insulin is one of the most effective ways to lower blood sugar levels and manage diabetes. The 

Committee encourages CMS to consider conducting research into 

the best delivery method for insulin therapy to reduce dosing errors 

and lower annual treatment costs. 

Graduate Nursing Education Pilot.—The Committee recognizes 

the value of advanced practice registered nurses [APRNs] for improving the accessibility, quality, and affordability of healthcare. 

Section 5509 of the Patient Protection and Affordable Care Act includes a demonstration project to test the establishment of a Medicare Graduate Nursing Education program. The Committee encourages CMS to begin the design of this initiative. In this design, the 

Committee encourages CMS to test a full geographically representative mix of small and large, rural and urban APRN educational 

programs utilizing different mixes of hospital and non-hospital 

community-based clinical training sites. In addition, the Committee 

encourages CMS to assure that reasonable costs for the demonstration take into account all types of clinical training regularly employed in and appropriate to the training of APRNs and are not reduced by a factor related to the proportion of hospital inpatient 

days that are Medicare inpatient days. The Committee requests a 

progress report in the fiscal year 2012 budget justification. 

Prosthetic Devices.—The Committee is aware of findings in peer 

reviewed literature that identify significant inconsistencies in the 

alignment of prosthetic devices through the fitting process. Improper alignment for persons with limb loss can result in trauma 

to the soft tissue, decreased balance, and co-morbidities ranging 

from inactivity to back pain and increased stress on the hip and 

knee joints. Consistent prosthesis alignment may produce costs 

savings to the Medicare program through reduced need for socket 

replacements. The Committee encourages the CMS and its Alphanumeric Working Group to consider utilizing a unique Healthcare 

Common Procedure Coding System number for technologies and 

services that produce consistent prosthesis alignment. 

Psychotropic Drugs and Children.—The Committee is aware of 

findings from recent research showing that poor children are more 

likely to be prescribed antipsychotic medications than their peers. 

In addition to possibly causing serious long-term health problems 

for the children, this pattern dramatically increases Medicaid costs. 

CMS is urged to support research into reasons for this disparity 

and to determine the cost of this practice to the Medicaid program. 

CMS also is urged to work with existing treatment programs to 

identify more effective methods for treating these children and reducing their dependence on drugs to manage behavior. 

The Committee includes $2,500,000 for Real Choice Systems 

Change Grants for Community Living to States to fund initiatives 

that establish enduring and systemic improvements in long-term 

services and supports. 

The Committee strongly supports efforts by CMS to transform 

and improve quality and efficiency under the Medicaid program, 

particularly including expansions to the Home and Community 
145 

Based Service programs and the creation of health homes for eligible beneficiaries. The Committee urges CMS to ensure that the implementation of such initiatives involve providers in ensuring beneficiary access to necessary food and nutrition services integral to 

the proper management of chronic illness in a non-institutional setting. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Amount 

Iowa Prescription Drug Corporation, Urbandale, IA, for programs to reduce the cost of prescription 

drugs ............................................................................................................................................................ $500,000 

University of Mississippi, University, MS, for the Medication Use and Outcomes Research Group .............. 800,000 

Medicare Operations 

The Committee recommends $2,335,862,000 for Medicare operations. The administration requested $2,356,604,000; the comparable funding level for fiscal year 2010 was $2,335,862,000. 

The Medicare operations line item covers a broad range of activities including claims processing and program safeguard activities 

performed by Medicare contractors. These contractors also provide 

information, guidance, and technical support to both providers and 

beneficiaries. In addition, this line item includes a variety of 

projects that extend beyond the traditional fee-for-service arena. 

The Committee recommendation includes $9,120,000 for CMS 

Medicare contracting reform activities and includes bill language 

that extends the availability of those funds until September 30, 

2012. 

The Committee recommendation includes $156,000,000 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, 2012. 

The Committee recommendation includes $363,200,000 for Medicare and You, an increase of $51,700,000 over fiscal year 2010. This 

funding supports beneficiary materials, contact centers and support 

services. 

The Committee recommendation includes $68,000,000 for research remaining from the Medicare Improvement for Patients and 

Providers Act of 2008. Sufficient funding is included to meet the 

statutory deadline on the section 153 provisions on end-stage renal 

disease and begin work on section 131 provisions on quality reporting for physicians and the section 132 provision on e-prescribing. 

The Committee intends that all other activities be funded at the 

level requested in the fiscal year 2011 budget. 

Health Care Data Improvement Initiative 

The Committee recommends $110,000,000 for the Health Care 

Data Improvement Initiative. This is the same amount as the level 

requested in the fiscal year 2011 budget. This activity was not 

funded in fiscal year 2010. 
146 

State Survey and Certification 

The Committee recommends $362,000,000 for Medicare State 

survey and certification activities. This is the same amount as the 

administration’s request. The fiscal year 2010 funding level was 

$346,900,000. 

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 not included funding for the High Risk Insurance Pools. The fiscal year 2010 level was $55,000,000. The administration did not request funds for this program. The Committee notes that the Patient Protection and Affordable Care Act 

provides $5,000,000,000 and a new structure for this purpose. 

Federal Administration 

The Committee recommends $725,365,000 for Federal administration costs. This amount is the same as the budget request. The 

fiscal year 2010 funding level was $696,880,000. 

The Committee congratulates CMS for updating its coverage to 

include HIV testing for at-risk beneficiaries. The Committee urges 

CMS to update its outreach information to advise beneficiaries of 

this important new benefit. 

The Committee also requests that HRSA and CMS convene a 

working group to ensure that all phases of the 340B drug discount 

program are administered without redundancy or contradiction by 

the two agencies of jurisdiction. 

HEALTH CARE FRAUD AND ABUSE CONTROL

Appropriations, 2010 ............................................................................. $311,000,000 

Budget estimate, 2011 ........................................................................... 561,000,000 

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

The Committee recommends $561,000,000, to be transferred from 

the Medicare trust funds, for healthcare fraud and abuse control 

activities. This amount, in addition to the $1,172,683,000 in mandatory monies for these activities, will provide a total of 

$1,733,683,000 for healthcare fraud and abuse control activities in 

fiscal year 2011. 

The Committee intends the funds to be allocated as they were requested in the administration budget for fiscal year 2011. 

Reducing fraud, waste, and abuse in Medicare and Medicaid continues to be a top priority of the Committee. The Committee is 

pleased by the progress being made by strike teams and is strongly 

supportive of the proposed Health Enforcement Action Teams Initiative. The Committee urges CMS to continue to focus on largescale overpayments, off-label prescribing, and systemic pricing 

issues. 
147 

ADMINISTRATION FOR CHILDREN AND FAMILIES

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND

FAMILY SUPPORT PROGRAMS

Appropriations, 2010 ............................................................................. $3,788,449,000 

Budget estimate, 2011 ........................................................................... 2,482,814,000 

Committee recommendation ................................................................. 2,482,814,000 

The Committee recommends $2,482,814,000 in fiscal year 2011 

mandatory funds for payments to States for child support enforcement and family support programs. This is in addition to the 

$1,100,000,000 appropriated last year as an advance appropriation 

for the first quarter of fiscal year 2011. The Committee recommendation is the same as the budget request under current law. 

The comparable fiscal year 2010 funding level is $3,788,449,000, 

which included costs from an enhanced Federal matching provision 

in the Recovery Act that expires on September 30, 2010. In addition, the Committee recommends $1,200,000,000, the same as the 

budget request, in advance funding for the first quarter of fiscal 

year 2012. 

These payments support the States’ efforts to promote the selfsufficiency and economic security of low-income families. These 

funds also support efforts to locate noncustodial parents, determine 

paternity when necessary, and establish and enforce orders of support. 

LOW INCOME HOME ENERGY ASSISTANCE PROGRAM

Appropriations, 2010 ............................................................................. $5,099,223,000 

Budget estimate, 2011 ........................................................................... 3,300,000,000 

Committee recommendation ................................................................. 3,300,000,000 

The Committee recommends $3,300,000,000, the same as the 

budget request, in discretionary funding for fiscal year 2011 for the 

low income home energy assistance program [LIHEAP]. The comparable fiscal year 2010 funding level is $5,099,223,000. 

In addition to this discretionary funding, the budget request includes a legislative proposal for a trigger that would make additional mandatory funding available based on changes in energy 

prices and the number of households living in poverty. This trigger, 

if enacted, is estimated to make an additional $2,000,000,000 in 

mandatory LIHEAP funding available in fiscal year 2011, for a 

total program level of $5,300,000,000. The Committee recommendation assumes enactment of this proposal. 

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. States have considerable flexibility 

in administering their programs, including determining benefit 

amounts and eligibility requirements within broad Federal guidelines. This appropriation supports State formula grants and the 

contingency fund. The Committee recommendation includes $2,709,672,000 for the 

State formula block grant. The comparable fiscal year 2010 funding 

level is $4,509,672,000 and the budget request is $2,510,000,000. 

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 
148 

by low-income households. The Committee includes similar bill language to that used since fiscal year 2009 adjusting the formula for 

distributing these funds to States and ensuring a comparable distribution of funds as in recent years. The Committee recommendation includes $590,328,000 for the 

contingency fund. The comparable fiscal year 2010 funding level is 

$589,551,000 and the budget request is $790,000,000. The Committee does not include bill language making the contingency fund 

available until expended, as proposed by the administration. The 

contingency fund may be used to provide additional assistance to 

one or more States adversely affected by extreme heat or cold, significant price increases, or other causes of energy-related emergencies. 

The Committee is concerned about a recent Government Accountability Office [GAO] investigation that found misuse of LIHEAP 

funds, including instances of State agencies providing assistance to 

individuals over the income eligibility limit and applicants using 

the information of deceased or otherwise ineligible individuals to 

increase their assistance payment. The Committee strongly encourages ACF to continue to evaluate internal controls and to work 

with State LIHEAP administrators, including exploring the use of 

existing verification tools, to prevent fraud and abuse within the 

program. The Committee directs HHS to provide a briefing to the 

Committees on Appropriations of the House of Representatives and 

the Senate within 30 days of enactment on controls currently in 

place to prevent misuse of LIHEAP funds; any additional steps 

that could be taken, legislative, regulatory or otherwise, to further 

improve program integrity; and any obstacles in the adoption of 

these additional steps. 

REFUGEE AND ENTRANT ASSISTANCE

Appropriations, 2010 ............................................................................. $730,817,000 

Budget estimate, 2011 ........................................................................... 877,602,000 

Committee recommendation ................................................................. 834,602,000 

The Committee recommends $834,602,000 for refugee and entrant assistance. The comparable fiscal year 2010 funding level is 

$730,817,000 and the fiscal year 2011 budget request is 

$877,602,000. 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 shelter and services for unaccompanied alien 

children who are in Federal custody awaiting adjudication of their 

immigration status. 

Transitional and Medical Services 

The Committee recommendation includes $392,000,000 for transitional and medical assistance. The comparable fiscal year 2010 

funding level is $353,281,000 and the budget request is 

$417,000,000. 

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. It also funds the voluntary agency 
149 

matching grant program that 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. 

The Committee does not include funding for a no-year contingency fund proposed by the administration. The Committee understands the uncertainty in developing these estimates but also notes 

that the budget request assumes refugees will receive cash and 

medical assistance for a full 8 months, and bill language provides 

for the extended availability of these funds for 2 years. 

Victims of Trafficking 

The Committee recommendation includes $10,814,000 for victims 

of trafficking. The comparable fiscal year 2010 funding level is 

$9,814,000, the same as the fiscal year 2011 budget request. This 

program supports a national network for identifying, certifying, 

and providing comprehensive services to international victims of 

trafficking. The Committee notes that only an estimated 2 percent 

of international trafficking victims in the United States are identified each year and has provided additional funding to increase efforts to identify and provide services to trafficking victims. 

Social Services 

The Committee recommendation includes $187,005,000 for social 

services. The comparable fiscal year 2010 funding level is 

$154,005,000 and the 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 incoming refugees. 

The current economic conditions have continued to make it difficult for refugees to find and maintain employment. The Committee has included additional funding, above the budget request, 

to increase discretionary activities to help refugees address barriers 

to employment; connect to other Federal, State, and related support services; and, in the worst cases, prevent or resolve homelessness. Within the total for social services, the Committee recommendation includes not less than $15,000,000 for intensive case 

management activities to provide comprehensive services to refugees and not less than $10,000,000 for emergency housing assistance. 

The Committee recommendation also includes up to $18,000,000 

for the refugee school impact program. This program provides 

grants to support school districts with significant populations of 

refugee children. The comparable fiscal year 2010 funding level is 

$15,000,000. The Committee intends that the additional funding 

should be used to serve school districts impacted by Haitian children and families coming to the United States because of the earthquake on January 12, 2010. The Committee has included bill language specifying that these funds should be used to serve both Hai-
150 

tian national and United States citizens formerly living in Haiti 

and arriving in the United States between January 12, 2010 and 

May 31, 2010. 

Preventive Health 

The Committee recommendation includes $4,748,000 for preventive health. This amount is the same as the comparable fiscal year 

2010 funding level and the budget request. This program funds 

grants to coordinate and promote refugees’ access to health screening, treatment, and follow-up services. 

Targeted Assistance 

The Committee recommendation includes $48,590,000 for targeted assistance. This amount is the same as the comparable fiscal 

year 2010 funding level and the budget request. The targeted assistance program provides additional funds to States with an influx 

of refugee arrivals and a high concentration of refugees facing difficulties achieving self-sufficiency. 

Unaccompanied Alien Children 

The Committee recommendation includes $179,357,000 for unaccompanied alien children. The comparable fiscal year 2010 funding 

level is $149,291,000 and the budget request is $207,357,000. The 

unaccompanied alien children program provides shelter and related 

services to unaccompanied alien minors apprehended in the United 

States by the Department of Homeland Security [DHS] 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. 

The Committee does not include additional funding to concentrate more shelter space within 250 miles of the border, as requested by the administration. The Committee supports the initiative to limit the travel time of unaccompanied alien children between DHS’s and ORR’s care. However, the Committee does not 

support the specific initiative to move 65 percent of beds within 

250 miles of the border by 2012 without a comprehensive evaluation of the support services available to children in these areas 

compared to those in other shelter locations across the country, and 

an evaluation of the costs of such an initiative compared to savings 

from reducing transportation costs. The Committee notes that over 

65 percent of beds are already located within 350 miles of the border. The Committee also notes that ORR is developing a request 

for a more general independent evaluation of the UAC program to 

determine if the program is operating consistent with child welfare 

best practices. The Committee encourages ORR to incorporate the 

findings from this evaluation in any future decisions regarding concentrating shelters closer to the border. 

The Committee recommendation fully funds all other shelter, 

medical, and support services costs included the budget request, including family reunification services, background checks, home 

studies, placement follow-up services, and pro bono legal services. 

The reduction below the budget request reflects the specific costs 

of moving additional beds within 250 miles of the border. 
151 

Victims of Torture 

The Committee recommendation includes $12,088,000 for victims 

of torture. The comparable fiscal year 2010 funding level is 

$11,088,000, the same amount as the budget request. 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. 

PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT

BLOCK GRANT

Appropriations, 2010 ............................................................................. $2,126,757,000 

Budget estimate, 2011 ........................................................................... 2,927,081,000 

Committee recommendation ................................................................. 3,127,081,000 

The Committee recommends $3,127,081,000 for the child care 

and development block grant [CCDBG]. The budget request is 

$2,927,081,000 and the comparable fiscal year 2010 funding level 

is $2,126,757,000. The Recovery Act included an additional 

$2,000,000,000 for the CCDBG, available through fiscal year 2010. 

The CCDBG is a formula grant to States to provide low-income 

families with financial assistance to pay for child care. It also supports quality improvement activities to increase availability and access to quality child care. 

In addition to these discretionary funds, States receive mandatory funding through the child care entitlement to States program. 

The authorization for these mandatory funds expires at the end of 

fiscal year 2010. The budget request includes a proposal to increase 

this mandatory funding by $800,000,000, but it is unclear whether 

this increase will be included in the CCDBG reauthorization. Without such an increase, States would be forced to cut child care subsidies to the low-income families that depend on them to maintain 

employment because Recovery Act funding will no longer be available. The $200,000,000 increase recommended by the Committee 

would prevent such a cut and maintain the fiscal year 2010 program level which included Recovery Act funding. 

The Committee has included specific set-asides in bill language 

that provide targeted resources to specific policy priorities: 

$26,805,000 for resource and referral programs and school-aged 

child care activities; $9,910,000 for child care research and evaluation activities; and $398,994,000 for child care quality activities, including $146,328,000 specifically for infant care quality. These 

quality funds are provided in addition to the 4 percent quality setaside established in the authorizing legislation. The Committee 

continues to provide these additional quality funds because of the 

considerable research showing the importance to child development 

and school readiness of serving children in high-quality child care 

settings, which include adequately compensated, nurturing providers who are specially trained in child development. 

The Committee recommendation for resource and referral activities includes $1,000,000 to continue support for a national toll-free 

hotline that provides consumer education materials and assists 

families in accessing local information on child care options. 
152 

SOCIAL SERVICES BLOCK GRANT

Appropriations, 2010 ............................................................................. $1,700,000,000 

Budget estimate, 2011 ........................................................................... 1,700,000,000 

Committee recommendation ................................................................. 1,700,000,000 

The Committee recommends $1,700,000,000 in mandatory funds 

for fiscal year 2011 for the social services block grant [SSBG]. This 

amount is the same as the comparable fiscal year 2010 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 

services to underserved populations, and recommends continued 

usage and flexibility of these funds for such purposes. 

CHILDREN AND FAMILY SERVICES PROGRAMS

Appropriations, 2010 ............................................................................. $9,313,180,000 

Budget estimate, 2011 ........................................................................... 10,312,070,000 

Committee recommendation ................................................................. 10,359,727,000 

The Committee recommends $10,359,727,000 for fiscal year 2011 

for children and families services programs. The comparable funding level for fiscal year 2010 is $9,313,180,000 and the budget request is $10,312,070,000. 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 $8,223,958,000, the same as the 

budget request, for Head Start. The comparable funding level for 

fiscal year 2010 is $7,233,680,000. The American Recovery and Reinvestment Act (Recovery Act) included $2,100,000,000 for Head 

Start, available through fiscal year 2010. 

Head Start provides comprehensive development services for lowincome children and families that emphasize cognitive and language development, socio-emotional development, physical and 

mental health, and parent involvement to enable each child to develop and function at his or her highest potential. At least 10 percent of enrollment opportunities in each State are made available 

to children with disabilities. 

The Committee recommendation allows Head Start to serve approximately 978,000 low-income children and maintain the increase 

in children served because of Recovery Act funding in fiscal years 

2009 and 2010. The Committee has also included bill language to 

define Head Start slots funded with Recovery Act funds as part of 

the base grant amount for purposes of formula allocations and to 
153 

allow additional funds to be used for quality improvement activities. The Improving Head Start for School Readiness Act of 2007 

included several provisions to improve classroom and teacher quality, including credentialing requirements that become effective October 1, 2011. The Committee has included the full budget request 

to ensure grantees are able to provide quality, comprehensive early 

childhood services. 

At the same time, the Committee is concerned by a recent Government Accountability Office [GAO] undercover investigation at 

Head Start centers that revealed abuse of eligibility requirements, 

including grantees enrolling families slightly over the income eligibility limit or who are otherwise ineligible into the program. The 

Committee strongly urges the Office of Head Start [OHS] to continue to work with grantees to ensure they are aware of their legal 

obligations to verify the eligibility of each child served in Head 

Start programs, including the serious consequences of falsifying eligibility determinations, and to increase monitoring of Head Start 

grantees, with a particular focus on unannounced visits. The Committee notes that in conducting its investigation, GAO contacted 

over 550 centers and found only 44 with current openings. This illustrates the demand for the comprehensive early childhood services Head Start programs provide, but also the need to ensure 

these funds are properly used. 

The Committee notes that the Improving Head Start for School 

Readiness Act of 2007 allows Head Start grantees to apply with 

HHS to transition from part-day to full-day services, and from 

Head Start to Early Head Start slots. Only a fraction of eligible infants and toddlers are currently served by the Early Head Start 

program, and the Committee encourages OHS to work with grantees to ensure they are aware of these options, particularly those 

with current openings. The Committee also notes that OHS is promulgating regulations to implement provisions of the Improving 

Head Start for School Readiness Act of 2007 concerning the re-competition of Head Start grants, the first time grantees will undergo 

re-competition, which will provide another check to ensure that 

grantees are properly and effectively managing their Head Start 

centers. 

Consolidated Runaway and Homeless Youth Program 

The Committee recommends $104,734,000 for the consolidated 

runaway and homeless youth program. The comparable funding 

level for fiscal year 2010 is $97,734,000, the same as the budget request. This program consists of the basic center program, which 

provides temporary shelter, counseling, and after-care services to 

runaway and homeless youth under age 18 and their families, and 

the transitional living program, which provides longer-term shelter 

and services for older youth. Funding also supports a national tollfree runaway and homeless youth crisis hotline that responds to 

between 100,000 and 120,000 calls annually. 

Basic centers and transitional living programs provide services to 

help address the needs of some of the estimated 1.6 million runaway and homeless youth, many of whom are running away from 

unsafe or unhealthy living environments. These programs have 

been proven effective at lessening rates of family conflict and pa-
154 

rental abuse, as well as increasing school participation and the employment rates of youth. 

The current economic climate has put increasing pressure on 

families which has in turn increased the number of runaway and 

homeless youth. The Committee has included additional funding 

for this program, and other runaway and homeless youth programs 

at ACF and the Department of Education, to address an increase 

in this vulnerable population. 

Runaway Youth Prevention Program 

The Committee recommends $18,971,000 for the runaway youth 

prevention program. The comparable funding level for fiscal year 

2010 is $17,971,000, the same as the budget request. This competitive grant program awards funds to private nonprofit agencies for 

the provision of services to runaway, homeless, and street youth. 

Funds may be used for street-based outreach and education, including treatment, counseling, provision of information, and referrals 

for these youths, many of whom have been subjected to, or are at 

risk of being subjected to, sexual abuse. 

Child Abuse Programs 

The Committee recommends $105,519,000 for child abuse programs. The comparable fiscal year 2010 funding level is 

$97,244,000 and the budget request is $107,244,000. The recommendation includes $26,535,000 for State grants, $37,295,000 

for discretionary activities, and $41,689,000 for community-based 

child abuse prevention. These programs seek to improve and increase activities that identify, prevent, and treat child abuse and 

neglect through State grants, technical assistance, research, demonstration, and service improvement. 

Within the total for child abuse discretionary activities, the Committee recommendation includes $10,000,000, as requested by the 

administration, for a new competitive grant program to support 

States’ implementation and increased use of evidenced-based child 

maltreatment prevention programs and activities. This program 

will focus on families with very young children who are at the 

greatest risk of child maltreatment, and will include evidencebased prevention strategies to promote parental resilience, knowledge of parenting and child development, nurturing and attachment, concrete support, and social connections. 

The Committee recommendation includes bill language providing 

funding for the following activities in the following amounts: 

Amount 

Addison County Parent Child Center, Middlebury, VT, for childcare and parental education programs ........... $100,000 

County of Contra Costa, Martinez, CA, for an initiative for children and adolescents exposed to domestic 

violence ............................................................................................................................................................ 350,000 

Dakota County, Hastings, MN, for a home visitation program for at-risk infants and toddlers and their 

families ............................................................................................................................................................ 300,000 

Georgia State University, Atlanta, GA, for child abuse prevention education services ..................................... 100,000 

Nez Perce Tribe, Lapwai, ID, for child abuse prevention .................................................................................... 100,000 

South Carolina Department of Education, Columbia, SC, for child abuse prevention education services ....... 100,000 

Southern Nevada Health District, Las Vegas, NV, for a home visitation program for low-income first-time 

mothers ............................................................................................................................................................ 400,000 
155 

Abandoned Infants Assistance 

The Committee recommends $11,628,000 for abandoned infants 

assistance. This amount is the same as the comparable fiscal year 

2010 funding level and the budget request. This program provides 

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 $281,744,000, the same as the budget request, for child welfare services. The comparable fiscal year 

2010 funding level is $281,691,000. This 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 Training 

The Committee recommends $27,207,000 for child welfare training. This amount is the same as the comparable fiscal year 2010 

funding level and the budget request. These discretionary grants 

are awarded to institutions of higher learning and other 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 the 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. 

The Committee encourages the Administration for Children and 

Families to develop a federally supported, centralized Web site that 

includes materials and information relevant to the needs of foster 

youth who are aging out of the system. This website should provide 

detailed information about relevant Federal and State programs, 

child welfare advocacy agencies, and nonprofit and community organizations dedicated to serving foster youth. 

Adoption Opportunities 

The Committee recommends $39,332,000, the same as the budget 

request, for adoption opportunities. The comparable fiscal year 

2010 funding level is $26,379,000. The budget request eliminates 

the more narrowly focused adoption awareness program and redi-
156 

rects that funding to the adoption opportunities program. The Committee agrees with this consolidation. Its funding recommendation 

for the combined program is equal to the total of the two programs 

in fiscal year 2010. 

The adoption opportunities program funds grants that eliminate 

barriers to adoption and help find permanent homes for children 

who would benefit from adoption, particularly children with special 

needs. The adoption awareness program provides grants to train 

health center staff to inform pregnant women about adoption and 

to make referrals on request to adoption agencies. It also funds 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. 

Adoption Incentives 

The Committee recommends $42,000,000, the same as the budget 

request, for adoption incentives. The comparable fiscal year 2010 

funding level is $39,500,000. This program provides incentive payments to States to encourage an increase in the number of adoptions of children from the foster care system, with an emphasis on 

children who are the hardest to place. The recommendation will 

fully fund adoption incentives earned by States under current law. 

Adoption Awareness 

The Committee does not include funding for the Adoption Awareness program, as requested by the administration. The comparable 

fiscal year 2010 funding level is $12,953,000. The budget request 

eliminated this program and redirected funding to the Adoption 

Opportunities program. The Committee agrees with this consolidation. 

Social Services Research 

The Committee recommends $9,738,000 for social services research, which includes $5,762,000 in transfers available under section 241 of the Public Health Service [PHS] Act. The comparable 

funding level for fiscal year 2010 is $19,610,000, which includes 

$5,762,000 in transfers available under section 241 of the PHS Act. 

The budget request is $8,762,000, which also includes $5,762,000 

in 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 includes $3,000,000, as requested by the administration, for a rigorous early childhood and 

education evaluation. This 5-year evaluation will assess which features of early care and education programs most influence child 

outcomes, and how variations in such features interact with children, family, and community characteristics to produce results. 

The Committee continues to support research and evaluation of 

evidence-based programs that are intended to strengthen families 

experiencing economic hardships. These projects aim to mitigate 

the effects of poverty on the health and well-being of children. 
157 

The Committee encourages ACF to work with the Administration 

on Aging and other HHS agencies to evaluate intergenerational approaches aimed at improving 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. 

The Committee recommendation includes bill language providing 

funding for the following activities in the following amounts: 

Amount 

Access to Healthcare Network, Reno, NV, for a helpline to assist residents with healthcare and social services .................................................................................................................................................................. $330,000 

Campus Kitchen, Washington, DC, for services to the homeless community in Atlantic City, NJ .................... 100,000 

City of Mount Vernon, NY, for the Youth Development Action Plan ................................................................... 150,000 

City of Tracy, CA, for gang-outreach, intervention, prevention, and educational assistance programs ........... 300,000 

Creative Visions, Des Moines, IA, for family reunification and support services .............................................. 200,000 

FAMILY, Inc., Council Bluffs, IA, for a home visitation program for young children and their families .......... 400,000 

Jewish Social Service Agency, Rockville, MD, for autism outreach, education, and case management services .................................................................................................................................................................. 450,000 

Lake County Community Foundation, Waukegan, IL, for expanding access to services .................................... 250,000 

North Ward Center, Inc., Newark, NJ, for comprehensive services for people with autism spectrum disorders ............................................................................................................................................................... 500,000 

Northern Kentucky Community Action Commission, Covington, KY, for child care program activities ............. 100,000 

Olive Crest Pacific Northwest, Bellevue, WA, for services for foster children and children in unstable home 

situations ......................................................................................................................................................... 250,000 

Refuge Network, Cambridge, MN, for family violence and sexual assault prevention and intervention services .................................................................................................................................................................. 150,000 

Springfield Area Parent Child Center, North Springfield, VT, for services for teenage and expectant mothers ................................................................................................................................................................. 500,000 

TLC for Children and Families, Olathe, KS, for youth transitional living programs .......................................... 500,000 

United Way of Capital Area, Jackson, MS, for 2–1–1 Mississippi ..................................................................... 408,000 

United Ways of California, South Pasadena, CA, for expanding 2–1–1 services .............................................. 750,000 

University of Medicine and Dentistry of New Jersey—The Autism Center at NJ Medical School, Newark, NJ, 

for identifying and treating children with autism spectrum disorders ......................................................... 300,000 

University of Nevada, Las Vegas, Las Vegas, NV, for expanding access to services for people with autism 

spectrum disorders .......................................................................................................................................... 500,000 

YWCA of Greater Portland, Portland, OR, for services for victims of human trafficking .................................. 600,000 

Developmental Disabilities 

The Committee recommends $189,605,000 for developmental disabilities programs. The comparable fiscal year 2010 funding level 

is $186,579,000 and the budget request is $186,605,000. 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. 

These programs also assist people with all types of disabilities participate in political elections. Within the total for developmental 

disabilities programs, the Committee recommendation includes the 

amounts specified below. 

The Committee recommendation includes $76,066,000 for State 

and Territorial Councils. The comparable fiscal year 2010 funding 

level is $75,066,000, the same amount as the budget request. These 

important entities work to develop, improve, and expand the system of services and supports for people with developmental disabilities. By engaging in activities such as training, public education, 

capacity-building and advocating for change in State policies, Councils on Developmental Disabilities support the inclusion and inte-
158 

gration of individuals with developmental disabilities in all aspects 

of community life. The Committee recommendation includes $42,024,000 for protection and advocacy grants. The comparable fiscal year 2010 funding 

level is $41,024,000, the same amount as the budget request. This 

formula grant program provides funds to States to establish protection and advocacy systems to protect the legal and human rights 

of persons with developmental disabilities who are receiving treatment, services, or rehabilitation. 

The Committee recommendation includes $17,410,000 for disabled voter services. This is the same amount as the comparable 

fiscal year 2010 funding level and the budget request. The Committee recommendation includes $12,154,000 to promote disabled 

voter access and $5,256,000 for disabled voters protection and advocacy systems. The election assistance for individuals with disabilities program was authorized in the Help America Vote Act of 

2002. The program enables grantees to make polling places more 

accessible and increase participation in the voting process of individuals with disabilities. 

The Committee recommendation includes $14,162,000, the same 

amount as the budget request, for projects of national significance 

to assist persons with developmental disabilities. The comparable 

fiscal year 2010 funding level is $14,136,000. 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 supports the establishment of 

a National Autism Resource Center and includes $2,000,000 for the 

continued support of these activities. The Committee recommendation includes $39,943,000 for the 

University Centers for Excellence in Developmental Disabilities 

[UCEDDs], a network of 67 university-based centers that provide 

interdisciplinary education, conduct research, and develop model 

services for children and adults with disabilities. The comparable 

fiscal year 2010 funding level is $38,943,000 the same amount as 

the budget request. The centers serve as the major vehicle to translate disability-related research into community practice and to 

train the next cohort of future professionals who will provide services and supports to an increasingly diverse population of people 

with disabilities. The Committee recommendation will support 

training initiatives for new and emerging needs, such as developing 

effective services for people with autism spectrum disorder, as well 

as partnerships with minority-serving institutions to focus research, training and services on minority populations with disabilities. 

Native American Programs 

The Committee recommends $48,773,000 for Native American 

programs. This is the same as the comparable fiscal year 2010 

funding level and the fiscal year 2011 budget request. The Administration for Native Americans [ANA] assists tribal and village governments, Native Indian institutions and organizations to support 

and develop stable, diversified local economies. In promoting social 

and economic self-sufficiency, ANA provides financial assistance 
159 

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 Programs Act, as amended by the Esther Martinez Native American 

Language Preservation Act of 2006. The Committee encourages 

ANA to give priority to grantees with rigorous immersion programs. 

Community Services 

The Committee recommends $791,669,000 for community services programs. The comparable fiscal year 2010 funding level is 

$772,551,000 and the fiscal year 2011 budget request is 

$760,025,000. Within the total for community services programs, 

the Committee recommendation includes the amounts specified 

below. 

The Committee recommendation includes $700,000,000 for the 

community services block grant [CSBG]. This amount is the same 

as the comparable fiscal year 2010 funding level and the fiscal year 

2011 budget request. The CSBG is used to make formula grants to 

States and Indian tribes to provide a wide range of services and activities to alleviate causes of poverty in communities and to assist 

low-income individuals in becoming self-sufficient. The Committee recommendation includes $55,000,000 for the 

community economic development program. The budget request included $36,000,000 for this activity, the same as the comparable 

fiscal year 2010 funding level. 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 $20,000,000 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. The 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. 

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

as the comparable fiscal year 2010 funding level, for the rural community facilities program. The budget request did not include funding for this program. The rural community facilities program provides grants to 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. 

The Committee recommendation includes $2,644,000, the same 

as the comparable fiscal year 2010 funding level, for the job opportunities for low-income individuals program [JOLI]. The budget request did not include funding for this program. JOLI provides 

grants to nonprofit organizations to support employment and busi-
160 

ness opportunities for TANF recipients and other low-income individuals, focusing on micro-enterprise and self-employment. The Committee recommendation includes $24,025,000, the same 

as the budget request, for individual development accounts. The 

comparable fiscal year 2010 funding level is $23,907,000. 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 $4,500,000, the same as the budget 

request, for the national domestic violence hotline. The comparable 

fiscal year 2010 funding level is $3,209,000. This activity funds the 

operation of a national, toll-free, 24-hours-a-day telephone hotline 

to provide information and assistance to victims of domestic violence. The hotline received approximately 270,000 calls in fiscal 

year 2009, up 14 percent from fiscal year 2007, but an estimated 

50,000 calls could not be answered because of increased demand. 

The additional funding will increase capacity as well as support an 

evaluation of hotline services. 

Family Violence Prevention and Services 

The Committee recommends $140,000,000, the same as the budget request, for the family violence prevention and services program, 

which includes battered women’s shelters. The comparable fiscal 

year 2010 funding level is $130,032,000. These funds support programs to prevent family violence and provide immediate shelter 

and related assistance for victims of domestic violence and their dependents. 

Within the total, the Committee recommendation includes 

$4,000,000, as requested by the administration, for a new discretionary grant program to improve services for children exposed to 

domestic violence. The remaining increase will be targeted to existing programs experiencing increased demand for emergency services, including services for children. 

Mentoring Children of Prisoners 

The Committee recommends $49,314,000 for mentoring children 

of prisoners. This amount is the same as the comparable fiscal year 

2010 funding level and the budget request. This program provides 

competitive grants to community organizations to create and sustain mentoring relationships between children of prisoners and 

adults in their community. Research indicates that mentoring programs can help children with incarcerated parents reduce their 

drug and alcohol use, improve their relationships and academic 

performance, and reduce the likelihood that they will initiate violence. 

Independent Living Training Vouchers 

The Committee recommends $45,351,000 for independent living 

training vouchers. This amount is the same as the comparable fiscal year 2010 funding level and the budget request. 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 
161 

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 $2,000,000 for the disaster human 

services case management program. This amount is the same as 

the comparable fiscal year 2010 funding level and the budget request. 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. 

Faith-based Center 

The Committee recommends $1,376,000 for the operation of the 

Department’s Center for Faith-Based and Community Initiatives. 

This amount is the same as the comparable fiscal year 2010 funding level and the budget request. 

Program Administration 

The Committee recommends $222,308,000, the same as the budget request, for program administration. The comparable fiscal year 

2010 funding level is $208,398,000. 

The Committee recommendation includes $1,500,000 to be transferred to the National Commission on Children and Disasters. The 

Commission submitted an interim report to Congress and the 

President in October 2009 on its recommendations to address the 

needs of children as they relate to preparation for, response to, and 

recovery from emergencies and disasters. The continued funding 

will allow the Commission to follow up on its recommendations and 

continue coordination efforts between Federal agencies; Federal, 

State, and local governments; and nongovernmental organizations. 

PROMOTING SAFE AND STABLE FAMILIES

Appropriations, 2010 ............................................................................. $408,311,000 

Budget estimate, 2011 ........................................................................... 408,311,000 

Committee recommendation ................................................................. 408,311,000 

The Committee recommends $408,311,000 for promoting safe and 

stable families. This amount is the same as the comparable fiscal 

year 2010 funding level and the budget request. The recommendation consists of $345,000,000 in mandatory funds authorized by the 

Social Security Act and $63,311,000 in discretionary appropriations. 

This program supports activities that can prevent the emergence 

of family crises which might require the temporary or permanent 

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. 
162 

PAYMENTS FOR FOSTER CARE AND PERMANENCY

Appropriations, 2010 ............................................................................. $5,578,000,000 

Budget estimate, 2011 ........................................................................... 5,366,000,000 

Committee recommendation ................................................................. 5,366,000,000 

The Committee recommends $5,366,000,000 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 2011. 

The comparable funding level for fiscal year 2010 is 

$5,578,000,000. In addition, the Committee recommends 

$1,850,000,000, the same as the budget request, for an advance appropriation for the first quarter of fiscal year 2012. The Committee 

recommendation provides the full amount requested under current 

law and does not reflect the administration’s proposal to extend enhanced Federal support under the Recovery Act that is set to expire on December 31, 2010. 

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. 

ADMINISTRATION ON AGING

AGING SERVICES PROGRAMS

Appropriations, 2010 ............................................................................. $1,516,073,000 

Budget estimate, 2011 ........................................................................... 1,624,733,000 

Committee recommendation ................................................................. 1,659,383,000 
163 

The Committee recommends an appropriation of $1,659,383,000 

for the Administration on Aging [AoA]. The comparable fiscal year 

2010 level is $1,516,073,000. The administration requested 

$1,624,733,000 for this agency. 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. The Committee recommendation includes a total of $104,582,000 

for programs throughout AoA as part of the administration’s Caregiver Initiative. An estimated 49 million Americans provide care for 

adult family members, friends or other loved ones. Caregivers help 

older Americans and the chronically ill with such tasks as preparing meals, helping with household chores and arranging medical care and transportation. Caregivers spend an average of 20 

hours a week providing care while at the same time balancing 

work and other family responsibilities. This assistance allows recipients to stay out of institutional care, but it comes at a tremendous cost to caregivers’ own health and emotional well-being. According to a report issued in February 2010 by the National Alliance for Caregiving, employees who care for older relatives are 

more likely to report poorer health than other employees and also 

greater rates of depression, diabetes, hypertension, and pulmonary 

disease. The additional funds provided to Supportive Services and 

Senior Centers, the Family Caregiver Support program, Native 

American caregivers and the Lifespan Respite Care program will 

relieve some of these pressures on caregivers, allowing them to better care for their loved ones while helping older Americans remain 

independent in their own homes and communities for as long as 

possible. 

Supportive Services and Senior Centers 

The Committee recommends an appropriation of $416,348,000 for 

supportive services and senior centers. This amount is the same as 

the administration request. The comparable funding level for fiscal 

year 2010 is $368,294,000. 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. 

The Committee recommendation includes an increase of 

$48,054,000 as part of the administration’s Caregiver Initiative. 

These funds will provide 1 million more hours of adult day care, 

as well as 1.3 million more hours of personal care assistance to 

seniors unable to perform daily activities. These vital services will 

relieve some of the pressures faced by caregivers who might otherwise have to provide more intensive assistance on their own to 

their loved ones. 

Preventive Health Services 

The Committee recommends $21,026,000 for preventive health 

services. This amount is the same as the administration request. 

The comparable funding level for fiscal year 2010 is $21,023,000 for 
164 

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 that requires States to use these 

funds for evidence-based programs, such as enhanced fitness and 

wellness, depression screening, falls prevention, and chronic-disease self-management programs. These evidence-based programs 

have been shown through randomized-controlled trials to be effective at helping older adults adopt healthy behaviors and lower 

their use of healthcare services. 

Protection of Vulnerable Older Americans 

The Committee recommends $24,290,000 for grants to States for 

protection of vulnerable older Americans. The administration request is $23,290,000 and the comparable fiscal year 2010 funding 

level is $21,880,000. Within the Committee recommendation, 

$18,783,000 is for the ombudsman services program and $5,507,000 

is for the prevention of elder abuse program. Both programs provide formula grants to States to prevent the abuse, neglect, and exploitation of older individuals. The ombudsman program focuses on 

the needs of residents of nursing homes and other long-term care 

facilities, while elder abuse prevention targets its message to the 

elderly community at large. 

National Family Caregiver Support Program 

The Committee recommends $202,220,000 for the national family 

caregiver support program. This amount is the same as the administration request. The comparable fiscal year 2010 level is 

$154,197,000. 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. The 

additional funds provided are part of the Caregiver Initiative and 

will allow nearly 200,000 additional caregivers to be served and 3 

million more hours of respite care to be provided. 

Native American Caregiver Support Program 

The Committee recommendation includes $8,389,000 to carry out 

the Native American caregiver support program. This amount is 

the same as the administration request. The comparable fiscal year 

2010 funding level is $6,388,000. The program assists tribes in providing multifaceted systems of support services for family caregivers and for grandparents or older individuals who are relative 

caregivers. The additional funds are provided as part of the administration’s Caregiver Initiative. By providing additional counseling, 

outreach and respite care to caregivers, these funds will allow more 

Native American elders to remain in their homes and communities. 
165 

Congregate and Home-delivered Nutrition Services 

For congregate nutrition services, the Committee recommends an appropriation of $463,644,000. The administration requested 

$445,644,000 for this activity and the comparable fiscal year 2010 

level is $440,718,000. For home-delivered meals, the Committee 

recommends a funding level of $232,893,000. The administration 

requested $220,893,000 for this activity and the comparable fiscal 

year 2010 level is $217,644,000. 

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 $161,015,000 for the 

nutrition services incentives program [NSIP]. This amount is the 

same as the administration request. The comparable funding level 

for fiscal year 2010 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 $29,708,000 for grants to Native 

Americans. This amount is the same as the administration request. 

The comparable fiscal year 2010 level 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. The additional funds are part of the Caregiver Initiative and will provide increased supportive services, nutrition services, information, and assistance to Native Americans. 

Program Innovations 

The Committee recommends $14,699,000 for program innova- tions. The comparable fiscal year 2010 level is $19,020,000. The administration requested $13,049,000 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. 

Within funding for Program Innovations, the Committee has provided $1,000,000 to continue support for a 24-hour call center that 

provides Alzheimer family caregivers with professional care consultation and crisis intervention. 

Civic Engagement.—The Committee is aware of new research 

suggesting that interventions designed to promote health and func-
166 

tion in seniors through everyday activity may improve the brain’s 

plasticity, or the ability to bounce back, in key regions that support 

executive function. The Committee urges AoA to continue its work 

in advancing the field of civic engagement for older Americans by 

partnering with organizations with proven experience in creating 

robust, innovative opportunities for baby boomers and other older 

Americans to serve their communities while helping them to maintain and improve their health. 

Older Adults and Mental Health.—The Committee notes that approximately 20 to 25 percent of older adults have a mental or behavioral health problem. Older white males (age 85 and over) currently have the highest rates of suicide of any group in the United 

States. The Committee acknowledges the importance of addressing 

the mental and behavioral health needs of older adults and encourages AoA to implement the Older Americans Act provisions related 

to mental and behavioral health. Specifically, the Committee urges 

AoA to designate an officer to administer the mental health services authorized under the act, work to improve the delivery of mental health screening and treatment services for older individuals, 

and increase public awareness and reduce the stigma associated 

with mental disorders in older individuals. 

Transportation.—The Committee is aware of the rapidly growing 

need for transportation services for older Americans. In order to expand resources to meet this need, the Committee encourages AoA 

to fund section 416 of the Older Americans Act. Such funding could 

support successful, entrepreneurial models of economically sustainable transportation that supplement publicly funded services by accessing private resources and voluntary local community support, 

and that do not rely on Federal or other public financial assistance 

after 5 years. 

The Committee recommendation includes bill language providing 

funding for the following activities in the following amounts: 

Amount 

Cathedral Square Corporation, South Burlington, VT, for the Seniors Aging Safely at Home pilot program .... $750,000 

Jewish Family Services of Delaware, Wilmington, DE, for an aging-in-place initiative .................................... 150,000

Jewish Federation of Las Vegas, Las Vegas, NV, for the Las Vegas Senior Lifeline Program .......................... 100,000 

PACE Greater New Orleans, New Orleans, LA, for the expansion of senior services ......................................... 150,000

The Associated: Jewish Community Federation of Baltimore, Baltimore, MD, to address safety and community engagement issues among seniors ......................................................................................................... 200,000 

Vermont Association of Area Agencies on Aging, Barre, VT, to expand nutrition assistance and related programs ............................................................................................................................................................... 200,000 

Washoe County Senior Services, Carson City, NV, for the RSVP Home Companion Senior Respite Care Program ................................................................................................................................................................ 100,000 

Aging Network Support Activities 

The Committee recommends $44,179,000 for aging network support activities. This amount is the same as the administration request. The comparable fiscal year 2010 level is $44,276,000. The 

Committee recommendation includes funding at the administration 

request level for the Eldercare Locator, which is a toll-free, nationwide directory assistance service for older Americans and their 

caregivers. Established in 1991, the service links over 100,000 callers annually to an extensive network of resources for aging Americans and their caregivers. 
167 

The Committee has included new bill language limiting the funding provided to AoA for Aging and Disability Resource Centers 

[ADRCs]. The Committee notes that the Patient Protection and Affordable Care Act [PPACA] provided a mandatory appropriation of 

$10,000,000 to AoA in fiscal year 2011 for the ADRCs. In light of 

scarce discretionary resources, the Committee recommendation has 

reduced funding for ADRCs by the amount provided in the PPACA. 

The Committee believes that AoA should use the funds previously 

allocated to ADRCs to focus on other programs that will help seniors remain healthy and live independently in their own communities. Specifically the Committee directs AoA to prioritize evidence-based disease prevention activities, such as the chronic disease self-management program [CDSMP]. The Committee notes 

that Recovery Act funding provided to AoA for the CDSMP will end 

this year, and encourages AoA to use fiscal year 2011 funding to 

continue this program, which has been proven to reduce the effects 

of chronic conditions, improve health status and reduce unnecessary healthcare use among seniors. 

Alzheimer’s Disease Demonstration Grants to States 

The Committee recommends a funding level of $11,464,000 for 

Alzheimer’s disease demonstration grants to States. This amount is 

the same as the administration request. The comparable funding 

level for fiscal year 2010 is $11,462,000. This program provides 

competitively awarded matching grants to States to encourage program innovation and coordination of public and private services for 

individuals with Alzheimer’s disease and their families. The Committee urges the AoA to continue this program’s focus on expanding services to people in the early stages of dementia and providing 

chronic care management. 

Lifespan Respite Care 

The Committee recommends $7,000,000 for the Lifespan Respite 

Care program. The administration requested $5,000,000 for this activity and the comparable fiscal year 2010 level is $2,500,000. 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 has provided additional funds to the Lifespan Respite 

Care program as part of the administration’s Caregiver Initiative. 

In carrying out the program, the Committee urges AoA to ensure 

that State agencies and ADRCs serve all age groups, chronic conditions and disability categories. 

Program Administration 

The Committee recommends $22,508,000 for program administration. This amount is the same as the administration request. 

The comparable funding level for fiscal year 2010 is $19,976,000. 

These funds support salaries and related expenses for program 

management and oversight activities. The Committee has included 

bill language requested by the administration that allows AoA to 

continue program management activities for Recovery Act grants 
168 

awarded in fiscal year 2010 under title XVII of the Public Health 

Service Act. 

OFFICE OF THE SECRETARY

GENERAL DEPARTMENTAL MANAGEMENT

Appropriations, 2010 ............................................................................. $555,576,000 

Budget estimate, 2011 ........................................................................... 609,360,000 

Committee recommendation ................................................................. 590,908,000 

The Committee recommends $590,908,000 for general departmental management [GDM]. The comparable fiscal year 2010 funding level is $555,576,000. The administration requested 

$609,360,000 for this activity. The recommendation includes 

$69,211,000 in transfers available under section 241 of the Public 

Health Service Act. In addition, the Committee recommends that 

$30,000,000 be transferred to this account from the Prevention and 

Public Health Fund. 

This appropriation supports activities that are associated with 

the Secretary’s role as policy officer and general manager of the 

Department. It supports certain health activities performed by the 

Office of Public Health and Science [OPHS], including the Office of 

the Surgeon General. GDM funds also support the Department’s 

centralized services carried out by several Office of the Secretary 

staff divisions, including personnel management, administrative 

and management services, information resources management, 

intergovernmental relations, legal services, planning and evaluation, finance and accounting, and external affairs. 

The Office of the Surgeon General, in addition to its other responsibilities, provides leadership and management oversight for 

the U.S. Public Health Service Commissioned Corps, including the 

involvement of the Corps in departmental emergency preparedness 

and response activities. The Committee has included $13,513,000 for the transformation 

of the Commissioned Corps. This amount is the same as the administration request. The comparable fiscal year 2010 funding level is 

$14,813,000. This activity provides for training and career development programs for Corps officers, as well as policies and systems 

that ensure the rapid response of the Corps in public health and 

medical emergencies. 

The Committee has again included $1,000,000 for the Secretary 

to implement section 399CC of the Public Health Service Act (as 

enacted in the Combating Autism Act, Public Law 109–416) related 

to administration of the Interagency Autism Coordinating Committee. These funds are to be transferred to the National Institute 

of Mental Health. 

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

as the administration request, for a Federal employee health and 

wellness initiative. This is a new activity for fiscal year 2011. This 

initiative will be coordinated by the OPHS but the Committee has 

included bill language requested by the administration that allows 

a portion of funds to be transferred to other agencies in the Federal 

government. Funds will be used to operate model wellness programs at Federal worksites that will improve access to fitness opportunities and support nutritional food options in employee cafe-
169 

terias. A rigorous evaluation will accompany this initiative to document its effectiveness on improving employee health. 

The Committee has included $800,000 for the National Academy 

of Sciences [NAS] to update its 2005 report titled ‘‘Assessment of 

the Scientific Information for the Radiation Exposure Screening 

and Education Program.’’ The NAS should review new scientific 

data to determine whether the current Radiation Exposure Compensation Act [RECA] program should be expanded. More specifically, the study should include recommendations as to whether additional diseases or illnesses, classes of workers, and geographic 

areas should be compensated through RECA. 

Adolescent Health.—The Committee notes that adolescents have 

morbidity and mortality rates twice those of younger children. 

Many are vulnerable to poor health outcomes as a result of risktaking behaviors and exposure to environmental risks. Despite 

their high rates of mental health conditions, sexually transmitted 

diseases, obesity, asthma, and other chronic conditions, adolescents 

are not receiving the care they need. The Committee strongly urges 

the Secretary, through the Office of Adolescent Health, to fund 

demonstrations of primary care models staffed by an interdisciplinary team of professionals who provide integrated preventive care, 

primary care, sexual health, and mental health services. These 

models should include care management and communication strategies for adolescents at significant risk of poor health outcomes, as 

well as opportunities for teen and parent involvement and linkages 

to community prevention efforts. 

Carrier Screening.—The Committee is concerned that the Secretary is not more fully engaged in the development of policies and 

recommendations relative to the efficacy and appropriateness of 

carrier screening for genetic disorders. Ad hoc policies developed by 

professional societies and industry have bred inconsistencies and 

confusion. The Committee is aware that the Advisory Committee 

on Heritable Disorders in Newborns and Children and the Secretary’s Advisory Committee on Genetics, Health, and Society are 

exploring the creation of a joint workgroup to explore carrier 

screening protocols. The Committee urges the Secretary to facilitate the development of the joint workgroup and to encourage 

broad participation by stakeholder groups, including advocacy 

groups and health economists. 

Clinical Trial Operations.—The Committee recognizes the importance of providing strict policies and regulations that govern protections for human subjects that participate in federally funded 

clinical trials. At the same time, concerns have been raised that the 

various agencies that fund or provide oversight of clinical trials 

have instituted different regulations that are often inconsistent and 

unnecessarily burdensome, especially for multi-institutional trials. 

This has inhibited the initiation of new trials and access to promising treatments for patients. The Committee encourages the Secretary to bring together leading researchers with experience in the 

operation of clinical trials and representatives from NIH, FDA, 

CMS, and other agencies to determine if changes could be made to 

better harmonize existing policies and regulations on clinical trial 

operations. 
170 

Healthcare Associated Infections.—The Committee notes that a 

recent study published in the Journal of the American Medical Association found that lapses in infection control among ambulatory 

surgical centers were common, with deficiencies relating to practices such as hand hygiene, injection and medication safety, and 

equipment reprocessing. These study results are disturbing since 

outpatient procedures now represent more than three-quarters of 

all operations performed. The Committee applauds the Secretary 

for expanding the Department’s Action Plan to Prevent HealthcareAssociated Infections to include ambulatory surgical centers and 

encourages the Department to pay particular attention to injection 

safety. 

Hearing Loss.—The Committee is concerned about the effects of 

noise on hearing and notes that the number one cause of preventable hearing loss is loud noise. The Committee believes the public 

should be educated to lower the risk of hearing loss in later years 

and urges the Department to produce public service announcements on noise reduction. 

Hepatitis B and C.—The Committee is pleased that the Secretary 

has convened and established an inter-departmental task force to 

address the public health challenge of viral hepatitis. The Committee urges the task force to review and consider the Institute of 

Medicine report released in January 2010 titled ‘‘Hepatitis and 

Liver Cancer: A National Strategy for Prevention and Control of 

Hepatitis B and C,’’ which documents the problem and highlights 

a course of action to address it. The Committee looks forward to an 

update on the task force’s recommendations and actions. 

Lyme Disease.—The Committee encourages the Secretary to better coordinate the Department’s Lyme disease activities. A Tickborne Diseases Advisory Committee could achieve this goal by advising relevant Federal agencies on priorities related to Lyme and 

tick-borne diseases, minimizing overlap in efforts to address such 

diseases, promoting communication with constituency groups, and 

ensuring that a broad spectrum of scientific viewpoints is represented in public health policy decisions. 

The recommendation includes bill language providing funding for 

the following activities in the following amounts: 

Amount 

Community Transportation Association of America, Washington, DC, for technical assistance to human 

services transportation providers on ADA requirements ................................................................................. $950,000 

Teen Pregnancy Prevention 

The Committee recommendation includes $118,455,000 for the 

Teenage Pregnancy Prevention [TPP] program. The recommendation includes $8,455,000 in transfers available under section 241 of 

the Public Health Service Act. The administration requested 

$133,673,000 for this activity. The comparable funding level for fiscal year 2010 is $114,434,000. The Committee recommendation includes $4,000,000 for a Federal evaluation of the projects funded by 

this program. 

The Committee commends the Office of Adolescent Health [OAH] 

for successfully implementing this new program in a short amount 

of time and with very little staff and resources. In the report ac-
171 

companying the Consolidated Appropriations Act of 2010, the Committee stated its intention that the OAH be responsible for implementing and administering the Teen Pregnancy Prevention program. The Committee reiterates this intention. While the Committee expects the OAH to collaborate with and utilize the available expertise of other operating divisions within the Department 

while implementing this program, it directs the Secretary to ensure 

that the OAH maintains administrative and programmatic control 

over any funding announcement issued regarding the Teen Pregnancy Prevention program. 

Adolescent Family Life 

The Committee provides $12,474,000 for the Adolescent Family Life [AFL] program. The administration requested $16,658,000, the 

same as the comparable fiscal year 2010 level. The AFL program 

evaluates integrated approaches to the delivery of comprehensive 

services to pregnant and parenting teens. The Committee recommendation includes funding to support continuations for existing 

care demonstration grants. The Committee notes that the Patient 

Protection and Affordable Care Act created the Support for Pregnant and Parenting Teens and Women program, and also provided 

this program with $25,000,000 in mandatory funds for fiscal year 

2011. The Committee believes this new program duplicates activities funded by the AFL program and, due to scarce discretionary 

resources, has not provided funding for new grant awards for this 

activity. 

Minority Health 

The Committee recommends $58,180,000 for the Office of Minority Health. The comparable fiscal year 2010 funding level is 

$55,989,000 and 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. The OMH establishes goals and coordinates all departmental activity related to 

improving health outcomes for disadvantaged and minority individuals. 

The Committee includes $4,000,000, the same as the comparable 

fiscal year 2010 level, for programs focused on the improvement of 

geographic minority health and the reduction in health disparities 

for rural disadvantaged minority populations. The administration 

did not provide funding for this activity. Funds are available to: increase awareness of healthcare issues and effective interventions 

relevant to these populations; increase access to quality healthcare; 

increase access to quality healthcare personnel available to provide 

services to these populations; improve healthcare outcomes; and develop a model that can be replicated to address national policies 

and programs to improve the health of these rural disadvantaged 

minority communities. This model should include research, health 

services, education/awareness, and health information components, 

with priority given to existing programs with prior funding, that 

are located in areas with the most need, and that can provide recommendations on projects that benefit the health of minority and 

rural populations. 
172 

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

the national health provider education program on lupus. The 

Committee remains very concerned about racial disparities in general and particularly about barriers to early medical diagnosis of 

lupus, a debilitating autoimmune disease that is up to three times 

more common among African Americans, Hispanics and Native 

Americans than among Caucasians. The Committee continues to 

support this critically important national education effort to engage 

health professionals and schools of health professions in working 

together to improve lupus diagnosis and treatment through education. 

Asian and Pacific Islanders.—The Committee notes that Asian 

and Pacific Islanders [API] have a high incidence of stomach and 

liver cancers compared to Caucasians. Overall, cancer data are limited for this population. In addition, the API population experiences 

a higher than average rate of chronic kidney disease, with 1 person 

in 7 afflicted with this disease, compared to a national average of 

1 person in 9. Among API population groups, Filipinos have one of 

the highest rates of incidence per capita. The Committee urges the 

OMH to focus on the unique and pressing needs of this at-risk population. 

Hepatitis B.—The Committee is aware that hepatitis B and liver 

cancer, as caused by the hepatitis B virus, are the single greatest 

health disparities affecting the Asian and Pacific Islander populations in the United States. Asian Americans, Native Hawaiians, 

and other Pacific Islanders comprise more than one-half 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 the OMH to expand outreach and 

preventive hepatitis B programs specific to Asian and Pacific Islanders and other groups disproportionately affected by hepatitis B. 

The recommendation includes bill language providing funding for 

the following activities in the following amounts: 

Amount 

St. Francis Hospital Foundation, Wilmington, DE, for outreach and preventive services to underserved populations ............................................................................................................................................................ $200,000 

Office of Women’s Health 

The Committee recommends $33,746,000 for the Office of Women’s Health. This amount is the same as the comparable fiscal year 

2010 level and the administration request. The Office of Women’s 

Health [OWH] develops, stimulates, and coordinates women’s 

health research, healthcare services, and public and health professional education and training 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 commends the work of the OWH 

and its important leadership in advancing and coordinating a comprehensive women’s health agenda throughout the Department. 

The Committee recommendation includes $3,375,000 to continue 

the violence against women’s initiative. This initiative provides 

funding to public health programs that integrate domestic and sex-
173 

ual 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 

To address high-priority HIV prevention and treatment needs of 

minority communities heavily impacted by HIV/AIDS, the Committee recommends $53,891,000. This amount is the same as the 

administration request. The comparable fiscal year 2010 level is 

$53,880,000. 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. 

Embryo Donation and Adoption 

The Committee provides $4,200,000 for the Department’s embryo 

donation and adoption awareness activities. This amount is the 

same as the comparable fiscal year 2010 level and the administration request. The Committee again includes bill language allowing 

funds appropriated for embryo donation and adoption activities to 

be available to pay medical and administrative costs deemed necessary to facilitate embryo donations and adoptions. 

Acquisition Reform 

The Committee includes a new general provision proposed by the 

administration that transfers $7,000,000 to the Office of the Secretary for acquisition reform activities. The funding level is the 

same as the administration request. These funds will allow the 

Secretary to invest in the civilian acquisition workforce through improved training and technology. The Committee provides these 

funds with the expectation that this investment will improve contracting performance and lower costs in the long term. 

OFFICE OF MEDICARE HEARINGS AND APPEALS

Appropriations, 2010 ............................................................................. $71,147,000 

Budget estimate, 2011 ........................................................................... 77,798,000 

Committee recommendation ................................................................. 77,798,000 

The Committee provides $77,798,000 for the Office of Medicare 

Hearings and Appeals [OMHA]. This is the same as the administration request. The comparable fiscal year 2010 level is 

$71,147,000. 

The Office of Medicare Hearings and Appeals is responsible for 

hearing Medicare appeals at the administrative law judge level, 

which is the third level of Medicare claims appeals. OMHA 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. 

The Committee recommendation includes funding for OMHA to increase the number of administrative law judge teams so that it can 

address its increasing workload. 
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OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION

TECHNOLOGY

Appropriations, 2010 ............................................................................. $61,336,000 

Budget estimate, 2011 ........................................................................... 78,334,000 

Committee recommendation ................................................................. 78,334,000 

The Committee makes available $78,334,000 to the Office of the 

National Coordinator for Health Information Technology [ONC]. 

This amount is the same as the administration request. The comparable fiscal year 2010 funding level is $61,336,000. The Committee recommendation includes $19,011,000 in transfers available 

under section 241 of the Public Health Service Act. 

The Office of the National Coordinator for Health Information 

Technology is responsible for promoting the use of electronic health 

records in clinical practice, coordinating Federal health information 

systems and collaborating with the private sector to develop standards for a nationwide interoperable health information technology 

infrastructure. 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 recommendation includes funding for ONC activities relating to the adoption of electronic health records, privacy and security, interoperability, and research and evaluation. The Committee recommendation also includes $4,000,000, as requested by 

the administration, to integrate substance abuse and mental health 

prevention and treatment into the health information technology 

framework of the larger primary care delivery system. 

OFFICE OF INSPECTOR GENERAL

Appropriations, 2010 ............................................................................. $50,279,000 

Budget estimate, 2011 ........................................................................... 51,754,000 

Committee recommendation ................................................................. 54,754,000 

The Committee recommends an appropriation of $54,754,000 for 

the Office of Inspector General [OIG]. The comparable level for fiscal year 2010 is $50,279,000 and the administration requested 

$51,754,000 for this activity. In addition to discretionary funds provided in this act, the Health Insurance Portability and Accountability Act of 1996 provides a permanent appropriation of 

$177,205,000 for the Office of Inspector General. 

The Office of Inspector General 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. 

The Committee notes that recent GAO reports have highlighted 

the need for greater oversight of the Department’s discretionary 

programs, including those that received increased funding as part 

of the Recovery Act. The Committee strongly believes that taxpayer 

resources must be used wisely, and applauds the Secretary for announcing a new Department-wide program integrity initiative to 

prevent waste and fraud. The Committee recommendation includes 
175 

funding above the administration request so that the OIG can conduct additional investigations and audits of discretionary programs 

as part of this new initiative. 

OFFICE FOR CIVIL RIGHTS

Appropriations, 2010 ............................................................................. $41,093,000 

Budget estimate, 2011 ........................................................................... 44,382,000 

Committee recommendation ................................................................. 44,382,000 

The Committee recommends $44,382,000 for the Office for Civil 

Rights [OCR]. This amount is the same as the administration’s request. The comparable funding level for fiscal year 2010 is 

$41,093,000. The Office for Civil Rights 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 Health Information Technology for Economic and Clinical Health [HITECH] 

Act. 

RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED

OFFICERS

Appropriations, 2010 ............................................................................. $474,557,000 

Budget estimate, 2011 ........................................................................... 517,536,000 

Committee recommendation ................................................................. 517,536,000 

The Committee provides an estimated $517,536,000 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 deceased officers; and 

medical care to active duty and retired officers, as well as their dependents. 

PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

Appropriations, 2010 ............................................................................. $1,346,136,000 

Budget estimate, 2011 ........................................................................... 1,540,506,000 

Committee recommendation ................................................................. 1,526,795,000 

The Committee recommends $1,526,795,000 for the Public 

Health and Social Services Emergency Fund. The administration 

requested $1,540,506,000 and the comparable fiscal year 2010 level 

is $1,346,136,000. The Committee recommendation includes 

$1,196,795,000 in discretionary appropriations and $330,000,000 in 

balances from Public Law 111–32, consistent with the administration request. This appropriation supports the activities of the Office 

of the Assistant Secretary for Preparedness and Response and 

other activities within the Office of the Secretary to prepare for the 

health consequences of bioterrorism and other public health emergencies, including pandemic influenza, and to support the Department’s cyber-security efforts. 
176 

Office of the Assistant Secretary for Preparedness and Response 

[ASPR] 

The Pandemic Preparedness and All-Hazards Preparedness Act, 

enacted into law in December 2006, created the new position of the 

Assistant Secretary for Preparedness and Response [ASPR]. The 

ASPR leads the Federal Government’s activities regarding preventing, preparing for and responding to public health emergencies 

and disasters. The Committee recommendation includes 

$1,045,806,000 for activities administered by ASPR. The administration requested $1,053,734,000 and the comparable funding level 

for fiscal year 2010 is $891,037,000. These funds will support the 

Department’s efforts to prepare for and respond to public health 

emergencies, including acts of terrorism. 

Hospital Preparedness 

The Committee’s recommendation includes $426,000,000, the 

same as the budget request, for hospital preparedness activities. 

The comparable funding level for fiscal year 2010 is $425,928,000. 

This program provides funding to States and localities to enhance 

hospital preparedness to respond to public health emergencies. It 

also funds a national program that helps health professionals volunteer in public health emergencies and disasters. 

Advanced Research and Development 

The Committee has included bill language, proposed by the ad- ministration, to transfer $476,194,000 from the Project BioShield 

Special Reserve Fund advance appropriation to fund advanced research and development. This is the same as the administration request. The fiscal year 2010 comparable amount is $340,066,000. 

The Committee has not included additional bill language requested 

by the administration allowing the Secretary, with 15 days notice 

to the Committee, to transfer additional amounts from Project BioShield to advanced research and development activities. The Committee notes that, in addition to the funds provided in this bill, the 

most recent obligation reports from the Department indicate that 

approximately $358,000,000 in prior-year unobligated balances remain available for advanced research and development activities. 

Due to the large amount of funds available to promote promising 

countermeasures, the Committee has not given the Secretary the 

authority to independently transfer BioShield balances. The Committee believes that additional transfers from Project BioShield 

should be made with the full consideration and prior approval of 

Congress, following sufficient justification from the administration. 

Advanced Adjuvants.—Advanced adjuvants have the potential to 

be dose-sparing and to increase the immunogenicity of influenza 

vaccine antigen in future pandemics. The Committee recognizes the 

need to develop these adjuvants with pandemic strains and demonstrate that potential now, before the next pandemic. The Committee encourages ASPR, along with NIH and the FDA, to facilitate the development of advanced adjuvants for influenza vaccine. 

Antibacterial Resistance.—The Committee notes that antibacterial resistance and the diminishing antibacterial pipeline are 

complex problems. Multi-pronged solutions are required to sufficiently limit the impact of antibacterial resistance on patients and 
177 

the public and to spur the development of products to address antibacterial resistant infections. The Committee encourages ASPR and 

the National Institute for Allergy and Infectious Diseases to create 

a seamless approach to the research and development of new antibacterial drugs, particularly those designed to combat gram-negative infections, which will help the transition across the spectrum 

of enterprise from basic research to product development and procurement. 

Emergency Care.—The Committee recognizes the significant findings of the 2006 Institute of Medicine Report, titled ‘‘HospitalBased Emergency Care: At the Breaking Point,’’ which identified 

critical gaps in emergency medicine research. Therefore, the Committee urges the Secretary to submit a report on the funding information for the past 3 years with respect to emergency medicine research, including the specific HHS agencies involved. 

Manufacturing Surge Capacity.—The Committee is concerned 

that the response to the 2009 H1N1 influenza pandemic strained 

the manufacturing surge capacity for products that are required for 

surveillance, detection, and administration of vaccine. The Committee urges ASPR to review the existing manufacturing surge capacity for these products, as well as the adequacy of the Strategic 

National Stockpile’s current inventory of these products. The Committee believes ASPR should continue to develop advance procedures and guidance with respect to relationships with private parties in emergency situations, including establishing advance contracting logistics and developing distribution channels for nonemergency products that would be used in emergency situations. 

Medical Countermeasures.—The Committee is aware of the important effort underway by the Secretary to improve the ability of 

the United States to respond in the event of a natural, unintentional or deliberate high-consequence public health emergency. The 

Committee looks forward to the administration’s review of the 

issues and challenges facing the Public Health Emergency Medical 

Countermeasures Enterprise and expects a full report as soon as 

possible. The Committee requests that, following the medical countermeasures review, the Secretary provide to the Committee a report detailing the additional resources needed to ensure that the 

discovery, development, procurement, and administration of end-toend medical countermeasures is adequate to protect the American 

people from chemical, biological, radiological, and nuclear threats. 

Next Generation Ventilators.—The Committee is aware of a request for proposals solicitation made by the Biomedical Advanced 

Research and Development Authority [BARDA] in ASPR to support 

advanced development of domestically manufactured next generation portable ventilators. The Committee supports this effort and 

requests that the ASPR provide to the Committee an update on 

this solicitation and its other activities in this area in its fiscal year 

2012 budget justification. 

Universal Flu Vaccine.—The Committee is encouraged that a 

universal influenza vaccine, which could potentially provide protection from all flu strains for decades, may become a reality because 

of research performed by the National Institute of Allergy and Infectious Diseases [NIAID]. Due to the strain-specific nature of current flu vaccine, the Committee recognizes that Federal funds could 
178 

be saved every year and the public’s health could be better protected if a universal influenza vaccine were available. The Committee encourages ASPR to work with NIAID to ensure that sufficient research is being done to develop and test a safe and effective 

influenza vaccine that protects against all strains of the virus. 

Facilities Project 

The Committee recommendation includes $10,000,000 to co-locate the majority of ASPR staff in a new facility. This amount is 

the same as the administration request. This is a new activity 

which was not funded in fiscal year 2010. 

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—$12,847,000; 

—Preparedness and Emergency Operations—$38,059,000; 

—National Disaster Medical System—$56,540,000; 

—Medical Countermeasures Dispensing—$10,000,000; 

—Global Medicine, Science, and Public Health—$10,000,000; and 

—Policy, Strategic Planning and Communications—$6,166,000. 

Office of the Assistant Secretary for Administration 

The Committee recommendation includes $32,040,000 for information technology cybersecurity. The administration requested 

$37,040,000 and the comparable funding level for fiscal year 2010 

is $27,040,000. These funds provide for continuous monitoring and 

security incident response coordination for the Department’s computer systems and networks. 

Office of Public Health and Science 

The Committee recommendation includes $12,694,000 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 2010 is $12,581,000. 

Office of the Secretary 

The Committee recommendation includes $436,255,000 for activities within the Office of the Secretary. The administration request 

is $437,038,000 and the comparable fiscal year 2010 level is 

$415,478,000. The recommendation includes $106,255,000 in discretionary appropriations and $330,000,000 in balances from Public 

Law 111–32, consistent with the administration request. 

Pandemic Influenza Preparedness 

The Committee provides $65,578,000 in annual funding for pandemic influenza preparedness activities. This amount is the same 

as the administration request. The Committee notes that, in addition to the discretionary funds provided in this bill, the Department plans to use an estimated $330,000,000 in balances from Public Law 111–32, the fiscal year 2009 emergency supplemental, for 
179 

additional pandemic preparedness investments. The total program 

level provided for pandemic influenza preparedness activities in fiscal year 2011 is $395,578,000. The comparable funding level for fiscal year 2010 is $341,000,000. The funding provided will support 

pandemic preparedness activities including the expansion of international influenza vaccine production capacity, development of diagnostic assays, improved communications, and global planning efforts. 

The Committee notes that a critical public health challenge occurred last year when the 2009 novel H1N1 influenza pandemic 

swept across our country and throughout the world. With unprecedented speed, the Federal Government completed key steps in the 

H1N1 influenza vaccine development process. The speed of this 

vaccine development was possible due to the investments made by 

the Department, with funding provided by this Committee, over the 

past few years in advanced research and development and infrastructure building. The Committee is also aware that the Department has yet to use approximately $2,260,000,000 in unobligated 

funds from the fiscal year 2009 emergency supplemental. The Committee requests that the Secretary prepare a report containing an 

evaluation of the lessons learned from the coordinated response to 

the H1N1 pandemic, especially as it pertains to the vaccine development and delivery processes. This evaluation should include the 

specific steps the Department will take to use unobligated emergency supplemental funds to implement these lessons learned so 

that our nation is better prepared for future pandemics. This report 

to the Committee should be submitted by September 30, 2010. 

The Committee is concerned that the CDC Morbidity and Mortality Weekly Report from April 2, 2010 found that less than 35 

percent of health workers received recommended annual influenza 

vaccinations. The Committee encourages the Office of the Secretary 

to work with CDC, CMS, and relevant Federal departments and 

agencies to develop strategies to increase influenza vaccination 

rates among healthcare workers. 

The Committee understands that the Food and Drug Administration has approved a process that could provide a cost-effective way 

to recover the active pharmaceutical ingredients in expiring courses 

of antivirals held in the Strategic National Stockpile and by States. 

The Committee urges the Secretary to explore this antiviral recovery process as a cost effective way to maintain their current state 

of preparedness to deal with an influenza pandemic. 

Parklawn Replacement 

The Committee has included $35,000,000 to support build-out 

costs for the Parklawn Building replacement and relocation expenses, as well as repositioning HHS within the Parklawn Building 

under a short-term lease extension. This amount is the same as the 

administration request. The comparable level for fiscal year 2010 

is $69,585,000. 

Office of Security and Strategic Information 

The Committee has included $5,677,000 for the Office of Security 

and Strategic Information to secure and strengthen the Department’s critical assets. The comparable level for fiscal year 2010 is 
180 

$4,893,000 and the administration requested $6,460,000 for this activity. 

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 $15,000,000,000 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 $500,000,000 for the fund in fiscal year 

2010. In fiscal year 2011, the level for the fund is $750,000,000. 

The Committee includes bill language in section 221 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: 

Account Activity Amount 

Disease Control, Research, and Training ............... Community Transformation Grants authorized under 

section 4201 of the Patient Protection and Affordable Care Act.

$220,000,000 

Disease Control, Research, and Training ............... Racial and Ethnic Approaches to Community 

Health.

50,000,000 

Disease Control, Research, and Training ............... Chronic Disease State grants ....................................... 140,000,000 

Disease Control, Research, and Training ............... Office of Smoking and Health for a demonstration on 

tobacco cessation.

20,000,000 

Disease Control, Research, and Training ............... Office of Smoking and Health for additional resources 

for quitlines.

15,000,000 

Disease Control, Research, and Training ............... Office of Smoking and Health for a media campaign.55,000,000 

Disease Control, Research, and Training ............... Epidemiology and Laboratory Capacity Grants ............. 50,000,000 

Disease Control, Research, and Training ............... Task Force on Community Preventive Services ............. 7,000,000 

Disease Control, Research, and Training ............... Prevention Research Centers ........................................ 10,000,000 

Disease Control, Research, and Training ............... Extramural grants for prevention and public health 

research.

20,000,000 

Disease Control, Research, and Training ............... National Center for Health Statistics ........................... 34,000,000 

Disease Control, Research, and Training ............... Scientific review of genetic samples from the National Birth Defects Prevention Study.5,000,000 

Disease Control, Research, and Training ............... Extramural grants on disability and health promotion.5,000,000 

Disease Control, Research, and Training ............... Education and outreach campaign regarding preventive benefits authorized under section 4004 of the 

Patient Protection and Affordable Care Act.

2,000,000 

Disease Control, Research, and Training ............... Community Health Worker demonstration authorized in 

section 399V of the Public Health Service Act.

30,000,000 

Substance Abuse and Mental Health Services ...... Primary and Behavioral Health Integration grants ...... 40,000,000 

Healthcare Costs, Quality and Outcomes ............... U.S. Preventive Services Task Force ............................. 7,000,000 

Healthcare Costs, Quality and Outcomes ............... Clinical preventive services research ........................... 10,000,000
181 

Account Activity Amount 

General Departmental Management ....................... Tobacco prevention and cessation activities ................ 10,000,000 

General Departmental Management ....................... Public health and prevention coordination and strategic planning, including media campaigns.19,000,000 

General Departmental Management ....................... National Prevention, Health Promotion and Public 

Health Council.

1,000,000 

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). 

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). 
182 

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). 

The Committee recommendation modifies a provision of the Public Health Service Act which allows the Secretary to allocate appropriated funds (sec. 218). 

The Committee recommendation modifies a provision of the Public Health Service Act which allows the Secretary to transfer appropriated funds (sec. 219). 

The Committee recommendation includes a provision providing for an additional $7,000,000 for General Departmental Management account and authorizes its transfer within the Department 

(sec. 220). 

The Committee recommendation includes a provision transferring mandatory funds section 4002 of the Patient Protection and 

Affordable Care Act to accounts with the Department for activities 

outlined under the heading ‘‘Prevention and Public Health Fund’’ 

in this report (sec. 221). 
(183) 

TITLE III 

DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED

Appropriations, 2010 ............................................................................. $15,914,666,000 

Budget estimate, 2011 ........................................................................... 15,883,434,000 

Committee recommendation ................................................................. 16,726,579,000 

The Committee recommends an appropriation of $16,726,579,000 

for education for the disadvantaged. The budget request is 

$15,883,434,000. The fiscal year 2010 appropriation is 

$15,914,666,000. 

The President’s budget for fiscal year 2011 was based on the administration’s proposal to reauthorize the Elementary and Secondary Education Act [ESEA]. While the authorizing committees 

have taken significant actions to reauthorize the act, legislation 

has not yet 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 2011–2012 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 $14,942,401,000 for this program. 

The budget request was $14,492,401,000, which was the same 

amount as the fiscal year 2010 appropriation. Title I grants are distributed through four formulas: basic, concentration, targeted, and 

education finance incentive grant [EFIG]. 

For title I basic grants, including up to $4,000,000 transferred to 

the Census Bureau for poverty updates, the Committee recommends an appropriation of $6,597,946,000. This amount is the 

same as the budget request and the fiscal year 2010 appropriation. 

For concentration grants, the Committee recommends 

$1,365,031,000. This amount is the same as the budget request and 

the fiscal year 2010 level. 

For grants through the targeted formula, the Committee recommends $3,489,712,000. The budget request and the amount in 

the fiscal year 2010 appropriations bill are $3,264,712,000. 
184 

Finally, for grants through the EFIG formula, the Committee recommends $3,489,712,000. The budget request and the amount 

in the fiscal year 2010 appropriations bill are $3,264,712,000. Of the funds available for title I grants to LEAs, up to $4,000,000 shall be available on October 1, 2010, not less than $3,145,801,000 

will become available on July 1, 2011, and $10,841,176,000 will become available on October 1, 2011. The funds that become available on July 1, 2011, and October 1, 2011, will remain available for 

obligation through September 30, 2012. 

Early Learning Challenge Fund 

The Committee recommendation includes $300,000,000 for a new 

Early Learning Challenge Fund, as authorized in section 308 of 

this act. The budget request did not include funding for this activity. These funds are available for obligation from July 1, 2011 

through September 30, 2012. 

There is robust evidence that high-quality early learning programs help children develop the cognitive, social, emotional, and 

language skills needed to succeed in school and later in life. Lasting effects are well documented and include improved academic 

achievement, reduced need for special education, increased employment and earnings, and reduced instances of crime and delinquency. Yet quality varies greatly across settings, within States, 

and across the Nation, and the most disadvantaged children are 

often left behind. 

The Early Learning Challenge Fund will provide competitive 

grants to States to develop and implement integrated systems of 

high-quality early learning programs. States should promote high 

standards of quality and focus on outcomes across early learning 

settings, including pre-kindergarten, child care, and Head Start 

programs, with the goal of increasing the number of disadvantaged 

children ages 0 to 5, including those who are low-income, homeless, 

developmentally delayed, or have limited English proficiency, in 

these programs. 

The Secretary of Education shall jointly develop policy for and 

administer these grants with the Secretary of Health and Human 

Services. The Committee directs the Departments of Education and 

HHS to provide a joint briefing to the Committees on Appropriations of the Senate and House of Representatives within 30 days 

of issuing the grant announcement for this program. 

William F. Goodling Even Start Family Literacy Program 

The Committee recommends no funding for the Even Start program, as did the budget request. The fiscal year 2010 appropriation 

is $66,454,000. 

The Even Start program provides grants for family literacy programs that serve disadvantaged families with children under 8 

years of age and adults eligible for services under the Adult Education and Family Literacy Act. 

The Committee notes that three national evaluations have found 

that this program did not effectively increase the literacy skills of 

children and parents participating in the program. The Committee 

strongly believes that investments in early learning are critical and 

that’s why the bill includes $300,000,000 for the early learning 
185 

challenge fund discussed previously, as well an increase of 

$990,000,000 for Head Start and $1,000,000,000 for the Child Care 

and Development block grant program. 

School Improvement Grants 

The Committee recommendation includes $625,000,000 for the 

School Improvement Grants program. The budget request is 

$900,000,000 and the fiscal year 2010 appropriation is 

$545,633,000. 

The Committee continues language from the fiscal year 2010 act 

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 if they are title I-eligible 

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. 

The Committee bill also includes language that specifies that 

each State that receives School Improvement Grants funds must 

spend 40 percent of its allocations on school improvement activities 

in middle and high schools, unless the State educational agency determines that all targeted middle and high schools can be served 

with a lesser amount. Preliminary indications suggest that many 

of the lowest-performing high schools will not be served under the 

current structure of the program. That is a problem because over 

one-half of the Nation’s dropouts come from nearly 2,000 low-performing high schools, and nearly one-third of them aren’t eligible 

for School Improvements under the current structure of the program. 

The Committee requests that the Department assist States in encouraging and supporting LEAs in their use of school improvement 

funds, including those made available through the 4 percent set 

aside established in section 1003(a) of the ESEA, on those activities 

with evidence bases rated strong or moderate as defined in the regulations for the Investing in Innovation program. While the Committee acknowledges that the state of research on school improvement and school turnaround is not as strong as it needs to be, 

every effort should be made to utilize the knowledge base that does 

exist while additional research is conducted that will inform future 

activities. The Committee expects the Department to describe in 

the fiscal year 2012 congressional budget justification specific actions taken or planned to address this request. 

Striving Readers 

The Committee recommends $250,000,000 to continue the Striving Readers initiative. This amount is the same as the fiscal year 

2010 appropriation. The budget proposes to consolidate this funding within a new Effective Teaching and Learning program under 

its reauthorization proposal. 

The Committee bill includes language that continues this 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 
186 

students, including English language learners and students with 

disabilities, from birth through grade 12. Of the total amount, up to $21,000,000 may be used to continue an adolescent literacy initiative and $10,000,000 will be distributed 

by formula to States to support a State literacy team. After funds 

are set aside for schools funded by the Bureau of Indian Affairs 

and for the outlying areas, up to 5 percent of the remaining funds 

may be used for national activities, and the rest would be used for 

competitive grants to State educational agencies. 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. 

Improving Literacy Through School Libraries 

The Committee recommends $19,145,000, the same amount as 

the fiscal year 2010 appropriation, for the Improving Literacy 

Through School Libraries program. The budget request consolidates this activity within its proposed Effective Teaching and 

Learning program under its reauthorization proposal. 

The Improving Literacy Through School Libraries program provides competitive awards to LEAs to acquire school library media 

resources, including books and advanced technology; facilitate resource-sharing networks among schools and school libraries; provide professional development for school library media specialists; 

and provide students with access to school libraries during nonschool hours. 

Migrant Education Program 

The Committee recommends $394,771,000 for the migrant education program. This amount is the same as the budget request 

and the fiscal year 2010 appropriation. 

The title I migrant education program authorizes grants to State 

educational agencies for programs to meet the special educational 

needs of the children of migrant agricultural workers and fishermen. This appropriation also supports activities to improve interstate and intrastate coordination of migrant education programs, 

as well as identifying and improving services to the migrant student population. 

Neglected and Delinquent 

The Committee recommends $50,427,000 for the title I neglected 

and delinquent program. This amount is the same as the budget 

request and the fiscal year 2010 appropriation. 

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 
187 

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 $8,167,000 for evaluation of title I 

programs. The budget request and fiscal year 2010 appropriation 

are $9,167,000. 

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. 

High School Graduation Initiative 

The Committee recommends $100,000,000 for the High School 

Graduation Initiative under title I, part H of the ESEA. The fiscal 

year 2010 appropriation is $50,000,000. 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 reentry 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. 

The Committee recommends a doubling of this program for several reasons. Despite the important role that high schools play in 

providing students with the skills they need to be successful in 

postsecondary education and employment, the Committee notes 

that only 1 in 4 receive title I funds and the total amount they receive is merely 10 percent of title I funding. The Committee also 

recognizes that individuals who drop out of high school have a 

higher likelihood of unemployment and a shorter life expectancy. 

The economy suffers as well, with fewer skilled workers to compete 

in the global economy. The Committee expects that this investment 

will help address the need to improve the performance of our Nation’s secondary schools and stem the tide of dropouts that could 

hold back their individual lives, as well as our economic future. 

Special Programs for Migrant Students 

The Committee recommends $36,668,000 for Special Programs 

for Migrant Students. This amount is the same as the fiscal year 

2010 appropriation and the budget request. 

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 one-half of 1 percent of the funds appropriated be-
188 

tween the two programs for outreach, technical assistance, and professional development activities. In addition, under the reauthorization, 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 post-secondary education. 

IMPACT AID

Appropriations, 2010 ............................................................................. $1,276,183,000 

Budget estimate, 2011 ........................................................................... 1,276,183,000 

Committee recommendation ................................................................. 1,296,183,000 

The Committee recommends $1,296,183,000 for impact aid. The 

budget request proposes $1,276,183,000, the same amount as the 

fiscal year 2010 appropriation, for this program. 

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. 

The Committee bill also includes language that would continue 

heavily impacted payments in 2010 and 2011 for local educational 

agencies that received such payments in 2009. The bill also includes new language related to the Department’s policy on demolished housing that is scheduled to be replaced. 

Basic Support Payments.—The Committee recommends 

$1,153,000,000 for basic support payments. The fiscal year 2010 

level and the budget request are $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. 
189 

Payments for Children With Disabilities.—The Committee bill includes $50,602,000 for payments for children with disabilities. The 

fiscal year 2010 funding level and the budget request are 

$48,602,000 for this purpose. Under this program, additional payments are made for certain federally connected children eligible for 

services under the Individuals with Disabilities Education Act. 

Facilities Maintenance.—The Committee recommends $4,864,000, 

the same amount as the fiscal year 2010 appropriation and the 

budget request, for facilities maintenance. This activity provides 

funding for emergency repairs and comprehensive capital improvements to certain school facilities owned by the Department of Education and used by local educational agencies to serve federally 

connected military dependent students. Funds appropriated for this 

purpose are available until expended. 

Construction.—The Committee recommends $18,509,000 for the 

construction program. The budget request and fiscal year 2010 appropriation are $17,509,000 for this program. Formula and competitive grants are authorized to be awarded to eligible LEAs for 

emergency repairs and modernization of school facilities. 

The fiscal year 2011 budget request proposes to make awards entirely under the competitive grant formula and requests that the 

funds be available for 2 years. 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, 

2012. Last year’s bill provided these funds entirely through formula 

allocations. 

Payments for Federal Property.—The Committee recommends 

$69,208,000 for payments for Federal property. The budget request 

and the fiscal year 2010 appropriation are $67,208,000 for this program. These payments compensate LEAs in part for revenue lost 

due to the removal of Federal property from local tax rolls. 

SCHOOL IMPROVEMENT PROGRAMS

Appropriations, 2010 ............................................................................. $5,228,444,000 

Budget estimate, 2011 ........................................................................... 3,120,094,000 

Committee recommendation ................................................................. 5,388,173,000 

The Committee recommendation includes $5,388,173,000 for 

school improvement programs. The budget request is 

$3,120,094,000. The fiscal year 2010 appropriation is 

$5,228,444,000. 

The President’s budget for fiscal year 2011 was based on the administration’s proposal to reauthorize the Elementary and Secondary Education Act [ESEA]. While the authorizing committees 

have taken significant actions to reauthorize the act, legislation 

has not yet passed the Senate. As a result, programs in this account are based generally on current law, as authorized under the 

ESEA. 

State Grants for Improving Teacher Quality 

The Committee recommends $2,954,673,000 for State grants for 

improving teacher quality. The fiscal year 2010 appropriation is 

$2,947,749,000 for this program. The budget request proposes 
190 

$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 2011–2012 academic year. Of the funds provided, $7,000,000 will become available on October 1, 2010, and remain available through September 30, 2011. Of the remainder, 

$1,266,232,000 will become available on July 1, 2011, and 

$1,681,441,000 will become available on October 1, 2011. These 

funds will remain available for obligation through September 30, 

2012. 

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. 

From the amount available on October 1, 2010, the Department may use up to $7,000,000 to continue its TEACH campaign. This 

initiative is designed to recruit the next generation of American 

teachers. While the Committee strongly supports this goal, it also 

notes that the National Research Council [NRC] report ‘‘Preparing 

Teachers: Building Evidence for Sound Policy’’ released earlier this 

year found there was much we still don’t know about teacher preparation and its effectiveness. The report noted that improved understanding of the relationships between characteristics of teacher 

preparation and student learning, and the development of a comprehensive, coherent system for collecting data about teacher preparation are two overarching needs. The Committee believes the Department should utilize available resources to address both needs, 

while also continuing its efforts to attract the new teachers needed 

for America’s classrooms. The Committee requests a report, not 

later than 30 days after enactment of this act, which describes the 

actions the Department is proposing, planning, and taking to address relevant conclusions and recommendations from the NRC report. 

The Committee also directs $5,000,000 to continue a national initiative to recruit, train, and support results-oriented, highly motivated individuals to lead high-need schools with a focus on raising 

the achievement of all students and closing the achievement gap in 

these schools. These funds shall be awarded to the New Leaders for 

New Schools for the organization’s efforts to develop and deliver 

training for aspiring principals and support for principals, and conduct research to create a knowledge base to inform the recruitment, selection, and training of principals for high-need schools. 

Mathematics and Science Partnerships 

The Committee recommends $180,478,000, the same amount as 

the fiscal year 2010 level, for the mathematics and science partnerships program. The budget proposes $300,000,000 for a new Effective Teaching and Learning: Science, Technology, Engineering, 

Mathematics program. 
191 

These funds will be used to improve the performance of students 

in the areas of math and science by bringing math and science 

teachers in elementary and secondary schools together with scientists, mathematicians, and engineers to increase the teachers’ 

subject-matter knowledge and improve their teaching skills. The 

Department awards grants to States by a formula based on the 

number of children aged 5 to 17 who are from families with incomes below the poverty line. States then are required to make 

grants competitively to eligible partnerships, which must include 

an engineering, math, or science department of an institution of 

higher learning and a high-need LEA. 

Educational Technology State Grants 

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

the fiscal year 2010 appropriation, for educational technology State 

grants. The budget requests no funds for this program. Instead, the 

budget supports the integrated use of technology through the Effective Teaching and Learning for a Complete Education program. 

The educational technology State grants program supports efforts 

to integrate technology into curricula to improve student learning. 

Funds flow by formula to States and may be used for the purchase 

of hardware and software, teacher training on integrating technology into the curriculum, and efforts to use technology to improve 

communication with parents, among other related purposes. 

The Committee bill retains language allowing States to award up 

to 100 percent of their funds competitively. 

Supplemental Education Grants 

The Committee recommendation includes $17,687,000, the same 

amount as the budget request and the fiscal year 2010 appropriation, for supplemental education grants to the Republic of Marshall 

Islands [RMI] and the Federated States of Micronesia [FSM]. This 

grant program was authorized by the Compact of Free Association 

Amendments Act of 2003. These funds will be transferred from the 

Department of Education to the Secretary of the Interior for grants 

to these entities. The Committee bill includes language that allows 

up to 5 percent to be used by the FSM and RMI to purchase oversight and technical assistance, which may include reimbursement 

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 $1,266,166,000 

for the 21st Century Community Learning Centers program. The 

budget request and the fiscal year 2010 level are both 

$1,166,166,000 for this program. 

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 
192 

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. 

The Committee recognizes the value that additional time in 

school can offer to students, especially students in low-performing 

schools who may need additional time to master academics as well 

as benefit from the engagement and learning of enrichment activities. In awarding grants to applicants that propose to expand 

learning time, the Committee intends that States consider applications proposing significant changes to the school calendar such as 

extended school days, Saturday classes and extended year approaches. It is the expectation of the Committee that in offering expanded learning time programs schools will ensure that students 

have more opportunity for academic learning, but are also offered 

additional enrichment activities. Enrichment activities, which are 

critical to a well-rounded education, include the arts and physical 

education. 

Therefore, the Committee bill includes new language authorizing 

the use of these funds for subgrants that significantly increase the 

number of hours in a regular school schedule and comprehensively 

redesign the school schedule for all students in the school. The purpose of this extended learning time shall be both for instruction in 

the core academic and other subjects and for enrichment activities, 

including the arts or physical activity. This use of funds is in addition to those authorized under the ESEA. 

State Assessments and Enhanced Assessment Instruments 

The Committee recommends $450,000,000, the same amount as 

the budget request, for State assessments and enhanced assessment instruments. The fiscal year 2010 appropriation is 

$410,732,000 for this program. 

This program has two components. The first provides formula 

grants to States to pay the cost of developing standards and assessments required by the No Child Left Behind Act. The Committee 

provides $400,000,000, the same as the fiscal year 2010 level and 

the budget request, for this purpose. 

Under the second component—grants for enhanced assessment 

instruments—appropriations in excess of the State assessment program are used for a competitive grant program designed to support 

efforts by States to improve the quality and fairness of their assessment systems. The Committee recommendation for the second component is $50,000,000, the same as the budget request and the fiscal year 2010 appropriation. 

The Committee urges the Department to continue to place a high 

priority on grant applications that aim to improve the quality of 

State assessments for students with disabilities and students with 

limited English proficiency, and to ensure the most accurate means 

of measuring their performance on these assessments. 

Javits Gifted and Talented Education 

The Committee concurs with the budget request in recommending no funds for the Javits Gifted and Talented Students Education Program. The fiscal year 2010 appropriation is $7,463,000 

for this purpose. Funds are used for awards to State and local edu-
193 

cational agencies, institutions of higher education, and other public 

and private agencies for research, demonstration, and training activities designed to enhance the capability of elementary and secondary schools to meet the special educational needs of gifted and 

talented students. 

The Committee has included funding within the Institute of Education Sciences that may be used to support research and development in this area. The Committee also urges the Department to 

provide continued attention to the needs of gifted and talented students through existing authorities including the fund for the improvement of education. 

Foreign Language Assistance 

The Committee recommends $26,928,000, the same amount as 

the fiscal year 2010 appropriation, for the foreign language assistance program. The budget request includes no funds for this program. 

Funds from this program support competitive grants to increase 

the quality and quantity of foreign language instruction. At least 

75 percent of the appropriation must be used to expand foreign language education in the elementary grades. The Committee has included bill language that prohibits foreign language assistance program funds from being used for the foreign language incentive program. The Committee also includes bill language that allows up to 

$11,500,000 for 5-year grants to LEAs, in partnership with institutions of higher education, for the establishment or expansion of articulated programs of study in critical-need languages. The amount 

set aside for this purpose in fiscal year 2010 is $9,729,000. 

The Committee is concerned that this program is unavailable to 

the poorest schools because grant recipients must provide a 50 percent match from non-Federal sources. The Committee, therefore, 

strongly urges the Secretary to use his ability to waive the matching requirement for qualifying schools and to increase awareness of 

this accommodation among the affected school population. 

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 $75,427,000. The budget request and fiscal 

year 2010 appropriation are $65,427,000 for this program. 

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. 

The Committee notes that the most recent data reported to the 

Department show that a total of 956,914 homeless students were 

reported enrolled in all LEAs in the 2008–2009 school year, a 20 
194 

percent increase from the 2007–2008 school year. The increases 

have occurred across the Nation, as 44 States reported increases in 

the total homeless children and youth enrolled in LEAs in the 

2008–2009 school year. The Committee recommendation will help 

provide effective educational services to this population of students. 

Training and Advisory Services 

For training and advisory services authorized by title IV of the 

Civil Rights Act, the Committee recommends $6,989,000, the same 

amount as the budget request and the fiscal year 2010 appropriation. 

The funds provided will support awards to operate the 10 regional equity assistance centers [EACs]. Each EAC provides services to school districts upon request. Activities include disseminating information on successful practices and legal requirements 

related to nondiscrimination on the basis of race, color, sex, or national origin in education programs. 

Education for Native Hawaiians 

For programs for the education of Native Hawaiians, the Committee recommends $35,315,000. The budget request is 

$34,315,000, the same amount as the fiscal year 2010 appropriation. The Committee bill includes language requiring that at least 

$1,500,000 of the funds be used for a grant to the Department of 

Education of the State of Hawaii for construction and renovation 

of facilities at public schools serving a predominantly Native Hawaiian student body. 

The Committee bill also includes language stipulating that 

$1,500,000 shall be used for a grant to the Center of Excellence at 

the University of Hawaii School of Law, for the Native Hawaiian 

Law School Center of Excellence. This repository houses a compilation of historical and cultural documents that facilitates preservation and examination of laws of great significance to Native Hawaiians. 

The Committee bill also includes language stipulating that 

$500,000 shall be used under title VIII, part Z of the Higher Education Act for the Henry K. Giugni Memorial Archives at the University of Hawaii. 

Alaska Native Educational Equity 

The Committee recommends $33,315,000, the same amount as 

the fiscal year 2010 level and the budget request, for the Alaska 

Native educational equity assistance program. 

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. 
195 

Rural Education 

The Committee recommends $179,882,000 for rural education 

programs. The budget request includes $174,882,000, the same as 

the fiscal year 2010 appropriation, for this purpose. 

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 $61,313,000 for the comprehensive 

centers program. The budget request and the fiscal year 2010 level 

are $56,313,000 for the comprehensive centers program. 

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 No Child Left Behind, and 

five content centers, which are organized by topic area. 

The centers are currently operating under the 6th year of what 

was expected to be 5-year grants for operation. The fiscal year 2011 

appropriation is expected to support the awards for the first year 

of funding under a competition expected early next year. The centers can play an important role in supporting State and local school 

improvement efforts that have been enhanced through the significant amount of Federal funding that has been made available by 

this Committee in recent years. Therefore, the Committee expects 

to be notified promptly of the Department’s specific plans for a 

competition for the centers. 

INDIAN EDUCATION

Appropriations, 2010 ............................................................................. $127,282,000 

Budget estimate, 2011 ........................................................................... 127,282,000 

Committee recommendation ................................................................. 129,282,000 

The Committee recommends $129,282,000 for Indian Education 

programs. The budget request and the fiscal year 2010 appropriation are $127,282,000 for these programs. 

Grants to Local Education Agencies 

For grants to local educational agencies, the Committee recommends $104,331,000, the same amount as the fiscal year 2010 

funding level and the budget request. 

These funds provide financial support to elementary and secondary school programs that serve Indian students, including preschool children. Funds are awarded on a formula basis to local educational agencies, schools supported and operated by the Depart-
196 

ment of the Interior/Bureau of Indian Education, and in some cases 

directly to Indian tribes. 

Special Programs for Indian Children 

The Committee recommends $19,060,000, the same amount as 

the budget request and fiscal year 2010 appropriation, for special 

programs for Indian children. 

Funds are used for demonstration grants to improve Indian student achievement through early childhood education and college 

preparation programs, and for professional development grants for 

training Indians who are preparing to begin careers in teaching 

and school administration. 

National Activities 

The Committee recommends $5,891,000 for national activities. 

The fiscal year 2010 funding level and the budget request are 

$3,891,000 for these activities. 

Funds will be used to expand efforts to improve research, evaluation, and data collection on the status and effectiveness of Indian 

education programs. Of the amount provided, $2,000,000 shall be 

used for grants to tribes for education administration and planning. 

INNOVATION AND IMPROVEMENT

Appropriations, 2010 ............................................................................. $1,379,065,000 

Budget estimate, 2011 ........................................................................... 6,332,278,000 

Committee recommendation ................................................................. 2,224,843,000 

The Committee recommendation includes $2,224,843,000 for programs within the innovation and improvement account. The budget 

request is $6,332,278,000 for related activities. The fiscal year 2010 

appropriation is $1,379,065,000 for programs in this account. 

The President’s budget for fiscal year 2011 is based on the administration’s proposal to reauthorize the Elementary and Secondary Education Act. While the authorizing committees have 

taken significant actions to reauthorize the act, legislation has not 

yet passed the Senate. As a result, programs in this account are 

based generally on current law, as authorized under the Elementary and Secondary Education Act. 

Race to the Top 

The Committee recommends $675,000,000 for the Race to the 

Top program. The budget request includes $1,350,000,000 for this 

purpose. No funds were included in the fiscal year 2010 bill for this 

activity. These funds are available for obligation on July 1, 2011 

and will remain available through September 30, 2012. 

Race to the Top was established in the American Recovery and 

Reinvestment Act. It has 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. With funds provided in this 

appropriations bill, the Department may make competitive awards 

to State and/or local education agencies based on their commitment 

to and plan for innovation and reform that will improve student 

achievement. 
197 

The Committee notes 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. Tennessee and Delaware have been awarded 

funds already, and 36 States applied for phase 2 grants that will 

be awarded over the next 2 months. Grants funded by the fiscal 

year 2011 bill may be awarded to local school districts as well as 

States. While the amount provided in this bill is less than the administration’s request of $1,350,000,000, the Committee believes 

this funding level will sustain the education reform momentum created by the Recovery Act. 

Investing in Innovation 

The Committee recommends $250,000,000 for the Investing in Innovation program. The budget request is $500,000,000 for this 

purpose. No funds were included in the fiscal year 2010 bill for this 

activity. 

Investing in Innovation was established in the American Recovery and Reinvestment Act. 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 research. The Committee supports this three-tier evidentiary model 

and believes that this feature of the program should continue to 

guide future funding opportunities and decisions. 

Effective Teachers and Leaders 

The Committee recommends no funding for the effective teachers 

and leaders State grant program. The budget request includes 

$2,500,000,000 for this new program based on the administration’s 

reauthorization proposal. The Committee has provided $2,954,673,000 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 includes 

$950,000,000 for this new program based on the administration’s 

reauthorization proposal. 

The Committee has provided $400,000,000 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 includes $405,000,000 

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. 
198 

Expanding Educational Options 

The Committee recommends no funding for the expanding educational options program. The budget request includes 

$490,000,000 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. 

Troops-to-Teachers 

The Committee recommends no appropriation, as proposed in the 

budget request, to support the Defense Department’s Troops-toTeachers program. The fiscal year 2010 appropriation is 

$14,389,000 for this purpose. 

This program helps recruit and prepare retiring and former military personnel to become highly qualified teachers serving in highpoverty school districts. The Secretary of Education transfers program funds to the Department of Defense for the Defense Activity 

for Non-Traditional Education Support to provide assistance, including stipends or bonuses, to eligible members of the armed 

forces so that they can obtain teacher certification or licensing. In 

addition, the program helps these individuals find employment in 

a school. 

Transition to Teaching 

The Committee recommends $43,707,000, the same as the fiscal 

year 2010 appropriation, for the Transition to Teaching program. 

The budget request proposes excellent instructional teams programs that could support activities carried out under 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. 

National Writing Project 

The Committee recommends $25,646,000, the same amount as 

the fiscal year 2010 bill, for the National Writing Project. The 

budget request does not include any funds for this purpose. 

These funds are awarded to the National Writing Project, a nonprofit organization that supports and promotes K–16 teacher training programs in the effective teaching of writing. 

Teaching of Traditional American History 

The Committee recommends $118,952,000 for the teaching of traditional American history program. This is the same amount as the 

fiscal year 2010 level. The budget request 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, and funds may be used only to undertake activities that are related to American history, and cannot be 

used for social studies coursework. Grant awards are designed to 
199 

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 believes 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 $41,220,000 for the school leadership program. The fiscal year 2010 level is $29,220,000 for this program. The budget request 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. 

The Committee bill includes language directing the Secretary to 

establish priorities for these funds for those eligible entities that 

propose programs to prepare school leaders to turn around low-performing schools and to those entities that would prepare leaders for 

service in rural schools. The Committee intends that the Secretary 

shall give priority to applicants that propose to focus on providing 

principals and other school leaders with the skills and knowledge 

needed to turn around low-performing schools. The Committee expects that those applicants will offer a process to place such trained 

school leaders in low-performing schools and that low-performing 

schools should include those schools eligible for funds under section 

1003(g) of ESEA that have been identified by States and districts 

as being in the bottom 5 percent of schools statewide or have otherwise demonstrated persistent low performance. 

Advanced Credentialing 

The Committee recommends $10,649,000 for the advanced 

credentialing program. This is the same amount as the fiscal year 

2010 appropriation for this program. The budget request includes 

no funds for this purpose. 

The Committee includes bill language directing all of the funding 

for this program to the National Board for Professional Teaching 

Standards. Funds available assist the board’s work in providing financial support to States for teachers applying for certification, increasing the number of minority teachers seeking certification and 

developing outreach programs about the advanced certification program. 

Teach for America 

The Committee recommends $22,000,000 for Teach for America 

[TFA], a nonprofit organization that recruits outstanding recent 
200 

college graduates who commit to teach for 2 years in underserved 

communities. The budget request includes no funds for this program. Teach for America received $18,000,000 through the fiscal 

year 2010 bill. 

In 2008, the Higher Education Opportunity Act amended the 

Higher Education Act of 1965 to include authority for the Teach for 

America program. The purpose of the program is to enable TFA to 

implement and expand its program for recruiting, selecting, training, and supporting new teachers. With these funds, the grantee is 

required to: (1) provide highly qualified teachers to serve in highneed local educational agencies in urban and rural communities; 

(2) pay the costs of recruiting, selecting, training, and supporting 

new teachers; and (3) serve a substantial number and percentage 

of underserved students. 

Charter Schools 

The Committee recommends a total of $256,031,000 for the support of charter schools. This amount is the same as the fiscal year 

2010 appropriation. The budget request 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: 

not less than $223,000,000 for charter school grants, up to 

$23,031,000 for the State facilities, and credit enhancement for 

charter schools facilities programs, and up to $10,000,000 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 [SEA] 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 from 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. 

Voluntary Public School Choice 

The Committee recommends $25,819,000, the same amount as 

the fiscal year 2010 appropriation, for the voluntary public school 
201 

choice program. The budget request proposes no funds for this program. 

This program supports efforts by States and school districts to 

establish or expand State- or district-wide public school choice programs, especially for parents whose children attend low-performing 

public schools. 

Magnet Schools Assistance 

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

the fiscal year 2010 appropriation, for the magnet schools assistance program. The budget request includes $110,000,000 for this 

purpose. 

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 $178,987,000 for 

the Fund for the Improvement of Education [FIE]. The fiscal year 

2010 appropriation is $261,570,000, and the budget request is 

$27,278,000 for this purpose. 

Within programs of national significance, the Committee includes $1,250,000 to continue the educational facilities clearinghouse that 

provides information on planning, designing, financing, building, 

maintaining, and operating safe, healthy, high-performance educational facilities, including early learning centers. The Committee 

also provides $6,000,000 for Reach Out and Read, a literacy program; $4,000,000 for Communities in Schools, a dropout prevention 

program; and additional funding for data quality and evaluation 

initiatives and peer review. 

The Committee also includes $7,601,000 for other activities that 

the Secretary may use at his discretion. The budget request includes $19,750,000 for special studies, conferences, and grant 

awards that the Secretary may use at his discretion. The Committee encourages the Secretary to consider using these funds for 

continued support of financial literacy activities. 

Within the total amount for FIE, the Committee recommendation 

also includes funding for several separately authorized programs. 

The Committee recommends $24,803,000, the same amount as 

the fiscal year 2010 appropriation, for the contract to Reading Is 

Fundamental Inc. [RIF] to provide reading-motivation activities. 

RIF, a private nonprofit organization, helps prepare young children 

and motivate older children to read, through activities including 

the distribution of books. The budget request proposes no funds for 

RIF. 

The Committee concurs with the budget proposal in providing no 

funds for the Ready to Teach program. Ready to Teach encompasses funding for competitive awards to one or more nonprofit entities, for the purpose of continuing to develop telecommunications- 
202 

based programs to improve teacher quality in core areas. It also includes digital educational programming grants, which encourage 

community partnerships among local public television stations, 

State and local educational agencies, and other institutions to develop and distribute digital instructional content based on State 

and local standards. 

The Committee recommends $8,754,000, the same amount as the 

fiscal year 2010 appropriation, for the Education through Cultural 

and Historical Organizations [ECHO] Act of 2001. The budget request proposes no funds for this program. Programs authorized 

under ECHO provide a broad range of educational, cultural, and 

job training opportunities for students from communities in Alaska, 

Hawaii, Massachusetts, and Mississippi. 

The Committee has included $42,000,000 for arts in education. 

The budget request includes no funds for this purpose. The fiscal 

year 2010 appropriation is $40,000,000 for authorized activities. 

The recommendation includes $10,060,000 for VSA, an international nonprofit organization that supports the involvement of 

persons with disabilities in arts programs, and $7,000,000 for the 

John F. Kennedy Center for the Performing Arts. Remaining funds 

are provided for professional development, model arts programs 

and evaluation activities. 

From such funds remaining for the arts in education program, 

the Committee urges the Department to support the evaluation 

and national public dissemination of information regarding model 

programs and professional development projects funded through 

the Arts in Education section, including dissemination of information regarding the results of projects which received awards in fiscal years 2001 and 2002, and subsequent years. The Committee expects such information to be available and disseminated not later 

than 30 days after enactment of this act and to include, where 

available, information regarding project outcomes, training methods, and the self-evaluation results of funded model arts programs 

and professional development programs. The Committee urges the 

Department to focus first on dissemination activities related to 

funded programs before using these resources for other purposes. 

The Committee recommends $39,254,000, the same amount as 

the fiscal year 2010 appropriation, for parental information and resource centers. The budget request includes no funds for this purpose. Centers provide training, information, and support to parents, State and local education agencies, and other organizations 

that carry out parent education and family involvement programs. 

The Committee includes $2,278,000, the same amount as the 

budget request, for the women’s educational equity program. The 

fiscal year 2010 appropriation is $2,423,000. This program supports 

projects that assist in the local implementation of gender equity 

policies and practices. 

The Committee concurs with the budget request in recommending no funds for activities authorized by the Excellence in 

Economic Education Act. The fiscal year 2010 appropriation includes $1,447,000 for this purpose. Funds support a grant to a nonprofit educational organization to promote economic and financial 

literacy among kindergarten through 12th grade students. 
203 

The Committee bill includes no funds to continue the mental 

health integration in schools program. The fiscal year 2010 appropriation is $5,913,000 for this program. The budget proposes no 

funds for this purpose. This program supports grants to or contracts with State educational agencies, local educational agencies 

or Indian tribes to increase student access to mental healthcare by 

linking schools with their local mental health systems. The Committee bill includes additional resources within safe and drug free 

national activities to address student mental health issues. 

The Committee recommendation includes bill language providing 

funding for the following activities in the following amounts: 

Amount 

3–D School, Petal, MS, for a model dyslexia intervention program ............................................................... $200,000 

Appalachian State University, Boone, NC, for college preparation and access programs for high school 

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

Avant-Garde Learning Foundation, Anchorage, AK, to improve educational outcomes for children in lowperforming school districts ......................................................................................................................... 100,000 

Baltimore City Public Schools, Baltimore City, MD, for support of alternative education programs for 

academically challenged students, which may include equipment and technology ................................. 1,000,000 

Big Brothers Big Sisters, Anchorage, AK, for youth mentoring programs for underserved, at-risk populations in Alaska ......................................................................................................................................... 100,000 

Big Thought, Dallas, TX, for afterschool programs ......................................................................................... 110,000 

Boys & Girls Club of Greater Milwaukee, Milwaukee, WI, for support of early literacy and related programming .................................................................................................................................................... 300,000 

Catamount Arts, St. Johnsbury, VT, for support of arts education ................................................................ 200,000 

Chaddock, Quincy, IL, for support of special education activities ................................................................. 200,000 

Challenger Learning Center, Bangor, ME, for science technology engineering and mathematics programs ........................................................................................................................................................... 250,000 

Chicago Public Schools, Chicago, IL, for a youth violence prevention initiative ........................................... 500,000 

Chicago School of Professional Psychology, Chicago, IL, for support of afterschool programming .............. 300,000 

Churchill County School District, Fallon, NV, for STEM Curriculum and technology Improvements .............. 25,000 

City University of New York-York College, Jamaica, NY, for support of science and aerospace-based education, which may include acquisition of technology ................................................................................ 150,000 

Clark County School District, Las Vegas, NV, for support of a school for highly gifted students ................ 750,000 

Clark County School District, Las Vegas, NV, for support of the Family Leadership Initiative ..................... 300,000 

Cleveland Metropolitan School District, Cleveland, OH, for science education programs, including the 

purchase of equipment ............................................................................................................................... 150,000 

Cleveland Metropolitan School District, Cleveland, OH, to improve math, science, technology, and language skills through music education ....................................................................................................... 100,000 

Communities In Schools of Spokane County, Spokane, WA, for support of mentoring programs ................. 150,000 

Connect Arkansas, Little Rock, AR, to purchase and equip mobile broadband labs .................................... 200,000 

Cook Inlet Tribal Council, Anchorage, AK, to increase literacy and math skills of Alaskan students .......... 250,000 

Cristo Rey, Chicago, IL, for educational programming, which may include evaluation activities ................ 250,000 

Cuyahoga County Office of Early Childhood/Invest in Children, Cleveland, OH, for an early childhood education initiative, including scholarships ..................................................................................................... 100,000 

Delta Arts Alliance, Inc., Drew, MS, for arts education programs ................................................................. 150,000 

Delta State University, Cleveland, MS, for a training program for early childhood educators ..................... 300,000 

Delta State University, Cleveland, MS, for science and environmental education and outreach activities .. 300,000 

Des Moines Independent Community School District, Des Moines, IA, to increase access to and quality of 

early childhood education programs ........................................................................................................... 750,000 

Drueding Center, Philadelphia, PA, to support educational programs, including staff, technology upgrades, and the purchase of equipment .................................................................................................... 100,000 

Eastern Maine Development Corporation, Bangor, ME, for youth career pathway programs ........................ 225,000 

Eden Housing, Hayward, CA, for support of an after school program ........................................................... 450,000 

Educare Central Maine, Waterville, ME, to support early childhood education activities, including the 

purchase of equipment ............................................................................................................................... 250,000 

Educating Young Minds, Los Angeles, CA, for educational programming, which may include the acquisition of technology ........................................................................................................................................ 175,000 

Education Alliance of Washoe County, Reno, NV, for support of an afterschool tutoring program .............. 150,000 

El Centro de la Raza, Seattle, WA, for support of counseling, tutoring, and educational programming ..... 100,000 

Elev8 New Mexico, New Mexico Community Foundation, Albuquerque, NM, for support of extended day 

learning programs in New Mexico ............................................................................................................... 200,000 

ENLACE New Mexico, Albuquerque, NM, for support of academic engagement and completion programs 

in New Mexico .............................................................................................................................................. 150,000 
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Amount 

Everybody Wins! USA, Boston, MA, for child literacy programs across the country ...................................... 500,000 

Falcon School District 49, Falcon, CO, to support a science, technology, engineering, and math education program ............................................................................................................................................ 100,000 

Friends of E Prep Schools, Cleveland, OH, for technology including the purchase of equipment ................ 150,000 

Give Every Child A Chance, Manteca, CA, for the expansion of the Give Every Child A Chance program ... 300,000 

Glenwood School for Boys and Girls, St. Charles, IL, for training and development costs associated with 

the Life Stabilization project, which may include software and technology ............................................. 200,000 

Heartland Foundation, St. Joseph, MO, to support youth empowerment programs, including the purchase 

of equipment ............................................................................................................................................... 450,000 

History Colorado, Denver, CO, for support of the Student to Citizen Initiative .............................................. 100,000 

Humboldt County School District, Winnemucca, NV, for support of technology-based instruction ............... 150,000 

Indiana State University, Terre Haute, IN, for curriculum development and teacher training ...................... 100,000 

Inner-City Arts, Los Angeles, CA, for the core arts and language project for at-risk youth ......................... 300,000 

Iowa Department of Education, Des Moines, IA, to continue the Harkin Grant program .............................. 6,000,000 

Iowa State Education Association, Des Moines, IA, for professional development for teachers on 21st 

century skills ............................................................................................................................................... 300,000 

Jazz at Lincoln Center, New York, NY, for music education programs .......................................................... 400,000 

Jobs for Ohio’s Graduates, Inc., Columbus, OH, for dropout prevention programs for at-risk youth ............ 150,000 

Junior Achievement of Delaware, Inc., Wilmington, DE, for computer-based programming and related 

science, technology, and engineering education activities ........................................................................ 50,000 

Kauai Economic Development Board, Lihue, HI, for science, technology, engineering, and math education ............................................................................................................................................................... 700,000 

Lander County School District, Battle Mountain, NV, for acquisition of technology and equipment ............ 150,000 

Lincoln County School District, Panaca, NV, for support of afterschool programming ................................. 50,000 

Lower Brule Sioux Tribe, Lower Brule, SD, for support of afterschool programming, which may include 

the acquisition of equipment ...................................................................................................................... 100,000 

Lyon County School District, Yerington, NV, for support of early education services .................................... 150,000 

Madison Metropolitan School District, Madison, WI, for educational programming ...................................... 500,000 

Marketplace of Ideas/Marketplace for Kids, Inc., Bismarck, ND, for entrepreneurship education ................ 200,000 

Maryland Bio Foundation, Rockville, MD, for support of science, technology, engineering, and mathematics education through a mobile laboratory outreach program, which may include purchase of 

equipment .................................................................................................................................................... 800,000 

Maui Economic Development Board, Kihei, HI, for engaging girls and historically underrepresented students in science, technology, engineering, and math education ............................................................... 800,000 

Mentoring Partnership of Southwestern PA, Pittsburgh, PA, for support of mentoring programs, which 

may include equipment and technology acquisitions ................................................................................ 100,000 

Meskwaki Nation, The—Sac & Fox Tribe of the Mississippi in Iowa, Tama, IA, for a culturally based 

education curriculum ................................................................................................................................... 400,000 

Mid-Iowa Community Action, Inc., Marshalltown, IA, for literacy activities for pre-school aged children .... 100,000 

Mississippi Band of Choctaw Indians, Choctaw, MS, for academic support, tutoring, mentoring, and 

afterschool programs ................................................................................................................................... 100,000 

Mississippi Building Blocks, Ridgeland, MS, for a state-wide early childhood education program ............. 500,000 

Mississippi Council on Economic Education, Jackson, MS, for teacher training for economics, financial 

literacy and entrepreneurial education ....................................................................................................... 500,000 

Mississippi Historical Society, Jackson, MS, to develop educational materials for history instruction ......... 100,000 

Mississippi Museum of Natural Science Foundation, Jackson, MS, for science education exhibits and outreach programs ........................................................................................................................................... 200,000 

Mississippi State University, Mississippi State, MS, for a dropout prevention program, including the purchase of equipment ..................................................................................................................................... 850,000 

Mississippi State University, Mississippi State, MS, for an early childhood teacher education program, 

including the purchase of equipment and materials ................................................................................. 500,000 

Mississippi University for Women, Columbus, MS, for development of at-risk youth programs ................... 250,000 

Mississippi University for Women, Columbus, MS, for science and math programs for K–12 students ...... 200,000 

Montana Digital Academy, Missoula, MT, for support of online learning activities ...................................... 100,000 

National Center for Parents as Teachers, St. Louis, MO, to support home visitation programs, including 

the purchase of equipment ......................................................................................................................... 850,000 

NC STEM Community Collaborative, Ft. Bragg Region, Research Triangle Park, NC, for science, technology, engineering, and math programs, including the purchase of equipment .................................... 150,000 

Nevada Department of Education, Carson City, NV, for a demonstration of public school facilities repair 

and construction, which may include subgrants ....................................................................................... 2,000,000 

Nevada Parents Empowering Parents, Las Vegas, NV, to provide educational workshops to parents of 

students with disabilities ............................................................................................................................ 125,000 

Nye County School District, Pahrump, NV, to support instructional/intervention specialists and the purchase of instructional materials ................................................................................................................. 350,000 

Oakland Unified School District, Oakland, CA, for the Oakland Truancy Intervention and Educational Support Program ................................................................................................................................................ 300,000 
205 

Amount 

Operation Shoestring, Jackson, MS, for afterschool and summer community outreach and education programs ........................................................................................................................................................... 100,000 

Orchestra Iowa, Cedar Rapids, IA, to support a music education program .................................................. 300,000

Pacific Islands Center for Educational Development, Pago Pago, American Samoa, for program development ............................................................................................................................................................. 400,000 

Parents for Public Schools of Jackson, Inc., Jackson, MS, for professional development, development of 

materials, and programs to increase student achievement and graduation rates in low performing 

schools ......................................................................................................................................................... 250,000 

Polynesian Voyaging Society, Honolulu, HI, for educational programs ........................................................... 300,000 

Project HOME, Philadelphia, PA, for afterschool programs ............................................................................. 100,000 

Providence Community Library, Providence, RI, for support of the Out-of-School Learning Opportunities 

program ....................................................................................................................................................... 250,000 

Public Education Foundation, Las Vegas, NV, for support of a clearinghouse for classroom supplies and 

materials ...................................................................................................................................................... 100,000 

Saint Mary’s College, Notre Dame, IN, for tutoring and mentoring programs for at-risk youth ................... 100,000 

San Francisco Redevelopment Agency, San Francisco, CA, for a college preparatory program, in partnership with College Track ............................................................................................................................... 250,000 

Save the Children, Washington, DC, for a rural literacy program in Mississippi .......................................... 100,000

Save the Children, Westport, CT, for support of the Louisiana Early Child Development program .............. 200,000 

SEED Foundation, Washington, DC, for the SEED School of Louisiana Exploratory project ........................... 250,000 

Seton Hall University, South Orange, NJ, for an urban school improvement program .................................. 350,000 

Southeastern Louisiana University, Hammond, LA, to increase the number of certified teachers and support other activities designed to improve student achievement ................................................................ 100,000 

Southwest Washington Workforce Development Council, Vancouver, WA, for support of professional development in science and mathematics education ........................................................................................ 100,000 

Syracuse University, Syracuse, NY, for support of afterschool programming ................................................ 500,000 

Technology Assessment for Basic Skills, Inc., Des Moines, IA, for continuation and expansion of the 

SKILLS Iowa program ................................................................................................................................... 2,000,000 

The Tibetan Community of New York and New Jersey, Inc., New York, NY, for the Tibetan Community 

Center Youth Education and Empowerment Program ................................................................................. 100,000 

Thrive By Five Washington, Seattle, WA, for support of early childhood education programming ................ 300,000 

Uintah School District, Vernal, UT, for academic achievement and credit recovery programs, including 

the purchase of equipment ......................................................................................................................... 106,000 

University of Mississippi, University, MS, for teacher training for elementary mathematics education ....... 300,000 

University of Southern Mississippi, Hattiesburg, MS, for teacher training in the science, technology, engineering, math, language, and creative arts fields .................................................................................... 400,000 

Utah State Office of Education, Salt Lake City, UT, for teacher development programs .............................. 300,000 

Utah Symphony, Salt Lake City, UT, for music education programs .............................................................. 106,000 

Washoe County School District, Reno, NV, for support of educational activities .......................................... 500,000

World Science Festival, New York, NY, for science and environmental education and outreach activities .. 200,000 

Young Writers Project, Inc., Winooski, VT, for support educational programming and teaching training .... 175,000 

Teacher Incentive Fund 

The Committee recommendation includes $400,000,000, the same 

amount as the fiscal year 2010 appropriation, for the Teacher Incentive Fund [TIF] program. 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 create 

sustainable performance-based compensation systems. 

The Committee urges the Department to award grants for shortterm planning for the development of performance-based compensation systems as well as for implementation. Recognizing that 

such systems should be aligned with other educational improvement efforts, in awarding grants the Committee urges the Department to give priority to those applications that demonstrate a link 
206 

between proposed projects and the instructional strategy or other 

key reforms undertaken by the relevant schools or LEAs. 

Ready-to-Learn Television 

The Committee recommendation includes $29,050,000 for the 

Ready-to-Learn Television program. The budget request includes 

no funds for this program. The fiscal year 2010 appropriation is 

$27,300,000. 

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, to 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. 

The Committee intends for funds to be used in accordance with 

the Ready to Learn statute and believes recipients of these funds 

should have a demonstrated track record in educational television 

production for preschool and/or elementary school students. 

Close Up Fellowships 

The Committee recommendation includes $1,942,000, the same 

as the fiscal year 2010 appropriation, for Close Up Fellowships. 

The budget request does not include any funds for this purpose. 

These funds are provided to the Close Up Foundation of Washington, DC, which offers fellowships to students from low-income 

families and their teachers to enable them to spend 1 week in 

Washington attending seminars and meeting with representatives 

of the three branches of the Federal Government. 

Advanced Placement 

The Committee recommends $45,840,000, the same amount as 

the fiscal year 2010 appropriation, for AP programs. The budget request does not include any funds for this purpose. 

These funds support two programs, the Advanced Placement Test 

Fee program and the Advanced Placement Incentive [API] program, the purpose of both of which is to aid State and local efforts 

to increase 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. 
207 

Under statute, the Department must give priority to funding the test fee program. Approximately $20,000,000 will be needed to fund 

that program; the remaining funds will support continuations for 

API grants. 

SAFE SCHOOLS AND CITIZENSHIP EDUCATION

Appropriations, 2010 ............................................................................. $403,053,000 

Budget estimate, 2011 ........................................................................... 620,000,000 

Committee recommendation ................................................................. 426,053,000 

The Committee recommends a total of $426,053,000 for activities 

to promote safe schools, healthy students, and citizenship education. The fiscal year 2010 appropriation is $403,053,000 for such 

activities. The budget request includes $620,000,000 for similar 

purposes. 

The President’s budget for fiscal year 2011 is based on the administration’s proposal to reauthorize the Elementary and Secondary Education Act. While the authorizing committees have 

taken significant actions to reauthorize the act, legislation has not 

yet passed the Senate. As a result, programs in this account are 

based generally on current law, as authorized under the Elementary and Secondary Education Act. 

Promise Neighborhoods 

The Committee recommends $20,000,000 for the Promise Neigh- borhoods program. The budget request includes $210,000,000 for 

this purpose. The fiscal year 2010 appropriation is $10,000,000 for 

Promise Neighborhoods. 

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 

organizations with feasible plans for achieving the goals of the program. Awards from the fiscal year 2010 appropriation have not yet 

been made and the Committee intends to re-examine the need for 

additional funds upon reviewing the plans of the winners of the 

current grant competition. 

Successful, Safe, and Healthy Students 

The Committee recommends no funds for this program, which is 

based on the administration’s reauthorization proposal. The Committee has allocated funds for related current law programs, as described under the individual headings in this account. 

Under this proposed 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. 
208 

Safe and Drug-free National Activities 

The Committee recommendation includes $196,341,000 for the 

national activities portion of the Safe and Drug-Free Schools and 

Communities program. The fiscal year 2010 appropriation is 

$191,341,000 for this purpose. The budget request proposes to fund 

related activities within the proposed successful, safe and healthy 

students program. 

The Committee has a particular interest in funding for the coordination and integration of mental health services within these 

comprehensive approaches. Therefore, the Committee requests that 

the Department report to the Committees on Appropriations of the 

Senate and House of Representatives, not later than 30 days after 

enactment of this act, on how resources available within this account will be used to address this interest. 

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 2010. The Committee 

believes that no additional funds are required in fiscal year 2011, 

given the amount of unobligated funds that have been carried over 

from previous years. The Committee recommendation includes $830,000, the same 

amount as the fiscal year 2010 appropriation, for a program to 

identify, and provide recognition of, promising and model alcohol 

and drug abuse prevention and education programs in higher education. The budget request proposes to fund related activities within its new successful, safe and healthy students program. 

The Committee recommendation also includes funds for school 

emergency preparedness, Safe Schools/Healthy Students, postsecondary education drug and violence prevention, and other activities. 

Alcohol Abuse Reduction 

The Committee recommends $32,712,000, the same amount as 

the fiscal year 2010 appropriation, for grants to LEAs to develop 

and implement programs to reduce underage drinking in secondary 

schools. Instead of requesting funds for this program, the budget 

proposes a successful, safe and healthy students program which 

could support related activities. 

Elementary and Secondary School Counseling 

The Committee recommends $57,000,000 to establish or expand 

counseling programs in elementary and secondary schools. The fiscal year 2010 funding level is $55,000,000. 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 $80,000,000 to help 

LEAs and community-based organizations initiate, expand and improve physical education programs for students in grades K–12. 
209 

The fiscal year 2010 appropriation is $79,000,000 for this purpose. 

The budget request proposes a successful, safe and healthy students program that could support related activities. 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 $40,000,000 to improve the quality 

of civics and government education, to foster civic competence and 

responsibility, and to improve the quality of civic and economic 

education through exchange programs with emerging democracies. 

The fiscal year 2010 appropriation is $35,000,000 for this purpose. 

The budget request proposes to eliminate this program and instead 

provide competitive awards for history, civics, and government 

grants within the Fund for the Improvement of Education. 

The Committee recommends $20,617,000 for the We the People 

programs, including $2,957,000 to continue the comprehensive program to improve public knowledge, understanding, and support of 

American democratic institutions, which is a cooperative project 

among the Center for Civic Education, the Center on Congress at 

Indiana University, and the Trust for Representative Democracy at 

the National Conference of State Legislatures. The bill also includes $13,383,000 for the Cooperative Education Exchange program. 

The Committee bill also recommends $6,000,000 and necessary 

bill language for establishing a grant competition and related activities for nonprofit organizations with demonstrated effectiveness 

for the development and implementation of civic learning programs. National, State, or local nonprofits and educational institutions, individually or in partnership, shall be eligible to receive 

awards under this competition. The Committee intends for these 

funds to support programs that address relevant State and national educational standards; provide free or low-cost curriculum; 

and provide cost-effective models for teacher professional development. The Secretary shall establish a priority for applications that 

demonstrate innovation, scaleability, program accountability, and a 

focus on underserved populations, including those in urban and 

rural areas. The Committee also intends for a portion of the funds 

to be available for independent research and evaluation to help assess the effects of civic education programs on students’ development of the knowledge, skills, and traits of character essential for 

the preservation and improvement of constitutional democracy. The 

Committee requests a briefing on how the Department intends to 

implement this directive not later than 30 days prior to the announcement of the availability of funds for this initiative. 

ENGLISH LANGUAGE ACQUISITION

Appropriations, 2010 ............................................................................. $750,000,000 

Budget estimate, 2011 ........................................................................... 800,000,000 

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

The Committee recommends an appropriation of $800,000,000, 

the same amount as the budget request, for English language ac-
210 

quisition. The fiscal year 2010 appropriation is $750,000,000 for 

this program. 

The President’s budget for fiscal year 2011 is based on the administration’s proposal to reauthorize the Elementary and Secondary Education Act. While the authorizing committees have 

taken significant actions to reauthorize the act, legislation has not 

yet passed the Senate. As a result, programs in this account are 

based generally on current law, as authorized under the Elementary and Secondary Education Act. 

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 

English Language Acquisition and Language Instructional Programs; and evaluation activities. National activities funds shall be 

available for 2 years. 

The Committee bill includes language that allows the Secretary 

to use the annual 3-year estimates provided by the Census Bureau 

in order to determine the State allocations. The fiscal year 2010 appropriations language 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. The Committee directs the Department to 

consult with the authorizing and appropriations committees of the 

Senate and House of Representatives prior to any announcement of 

allocations made for this program from the 2011 appropriation. 

SPECIAL EDUCATION

Appropriations, 2010 ............................................................................. $12,587,035,000 

Budget estimate, 2011 ........................................................................... 12,846,190,000 

Committee recommendation ................................................................. 13,035,490,000 

The Committee recommends $13,035,490,000 for special education programs authorized by the Individuals with Disabilities 

Education Act [IDEA] and the Special Olympics Sport and Empowerment Act of 2004. The fiscal year 2010 funding level is 

$12,587,035,000. The budget request includes $12,846,190,000 for 

such programs and proposed legislation. 

Grants to States 

The Committee recommends $11,925,211,000 for special education grants to States, as authorized under section 611 of part B 

of the IDEA. The budget request proposes $11,755,211,000 under 

this authority. The fiscal year 2010 level is $11,505,211,000 for this 

program. 

This program provides formula grants to assist States, outlying 

areas, and other entities in meeting the costs of providing special 
211 

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 2011–2012 academic year. Of the funds available for this program, $3,332,828,000 will become available on July 

1, 2011, and $8,592,383,000 will become available on October 1, 

2011. These funds will remain available for obligation until September 30, 2012. 

The budget request proposes 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. The Committee bill includes 

the requested language. 

Preschool Grants 

The Committee recommends $374,099,000, the same amount as 

the budget request and fiscal year 2010 level, for preschool grants. 

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. 

Grants for Infants and Families 

The Committee recommends $459,427,000 for the grants for infants and families program under part C of the IDEA. The fiscal 

year 2010 funding level and the budget request are $439,427,000 

for this program. 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 $49,223,000 for the State personnel 

development program. The fiscal year 2010 funding level and the 

budget request are $48,000,000 for this purpose. This program focuses on the professional development needs in States by requiring 

that 90 percent of funds be used for professional development activities. The program supports grants to State educational agencies 

to help them reform and improve their personnel preparation and 

professional development related to early intervention, educational 

and transition services that improve outcomes for students with 

disabilities. 

Technical Assistance and Dissemination 

The Committee recommends $49,549,000, the same amount as 

the fiscal year 2010 funding level and the budget request, for technical assistance and dissemination. This program supports awards 
212 

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. 

Personnel Preparation 

The Committee recommends $90,653,000, the same amount as 

the fiscal year 2010 funding level and the budget request, for the 

personnel preparation program. Funds support competitive awards 

to help address State-identified needs for personnel who are qualified to work with children with disabilities, including special education teachers and related services personnel. The program has requirements to fund several other broad areas including training for 

leadership personnel and personnel who work with children with 

low incidence disabilities, and providing enhanced support for beginning special educators. 

Parent Information Centers 

The Committee recommends $30,028,000 for parent information 

centers. The comparable fiscal year 2010 funding level and the 

budget request are $28,028,000 for the centers. This program 

makes awards to parent organizations to support parent training 

and information centers, including community parent resource centers. These centers provide training and information to meet the 

needs of parents of children with disabilities living in the areas 

served by the centers, particularly underserved parents, and parents of children who may be inappropriately identified. 

The Committee believes that the additional funds should be used 

to support the work of all centers, balanced by the importance of 

targeting additional resources to centers that are serving areas 

with growing populations. The Committee further believes that 

there should be more transparency with regard to the allocation 

formula being used to allocate these funds and requests the annual 

congressional budget justification include a description of the Department’s methodology for allocating funds available for this program. 

Technology and Media Services 

The Committee recommends $47,300,000 for technology and 

media services. The comparable fiscal year 2010 funding level is 

$43,973,000 for this purpose, while the budget request proposes 

$41,223,000 for authorized activities. This program makes competitive awards to support the development, demonstration, and use of 

technology, and educational media activities of value to children 

with disabilities. 

The Committee recommendation includes $13,250,000 for Recording for the Blind and Dyslexic, Inc. These funds support the continued development, production, and circulation of accessible educational materials. 
213 

The Committee recommendation also includes $737,000 for the 

Reading Rockets program, administered by the Greater Washington Education Television Association. 

Mentoring for Individuals With Intellectual Disabilities 

The Committee recommendation defers action on the request for $10,000,000 to support this proposed program. The budget proposes 

support for 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. 

Special Olympics 

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

amount as the budget request, for Special Olympics education activities. The fiscal year 2010 funding level is $8,095,000 for authorized activities. 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, authorized in 

the fiscal year 2010 appropriations act and proposed in the budget 

request. 

REHABILITATION SERVICES AND DISABILITY RESEARCH

Appropriations, 2010 ............................................................................. $3,506,861,000 

Budget estimate, 2011 ........................................................................... 3,565,326,000 

Committee recommendation ................................................................. 3,542,510,000 

The Committee recommends $3,542,510,000 for rehabilitation 

services and disability research. The fiscal year 2010 funding level 

is $3,506,861,000. The budget request includes $3,565,326,000 for 

programs in this account. 

Vocational Rehabilitation State Grants 

The Committee recommends $3,084,696,000, the same as the 

comparable fiscal year 2010 level, 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 fiscal year 2011 budget request is $3,141,529,000 

and assumes several program consolidations and eliminations as 

part of a proposal to reauthorize the Workforce Investment Act 

[WIA]. Since Congress has not yet acted on a WIA reauthorization, 

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. 
214 

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 2011 

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. 

Workforce Innovation Funds 

The Committee provides $27,000,000 to create a workforce inno- vation fund. The budget request provides $30,000,000 for this initiative. This program will 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. 

To support alignment at the Federal level, the Committee expects the Secretary to make such awards in cooperation with the 

Secretary of Labor. Priority should be given to applicants that demonstrate significant alignment across education, workforce development, and supportive services at the State, regional, or local level, 

and that support economic development goals and improved employment and education outcomes for participants with disabilities, 

including those with the most significant disabilities. Awards 

should prioritize applicants that demonstrate comprehensive strategic planning and coordination at the State, regional, or local level 

and continuation of promising practices and infrastructure developed through disability program navigator programs. The Committee directs that the Department provide a briefing to the Committee not less than 30 days prior to the release of a solicitation 

of grant applications for this program. 

Client Assistance State Grants 

The Committee recommends $14,288,000 for the client assistance 

State grants program. The comparable fiscal year 2010 funding 

amount and the budget request are $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. Funds are distributed to States according to 

a population-based formula, except that increases in minimum 

grants are guaranteed to each of the 50 States, the District of Columbia, and Puerto Rico, and guaranteed to each of the outlying 

areas, by a percentage not to exceed the percentage increase in the 

appropriation. States must operate client assistance programs in 

order to receive vocational rehabilitation State grant funds. 

Training 

The Committee recommends $37,766,000, the same as the comparable fiscal year 2010 level, for training rehabilitation personnel. 

The budget request provides $33,251,000. 
215 

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 $13,151,000 for this program. The 

comparable fiscal year 2010 funding level is $11,601,000. The 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. 

The Committee recommendation includes bill language providing 

funding for the following activities in the following amounts: 

Amount 

American Academy of Orthotists and Prosthetists, Washington, DC, to improve the quality of applied 

orthotic and prosthetic research and to help meet the demand for provider services ................................ $500,000 

ARC of Madison County, Huntsville, AL, for a disability program initiative, which may include equipment ... 100,000 

Holy Angels Residential Facility, Caddo Parish, LA, for vocational training for developmental disabled individuals ............................................................................................................................................................. 100,000 

Spurwink Services, Portland, ME, for education programs for students with autism ....................................... 400,000 

Statewide Independent Living Council, Anchorage, AK, to expand independent living programs for rural and 

remote areas .................................................................................................................................................... 400,000 

Utah State Office of Rehabilitation, Salt Lake City, UT, for assistive technology equipment ........................... 150,000 

Migrant and Seasonal Farmworkers 

The Committee recommends $2,239,000, the same as the comparable fiscal year 2010 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 farm workers 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. 
216 

Recreational Programs 

The Committee provides $2,474,000 for recreational programs. 

This amount is the same as the comparable fiscal year 2010 funding level and the budget request. 

Recreational programs help finance activities such as sports, 

music, dancing, handicrafts, and art to aid in the employment, mobility, and socialization of individuals with disabilities. Grants are 

awarded to States, public agencies, and nonprofit private organizations, including institutions of higher education. Grants are awarded for a 3-year period, with the Federal share at 100 percent for 

the first year, 75 percent for the second year, and 50 percent for 

the third year. Programs must maintain the same level of services 

over the 3-year period. 

Protection and Advocacy of Individual Rights 

The Committee recommends $19,101,000 for protection and advocacy of individual rights. The comparable fiscal year 2010 funding 

level and the budget request provide $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 

not eligible for protection and advocacy services available through 

the Developmental Disabilities Assistance and Bill of Rights Act or 

the Protection and Advocacy for Individuals with Mental Illness 

Act. 

Projects With Industry 

The Committee recommends $19,197,000, the same as the comparable fiscal year 2010 amount, for projects with industry. The 

budget request does not include funding for this program. 

The projects with industry [PWI] program promotes greater participation of business and industry in the rehabilitation process. It 

provides training and experience in realistic work settings to prepare individuals with disabilities for employment in the competitive job market. Post-employment support services are also provided. The program supports grants to a variety of agencies and organizations, including corporations, community rehabilitation programs, labor and trade associations, and foundations. 

Supported Employment State Grants 

The Committee recommends $29,181,000, the same as the comparable fiscal year 2010 amount, for the supported employment 

State grant program. The budget request does not include funding 

for this program. 

This program assists the most severely disabled individuals by 

providing the ongoing support needed to obtain competitive employment. Short-term vocational rehabilitation services are augmented 

with extended services provided by State and local organizations. 

Federal funds are distributed on the basis of population. 

Supported Employment Extended Services for Youth 

The budget request includes $25,000,000 for this new program as 

part of its proposed WIA reauthorization. The Committee does not 

include any funds for this program which the administration pro-
217 

poses as part of their plans for reauthorizing the Rehabilitation 

Act. 

Grants for Independent Living 

The budget request includes $110,000,000 for this new program 

as part of its proposed WIA reauthorization. The Committee does 

not include any funds for this program which the administration 

proposes as part of their plans for reauthorizing the Rehabilitation 

Act. 

Independent Living State Grants 

The Committee recommends $23,450,000, the same as the comparable fiscal year 2010 amount, for independent living State 

grants. The budget request does not include funding for this program. 

The independent living State formula grants program provides 

funding to improve independent living services, support the operation of centers for independent living, conduct studies and analysis, and provide training and outreach. 

Independent Living Centers 

The Committee recommends $83,656,000 for independent living 

centers. The comparable fiscal year 2010 amount is $80,266,000. 

The budget request does not include funding for this program. 

These funds support consumer-controlled, cross-disability, nonresidential, community-based centers that are designed and operated within local communities by individuals with disabilities. 

These centers provide an array of independent living services. 

Independent Living Services for Older Blind Individuals 

The Committee provides $34,151,000 for independent living services to other blind individuals. This is the same level as the comparable fiscal year 2010 amount and budget request. 

Through this program, assistance is provided to persons aged 55 

or older to adjust to their blindness, continue living independently 

and avoid societal costs associated with dependent care. Services 

may include the provision of eyeglasses and other visual aids, mobility training, Braille instruction and other communication services, community integration, and information and referral. These 

services help older individuals age with dignity, continue to live 

independently, and avoid significant societal costs associated with 

dependent care. The services most commonly provided by this program are daily living skills training, counseling, the provision of 

low-vision devices, community integration, information and referral, communication devices, and low-vision screening. 

Program Improvement Activities 

The Committee concurs in the budget request to eliminate funding for this program. The comparable fiscal year 2010 funding level 

is $852,000. These activities are designed to improve the operation 

of the Vocational Rehabilitation State Grants program and the provision of services to individuals with disabilities. Funds are awarded through grants and contracts to provide technical assistance and 
218 

support activities that increase program effectiveness and improve 

accountability. 

Evaluation 

The Committee concurs in the budget request to eliminate funding for this program. The comparable fiscal year 2010 funding level 

is $1,217,000. Funds for this program are used to evaluate the impact and efficacy of programs authorized under the Rehabilitation 

Act of 1973. 

Helen Keller National Center 

The Committee recommends $9,181,000 for the Helen Keller National Center for Deaf-Blind Youth and Adults. This is the same 

amount as the comparable fiscal year 2010 funding level and the 

budget request. 

The Helen Keller National Center consists of a national headquarters in Sands Point, New York, with a residential training and 

rehabilitation facility where deaf-blind persons receive intensive 

specialized services; a network of 10 regional field offices that provide referral and counseling assistance to deaf-blind persons; and 

an affiliate network of agencies. The center serves approximately 

120 persons with deaf-blindness at its headquarters facility and 

provides field services to approximately 2,000 individuals and families and 1,000 organizations. 

National Institute on Disability and Rehabilitation Research 

The Committee recommends $111,919,000, the same as the budget request, for the National Institute on Disability and Rehabilitation Research [NIDRR]. The comparable fiscal year 2010 funding 

level is $109,241,000. 

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, and facilitate greater individual choice and control of individualized plans under the Rehabilitation and Social Security Laws. 
219 

The Committee believes the Interagency Committee on Disability 

Research, currently led by NIDRR, needs to more effectively carry 

out its mission, including coordinating research and assessing research gaps as well as meeting required reporting requirements in 

a timely manner. Therefore, the Committee urges the administration, through the Interagency Committee on Disability Research 

[ICDR], to facilitate the development and implementation of a comprehensive Government-wide long-term strategic plan for disability 

and rehabilitation research by the spring of 2011. The strategic 

plan should reflect the active involvement of disability senior policy 

advisors, program directors and other staff from NIDRR and the 

Department of Health and Human Services, in partnership with 

stakeholders conducting disability and rehabilitation research. The 

plan should be submitted to the Committee by April 1, 2011. The 

Committee further requests that the annual report prepared by 

ICDR should include an accounting of the progress made in implementing the long-term strategic plan. 

The Committee notes that the Americans with Disabilities Act 

Amendments Act of 2008 and related regulations will require sustained training and technical resources from the disability and 

business technical assistance center program. The Committee believes the additional funds it provides will help meet the information and training needs related to the legislation. 

Assistive Technology 

The Committee recommends $30,960,000 for assistive technology. 

This amount is the same as the comparable fiscal year 2010 funding level and the budget request. 

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 $25,660,000 for State 

grant activities authorized under section 4 the Rehabilitation Act 

of 1973, $4,300,000 for protection and advocacy systems authorized 

by section 5, and $1,000,000 for technical assistance activities authorized under section 6. 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES

AMERICAN PRINTING HOUSE FOR THE BLIND

Appropriations, 2010 ............................................................................. $24,600,000 

Budget estimate, 2011 ........................................................................... 24,600,000 

Committee recommendation ................................................................. 24,600,000 

The Committee recommends $24,600,000 to help support the 

American Printing House for the Blind [APH]. This amount is the 

same as the comparable fiscal year 2010 funding level and the 

budget request. 

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 
220 

sales income. Materials are distributed free of charge to schools 

and States through per capita allotments based on the total number of students who are blind. Materials provided include textbooks 

and other educational aids in braille, large type, and recorded form 

and computer applications. Appropriated funds may be used for 

staff salaries and expenses, as well as equipment purchases and 

other acquisitions consistent with the purpose of the Act to Promote the Education of the Blind. 

In addition to its ongoing activities, the Individuals with Disabilities Education Improvement Act assigned to the APH the responsibility of establishing and maintaining a National Instructional Materials Access Center. 

NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

Appropriations, 2010 ............................................................................. $68,437,000 

Budget estimate, 2011 ........................................................................... 64,677,000 

Committee recommendation ................................................................. 64,677,000 

The Committee recommends $64,677,000, the same as the budget 

request, for the National Technical Institute for the Deaf [NTID]. 

The comparable fiscal year 2010 funding level is $68,437,000. Within the Committee recommendation, $1,640,000 is available for improvements to the campus infrastructure of the NTID. 

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. At 

the discretion of the Institute, funds may be used for the Endowment Grant program. 

GALLAUDET UNIVERSITY

Appropriations, 2010 ............................................................................. $123,000,000 

Budget estimate, 2011 ........................................................................... 118,000,000 

Committee recommendation ................................................................. 128,000,000 

The Committee recommends $128,000,000 for Gallaudet University. The comparable fiscal year 2010 funding level is $123,000,000 

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. 

The Model Secondary School for the Deaf serves as a laboratory 

for educational experimentation and development, disseminates 

curricula, materials, and models of instruction for students who are 

deaf, and prepares adolescents who are deaf for postsecondary academic or vocational education or the workplace. The Kendall Demonstration Elementary School develops and provides instruction for 

children from infancy through age 15. 
221 

The Committee bill includes $10,000,000 for construction-related 

activities at Gallaudet University. The administration did not request funds for this purpose. 

CAREER, TECHNICAL, AND ADULT EDUCATION

Appropriations, 2010 ............................................................................. $2,016,447,000 

Budget estimate, 2011 ........................................................................... 1,942,707,000 

Committee recommendation ................................................................. 1,942,541,000 

The Committee recommends a total of $1,942,541,000 for career, 

technical, and adult education. The comparable funding level in fiscal year 2010 is $2,016,447,000 and the budget request provides 

$1,942,707,000 for this program. The recommendation consists of 

$1,271,694,000 for career and technical education, $653,661,000 for 

adult education and $17,186,000 for other activities. 

Career and Technical Education 

The Committee recommends $1,271,694,000, the same as the 

comparable fiscal year 2010 level, for career and technical education. The fiscal year 2011 request provides $1,271,860,000. 

State Grants.—The Committee recommends $1,160,911,000, the 

same as the comparable fiscal year 2010 level, for Career and Technical Education [CTE] State grants. The fiscal year 2011 request 

level is $1,264,000,000 and includes a consolidation of funding for 

the Tech Prep State Grants program into CTE State Grants. The 

Committee recommendation is based on current law. 

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, $369,911,000 will be- come available on July 1, 2011, and $791,000,000 will become 

available on October 1, 2011. These funds will remain available for 

obligation until September 30, 2012. 

Tech-prep Education State Grants.—The Committee recommends 

$102,923,000, the same as the comparable fiscal year 2010 level, 

for this program. The fiscal year 2011 request consolidates funding 

for this program into CTE State Grants. This program is designed 

to link academic and career and technical education and to provide 

a structural link between secondary schools and postsecondary education institutions. Funds are distributed to the States through the 

same formula as the State grant program. States then make planning and demonstration grants to consortia of local educational 
222 

agencies and postsecondary institutions to develop and operate 

model 4-year programs that begin in high school and provide students with the mathematical, science, communication, and technological skills needed to earn a 2-year associate degree or 2-year certificate in a given occupational field. 

National Programs.—The Committee recommends $7,860,000 for 

national research programs and other national activities. This is 

the same amount as the comparable fiscal year 2010 funding level 

and the budget request. 

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 $653,661,000, the same as the request, for adult education. The comparable fiscal year 2010 funding 

level is $639,567,000. 

Adult Education State Programs.—For adult education State programs, the Committee recommends $612,315,000, the same as the 

requested level. The comparable fiscal year 2010 funding level is 

$628,221,000. These funds are used by States for programs to enable adults to acquire basic literacy skills, to enable those who so 

desire to complete a secondary education, and to make available to 

adults the means to become more employable, productive, and responsible citizens. 

The fiscal year 2010 appropriation for this program included 

$45,906,000 to distribute to States that did not receive their full allocations in fiscal years 2003 through 2008 due to an administrative error. Not counting that amount, the Committee recommendation is $30,000,000 above the base fiscal year 2010 level. 

The Committee recommendation continues the English literacy 

and civics education State grants set-aside within the adult education State grants appropriation. Within the total, $75,000,000 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 was proposed in the budget request. 

National Leadership Activities.—The Committee recommends 

$41,346,000, the same amount as the budget request, for national 

leadership activities. The comparable funding level for fiscal year 

2010 is $11,346,000. 

As requested by the administration, the Committee recommends 

designating a portion of the appropriations for adult education to 

create a workforce innovation fund to make competitive awards for 

workforce innovation activities under the program’s national leadership activities authority. These activities are intended to test innovative strategies or replicate proven practices including strategies or practices that support systemic reform of the workforce investment system to substantially improve education and employment outcomes for participants. The Committee recommendation 
223 

includes bill language designating $30,000,000, the same as the request level, for this new fund. 

To support alignment at the Federal level, the Committee expects the Secretary to make such awards in cooperation with the 

Secretary of Labor. Priority should be given to applicants that demonstrate significant alignment across education, workforce development, and supportive services at the State, regional, or local level, 

and that support economic development goals and improved education and employment outcomes for participants. Awards should 

also prioritize applicants that demonstrate comprehensive strategic 

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

Committee directs that the Department provide a briefing to the 

Committee not less than 30 days prior to the release of a solicitation of grant applications for this program. 

Under national leadership activities, the Department supports 

applied research, development, dissemination, evaluation, and program improvement activities to assist States in their efforts to improve the quality of adult education programs. The Committee 

strongly encourages the Department to identify and disseminate 

successful strategies and best practices that will assist communitybased organizations that utilize adult literacy volunteers to support 

the Department’s career pathways initiatives. This further encourages the Department to implement strategies to increase participation by community-based organizations that utilize trained volunteers in State and national training and technical assistance programs. The Committee requests a report on the success of those 

strategies by April 1, 2012. 

Smaller Learning Communities 

The Committee concurs in the budget request to eliminate funding for this program. The administration proposed consolidating 

Smaller Learning Communities and four other programs into a new 

Expanding Educational Options program as part of its plan to reauthorize the ESEA. The comparable fiscal year 2010 level is 

$88,000,000. 

This program supports planning and implementation grants for 

redesigning large high schools into smaller learning communities. 

The Committee recognizes the need to invest in and reform secondary schools, particularly the lowest-performing high schools in 

the Nation. That’s why the Committee bill includes a doubling, to 

$100,000,000, of the funding for the high school graduation initiative and requires that 40 percent of the $625,000,000 available for 

school improvement grants be used to help turn around low-performing high schools and their feeder middle schools. 

State Grants for Workplace and Community Transition Training for 

Incarcerated Individuals 

The Committee recommends $17,186,000 for education and training for incarcerated individuals. This amount is the same as the 

comparable fiscal year 2010 amount and the budget request. This 

program provides grants to State correctional education agencies to 

assist and encourage incarcerated individuals to acquire functional 

literacy, life and job skills through the pursuit of a postsecondary 

education certificate or an associate of arts or bachelor’s degree. 
224 

Grants also assist State correctional education agencies in providing employment counseling and other related services that start 

during incarceration and continue through prerelease and while on 

parole. Under current law, each student is eligible for a grant of 

not more than $3,000 annually for tuition, books, and essential materials, and not more than $300 annually for related services such 

as career development, substance abuse counseling, parenting 

skills training, and health education. In order to participate in a 

program, an incarcerated individual must be no more than 35 

years of age and eligible to be released or paroled from prison within 7 years. An individual may receive support for a period not to 

exceed 7 years, of which 2 years may be devoted to study in remedial or graduate education. 

STUDENT FINANCIAL ASSISTANCE

Appropriations, 2010 ............................................................................. $19,296,809,000 

Budget estimate, 2011 ........................................................................... 19,389,957,000 

Committee recommendation ................................................................. 19,453,809,000 

The Committee recommends an appropriation of $19,453,809,000 

for programs under the student financial assistance account. The 

fiscal year 2010 comparable amount is $19,296,809,000. The budget 

request provides $19,389,957,000 for this purpose, but most of 

these funds were part of the administration’s proposal to make Pell 

Grants a mandatory program. Congress, through the Health Care 

and Education Reconciliation Act of 2010, continued the mix of discretionary and mandatory funding that existed prior to the enactment of that legislation. 

Federal Pell Grant Program 

For Pell Grant awards in the 2011–2012 academic year, the Committee recommends $17,652,000,000 to fund the maximum discretionary Pell Grant award level of $4,860. This is the same discretionary award level as fiscal year 2010. Additional mandatory 

funding provided in the Health Care and Education Reconciliation 

Act of 2010 would support a total maximum award of $5,550, the 

same level as the current academic year. The President’s budget 

proposal for a mandatory Pell Grant program supports a maximum 

award level of $5,710. 

Pell Grants provide need-based financial assistance that helps 

low- and middle-income undergraduate students and their families 

defray a portion of the costs of postsecondary education and vocational training. Awards are determined according to a statutory 

need analysis formula that takes into account a student’s family income and assets, household size, and the number of family members, excluding parents, attending postsecondary institutions. Pell 

Grants are considered the foundation of Federal postsecondary student aid. 

This fiscal year 2011 appropriation for the Pell Grant program, 

combined with resources in other legislation being considered in 

Congress, will fully support the discretionary base resources needed for this important program. Accordingly, the bill includes language specifying that new budget authority scored against this act 

will equal the $17,652,000,000 appropriation provided by the Committee. 
225 

Federal Supplemental Educational Opportunity Grants 

The Committee recommends $757,465,000 for Federal supplemental educational opportunity grants [SEOG]. This is the same 

amount as the fiscal year 2010 level and the budget request. This 

program provides funds to postsecondary institutions for needbased grants to undergraduate students. Institutions must contribute 25 percent toward SEOG awards, which are subject to a 

maximum grant level of $4,000. School financial aid officers have 

flexibility to determine student awards, though they must give priority to Pell Grant recipients with exceptional need. 

Federal Work-study Programs 

The Committee bill provides $980,492,000 for the Federal workstudy program. This is the same amount as the comparable fiscal 

year 2010 level and the budget request. 

This program provides grants to about 3,400 institutions to help 

an estimated 770,000 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 2011 as in the prior year for the Work Colleges program 

authorized under section 448 of the Higher Education Act. 

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, 

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 post-secondary education. 

The Committee recommends no funds for the Perkins Loans program, as is the case in fiscal year 2010. The administration has 

proposed to restructure the Perkins Loan program as a mandatory 

credit program, with nearly $6,000,000,000 a year in new loan 

volum—six times the current Perkins volume. Congress has not 

acted on that proposal. 

Leveraging Educational Assistance Partnership Program [LEAP] 

For the LEAP program, the Committee recommends $63,852,000, 

the same amount as the comparable fiscal year 2010 level. The administration proposes eliminating this program. The LEAP program provides a Federal match to States as an incentive for providing need-based grant and work-study assistance to eligible postsecondary students. 

STUDENT AID ADMINISTRATION

Appropriations, 2010 ............................................................................. $870,402,000 

Budget estimate, 2011 ........................................................................... 1,170,231,000 

Committee recommendation ................................................................. 1,048,078,000 
226 

The Committee recommends $1,048,078,000 for the Student Aid 

Administration account. The comparable fiscal year 2010 level is 

$870,402,000. The budget request includes $1,170,231,000. These 

funds are available until expended. 

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. 

The Health Care and Education Reconciliation Act of 2010 terminates 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 

will be made through the William D. Ford Direct Loan [DL] Program. DL program loans will be serviced by private for-profit and 

not-for-profit servicers under contract with the Department. The Committee recommendation includes $661,852,000 for administrative costs and $386,226,000 for loan servicing activities. 

The Committee recommendation for these two activities represents 

a $177,676,000 increase over the fiscal year 2010 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 provides $673,404,000 for administrative costs 

and $496,827,000 for servicing. The Committee is able to recommend a lower level of funding than the request due in part to 

funds made available through the Student Aid and Fiscal Responsibility Act for administrative costs of servicing contracts with notfor-profit loan servicers. 

HIGHER EDUCATION

Appropriations, 2010 ............................................................................. $2,255,665,000 

Budget estimate, 2011 ........................................................................... 2,094,825,000 

Committee recommendation ................................................................. 2,243,895,000 

The Committee recommends an appropriation of $2,243,895,000 

for higher education programs. The fiscal year 2010 level is 

$2,255,665,000 and the fiscal year 2011 requested level is 

$2,094,825,000 for programs in this account. 

Aid for Institutional Development 

The Committee recommends $616,336,000 for Aid for Institutional Development. The comparable fiscal year 2010 level is 

$603,194,000 and the fiscal year 2011 requested level is 

$632,827,000. 

Strengthening Institutions.—The Committee bill recommends 

$88,200,000, the same as the budget request, for this program. The 

comparable fiscal year 2010 funding level is $84,000,000. The part 

A program supports competitive, 1-year planning and 5-year development grants for institutions with a significant percentage of financially needy students and low educational and general expenditures per student in comparison with similar institutions. Applicants may use part A funds to develop faculty, strengthen academic 
227 

programs, improve institutional management, and expand student 

services. Institutions awarded funding under this program are not 

eligible to receive grants under other sections of parts A or B. 

Hispanic-serving Institutions.—The Committee recommends 

$123,300,000, the same as the request level, for competitive grants 

to institutions at which Hispanic students make up at least 25 percent of enrollment. The comparable fiscal year 2010 funding level 

is $117,429,000. Institutions applying for title V funds must meet 

the regular part A requirements. Funds may be used for acquisition, rental or lease of scientific or laboratory equipment, renovation of instructional facilities, development of faculty, support for 

academic programs, institutional management, and purchase of 

educational materials. Title V recipients are not eligible for other 

awards provided under title III, parts A and B. 

Strengthening Historically Black Colleges and Universities 

[HBCUs].—The Committee recommends $266,586,000, the same as 

the comparable fiscal year 2010 level, for the part B strengthening 

HBCUs program. The budget request is $279,915,000 for part B 

grants. 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. The minimum allotment is 

$500,000 for each eligible institution. Part B recipients are not eligible for awards under part A. In addition to the Committee-recommended level, this program received $85,000,000 of mandatory 

funding in each fiscal year from 2010 to 2019 through the Student 

Aid and Fiscal Responsibility Act [SAFRA]. 

Strengthening Historically Black Graduate Institutions 

[HBGIs].—The Committee recommends $64,496,000, the same as 

the requested level, for the part B, section 326 program. The section 326 program provides 5-year grants to strengthen HBGIs. 

Grants may be used for any part B purpose and to establish an endowment. The comparable fiscal year 2010 funding level is 

$61,425,000. 

Strengthening Predominately Black Institutions [PBIs].—The 

Committee recommends $10,801,000, the same as the comparable 

fiscal year 2010 level, for this part A program. The fiscal year 2011 

budget request is $11,341,000. This section 318 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 graduate 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 received $15,000,000 of mandatory funding in 

each fiscal year from 2010 to 2019 through the SAFRA Act. 

Strengthening Asian American and Native American Pacific Islander-serving Institutions [AANAPISIs].—The Committee recommends $3,600,000, the same as the comparable fiscal year 2010 

level, for this part A program. The budget request level is 
228 

$3,780,000. This section 320 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 received $5,000,000 of mandatory 

funding in each fiscal year from 2010 to 2019 through the SAFRA 

Act. 

Strengthening Alaska Native and Native Hawaiian-serving Institutions.—The Committee recommends $15,084,000, the same as the 

comparable fiscal year 2010 level, for this program. The budget request level is $15,838,000. In addition to the Committee-recommended level, this program received $15,000,000 of mandatory 

funding in each fiscal year from 2010 to 2019 through SAFRA. 

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 Nontribal-serving Institutions.— 

The Committee recommends $3,600,000, the same as the comparable fiscal year 2010 level, for this program. The fiscal year 

2011 budget request is $3,780,000. In addition to the Committeerecommended level, this program received $5,000,000 of mandatory 

funding in each fiscal year from 2010 to 2019 through SAFRA. 

Strengthening Tribally Controlled Colleges and Universities.— 

The Committee recommends $30,169,000, the same as the comparable fiscal year 2010 level, for this program. The fiscal year 

2011 budget request is $31,677,000. Tribal colleges and universities 

rely on a portion of the funds provided to address developmental 

needs, including faculty development, curriculum, and student 

services. In addition to the Committee-recommended level, this program received $30,000,000 of mandatory funding in each fiscal year 

from 2010 to 2019 through SAFRA. 

Funds provided for this program are to be used to support the 

formula distribution of development grants. However, the Committee expects that up to 30 percent of appropriated funds, as authorized in section 316 of the Higher Education Act [HEA], shall 

be available for competitive grants for renovation and construction 

of facilities to continue to address urgently needed facilities repair 

and expansion. The Committee requests that a report on the competitive process be provided in the fiscal year 2012 congressional 

budget justification. 

International Education and Foreign Language Studies 

The bill includes a total of $127,881,000 for international education and foreign language programs. The comparable fiscal year 

2010 funding level and the budget request are $125,881,000 for 

this program. 
229 

The Committee bill includes language allowing funds to be used 

to support visits and study in foreign countries by individuals who 

plan to utilize their language skills in world areas vital to the 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 

is continued from last year’s bill and was proposed in the budget 

request. 

Domestic Programs.—The Committee recommends $110,360,000 

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 2010 level and the request. 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(b) of the HEA to expand access to 

study abroad, with the goals of increasing study abroad opportunities among underserved student populations and expanding study 

abroad to nontraditional destinations, particularly in developing 

countries. Awards under this new program will be made available 

on a competitive basis to institutions of higher education individually or as part of a consortium and consistent with the recommendations of the Commission on the Abraham Lincoln Study 

Abroad Fellowship Program. 

Overseas Programs.—The bill includes $15,576,000 for overseas 

programs authorized under the Mutual Educational and Cultural 

Exchange Act of 1961, popularly known as the Fulbright-Hays Act. 

The comparable fiscal year 2010 funding level and budget request 

are $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 $1,945,000 for the Institute for International Public Policy. 

This amount is the same as the comparable fiscal year 2010 funding level and the budget request. This program is designed to increase the number of minority individuals in foreign service and related careers by providing a grant to a consortium of institutions 

for undergraduate and graduate level foreign language and international studies. An institutional match of 50 percent is required. 

Fund for the Improvement of Postsecondary Education 

The Committee recommends $105,597,000 for the Fund for the 

Improvement of Postsecondary Education [FIPSE]. The comparable 

fiscal year 2010 funding level is $159,403,000 and the budget re-
230 

quest is $64,036,000. FIPSE stimulates improvements in education 

beyond high school by supporting exemplary, locally developed 

projects that have potential for addressing problems and recommending improvements in postsecondary education. 

Within the funds provided, the Committee has included sufficient 

funds to create a consortium of institutions of higher learning that 

offer interdisciplinary programs that focus on poverty. This activity 

was authorized in the recent reauthorization of the HEA. 

Erma Byrd Scholarships.—The Committee recommendation does 

not include fiscal year 2011 funds for this program, as sufficient 

carryover funds exist to make continuation awards and new grants 

in fiscal year 2011. 

The Committee does not include funding for the College Textbook Rental Pilot Initiative, funded at $10,000,000 in fiscal year 2010, 

or for the Centers of Excellence for Veteran Student Success, funded at $6,000,000 in fiscal year 2010. 

Training for Realtime Writers.—Within the total for FIPSE, the 

Committee recommendation includes $1,000,000 for the Training 

for Realtime Writers program authorized by section 872 of the 

Higher Education Act. The budget request did not provide 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 the Committee has been 

informed that a shortage of trained captioners is creating a barrier 

to full-quality captioning of realtime television programming such 

as news, weather and emergency messaging. 

Off-campus Community Service Program.—Within the total for 

FIPSE, the Committee recommendation includes $750,000, the 

same amount as the fiscal year 2010 level, for the off-campus community service program authorized under section 447 of the Higher 

Education Act. The budget request does not include funds for this 

purpose. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Amount 

Alcorn State University, Alcorn State, MS, for curriculum development and the purchase of equipment related to graduate technical programs ............................................................................................................ $250,000 

Arkansas Baptist College, Little Rock, AR, for the Center for Entrepreneurship ............................................... 150,000 

Armstrong Atlantic State University Cyber Security Research Foundation, Savannah, GA, for the Cyber Intelligence and Counter Terrorism Program, including the purchase of equipment ........................................... 200,000 

Baylor University, Waco, TX, for technology upgrades at the Baylor Research and Innovation Collaborative, 

including the purchase of equipment ............................................................................................................. 200,000 

Black Hills State University, Spearfish, SD, for equipment to enhance education programs ........................... 450,000 

California Community Colleges Chancellor’s Office, Sacramento, CA, to expand a program providing academic support to veterans .............................................................................................................................. 500,000 

California State University, Bakersfield, Bakersfield, CA, for support of the nursing program ........................ 150,000 

California State University, Long Beach, CA, for staff resources for the Metro Academies Initiative .............. 350,000 
231 

Amount 

California State University, Sacramento, Sacramento, CA, for the Veterans Education Transitional Supports 

program ........................................................................................................................................................... 150,000 

Castleton State College, Castleton, VT, to expand the Principal Training and School Leadership Program .... 300,000 

Cazenovia College, Cazenovia, NY, for curriculum development and job training ............................................ 200,000 

Central Maine Community College, Auburn, ME, for job training programs for healthcare providers .............. 285,000 

Central Washington University, Ellensburg, WA, to launch the state’s first bachelor’s degree program in 

clean energy .................................................................................................................................................... 1,000,000 

Cincinnati State Technical and Community College, Cincinnati, OH, for GED and transition to college programs and job placement ............................................................................................................................... 150,000 

Coe College, Cedar Rapids, IA, for the Digital Media Technology Project ......................................................... 300,000 

College of Idaho, Caldwell, ID, for technology upgrades and the purchase of equipment ............................... 100,000 

College of Southern Nevada, Las Vegas, NV, for the expansion of online courses ........................................... 400,000 

College Success Foundation, Washington, DC, for mentoring and scholarships ............................................... 500,000 

Commonwealth Medical College, Scranton, PA, for the Community Quality Initiative curriculum development 

program ........................................................................................................................................................... 250,000 

Community College of Allegheny County, Pittsburgh, PA, to support basic education and GED programs ...... 100,000 

Community College of Rhode Island, Warwick, RI, for the development of a biotech program, including 

equipment ........................................................................................................................................................ 500,000 

Connecticut State University System, Hartford, CT, to expand Latin American and Caribbean studies ........... 500,000 

Dakota Wesleyan University, Mitchell, SD, for health care training programs .................................................. 150,000 

Deaf West, North Hollywood, CA, for educational programming ......................................................................... 250,000 

Delaware Technical and Community College, Dover, DE, for distance learning technology .............................. 150,000 

Delta College, University Center, MI, for chemical process and lithium battery Lab Equipment ..................... 250,000 

Dickinson State University, Dickinson, ND, for its Theodore Roosevelt Center .................................................. 300,000 

Drake University Law School, Des Moines, IA, to create the Drake Institute for Legislation and Agriculture 

Policy ................................................................................................................................................................ 300,000 

Eastern Washington University, Spokane, WA, to educate, conduct research, and disseminate vital information on regional water issues ......................................................................................................................... 300,000 

Edward M. Kennedy Institute for the United States Senate, Boston, MA, for educational program development, including an endowment ...................................................................................................................... 500,000 

Fort Lewis College, Durango, CO, to develop and administer the Tribal Nation Building program to provide 

internships and social service programs ........................................................................................................ 250,000 

Francis Marion University, Florence, SC, for early childhood education initiatives ........................................... 150,000 

Future Generations, Franklin, WV, to develop a higher education degree in the field of substance abuse 

prevention. ....................................................................................................................................................... 1,000,000 

Grambling State University, Grambling, LA, for the Project Lifelines program for vocational or higher education training ................................................................................................................................................. 100,000 

Grand Rapids Community College, Grand Rapids, MI, for the purchase of equipment and development of 

education programs in alternative/renewable energy ..................................................................................... 100,000 

Hawaii Community College, Hilo, HI, to promote Native Hawaiian and other secondary education programs ............................................................................................................................................................... 400,000 

Hazard Community and Technical College, Hazard, KY, for science technology engineering and math education programs .............................................................................................................................................. 100,000 

Huntingdon College, Montgomery, AL, for purchase of equipment and technology upgrades to support distance learning initiatives ................................................................................................................................ 100,000 

Illinois State University—Normal, Normal, IL, for minority student recruitment and retention ........................ 400,000 

Imperial Valley Community College District, Imperial, CA, for an English Language Immersion program ....... 200,000 

Iowa Valley Community College District, Iowa Falls, IA, for a training program in agricultural and renewable energy technology, including the purchase of equipment ..................................................................... 300,000 

Jackson Community College/Bay de Noc College/Lake Michigan College, Jackson, MI, to develop and implement assessment tools and curriculum to serve low skilled adults ............................................................. 100,000 

Jackson State University, Jackson, MS, for teacher training to improve literacy and mathematics instruction ................................................................................................................................................................... 500,000 

Johnson State College, Johnson, VT, to expand the teacher preparation program ............................................ 200,000 

Junior College District of Newton and McDonald Counties, Missouri, Neosho, MO, for the purchase of equipment to support allied health education ........................................................................................................ 500,000 

Junior College District of Sedalia, Missouri, Sedalia, MO, for curriculum development and the purchase of 

equipment related to advanced energy systems ............................................................................................ 500,000 

Kauai Community College, Lihue, HI, for planning and implementation of a 4-year degree program ............. 200,000 

Keene State College, Keene, NH, for curriculum development and educational equipment for the Monadnock 

Biodiesel Collaborative .................................................................................................................................... 150,000 

Lake Area Technical Institute, Watertown, SD, for educational equipment related to first responder training .................................................................................................................................................................... 200,000 

Lake Erie College of Osteopathic Medicine, Erie, PA, to training dental students in patient centered care ... 100,000 

Leeward Community College, Pearl City, HI, to provide college preparatory education for Filipino students ... 400,000 
232 

Amount 

Macomb Community College, Warren, MI, to develop assessment and curriculum materials to make displaced workers college ready .......................................................................................................................... 250,000 

Manhattan Area Technical College, Manhattan, KS, for curriculum development and technology upgrades, 

including the purchase of equipment ............................................................................................................. 450,000 

Maryland Association of Community Colleges, Annapolis, MD, for the purchase of equipment to develop 

science and engineering labs ......................................................................................................................... 1,250,000 

Medaille College, Buffalo, NY, for equipment related to science education ...................................................... 150,000 

Methodist University, Fayetteville, NC, for curriculum development and education equipment related to first 

responder training ........................................................................................................................................... 150,000 

Middle Tennessee State University, Murfreesboro, TN, for science technology engineering and math education, including the purchase of equipment ................................................................................................ 1,500,000 

Midway College, Inc., Midway, KY, for education equipment related to nursing and health sciences ............. 100,000 

Minot State University, Minot, ND, for salaries and operating expense for the Center for Community Research and Service .......................................................................................................................................... 450,000 

Mississippi State University, Mississippi State, MS, for technology upgrades and the purchase of equipment to support the Delta Council Papers Project ......................................................................................... 100,000 

Mott Community College, Flint, MI, for the purchase of renewable energy equipment and curriculum development for the Institute for Renewable and Sustainable Energy .................................................................. 250,000 

Nevada State College, Henderson, NV, for curriculum development and for the purchase of technology ........ 200,000 

New College Institute, Martinsville, VA, for curriculum development for the development of bachelor’s degree programs in Renewable Energy, Advanced Manufacturing, Technology Integration, and Entrepreneurship ........................................................................................................................................................... 100,000 

New Hampshire Institute of Politics at Saint Anselm College, Manchester, NH, for education programs, 

technology upgrades and purchase of equipment ......................................................................................... 2,650,000 

New School - Institute for Urban Education, New York, NY, for an educational mentoring and outreach program for low-income, at-risk students ........................................................................................................... 725,000 

Niagara County Community College, Sanborn, NY, for educational equipment ................................................. 100,000 

North Arkansas College, Harrison, AR, for the purchase of equipment and IT upgrades ................................. 100,000 

North Iowa Area Community College, Mason City, IA, to make state-of-the-art training, technology, and 

equipment available for health professionals ................................................................................................ 200,000 

Northeast Community College, Norfolk, NE, for the purchase of equipment for a renewable energy program ................................................................................................................................................................ 500,000 

Northeast Iowa Community College, Calmar, IA, For Dairy Science Technology program .................................. 300,000 

Northeastern State University, Tahlequah, OK, for professional development, including the purchase of 

equipment ........................................................................................................................................................ 100,000 

Northern Illinois University, DeKalb, IL, to create a pilot study abroad program .............................................. 200,000 

Northern Kentucky University, Highland Heights, KY, for the purchase of equipment and technology ............. 2,000,000 

Northern Maine Community College, Presque Isle, ME, for equipment related to wind power technology programs ............................................................................................................................................................... 200,000 

Northwest Arkansas Community College, Bentonville, AR, for the purchase of distance learning equipment ................................................................................................................................................................. 300,000 

Northwest Indian College, Bellingham, WA, to expand financial literacy education opportunities ................... 150,000 

Ohio Dominican University, Columbus, OH, for science programs, including the purchase of equipment ....... 150,000 

Oklahoma State University, Stillwater, OK, to develop a veteran entrepreneurial training program ................ 100,000 

Orange County Community College, Middletown, NY, for support of the Science, Engineering & Technology 

Center, which may include equipment and wiring ......................................................................................... 500,000 

Pennsylvania Commission for Community Colleges, Harrisburg, PA, to design, create, and implement opensource educational materials .......................................................................................................................... 100,000 

Pittsburg State University, Pittsburg, KS, to expand education programs ......................................................... 400,000 

Providence College, Providence, RI, for technology improvements related to education ................................... 300,000 

Redlands Community College, El Reno, OK, for nursing education and training including the purchase of 

equipment ........................................................................................................................................................ 100,000 

Richland Community College, Decatur, IL, for the purchase of modern human patient simulators ................ 150,000 

Roger Williams University, Bristol, RI, for college access and school-to-work programs ................................. 400,000 

Saint Joseph College, West Hartford, CT, for personnel, equipment and technology at the new Institute for 

Autism and Behavioral Studies ....................................................................................................................... 500,000 

Saint Michael’s College, Colchester, VT, for curriculum development and academic programming at the 

Center for Intercultural and Global Learning ................................................................................................. 250,000 

San Juan College, Farmington, NM, for the creation of online and certificate programs to expand the Renewable Energy Program ................................................................................................................................. 150,000 

Security on Campus, Inc., King of Prussia, PA, to support peer education programs ...................................... 100,000 

Simpson College, Indianola, IA, for the John C. Culver Public Policy Center .................................................... 400,000 

South Arkansas Community College, El Dorado, AR, for the purchase of equipment for the Process Technology Operator Program ................................................................................................................................. 200,000 

Southern Maine Community College, South Portland, ME, to development a heavy equipment and transportation program, including the purchase of equipment .................................................................................. 625,000 
233 

Amount 

SUNY Upstate Medical University, Syracuse, NY, for curriculum development .................................................. 200,000 

Texas State Technical College, Georgetown, TX, for the purchase of equipment and technology .................... 110,000 

Texas Wesleyan University, Ft. Worth, TX, to develop a distance education initiative, including the purchase 

of equipment ................................................................................................................................................... 110,000 

Three Rivers Community College, Poplar Bluff, MO, for the purchase of equipment ........................................ 250,000 

Towson University, Towson, MD, for equipment and program development for the Center for Adults with 

Autism .............................................................................................................................................................. 150,000 

Trident Technical College, North Charleston, SC, for curriculum development and education equipment for 

an aeronautical training program ................................................................................................................... 100,000 

Truckee Meadows Community College, Reno, NV, to support the Success First program ................................. 200,000 

Turtle Mountain Community College, Belcourt, ND, for education technology equipment ................................. 200,000 

University of Arizona, Tucson, AZ, for the Integrative Medicine in Residency program .................................... 600,000

University of Cincinnati, Cincinnati, OH, for the Diversity and Access Initiative .............................................. 350,000 

University of Colorado at Colorado Springs, Colorado Springs, CO, for the Southern Colorado Higher Education Consortium Veterans Educational Assistance Program ....................................................................... 100,000 

University of Connecticut School of Law, Hartford, CT, for a Human Rights and International Law fellowship program ................................................................................................................................................... 250,000 

University of Hawaii School of Law, Honolulu, HI, for the health policy center ................................................ 350,000 

University of Iowa, Iowa City, IA, for the National Institute for Twice-Exceptionality ........................................ 275,000 

University of Maine at Fort Kent, Fort Kent, ME, for curriculum development for nursing education programs ............................................................................................................................................................... 600,000 

University of Mississippi, University, MS, to support interdisciplinary research and education related to 

public policy and economic education ............................................................................................................ 250,000 

University of Northern Colorado, Greeley, CO, for The Education Innovation Institute ...................................... 100,000 

University of Northern Iowa, Cedar Falls, IA, to support the Center for Disability Studies in Literacy, Language and Learning ........................................................................................................................................ 550,000 

University of South Dakota, Vermillion, SD, to identify and address the educational needs of veterans with 

disabilities ....................................................................................................................................................... 400,000 

University of Southern Maine, Portland, ME, for curriculum development, including the purchase of equipment ................................................................................................................................................................. 500,000 

University of Southern Mississippi, Hattiesburg, MS, for professional and curriculum development, and distance learning at the Gulf Coast Campuses .................................................................................................. 250,000 

University of Vermont, Burlington, VT, to modernize the College of Nursing curriculum .................................. 475,000 

University of Wisconsin-Stevens Point, Stevens Point, WI, to support non-traditional and veteran students 

with disabilities in higher education and career development ...................................................................... 400,000 

Urban College of Boston, Boston, MA, to support higher education program serving low-income and minority students ...................................................................................................................................................... 500,000 

Utah State University, Logan, UT, to develop a land-grant education and research network .......................... 106,000 

Valley City State University, Valley City, ND, for the Great Plains STEM Education Center .............................. 350,000 

Western Nebraska Community College, Scottsbluff, NE, for the Western Nebraska Wind Energy Training 

Center .............................................................................................................................................................. 500,000 

Western Technical College, La Crosse, WI, to establish a veteran’s center on campus ................................... 150,000 

Westminster College, Salt Lake City, UT, to purchase equipment to support nursing and health science 

education ......................................................................................................................................................... 150,000 

Model Comprehensive Transition and Postsecondary Programs for 

Students with Intellectual Disabilities 

The Committee recommendation includes $13,000,000 for the 

Comprehensive Transition and Postsecondary Education Model 

Demonstration Grants as authorized by section 769 of the Higher 

Education Act. The comparable funding level for fiscal year 2010 

is $11,000,000, the same as the budget request. 

These funds are used to award competitive grants to postsecondary institutions to establish model programs to help students 

with intellectual disabilities transition to and complete college. The 

programs will focus on academic enrichment; socialization; independent living; and integrated work experiences and career skills 

that lead to gainful employment for individuals with intellectual 

disabilities. 
234 

Legal Assistance Loan Repayment Program 

The Committee recommends $5,000,000 for the Legal Assistance 

Loan Repayment Program, as authorized by section 428L of the 

Higher Education Act, which authorizes student loan repayment 

assistance for civil legal assistance lawyers. This amount is the 

same as the comparable fiscal year 2010 funding level. The budget 

request proposes to eliminate this program. The Legal Assistance 

Loan Repayment Program addresses the serious problem facing 

legal services across the country in recruitment and retention of 

qualified attorneys who provide invaluable legal assistance to our 

Nation’s neediest citizens, including the elderly, persons with disabilities, persons impacted by natural disaster victims, and victims 

of domestic violence. 

Minority Science and Engineering Improvement 

The Committee recommends $9,503,000 for the Minority Science 

and Engineering Improvement program [MSEIP]. This amount is 

the same as the comparable fiscal year 2010 funding level and the 

budget request. Funds are used to provide discretionary grants to 

institutions with minority enrollments greater than 50 percent to 

purchase equipment, develop curricula, and support advanced faculty training. Grants are intended to improve science and engineering education programs and increase the number of minority students in the fields of science, mathematics, and engineering. 

Tribally Controlled Postsecondary Career and Technical Institutions 

The Committee recommends $8,162,000 for tribally controlled 

postsecondary vocational institutions. This amount is the same as 

the comparable fiscal year 2010 funding level and the budget request. This program provides grants for the operation and improvement of two tribally controlled postsecondary vocational institutions to ensure continued and expanding opportunities for Indian 

students. 

Federal TRIO Programs 

The Committee recommends $868,089,000 for Federal TRIO Programs. The comparable fiscal year 2010 funding level and budget 

request are $853,089,000. 

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 remedial instruction, 

counseling, summer programs and grant aid to disadvantaged college students to help them complete their postsecondary education; 

Talent Search identifies and counsels individuals between ages 11 

and 27 regarding opportunities for completing high school and enrolling in postsecondary education; Educational Opportunity Centers provide information and counseling on available financial and 

academic assistance to low-income adults who are first-generation 

college students; and the Ronald E. McNair Postbaccalaureate 

Achievement Program supports research internships, seminars, tu-
235 

toring, and other activities to encourage disadvantaged college students to enroll in doctoral programs. 

The Committee recognizes that supportive services aimed at increasing retention and graduation of low-income students in college 

are an important complement to student financial aid, particularly 

the Pell Grant program. Many such retention services are supported by the Federal TRIO Program’s Student Support Services effort. The Committee intends that the funds provided will maintain 

the number of Student Support Services programs. 

Gaining Early Awareness and Readiness for Undergraduate Programs [GEAR UP] 

The Committee recommends $323,212,000 for GEAR UP. This 

amount is the same as the comparable fiscal year 2010 funding 

level and the budget request. Under this program, 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. 

Byrd Honors Scholarships 

The Committee recommends $42,000,000 for the Byrd Honors 

scholarship program. This amount is the same as the comparable 

fiscal year 2010 funding level. The budget did not request funds for 

this program. The Byrd Honors scholarship program is designed to 

promote student excellence and achievement and recognize exceptionally able students who show promise of continued excellence. 

Funds are allocated to State education agencies based on each 

State’s school-aged population. The State education agencies select 

the recipients of the scholarships in consultation with school administrators, teachers, counselors, and parents. The funds provided 

will support a new cohort of first-year students in 2011, and continue support for the 2008, 2009, and 2010 cohorts of students in 

their fourth, third and second years of study, respectively. 

Javits Fellowships 

The Committee recommends $9,687,000 for the Javits Fellowships program. This amount is the same as the comparable fiscal 

year 2010 funding level and the budget request. The Javits Fellowships program provides fellowships of up to 4 years to students of 

superior ability who are pursuing doctoral degrees in the arts, humanities, and social sciences at any institution of their choice. Each 

fellowship consists of a student stipend to cover living costs and an 

institutional payment to cover each fellow’s tuition and other expenses. The Committee bill includes language proposed in the 

budget request that stipulates that funds provided in the fiscal 

year 2011 appropriation support fellowships for the 2012–2013 academic year. 

Graduate Assistance in Areas of National Need 

The Committee recommends $31,030,000 for graduate assistance 

in areas of national need. This amount is the same as the comparable fiscal year 2010 funding level and the budget request. This 
236 

program awards competitive grants to graduate academic departments and programs for fellowship support in areas of national 

need as determined by the Secretary. The Secretary designated the 

following areas of national need: biology, chemistry, computer and 

information sciences, engineering, mathematics, physics, and nursing. Recipients must demonstrate financial need and academic excellence, and be seeking the highest degree in their fields. 

Teacher Quality Partnership Program 

The Committee recommends $58,000,000 for the teacher quality 

partnership program. The comparable fiscal year 2010 funding 

level is $43,000,000. 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 the ESEA. This 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 $16,034,000 for 

the Child Care Access Means Parents in School [CCAMPIS] program. This amount is the same as the comparable fiscal year 2010 

funding level and the budget request. 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. 

Demonstration Projects To Ensure Quality Higher Education for 

Students With Disabilities 

The Committee recommends $6,755,000 for this program. This 

amount is the same as the comparable fiscal year 2010 funding 

level and the budget request. This program’s purpose is to ensure 

that students with disabilities receive a high-quality postsecondary 

education. Grants are made to support model demonstration 

projects that provide technical assistance and professional development activities for faculty and administrators in institutions of 

higher education. 

Underground Railroad Program 

The Committee concurs in the budget request to eliminate funding for the Underground Railroad Program as Federal support for 

this program was not meant to be permanent. Federal funding was 

intended to seed private support by using a public private partnership to create an endowment. The Federal Government has been 

funding this program since fiscal year 1999. The comparable fiscal 

year 2010 level is $1,945,000. Grants are provided to research, display, interpret, and collect artifacts related to the history of the underground railroad. Educational organizations receiving funds must 

demonstrate substantial private support through a public-private 

partnership, create an endowment fund that provides for ongoing 
237 

operation of the facility, and establish a network of satellite centers 

throughout the United States to share information and teach people about the significance of the Underground Railroad in American history. 

GPRA/Higher Education Act Program Evaluation 

The Committee recommends $609,000 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 2010 funding level and the 

budget request. 

B.J. Stupak Olympic Scholarships 

The Committee concurs in the budget request to eliminate funding for this program as the program is duplicative of efforts of 

other Federal, State and local initiatives that increase college access. The comparable fiscal year 2010 level is $977,000. The program provides financial assistance to Olympic-aspiring student athletes. 

Thurgood Marshall Legal Educational Opportunity Program 

The Committee recommendation includes $3,000,000 for the 

Thurgood Marshall Legal Educational Opportunity Program. This 

amount is the same as the comparable fiscal year 2010 funding 

level and the budget request. Under this program, funds help lowincome, minority, or disadvantaged college students with the information, preparation, and financial assistance to enter and complete 

law school study. The HEA stipulates that the Secretary make an 

award to or contract with the Council on Legal Education Opportunity to carry out authorized activities. The bill includes language 

to authorize the competitive awarding of these grants, as requested 

by the administration. 

BA Degrees in STEM and Critical Foreign Languages 

The Committee concurs in the budget request to eliminate funding for this program. The comparable fiscal year 2010 level is 

$1,092,000. Under this program, grants are awarded on a competitive basis to eligible recipients to implement teacher education programs that promote effective teaching skills and lead to a baccalaureate degree in science, technology, engineering, mathematics, 

or a critical foreign language with concurrent teacher certification. 

This program duplicates the efforts of other initiatives such as the 

Department of Education’s Teacher Quality Partnerships grants 

and the National Science Foundation’s Transforming Undergraduate Education in STEM. 

MA Degrees in STEM and Critical Foreign Languages 

The Committee concurs in the budget request to eliminate funding for this program. The comparable fiscal year 2010 level is 

$1,092,000. Under this program grants are awarded, on a competitive basis, to eligible recipients to develop and implement part-time 

master’s degree programs in science, technology, engineering, 

mathematics, or critical foreign language education for teachers in 

order to enhance the teacher’s content knowledge and teaching 
238 

skill. This program duplicates the efforts of other initiatives such 

as the Department of Education’s Teacher Quality Partnerships. 

HOWARD UNIVERSITY

Appropriations, 2010 ............................................................................. $234,977,000 

Budget estimate, 2011 ........................................................................... 234,977,000 

Committee recommendation ................................................................. 234,977,000 

The Committee recommends an appropriation of $234,977,000 for 

Howard University. This is the same amount as the comparable fiscal year 2010 funding level and the budget request. 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 48 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 $28,946,000 for the Howard University 

Hospital. This is the same amount as the fiscal year 2010 funding 

level and the budget request. 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, 2010 ............................................................................. $461,000 

Budget estimate, 2011 ........................................................................... 461,000 

Committee recommendation ................................................................. 461,000 

Federal Administration.—The Committee bill includes $461,000 

for Federal administration of the College Housing and Academic 

Facilities Loans [CHAFL] program. This is the same amount as the 

comparable fiscal year 2010 level and the budget request. These 

funds will be used to reimburse the Department for expenses incurred in managing the existing CHAFL loan portfolio during fiscal 

year 2011. 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, 2010 ............................................................................. $20,582,000 

Budget estimate, 2011 ........................................................................... 20,582,000 

Committee recommendation ................................................................. 20,582,000 

The Committee recommends $20,582,000 for the Historically 

Black College and University [HBCU] Capital Financing Program. 

This is the same amount as the comparable fiscal year 2010 level 

and the budget request for this activity. 
239 

The budget proposes $20,228,000 to pay for the subsidy costs of 

up to $279,393,000 in guaranteed loan authority under this program. The HBCU Capital Financing Program makes capital available to HBCUs for construction, renovation, and repair of academic 

facilities by providing a Federal guarantee for private sector construction bonds. Construction loans will be made from the proceeds 

of the sale of the bonds. 

INSTITUTE OF EDUCATION SCIENCES

Appropriations, 2010 ............................................................................. $659,006,000 

Budget estimate, 2011 ........................................................................... 738,756,000 

Committee recommendation ................................................................. 722,756,000 

The Committee recommends $722,756,000 for the Institute of 

Education Sciences [IES]. The comparable fiscal year 2010 funding 

level is $659,006,000. The budget request includes $738,756,000 for 

authorized activities. This account supports education research, 

data collection and analysis activities, and the assessment of student progress. 

RESEARCH, DEVELOPMENT, AND DISSEMINATION

The Committee recommends $240,696,000 for education research, 

development and national dissemination activities. The comparable 

fiscal year 2010 amount is $200,196,000 and the budget request includes $260,696,000 for these activities. Funds are available for obligation for 2 fiscal years. These funds support research, development, and dissemination activities that are aimed at expanding 

fundamental knowledge of education and promoting the use of research and development findings in the design of efforts to improve 

education. 

The Committee notes that the National Research Council report 

‘‘Preparing Teachers: Building Evidence for Sound Policy’’ released 

earlier this year found there was much we still don’t know about 

teacher preparation and its effectiveness. The report noted that improved understanding of the relationships between characteristics 

of teacher preparation and student learning, and the development 

of a comprehensive, coherent system for collecting data about 

teacher preparation are two overarching needs. The Committee believes IES should utilize available resources to help address the 

knowledge that the report identified. The Committee requests a letter report, not later than 30 days after enactment of this act, which 

describes the funding opportunities IES is proposing, planning and 

taking to address relevant conclusions and recommendations from 

the NRC report. 

The Committee believes additional steps need to be taken to promote information dissemination and provide assistance for States, 

districts and schools to use in applying evidence for what works in 

education. The What Works Clearinghouse was designed to be such 

a source. However, the Committee has noted concerns previously 

about the extent to which it was achieving this mission. Most recently, in a report requested by the Committee, the Government 

Accountability Office [GAO] noted that only 34 percent of school 

districts have accessed the WWC Web site and only 11 percent of 

school districts visited the Web site at least seven times per year. 
240 

The GAO report included recommendations related to improving 

the timeliness of WWC reports and gauging product usefulness and 

relevance for WWC target audiences. The Committee looks forward 

to IES implementing the recommended changes and requests an 

update on planned and implemented actions. 

In addition to the WWC, the Department and IES support other 

technical assistance and research-related resources to assist States, 

districts, and schools. These include the regional educational laboratories discussed later in the IES account as well as the Doing 

What Works resource administered by the Office of Planning, Evaluation and Policy Development. The Committee believes the Department and IES should expand their efforts to provide the support that States and school districts need to use funding in ways 

that are supported by scientifically based research. The Committee 

requests that the Department describe in its fiscal year 2012 budget justification the specific actions that it has taken or will take to 

address this issue. 

The Committee encourages the IES to use available resources to 

continue support for research and development activities related to 

gifted and talented education. Previously, the Department used 

funds available from other sources to support a National Research 

Center on the Gifted and Talented. 

STATISTICS

The Committee recommends $118,021,000 for data gathering and 

statistical analysis activities of the National Center for Education 

Statistics [NCES]. The comparable fiscal year 2010 funding level is 

$108,521,000 and the budget request includes $117,021,000 for 

these activities. 

The NCES collects, analyzes, and reports statistics on education 

in the United States. Activities are carried out directly and through 

grants and contracts. The Center collects data on educational institutions at all levels, longitudinal data on student progress, and 

data relevant to public policy. The NCES also provides technical 

assistance to State and local education agencies and postsecondary 

institutions. 

The Committee recommendation includes sufficient resources for 

NCES to update the report, Condition of America’s Public School 

Facilities: 1999. 

REGIONAL EDUCATIONAL LABORATORIES

The Committee recommends $72,650,000 to continue support for 

the regional educational laboratories. The comparable fiscal year 

2010 funding level is $70,650,000 for this activity. The budget request includes $69,650,000 and necessary bill language required to 

continue, for an additional year, the contracts of the current laboratories. Program funds support a network of 10 laboratories that are 

responsible for promoting the use of broad-based systemic strategies to improve student achievement. The Committee recommends 

additional funds for the laboratories to increase their capacity to 

provide timely responses to requests for assistance on issues of urgent regional need. 

The Committee is pleased that the research, development, dissemination, and technical assistance activities carried out by the 
241 

regional educational laboratories will continue to be consistent with 

the standards for scientifically based research prescribed in the 

Education Sciences Reform Act of 2002. The Committee notes that 

the current contracts of the laboratories requires them to coordinate with other federally funded education technical assistance 

providers to coordinate the provision of services, including school 

improvement activities that are responsive to State and local 

needs. The Committee encourages the regional laboratories and 

comprehensive centers to strengthen their relationship, particularly 

in providing products and services that help States and school districts utilize the school improvement funds available in the Education for the Disadvantaged account to support school improvement activities that are supported by scientifically based research. 

RESEARCH AND INNOVATION IN SPECIAL EDUCATION

The Committee recommends $71,085,000, the same amount as 

the fiscal year 2010 funding level and budget request, for research 

and innovation in special education. The National Center for Special Education Research addresses gaps in scientific knowledge in 

order to improve special education and early intervention services 

and outcomes for infants, toddlers, and children with disabilities. 

Funds provided to the center are available for obligation for 2 fiscal 

years. 

SPECIAL EDUCATION STUDIES AND EVALUATIONS

The Committee recommends $11,460,000, the same amount as 

the fiscal year 2010 funding level and the budget request, for special education studies and evaluations. 

This program supports competitive grants, contracts, and cooperative agreements to assess the implementation of the Individuals 

with Disabilities Education Act. Funds also will be used to evaluate 

the effectiveness of State and local efforts to deliver special education services and early intervention programs. Funds are available for obligation for 2 fiscal years. 

STATEWIDE DATA SYSTEMS

The Committee recommendation includes $65,000,000, the same 

amount as the budget request, for statewide data systems. The fiscal year 2010 level is $58,250,000 for these systems. 

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. 

These systems may incorporate workforce and postsecondary education information. Funds are available for obligation for 2 fiscal 

years. 

The Committee bill allows $10,000,000 to be used for statewide 

data coordinators, and other technical assistance activities to improve States’ capability to use, report and maintain high-quality 

data in their systems. The bill also allows the Department to use 

funds to coordinate data collection and reporting with private sector initiatives, in order to help reduce the reporting burden on 
242 

States and schools, while improving data accuracy and maintaining 

access to the data for research purposes. 

ASSESSMENT

The Committee recommends $143,844,000, the same as the request, for assessment. The comparable fiscal year 2010 funding 

level is $138,844,000. 

These funds provide support for the National Assessment of Educational Progress [NAEP], a congressionally mandated assessment 

created to measure the educational achievement of American students. The primary goal of NAEP is to determine and report the 

status and trends over time in educational achievement, subject by 

subject. In 2002, the Department began paying for State participation in biennial reading and mathematics assessments in grades 4 

and 8. 

Within the funds appropriated, the Committee recommends 

$8,723,000 for the National Assessment Governing Board [NAGB], 

the same amount as the comparable fiscal year 2010 and request 

levels. The NAGB is responsible for formulating policy for NAEP. 

DEPARTMENTAL MANAGEMENT

PROGRAM ADMINISTRATION

Appropriations, 2010 ............................................................................. $456,200,000 

Budget estimate, 2011 ........................................................................... 492,488,000 

Committee recommendation ................................................................. 492,488,000 

The Committee recommends $492,488,000, the same amount as 

the budget request, for program administration. The comparable 

fiscal year 2010 funding level is $456,200,000 for this purpose. This 

amount includes $2,696,100, the same amount as the budget request, available under section 306 of this act to increase the Department’s acquisition workforce capacity and capabilities. 

Funds support personnel compensation and benefits, travel, rent, 

communications, utilities, printing, equipment and supplies, automated data processing, and other services required to award, administer, and monitor approximately 180 Federal education programs. Support for program evaluation and studies and advisory 

councils is also provided under this activity. 

The Committee recommendation includes $19,275,000, the same 

amount as the budget request, for building modernization activities 

for the Department of Education. These activities include renovations of the Mary E. Switzer building and other buildings, consolidation of staff from other locations, and improvements to the Department’s headquarters. These funds are available until expended, 

as proposed in the budget request. 

The Committee recommendation is $2,696,100 pursuant to section 306 of this act. These funds will supplement the Department’s 

acquisition workforce activities. 

OFFICE FOR CIVIL RIGHTS

Appropriations, 2010 ............................................................................. $103,024,000 

Budget estimate, 2011 ........................................................................... 105,700,000 

Committee recommendation ................................................................. 105,700,000 
243 

The Committee recommends $105,700,000, the same amount as 

the budget request, for the Office for Civil Rights [OCR]. The comparable fiscal year 2010 amount is $103,024,000 for the OCR. 

The Office for Civil Rights is responsible for the enforcement of 

laws that prohibit discrimination on the basis of race, color, national origin, sex, disability, and age in all programs and institutions funded by the Department of Education. To carry out this responsibility, OCR investigates and resolves discrimination 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. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2010 ............................................................................. $60,053,000 

Budget estimate, 2011 ........................................................................... 65,238,000 

Committee recommendation ................................................................. 65,238,000 

The Committee recommends $65,238,000, the same amount as 

the budget request, for the Office of the Inspector General. The fiscal year 2010 amount is $60,053,000 for the office. 

The Office of the Inspector General has the authority to investigate all departmental programs and administrative activities, including those under contract or grant, to prevent and detect fraud 

and abuse, and to ensure the quality and integrity of those programs. The Office investigates alleged misuse of Federal funds and 

conducts audits to determine compliance with laws and regulations, efficiency of operations, and effectiveness in achieving program goals. 

GENERAL PROVISIONS

The Committee bill contains language which has been included 

in the bill since 1974, prohibiting the use of funds for the transportation of students or teachers in order to overcome racial imbalance 

(sec. 301). 

The Committee bill contains language included in the bill since 

1977, prohibiting the involuntary transportation of students other 

than to the school nearest to the student’s home (sec. 302). 

The Committee bill contains language which has been included 

in the bill since 1980, prohibiting the use of funds to prevent the 

implementation of programs of voluntary prayer and meditation in 

public schools (sec. 303). 

The Committee bill includes a provision giving the Secretary of 

Education authority to transfer up to 1 percent of any discretionary 

funds between appropriations (sec. 304). 

The Committee 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 includes a provision providing $2,696,100 for 

acquisition workforce activities. These funds may be transferred to 

any other account in the Department, subject to notification of the 

Committees on Appropriations of the Senate and House of Representatives (sec. 306). 
244 

The Committee bill contains a provision to transfer the Health 

Education Assistance Loan [HEAL] program to the Department of 

Education from the Department of Health and Human Services. 

The Department of Education will assume responsibility for the 

program and the authority to administer, service, collect, and enforce the program as well as the functions, assets, and liabilities 

of the Secretary of Health and Human Services will be permanently transferred to the Secretary of Education (sec. 307). 

The Committee bill includes language establishing an Early 

Learning Challenge Fund (sec. 308). 

The Committee bill changes the name of the Office of Vocational 

and Adult Education to the Office of Career, Technical, and Adult 

Education (sec. 309). 
(245) 

TITLE IV 

RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR

SEVERELY DISABLED

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $5,396,000 

Budget estimate, 2011 ........................................................................... 5,771,000 

Committee recommendation ................................................................. 5,771,000 

The Committee recommends $5,771,000 for fiscal year 2011 for 

the Committee for Purchase from People Who Are Blind or Severely Disabled. This amount is the same as the fiscal year 2011 

budget request. The fiscal year 2010 comparable level is 

$5,396,000. 

The Committee for Purchase from People Who Are Blind or Severely Disabled was established by the Javits-Wagner-O’Day Act of 

1938 as amended. Its primary objective is to increase the employment opportunities for people who are blind or have other severe 

disabilities and, whenever possible, to prepare them to engage in 

competitive employment. 

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE

Appropriations, 2010 ............................................................................. $1,149,721,000 

Budget estimate, 2011 ........................................................................... 1,415,586,000 

Committee recommendation ................................................................. 1,365,586,000 

The Committee recommends $1,365,586,000 for the Corporation 

for National and Community Service in fiscal year 2011. The administration request for fiscal year 2011 was $1,415,586,000. The 

fiscal year 2010 comparable level was $1,149,721,000. 

The Committee recommendation is sufficient to increase the 

number of AmeriCorps members from 87,000 in fiscal year 2010 to 

more than 97,000 in fiscal year 2011. 

The Corporation for National and Community Service, a corporation owned by the Federal Government, was established by the National and Community Service Trust Act of 1993 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. 

The Corporation administers programs authorized under the Domestic Volunteer Service Act, the National and Community Service 

Trust Act and the SERVE America Act. 
246 

VISTA

The Committee recommends $111,000,000 for the Volunteers in 

Service to America [VISTA] Program. The comparable funding level 

for fiscal year 2010 was $99,074,000. The budget request for fiscal 

year 2011 was $98,000,000. 

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. 

The Committee strongly supports VISTA’s anti-poverty mission, 

particularly in the midst of an economic recession. In addition, the 

Committee views it as a great asset that VISTA volunteers can 

serve in small, nonprofit organizations with little to no capacity to 

manage a Federal grant. For that reason, the Committee urges the 

Corporation to make VISTA part of the growth plan for national 

service. 

The Committee remains concerned that the current training program for VISTA volunteers requires too much travel and does not 

adequately correlate to the actual tasks that VISTA members are 

required to complete in their service. The Committee urges the 

Corporation to consider State-based training and devoting a higher 

percentage of training time to core skill development. 

NATIONAL SENIOR VOLUNTEER CORPS

The Committee recommends $229,100,000 for the National Senior Volunteer Corps programs. The comparable level in fiscal year 

2010 was $220,900,000. The fiscal year 2011 budget request was 

$221,100,000. 

The Committee has included the following activities in the following amounts: 

[In thousands of dollars] 

Programs 

Fiscal year— 

Committee 

recommendation 2010 comparable 2011 President’s 

request 

Retired Senior Volunteer Program ................................................. 63,000 63,000 64,000 

Foster Grandparent ........................................................................ 110,996 111,100 115,600 

Senior Companion .......................................................................... 46,904 47,000 49,500 

The Committee has included sufficient funding to increase the 

stipend for Foster Grandparents and Senior Companion members 

by 10 cents, for a total of $2.75 per hour. The Committee is grateful 

for the service provided by these elderly individuals. 

The maximum total dollars that may be used in fiscal year 2011 

for Grants.gov/eGrants support, Training and Technical Assistance, 

and Recruitment and Retention activities shall not exceed the 

amount enacted for these activities in fiscal year 2010. 

AMERICORPS GRANTS

The Committee recommends $440,000,000 for AmeriCorps grants 

in fiscal year 2011. The fiscal year 2010 level was $372,547,000 

and the budget request for fiscal year 2011 was $488,033,000. 
247 

The Committee notes that, despite a 37 percent increase in funding in fiscal year 2010, some States experienced a reduction in 

their participation in the AmeriCorps grant program. The Committee is concerned that small organizations and organizations in 

rural areas of the country are less able to compete with well-known 

national organizations. The Committee has not reinstated the cap 

on national direct grants; however, the Committee requests a report within 90 days of enactment of this act on the steps the Corporation is taking to ensure that small organizations and entities 

in rural America have equal opportunities for funding. 

The Committee directs the Corporation to include a 5-year detail 

of member service in the annual congressional budget justification. 

The detail should include the number of members, grant cost, and 

Trust cost broken out both by program (e.g., VISTA, NCCC, State, 

and national) and by level of service (e.g., full time, part time, 

quarter time). In addition, the justification should include a 5-year 

detail on the number of members serving in each State, excluding 

NCCC. 

The Committee is pleased with the participation of the Corporation in the Let’s Move! campaign and encourages the Corporation 

to expand its efforts around childhood nutrition and hunger. In 

particular, the Committee urges the Corporation to give priority to 

applications that support increasing healthy food choices in antihunger programs, assisting local farm-to-school initiatives, and increasing access to food assistance programs. The Committee is 

aware that the recent economic downturn has dramatically increased the number of Americans seeking out food assistance programs, and hopes that AmeriCorps members can increase the capacity of local organizations to meet this pressing national need. 

DISABILITY PLACEMENT FUNDS

The Committee recommendation includes $6,000,000 for Disability Placement funds. The comparable fiscal year 2010 level was 

$5,000,000 and the budget request for fiscal year 2011 was 

$6,000,000. 

Grant funds are for the placement of, reasonable accommodation 

of, and auxiliary services for members and potential members with 

disabilities serving in AmeriCorps programs. 

The Committee is deeply concerned by the high rate of unemployment among people with disabilities and believes that the programs of the Corporation are well-suited to help people with disabilities gain important job skills without jeopardizing their medical benefits. In addition, the service of AmeriCorps members with 

disabilities helps to educate potential employers about reasonable 

accommodation options, which may lead to reduced stigma and discrimination. The Committee encourages the Corporation to help 

grantees incorporate people with disabilities in AmeriCorps 

projects whenever possible. 

In addition, the Committee is sensitive to the increased costs involved in running an AmeriCorps program in which a significant 

proportion of the members have disabilities. The Committee urges 

the Corporation to consider ways to provide additional support to 

programs in which 25 percent or more of the members have disabil-
248 

ities, either through the disability grants, the CEO’s waiver authority or other cooperative agreements. 

INNOVATION, DEMONSTRATION, AND ASSISTANCE ACTIVITIES

The Committee has included $84,509,000 for Innovation, Demonstration, and Assistance Activities. The comparable fiscal year 

2010 level was $60,500,000 and the budget request for fiscal year 

2011 was $77,000,000. 

Within the funds provided for the Innovation account, the Committee has included $60,000,000 for the Social Innovation fund authorized under section 1807 of the SERVE America Act. The Committee recommendation also includes $10,000,000 for the nonprofit 

capacity-building program authorized under section 1809 of the 

SERVE America Act. 

In addition, $10,000,000 is included for the Volunteer Generation 

Fund authorized under section 198P of the SERVE America Act. 

The Committee has not included bill language requested by the administration to waive the statutorily required allocation of these 

funds. 

The Committee recommendation also includes $1,000,000 for the 

highly successful MLK Day of Service and $1,000,000 for the Serve 

America Fellowships. 

EVALUATION

The Committee recommendation includes $8,000,000 for evaluation activities. The comparable fiscal year 2010 level was 

$6,000,000 and the budget request for fiscal year 2011 was 

$8,000,000. 

NATIONAL CIVILIAN COMMUNITY CORPS

The Committee recommendation includes $35,593,000 for the National Civilian Community Corps. The comparable fiscal year 2010 

level was $29,000,000 and the budget request for fiscal year 2011 

was $34,593,000. 

The National Civilian Community Corps is a full-time, teambased residential program for men and women ages 18 to 24. Members are assigned to 1 of 5 campuses for a 10-month service commitment. 

LEARN AND SERVE AMERICA

The Committee has included $40,198,000 for Learn and Serve 

America. The fiscal year 2010 comparable level was $39,500,000 

and the budget request for fiscal year 2011 was $40,198,000. 

Learn and Serve America provides direct and indirect support to 

K–12 schools, community groups and higher education institutions 

to facilitate service-learning projects. 

The Committee has included sufficient funding to continue the 

Summer of Service activities within the Learn and Serve program. 

STATE COMMISSION ADMINISTRATION GRANTS

The Committee has included $18,000,000 for State Commission 

Administration grants. This is the same amount as the budget re-
249 

quest for fiscal year 2011. The comparable fiscal year 2010 level 

was $17,000,000. 

TRAINING AND TECHNICAL ASSISTANCE

The Committee recommendation includes $11,000,000 for Training and Technical Assistance. The budget request for fiscal year 

2011 was $13,000,000. The comparable fiscal year 2010 level was 

$7,500,000. 

NATIONAL SERVICE TRUST

The Committee recommends an appropriation of $271,186,000 for 

the National Service Trust. The comparable level for fiscal year 

2010 was $197,000,000. The administration request for fiscal year 

2011 was $293,662,000. 

The Committee notes that the funding level recommended is sufficient to support more than 97,000 members in fiscal year 2011, 

an increase of more than 10,000 members from fiscal year 2010. 

SALARIES AND EXPENSES

The Committee recommends an appropriation of $103,000,000 for 

the Corporation’s salaries and expenses. The budget request for fiscal year 2011 was $109,000,000. The comparable level for fiscal 

year 2010 was $88,000,000. The Committee directs that the Corporation must fund all staffing needs from the salaries and expenses account. 

The salaries and expenses appropriation provides funds for staff 

salaries, benefits, travel, training, rent, advisory and assistance 

services, communications and utilities expenses, supplies, equipment, and other operating expenses necessary for management of 

the Corporation’s activities under the National and Community 

Service Act of 1990 and the Domestic Volunteer Service Act of 

1973. 

OFFICE OF INSPECTOR GENERAL

The Committee recommends an appropriation of $9,000,000 for 

the Office of Inspector General [OIG]. The comparable level for fiscal year 2010 was $7,700,000 and the administration request for 

fiscal year 2011 was $9,000,000. 

The goals of the OIG are to increase organizational efficiency and 

effectiveness and to prevent fraud, waste, and abuse. 

ADMINISTRATIVE PROVISIONS

The Committee has included three administrative provisions: 

language requiring the Corporation to make any significant 

changes to program requirements or policy through rule-making 

(sec. 401), language requiring that donations supplement and not 

supplant operations (sec. 402) and language aligning requirements 

regarding the use of Education Awards at GI Bill-eligible institutions (sec. 403). 
250 

CORPORATION FOR PUBLIC BROADCASTING

Appropriations, 2011 ............................................................................. $430,000,000 

Appropriations, 2012 ............................................................................. 445,000,000 

Budget estimate, 2013 ........................................................................... 460,000,000 

Committee recommendation ................................................................. 460,000,000 

The Committee recommends $460,000,000, the same as the budget request, for the Corporation for Public Broadcasting [CPB] as an 

advance appropriation for fiscal year 2013. The comparable funding 

level provided as an advance appropriation for fiscal year 2012 was 

$445,000,000. 

The majority of these funds go directly to local public television 

and radio stations. 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. The CPB will have $430,000,000 available 

for these activities in fiscal year 2011. The advance appropriation 

made available in fiscal year 2010 was $420,000,000. 

In addition, the Committee recommends $36,000,000 be made 

available in fiscal year 2011 for the conversion to digital broadcasting. This is the same as the fiscal year 2010 funding level and 

the fiscal year 2011 budget request. 

The Committee recommendation does not include funding for fiscal stabilization grants, as proposed by the administration. The 

comparable fiscal year 2010 funding level is $25,000,000. 

The Committee recommendation also does not include funding 

for interconnection grants, as proposed by the administration. The 

comparable fiscal year 2010 funding level is $25,000,000, which 

represented the third and final installment of the radio interconnection system replacement project. 

FEDERAL MEDIATION AND CONCILIATION SERVICE

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $46,652,000 

Budget estimate, 2011 ........................................................................... 48,025,000 

Committee recommendation ................................................................. 48,025,000 

The Committee recommends $48,025,000, the same as the fiscal 

year 2011 budget request, for the Federal Mediation and Conciliation Service [FMCS]. The comparable fiscal year 2010 funding level 

is $46,652,000. 

The FMCS was established by Congress in 1947 to provide mediation, conciliation, and arbitration services to labor and management. FMCS is authorized to provide dispute resolution consultation and training to all Federal agencies. 

Within the total, the Committee recommendation includes 

$750,000 to remain available through September 30, 2012, for 

labor-managements partnership grants, as requested by the administration. These grants support innovative approaches to collaborative labor-management relationships to resolve potential problems, explore ways to improve productivity, and avert serious work 

stoppages. 
251 

FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $10,358,000 

Budget estimate, 2011 ........................................................................... 13,105,000 

Committee recommendation ................................................................. 15,755,000 

The Committee recommends $15,755,000 for fiscal year 2011 for 

the Federal Mine Safety and Health Review Commission. The comparable funding level for fiscal year 2010 is $10,358,000 and the 

budget request is $13,105,000. 

The Commission provides administrative trial and appellate review of legal disputes under the Federal Mine Safety and Health 

Act of 1977. Most cases involve civil penalties proposes by the Department of Labor’s Mine Safety and Health Administration. The 

Commission’s Administrative Law Judges [ALJs] decide cases at 

the trial level and the five-member Commission provides review of 

the ALJ decisions. 

The Committee provides additional funding for the Commission 

to reduce the backlog of cases in the Office of Administrative Law 

Judges. 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 new cases at the 

Commission from an average of 2,300 in fiscal years 2000 to 2005 

to over 9,200 in fiscal year 2009. The corresponding backlog has increased from 1,300 at the beginning of fiscal year 2005 to over 

14,000 at the beginning of fiscal year 2010. The Committee is concerned that mine operators with poor safety and health records 

could avoid heightened enforcement actions because of this backlog. 

It now takes an average of over 400 days to dispose of a case, up 

from 120 days in fiscal year 2005. This could provide a dangerous 

incentive for mine operators with a pattern of serious and substantial safety violations to contest violations simply to delay enforcement. The delayed review of these cases at the Commission can 

hinder the establishment of a pattern of violations, undermining 

mine safety efforts, and putting miners at risk. 

If the Commission were funded at the level of the budget request, the number of backlogged cases would continue to grow 

through fiscal year 2011. The Committee recommendation would 

enable the Commission to begin reducing the backlog in fiscal year 

2011 by hiring additional judges and support staff and continuing 

the transition to an electronic case management system. The Committee directs the Commission to brief the Committees on Appropriations of the House of Representatives and the Senate within 90 

days of enactment on a detailed plan to eliminate the backlog, including an evaluation of ideal case processing times and pending 

levels and the resources needed to achieve these levels within a 

reasonable time period. 

The Committee further expects the Department of Labor and the 

Commission to continue to implement activities that will reduce incentives for mine operators to challenge cases and improve the efficiency by which challenges are heard. The Committee requests that 

the Department of Labor and the Commission submit such a plan 

not later than 30 days after enactment of this act, and provide 

quarterly progress reports thereafter on the status of activities 
252 

identified in the plan, including an explanation for any activity 

that is not completed within the timeframe identified in the operating plan. 

INSTITUTE OF MUSEUM AND LIBRARY SERVICES

OFFICE OF MUSEUM AND LIBRARIES: GRANTS AND ADMINISTRATION

Appropriations, 2010 ............................................................................. $282,251,000 

Budget estimate, 2011 ........................................................................... 265,869,000 

Committee recommendation ................................................................. 270,619,000 

The Committee recommends $270,619,000 for fiscal year 2011 for 

the Institute of Museum and Library Services. The comparable 

funding level for fiscal year 2010 is $282,251,000 and the budget 

request is $265,869,000. 

Within the total for IMLS, the Committee recommendation includes the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2010 

comparable 

Fiscal year 2011 

budget request 

Fiscal year 2011 

Committee 

recommendation 

Library Services Technology Act: 

Grants to States ............................................................................... 172,561 172,561 172,561 

Native American Library Services ..................................................... 4,000 4,000 4,100 

National Leadership: Libraries .......................................................... 12,437 14,000 13,900 

Laura Bush 21st Century Librarian .................................................. 24,525 22,962 22,962 

Museum Services Act: 

Museums for America ....................................................................... 19,176 19,176 19,176 

Museum Assessment Program .......................................................... 460 460 460 

21st Century Museum Professionals ................................................ 1,280 2,280 2,230 

Conservation Project Support ........................................................... 3,052 3,052 3,052 

Conservation Assessment Program .................................................. 803 803 803 

Native American/Hawaiian Museum Services .................................. 975 975 1,025 

National Leadership: Museums ........................................................ 7,981 6,981 6,981 

African American History & Culture Act: 

Museum Grants for African American History & Culture ................. 1,485 1,485 1,485 

Administration ............................................................................................ 15,053 15,053 15,053 

Policy, Research, Program Evaluation, and Statistics .............................. 2,081 2,081 2,081 

The Committee recommendation includes bill language providing 

funding for the following activities in the following amounts: 

Amount 

Bishop Museum, Honolulu, HI, for conservation and other projects, including arts education for youth 

and the study and preservation of the history of Kalaupapa .................................................................... $800,000 

City of Cedar Rapids, IA, Cedar Rapids, IA, for automating the circulation system at the Cedar Rapids 

Library .......................................................................................................................................................... 300,000 

City of Hagerstown, Hagerstown, MD, for educational programming and displaying the Doleman collection ............................................................................................................................................................... 100,000 

Delta State University, Cleveland, MS, for library technology upgrades, including the purchase of equipment ............................................................................................................................................................. 100,000 

Dubuque Historical Society, Dubuque, IA, for exhibits relating to the Mississippi River .............................. 400,000 

Greenville Public Library, Smithfield, RI, for library technology and programs ............................................. 300,000 

Mississippi Children’s Museum, Jackson, MS, for exhibits and educational programming .......................... 400,000 

Mississippi Gulf Coast Community College, Perkinston, MS, for collecting, cataloging, and archiving of 

newspaper and digital media ..................................................................................................................... 100,000 

Ohr-O’Keefe Museum of Art, Biloxi, MS, for design and exhibits ................................................................... 250,000 

Oxford Lafayette County Heritage Foundation, Oxford, MS, for exhibits and design ..................................... 100,000 

Science Center of Iowa, Des Moines, IA, for educational exhibits ................................................................. 400,000 

South Dakota School of Mines and Technology, Rapid City, SD, for preservation activities and storage .... 100,000 

Southern Utah University, Cedar City, UT, for exhibits, installations and equipment ................................... 400,000 
253 

Amount 

Tennessee-Tombigbee Waterway Transportation Museum, Columbus, MS, for exhibit design and 

digitization of documents ............................................................................................................................ 100,000 

University of Mississippi, University, MS, for documentation, preservation, restoration, and programming 

related to the American Music Archives ..................................................................................................... 150,000 

University of Mississippi, University, MS, for museum education and outreach programs ........................... 150,000 

Walter Anderson Museum of Art, Ocean Springs, MS, for archive and digitization of collections ................ 150,000 

World Food Prize, Des Moines, IA, for exhibits at the Dr. Norman E. Borlaug Hall of Laureates Museum ... 450,000 

MEDICARE PAYMENT ADVISORY COMMISSION

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $11,800,000 

Budget estimate, 2011 ........................................................................... 13,100,000 

Committee recommendation ................................................................. 12,700,000 

The Committee recommends $12,700,000 for fiscal year 2011 for 

the Medicare Payment Advisory Commission [MedPAC]. The comparable funding level for fiscal year 2010 is $11,800,000 and the 

budget request is $13,100,000. 

MedPAC was established by Congress as part of the Balanced 

Budget Act of 1997 (Public Law 105–933) to provide independent 

policy and technical advice on issues affecting the Medicare program. The budget request included $400,000 for anticipated provisions in the healthcare reform legislation that were not included in 

the enacted Patient Protection and Affordable Care Act and these 

funds are therefore not included in the Committee recommendation. 

NATIONAL COUNCIL ON DISABILITY

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $3,271,000 

Budget estimate, 2011 ........................................................................... 3,337,000 

Committee recommendation ................................................................. 3,337,000 

The Committee recommends $3,337,000, the same as the fiscal 

year 2011 budget request, for the National Council on Disability. 

The comparable fiscal year 2010 funding level is $3,271,000. 

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, 2010 ............................................................................. ........................... 

Budget estimate, 2011 ........................................................................... ........................... 

Committee recommendation ................................................................. $3,000,000 
254 

The Committee recommendation includes $3,000,000 for a new 

National Health Care Workforce Commission, as authorized by section 5101 of the Patient Protection and Affordable Care Act. The 

budget request did not include funding for this commission. 

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 and 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, 2010 ............................................................................. $283,400,000 

Budget estimate, 2011 ........................................................................... 287,100,000 

Committee recommendation ................................................................. 287,100,000 

The Committee recommends $287,100,000, the same as the fiscal 

year 2011 budget request, for the National Labor Relations Board 

[NLRB]. The comparable fiscal year 2010 funding level is 

$283,400,000. 

The NLRB is a law enforcement agency that adjudicates disputes 

under the National Labor Relations Act. The mission of the NLRB 

is to carry out the statutory responsibilities of the National Labor 

Relations Act as efficiently as possible and in a manner that gives 

full effect to the rights afforded to employees, unions, and employers under the act. 

NATIONAL MEDIATION BOARD

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $13,463,000 

Budget estimate, 2011 ........................................................................... 13,772,000 

Committee recommendation ................................................................. 13,772,000 

The Committee recommends $13,772,000, the same as the fiscal 

year 2011 budget request, for the National Mediation Board 

[NMB]. The comparable fiscal year 2010 funding level is 

$13,463,000. 

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, determines the choice of employee bargaining representatives 

through elections, and administers arbitration of employee grievances. 

OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION

SALARIES AND EXPENSES

Appropriations, 2010 ............................................................................. $11,712,000 

Budget estimate, 2011 ........................................................................... 12,051,000 

Committee recommendation ................................................................. 12,051,000 

The Committee recommends $12,051,000, the same as the fiscal 

year 2011 budget request, for the Occupational Safety and Health 
255 

Review Commission. The comparable fiscal year 2010 funding level 

is $11,712,000. 

The Commission serves as a court to justly and expeditiously resolve disputes between the Occupational Safety and Health Administration [OSHA] and employers charged with violations of health 

and safety standards enforced by OSHA. 

RAILROAD RETIREMENT BOARD

DUAL BENEFITS PAYMENTS ACCOUNT

Appropriations, 2010 ............................................................................. $64,000,000 

Budget estimate, 2011 ........................................................................... 57,000,000 

Committee recommendation ................................................................. 57,000,000 

The Committee recommends $57,000,000, the same as the fiscal 

year 2011 budget request, for the Dual Benefits Payments Account. 

Of these funds, an estimated $3,000,000 is from income taxes on 

vested dual benefits. The comparable fiscal year 2010 funding level 

is $64,000,000. 

This appropriation provides for vested dual benefit payments to 

beneficiaries covered under both the railroad retirement and Social 

Security systems. This separate account, established for the payment of dual benefits, is funded by general fund appropriations and 

income tax receipts of vested dual benefits. 

FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT ACCOUNT

Appropriations, 2010 ............................................................................. $150,000 

Budget estimate, 2011 ........................................................................... 150,000 

Committee recommendation ................................................................. 150,000 

The Committee recommends $150,000 for fiscal year 2011 for interest earned on nonnegotiated checks. This is the same as the 

comparable fiscal year 2010 funding level and the fiscal year 2011 

budget request. 

LIMITATION ON ADMINISTRATION

Appropriations, 2010 ............................................................................. $109,073,000 

Budget estimate, 2011 ........................................................................... 110,573,000 

Committee recommendation ................................................................. 110,573,000 

The Committee recommends $110,573,000, the same as the fiscal 

year 2011 budget request, for the administration of railroad retirement/survivor and unemployment/sickness benefit programs. The 

comparable fiscal year 2010 funding level is $109,073,000. 

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, 2010 ............................................................................. $8,186,000 

Budget estimate, 2011 ........................................................................... 8,936,000 

Committee recommendation ................................................................. 8,936,000 
256 

The Committee recommends $8,936,000, the same as the fiscal 

year 2011 budget request, for the Office of the Inspector General. 

The comparable fiscal year 2010 funding is $8,186,000. 

SOCIAL SECURITY ADMINISTRATION

PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

Appropriations, 2010 ............................................................................. $20,404,000 

Budget estimate, 2011 ........................................................................... 21,404,000 

Committee recommendation ................................................................. 21,404,000 

The Committee recommends $21,404,000, the same as the fiscal 

year 2011 budget request, in mandatory funds for payments to Social Security trust funds. The comparable fiscal year 2010 funding 

level is $20,404,000. This amount reimburses the old age and survivors and disability insurance trust funds for special payments to 

certain uninsured persons, costs incurred administering pension reform activities, and the value of the interest for benefit checks 

issued but not negotiated. This appropriation restores the trust 

funds to the same financial position they would have been in had 

they not borne these costs and were properly charged to the general funds. 

SUPPLEMENTAL SECURITY INCOME PROGRAM

Appropriations, 2010 ............................................................................. $34,742,000,000 

Budget estimate, 2011 ........................................................................... 40,513,000,000 

Committee recommendation ................................................................. 40,513,000,000 

The Committee recommends an appropriation of $40,513,000,000, 

the same as the fiscal year 2011 budget request, for the supplemental security income [SSI] program. This is in addition to the 

$16,000,000,000 appropriated last year as an advance for the first 

quarter of fiscal year 2011. The fiscal year 2010 funding level is 

$34,742,000,000. The Committee also recommends an advance appropriation of $13,400,000,000 for the first quarter of fiscal year 

2012 to ensure uninterrupted benefits payments. The program 

level supported by the Committee recommendation is 

$56,513,000,000, the same amount proposed in the budget request. 

The comparable fiscal year 2010 program level is $50,142,000,000. 

The majority of the increase is due to the timing of monthly benefit 

payments that will result in 13 monthly benefit payments in fiscal 

year 2011, compared to the normal 12 in fiscal year 2010. Except 

for resources needed for program administration, this appropriation 

represents mandatory funding. 

The SSI program guarantees a minimum level of income to financially needy individuals who are aged, blind, or disabled. In fiscal year 2011, the SSI program will provide an average benefit payment of just over $500 to almost 8 million such individuals allowing them to meet basic needs. 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. 

Beneficiary Services 

The Committee recommends $60,000,000, the same as the budget 

request, in mandatory funds for beneficiary services. The com-
257 

parable fiscal year 2010 funding level is $49,000,000. 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 Projects 

The Committee recommendation includes $43,000,000, 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 2010 funding 

level is $49,000,000. Because of the availability of unobligated balances, these funds will support a fiscal year 2011 program level of 

$71,900,000 compared to $54,300,000 in fiscal year 2010. 

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. 

Administration 

The Committee recommendation includes $3,775,000,000, the 

same as the budget request, for SSI administrative expenses. The 

comparable fiscal year 2010 funding level is $3,442,000,000. This 

appropriation funds the SSI program’s share of administrative expenses incurred through the Limitation on Administrative Expenses account and includes $545,000,000 in program integrity 

funding. 

LIMITATION ON ADMINISTRATIVE EXPENSES

Appropriations, 2010 ............................................................................. $11,446,500,000 

Budget estimate, 2011 ........................................................................... 12,378,863,000 

Committee recommendation ................................................................. 12,378,863,280 

The Committee recommends $12,378,863,280, the same as the 

fiscal year 2011 budget request, for the Social Security Administration’s limitation on administrative expenses [LAE]. The comparable 

fiscal year 2010 funding level is $11,446,500,000. The Recovery Act 

includes an additional $500,000,000 for SSA’s limitation on administrative expenses available through fiscal year 2010. 

This account provides resources for SSA to administer the old 

age and survivors insurance [OASI], the disability insurance [DI], 

and the supplemental security income programs [SSI], and to support the Center for Medicare and Medicaid Services in administering its programs. Funds also support automation and information technology investments. 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. 
258 

The increase in funding over fiscal year 2011 will allow SSA to 

continue to work toward eliminating the hearings backlog by the 

end of fiscal year 2013 while processing an unprecedented level of 

disability claims resulting from the economic downturn. With these 

funds, SSA will be able to process over 3.3 million initial disability 

claims and almost 800,000 disability hearings in fiscal year 2011, 

up from 2.6 million and 560,000, respectively, in fiscal year 2008. 

Additional funds also support increased program integrity efforts. 

The Committee recommendation also includes a rescission of 

$250,000,000 from unobligated balances of prior-year LAE appropriated funds. SSA has authority to carry over these unobligated 

balances to invest in information technology infrastructure and 

software. The Committee supports these investments and the use 

of these funds for this purpose but notes a significant buildup of 

unobligated balances that are not expected to be used in fiscal year 

2011. 

Program Integrity 

Within the total for LAE, the Committee recommendation includes not less than $796,000,000, the same amount as the budget 

request, for program integrity activities, including conducting continuing disability reviews and redeterminations of SSI eligibility. 

The comparable fiscal year 2010 funding level is $758,000,000. 

Within this amount, up to $10,000,000 may be used to complete 

implementation of a financial asset verification initiative. 

Social Security Advisory Board 

Within the total for LAE, the Committee recommendation includes not less than $2,300,000 for the Social Security Advisory 

Board for fiscal year 2011. This amount is the same as the budget 

request and the comparable fiscal year 2010 funding level. 

User Fees 

Within the total for LAE, the Committee recommendation includes $186,000,000 for administrative activities funded from user 

fees. Of this amount, $185,000,000 is derived from fees paid to SSA 

by States that request SSA to administer State SSI supplementary 

payments and $1,000,000 is generated from a fee payment process 

for nonattorney representatives of claimants. 

Acquisition Workforce 

Within the total for LAE, the Committee recommendation also 

includes $1,863,280, as requested by the administration, to increase SSA’s acquisition workforce capacity and capabilities. This 

funding is provided in section 521 within title V, general provisions. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2010 ............................................................................. $102,682,000 

Budget estimate, 2011 ........................................................................... 106,122,000 

Committee recommendation ................................................................. 106,122,000 

The Committee recommends $106,122,000, the same as the fiscal 

year 2011 budget request, for the Office of the Inspector General. 

The comparable fiscal year 2010 funding level is $102,682,000. The 
259 

recommendation includes a general fund appropriation of 

$30,000,000 together with an obligation limitation of $76,122,000 

from the Federal old-age and survivors insurance trust fund and 

the Federal disability insurance trust fund. 
(260) 

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 and elementary and secondary 

schools unless they are in compliance with the Children’s Internet 

Protection Act (sec. 514 and sec. 515); maintain a procedure for reprogramming of funds (sec. 516); prohibit candidates for scientific 

advisory committees from having to disclose their political activities (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 provide $1,863,280 to the 

Social Security Administration to increase its acquisition workforce 

capacity and capabilities (sec. 521). 
(261) 

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: No Child Left Behind Act; Special Olympics Sport and Empowerment Act of 2004; 

Early Learning Challenge Fund; Workforce Investment Act; Homeless Veterans Reintegration Program; Universal Newborn Hearing 

Screening; Organ Transplantation; Family Planning; Rural Health 

programs; Nurse Reinvestment 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; Child Abuse Prevention; Adoption 

Opportunities; Child Care and Development Block Grant; Family 

violence programs; 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; and National Council on Disability. 

COMPLIANCE WITH PARAGRAPH 7(c), RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Pursuant to paragraph 7(c) of rule XXVI, on July 29, 2010, 

theCommittee ordered reported an original bill (S. 3686) making 

appropriations for the Departments of Labor, Health and Human 

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

ending September 30, 2011, and for other purposes, subject to 

amendment and subject to the Committee spending guidance; and 

authorized the chairman of the committee or the chairman of the 

subcommittee to offer the text of the Senate-reported bill as a committee amendment in the nature of a substitute to the House com-
262 

panion measure, by a recorded vote of 18–12, a quorum being 

present. The vote was as follows: 

Yeas Nays 

Chairman Inouye Mr. Cochran 

Mr. Leahy Mr. Bond 

Mr. Harkin Mr. McConnell 

Ms. Mikulski Mr. Shelby 

Mr. Kohl Mr. Gregg 

Mrs. Murray Mr. Bennett 

Mr. Dorgan Mrs. Hutchison 

Mrs. Feinstein Mr. Brownback 

Mr. Durbin Mr. Alexander 

Mr. Johnson Ms. Collins 

Ms. Landrieu Mr. Voinovich 

Mr. Reed Ms. Murkowski 

Mr. Lautenberg 

Mr. Nelson 

Mr. Pryor 

Mr. Tester 

Mr. Specter 

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 44—CAREER AND TECHNICALEDUCATION

SUBCHAPTER I—CAREER AND TECHNICAL EDUCATION ASSISTANCE

TO THE STATES

PART A—ALLOTMENT AND ALLOCATION

§ 2324. National activities 

(a) Program performance information 

* * * * * * * 

(b) Miscellaneous provisions 

(1) Collection of information at reasonable cost 

The Secretary shall take such action as may be necessary 

to secure at reasonable cost the information required by this 

subchapter. To ensure reasonable cost, the Secretary, in consultation with the National Center for Education Statistics, the 
263 

øOffice of Vocational and Adult Education¿ Office of Career, 

Technical, and Adult Education, and an entity assisted under 

section 2328 of this title (if applicable), shall determine the 

methodology to be used and the frequency with which information is to be collected. 

* * * * * * * 

CHAPTER 48—DEPARTMENT OF EDUCATION

SUBCHAPTER II—ESTABLISHMENT OF THE DEPARTMENT

§ 3412. Principal officers 

(a) Deputy Secretary of Education 

* * * * * * * 

(b) Assistant Secretaries and General Counsel 

(1) * * * 

(A) * * * 

(B) an øAssistant Secretary for Postsecondary Education¿ Assistant Secretary for Career, Technical, and 

Adult Education; 

* * * * * * * 

(h) Coordination of literacy related functions by øAssistant 

Secretary for Vocational and Adult Education¿ Assistant Secretary for Career, Technical, and Adult Education 

The øAssistant Secretary for Vocational and Adult Education¿ 

Assistant Secretary for Career, Technical, and Adult Education, in 

addition to performing such functions as the Secretary may prescribe, shall have responsibility for coordination of all literacy related programs and policy initiatives in the Department. The øAssistant Secretary for Vocational and Adult Education¿ Assistant 

Secretary for Career, Technical, and Adult Education shall assist in 

coordinating the related activities and programs of other Federal 

departments and agencies. 

* * * * * * * 

§ 3416. øOffice of Vocational and Adult Education¿ Office of 

Career, Technical, and Adult Education 

There shall be in the Department an øOffice of Vocational and 

Adult Education¿ Office of Career, Technical, and Adult Education, 

to be administered by the øAssistant Secretary for Vocational and 

Adult Education¿ Assistant Secretary for Career, Technical, and 

Adult Education appointed under section 3412(b) of this title. The 

Assistant Secretary shall administer such functions affecting øvocational and adult education¿ career, technical, and adult education 

as the Secretary shall delegate, and shall serve as principal adviser 

to the Secretary on matters affecting øvocational and adult education¿ career, technical, and adult education. The Secretary, 

through the Assistant Secretary, shall also provide a unified approach to rural education and rural family education through the 

coordination of programs within the Department and shall work 
264 

1So in original. 

with the Federal Interagency Committee on Education to coordinate related activities and programs of other Federal departments 

and agencies. 

TITLE 29—LABOR 

CHAPTER 12—DEPARTMENT OF LABOR

§ 563. Working capital fund; establishment; availability; capitalization; reimbursement 

There is established a working capital fund, to be available 

without fiscal year limitation, for expenses necessary for the maintenance and operation of (1) a central reproduction service; (2) a 

central visual exhibit service; (3) a central supply service for supplies and equipment for which adequate stocks may be maintained 

to meet in whole or in part the requirements of the Department; 

(4) a central tabulating service; (5) telephone, mail and messenger 

services; (6) a central accounting and payroll service; and (7) a central laborers’ service: Provided, That any stocks of supplies and 

equipment on hand or on order shall be used to capitalize such 

fund: Provided further, That such fund shall be reimbursed in advance from funds available to bureaus, offices,and agencies for 

which such centralized services are performed at rates which will 

return in full all expenses of operation, includingreserves for accrued annual leave and depreciation of equipment: øProvided further, That within the Working Capital Fund, there is established 

an Investment in Reinvention Fund (IRF), which shall be available 

to invest in projects of the Department designed to produce measurable improvements in agency efficiency and significant taxpayer 

savings. Notwithstanding any other provision of law, the Secretary 

of Labor may retain retain up to $3,900,000 of the unobligated balances in the Department’s annual Salaries and Expenses accounts 

as of September 30, 1995, and transfer those amounts to the IRF 

to provide the initial capital for the IRF, to remain available until 

expended, to make loans to agencies of the Department for projects 

designed to enhance productivity and generate cost savings. Such 

loans shall be repaid to the IRF no later than September 30 of the 

fiscal year following the fiscal year in which the project is completed. Such repayments shall be deposited in the IRF, to be available without further appropriation action¿: Provided further, That 

the Secretary of Labor may transfer annually an amount not to exceed $3,000,000 from unobligated balances in the Department’s salaries and expenses accounts, to the unobligated balance of the 

Working Capital Fund, to be merged withsuch Fund and used for 

the acquisition of capital equipment and the improvement of financial management, information technology andother support systems, and to remain available until expended: Provided further, 

That the unobligated balance of the Fund shall not exceed 

$20,000,000..1
265 

DEPARTMENT OF EDUCATION ORGANIZATION ACT, 

PUBLIC LAW 96–88 

SECTION 1. This Act may be cited as the Department of Education Organization Act. 

TITLE II—ESTABLISHMENT OF THE DEPARTMENT 

Sec. 201. Establishment. 

øSec. 206. Office of Vocational and Adult Education.¿ 

Sec. 206. Office of Career, Technical, and Adult Education. 
266 

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 

guidance 1

Amount 

of bill 

Committee 

guidance 1

Amount 

of bill 

Comparison of amounts in the bill with Committee spending 

guidance to its subcommittees for 2011: Subcommittee on 

Labor, Health and Human Services, Education, and related 

agencies: 

Mandatory ............................................................................ NA 563,862 NA 2 561,798 

Discretionary ........................................................................ 169,626 3 169,626 NA 2 206,564 

Projection of outlays associated with the recommendation: 

2011 ..................................................................................... .................... .................... .................... 4 63,541 

2012 ..................................................................................... .................... .................... .................... 74,052 

2013 ..................................................................................... .................... .................... .................... 15,972 

2014 ..................................................................................... .................... .................... .................... 3,670 

2015 and future years ........................................................ .................... .................... .................... 622 

Financial assistance to State and local governments for 

2011 ......................................................................................... NA 326,539 NA 294,233 

1 There to no section 302(a) allocation to the Committee for fiscal year 2011. 

2 Includes outlays from prior-year budget authority. 

3 This amount does not include $5.51 billion that is assumed by the Budget Committees, but is not provided in the bill. 

4 Excludes outlays from prior-year budget authority. 

NA: Not applicable. 

DISCLOSURE OF CONGRESSIONALLY DIRECTED SPENDING 

ITEMS 

The Constitution vests in the Congress the power of the purse. 

The Committee believes strongly that Congress should make the 

decisions on how to allocate the people’s money. 

As defined in Rule XLIV of the Standing Rules of the Senate, the 

term ‘‘congressional directed spending item’’ means a provision or 

report language included primarily at the request of a Senator, providing, authorizing, or recommending a specific amount of discretionary budget authority, credit authority, or other spending authority for a contract, loan, loan guarantee, grant, loan authority, 

or other expenditure with or to an entity, or targeted to a specific 

State, locality or congressional district, other than through a statutory or administrative, formula-driven, or competitive award process. 

For each item, a Member is required to provide a certification 

that neither the Member nor the Senator’s immediate family has 

a pecuniary interest in such congressionally directed spending 

item. Such certifications are available to the public on the Web site 

of the Senate Committee on Appropriations 

(www.appropriations.senate.gov/senators.cfm). 

Following is a list of congressionally directed spending items included in the Senate recommendation discussed in this report, 

along with the name of each Senator who submitted a request to 

the Committee of jurisdiction for each item so identified. Neither 

the Committee recommendation nor this report contains any limited tax benefits or limited tariff benefits as defined in rule XLIV. 
267 

CONGRESSIONALLY DIRECTED SPENDING ITEMS 

Agency Account Project Funding Requesting member 

Department of Education .................. Elementary & Secondary Education (includes FIE). 3–D School, Petal, MS, for a model dyslexia intervention program .............. $200,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Appalachian State University, Boone, NC, for college preparation and ac- cess programs for high school students. $200,000 Burr, Hagan Department of Education .................. Elementary & Secondary Education (includes FIE). Avant-Garde Learning Foundation, Anchorage, AK, to improve educational outcomes for children in low-performing school districts. $100,000 Murkowski Department of Education .................. Elementary & Secondary Education (includes FIE). Baltimore City Public Schools, Baltimore City, MD, for support of alter- native education programs for academically challenged students, which 

may include equipment and technology.

$1,000,000 Mikulski, Cardin 

Department of Education .................. Elementary & Secondary Education (includes FIE). Big Brothers Big Sisters, Anchorage, AK, for youth mentoring programs for underserved, at-risk populations in Alaska. $100,000 Murkowski Department of Education .................. Elementary & Secondary Education (includes FIE). Big Thought, Dallas, TX, for afterschool programs ........................................ $110,000 Cornyn Department of Education .................. Elementary & Secondary Education (includes FIE). Boys & Girls Club of Greater Milwaukee, Milwaukee, WI, for support of early literacy and related programming. $300,000 Kohl Department of Education .................. Elementary & Secondary Education (includes FIE). Catamount Arts, St. Johnsbury, VT, for support of arts education ................ $200,000 Leahy Department of Education .................. Elementary & Secondary Education (includes FIE). Chaddock, Quincy, IL, for support of special education activities ................ $200,000 Durbin Department of Education .................. Elementary & Secondary Education (includes FIE). Challenger Learning Center, Bangor, ME, for science, technology, engineer- ing, and mathematics programs. $250,000 Collins, Snowe Department of Education .................. Elementary & Secondary Education (includes FIE). Chicago Public Schools, Chicago, IL, for a youth violence prevention initia- tive. $500,000 Durbin Department of Education .................. Elementary & Secondary Education (includes FIE). Chicago School of Professional Psychology, Chicago, IL, for support of afterschool programming. $300,000 Durbin Department of Education .................. Elementary & Secondary Education (includes FIE). Churchill County School District, Fallon, NV, for STEM Curriculum and technology Improvements. $25,000 Reid Department of Education .................. Elementary & Secondary Education (includes FIE). City University of New York-York College, Jamaica, NY, for support of science and aerospace-based education, which may include acquisition 

of technology.

$150,000 Gillibrand 

Department of Education .................. Elementary & Secondary Education (includes FIE). Clark County School District, Las Vegas, NV, for support of a school for highly gifted students. $750,000 Reid Department of Education .................. Elementary & Secondary Education (includes FIE). Clark County School District, Las Vegas, NV, for support of the Family Leadership Initiative. $300,000 Reid Department of Education .................. Elementary & Secondary Education (includes FIE). Cleveland Metropolitan School District, Cleveland, OH, for science edu- cation programs, including the purchase of equipment. $150,000 Voinovich, Sherrod Brown 
268 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Education .................. Elementary & Secondary Education (includes FIE). Cleveland Metropolitan School District, Cleveland, OH, to improve math, science, technology, and language skills through music education. $100,000 Voinovich, Sherrod Brown Department of Education .................. Elementary & Secondary Education (includes FIE). Communities In Schools of Spokane County, Spokane, WA, for support of mentoring programs. $150,000 Murray Department of Education .................. Elementary & Secondary Education (includes FIE). Connect Arkansas, Little Rock, AR, to purchase and equip mobile broadband labs. $200,000 Lincoln, Pryor Department of Education .................. Elementary & Secondary Education (includes FIE). Cook Inlet Tribal Council, Anchorage, AK, to increase literacy and math skills of Alaskan students. $250,000 Murkowski Department of Education .................. Elementary & Secondary Education (includes FIE). Cristo Rey, Chicago, IL, for educational programming, which may include evaluation activities. $250,000 Durbin, Burris Department of Education .................. Elementary & Secondary Education (includes FIE). Cuyahoga County Office of Early Childhood/Invest in Children, Cleveland, OH, for an early childhood education initiative, including scholarships. $100,000 Voinovich, Sherrod Brown Department of Education .................. Elementary & Secondary Education (includes FIE). Delta Arts Alliance, Inc., Drew, MS, for arts education programs ................. $150,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Delta State University, Cleveland, MS, for a training program for early childhood educators. $300,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Delta State University, Cleveland, MS, for science and environmental edu- cation and outreach activities. $300,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Des Moines Independent Community School District, Des Moines, IA, to in- crease access to and quality of early childhood education programs. $750,000 Harkin Department of Education .................. Elementary & Secondary Education (includes FIE). Drueding Center, Philadelphia, PA, to support educational programs, in- cluding staff, technology upgrades, and the purchase of equipment. $100,000 Specter Department of Education .................. Elementary & Secondary Education (includes FIE). Eastern Maine Development Corporation, Bangor, ME, for youth career pathway programs. $225,000 Collins, Snowe Department of Education .................. Elementary & Secondary Education (includes FIE). Eden Housing, Hayward, CA, for support of an after school program .......... $450,000 Boxer Department of Education .................. Elementary & Secondary Education (includes FIE). Educare Central Maine, Waterville, ME, to support early childhood edu- cation activities, including the purchase of equipment. $250,000 Collins Department of Education .................. Elementary & Secondary Education (includes FIE). Educating Young Minds, Los Angeles, CA, for educational programming, which may include the acquisition of technology. $175,000 Feinstein Department of Education .................. Elementary & Secondary Education (includes FIE). Education Alliance of Washoe County, Reno, NV, for support of an after- school tutoring program. $150,000 Reid Department of Education .................. Elementary & Secondary Education (includes FIE). El Centro de la Raza, Seattle, WA, for support of counseling, tutoring, and educational programming. $100,000 Murray Department of Education .................. Elementary & Secondary Education (includes FIE). Elev8 New Mexico, New Mexico Community Foundation, Albuquerque, NM, for support of extended day learning programs in New Mexico. $200,000 Bingaman, Tom Udall 
269 

Department of Education .................. Elementary & Secondary Education (includes FIE). ENLACE New Mexico, Albuquerque, NM, for support of academic engage- ment and completion programs in New Mexico. $150,000 Bingaman, Tom Udall Department of Education .................. Elementary & Secondary Education (includes FIE). Everybody Wins! USA, Boston, MA, for child literacy programs across the country. $500,000 Harkin Department of Education .................. Elementary & Secondary Education (includes FIE). Falcon School District 49, Falcon, CO, to support a science, technology, engineering, and math education program. $100,000 Bennet, Mark Udall Department of Education .................. Elementary & Secondary Education (includes FIE). Friends of E Prep Schools, Cleveland, OH, for technology including the pur- chase of equipment. $150,000 Voinovich Department of Education .................. Elementary & Secondary Education (includes FIE). Give Every Child A Chance, Manteca, CA, for the expansion of the Give Every Child A Chance program. $300,000 Boxer Department of Education .................. Elementary & Secondary Education (includes FIE). Glenwood School for Boys and Girls, St. Charles, IL, for training and devel- opment costs associated with the Life Stabilization project, which may 

include software and technology.

$200,000 Durbin 

Department of Education .................. Elementary & Secondary Education (includes FIE). Heartland Foundation, St. Joseph, MO, to support youth empowerment pro- grams, including the purchase of equipment. $450,000 Bond Department of Education .................. Elementary & Secondary Education (includes FIE). History Colorado, Denver, CO, for support of the Student to Citizen Initia- tive. $100,000 Bennet Department of Education .................. Elementary & Secondary Education (includes FIE). Humboldt County School District, Winnemucca, NV, for support of tech- nology-based instruction. $150,000 Reid Department of Education .................. Elementary & Secondary Education (includes FIE). Indiana State University, Terre Haute, IN, for curriculum development and teacher training. $100,000 Lugar Department of Education .................. Elementary & Secondary Education (includes FIE). Inner-City Arts, Los Angeles, CA, for the core arts and language project for at-risk youth. $300,000 Boxer Department of Education .................. Elementary & Secondary Education (includes FIE). Iowa Department of Education, Des Moines, IA, to continue the Harkin Grant program. $6,000,000 Harkin Department of Education .................. Elementary & Secondary Education (includes FIE). Iowa State Education Association, Des Moines, IA, for professional develop- ment for teachers on 21st century skills. $300,000 Harkin Department of Education .................. Elementary & Secondary Education (includes FIE). Jazz at Lincoln Center, New York, NY, for music education programs .......... $400,000 Harkin, Schumer Department of Education .................. Elementary & Secondary Education (includes FIE). Jobs for Ohio’s Graduates, Inc., Columbus, OH, for dropout prevention pro- grams for at-risk youth. $150,000 Voinovich Department of Education .................. Elementary & Secondary Education (includes FIE). Junior Achievement of Delaware, Inc., Wilmington, DE, for computer-based programming and related science, technology, and engineering education activities. $50,000 Kaufman, Carper Department of Education .................. Elementary & Secondary Education (includes FIE). Kauai Economic Development Board, Lihue, HI, for science, technology, en- gineering, and math education. $700,000 Inouye, Akaka Department of Education .................. Elementary & Secondary Education (includes FIE). Lander County School District, Battle Mountain, NV, for acquisition of technology and equipment. $150,000 Reid Department of Education .................. Elementary & Secondary Education (includes FIE). Lincoln County School District, Panaca, NV, for support of afterschool pro- gramming. $50,000 Reid 
270 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Education .................. Elementary & Secondary Education (includes FIE). Lower Brule Sioux Tribe, Lower Brule, SD, for support of afterschool pro- gramming, which may include the acquisition of equipment. $100,000 Johnson Department of Education .................. Elementary & Secondary Education (includes FIE). Lyon County School District, Yerington, NV, for support of early education services. $150,000 Reid Department of Education .................. Elementary & Secondary Education (includes FIE). Madison Metropolitan School District, Madison, WI, for educational pro- gramming. $500,000 Kohl Department of Education .................. Elementary & Secondary Education (includes FIE). Marketplace of Ideas/Marketplace for Kids, Inc., Bismarck, ND, for entre- preneurship education. $200,000 Dorgan, Conrad Department of Education .................. Elementary & Secondary Education (includes FIE). Maryland Bio Foundation, Rockville, MD, for support of science, technology, engineering, and mathematics education through a mobile laboratory 

outreach program, which may include purchase of equipment.

$800,000 Mikulski 

Department of Education .................. Elementary & Secondary Education (includes FIE). Maui Economic Development Board, Kihei, HI, for engaging girls and his- torically underrepresented students in science, technology, engineering, 

and math education.

$800,000 Inouye, Akaka 

Department of Education .................. Elementary & Secondary Education (includes FIE). Mentoring Partnership of Southwestern PA, Pittsburgh, PA, for support of mentoring programs, which may include equipment and technology acquisitions. $100,000 Specter Department of Education .................. Elementary & Secondary Education (includes FIE). Meskwaki Nation, The Sac & Fox Tribe of the Mississippi in Iowa, Tama, IA, for a culturally based education curriculum. $400,000 Harkin Department of Education .................. Elementary & Secondary Education (includes FIE). Mid-Iowa Community Action, Inc., Marshalltown, IA, for literacy activities for pre-school aged children. $100,000 Harkin Department of Education .................. Elementary & Secondary Education (includes FIE). Mississippi Band of Choctaw Indians, Choctaw, MS, for academic support, tutoring, mentoring, and afterschool programs. $100,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Mississippi Building Blocks, Ridgeland, MS, for a state-wide early child- hood education program. $500,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Mississippi Council on Economic Education, Jackson, MS, for teacher train- ing for economics, financial literacy and entrepreneurial education. $500,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Mississippi Historical Society, Jackson, MS, to develop educational mate- rials for history instruction. $100,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Mississippi Museum of Natural Science Foundation, Jackson, MS, for science education exhibits and outreach programs. $200,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Mississippi State University, Mississippi State, MS, for a dropout preven- tion program, including the purchase of equipment. $850,000 Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Mississippi State University, Mississippi State, MS, for an early childhood teacher education program, including the purchase of equipment and 

materials.

$500,000 Cochran, Wicker 
271 

Department of Education .................. Elementary & Secondary Education (includes FIE). Mississippi University for Women, Columbus, MS, for development of at- risk youth programs. $250,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Mississippi University for Women, Columbus, MS, for science and math programs for K–12 students. $200,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Montana Digital Academy, Missoula, MT, for support of online learning ac- tivities. $100,000 Baucus, Tester Department of Education .................. Elementary & Secondary Education (includes FIE). National Center for Parents as Teachers, St. Louis, MO, to support home visitation programs, including the purchase of equipment. $850,000 Bond Department of Education .................. Elementary & Secondary Education (includes FIE). NC STEM Community Collaborative, Fort Bragg Region, Research Triangle Park, NC, for science, technology, engineering, and math programs, including the purchase of equipment. $150,000 Burr, Hagan Department of Education .................. Elementary & Secondary Education (includes FIE). Nevada Department of Education, Carson City, NV, for a demonstration of public school facilities repair and construction, which may include subgrants. $2,000,000 Reid Department of Education .................. Elementary & Secondary Education (includes FIE). Nevada Parents Empowering Parents, Las Vegas, NV, to provide edu- cational workshops to parents of students with disabilities. $125,000 Reid Department of Education .................. Elementary & Secondary Education (includes FIE). Nye County School District, Pahrump, NV, to support instructional/interven- tion specialists and the purchase of instructional materials. $350,000 Reid Department of Education .................. Elementary & Secondary Education (includes FIE). Oakland Unified School District, Oakland, CA, for the Oakland Truancy Intervention and Educational Support Program. $300,000 Boxer Department of Education .................. Elementary & Secondary Education (includes FIE). Operation Shoestring, Jackson, MS, for afterschool and summer community outreach and education programs. $100,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Orchestra Iowa, Cedar Rapids, IA, to support a music education program $300,000 Harkin Department of Education .................. Elementary & Secondary Education (includes FIE). Pacific Islands Center for Educational Development, Pago Pago, American Samoa, for program development. $400,000 Inouye, Akaka Department of Education .................. Elementary & Secondary Education (includes FIE). Parents for Public Schools of Jackson, Inc., Jackson, MS, for professional development, development of materials, and programs to increase student achievement and graduation rates in low performing schools. $250,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Polynesian Voyaging Society, Honolulu, HI, for educational programs .......... $300,000 Inouye, Akaka Department of Education .................. Elementary & Secondary Education (includes FIE). Project HOME, Philadelphia, PA, for afterschool programs ............................ $100,000 Specter Department of Education .................. Elementary & Secondary Education (includes FIE). Providence Community Library, Providence, RI, for support of the Out-of- School Learning Opportunities program. $250,000 Reed, Whitehouse Department of Education .................. Elementary & Secondary Education (includes FIE). Public Education Foundation, Las Vegas, NV, for support of a clearing- house for classroom supplies and materials. $100,000 Reid Department of Education .................. Elementary & Secondary Education (includes FIE). Saint Mary’s College, Notre Dame, IN, for tutoring and mentoring programs for at-risk youth. $100,000 Lugar 
272 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Education .................. Elementary & Secondary Education (includes FIE). San Francisco Redevelopment Agency, San Francisco, CA, for a college preparatory program, in partnership with College Track. $250,000 Feinstein Department of Education .................. Elementary & Secondary Education (includes FIE). Save the Children, Washington, DC, for a rural literacy program in Mis- sissippi. $100,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). Save the Children, Westport, CT, for support of the Louisiana Early Child Development program. $200,000 Landrieu Department of Education .................. Elementary & Secondary Education (includes FIE). SEED Foundation, Washington, DC, for the SEED School of Louisiana Ex- ploratory project. $250,000 Landrieu Department of Education .................. Elementary & Secondary Education (includes FIE). Seton Hall University, South Orange, NJ, for an urban school improvement program. $350,000 Lautenberg, Menendez Department of Education .................. Elementary & Secondary Education (includes FIE). Southeastern Louisiana University, Hammond, LA, to increase the number of certified teachers and support other activities designed to improve 

student achievement.

$100,000 Landrieu 

Department of Education .................. Elementary & Secondary Education (includes FIE). Southwest Washington Workforce Development Council, Vancouver, WA, for support of professional development in science and mathematics education. $100,000 Murray Department of Education .................. Elementary & Secondary Education (includes FIE). Syracuse University, Syracuse, NY, for support of afterschool programming $500,000 Gillibrand, Schumer Department of Education .................. Elementary & Secondary Education (includes FIE). Technology Assessment for Basic Skills, Inc., Des Moines, IA, for continu- ation and expansion of the SKILLS Iowa program. $2,000,000 Harkin Department of Education .................. Elementary & Secondary Education (includes FIE). The Tibetan Community of New York and New Jersey, Inc., New York, NY, for the Tibetan Community Center Youth Education and Empowerment 

Program.

$100,000 Schumer 

Department of Education .................. Elementary & Secondary Education (includes FIE). Thrive By Five Washington, Seattle, WA, for support of early childhood edu- cation programming. $300,000 Murray Department of Education .................. Elementary & Secondary Education (includes FIE). Uintah School District, Vernal, UT, for academic achievement and credit recovery programs, including the purchase of equipment. $106,000 Hatch Department of Education .................. Elementary & Secondary Education (includes FIE). University of Mississippi, University, MS, for teacher training for elemen- tary mathematics education. $300,000 Cochran, Wicker Department of Education .................. Elementary & Secondary Education (includes FIE). University of Southern Mississippi, Hattiesburg, MS, for teacher training in the science, technology, engineering, math, language, and creative arts 

fields.

$400,000 Cochran, Wicker 

Department of Education .................. Elementary & Secondary Education (includes FIE). Utah State Office of Education, Salt Lake City, UT, for teacher develop- ment programs. $300,000 Bennett Department of Education .................. Elementary & Secondary Education (includes FIE). Utah Symphony, Salt Lake City, UT, for music education programs ............. $106,000 Hatch 
273 

Department of Education .................. Elementary & Secondary Education (includes FIE). Washoe County School District, Reno, NV, for support of educational activi- ties. $500,000 Reid Institute of Museum & Library Services. Museums & Libraries ................................... World Science Festival, New York, NY, for science and environmental edu- cation and outreach activities. $200,000 Cochran Department of Education .................. Elementary & Secondary Education (includes FIE). Young Writers Project, Inc., Winooski, VT, for support educational program- ming and teaching training. $175,000 Leahy Department of Education .................. Higher Education (includes FIPSE) .............. Alcorn State University, Alcorn State, MS, for curriculum development and 

the purchase of equipment related to graduate technical programs.

$250,000 Cochran, Wicker 

Department of Education .................. Higher Education (includes FIPSE) .............. Arkansas Baptist College, Little Rock, AR, for the Center for Entrepreneurship. $150,000 Lincoln, Pryor Department of Education .................. Higher Education (includes FIPSE) .............. Armstrong Atlantic State University Cyber Security Research Foundation, 

Savannah, GA, for the Cyber Intelligence and Counter Terrorism Program, including the purchase of equipment.

$200,000 Isakson, Chambliss 

Department of Education .................. Higher Education (includes FIPSE) .............. Baylor University, Waco, TX, for technology upgrades at the Baylor Research and Innovation Collaborative, including the purchase of equipment. $200,000 Hutchison Department of Education .................. Higher Education (includes FIPSE) .............. Black Hills State University, Spearfish, SD, for equipment to enhance education programs. $450,000 Johnson Department of Education .................. Higher Education (includes FIPSE) .............. California Community Colleges Chancellor’s Office, Sacramento, CA, to expand a program providing academic support to veterans. $500,000 Feinstein Department of Education .................. Higher Education (includes FIPSE) .............. California State University, Bakersfield, CA, for support of the nursing program. $150,000 Boxer Department of Education .................. Higher Education (includes FIPSE) .............. California State University, Long Beach, CA, for staff resources for the 

Metro Academies Initiative.

$350,000 Boxer 

Department of Education .................. Higher Education (includes FIPSE) .............. California State University, Sacramento, CA, for the Veterans Education 

Transitional Supports program.

$150,000 Boxer 

Department of Education .................. Higher Education (includes FIPSE) .............. Castleton State College, Castleton, VT, to expand the Principal Training 

and School Leadership Program.

$300,000 Leahy 

Department of Education .................. Higher Education (includes FIPSE) .............. Cazenovia College, Cazenovia, NY, for curriculum development and job 

training.

$200,000 Schumer 

Department of Education .................. Higher Education (includes FIPSE) .............. Central Maine Community College, Auburn, ME, for job training programs 

for healthcare providers.

$285,000 Collins, Snowe 

Department of Education .................. Higher Education (includes FIPSE) .............. Central Washington University, Ellensburg, WA, to launch the state’s first 

bachelor’s degree program in clean energy.

$1,000,000 Murray, Cantwell 

Department of Education .................. Higher Education (includes FIPSE) .............. Cincinnati State Technical and Community College, Cincinnati, OH, for 

GED and transition to college programs and job placement.

$150,000 Voinovich 

Department of Education .................. Higher Education (includes FIPSE) .............. Coe College, Cedar Rapids, IA, for the Digital Media Technology Project ..... $300,000 Harkin, Grassley Department of Education .................. Higher Education (includes FIPSE) .............. College of Idaho, Caldwell, ID, for technology upgrades and the purchase 

of equipment.

$100,000 Crapo, Risch 
274 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Education .................. Higher Education (includes FIPSE) .............. College of Southern Nevada, Las Vegas, NV, for the expansion of online 

courses.

$400,000 Reid 

Department of Education .................. Higher Education (includes FIPSE) .............. College Success Foundation, Washington, DC, for mentoring and scholarships. $500,000 Harkin Department of Education .................. Higher Education (includes FIPSE) .............. Commonwealth Medical College, Scranton, PA, for the Community Quality 

Initiative curriculum development program.

$250,000 Casey, Specter 

Department of Education .................. Higher Education (includes FIPSE) .............. Community College of Allegheny County, Pittsburgh, PA, to support basic 

education and GED programs.

$100,000 Specter 

Department of Education .................. Higher Education (includes FIPSE) .............. Community College of Rhode Island, Warwick, RI, for the development of a 

biotech program, including equipment.

$500,000 Reed 

Department of Education .................. Higher Education (includes FIPSE) .............. Connecticut State University System, Hartford, CT, to expand Latin American and Caribbean studies. $500,000 Dodd Department of Education .................. Higher Education (includes FIPSE) .............. Dakota Wesleyan University, Mitchell, SD, for healthcare training programs $150,000 Johnson Department of Education .................. Higher Education (includes FIPSE) .............. Deaf West, North Hollywood, CA, for educational programming .................... $250,000 Harkin Department of Education .................. Higher Education (includes FIPSE) .............. Delaware Technical and Community College, Dover, DE, for distance learning technology. $150,000 Carper, Kaufman Department of Education .................. Higher Education (includes FIPSE) .............. Delta College, University Center, MI, for chemical process and lithium battery Lab Equipment. $250,000 Levin, Stabenow Department of Education .................. Higher Education (includes FIPSE) .............. Dickinson State University, Dickinson, ND, for its Theodore Roosevelt Center. $300,000 Dorgan, Conrad Department of Education .................. Higher Education (includes FIPSE) .............. Drake University Law School, Des Moines, IA, to create the Drake Institute 

for Legislation and Agriculture Policy.

$300,000 Harkin 

Department of Education .................. Higher Education (includes FIPSE) .............. Eastern Washington University, Spokane, WA, to educate, conduct research, 

and disseminate vital information on regional water issues.

$300,000 Murray, Cantwell 

Department of Education .................. Higher Education (includes FIPSE) .............. Edward M. Kennedy Institute for the United States Senate, Boston, MA, for 

educational program development, including an endowment.

$500,000 Kerry 

Department of Education .................. Higher Education (includes FIPSE) .............. Fort Lewis College, Durango, CO, to develop and administer the Tribal Nation Building program to provide internships and social service programs. $250,000 Mark Udall, Bennet Department of Education .................. Higher Education (includes FIPSE) .............. Francis Marion University, Florence, SC, for early childhood education initiatives. $150,000 Graham Department of Education .................. Higher Education (includes FIPSE) .............. Future Generations, Franklin, WV, to develop a higher education degree in 

the field of substance abuse prevention.

$1,000,000 Rockefeller 

Department of Education .................. Higher Education (includes FIPSE) .............. Grambling State University, Grambling, LA, for the Project Lifelines program for vocational or higher education training. $100,000 Landrieu 
275 

Department of Education .................. Higher Education (includes FIPSE) .............. Grand Rapids Community College, Grand Rapids, MI, for the purchase of 

equipment and development of education programs in alternative/renewable energy.

$100,000 Stabenow, Levin 

Department of Education .................. Higher Education (includes FIPSE) .............. Hawaii Community College, Hilo, HI, to promote Native Hawaiian and other 

secondary education programs.

$400,000 Inouye, Akaka 

Department of Education .................. Higher Education (includes FIPSE) .............. Hazard Community and Technical College, Hazard, KY, for science, technology, engineering, and math education programs. $100,000 Bunning Department of Education .................. Higher Education (includes FIPSE) .............. Huntingdon College, Montgomery, AL, for purchase of equipment and technology upgrades to support distance learning initiatives. $100,000 Sessions Department of Education .................. Higher Education (includes FIPSE) .............. Illinois State University—Normal, Normal, IL, for minority student recruitment and retention. $400,000 Durbin Department of Education .................. Higher Education (includes FIPSE) .............. Imperial Valley Community College District, Imperial, CA, for an English 

Language Immersion program.

$200,000 Boxer 

Department of Education .................. Higher Education (includes FIPSE) .............. Iowa Valley Community College District, Iowa Falls, IA, for a training program in agricultural and renewable energy technology, including the 

purchase of equipment.

$300,000 Harkin 

Department of Education .................. Higher Education (includes FIPSE) .............. Jackson Community College/Bay de Noc College/Lake Michigan College, 

Jackson, MI, to develop and implement assessment tools and curriculum to serve low-skilled adults.

$100,000 Levin, Stabenow 

Department of Education .................. Higher Education (includes FIPSE) .............. Jackson State University, Jackson, MS, for teacher training to improve literacy and mathematics instruction. $500,000 Cochran, Wicker Department of Education .................. Higher Education (includes FIPSE) .............. Johnson State College, Johnson, VT, to expand the teacher preparation program. $200,000 Leahy Department of Education .................. Higher Education (includes FIPSE) .............. Junior College District of Newton and McDonald Counties, Missouri, Neosho, MO, for the purchase of equipment to support allied health education. $500,000 Bond Department of Education .................. Higher Education (includes FIPSE) .............. Junior College District of Sedalia, Missouri, Sedalia, MO, for curriculum development and the purchase of equipment related to advanced energy 

systems.

$500,000 Bond 

Department of Education .................. Higher Education (includes FIPSE) .............. Kauai Community College, Lihue, HI, for planning and implementation of a 

4-year degree program.

$200,000 Inouye, Akaka 

Department of Education .................. Higher Education (includes FIPSE) .............. Keene State College, Keene, NH, for curriculum development and educational equipment for the Monadnock Biodiesel Collaborative. $150,000 Shaheen Department of Education .................. Higher Education (includes FIPSE) .............. Lake Area Technical Institute, Watertown, SD, for educational equipment 

related to first responder training.

$200,000 Johnson, Thune 

Department of Education .................. Higher Education (includes FIPSE) .............. Lake Erie College of Osteopathic Medicine, Erie, PA, to training dental students in patient centered care. $100,000 Specter, Casey Department of Education .................. Higher Education (includes FIPSE) .............. Leeward Community College, Pearl City, HI, to provide college preparatory 

education for Filipino students.

$400,000 Inouye, Akaka 
276 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Education .................. Higher Education (includes FIPSE) .............. Macomb Community College, Warren, MI, to develop assessment and curriculum materials to make displaced workers college ready. $250,000 Stabenow, Levin Department of Education .................. Higher Education (includes FIPSE) .............. Manhattan Area Technical College, Manhattan, KS, for curriculum development and technology upgrades, including the purchase of equipment. $450,000 Brownback Department of Education .................. Higher Education (includes FIPSE) .............. Maryland Association of Community Colleges, Annapolis, MD, for the purchase of equipment to develop science and engineering labs. $1,250,000 Mikulski Department of Education .................. Higher Education (includes FIPSE) .............. Medaille College, Buffalo, NY, for equipment related to science education. $150,000 Schumer Department of Education .................. Higher Education (includes FIPSE) .............. Methodist University, Fayetteville, NC, for curriculum development and 

education equipment related to first responder training.

$150,000 Burr 

Department of Education .................. Higher Education (includes FIPSE) .............. Middle Tennessee State University, Murfreesboro, TN, for science, technology, engineering, and math education, including the purchase of 

equipment.

$1,500,000 Alexander 

Department of Education .................. Higher Education (includes FIPSE) .............. Midway College, Inc., Midway, KY, for education equipment related to 

nursing and health sciences.

$100,000 Bunning 

Department of Education .................. Higher Education (includes FIPSE) .............. Minot State University, Minot, ND, for salaries and operating expense for 

the Center for Community Research and Service.

$450,000 Dorgan, Conrad 

Department of Education .................. Higher Education (includes FIPSE) .............. Mississippi State University, Mississippi State, MS, for technology upgrades and the purchase of equipment to support the Delta Council Papers Project. $100,000 Cochran, Wicker Department of Education .................. Higher Education (includes FIPSE) .............. Mott Community College, Flint, MI, for the purchase of renewable energy 

equipment and curriculum development for the Institute for Renewable and Sustainable Energy.

$250,000 Levin, Stabenow 

Department of Education .................. Higher Education (includes FIPSE) .............. Nevada State College, Henderson, NV, for curriculum development and for 

the purchase of technology.

$200,000 Reid 

Department of Education .................. Higher Education (includes FIPSE) .............. New College Institute, Martinsville, VA, for curriculum development for the 

development of bachelor’s degree programs in Renewable Energy, Advanced Manufacturing, Technology Integration, and Entrepreneurship.

$100,000 Webb, Warner 

Department of Education .................. Higher Education (includes FIPSE) .............. New Hampshire Institute of Politics at Saint Anselm College, Manchester, 

NH, for education programs, technology upgrades and purchase of equipment.

$2,650,000 Gregg 

Department of Education .................. Higher Education (includes FIPSE) .............. New School—Institute for Urban Education, New York, NY, for an educational mentoring and outreach program for low-income, at-risk students. $725,000 Gillibrand Department of Education .................. Higher Education (includes FIPSE) .............. Niagara County Community College, Sanborn, NY, for educational equipment. $100,000 Schumer 
277 

Department of Education .................. Higher Education (includes FIPSE) .............. North Arkansas College, Harrison, AR, for the purchase of equipment and 

IT upgrades.

$100,000 Lincoln, Pryor 

Department of Education .................. Higher Education (includes FIPSE) .............. North Iowa Area Community College, Mason City, IA, to make state-of-theart training, technology, and equipment available for health professionals. $200,000 Grassley, Harkin Department of Education .................. Higher Education (includes FIPSE) .............. Northeast Community College, Norfolk, NE, for the purchase of equipment 

for a renewable energy program.

$500,000 Ben Nelson 

Department of Education .................. Higher Education (includes FIPSE) .............. Northeast Iowa Community College, Calmar, IA, For Dairy Science Technology program. $300,000 Harkin, Grassley Department of Education .................. Higher Education (includes FIPSE) .............. Northeastern State University, Tahlequah, OK, for professional development, including the purchase of equipment. $100,000 Inhofe Department of Education .................. Higher Education (includes FIPSE) .............. Northern Illinois University, DeKalb, IL, to create a pilot study abroad program. $200,000 Durbin Department of Education .................. Higher Education (includes FIPSE) .............. Northern Kentucky University, Highland Heights, KY, for the purchase of 

equipment and technology.

$2,000,000 McConnell 

Department of Education .................. Higher Education (includes FIPSE) .............. Northern Maine Community College, Presque Isle, ME, for equipment related to wind power technology programs. $200,000 Snowe Department of Education .................. Higher Education (includes FIPSE) .............. Northwest Arkansas Community College, Bentonville, AR, for the purchase 

of distance learning equipment.

$300,000 Lincoln, Pryor 

Department of Education .................. Higher Education (includes FIPSE) .............. Northwest Indian College, Bellingham, WA, to expand financial literacy 

education opportunities.

$150,000 Murray, Cantwell 

Department of Education .................. Higher Education (includes FIPSE) .............. Ohio Dominican University, Columbus, OH, for science programs, including 

the purchase of equipment.

$150,000 Voinovich 

Department of Education .................. Higher Education (includes FIPSE) .............. Oklahoma State University, Stillwater, OK, to develop a veteran entrepreneurial training program. $100,000 Inhofe Department of Education .................. Higher Education (includes FIPSE) .............. Orange County Community College, Middletown, NY, for support of the 

Science, Engineering & Technology Center, which may include equipment and wiring.

$500,000 Gillibrand 

Department of Education .................. Higher Education (includes FIPSE) .............. Pennsylvania Commission for Community Colleges, Harrisburg, PA, to design, create, and implement open source educational materials. $100,000 Specter Department of Education .................. Higher Education (includes FIPSE) .............. Pittsburg State University, Pittsburg, KS, to expand education programs .... $400,000 Brownback Department of Education .................. Higher Education (includes FIPSE) .............. Providence College, Providence, RI, for technology improvements related to 

education.

$300,000 Reed, Whitehouse 

Department of Education .................. Higher Education (includes FIPSE) .............. Redlands Community College, El Reno, OK, for nursing education and 

training including the purchase of equipment.

$100,000 Inhofe 

Department of Education .................. Higher Education (includes FIPSE) .............. Richland Community College, Decatur, IL, for the purchase of modern 

human patient simulators.

$150,000 Durbin 

Department of Education .................. Higher Education (includes FIPSE) .............. Roger Williams University, Bristol, RI, for college access and school-towork programs. $400,000 Reed 
278 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Education .................. Higher Education (includes FIPSE) .............. Saint Joseph College, West Hartford, CT, for personnel, equipment and 

technology at the new Institute for Autism and Behavioral Studies.

$500,000 Dodd, Lieberman 

Department of Education .................. Higher Education (includes FIPSE) .............. Saint Michael’s College, Colchester, VT, for curriculum development and 

academic programming at the Center for Intercultural and Global Learning.

$250,000 Leahy 

Department of Education .................. Higher Education (includes FIPSE) .............. San Juan College, Farmington, NM, for the creation of online and certificate programs to expand the Renewable Energy Program. $150,000 Tom Udall, Bingaman Department of Education .................. Higher Education (includes FIPSE) .............. Security on Campus, Inc., King of Prussia, PA, to support peer education 

programs.

$100,000 Specter 

Department of Education .................. Higher Education (includes FIPSE) .............. Simpson College, Indianola, IA, for the John C. Culver Public Policy Center. $400,000 Harkin Department of Education .................. Higher Education (includes FIPSE) .............. South Arkansas Community College, El Dorado, AR, for the purchase of 

equipment for the Process Technology Operator Program.

$200,000 Lincoln, Pryor 

Department of Education .................. Higher Education (includes FIPSE) .............. Southern Maine Community College, South Portland, ME, to development a 

heavy equipment and transportation program, including the purchase of equipment.

$625,000 Collins, Snowe 

Department of Education .................. Higher Education (includes FIPSE) .............. SUNY Upstate Medical University, Syracuse, NY, for curriculum development. $200,000 Schumer Department of Education .................. Higher Education (includes FIPSE) .............. Texas State Technical College, Georgetown, TX, for the purchase of equipment and technology. $110,000 Cornyn Department of Education .................. Higher Education (includes FIPSE) .............. Texas Wesleyan University, Fort Worth, TX, to develop a distance education 

initiative, including the purchase of equipment.

$110,000 Cornyn 

Department of Education .................. Higher Education (includes FIPSE) .............. Three Rivers Community College, Poplar Bluff, MO, for the purchase of 

equipment.

$250,000 Bond 

Department of Education .................. Higher Education (includes FIPSE) .............. Towson University, Towson, MD, for equipment and program development 

for the Center for Adults with Autism.

$150,000 Cardin 

Department of Education .................. Higher Education (includes FIPSE) .............. Trident Technical College, North Charleston, SC, for curriculum development and education equipment for an aeronautical training program. $100,000 Graham Department of Education .................. Higher Education (includes FIPSE) .............. Truckee Meadows Community College, Reno, NV, to support the Success 

First program.

$200,000 Reid 

Department of Education .................. Higher Education (includes FIPSE) .............. Turtle Mountain Community College, Belcourt, ND, for education technology 

equipment.

$200,000 Dorgan, Conrad 

Department of Education .................. Higher Education (includes FIPSE) .............. University of Arizona, Tucson, AZ, for the Integrative Medicine in Residency 

program.

$600,000 Harkin 

Department of Education .................. Higher Education (includes FIPSE) .............. University of Cincinnati, Cincinnati, OH, for the Diversity and Access Initiative. $350,000 Sherrod Brown 
279 

Department of Education .................. Higher Education (includes FIPSE) .............. University of Colorado at Colorado Springs, Colorado Springs, CO, for the 

Southern Colorado Higher Education Consortium Veterans Educational Assistance Program.

$100,000 Mark Udall, Bennet 

Department of Education .................. Higher Education (includes FIPSE) .............. University of Connecticut School of Law, Hartford, CT, for a Human Rights 

and International Law fellowship program.

$250,000 Dodd 

Department of Education .................. Higher Education (includes FIPSE) .............. University of Hawaii School of Law, Honolulu, HI, for the health policy center. $350,000 Inouye, Akaka Department of Education .................. Higher Education (includes FIPSE) .............. University of Iowa, Iowa City, IA, for the National Institute for TwiceExceptionality. $275,000 Grassley, Harkin Department of Education .................. Higher Education (includes FIPSE) .............. University of Maine at Fort Kent, Fort Kent, ME, for curriculum development for nursing education programs. $600,000 Collins Department of Education .................. Higher Education (includes FIPSE) .............. University of Mississippi, University, MS, to support interdisciplinary research and education related to public policy and economic education. $250,000 Cochran, Wicker Department of Education .................. Higher Education (includes FIPSE) .............. University of Northern Colorado, Greeley, CO, for The Education Innovation 

Institute.

$100,000 Bennet 

Department of Education .................. Higher Education (includes FIPSE) .............. University of Northern Iowa, Cedar Falls, IA, to support the Center for Disability Studies in Literacy, Language and Learning. $550,000 Harkin, Grassley Department of Education .................. Higher Education (includes FIPSE) .............. University of South Dakota, Vermillion, SD, to identify and address the 

educational needs of veterans with disabilities.

$400,000 Johnson, Thune 

Department of Education .................. Higher Education (includes FIPSE) .............. University of Southern Maine, Portland, ME, for curriculum development, 

including the purchase of equipment.

$500,000 Collins, Snowe 

Department of Education .................. Higher Education (includes FIPSE) .............. University of Southern Mississippi, Hattiesburg, MS, for professional and 

curriculum development, and distance learning at the Gulf Coast Campuses.

$250,000 Cochran, Wicker 

Department of Education .................. Higher Education (includes FIPSE) .............. University of Vermont, Burlington, VT, to modernize the College of Nursing 

curriculum.

$475,000 Leahy 

Department of Education .................. Higher Education (includes FIPSE) .............. University of Wisconsin-Stevens Point, Stevens Point, WI, to support nontraditional and veteran students with disabilities in higher education 

and career development.

$400,000 Kohl 

Department of Education .................. Higher Education (includes FIPSE) .............. Urban College of Boston, Boston, MA, to support higher education program 

serving low-income and minority students.

$500,000 Kerry 

Department of Education .................. Higher Education (includes FIPSE) .............. Utah State University, Logan, UT, to develop a land-grant education and 

research network.

$106,000 Hatch, Bennett 

Department of Education .................. Higher Education (includes FIPSE) .............. Valley City State University, Valley City, ND, for the Great Plains STEM 

Education Center.

$350,000 Dorgan, Conrad 

Department of Education .................. Higher Education (includes FIPSE) .............. Western Nebraska Community College, Scottsbluff, NE, for the Western Nebraska Wind Energy Training Center. $500,000 Ben Nelson Department of Education .................. Higher Education (includes FIPSE) .............. Western Technical College, La Crosse, WI, to establish a veteran’s center 

on campus.

$150,000 Kohl 
280 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Education .................. Higher Education (includes FIPSE) .............. Westminster College, Salt Lake City, UT, to purchase equipment to support 

nursing and health science education.

$150,000 Bennett 

Department of Education .................. Rehabilitation Services & Disability Research. American Academy of Orthotists and Prosthetists, Washington, DC, to im- prove the quality of applied orthotic and prosthetic research and to 

help meet the demand for provider services.

$500,000 Harkin 

Department of Education .................. Rehabilitation Services & Disability Research. ARC of Madison County, Huntsville, AL, for a disability program initiative, which may include equipment. $100,000 Sessions Department of Education .................. Rehabilitation Services & Disability Research. Holy Angels Residential Facility, Caddo Parish, LA, for vocational training for developmental disabled individuals. $100,000 Landrieu Department of Education .................. Rehabilitation Services & Disability Research. Spurwink Services, Portland, ME, for education programs for students with autism. $400,000 Collins, Snowe Department of Education .................. Rehabilitation Services & Disability Research. Statewide Independent Living Council, Anchorage, AK, to expand inde- pendent living programs for rural and remote areas. $400,000 Murkowski Department of Education .................. Rehabilitation Services & Disability Research. Utah State Office of Rehabilitation, Salt Lake City, UT, for assistive tech- nology equipment. $150,000 Bennett Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Child Abuse Prevention.

Addison County Parent Child Center, Middlebury, VT, for childcare and parental education programs. $100,000 Sanders 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Child Abuse Prevention.

County of Contra Costa, Martinez, CA, for an initiative for children and 

adolescents exposed to domestic violence.

$350,000 Boxer 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Child Abuse Prevention.

Dakota County, Hastings, MN, for a home visitation program for at-risk infants and toddlers and their families. $300,000 Franken, Klobuchar 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Child Abuse Prevention.

Georgia State University, Atlanta, GA, for child abuse prevention education 

services.

$100,000 Chambliss 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Child Abuse Prevention.

Nez Perce Tribe, Lapwai, ID, for child abuse prevention ............................... $100,000 Crapo, Risch 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Child Abuse Prevention.

South Carolina Department of Education, Columbia, SC, for child abuse 

prevention education services.

$100,000 Graham 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Child Abuse Prevention.

Southern Nevada Health District, Las Vegas, NV, for a home visitation program for low-income first-time mothers. $400,000 Reid 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

Access to Healthcare Network, Reno, NV, for a helpline to assist residents 

with healthcare and social services.

$330,000 Reid 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

Campus Kitchen, Washington, DC, for services to the homeless community 

in Atlantic City, NJ.

$100,000 Lautenberg, Menendez 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

City of Mount Vernon, NY, for the Youth Development Action Plan .............. $150,000 Gillibrand 
281 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

City of Tracy, CA, for gang-outreach, intervention, prevention, and educational assistance programs. $300,000 Boxer 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

Creative Visions, Des Moines, IA, for family reunification and support services. $200,000 Harkin 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

FAMILY, Inc., Council Bluffs, IA, for a home visitation program for young 

children and their families.

$400,000 Harkin, Grassley 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

Jewish Social Service Agency, Rockville, MD, for autism outreach, education, and case management services. $450,000 Mikulski, Cardin 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

Lake County Community Foundation, Waukegan, IL, for expanding access 

to services.

$250,000 Durbin 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

North Ward Center, Inc., Newark, NJ, for comprehensive services for people 

with autism spectrum disorders.

$500,000 Menendez 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

Northern Kentucky Community Action Commission, Covington, KY, for child 

care program activities.

$100,000 Bunning 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

Olive Crest Pacific Northwest, Bellevue, WA, for services for foster children 

and children in unstable home situations.

$250,000 Murray 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

Refuge Network, Cambridge, MN, for family violence and sexual assault 

prevention and intervention services.

$150,000 Franken 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

Springfield Area Parent Child Center, North Springfield, VT, for services for 

teenage and expectant mothers.

$500,000 Leahy 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

TLC for Children and Families, Olathe, KS, for youth transitional living programs. $500,000 Brownback 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

United Way of Capital Area, Jackson, MS, for 2–1–1 Mississippi ................. $408,000 Cochran, Wicker 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

United Way of California, South Pasadena, CA, for expanding 2–1–1 services. $750,000 Feinstein, Boxer 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

University of Medicine and Dentistry of New Jersey—The Autism Center at 

NJ Medical School, Newark, NJ, for identifying and treating children with autism spectrum disorders.

$300,000 Lautenberg, Menendez 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

University of Nevada—Las Vegas, Las Vegas, NV, for expanding access to 

services for people with autism spectrum disorders.

$500,000 Reid 

Department of Health & Human 

Services.

Administration for Children and Families 

(ACF)—Social Services.

YWCA of Greater Portland, Portland, OR, for services for victims of human 

trafficking.

$600,000 Wyden, Merkley 

Department of Health & Human 

Services.

Administration on Aging (AOA) .................... Cathedral Square Corporation, South Burlington, VT, for the Seniors Aging 

Safely at Home pilot program.

$750,000 Leahy, Sanders 

Department of Health & Human 

Services.

Administration on Aging (AOA) .................... Jewish Family Services of Delaware, Wilmington, DE, for an aging-in-place 

initiative.

$150,000 Kaufman, Carper 

Department of Health & Human 

Services.

Administration on Aging (AOA) .................... Jewish Federation of Las Vegas, Las Vegas, NV, for the Las Vegas Senior 

Lifeline Program.

$100,000 Reid 
282 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Administration on Aging (AOA) .................... PACE Greater New Orleans, New Orleans, LA, for the expansion of senior 

services.

$150,000 Vitter, Landrieu 

Department of Health & Human 

Services.

Administration on Aging (AOA) .................... The Associated: Jewish Community Federation of Baltimore, Baltimore, MD, 

to address safety and community engagement issues among seniors.

$200,000 Mikulski 

Department of Health & Human 

Services.

Administration on Aging (AOA) .................... Vermont Association of Area Agencies on Aging, Barre, VT, to expand nutrition assistance and related programs. $200,000 Sanders 

Department of Health & Human 

Services.

Administration on Aging (AOA) .................... Washoe County Senior Services, Carson City, NV, for the RSVP Home Companion Senior Respite Care Program. $100,000 Reid 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

Chicago Public Schools, Chicago, IL, for nutrition and health education 

programs, including equipment.

$150,000 Durbin 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

City of Fort Wayne, IN, for outreach, screening and education for Burmese 

refugees.

$100,000 Lugar 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

East Carolina University, Greenville, NC, for a health disparities behavioral 

and chronic disease management initiative.

$300,000 Burr 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

Fibrous Dysplasia Foundation, Washington, DC, for the development of a 

patient network.

$200,000 Kerry 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

Fletcher Allen Health Care, Burlington, VT, to expand the Center for Nutrition and Healthy Food Systems. $100,000 Leahy 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

Hawaii Primary Care Association, Honolulu, HI, to continue a program on 

childhood asthma.

$200,000 Inouye, Akaka 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

John M. Tedeschi Pediatric Institute at Virtua, Camden, NJ, to establish an 

outreach and education program to combat childhood obesity.

$750,000 Lautenberg, Menendez 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

Lower Brule Sioux Tribe, Lower Brule, SD, for health education and promotion programs. $100,000 Johnson 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

Mary Bird Perkins Cancer Center, Baton Rouge, Louisiana, for cancer outreach initiatives. $200,000 Vitter 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

National Council of La Raza, Washington, DC, for the Institute of Hispanic 

Health.

$1,000,000 Bingaman 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

PE4life Foundation, Kansas City, MO, for expansion and assessment of 

PE4life programs across Iowa.

$300,000 Harkin 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

Shelburne Farms, Shelburne, VT, to expand Farm-to-School activities ......... $250,000 Leahy 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

Silent Spring Institute, Newton, MA, for studies of the impact of environmental pollutants on breast cancer and women’s health. $200,000 Kerry 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

South Dakota State University, Brookings, SD, for research on health promotion. $200,000 Johnson 
283 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

University of Georgia, Athens, GA, for obesity intervention and prevention .. $100,000 Chambliss 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

University of Hawaii at Hilo, Hilo, HI, for occupational safety and health 

research.

$100,000 Inouye, Akaka 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

University of Northern Iowa, Cedar Falls, IA, for a health literacy program. $300,000 Grassley, Harkin 

Department of Health & Human 

Services.

Centers for Disease Control and Prevention 

(CDC).

Waterloo Fire Rescue, Waterloo, IA, for FirePALS, a school-based injury prevention program. $150,000 Harkin 

Department of Health & Human 

Services.

Centers for Medicare and Medicaid Services (CMS)—Research & Demonstration. Iowa Prescription Drug Corporation, Urbandale, IA, for programs to reduce the cost of prescription drugs. $500,000 Harkin 

Department of Health & Human 

Services.

Centers for Medicare and Medicaid Services (CMS)—Research & Demonstration. University of Mississippi, University, MS, for the Medication Use and Out- comes Research Group. $800,000 Cochran, Wicker 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Aberdeen Area Tribal Chairmen’s Health Board, Rapid City, SD, for facili- ties and equipment to improve prenatal care. $450,000 Thune, Johnson 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Alameda County Medical Center, Oakland, CA, for facilities and equip- ment. $775,000 Feinstein 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Alaska Medicare Clinic, Anchorage, AK, for facilities and equipment ........... $500,000 Murkowski 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Alaska Native Tribal Health Consortium, Anchorage, AK, for facilities and equipment. $1,000,000 Murkowski, Begich 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Alaska Native Tribal Health Consortium, Anchorage, AK, for the oral health disparities project. $250,000 Murkowski, Begich 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Alexian Brothers Hospital Network, Arlington Heights, IL, for facilities and equipment. $375,000 Durbin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Anchorage Neighborhood Health Center, Anchorage, AK, for facilities and equipment. $500,000 Murkowski 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Anchorage Project Access, Anchorage, AK, for outreach, care coordination, and support of oral healthcare. $200,000 Begich 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Apple Tree Dental, Minneapolis, MN, for facilities and equipment related to oral healthcare. $150,000 Franken, Klobuchar 
284 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Archbold Medical Center, Thomasville, GA, for facilities and equipment ..... $150,000 Chambliss 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Arkansas Methodist Hospital Corporation, Paragould, AR, for facilities and equipment. $500,000 Lincoln, Pryor 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Assiniboine and Sioux Tribes of the Fort Peck Reservation, Poplar, MT, for facilities and equipment related to dialysis. $200,000 Tester, Baucus 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Association for Utah Community Health, Salt Lake City, UT, to implement an electronic medical record system. $106,000 Hatch, Bennett 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Barbara Ann Karmanos Cancer Institute, Detroit, MI, for facilities and equipment. $250,000 Levin, Stabenow 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Barnabas Uplift, Waverly, IA, for a healthcare job training program ............ $300,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Baton Rouge Children’s Health Project, Baton Rouge, Louisiana, for the purchase of mobile mental health units. $200,000 Vitter 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Baxter Regional Medical Center, Mountain Home, AR, for facilities and equipment. $450,000 Lincoln, Pryor 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Baylor Health Care System and City of Dallas, TX, for facilities and equip- ment. $110,000 Cornyn 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Bear Lake Memorial Hospital, Montpelier, ID, for facilities and equip- ment. $150,000 Crapo, Risch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Beebe Medical Center, Lewes, DE, for facilities and equipment related to nurse training. $150,000 Carper, Kaufman 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. BioOhio, Columbus, OH, for a national vaccine manufacturing and logis- tics center study. $100,000 Voinovich, Sherrod Brown 
285 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Bi-State Primary Care Association, Montpelier, VT, for education and out- reach. $40,000 Sanders 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Bi-State Primary Care Association, Montpelier, VT, for equipment and sup- port of a dental clinic. $110,000 Sanders 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Bozeman Deaconess Hospital, Bozeman, MT, for facilities and equipment, including electronic health records. $250,000 Baucus, Tester 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Briar Cliff University, Sioux City, IA, for health training equipment and on- line instruction. $100,000 Harkin, Grassley 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Broadlawns Medical Center, Des Moines, IA, for facilities and equipment .. $500,000 Harkin, Grassley 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Brookhaven Memorial Hospital Medical Center, Patchogue, NY, to establish the Brookhaven Breast Cancer Coalition. $100,000 Schumer 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Cassia Regional Medical Center, Burley, ID, for facilities and equipment ... $150,000 Crapo, Risch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Center for Asbestos Related Disease, Libby, MT, for facilities and equip- ment, including information technology. $300,000 Baucus, Tester 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Center for Enhanced Diabetic Eye Care, Pikesville, MD, for programs re- lated to diabetic retinopathy, including equipment. $100,000 Wyden, Merkley 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Central Arkansas Radiation Therapy Institute, Little Rock, AR, for facilities and equipment. $500,000 Lincoln, Pryor 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Central Maine Medical Center College of Nursing and Health Professions, Lewiston, ME, for facilities and equipment. $200,000 Snowe, Collins 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Central Maine Medical Center, Lewiston, ME, for health professions train- ing, including equipment. $225,000 Collins, Snowe 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Chestnut Health Systems, Bloomington, IL, for facilities and equipment ..... $350,000 Durbin 
286 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Children’s Medical Center—Dallas, TX, for facilities and equipment ........... $300,000 Hutchison, Cornyn 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Children’s Memorial Hermann Hospital, Houston, TX, for facilities and equipment. $200,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Children’s Aid and Family Services, Paramus, NJ, for facilities and equip- ment. $200,000 Lautenberg, Menendez 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Children’s Hospital of Wisconsin and Health System, Milwaukee, WI, for fa- cilities and equipment. $700,000 Kohl 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Children’s Hospital, Aurora, CO, for information technology upgrades ......... $150,000 Bennet 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Children’s Mercy Hospital, Kansas City, MO, for facilities and equipment ... $500,000 Bond 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Chippewa Valley Free Clinic, Eau Claire, WI, for facilities and equipment ... $500,000 Kohl 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. CHRISTUS St. Frances Cabrini, Alexandria, LA, for electronic health record implementation. $200,000 Landrieu, Vitter 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Chronic Disease Fund, Plano, TX, to expand chronic disease program ........ $500,000 Brownback 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Clarian Health, Indianapolis, IN, for outreach and education services for diabetes. $100,000 Lugar 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Cleveland State University, Cleveland, OH, for facilities and equipment ..... $100,000 Voinovich, Sherrod Brown 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Coastal Carolina University, Conway, SC, for facilities and equipment ........ $200,000 Graham 
287 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Coastal Family Health Center, Astoria, OR, for facilities and equipment ..... $100,000 Merkley, Wyden 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Columbus Regional Hospital, Columbus, IN, for facilities and equipment ... $100,000 Lugar 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Community Dental, Portland, ME, for dental health services, including equipment. $450,000 Collins, Snowe 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Community Foundation of Southwest Kansas, Dodge City, KS, for facilities and equipment. $150,000 Brownback, Roberts 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Community Health Access Project, Inc., Mansfield, OH, for facilities and equipment. $250,000 Sherrod Brown 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Community Health Center of Fort Dodge, IA, for facilities and equipment ... $100,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Community Health Center, Inc., Middletown, CT, for a residency training program for nurse practitioners. $150,000 Dodd, Lieberman 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Community Health Centers of Arkansas, North Little Rock, AR, for facilities and equipment. $250,000 Lincoln, Pryor 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Community Health Centers of Southeastern Iowa, Burlington, IA, for facili- ties and equipment. $100,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Community Health Centers of Southern Iowa, Leon, IA, for facilities and equipment. $250,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Community Health, Chicago, IL, for facilities and equipment ....................... $150,000 Durbin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Comprehensive Community Action Inc., Cranston, RI, for health center fa- cilities and equipment. $500,000 Reed, Whitehouse 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Concordia University School of Pharmacy, Mequon, WI, for facilities and equipment. $500,000 Kohl 
288 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Connecticut Children’s Medical Center, Hartford, CT, for facilities and equipment. $500,000 Dodd, Lieberman 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Coos County Family Health Services, Berlin, NH, for facilities and equip- ment. $150,000 Shaheen 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Copper River Native Association, Copper Center, AK, for facilities and equipment. $500,000 Murkowski 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Council Bluffs Community Health Center, Council Bluffs, IA, for facilities and equipment. $350,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. County of Riverside, Moreno Valley, CA, for facilities and equipment re- lated to trauma care. $1,000,000 Feinstein, Boxer 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Crouse Hospital, Syracuse, NY, for facilities and equipment ........................ $150,000 Schumer 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Cure for the Kids Foundation, Las Vegas, NV, for facilities and equip- ment. $500,000 Reid 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Dakota Wesleyan University, Mitchell, SD, for health training equipment .... $200,000 Johnson 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Dallas County Community College District, Dallas, TX, for a health careers resource center. $250,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Dartmouth Hitchcock Medical Center, Lebanon, NH, for facilities and equipment. $400,000 Gregg 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Dean McGee Eye Institute, Oklahoma City, OK, for facilities and equip- ment. $150,000 Inhofe 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Delta State University, Cleveland, MS, for facilities and equipment ............ $1,300,000 Cochran, Wicker 
289 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Denver Hospice, Denver, CO, for facilities and equipment ............................ $150,000 Bennet 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Dillard University, New Orleans, LA, for facilities and equipment at the Gentille Center for Health Disparities and Disease Prevention. $250,000 Landrieu, Vitter 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Drew Memorial Hospital, Monticello, AR, for facilities and equipment ......... $500,000 Lincoln, Pryor 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. East Carolina University, Greenville, NC, for facilities and equipment ......... $500,000 Burr 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. East Carroll Parish Hospital, Lake Providence, LA, for facilities and equip- ment. $600,000 Landrieu 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. East Orange General Hospital, East Orange, NJ, for facilities and equip- ment. $200,000 Lautenberg, Menendez 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Easter Seals Joliet Region, Inc., Joliet, IL, for facilities and equipment re- lated to autism. $200,000 Durbin, Burris 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Eastern Maine Healthcare System, Brewer, ME, for a hospice and palliative care initiative. $385,000 Collins, Snowe 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Eastern Shore Rural Health System, Inc., Nassawadox, VA, for equipment related to oral healthcare. $150,000 Webb, Warner 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Egyptian Public & Mental Health Department, Eldorado, IL, for facilities and equipment at a rural health clinic. $275,000 Durbin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Flathead Valley Community College, Kalispell, MT, for health professions training, including equipment. $100,000 Baucus, Tester 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Floyd Medical Center, Rome, GA, for facilities and equipment ..................... $100,000 Chambliss 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Free Clinics of Iowa, Des Moines, IA, for coordination of care ...................... $350,000 Harkin 
290 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Garfield Memorial Hospital, Panguitch, UT, for facilities and equipment ..... $106,000 Hatch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Gillette Children’s Specialty Healthcare, St. Paul, MN, for facilities and equipment. $100,000 Klobuchar, Franken 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Global to Local Health Initiative, Seattle, WA, for a health disparities pro- gram, including equipment. $400,000 Murray, Cantwell 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Good Samaritan Health Clinic of Cullman, Inc., Cullman, AL, to implement an electronic medical records system. $100,000 Sessions 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Goodall Hospital, Sanford, ME, for facilities and equipment ......................... $300,000 Collins 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Grays Harbor Community Hospital, Aberdeen, WA, for facilities and equip- ment. $750,000 Murray, Cantwell 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Greater Sioux Community Health Center, Sioux Center, IA, for facilities, equipment, supplies, and outreach. $600,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Habersham Medical Center, Demorest, GA, for facilities and equipment ..... $100,000 Chambliss 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Harms Memorial Hospital District, American Falls, ID, for facilities and equipment. $100,000 Crapo, Risch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Harris County Hospital District, Houston, TX, for facilities and equipment .. $250,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Hawkeye Community College, Waterloo, IA, for health education facilities and equipment. $400,000 Harkin, Grassley 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Health Work Force Institute, Seattle, WA, for programs to identify and ad- dress workforce needs. $300,000 Murray 
291 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Healthy Howard Health Plan, Inc., Columbia, MD, for outreach, support and care coordination. $500,000 Mikulski, Cardin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Hidalgo Medical Services, Lordsburg, NM, for facilities and equipment in Silver City. $250,000 Tom Udall, Bingaman 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Hospice of the Panhandle, Martinsburg, WV, for facilities and equipment .. $3,000,000 Rockefeller 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Houston Community College, Houston, TX, for recruitment and nurse train- ing. $250,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Howard Community College, Columbia, MD, for health education facilities and equipment. $250,000 Cardin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Hudson Perinatal Consortium, Jersey City, NJ, for a program to improve birth outcomes. $200,000 Lautenberg, Menendez 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Idaho State University, Pocatello, ID, for facilities and equipment ............... $150,000 Crapo, Risch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Innovis Health, Fargo, ND, for facilities and equipment ................................ $175,000 Dorgan, Conrad 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Integrated Service Solutions, Caribou, ME, to implement an electronic health record system. $255,000 Collins 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Iowa CareGivers Association, West Des Moines, IA, for the Direct Care Worker Resource and Outreach Center. $300,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Iowa Healthcare Collaborative, Des Moines, IA, to improve healthcare pro- vider efficiency and effectiveness. $650,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Iowa Nebraska Primary Care Association, Des Moines, IA, for planning grants. $600,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Iowa State University, Ames, IA, for facilities and equipment for the Insti- tute for Novel Vaccines and Anti-Microbial Design. $1,000,000 Harkin, Grassley 
292 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Iowa Valley Community College District, Marshalltown, IA, to assist under- served individuals in pursuing a healthcare career. $100,000 Harkin, Grassley 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Iowa Western Community College, Council Bluffs, IA, for facilities and equipment for the nursing center. $250,000 Grassley, Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. J.C. Blair Memorial Hospital, Huntingdon, PA, for facilities and equip- ment. $100,000 Specter, Casey 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Jackson Laboratory, Bar Harbor, ME, for facilities and equipment ............... $100,000 Snowe, Collins 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Jackson Park Hospital, Chicago, IL, for facilities and equipment ................. $250,000 Durbin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Jackson State University, Jackson, MS, for facilities and equipment ............ $1,000,000 Cochran, Wicker 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Jacksonville State University, Jacksonville, AL, for a nursing education pro- gram including equipment. $100,000 Sessions 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Jameson Health System, New Castle, PA, for facilities and equipment ........ $100,000 Specter 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Kalihi-Palama Health Center, Honolulu, HI, for a program on renal dis- ease. $250,000 Inouye, Akaka 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Kanawha-Charleston Health Department, Charleston, WV, for a chronic dis- ease management program. $350,000 Rockefeller 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Kauai Community Health Center, Lihue, HI, for facilities and equipment .... $200,000 Inouye, Akaka 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Kennesaw State University, Kennesaw, GA, for facilities and equipment ..... $200,000 Isakson 
293 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. King County Project Access, Seattle, WA, for facilities and equipment ........ $40,000 Murray 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. La Clinica del Valle Family Health Care Center, Inc., Medford, OR, for fa- cilities and equipment. $200,000 Merkley, Wyden 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Lake Area Technical Institute, Watertown, SD, for health training equip- ment. $100,000 Johnson 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Lanai’i Community Health Center, Lanai’i City, HI, for facilities and equip- ment. $100,000 Inouye, Akaka 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Leflore County Health Center, Inc, Greenwood, MS, for a patient navigator initiative, including equipment. $250,000 Cochran, Wicker 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Legacy Health System, Vancouver, WA, for telemedicine programs, includ- ing equipment. $125,000 Murray, Cantwell 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Lewis-Clark State College, Lewiston, ID, for facilities and equipment ......... $150,000 Crapo, Risch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Linn Community Care, Cedar Rapids, IA, for facilities and equipment ........ $250,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Little Company of Mary Hospital, Evergreen Park, IL, for facilities and equipment. $400,000 Durbin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Livingston Health Care, Livingston, MT, for facilities and equipment .......... $150,000 Tester, Baucus 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Los Angeles Community College District, Los Angeles, CA, for health pro- fessions training, including equipment. $150,000 Boxer 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Loyola University, Chicago, IL, for facilities and equipment related to nurse training. $400,000 Durbin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Maine Medical Center, Portland, ME, for physician recruitment, including scholarships. $355,000 Collins, Snowe 
294 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Manchester College, Fort Wayne, IN, for facilities and equipment ................ $150,000 Lugar 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Maniilaq Association, Kotzebue, AK, for facilities and equipment ................. $1,500,000 Murkowski 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Marcus Autism Center, Atlanta, GA, for rural health outreach ...................... $200,000 Isakson, Chambliss 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Marquette University, Milwaukee, WI, for a comprehensive dental outreach program. $850,000 Kohl 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Marshall University, Huntington, WV, for facilities and equipment related to genetic research. $2,300,000 Rockefeller 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Massachusetts League of Community Health Centers, Boston, MA, for workforce training and development. $100,000 Kerry 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Maui Medical Center, Wailuku, HI, for health professions training, includ- ing equipment. $100,000 Inouye, Akaka 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Mental Crisis Services, Denver, CO, for electronic health record implemen- tation. $150,000 Bennet 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Mercy Medical Center, Inc., Canton, OH, to implement an electronic med- ical records system. $250,000 Voinovich 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Mercy Medical Foundation, Des Moines, IA, for pediatric care facilities and equipment. $500,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Minidoka Memorial Hospital, Rupert, ID, for facilities and equipment ......... $150,000 Crapo, Risch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Minot State University, Minot, ND, for its Great Plains Autism Treatment Program to serve transition-age youth with autism spectrum disorders. $200,000 Dorgan, Conrad 
295 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Mission Health System, Asheville, NC, for facilities and equipment ............. $150,000 Hagan 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Mississippi Blood Services, Inc., Jackson, MS, for facilities and equip- ment. $485,000 Cochran 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Mississippi County Hospital System d.b.a. Great River Medical Center, Blytheville, AR, for facilities and equipment. $200,000 Lincoln, Pryor 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Mississippi Primary Health Care Association, Jackson, MS, for facilities and equipment. $350,000 Cochran, Wicker 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Mississippi State University, Mississippi State, MS, for biomedical engi- neering facilities and equipment. $1,000,000 Cochran, Wicker 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Mississippi State University, Mississippi State, MS, for facilities and equipment. $500,000 Cochran, Wicker 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Mississippi University for Women, Columbus, MS, for facilities and equip- ment. $190,000 Cochran, Wicker 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Missouri River Medical Center, Fort Benton, MT, for facilities and equip- ment. $300,000 Tester, Baucus 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Moses Cone Health System, Greensboro, NC, for facilities and equipment .. $200,000 Hagan 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Murray State University, Murray, KY, to purchase a mobile health unit ....... $500,000 McConnell 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Nathan Adelson Hospice Foundation, Las Vegas, NV, for facilities and equipment. $590,000 Reid 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. National Jewish Health, Denver, CO, for facilities and equipment ................ $250,000 Bennet 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Native Women’s Health Care Center, Rapid City, SD, for facilities and equipment. $100,000 Johnson 
296 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Navos, Seattle, WA, for facilities and equipment ........................................... $100,000 Cantwell, Murray 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Nevada Cancer Institute, Las Vegas, NV, for equipment ............................... $750,000 Reid 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. New Mexico Foundation for Dental Health, Research and Education, Albu- querque, NM, for outreach, care coordination, and support of oral health care. $100,000 Bingaman, Tom Udall 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. New York Presbyterian Hospital, New York, NY, for facilities and equip- ment. $150,000 Gillibrand, Schumer 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. New York University Langone Medical Center, New York, NY, for facilities and equipment. $750,000 Schumer 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. North Colorado Medical Center, Greeley, CO, for facilities and equipment ... $250,000 Bennet 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. North Dakota Medical Association, Bismarck, ND, to set up a statewide quality improvement network. $250,000 Dorgan, Conrad 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. North Idaho College, Coeur d’Alene, ID, to expand the physical therapy pro- gram. $100,000 Crapo, Risch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. North Shore Long Island Jewish Health System, Great Neck, NY, to imple- ment electronic medical records. $500,000 Gillibrand, Schumer 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Northeast Missouri Health Council, Inc., Kirksville, MO, for facilities and equipment. $750,000 Bond 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Nye County, Pahrump, NV, for facilities and equipment ................................ $400,000 Reid 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Oakwood Healthcare, Inc., Dearborn, MI, for facilities and equipment re- lated to orthopedics. $150,000 Stabenow, Levin 
297 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Oglala Sioux Tribe, Pine Ridge, SD, for facilities and equipment related to emergency care. $250,000 Johnson 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Ohio State University Comprehensive Cancer Center—James Cancer Hos- pital and Solove Research Institute, Columbus, OH, for facilities and equipment. $200,000 Voinovich, Sherrod Brown 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Ohio University, Athens, OH, for health outreach and services in Appa- lachia Ohio. $200,000 Voinovich, Sherrod Brown 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Oklahoma Medical Research Foundation, Oklahoma City, OK, for facilities and equipment. $100,000 Inhofe 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Olympic College, Bremerton, WA, for facilities and equipment related to nurse training. $350,000 Murray, Cantwell 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Our Lady of the Lake University, San Antonio, TX, for nursing curriculum development, including equipment. $110,000 Cornyn 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Palmer College of Chiropractic and Myrna Brind Center of Integrative Med- icine, Davenport, IA, to develop a model integrative healthcare program for the treatment of pain. $400,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Parkland Health and Hospital System, Dallas, TX, for facilities and equip- ment. $400,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Parkview Medical Center, Pueblo, CO, for facilities and equipment ............. $250,000 Bennet 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Peace Health Whatcom Region, Bellingham, WA, for facilities and equip- ment. $200,000 Cantwell, Murray 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Pennsylvania Breast Cancer Coalition, Ephrata, PA, for screening programs and outreach. $100,000 Casey, Specter 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Penobscot Community Health Care, Bangor, ME, for a rural dental health initiative. $150,000 Snowe 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Penobscot Valley Hospital, Lincoln, ME, for facilities and equipment ........... $395,000 Collins, Snowe 
298 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Peoples Community Health Clinic, Waterloo, IA, for facilities and equip- ment. $250,000 Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Pierce College Puyallup, Puyallup, WA, for health training equipment ......... $130,000 Murray 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Pioneer Valley Life Sciences Institute, Springfield, MA, for facilities and equipment. $100,000 Kerry 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Pratt Regional Medical Center, Pratt, KS, for facilities and equipment ....... $500,000 Brownback 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Primary Care Association of Hawaii, Honolulu, HI, to support community health centers, including equipment. $1,850,000 Inouye, Akaka 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Providence Alaska Family Medicine Residency, Anchorage, AK, for physician recruitment and retention initiative in rural Alaska. $500,000 Murkowski 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Providence ElderPlace Seattle, Seattle, WA, for facilities and equipment .... $300,000 Murray 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Providence St. Peter Hospital, Olympia, WA, for facilities and equipment ... $135,000 Murray 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Regis College, Weston, MA, for facilities and equipment related to nurse training. $100,000 Kerry 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Renown Health, Reno, NV, to expand nurse training ..................................... $500,000 Reid 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Rhode Island Free Clinic, Providence, RI, for coordination of care, data col- lection and analysis. $250,000 Reed, Whitehouse 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Rice Lake Area Free Clinic, Rice Lake, WI, for facilities and equipment ...... $100,000 Kohl 
299 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Rice University, Houston, TX, for facilities and equipment ............................ $200,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Richmond Medical Center dba Richmond University Medical Center, Staten Island, NY, for facilities and equipment. $350,000 Schumer 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Rosebud Sioux Tribe, Rosebud, SD, for facilities and equipment .................. $450,000 Thune, Johnson 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Rosebud Sioux Tribe, Rosebud, SD, for facilities and equipment, including purchase of a vehicle related to elderly care. $50,000 Johnson 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Saint Elizabeth’s Medical Center, Wabasha, MN, for facilities and equip- ment. $100,000 Klobuchar, Franken 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Saint Patrick Hospital and Health Sciences Center, Missoula, MT, for fa- cilities and equipment. $150,000 Tester, Baucus 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Salish Kootenai College, Pablo, MT, for facilities and equipment related to health professions training. $100,000 Tester, Baucus 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Salve Regina University, Newport, RI, for facilities, equipment, and train- ing for an expanded nursing program. $500,000 Reed, Whitehouse 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. San Luis Valley Regional Medical Center, Alamosa, CO, to implement elec- tronic medical record system. $250,000 Bennet 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Sanders County Community Development Corporation, Thompson Falls, MT, for facilities and equipment at the Hot Springs Medical Clinic. $300,000 Tester, Baucus 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Seton Medical Center—Austin, Austin, TX, for facilities and equipment ..... $200,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Sherman County Health District dba Moro Medical Clinic, Moro, OR, for fa- cilities and equipment. $150,000 Wyden, Merkley 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Snow College, Ephraim, UT, for facilities and equipment ............................. $150,000 Bennett, Hatch 
300 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Solaris Health System—JFK Medical Center, Edison, NJ, for facilities and equipment. $400,000 Lautenberg, Menendez 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Somerset Hospital, Somerset, PA, for facilities and equipment .................... $100,000 Specter, Casey 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Southeast Missouri State University, Cape Girardeau, MO, for the S.H.O.W. mobile initiative, including equipment. $200,000 Bond 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Southeastern Community College, West Burlington, IA, for facilities and equipment. $200,000 Grassley, Harkin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Southeastern Ohio Regional Medical Center, Cambridge, OH, for informa- tion technology upgrades. $250,000 Sherrod Brown 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Southern Nevada Immunization Coalition, Las Vegas, NV, for a community immunization project. $200,000 Reid 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Southwest Colorado Mental Health Center, Inc., Durango, CO, for facilities and equipment at the Cortez Clinic. $250,000 Bennet 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Sparrow Ionia County Memorial Hospital, Lansing, MI, for facilities and equipment. $500,000 Stabenow, Levin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Spokane County Medical Society Foundation, Spokane, WA, for outreach and care coordination. $100,000 Cantwell 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. St. Alexius Medical Center Foundation, Bismarck, ND, for facilities and equipment. $300,000 Dorgan, Conrad 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. St. Charles Health Council, Inc., Pennington Gap, VA, for a mobile res- piratory care clinic, including equipment. $150,000 Webb, Warner 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. St. John Medical Center Foundation, Longview, WA, for health professions training equipment. $100,000 Murray 
301 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. St. Joseph Hospital, Nashua, NH, to implement an electronic medical record system. $250,000 Gregg, Shaheen 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. St. Joseph’s Mercy Health Foundation, Hot Springs, AR, for facilities and equipment. $200,000 Lincoln, Pryor 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. St. Jude Children’s Research Hospital, Memphis, TN, for facilities and equipment. $1,600,000 Alexander 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. St. Louis Children’s Hospital, St. Louis, MO, for facilities and equipment ... $500,000 Bond 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. St. Mary’s Foundation for St. Mary’s Regional Medical Center, Reno, NV, for planning and support of oral health care. $300,000 Reid 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. St. Mary’s Hospital, Cottonwood, ID, for facilities and equipment ................ $100,000 Crapo, Risch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. St. Mary’s Janesville Hospital, Janesville, WI, for facilities and equipment .. $700,000 Kohl 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. St. Mary’s Medical Center, Huntington, WV, for facilities and equipment .... $250,000 Rockefeller 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. St. Vincent Hospital, Billings, MT, for facilities and equipment ................... $250,000 Baucus, Tester 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. State of Maryland, Baltimore, MD, for facilities and equipment related to emergency care. $1,250,000 Mikulski 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Straub Hospital Burn Center, Honolulu, HI, for facilities and equipment ..... $150,000 Inouye, Akaka 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Temple University Health System, Philadelphia, PA, for facilities and equipment. $100,000 Specter, Casey 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Teton Valley Hospital, Driggs, ID, for facilities and equipment ..................... $100,000 Crapo, Risch 
302 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Texas Children’s Hospital, McAllen, TX, for education and outreach pro- grams at the Vannie E. Cook Jr. Children’s Cancer and Hematology Clinic. $250,000 Hutchison, Cornyn 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Texas Health Institute, Austin, TX, for emergency response initiative, in- cluding purchase of equipment. $200,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Texas Medical Center, Houston, TX, for facilities and equipment ................. $650,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Texas Tech University Health Sciences Center, Austin, TX, for facilities and equipment. $200,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Texas Women’s University, Denton, TX, for facilities and equipment ............ $300,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Thomas Jefferson University Hospital, Philadelphia, PA, for facilities and equipment. $100,000 Specter, Casey 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Thompson Health, Canandaigua, NY, for facilities and equipment ............... $150,000 Gillibrand, Schumer 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Touro University Nevada, Henderson, NV, for facilities and equipment at the College of Optometry. $750,000 Reid 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Tulane University School of Medicine, New Orleans, LA, for facilities and equipment. 300,000 Landrieu 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Tulare Regional Medical Center, Tulare, CA, for facilities and equipment ... $550,000 Feinstein 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Tyrone Hospital, Tyrone, PA, for facilities and equipment ............................. $100,000 Specter 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Union Hospital, Terre Haute, IN, for facilities and equipment ...................... $100,000 Lugar 
303 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. United General Hospital, Sedro Woolley, WA, for facilities and equipment ... $150,000 Murray 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University at Albany SUNY, Albany, NY, for facilities and equipment related to orphan disease research. $200,000 Gillibrand 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University Hospitals, Cleveland, OH, for facilities and equipment ................ $200,000 Voinovich 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University Medical Center of Southern Nevada, Las Vegas, NV, for a diabe- tes management program. $300,000 Reid 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Alabama, Tuscaloosa, AL, for facilities and equipment ........... $15,000,000 Shelby 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Arkansas for Medical Sciences, Little Rock, AR, for facilities and equipment. $500,000 Lincoln, Pryor 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Arkansas for Medical Sciences, Little Rock, AR, for facilities and equipment. $200,000 Lincoln, Pryor 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of California Davis Medical Center, Davis, CA, for facilities and equipment. $500,000 Feinstein 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of California, Riverside, Riverside, CA, for facilities and equip- ment at the School of Medicine. $750,000 Feinstein, Boxer 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Central Arkansas, Conway, AR, for facilities and equipment related to training mental health professionals. $250,000 Lincoln, Pryor 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Colorado—Denver School of Medicine, Aurora, CO, for facili- ties and equipment for the Linda Crnic Institute for Down Syndrome. $400,000 Bennet 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Colorado—Denver, Aurora, CO, for a health professions train- ing program. $150,000 Mark Udall, Bennet 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Hawaii at Hilo School of Nursing, Hilo, HI, to develop ad- vanced degrees and expand rural nurse training. $350,000 Inouye, Akaka 
304 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Hawaii at Hilo, Hilo, HI, for a clinical pharmacy training pro- gram. $1,600,000 Inouye, Akaka 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Hawaii School of Medicine, Honolulu, HI, for curriculum devel- opment. $200,000 Inouye, Akaka 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Hawaii School of Nursing—Manoa, Honolulu, HI, for rural nurse training programs. $350,000 Inouye, Akaka 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Iowa, Carver College of Medicine, Iowa City, IA, for facilities and equipment for the Institute for Biomedical Discovery. $2,000,000 Harkin, Grassley 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Iowa, Iowa City, IA, for facilities and equipment at the Col- lege of Public Health. $1,000,000 Harkin, Grassley 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Kansas Hospital, Kansas City, KS, for facilities and equip- ment. $500,000 Brownback 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Kansas, Lawrence, KS, for facilities and equipment ................ $550,000 Roberts 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Kentucky Research Foundation, Lexington, KY, for a colorectal cancer research program, including equipment. $1,900,000 McConnell 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Kentucky Research Foundation, Lexington, KY, to establish a program to reduce heart disease in rural areas. $2,000,000 McConnell 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Louisville Research Foundation, Louisville, KY, for facilities and equipment. $4,000,000 McConnell 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Louisville Research Foundation, Louisville, KY, for facilities and equipment. $900,000 McConnell 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Louisville Research Foundation, Louisville, KY, for facilities and equipment. $700,000 McConnell 
305 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Maryland Medical System, Baltimore, MD, for equipment and information technology upgrades. $200,000 Mikulski 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Maryland, Baltimore, Annapolis, MD, for facilities and equip- ment related to stem cell research. $1,000,000 Mikulski, Cardin 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Massachusetts Memorial Health Care, Worcester, MA, for im- plementation of an electronic medical record. $250,000 Kerry 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Mississippi Medical Center, Jackson, MS, for facilities and equipment. $4,384,000 Cochran, Wicker 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Mississippi, University, MS, for facilities and equipment ........ $5,000,000 Cochran, Wicker 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Nevada—Reno, Reno, NV, for health professions training and public education efforts related to pediatric chron’s disease. $300,000 Reid 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of New Mexico, Albuquerque, NM, for outreach, training and technical assistance related to cerebral cavernous malformations. $100,000 Tom Udall, Bingaman 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of North Carolina—Greensboro, Greensboro, NC, for a telespeech initiative, including equipment. $300,000 Burr, Hagan 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, for facilities and equipment. $175,000 Dorgan, Conrad 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Pittsburgh Cancer Institute, Pittsburgh, PA, for equipment ..... $100,000 Specter 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Rhode Island, Kingston, RI, for equipment related to nursing education. $500,000 Reed, Whitehouse 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Southern Mississippi, Hattiesburg, MS, for facilities and equipment. $6,000,000 Cochran, Wicker 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Texas Health Center at Tyler, Tyler, TX, for facilities and equipment. $500,000 Hutchison 
306 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Texas Health Science Center at San Antonio, San Antonio, TX, for facilities and equipment. $500,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Texas Health Science Center-Houston, Houston, TX, for facili- ties and equipment. $200,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Texas MD Anderson Cancer Center, Houston, TX, for facilities and equipment. $250,000 Hutchison 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Utah, Salt Lake City, UT, for facilities and equipment ............ $1,000,000 Bennett, Hatch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Vermont, Burlington, VT, for equipment related to DNA se- quencing. $500,000 Leahy 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Washington, Seattle, WA, for facilities and equipment related to dental care. $570,000 Murray, Cantwell 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. University of Wisconsin-Rock County, Janesville, WI, for a higher education collaboration to promote degrees in nursing. $250,000 Kohl 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Utah Department of Health, Salt Lake City, UT, for facilities and equip- ment. $100,000 Bennett, Hatch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Utah Department of Health, Salt Lake City, UT, to expand Monticello health education and screening initiative. $106,000 Hatch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Utah Medical Education Council, Salt Lake City, UT, for the purchase of a mobile dental unit. $500,000 Bennett 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Utah Valley University, Orem, UT, for facilities and equipment .................... $400,000 Bennett, Hatch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Vanderbilt University, Nashville, TN, for facilities and equipment ................ $2,400,000 Alexander 
307 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Virginia Community College System, Richmond, VA, for expansion of the Emergency Medical Technician program. $100,000 Warner, Webb 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Virginia Mason Medical Center, Seattle, WA, for facilities and equipment ... $500,000 Murray 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Virginia State University, Petersburg, VA, for facilities and equipment re- lated to nurse training. $100,000 Webb, Warner 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Washington County, NC, Plymouth, NC, for facilities and equipment ........... $400,000 Burr 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Weber State University, Ogden, UT, for expansion of nursing programs, in- cluding equipment. $350,000 Bennett, Hatch 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Wesley College, Dover, DE, for facilities and equipment related to nurse training. $200,000 Carper, Kaufman 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. West Hawaii Community Health Center, Kailua-Kona, HI, for facilities and equipment. $250,000 Inouye, Akaka 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. West Virginia Northern Community College, Weirton, WV, for facilities and equipment related to health professions training. $3,000,000 Rockefeller 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. West Virginia University Health Sciences, Morgantown, WV, for facilities and equipment. $1,000,000 Rockefeller 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. West Virginia University, Morgantown, WV, for the construction of a Mul- tiple Sclerosis Center. $2,300,000 Rockefeller 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Western Kentucky University, Bowling Green, KY, for facilities and equip- ment. $2,500,000 McConnell 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Whatley Health Services, Greensboro, AL, for facilities and equipment ........ $150,000 Sessions 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Wheeling Jesuit University, Wheeling, WV, for the HealtheWV program, in- cluding equipment. $2,500,000 Rockefeller 
308 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. White River Medical Center, Batesville, AR, for facilities and equipment .... $500,000 Lincoln, Pryor 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Whittemore-Peterson Institute for Neuro-Immune Disease, Sparks, NV, for facilities and equipment. $1,000,000 Reid, Ensign 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Williamsport Hospital, Williamsport, PA, for facilities and equipment .......... $100,000 Specter 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Woman’s Christian Association Hospital, Jamestown, NY, for facilities and equipment. $150,000 Schumer 

Department of Health & Human 

Services.

Health Resources and Services Administration (HRSA)—Health Facilities and Services. Yankton Sioux Tribe, Marty, SD, for facilities and equipment related to di- alysis care. $100,000 Johnson 

Department of Health & Human 

Services.

HHS Office of the Secretary (OS)—Research & Demonstration (including Minority & Women’s Health). Community Transportation Association of America, Washington, DC, for technical assistance to human services transportation providers on ADA requirements. $950,000 Harkin 

Department of Health & Human 

Services.

HHS Office of the Secretary (OS)—Research & Demonstration (including Minority & Women’s Health). St. Francis Hospital Foundation, Wilmington, DE, for outreach and preven- tive services to underserved populations. $200,000 Kaufman, Carper 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Mental 

Health.

Children’s Hospital Boston, Boston, MA, for Expansion of Mental Health 

Capacity in Massachusetts Schools.

$200,000 Kerry 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Mental 

Health.

Clifford W. Beers Guidance Clinic, Inc., New Haven, CT, to expand child 

and family trauma services.

$100,000 Dodd, Lieberman 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Mental 

Health.

Family Service Agency of Marin County, San Rafael, CA, for suicide prevention and mental health services. $250,000 Boxer 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Mental 

Health.

Help Center—211, Bozeman, MT, for suicide intervention and outreach 

services.

$100,000 Tester, Baucus 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Mental 

Health.

Lindsey Wilson College, Columbia, KY, for professional development and 

mental health services for the Appalachia region.

$100,000 Bunning 
309 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Mental 

Health.

Maniilaq Association, Kotzebue, AK, for suicide prevention activities in 

Northwest Alaska.

$200,000 Murkowski, Begich 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Mental 

Health.

Oregon Partnership, Portland, OR, to provide suicide prevention services to 

soldiers and military families.

$200,000 Merkley, Wyden 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Mental 

Health.

Pen Bay Healthcare, Rockport, ME, for mental health services ..................... $100,000 Snowe, Collins 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Substance Abuse Prevention. Hamakua Health Center, Honoka’a, HI, for a youth anti-drug program ........ $200,000 Inouye, Akaka 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Substance Abuse Prevention. Waimanalo Community Health Center, Waimanalo, HI, for drug abuse pre- vention. $200,000 Inouye, Akaka 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Substance Abuse Prevention. West Virginia Prevention Resource Center, Charleston, WV, for drug abuse prevention. $1,000,000 Rockefeller 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Substance Abuse Treatment. City/County Alcohol Drug Programs, Rapid City, SD, for substance abuse and recovery programs. $200,000 Johnson 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Substance Abuse Treatment. Luna County Healthy Start, Deming, NM, for drug abuse treatment services for women. $400,000 Bingaman, Tom Udall 

Department of Health & Human 

Services.

Substance Abuse and Mental Health Services Administration (SAMHSA)—Substance Abuse Treatment. Rosebud Sioux Tribe, Rosebud, SD, for a drug and alcohol treatment pro- gram. $150,000 Johnson 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

AFL–CIO Working for America Institute, Washington, DC, for employment 

and training programs.

$1,000,000 Harkin 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Apprentice Training for Electrical Industry, Philadelphia, PA, for a job 

training program.

$100,000 Specter 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Arrowhead Economic Opportunity Agency, Virginia, MN, for an educational 

and transportation assistance program for job seekers.

$100,000 Klobuchar, Franken 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Association of Village Council Presidents, Bethel, AK, for workforce development and training. $500,000 Murkowski 
310 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Baltimore City Mayor’s Office of Employment Development, Baltimore, MD, 

for a summer jobs program.

$150,000 Cardin 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Brevard Workforce Development Board, Rockledge, FL, for a job training 

initiative.

$600,000 Bill Nelson 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Capps Workforce Training Center, Stoneville, MS, for workforce training ..... $500,000 Cochran 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Catholic Charities, Baltimore, MD, for a job training and job placement 

program.

$250,000 Mikulski 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Center for Education, Business and the Arts, Interlocal Agency, St. George, 

UT, for workforce development program in green jobs.

$108,000 Hatch 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Chesapeake Bay Trust, Annapolis, MD, for a job training program and development of a training curriculum. $200,000 Cardin 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

City of Buffalo, NY, for youth employment readiness programs .................... $500,000 Gillibrand 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

City of Jackson, MS, for workforce training .................................................... $100,000 Cochran, Wicker 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

College of Southern Idaho, Twin Falls, ID, for job training in green construction. $150,000 Crapo, Risch 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Community Transportation Association of America, Washington, DC, to continue the Joblinks program. $450,000 Harkin 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Des Moines Area Community College, Ankeny, IA, for the development of 

the Perry Career Technical Academy.

$400,000 Harkin, Grassley 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Easter Seals of Southern Nevada, Las Vegas, NV, for a job training program for dislocated workers. $200,000 Reid 
311 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Envirolution, Reno, NV, for a green jobs resources center ............................ $200,000 Reid 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Expertise, Inc, Las Vegas, NV, for job readiness and employment training .. $100,000 Reid 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Finishing Trades Institute, Kenner, Louisiana, for job training and workforce development. $150,000 Vitter 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

First African Community Development Corporation, Philadelphia, PA, for 

training in green and technology-related jobs.

$100,000 Specter 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Fletcher Community College, Houma, Louisiana, for job training and workforce development. $200,000 Vitter 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Florida Institute of Technology, Melbourne, FL, for training in cyber security. $250,000 Bill Nelson 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Foundation for an Independent Tomorrow, Las Vegas, NV, for job search 

support program.

$125,000 Reid 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Fox Valley Technical College, Appleton, WI, to expand truck driver training 

program.

$250,000 Kohl 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Fund for the City of New York, NY, for an academic success and workforce 

development program.

$200,000 Gillibrand 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Goodwill Industries of Southeastern WI, Inc., Milwaukee, WI, for community 

job center.

$750,000 Kohl 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Goodwill of Southern Nevada, Las Vegas, NV, for the career connections 

job training program.

$100,000 Reid 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Great Basin College, Elko, NV, for job training program ............................... $200,000 Reid 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Haven for Hope, San Antonio, TX, for job training and education for the 

homeless.

$200,000 Hutchison, Cornyn 
312 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Hispanic Federation, New York, NY, for a Latino Workforce Training Initiative. $100,000 Schumer 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Holmes Community College, Goodman, MS, for workforce training ............... $225,000 Cochran, Wicker 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Hopkins House, Alexandria, VA, for workforce development and training in 

early childhood education.

$150,000 Warner, Webb 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Iowa Workforce Development, Des Moines, IA, for the IowaWORKS Integration Project. $1,000,000 Harkin, Grassley 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Jobs for Mississippi Graduates, Inc., Jackson, MS, for career development 

for at-risk youth.

$125,000 Cochran, Wicker 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Lakeshore Technical College, Cleveland, WI, to support the training of 

workers for manufacturing jobs.

$750,000 Kohl 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Las Vegas-Clark County Urban League, Las Vegas, NV, to provide job development and workforce readiness skills for unemployed or underemployed individuals. $145,000 Reid 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Lawrence Technological University, Dearborn, MI, to train displaced workers 

in green jobs.

$150,000 Levin, Stabenow 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Maine Centers for Women, Work, & Community/University of Maine at Augusta/University of Maine System, Augusta, ME, for job training and 

workforce development.

$100,000 Snowe 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Maui Community College, Kahului, HI, for remote rural Hawaii job training. $2,300,000 Inouye, Akaka 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Maui Community College, Kahului, HI, for the Samoan/Asian Pacific Job 

Training program.

$2,000,000 Inouye, Akaka 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Maui Economic Development Board, Kihei, HI, Rural Computer Utilization 

Training.

$300,000 Inouye, Akaka 
313 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Maui Economic Development Board, Kihei, HI, to recruit, train, and retain 

women and minorities in STEM careers.

$450,000 Inouye, Akaka 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

MedTech Association, Inc., Syracuse, NY, to identify career pathways that 

connect to bioscience jobs.

$150,000 Schumer 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Metropolitan State College of Denver, Denver, CO, for the purchase of 

equipment for aviation training program.

$100,000 Bennet, Mark Udall 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Milwaukee Area Technical College, Milwaukee, WI, for Solar Jobs Training 

Center.

$300,000 Kohl 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Mississippi Gulf Coast Community College, Perkinston, MS, for workforce 

training.

$250,000 Cochran 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Mississippi State University, Mississippi State, MS, for the Mississippi Integrated Workforce Performance System. $375,000 Cochran, Wicker 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Mississippi Technology Alliance, Ridgeland, MS, for the Mississippi ILED 

training program.

$250,000 Cochran, Wicker 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Montana State University-Northern, Havre, MT, for Energy Training Center. $200,000 Tester, Baucus 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Moore Community House, Biloxi, MS, for workforce training ......................... $100,000 Cochran, Wicker 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

New Hampshire Manufacturing Extension Partnership, Concord, NH, for incumbent worker retraining initiative. $200,000 Shaheen 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Nine Star Education & Employment Services, Anchorage, AK, for job training for prisoner re-entry programs. $100,000 Murkowski 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Nine Star Education and Employment, Anchorage, AK, to expand Math for 

the Trades course.

$200,000 Begich 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

North Carolina Rural Economic Development Center, Raleigh, NC, for Community Mobilization Project for Dislocated Workers. $150,000 Hagan 
314 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

North Dakota State College of Science, Fargo, ND, for biosciences workforce training and equipment. $400,000 Dorgan, Conrad 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Parnassa Fund, Inc., New York, NY, for EPI Emergency Employment and 

Job Creation Network.

$150,000 Schumer 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Partners in Careers, Vancouver, WA, for workforce development for female 

veterans.

$100,000 Murray 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Peralta Community College District, Oakland, CA, for the East Bay Green 

Jobs Project.

$500,000 Boxer 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Philadelphia Opportunities Industrialization Center, Philadelphia, PA, for 

salaries and equipment.

$100,000 Specter 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Plattsburgh-North Country Chamber of Commerce, Plattsburgh, NY, for an 

on the job training program.

$100,000 Schumer 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Rapides Parish Police Jury Office of Economic & Workforce Development, 

Alexandria, LA, to train displaced workers in demand occupations including green jobs.

$200,000 Landrieu 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Regional Education & Training Center at Satsop, Elma, WA, for programs 

focused on rapid certifications, entry-level degrees and advanced certifications.

$900,000 Murray 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

River Valley Resources, Inc., Madison, IN, for workforce training ................. $100,000 Lugar 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

San Mateo County Community College District, San Mateo, CA, for curriculum development, job placement and job retention services at the 

Allied Health Career Advancement Academy.

$150,000 Boxer 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Scranton Electricians JATC, Scranton, PA, for training in green technologies. $100,000 Specter 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

SEIU Healthcare NW Training Partnership, Federal Way, WA, for training of 

home care aides, including equipment.

$300,000 Murray, Cantwell 
315 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

South Delta Planning and Development District, Greenville, MS, for workforce training. $400,000 Cochran, Wicker 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Southwest Alaska Vocational & Education Center, King Salmon, AK, for 

workforce development programs in rural Alaska.

$100,000 Murkowski, Begich 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Southwest Mississippi Community College, Summit, MS, for workforce 

training.

$350,000 Cochran, Wicker 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Spectrum Resources, Des Moines, IA, to expand the Project Phoenix job 

training program.

$200,000 Harkin 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

St. Bernard Project, Chalmette, LA, for operational and equipment expenses. $200,000 Landrieu 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

State of Vermont Department of Public Safety, Waterbury, VT, for firefighting and emergency services training support. $100,000 Sanders 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Steamfitters Local 449 and Plumbers Local 27, Pittsburgh, PA, for training 

program for those entering the pipe trades industry.

$100,000 Specter 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Total Action Against Poverty, Roanoke, VA, to provide job training to help 

individuals obtain and retain employment.

$250,000 Warner, Webb 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Twin Cities RISE!, Minneapolis, MN, to expand job training program, and 

support program replication in other cities.

$100,000 Klobuchar, Franken 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

United 4 Economic Development, Salt Lake City, UT, for workforce development and training. $250,000 Bennett 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Utah Capital Investment Corporation, Salt Lake City, UT, for workforce development, education and training. $250,000 Bennett 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Vermont HITEC, Williston, VT, for the Vermont HITEC Job Training Initiative. $500,000 Leahy 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Vermont Technical College, Randolph Center, VT, for development of a 

paramedicine program.

$300,000 Leahy 
316 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Vermont Technical College, Randolph Center, VT, for Green Jobs Workforce 

Development.

$500,000 Leahy 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Veterans Leadership Program of Western Pennsylvania, Pittsburgh, PA, for 

a jobs program for veterans.

$150,000 Casey 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Washington State Workforce Board, Olympia, WA, to better engage employers with regional workforce development systems. $1,000,000 Murray 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Women’s Initiative for Self Employment, San Francisco, CA, for an economic self sufficiency program for low-income women. $100,000 Boxer 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Workforce Development Council of Seattle-King County, Seattle, WA, to 

align K–12 and post-secondary education to better meet the workforce skill needs in King County.

$400,000 Murray 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Year Up Boston, Boston, MA, to support the expansion of curriculum development and career placement services for urban youth. $100,000 Kerry 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

Youthcare, Seattle, WA, to provide youth with education and training in 

the telecommunications industry.

$100,000 Murray 

Department of Labor ......................... Employment and Training Administration 

(ETA)—Training & Employment Services (TES).

YWCA Middle Rio Grande, Albuquerque, NM, for a transitional living program for at-risk women veterans and their children to prepare them for 

entry into the workforce.

$150,000 Bingaman, Tom Udall 

Institute of Museum & Library Services. Museums & Libraries ................................... Bishop Museum, Honolulu, HI, for conservation and other projects, includ- ing arts education for youth and the study and preservation of the history of Kalaupapa. $800,000 Inouye, Akaka Institute of Museum & Library Services. Museums & Libraries ................................... City of Cedar Rapids, IA, for automating the circulation system at the Cedar Rapids Library. $300,000 Harkin Institute of Museum & Library Services. Museums & Libraries ................................... City of Hagerstown, MD, for educational programming and displaying the Doleman collection. $100,000 Mikulski, Cardin Institute of Museum & Library Services. Museums & Libraries ................................... Delta State University, Cleveland, MS, for library technology upgrades, in- cluding the purchase of equipment. $100,000 Cochran, Wicker Institute of Museum & Library Services. Museums & Libraries ................................... Dubuque Historical Society, Dubuque, IA, for exhibits relating to the Mis- sissippi River. $400,000 Harkin, Grassley 
317 

Institute of Museum & Library Services. Museums & Libraries ................................... Greenville Public Library, Smithfield, RI, for library technology and pro- grams. $300,000 Reed, Whitehouse Institute of Museum & Library Services. Museums & Libraries ................................... Mississippi Children’s Museum, Jackson, MS, for exhibits and educational programming. $400,000 Cochran, Wicker Institute of Museum & Library Services. Museums & Libraries ................................... Mississippi Gulf Coast Community College, Perkinston, MS, for collecting, cataloging, and archiving of newspaper and digital media. $100,000 Cochran, Wicker Institute of Museum & Library Services. Museums & Libraries ................................... Ohr-O’Keefe Museum of Art, Biloxi, MS, for design and exhibits .................. $250,000 Cochran Institute of Museum & Library Services. Museums & Libraries ................................... Oxford Lafayette County Heritage Foundation, Oxford, MS, for exhibits and design. $100,000 Cochran, Wicker Institute of Museum & Library Services. Museums & Libraries ................................... Science Center of Iowa, Des Moines, IA, for educational exhibits ................. $400,000 Harkin, Grassley Institute of Museum & Library Services. Museums & Libraries ................................... South Dakota School of Mines and Technology, Rapid City, SD, for preser- vation activities and storage. $100,000 Johnson Institute of Museum & Library Services. Museums & Libraries ................................... Southern Utah University, Cedar City, UT, for exhibits, installations, and equipment. $400,000 Bennett, Hatch Institute of Museum & Library Services. Museums & Libraries ................................... Tennessee-Tombigbee Waterway Transportation Museum, Columbus, MS, for exhibit design and digitization of documents. $100,000 Cochran Institute of Museum & Library Services. Museums & Libraries ................................... University of Mississippi, University, MS, for documentation, preservation, restoration, and programming related to the American Music Archives. $150,000 Cochran, Wicker Institute of Museum & Library Services. Museums & Libraries ................................... University of Mississippi, University, MS, for museum education and out- reach programs. $150,000 Cochran, Wicker Institute of Museum & Library Services. Museums & Libraries ................................... Walter Anderson Museum of Art, Ocean Springs, MS, for archive and digitization of collections. $150,000 Cochran, Wicker Institute of Museum & Library Services. Museums & Libraries ................................... World Food Prize, Des Moines, IA, for exhibits at the Dr. Norman E. Borlaug Hall of Laureates Museum. $450,000 Harkin, Grassley Department of Education National 

Projects.

Higher Education .......................................... Strengthening Alaska Native and Native Hawaiian Serving Institutions Programs for activities authorized under the Higher Education Act. $15,084,000 Inouye, Murkowski 

Department of Education National 

Projects.

Innovation and Improvement ....................... Close Up Fellowships Program for activities authorized under the Elementary and Secondary Education Act. $1,942,000 Harkin 

Department of Education National 

Projects.

Innovation and Improvement ....................... Communities in Schools for dropout prevention programs ............................ $4,000,000 Burris, Cantwell, Gillibrand, 

Klobuchar, Levin, Menendez, Reid, Rockefeller, Warner 

Department of Education National 

Projects.

Innovation and Improvement ....................... Exchanges with Historic Whaling and Trading Partners for activities authorized under the Elementary and Secondary Education Act. $8,754,000 Akaka, Begich, Scott Brown, Inouye, Kerry, 

Murkowski 

Department of Education National 

Projects.

Innovation and Improvement ....................... John F. Kennedy Center for the Performing Arts and its affiliate VSA (formerly VSA arts), as authorized by the Elementary and Secondary Education Act. $17,438,000 Bennett, Harkin 
318 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Education National 

Projects.

Innovation and Improvement ....................... National Board for Professional Teaching Standards for activities authorized under the Elementary and Secondary Education Act. $10,649,000 Bennett, Harkin 

Department of Education National 

Projects.

Innovation and Improvement ....................... National Writing Project for activities authorized under the Elementary and 

Secondary Education Act.

$25,646,000 Akaka, Bennett, Bingaman, 

Sherrod Brown, Bunning, Burris, Casey, Collins, Conrad, Crapo, Dodd, Gillibrand, Grassley, Johnson, Kaufman, Lautenberg, Leahy, Levin, Lieberman, Lincoln, Menendez, Pryor, Reed, Risch, Rockefeller, Sanders, Schumer, Sessions, Shaheen, Stabenow, Tom Udall, Whitehouse, Wicker, Wyden 

Department of Education National 

Projects.

Innovation and Improvement ....................... Reach out and Read authorized under the Elementary and Secondary Education Act. $6,000,000 Akaka, Bayh, Begich, Ben- nett, Bingaman, Sherrod 

Brown, Bunning, Burris, Cantwell, Casey, Chambliss, Cornyn, Dodd, Franken, Gillibrand, Grassley, Hatch, Hagan, Kaufman, Kerry, Klobuchar, Lautenberg, Leahy, Levin, Lieberman, Lincoln, Lugar, Menendez, Merkley, Pryor, Reed, Rockefeller, Sanders, Schumer, Sessions, Shaheen, Snowe, Stabenow, Tom Udall, Voinovich, Warner, Whitehouse, Wyden 
319 

Department of Education National 

Projects.

Innovation and Improvement ....................... Reading is Fundamental authorized under the Elementary and Secondary 

Education Act.

$24,803,000 Akaka, Bennett, Sherrod 

Brown, Burris, Casey, Dodd, Franken, Gillibrand, Hagan, Harkin, Johnson, Kerry, Lautenberg, Levin, Lieberman, Lincoln, Lugar, Menendez, Pryor, Roberts, Rockefeller, Sanders, Schumer, Sessions, Shaheen, Snowe, Stabenow, Whitehouse, Wicker, Wyden 

Department of Education National 

Projects.

Innovation and Improvement ....................... Teach for America as authorized under the Higher Education Act ................ $22,000,000 Akaka, Alexander, Bennet, 

Bingaman, Boxer, Sherrod Brown, Burris, Cardin, Casey, Dodd, Durbin, Gillibrand, Hagan, Hutchison, Johnson, Kohl, Landrieu, Lautenberg, Lieberman, Lincoln, Menendez, Mikulski, Bill Nelson, Pryor, Reed, Reid, Schumer, Specter, Stabenow, Whitehouse, Wicker, Wyden 

Department of Education National 

Projects.

Safe Schools and Citizenship Education ..... Center for Civic Education for two programs (We the People and Cooperative Education Exchange) that are authorized in the Elementary and 

Secondary Education Act as part of the Civic Education program.

$25,636,000 Grassley, Hatch, Leahy 

Department of Education National 

Projects.

Safe Schools and Citizenship Education ..... National Council on Economic Education for the Cooperative Education Exchange program, which is authorized in the Elementary and Secondary 

Education Act as part of the Civic Education program.

$5,019,000 Akaka, Burris, Dodd, 

Hagan, Lincoln 

Department of Education National 

Projects.

School Improvement ..................................... Alaska Native Educational Equity for activities authorized under section

7304(d)(2) of the Elementary and Secondary Education Act.

$6,000,000 Murkowski 

Department of Education National 

Projects.

School Improvement ..................................... Hawaii Department of Education for school renovation activities ................. $1,500,000 Akaka, Inouye 

Department of Education National 

Projects.

School Improvement ..................................... New Leaders for New Schools for activities authorized under the Elementary and Secondary Education Act. $5,000,000 Harkin 
320 

CONGRESSIONALLY DIRECTED SPENDING ITEMS—Continued 

Agency Account Project Funding Requesting member 

Department of Education National 

Projects.

School Improvement ..................................... University of Hawaii for the Henry K Giugni Memorial Archives .................... $500,000 Akaka, Inouye 

Department of Education National 

Projects.

School Improvement ..................................... University of Hawaii School of Law for a Center of Excellence in Native 

Hawaiian Law.

$1,500,000 Akaka, Inouye 

Department of Education National 

Projects.

Special Education ........................................ Recording for the Blind and Dyslexic, Inc. for development, production, and 

circulation of accessible educational materials.

$13,250,000 Harkin 

Department of Health and Human 

Services National Projects.

Health Resources and Services ................... Delta Health Alliance, Inc to improve the delivery of public health services 

in the Mississippi Delta region under title III of the Publc Health Service Act.

$34,927,000 Cochran 

Department of Labor National 

Projects.

Departmental Management .......................... International Program for the Elimination of Child Labor for the U.S. contribution to a multinational effort to combat child labor consistent with 

Executive Order 12216 and the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008.

$40,000,000 Harkin 

Department of Labor National 

Projects.

Mine Safety and Health Administration ...... United Mine Workers of America for mine rescue team training activities 

authorized under the Mine Safety and Health Act.

$1,500,000 Rockefeller 
321 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

TITLE I—DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION 

TRAINING AND EMPLOYMENT SERVICES 

Grants to States: 

Adult Training, current year .............................................................................................................................. 149,540 194,884 184,884 ∂35,344 ¥10,000 

Advance from prior year ........................................................................................................................... (712,000 ) (712,000 ) (712,000 ) ............................ ............................Fiscal year 2012 ....................................................................................................................................... 712,000 712,000 712,000 ............................ ............................

Subtotal ................................................................................................................................................ 861,540 906,884 896,884 ∂35,344 ¥10,000 

Youth Training ............................................................................................................................................................ 924,069 1,025,000 995,000 ∂70,931 ¥30,000 Dislocated Worker Assistance, current year ............................................................................................................... 323,840 386,147 381,147 ∂57,307 ¥5,000 

Advance from prior year .................................................................................................................................... (848,000 ) (860,000 ) (860,000 ) (∂12,000 ) ............................Fiscal year 2012 ................................................................................................................................................ 860,000 860,000 860,000 ............................ ............................

Subtotal ......................................................................................................................................................... 1,183,840 1,246,147 1,241,147 ∂57,307 ¥5,000 Subtotal, Grants to States ............................................................................................................................ 2,969,449 3,178,031 3,133,031 ∂163,582 ¥45,000 

Current Year ......................................................................................................................................... (1,397,449 ) (1,606,031 ) (1,561,031 ) (∂163,582 ) (¥45,000 ) Fiscal year 2012 .................................................................................................................................. (1,572,000 ) (1,572,000 ) (1,572,000 ) ............................ ............................

Federally Administered Programs: 

Dislocated Worker Assistance National Reserve: 

Current year .............................................................................................................................................. 29,160 29,160 29,160 ............................ ............................Advance from prior year ........................................................................................................................... (212,000 ) (200,000 ) (200,000 ) (¥12,000 ) ............................Fiscal year 2012 ....................................................................................................................................... 200,000 200,000 200,000 ............................ ............................

Subtotal ................................................................................................................................................ 229,160 229,160 229,160 ............................ ............................Subtotal, Dislocated Worker Assistance .............................................................................................. 1,413,000 1,475,307 1,470,307 ∂57,307 ¥5,000 
322 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Native Americans ....................................................................................................................................................... 52,758 55,000 55,000 ∂2,242 ............................Migrant and Seasonal Farmworkers .......................................................................................................................... 84,620 87,378 87,378 ∂2,758 ............................Women in apprenticeship ........................................................................................................................................... 1,000 1,000 1,000 ............................ ............................YouthBuild .................................................................................................................................................................. 102,500 120,000 110,000 ∂7,500 ¥10,000 

Subtotal, Federally Administered Programs [FAP] ........................................................................................ 470,038 492,538 482,538 ∂12,500 ¥10,000 

Current Year ......................................................................................................................................... (270,038 ) (292,538 ) (282,538 ) (∂12,500 ) (¥10,000 ) Fiscal year 2012 .................................................................................................................................. (200,000 ) (200,000 ) (200,000 ) ............................ ............................

National Activities: 

Pilots, Demonstrations, and Research .............................................................................................................. 93,450 46,556 73,559 ¥19,891 ∂27,003 

Green Jobs Innovation Fund ..................................................................................................................... 40,000 85,000 65,000 ∂25,000 ¥20,000 Reintegration of Ex-Offenders .................................................................................................................. 108,493 98,000 98,000 ¥10,493 ............................Evaluation ................................................................................................................................................. 9,600 11,600 11,600 ∂2,000 ............................Career Pathways Innovation Fund 1 ......................................................................................................... 125,000 ............................ ............................ ¥125,000 ............................Workforce Data Quality Initiative ............................................................................................................. 12,500 13,750 13,750 ∂1,250 ............................

Subtotal ................................................................................................................................................ 389,043 254,906 261,909 ¥127,134 ∂7,003 Total, Training and Employment Services [TES] ................................................................................. 3,828,530 3,925,475 3,877,478 ∂48,948 ¥47,997 

Current Year ................................................................................................................................ (2,056,530 ) (2,153,475 ) (2,105,478 ) (∂48,948 ) (¥47,997 ) Fiscal year 2012 ......................................................................................................................... (1,772,000 ) (1,772,000 ) (1,772,000 ) ............................ ............................

OFFICE OF JOB CORPS 

Administration ............................................................................................................................................................ 29,190 30,110 30,110 ∂920 ............................Operations .................................................................................................................................................................. 983,015 981,253 986,095 ∂3,080 ∂4,842 

Advance from prior year .................................................................................................................................... (591,000 ) (591,000 ) (591,000 ) ............................ ............................Fiscal year 2012 ................................................................................................................................................ 591,000 591,000 591,000 ............................ ............................

Construction and Renovation ..................................................................................................................................... 5,000 5,000 5,000 ............................ ............................

Advance from prior year .................................................................................................................................... (100,000 ) (100,000 ) (100,000 ) ............................ ............................
323 

Fiscal year 2012 ................................................................................................................................................ 100,000 100,000 100,000 ............................ ............................

Total, Office of Job Corps ............................................................................................................................. 1,708,205 1,707,363 1,712,205 ∂4,000 ∂4,842 

Current Year ......................................................................................................................................... (1,017,205 ) (1,016,363 ) (1,021,205 ) (∂4,000 ) (∂4,842 ) Fiscal year 2012 .................................................................................................................................. (691,000 ) (691,000 ) (691,000 ) ............................ ............................

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS .................................................................................. 825,425 600,425 600,425 ¥225,000 ............................FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES ........................................................................................... 1,818,400 1,938,200 1,938,200 ∂119,800 ............................

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS 

Unemployment Compensation [UI]: 

State Operations ................................................................................................................................................ 3,195,645 3,515,079 3,570,079 ∂374,434 ∂55,000 

Additional UI program integrity ................................................................................................................................. 50,000 55,000 ............................ ¥50,000 ¥55,000 National Activities ...................................................................................................................................................... 11,310 11,310 11,310 ............................ ............................

Subtotal, Unemployment Compensation ....................................................................................................... 3,256,955 3,581,389 3,581,389 ∂324,434 ............................

Employment Service [ES]: 

Allotments to States: 

Federal Funds ........................................................................................................................................... 22,683 22,683 22,683 ............................ ............................Trust Funds .............................................................................................................................................. 680,893 680,893 680,893 ............................ ............................

Subtotal ................................................................................................................................................ 703,576 703,576 703,576 ............................ ............................

ES National Activities ........................................................................................................................................ 20,994 20,994 20,994 ............................ ............................

Subtotal, Employment Service ...................................................................................................................... 724,570 724,570 724,570 ............................ ............................

Federal Funds ...................................................................................................................................... (22,683 ) (22,683 ) (22,683 ) ............................ ............................Trust Funds .......................................................................................................................................... (701,887 ) (701,887 ) (701,887 ) ............................ ............................

Foreign Labor Certification: 

Federal Administration ...................................................................................................................................... 53,307 50,519 50,519 ¥2,788 ............................Grants to States ................................................................................................................................................ 15,129 15,129 15,129 ............................ ............................

Subtotal, Foreign Labor Certification ........................................................................................................... 68,436 65,648 65,648 ¥2,788 ............................

One-Stop Career Centers/Labor Market Information .................................................................................................. 63,720 63,720 68,720 ∂5,000 ∂5,000 

Total, State UI and ES .................................................................................................................................. 4,113,681 4,435,327 4,440,327 ∂326,646 ∂5,000 

Federal Funds ...................................................................................................................................... (86,403 ) (86,403 ) (91,403 ) (∂5,000 ) (∂5,000 ) Trust Funds .......................................................................................................................................... (4,027,278 ) (4,348,924 ) (4,348,924 ) (∂321,646 ) ............................

STATE PAID LEAVE FUND ............................................................................................................................................ ............................ 50,000 10,000 ∂10,000 ¥40,000 
324 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

ADVANCES TO THE UI AND OTHER TRUST FUNDS 2 ................................................................................................... 120,000 200,000 200,000 ∂80,000 ............................

PROGRAM ADMINISTRATION 

Adult Employment and Training ................................................................................................................................ 46,859 50,564 50,564 ∂3,705 ............................

Trust Funds ....................................................................................................................................................... 8,553 11,225 11,225 ∂2,672 ............................

Youth Employment and Training ................................................................................................................................ 12,308 14,803 14,803 ∂2,495 ............................Employment Security .................................................................................................................................................. 3,490 3,450 3,450 ¥40 ............................

Trust Funds ....................................................................................................................................................... 39,496 43,801 43,801 ∂4,305 ............................

Apprenticeship Services ............................................................................................................................................. 27,784 28,965 28,965 ∂1,181 ............................Executive Direction ..................................................................................................................................................... 7,075 7,122 7,122 ∂47 ............................

Trust Funds ....................................................................................................................................................... 2,091 2,112 2,112 ∂21 ............................

Total, Program Administration ...................................................................................................................... 147,656 162,042 162,042 ∂14,386 ............................

Federal Funds ...................................................................................................................................... (97,516 ) (104,904 ) (104,904 ) (∂7,388 ) ............................Trust Funds .......................................................................................................................................... (50,140 ) (57,138 ) (57,138 ) (∂6,998 ) ............................

Total, Employment and Training Administration [ETA] ................................................................................ 12,561,897 13,018,832 12,940,677 ∂378,780 ¥78,155 

Federal Funds ...................................................................................................................................... 8,484,479 8,612,770 8,534,615 ∂50,136 ¥78,155 

Current Year ................................................................................................................................ (6,021,479 ) (6,149,770 ) (6,071,615 ) (∂50,136 ) (¥78,155 ) Fiscal year 2012 ......................................................................................................................... (2,463,000 ) (2,463,000 ) (2,463,000 ) ............................ ............................

Trust Funds .......................................................................................................................................... 4,077,418 4,406,062 4,406,062 ∂328,644 ............................

EMPLOYEE BENEFITS SECURITY ADMINISTRATION [EBSA] 

SALARIES AND EXPENSES 

Enforcement and Participant Assistance ................................................................................................................... 129,199 133,241 133,241 ∂4,042 ............................Policy and Compliance Assistance ............................................................................................................................ 18,994 22,232 22,232 ∂3,238 ............................Executive Leadership, Program Oversight, and Administration ................................................................................ 6,668 6,522 6,522 ¥146 ............................

Total, EBSA ................................................................................................................................................... 154,861 161,995 161,995 ∂7,134 ............................
325 

PENSION BENEFIT GUARANTY CORPORATION [PBGC] 

Pension insurance activities ...................................................................................................................................... (86,412 ) (71,896 ) (71,896 ) (¥14,516 ) ............................Pension plan termination ........................................................................................................................................... (234,005 ) (249,408 ) (249,408 ) (∂15,403 ) ............................Operational support .................................................................................................................................................... (143,650 ) (144,997 ) (144,997 ) (∂1,347 ) ............................

Total, PBGC (program level) ......................................................................................................................... (464,067 ) (466,301 ) (466,301 ) (∂2,234 ) ............................

Wage and Hour Division ............................................................................................................................................. 227,606 244,240 244,240 ∂16,634 ............................Office of Labor-Management Standards .................................................................................................................... 41,367 45,181 45,181 ∂3,814 ............................Office of Federal Contract Compliance programs ..................................................................................................... 105,386 113,433 112,433 ∂7,047 ¥1,000 Division of Energy Employees Occupational Illness compensation ........................................................................... 51,900 53,778 53,778 ∂1,878 ............................

OFFICE OF WORKERS COMPENSATION PROGRAM 

Federal Programs for Workers’ Compensation ........................................................................................................... 116,171 125,165 124,165 ∂7,994 ¥1,000 

Trust Funds ....................................................................................................................................................... 2,124 2,181 2,181 ∂57 ............................

SPECIAL BENEFITS 

Federal employees’ compensation benefits ............................................................................................................... 184,000 180,000 180,000 ¥4,000 ............................Longshore and harbor workers’ benefits ................................................................................................................... 3,000 3,000 3,000 ............................ ............................

Total, Special Benefits .................................................................................................................................. 187,000 183,000 183,000 ¥4,000 ............................

SPECIAL BENEFITS FOR DISABLED COAL MINERS 

Benefit payments ....................................................................................................................................................... 220,000 198,000 198,000 ¥22,000 ............................Administration ............................................................................................................................................................ 5,180 5,220 5,220 ∂40 ............................

Subtotal, program level ................................................................................................................................ 225,180 203,220 203,220 ¥21,960 ............................

Less funds advanced in prior year ..................................................................................................... ¥56,000 ¥45,000 ¥45,000 ∂11,000 ............................Total, Current Year .............................................................................................................................. 169,180 158,220 158,220 ¥10,960 ............................New advances, 1st quarter fiscal year 2012 ...................................................................................... 45,000 41,000 41,000 ¥4,000 ............................

Total, Special Benefits for Disabled Coal Miners ........................................................................... 214,180 199,220 199,220 ¥14,960 ............................

BLACK LUNG DISABILITY TRUST FUND 

Benefit payments and interest on advances ............................................................................................................. 604,736 650,371 650,371 ∂45,635 ............................Employment Standards Administration Salaries and expenses ................................................................................ 32,720 33,075 33,075 ∂355 ............................Departmental Management, Salaries and expenses ................................................................................................. 25,091 25,394 25,394 ∂303 ............................Departmental Management, Inspector General ......................................................................................................... 327 327 327 ............................ ............................
326 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Subtotal, Black Lung Disability Trust Fund ................................................................................................. 662,874 709,167 709,167 ∂46,293 ............................

Treasury Department Administrative Costs ............................................................................................................... 356 356 356 ............................ ............................

Total, Black Lung Disability Trust Fund ....................................................................................................... 663,230 709,523 709,523 ∂46,293 ............................Total, Office of Workers Compensation Programs ........................................................................................ 1,182,705 1,219,089 1,218,089 ∂35,384 ¥1,000 

Federal Funds ...................................................................................................................................... 1,180,581 1,216,908 1,215,908 ∂35,327 ¥1,000 

Current year ................................................................................................................................ (1,135,581 ) (1,175,908 ) (1,174,908 ) (∂39,327 ) (¥1,000 ) Fiscal year 2012 ......................................................................................................................... (45,000 ) (41,000 ) (41,000 ) (¥4,000 ) ............................

Trust Funds .......................................................................................................................................... 2,124 2,181 2,181 ∂57 ............................

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION [OSHA] 

SALARIES AND EXPENSES 

Safety and Health Standards ..................................................................................................................................... 19,569 23,756 23,756 ∂4,187 ............................Federal Enforcement ................................................................................................................................................... 223,399 233,445 233,445 ∂10,046 ............................State Programs ........................................................................................................................................................... 104,393 105,893 105,893 ∂1,500 ............................Technical Support ....................................................................................................................................................... 25,920 26,186 26,186 ∂266 ............................Compliance Assistance: 

Federal Assistance ............................................................................................................................................ 73,380 70,255 71,255 ¥2,125 ∂1,000 

State Consultation Grants .......................................................................................................................................... 54,798 55,798 55,798 ∂1,000 ............................Training Grants .......................................................................................................................................................... 10,750 11,000 11,000 ∂250 ............................

Subtotal, Compliance Assistance ................................................................................................................. 138,928 137,053 138,053 ¥875 ∂1,000 

Safety and Health Statistics ...................................................................................................................................... 34,875 34,981 34,981 ∂106 ............................Executive Direction and Administration ..................................................................................................................... 11,536 11,782 11,782 ∂246 ............................

Total, OSHA ................................................................................................................................................... 558,620 573,096 574,096 ∂15,476 ∂1,000 
327 

MINE SAFETY AND HEALTH ADMINISTRATION [MSHA] 

SALARIES AND EXPENSES 

Coal Enforcement ....................................................................................................................................................... 158,662 159,059 165,199 ∂6,537 ∂6,140 Metal/Non-metal Enforcement .................................................................................................................................... 85,422 88,966 88,966 ∂3,544 ............................Standards Development ............................................................................................................................................. 3,481 4,322 4,822 ∂1,341 ∂500 Assessments ............................................................................................................................................................... 6,233 6,327 6,827 ∂594 ∂500 Educational Policy and Development ......................................................................................................................... 38,605 36,646 37,646 ¥959 ∂1,000 Technical Support ....................................................................................................................................................... 30,642 31,637 35,592 ∂4,950 ∂3,955 Program evaluation and information resources [PEIR] ............................................................................................. 16,857 19,447 22,072 ∂5,215 ∂2,625 Program Administration ............................................................................................................................................. 17,391 14,376 15,876 ¥1,515 ∂1,500 

Total, MSHA ................................................................................................................................................... 357,293 360,780 377,000 ∂19,707 ∂16,220 

BUREAU OF LABOR STATISTICS [BLS] 

SALARIES AND EXPENSES 

Employment and Unemployment Statistics ............................................................................................................... 197,852 217,234 217,234 ∂19,382 ............................Labor Market Information ........................................................................................................................................... 78,264 67,438 67,438 ¥10,826 ............................Prices and Cost of Living .......................................................................................................................................... 201,081 234,521 224,021 ∂22,940 ¥10,500 Compensation and Working Conditions ..................................................................................................................... 88,553 81,202 81,202 ¥7,351 ............................Productivity and Technology ....................................................................................................................................... 11,904 10,242 10,242 ¥1,662 ............................Executive Direction and Staff Services ...................................................................................................................... 33,793 34,714 34,714 ∂921 ............................

Total, BLS ...................................................................................................................................................... 611,447 645,351 634,851 ∂23,404 ¥10,500 

Federal Funds ...................................................................................................................................... 533,183 577,913 567,413 ∂34,230 ¥10,500 Trust Funds .......................................................................................................................................... 78,264 67,438 67,438 ¥10,826 ............................

OFFICE OF DISABILITY EMPLOYMENT POLICY 

SALARIES AND EXPENSES ........................................................................................................................................... 39,031 39,138 44,138 ∂5,107 ∂5,000 

DEPARTMENTAL MANAGEMENT 

SALARIES AND EXPENSES 

Executive Direction ..................................................................................................................................................... 33,350 34,225 34,225 ∂875 ............................Departmental IT Crosscut .......................................................................................................................................... 19,892 20,642 20,642 ∂750 ............................Departmental Program Evaluation ............................................................................................................................. 8,500 50,300 36,300 ∂27,800 ¥14,000 Legal Services ............................................................................................................................................................ 117,121 122,234 138,234 ∂21,113 ∂16,000 

Trust Funds ....................................................................................................................................................... 327 327 327 ............................ ............................

International Labor Affairs ......................................................................................................................................... 92,669 115,000 117,000 ∂24,331 ∂2,000 Administration and Management ............................................................................................................................... 30,676 30,501 30,501 ¥175 ............................
328 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Adjudication ................................................................................................................................................................ 29,286 30,367 30,367 ∂1,081 ............................Women’s Bureau ......................................................................................................................................................... 11,604 12,255 12,255 ∂651 ............................Civil Rights Activities ................................................................................................................................................. 7,220 7,335 7,335 ∂115 ............................Chief Financial Officer ............................................................................................................................................... 5,361 5,438 5,438 ∂77 ............................

Total, Salaries and expenses ........................................................................................................................ 356,006 428,624 432,624 ∂76,618 ∂4,000 

Federal Funds ...................................................................................................................................... (355,679 ) (428,297 ) (432,297 ) (∂76,618 ) (∂4,000 ) Trust Funds .......................................................................................................................................... (327 ) (327 ) (327 ) ............................ ............................

VETERANS EMPLOYMENT AND TRAINING [VETS] 

State administration, Grants ..................................................................................................................................... 165,394 165,394 165,394 ............................ ............................Transition assistance program .................................................................................................................................. 7,000 8,000 8,000 ∂1,000 ............................Federal Administration ............................................................................................................................................... 35,313 35,680 35,680 ∂367 ............................National Veterans Training Institute .......................................................................................................................... 2,449 2,449 2,449 ............................ ............................Homeless Veterans Program ...................................................................................................................................... 36,330 41,330 41,330 ∂5,000 ............................Veterans Workforce Investment Programs ................................................................................................................. 9,641 9,641 9,641 ............................ ............................

Total, VETS .................................................................................................................................................... 256,127 262,494 262,494 ∂6,367 ............................

Federal Funds ...................................................................................................................................... 45,971 50,971 50,971 ∂5,000 ............................Trust Funds .......................................................................................................................................... 210,156 211,523 211,523 ∂1,367 ............................

OFFICE OF INSPECTOR GENERAL [IG] 

Program Activities ...................................................................................................................................................... 78,093 79,090 79,090 ∂997 ............................

Trust Funds ....................................................................................................................................................... 5,921 5,992 5,992 ∂71 ............................

Total, IG ........................................................................................................................................................ 84,014 85,082 85,082 ∂1,068 ............................Total, Departmental Management ................................................................................................................ 696,147 776,200 780,200 ∂84,053 ∂4,000 

Federal Funds ...................................................................................................................................... 479,743 558,358 562,358 ∂82,615 ∂4,000 

Current Year ................................................................................................................................ (479,743 ) (558,358 ) (562,358 ) (∂82,615 ) (∂4,000 ) 

Trust Funds .......................................................................................................................................... 216,404 217,842 217,842 ∂1,438 ............................
329 

Working capital fund .................................................................................................................................................. ............................ 4,537 4,537 ∂4,537 ............................

Total, Title I, Department of Labor ............................................................................................................... 16,588,260 17,255,650 17,191,215 ∂602,955 ¥64,435 

Federal Funds ...................................................................................................................................... 12,214,050 12,562,127 12,497,692 ∂283,642 ¥64,435 

Current Year ................................................................................................................................ (9,706,050 ) (10,058,127 ) (9,993,692 ) (∂287,642 ) (¥64,435 ) Fiscal year 2012 ......................................................................................................................... (2,508,000 ) (2,504,000 ) (2,504,000 ) (¥4,000 ) ............................

Trust Funds .......................................................................................................................................... 4,374,210 4,693,523 4,693,523 ∂319,313 ............................

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 ......................................................................................................................................... 2,185,146 2,479,993 2,185,146 ............................ ¥294,847 State health access grants ........................................................................................................................................ 74,480 75,000 ............................ ¥74,480 ¥75,000 Free Clinics Medical Malpractice ............................................................................................................................... 40 40 40 ............................ ............................National Hansen’s Disease Program .......................................................................................................................... 16,075 16,109 16,109 ∂34 ............................

Buildings and Facilities .................................................................................................................................... 128 129 129 ∂1 ............................

Payment to Hawaii, treatment of Hansen’s Disease ................................................................................................. 1,976 1,976 1,976 ............................ ............................

Subtotal, Bureau of Primary Health Care .................................................................................................... 2,277,845 2,573,247 2,203,400 ¥74,445 ¥369,847 

Bureau of Health Professions [BHP] 

National Health Service Corps ................................................................................................................................... 141,420 168,589 141,420 ............................ ¥27,169 

Health Professions 

Health Professions, Training for Diversity: 

Centers of excellence ........................................................................................................................................ 24,550 24,602 24,602 ∂52 ............................Health careers opportunity program ................................................................................................................. 22,086 22,133 22,133 ∂47 ............................Faculty loan repayment ..................................................................................................................................... 1,266 1,266 6,266 ∂5,000 ∂5,000 Scholarships for disadvantaged students ........................................................................................................ 49,236 49,342 49,342 ∂106 ............................

Subtotal, Health Professions, Training for Diversity .................................................................................... 97,138 97,343 102,343 ∂5,205 ∂5,000 

Primary Care Training and Enhancement .................................................................................................................. 38,923 39,275 90,000 ∂51,077 ∂50,725 Training in Oral Health Care ..................................................................................................................................... 32,919 32,982 47,982 ∂15,063 ∂15,000 Rural Physician Training ............................................................................................................................................ ............................ ............................ 5,100 ∂5,100 ∂5,100 Interdisciplinary Community-based Linkages: 

Area health education centers .......................................................................................................................... 33,274 33,345 33,345 ∂71 ............................Allied health and other disciplines ................................................................................................................... 4,880 4,890 10,617 ∂5,737 ∂5,727 
330 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Geriatric programs ............................................................................................................................................ 33,675 33,747 33,747 ∂72 ............................

Subtotal, Interdisciplinary Community Linkages .......................................................................................... 71,829 71,982 77,709 ∂5,880 ∂5,727 

Workforce information and analysis .......................................................................................................................... 2,826 8,781 13,781 ∂10,955 ∂5,000 Public health and preventive medicine training ....................................................................................................... 9,647 9,668 19,668 ∂10,021 ∂10,000 Nursing Programs: 

Advanced Education Nursing ............................................................................................................................ 64,301 64,438 74,438 ∂10,137 ∂10,000 Nurse education, practice, and retention ......................................................................................................... 39,811 39,896 50,000 ∂10,189 ∂10,104 Nursing workforce diversity ............................................................................................................................... 16,073 16,107 16,107 ∂34 ............................Loan repayment and scholarship program ....................................................................................................... 93,864 93,864 93,864 ............................ ............................Comprehensive geriatric education ................................................................................................................... 4,557 4,567 4,567 ∂10 ............................Nursing faculty loan program ........................................................................................................................... 24,947 25,000 53,309 ∂28,362 ∂28,309 

Subtotal, Nursing programs ......................................................................................................................... 243,553 243,872 292,285 ∂48,732 ∂48,413 Subtotal, Health Professions ........................................................................................................................ 496,835 503,903 648,868 ∂152,033 ∂144,965 

Children’s Hospitals Graduate Medical Education .................................................................................................... 316,824 317,500 317,500 ∂676 ............................Patient Navigator ....................................................................................................................................................... 4,965 5,000 5,000 ∂35 ............................National Practitioner Data Bank ................................................................................................................................ 19,750 21,000 21,000 ∂1,250 ............................

User Fees ........................................................................................................................................................... ¥19,750 ¥21,000 ¥21,000 ¥1,250 ............................

Health Care Integrity and Protection Data Bank ....................................................................................................... 3,758 4,000 4,000 ∂242 ............................

User Fees ........................................................................................................................................................... ¥3,758 ¥4,000 ¥4,000 ¥242 ............................

Subtotal, BHP ................................................................................................................................................ 960,044 994,992 1,112,788 ∂152,744 ∂117,796 

Maternal and Child Health Bureau 

Maternal and Child Health Block Grant .................................................................................................................... 660,710 673,187 673,187 ∂12,477 ............................Sickle cell anemia demonstration program ............................................................................................................... 4,740 4,750 4,750 ∂10 ............................Traumatic Brain Injury ............................................................................................................................................... 9,918 9,939 9,939 ∂21 ............................
331 

Autism and other developmental disorders ............................................................................................................... 47,898 55,000 55,000 ∂7,102 ............................Heritable disorders ..................................................................................................................................................... 9,992 10,013 10,013 ∂21 ............................Congenital disabilities ............................................................................................................................................... 499 500 ............................ ¥499 ¥500 Healthy Start .............................................................................................................................................................. 104,776 110,186 103,200 ¥1,576 ¥6,986 Universal Newborn Hearing ........................................................................................................................................ 18,960 19,000 19,000 ∂40 ............................Emergency medical services for children .................................................................................................................. 21,454 21,500 22,500 ∂1,046 ∂1,000 

Subtotal, Maternal and Child Health Bureau .............................................................................................. 878,947 904,075 897,589 ∂18,642 ¥6,486 

HIV/AIDS Bureau 

Ryan White AIDS Programs: 

Emergency Assistance ....................................................................................................................................... 679,074 679,074 679,074 ............................ ............................Comprehensive Care Programs ......................................................................................................................... 1,275,791 1,283,791 1,303,791 ∂28,000 ∂20,000 

Reprogramming of fiscal year 2009 funds [NA] ..................................................................................... (3,000 ) ............................ ............................ (¥3,000 ) ............................Comprehensive Care Program level [NA] ................................................................................................. (1,278,791 ) (1,283,781 ) (1,303,791 ) (∂25,000 ) (∂20,010 ) AIDS Drug Assistance Program [ADAP] [NA] ........................................................................................... (857,000 ) (855,000 ) (885,000 ) (∂28,000 ) (∂30,000 ) 

Reprogramming of fiscal year 2009 funds .................................................................................... (3,000 ) ............................ ............................ (¥3,000 ) ............................

ADAP Program level [NA] ............................................................................................................ (860,000 ) (855,000 ) (885,000 ) (∂25,000 ) (∂30,000 ) 

Early Intervention Program ......................................................................................................................................... 206,383 211,877 206,383 ............................ ¥5,494 Children, Youth, Women, and Families ...................................................................................................................... 77,621 77,787 77,787 ∂166 ............................AIDS Dental Services .................................................................................................................................................. 13,565 15,429 13,565 ............................ ¥1,864 Education and Training Centers ................................................................................................................................ 34,745 37,443 34,745 ............................ ¥2,698 

Subtotal, Ryan White AIDS programs appropriation .................................................................................... 2,287,179 2,305,401 2,315,345 ∂28,166 ∂9,944 

Evaluation Tap Funding [NA] ............................................................................................................................ (25,000 ) (25,000 ) (25,000 ) ............................ ............................

Subtotal, Ryan White AIDS program level .................................................................................................... (2,312,179 ) (2,330,401 ) (2,340,345 ) (∂28,166 ) (∂9,944 ) Subtotal, HIV/AIDS Bureau ............................................................................................................................ 2,287,179 2,305,401 2,315,345 ∂28,166 ∂9,944 

Healthcare Systems Bureau 

Organ Transplantation ............................................................................................................................................... 25,991 26,049 27,991 ∂2,000 ∂1,942 National Cord Blood Inventory ................................................................................................................................... 11,957 13,883 13,883 ∂1,926 ............................Bone Marrow Program ................................................................................................................................................ 23,467 26,544 26,544 ∂3,077 ............................Office of Pharmacy Affairs ......................................................................................................................................... 2,220 5,220 5,220 ∂3,000 ............................Poison control ............................................................................................................................................................. 29,250 29,314 29,314 ∂64 ............................
332 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Medical Home Demonstration .................................................................................................................................... ............................ ............................ 40,000 ∂40,000 ∂40,000 

Subtotal, Healthcare systems bureau .......................................................................................................... 92,885 101,010 142,952 ∂50,067 ∂41,942 

Rural Health Programs 

Rural outreach grants ................................................................................................................................................ 55,905 57,266 57,266 ∂1,361 ............................Rural Health Research ............................................................................................................................................... 9,929 9,950 9,950 ∂21 ............................Rural Hospital Flexibility Grants ................................................................................................................................ 40,915 41,200 41,200 ∂285 ............................Delta Health Initiative ................................................................................................................................................ 34,927 ............................ 34,927 ............................ ∂34,927 Rural and community access to emergency devices ................................................................................................ 2,521 2,526 2,526 ∂5 ............................State Offices of Rural Health .................................................................................................................................... 10,005 10,075 10,075 ∂70 ............................Black lung clinics ...................................................................................................................................................... 7,185 7,200 7,200 ∂15 ............................Radiation Exposure Screening and Education Program ............................................................................................ 1,948 1,952 1,952 ∂4 ............................

Subtotal, Rural health programs .................................................................................................................. 163,335 130,169 165,096 ∂1,761 ∂34,927 

Denali Commission ..................................................................................................................................................... 10,000 ............................ ............................ ¥10,000 ............................Family Planning .......................................................................................................................................................... 316,832 327,356 327,356 ∂10,524 ............................Health care-related facilities and activities .............................................................................................................. 337,300 100,000 156,329 ¥180,971 ∂56,329 Telehealth ................................................................................................................................................................... 11,575 11,600 15,000 ∂3,425 ∂3,400 Program management ................................................................................................................................................ 147,052 153,808 154,808 ∂7,756 ∂1,000 

Total, Health Resources and Services Administration [HRSA] ..................................................................... 7,482,994 7,601,658 7,490,663 ∂7,669 ¥110,995 Total, Health resources and services program level .................................................................................... (7,507,994 ) (7,626,658 ) (7,515,663 ) (∂7,669 ) (¥110,995 ) 

Total, Evaluation Tap Funding ............................................................................................................ (25,000 ) (25,000 ) (25,000 ) ............................ ............................

HEALTH EDUCATION ASSISTANCE LOANS [HEAL] PROGRAM ACCOUNT 

HEAL Liquidating account .......................................................................................................................................... (1,000 ) ............................ ............................ (¥1,000 ) ............................HEAL Program management ...................................................................................................................................... 2,847 ............................ ............................ ¥2,847 ............................

Total, HEAL .................................................................................................................................................... 2,847 ............................ ............................ ¥2,847 ............................
333 

VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 

Post fiscal year 1988 claims ..................................................................................................................................... 115,908 115,908 115,908 ............................ ............................HRSA administration .................................................................................................................................................. 6,502 6,502 6,502 ............................ ............................

Total, Vaccine Injury Compensation Trust Fund .......................................................................................... 122,410 122,410 122,410 ............................ ............................

Covered Countermeasure Process Fund ..................................................................................................................... ............................ 2,500 2,500 ∂2,500 ............................

Total, HRSA ................................................................................................................................................... 7,608,251 7,726,568 7,615,573 ∂7,322 ¥110,995 Total, HRSA program level ............................................................................................................................ (7,633,251 ) (7,751,568 ) (7,640,573 ) (∂7,322 ) (¥110,995 ) 

CENTERS FOR DISEASE CONTROL AND PREVENTION [CDC] 

DISEASE CONTROL, RESEARCH, AND TRAINING 

Infectious Diseases .................................................................................................................................................... 1,996,018 1,899,987 1,927,780 ¥68,238 ∂27,793 

Balances from Public Law 111–32 Pan Flu [NA] ............................................................................................ ............................ (156,344 ) (116,344 ) (∂116,344 ) (¥40,000 ) 

Evaluation Tap Funding ............................................................................................................................................. (12,864 ) (12,864 ) (12,864 ) ............................ ............................

Subtotal, Infectious Diseases program level ................................................................................................ (2,008,882 ) (2,069,195 ) (2,056,988 ) (∂48,106 ) (¥12,207 ) 

Health Promotion 

Chronic disease prevention, health promotion, and genomics ................................................................................. 931,154 937,307 931,154 ............................ ¥6,153 Birth defects, developmental disabilities, disability, and health ............................................................................. 143,347 143,539 145,289 ∂1,942 ∂1,750 

Subtotal, Health promotion ........................................................................................................................... 1,074,501 1,080,846 1,076,443 ∂1,942 ¥4,403 

Health Information and Service ................................................................................................................................. 72,044 97,033 228,748 ∂156,704 ∂131,715 Evaluation Tap Funding ............................................................................................................................................. (216,599 ) (209,914 ) (72,600 ) (¥143,999 ) (¥137,314 ) 

Subtotal, Health information and service program ..................................................................................... (288,643 ) (306,947 ) (301,348 ) (∂12,705 ) (¥5,599 ) 

Environmental Health and Injury 

Environmental health ................................................................................................................................................. 187,090 182,350 190,710 ∂3,620 ∂8,360 Injury prevention and control ..................................................................................................................................... 148,593 147,570 147,729 ¥864 ∂159 

Subtotal, Environmental health and injury .................................................................................................. 335,683 329,920 338,439 ∂2,756 ∂8,519 

National Institute for Occupational Safety and Health 3 ........................................................................................... 281,405 364,318 431,569 ∂150,164 ∂67,251 

Evaluation Tap Funding .................................................................................................................................... (91,724 ) (91,724 ) (21,724 ) (¥70,000 ) (¥70,000 ) 

Subtotal, Occupational Safety and health program3 .................................................................................. (373,129 ) (456,042 ) (453,293 ) (∂80,164 ) (¥2,749 ) 
334 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Energy employees occupational illness compensation program ............................................................................... 55,358 55,358 55,358 ............................ ............................Global health .............................................................................................................................................................. 336,075 351,944 353,294 ∂17,219 ∂1,350 Public health preparedness and response ................................................................................................................ 1,549,128 1,464,656 1,464,668 ¥84,460 ∂12 Balances from Public Law 111–32 Pan Flu [NA] ..................................................................................................... ............................ (68,515 ) (68,515 ) (∂68,515 ) ............................

Subtotal, Public Health Preparedness .......................................................................................................... 1,549,128 1,533,171 1,533,183 ¥15,945 ∂12 

Public health research ............................................................................................................................................... ............................ ............................ ............................ ............................ ............................

Evaluation Tap Funding .................................................................................................................................... (31,170 ) (31,170 ) (31,170 ) ............................ ............................

Public health improvement and leadership ............................................................................................................... 211,404 192,916 210,108 ¥1,296 ∂17,192 Preventive health and health services block grant ................................................................................................... 102,019 102,034 102,034 ∂15 ............................Buildings and facilities .............................................................................................................................................. 69,140 ............................ 12,000 ¥57,140 ∂12,000 Business services ....................................................................................................................................................... 369,814 382,152 382,152 ∂12,338 ............................

Total, CDC ..................................................................................................................................................... 6,452,589 6,321,164 6,582,593 ∂130,004 ∂261,429 

Discretionary ........................................................................................................................................ 6,397,231 6,265,806 6,527,235 ∂130,004 ∂261,429 Evaluation Tap Funding [NA] .............................................................................................................. (352,357 ) (345,672 ) (138,358 ) (¥213,999 ) (¥207,314 ) 

Total, CDC ..................................................................................................................................................... 6,452,589 6,321,164 6,582,593 ∂130,004 ∂261,429 Total, Centers for Disease Control and Prevention program level .............................................................. (6,804,946 ) (6,891,695 ) (6,905,810 ) (∂100,864 ) (∂14,115 ) 

NATIONAL INSTITUTES OF HEALTH [NIH] 

National Cancer Institute ........................................................................................................................................... 5,100,906 5,264,643 5,256,409 ∂155,503 ¥8,234 National Heart, Lung, and Blood Institute ................................................................................................................ 3,095,349 3,187,516 3,182,524 ∂87,175 ¥4,992 National Institute of Dental and Craniofacial Research ........................................................................................... 413,014 423,511 422,845 ∂9,831 ¥666 National Institute of Diabetes and Digestive and Kidney Diseases [NIDDK] ............................................................ 1,807,094 1,857,589 1,854,674 ∂47,580 ¥2,915 

Juvenile diabetes (mandatory) .......................................................................................................................... (150,000 ) (150,000 ) (150,000 ) ............................ ............................

Subtotal, NIDDK program level ..................................................................................................................... 1,957,094 2,007,589 2,004,674 ∂47,580 ¥2,915 

National Institute of Neurological Disorders and Stroke ........................................................................................... 1,635,477 1,681,333 1,678,696 ∂43,219 ¥2,637 
335 

National Institute of Allergy and Infectious Diseases ............................................................................................... 4,516,051 4,677,070 4,669,301 ∂153,250 ¥7,769 Global HIV/AIDS Fund Transfer .................................................................................................................................. 300,000 300,000 300,000 ............................ ............................

Subtotal, NIAID program level ...................................................................................................................... 4,816,051 4,977,070 4,969,301 ∂153,250 ¥7,769 

National Institute of General Medical Sciences ........................................................................................................ 2,050,665 2,125,090 2,121,783 ∂71,118 ¥3,307 National Institute of Child Health and Human Development ................................................................................... 1,328,828 1,368,894 1,366,750 ∂37,922 ¥2,144 National Eye Institute ................................................................................................................................................. 706,659 724,360 723,220 ∂16,561 ¥1,140 National Institute of Environmental Health Sciences ................................................................................................ 689,462 707,339 706,227 ∂16,765 ¥1,112 National Institute on Aging ........................................................................................................................................ 1,109,634 1,142,337 1,140,547 ∂30,913 ¥1,790 National Institute of Arthritis and Musculoskeletal and Skin Diseases ................................................................... 538,773 555,715 554,846 ∂16,073 ¥869 National Institute on Deafness and Other Communication Disorders ...................................................................... 418,594 429,007 428,331 ∂9,737 ¥676 National Institute of Nursing Research ..................................................................................................................... 145,578 150,198 149,963 ∂4,385 ¥235 National Institute on Alcohol Abuse and Alcoholism ................................................................................................ 462,098 474,649 473,904 ∂11,806 ¥745 National Institute on Drug Abuse .............................................................................................................................. 1,059,288 1,094,078 1,092,369 ∂33,081 ¥1,709 National Institute of Mental Health ........................................................................................................................... 1,489,569 1,540,345 1,537,942 ∂48,373 ¥2,403 National Human Genome Research Institute ............................................................................................................. 515,799 533,959 533,127 ∂17,328 ¥832 National Institute of Biomedical Imaging and Bioengineering ................................................................................. 316,405 325,925 325,415 ∂9,010 ¥510 National Center for Research Resources ................................................................................................................... 1,268,329 1,308,741 1,306,695 ∂38,366 ¥2,046 National Center for Complementary and Alternative Medicine ................................................................................. 128,772 132,004 131,796 ∂3,024 ¥208 National Institute on Minority Health and Health Disparities ................................................................................... 211,474 219,046 218,705 ∂7,231 ¥341 John E. Fogarty International Center ......................................................................................................................... 69,997 73,027 72,914 ∂2,917 ¥113 National Library of Medicine [NLM] ........................................................................................................................... 350,557 364,802 364,254 ∂13,697 ¥548 

Evaluation Tap Funding .................................................................................................................................... (8,200 ) (8,200 ) (8,200 ) ............................ ............................

Subtotal ......................................................................................................................................................... 358,757 373,002 372,454 ∂13,697 ¥548 

Office of the Director ................................................................................................................................................. 1,176,844 1,220,478 1,268,580 ∂91,736 ∂48,102 

Common fund .................................................................................................................................................... (544,109 ) (561,629 ) (561,629 ) (∂17,520 ) ............................

Buildings and Facilities ............................................................................................................................................. 99,985 125,581 125,420 ∂25,435 ¥161 

Total, National Institutes of Health [NIH] .................................................................................................... 31,005,201 32,007,237 32,007,237 ∂1,002,036 ............................

Global HIV/AIDS Fund Transfer ............................................................................................................ ¥300,000 ¥300,000 ¥300,000 ............................ ............................Evaluation Tap Funding ....................................................................................................................... (8,200 ) (8,200 ) (8,200 ) ............................ ............................

Total, NIH Program Level .............................................................................................................................. (30,713,401 ) (31,715,437 ) (31,715,437 ) (∂1,002,036 ) ............................
336 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION [SAMHSA] 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 

Mental Health: 

Programs of Regional and National Significance ............................................................................................ 361,352 374,184 386,309 ∂24,957 ∂12,125 

Mental Health block grant ......................................................................................................................................... 399,735 399,735 399,735 ............................ ............................

Evaluation Tap Funding .................................................................................................................................... (21,039 ) (21,039 ) (21,039 ) ............................ ............................

Subtotal, Program level ................................................................................................................................ (420,774 ) (420,774 ) (420,774 ) ............................ ............................

Children’s Mental Health ........................................................................................................................................... 121,316 126,214 126,214 ∂4,898 ............................Grants to States for the Homeless [PATH] ................................................................................................................ 65,047 70,000 70,000 ∂4,953 ............................Protection and Advocacy ............................................................................................................................................ 36,380 36,380 38,380 ∂2,000 ∂2,000 

Subtotal, Mental Health ................................................................................................................................ 983,830 1,006,513 1,020,638 ∂36,808 ∂14,125 Subtotal, Mental health program level ........................................................................................................ (1,004,869 ) (1,027,552 ) (1,041,677 ) (∂36,808 ) (∂14,125 ) 

Substance Abuse Treatment: 

Programs of Regional and National Significance ............................................................................................ 445,864 480,086 464,936 ∂19,072 ¥15,150 

Evaluation Tap Funding ........................................................................................................................... (8,596 ) (8,596 ) (8,596 ) ............................ ............................

Subtotal, Program level ....................................................................................................................... (454,460 ) (488,682 ) (473,532 ) (∂19,072 ) (¥15,150 ) 

Substance Abuse block grant ........................................................................................................................... 1,719,391 1,719,391 1,719,391 ............................ ............................

Evaluation Tap Funding ........................................................................................................................... (79,200 ) (79,200 ) (79,200 ) ............................ ............................

Subtotal, Program level ....................................................................................................................... (1,798,591 ) (1,798,591 ) (1,798,591 ) ............................ ............................Subtotal, Substance Abuse Treatment ................................................................................................ 2,165,255 2,199,477 2,184,327 ∂19,072 ¥15,150 Subtotal, Program level ....................................................................................................................... (2,253,051 ) (2,287,273 ) (2,272,123 ) (∂19,072 ) (¥15,150 ) 
337 

Substance Abuse Prevention: 

Programs of Regional and National Significance ............................................................................................ 202,039 223,075 222,492 ∂20,453 ¥583 

Program Management ................................................................................................................................................ 79,197 112,297 108,727 ∂29,530 ¥3,570 

Evaluation Tap Funding [NA] ............................................................................................................................ (22,750 ) (23,399 ) (23,399 ) (∂649 ) ............................

Subtotal, Program level ................................................................................................................................ 101,947 135,696 132,126 ∂30,179 ¥3,570 

St. Elizabeth’s Hospital—Environmental remediation .............................................................................................. 795 ............................ ............................ ¥795 ............................

Total, SAMHSA ............................................................................................................................................... 3,431,116 3,541,362 3,536,184 ∂105,068 ¥5,178 

Evaluation Tap Funding ....................................................................................................................... (131,585 ) (132,234 ) (132,234 ) (∂649 ) ............................

Total, SAMHSA program level ....................................................................................................................... (3,562,701 ) (3,673,596 ) (3,668,418 ) (∂105,717 ) (¥5,178 ) 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY [AHRQ] 

HEALTHCARE RESEARCH AND QUALITY 

Research on Health Costs, Quality, and Outcomes: 

Federal Funds .................................................................................................................................................... ............................ ............................ ............................ ............................ ............................Evaluation Tap Funding [NA] ............................................................................................................................ (270,653 ) (478,899 ) (267,290 ) (¥3,363 ) (¥211,609 ) 

Patient-centered Health Research [NA] ................................................................................................... (21,000 ) (272,750 ) (35,000 ) (∂14,000 ) (¥237,750 ) Quality Measure Development [NA] .......................................................................................................... ............................ ............................ (10,000 ) (∂10,000 ) (∂10,000 ) 

Subtotal, Program level ....................................................................................................................... (270,653 ) (478,899 ) (267,290 ) (¥3,363 ) (¥211,609 ) 

Medical Expenditures Panel Surveys: 

Federal Funds .................................................................................................................................................... ............................ ............................ ............................ ............................ ............................Evaluation Tap Funding [NA] ............................................................................................................................ (58,800 ) (59,300 ) (59,300 ) (∂500 ) ............................

Subtotal, Medical Expenditures Panel Surveys ............................................................................................ (58,800 ) (59,300 ) (59,300 ) (∂500 ) ............................

Program Support: 

Evaluation Tap Funding [NA] ............................................................................................................................ (67,600 ) (72,713 ) (70,463 ) (∂2,863 ) (¥2,250 ) 

Total, AHRQ ................................................................................................................................................... ............................ ............................ ............................ ............................ ............................

Evaluation Tap Funding [NA] .............................................................................................................. (397,053 ) (610,912 ) (397,053 ) ............................ (¥213,859 ) 

Total, AHRQ program level ........................................................................................................................... (397,053 ) (610,912 ) (397,053 ) ............................ (¥213,859 ) Total, Public Health Service [PHS] appropriation ........................................................................................ 48,497,157 49,596,331 49,741,587 ∂1,244,430 ∂145,256 Total, Public Health Service program level .................................................................................................. (51,251,143 ) (52,781,989 ) (52,516,082 ) (∂1,264,939 ) (¥265,907 ) 
338 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

CENTERS FOR MEDICARE AND MEDICAID SERVICES 

GRANTS TO STATES FOR MEDICAID 

Medicaid current law benefits ................................................................................................................................... 276,957,508 242,714,348 242,714,348 ¥34,243,160 ............................State and local administration .................................................................................................................................. 12,381,233 13,567,479 13,567,479 ∂1,186,246 ............................Vaccines for Children ................................................................................................................................................. 3,323,770 3,651,354 3,651,354 ∂327,584 ............................

Subtotal, Medicaid program level ................................................................................................................ 292,662,511 259,933,181 259,933,181 ¥32,729,330 ............................

Less funds advanced in prior year ..................................................................................................... ¥71,700,038 ¥86,789,382 ¥86,789,382 ¥15,089,344 ............................

Total, Grants to States for Medicaid ............................................................................................................ 220,962,473 173,143,799 173,143,799 ¥47,818,674 ............................

New advance, 1st quarter ................................................................................................................... 86,789,382 86,445,289 86,445,289 ¥344,093 ............................

PAYMENTS TO HEALTH CARE TRUST FUNDS 

Supplemental medical insurance ............................................................................................................................... 160,364,000 173,873,000 173,873,000 ∂13,509,000 ............................Hospital insurance for the uninsured ........................................................................................................................ ¥414,000 ............................ ............................ ∂414,000 ............................Federal uninsured payment ........................................................................................................................................ 272,000 275,000 275,000 ∂3,000 ............................Program management ................................................................................................................................................ 393,070 180,000 180,000 ¥213,070 ............................General revenue for Part D benefit ............................................................................................................................ 53,180,000 54,393,000 54,393,000 ∂1,213,000 ............................General revenue for Part D administration ............................................................................................................... 484,000 382,000 382,000 ¥102,000 ............................HCFAC reimbursement ................................................................................................................................................ 311,000 561,000 561,000 ∂250,000 ............................

Total, Payments to Trust Funds, program level ........................................................................................... 214,590,070 229,664,000 229,664,000 ∂15,073,930 ............................

PROGRAM MANAGEMENT 

Research, Demonstration, Evaluation ........................................................................................................................ 35,600 47,178 41,300 ∂5,700 ¥5,878 Data initiative ............................................................................................................................................................ ............................ 110,000 110,000 ∂110,000 ............................Medicare Operations ................................................................................................................................................... 2,335,862 2,356,604 2,335,862 ............................ ¥20,742 State Survey and Certification ................................................................................................................................... 346,900 362,000 362,000 ∂15,100 ............................High-risk insurance pools .......................................................................................................................................... 55,000 ............................ ............................ ¥55,000 ............................
339 

Federal Administration ............................................................................................................................................... 696,880 725,365 725,365 ∂28,485 ............................

Total, Program management, Limitation on new BA ................................................................................... 3,470,242 3,601,147 3,574,527 ∂104,285 ¥26,620 

HEALTH CARE FRAUD AND ABUSE CONTROL 

Part D drug benefit/medicare advantage [MIP] ........................................................................................................ 220,320 328,423 328,423 ∂108,103 ............................HHS Office of Inspector General ................................................................................................................................ 29,790 94,830 94,830 ∂65,040 ............................Department of Justice ................................................................................................................................................ 29,790 90,003 90,003 ∂60,213 ............................Medicaid/SCHIP .......................................................................................................................................................... 31,100 47,744 47,744 ∂16,644 ............................

Total, Health Care Fraud and Abuse Control ............................................................................................... 311,000 561,000 561,000 ∂250,000 ............................Total, Centers for Medicare and Medicaid Services .................................................................................... 526,123,167 493,415,235 493,388,615 ¥32,734,552 ¥26,620 

Federal funds ....................................................................................................................................... 522,341,925 489,253,088 489,253,088 ¥33,088,837 ............................

Current year ................................................................................................................................ (435,552,543 ) (402,807,799 ) (402,807,799 ) (¥32,744,744 ) ............................New advance, fiscal year 2012 .................................................................................................. (86,789,382 ) (86,445,289 ) (86,445,289 ) (¥344,093 ) ............................

Trust Funds .......................................................................................................................................... 3,781,242 4,162,147 4,135,527 ∂354,285 ¥26,620 

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 ......................................................................................................................... 4,240,449 3,024,814 3,024,814 ¥1,215,635 ............................Federal incentive payments .............................................................................................................................. 504,000 514,000 514,000 ∂10,000 ............................Access and visitation ........................................................................................................................................ 10,000 10,000 10,000 ............................ ............................

Subtotal, Child Support Enforcement ........................................................................................................... 4,754,449 3,548,814 3,548,814 ¥1,205,635 ............................Total, Family support payments program level ............................................................................................ 4,788,449 3,582,814 3,582,814 ¥1,205,635 ............................

Less funds advanced in previous years .............................................................................................. ¥1,000,000 ¥1,100,000 ¥1,100,000 ¥100,000 ............................

Total, Family support payments, current year ............................................................................................. 3,788,449 2,482,814 2,482,814 ¥1,305,635 ............................

New advance, 1st quarter, fiscal year 2012 ...................................................................................... 1,100,000 1,200,000 1,200,000 ∂100,000 ............................
340 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

LOW-INCOME HOME ENERGY ASSISTANCE [LIHEAP] 

Formula grants ........................................................................................................................................................... 4,509,672 2,510,000 2,709,672 ¥1,800,000 ∂199,672 

Subtotal, Formula grants .............................................................................................................................. 4,509,672 2,510,000 2,709,672 ¥1,800,000 ∂199,672 

Contingency fund ....................................................................................................................................................... 589,551 790,000 590,328 ∂777 ¥199,672 

Subtotal, Contingency fund .......................................................................................................................... 589,551 790,000 590,328 ∂777 ¥199,672 Total, LIHEAP ................................................................................................................................................. 5,099,223 3,300,000 3,300,000 ¥1,799,223 ............................Total, LIHEAP, program level ........................................................................................................................ 5,099,223 3,300,000 3,300,000 ¥1,799,223 ............................

REFUGEE AND ENTRANT ASSISTANCE 

Transitional and Medical Services ............................................................................................................................. 353,281 417,000 392,000 ∂38,719 ¥25,000 Victims of Trafficking ................................................................................................................................................. 9,814 9,814 10,814 ∂1,000 ∂1,000 Social Services ........................................................................................................................................................... 154,005 179,005 187,005 ∂33,000 ∂8,000 Preventive Health ....................................................................................................................................................... 4,748 4,748 4,748 ............................ ............................Targeted Assistance ................................................................................................................................................... 48,590 48,590 48,590 ............................ ............................Unaccompanied minors .............................................................................................................................................. 149,291 207,357 179,357 ∂30,066 ¥28,000 Victims of Torture ....................................................................................................................................................... 11,088 11,088 12,088 ∂1,000 ∂1,000 

Total, Refugee and entrant assistance ........................................................................................................ 730,817 877,602 834,602 ∂103,785 ¥43,000 

PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT BLOCK GRANT 

Child Care and Development Block Grant ................................................................................................................. 2,126,757 2,927,081 3,127,081 ∂1,000,324 ∂200,000 

Total, Child Care and Development Block Grant ......................................................................................... 2,126,757 2,927,081 3,127,081 ∂1,000,324 ∂200,000 

SOCIAL SERVICES BLOCK GRANT (TITLE XX) ............................................................................................................. 1,700,000 1,700,000 1,700,000 ............................ ............................
341 

CHILDREN AND FAMILIES SERVICES PROGRAMS 

Programs for Children, Youth, and Families: 

Head Start, current funded ............................................................................................................................... 7,233,680 8,223,958 8,223,958 ∂990,278 ............................Consolidated Runaway, Homeless Youth Program ........................................................................................... 97,734 97,734 104,734 ∂7,000 ∂7,000 Prevention grants to reduce abuse of runaway youth ..................................................................................... 17,971 17,971 18,971 ∂1,000 ∂1,000 Child Abuse State Grants ................................................................................................................................. 26,535 26,535 26,535 ............................ ............................Child Abuse Discretionary Activities ................................................................................................................. 29,020 39,020 37,295 ∂8,275 ¥1,725 Community based child abuse prevention ....................................................................................................... 41,689 41,689 41,689 ............................ ............................Abandoned Infants Assistance .......................................................................................................................... 11,628 11,628 11,628 ............................ ............................Child Welfare Services ...................................................................................................................................... 281,691 281,744 281,744 ∂53 ............................Child Welfare Training ...................................................................................................................................... 27,207 27,207 27,207 ............................ ............................Adoption Opportunities ...................................................................................................................................... 26,379 39,332 39,332 ∂12,953 ............................Adoption Incentive ............................................................................................................................................. 39,500 42,000 42,000 ∂2,500 ............................Adoption Awareness .......................................................................................................................................... 12,953 ............................ ............................ ¥12,953 ............................Social Services and Income Maintenance Research ........................................................................................ 19,610 3,000 9,738 ¥9,872 ∂6,738 

Evaluation Tap Funding ........................................................................................................................... (5,762 ) (5,762 ) (5,762 ) ............................ ............................

Subtotal, Program level ....................................................................................................................... (25,372 ) (8,762 ) (15,500 ) (¥9,872 ) (∂6,738 ) 

Developmental Disabilities Programs: 

State Councils ................................................................................................................................................... 75,066 75,066 76,066 ∂1,000 ∂1,000 Protection and Advocacy ................................................................................................................................... 41,024 41,024 42,024 ∂1,000 ∂1,000 Voting access for individuals with disabilities ................................................................................................ 17,410 17,410 17,410 ............................ ............................Developmental Disabilities Projects of National Significance .......................................................................... 14,136 14,162 14,162 ∂26 ............................University Centers for Excellence in Developmental Disabilities ..................................................................... 38,943 38,943 39,943 ∂1,000 ∂1,000 

Subtotal, Developmental disabilities programs ........................................................................................... 186,579 186,605 189,605 ∂3,026 ∂3,000 

Native American Programs ......................................................................................................................................... 48,773 48,773 48,773 ............................ ............................Community Services: 

Community Services Block Grant Act programs: 

Grants to States for Community Services ............................................................................................... 700,000 700,000 700,000 ............................ ............................Economic Development ............................................................................................................................. 36,000 36,000 55,000 ∂19,000 ∂19,000 Rural Community Facilities ...................................................................................................................... 10,000 ............................ 10,000 ............................ ∂10,000 

Subtotal ................................................................................................................................................ 746,000 736,000 765,000 ∂19,000 ∂29,000 

Job Opportunities for Low-income Individuals .................................................................................................. 2,644 ............................ 2,644 ............................ ∂2,644 Individual Development Account Initiative ....................................................................................................... 23,907 24,025 24,025 ∂118 ............................

Subtotal, Community Services ...................................................................................................................... 772,551 760,025 791,669 ∂19,118 ∂31,644 
342 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Domestic Violence Hotline .......................................................................................................................................... 3,209 4,500 4,500 ∂1,291 ............................Family Violence/Battered Women’s Shelters .............................................................................................................. 130,032 140,000 140,000 ∂9,968 ............................Mentoring Children of Prisoners ................................................................................................................................ 49,314 49,314 49,314 ............................ ............................Independent Living Training Vouchers ....................................................................................................................... 45,351 45,351 45,351 ............................ ............................Faith-based Center ..................................................................................................................................................... 1,376 1,376 1,376 ............................ ............................Disaster human services case management ............................................................................................................. 2,000 2,000 2,000 ............................ ............................Program Direction ....................................................................................................................................................... 208,398 222,308 222,308 ∂13,910 ............................

Total, Children and Families Services Programs ......................................................................................... 9,313,180 10,312,070 10,359,727 ∂1,046,547 ∂47,657 

Current Year ......................................................................................................................................... (9,313,180 ) (10,312,070 ) (10,359,727 ) (∂1,046,547 ) (∂47,657 ) Evaluation Tap Funding ....................................................................................................................... (5,762 ) (5,762 ) (5,762 ) ............................ ............................

Total, Program level ...................................................................................................................................... (9,318,942 ) (10,317,832 ) (10,365,489 ) (∂1,046,547 ) (∂47,657 ) 

PROMOTING SAFE AND STABLE FAMILIES .................................................................................................................. 345,000 345,000 345,000 ............................ ............................

Discretionary Funds ........................................................................................................................................... 63,311 63,311 63,311 ............................ ............................

PAYMENTS FOR FOSTER CARE AND PERMANENCY 

Foster Care ................................................................................................................................................................. 4,681,000 4,539,000 4,539,000 ¥142,000 ............................Adoption Assistance ................................................................................................................................................... 2,501,000 2,459,000 2,459,000 ¥42,000 ............................Kinship Guardianship ................................................................................................................................................. 56,000 78,000 78,000 ∂22,000 ............................Independent living ...................................................................................................................................................... 140,000 140,000 140,000 ............................ ............................

Total, Payments to States ............................................................................................................................ 7,378,000 7,216,000 7,216,000 ¥162,000 ............................

Less Advances from Prior Year ........................................................................................................... ¥1,800,000 ¥1,850,000 ¥1,850,000 ¥50,000 ............................

Total, payments, current year ......................................................................................................... 5,578,000 5,366,000 5,366,000 ¥212,000 ............................New Advance, 1st quarter ............................................................................................................... 1,850,000 1,850,000 1,850,000 ............................ ............................

Total, Administration for Children and Families .......................................................................................... 31,694,737 30,423,878 30,628,535 ¥1,066,202 ∂204,657 

Current year ......................................................................................................................................... (28,744,737 ) (27,373,878 ) (27,578,535 ) (¥1,166,202 ) (∂204,657 ) 
343 

Fiscal year 2012 .................................................................................................................................. (2,950,000 ) (3,050,000 ) (3,050,000 ) (∂100,000 ) ............................Evaluation Tap Funding ....................................................................................................................... (5,762 ) (5,762 ) (5,762 ) ............................ ............................

Total, Administration for Children and Families program level .................................................................. 31,700,499 30,429,640 30,634,297 ¥1,066,202 ∂204,657 

ADMINISTRATION ON AGING 

AGING SERVICES PROGRAMS 

Grants to States: 

Home and Community-based Supportive Services ........................................................................................... 368,294 416,348 416,348 ∂48,054 ............................Preventive Health .............................................................................................................................................. 21,023 21,026 21,026 ∂3 ............................Protection of Vulnerable Older Americans—Title VII ....................................................................................... 21,880 23,290 24,290 ∂2,410 ∂1,000 Family Caregivers .............................................................................................................................................. 154,197 202,220 202,220 ∂48,023 ............................Native American Caregivers Support ................................................................................................................ 6,388 8,389 8,389 ∂2,001 ............................

Subtotal, Caregivers ..................................................................................................................................... 160,585 210,609 210,609 ∂50,024 ............................

Nutrition: 

Congregate Meals .............................................................................................................................................. 440,718 445,644 463,644 ∂22,926 ∂18,000 Home-delivered Meals ....................................................................................................................................... 217,644 220,893 232,893 ∂15,249 ∂12,000 Nutrition Services Incentive Program ................................................................................................................ 160,991 161,015 161,015 ∂24 ............................

Subtotal ......................................................................................................................................................... 819,353 827,552 857,552 ∂38,199 ∂30,000 

Grants for Native Americans ...................................................................................................................................... 27,704 29,708 29,708 ∂2,004 ............................Program Innovations .................................................................................................................................................. 19,020 13,049 14,699 ¥4,321 ∂1,650 Aging Network Support Activities ............................................................................................................................... 44,276 44,179 44,179 ¥97 ............................Alzheimer’s Disease Demonstrations ......................................................................................................................... 11,462 11,464 11,464 ∂2 ............................Lifespan Respite Care ................................................................................................................................................ 2,500 5,000 7,000 ∂4,500 ∂2,000 Program Administration ............................................................................................................................................. 19,976 22,508 22,508 ∂2,532 ............................

Total, Administration on Aging ..................................................................................................................... 1,516,073 1,624,733 1,659,383 ∂143,310 ∂34,650 

OFFICE OF THE SECRETARY 

GENERAL DEPARTMENTAL MANAGEMENT 

General Departmental Management: 

Federal Funds .................................................................................................................................................... 195,249 227,943 228,693 ∂33,444 ∂750 Trust Funds ....................................................................................................................................................... 5,851 ............................ ............................ ¥5,851 ............................

Subtotal ......................................................................................................................................................... 201,100 227,943 228,693 ∂27,593 ∂750 

Teen Pregnancy Prevention Community Grants ......................................................................................................... 109,979 129,218 110,000 ∂21 ¥19,218 
344 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Evaluation Tap Funding .................................................................................................................................... (4,455 ) (4,455 ) (8,455 ) (∂4,000 ) (∂4,000 ) 

Subtotal, Teen Pregnancy Prevention Community Grants ............................................................................ (114,434 ) (133,673 ) (118,455 ) (∂4,021 ) (¥15,218 ) 

Adolescent Family Life (Title XX) ............................................................................................................................... 16,658 16,658 12,474 ¥4,184 ¥4,184 Minority health ........................................................................................................................................................... 55,989 57,980 58,180 ∂2,191 ∂200 Office of Women’s Health .......................................................................................................................................... 33,746 33,746 33,746 ............................ ............................Transformation of the Commissioned Corps ............................................................................................................. 14,813 13,513 13,513 ¥1,300 ............................Minority HIV/AIDS ........................................................................................................................................................ 53,880 53,891 53,891 ∂11 ............................Embryo adoption awareness campaign ..................................................................................................................... 4,200 4,200 4,200 ............................ ............................Acquisition reform ...................................................................................................................................................... ............................ 7,000 7,000 ∂7,000 ............................Planning and evaluation, Evaluation Tap Funding ................................................................................................... (60,756 ) (60,756 ) (60,756 ) ............................ ............................

Total, General Departmental Management ................................................................................................... 490,365 544,149 521,697 ∂31,332 ¥22,452 

Federal Funds ...................................................................................................................................... (484,514 ) (544,149 ) (521,697 ) (∂37,183 ) (¥22,452 ) Trust Funds .......................................................................................................................................... 5,851 ............................ ............................ ¥5,851 ............................Evaluation Tap Funding [NA] .............................................................................................................. (65,211 ) (65,211 ) (69,211 ) (∂4,000 ) (∂4,000 ) 

Total, General Departmental Management program .................................................................................... 555,576 609,360 590,908 ∂35,332 ¥18,452 

OFFICE OF MEDICARE HEARINGS AND APPEALS ........................................................................................................ 71,147 77,798 77,798 ∂6,651 ............................OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY ................................................ 42,325 78,334 59,323 ∂16,998 ¥19,011 

Evaluation Tap Funding .................................................................................................................................... (19,011 ) ............................ (19,011 ) ............................ (∂19,011 ) 

Total, program level ...................................................................................................................................... (61,336 ) (78,334 ) (78,334 ) (∂16,998 ) ............................

OFFICE OF INSPECTOR GENERAL [IG] 

Inspector General Federal Funds ............................................................................................................................... 50,279 51,754 54,754 ∂4,475 ∂3,000 

HIPAA/HCFAC funding [NA] ............................................................................................................................... (177,205 ) (177,205 ) (177,205 ) ............................ ............................

Medicaid integrity program: Deficit Reduction Act (Public Law 109–171) [NA] .................................................................................................... (25,000 ) ............................ ............................ (¥25,000 ) ............................
345 

Total, Inspector General program level ........................................................................................................ (252,484 ) (228,959 ) (231,959 ) (¥20,525 ) (∂3,000 ) Total, IG program level ................................................................................................................................. (252,484 ) (228,959 ) (231,959 ) (¥20,525 ) (∂3,000 ) 

OFFICE FOR CIVIL RIGHTS: 

Federal Funds .................................................................................................................................................... 37,779 44,382 44,382 ∂6,603 ............................Trust Funds ....................................................................................................................................................... 3,314 ............................ ............................ ¥3,314 ............................

Total, Office for Civil Rights ........................................................................................................................ 41,093 44,382 44,382 ∂3,289 ............................

RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS 

Retirement payments ................................................................................................................................................. 356,455 386,040 386,040 ∂29,585 ............................Survivors benefits ....................................................................................................................................................... 24,593 27,888 27,888 ∂3,295 ............................Dependents’ medical care .......................................................................................................................................... 93,509 103,608 103,608 ∂10,099 ............................

Total, Medical benefits for Commissioned Officers ..................................................................................... 474,557 517,536 517,536 ∂42,979 ............................

PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND 

Assistant Secretary for Preparedness and Response 

Operations .................................................................................................................................................................. 12,845 12,847 12,847 ∂2 ............................Preparedness and emergency operations .................................................................................................................. 33,059 44,153 38,059 ∂5,000 ¥6,094 National disaster medical system ............................................................................................................................. 56,028 56,540 56,540 ∂512 ............................Hospital Preparedness ................................................................................................................................................ 425,928 426,000 426,000 ∂72 ............................Bioterrorism advanced research and development ................................................................................................... 340,066 476,194 476,194 ∂136,128 ............................Medical Countermeasure Dispensing ......................................................................................................................... 9,998 10,000 10,000 ∂2 ............................Global Medicine, Science, and Public Health ............................................................................................................ 8,747 10,000 10,000 ∂1,253 ............................Policy, strategic planning, and communications ...................................................................................................... 4,366 8,000 6,166 ∂1,800 ¥1,834 ASPR co-located office facility ................................................................................................................................... ............................ 10,000 10,000 ∂10,000 ............................

Subtotal, Assistant Secretary for Preparedness and Response ................................................................... 891,037 1,053,734 1,045,806 ∂154,769 ¥7,928 

Assistant Secretary for Administration, Cyber security ............................................................................................. 27,040 37,040 32,040 ∂5,000 ¥5,000 

Office of Public Health and Science 

Medical Reserve Corps ............................................................................................................................................... 12,581 12,694 12,694 ∂113 ............................

Office of the Secretary 

Parklawn lease expiration .......................................................................................................................................... 69,585 35,000 35,000 ¥34,585 ............................Office of security and strategic information ............................................................................................................. 4,893 6,460 5,677 ∂784 ¥783 Pandemic influenza preparedness: 

Available until expended ................................................................................................................................... 276,000 ............................ ............................ ¥276,000 ............................
346 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Balances from Public Law 111–32 Pan Flu [NA] ..................................................................................................... ............................ (330,000 ) (330,000 ) (∂330,000 ) ............................Fiscal year 2011 ......................................................................................................................................................... 65,000 65,578 65,578 ∂578 ............................

Pandemic Flu, program level [NA] ............................................................................................................... (341,000 ) (395,578 ) (395,578 ) (∂54,578 ) ............................

Subtotal, OS appropriation ....................................................................................................................... 415,478 107,038 106,255 ¥309,223 ¥783 Subtotal, OS Program level [NA] .............................................................................................................. 415,478 437,038 436,255 ∂20,777 ¥783 Total, PHSSEF appropriation .................................................................................................................... 1,346,136 1,210,506 1,196,795 ¥149,341 ¥13,711 Total, PHSSEF program level .................................................................................................................... 1,346,136 1,540,506 1,526,795 ∂180,659 ¥13,711 Total, Office of the Secretary ................................................................................................................... 2,515,902 2,524,459 2,472,285 ¥43,617 ¥52,174 

Federal Funds .................................................................................................................................. 2,435,590 2,446,661 2,394,487 ¥41,103 ¥52,174 Trust Funds ..................................................................................................................................... 80,312 77,798 77,798 ¥2,514 ............................Evaluation Tap Funding [NA] .......................................................................................................... (84,222 ) (65,211 ) (88,222 ) (∂4,000 ) (∂23,011 ) 

Total, Title II, Dept of Health and Human Services ................................................................................ 610,347,036 577,584,636 577,890,405 ¥32,456,631 ∂305,769 

Federal Funds .................................................................................................................................. 606,485,482 573,344,691 573,677,080 ¥32,808,402 ∂332,389 

Current year ............................................................................................................................ (516,746,100 ) (483,849,402 ) (484,181,791 ) (¥32,564,309 ) (∂332,389 ) Current Year (emergency) ...................................................................................................... ............................ ............................ ............................ ............................ ............................Fiscal year 2012 ..................................................................................................................... (89,739,382 ) (89,495,289 ) (89,495,289 ) (¥244,093 ) ............................

Trust Funds ..................................................................................................................................... 3,861,554 4,239,945 4,213,325 ∂351,771 ¥26,620 

Total, Title II (excluding emergencies) ....................................................................................... 610,347,036 577,584,636 577,890,405 ¥32,456,631 ∂305,769 

TITLE III—DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED 

Grants to Local Educational Agencies [LEAs]: 

Basic Grants: 

Advance from prior year ........................................................................................................................... (2,946,721 ) (3,448,145 ) (3,448,145 ) (∂501,424 ) ............................Forward funded ........................................................................................................................................ 3,145,801 2,305,080 3,145,801 ............................ ∂840,721 
347 

Current funded ......................................................................................................................................... 4,000 4,000 4,000 ............................ ............................

Subtotal, Basic grants current year appropriations ........................................................................... 3,149,801 2,309,080 3,149,801 ............................ ∂840,721 Subtotal, Basic grants total funds available ..................................................................................... (6,096,522 ) (5,757,225 ) (6,597,946 ) (∂501,424 ) (∂840,721 ) 

Basic Grants fiscal year 2012 Advance .................................................................................................................... 3,448,145 4,288,866 3,448,145 ............................ ¥840,721 

Subtotal, Basic grants, program level ......................................................................................................... 6,597,946 6,597,946 6,597,946 ............................ ............................

Concentration Grants: 

Advance from prior year .................................................................................................................................... (1,365,031 ) (1,365,031 ) (1,365,031 ) ............................ ............................Fiscal year 2012 Advance ................................................................................................................................. 1,365,031 1,365,031 1,365,031 ............................ ............................

Targeted Grants: 

Forward funded ................................................................................................................................................. 250,712 250,712 475,712 ∂225,000 ∂225,000 Advance from prior year .................................................................................................................................... (3,264,712 ) (3,014,000 ) (3,014,000 ) (¥250,712 ) ............................Fiscal year 2012 Advance ................................................................................................................................. 3,014,000 3,014,000 3,014,000 ............................ ............................

Subtotal ......................................................................................................................................................... 3,264,712 3,264,712 3,489,712 ∂225,000 ∂225,000 

Education Finance Incentive Grants: 

Forward Funded ................................................................................................................................................. 250,712 250,712 475,712 ∂225,000 ∂225,000 Advance from prior year .................................................................................................................................... (3,264,712 ) (3,014,000 ) (3,014,000 ) (¥250,712 ) ............................Fiscal year 2012 Advance ................................................................................................................................. 3,014,000 3,014,000 3,014,000 ............................ ............................

Subtotal, Grants to LEAs, program level ...................................................................................................... 14,492,401 14,492,401 14,942,401 ∂450,000 ∂450,000 

Early Learning Challenge fund .................................................................................................................................. ............................ ............................ 300,000 ∂300,000 ∂300,000 Even Start ................................................................................................................................................................... 66,454 ............................ ............................ ¥66,454 ............................School improvement grants ....................................................................................................................................... 545,633 900,000 625,000 ∂79,367 ¥275,000 Striving readers .......................................................................................................................................................... 250,000 ............................ 250,000 ............................ ∂250,000 Literacy through School Libraries .............................................................................................................................. 19,145 ............................ 19,145 ............................ ∂19,145 State Agency Programs: 

Migrant .............................................................................................................................................................. 394,771 394,771 394,771 ............................ ............................Neglected and Delinquent/High-risk Youth ....................................................................................................... 50,427 50,427 50,427 ............................ ............................

Subtotal, State Agency programs ................................................................................................................. 445,198 445,198 445,198 ............................ ............................

Evaluation ................................................................................................................................................................... 9,167 9,167 8,167 ¥1,000 ¥1,000 High School Graduation Initiative .............................................................................................................................. 50,000 ............................ 100,000 ∂50,000 ∂100,000 Special Programs for Migrant Students .................................................................................................................... 36,668 36,668 36,668 ............................ ............................
348 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Total, Education for the disadvantaged ....................................................................................................... 15,914,666 15,883,434 16,726,579 ∂811,913 ∂843,145 

Current Year ......................................................................................................................................... (5,073,490 ) (4,201,537 ) (5,885,403 ) (∂811,913 ) (∂1,683,866 ) Fiscal year 2012 .................................................................................................................................. (10,841,176 ) (11,681,897 ) (10,841,176 ) ............................ (¥840,721 ) 

Subtotal, Forward Funded ............................................................................................................................. (4,954,510 ) (4,151,702 ) (5,717,423 ) (∂762,913 ) (∂1,565,721 ) Total, Education for the disadvantaged ....................................................................................................... 15,914,666 15,883,434 16,726,579 ∂811,913 ∂843,145 

IMPACT AID 

Basic Support Payments ............................................................................................................................................ 1,138,000 1,138,000 1,153,000 ∂15,000 ∂15,000 Payments for Children with Disabilities .................................................................................................................... 48,602 48,602 50,602 ∂2,000 ∂2,000 Facilities Maintenance (Sec. 8008) ........................................................................................................................... 4,864 4,864 4,864 ............................ ............................Construction (Sec. 8007) ........................................................................................................................................... 17,509 17,509 18,509 ∂1,000 ∂1,000 Payments for Federal Property (Sec. 8002) ............................................................................................................... 67,208 67,208 69,208 ∂2,000 ∂2,000 

Total, Impact aid .......................................................................................................................................... 1,276,183 1,276,183 1,296,183 ∂20,000 ∂20,000 

SCHOOL IMPROVEMENT PROGRAMS 

Effective teaching and learning: literacy .................................................................................................................. ............................ 450,000 ............................ ............................ ¥450,000 Effective teaching and learning: STEM ..................................................................................................................... ............................ 300,000 ............................ ............................ ¥300,000 Effective teaching and learning for well-rounded education .................................................................................... ............................ 265,000 ............................ ............................ ¥265,000 College pathways ....................................................................................................................................................... ............................ 100,000 ............................ ............................ ¥100,000 State Grants for Improving Teacher Quality .............................................................................................................. 1,266,308 ............................ 1,266,232 ¥76 ∂1,266,232 Current funded ........................................................................................................................................................... ............................ ............................ 7,000 ∂7,000 ∂7,000 

Advance from prior year .................................................................................................................................... (1,681,441 ) (1,681,441 ) (1,681,441 ) ............................ ............................Fiscal year 2012 ................................................................................................................................................ 1,681,441 ............................ 1,681,441 ............................ ∂1,681,441 

Subtotal, State Grants for Improving Teacher Quality, program level ........................................................ 2,947,749 ............................ 2,954,673 ∂6,924 ∂2,954,673 

Mathematics and Science Partnerships .................................................................................................................... 180,478 ............................ 180,478 ............................ ∂180,478 Educational Technology State Grants ........................................................................................................................ 100,000 ............................ 100,000 ............................ ∂100,000 Supplemental Education Grants ................................................................................................................................ 17,687 17,687 17,687 ............................ ............................21st Century Community Learning Centers ............................................................................................................... 1,166,166 1,166,166 1,266,166 ∂100,000 ∂100,000 
349 

State Assessments/Enhanced Assessment Instruments ............................................................................................ 410,732 450,000 450,000 ∂39,268 ............................Javits gifted and talented education ......................................................................................................................... 7,463 ............................ ............................ ¥7,463 ............................Foreign language assistance ..................................................................................................................................... 26,928 ............................ 26,928 ............................ ∂26,928 Education for Homeless Children and Youth ............................................................................................................. 65,427 65,427 75,427 ∂10,000 ∂10,000 Training and Advisory Services (Civil Rights) ........................................................................................................... 6,989 6,989 6,989 ............................ ............................Education for Native Hawaiians ................................................................................................................................ 34,315 34,315 35,315 ∂1,000 ∂1,000 Alaska Native Education Equity ................................................................................................................................. 33,315 33,315 33,315 ............................ ............................Rural Education .......................................................................................................................................................... 174,882 174,882 179,882 ∂5,000 ∂5,000 Comprehensive Centers .............................................................................................................................................. 56,313 56,313 61,313 ∂5,000 ∂5,000 

Total, School improvement programs ........................................................................................................... 5,228,444 3,120,094 5,388,173 ∂159,729 ∂2,268,079 

Current Year ......................................................................................................................................... (3,547,003 ) (3,120,094 ) (3,706,732 ) (∂159,729 ) (∂586,638 ) Fiscal year 2012 .................................................................................................................................. (1,681,441 ) ............................ (1,681,441 ) ............................ (∂1,681,441 ) 

Subtotal, Forward Funded ............................................................................................................................. (3,363,993 ) (1,856,475 ) (3,518,185 ) (∂154,192 ) (∂1,661,710 ) Total, School improvement ........................................................................................................................... 5,228,444 3,120,094 5,388,173 ∂159,729 ∂2,268,079 

INDIAN EDUCATION 

Grants to Local Educational Agencies ....................................................................................................................... 104,331 104,331 104,331 ............................ ............................Federal Programs: 

Special Programs for Indian Children .............................................................................................................. 19,060 19,060 19,060 ............................ ............................

National Activities ...................................................................................................................................................... 3,891 3,891 5,891 ∂2,000 ∂2,000 

Subtotal, Federal Programs .......................................................................................................................... 22,951 22,951 24,951 ∂2,000 ∂2,000 Total, Indian Education ................................................................................................................................ 127,282 127,282 129,282 ∂2,000 ∂2,000 

INNOVATION AND IMPROVEMENT 

Race to the Top .......................................................................................................................................................... ............................ 1,350,000 675,000 ∂675,000 ¥675,000 Investing in Innovation Fund ..................................................................................................................................... ............................ 500,000 250,000 ∂250,000 ¥250,000 Effective Teachers and Leaders State Grants ........................................................................................................... ............................ 2,500,000 ............................ ............................ ¥2,500,000 Teacher and Leader Innovation Fund ........................................................................................................................ ............................ 950,000 ............................ ............................ ¥950,000 Teacher and Leader Pathways ................................................................................................................................... ............................ 405,000 ............................ ............................ ¥405,000 Expanding educational options .................................................................................................................................. ............................ 490,000 ............................ ............................ ¥490,000 Troops-to-Teachers ..................................................................................................................................................... 14,389 ............................ ............................ ¥14,389 ............................Transition to Teaching ............................................................................................................................................... 43,707 ............................ 43,707 ............................ ∂43,707 National Writing Project ............................................................................................................................................. 25,646 ............................ 25,646 ............................ ∂25,646 Teaching of Traditional American History .................................................................................................................. 118,952 ............................ 118,952 ............................ ∂118,952 School Leadership ...................................................................................................................................................... 29,220 ............................ 41,220 ∂12,000 ∂41,220 Advanced Credentialing ............................................................................................................................................. 10,649 ............................ 10,649 ............................ ∂10,649 Teach for America ...................................................................................................................................................... 18,000 ............................ 22,000 ∂4,000 ∂22,000 
350 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Charter Schools Grants .............................................................................................................................................. 256,031 ............................ 256,031 ............................ ∂256,031 Voluntary Public School Choice .................................................................................................................................. 25,819 ............................ 25,819 ............................ ∂25,819 Magnet Schools Assistance ........................................................................................................................................ 100,000 110,000 100,000 ............................ ¥10,000 Fund for the Improvement of Education [FIE] ........................................................................................................... 261,570 27,278 178,987 ¥82,583 ∂151,709 Teacher Incentive Fund .............................................................................................................................................. 400,000 ............................ 400,000 ............................ ∂400,000 Ready-to-Learn television ........................................................................................................................................... 27,300 ............................ 29,050 ∂1,750 ∂29,050 Close Up Fellowships ................................................................................................................................................. 1,942 ............................ 1,942 ............................ ∂1,942 Advanced Placement .................................................................................................................................................. 45,840 ............................ 45,840 ............................ ∂45,840 

Total, Innovation and Improvement .............................................................................................................. 1,379,065 6,332,278 2,224,843 ∂845,778 ¥4,107,435 Subtotal, Forward funded ............................................................................................................................. ............................ 1,350,000 675,000 ∂675,000 ¥675,000 

SAFE SCHOOLS AND CITIZENSHIP EDUCATION 

Safe and healthy students ......................................................................................................................................... ............................ 410,000 ............................ ............................ ¥410,000 Promise neighborhoods .............................................................................................................................................. 10,000 210,000 20,000 ∂10,000 ¥190,000 National Programs ...................................................................................................................................................... 191,341 ............................ 196,341 ∂5,000 ∂196,341 Alcohol Abuse Reduction ............................................................................................................................................ 32,712 ............................ 32,712 ............................ ∂32,712 Elementary and Secondary School Counseling .......................................................................................................... 55,000 ............................ 57,000 ∂2,000 ∂57,000 Carol M. White Physical Education Program ............................................................................................................. 79,000 ............................ 80,000 ∂1,000 ∂80,000 Civic Education .......................................................................................................................................................... 35,000 ............................ 40,000 ∂5,000 ∂40,000 

Total, Safe Schools and Citizenship Education ........................................................................................... 403,053 620,000 426,053 ∂23,000 ¥193,947 

ENGLISH LANGUAGE ACQUISITION 

Current funded ........................................................................................................................................................... 48,750 48,750 52,000 ∂3,250 ∂3,250 Forward funded .......................................................................................................................................................... 701,250 751,250 748,000 ∂46,750 ¥3,250 

Total, English Language Acquisition ............................................................................................................ 750,000 800,000 800,000 ∂50,000 ............................
351 

SPECIAL EDUCATION 

State Grants: 

Grants to States Part B current year ............................................................................................................... 2,912,828 2,322,108 3,332,828 ∂420,000 ∂1,010,720 

Part B advance from prior year ............................................................................................................... (8,592,383 ) (8,592,383 ) (8,592,383 ) ............................ ............................

Grants to States Part B (fiscal year 2012) ...................................................................................................... 8,592,383 9,433,103 8,592,383 ............................ ¥840,720 

Subtotal, program level ................................................................................................................................ 11,505,211 11,755,211 11,925,211 ∂420,000 ∂170,000 

Preschool Grants ........................................................................................................................................................ 374,099 374,099 374,099 ............................ ............................Grants for Infants and Families ................................................................................................................................ 439,427 439,427 459,427 ∂20,000 ∂20,000 

Subtotal, program level ................................................................................................................................ 12,318,737 12,568,737 12,758,737 ∂440,000 ∂190,000 

IDEA National Activities (current funded): 

State personnel development ............................................................................................................................ 48,000 48,000 49,223 ∂1,223 ∂1,223 Technical Assistance and Dissemination ......................................................................................................... 49,549 49,549 49,549 ............................ ............................Personnel Preparation ....................................................................................................................................... 90,653 90,653 90,653 ............................ ............................Parent Information Centers ............................................................................................................................... 28,028 28,028 30,028 ∂2,000 ∂2,000 Technology and Media Services ........................................................................................................................ 43,973 41,223 47,300 ∂3,327 ∂6,077 

Subtotal, IDEA special programs .................................................................................................................. 260,203 257,453 266,753 ∂6,550 ∂9,300 

Mentoring for individuals with disabilities ................................................................................................................ ............................ 10,000 ............................ ............................ ¥10,000 Special Olympics Education programs ...................................................................................................................... 8,095 10,000 10,000 ∂1,905 ............................

Total, Special education ............................................................................................................................... 12,587,035 12,846,190 13,035,490 ∂448,455 ∂189,300 

Current Year ......................................................................................................................................... (3,994,652 ) (3,413,087 ) (4,443,107 ) (∂448,455 ) (∂1,030,020 ) Fiscal year 2012 .................................................................................................................................. (8,592,383 ) (9,433,103 ) (8,592,383 ) ............................ (¥840,720 ) 

Subtotal, Forward Funded ............................................................................................................................. (3,726,354 ) (3,135,634 ) (4,166,354 ) (∂440,000 ) (∂1,030,720 ) 

REHABILITATION SERVICES AND DISABILITY RESEARCH 

Vocational Rehabilitation State Grants ..................................................................................................................... 3,084,696 3,084,696 3,084,696 ............................ ............................

VR State grants CPIU ........................................................................................................................................ ............................ 56,833 ............................ ............................ ¥56,833 

Subtotal, VR State grants program level ..................................................................................................... 3,084,696 3,141,529 3,084,696 ............................ ¥56,833 

Client Assistance State grants .................................................................................................................................. 12,288 12,288 14,288 ∂2,000 ∂2,000 Training ...................................................................................................................................................................... 37,766 33,251 37,766 ............................ ∂4,515 Demonstration and training programs ...................................................................................................................... 11,601 ............................ 13,251 ∂1,650 ∂13,251 Migrant and seasonal farmworkers ........................................................................................................................... 2,239 ............................ 2,239 ............................ ∂2,239 Recreational programs ............................................................................................................................................... 2,474 2,474 2,474 ............................ ............................Protection and advocacy of individual rights [PAIR] ................................................................................................ 18,101 18,101 19,101 ∂1,000 ∂1,000 
352 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Projects with industry ................................................................................................................................................ 19,197 ............................ 19,197 ............................ ∂19,197 Supported employment State grants ......................................................................................................................... 29,181 ............................ 29,181 ............................ ∂29,181 Independent living: 

Independent living grants ................................................................................................................................. ............................ 110,000 ............................ ............................ ¥110,000 State grants ...................................................................................................................................................... 23,450 ............................ 23,450 ............................ ∂23,450 Centers .............................................................................................................................................................. 80,266 ............................ 83,656 ∂3,390 ∂83,656 Services for older blind individuals .................................................................................................................. 34,151 34,151 34,151 ............................ ............................

Subtotal ......................................................................................................................................................... 137,867 144,151 141,257 ∂3,390 ¥2,894 

Vocational Rehabilitation [VR]: 

VR-supported employment extended services ................................................................................................... ............................ 25,000 ............................ ............................ ¥25,000 VR Innovation and Technical Assistance Program ........................................................................................... ............................ 6,472 ............................ ............................ ¥6,472 

Workforce innovation and partnership ....................................................................................................................... ............................ 30,000 27,000 ∂27,000 ¥3,000 Program Improvement ................................................................................................................................................ 852 ............................ ............................ ¥852 ............................Evaluation ................................................................................................................................................................... 1,217 ............................ ............................ ¥1,217 ............................Helen Keller National Center for Deaf/Blind Youth and Adults ................................................................................ 9,181 9,181 9,181 ............................ ............................National Institute on Disability and Rehabilitation Research [NIDRR] ..................................................................... 109,241 111,919 111,919 ∂2,678 ............................Assistive Technology ................................................................................................................................................... 30,960 30,960 30,960 ............................ ............................

Subtotal, Discretionary programs ................................................................................................................. 422,165 480,630 457,814 ∂35,649 ¥22,816 Total, Rehabilitation services ....................................................................................................................... 3,506,861 3,565,326 3,542,510 ∂35,649 ¥22,816 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES 

AMERICAN PRINTING HOUSE FOR THE BLIND ............................................................................................................ 24,600 24,600 24,600 ............................ ............................NATIONAL TECHNICAL INSTITUTE FOR THE DEAF [NTID]: 

Operations ......................................................................................................................................................... 63,037 63,037 63,037 ............................ ............................Construction ...................................................................................................................................................... 5,400 1,640 1,640 ¥3,760 ............................
353 

Total, NTID .................................................................................................................................................... 68,437 64,677 64,677 ¥3,760 ............................

GALLAUDET UNIVERSITY: 

Operations ......................................................................................................................................................... 118,000 118,000 118,000 ............................ ............................Construction ...................................................................................................................................................... 5,000 ............................ 10,000 ∂5,000 ∂10,000 

Total, Galludet University ............................................................................................................................. 123,000 118,000 128,000 ∂5,000 ∂10,000 Total, Special Institutions for Persons with Disabilities .............................................................................. 216,037 207,277 217,277 ∂1,240 ∂10,000 

CAREER AND ADULT EDUCATION 

Career Education: 

Basic State Grants/Secondary and Technical Education: 

State Grants, current funded ................................................................................................................... 369,911 473,000 369,911 ............................ ¥103,089 Advance from prior year ........................................................................................................................... (791,000 ) (791,000 ) (791,000 ) ............................ ............................Fiscal year 2012 ....................................................................................................................................... 791,000 791,000 791,000 ............................ ............................

Subtotal, Basic State Grants, program level ...................................................................................... 1,160,911 1,264,000 1,160,911 ............................ ¥103,089 

Tech-Prep Education State Grants ............................................................................................................................. 102,923 ............................ 102,923 ............................ ∂102,923 National Programs ...................................................................................................................................................... 7,860 7,860 7,860 ............................ ............................

Subtotal, Vocational Education .................................................................................................................... 1,271,694 1,271,860 1,271,694 ............................ ¥166 

Adult Education: 

State Grants/Adult basic and literacy education: 

State Grants, current funded ................................................................................................................... 628,221 612,315 612,315 ¥15,906 ............................

National Programs: 

National Leadership Activities ................................................................................................................. 11,346 41,346 41,346 ∂30,000 ............................

Subtotal, National programs ............................................................................................................... 11,346 41,346 41,346 ∂30,000 ............................Subtotal, Adult education .................................................................................................................... 639,567 653,661 653,661 ∂14,094 ............................

Smaller Learning Communities, current funded ........................................................................................................ 4,400 ............................ ............................ ¥4,400 ............................Smaller Learning Communities, forward funded ....................................................................................................... 83,600 ............................ ............................ ¥83,600 ............................State Grants for Incarcerated Individuals ................................................................................................................. 17,186 17,186 17,186 ............................ ............................

Total, Career and adult education ............................................................................................................... 2,016,447 1,942,707 1,942,541 ¥73,906 ¥166 

Current Year ......................................................................................................................................... (1,225,447 ) (1,151,707 ) (1,151,541 ) (¥73,906 ) (¥166 ) Fiscal year 2012 .................................................................................................................................. (791,000 ) (791,000 ) (791,000 ) ............................ ............................

Subtotal, Forward Funded ............................................................................................................................. (1,221,047 ) (1,151,707 ) (1,151,541 ) (¥69,506 ) (¥166 ) 
354 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

STUDENT FINANCIAL ASSISTANCE [SFA] 

Pell Grants—maximum grant [NA] ........................................................................................................................... (4,860 ) (4,860 ) (4,860 ) ............................ ............................Pell Grants 4 ............................................................................................................................................................... 17,495,000 17,652,000 17,652,000 ∂157,000 ............................Federal Supplemental Educational Opportunity Grants ............................................................................................. 757,465 757,465 757,465 ............................ ............................Federal Work Study ..................................................................................................................................................... 980,492 980,492 980,492 ............................ ............................LEAP program ............................................................................................................................................................. 63,852 ............................ 63,852 ............................ ∂63,852 

Total, SFA ...................................................................................................................................................... 19,296,809 19,389,957 19,453,809 ∂157,000 ∂63,852 Total, SFA (excluding emergencies) .............................................................................................................. 19,296,809 19,389,957 19,453,809 ∂157,000 ∂63,852 

STUDENT AID ADMINISTRATION 

Salaries and expenses ............................................................................................................................................... 870,402 673,404 661,852 ¥208,550 ¥11,552 Servicing activities ..................................................................................................................................................... ............................ 496,827 386,226 ∂386,226 ¥110,601 

Total, Student Aid Administration ................................................................................................................ 870,402 1,170,231 1,048,078 ∂177,676 ¥122,153 

HIGHER EDUCATION 

Aid for Institutional Development: 

Strengthening Institutions ................................................................................................................................. 84,000 88,200 88,200 ∂4,200 ............................Hispanic-serving Institutions ............................................................................................................................ 117,429 123,300 123,300 ∂5,871 ............................Promoting Post-baccalaureate Opportunities for Hispanic Americans ............................................................ 10,500 10,500 10,500 ............................ ............................Strengthening Historically Black Colleges [HBCUs] ......................................................................................... 266,586 279,915 266,586 ............................ ¥13,329 Strengthening Historically Black Graduate Institutions ................................................................................... 61,425 64,496 64,496 ∂3,071 ............................Strengthening Predominantly Black Institutions .............................................................................................. 10,801 11,341 10,801 ............................ ¥540 Asian-American Pacific Islander ....................................................................................................................... 3,600 3,780 3,600 ............................ ¥180 Strengthening Alaska Native and Native Hawaiian-serving Institutions ......................................................... 15,084 15,838 15,084 ............................ ¥754 Strengthening Native American-serving Nontribal Institutions ........................................................................ 3,600 3,780 3,600 ............................ ¥180 Strengthening Tribal Colleges ........................................................................................................................... 30,169 31,677 30,169 ............................ ¥1,508 

Subtotal, Aid for Institutional development ................................................................................................. 603,194 632,827 616,336 ∂13,142 ¥16,491 
355 

International Education and Foreign Language: 

Domestic Programs ........................................................................................................................................... 108,360 108,360 108,360 ............................ ............................Overseas Programs ............................................................................................................................................ 15,576 15,576 17,576 ∂2,000 ∂2,000 Institute for International Public Policy ............................................................................................................ 1,945 1,945 1,945 ............................ ............................

Subtotal, International Education and Foreign Language ........................................................................... 125,881 125,881 127,881 ∂2,000 ∂2,000 

Fund for the Improvement of Postsecondary Education [FIPSE] ............................................................................... 159,403 64,036 105,597 ¥53,806 ∂41,561 Postsecondary program for Students with Intellectual Disabilities .......................................................................... 11,000 11,000 13,000 ∂2,000 ∂2,000 Legal assistance loan repayment .............................................................................................................................. 5,000 ............................ 5,000 ............................ ∂5,000 Minority Science and Engineering Improvement ........................................................................................................ 9,503 9,503 9,503 ............................ ............................Tribally Controlled Postsecondary Vocational/Technical Institutions ......................................................................... 8,162 8,162 8,162 ............................ ............................Federal TRIO Programs ............................................................................................................................................... 853,089 853,089 868,089 ∂15,000 ∂15,000 GEAR UP ..................................................................................................................................................................... 323,212 323,212 323,212 ............................ ............................Byrd Honors Scholarships .......................................................................................................................................... 42,000 ............................ 42,000 ............................ ∂42,000 Javits Fellowships ....................................................................................................................................................... 9,687 9,687 9,687 ............................ ............................Graduate Assistance in Areas of National Need ....................................................................................................... 31,030 31,030 31,030 ............................ ............................Teacher Quality Partnerships ..................................................................................................................................... 43,000 ............................ 58,000 ∂15,000 ∂58,000 BA Degrees in STEM and Critical Foreign Languages .............................................................................................. 1,092 ............................ ............................ ¥1,092 ............................MA Degrees in STEM and Critical Foreign Languages .............................................................................................. 1,092 ............................ ............................ ¥1,092 ............................Child Care Access Means Parents in School ............................................................................................................. 16,034 16,034 16,034 ............................ ............................Demonstration in Disabilities/Higher Education ........................................................................................................ 6,755 6,755 6,755 ............................ ............................Underground Railroad Program .................................................................................................................................. 1,945 ............................ ............................ ¥1,945 ............................GPRA data/HEA program evaluation .......................................................................................................................... 609 609 609 ............................ ............................B.J. Stupak Olympic Scholarships .............................................................................................................................. 977 ............................ ............................ ¥977 ............................Thurgood Marshall Legal education opportunities .................................................................................................... 3,000 3,000 3,000 ............................ ............................

Total, Higher education ................................................................................................................................ 2,255,665 2,094,825 2,243,895 ¥11,770 ∂149,070 

HOWARD UNIVERSITY 

Academic Program ..................................................................................................................................................... 202,431 202,431 202,431 ............................ ............................Endowment Program .................................................................................................................................................. 3,600 3,600 3,600 ............................ ............................Howard University Hospital ........................................................................................................................................ 28,946 28,946 28,946 ............................ ............................

Total, Howard University ............................................................................................................................... 234,977 234,977 234,977 ............................ ............................

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS [CHAFL] ................................................................................ 461 461 461 ............................ ............................

HBCU CAPITAL FINANCING PROGRAM 

HBCU Federal Administration ..................................................................................................................................... 354 354 354 ............................ ............................
356 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

HBCU Loan Subsidies ................................................................................................................................................. 20,228 20,228 20,228 ............................ ............................

Total, HBCU Capital Financing Program ...................................................................................................... 20,582 20,582 20,582 ............................ ............................

INSTITUTE OF EDUCATION SCIENCES [IES] 

Research, development, and dissemination .............................................................................................................. 200,196 260,696 240,696 ∂40,500 ¥20,000 Statistics .................................................................................................................................................................... 108,521 117,021 118,021 ∂9,500 ∂1,000 Regional Educational Laboratories ............................................................................................................................ 70,650 69,650 72,650 ∂2,000 ∂3,000 Research in special education ................................................................................................................................... 71,085 71,085 71,085 ............................ ............................Special education studies and evaluations ............................................................................................................... 11,460 11,460 11,460 ............................ ............................Statewide data systems ............................................................................................................................................. 58,250 65,000 65,000 ∂6,750 ............................Assessment: 

National Assessment ......................................................................................................................................... 130,121 135,121 135,121 ∂5,000 ............................National Assessment Governing Board ............................................................................................................. 8,723 8,723 8,723 ............................ ............................

Subtotal, Assessment ................................................................................................................................... 138,844 143,844 143,844 ∂5,000 ............................Total, IES ....................................................................................................................................................... 659,006 738,756 722,756 ∂63,750 ¥16,000 

DEPARTMENTAL MANAGEMENT 

PROGRAM ADMINISTRATION: 

Salaries and Expenses ...................................................................................................................................... 448,000 473,213 473,213 ∂25,213 ............................Building Modernization ...................................................................................................................................... 8,200 19,275 19,275 ∂11,075 ............................

Total, Program administration ...................................................................................................................... 456,200 492,488 492,488 ∂36,288 ............................

OFFICE FOR CIVIL RIGHTS .......................................................................................................................................... 103,024 105,700 105,700 ∂2,676 ............................OFFICE OF THE INSPECTOR GENERAL ........................................................................................................................ 60,053 65,238 65,238 ∂5,185 ............................
357 

Total, Departmental management ................................................................................................................ 619,277 663,426 663,426 ∂44,149 ............................Total, Title III, Department of Education ...................................................................................................... 67,362,252 71,033,986 70,116,915 ∂2,754,663 ¥917,071 

Current Year ......................................................................................................................................... (45,456,252 ) (49,127,986 ) (48,210,915 ) (∂2,754,663 ) (¥917,071 ) Fiscal year 2012 .................................................................................................................................. (21,906,000 ) (21,906,000 ) (21,906,000 ) ............................ ............................

TITLE IV—RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED ........................................... 5,396 5,771 5,771 ∂375 ............................

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 

OPERATING EXPENSES 

Domestic Volunteer Service Programs: 

Volunteers in Service to America [VISTA] ......................................................................................................... 99,074 98,000 111,000 ∂11,926 ∂13,000 National Senior Volunteer Corps: 

Foster Grandparents Program .................................................................................................................. 110,996 111,100 115,600 ∂4,604 ∂4,500 Senior Companion Program ...................................................................................................................... 46,904 47,000 49,500 ∂2,596 ∂2,500 Retired Senior Volunteer Program ............................................................................................................ 63,000 63,000 64,000 ∂1,000 ∂1,000 

Subtotal, Senior Volunteers ................................................................................................................. 220,900 221,100 229,100 ∂8,200 ∂8,000 Subtotal, Domestic Volunteer Service Programs ................................................................................. 319,974 319,100 340,100 ∂20,126 ∂21,000 

National and Community Service Programs: 

AmeriCorps State and National Grants ............................................................................................................ 372,547 488,033 440,000 ∂67,453 ¥48,033 Disability Placement Funds ............................................................................................................................... 5,000 6,000 6,000 ∂1,000 ............................Innovation, assistance, and other activities .................................................................................................... 60,500 77,000 84,509 ∂24,009 ∂7,509 Evaluation .......................................................................................................................................................... 6,000 8,000 8,000 ∂2,000 ............................National Civilian Community Corps .................................................................................................................. 29,000 34,593 34,593 ∂5,593 ............................Learn and Serve America .................................................................................................................................. 39,500 40,198 40,198 ∂698 ............................State Commission Administrative Grants ......................................................................................................... 17,000 18,000 18,000 ∂1,000 ............................Training and Technical Assistance ................................................................................................................... 7,500 13,000 11,000 ∂3,500 ¥2,000 

Subtotal, National and Community Service Programs ................................................................................. 537,047 684,824 642,300 ∂105,253 ¥42,524 Total, Operating expenses ............................................................................................................................ 857,021 1,003,924 982,400 ∂125,379 ¥21,524 

National service trust ................................................................................................................................................. 197,000 293,662 271,186 ∂74,186 ¥22,476 Salaries and expenses ............................................................................................................................................... 88,000 109,000 103,000 ∂15,000 ¥6,000 Office of the Inspector General .................................................................................................................................. 7,700 9,000 9,000 ∂1,300 ............................
358 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

Total, Corporation for National and Community Service ............................................................................. 1,149,721 1,415,586 1,365,586 ∂215,865 ¥50,000 

CORPORATION FOR PUBLIC BROADCASTING: 

Fiscal year 2013 (current) with fiscal year 2012 comparable ........................................................................ 445,000 460,000 460,000 ∂15,000 ............................Fiscal year 2012 advance with fiscal year 2011 comparable [NA] ................................................................. (430,000 ) (445,000 ) (445,000 ) (∂15,000 ) ............................Fiscal year 2011 advance with fiscal year 2010 comparable [NA] ................................................................. (420,000 ) (430,000 ) (430,000 ) (∂10,000 ) ............................Fiscal Stabilization Grants, current funded ...................................................................................................... 25,000 ............................ ............................ ¥25,000 ............................Digitalization program, current funded ............................................................................................................ 36,000 36,000 36,000 ............................ ............................Interconnection, current funded ........................................................................................................................ 25,000 ............................ ............................ ¥25,000 ............................

Subtotal, fiscal year 2010 appropriation ..................................................................................................... 86,000 36,000 36,000 ¥50,000 ............................

FEDERAL MEDIATION AND CONCILIATION SERVICE .................................................................................................... 46,652 48,025 48,025 ∂1,373 ............................FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION ...................................................................................... 10,358 13,105 15,755 ∂5,397 ∂2,650 INSTITUTE OF MUSEUM AND LIBRARY SERVICES ....................................................................................................... 282,251 265,869 270,619 ¥11,632 ∂4,750 MEDICARE PAYMENT ADVISORY COMMISSION ........................................................................................................... 11,800 13,100 12,700 ∂900 ¥400 NATIONAL COUNCIL ON DISABILITY ............................................................................................................................ 3,271 3,337 3,337 ∂66 ............................NATIONAL HEALTH CARE WORKFORCE COMMISSION ................................................................................................. ............................ ............................ 3,000 ∂3,000 ∂3,000 NATIONAL LABOR RELATIONS BOARD ......................................................................................................................... 283,400 287,100 287,100 ∂3,700 ............................NATIONAL MEDIATION BOARD ..................................................................................................................................... 13,463 13,772 13,772 ∂309 ............................OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION ..................................................................................... 11,712 12,051 12,051 ∂339 ............................

RAILROAD RETIREMENT BOARD 

Dual Benefits Payments Account ............................................................................................................................... 64,000 57,000 57,000 ¥7,000 ............................Less Income Tax Receipts on Dual Benefits ............................................................................................................. ¥3,000 ¥3,000 ¥3,000 ............................ ............................

Subtotal, Dual Benefits ................................................................................................................................ 61,000 54,000 54,000 ¥7,000 ............................

Federal Payment to the RR Retirement Account ....................................................................................................... 150 150 150 ............................ ............................Limitation on Administration ..................................................................................................................................... 109,073 110,573 110,573 ∂1,500 ............................Inspector General ....................................................................................................................................................... 8,186 8,936 8,936 ∂750 ............................
359 

SOCIAL SECURITY ADMINISTRATION [SSA] 

Payments to Social Security Trust Funds .................................................................................................................. 20,404 21,404 21,404 ∂1,000 ............................

SUPPLEMENTAL SECURITY INCOME [SSI] 

Federal benefit payments ........................................................................................................................................... 46,602,000 52,635,000 52,635,000 ∂6,033,000 ............................Beneficiary services .................................................................................................................................................... 49,000 60,000 60,000 ∂11,000 ............................Research and demonstration ..................................................................................................................................... 49,000 43,000 43,000 ¥6,000 ............................Administration ............................................................................................................................................................ 3,442,000 3,775,000 3,775,000 ∂333,000 ............................

Subtotal, SSI program level .......................................................................................................................... 50,142,000 56,513,000 56,513,000 ∂6,371,000 ............................

Less funds advanced in prior year ..................................................................................................... ¥15,400,000 ¥16,000,000 ¥16,000,000 ¥600,000 ............................

Subtotal, regular SSI current year ................................................................................................................ 34,742,000 40,513,000 40,513,000 ∂5,771,000 ............................

New advance, 1st quarter, fiscal year 2011 ...................................................................................... 16,000,000 13,400,000 13,400,000 ¥2,600,000 ............................

Total, SSI program ........................................................................................................................................ 50,742,000 53,913,000 53,913,000 ∂3,171,000 ............................

LIMITATION ON ADMINISTRATIVE EXPENSES [LAE] 

OASDI Trust Funds ..................................................................................................................................................... 5,592,200 5,964,840 6,185,840 ∂593,640 ∂221,000 HI/SMI Trust Funds ..................................................................................................................................................... 2,106,000 2,227,860 2,227,860 ∂121,860 ............................Social Security Advisory Board ................................................................................................................................... 2,300 2,300 2,300 ............................ ............................Acquisition workforce capacity and capabilities ....................................................................................................... ............................ 1,863 1,863 ∂1,863 ............................SSI .............................................................................................................................................................................. 3,100,000 3,483,000 3,775,000 ∂675,000 ∂292,000 

Subtotal, regular LAE .................................................................................................................................... 10,800,500 11,679,863 12,192,863 ∂1,392,363 ∂513,000 

Additional Program Integrity Funding: 

OASDI Trust Funds ............................................................................................................................................ 143,000 221,000 ............................ ¥143,000 ¥221,000 SSI ..................................................................................................................................................................... 342,000 292,000 ............................ ¥342,000 ¥292,000 

Subtotal, additional CDR funding ................................................................................................................ 485,000 513,000 ............................ ¥485,000 ¥513,000 

User Fees: 

SSI User Fee activities ...................................................................................................................................... 160,000 185,000 185,000 ∂25,000 ............................SSPA User Fee Activities ................................................................................................................................... 1,000 1,000 1,000 ............................ ............................

Subtotal, User fees ....................................................................................................................................... 161,000 186,000 186,000 ∂25,000 ............................Total, LAE ...................................................................................................................................................... 11,446,500 12,378,863 12,378,863 ∂932,363 ............................
360 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2010 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2011—Continued 

[In thousands of dollars] 

Item 2010 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2010 appropriation Budget estimate 

OFFICE OF THE INSPECTOR GENERAL [IG] 

Federal Funds ............................................................................................................................................................. 29,000 30,000 30,000 ∂1,000 ............................Trust Funds ................................................................................................................................................................ 73,682 76,122 76,122 ∂2,440 ............................

Total, IG ........................................................................................................................................................ 102,682 106,122 106,122 ∂3,440 ............................

Adjustment: Trust fund transfers from general revenues ......................................................................................... ¥3,442,000 ¥3,775,000 ¥3,775,000 ¥333,000 ............................

Total, SSA ...................................................................................................................................................... 58,869,586 62,644,389 62,644,389 ∂3,774,803 ............................

Federal funds ....................................................................................................................................... 50,952,404 54,152,267 54,152,267 ∂3,199,863 ............................

Current year ................................................................................................................................ (34,952,404 ) (40,752,267 ) (40,752,267 ) (∂5,799,863 ) ............................New advances, 1st quarter ........................................................................................................ (16,000,000 ) (13,400,000 ) (13,400,000 ) (¥2,600,000 ) ............................

Trust funds .......................................................................................................................................... 7,917,182 8,492,122 8,492,122 ∂574,940 ............................

Total, Title IV, Related Agencies .................................................................................................................. 61,397,019 65,391,764 65,351,764 ∂3,954,745 ¥40,000 

Federal Funds ...................................................................................................................................... 53,350,778 56,767,033 56,727,433 ∂3,376,655 ¥39,600 

Current Year ................................................................................................................................ (36,905,778 ) (42,907,033 ) (42,867,433 ) (∂5,961,655 ) (¥39,600 ) Fiscal year 2012 Advance .......................................................................................................... (16,000,000 ) (13,400,000 ) (13,400,000 ) (¥2,600,000 ) ............................Fiscal year 2013 Advance .......................................................................................................... (445,000 ) (460,000 ) (460,000 ) (∂15,000 ) ............................

Trust Funds .......................................................................................................................................... 8,046,241 8,624,731 8,624,331 ∂578,090 ¥400 

1 Formerly community-based Job training grants. 2 Two-year availability. 3 Includes Mine Safety and Health. 4 Budget request reflects current law per the CBO. The proposal budget request is to change the Pell grant program to mandatory and includes a request of $1,738,197,000. 

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