74–548 PDF 

Calendar No. 428 

112TH CONGRESS REPORT " ! SENATE 2d Session 112–176 

DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATION BILL, 2013 

JUNE 14, 2012.—Ordered to be printed 

Mr. HARKIN, from the Committee on Appropriations, 

submitted the following 

R E P O R T 

[To accompany S. 3295] 

The Committee on Appropriations reports the bill (S. 3295) making appropriations for Departments of Labor, Health and Human 

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

ending September 30, 2013, 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 ............. $777,568,714,000 

Amount of 2012 appropriations ........................ 741,495,738,000 

Amount of 2013 budget estimate ...................... 777,624,610,000 

Bill as recommended to Senate compared to— 

2012 appropriations .................................... ∂36,072,976,000 

2013 budget estimate ................................. ¥55,896,000 
(2) 

C O N T E N T S 

Page 

List of Abbreviations ............................................................................................... 4 

Summary of Budget Estimates and Committee Recommendations .................... 8 

Overview ............................................................................................................ 8 

Fiscal Accountability ........................................................................................ 8 

Promoting Innovation ....................................................................................... 9 

Early Childhood Education .............................................................................. 11 

Prevention ......................................................................................................... 12 

Assisting People With Disabilities .................................................................. 12 

Other Highlights of the Bill ............................................................................. 13 

Title I: Department of Labor: 

Employment and Training Administration .................................................... 15 

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 ........................................................ 33 

Bureau of Labor Statistics ............................................................................... 34 

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

Departmental Management ............................................................................. 36 

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

Title II: Department of Health and Human Services: 

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

Centers for Disease Control and Prevention .................................................. 58 

National Institutes of Health .......................................................................... 77 

Substance Abuse and Mental Health Services Administration .................... 108 

Agency for Healthcare Research and Quality ................................................ 117 

Centers for Medicare and Medicaid Services ................................................. 120 

Administration for Children and Families ..................................................... 125 

Administration for Community Living ........................................................... 139 

Office of the Secretary ...................................................................................... 145 

General Provisions ........................................................................................... 156 

Title III: Department of Education: 

Education for the Disadvantaged .................................................................... 158 

Impact Aid ......................................................................................................... 162 

School Improvement Programs ........................................................................ 163 

Indian Education .............................................................................................. 169 

Innovation and Improvement .......................................................................... 170 

Safe Schools and Citizenship Education ......................................................... 176 

English Language Acquisition ......................................................................... 177 

Special Education ............................................................................................. 178 

Rehabilitation Services and Disability Research ........................................... 181 

Special Institutions for Persons With Disabilities: 

American Printing House for the Blind ................................................... 185 

National Technical Institute for the Deaf ............................................... 186 

Gallaudet University ................................................................................. 186 

Career, Technical, and Adult Education ........................................................ 186 

Student Financial Assistance .......................................................................... 188 

Student Aid Administration ............................................................................ 192 

Higher Education ............................................................................................. 193 

Howard University ........................................................................................... 201 

College Housing and Academic Facilities Loans Program ............................ 201 
Page

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Title III—Continued 

Historically Black College and University Capital Financing Program 

Account .......................................................................................................... 201 

Institute of Education Sciences ....................................................................... 202 

Departmental Management: 

Program Administration ........................................................................... 204 

Office for Civil Rights ............................................................................... 205 

Office of the Inspector General ................................................................ 206 

General Provisions ........................................................................................... 206 

Title IV: Related Agencies: 

Committee for Purchase From People Who Are Blind or Severely Disabled ............................................................................................................... 208 

Corporation for National and Community Service ........................................ 208 

Corporation for Public Broadcasting ............................................................... 213 

Federal Mediation and Conciliation Service .................................................. 213 

Federal Mine Safety and Health Review Commission .................................. 213 

Institute of Museum and Library Services ..................................................... 214 

Medicaid and CHIP Payment and Access Commission ................................. 215 

Medicare Payment Advisory Commission ...................................................... 215 

National Council on Disability ........................................................................ 215 

National Health Care Workforce Commission ............................................... 216 

National Labor Relations Board ...................................................................... 216 

National Mediation Board ............................................................................... 216 

Occupational Safety and Health Review Commission ................................... 217 

Railroad Retirement Board .............................................................................. 217 

Social Security Administration ........................................................................ 218 

Title V: General Provisions ..................................................................................... 223 

Compliance With Paragraph 7, Rule XVI of the Standing Rules of the 

Senate ................................................................................................................... 225 

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

Senate ................................................................................................................... 225 

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

Senate ................................................................................................................... 226 

Budgetary Impact of Bill ......................................................................................... 239 

Comparative Statement of New Budget Authority ............................................... 240 
(4) 

LIST OF ABBREVIATIONS 

ACL—Administration for Community Living 

ADAP—AIDS Drug Assistance Program 

AHEC—area health education center 

AHRQ—Agency for Healthcare Research and Quality 

ALS—amyotrophic lateral sclerosis 

AoA—Administration on Aging 

AP—Advanced Placement 

APH—American Printing House for the Blind 

ARRA—American Recovery and Reinvestment Act of 2009 

ASH—Assistant Secretary for Health 

ASPR—Assistant Secretary for Preparedness and Response 

ATSDR—Agency for Toxic Substances and Disease Registry 

BARDA—Biomedical Advanced Research and Development Authority 

BCA—Budget Control Act of 2011 

BLS—Bureau of Labor Statistics 

CAN—Cures Acceleration Network 

CCAMPIS—Child Care Access Means Parents in School 

CCDBG—Child Care and Development Block Grant 

CDC—Centers for Disease Control and Prevention 

CHAFL—College Housing and Academic Facilities Loans 

CHC—community health center 

CHGME—Children’s Hospitals Graduate Medical Education 

CMHS—Center for Mental Health Services 

CMS—Centers for Medicare and Medicaid Services 

CNCS—Corporation for National and Community Service 

CPB—Corporation for Public Broadcasting 

CSAP—Center for Substance Abuse Prevention 

CSAT—Center for Substance Abuse Treatment 

CSBG—Community Services Block Grant 

CSEOA—Community Service Employment for Older Americans 

DOD—Department of Defense 

DOE—Department of Energy 

DOL—Department of Labor 

EBSA—Employee Benefits Security Administration 

EEOICPA—Energy Employees Occupational Illness Compensation Program Act 

ERISA—Employee Retirement Income Security Act of 1974 

ESEA—Elementary and Secondary Education Act 

ETA—Employment and Training Administration 

FDA—Food and Drug Administration 

FEMA—Federal Emergency Management Agency 

FIC—Fogarty International Center 

FIE—Fund for the Improvement of Education 

FIPSE—Fund for the Improvement of Postsecondary Education 

FMCS—Federal Mediation and Coalition Service 
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FMSHRC—Federal Mine Safety and Health Review Commission 

FTE—full time equivalent 

FWS—Federal Work Study 

GAANN—Graduate Assistance in Areas of National Need 

GAO—Government Accountability Office 

GEAR UP—Gaining Early Awareness and Readiness for Undergraduate Programs 

HBCUs—Historically Black Colleges and Universities 

HCERA—Health Care and Education Reconciliation Act of 2010 

HCFAC—Health Care Fraud and Abuse Control 

HEA—Higher Education Act 

HELP—Health, Education, Labor and Pensions 

HFFI—Healthy Foods Financing Initiative 

HHS—Health and Human Services 

HITECH—Health Information Technology for Economic and 

Clinical Health 

HRSA—Health Resources and Services Administration 

IC—Institute and Center 

IDeA—Institutional Development Award 

IDEA—Individuals with Disabilities Education Act 

IES—Institute of Education Sciences 

IMLS—Institute of Museum and Library Services 

IOM—Institute of Medicine 

LEA—local educational agency 

LIHEAP—Low Income Home Energy Assistance Program 

MACPAC—Medicaid and CHIP Payment and Access Commission 

MCH—maternal and child health 

MedPAC—Medicare Payment Advisory Commission 

MIECHV—Maternal, Infant, and Early Childhood Home Visiting 

MSHA—Mine Safety and Health Administration 

NAEP—National Assessment of Educational Progress 

NAGB—National Assessment Governing Board 

NCATS—National Center for Advancing Transitional Sciences 

NCBDDD—National Center on Birth Defects and Developmental 

Disabilities 

NCES—National Center for Education Statistics 

NCHS—National Center for Health Statistics 

NCI—National Cancer Institute 

NCRR—National Center for Research Resources 

NEI—National Eye Institute 

NHGRI—National Human Genome Research Institute 

NHLBI—National Heart, Lung, and Blood Institute 

NIA—National Institute on Aging 

NIAAA—National Institute on Alcohol Abuse and Alcoholism 

NIAID—National Institute of Allergy and Infectious Disease 

NIAMS—National Institute of Arthritis and Musculoskeletal and 

Skin Diseases 

NIBIB—National Institute of Biomedical Imaging and Bioengineering 

NICHD—Eunice Kennedy Shriver National Institute of Child 

Health and Human Development 

NIDA—National Institute on Drug Abuse 

NIDCD—National Institute on Deafness and Other Communication Disorders 
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NIDCR—National Institute of Dental and Craniofacial Research 

NIDDK—National Institute of Diabetes and Digestive and Kidney Disease 

NIDRR—National Institute on Disability and Rehabilitation Research 

NIEHS—National Institute of Environmental Health Sciences 

NIGMS—National Institute of General Medical Sciences 

NIH—National Institutes of Health 

NIMH—National Institute on Mental Health 

NIMHD—National Institute on Minority Health and Health Disparities 

NINDS—National Institute of Neurological Disorders and Stroke 

NINR—National Institute of Nursing Research 

NLM—National Library of Medicine 

NLRB—National Labor Relations Board 

NSF—National Science Foundation 

NSIP—Nutrition Services Incentives Program 

NTID—National Technical Institute for the Deaf 

OAR—Office of AIDS Research 

OBSSR—Office of Behavioral and Social Sciences Research 

OCR—Office for Civil Rights 

ODEP—Office of Disability Employment Policy 

OFCCP—Office of Federal Contract Compliance Programs 

OIG—Office of the Inspector General 

OLMS—Office of Labor-Management Standards 

OMB—Office of Management and Budget 

OMH—Office of Minority Health 

OMHA—Office of Medicare Hearings and Appeals 

ONC—Office of the National Coordinator for Health Information 

Technology 

ORR—Office of Refugee Resettlement 

ORWH—Office of Research on Women’s Health 

OSEP—Office of Special Education Programs 

OSHA—Occupational Safety and Health Administration 

OWCP—Office of Workers’ Compensation Programs 

OWH—Office of Women’s Health 

PAIMI—protection and advocacy for individuals with mental illness 

PATH—Projects for Assistance in Transition From Homelessness 

PBGC—Pension Benefit Guaranty Corporation 

PHS—Public Health Service 

PPACA—Patient Protection and Affordable Care Act 

PPH Fund—Prevention and Public Health Fund 

PRNS—Programs of Regional and National Significance 

PROMISE—Promoting School Readiness of Minors in SSI 

RSA—Rehabilitation Services Administration 

SAMHSA—Substance Abuse and Mental Health Services Administration 

SAPT—Substance abuse prevention and treatment 

SCHIP—State Children’s Health Insurance Program 

SEA—State educational agency 

SEOG—Supplemental Educational Opportunity Grant 

SIG—School Improvement Grants 

SPORE—Specialized Program of Research Excellence 
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SPRANS—Special Projects of Regional and National Significance 

SSA—Social Security Administration 

SSBG—Social Services Block Grant 

SSI—Supplemental Security Income 

STEM—science, technology, engineering, and mathematics 

TANF—Temporary Assistance for Needy Families 

TB—tuberculosis 

TBI—traumatic brain injury 

TIF—Teacher Incentive Fund 

TRND—Therapeutics for Rare and Neglected Diseases 

UAC—unaccompanied alien children 

UCEDD—University Center for Excellence in Developmental 

Disabilities 

UI—unemployment insurance 

USAID—U.S. Agency for International Development 

USDA—U.S. Department of Agriculture 

USPSTF—U.S. Preventive Services Task Force 

VETS—Veterans’ Employment and Training Services 

VISTA—Volunteers in Service to America 

VR—Vocational Rehabilitation 

WANTO—Women in Apprenticeship and Non-Traditional Occupations 

WHD—Wage and Hour Division 

WIA—Workforce Investment Act 

WIF—Workforce Innovation Fund 

WISEWOMAN—Well-Integrated Screening and Evaluation for 

Women Across the Nation 
(8) 

SUMMARY OF BUDGET ESTIMATES AND COMMITTEE 

RECOMMENDATIONS 

For fiscal year 2013, the Committee recommends total budget authority of $777,568,714,000 for the Departments of Labor, Health 

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

amount, $158,772,000,000 is current year discretionary funding, including offsets and $1,050,000,000 in cap adjustments for 

healthcare fraud and abuse and for program integrity at the SSA, 

in accordance with the 302(b) allocation for this bill. 

The Committee recommendation reflects a program level of 

$166,011,337,000 for fiscal year 2013. (Program level is current 

year discretionary funding plus additional spending that is offset 

by savings in mandatory programs and other adjustments to discretionary funding.) 

The bill provides discretionary program level funding of 

$12,341,781,000 for the Department of Labor, $70,999,718,000 for 

the Department of HHS, $68,520,153,000 for the Department of 

Education and $14,149,685,000 for related agencies. The comparable fiscal year 2012 levels were $12,552,758,000 for Labor, 

$69,620,175,000 for HHS, $68,112,288,000 for Education and 

$13,831,731,000 for related agencies. 

OVERVIEW

The Labor, HHS, and Education, and Related Agencies appropriations bill constitutes the largest of the non-defense Federal appropriations bills being considered by Congress this year. But even 

more noteworthy than the size of the bill is the breadth of the critical services that are funded by this legislation, which range from 

medical research to job training, from home energy assistance to 

mental health, from student financial assistance to the management of SSA. 

Weighing the relative merits of such a wide range of priorities 

is difficult, especially when funding is tight. The Committee has 

tried to strike a balance between investing in the future prosperity 

of the Nation, providing a safety net for people who are most vulnerable in today’s struggling economy, and increasing the fiscal accountability and effective use of taxpayer dollars. 

Several themes permeate the Committee’s recommendation, described below. 

FISCAL ACCOUNTABILITY

The Committee recommendation provides funding for several activities that reduce fraud, waste, and abuse of Federal funding. 

Healthcare Program Integrity.—Fraud committed against Federal 

healthcare programs diverts critical resources from services to 

some of the Nation’s most vulnerable populations. The Committee 
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includes $610,000,000 for HCFAC activities at CMS, nearly double 

the fiscal year 2012 level of $310,378,000. The historical return on 

investment for the Medicare Integrity program has been about $14 

for every $1 spent. For fraud and abuse activities throughout Medicare and Medicaid, the Federal Government saves or recovers $6 

for every $1 spent. 

Social Security Program Integrity.—The Committee recommendation includes $1,024,000,000, an increase of $268,000,000 over the 

fiscal year 2012 level, for the SSA to conduct continuing disability 

reviews and redeterminations of nonmedical eligibility under the 

SSI program. This investment will save approximately 

$8,100,000,000 over 10 years for the Social Security, Medicare, and 

Medicaid programs, a return on investment of $8 for every $1 

spent. 

Unemployment Insurance Program Integrity.—The Committee 

recommendation includes $75,000,000, an increase of $15,000,000 

over the fiscal year 2012 level, to conduct re-employment and eligibility assessments and UI improper payment reviews. This funding 

will save State UI Trust funds by helping claimants exit the UI 

program faster and avoid exhausting benefits. The Committee recommendation also includes $30,000,000 to support intensive reemployment services for UI claimants, which shorten the length of 

time people receive unemployment insurance, as well as boost employment and earnings for claimants. No funds were provided in 

fiscal year 2012 for these services. 

Spending on Conferences and Other Administrative Expenses.— The Committee bill includes new provisions intended to prevent excessive spending on conferences and other administrative expenses. 

The provisions require departments, agencies, boards, and commissions funded in this act to submit quarterly reports to their OIG 

or senior ethics official on the costs and contracting procedures involved in any conference that costs more than $20,000. The provisions also limit the amount of Federal funding that may be spent 

on any single international conference and the number of Federal 

employees who may attend it. The provisions codify the May 2012 

OMB memorandum related to planning for and spending on conferences, travel, real property, and fleet management. 

340B User Fee.—The Committee includes a provision to institute 

a new 0.1 percent user fee on 340B discount drugs. The fee is expected to generate $6,000,000 in fiscal year 2013, which will be 

used to implement program integrity work recommended by GAO 

and mandated by PPACA. 

PROMOTING INNOVATION

Just because times are lean doesn’t mean that innovation should 

cease. This bill launches or continues several initiatives that will 

leverage reform and transform key Federal services. 

Pay for Success.—The Committee recommendation creates a new 

model, called Pay for Success, for financing and delivering effective 

services under government programs. Federal funding typically 

pays for services with the expectation, but no absolute guarantee 

that they will have positive results. Under Pay for Success, the 

Federal Government will make available funds to pay for defined 

outcomes, such as employment or graduation. Philanthropic groups 
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and social impact investors will finance the services and would 

earn payments if those services lead to the agreed-upon outcomes. 

The Committee recommendation includes up to $10,000,000 within 

WIF, up to $9,000,000 within the Social Innovation Fund, and up 

to $25,000,000 within the PROMISE program for this new approach. 

Performance Partnerships for Disconnected Youth.—The Committee recommendation creates a new authority called Performance 

Partnerships that will provide States and local communities with 

unprecedented flexibility to achieve defined outcomes for disconnected youth. Up to 13 States and/or local communities will be allowed to combine funding that they receive through various programs within this bill, even if the programs are funded in different 

departments, for these pilot projects. Grantees will receive waivers 

to reduce bureaucratic obstacles to the smooth functioning of these 

performance partnerships; for example, they could be allowed to 

provide a single set of outcome data to the Departments of Education, HHS, and Labor, rather than slightly different data to each 

agency. 

Investing in Innovation.—The Committee bill creates a new organization in the Department of Education called ARPA–ED that will 

identify and promote advances in fundamental and applied sciences 

and engineering that could be translated into new learning technologies; develop, test, and evaluate novel learning technologies 

and related processes; and accelerate transformational technological advances. Modeled after the Defense Advanced Research 

Projects Agency, the entity that helped create the Internet, ARPA– 

ED will be funded as a set-aside of up to $44,825,000 within the 

Investing in Innovation [i3] program. The Committee bill provides 

$149,417,000 for i3, which provides grants to replicate education 

programs that have high levels of effectiveness and to develop and 

test promising new ideas. 

First in the World.—The Committee bill includes $40,000,000 to 

create the First in the World Initiative in the Department of Education. Modeled after the Investing in Innovation program, the initiative will provide grants to colleges and universities to implement 

innovative and effective strategies that improve educational outcomes and significantly reduce the net price paid by students. 

Strategic Investor.—The Committee bill includes $20,000,000 to 

create a Strategic Investor initiative at BARDA. This new program 

will allow the Federal Government to partner with small biotechnology companies in order to foster and accelerate the generation of novel medical countermeasures and technologies. This initiative will address gaps in the Government’s capability to respond 

to emerging infections, bioterrorism, and other public health 

threats. 

Promise Neighborhoods.—The Committee recommends 

$80,000,000—a more than $20,000,000 increase over the fiscal year 

2012 level—for the Promise Neighborhoods program. Inspired by 

the successful Harlem Children’s Zone program, Promise Neighborhoods supports local efforts to establish cradle-to-career services 

designed to improve educational outcomes for students in distressed neighborhoods. 
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Accelerating Cures.—The Committee bill includes $40,000,000, 

four times the fiscal year 2012 level, for CAN, an NIH initiative to 

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 this initiative. 

Workforce Innovation Fund.—The Committee includes 

$49,906,000 to continue WIF, which will help reform the Nation’s 

workforce investment system and improve the delivery of training 

programs to workers. 

Social Innovation Fund.—The Committee recommendation provides $45,000,000, the same as the fiscal year 2012 level, for the 

Social Innovation Fund at CNCS. This fund mobilizes public and 

private resources to expand and evaluate promising, innovative 

community-based solutions in three areas: economic opportunity, 

healthy futures, and youth development. 

EARLY CHILDHOOD EDUCATION

Quality early childhood education has proven to have lasting effects for low-income children and their families. Investments in 

early childhood education not only improve outcomes for children 

and families, but save taxpayer dollars in the long run through 

lower welfare, special education, and criminal justice costs. 

Child Care and Development Block Grant.—The Committee recommendation includes $2,438,313,000, a $160,000,000 increase 

over the fiscal year 2012 level, for the CCDBG. Of this increase, 

$90,000,000 is targeted to improving the quality of the early childhood care and education workforce and will support training, education, and other professional development opportunities. The remaining $70,000,000 will be used to improve low-income families’ 

access to quality child care by increasing the number of families 

served, subsidy rates, and reimbursement rates to providers. 

Head Start.—The Committee recommendation includes 

$8,038,544,000, a $70,000,000 increase over the fiscal year 2012 

level, for Head Start. In fiscal year 2012, HHS began implementing 

new regulations that will require Head Start grantees that do not 

meet certain performance standards to re-compete for funding. This 

year, over $1,200,000,000 in Head Start grants will be re-competed, 

providing additional assurances that children in Head Start are receiving quality services. The Committee recommendation supports 

the implementation of this new re-competition process as well as 

an increase for each existing grantee to help defray rising operational costs. 

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

$51,040,000 increase over the fiscal year 2012 level, for the administration’s signature education reform program. A significant portion of fiscal year 2013 funds will be used for Race to the Top— 

Early Learning Challenge, which will offer additional opportunities 

to States for enhancing early care and education. 
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PREVENTION

Nearly three-quarters of all healthcare costs are attributable to 

chronic diseases, the majority of which are preventable. This bill 

promotes prevention efforts through discretionary funding as well 

as through $1,000,000,000 in mandatory funding that will be transferred from the PPH Fund. The PPH Fund was appropriated in 

PPACA, but PPACA gives Congress the authority to allocate it 

through the appropriations process. 

Community Transformation Grants.—The Committee recommends dedicating $280,000,000 of the PPH Fund, an increase of 

$54,000,000 over the fiscal year 2012 level, for implementing evidence-based public health interventions to reduce obesity and 

smoking and make preventive services more accessible. 

Childhood Immunizations.—The Committee recommends 

$557,870,000 for immunization programs authorized under section 

317 of the PHS Act, including a $190,000,000 transfer from the 

PPH Fund. This funding is sufficient to purchase an estimated 3.5 

million doses of vaccine. Immunization saves $10.20 in direct medical costs for every child vaccinated. 

Smoking Prevention.—Tobacco kills 440,000 people in the Nation 

each year, costing $96,000,000,000 per year in medical expenses. 

The Committee bill provides $203,117,000, including $95,000,000 in 

transfers from the PPH Fund, for the Office of Smoking and Health 

at CDC. This funding, an increase of $12,000,000 over the fiscal 

year 2012 level, will continue the successful media campaign ‘‘Tips 

From a Former Smoker’’ and expand State quit-lines. 

Diabetes Prevention Program [DPP].—The Committee bill includes $20,000,000, double the fiscal year 2012 level, for replicating 

the Diabetes Prevention Program, a set of lifestyle interventions 

that has been proven to reduce the risk of developing diabetes by 

58 percent in individuals at high risk. This amount includes 

$10,000,000 in transfers from the PPH Fund. 

Elder Falls.—One out of three adults age 65 and older falls each 

year, with 20 to 30 percent of falls resulting in moderate to severe 

injury. The direct medical costs total $19,000,000,000 a year. Many 

of the falls are preventable with lifestyle interventions and appropriate physical supports. In a new initiative, the Committee bill 

transfers $10,000,000 from the PPH Fund to CDC and ACL to research and implement evidence-based approaches to preventing elderly falls. 

ASSISTING PEOPLE WITH DISABILITIES

Promoting School Readiness for Minors in SSI.—In fiscal year 

2012, Congress created PROMISE, an unprecedented interagency 

effort to improve outcomes for children, and the families of children, receiving SSI benefits. This program will improve services for 

these transition-aged youth by encouraging State-level innovation 

and facilitating better coordination that can help young people with 

disabilities enter and succeed in competitive, integrated employment. In fiscal year 2013, the Committee includes $11,996,000 and 

the authority to allocate unspent vocational rehabilitation State 

grant funds within the Department of Education for this effort, in 

addition to $7,200,000 at SSA. 
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Education for Individuals With Disabilities.—The Committee bill 

provides $11,677,855,000, an increase of $100,000,000 over the fiscal year 2012 level, under section 611 of part B grants to States 

for educating students with disabilities between the age of 3 and 

21. The bill also includes $462,710,000, an increase of $20,000,000 

over the fiscal year 2012 level, to support statewide systems of coordinated and early intervention services for children with disabilities 2 years old and younger, as well as their families. 

Special Education Research.—The bill includes $59,905,000, an 

increase of $10,000,000 over the fiscal year 2012 level, to support 

research on how children and adults with disabilities learn and 

how best to meet their learning needs. 

Assistive Technology.—The Committee bill provides $37,500,000, 

an increase of $4,664,000 over the fiscal year 2012 level, for State 

assistive technology programs. These programs support a range of 

activities to serve people with disabilities, including State financing 

programs, device reutilization and loan programs, and device demonstrations. The Committee recommendation will ensure all 50 

statewide assistive technology programs receive the minimum 

grant authorized under statute for the first time. 

Disability Hearings at the Social Security Administration.—The 

Committee recommendation includes $11,735,544,000, a 

$290,352,000 increase over the fiscal year 2012 funding level, for 

SSA’s administrative expenses. This increase will support SSA’s efforts to eliminate the disability hearings backlog by the end of fiscal year 2013. In 2008, the average processing time for a disability 

hearing reached an all-time high of 532 days. As of April 2012, the 

average processing time is 354 days. The Committee recommendation will allow SSA to stay on target to eliminate the backlog and 

reduce the average processing time to 270 days by the end of fiscal 

year 2013. 

OTHER HIGHLIGHTS OF THE BILL

Pell Grants.—The Committee bill maintains the discretionary 

portion of the maximum Pell Grant award level at $4,860 for the 

2013–2014 school year. Combined with mandatory funding, the 

total maximum award will rise by $85 to $5,635. 

Centers for Medicare and Medicaid Services.—The Committee 

recommends $3,156,045,000 for operations of CMS. The fiscal year 

2012 level is $2,608,785,000. Additional funding is needed to continue implementation of PPACA and to accommodate a dramatic 

increase in the Medicare population, as the baby boom generation 

ages. 

National Institutes of Health.—The bill provides $30,723,259,000, 

an increase of $100,000,000, to fund biomedical research at the 27 

Institutes and Centers that comprise the NIH. 

Community Health Centers.—The Committee bill includes 

$1,566,892,000 for CHCs. Combined with mandatory funding provided in the health reform law, the fiscal year 2013 program level 

for CHCs is $3,066,892,000—an increase of $300,000,000 over the 

fiscal year 2012 level. The bill includes a statutory provision requiring that all fiscal year 2013 funds be awarded in that fiscal 

year, rather than delayed for future years, to allow for base grant 
14 

adjustments for all existing CHCs and the expansion of the national network of clinics. 

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

includes $14,616,457,000, an increase of $100,000,000 over the fiscal year 2012 level, for title I grants to local education agencies for 

improving education for low-income students. These funds support 

more than 90 percent of the 15,000 school districts across the Nation. 

Children’s Hospitals Graduate Medical Education.—The Committee recommendation includes $265,171,000 for CHGME, the 

same level as in fiscal year 2012. The Committee rejects the 67 

percent cut to this program proposed by the administration. 

Low Income Home Energy Assistance.—The Committee recommendation includes $3,471,672,000, the same as the fiscal year 

2012 level, for LIHEAP. The administration proposes a decrease of 

$451,672,000. 

Community Services Block Grant.—The Committee recommendation includes $677,358,000, the same as the fiscal year 2012 funding level, for the CSBG. The administration proposes a decrease of 

$327,358,000. 

AIDS Drug Assistance Program.—The Committee recommends 

$963,299,000 for ADAP, an increase of $30,000,000 over the fiscal 

year 2012 level. 

Food Safety.—The Committee recommendation includes 

$43,848,000 for food safety activities at CDC, an increase of 

$16,075,000 over the fiscal year 2012 level. This funding will support food-based outbreak investigations and develop new laboratory 

and epidemiological tools. 

National Public Health Institutes.—The Committee recommends 

$10,000,000 to create a new initiative to assist other nations in setting up and strengthening NPHIs similar to America’s CDC. 

NPHIs are science-based organizations that provide leadership and 

coordination for public health at the national level. Increasing the 

number of NPHIs worldwide will improve global health and enhance the U.S. capability to detect infectious diseases that could 

threaten the U.S. population. 

Misclassification of Workers.—The Committee recommendation 

includes an increase of $14,000,000 at DOL to address the 

misclassification of workers as independent contractors. 

Misclassifications deny workers their rights to unemployment benefits, overtime pay, and other benefits, and also reduce revenue to 

the Unemployment, Social Security, and Medicare trust funds, as 

well as to the Treasury. 

Substance Abuse and Mental Health.—The Committee recommendation includes a combined increase of $40,000,000 for the 

Community Mental Health Services Block Grant and the Substance Abuse Prevention and Treatment Block Grant, in recognition of the severe budget cuts taking place to public mental health 

and substance abuse treatment systems nationwide. 

Domestic Violence and Sexual Exploitation.—The Committee recommendation includes a $5,000,000 increase, for a total of 

$137,774,000 for family violence prevention and related services, 

which include emergency shelters and services for victims of domestic violence. In addition, the Committee recommendation in-
15 

cludes $5,000,000 for a new program to improve services for child 

victims of sex trafficking. 

TITLE I 

DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION

TRAINING AND EMPLOYMENT SERVICES

Appropriations, 2012 ............................................................................. $3,192,692,000 

Budget estimate, 2013 ........................................................................... 3,231,812,000 

Committee recommendation ................................................................. 3,176,063,000 

The Committee recommends $3,176,063,000 for the Training and 

Employment Services account, which provides funding primarily 

for activities under WIA. 

This 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 2013 

will support the program from July 1, 2013, through June 30, 2014. 

A portion of this account’s funding, $1,772,000,000, is available on 

October 1, 2013, for the 2013 program year. 

Any reference in this title of the report to the ‘‘Secretary’’ or the 

‘‘Department’’ shall be interpreted to mean the Secretary of Labor 

or the Department of Labor, respectively, unless otherwise noted. 

In 1986, the United States entered into a Compact of Free Association with the Federated States of Micronesia and the Republic 

of the Marshall Islands. In 1994, the United States entered into a 

similar relationship with the Republic of Palau. The Compacts set 

forth the bilateral terms for the government, economic, and security relations between the United States and the FAS and the laws 

approving the Compacts set forth the U.S. policy context and interpretation for Compacts. Section 141 of the Compacts provides that 

certain FAS citizens ‘‘may be admitted to, lawfully engage in occupations, and its territories.’’ However, the Congress also stated, in 

section 104(e)(1), that ‘‘it is not the intent of Congress to cause any 

adverse consequences for an affected jurisdiction.’’ 

At present, it is estimated that affected areas of the United 

States are spending upwards of $200,000,000 annually for education, healthcare, and other services for FAS migrants, including 

high-cost treatments such as dialysis and chemotherapy. There is 

also a high-unemployment rate among the FAS citizens currently 

located in the affected areas. Employers in the affected areas report 

that there is a significant need for language and cultural education 

and job training, which often complicates providing FAS citizens 

with employment opportunities. The need for job training and technical assistance in the affected areas is critical and would help to 

alleviate some of the escalating social tensions. The Committee believes the National Security Council Interagency Policy Committee 

on Freely Associated State Affairs that was established in Senate 

Report 112–74 would benefit from the input of the Department on 

employment and training issues. Therefore, the Committee requests the Department become a member of the interagency group 
16 

and asks for a report no later than 180 days after enactment of this 

act on its involvement. 

The Committee recognizes that there are opportunities for the 

further alignment and streamlining of employment and training 

services. The Committee encourages the Department to continue to 

work with other Federal agencies to increase administrative efficiencies. 

Grants to States 

The Committee recommends $2,603,315,000, the same as the fiscal year 2012 level, for Training and Employment Services Grants 

to States. The budget request is $2,600,344,000. 

As proposed in the budget request, the Committee retains bill 

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. In 

addition, a local board may award a contract to an institution of 

higher education or other eligible training provider if the board determines that it would facilitate the training of multiple individuals in high-demand occupations, if such contract does not limit 

customer choice. 

Adult Employment and Training.—For adult employment and 

training activities, the Committee recommends $770,811,000, the 

same amount provided in fiscal year 2012. The budget request includes $769,465,000. 

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

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

intensive services, and job training. Core services are available to 

all adults with no eligibility requirements. Intensive services are 

provided to unemployed individuals who are not able to find jobs 

through core services alone. Training services may be available to 

adults who have been determined unable to obtain or retain employment through intensive services. 

Funds made available in this bill support program year 2013 activities that occur from July 1, 2013, through June 30, 2014. The 

bill provides that $58,811,000 is available for obligation on July 1, 

2013, and that $712,000,000 is available on October 1, 2013. Both 

categories of funding are available for obligation through June 30, 

2014. 

Youth Training.—For youth training programs, the Committee 

recommends $824,353,000, the same as both the fiscal year 2012 

comparable amount and the budget request. 

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

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

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

and activities related to leadership development, citizenship, and 

community service. Funds made available for youth training support program year 2013 activities, which occur from April 1, 2013, 

through June 30, 2014. 
17 

Dislocated Worker Assistance.—For dislocated worker assistance, 

the Committee recommends $1,008,151,000, the same as the fiscal 

year 2012 amount. The budget request includes $1,006,526,000. 

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

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

innovative incumbent and dislocated worker training programs. 

Funds made available in this bill support program year 2013 activities, which occur from July 1, 2013, through June 30, 2014. The 

bill provides that $148,151,000 is available for obligation on July 

1, 2013, and that $860,000,000 is available on October 1, 2013. 

Both categories of funding are available for obligation through 

June 30, 2014. 

Governor’s Reserve Fund 

The Committee recommendation modifies current law regarding 

the amount of WIA State grant funding that may be set aside by 

Governors. As requested by the administration, the Committee continues bill language authorizing the Governor of a State to reserve 

not more than 5 percent of the funds allotted to a State through 

the WIA State grant programs for statewide workforce investment 

activities. The percentage was lowered from 15 percent to 5 percent 

in fiscal year 2011, and then maintained at that level in fiscal year 

2012. The Committee adds new bill language allowing Governors 

to reserve up to 10 percent of WIA State grant program funding 

if half of the total set-aside is used to support on-the-job and incumbent training to improve the skills of workers, avert layoffs, or 

lead to employment, and is delivered on a local or regional basis 

for in-demand occupations or industries. 

Federally Administered Programs 

Dislocated Worker Assistance National Reserve.—The Committee 

recommends $224,066,000 for the Dislocated Worker Assistance 

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 2012 level. The 

budget request includes $223,688,000. 

Funds made available in this bill support activities in program 

year 2013, which occurs from July 1, 2013, through June 30, 2014. 

The bill provides that $24,066,000 is available for obligation on 

July 1, 2013, and that $200,000,000 is available on October 1, 

2013. Both categories of funding are available for obligation 

through June 30, 2014. 

As proposed in the budget request, the Committee continues bill 

language from previous years authorizing the use of funds under 
18 

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 

$47,562,000, the same amount provided in fiscal year 2012, for Native American programs. The budget request is $52,562,000. These 

programs are 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 $84,291,000, the same as the fiscal year 2012 level 

and the budget request, for migrant and seasonal farmworkers programs, which serve members of economically disadvantaged families whose principal livelihood is derived from migratory and other 

forms of seasonal farmwork, fishing, or logging activities. Enrollees 

and their families are provided with employment, training, and related services intended to prepare them for stable, year-round employment within and outside of the agriculture industry. The Committee recommendation provides that $78,104,742 be 

used for State service area grants. The Committee recommendation 

also includes bill language directing that $5,678,222 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 $508,036 to be used for section 167 training, 

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

Women in Apprenticeship.—The Committee recommends 

$996,000 for activities authorized under the WANTO Act of 1992. 

This amount is the same as the fiscal year 2012 level. The budget 

request eliminates this program. These funds provide for technical 

assistance to employers and unions to assist them in training, placing, and retraining women in nontraditional jobs and occupations. 

YouthBuild.—The Committee recommends $79,689,000, the same 

as the fiscal year 2012 level and the budget request, for the 

YouthBuild program. YouthBuild targets at-risk, high-school dropouts and prepares them with the skills and knowledge they need 

to succeed in a knowledge-based economy. 

Workforce Innovation Fund.—The Committee recommends 

$49,906,000, the same as the fiscal year 2012 level, for WIF, a program that provides competitive awards for workforce innovation activities. The Committee recommendation does not set aside 

$10,000,000, as requested by the administration, for a new initiative to improve services for disconnected youth. 

The Committee recommendation includes new bill language, as 

requested by the administration, that allows a portion of the funds 

for WIF to be used for Pay for Success pilots, which will provide 

performance-based awards to States or local governments and non-
19 

profit organizations providing or arranging services that improve 

employment and education outcomes for individuals, including 

those with barriers to employment. The Committee expects that 

funds for Pay for Success pilots will only be set aside if it has been 

determined that such pilots could improve outcomes and eligible 

entities show interest. The Committee also expects to be notified 

prior to the issuance of any notice related to Pay for Success activity. The budget request includes $100,000,000 for WIF through the Department and an additional $25,000,000 through the Department of Education’s VR State Grants and Adult Basic State Grants 

programs. 

The Committee is reluctant to provide an increase for WIF until 

it can gauge the program’s success. The Committee notes that although the program was created in fiscal year 2011, with additional funding appropriated in fiscal year 2012, the Department 

does not plan to award the first WIF grants before mid- to late 

June 2012. 

WIF grants are intended to test innovative strategies; replicate 

and expand effective, evidence-based strategies and activities, including sector strategies, career pathways, incumbent worker training, and on-the-job training; and align programs and strengthen 

the workforce system in a State or region in order to substantially 

improve the education and employment outcomes for job seekers 

and workers, youth, and employers. The Committee expects activities for youth will improve services for individuals up to age 24. 

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

local workforce investment boards, or to local workforce investment 

boards or consortia of such boards that serve a regional labor market. Priority will be given to applicants that demonstrate significant alignment, strategic planning, and coordination across the 

workforce development system and supportive services at the 

State, regional, or local level, and that support economic development goals and improved employment outcomes for participants, 

particularly those who are hardest to serve. 

The Committee commends ETA for its collaborative work with 

IMLS to integrate the education, employment, and training services provided by public libraries into the workforce development 

system. The Committee encourages ETA to continue to invest in 

building and strengthening partnerships between the one-stop system and public libraries and recommends that the ETA encourage 

applicants for grants under WIF to collaborate with public libraries. 

The budget request includes a general provision that provides 

the Secretary with the authority to waive statutes and regulations 

relating to title I of WIA and the Wagner-Peyser Act when the Secretary believes waivers would substantially improve employment 

and education outcomes. The Committee does not include this general provision. 

National Activities 

The Committee remains greatly concerned about the low level of 

literacy and numeracy skills among adult workers. The Committee 

continues to encourage the Department to work with the Depart-
20 

ment of Education to examine and share best practices to help 

adults with the lowest literacy levels improve their overall skills 

and employment opportunities. The Committee requests the Department report on its progress in educating the workforce system 

on the effectiveness of adult literacy and basic skills programs that 

have successfully implemented strategies for delivering basic literacy instruction together with occupational training no later than 

120 days after enactment of this act. Further, the Committee recommends that these best practices be widely disseminated to maximize outreach to programs that would be able to implement improved approaches. 

As proposed in the budget request, the Committee recommends 

eliminating funding designated for two programs: pilots, demonstrations, and research; and evaluation. These activities will instead be funded through a 0.5 percent tap on the Department’s 

training and employment programs, including WIA, Job Corps, and 

the Employment Service. The new set-aside approach will ensure 

that sufficient funding is available to carry out comprehensive research and evaluations, including random assignment studies, and 

promote greater stability of funding for these efforts. 

The ETA will conduct evaluation and applied research activities 

in consultation with the Department’s chief evaluation officer who 

oversees the evaluation program. Results will inform policy, advance the Department’s mission, and improve its performancebased management initiatives. 

Pilots, Demonstrations, and Research.—As explained above, the 

Committee recommends eliminating funding designated for this 

program. The fiscal year 2012 funding level is $6,603,000. In recent 

years, funding levels have been sufficient only to carry out research 

activities and not pilots and demonstrations. 

The Committee directs the Secretary to use the authority in sec- tions 170 and 171 of WIA to set aside up to $10,000,000 to support 

technical assistance, research, and demonstration activities by 

making competitive grants to nonprofit entities with demonstrated 

effectiveness in aligning education, workforce, and economic development programming to advance the quality and effectiveness of 

the workforce development system and to support innovative collaborations at the local level that enhance the employment and 

training opportunities for workers. This recommendation is intended to highlight the need to build capacity in the workforce system in a way that maximizes returns for job seekers, incumbent 

workers, and employers. Grant awards should support integration 

of the successful approaches identified in GAO Report 12–97, dated 

January 19, 2012, to help local workforce boards react swiftly to 

changing labor market demands and ensure workers have the required skills to meet those demands. Awards should also support 

capacity building or demonstration projects in local communities to 

address chronic unemployment and skills mismatches by disseminating information, providing technical assistance, or serving as an 

intermediary to develop and monitor projects that increase the 

alignment of education and training investments. 

Reintegration of Ex-Offenders.—The Committee recommends 

$80,238,000, the same as the fiscal year 2012 level, for the Reintegration of Ex-Offenders program. The budget request includes 
21 

$85,238,000. This program helps prepare and assist ex-offenders 

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

opportunities, education, and training to youth who are involved in 

court and on probation, in aftercare, or 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. 

Within the funds provided, the Committee recommendation in- cludes $20,000,000, the same as fiscal year 2012 and the budget request, for competitive grants to national or regional intermediaries 

for activities that prepare young ex-offenders and school dropouts 

for employment. Priority should be given to projects that serve 

high-crime, high-poverty areas. 

Evaluation.—As explained above, the Committee recommends 

eliminating funding designated for evaluation. The fiscal year 2012 

funding level is $9,563,000. 

Workforce Data Quality Initiative.—The Committee recommends 

$6,000,000 for the Workforce Data Quality Initiative, the same as 

the budget request. The comparable fiscal year 2012 level is 

$6,463,000. Funds are used to assist States with incorporating comprehensive workforce information into longitudinal data systems 

being developed in part with the support of funding provided by the 

Department of Education. The initiative is also intended to help 

improve the quality and accessibility of performance data being 

produced by training providers. Twenty-five States have been 

awarded grants through this program. This funding will expand 

the initiative to approximately six additional States. 

OFFICE OF JOB CORPS

Appropriations, 2012 ............................................................................. $1,702,947,000 

Budget estimate, 2013 ........................................................................... 1,650,004,000 

Committee recommendation ................................................................. 1,673,210,000 

For Job Corps, the Committee recommends $1,673,210,000. 

The recommendation for operations of Job Corps centers is 

$1,569,078,000, the same as the fiscal year 2012 level. The budget 

request includes $1,545,872,000. 

The budget request for operations is based on a new reform effort 

that will close a small number of chronically low-performing Job 

Corps centers based on their educational and employment outcomes. Some of these centers have remained in the bottom cohort 

of center performance rankings for many years and are failing atrisk youth in need of high-quality education and training services. 

The Committee supports the Department’s reform effort and agrees 

that it is not beneficial to such youth or a wise use of taxpayer dollars to continue to invest in centers that have historically not 

served students well. 

However, even if a few chronically low-performing centers are 

closed, the Committee does not believe the budget request is sufficient to support several new centers that have opened in recent 

years and another center that is expected to open during program 

year 2013. Therefore, the Committee recommends no reduction to 

funding for operations. 
22 

The Committee is very concerned about the Department’s mismanagement of Job Corps funds that led to the funding shortfall 

recently announced for the remainder of program year 2011 and 

the disruptions it has caused new, current, and transfer students. 

In order to conduct proper oversight, it is important for the Committee to understand the circumstances that led to the shortfall. 

Therefore, the Committee requests a detailed report that provides 

a timeline of when the Department became aware of the shortfall; 

the specific steps the Department is taking to address it; and a description of the impact on students and services provided to them. 

The report should also include a description of the impact on the 

budget for program year 2012 and steps the Department is taking 

to ensure that students do not face similar disruptions in the coming year. The report shall be submitted to the Committee no later 

than 30 days after enactment of this act. The Committee expects 

to be notified in advance of announcements made to Job Corps centers related to funding shortfalls. 

The Committee urges the Department to ensure that any center 

proposed for closure has exhausted all available options to improve, 

including being placed on a corrective action plan or performance 

improvement plan. The Committee also expects the Department to 

use its existing performance measures as the key component for developing its methodology for identifying centers for closure and to 

adhere to the process for closing a Job Corps center as described 

in section 159 of WIA, which includes advance announcement to 

the general public of the proposed closure; establishment of a reasonable comment period for interested parties to submit written 

comments to the Secretary; and notification to the Members of Congress who represent the district or State in which such center is 

located. 

The Committee strongly encourages the Department to provide 

Job Corps students enrolled in a closing low-performing center the 

opportunity to transfer to another higher-performing Job Corps 

center. 

The Committee requests a detailed description of the Department’s plan for identifying centers for closure, including a definition of a ‘‘low-performing center,’’ the methodology used for identifying those centers, and a timeline for the closure process. The 

Committee expects to receive this information no later than 180 

days after the enactment of this act or at least 30 days prior to any 

public notice published in the Federal Register. 

The Committee recommendation for administrative costs is 

$29,132,000, the same as the budget request. The comparable fiscal 

year 2012 level is $29,077,000. 

The Committee also recommends a total of $75,000,000 in construction, renovation, and acquisition funds. This amount, which is 

the same as the budget request, is available from July 1, 2013, to 

June 30, 2016. The comparable fiscal year 2012 level is 

$104,792,000. 

As requested by the administration, the Committee again includes bill language allowing the Secretary to transfer up to 15 percent of construction, renovation, and acquisition funds, if necessary, 

to meet the operational needs of Job Corps centers or to achieve administrative efficiencies. 
23 

The Committee notes that the Department recently took disciplinary action against a Job Corps contractor for repeated safety and 

protocol violations. The Committee believes that the Job Corps program, its students, and the taxpayers would be better served if the 

Department strengthened its oversight of the program and its contractors. 

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

Appropriations, 2012 ............................................................................. $448,251,000 

Budget estimate, 2013 ........................................................................... ........................... 

Committee recommendation ................................................................. 448,251,000 

The Committee recommends $448,251,000 for the CSEOA program. As in fiscal year 2012, the budget request includes a proposal to transfer the program to ACL in HHS. The Committee 

again recommends keeping the program in DOL. 

CSEOA provides part-time employment in community service activities for unemployed, low-income persons aged 55 and older. 

FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

Appropriations, 2012 ............................................................................. $1,100,100,000 

Budget estimate, 2013 ........................................................................... 1,421,000,000 

Committee recommendation ................................................................. 1,421,000,000 

The Committee recommends $1,421,000,000 in mandatory funds 

for Federal unemployment benefits and allowances. 

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

and assistance with health insurance coverage. The program also 

includes a wage insurance option for certain workers at least 50 

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

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE

OPERATIONS

Appropriations, 2012 ............................................................................. $4,071,058,000 

Budget estimate, 2013 ........................................................................... 3,949,240,000 

Committee recommendation ................................................................. 3,896,993,000 

The Committee recommends $3,896,993,000 for this account. The 

recommendation includes $3,810,882,000 authorized to be drawn 

from the Employment Security Administration account of the unemployment trust fund and $86,111,000 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 retains language from previous years 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 and that permits the Secretary to use funds to 

make payments on behalf of States for the use of the National Directory of New Hires. At the request of one or more States, the Secretary may reallot funds for States to carry out activities that ben-
24 

efit the administration of unemployment compensation laws of a 

requesting State. The Committee recommends a total of $3,016,209,000, the same 

as the budget request, for UI activities. The comparable fiscal year 

2012 level is $3,220,438,000. The decrease in funding is due to an 

expected reduction in UI administrative workload. For UI State operations, the Committee recommends $3,004,912,000. These funds 

are available for obligation by States through December 31, 2013. 

Funds used for automation acquisitions or for competitive grants 

awarded to States to address worker misclassification, system improvements, or improper payments are available for obligation by 

States through September 30, 2015. The Committee recommendation includes $75,000,000, the same 

as the budget request, to conduct in-person re-employment and eligibility assessments and UI improper payment reviews and continues bill language allowing the Secretary to provide additional 

funding to support these activities if funds become available as the 

result of a decrease in UI workload activity. Congress appropriated 

no less than $60,000,000 for this activity in fiscal year 2012. This 

important program integrity initiative has been shown to help 

claimants exit the UI program faster and avoid exhausting UI benefits. The Committee intends for a portion of these or other administrative funds to be used for additional technology-based overpayment prevention, detection, and collection activities. The budget request includes a proposal for a discretionary cap adjustment 

amendment to the Balanced Budget and Emergency Deficit Control 

Act of 1985, which would provide an adjustment for $15,000,000 of 

the $75,000,000 included in the budget request. The Committee 

recommendation does not use the cap adjustment, which has yet to 

be enacted. 

The Committee recommendation includes new bill language that provides $10,000,000, as proposed in the budget request, for an 

award program designed to incentivize States to improve 

misclassification efforts. States that are most successful will be 

able to use these incentive funds to upgrade their misclassification 

detection and enforcement programs. 

The Committee recommendation provides for a contingency reserve amount should the unemployment workload exceed an average weekly insured claims volume of 3,908,000, as proposed in the 

budget request. This contingency amount would fund the administrative costs of the UI workload over the level of 3,908,000 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 

$11,297,000, the same as the budget request. The comparable fiscal 

year 2012 level is $11,266,000. These funds are directed to activities that benefit the State/Federal UI 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 $730,842,000, the same as the budget request. This 

amount includes $22,638,000 in general funds together with an au-
25 

thorization to spend $708,204,000 from the Employment Security 

Administration account of the unemployment trust fund. The comparable fiscal year 2012 level is $700,842,000. The Committee includes new bill language requiring that no less than $30,000,000 

be used to provide reemployment services to UI beneficiaries. Congress last appropriated funding for reemployment services in 

ARRA. A recent study found that reemployment services coupled 

with re-employment and eligibility assessments not only shorten 

UI duration, but also boost employment and earnings for UI claimants. The Committee recommendation continues to support States’ 

efforts in providing these critical workforce services to UI claimants. 

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

budget request, for Employment Service national activities. The fiscal year 2012 level is $20,912,000. The administration of the work 

opportunity tax credit accounts for $18,520,000 of the recommended amount and the balance is for technical assistance, 

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

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

$65,517,000, the same as the budget request. The comparable fiscal 

year 2012 level is $65,393,000. In addition, 5 percent of the revenue from H–1B fees is available to the Department for costs associated with processing H–1B alien labor certification applications. 

For one-stop career centers and labor market information, the 

Committee recommends $63,473,000, the same as the fiscal year 

2012 level. The budget request provides $115,720,000 and includes 

a proposal to co-brand and increase public awareness of the onestop career center system. The Committee does not recommend 

funding for this initiative due to funding constraints. 

The Committee recommendation includes $12,000,000 for the 

ETA, in collaboration with ODEP, to continue to implement their 

joint plan for improving effective and meaningful participation of 

persons with disabilities in the workforce. The Committee expects 

that these funds, in combination with funding available to ODEP, 

will continue to improve the accessibility and accountability of the 

public workforce development system for individuals with disabilities. The budget request and fiscal year 2012 level is $11,976,120. 

The Committee recommendation includes new bill language, as 

proposed in the budget request, authorizing the Secretary to collect 

fees for costs associated with additional data collection requested 

by States and local governments, institutions of higher education, 

or nonprofit organizations under the National Agricultural Workers 

Survey, and to retain the proceeds to cover such costs. 

STATE PAID LEAVE FUND

Appropriations, 2012 ............................................................................. ........................... 

Budget estimate, 2013 ........................................................................... $5,000,000 

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

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

would help States establish paid leave programs. 
26 

ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS

Appropriations, 2012 ............................................................................. $171,000,000 

Budget estimate, 2013 ........................................................................... ........................... 

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

The Committee recommends and the budget requests such sums 

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

estimates that there will be no net costs in fiscal year 2013 because 

of expected repaid advances to the trust fund. The appropriation is 

available to provide advances to several accounts for purposes authorized under various Federal and State unemployment compensation laws and the Black Lung Disability Trust Fund, whenever balances in such accounts prove insufficient. 

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, 2012 ............................................................................. $147,081,000 

Budget estimate, 2013 ........................................................................... 147,611,000 

Committee recommendation ................................................................. 147,081,000 

The Committee recommendation of $147,081,000 for program administration includes $97,137,000 in general funds and $49,944,000 

from the Employment Security Administration account of the unemployment trust fund. 

General funds in this account pay for the Federal staff needed 

to administer employment and training programs under WIA, 

OAA, the Trade Act of 1974, WANTO, and the National Apprenticeship Act. Trust funds provide for the Federal administration of 

employment security functions under title III of the Social Security 

Act. 

EMPLOYEE BENEFITS SECURITY ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $183,153,000 

Budget estimate, 2013 ........................................................................... 183,153,000 

Committee recommendation ................................................................. 183,153,000 

The Committee recommends $183,153,000 for EBSA. 

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

is responsible for the enforcement of title I of ERISA in both civil 

and criminal areas and for enforcement of sections 8477 and 8478 

of the Federal Employees’ Retirement Security Act of 1986. EBSA 

administers an integrated program of regulation, compliance assistance and education, civil and criminal enforcement, and research 

and analysis. 

Benefits under EBSA’s jurisdiction consist of approximately 

$6,500,000,000,000 in assets covering approximately 150 million 

participants and beneficiaries. EBSA oversees benefit security for 

an estimated 718,000 private retirement plans, 2.6 million health 

plans, and similar numbers of other welfare benefit plans, such as 

those providing life or disability insurance. 
27 

PENSION BENEFIT GUARANTY CORPORATION

PBGC’s estimated obligations for fiscal year 2013 include singleemployer benefit payments of $6,534,000,000, multi-employer financial assistance of $118,000,000, and administrative expenses of 

$479,013,000. Administrative expenses are comprised of three activities: (1) pension insurance activities, $75,943,000; (2) pension 

plan termination expenses, $240,611,000; and (3) operational support, $162,459,000. These expenditures are financed by permanent 

authority. 

The PBGC is a wholly owned Government corporation established by ERISA. The law places it within DOL and makes the Secretary the chair of its board of directors. The corporation receives 

its income primarily from insurance premiums collected from covered pension plans, assets of terminated pension plans, collection 

of employer liabilities imposed by the act, and investment earnings. 

The primary purpose of the corporation is to guarantee the payment of pension plan benefits to participants if covered defined 

benefit plans fail or go out of existence. 

The President’s budget proposes to continue authority for a contingency fund for 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, 2014. The Committee bill continues these provisions 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. 

As requested by the President’s budget, the Committee bill also 

continues authority allowing the PBGC additional obligation authority for unforeseen and extraordinary pre-termination expenses, 

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

The Committee is very concerned by findings of the May 2012 

PBGC IG Management Advisory report that found errors and inconsistencies in both the multi-employer and single-employer sections that were caused by a lack of quality control or quality review 

process to ensure the integrity of reported actuarial estimates. The 

Committee directs the PBGC Board of Directors to designate a capable agency or organization that is independent from the PBGC, 

such as the SSA, to conduct an annual peer review of the SingleEmployer Pension Insurance Modeling System and Multi-Employer 

Pension Insurance Modeling System, the first of which shall be initiated no later than 3 months after the date of enactment of this 

act. The Committee also directs PBGC to develop written quality 

review policies and procedures for all modeling and actuarial work 

performed by the Policy, Research, and Analysis Department and 

to conduct a record management review of the Policy, Research and 

Analysis Department to determine what records must be retained 
28 

as Federal records. The PBGC shall, no later than 2 months after 

the date of enactment, submit to Congress a report, approved by 

the Board of Directors, setting forth a timetable for addressing the 

outstanding recommendations of the Office of the Inspector General 

relating to the Policy, Research and Analysis Department and the 

Benefits Administration and Payment Department. 

PBGC’s single-employer program protects nearly 34 million participants in approximately 25,000 defined benefit pension plans. 

The multi-employer insurance program protects about 10 million 

participants in roughly 1,500 plans. 

WAGE AND HOUR DIVISION

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $227,061,000 

Budget estimate, 2013 ........................................................................... 237,730,000 

Committee recommendation ................................................................. 237,730,000 

The Committee recommends $237,730,000 for WHD. 

The WHD is responsible for administering and enforcing laws 

that provide minimum standards for wages and working conditions 

in the United States. The Fair Labor Standards Act [FLSA], 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 WHD is charged with administering 

and/or enforcing. 

The Committee recommendation includes additional funds over 

the fiscal year 2012 level to address the misclassification of employees as independent contractors and to provide enhanced enforcement of overtime pay regulations. In addition, as proposed in the 

budget request, the Committee recommendation includes funds reallocated from the Women’s Bureau for WHD efforts on Family and 

Medical Leave Act issues. 

The Committee also supports the President’s request to provide 

additional resources for the WHD to increase its oversight of organizations participating in the special minimum wage program for 

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

FLSA, in order to protect the rights of workers with disabilities. 

The Committee also urges the WHD to continue exploring and implementing strategies with ODEP and other Federal agencies to 

provide additional opportunities for such workers to participate in 

competitive integrated employment. 

OFFICE OF LABOR-MANAGEMENT STANDARDS

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $41,289,000 

Budget estimate, 2013 ........................................................................... 41,771,000 

Committee recommendation ................................................................. 41,289,000 

The Committee recommends $41,289,000 for OLMS. 

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

for union democracy and financial integrity. They also require public disclosure by unions, union officers, employers, and others. In 
29 

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

OFFICE OF FEDERAL CONTRACT COMPLIANCE PROGRAMS

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $105,187,000 

Budget estimate, 2013 ........................................................................... 106,415,000 

Committee recommendation ................................................................. 105,187,000 

The Committee recommends $105,187,000 for OFCCP. 

This office protects workers and potential employees of Federal 

contractors from employment discrimination prohibited under Executive Order 11246, section 503 of the Rehabilitation Act of 1973, 

and the Vietnam Era Veterans’ Readjustment Assistance Act of 

1974. 

The Committee notes that almost 2 years ago the Department 

issued an advance notice of proposed rulemaking regarding regulations for implementing section 503 of the Rehabilitation Act. The 

Committee strongly supports the administration’s plan to issue a 

final rule by October of this year, as these regulations have not 

been updated in over 40 years. Changes included in the proposed 

rule would make important improvements in reducing barriers to 

employment opportunities for individuals with disabilities. The 

Committee encourages the Department to make technical assistance available to Federal contractors regarding the rule, and to increase Federal contractor employment opportunities for individuals 

with disabilities. 

OFFICE OF WORKERS’ COMPENSATION PROGRAMS

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $117,840,000 

Budget estimate, 2013 ........................................................................... 122,190,000 

Committee recommendation ................................................................. 117,840,000 

The Committee recommends $117,840,000 for OWCP. The bill 

provides authority to expend $2,120,000 from the special fund established by the Longshore and Harbor Workers’ Compensation 

Act. 

OWCP administers four distinct compensation programs: the 

Federal Employees’ Compensation Act, the Longshore and Harbor 

Workers’ Compensation Act, the Black Lung Benefits programs, 

and the Energy Employees Occupational Illness Compensation Program. In addition, OWCP houses the Division of Information Technology Management and Services. 

SPECIAL BENEFITS

Appropriations, 2012 ............................................................................. $350,000,000 

Budget estimate, 2013 ........................................................................... 396,000,000 

Committee recommendation ................................................................. 396,000,000 

The Committee recommends $396,000,000 for this account. This 

mandatory appropriation, which is administered by OWCP, primarily provides benefits under the Federal Employees’ Compensation Act [FECA]. 
30 

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

account numbers by individuals filing claims under FECA or the 

Longshore and Harbor Workers’ Compensation Act and its extensions. 

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

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

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

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

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

year and that provides authority to draw such sums as are needed 

after August 15 to pay current beneficiaries. Such funds are 

charged to the subsequent year appropriation. 

The Committee also recommends continuation of appropriations 

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, 2012 ............................................................................. $182,227,000 

Budget estimate, 2013 ........................................................................... 163,220,000 

Committee recommendation ................................................................. 163,220,000 

The Committee recommends a mandatory appropriation of 

$123,220,000 in fiscal year 2013 for special benefits for disabled 

coal miners. This is in addition to the $40,000,000 appropriated 

last year as an advance for the first quarter of fiscal year 2013, for 

a total program level of $163,220,000 in fiscal year 2013. The decrease in this account below the fiscal year 2012 level reflects a declining beneficiary population. 

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. 

The Committee also recommends an advance appropriation of 

$35,000,000 for the first quarter of fiscal year 2014. This amount 

is the same as the budget request. These funds will ensure uninterrupted benefit payments to coal miners, their widows, and dependents. 
31 

DIVISION OF ENERGY EMPLOYEES OCCUPATIONAL ILLNESS

COMPENSATION

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $52,147,000 

Budget estimate, 2013 ........................................................................... 54,962,000 

Committee recommendation ................................................................. 54,962,000 

The Committee recommends $54,962,000 for the Division of Energy Employees Occupational Illness Compensation. This is a mandatory appropriation. 

The Division administers EEIOCPA, which provides benefits to 

eligible employees and former employees of DOE, its contractors 

and subcontractors, or to certain survivors of such individuals. The 

mission also includes delivering benefits to certain beneficiaries of 

the Radiation Exposure Compensation Act. The Division is part of 

OWCP. 

In fiscal year 2013, the volume of incoming claims under part B 

of EEOICPA is estimated at about 7,300 from DOE employees or 

survivors, and private companies under contract with DOE, who 

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

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

nuclear weapons. 

Under part E, approximately 6,400 new claims will be received 

during fiscal year 2013. Under this authority, the Department provides benefits to eligible DOE contractor employees who were found 

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

toxic substance at a DOE facility, or to the employees’ survivors. 

BLACK LUNG DISABILITY TRUST FUND

Appropriations, 2012 ............................................................................. $301,415,000 

Budget estimate, 2013 ........................................................................... 308,849,000 

Committee recommendation ................................................................. 308,849,000 

The Committee bill provides an estimated $308,849,000 for this 

mandatory appropriations account. This estimate is comprised of 

$58,806,000 for administrative expenses and an estimated 

$250,043,000 for benefit payment and interest costs. 

The Committee bill continues to provide indefinite authority for 

the Black Lung Disability Trust Fund to provide for benefit payments. In addition, the bill provides for transfers from the trust 

fund for administrative expenses for the following DOL agencies: 

up to $32,906,000 for the part C costs of the Division of Coal Mine 

Workers’ Compensation Programs, up to $25,217,000 for 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. 
32 

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $564,788,000 

Budget estimate, 2013 ........................................................................... 565,468,000 

Committee recommendation ................................................................. 565,468,000 

The Committee recommends $565,468,000 for OSHA, which is responsible for enforcing the Occupational Safety and Health Act of 

1970 in the Nation’s workplaces. 

The Committee continues bill language to allow OSHA to retain up to $200,000 per fiscal year of tuition fees for training institute 

courses to be used for occupational safety and health training and 

education grants in the private sector. 

The Committee bill retains language that continues to effectively 

exempt farms employing 10 or fewer people from the provisions of 

the act with the exception of those farms having a temporary labor 

camp. The bill also retains language exempting small firms in industry classifications having a lost workday injury rate less than 

the national average from general schedule safety inspections. 

The Committee supports the important mission carried out by 

OSHA. BLS data reveal that on average during calendar year 2010 

one worker died of a work-related injury every 2 hours. Millions 

more were seriously hurt or contracted a fatal illness or disease in 

their workplace. These deaths and injuries take a massive toll on 

our economy and society, decreasing productivity and increasing 

the costs of medical care. 

GAO recently reported that between 1981 and 2010, the time it 

took OSHA to develop and issue safety and health standards 

ranged widely, from 15 months to 19 years, and averaged more 

than 7 years. OSHA’s rulemaking on silica illustrates some of the 

challenges identified by GAO. 

According to CDC, as many as 1.7 million workers are exposed 

to dangerous levels of silica in the workplace each year; researchers 

estimate that 3,600 to 7,300 of them develop silicosis and approximately 200 workers die of this condition each year. Despite the 

mandate in Executive Order 12866 that the Office of Information 

and Regulatory Affairs [OIRA] complete its review of any proposed 

rule within 90 days (with a possible extension of another 30 days), 

the silica rule has languished at OIRA for more than 15 months. 

Therefore, the Committee directs the Department to issue a notice 

of proposed rulemaking on silica not later than 30 days after the 

end of fiscal year 2012. 

The Committee recommends $104,196,000, the same amount as 

the budget request, for grants to States under section 203(g) of the 

Occupational Safety and Health Act. These funds primarily 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 bill continues language that allows OSHA to provide 

grants of up to 50 percent for the costs of State plans approved by 

the agency. The Committee believes that, given the continuing fiscal pressures facing State budgets, OSHA should continue its practice of allowing States an extra year to match the appropriation 
33 

provided by this bill for support of their State plans, and also 

should extend the period of expenditure for these funds for an additional quarter. 

The Committee also believes that OSHA’s worker safety and 

health training and education programs, including the grant program that supports such training, are a critical part of a comprehensive approach to worker protection. Under the program, 

grants are made to various types of organizations representing employers and labor organizations for direct training of workers on occupational safety and health. The Committee recommendation includes $11,000,000 for the OSHA Susan Harwood Training Grant 

Program. The budget request and the fiscal year 2012 level are 

both $10,709,000. 

MINE SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $372,523,000 

Budget estimate, 2013 ........................................................................... 371,896,000 

Committee recommendation ................................................................. 376,270,000 

The Committee recommendation includes $376,270,000 for 

MSHA. 

MSHA insures the safety and health of the Nation’s miners by 

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

and improving training in conjunction with States and the mining 

industry. 

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

survival operations in the event of a major disaster. In order to 

prepare properly for an actual emergency, the Committee also directs MSHA to continue to devote resources toward a competitive 

grant activity for effective emergency response and recovery training in various types of mine conditions. 

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 $2,499,000 from 

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

such activities. The Committee bill also provides new authority requested in the President’s budget to allow MSHA to establish, collect, and retain fees for services related to the analysis of rock dust 

samples. 

The Committee continues to place a high priority on reducing the 

backlog of contested safety and health violations. This bill includes 

$2,233,000 more than the budget request to expand that effort. In 

recent years, some mine operators have challenged an increasing 

share of their mine safety violations, preventing enhanced accountability provisions from taking effect. As in last year’s act, the bill 
34 

provides the authority to transfer a portion of these funds to support related activities in the Office of the Solicitor. The Committee 

notes that this effort has resulted in the targeted backlog being reduced by over 80 percent in just less than 2 years. 

The Committee notes that the current respirable coal dust regulation dates back to 1980 and does not reflect changes in technology or work schedules of miners that have occurred in the decades since it was promulgated. In October 2010, MSHA published 

a proposed rule on this issue. Congress included language in last 

year’s appropriations act that prohibited the issuance of a final rule 

on the issue until GAO issues a report related to the rulemaking 

or until after 240 days have passed after enactment of the act. In 

either case, MSHA is expected to promulgate the rule before the 

end of fiscal year 2012. In addition, the statement of the managers 

accompanying the act clarifies that MSHA could ‘‘address any compliance assistance or training needs’’ before beginning to implement 

the rule. 

The timely issuance of a final rule will help in the effort to end 

black lung disease in the Nation’s miners. Within this account, the 

Committee provides resources needed to support the rule’s continued implementation in fiscal year 2013. 

As requested by the administration, the Committee includes new bill language allowing the Secretary to reallocate up to $3,000,000 

within MSHA’s program lines. The Committee expects to be notified prior to any such reallocation. The Committee also expects that 

any reallocations will not prevent MSHA from addressing important issues that are proposed in the budget request or identified in 

this report. In addition to items identified previously, the list of 

priority items include: effective implementation of corrective actions related to the Upper Big Branch internal review; purchase of 

additional continuous personal dust monitors; adequate support for 

MSHA’s instructional capacity for training of mine safety and 

health inspectors and other mine safety professionals; and continuation of the spot inspection initiative related to respirable coal 

dust. 

BUREAU OF LABOR STATISTICS

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $609,071,000 

Budget estimate, 2013 ........................................................................... 618,207,000 

Committee recommendation ................................................................. 619,043,000 

The Committee recommends $619,043,000 for BLS. This amount 

includes $67,176,000 from the Employment Security Administration account of the unemployment trust fund and $551,867,000 in 

Federal funds. The Committee retains bill language providing that 

up to $1,500,000 may be used to support the Mass Layoff Statistics 

Program. 

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

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

users. The Nation also requires Government programs to be administered as cost-effectively as possible. However, the current ability 
35 

of the cooperative statistics system to meet those needs is in question. Any weaknesses of this system could reduce the ability of 

State and local regions to effectively plan for recovery, anticipate 

industry demand for workforce needs, and meet other labor market 

information challenges. 

Therefore, the Committee directs the Secretary to commission a 

study of and report on a comprehensive assessment of the proper 

purpose, structure, methods, and operations of the Federal-State 

cooperative statistics system, particularly regarding the appropriate roles and responsibilities of the BLS, the ETA, the State 

labor market information agencies, and the system’s relationship 

with the Census Bureau, the NCES, State workforce agencies, 

State education agencies, and private vendors. 

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

Administration are very well-qualified to produce such a report. 

The Committee requests the release of an interim report within 12 

months of the enactment of this act and a final report within 24 

months of the enactment of this act. The interim report shall contain, at minimum, a rigorous assessment of the Current Employment Statistics Program [CES], including an evaluation of the accuracies of past and present methods for producing initial State 

and metro area CES estimates, identification of the methods most 

likely to produce accurate initial estimates, and recommendations 

for appropriate BLS and State roles and responsibilities in preparing such accurate estimates. The report also should consider 

recommendations for how to improve the collection of this large volume of information, including through the use of technology; coordinate the Federal and State data systems to provide timely, accurate, and geographically detailed information on employment, 

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

ease of access and technical assistance; and improve responsiveness 

to the data needs of labor market participants and policymakers at 

the Federal, State, and local levels. 

The Committee directs the Secretary to use such sums as may 

be necessary for this study, allocated equally from funds available 

to the Secretary, BLS, ETA, and the States. The State contribution 

should be made through a set-aside from BLS cooperative system 

grants to States. 

The Committee commends the BLS for its roughly 4-decade commitment to gather, extrapolate, and disseminate critical information about the experiences of youth, women, and men in the labor 

market through the National Longitudinal Surveys [NLS]. These 

data have informed the development of public policy and provided 

the basis for both historic and predictive analysis of market trends 

across decades and generations related to job creation, employment 

training, joblessness, education, housing, health, and the economy. 

The Committee recognizes that these longitudinal surveys serve as 

an essential national data source for long-term and ongoing analysis of the economic health of America and are an invaluable resource for Congress, as well as the public and private sectors, especially during times of economic uncertainty. As such, the Committee continues to support the NLS and recommends that the frequency of NLS data collection should not be less than biennially. 
36 

The Committee recommendation includes sufficient funds to initiate a pilot input price index that would track price changes as establishments shift from domestic to foreign sources. Within this 

pilot project, the Committee directs BLS to develop a competitiveness audit that would compare the price of selected imports with 

comparable domestically produced goods and services. 

Within available resources, the Committee encourages BLS to 

prioritize work on the Contingent Work Supplement to the Current 

Population Survey. 

OFFICE OF DISABILITY EMPLOYMENT POLICY

Appropriations, 2012 ............................................................................. $38,879,000 

Budget estimate, 2013 ........................................................................... 38,953,000 

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

The Committee recommends $38,953,000 for ODEP. The Committee intends that at least 80 percent of these funds shall be used 

to design and implement research and technical assistance grants 

and contracts to develop policy that reduces barriers to competitive, 

integrated employment for youth and adults with disabilities. 

The mission of ODEP is to provide leadership, develop policy and 

initiatives, and award grants furthering the objective of eliminating 

physical and programmatic barriers to the training and employment of people with disabilities. The Committee strongly supports 

each of the components of ODEP’s mission and, in particular, urges 

the Secretary to ensure that ODEP carries out its leadership role 

with respect to governmentwide policies related to the training and 

employment of individuals with disabilities. The Committee believes that ODEP should put a high priority on providing support 

and technical assistance to Federal agencies for the implementation of Executive Order 13548 regarding hiring of persons with disabilities. The Committee also encourages ODEP to provide any 

support necessary for OFCCP to provide technical assistance to 

Federal contractors in meeting their obligations under section 503 

of the Rehabilitation Act. 

The Committee looks forward to the findings from the government-wide review involving ODEP that is intended to lead to better 

program outcomes for individuals with disabilities through improved coordination and alignment of disability programs, including better sharing of data, goal setting, and measuring of progress. 

The Committee recommendation includes $12,000,000 for ODEP, 

in collaboration with the 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 the ETA, will 

continue to improve the accessibility and accountability of the public workforce development system for individuals with disabilities. 

DEPARTMENTAL MANAGEMENT

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $362,999,000 

Budget estimate, 2013 ........................................................................... 348,927,000 

Committee recommendation ................................................................. 348,927,000 
37 

The Committee recommendation includes $348,927,000 for the 

departmental management account. An amount of $326,000 is 

available by transfer from the Black Lung Disability Trust Fund. 

The primary goal of the Department is to protect and promote 

the interests of American workers. The departmental management 

appropriation pays the salaries and related expenses of staff responsible for formulating and overseeing the implementation of departmental policy and management activities in support of that 

goal. In addition, this appropriation includes a variety of operating 

programs and activities that are not involved in departmental management functions, but for which other appropriations for salaries 

and expenses are not suitable. The Committee recommendation includes $12,000,000 within the 

legal services activity to continue support of the Department’s efforts to reduce the backlog of mine safety cases before FMSHRC. 

Additionally, up to $2,000,000 provided to MSHA are available by 

transfer to legal services to support an increased capacity of the 

Commission to process caseloads pending before it. The Committee 

notes that this effort has resulted in the targeted backlog being reduced by over 80 percent in fewer than 2 years. The Committee 

also continues to expect 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, as well as other efforts that reduce the number of contested citations. 

The Committee recommendation includes $94,984,000 for the Bureau of International Labor Affairs [ILAB]. 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. The Committee bill continues 

language from last year’s act regarding the authority to fund 

microfinance activities, and funding levels for programs to combat 

exploitative child labor and model worker rights programs in countries with which the United States has trade preference programs 

or free trade agreements. The Committee expects ILAB to maintain 

its current effort on programs to combat exploitative child labor. 

The bill continues to provide an extra quarter for obligation of 

$66,500,000 of ILAB’s appropriation as requested in the budget. 

The Committee recommendation provides $9,000,000, the same 

amount as the budget request, for program evaluation and allows 

these funds to be available for obligation through September 30, 

2014. The Committee bill also continues the authority of the Secretary to transfer these funds to any other account in the Department for evaluation purposes. The Committee bill includes requested authority to use up to 0.5 percent of certain Department 

appropriations for evaluation activities identified by the chief evaluation officer. The bill language differs slightly from last year’s bill 

by including the Training and Employment Services in the list of 

accounts covered by this authority, as proposed in the budget request. The Committee expects to be notified of the planned uses of 

funds derived from this authority. 

The Committee recommendation provides $9,081,000 for the 

Women’s Bureau as proposed in the budget request. While this 
38 

amount is less than last year’s level of $11,559,000, the Committee 

expects that additional resources provided to the WHD will allow 

the Department to strengthen its activities related to family and 

medical leave issues. In addition, funds available to the Bureau 

will enable it to undertake critical work, including in collaboration 

with other Federal agencies, in addressing the pay gap. The Committee continues bill language allowing the Bureau to award 

grants. 

The Committee is aware that, on April 10, 2012, the Department 

announced a significant change in the manner in which sensitive 

economic data are released to the news media and public. Members 

of Congress, the news media, and public interest groups have 

raised substantial concerns regarding this proposed policy change. 

The Committee understands that the Department and news organizations have been discussing significant modifications to the proposal, and that the Department has delayed implementation of all 

aspects that do not deal with the process of issuing credentials. The 

Committee directs the Department to collaborate with the news 

media in developing a revised policy that responds to the reasonable concerns of both the Department and the news media. 

The Committee directs the Department to issue a report to both 

the House and Senate Committees on Appropriations no later than 

30 days after enactment of this act outlining all the Department’s 

considerations, processes, and decision points related to the Department’s concerns about the prior policy and justification of the initial April 10, 2012 policy. This report also shall include a statement 

of any concerns the Bureau of Labor Statistics may have regarding 

the Department’s policy. 

VETERANS EMPLOYMENT AND TRAINING

Appropriations, 2012 ............................................................................. $264,437,000 

Budget estimate, 2013 ........................................................................... 258,870,000 

Committee recommendation ................................................................. 262,821,000 

The Committee recommends $262,821,000 for VETS, including 

$38,185,000 in general revenue funding and $224,636,000 to be expended from the Employment Security Administration account of 

the unemployment trust fund. 

This account provides resources for VETS to maximize employment opportunities for veterans and transitioning servicemembers, 

including protecting their employment rights. VETS carries out its 

mission through a combination of grants to States, competitive 

grants, and Federal enforcement and oversight. 

The Committee provides $14,000,000 for the transition assistance 

program [TAP]. The budget request proposes $12,000,000 and the 

fiscal year 2012 funding level is $8,983,000. The additional resources provided above the budget request are needed to meet updated projections developed after the President’s budget was proposed. The budget request assumes that 160,000 transitioning 

servicemembers will use TAP in fiscal year 2013, while the latest 

projections put the figure at approximately 201,000 members. 

The Committee recognizes the valuable work of VETS in providing assistance to veterans seeking employment through the Jobs 

for Veterans State Grants Program. Under this program, grants 

are used to fund Disabled Veterans’ Outreach Program [DVOP] 
39 

specialists and Local Veterans’ Employment Representatives 

[LVERs]. However, the Committee recognizes that the current 

funding formula for DVOPs and LVERs poses challenges for larger 

rural States because it is strictly population-based and does not 

take service delivery area into account. As a result, the very few 

DVOPs and LVERs in these States have too much area to cover to 

provide personalized assistance to veterans or to build relationships with local employers. Therefore, the Committee provides 

funds above the budget request to be used to address the service 

challenges of such States and directs the Department to use the additional funds to establish innovative access points and/or service 

arrangements to help build the capacity of DVOPs and LVERs with 

larger service delivery areas and proportions of rural population. In 

addition, the Committee urges VETS to use any funds available 

from fiscal year 2012’s end-of-year reallocation process to begin this 

effort. 

INFORMATION TECHNOLOGY MODERNIZATION

Appropriations, 2012 ............................................................................. $19,814,000 

Budget estimate, 2013 ........................................................................... 21,852,000 

Committee recommendation ................................................................. 19,814,000 

The Committee recommends $19,814,000 for the IT Modernization account. 

Funds available in this account are used for two primary activities. The first is departmental support systems for which 

$7,985,000 is provided. These funds help align IT investments with 

the Department’s strategic objectives. The second budget activity, 

for which $11,829,000 is provided, assists the Department in consolidating and optimizing common IT infrastructure services, protecting privacy, and improving timely and efficient services to the 

public. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2012 ............................................................................. $83,688,000 

Budget estimate, 2013 ........................................................................... 85,108,000 

Committee recommendation ................................................................. 83,688,000 

The Committee recommends $83,688,000 for the DOL OIG. The 

bill includes $77,790,000 in general funds and authority to transfer 

$5,898,000 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. 

OIG was created 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, 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: 
40 

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 II (section 101). 

Provide for general transfer authority (section 102). 

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

with Executive Order 13126 (section 103). 

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

only be used for competitive grants for training in occupations and 

industries for which employers are using H–1B visas to hire foreign 

workers (section 104). 

Limit the use of ETA funds by a recipient or subrecipient for 

compensation of an individual at a rate not to exceed Executive 

Level II (section 105). 

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

(section 106). 

Provide the ETA with authority to transfer funds provided for 

technical assistance services to grantees to program administration 

when it is determined that those services will be more efficiently 

performed by Federal employees (section 107). 

Allow up to 0.5 percent of discretionary appropriations provided 

in this act for all DOL agencies to be used by the Office of the 

Chief Evaluation Officer for evaluation purposes consistent with 

the terms and conditions in this act applicable to such office (section 108). 

Allow the Secretary to reserve up to 3 percent of funds available 

under section 272(b) of the Trade Act of 1974 to conduct evaluations and provide technical assistance relating to the activities carried out under the Community College and Career Training Grant 

program (section 109). 

Prohibit funding to promulgate, administer, enforce, or otherwise 

implement the final rules entitled ‘‘Wage Methodology for the Temporary Non-Agricultural Employment H–2B Program’’ (76 Fed. 

Reg. 3452 (January 19, 2011)) and ‘‘Temporary Non-Agricultural 

Employment of H–2B Aliens in the United States’’ (77 Fed. Reg. 

10038 (February 21, 2012)) (section 110). 

Transfer the claims function under several Federal statutes currently performed by GAO to DOL (section 111). 
(41) 

TITLE II 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

The administration request for HHS reflects a proposal to increase program evaluation transfers under section 241 of the PHS 

Act from 2.5 percent to 3.2 percent. Through these transfers, PHS 

agencies contribute a percentage of their budget authority to fund 

program evaluation activities throughout the Department. The percentage is specified in section 205 of the title II general provisions. 

The Committee rejects the proposed increase to 3.2 percent because of concern about the effect of this proposal on PHS Act agencies that are used as a source of evaluation transfers, most notably 

NIH. Increasing the total amount of funding that is available for 

transfers makes it easier to provide increases to selected programs 

that fund evaluation activities or to supplant discretionary budget 

authority. For example, the administration proposes in fiscal year 

2013 to begin funding the Minority HIV/AIDS Initiative entirely 

with program evaluation transfers; that program is currently funded with budget authority. But to programs that are the source of 

the transfers, an increase in the evaluation tap, as proposed by the 

administration, would be a de facto funding cut. With regard to 

NIH, which the administration proposes to level fund at 

$30,623,259,000, increasing the tap to 3.2 percent would result in 

a net reduction of more than $200,000,000. For this reason, the 

Committee maintains the evaluation transfer amount at 2.5 percent, the same level as in fiscal year 2012. 

Any references in this title of the report to the ‘‘Secretary’’ or the 

‘‘Department’’ shall be interpreted to mean the Secretary of HHS 

or the Department of HHS, respectively, unless otherwise noted. 

HEALTH RESOURCES AND SERVICES ADMINISTRATION

The Committee recommendation provides $6,517,188,000 in this bill for HRSA, including $25,000,000 in transfers under section 241 

of the PHS Act. In addition, the Committee recommends 

$25,000,000 in transfers from the PPH Fund. 

The total program level for HRSA in fiscal year 2013 is $6,542,188,000. 

The fiscal year 2012 comparable program level is $6,510,035,000 and the budget request is $6,382,146,000. The budget request includes $60,000,000 in transfers under section 241 of the PHS Act 

and $10,000,000 in transfers from the PPH Fund. 

HRSA activities support programs to provide healthcare services 

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

rural residents; and disadvantaged minorities. This agency supports cooperative programs in community health, AIDS care, 

healthcare provider training, and healthcare delivery systems and 

facilities. 
42 

BUREAU OF PRIMARY HEALTH CARE

Appropriations, 2012 ............................................................................. $1,585,064,000 

Budget estimate, 2013 ........................................................................... 1,579,975,000 

Committee recommendation ................................................................. 1,585,064,000 

The Committee recommendation for the activities of the Bureau 

of Primary Health Care is $1,585,064,000. 

Community Health Centers 

The Committee provides $1,566,892,000 in this bill, the same as 

the fiscal year 2012 level, for the community health centers program. The budget request is $1,561,803,000. 

Combined with the $1,500,000,000 in mandatory funding appropriated for fiscal year 2013 in PPACA, the Committee’s recommended program level totals $3,066,892,000. 

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

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

medical services at health centers. 

The administration proposes obligating only $1,220,000,000 of 

the fiscal year 2013 mandatory funding for this program in fiscal 

year 2013, leaving $280,000,000 to be awarded in later years. The 

Committee feels strongly that the congressional intent of the 

PPACA funding for community health centers was to enable individuals possessing affordable health insurance for the first time in 

2014 to have as many entry points to the healthcare system as possible. For that reason, the Committee includes a new statutory provision requiring HRSA to award all fiscal year 2013 funds by September 30, 2013. Such awards shall include $48,000,000 in base 

grant adjustments to ensure that existing centers are surviving 

and thriving, even as new centers come online. 

Within the amount provided, the Committee provides up to 

$94,893,000 under the Federal Tort Claims Act [FTCA], available 

until expended. These funds are used to pay judgments and settlements, occasional witness fees and expenses, and related administrative costs. The Committee intends FTCA coverage funded 

through this bill to be inclusive of all providers, activities, and 

services included within the health centers’ federally approved 

scope of project. 

Health Care for the Homeless [HCH].—The Committee is aware 

of HRSA’s intention to issue guidelines on permanent supportive 

housing. The Committee remains strongly supportive of HCH programs providing comprehensive healthcare services to residents of 

permanent supportive housing or other housing programs that are 

targeted to homeless populations but do not limit tenant length of 

stay. 

Hepatitis Data Collection.—The Committee commends HRSA for 

initiating data collection on hepatitis B and C testing and chronic 

hepatitis diagnoses in the Bureau of Primary Care Uniform Data 

Sets. The Committee requests a status report on the new hepatitis 

data to demonstrate disease burden and diagnosis rates among 

community health center providers in the fiscal year 2014 budget 

justification. 
43 

Native Hawaiian Health Care.—The Committee includes sufficient funding in the community health centers program to support 

healthcare activities funded under the Native Hawaiian Health 

Care Program, which is specifically cited in the bill. The Committee 

expects that not less than the fiscal year 2012 level be provided for 

these activities in fiscal year 2013. 

Free Clinics Medical Malpractice Coverage 

The Committee provides $40,000 for payments of claims under 

the FTCA to be made available for free clinic health professionals 

as authorized by section 224(o) of the PHS Act. The fiscal year 

2012 comparable level and the budget request both include $40,000 

for this program. This appropriation extends FTCA 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 $16,045,000 for the National Hansen’s 

Disease Program. This amount is the same as the fiscal year 2012 

comparable level and the budget request. The program consists of 

inpatient, outpatient, and long-term care and training and research 

in Baton Rouge, Louisiana; a residential facility at Carville, Louisiana; and 11 outpatient clinic sites in the continental United 

States and Puerto Rico. 

National Hansen’s Disease Program Buildings and Facilities 

The Committee provides $127,000 for the repair and maintenance of buildings at the Gillis W. Long Hansen’s Disease Center. 

This amount is the same as the fiscal year 2012 comparable level 

and the budget request. 

Payment to Hawaii for Hansen’s Disease Treatment 

The Committee provides $1,960,000, the same amount as the fiscal year 2012 level and the budget request, for Hansen’s disease 

services. 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

Appropriations, 2012 ............................................................................. $725,684,000 

Budget estimate, 2013 ........................................................................... 557,187,000 

Committee recommendation ................................................................. 727,862,000 

The Committee recommendation for the activities of the Bureau 

of Health Professions is $727,862,000. The budget estimate includes $35,000,000 in transfers available under section 241 of the 

PHS Act; the Committee recommendation does not include those 

transfers. In addition, the Committee recommends transferring 

$25,000,000 to the Bureau from the PPH Fund. 

The total program level assumed in this bill for the Bureau is 

$752,862,000. 
44 

The Bureau of Health Professions provides policy leadership and 

grant support for health professions workforce development. The 

mission of the Bureau is to identify shortage areas while working 

to make them obsolete. Its programs are intended to ensure that 

the Nation has the right clinicians, with the right skills, working 

where they are needed. 

Training for Diversity 

Centers of Excellence 

The Committee provides $22,909,000, the same as the fiscal year 

2012 comparable level and the budget request, for the Centers of 

Excellence Program. 

Institutions that are designated as centers of excellence are private institutions whose mission is to train disadvantaged minority 

health professionals for service in underserved areas. Funds are 

used for the recruitment and retention of students, faculty training, 

and institutional improvements. 

Health Careers Opportunity Program 

The Committee does not provide funding for the Health Careers 

Opportunity Program. The fiscal year 2012 comparable level is 

$14,822,000. The budget request eliminates funding for this program. 

The purpose of this program is to create an educational pipeline 

to increase the number of individuals from educationally or economically disadvantaged backgrounds who enter the health and allied health professions. The program provides activities for disadvantaged students through formal academic and research training and programming and student enhancement services. 

The Committee notes that the Department of Education provides 

academic and other support services to students from disadvantaged backgrounds. Federally funded health workforce development 

programs will also continue to promote training of individuals from 

disadvantaged backgrounds. In addition, all grantees under the 

Primary Care Training and Enhancement program must have recruitment and retention strategies in place to increase the representation of disadvantaged minority trainees. 

Faculty Loan Repayment 

The Committee provides $1,243,000 for the Faculty Loan Repayment Program. This amount is the same as the fiscal year 2012 

comparable level and the budget request. 

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 $47,452,000 for the Scholarships for 

Disadvantaged Students Program. This amount is the same as the 

fiscal year 2012 comparable level and the budget request. 
45 

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 $48,962,000 for Primary Care Training 

and Enhancement programs. The fiscal year 2012 comparable level 

is $38,962,000 and the budget request is $50,962,000. 

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 once 

again urges HRSA to prioritize the training of physician assistants 

and includes bill language allowing HRSA to determine the funding 

amount for this activity. 

The Committee is troubled that the HRSA guidance for this program currently prevents schools from applying for a grant unless 

they are fully accredited. Training programs cannot gain full accreditation until they are already up and running. By restricting 

the grant competition to training programs with full accreditation, 

HRSA is precluding one of two major goals of this grant program— 

increasing the number of new primary care training programs. The 

Committee directs HRSA to change its guidance in fiscal year 2013 

to allow funds to be used to develop a training program and apply 

for accreditation. 

Pediatric Loan Repayment 

The Committee does not include funding, requested in the President’s budget, to create a new loan repayment program for pediatricians authorized in section 523 of PPACA. The budget request 

includes $5,000,000 for this initiative. 

Training in Oral Health Care 

The Committee recommends $32,392,000 for Training in Oral 

Health Care programs, the same as the fiscal year 2012 comparable level and the budget request. 

These programs support a variety of training opportunities in the 

field of oral health. Funds may be used to expand training in general dentistry, pediatric dentistry, public health dentistry, dental 

hygiene, and other oral health programs. Funds may be used to 

plan and operate training programs, as well as to provide financial 

assistance to students and residents. 

The Committee notes that there are over 200 dental faculty vacancies in the United States. Therefore, the Committee intends 

that the general and the pediatric dentistry loan repayment programs should receive $8,000,000 each. 

Interdisciplinary, Community-Based Linkages 

Area Health Education Centers 

The Committee provides $27,220,000, the same as the fiscal year 

2012 comparable level, for AHECs. The budget request eliminates 

funding for this program. 
46 

AHECs link 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. 

The Committee recognizes the importance of community health 

workers in addressing the health needs of individuals who may not 

have access to regular healthcare services. The AHEC community 

training model provides a uniquely appropriate opportunity to 

bring the training of community health workers to scale. HRSA is 

encouraged to provide technical assistance on and disseminate best 

practices for training community health workers to existing 

AHECs. 

Mental and Behavioral Health 

The Committee provides $2,892,000, the same as the fiscal year 

2012 comparable level, for Mental and Behavioral Health programs. The budget request for fiscal year 2013 is $7,892,000, including $5,000,000 in transfers available under section 241 of the 

PHS Act. 

These programs provide grants to higher education institutions 

and accredited training programs to recruit and train professionals 

and faculty in the fields of social work, psychology, psychiatry, 

marriage and family therapy, substance abuse prevention and 

treatment, and other areas of mental and behavioral health. 

Graduate Psychology Education grants train psychology graduate 

students to provide supervised behavioral and mental health services to underserved populations. With significant numbers of returning war veterans and a rapidly growing generation of elderly, 

the Nation’s mental health infrastructure is certain to experience 

increased strain for years to come as individuals and their families 

increasingly turn to behavioral healthcare professionals in local 

communities. The Committee supports efforts to help integrate psychology trainees at Federally Qualified Health Centers to provide 

behavioral and mental health services to underserved populations, 

particularly those in rural America. 

Geriatric Education 

The Committee provides $30,629,000 for geriatric education programs. This amount is the same as the fiscal year 2012 comparable 

level and the budget request. 

Geriatric programs include: geriatric education centers, the Geriatric Academic Career Awards program, and the Geriatric Training 

for Physicians, Dentists, and Behavioral and Mental Health Professionals program. 

The Committee commends HRSA for recognizing the immediacy 

of the eldercare workforce crisis by identifying ‘‘enhancing geriatric/ 

elder care training and expertise’’ as a top priority in the fiscal 

year 2013 budget justification. The Nation’s health professions 

must be prepared to meet the unique and often complex health 

needs of America’s older adults. This is especially critical in primary care settings. The Committee requests that HRSA provide a 
47 

report detailing how geriatric training content is being integrated 

into primary care training in HRSA-supported institutions. 

Health Professions Workforce Information and Analysis 

The Committee recommends $7,782,000 for health professions 

workforce information and analysis. The fiscal year 2012 comparable level is $2,782,000. The budget request does not include 

new budget authority but proposes $10,000,000 in transfers available under section 241 of the PHS Act. 

The program provides for the collection and analysis of targeted 

information on the Nation’s healthcare workforce, research on highpriority workforce questions, the development of analytic and research infrastructure, and program evaluation and assessment. 

Public Health and Preventive Medicine Training Programs 

The Committee provides $35,111,000 for public health and preventive medicine training programs, including $10,111,000 in budget authority and $25,000,000 in transfers from the PPH Fund. The 

fiscal year 2012 comparable level is $8,111,000 in budget authority 

and $25,000,000 in funding from the PPH Fund. The budget request includes $9,609,000 in budget authority and $10,000,000 

from the PPH Fund. 

The Committee recommendation includes $5,420,000 for preventive medicine residencies and $5,000,000 for integrative medicine 

residencies. The fiscal year 2012 level for integrative medicine 

residencies is $3,000,000. The increase provided in the Committee 

recommendation is intended to expand the national technical assistance and evaluation activities. 

These programs support awards to schools of medicine, osteopathic medicine, and public health to provide for residency training 

programs in preventive medicine and public health, and for financial assistance to trainees enrolled in such programs. 

Nursing Workforce Development Programs 

The Committee provides $231,099,000, the same amount as the 

fiscal year 2012 level, for nursing workforce development programs. 

The budget request is $231,099,000 in budget authority and an additional $20,000,000 in transfers available under section 241 of the 

PHS Act. 

The Committee recommendation includes the following programs 

at the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

Advanced Education Nursing ..................................................................... 63,925 63,925 63,925 

Advanced Education Nursing—Section 241 transfer ............................... ........................ 20,000 ........................

Nurse Education, Practice, and Retention ................................................ 39,182 39,182 39,182 

Nursing Workforce Diversity ....................................................................... 15,819 15,819 15,819 

Nurse Loan Repayment and Scholarship Program .................................... 83,135 83,135 83,135 

Nurse Faculty Loan Program ..................................................................... 24,553 24,553 24,553 

Comprehensive Geriatric Education ........................................................... 4,485 4,485 4,485 
48 

Within funds available for the Nursing Education and Retention 

program, the Committee intends that no less than $5,000,000 be 

awarded to nurse-managed health centers. 

The Committee is concerned that many nursing education and 

training programs are unable to guarantee required clinical placements to students who have completed the appropriate classroom 

work. These individuals remain full-time students longer than otherwise necessary, accumulating more student loan debt, while they 

await placement for their required clinical rotation. The Committee 

directs HRSA to prioritize applications for nursing education and 

training programs that provide incoming freshman students with a 

guarantee of high-quality clinical placements in hospitals, nursing 

homes, visiting nurse programs, and other care settings during 

their junior and senior years of study. 

Children’s Hospitals Graduate Medical Education 

The Committee provides $265,171,000, the same as the fiscal 

year 2012 level, for the CHGME program. The budget request is 

$88,000,000. 

The program provides support for graduate medical education 

training programs in both ambulatory and in-patient settings within freestanding children’s teaching hospitals. CHGME payments 

are determined by a per-resident formula that includes an amount 

for direct training costs added to a payment for indirect costs. Payments support training of resident physicians as defined by Medicare in both ambulatory and inpatient settings. 

The Committee recognizes the program’s contributions to the future pediatric workforce and children’s healthcare. The 56 freestanding children’s hospitals receiving CHGME funding train 40 

percent of all general pediatric residents and 43 percent of all pediatric specialty residents. 

National Practitioner Data Bank 

The Committee provides $28,016,000 for the National Practitioner Data Bank. This amount is the same as the fiscal year 2012 

comparable level and the budget request. As in previous years, bill 

language is included to ensure that user fees are collected to cover 

all costs of processing requests and providing such information to 

data bank users. 

The National Practitioner Data Bank collects certain adverse information, medical malpractice payment history, and information 

related to healthcare fraud and abuse. The data bank is open to 

healthcare agencies and organizations that make licensing and employment decisions. 

MATERNAL AND CHILD HEALTH BUREAU

Appropriations, 2012 ............................................................................. $853,355,000 

Budget estimate, 2013 ........................................................................... 854,807,000 

Committee recommendation ................................................................. 854,807,000 

The Committee recommendation for the MCH Bureau is 

$854,807,000. 

The mission of the Bureau is to improve the physical and mental 

health, safety, and well-being of the Nation’s women, infants, chil-
49 

dren, adolescents, and their families. This population includes fathers and children with special healthcare needs. 

Maternal and Child Health Block Grant 

The Committee provides $640,098,000, the same as the budget 

request, for the MCH block grant. The fiscal year 2012 comparable 

level is $638,646,000. 

The MCH block grant program provides a flexible source of funding that allows States to target their most urgent maternal and 

child health needs. 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 through clinics, home visits, and school-based health programs. 

The Committee includes bill language requiring that the State 

grant portion of the block grant be funded at no less than 

$556,333,000. The fiscal year 2012 comparable level is 

$549,729,000 and the budget request is $551,181,000. 

The Committee includes bill language identifying $62,634,000 for 

the Title V SPRANS set-aside. Within that total, the Committee 

recommendation includes sufficient funding to continue the setasides for oral health, epilepsy, sickle cell anemia, and fetal alcohol 

syndrome at no less than fiscal year 2012 levels. 

Healthy Homes Activities.—The Committee is encouraged by recent meetings between HRSA and CDC to expand healthy homes 

activities within maternal and child health programs that have a 

home visiting focus. The Committee urges HRSA and CDC to continue to work collaboratively on this effort and requests an update 

on progress within 90 days of enactment of this act. 

Perinatal Hepatitis B.—The Committee is concerned by high 

rates of mother-to-child transmission of hepatitis B in the United 

States. Given the large number of at-risk women being seen in 

HRSA-funded health settings, the Committee requests a report 

within 6 months of enactment of this act that includes best practices for how to eliminate perinatal hepatitis B transmission. 

Pregnancy Risk Prevention.—The Committee strongly supports 

efforts to provide women and healthcare providers with information 

about prenatal exposures to medications, chemicals, radiation, infections, and other substances. Access to this information can reduce the incidence of preventable birth defects, prematurity, or 

complications of pregnancy that limit quality of life and increase 

costs in our healthcare system. 

Vision and Eye Health.—The Committee is concerned that 1 in 

4 school-aged children has a vision problem significant enough to 

affect learning. Many serious ocular conditions in children are 

treatable if diagnosed at an early stage. The Committee encourages 

HRSA to continue to support the development of a public health infrastructure to promote a comprehensive continuum of vision care 

for children through strong partnerships, sound science, and targeted policy initiatives. 
50 

Sickle Cell Anemia 

The Committee provides $4,665,000 for the sickle cell anemia 

demonstration program. This amount is the same as the fiscal year 

2012 comparable level and the budget request. 

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 

coordination of education, treatment, and continuity of care programs for individuals with sickle cell disease. 

Traumatic Brain Injury 

The Committee provides $9,760,000 for the Traumatic Brain Injury program. This amount is the same as the fiscal year 2012 comparable level and the budget request. 

The program supports implementation and planning grants to 

States for coordination and improvement of services to individuals 

and families with traumatic brain injuries. Such services can include: pre-hospital care, emergency department care, hospital care, 

rehabilitation, transitional services, education, employment, longterm support, and protection and advocacy services. 

The Committee includes no less than the fiscal year 2012 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 $47,142,000 for the Autism and Other 

Developmental Disorders initiative. This amount is the same as the 

fiscal year 2012 comparable level and the budget request. 

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. 

The Committee directs HRSA to fund 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 at no less than 

fiscal year 2012 levels. 

Newborn Screening for Heritable Disorders 

The Committee provides $9,834,000 for the newborn heritable 

disorders screening program, as described in section 1109 of the 

Newborn Screening Saves Lives Act of 2008. The fiscal year 2012 

comparable level and the budget request are also $9,834,000. 

This program provides funding to improve States’ ability to provide newborn and child screening for heritable disorders. Newborn 

screening provides early identification and follow-up for treatment 

of infants affected by certain genetic, metabolic, hormonal, and/or 

functional conditions. 

The Committee encourages HRSA to collaborate with and support non-governmental entities that help educate and support 

States as they consider expanding their screening panels. The 

Committee believes that this activity is beneficial to the existing efforts of HRSA. 
51 

Healthy Start 

The Committee provides $103,532,000 for the Healthy Start infant mortality initiative. This amount is the same as the fiscal year 

2012 comparable level and the budget request. 

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 to State and 

local health departments and nonprofit organizations to conduct an 

infant mortality review, develop a package of innovative health and 

social services for pregnant women and infants, and evaluate these 

efforts. 

The Committee continues to encourage HRSA to support efforts 

to evaluate and address racial disparities in stillbirth and sudden 

unexpected infant deaths. 

The Committee expects HRSA to give full and fair consideration 

to all applicants, including grantees with expiring or recently expired project periods. 

Universal Newborn Hearing Screening and Early Intervention 

The Committee provides $18,660,000 for universal newborn hearing screening and early intervention activities. This amount is the 

same as the fiscal year 2012 comparable level and the budget request. 

This program awards grants to 53 States and territories that 

support statewide systems of newborn hearing screening, 

audiologic diagnostic testing before 3 months of age, and enrollment in early intervention programs before the age of 6 months. 

Emergency Medical Services for Children 

The Committee provides $21,116,000 for the Emergency Medical 

Services for Children [EMSC] program. This amount is the same 

as the fiscal year 2012 comparable level and the budget request. 

The EMSC program makes funding available to every State EMS 

office to improve emergency care for children and to pay for research and dissemination of best practices. 

The Committee is particularly concerned by the low availability 

of pediatric emergency medical services in rural and remote areas 

and urges HRSA to give priority to applicants who propose a focus 

on populations in these areas. To the extent possible, HRSA should 

work with other Federal agencies that have an interest in expanding emergency systems in rural and remote areas. 

HIV/AIDS BUREAU

Appropriations, 2012 ............................................................................. $2,392,178,000 

Budget estimate, 2013 ........................................................................... 2,471,772,000 

Committee recommendation ................................................................. 2,422,178,000 

The Committee recommendation includes $2,422,178,000 for the 

HIV/AIDS Bureau, including $25,000,000 in transfers under section 

241 of the PHS Act. 

The mission of the Bureau is to address the unmet care and 

treatment needs of persons living with HIV/AIDS who are uninsured or underinsured. The Bureau administers the Ryan White 

Care Act, which provides a wide range of community-based serv-
52 

ices, including primary and home healthcare, case management, 

substance abuse treatment, mental health services, and nutritional 

services. 

Emergency Assistance 

The Committee provides $666,071,000, the same as the fiscal 

year 2012 level, for emergency assistance grants to eligible metropolitan areas disproportionately affected by the HIV/AIDS epidemic. The budget request is $671,258,000. 

Grants are provided to metropolitan areas meeting certain criteria. Two-thirds of the funds are awarded by formula, and the remainder is awarded through supplemental competitive grants. 

Comprehensive Care Programs 

The Committee provides $1,390,827,000 for HIV healthcare and 

support services. The fiscal year 2012 comparable level is 

$1,360,827,000 and the budget request is $1,422,341,000. 

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 $963,299,000 for 

AIDS medications in ADAP. The fiscal year 2012 comparable level 

is $933,299,000 and the budget request is $1,000,000,000. The 

Committee intends that the increase provided for ADAP be awarded according the statutory formula. The Committee encourages 

HRSA to engage in a process with States to determine the best allocation for the past emergency funds based upon the growth of the 

program and cost containment measures in place as of January 1, 

2013. 

Early Intervention Services 

The Committee provides $215,086,000, the same as the fiscal 

year 2012 level, for early intervention grants. The budget request 

is $235,564,000. 

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 $77,167,000, the same as the fiscal year 

2012 level, for grants for coordinated services and access to research for women, infants, children, and youth. The budget request 

is $69,582,000. 

Funds are awarded to community health centers, family planning agencies, comprehensive hemophilia centers, 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. 
53 

AIDS Dental Services 

The Committee provides $13,485,000 for AIDS Dental Services. 

This amount is the same as the fiscal year 2012 comparable level 

and the budget request. 

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. 

AIDS Education and Training Centers 

The Committee provides $34,542,000 for the AIDS Education and 

Training Centers [AETCs]. This amount is the same as the fiscal 

year 2012 comparable level and the budget request. 

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 the diagnosis and treatment of HIV infection for health professions schools 

and training organizations. 

HEALTH CARE SYSTEMS BUREAU

Appropriations, 2012 ............................................................................. $82,534,000 

Budget estimate, 2013 ........................................................................... 82,534,000 

Committee recommendation ................................................................. 82,534,000 

The Committee recommendation for the Health Care Systems 

Bureau is $82,534,000. 

The Health Care Systems Bureau protects the public health and 

improves the health of individuals through efforts to support and 

enhance the systems by which healthcare is delivered in America. 

Organ Donation and Transplantation 

The Committee provides $24,015,000 for organ donation and 

transplantation activities. This amount is the same as the fiscal 

year 2012 comparable level and the budget request. 

Funds support a scientific registry of organ transplant recipients 

and the National Organ Procurement and Transplantation Network to match donors and potential recipients of organs. A portion 

of the appropriated funds may be used to educate the public and 

health professionals about organ donations and transplants and to 

support agency staff providing clearinghouse and technical assistance functions. 

The Committee encourages the Division of Transplantation and 

the United Network for Organ Sharing to continue their dialogue 

with experts regarding the methodology used to determine lung 

transplantation eligibility for pulmonary hypertension patients. 

National Cord Blood Inventory 

The Committee provides $11,887,000 for the National Cord Blood 

Inventory. This amount is the same as the fiscal year 2012 comparable level and the budget request. 

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. 
54 

C.W. Bill Young Cell Transplantation Program 

The Committee provides $23,330,000 for the C.W. Bill Young 

Cell Transplantation Program. This amount is the same as the fiscal year 2012 comparable level and the budget request. 

The Committee continues to strongly support cell transplantation 

through the use of cord blood, bone marrow, peripheral blood stem 

cells, and other sources of adult stem cells that may be available 

in the future. The Committee appreciates HRSA’s efforts to increase the diversity of the registry and the program’s research efforts to improve the availability, efficiency, safety, and cost of 

transplants and the effectiveness of program operations. 

Office of Pharmacy Affairs 

The Committee provides $4,472,000 for the Office of Pharmacy 

Affairs. This amount is the same as the fiscal year 2012 comparable level and the budget request. 

The Office of Pharmacy Affairs administers the 340B Drug Pricing program, which requires drug manufacturers to provide discounts or rebates to a set of programs and hospitals that serve a 

disproportionate share of low-income patients. 

The Committee remains strongly committed to the Office’s plans 

to develop a transparent system to verify the accuracy of the 340B 

ceiling price. Therefore, the Committee includes a statutory provision, requested by the administration, to allow a nominal cost recovery fee to fund the implementation of program integrity provisions recommended by the Inspector General and included in 

PPACA. The fee will be set at 0.1 percent for covered entities and 

is expected to generate $6,000,000 in fiscal year 2013. The Committee expects HRSA to report the expected and actual amounts 

generated by the fee in HRSA’s annual budget justification. 

Audit Procedure.—The Committee commends HRSA for conducting audits of covered entities and recertifying eligibility for all 

program participants in an effort to ensure 340B program integrity. 

The Committee is aware that HRSA recently published a program 

notice that referenced an audit protocol to be made public at a later 

date. Given that the audit process is well underway, the Committee 

urges HRSA to make public information on the general audit process, including areas of review, as soon as possible and consider suspending audits until this information is publicly available. 

Poison Control Centers 

The Committee provides $18,830,000 for poison control center activities. This is the same amount as the fiscal year 2012 comparable level and the budget request. 

The Poison Control Centers program currently supports a mix of 

grantees. Most serve States; a few serve multistate regions; and, in 

a handful of cases, more than one grantee serves a single State. 

The Committee notes that poisoning is now the leading cause of 

injury death, with rates higher than that of car accidents. Treatment guidance for over 70 percent of poison exposures can be provided over the phone. Providing services over the phone reduces 

emergency department visits, ambulance use, and hospital admissions, resulting in a savings of $7 for every $1 spent on poison con-
55 

trol centers. For that reason, the Committee is strongly supportive 

of ensuring that all citizens have access to poison control hotlines. 

RURAL HEALTH

Appropriations, 2012 ............................................................................. $138,172,000 

Budget estimate, 2013 ........................................................................... 122,232,000 

Committee recommendation ................................................................. 144,072,000 

The Committee recommendation for rural health programs is 

$144,072,000. 

The Office of Rural Health Policy [ORHP] administers HHS rural 

health programs, coordinates activities related to rural healthcare 

within HHS, and analyzes the possible effects of policy on 62 million residents of rural communities. ORHP advises the Secretary 

on the effects of Medicare and Medicaid on rural citizens’ access to 

care, the viability of rural hospitals, and the availability of physicians and other health professionals. 

Rural Healthcare Services Outreach Grants 

The Committee provides $57,553,000 for rural health outreach 

grants. The fiscal year 2012 comparable level and the budget request are $55,553,000. This program supports projects that demonstrate new and innovative models of outreach in rural areas, 

such as integration and coordination of health services. 

The Committee recommendation includes $2,000,000 to replicate 

successful models of oral healthcare delivery. Such models should 

focus on diverting care from emergency rooms, disease management, and prevention of early childhood caries. 

Rural Health Research 

The Committee provides $9,866,000 for the Rural Health Research program. This amount is the same as the fiscal year 2012 

comparable level and the budget request. 

Funds are used for rural health research centers, the National 

Advisory Committee on Rural Health, and a reference and information service. Supported activities focus on improving the delivery of 

health services to rural communities and populations. 

Rural Hospital Flexibility Grants 

The Committee provides $41,040,000, the same as the fiscal year 

2012 level, for rural hospital flexibility grants. The budget request 

is $26,200,000. 

Under this program, HRSA works with States to provide support 

and technical assistance to critical access hospitals to focus on 

quality and performance improvement and to integrate emergency 

medical services. 

The Committee commends HRSA for its work on telehealth and 

electronic health records in rural hospitals, with a focus on mental 

healthcare for veterans. The Committee understands that the grant 

cycle is completed, and has modified the bill language to give 

HRSA flexibility to determine future needs in this area. 
56 

Rural Access to Emergency Devices 

The Committee provides $5,000,000 for rural access to emergency 

devices. The fiscal year 2012 comparable level is $1,100,000. The 

budget request eliminates funding for this program. 

Funding is 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. 

State Offices of Rural Health 

The Committee provides $10,036,000 for State Offices of Rural 

Health. This amount is the same as the fiscal year 2012 comparable level and the budget request. 

These offices help States strengthen rural healthcare delivery 

systems by enabling them to coordinate care and improve support 

and outreach in rural areas. 

Black Lung Clinics 

The Committee provides $7,140,000 for black lung clinics. This 

amount is the same as the fiscal year 2012 comparable level and 

the budget request. 

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 $1,935,000 for activities authorized by 

the Radiation Exposure Compensation Act. This amount is the 

same as the fiscal year 2012 comparable level and the budget request. 

This program provides grants for the education, prevention, and 

early detection of radiogenic cancers and diseases resulting from 

exposure to uranium during mining and milling at nuclear test 

sites. 

Telehealth 

The Committee provides $11,502,000 for telehealth activities. 

This amount is the same as the fiscal year 2012 comparable level 

and the budget request. 

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. 

FAMILY PLANNING

Appropriations, 2012 ............................................................................. $293,870,000 

Budget estimate, 2013 ........................................................................... 296,838,000 

Committee recommendation ................................................................. 293,870,000 

The Committee provides $293,870,000 for the title X family planning program. 

The title X program supports preventive and primary healthcare 

services at clinics nationwide through four key functions: (1) pro-
57 

viding individuals with comprehensive family planning and related 

preventive health services, including all FDA-approved methods of 

contraception; (2) training for family planning clinic personnel; (3) 

data collection and research aimed at improving the delivery of 

services; and (4) information dissemination and community-based 

education and outreach activities. 

Comprehensive Services.—The Committee is aware that title X 

clinics have been denied designation as National Health Service 

Corps sites, under the reasoning that they do not provide referral 

to comprehensive primary care services. However, the Committee 

notes that all title X grantees are required to certify that they provide, or provide referral to, a full range of primary care services. 

If HRSA is sufficiently satisfied that a title X clinic provides ‘‘comprehensive primary care services’’, the Committee believes that 

that should satisfy the identical requirement in other HRSA programs. The Committee directs HRSA to align the definition of 

‘‘comprehensive primary care services’’ in title X and the National 

Health Service Corps. In addition, the Committee directs the Secretary to provide guidance to title X-only funded grantees about 

how to meet the requirements to receive assignment of National 

Health Service Corps personnel. 

Program Guidance.—The Committee supports efforts to review 

and update the title X program guidance and administrative directives. In particular, the Committee requests that the guidance clarify that title X funds may be used for clinic training on and implementation of information technology systems, including electronic 

medical records. The Secretary is encouraged to complete the 

guideline revisions in 2012 to enable the publicly supported family 

planning network to sufficiently prepare for the changing 

healthcare delivery system. 

PROGRAM MANAGEMENT

Appropriations, 2012 ............................................................................. $159,894,000 

Budget estimate, 2013 ........................................................................... 162,517,000 

Committee recommendation ................................................................. 162,517,000 

The Committee provides $162,517,000 for program management 

activities. 

HEALTH EDUCATION ASSISTANCE LOANS PROGRAM

Appropriations, 2012 ............................................................................. $2,807,000 

Budget estimate, 2013 ........................................................................... 2,807,000 

Committee recommendation ................................................................. 2,807,000 

The Committee recommends $2,807,000 for the Health Education 

Assistance Loan [HEAL] program. 

The Committee includes a general provision (section 522) to 

transfer the administration of the HEAL program to the Department of Education, as requested by the administration. 

VACCINE INJURY COMPENSATION PROGRAM TRUST FUND

Appropriations, 2012 ............................................................................. $241,477,000 

Budget estimate, 2013 ........................................................................... 241,477,000 

Committee recommendation ................................................................. 241,477,000 
58 

The Committee provides that $241,477,000 be released from the 

vaccine injury compensation trust fund in fiscal year 2013. Of that 

amount, $6,477,000 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 death benefits. 

The vaccine injury compensation trust fund is funded by excise 

taxes on certain childhood vaccines. 

CENTERS FOR DISEASE CONTROL AND PREVENTION

The Committee recommendation provides $6,140,413,000 in this 

bill for CDC, including $371,357,000 in transfers under section 241 

of the PHS Act and $55,358,000 in mandatory funds under the 

terms of EEOICPA. In addition, the Committee recommends 

$858,000,000 in transfers from the PPH Fund. 

The total program level for CDC in fiscal year 2013 is 

$6,998,413,000. 

The fiscal year 2012 comparable program level is $6,937,385,000 

and the budget request is $6,715,419,000. The budget request includes $667,503,000 in transfers under section 241 of the PHS Act 

and $903,210,000 in transfers from the PPH Fund. 

The activities of CDC focus on several major priorities: providing 

core public health functions; responding to urgent health threats; 

monitoring the Nation’s health using sound scientific methods; 

building the Nation’s health infrastructure; assuring the Nation’s 

preparedness for emerging infectious diseases and potential 

pandemics; and providing leadership in the implementation of nationwide prevention strategies that are conducive to good health. 

IMMUNIZATION AND RESPIRATORY DISEASES

Appropriations, 2012 ............................................................................. $588,947,000 

Budget estimate, 2013 ........................................................................... 597,620,000 

Committee recommendation ................................................................. 588,947,000 

The Committee recommendation for the activities of the National 

Center for Immunization and Respiratory Diseases is $588,947,000; 

this amount includes $12,864,000 in transfers available under section 241 of the PHS Act. In addition, the Committee recommends 

transferring $190,000,000 to the Center from the PPH Fund. 

The total program level recommended for the Center is 

$778,947,000. 

The mission of the National Center for Immunization and Respiratory Diseases is the prevention of disease, disability, and death 

through immunization and by control of respiratory and related 

diseases. 

The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

Section 317 Immunization Program .......................................................... 367,870 426,839 367,870 

Immunization Program—PPH Fund ........................................................... 190,000 72,460 190,000 

Program Implementation and Accountability ............................................ 62,302 62,887 62,302 
59 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

National Immunization Survey—Section 241 transfer (non-add) ... 12,864 13,765 12,864 

Influenza Planning and Response ............................................................. 158,775 107,894 158,775 

Influenza Planning and Response—Transfer from Public Law 111–32 .. ........................ 51,049 ........................

Healthcare Workers.—The Committee is aware that healthcare 

workers are at high risk during seasonal influenza epidemics and 

periodic influenza pandemics. Yet, this is when their work is most 

needed. The Committee recommends that CDC work in partnership 

with CMS to ensure that all healthcare workers receive the annual 

influenza vaccination. 

Immunization Infrastructure.—The Committee strongly supports 

investments in strengthening the systems around immunization 

delivery, and encourages CDC to develop further strategies to (1) 

modernize immunization information systems; (2) prepare public 

health departments for changes in the healthcare delivery system, 

including new billing procedures related to privately insured patients; and (3) strengthen the evidence base to inform immunization policy and program monitoring. 

Immunization Registries.—The Committee remains concerned 

about the low rate of adult immunizations. The Committee urges 

CDC to continue supporting States that wish to establish and expand their use of immunization registries, with a particular focus 

on improving information sharing about patients’ vaccination histories across different providers and generating reminders to providers and patients about recommended vaccinations, especially for 

adults. 

Section 317 Immunization Program.—The Committee recognizes 

that high rates of childhood immunization coverage are important 

for reducing child mortality and saving costs over a lifetime. For 

every $1 spent on the childhood series of vaccines, $10.20 is saved. 

Therefore, the Committee transfers $190,000,000 from the PPH 

Fund for the section 317 immunization program. The additional 

funding will allow more recommended immunizations to be available through the existing network of private and public immunization providers, and support and expand the network as needed. 

The Committee requests an updated report on the section 317 

program no later than February 1, 2013, to reflect fiscal year 2014 

cost estimates for the program, optimum funding to support State 

and local operations, and a discussion of the evolving role of the 

program as expanded coverage for vaccination becomes more available from private and public sources. 

Vaccine Adverse Event Reporting System [VAERS].—The Committee understands that a strong vaccine safety monitoring system 

is essential to ensure that our Nation’s vaccines are safe, and to 

ensure the success of the national immunization program and a 

low incidence of vaccine-preventable diseases. VAERS, a national 

spontaneous reporting system co-administered by CDC and FDA, 

requires healthcare providers and vaccine manufacturers to voluntarily report certain vaccine adverse events to VAERS, accepts voluntary reports from the public, and requires this information be 

made available to the public. The Committee directs CDC and FDA 
60 

to communicate with physicians about the importance of reporting 

vaccine adverse events, regardless of whether those events are already part of the Vaccine Injury Table. 

HIV, VIRAL HEPATITIS, SEXUALLY TRANSMITTED DISEASES, AND

TUBERCULOSIS PREVENTION

Appropriations, 2012 ............................................................................. $1,099,934,000 

Budget estimate, 2013 ........................................................................... 1,145,678,000 

Committee recommendation ................................................................. 1,101,934,000 

The Committee recommendation for the activities of the National 

Center for HIV, Viral Hepatitis, Sexually Transmitted Diseases 

[STDs], and TB Prevention is $1,101,934,000. In addition, the Committee recommends transferring $10,000,000 to the Center from 

the PPH Fund. 

The total program level recommended for the Center is $1,111,934,000. 

Established in 1994, the Center brings together the CDC’s work 

on HIV/AIDS, viral hepatitis, STDs, and TB, with the exception of 

the Global AIDS program, which is housed in the Center on Global 

Health. 

The Committee includes a modified version of a provision requested by the administration to give flexibility for CDC and the 

States to support cross-program coordination activities with 10 percent of the HIV prevention, TB, STI, and viral hepatitis funding 

streams. The Committee provision limits the flexibility to HIV prevention and TB funds for two reasons: first, there is a drastically 

smaller amount of funding available in viral hepatitis; and second, 

the Committee believes that STI funding is already authorized to 

support cross-cutting activities across a variety of sexually transmitted infections. 

The Committee recommends funding for the following activities 

in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

Domestic HIV/AIDS Prevention and Research (total) ................................ 786,176 826,407 786,176 

HIV Prevention by Health Departments ............................................ 392,636 402,447 392,636 

National Programs to Improve HIV Program Effectiveness .............. 363,702 384,026 363,702 

School Health—HIV .......................................................................... 29,838 39,934 29,838 

Viral Hepatitis ............................................................................................ 19,672 29,694 19,672

Viral Hepatitis Screening—PPH Fund ....................................................... 10,000 ........................ 10,000 

Sexually Transmitted Infections ................................................................. 153,788 153,886 155,788 

Tuberculosis ............................................................................................... 140,298 135,691 140,298 

Within funds provided for national activities in HIV prevention, 

the Committee intends that CDC spend no less than last year’s 

level on surveillance activities. 

The Committee urges CDC to use the additional flexibility provided by the Committee in health department prevention funding 

to increase testing rates across the country. 

Division of Viral Hepatitis.—The Committee intends that funding 

be used to continue CDC’s viral hepatitis screening and testing initiatives, in support of the HHS goal to identify 65 percent to 75 

percent of chronically infected persons who do not know their status. The Committee acknowledges the need to build an evidence 
61 

base of effectiveness, and encourages the Division to ensure that 

outcomes continuously inform activities undertaken in the field. 

The Committee encourages CDC to focus on best practices that can 

be replicated in various jurisdictions with varying levels of resources. 

Hepatitis Screening Guidelines.—The Committee notes that hepatitis B and hepatitis C testing guidelines are not aligned across 

HHS operating divisions, and expects CDC to work expeditiously 

with ASH, AHRQ, and the USPSTF to develop consistent national 

testing guidelines by January 1, 2013, to improve testing rates. In 

particular, hepatitis B guidelines should focus on the dramatic 

health disparity impacting the U.S. Asian and Pacific Islander populations and hepatitis C guidelines should address the prevalence 

of the disease in the baby boomer population. 

Infertility Prevention Program.—The Committee bill provides a $2,000,000 increase in the Infertility Prevention Program. 

Chlamydia is the most commonly reported STD in the United 

States, yet remains under-reported due to a lack of symptoms in 

most cases. It is entirely curable with simple antibiotics. Left untreated, chlamydia damages reproductive organs and can lead to 

infertility, ectopic pregnancies, and increased risk of acquiring HIV. 

Routine screening is critical for preventing the spread of this silent 

disease. The Committee strongly supports the partnership between 

State departments of public health and clinics that have a strong 

focus on reproductive health. 

Rapid Testing.—The Committee notes that the use of rapid tests 

significantly increases the percentage of persons with newly identified HIV who receive their testing results. The Committee encourages CDC to continue expanding the use of rapid HIV tests. 

EMERGING AND ZOONOTIC INFECTIOUS DISEASES

Appropriations, 2012 ............................................................................. $252,476,000 

Budget estimate, 2013 ........................................................................... 279,477,000 

Committee recommendation ................................................................. 269,274,000 

The Committee recommendation for the activities of the National 

Center for Emerging and Zoonotic Diseases is $269,274,000. In addition, the Committee recommends transferring $51,750,000 to the 

Center from the PPH Fund. 

The total program level recommended for the Center is 

$321,024,000. 

The National Center for Emerging and Zoonotic Infectious Diseases aims to detect, prevent, and control infectious diseases from 

spreading, whether they are naturally occurring, unintentional, or 

the result of terrorism. 

The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee recommendation 

Vector-Borne Diseases ............................................................................... 23,083 ........................ 23,083 

Lyme Disease ............................................................................................. 8,717 ........................ 8,717 

Food Safety ................................................................................................ 27,113 43,848 43,848

Prion Disease ............................................................................................. 4,969 ........................ 4,969 

Chronic Fatigue Syndrome ......................................................................... 4,707 ........................ 4,707 
62 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

Emerging Infectious Diseases ................................................................... 123,359 182,232 123,359 

Epidemiology and Laboratory Capacity Program—PPH Fund ................... 40,000 40,000 40,000 

National Healthcare Safety Network .......................................................... 14,840 27,468 14,840 

Healthcare-Associated Infections—PPH Fund .......................................... 11,750 11,750 11,750 

Quarantine ................................................................................................. 25,866 25,929 25,929

Antibiotic Resistance.—The Committee commends CDC’s antimicrobial stewardship efforts, such as the GetSmart program, but 

remains concerned about the lack of available data on both resistance trends and antibiotic use in the United States for both humans and animals. The Committee requests a report from CDC, in 

coordination with its partners on the Interagency Task Force on 

Antimicrobial Resistance, regarding the type and scope of data collected in the United States on antibiotic consumption and resistance trends. The report should compare this level of data with the 

level and scope of data collected around the world and the benefits 

or drawbacks of collecting such data. In addition, the report should 

identify what statutory and other obstacles exist in the United 

States that might prevent the collection of more comprehensive 

data. 

Emerging Infection Surveillance.—The Committee urges CDC to 

create strong partnership opportunities between this Center and 

the Center on Global Health in order to coordinate better the Nation’s surveillance of emerging infections and monitoring activities 

at home and abroad. 

Food Safety.—The Committee remains strongly supportive of 

CDC’s system of surveillance and outbreak response on food-borne 

illness. The Committee is very concerned about changes in private 

lab testing that reduce the ability of State labs to identify quickly 

the fingerprint of a particular outbreak. The Committee intends 

that the recommended funding increase be used to support upgrades to PulseNet and develop new laboratory tools. In addition, 

CDC should enhance and integrate surveillance of disease, improve 

outbreak and response timeliness, and help address deficits in local 

capacity to prevent and stop illness. The Committee supports the 

expansion of the number of Foodborne Diseases Centers for Outbreak Response Enhancement [FoodCORE] and Food Safety Centers of Excellence. These centers will serve a critical role through 

the development and dissemination of best practices and tools for 

food safety surveillance and outbreak response. 

CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION

Appropriations, 2012 ............................................................................. $756,377,000 

Budget estimate, 2013 ........................................................................... 633,019,000 

Committee recommendation ................................................................. 798,445,000 

The Committee recommendation for the activities of the National 

Center for Chronic Disease Prevention and Health Promotion is 

$798,445,000. In addition, the Committee recommends transferring 

$457,050,000 to the Center from the PPH Fund. 

The total program level assumed in this bill for the Center is 

$1,255,495,000. 
63 

The mission of the National Center for Chronic Disease Prevention is to provide national leadership in promoting health and wellbeing through prevention and control of chronic diseases. Nearly 

one-half of all American adults have at least one chronic illness; 

such diseases account for nearly 70 percent of all U.S. deaths and 

three-quarters of all healthcare costs in the United States. 

The budget proposes a consolidation of five programs within the 

Center including: arthritis; comprehensive cancer; heart disease 

and stroke; diabetes; and nutrition, physical activity, and obesity. 

This consolidation proposal is the latest in a series of efforts by the 

administration and this Committee to coordinate better the obesityrelated chronic disease prevention programs in the Center. The 

Committee rejects the proposed consolidation, not because the need 

to improve coordination has gone away but because budget constraints make it impossible to achieve without cutting funding to 

numerous States. Yet, the Committee remains concerned by the 

lack of coordination in the four State grant programs that address 

obesity-related chronic disease: Diabetes; Heart Disease and 

Stroke; Community Health Promotion; and Nutrition, Physical Activity, and Obesity. 

The Committee is aware that the target populations for these 

four State grant programs, and the interventions recommended by 

these four programs, are identical. Therefore, the Committee recommends that CDC provide flexibility to States to use up to 5 percent of their funds in any of these four grant programs to address 

cross-cutting issues among them. The Committee intends this flexibility be used to support activities that align the goals, eligibility, 

evaluation, and performance metrics of these programs. 

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 2012 

comparable 

Fiscal year 2013 

request 

Committee recommendation 

Chronic Disease Block Grant ..................................................................... ........................ 378,607 ........................

Office of Smoking and Health—PPH Fund ............................................... 83,000 89,000 95,000 

Office of Smoking and Health ................................................................... 108,077 108,117 108,117 

Environmental Health Lab (non-add) ............................................... 1,963 ........................ 1,963 

Nutrition, Physical Activity, and Obesity ................................................... 33,998 ........................ 43,998 

Nutrition, Physical Activity, and Obesity—PPH Fund ............................... 10,000 ........................ ........................

School Health ............................................................................................. 13,522 ........................ 13,522 

Food Allergies (non-add) .................................................................. 487 ........................ 487 

Community Health Promotion .................................................................... 6,106 ........................ 6,106 

Glaucoma ................................................................................................... 3,319 ........................ 3,319 

Visual Screening Education ....................................................................... 508 ........................ 508 

Alzheimer’s Disease ................................................................................... 1,802 ........................ 11,802 

Inflammatory Bowel Disease ..................................................................... 677 ........................ 677 

Interstitial Cystitis ..................................................................................... 651 ........................ 651 

Excessive Alcohol Use ................................................................................ 2,440 ........................ 2,440 

Chronic Kidney Disease ............................................................................. 2,081 ........................ 2,081 

Prevention Research Centers ..................................................................... 17,900 ........................ 17,900 

Prevention Research Centers—PPH Fund ................................................. 10,000 ........................ 10,000 

Prevention Research Centers—Section 241 transfer ............................... ........................ 25,000 ........................

Heart Disease and Stroke .......................................................................... 54,975 ........................ 54,975 

Diabetes ..................................................................................................... 64,434 ........................ 64,434 

Cancer Prevention and Control—PPH Fund .............................................. ........................ 260,871 ........................

Cancer Prevention and Control (total) ...................................................... 348,304 62,794 346,332 

Breast and Cervical Cancer ............................................................. 204,779 ........................ 204,779 
64 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee recommendation 

WISEWOMAN (non-add) ............................................................ 20,629 ........................ 20,629 

Breast Cancer Awareness for Young Women ................................... 4,881 ........................ 4,881 

Cancer Registries .............................................................................. 50,014 ........................ 50,014 

Colorectal Cancer .............................................................................. 42,830 ........................ 42,830 

Comprehensive Cancer ..................................................................... 20,199 ........................ 20,199 

Johanna’s Law .................................................................................. 4,972 ........................ 3,000 

Ovarian Cancer ................................................................................. 4,882 ........................ 4,882 

Prostate Cancer ................................................................................ 13,114 ........................ 13,114 

Skin Cancer ....................................................................................... 2,138 ........................ 2,138 

Cancer Survivorship Resource Center .............................................. 495 ........................ 495 

Oral Health ................................................................................................. 14,644 14,653 18,644 

Safe Motherhood/Infant Health .................................................................. 43,803 43,848 43,803 

Arthritis ...................................................................................................... 13,001 ........................ 13,001 

Epilepsy ...................................................................................................... 7,757 ........................ 7,757 

National Lupus Patient Registry ................................................................ 4,438 ........................ 2,000 

Racial and Ethnic Approaches to Community Health ............................... 13,940 ........................ 23,940 

Racial and Ethnic Approaches to Community Health—PPH Fund ........... 40,000 ........................ 40,000 

Community Transformation Grants—PPH Fund ........................................ 226,000 146,340 280,000 

Diabetes Prevention Program .................................................................... ........................ ........................ 10,000 

Diabetes Prevention Program—PPH Fund ................................................ 10,000 ........................ 10,000 

Million Hearts Initiative—PPH Fund ......................................................... ........................ 5,000 5,000 

Workplace Wellness—PPH Fund ................................................................ 10,000 4,000 10,000 

Let’s Move—PPH Fund .............................................................................. 5,000 4,000 ........................

Breastfeeding Promotion and Support Grants—PPH Fund ...................... 7,050 2,500 7,050 

Alzheimer’s and Healthy Aging.—The Committee commends the 

Healthy Brain Initiative [HBI] for its leadership in bringing attention to the public health crisis of Alzheimer’s disease and for its 

work on cognitive impairment surveillance in 38 States. The Committee notes that developing a population-based surveillance system with longitudinal follow-up is a key recommendation in the 

National Public Health Road Map to Maintaining Cognitive Health. 

The increase provided in the Committee recommendation is intended to further develop this system and to develop effective public health messages to promote cognitive health in older adults, as 

recommended in the recent progress report on the HBI. 

Cancer Registries.—The Committee commends CDC for its work 

to improve the ability of the cancer registries to support enhanced 

access for researchers and the early capture of particularly aggressive cancers. 

Cardiomyopathy.—The Committee is aware of CDC estimates 

that sudden cardiac arrest [SCA] is the leading cause of death on 

school property, with one student athlete falling victim to SCA 

every 3 to 4 days. The risk of SCA is highest among those with 

undiagnosed cardiomyopathy. The Committee is pleased with the 

information that CDC has developed for schools, coaches, and parents on prevention of concussion in student athletes, and encourages CDC to augment this effort with information about how to 

identify children with cardiomyopathy and how to respond appropriately and quickly to SCA. CDC is further encouraged to disseminate this information through the CDC Web site and the Division 

on Adolescent School Health. 

Chronic Kidney Disease [CKD].—The Committee continues to 

support early detection of CKD, particularly among high-incidence 

minority populations. The Committee urges CDC to continue early 
65 

detection activities and the CKD Health Evaluation and Risk Information Sharing project. 

Chronic Obstructive Pulmonary Disease [COPD].—The Committee applauds CDC for partnering with NHLBI to develop a national action plan to address COPD. The Committee is pleased to 

note that CDC is updating its COPD surveillance summary, maximizing use of the currently available research data. 

Community Transformation Grants [CTG].—The Committee commends CDC for the recent announcement of a community grant 

competition within the CTG program. The funding announcement 

for this competition assumed that funds would be awarded for a 2- 

year period and the budget request did not anticipate another funding announcement in fiscal year 2013. The Committee recommendation includes an additional $54,000,000 above the fiscal 

year 2012 level for CTG. The Committee directs CDC to award this 

funding in another round of community grants in fiscal year 2013. 

Diabetes in Native Americans/Native Hawaiians.—The Committee commends CDC for its focus on the high incidence of diabetes and kidney disease among Native American, Alaska Native, 

Native Hawaiian, and Filipino populations. The Committee strongly supports the Native Diabetes Wellness Program. 

Glaucoma.—The Committee continues to believe that education 

and screening programs for glaucoma and other age-related eye 

diseases are a low-cost means of preventing and reducing the risk 

of blindness, especially in minority populations. 

Heart Disease and Stroke.—The Committee is pleased that the 

Center is developing a cardiovascular disease surveillance system 

and continues to provide support for the Sodium Reduction Communities program. The Committee recommends $5,000,000 in 

transfers from the PPH Fund to support the Million Hearts initiative. 

Lupus.—The Committee applauds the completed development of 

five lupus patient registries across the country meant to identify 

reliable epidemiological and burden of illness data on lupus. The 

Committee recommendation is sufficient to conduct cohort studies 

of registry patients to study further long-term outcomes, socioeconomic burdens, and mortality associated with the disease. Studies should be designed to follow an established, population-based 

cohort with lupus to determine over time the treatment, healthcare 

access, and natural history (severity, morbidity, mortality, etc.) of 

cohort members and the factors (including genetic and other biological factors such as antibody levels) associated with these outcomes. 

Maternal Mortality Reviews.—State-based maternal mortality reviews identify deaths, review associated factors, and take action to 

institute changes to decrease pregnancy-related mortality. A uniform pregnancy mortality dataset tool, which includes an electronic 

comprehensive case abstraction form, would ensure that the information needed for review and action would be consistent for public 

health purposes. The Committee encourages CDC, in consultation 

with relevant State and national stakeholders, to develop a uniform pregnancy mortality dataset tool for guidance to States on 

data collection, review, and analysis, and make such a tool available to State maternal mortality review committees. 
66 

Obesity.—The Committee is aware of the importance of diet and 

nutrition in reducing obesity rates among targeted populations, 

from school-aged children to seniors. Critical to the success of this 

effort is training individuals how to prepare foods that are healthful, flavorful, and delivered in the most cost-effective manner. In 

accomplishing these objectives, the Committee encourages CDC to 

support strategies that engage institutions with demonstrated culinary training expertise in the areas of ingredient selection, culinary technique, flavor development, and menu development across 

a wide range of volume food service operations, including institutional foodservice. The Committee encourages the Center to support strategies that engage such institutions throughout its nutrition and health promotion programs. 

Office on Smoking and Health [OSH].—The Committee includes 

$203,177,000 for OSH, including $95,000,000 in transfers from the 

PPH Fund. While much progress has been made in reducing tobacco use, the Committee continues to believe that tobacco prevention and cessation must be a priority. As noted in the U.S. Surgeon 

General Report issued in March, tobacco use remains a ‘‘pediatric 

epidemic’’; more than 3.6 million middle and high school children 

actively smoke, with an additional 1.4 million trying their first cigarette each year. Funding from OSH is particularly important in 

fiscal year 2013 because, despite clear evidence of cost-effectiveness, States have cut funding for tobacco prevention programs by 

a total of 36 percent in the last 4 years. 

The Committee is pleased with the initial reported results of the 

OSH media campaign. In the first 2 weeks of this campaign, calls 

to State quitlines more than doubled and the number of hits to 

www.smokefree.gov, the Government’s Web site offering quit assistance, more than tripled. In addition, previous experience from 

State and local media campaigns promoting quitlines shows at 

least 5 to 6 smokers try to quit on their own for every one person 

who calls a quitline. The Committee expects OSH to commit at 

least the same amount in fiscal year 2013 for a media campaign 

and quitlines as it did in fiscal year 2012. 

The Committee commends the Environmental Health Laboratory 

for its ongoing work on tobacco products, including its successful 

partnership with the FDA in implementing the Family Smoking 

Prevention and Tobacco Control Act. The Committee expects OSH 

to transfer the same amount it did in fiscal year 2012 to the Environmental Health Laboratory. The Committee notes that this 

transfer is to be provided to the lab in a manner that supplements 

and in no way replaces existing funding for tobacco-related activities. 

Oral Health.—The Committee is greatly encouraged by pilot programs across the country demonstrating new disease management 

interventions, public health media campaigns, and prevention 

strategies that can reduce the rate of dental caries. The Committee 

intends that no less than $150,000 be available for CDC to engage 

in planning and technical assistance to improve and expand joint 

public-private media campaigns at the national, State, and local 

levels. This may include an oral health literacy program in response to a report from the IOM which noted that ‘‘individuals and 

many healthcare professionals remain unaware of the risk factors 
67 

and preventive approaches for many oral diseases, and they do not 

fully appreciate how oral health affects well being.’’ 

In addition, the Committee has included sufficient funding for 

CDC to convene a conference examining innovative strategies to 

address early childhood caries [ECC] and to update the agency’s 

previous work on an ECC consensus statement. Through this conference, CDC in collaboration with leading researchers, clinicians, 

payors, and consumer groups will identify the most recent science 

and research advancing ECC disease management. 

Johanna’s Law.—The Committee recognizes that fiscal year 2012 

was the fifth year of Federal funding for the gynecological awareness campaign authorized in Johanna’s Law. Over the last 5 years, 

CDC has developed and distributed gynecologic cancer-specific fact 

sheets, Web sites, public service announcements and other public 

education materials. The Committee recommendation includes 

$1,500,000 for an evaluation of Johanna’s Law to determine the effectiveness of this awareness campaign on gynecological cancer detection rates. 

In addition, the Committee is concerned that the mortality rate 

for ovarian cancer has remained relatively unchanged over the last 

40 years, while overall U.S. cancer mortality rates have declined 

dramatically. The Committee recommendation for Johanna’s Law 

includes $1,500,000 for a review of the state of the science on ovarian cancer, to be submitted no later than 1 year after enactment 

of this act. The review should be conducted by a workgroup of both 

public and private sector stakeholders, and it should identify a national plan of action for improved prevention efforts, detection 

methods, care and treatment for the full continuum of life, and 

basic and public health research. The report and plan that follow 

should include at least: an evaluation and summary of the existing 

state of the science; an assessment of existing government initiatives; and an identification of and recommendations for other public and private sector efforts that would help the Nation make 

progress in reducing the incidence and mortality of ovarian cancer. 

The Committee understands that women with the BRCA1 and 

BRCA2 genetic mutations are at elevated risk for both breast and 

ovarian cancers. Therefore, the Committee encourages CDC to explore ways in which the risk of ovarian cancer can be integrated 

into the larger public health system in cancer prevention and treatment, particularly in public health programs aimed at women at 

risk for breast cancer. 

Racial and Ethnic Approaches to Community Health [REACH].— 

The Committee is aware of the tremendous success of the REACH 

program. From 2001 to 2009, physical activity rates among minority populations in REACH communities increased from 7 to 12 percent, compared to a U.S. average in the general population of 2 to 

5 percent. These outcomes are all the more impressive considering 

the high rates of obesity and obesity-related illness in REACH communities. The Committee strongly supports the REACH model of 

partnering with communities that are underserved and often disaffected, both to identify health disparities of concern to the community and then to implement community-based, evidence-based, 

and culturally competent approaches to reduce or eliminate those 

disparities. 
68 

Preterm Birth.—The Committee commends CDC for funding 

State-based perinatal collaboratives that focus on improving birth 

outcomes using known prevention strategies such as reducing early 

elective deliveries. 

Sleep Disorders.—Evidence is growing that chronic circadian disruptions and disorders can cause significant safety and health 

issues such as increased risk of cardiovascular disease, breast cancer, diabetes, obesity, motor vehicle crashes, and difficulty adhering 

to school and work schedules. CDC is encouraged to continue current surveillance efforts on sleep patterns that assist researchers 

in this area. 

Well-Integrated Screening and Evaluation for Women Across the 

Nation.—The Committee once again includes bill language requiring CDC to make competitively awarded grants under section 1509 

of the PHS Act available to not less than 21 States, tribes, or tribal 

organizations. WISEWOMAN helps uninsured and under-insured 

low-income women avoid heart disease and stroke by providing preventive health services; referrals to local healthcare providers, as 

needed; and lifestyle counseling and interventions tailored to identify risk factors to promote lasting, healthy behavior change. 

NATIONAL CENTER ON BIRTH DEFECTS, DEVELOPMENTAL

DISABILITIES, DISABILITY AND HEALTH

Appropriations, 2012 ............................................................................. $137,287,000 

Budget estimate, 2013 ........................................................................... 18,476,000 

Committee recommendation ................................................................. 134,500,000 

The Committee recommendation for the activities of the National 

Center on Birth Defects and Developmental Disabilities [NCBDDD] 

is $134,500,000. The budget request transfers an additional 

$107,089,000 from the PPH Fund; the Committee rejects that proposed transfer. 

This Center improves the health of children and adults by preventing birth defects, developmental disabilities, and complications 

of heredity blood disorders and by promoting optimal child development and health and wellness among children and adults living 

with disabilities. 

For the second consecutive fiscal year, the budget request includes a proposal to consolidate 14 programs in the Center into a 

broadly defined program on disability and health. For the second 

time, the Committee rejects the consolidation proposal. The Committee notes with dismay that the proposal was submitted to Congress without the accompanying information that the fiscal year 

2012 statement of the managers specifically stated would be a requirement for consideration of any such proposal in fiscal year 

2013. The Committee reiterates that no consolidation will be considered without an assessment of the needs of the populations currently served and an analysis of the impact of a consolidation on 

those populations. 

Within the total provided, the following amounts are provided for 

the following categories of funding: 
69 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

Child Health and Development—PPH Fund .............................................. ........................ 49,957 ........................

Child Health and Development/Birth Defects and Developmental Disabilities (total) ...................................................................................... 61,966 8,653 60,161 

Birth Defects ..................................................................................... 20,192 ........................ 18,387 

Fetal Death (non-add) ............................................................. 806 ........................ 806 

Fetal Alcohol Syndrome ..................................................................... 9,862 ........................ 9,862 

Folic acid .......................................................................................... 2,779 ........................ 2,779 

Infant health ..................................................................................... 7,868 ........................ 7,868 

Autism ............................................................................................... 21,265 ........................ 21,265 

Autism—PPH Fund .................................................................................... ........................ 21,340 ........................

Health and Development with Disabilities—PPH Fund ............................ ........................ 43,841 ........................

Health and Development with Disabilities/Human Development and Disability (total) ......................................................................................... 56,574 7,360 57,585 

Disability and health ........................................................................ 17,779 ........................ 17,779 

Limb loss .......................................................................................... 2,820 ........................ 2,820 

Tourette Syndrome ............................................................................ 1,698 ........................ 1,698 

Early Hearing Detection and Intervention ........................................ 10,630 ........................ 10,630 

Muscular Dystrophy ........................................................................... 5,828 ........................ 5,828 

Paralysis Resource Center ................................................................ 6,700 ........................ 6,700 

Attention-Deficit Hyperactivity Disorder ............................................ 1,715 ........................ 1,715 

Fragile X ............................................................................................ 1,681 ........................ 1,681 

Spina Bifida ...................................................................................... 5,734 ........................ 5,734 

Congenital Heart Failure ................................................................... 1,989 ........................ 3,000 

Public Health Approach to Blood Disorders—PPH Fund .......................... ........................ 13,291 ........................

Blood Disorders (total) ............................................................................... 18,747 2,463 16,754 

Public Health Approach to Blood Disorders ..................................... ........................ ........................ 10,754 

Hemophilia ........................................................................................ 16,633 ........................ ........................

Hemophilia Treatment Centers ......................................................... ........................ ........................ 6,000 

Thallasemia ....................................................................................... 1,856 ........................ ........................

Cerebral Palsy [CP].—The Committee commends CDC for releasing the first multisite, population-based study on the CP population 

in the country. In addition to updating prevalence estimates, this 

report provided estimates of co-occurring developmental disabilities, gross motor function, and walking ability among children 

with CP. The Committee encourages the CDC to update these figures regularly. 

Fragile X—Fragile X-Associated Disorders [FXD].—The Committee encourages CDC to continue to focus its efforts on data collection to identify and define the population impacted by FXD and 

the public health impact of these conditions. CDC is further encouraged to support epidemiological research, surveillance, screening, and the promotion of early interventions and supports. 

Hemophilia Treatment Centers [HTCs].—The Committee intends 

that funds provided for HTCs be used to continue surveillance and 

research at an expanded number of hemophilia treatment centers. 

Public Health Approach to Blood Disorders.—The Committee includes sufficient funding to continue and expand work on bleeding 

and clotting disorders, as well as hemoglobinopathies. The Committee remains supportive of the blood safety surveillance program 

focused on thalassemia. Because thalassemia patients are transfused every 2 weeks and thus are the largest users of red blood 

cells, closely monitoring their health effectively protects all transfused patients, whether due to surgery, childbirth, trauma, or any 

other cause. 

Spina Bifida.—The Committee intends the funding provided for 

the National Spina Bifida Program [NSBP] to be used to support 
70 

the continuation of a data collection initiative to improve the efficacy and quality of care. Further, the Committee intends the NSBP 

to serve as a model for programs assisting other individuals living 

with similar complex conditions. 

Tourette Syndrome.—The Committee intends that CDC continue 

to educate health professionals, educators, and the general public 

about Tourette syndrome and to expand the scientific knowledge 

base on prevalence, risk factors, and co-morbidities of this disorder. 

PUBLIC HEALTH SCIENTIFIC SERVICES

Appropriations, 2012 ............................................................................. $391,741,000 

Budget estimate, 2013 ........................................................................... 415,069,000 

Committee recommendation ................................................................. 391,741,000 

The Committee recommendation for Public Health Scientific 

Services is $391,741,000; this amount includes $247,769,000 in 

transfers available under section 241 of the PHS Act. In addition, 

the Committee recommends transferring $70,000,000 to these activities from the PPH Fund. 

The total program level assumed in this bill for these services is 

$461,741,000. 

This funding supports the work of all of the CDC Centers by 

compiling statistical information to inform public health policy. In 

particular, these activities assure the accuracy and reliability of 

laboratory tests; apply digital information technology to help detect 

and manage diseases, injuries, and syndromes; and develop and inform the public health community on sound public health surveillance, laboratory protocols, and epidemiological practices. 

The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee recommendation 

Health Statistics—Section 241 transfer ................................................... 138,683 161,833 138,683 

Health Surveillance—PPH Fund ................................................................ 35,000 35,000 35,000 

State/Local Lab Sustainability—PPH Fund ............................................... ........................ 20,000 ........................

Community Guide—PPH Fund ................................................................... 10,000 10,000 10,000 

Public Health Workforce and Career Development .................................... 35,929 35,695 35,929 

Public Health Workforce Capacity—PPH Fund ......................................... 25,000 25,000 25,000 

The Committee requests that CDC include in the fiscal year 2014 

congressional budget justification a listing of all internal laboratories with a description of their responsibilities and their annual 

funding and staffing levels. The laboratories should be categorized 

by biosafety level. 

Seminal Surveys.—The Committee continues to support strong 

data quality and accessibility within the ongoing seminal health 

surveys, in particular the National Health Interview Survey and 

National Health and Nutrition Examination Survey. 

Sexual and Gender Identity Inclusion in Health Data Collection.—The Committee recognizes the steps CDC has taken to include questions relating to sexual orientation in the National 

Health Interview Survey. The Committee remains supportive of inclusion of gender identity questions. The Committee urges CDC to 
71 

ensure that milestones established in the July 2011 national data 

progression plan are met. 

Vital Statistics.—The Committee recommendation includes sufficient funding to collect 12 months of vital statistics data within the 

calendar year. 

ENVIRONMENTAL HEALTH

Appropriations, 2012 ............................................................................. $104,998,000 

Budget estimate, 2013 ........................................................................... 103,672,000 

Committee recommendation ................................................................. 114,667,000 

The Committee recommendation for the National Center for Environmental Health is $114,667,000. In addition, the Committee 

recommends transferring $35,000,000 to the Center from the PPH 

Fund. 

The total program level assumed in the bill for this Center is 

$149,667,000. 

The National Center for Environmental Health addresses emerging pathogens and environmental toxins that pose significant challenges to public health. The Center conducts surveillance and data 

collection to determine which substances in the environment are 

getting into people and to what degree. The Center also determines 

whether 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 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

Environmental Health Laboratory .............................................................. 42,383 42,394 42,383 

Newborn Screening Quality Assurance Program (non-add) ............. 6,825 ........................ 6,825 

Newborn Screening for Severe Combined Immunodeficiency Diseases (non-add) ........................................................................... 965 ........................ 965 

Environmental Health Activities (total) ..................................................... 35,322 33,962 36,986 

Environmental Health Activities ....................................................... 12,160 ........................ 12,160 

Safe Water ........................................................................................ 7,109 ........................ 7,109 

Volcanic Emissions ........................................................................... 197 ........................ 197 

Amyotrophic Lateral Sclerosis Registry ............................................ 5,869 ........................ 5,869 

Climate Change ................................................................................ 7,359 4,875 4,875 

Built Environment and Health Initiative .......................................... 2,628 ........................ 6,776 

Environmental and Health Outcome Tracking Network—PPH Fund ......... 35,000 29,000 35,000 

Asthma ....................................................................................................... 25,298 ........................ 25,298 

Healthy Homes/Childhood Lead Poisoning ................................................ 1,995 ........................ 10,000 

Healthy Home and Community Environments ........................................... ........................ 27,316 ........................

ALS.—The Committee commends the Center for launching a tool 

within the ALS registry to promote clinical trial enrollment and for 

exploring the addition of a biorepository. The Committee encourages CDC to work with stakeholders and researchers to help raise 

awareness of the registry in both the patient community and the 

research community, and to ensure that the registry collects information that is useful for ALS research and treatment development. 

The Committee further encourages CDC to work with CMS to explore how the registry may help improve care and promote standards of care for those living with the disease as well as other opportunities to advance ALS research. 
72 

Asthma.—The budget request again proposes to consolidate 

CDC’s National Asthma Control program with the Healthy Homes/ 

Childhood Lead Poisoning program. The Committee notes that this 

proposal contains few details on how the consolidated program 

would bridge the different models and settings currently employed 

by the two individual programs. For that reason, the Committee 

again rejects the administration’s proposal. The Committee directs 

CDC to continue its support of the asthma program, its approach 

to asthma control, its community partners, and its successful interventions. 

Blood Lead Reference Value.—The Committee applauds CDC for 

doing away with the use of the ‘‘blood lead level of concern’’ methodology. The Committee encourages CDC to raise awareness of the 

new blood lead reference value. The Committee is interested in the 

potential for point-of-care screening devices, particularly in at-risk 

communities. 

Healthy Homes and Lead Poisoning Prevention Program.—The 

Committee recommendation includes sufficient funding for national 

surveillance efforts that can better target HUD lead poisoning prevention efforts, technical assistance to local public health officials, 

and national leadership on the science of lead poisoning. 

National Environmental Public Health Tracking Network.—The 

Committee commends CDC for providing technical support to 

States and cities that have demonstrated interest in conducting 

public health tracking activities with their own resources. 

INJURY PREVENTION AND CONTROL

Appropriations, 2012 ............................................................................. $137,693,000 

Budget estimate, 2013 ........................................................................... 137,754,000 

Committee recommendation ................................................................. 137,693,000 

The Committee recommendation for the National Center for Injury Prevention and Control is $137,693,000. In addition, the Committee recommends transferring $3,000,000 to the Center from the 

PPH Fund. 

The total program level assumed in this bill for the Center is 

$140,693,000. 

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, and traffic accidents. The national injury control program at CDC encompasses nonoccupational 

injury and applied research in acute care and rehabilitation of the 

injured. 

The Committee recommendation includes funding for the following activities: 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

Intentional Injury (total) ............................................................................ 93,282 93,317 93,282 

Domestic Violence and Sexual Violence ........................................... 31,042 ........................ 31,042 

Child Maltreatment (non-add) ................................................. 6,959 ........................ 6,959 

Youth Violence Prevention ................................................................ 14,968 ........................ 14,968 

Domestic Violence Community Projects ............................................ 5,411 ........................ 5,411 

Rape Prevention ................................................................................ 39,389 ........................ 39,389 
73 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

All Other Intentional Injury ............................................................... 2,472 ........................ 2,472 

Unintentional Injury (total) ........................................................................ 30,966 30,988 30,966 

Traumatic Brain Injury ...................................................................... 6,026 ........................ 6,026

All Other Unintentional Injury ........................................................... 24,940 ........................ 24,940 

Elderly Falls (non-add) ............................................................ 1,958 ........................ 1,958 

Elderly Falls—PPH Fund ........................................................................... ........................ ........................ 3,000 

Injury Control Research Centers ................................................................ 9,974 9,977 9,974 

National Violent Death Reporting System ................................................. 3,471 3,472 3,471 

Falls Prevention Interventions.—The Committee includes 

$3,000,000 from the PPH Fund to expand older adult falls prevention activities at CDC, in coordination with ACL. The Committee 

intends that CDC use the funding to conduct research to evaluate 

and disseminate the most effective fall prevention interventions 

and that ACL use the funding provided that agency to conduct outreach and demonstration programs to expand the implementation 

of effective interventions. 

OCCUPATIONAL SAFETY AND HEALTH

Appropriations, 2012 ............................................................................. $292,588,000 

Budget estimate, 2013 ........................................................................... 249,364,000 

Committee recommendation ................................................................. 292,588,000 

The Committee recommendation for occupational safety and health programs is $292,588,000; this amount includes 

$110,724,000 in transfers available under section 241 of the PHS 

Act, the same as was transferred in fiscal year 2012. The budget 

request assumes $249,364,000 in transfers. 

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 is implemented by 

conducting scientific 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 2012 

comparable 

Fiscal year 2013 

request 

Committee recommendation 

Education and Research Centers .............................................................. 24,268 ........................ 24,268 

Personal Protective Technology .................................................................. 16,791 ........................ 16,791 

Personal Protective Technology—Section 241 transfer ............................ ........................ 16,880 ........................

Healthier Workforce Center ........................................................................ 5,016 ........................ 5,016 

Healthier Workforce Center—Section 241 transfer ................................... ........................ 5,026 ........................

National Occupational Research Agenda .................................................. 111,366 91,724 111,366 

Section 241 transfer (non-add) ........................................................ 110,724 91,724 110,724 

Mining Research ........................................................................................ 52,363 ........................ 52,363 

Mining Research—Section 241 transfer ................................................... ........................ 52,687 ........................

Other Occupational Safety and Health Research—Section 241 Transfer .......................................................................................................... ........................ 83,047 ........................

Other Occupational Safety and Health Research ...................................... 82,784 ........................ 82,784 

Miners Choice (non-add) .................................................................. 646 ........................ 646 

National Mesothelioma Registry and Tissue Bank (non-add) ......... 1,020 ........................ 1,020 
74 

Education and Research Centers.—The Committee directs CDC 

to spend no less than last year for this program. 

Mining Research.—The Committee requests that the fiscal year 

2014 congressional budget justification include a 5-year history of 

mining research funding and FTE by type of mine research, in particular the proportion of resources dedicated to coal and metal/ 

nonmetal research. 

Other Occupational Safety and Health Research.—The Committee requests that the fiscal year 2014 congressional budget justification include a 5-year history of the funding and FTE supported by this program, broken down by industry and location. 

Regional Proximity to Industry.—The Committee strongly supports NIOSH’s regional distribution of research facilities. NIOSH is 

a leader in applied research and the Committee believes that interaction with a wide variety of industries is key to NIOSH’s success. 

The Committee requests a staffing plan for all facilities owned and 

leased by NIOSH over the coming 5 fiscal years, to be submitted 

no later than March 1, 2013. The plan should include on-site contractors, any notable projections for retirement, and site-specific 

plans for recruitment. 

National Occupational Research Agenda.—The Committee directs 

CDC to spend no less than last year for the Agriculture, Forestry, 

and Fishing Program within the National Occupational Research 

Agenda. 

ENERGY EMPLOYEES OCCUPATIONAL INJURY COMPENSATIONSATION

ACT

Appropriations, 2012 ............................................................................. $55,358,000 

Budget estimate, 2013 ........................................................................... 55,358,000 

Committee recommendation ................................................................. 55,358,000 

The Committee recommendation for EEOICPA is $55,358,000. 

This mandatory funding supports NIOSH scientists who reconstruct radiation dose levels to inform compensation decisions. 

GLOBAL HEALTH

Appropriations, 2012 ............................................................................. $347,594,000 

Budget estimate, 2013 ........................................................................... 362,889,000 

Committee recommendation ................................................................. 362,594,000 

The Committee recommends $362,594,000 for global health-related activities at CDC. 

The Center for Global Health leads international programs and 

coordinates CDC’s global efforts with the goal of promoting health 

and preventing disease in the United States and abroad. The Center has a particular focus on 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 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

Global AIDS Program ................................................................................. 117,118 117,156 117,118 

Global Immunization Program (total) ........................................................ 160,287 175,417 160,287 

Polio Eradication ............................................................................... 111,286 126,365 111,286 

Measles and Other Vaccine Preventable Diseases .......................... 49,001 49,052 49,001 
75 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

Global Disease Detection and Emergency Response ................................ 41,601 41,659 46,601 

Global Disease Detection Centers (non-add) ................................... 35,604 35,604 40,604 

Parasitic Diseases and Malaria ................................................................ 19,367 19,417 19,367 

Global Public Health Capacity Development ............................................. 9,221 9,240 9,221 

National Public Health Institutes .............................................................. ........................ ........................ 10,000 

National Public Health Institutes [NPHIs].—In many countries 

around the world, public health functions are spread across the 

ministries of health. Laboratory work, surveillance, outbreak response, and budget are often disconnected and fragmented, making 

public health efforts less efficient and less effective. This fragmentation is a barrier to collaboration among nations on preventing the spread of infectious disease and setting common health 

research goals. NPHIs are science-based organizations that bring 

together the public health functions of a government. They use evidence to inform health practice and policies, determine the effectiveness of health investments and practices, and provide a locus 

of coordination for donor resources in developing nations. 

The Committee is aware that the International Association of 

National Public Health Institutes has begun to transfer its technical assistance functions to CDC, making CDC the global leader 

on building NHPI capacity around the world. 

In recognition of the leadership role that CDC plays in global 

public health, the Committee has included a new initiative to support the creation of NPHIs in developing countries. The Committee 

has provided $10,000,000 to be available over a 2-year period for 

CDC to work in at least five countries. The Committee expects 

CDC’s engagement to be time-limited, extending from 3 to 5 years. 

The Committee further expects this initiative to engage countries 

in all regions of the world; however, the Committee understands 

that any country engaged must show a high level of commitment 

to reorganize its ministry of health in this manner. 

PUBLIC HEALTH PREPAREDNESS AND RESPONSE

Appropriations, 2012 ............................................................................. $1,299,479,000 

Budget estimate, 2013 ........................................................................... 1,228,360,000 

Committee recommendation ................................................................. 1,299,479,000 

The Committee recommendation for the Office of Public Health 

Preparedness and Response [OPHR] is $1,299,479,000. 

The Committee does not support transferring any balances from 

Public Law 111–32, the Supplemental Appropriations Act, 2009, in 

fiscal year 2013. In fiscal year 2012, $30,000,000 was transferred 

from such balances for an additional amount for the Strategic National Stockpile and the budget request proposes transferring an 

additional $46,776,000. The Committee feels strongly that additional transfers would impair the HHS flu plan that the supplemental appropriations bill was designed to implement. 

The mission of OPHR is to build and strengthen national preparedness for public health emergencies including natural, biological, chemical, radiological, and nuclear incidents. OPHR administers national response programs and assets, as well as grants to 
76 

States and localities to enhance preparedness efforts across the 

country. 

The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee recommendation 

State and Local Preparedness and Response Capability (total) .............. 657,418 641,917 657,418 

Public Health Emergency Preparedness Cooperative Agreement ..... 641,671 ........................ 641,671 

Academic Centers for Public Health Preparedness .......................... 7,980 ........................ 7,980 

All Other State and Local Capacity .................................................. 7,767 ........................ 7,767 

CDC Preparedness and Response Capability (total) ................................. 138,269 146,999 138,269 

Upgrading CDC Capacity .................................................................. 109,467 ........................ 109,467

BioSense ............................................................................................ 20,727 ........................ 20,727 

Real-time Lab Reporting .................................................................. 8,075 ........................ 8,075 

Strategic National Stockpile ...................................................................... 503,792 439,444 503,792 

Strategic National Stockpile Transfer from Public Law 111–32 .............. 30,000 46,776 ........................

Public Health Emergency Preparedness Cooperative Agreement.— The Committee directs that CDC award no less than last year’s 

level through the cooperative agreement with State and local public 

health departments. 

CDC-WIDE ACTIVITIES

Appropriations, 2012 ............................................................................. $617,913,000 

Budget estimate, 2013 ........................................................................... 487,648,000 

Committee recommendation ................................................................. 593,193,000 

The Committee provides $593,193,000 for public health leadership and support activities at CDC. In addition, the Committee includes $41,200,000 in transfers from the PPH Fund, the same as 

was transferred in fiscal year 2012 and the budget request. 

The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee recommendation 

Preventive Health and Health Services Block Grant ................................. 79,545 ........................ 79,545 

Business Services Support ........................................................................ 394,682 368,529 383,529 

Buildings and Facilities ............................................................................. 24,946 ........................ 11,000 

Public Health Leadership and Support ..................................................... 118,740 119,119 119,119 

National Prevention Strategy—PPH Fund ................................................. 1,000 1,000 1,000 

Public Health Infrastructure—PPH Fund .................................................. 40,200 40,200 40,200 

The Committee is pleased with the progress CDC made on improving its congressional budget justification in fiscal year 2013 

and appreciates the detailed information on programs, grant 

awards, and staffing levels. The Committee continues to urge CDC 

to give a clear accounting of how funds are being spent in this annual budget document. The budget justification should not only be 

an accounting of how funds will be spent in the coming year, but 

also how funds have been spent in the past. Therefore, the Committee directs that the fiscal year 2014 justification include information on programs as they existed in fiscal year 2013, as well as 

any new structure the budget may propose for the funding in fiscal 

year 2014. The Committee expects progress on transparency to continue as CDC seeks additional funding flexibility. 
77 

Chief Disability and Health Officer.—The Committee commends 

CDC for appointing a chief disability and health officer, as well as 

establishing a disability and health work group that recently prepared its 1-year progress report. The Committee encourages CDC 

to continue to support and strengthen public health research activities focused on people with disabilities. Specifically, CDC is encouraged to: recognize disability as a key determinant in national surveys and surveillance systems; address health disparities among 

people with disabilities; enhance health promotion and prevention 

and access to healthcare for people with disabilities; foster knowledge translation and communication efforts to bring persons with 

disabilities reliable health information; develop new disability research initiatives through partnerships across CDC centers and 

other Federal agencies; and develop public and private partnerships to support and advance disability issues. 

Extramural Research.—In last year’s Senate report, the Committee requested a report from CDC by March 1 of each year that 

details the breakdown of intramural and extramural funding for 

each program. CDC has yet to produce such a report. The Committee directs CDC to comply with this request either in a standalone report or in the annual budget justification. 

Preventive Health and Health Services Block Grant.—The committee recommends $79,545,000, the same as the fiscal year 2012 

level, for the Preventive Health and Health Services Block Grant. 

The budget request eliminates all funding for this program. 

Repairs and Improvements.—The Committee is dismayed by the 

lack of clear information about CDC’s building repair needs. The 

Committee directs CDC to devise a system to categorize needed repairs into security, life/safety repairs, condition index, and other repairs. CDC is further directed to print the number of repairs in the 

annual congressional budget justification each year, with cost estimates. The Committee understands that such a list is ever-changing and suggests that CDC print an ‘‘as of’’ date in the justification. 

Working Capital Fund [WCF].—The Committee is pleased with 

the progress CDC has made to set up and create a strong auditing 

system for a new WCF. The Committee hopes to see the WCF 

begin operations in fiscal year 2014 to achieve greater cost efficiencies across the administrative operations of the agency. 

The WCF is a revolving fund that pays for consolidated business 

services for CDC. The Centers of CDC will pay into the fund according to the amount of services they use. CDC is in the process 

of setting up an audited and transparent system, in which the Center directors participate in decisionmaking, to determine those 

amounts. 

NATIONAL INSTITUTES OF HEALTH

The Committee provides $30,731,459,000 for NIH activities within the jurisdiction of this bill, including $8,200,000 in transfers 

available under section 241 of the PHS Act. The budget request is 

$30,631,459,000, the same as the fiscal year 2012 level. 

The Committee notes that the net amount for NIH in the budget 

request would actually be a cut of more than $200,000,000 below 

the fiscal year 2012 level following implementation of the administration’s proposal to increase the program evaluation tap on PHS 
78 

agencies from 2.5 percent to 3.2 percent. As explained in the introduction to the HHS title in this report, the Committee rejects that 

proposed increase and maintains the tap at 2.5 percent. 

The Institute and Center appropriation levels listed below for fiscal year 2012 reflect the transfers announced by HHS in April to 

increase funding for Alzheimer’s disease research. 

Recommended funding levels for some ICs are slightly below the 

fiscal year 2012 levels, or increase less than others, due to small 

reallocations or changes in scientific opportunity reflected in the 

administration’s budget request. For example, the Committee 

agrees with the administration that all of the funding for public access activities and the National Center for Biotechnology Information should be provided directly to NLM beginning in fiscal year 

2013 instead of partly through direct funding to NLM and partly 

through contributions from other ICs. This change accounts for the 

relatively large apparent increase for NLM and some minor reductions to other ICs. In addition, as in prior years, the recommended 

levels for the ICs reflect a redistribution of funding for AIDS research, as some ICs increase their work in this area and others do 

less. 

Other than these reallocations, funding for most of the ICs is increased over the fiscal year 2012 levels by the same percentage. 

NATIONAL CANCER INSTITUTE

Appropriations, 2012 ............................................................................. $5,067,396,000 

Budget estimate, 2013 ........................................................................... 5,068,864,000 

Committee recommendation ................................................................. 5,084,227,000 

The Committee recommends an appropriation of $5,084,227,000 for NCI. Of this amount, $8,000,000 is available for repairs and improvements to the NCI facility in Frederick, Maryland. 

Angiogenesis.—The Committee commends NCI for planning a scientific workshop to explore the effect of medication, diet, and lifestyle on angiogenic levels. The Committee encourages NIH to use 

this workshop to engage with the Trans-Institute Angiogenesis Research Program on implementing a vigorous agenda that examines 

current angiogenesis therapies in order to improve outcomes. The 

Committee also encourages NCI to examine angiogenic levels in the 

body prior, during, and after treatments. In addition, all relevant 

Institutes are urged to coordinate efforts to study the correlation 

of platelet proteomes to angiogenesis with the goal of developing a 

health marker. 

Breast Cancer.—The Committee remains concerned about the toll 

of triple negative breast cancer and urges NCI to collaborate with 

ORWH, NIMHD, OMH, and OWH to help improve treatment and 

survival rates. 

Cancer Disparities.—The Committee urges NCI to fund basic, 

translational, and clinical research on cancer disparities in regions 

of the country that have a high predominance of economically disadvantaged African Americans. Specifically, the Committee urges 

further research on novel immune therapeutics intervention in cancer areas relevant to human papilloma virus and genomics etiologies in cancer areas relevant to smoking and obesity. 

Liver Cancer.—The Committee recognizes NCI’s efforts in the 

area of liver cancer, but encourages a stronger effort to include 
79 

funding of a specialized program of research excellence on this disease as well as liver cancer program projects focusing on pathogenesis, detection, and/or therapeutics. 

Lung Cancer.—The Committee commends NCI for its National 

Lung Screening Trial and urges the Institute and partner agencies 

to move forward in translating these findings into public health 

recommendations. The Committee requests an update in the fiscal 

year 2014 congressional budget justification about the benefits of 

screening among high-risk groups including women, African-American men, and those with other co-morbidities. 

Melanoma.—The Committee continues to encourage NCI to support research directed at the biology of tumor initiation including 

UV radiation as a carcinogen, the immunologic and addictive effects of UV radiation, host risk factors, and risk reduction strategies. Research into the relative utility of novel early detection 

strategies is encouraged, including leveraging recent advances in 

imaging technology. Despite two recent drug approvals for advanced melanoma, cures are rare. Research strategies with curative potential that build on these advances should be supported, including examining mechanisms of drug resistance to molecularly 

targeted therapies such as BRAF gene inhibitors. The Committee 

also urges more research on treatment strategies for the 50 percent 

of patients without BRAF mutations, as well as on predictive biomarkers that correlate with immune response to ipilimumab. Finally, the Committee urges NCI to promote collaborations between 

industry, the extramural program, and foundations that will accelerate translational and clinical research. 

Minority Communities.—The Committee continues to remain 

concerned at the disproportionately high rate at which minority 

populations suffer from virtually every form of cancer. The Committee requests that NCI and NIMHD prepare a joint report on efforts to end this disparity and effective ways to communicate with 

minorities on this important issue. 

Neuroblastoma.—The Committee encourages NCI to expand its 

research portfolio on this deadly pediatric cancer, including the development of new treatment options for children suffering from 

central nervous system [CNS] relapses. The Committee requests an 

update on this research, including the potential utilization of 

chimeric antibody immunotherapy for CNS-relapsed neuroblastoma, in the fiscal year 2014 congressional budget justification. 

Pancreatic Cancer.—While survival rates for many types of cancer have steadily improved, the rate for pancreatic cancer has remained in the single digits for over 40 years. With the number of 

new cases of pancreatic cancer projected to increase 55 percent between 2010 and 2030, the Committee urges NCI to create a comprehensive, long-term research strategy for this disease that focuses on increasing survival. The plan should not be simply a summary of recent and ongoing research activities. Rather, it should 

set out concrete goals for the future. The Committee requests an 

update in the fiscal year 2014 congressional budget justification on 

the steps NCI is taking to create such a plan. 

Pediatric Cancer.—The Committee continues to urge NCI to devote more of its funding specifically for research on pediatric cancer, including pediatric low-grade astrocytoma. The Committee re-
80 

quests an update in the fiscal year 2014 congressional budget justification, including efforts that could result in more effective, less 

toxic treatments. 

Robotic Biorepository Technology.—In order to determine the genetic differences in the development, progression, and response to 

treatment of individuals with cancer, biospecimens (e.g. blood, 

urine, tumor tissue) must be collected and evaluated. Under some 

circumstances, high throughput, robotic instruments for the processing and storage of biospecimens can improve the efficiency and 

consistency of handling and distribution of these samples. In an effort to adequately address the increasing demand for these specimens, an automated approach should be considered when appropriate. Robotic biorepositories may also allow researchers to expand 

the collection of tissue specimens. A related goal is to ensure an 

adequate supply of high-quality human biospecimens from multiethnic communities for research to understand and overcome cancer health disparities. The Committee encourages NCI to explore 

the applicability of robotic biospecimen collection technologies and 

the establishment of regional robotic biorepositories in an effort to 

advance cancer research. 

Shared Medical Decisionmaking.—The Committee encourages 

NCI’s collaboration with OBSRR to study shared medical decisionmaking and to identify ways to improve communications between 

healthcare providers and their patients. 

Tumor Lysis Syndrome [TLS].—The Committee understands that 

identifying high-risk patients, taking preventive measures, and 

closely monitoring patients are all key in fighting TLS, a lifethreatening oncologic emergency that is frequently encountered 

during and/or after the treatment of a variety of cancers. The Committee encourages NCI to convene an expert panel or working 

group to evaluate current risk assessment models, recommend a 

standardized assessment tool, and develop a plan of action to validate and disseminate the tools in clinical practice. 

NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

Appropriations, 2012 ............................................................................. $3,076,115,000 

Budget estimate, 2013 ........................................................................... 3,076,067,000 

Committee recommendation ................................................................. 3,085,390,000 

The Committee recommendation includes $3,085,390,000 for 

NHLBI. 

Asthma.—The Committee continues to urge NHLBI to increase 

research on and awareness of asthma, and to collaborate with the 

FDA, NIAID, NICHD, NIMHD, and OMH in this regard. 

Basic Behavioral Research Translation.—NHLBI is encouraged 

to speed the translation of basic research results in the behavioral 

and social sciences to clinical or other applications. 

Cardiovascular Disease.—The Committee continues to believe 

that research on heart disease, stroke, and other forms of cardiovascular disease should be a top priority for NIH. Given promising 

cardiovascular scientific opportunities and projected escalating 

costs and prevalence, the Committee strongly urges NHLBI to 

boost funding for its cardiovascular portfolio to further support 

studies that will build on past accomplishments and enhance prevention and treatment efforts. In particular, the Institute should 
81 

aggressively focus on and expand current cardiovascular research 

and actively invest in novel areas, including initiatives highlighted 

in its Division of Cardiovascular Diseases Strategic Plan. 

Chronic Obstructive Pulmonary Disease [COPD].—The Committee applauds NHLBI for its plans to host a forum of stakeholders and representatives from Federal agencies to share information about current activities related to COPD and discuss the 

development of a national action plan to address this disease, the 

third highest cause of death in the United States. The Committee 

requests an update in the fiscal year 2014 congressional budget 

justification. 

Jackson Heart Study.—The Committee recognizes that the Jackson Heart Study in Jackson, Mississippi, as authorized in the PHS 

Act, is the largest investigation of cardiovascular disease in the African-American population. The Committee acknowledges the continued need for comprehensive research at NHLBI and NIMHD to 

address this disease in African Americans and the important implications for such research to all persons threatened by cardiovascular disease. 

Lymphangioleiomyomatosis [LAM].—The Committee remains 

very interested in efforts to find a cure for LAM, a progressive and 

often fatal lung disease in women. The Committee supports both 

intramural and extramural means of expanding research on LAM 

and urges NHLBI to use all available mechanisms as appropriate, 

including Translational Program Project Grants, to stimulate a 

broad range of clinical and basic research. The Committee commends NIH for supporting multicenter LAM trials and encourages 

additional support of such trials. 

Marfan Syndrome.—The Committee commends NHLBI for its 

leadership of the Genetically Triggered Thoracic Aortic Aneurysms 

and Cardiovascular Conditions Registry [GenTac]. The Committee 

encourages the Institute to use GenTac to advance research on surgical outcomes for Marfan syndrome patients who undergo different 

procedures to repair compromised aortas and valves. 

Pediatric Cardiomyopathy.—The Committee commends NHLBI 

for its commitment to pediatric cardiomyopathy research and urges 

the Institute to maintain support of the Pediatric Cardiomyopathy 

Registry and Pediatric Cardiomyopathy Specimen Repository. The 

Committee encourages NHLBI to establish a pediatric cardiomyopathy task force that will focus on defining standards of care, 

identifying gaps in basic and clinical research, developing a research agenda, and working towards better genetic screening methods. 

Pulmonary Fibrosis.—The Committee supports ongoing efforts to 

study pulmonary fibrosis and notes the promising strategy of researching fibrosis across organs. The Committee encourages 

NHLBI to develop a strategy for enhancing research on this disease. 

Scleroderma.—The Committee encourages NHLBI to support additional research on the impact of connective tissue diseases, such 

as scleroderma, on the pulmonary system. 

Sickle Cell Trait.—The Committee commends NHLBI for its efforts to develop a research agenda on sickle cell trait and its relation to exertion-related illness and other conditions. The Committee 
82 

encourages the Institute to reach out to medical societies in hematology and sports medicine, as well as athletic associations, to collaboratively develop and undertake research that can inform current policies related to sickle cell trait screening and participation 

in athletic activities. 

Sleep Disorders.—The Committee applauds NIH’s Sleep Disorders Research Plan, published by the National Center on Sleep 

Disorders Research. The Committee urges the Institute to work 

with other ICs to implement the plan’s recommendations for improving sleep research and training, and for advancing multi-Institute collaborations. 

Stem Cell Biology.—The Committee encourages NHLBI to support additional research in the development of blood stem cells 

from induced pluripotent stem [iPS] cells and to address barriers 

to the clinical translation of iPS cell technology. 

NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH

Appropriations, 2012 ............................................................................. $410,322,000 

Budget estimate, 2013 ........................................................................... 408,212,000 

Committee recommendation ................................................................. 409,449,000 

The Committee recommendation includes $409,449,000 for 

NIDCR. 

Temporomandibular Disorders [TMD].—The Committee recognizes the advances that have been made as a result of NIDCR 

funding toward understanding the pain associated with TMD and 

encourages the Institute to continue basic and clinical research in 

this area. The Committee also encourages NIDCR to collaborate 

with other ICs regarding the etiology and pathogenesis of TMD as 

well as the co-morbid chronic pain conditions and disorders that 

solely or predominately affect women. An under-researched aspect 

of these disorders is the jaw joint. NIDCR should work with 

NIAMS and NIBIB to develop research opportunities in the area of 

joint pain and dysfunction. Topics that need further research include: the kinematics and biomechanics of the jaw in normal and 

disease states; the development of biomarkers in bone, muscle, and 

cartilage that are predictive of temporomandibular disease progression; the interactions of the temporomandibular joint musculoskeletal system with the nervous system; and the development of 

non-invasive measures of temporomandibular joint bone, cartilage, 

and muscle structure, degradation, and repair. The Committee 

urges NIDCR, NIAMS, NIBIB, and other relevant ICs to organize 

a workshop to assess the state of the science and identify research 

gaps and future scientific directions to advance understanding of 

the temporomandibular joint. 

NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY

DISEASES

Appropriations, 2012 ............................................................................. $1,795,348,000 

Budget estimate, 2013 ........................................................................... 1,792,107,000 

Committee recommendation ................................................................. 1,797,539,000 

The Committee recommendation includes $1,797,539,000 in this 

bill for NIDDK. 

Burden of Digestive Diseases.—Due to advancements in diagnosis 

and greater understanding of many digestive conditions, the Com-
83 

mittee requests that NIDDK update its report on the burden of digestive diseases in the United States to provide more accurate information on the current economic and health impacts of these conditions. 

Chronic Pelvic Pain.—Interstitial cystitis often coexists with several poorly understood and neglected chronic pain conditions. The 

Committee applauds the progress made by the Institute to understand the overlapping nature of these disorders through the Multidisciplinary Approach to the Study of Chronic Pelvic Pain [MAPP] 

Research Network. NIDDK is encouraged to continue its focus on 

understanding co-morbidity in the second phase of the MAPP 

project. 

Diabetes Prevention.—The Committee applauds NIDDK for its 

continued efforts to build on the successes of the Diabetes Prevention Program and encourages the use of additional resources to improve prevention and treatment of diabetes in order to bring the 

Nation closer to a cure. 

Fecal Incontinence.—The Committee commends NIDDK for its 

launch of the Bowel Control Awareness Campaign and recognizes 

that fecal incontinence significantly hinders the work and social 

lives of those affected. The Committee prioritizes research addressing this condition to improve patient quality of life and to meet the 

research goals indicated in the NIDDK report ‘‘Opportunities and 

Challenges in Digestive Diseases Research: Recommendations of 

the National Commission on Digestive Diseases.’’ 

Functional Gastrointestinal Disorders [FGIDs].—The Committee 

understands that FGIDs can dramatically impact children’s social 

and educational development, and encourages NIDDK to work with 

NICHD to support research addressing FGIDs in children. 

Inflammatory Bowel Disease.—The Committee commends NIH 

for its support of the Human Microbiome Project and notes the significance of this groundbreaking research in advancing the understanding of inflammatory bowel disease and its impact on pediatric 

patients. The Committee requests an update on this program in the 

fiscal year 2014 congressional budget justification. 

Interstitial Cystitis.—The Committee continues to encourage a 

focus on research and treatment relating to interstitial cystitis, 

which impacts individuals of all ages. The Committee encourages 

the inclusion of research focused on this disease in children as a 

part of these activities. 

Polycystic Kidney Disease [PKD].—The Committee continues to 

urge NIDDK to collaborate with other Institutes and leverage discoveries from its portfolio of PKD grants for the purpose of developing a comprehensive strategic plan for PKD and other related 

neoplastic diseases. For example, the Committee understands that 

Pioglitazone, a drug that may have potential for treating PKD, is 

being studied in Parkinson’s patients and is partially funded 

through NINDS. 

NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

Appropriations, 2012 ............................................................................. $1,624,830,000 

Budget estimate, 2013 ........................................................................... 1,624,707,000 

Committee recommendation ................................................................. 1,629,631,000 
84 

The Committee recommendation includes $1,629,631,000 for 

NINDS. 

ALS.—The Committee is aware that basic research on ALS and 

a reservoir of pre-approved FDA drugs may provide the basis for 

drug development that could offer meaningful therapy for those 

with the disease. The Committee encourages NINDS to support 

clinical trials on ALS that are scientifically well-founded and have 

the opportunity to advance to ‘‘bedside’’ quickly. 

Dystonia.—The Committee recognizes the advancements that 

dystonia research has contributed towards an understanding of 

neuromuscular disorders and neurotrauma and encourages NINDS 

to continue to prioritize dystonia research. 

Epilepsy.—The Committee applauds the establishment and work 

of the Interagency Collaborative to Advance Research in Epilepsy, 

led by NINDS, as a means to focus Federal agencies and voluntary 

organizations on epilepsy research. The Committee also commends 

NINDS for announcing the next conference on curing epilepsy, to 

be held in March 2013, and for starting a new initiative to develop 

ways to manage epilepsy with no seizures and no therapeutic side 

effects. These new grants, the EUREKA grants and the Epilepsy 

Centers without Walls grants, are supporting creative and collaborative research that could lead to advances in prevention, diagnosis, or treatment of epilepsy and related co-morbidities. Additionally, the Committee commends NINDS for supporting the Partners 

Against Mortality in Epilepsy conference on sudden unexplained 

death in epilepsy. Finally, the Committee urges NINDS to heed the 

recommendations of the 2012 IOM report ‘‘Epilepsy Across the 

Spectrum: Promoting Health and Understanding’’. 

Headache Disorders.—The Committee encourages NINDS to put 

a higher priority on the causes of headache disorders as well as innovative treatments. 

Network for Excellence in Neuroscience Clinical Trials.—The 

Committee encourages NINDS to continue supporting the Network 

for Excellence in Neuroscience Clinical Trials [NeuroNEXT] program. The Committee urges NIH to increase the efficiency of clinical trials conducted through NeuroNext, facilitate patient recruitment and retention, and increase the quality of the neuroscience 

trials. The Committee also encourages NIH to work with other 

stakeholders to develop surrogate endpoints to more efficiently determine the success of a study. 

Spinal Muscular Atrophy [SMA] Translational Research.—The 

Committee commends NINDS for supporting SMA therapy development projects through its Cooperative Program for Translational 

Research. This collaborative program has proven highly successful 

in accelerating the development of SMA therapies for testing in the 

clinic and facilitating the submittal of investigational new drug applications to the FDA. The Committee urges NINDS to use this approach as a model as it shifts its investment in SMA to the best 

opportunities based on current science, and to use the Cooperative 

Program for Translational Research to continue to advance and 

broaden the SMA drug pipeline. The Committee also applauds 

NINDS for its work on validating SMA biomarkers through the 

NeuroNEXT initiative. 
85 

Stroke.—The Committee remains concerned that NIH spends 

only 1 percent of its budget on stroke research and strongly urges 

NINDS to expand its stroke portfolio. The Committee commends 

the leadership of NINDS in the decade-long work of the Stroke 

Progress Review Group and requests another status report, in the 

fiscal year 2014 congressional budget justification, on its Phase 2 

stroke planning process to advance the most promising areas in 

prevention, treatment, and recovery research. 

NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

Appropriations, 2012 ............................................................................. $4,486,473,000 

Budget estimate, 2013 ........................................................................... 4,495,307,000 

Committee recommendation ................................................................. 4,508,932,000 

The Committee recommendation includes $4,508,932,000 for 

NIAID. 

Antibacterial Resistance.—The Committee applauds NIAID’s decision to target antibiotic-resistant bacterial infections as the initial 

priority for the expansion of its clinical trials networks beyond 

HIV/AIDS. To further support research on antibacterial resistance, 

new antibacterial drugs, and new diagnostics, the Committee recommends that NIAID form a blue ribbon panel of experts including 

representatives from infectious diseases professional societies, the 

pharmaceutical and diagnostics industries, and others to create an 

antibacterial resistance strategic plan to assist in prioritizing research critical in this area. 

Anti-Malarial Medications.—The Committee encourages NIAID 

to increase its support for public-private partnerships focused on 

developing anti-malarial medications and for research and development of alternatives to artemisinin combination therapies in response to the rapidly emerging threat of artemisinin resistance. 

Food Allergies.—The Committee is pleased with the support and 

clinical advancement of promising food allergy research at NIAID 

and NIDDK. NIH is currently evaluating potential immunotherapy 

protocols for clinical implementation in children and adults with 

food allergy. The Committee encourages NIAID to continue its public-private partnerships in support of clinical immunological, 

immunomodulator, and mechanistic studies, with private donors 

and foundations as components of ongoing clinical trials. 

Hepatitis B.—The Committee is pleased with the emergence of 

new and improved drugs to treat hepatitis B and the role that 

NIAID continues to play in this effort. However, drugs are effective 

in only half of the population, and for those patients that can take 

these medications there is still only a 50 percent reduction in mortality over a 10-year period. The Committee urges a more aggressive effort in this area. 

Microbicides.—The Committee encourages NIAID to continue coordination with USAID, the State Department, and others to advance antiretroviral [ARV]-based microbicide development efforts, 

with the goals of enabling regulatory approval of the first safe and 

effective microbicide for women and supporting product development and efficacy trials of alternative ARV-based microbicides. 

Neglected Tropical Diseases [NTDs].—The Committee urges 

NIAID to continue its investment in neglected tropical disease and 

malaria research, including translational research for NTDs, and to 
86 

work with other agencies as a part of the Global Health Initiative 

to foster research and ensure that basic discoveries are translated 

into solutions. 

Nontuberculous Mycobacterial [NTM] Disease.—The Committee 

urges NIAID to intensify research into NTM infections so that 

more effective interventions can be developed for patients. 

Regional Biocontainment Laboratories [RBLs].—NIAID established 13 RBLs in response to the NIAID Strategic Plan for Biodefense Research in 2002. Since their creation, the RBLs have not 

received any additional Federal funding from NIAID specifically for 

facility operations. The Committee asks NIAID to provide a report 

by June 1, 2013, that details NIAID’s plans for the RBLs. The report shall include, at a minimum, projected Federal funding needs, 

program goals, and a long-term plan for the RBLs. 

Specimen Collection.—Collecting specimens is critical to research 

and development of diagnostic tests or other activities intended to 

advance the treatment, detection, identification, prevention, or control of antimicrobial-resistant infections. The Committee urges 

NIAID, in conjunction with CDC, ASPR, and the FDA, to consult 

with representatives from diagnostics and pharmaceutical companies, academia, and professional societies to explore the most effective way to provide samples, including the feasibility of creating a 

biorepository of prospectively collected specimens. 

TB.—The Committee strongly urges NIAID to expand its research into the development of new TB diagnostic tests, drugs, and 

vaccines, particularly regarding drug-resistant TB and totally drugresistant TB. 

NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

Appropriations, 2012 ............................................................................. $2,427,742,000 

Budget estimate, 2013 ........................................................................... 2,378,835,000 

Committee recommendation ................................................................. 2,387,112,000 

The Committee recommendation includes $2,387,112,000 for 

NIGMS. 

Institutional Development Awards [IDeA].—The Committee provides $276,480,000 to continue increased support for the IDeA program. The Committee recognizes the importance of the Centers of 

Biomedical Research Excellence [COBRE] and the IDeA Networks 

of Biomedical Research Excellence [INBRE] programs. The Committee believes the IDeA program has made a significant contribution to biomedical research and creating a skilled workforce. Therefore, the Committee continues the $45,882,000 increase from fiscal 

year 2012 and recommends that one-half the increase go toward 

new COBRE awards. The increase should be paid for by a reduction in funding across NIH ICs. 

The Committee encourages the NIH Director to expand the program to support co-funding IDeA projects across NIH ICs to foster 

the development of efforts in IDeA State programs. Further, as an 

Office of Experimental Program to Stimulate Competitive Research 

[EPSCoR] program, the focus of IDeA should continue to be on improving the necessary infrastructure and strengthening the biomedical research capacity and capability of research institutions. 

Unfortunately, many institutions in EPSCoR-qualifying States who 

could benefit from the IDeA program are ineligible for funding. 
87 

Therefore, the Committee directs the IDeA Director to expand 

IDeA eligibility to all NSF EPSCoR-eligible States. 

EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH

AND HUMAN DEVELOPMENT

Appropriations, 2012 ............................................................................. $1,320,151,000 

Budget estimate, 2013 ........................................................................... 1,320,600,000 

Committee recommendation ................................................................. 1,324,603,000 

The Committee recommendation includes $1,324,603,000 for 

NICHD. 

Children in Military Families.—Given that nearly 2 million children live in military families and 700,000 children have been affected by a recent or current deployment of a parent, the Committee commends NICHD for supporting research on the impact of 

these experiences on child health and well-being and on the effectiveness of programs designed to address the psychosocial and 

mental health needs of children and their families. Studies are 

needed to examine the unique developmental challenges of children 

when the mother or female head of household is deployed to a combat zone, the process of adjustment when military personnel return 

home, and the long-term consequences of separation and reintegration on children’s development. 

Chromosome Abnormalities.—The Committee continues to support additional research on chromosome abnormalities and urges 

NICHD to consider holding a state of the science meeting focusing 

on strategies aimed at devising treatments for recurring and nonrecurring copy number changes. The Committee further urges new 

funding to support other independent investigators whose work can 

provide pilot data or insight into future directions for the study of 

more chromosome abnormalities, particularly those involving chromosome 18. The Committee requests an update on these activities, 

focusing on non-Down syndrome research, in the fiscal year 2014 

congressional budget justification. 

Demographic Research.—The Committee commends NICHD for 

supporting large-scale databases, such as the National Longitudinal Survey of Youth, the Child Development Supplement of the 

Panel Study of Income Dynamics, and the Fragile Families and 

Child Well-Being Study, and demographic research activities, such 

as the Population Research Infrastructure Program. These investments have generated key scientific findings, illuminating in particular the relationship between socioeconomic status and individuals’ health and well-being. As NICHD implements its ambitious 

reorganization and scientific visioning process in fiscal year 2013, 

the Committee urges the Institute to continue its commitment to 

supporting demography and population science. 

Kidneys and Childhood Development.—The Committee urges 

NICHD, in consultation with NIDDK, to undertake efforts to examine the role of normal kidney development and/or function in neonatal and child health. Specific areas to be addressed should include: kidney function in low-birth weight infants; how chronic acidosis, untreated hypertension, or recurrent urinary tract infections 

affect child development; the impact of childhood-onset hypertension on adult cardiovascular health; and the identification of ge-
88 

netic and epigenetic factors that may subsequently result in kidney 

injury and progression of hypertension and chronic kidney disease. 

Orthotics and Prosthetics.—As America’s population ages, the demand for orthotic and prosthetic care to address the effects of 

stroke, diabetes, cardiovascular disease, and other health issues 

continues to grow. To date, little comparative effectiveness and outcomes research has been conducted to establish which patients benefit most from which orthotic and prosthetic services, supports, and 

devices. The Committee supports evidence-based research in prosthetic and orthotic care, and urges NICHD and the National Center for Medical Rehabilitation Research to coordinate with DOD 

and the Department of Veterans’ Affairs to develop and pursue a 

research agenda that responds to the most pressing needs of the 

field. 

Pediatric Functional Gastrointestinal Disorders [FGIDs].—The 

Committee encourages NICHD to work with NIDDK to support research addressing FGIDs in children. 

Pheochromocytoma.—The Committee is concerned that the current funding for the diagnosis, pathophysiology, and molecular biology of pheochromocytoma is inadequate to meet the rapidly expanding patient base and growing need for research into pheochromocytoma and paraganglioma. The Committee recommends 

NIH expand the funds available for this effort. 

Preeclampsia.—The Committee is concerned by the lack of 

progress made in understanding the causes of and risks associated 

with preeclampsia and the related conditions of eclampsia and 

HELLP syndrome, which can result in disability or death for a 

mother and premature delivery or death for an infant. The Committee encourages NICHD to work with other ICs to share research 

findings and facilitate additional research into ways to better prevent, manage, and identify interventions for these conditions. 

Preterm Births.—The Committee commends NICHD on its work 

to prevent preterm births and encourages the Institute to take into 

account that there are a number of conditions which increase the 

risk of neurologic damage. The Committee urges NICHD and 

NINDS to undertake studies into interventions during pregnancy 

and/or labor to improve neonatal outcome, particularly neurologic 

outcome. The Committee also requests that NICHD identify the 

steps necessary to establish one or more transdisciplinary research 

centers for prematurity as recommended by the IOM. 

Severe Maternal Morbidity.—The Committee understands that 

NICHD is exploring the feasibility of holding a scientific workshop 

to harmonize definitions for maternal morbidity. The Committee 

urges NICHD to reach a positive decision, as uniform definitions 

would help Federal, State, and local agencies and research institutions establish standardized and interoperable processes for surveillance, data collection, and research. 

Spinal Muscular Atrophy [SMA] Care Protocols.—The Committee 

is aware that clinical practice guidelines for SMA are under preliminary development by advocacy groups in concert with expert investigators and clinicians. In the absence of evidence-based care 

protocols, the efficacy of the care received by SMA patients depends 

largely upon geographic proximity to experienced care centers and 

clinicians. Many SMA patients receive care that is inconsistent 
89 

with best practices, and this variability negatively impacts individual patients as well as clinical trial results for SMA therapies. 

The Committee encourages NICHD to support natural history and 

care studies of SMA to facilitate the development of clinical practice guidelines that will bring uniformity to the medical care received by SMA patients and significantly improve the management 

of the disease. The Committee further encourages NICHD to facilitate the sharing of data and data sources between stakeholders involved in such studies. 

Vulvodynia.—The Committee is pleased with the progress that 

NICHD has made over the last fiscal year in expanding extramural 

research support for vulvodynia, ensuring adequate representation 

of vulvodynia experts on peer-review panels, convening a 

vulvodynia workshop, and developing a research plan on this condition. The Committee calls upon the Director to build upon these 

initial efforts by carrying out the recommendations from the strategic research plan and expects to be updated on the Institute’s 

progress in the fiscal year 2014 congressional budget justification. 

The Committee also notes that vulvodynia frequently coexists with 

other persistent pain conditions, including interstitial cystitis, 

fibromyalgia, temporomandibular disorders, irritable bowel syndrome, endometriosis, headache, and chronic fatigue syndrome. The 

Committee is pleased with NICHD’s participation in the trans-NIH 

research initiative to support studies aimed at identifying etiological and mechanistic pathways of these overlapping conditions, 

and the Institute is encouraged to continue its work in this area. 

NATIONAL EYE INSTITUTE

Appropriations, 2012 ............................................................................. $702,049,000 

Budget estimate, 2013 ........................................................................... 693,015,000 

Committee recommendation ................................................................. 695,115,000 

The Committee recommendation includes $695,115,000 for NEI. 

Diabetic Eye Disease.—The Committee continues to support the 

important work of the NEI Diabetic Retinopathy Clinical Research 

Network. 

Genetic Basis of Eye Disease.—The Committee commends NEI for 

identifying more than 500 genes associated with both common and 

rare eye diseases, enabling an understanding of disease mechanisms and development of potential therapies for such blinding eye 

conditions as age-related macular degeneration [AMD], glaucoma, 

and retinitis pigmentosa [RP]. The Committee is pleased that NEI’s 

AMDGene Consortium has validated eight previously known gene 

variants and identified 19 new gene variants, and that the NEI 

Glaucoma Human Genetics Collaboration [NEIGHBOR] has identified the first risk variant in a gene thought to play a role in the 

development of the optic nerve head, the degeneration of which 

leads to glaucoma and loss of peripheral vision. 

Translational Research.—The Committee recognizes NEI’s 

translational research initiatives and is pleased that the NEI-led 

human gene therapy clinical trial for Leber congenital amaurosis 

has resulted to date in 15 patients being treated and experiencing 

visual improvement. The Committee applauds NEI’s pioneering 

work that is enabling further research into ocular gene therapy 

through the launch of clinical trials for AMD, choroideremia, 
90 

Stargardt disease, and Usher syndrome, as well as pre-clinical safety trials for RP, juvenile retinoschisis, and achromatopsia. 

NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

Appropriations, 2012 ............................................................................. $684,923,000 

Budget estimate, 2013 ........................................................................... 684,030,000 

Committee recommendation ................................................................. 686,103,000 

The Committee recommendation includes $686,103,000 for 

NIEHS. 

Endocrine Disruption and Women’s Health.—The Committee 

urges NIEHS to increase its research on the effects of endocrinedisrupting chemicals on women’s health outcomes. An update is requested in the fiscal year 2014 congressional budget justification. 

Gulf Oil Spill.—The Committee commends NIEHS for the Gulf 

Long-Term Follow-Up [GuLF] Study of 55,000 clean-up and response workers whose activities have involved potential exposures 

to oil, combustion by-products from burning oil, and oil dispersants 

that may be associated with adverse health consequences. In addition, the Committee commends the National Toxicology Program 

for its assessment of the toxicological effects of crude and weathered oil and dispersants, as well as NIH for its grants to community-university consortia for research on the effects of the oil spill 

on the health of the people of the gulf coast. The Committee urges 

NIEHS and other Institutes to continue their support of these important studies. 

Women’s Health and the Environment.—The Committee urges 

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, 2012 ............................................................................. $1,121,400,000 

Budget estimate, 2013 ........................................................................... 1,102,650,000 

Committee recommendation ................................................................. 1,124,265,000 

The Committee recommendation includes $1,124,265,000 for 

NIA. 

Alzheimer’s Disease.—In order to build upon the strong body of 

work already being done in NIH-funded Alzheimer’s Disease Research Centers, the Committee urges NIH to take advantage of existing well-characterized, longitudinal, population-based cohort 

studies and the existing research infrastructure these large-scale 

cohort studies have already established to provide new insights 

into risk factors and protective factors related to cognitive decline 

and dementia. The Committee feels strongly that additional research is needed in minority populations that are at particularly 

high risk for cognitive decline and dementia. 

Biology of Aging.—The Committee applauds NIA’s leadership 

role in the Geroscience Interest Group, which will promote coordinated discussion and action across NIH on research to reduce the 

burden of age-related disease. 
91 

Cognitive Interventions.—The Committee encourages NIA to continue support of studies to identify environmental, behavioral, and 

social factors that could protect against age-related cognitive decline as well as randomized studies to test the efficacy of behavioral and social interventions to slow or reverse age-related cognitive decline. 

Demographic Research.—The Committee recognizes NIA for supporting research on the demographic, economic, and social consequences of an aging population in the United States and worldwide. A premier example of this research is the Health and Retirement Study, a longitudinal survey of more than 26,000 Americans 

that is now being replicated in over 30 other countries. 

Measurement of Well-Being.—The Committee commends NIA for 

working with the Economic and Social Research Council in Great 

Britain to develop subjective measures of well-being as a complement to objective health measures and traditional economic indicators of progress. The Committee encourages the continued development of these metrics and their incorporation into national 

surveys. 

Neuropsychology and Alzheimer’s.—Recognizing that neuropsychological assessment can provide detailed information about 

cognitive deficits related to dementia or trauma, the Committee encourages NIA to continue research that links neuropsychological 

markers with Alzheimer’s biomarkers. 

NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN

DISEASES

Appropriations, 2012 ............................................................................. $535,280,000 

Budget estimate, 2013 ........................................................................... 535,610,000 

Committee recommendation ................................................................. 537,233,000 

The Committee recommendation includes $537,233,000 for 

NIAMS. 

Heritable Connective Tissue Disorders.—The Committee encourages NIAMS to expand its collaborative efforts with other Institutes to support clinical and translational research aimed at identifying effective therapies for heritable connective tissue disorders, 

particularly Marfan syndrome. 

Osteogenesis Imperfecta [OI].—The Committee urges NIAMS to 

support natural history studies of OI that will facilitate efforts by 

advocacy groups and medical professional societies to develop clinical practice guidelines for adults living with OI and to increase research on emerging issues. The Committee encourages NIAMS to 

work with relevant stakeholders from government, medical professional societies, and advocacy groups on this matter and to provide 

an update in the fiscal year 2014 congressional budget justification. 

Scleroderma.—The Committee continues to be pleased with the 

progress of the Institute as it relates to scleroderma. The Committee encourages NIAMS to concentrate efforts on identifying genetic components that increase the likelihood of developing this disease. 

Temporomandibular Disorders [TMD].—Many people who have 

TMD suffer from conditions that routinely affect other joints in the 

body, such as trauma, arthritis, and fibromyalgia. Therefore, the 

Committee calls on NIAMS to collaborate with NIDCR and NIBIB 
92 

to bring the intellectual and scientific resources within these Institutes to the study of the jaw anatomy and physiology and the complex neural, endocrine, and immune system interactions that orchestrate jaw function and trigger jaw joint pathology. NIAMS 

should integrate findings from studies of the structure, mechanical 

function, metabolism, and blood flow of bone, joints, and muscles 

with studies of central and peripheral neural pathways, as well as 

the endocrine, paracrine, and cytokine factors that impact upon 

craniofacial structures as a means to understanding the underlying 

causes of jaw pain and dysfunction. 

NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION

DISORDERS

Appropriations, 2012 ............................................................................. $415,880,000 

Budget estimate, 2013 ........................................................................... 417,297,000 

Committee recommendation ................................................................. 418,562,000 

The Committee recommendation includes $418,562,000 for 

NIDCD. 

Clinical Trials for Human Communication Disorders.—The Committee encourages NIDCD to expand its clinical trials program and 

commends the Institute for a funding opportunity announcement 

that encourages industry collaboration and requires both clinical 

and basic scientists to be a part of research teams. 

Dementia and Hearing Loss.—The Committee recognizes the association of unaddressed hearing loss with pre-dementia and dementia and advocates investigating whether hearing loss is a cause 

for dementia, whether hearing-loss interventions will slow or halt 

dementia, and how rehabilitative interventions for hearing loss can 

be delivered in communities. 

Early Detection, Diagnosis, and Intervention.—The Committee 

urges NIDCD to continue research on the auditory, speech, language, voice, and psychosocial outcomes of children identified with 

hearing loss through newborn screening. Additionally, the Committee is aware of data that show a higher prevalence of hearing 

loss than thought among school-age children who passed newborn 

screening. Therefore, the Committee recommends more research on 

methods of screening for both mild hearing loss in infancy and for 

late-onset hearing loss. The Committee also encourages NIDCD to 

continue studying optimal sound amplification strategies for children’s hearing aids, particularly to enhance speech recognition in 

noisy classrooms, and the effects of services and parental engagement on the emotional well-being of the hearing-impaired child. 

Hair Cell Regeneration and Replacement.—The Committee continues to place a high priority on research involving cellular regeneration of the inner ear. The Committee advocates the goals to 

identify genes and factors that promote regeneration cited in the 

2012–2016 NIDCD Strategic Plan for Research. 

Hearing Aids and Cochlear Implants.—The Committee encourages additional research that compares the benefits of high- and 

lower-cost hearing aids, creates screening protocols for hearing loss 

in primary care settings, and continues collaborations between industry, scientists, clinicians, and consumers in the area of low-cost 

hearing aids. The Committee recommends further studies of the relationship between the success of hearing aid fittings and the cog-
93 

nitive capabilities of the hearing aid user, and supports further development of an automated hearing-screening kiosk. The Committee is pleased that NIDCD is funding cochlear implant research 

for those with severe-to-profound hearing loss and recommends additional studies on new electrode design and innovative approaches 

to speech processing. The Committee further urges continued research into studies evaluating and comparing the benefits of the 

‘‘bimodal’’ option of an implant in one ear and a hearing aid in the 

other, and of a middle ear implantable device that combines 

electromechanical and acoustical stimulation in the same ear. The 

Committee encourages NIDCD to continue to monitor cochlear-implanted children as they enter school, including their development 

of higher-order cognitive and language skills, speech production 

and recognition, and behavioral and social adjustment. 

Hearing Impairment Among Children and Young Adults.—The 

Committee urges additional research on children and young adults 

with mild and unilateral hearing loss from all modes of injury. In 

particular, the Committee recommends further studies on this 

group’s diminished educational outcomes and development of strategies to improve school achievement. The Committee commends 

NIDCD for ‘‘It’s a Noisy Planet!’’, a public education effort in 

English and Spanish about the dangers of hearing loss from noise 

exposure. The Committee also encourages NIDCD to continue to 

explore new ways to engage and broaden audiences through social 

media. 

Hereditary Hearing Impairment.—The Committee encourages additional efforts by NIDCD to identify and understand the structure, 

function, and regulation of genes whose mutation results in deafness and other communication disorders. 

Noise-Induced and Environmental Hearing Loss.—The Committee continues to encourage NIDCD to promote public awareness 

of the importance of protecting hearing from noise, through public 

service announcements or other means. The Committee also encourages studies in normal-hearing children of the impact of noisy 

classrooms on learning, continuation of a study measuring hearing 

thresholds and noise exposure levels in 18- to 25-year-olds, and environmental and genetic research into factors that predispose individuals to noise-induced hearing loss. 

Otitis Media.—The Committee supports continuing studies to develop new treatments for chronic and recurrent otitis media (ear 

infections), including treatment via a trans-tympanic antibiotic gel 

and prevention through intranasal vaccines. 

Presbycusis.—The Committee urges NIDCD to continue multidisciplinary physiological and neurological studies of the peripheral 

and central mechanisms of presbycusis, or age-related hearing loss. 

It commends establishment of the NIDCD Otopathology Research 

Collaboration Network and NIDCD’s National Temporal Bone, 

Hearing and Balance Pathology Resource Registry to disseminate 

information about temporal bone donation. 

Salt Intake and Salt Substitute.—The Committee encourages 

NIDCD to study whether taste perception will change following reduced salt intake and to determine the biological mechanisms of 

salt-taste transduction. 
94 

Synapses.—The Committee supports research on genetic and cellular mechanisms of normal synapse function and on approaches to 

prevent or reverse deafness-caused disruptions. 

Tinnitus.—The Committee urges NIDCD to investigate preventions, treatments, and cures for tinnitus, which remains the most 

prevalent service-connected disorder for U.S. military personnel. 

Continuing research on the specific neural dysfunction responsible 

for tinnitus and on ways to suppress hearing system hyperactivity 

is essential. The Committee urges additional studies of the effect 

on tinnitus of stimulation of the vagus nerve with an implantable 

electrode. 

NATIONAL INSTITUTE OF NURSING RESEARCH

Appropriations, 2012 ............................................................................. $144,633,000 

Budget estimate, 2013 ........................................................................... 144,153,000 

Committee recommendation ................................................................. 144,590,000 

The Committee recommendation includes $144,590,000 for 

NINR. 

NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

Appropriations, 2012 ............................................................................. $459,085,000 

Budget estimate, 2013 ........................................................................... 457,104,000 

Committee recommendation ................................................................. 458,489,000 

The Committee recommendation includes $458,489,000 for 

NIAAA. 

Prevention and Brief Intervention.—The Committee applauds the 

release of NIAAA’s new youth alcohol screening guide and encourages the Institute to continue to promote alcohol screening of children and adolescents. The Committee urges NIAAA to pursue its 

plans to evaluate the guide both for detecting risk of alcohol problems and as an initial screen for other risky behaviors. The Committee also commends NIAAA’s efforts to develop a matrix of interventions for addressing alcohol problems on college and university 

campuses and in the surrounding communities. Providing information on the effectiveness, cost, personnel requirements, and ease of 

implementation of individual and environmental interventions will 

assist college and university presidents and other administrators 

as they work to reduce harmful alcohol use among their students. 

The Committee recognizes the critical role of psychological research 

in understanding and addressing underage drinking. 

NATIONAL INSTITUTE ON DRUG ABUSE

Appropriations, 2012 ............................................................................. $1,052,373,000 

Budget estimate, 2013 ........................................................................... 1,054,001,000 

Committee recommendation ................................................................. 1,057,196,000 

The Committee recommendation includes $1,057,196,000 for 

NIDA. 

Collaboration With the FDA.—The Committee applauds the role 

NIDA is playing to facilitate the growth of regulatory science at 

FDA’s Center for Tobacco Products. The research NIDA oversees 

will inform policies on regulating tobacco-product advertising, labeling, marketing, constituents, ingredients, and additives. As 

such, the Committee commends NIDA for helping establish the 
95 

science base for regulatory policies that are expected to influence 

tobacco-product risk perceptions, exposures, and use patterns in 

the short term, and to reduce tobacco-related morbidity and mortality in the long term. In particular, the Committee recognizes 

that large-scale research on national, longitudinal cohorts like the 

Population Assessment of Tobacco and Health study will be critical 

for assessing the impact of FDA regulatory authority over tobacco 

products and help to inform future activities. 

Education.—The Committee recognizes and encourages the educational efforts of NIDA to inform the public of the deleterious effects of abused substances and the life-threatening dangers of drug 

addiction. Adolescents and returning veterans and their families 

are at a high risk for drug abuse and therefore should be areas of 

focus. 

Medications Development.—The Committee encourages NIDA to 

continue its efforts to develop medications to treat diseases of addiction. 

Military Personnel, Veterans, and Their Families.—The Committee commends NIDA for its efforts to coordinate and support research with the Department of Veterans Affairs and other NIH Institutes on substance abuse and associated problems among U.S. 

military personnel, veterans, and their families. The Committee encourages NIDA to continue work in this area. 

Prescription Drug Abuse.—Prescription drug abuse has been the 

focus of much work by NIDA and remains a high priority. The 

Committee encourages NIDA to maintain its comprehensive leadership role in the effort to halt this epidemic. 

Translational Research.—The Committee encourages NIDA to 

continue its efforts to understand how genetics, age, environment, 

and other factors affect the use of experimental drugs and the development of addiction. 

NATIONAL INSTITUTE OF MENTAL HEALTH

Appropriations, 2012 ............................................................................. $1,478,868,000 

Budget estimate, 2013 ........................................................................... 1,479,204,000 

Committee recommendation ................................................................. 1,483,687,000 

The Committee recommendation includes $1,483,687,000 for 

NIMH. 

Autism.—The Committee commends NIMH for its leadership on 

autism research and encourages the Institute to ensure that such 

research focuses on both genetic and environmental causes. The 

Committee also encourages NIMH to collaborate with NIEHS regarding environmental causation. 

Combination HIV Prevention.—With recent scientific advances 

demonstrating the promise of biomedical HIV prevention interventions, behavioral research is needed more than ever to bolster 

medication adherence and treatment uptake, document real-world 

decisionmaking processes associated with biomedical interventions, 

and better understand potential unintended and/or undesired consequences of biomedical interventions. The Committee urges NIMH 

to support a robust HIV/AIDS behavioral prevention research agenda that examines these factors and includes operations research to 

optimize combination HIV prevention. 
96 

Mental Health Disparities.—Rural and minority individuals can 

be vulnerable to emotional disorders for a number of reasons. 

Greater rates of poverty among some ethnic and minority groups 

and rural populations, relationships between low socioeconomic status and some mental disorders, and greater risk of poverty among 

people with certain mental illnesses can create a vicious cycle. In 

addition, cultural differences in symptom expression and attitudes 

toward mental illness can make recognition and diagnosis of mental disorders in these populations difficult. Further, minorities living in rural areas are particularly likely to be medically underserved, facing significant barriers to getting needed mental 

healthcare. The Committee encourages NIMH to fund research efforts to find innovative ways to address mental health disparities 

in underserved populations, especially in designated Psychiatric 

Manpower Shortage Areas. 

Premature Mortality.—The Committee continues to be concerned 

about premature mortality and lower life expectancy experienced 

by adults living with serious mental illness as a result of treatable 

medical conditions such as cardiovascular, pulmonary, endocrine, 

and infectious diseases. The Committee urges NIMH to continue its 

collaborations with other Institutes, including NIDDK and NHLBI, 

to pursue research to better understand the causes and interventions needed to address this crisis. The Committee requests an update in the fiscal year 2014 congressional budget justification. 

Psychotropic Drugs and Children.—In a November 2011 letter to 

State Medicaid directors, HHS officials noted that children in foster 

care are prescribed antipsychotic medications at nearly nine times 

the rate of other children receiving Medicaid. A December 2011 

study by GAO reported similar findings, noting that prescriptions 

to foster children in the States GAO analyzed were more likely to 

have indicators of potential health risks. The Committee is pleased 

that NICHD, in collaboration with NIMH, is working to better understand the impact of medications on the growth and development 

of children. In light of the clinical vulnerability of many children 

in foster care, the Committee encourages both Institutes to assign 

this research a high priority as well as to examine evidence-based, 

nonpharmaceutical interventions to treat children with behavioral 

and mental health issues. 

NATIONAL HUMAN GENOME RESEARCH INSTITUTE

Appropriations, 2012 ............................................................................. $512,727,000 

Budget estimate, 2013 ........................................................................... 511,370,000 

Committee recommendation ................................................................. 512,920,000 

The Committee recommendation includes $512,920,000 for 

NHGRI. 

NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING

Appropriations, 2012 ............................................................................. $338,038,000 

Budget estimate, 2013 ........................................................................... 336,896,000 

Committee recommendation ................................................................. 337,917,000 

The Committee recommendation includes $337,917,000 for 

NIBIB. 
97 

NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE

MEDICINE

Appropriations, 2012 ............................................................................. $127,937,000 

Budget estimate, 2013 ........................................................................... 127,930,000 

Committee recommendation ................................................................. 128,318,000 

The Committee recommendation includes $128,318,000 for 

NCCAM. 

Access to Natural Product Collections.—The Committee continues 

to applaud NCCAM’s efforts to increase access to comprehensive 

and professionally organized natural product libraries, which are a 

major source of pharmaceutical leads and therapeutic agents. 

NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES

Appropriations, 2012 ............................................................................. $276,179,000 

Budget estimate, 2013 ........................................................................... 279,389,000 

Committee recommendation ................................................................. 280,236,000 

The Committee recommendation includes $280,236,000 for 

NIMHD. 

Diabetes.—The Committee recognizes that more research and 

education are needed on the disparate effects of diabetes on minority populations. The Committee urges NIMHD to expand its research on pre-diabetes and diabetes, particularly type 2 diabetes in 

minority populations. This research should identify clinical, socioeconomic, geographical, cultural, and organizational factors that 

contribute to diabetes in such populations. Specifically, the Committee encourages NIMHD to analyze behavior and obesity. 

Obesity.—The Strategic Plan for NIH Obesity Research emphasizes the need for a transdisciplinary, multifaceted approach to address the complex factors that have resulted in the growing obesity 

problem in the United States. The Committee supports NIH’s actions to date and the findings of the task force, but remains concerned that while the essential plan and direction may be in place, 

a better mechanism is needed to coordinate a trans-NIH, multidisciplinary effort to address the complicated nature of the obesity 

problem. The Committee urges NIH to intensify its investment in 

obesity research, in particular in populations that are most affected—racial and ethnic minorities, low-income populations, and 

rural populations. The Committee again strongly recommends that 

NIH review the benefits of establishing a Comprehensive Center of 

Excellence for Obesity Research and Prevention within NIMHD to 

better coordinate efforts within NIH and with other Federal agencies. The Committee believes that a comprehensive center could 

serve to capitalize on the health disparities efforts already underway at NIMHD and leverage both intramural and extramural research programs across NIH. 

JOHN E. FOGARTY INTERNATIONAL CENTER FOR ADVANCED STUDY IN

THE HEALTH SCIENCES

Appropriations, 2012 ............................................................................. $69,556,000 

Budget estimate, 2013 ........................................................................... 69,758,000 

Committee recommendation ................................................................. 69,969,000 

The Committee recommendation includes $69,969,000 for FIC. 
98 

The Committee continues to support FIC’s efforts to foster longterm research and training partnerships between U.S. research institutions and those in developing countries. 

NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES

Appropriations, 2012 ............................................................................. $574,823,000 

Budget estimate, 2013 ........................................................................... 639,033,000 

Committee recommendation ................................................................. 631,346,000 

The Committee recommendation includes $631,346,000 for 

NCATS. The Committee includes bill language allowing up to 

$40,000,000 of this amount to be used for the Cures Acceleration 

Network [CAN]. The fiscal year 2012 funding level for CAN is 

$9,981,000 and the budget request includes bill language allowing 

up to $50,000,000 for this purpose. 

The Committee is encouraged by the direction of this new Center. In particular, the Committee applauds the recent launch of a 

collaborative program that will match researchers with a selection 

of pharmaceutical industry compounds to help scientists explore 

new treatments for patients. NCATS has partnered initially with 

three pharmaceutical companies that have agreed to make dozens 

of their compounds available for a new initiative called Discovering 

New Therapeutic Uses for Existing Molecules. These are compounds that have already cleared several key steps in the development process, but were abandoned by the companies because they 

were not therapeutically effective on the targeted diseases. Researchers will test these compounds for their effectiveness against 

other diseases and conditions. The companies will provide the researchers with access to the compounds and all related research 

data. Participating industry partners will retain the ownership of 

their compounds, while academic research partners will own any 

intellectual property they discover through the research project 

with the right to publish the results of their work. This initiative 

encapsulates the kind of collaboration between NIH and the pharmaceutical industry that the Committee envisioned when creating 

NCATS. 

Congenital Diaphragmatic Hernia [CDH].—The Committee encourages ORDR to support dedicated research funding directed for 

CDH, which affects approximately 1,600 babies in the United 

States every year. The Committee urges ORDR to put a high priority on research related to finding the causes of CDH and requests 

an update in the fiscal year 2014 congressional budget justification. 

Clinical and Translational Science Awards [CTSAs].—The Committee encourages NCATS to continue the focus of the CTSA program on the full spectrum of translational research. 

Dystonia.—The Committee commends ORDR’s support of the 

Dystonia Coalition Patient Registry. 

Hereditary Angioedema [HAE].—The Committee recognizes that 

few treatment options are available for HAE and that they are not 

effective for all patients. The Committee encourages ORDR to continue to reinvigorate HAE research at NIH and help identify new 

pathways for interventions. 

Rehabilitation Research.—The Committee encourages NCATS to 

include rehabilitation research as a priority area of investigation. 
99 

Therapeutics for Rare and Neglected Diseases [TRND] Program.—The Committee commends NIH for establishing and growing the TRND program, and encourages NIH to fund the projects 

with the highest likelihood of success, regardless of disease state. 

In particular, the Committee commends TRND for supporting a 

Fragile X partnership to accelerate potential new treatments that 

benefit patients with this rare and neglected disease. The Committee also encourages TRND to continue supporting development 

of treatments for Duchenne muscular dystrophy to bridge the gap 

between a basic research discovery and the testing of drugs in humans. 

NATIONAL LIBRARY OF MEDICINE

Appropriations, 2012 ............................................................................. $345,522,000 

Budget estimate, 2013 ........................................................................... 380,851,000 

Committee recommendation ................................................................. 381,981,000 

The Committee recommends $381,981,000 for NLM. This amount 

includes $8,200,000 from transfers available under section 241 of 

the PHS Act. Of the funds provided, $4,000,000 is for the improvement of information systems, to remain available until September 

30, 2014. 

Disaster Information Management.—The Committee applauds 

NLM’s support of the Disaster Information Management Research 

Center [DIMRC], which has made important contributions to the 

Nation’s disaster preparedness and response efforts through the 

rapid creation of information resources for specific events; development of innovative information tools to aid in disaster preparedness, response, and recovery; the establishment of a disaster information specialty among librarians; and its participation in the Bethesda Hospital Emergency Preparedness Partnership. The Committee encourages NLM to continue to work through DIMRC with 

Federal and non-Federal partners, including the library community, to identify and implement best practices for maintaining access to health information before, during, and after disasters; develop innovative resources and tools to aid emergency responders 

and managers; collect, organize, and disseminate disaster health 

information; promote the development of disaster information specialists; engage the library community in disaster information management; conduct research into disaster health informatics; and develop and export community-based models of health resiliency during disasters. 

OFFICE OF THE DIRECTOR

Appropriations, 2012 ............................................................................. $1,458,501,000 

Budget estimate, 2013 ........................................................................... 1,429,161,000 

Committee recommendation ................................................................. 1,431,341,000 

The Committee recommendation includes $1,431,341,000 for the 

Office of the Director [OD]. 

The Committee includes bill language allowing up to 

$165,000,000 to be used for continuation of the National Children’s 

Study. The budget request includes $165,000,000, but does not 

specify this amount in bill language. The fiscal year 2012 level is 

$193,098,000. 
100 

The Committee recommendation includes $544,930,000 for the 

Common Fund. This is the same amount as the budget request and 

the fiscal year 2012 level. 

Alzheimer’s Disease.—The long-term costs of Alzheimer’s disease, 

both in terms of lives and resources, are enormous. The Committee 

strongly urges the Director and all relevant ICs to increase funding 

for research on Alzheimer’s disease to the greatest extent possible 

within their budgets. However, the Committee strongly disagrees 

with the President’s budget request to allocate $80,000,000 of the 

PPH Fund for Alzheimer’s disease research at NIH. NIH research 

is not an appropriate use of the PPH Fund. Additionally, the Committee believes it would set a dangerous precedent to provide specific amounts of NIH funding for individual diseases. The Committee notes that it took the same position in fiscal year 2010 when 

the administration proposed allocating specific levels of funding for 

cancer and autism research. The Committee also notes that NIH 

has flexibility to prioritize funding for individual diseases when the 

scientific opportunities and the number of high-quality applications 

warrant an increase. HHS took this very approach in April when 

it announced a transfer of $18,300,000 of fiscal year 2012 funds 

within NIH, as part of an overall strategy to increase NIH’s investment in Alzheimer’s research by $50,000,000. 

The Committee recommends that NIH allocate resources for Alzheimer’s research according to the priority research recommendations included in the National Alzheimer’s Plan required under the 

National Alzheimer’s Project Act. NIH is also encouraged to consider entering into public-private partnerships to accelerate the discovery and development of small molecule therapeutics that could 

potentially improve the symptoms and modify the course of Alzheimer’s disease. 

Career Development Awards for Clinical Researchers.—The Committee is encouraged by the Director’s efforts to strengthen the biomedical research workforce and recommends the continued awarding of NIH Career Development Awards, or ‘‘K’’ Awards, to train 

clinical researchers. 

Cerebral Palsy.—The Committee notes that NIH funding for research on cerebral palsy has long been disproportionately low compared with that of similar diseases that affect fewer people. The 

Committee urges NIH to put a higher priority on cerebral palsy in 

fiscal year 2013. 

Chimpanzees.—The Committee commends NIH for adopting the 

IOM’s recommendations regarding research involving chimpanzees 

in the December 2011 report ‘‘Chimpanzees in Biomedical and Behavioral Research: Assessing the Necessity.’’ The IOM found that 

chimpanzees are ‘‘largely unnecessary’’ for current research. One 

possible exception cited by the IOM is efficacy testing of a prophylactic hepatitis C vaccine, but the report pointed to several alternatives which are currently in development that could eliminate 

any need for chimpanzees in this type of research. The Committee 

urges NIH to put a priority on developing these alternatives. 

Class B Animal Dealers.—The Committee commends NIH for 

moving to end the use of Class B random source dealers as suppliers of dogs and cats to its grant recipients by recently announcing a ban, effective October 1, 2012, on the acquisition of cats from 
101 

Class B random source dealers. The Committee urges NIH to implement the ban on the acquisition of dogs from Class B random 

source dealers no later than 2015 and requests an update on this 

matter in the fiscal year 2014 congressional budget justification. 

Collaboration With DOE.—The Committee commends NIH and 

DOE’s national laboratories for their collaboration on research and 

development projects, which have resulted in advances in 

bioinformatics and breakthroughs in atomic resolution structural 

biology. The Committee encourages the Director and ICs to continue these collaborations. 

Collaboration With the FDA.—The Committee commends NIH for 

its participation in a NIH–FDA Joint Leadership Council to help 

ensure that regulatory considerations form an increasing component of biomedical research planning and that the latest science is 

integrated into the regulatory review process. The Director is urged 

to continue this joint effort to advance the translation of biomedical 

research discoveries into approved diagnostics and therapies as 

well as promote science to enhance the evaluation tools used for 

regulatory review. 

Congenital Muscular Dystrophy.—The Committee applauds NIH 

for its growing support of congenital muscle disease research, particularly in congenital muscular dystrophy and congenital myopathy, which will yield returns across the muscular disorders. The 

Committee also commends NINDS and NIAMS for its financial 

support of scientific conferences to identify common therapeutic 

targets and action plans toward clinical trial readiness. The Committee urges NIH to continue supporting grants and other funding 

mechanisms to advance key congenital muscle disease initiatives 

for clinical trial readiness and requests an update in the fiscal year 

2014 congressional budget justification on total dollars spent on 

congenital muscular dystrophy and congenital myopathy research. 

Cystic Fibrosis [CF].—While the life expectancy of CF patients 

has slowly improved, the Committee remains concerned regarding 

the severe morbidity and early mortality associated with the condition. The Committee supports further research regarding treatments that target the underlying cause of CF, building upon the 

success of the recently approved new drug Kalydeco. The Committee encourages support for protein structural studies that may 

advance the understanding of mechanisms of action of CF drugs in 

clinical development and also encourages the use of new technologies to discover, develop, and characterize the effect of new 

treatments, including the use of airway imaging to characterize the 

function of the airways. The Committee also notes the potential for 

research in CF to have applications on a wide array of human diseases, and urges continued work to identify the applications of CF 

treatments to other disease states. 

Doctors of Veterinary Medicine [DVMs] and Loan Repayment Programs.—The Committee recognizes the important role that DVMs 

play in the biomedical research enterprise because of their background and training in disease processes across all animals, including cross-species virus transmission, and animal models. As with 

other medical professionals, large debt upon graduation influences 

their choice to pursue careers in biomedical research. DVMs participate on clinical research teams and are eligible in that capacity 
102 

for loan repayments under the Clinical Research and Clinical Research for Individuals from Disadvantaged Backgrounds loan repayment programs. NIH is encouraged to make this information 

more widely known to potential applicants, ICs, and reviewers. 

Down Syndrome.—The Committee commends NIH for its ongoing 

efforts to implement the NIH Down Syndrome Research Plan and 

for establishing the NIH Down Syndrome Consortium, which is focused on facilitating a dialogue between trans-NIH Institutes and 

the Down syndrome patient community. Increased Federal funding 

for translational research is important, and investing in Down syndrome-centered research has the potential for benefiting many 

other diseases and conditions such as Alzheimer’s disease. The 

Committee encourages NIH to increase the amount invested in investigator-driven research grants and plan for the development of 

the Down syndrome clinical database, research registry, and 

biobank. NIH is also urged to establish workshops and mentoring 

programs to encourage young researchers and scientists to successfully pursue NIH grants for Down syndrome research. 

Drug Allergy.—The Committee is concerned about the incidence 

of allergic reactions to drugs for debilitating and potentially fatal 

diseases including cancer, HIV/AIDS, cystic fibrosis, and rheumatoid arthritis. The Committee requests an update in the fiscal 

year 2014 congressional budget justification regarding ways in 

which NCI, NHLBI, NIAMS, and other relevant Institutes can collaborate with NIAID to support research on desensitization of patients who have allergic reactions to potentially life-saving medications. 

Duchenne Muscular Dystrophy.—The Committee is aware of multiple governmental and nongovernmental efforts to develop patient 

registries containing valuable data from patients with Duchenne 

muscular dystrophy. Such registries are critically important to continue advancing Duchenne public health and research projects, but 

the Committee is concerned about the lack of coordination and potential duplication of efforts. The Committee encourages NIH, 

working through the Muscular Dystrophy Coordinating Committee 

and with the private organizations that predominantly fund these 

registries, to convene a meeting to discuss coordination of all the 

Duchenne patient registries to the extent possible. The Committee 

requests an update on this topic in the fiscal year 2014 congressional budget justification. 

Eating Disorders.—The Committee continues to be concerned 

about the alarming effects of eating disorders on women’s health 

including elevated mortality rates and associated health consequences, such as serious cardiac conditions, kidney failure, gastrointestinal disorders, and osteoporosis. The Committee urges NIH 

to expand, intensify, and coordinate its activities with respect to research on eating disorders and to examine the possibility of creating collaborative consortia on eating disorders research with a 

specific emphasis on basic and clinical investigations into the 

causes, diagnosis, and treatment of these conditions. The Committee requests an update on this topic in the fiscal year 2014 congressional budget justification. 

Eosinophil-Associated Disorders.—The Committee is pleased that 

a NIAID working group is developing a research agenda on 
103 

eosinophilic disorders. The Committee requests an update in the 

fiscal year 2014 congressional budget justification regarding programmatic initiatives being undertaken based on the working 

group’s recommendations. In addition to NIAID and NIDDK, the 

Committee urges NHLBI, NICHD, NIMH, and other relevant Institutes to participate in these efforts. Further, NIH should seek opportunities to collaborate with private sector organizations on this 

initiative. 

False Positives and Replications.—The Committee supports 

NIH’s effort to develop a consensus on the issues of false-positive 

research results. This effort will encourage policies on the publishing of replications (and nonreplications) of previous research 

and advance scientific knowledge. 

Fragile X-Associated Disorders.—The Committee commends NIH 

for the NICHD-led effort to update the NIH Research Plan on 

Fragile X Syndrome and Associated Disorders in light of the significant progress made toward targeted drug treatments since the 

plan was published. The Committee urges NIH to fully implement 

and prioritize the updated goals and objectives. In particular, NIH 

is encouraged to support translational research that shows significant promise of safer and more effective treatments for Fragile Xassociated disorders. The Committee also encourages NIH to work 

with CDC to support and coordinate Federal investments in data 

collection efforts related to Fragile X. 

Glomerular Disease.—The Committee continues to be concerned 

about the impact of idiopathic nephrotic syndrome [NS] and primary focal segmental glomerulosclerosis [FSGS] within the minority community, particularly given the increasing body of research 

linking FSGS to gene variants predominately expressed in African 

Americans. The Committee urges NIMHD to collaborate with 

NIDDK on NS and FSGS research. The Committee commends 

ORDR for its support of the Nephrotic Syndrome Rare Diseases 

Clinical Research Network and recognizes the potential impact of 

this study for patients with NS and FSGS and their families. Finally, the Committee urges NIDDK to continue to support research 

on NS and FSGS in order to develop treatments and cures that 

could ultimately prevent end-stage renal disease. 

Human Tissue Supply.—The Committee remains committed to 

matching the increased needs of NIH-funded researchers, both intramural and extramural, who rely upon human tissues and organs 

to study human diseases, both common and rare, and who strive 

to translate research advances and discoveries into treatments and 

cures. Furthermore, the Committee recognizes that the national demand for high-quality human biospecimens will continue to grow, 

as will its importance to advancing translational research across 

NIH. Therefore, the Committee urges the Director to expand core 

and trans-NIH support for its nationwide human tissue and organ 

procurement program. 

Interstitial Cystitis [IC].—The Committee commends ORWH for 

its support of research on IC. The Committee understands that IC 

disproportionately affects women and encourages ORWH to continue to work with NIDDK to support specialized centers of research that serve as a valuable source of IC research. 
104 

Lupus.—Given the scope and impact lupus has on virtually every 

organ system in the body, advances in lupus research require studies that transcend multiple disciplines, including genetics, basic 

and applied immunology, proteomics, and therapeutics. Therefore, 

the Committee urges the establishment of a trans-NIH coordinating committee on lupus that could focus on developing a comprehensive NIH research strategy and identifying gaps in lupus research. 

Lymphatic Research and Lymphatic Disease.—The Committee 

commends the trans-NIH Coordinating Committee for Lymphatic 

Research [CCLR] for its efforts. As the Committee has previously 

requested, more oversight and engagement are needed by the Director and ICs to help make meaningful advances in research of 

the lymphatic system and medical care for lymphatic diseases. Furthermore, in keeping with the 2007 CCLR Working Group recommendations, the Committee urges the CCLR to work cooperatively to create interdisciplinary programs to train new investigators, such as an annual primer course for doctoral and postdoctoral 

candidates. The Committee also expects greater involvement by 

NIBIB, especially in carrying forth the CCLR Working Group 

quantitative and molecular imaging recommendations. Finally, the 

Committee urges NCATS to provide representation to the CCLR. 

mHealth.—New mobile and wireless health technologies, known 

as mHealth, are likely to have a profound impact on biomedical research and the delivery of healthcare. The Committee applauds 

OBSSR for leading efforts to systematically evaluate the impact of 

new technologies. The Committee is pleased that virtually all of the 

NIH Institutes and NSF are collaborating in this area. 

Minority Researchers.—The Committee is deeply concerned by 

the findings of the recent study ‘‘Race, Ethnicity, and NIH Research Awards,’’ which shows a disparity in the rates at which African Americans received NIH R01 grants. The Committee looks forward to the findings of the blue ribbon panel examining this matter. 

Mitochondrial Disease.—The Committee applauds the progress 

that NIH has made to advance research on mitochondrial disease 

and dysfunction. Among other activities, NICHD has worked to cultivate new researchers in the field and, in collaboration with ORDR 

and NINDS, continued support for the North American 

Mitochondrial Disease Consortium. ORDR also convened a major 

workshop with the participation of numerous ICs to identify scientific opportunities and barriers to research advances. The Committee requests that a strategy to implement the workshop recommendations be developed. 

Mucopolysaccharidoses [MPS].—The Committee encourages 

NINDS, NICHD, NIDDK, NIAMS, and ORDR to continue to expand research efforts in the development of effective treatments for 

MPS. The Committee also urges all relevant ICs and ORDR to continue funding research consortia and conferences on MPS and other 

lysosomal diseases, such as the annual Lysosomal Disease Network 

WORLD meeting and the Gordon research conference scheduled for 

2013. Finally, the Committee encourages NIAMS to continue to 

support investigator-initiated research focused on the skeletal complications associated with MPS. 
105 

National Children’s Study.—The Committee is troubled that 

after appropriating nearly $1,000,000,000 for the NCS since the 

first work on it began in fiscal year 2000, only a few thousand children have been enrolled and fundamental questions about the 

project’s implementation still remain, particularly regarding the 

methods that will be used to recruit participants. The Committee 

hopes that the budget request, a 15-percent reduction below the fiscal year 2012 level, represents a positive sign that NIH intends to 

bring the costs of the NCS under control and spend its appropriation more efficiently. 

NIH’s recently announced plan to switch to a provider-based 

rather than a household-based recruitment strategy will help 

achieve some of the necessary savings and may offer scientific benefits as well. At the same time, special efforts must be made to ensure that the new strategy will not leave out disadvantaged or 

underrepresented groups that are most negatively affected by 

health disparities. Plans to collect environmental as well as biological samples also should not be sacrificed. 

Most important, it remains unclear whether a provider-based approach can accommodate the original goal of constructing a national probability sample that could be generalized to the entire 

U.S. population. The Committee believes NIH should make every 

possible effort to fulfill that goal within a sustainable long-term 

budget. 

The Committee directs the Secretary to enter into an agreement 

within 90 days of enactment of this act with the National Academy 

of Sciences to review the NCS’ sampling strategy. 

The Committee is also aware of the confusion and disruption 

caused by NIH’s decision to let the Vanguard Study contracts expire—a decision that caught many academic institutions by surprise. The Committee strongly urges NIH to improve its level of 

communication with the research community about any future 

changes to the project. 

National Primate Research Centers.—The Committee supports 

the NPRCs and expects they will receive the same level of attention in the OD that they received in the now-dissolved National 

Center for Research Resources. 

Neurofibromatosis [NF].—The Committee continues to support 

efforts to increase funding and resources for NF research and treatment at multiple NIH Institutes, including NCI, NHLBI, NINDS, 

NICHD, NIMH, NIDCD, NIAMS, NEI, and NHGRI. The Committee requests brief updates on NF-related activities at these ICs 

in the fiscal year 2014 congressional budget justification. 

Overlapping Chronic Pain Conditions.—The Committee recognizes that NIH has taken seriously its repeated calls for an improved and expanded research effort to better understand overlapping chronic pain conditions including chronic fatigue syndrome, 

endometriosis, fibromyalgia, interstitial cystitis, irritable bowel 

syndrome, chronic headache, temporomandibular disorders, and 

vulvodynia. The Committee is aware that initial progress is being 

made toward the development and implementation of a trans-NIH 

research initiative to support studies aimed at identifying etiological and mechanistic pathways of these overlapping conditions, 

with a state of the science meeting scheduled for summer 2012. 
106 

The Committee hopes that the meeting will lay out a clear and concrete set of recommendations for an aggressive trans-NIH research 

agenda. The Committee notes that the chronic pain conditions listed above are also ideal candidates for inclusion in the Patient-Reported Outcomes Measurement Information System, as many 

chronic pain patients use multiple individualized approaches to 

manage pain symptoms. 

Pain.—The Committee commends NIH for its efforts so far to respond to the IOM report ‘‘Relieving Pain in America: A Blueprint 

for Transforming Prevention, Care, Education and Research.’’ For 

example, NIH has designated NINDS as the lead Institute for coordinating pain research efforts across the organization; selected a 

cadre of 11 Centers of Excellence for Pain Education; begun to develop new informational material for the public and medical professionals on pain conditions; and instituted more frequent meetings 

of the NIH Pain Consortium. The Committee strongly urges NIH 

to expand on such efforts while giving appropriate attention to 

overlapping chronic pain conditions that solely or disproportionately impact women. The Committee believes that pain research 

would be an appropriate subject for inclusion in the Common Fund, 

as advances in this area would benefit all Institutes. Finally, the 

Committee agrees with the IOM report recommendation that NIH 

increase financial resources and staffing support for the Pain Consortium. 

Pediatric Low Grade Astrocytoma [PLGA].—The Committee is 

encouraged by advancements in research on slow-growing children’s brain tumors but remains concerned by the long-term physical and cognitive disabilities caused by surgery, chemotherapy, 

and radiation treatments for PLGA children. The Committee urges 

NIH to establish a special emphasis panel with a focus on identifying and validating new therapeutic targets in these tumors. Research should emphasize the development of novel preclinical models of pediatric brain tumors (both mouse and other nonmammalian 

models), novel drug development and testing, target identification 

and validation, and improved drug delivery modalities. The Committee requests an update on these topics in the fiscal year 2014 

congressional budget justification. 

Pregnancy Health Status.—Epidemiologic studies have shown 

that a woman’s health status during pregnancy is associated with 

her health after pregnancy, suggesting that findings in pregnancy 

may be a better indicator for determining a woman’s future health 

status than traditional risk factors. The Committee encourages 

NICHD, NHLBI, and NIDDK to work together to more closely 

study these epidemiologic findings in an effort to identify predictive 

markers during pregnancy for subsequent heart disease and diabetes; develop tests to evaluate health after pregnancy; and test 

interventions both during and after pregnancy that may mitigate 

risk. 

Rehabilitation Research.—The Committee recognizes and supports efforts of the Blue Ribbon Panel on Medical Rehabilitation 

Research to identify gaps in rehabilitation research. The Committee believes that the panel’s findings warrant meaningful steps 

by the Director to enhance the stature of, and emphasis is on, medical rehabilitation and disability research at NIH. 
107 

Sex-Based Biology.—It is now more than 10 years since the IOM 

report ‘‘Exploring the Biological Contributions to Human Health: 

Does Sex Matter?’’ confirmed that biological differences between 

males and females affect health, burden of disease, healthcare, and 

health outcomes, but significant disparities continue to exist. Understanding the basic biology of the impact of sex/gender in development, diagnosis, and treatment of disease could help improve the 

health of women. Therefore, the Committee urges NIH to analyze 

sex at all levels of biomedical research, including the basic animal 

and cellular levels, and to form interdisciplinary teams of basic and 

clinical investigators interested in unraveling the biology of sex differences. 

Sleep Disorders.—The Committee recognizes that sleep or circadian disorders impact conditions such as hypertension, diabetes, 

obesity, heart attack, and stroke. The Committee urges implementation of the National Sleep Disorders Research Plan’s recommendations for the continuation of multi-Institute research collaborations to address such conditions. 

Tox21 Program.—The Committee supports NIH’s leadership role 

in the Tox21 program, a collaborative effort with the EPA and the 

FDA to adopt advanced molecular biological and computational 

methods in lieu of animal toxicity tests for conducting chemical risk 

assessments. The Committee encourages NIH to continue to expand its extramural support for the use of human biology-based experimental and computational approaches in health research to 

further define toxicity and disease pathways and develop tools for 

their integration into evaluation strategies. Extramural and intramural funding should be made available for the evaluation of the 

relevance and reliability of Tox21 methods and prediction tools to 

assure readiness and utility for regulatory purposes, including pilot 

studies of pathway-based risk assessments. The Committee asks 

NIH to provide a report on fiscal year 2012 and 2013 funding for 

these activities in the fiscal year 2014 congressional budget justification. 

Tuberous Sclerosis Complex [TSC].—The Committee understands 

that TSC is the largest single genetic cause of more prevalent neurological disorders such as autism and epilepsy and therefore encourages NINDS to focus resources on new drug targets for TSC 

and encourages NINDS and NIMH to focus resources on clinical 

trials for TSC. Because TSC impacts tumor growth and health of 

multiple organ systems, including skin, lung, kidney, and brain, 

the Committee encourages NCI, NIAMS, NHLBI, NIDDK, NINDS, 

NICHD, and ORDR to focus resources on methods to detect and 

treat manifestations of TSC in these organ systems. 

Underrepresented Groups in Science.—The Committee commends 

OBSSR for its work to establish a comprehensive and cohesive 

process to track the efforts of government, universities, private 

foundations, and associations to enhance minority participation in 

the sciences. 

OFFICE OF AIDS RESEARCH

OAR coordinates the scientific, budgetary, legislative, and policy 

elements of the NIH AIDS research program. The Committee recommendation does not include a direct appropriation for OAR. In-
108 

stead, the Director of OAR and the Director of NIH together determine the total for AIDS research within the total NIH appropriation, and the Director of OAR determines and allocates distribution 

of those funds to the ICs and OAR. The recommendation includes 

a general provision permitting the NIH Director and OAR to shift 

up to 3 percent of AIDS research funding among Institutes and 

Centers throughout the year if needs change or unanticipated opportunities arise. 

The Committee commends NIH for supporting the AIDS and 

non-AIDS funding allocations at their current relative rates and 

endorses the continuation of this policy. The Committee recognizes 

that OAR’s AIDS allocation to each IC is based on scientific need 

and opportunity. Therefore, individual IC AIDS budgets may not 

each grow at the same rate, but total AIDS and non-AIDS funding 

will continue to grow at a comparable rate. 

The Committee includes bill language permitting OAR to use up 

to $8,000,000 for construction or renovation of National Primate 

Research Centers. This amount is the same as the fiscal year 2012 

level and the budget request. 

BUILDINGS AND FACILITIES

Appropriations, 2012 ............................................................................. $125,308,000 

Budget estimate, 2013 ........................................................................... 125,308,000 

Committee recommendation ................................................................. 125,308,000 

The Committee recommendation includes $125,308,000 for NIH 

buildings and facilities. This funding will remain available for obligation for 5 years, as in the fiscal year 2012 bill. The budget request proposes making the funding available until expended. 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

The Committee recommends $3,472,213,000 for SAMHSA. The 

recommendation includes $129,667,000 in transfers available under 

section 241 of the PHS Act. The comparable level for fiscal year 

2012 is $3,476,682,000 and the administration request is 

$3,316,266,000. In addition, the Committee recommends transferring $88,000,000 to SAMHSA from the PPH Fund. The total program level assumed in this bill for SAMHSA is $3,560,213,000. 

SAMHSA is responsible for supporting mental health programs 

and alcohol and other drug abuse prevention and treatment services throughout the country, primarily through categorical grants 

and block grants to States. 

The Committee continues to provide funding for Programs of Regional and National Significance [PRNS] under each of SAMHSA’s 

statutorily created centers and directs that SAMHSA shall account 

for all of its PRNS funding in this manner, which shall include future budget requests. SAMHSA’s authorization states that the 

agency’s work to improve the provision of mental health and substance abuse services shall be established and carried out by the 

agency’s three centers. Therefore, SAMHSA shall account for the 

funding for all of its programs, contracts and activities through the 

accounts, budget line items, and categories identified in this act 

and the accompanying Senate report. The Committee requests that 

the fiscal year 2014 congressional justification include budgetary 
109 

and programmatic information on programs as they existed in fiscal year 2013, even if the budget request proposes a new structure 

or consolidation in fiscal year 2014. 

The Committee is extremely concerned that the increases provided to the Community Mental Health Services Block Grant 

[MHBG] and SAPT Block Grant in last year’s conference report 

were eroded by the administration’s decision to tap 1.25 percent of 

both block grants for program evaluation transfers pursuant to section 241 of the PHS Act. In prior years the administration has exempted these block grants from being used as a source for these 

evaluation transfers. The Committee directs SAMHSA and the Department to exempt these two programs from being used as a 

source for PHS evaluation transfers in fiscal year 2013, as was 

done prior to fiscal year 2012. 

CENTER FOR MENTAL HEALTH SERVICES

Appropriations, 2012 ............................................................................. $953,859,000 

Budget estimate, 2013 ........................................................................... 923,895,000 

Committee recommendation ................................................................. 968,497,000 

The Committee recommends $968,497,000 for mental health 

services. The recommendation includes $21,039,000 in transfers 

available under section 241 of the PHS Act. In addition, the Committee recommends transferring $45,000,000 to CMHS from the 

PPH Fund. The total program level assumed in this bill for CMHS 

is $1,013,497,000. Included in the recommendation is funding for 

programs of regional and national significance, the MHBG, children’s mental health services, PATH, and PAIMI. 

Programs of Regional and National Significance 

The Committee recommends $270,394,000 for PRNS within 

CMHS. The comparable level for fiscal year 2012 is $275,756,000 

and the administration request is $219,550,000. In addition, the 

Committee recommends that $45,000,000 be transferred to PRNS 

from the PPH Fund. The total program level assumed in this bill 

for PRNS at CMHS is $315,394,000. These programs address priority mental health needs through developing and applying evidence-based practices, offering training and technical assistance, 

providing targeted capacity expansion grants, and changing the delivery system through family, client-oriented, and consumer-run activities. 

Within the total provided for PRNS, the Committee recommendation includes funding for the following activities: 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

CAPACITY: 

Seclusion and Restraint ................................................................... 2,444 1,149 2,444 

Youth Violence Prevention ................................................................ 23,156 23,156 12,817 

National Child Traumatic Stress Initiative ....................................... 45,713 45,713 48,713 

Children and Family Programs ......................................................... 6,474 6,474 6,474 

Consumer and Family Network Grants ............................................. 6,224 4,966 6,224 

MH System Transformation and Health Reform ............................... 10,603 10,603 10,603 

Project LAUNCH ................................................................................. 34,640 ........................ 34,640 

Primary and Behavioral Healthcare Integration ............................... 30,749 ........................ 30,749 

Primary and Behavioral Healthcare Integration—PPH Fund ........... 35,000 26,004 35,000 
110 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

Suicide lifeline .................................................................................. 5,512 5,512 5,512 

Suicide lifeline—PPH Fund .............................................................. 1,705 ........................ 1,705 

GLS Youth Suicide Prevention (State Grants) .................................. 29,682 29,374 29,682 

GLS Youth Suicide Prevention (State Grants)—PPH Fund .............. 5,760 ........................ 5,760 

GLS Youth Suicide Prevention (Campus Grants) ............................. 4,966 4,858 4,966 

GLS Youth Suicide Prevention (Campus Grants)—PPH Fund ......... 1,530 ........................ 2,535 

AI/AN Suicide Prevention Initiative ................................................... 2,938 2,938 2,938 

Homelessness Prevention Programs ................................................. 30,772 30,772 30,772 

Minority AIDS ..................................................................................... 9,265 22,770 9,265 

Criminal and Juvenile Justice Programs .......................................... 6,672 4,281 4,281 

Grants for Adult Trauma Screening and Brief Intervention ............. ........................ 2,896 2,896 

SCIENCE AND SERVICE: 

GLS Suicide Prevention Resource Center ......................................... 4,948 4,948 4,948 

GLS Suicide Prevention Resource Center—PPH Fund ..................... 1,005 ........................ ........................

Practice Improvement and Training ................................................. 7,863 7,437 7,437 

Primary & Behavioral Healthcare Integration T.A. ........................... 1,996 ........................ 1,996 

Primary & Behavioral Healthcare Integration T.A.—PPH Fund ....... ........................ 1,996 ........................

Consumer & Consumer Support T.A. Centers .................................. 1,923 1,923 1,923 

Minority Fellowship Program ............................................................. 5,089 3,755 5,089 

Disaster Response ............................................................................ 1,052 2,950 2,950 

Homelessness .................................................................................... 2,302 2,302 2,302 

HIV/AIDS Education ........................................................................... 773 773 773 

Child Trauma.—The Committee reiterates its strong support for 

the National Child Traumatic Stress Initiative [NCTSI] and its 

work on behalf of children, families, and communities affected by 

a wide range of trauma, including physical and sexual abuse, natural disasters, sudden death of a loved one, and the impact of war 

on military families. The Committee provides $48,713,000 under 

section 582 of the PHS Act to support the continuance of the current model and mission of the NCTSI by providing grants to the 

National Center for Child Traumatic Stress [NCCTS] and academic, clinical, and community-based centers for the purposes of 

developing knowledge of best practices, offering trauma training to 

child-serving providers, and providing mental health services to 

children and families suffering from PTSD and other trauma-related disorders. The Committee is aware that SAMHSA is developing a new definition of trauma-informed services to be used by 

NCTSI grantees and expects to be informed of any major changes 

before they are implemented. 

The Committee also recognizes the extraordinary value of the 

core data set developed by the NCCTS. Within the total provided, 

the Committee provides $1,500,000 to the NCCTS for the targeted 

collection of new outcome data from selected NCTSI centers and related analyses and reports. 

Minority Fellowship Program.—The Committee continues to be 

concerned that while minorities represent 30 percent of the population and are projected to increase to 40 percent by 2025, only 23 

percent of recent doctorates in psychology, social work, and nursing 

were awarded to minorities. The Committee has, therefore, continued funding at last year’s level for the Minority Fellowship Program. 

Primary and Behavioral Healthcare Integration.—The Committee 

continues to direct SAMHSA to ensure that new Integration grants 

awarded for fiscal year 2013, from both discretionary and PPH 
111 

funds, are funded under the authorities in section 520K of the PHS 

Act. 

Project LAUNCH.—The Committee intends that funds provided 

to Project LAUNCH not duplicate activities eligible for funding 

elsewhere in the Department. The Committee reiterates its intention that funds provided to this program focus on mental health 

promotion and promotion strategies for children aged 0 to 8. 

Seclusion and Restraint.—The Committee recommends 

$2,444,000 for seclusion and restraint activities at CMHS. The 

Committee is deeply concerned that a recent Department of Education report showed that tens of thousands of students with disabilities are physically restrained in school systems across the 

country. There are also widespread media reports of persons with 

mental illnesses and developmental disabilities living in congregate 

care facilities who are subject to excessive use of seclusion and restraint causing psychological trauma, serious physical injury, and 

even death. The Committee urges SAMHSA to partner with other 

Federal agencies to reduce and ultimately eliminate the use of seclusion and restraints in institutional, community, and educational 

settings, and to promote evidence-based alternatives to restraint 

and seclusion, including the use of positive behavioral interventions 

and supports. 

Suicide Prevention in Indian Populations.—The Committee remains concerned about the high incidence of drug and alcohol 

abuse and suicide in American Indian populations. SAMHSA is encouraged to continue its efforts in providing culturally competent 

suicide prevention training courses to selected gatekeepers in Indian country. These courses should teach community leaders, 

school personnel, and families how to identify and talk with at-risk 

individuals to motivate them to seek help. Courses should also include mental health support services information tailored to the 

specific geographical location of the participants in each program. 

The Committee further urges SAMHSA to collaborate with the Indian Health Service to identify priority communities and help ensure sustainability within American Indian/Alaska Native communities. 

Community Mental Health Services Block Grant 

The Committee recommends $479,756,000 for the MHBG. The 

comparable fiscal year 2012 funding level and the administration 

request is $459,756,000. The recommendation includes $21,039,000 

in transfers available under section 241 of the PHS Act. 

The MHBG 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. 

The Committee provides an increase to the MHBG in recognition 

of the severe budget cuts taking place to State and local mental 

health services and facilities nationwide. At the same time, public 

mental health systems are reporting an increase in demand for 

services. The MHBG is the primary source of financial support for 

evidence-based, comprehensive services for low-income and unin-
112 

sured persons living with serious mental illnesses. Increased funding for this safety net program is needed to meet the growing demand for services resulting from the economic downturn, as well as 

the mental healthcare needs of returning Iraq and Afghan war veterans and their families. 

Children’s Mental Health Services 

The Committee recommends $117,315,000 for the children’s mental health services program. This amount is the same as the comparable fiscal year 2012 level. The administration request is 

$88,557,000. 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. 

The Committee rejects the administration’s proposed cut to this 

important program. The Committee notes that in the United States 

every year 5,000 young people between the ages of 14 and 24 commit suicide, and 600,000 make an attempt that is serious enough 

to require an emergency room visit. Furthermore, the Committee 

understands that 75 percent of psychiatric illness occurs before the 

age of 24. This public health crisis is exacerbated by the fact that 

there are only 7,500 child and adolescent psychiatrists and 3,500 

child psychologists nationwide to treat this vulnerable population. 

The Committee encourages SAMHSA to seek innovative means to 

increase the number of children’s mental health professionals, including efforts to develop bachelor’s degree and master’s level 

training curricula focusing on evidence-based interventions. 

Projects for Assistance in Transition From Homelessness 

The Committee recommends $64,794,000 for PATH. This amount 

is the same as the comparable fiscal year 2012 level and the administration request. PATH addresses the needs of individuals 

with serious mental illness who are experiencing homelessness or 

are at risk of homelessness. Funds are used to provide an array of 

services, such as screening and diagnostic services, emergency assistance, case management, and referrals to the most appropriate 

housing environment. 

Protection and Advocacy for Individuals With Mental Illness 

The Committee recommends $36,238,000 for PAIMI. This 

amount is the same as the comparable fiscal year 2012 funding 

level and the administration request. 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. 

Mental Health State Prevention Grants 

The Committee recommendation does not include funding requested by the administration to create the Mental Health State 

Prevention Grant program. The administration requests 
113 

$55,000,000 for this program, which would promote the wellness of 

children, youth, and young adults up to age 25. Rather than create 

a new program, the Committee has provided increases to the 

MHBG and to the SAPT Block Grant. 

CENTER FOR SUBSTANCE ABUSE TREATMENT

Appropriations, 2012 ............................................................................. $2,200,574,000 

Budget estimate, 2013 ........................................................................... 2,187,270,000 

Committee recommendation ................................................................. 2,191,145,000 

The Committee recommends $2,191,145,000 for substance abuse 

treatment programs, including programs of regional and national 

significance and the substance abuse prevention and treatment 

block grant to the States. The recommendation includes 

$81,200,000 in transfers available under section 241 of the PHS 

Act. In addition, the Committee recommends transferring 

$25,000,000 to CSAT from the PPH Fund. The total program level 

assumed in this bill for CSAT in fiscal year 2013 is $2,216,145,000. 

Programs of Regional and National Significance 

The Committee recommends $370,813,000 for PRNS within 

CSAT. The comparable fiscal year 2012 level is $400,242,000 and 

the administration request is $334,139,000. The recommendation 

includes $2,000,000 in transfers available under section 241 of the 

PHS Act. In addition, the Committee recommends transferring 

$25,000,000 to PRNS from the PPH Fund. The total program level 

assumed in this bill for PRNS in fiscal year 2013 is $395,813,000. 

Programs of regional and national significance include activities 

to increase capacity by implementing service improvements using 

proven evidence-based approaches as well as science-to-services activities that promote the identification of practices thought to have 

potential for broad service improvement. 

Within the total provided for PRNS, the Committee recommendation includes funding for the following activities: 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee recommendation 

CAPACITY: 

Opioid Treatment Programs/Regulatory Activities ............................ 8,886 8,886 8,886 

SBIRT ................................................................................................. 28,187 ........................ 28,187 

SBIRT—Section 241 transfer (non-add) ................................. 2,000 ........................ 2,000 

SBIRT—PPH Fund ............................................................................. 25,000 30,000 25,000 

TCE—General ................................................................................... 27,980 13,256 13,256 

Pregnant and Postpartum Women .................................................... 15,970 15,970 15,970 

Strengthening Treatment Access and Retention .............................. 1,672 1,000 1,000 

Recovery Community Services Program ............................................ 2,445 2,445 2,445 

Access to Recovery ........................................................................... 98,268 93,776 87,666 

Children and Families ...................................................................... 30,620 29,678 29,678 

Treatment Systems for Homeless ..................................................... 41,571 41,571 41,571 

Minority AIDS ..................................................................................... 65,863 52,359 65,863 

Criminal Justice Activities ................................................................ 66,903 65,135 65,135 

SCIENCE AND SERVICE: 

Addiction Technology Transfer Centers ............................................ 9,064 8,081 9,064 

Minority Fellowship Program ............................................................. 546 546 546 

Special Initiatives/Outreach .............................................................. 2,267 1,436 1,436 

Addiction Technology Transfer Centers [ATTCs].—The Committee continues to direct SAMHSA to ensure that ATTCs main-
114 

tain a primary focus on addiction treatment and recovery services 

in order to strengthen the addiction workforce. As more individuals 

become eligible for substance abuse services through Medicaid and 

private insurance, the ATTC network is critical to ensure there are 

enough skilled workers to meet the demand in substance use disorder services. 

Addiction Workforce.—As the provision of quality substance use 

disorder services is dependent on an adequate, qualified workforce 

and SAMHSA is the lead Federal agency charged with improving 

these services, the Committee directs SAMHSA to continue to focus 

on developing the addiction workforce and identifying ways to address the current and future workforce needs of the addiction prevention, treatment, and recovery fields. 

Drug Treatment Courts.—The Committee continues to direct 

SAMHSA to ensure that all funding appropriated for drug treatment courts is allocated to serve people diagnosed with a substance 

use disorder as their primary condition. In addition, the Committee 

urges CSAT to ensure that State substance abuse agencies are eligible to apply for all drug treatment court grant programs in its 

portfolio. The Committee expects CSAT to ensure that non-State 

substance abuse agency applicants for any drug treatment court 

grant in its portfolio continue to demonstrate evidence of working 

directly and extensively with the corresponding State substance 

abuse agency in the planning, implementation, and evaluation of 

the grant. 

Hepatitis Testing.—The Committee notes the high incidence of 

hepatitis among injection drug users and urges SAMHSA to implement viral hepatitis testing as a standard of care in drug-treatment 

programs, consistent with the HHS Action Plan for the Prevention, 

Care and Treatment of Viral Hepatitis. The Committee encourages 

SAMHSA to use established best practices for infectious disease 

testing, including rapid tests. 

HIV Testing.—The Committee urges SAMHSA to expand voluntary routine HIV-testing services at substance abuse and mental 

health treatment clinics, consistent with the National HIV/AIDS 

Strategy Implementation Plan. The Committee requests an update 

on the implementation of these activities in SAMHSA’s fiscal year 

2014 congressional budget justification. 

Minority AIDS.—The Committee is concerned by SAMHSA’s proposal to transfer funds to CMHS from the Minority Aids Initiative 

[MAI] administered by CSAT. According to NIDA, 1 in 4 of those 

living with HIV in 2009 reported use of alcohol or drugs at a level 

that warranted treatment. In addition, research shows alcohol and 

drug use are major risk factors for HIV/AIDS. The Committee directs SAMHSA to maintain funding for CSAT’s MAI and to focus 

on building capacity and outreach efforts to individuals with, or at 

risk of developing, a primary substance use disorder and to improve efforts to identify such individuals to prevent the spread of 

the disease. 

Oral Fluid Testing.—The Committee commends SAMHSA for updating its substance abuse testing guidelines to include oral fluid 

and encourages the agency to continue to advance oral fluid testing 

guidelines. 
115 

Screening, Brief Intervention, and Referral to Treatment 

[SBIRT].—The Committee continues to direct SAMHSA to ensure 

that funds provided for SBIRT are used for existing evidence-based 

models of providing early intervention and treatment services to 

those at risk of developing substance abuse disorders. 

Substance Abuse Prevention and Treatment Block Grant 

The Committee recommends $1,820,332,000 for the SAPT block 

grant. The comparable funding level for fiscal year 2012 is 

$1,800,332,000. The administration request is $1,448,630,000. The 

recommendation includes $79,200,000 in transfers available under 

section 241 of the PHS Act. The block grant provides funds to 

States to support alcohol and drug abuse prevention, treatment, 

and rehabilitation services. Funds are allocated to the States according to a formula. 

The Committee rejects, as it did last year, the administration’s 

request for a waiver of the statutory requirement that 20 percent 

of the SAPT block grant be set aside for substance abuse prevention. The administration proposes to reallocate these set-aside 

funds to a new Substance Abuse State Prevention Grant program. 

The Committee remains concerned that creating another State 

grant program with new requirements would represent an unnecessary and burdensome approach and would not support services 

being delivered on a continuum of prevention, treatment, and recovery support services. 

Substance Abuse State Prevention Grants 

As explained above, the Committee recommendation does not include funding to create Substance Abuse State Prevention Grants. 

The administration request is $404,501,000 for this program, which 

did not receive funding in fiscal year 2012. 

CENTER FOR SUBSTANCE ABUSE PREVENTION

Appropriations, 2012 ............................................................................. $185,956,000 

Budget estimate, 2013 ........................................................................... 58,877,000 

Committee recommendation ................................................................. 184,433,000 

The Committee recommends $184,433,000 for CSAP, the sole 

Federal organization with responsibility for improving accessibility 

and quality of substance abuse prevention services. 

Programs of Regional and National Significance 

The Committee provides $184,433,000 for PRNS within CSAP. 

Through these programs, 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 PRNS, the Committee recommendation includes funding for the following activities: 
116 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

CAPACITY: 

Strategic Prevention Framework/Partnership for Success ................ 109,754 ........................ 109,754 

Mandatory Drug Testing ................................................................... 5,196 4,906 4,906 

Minority AIDS ..................................................................................... 41,307 41,307 41,307 

Sober Truth on Preventing Underage Drinking (STOP Act)—PPH 

Fund .............................................................................................. ........................ 7,000 ........................

Sober Truth on Preventing Underage Drinking (STOP Act) .............. 6,987 ........................ 7,000 

SCIENCE AND SERVICE: 

Fetal Alcohol Spectrum Disorder ...................................................... 9,802 1,000 9,802 

Center for the Application of Prevention Technologies .................... 8,059 7,511 7,511 

Science and Service Program Coordination ..................................... 4,780 4,082 4,082 

Minority Fellowship Program ............................................................. 71 71 71 

The Committee recommendation includes funding for the Strategic Prevention Framework State Incentive Grant/Partnerships for 

Success [SPFSIG/PFS] programs at last year’s level. The Committee is disappointed that the agency did not follow its direction 

in last year’s statement of the managers regarding these programs. 

Although Congress rejected the administration’s proposed cut for 

fiscal year 2012 and level-funded the SPFSIG/PFS programs, 

SAMHSA did not use funding from expiring grants to reinvest in 

new SPFSIG/PFS awards, as envisioned by Congress. Rather, 

SAMHSA proposed a new 1-year Prevention Achievement Grant 

program, which was not adequately described and for which no 

funding was explicitly appropriated by Congress. The Committee 

believes that by issuing 1-year grants and making frequent 

changes to its prevention programs, SAMHSA makes it difficult for 

States to plan and build capacity. In addition, with youth drug use 

rates increasing and perceptions of harm decreasing, especially for 

marijuana, SAMHSA’s lack of long-term vision for prevention funding is deeply troubling. 

The Committee reiterates its strong support for SPFSIG/PFS 

programs, which are promising approaches to preventing the onset 

and reducing the progression of substance abuse, including childhood and underage drinking. The Committee intends that continuation awards for SPFSIG/PFS grantees should be made at amounts 

no less than what grantees received in fiscal year 2012. Furthermore, SAMHSA shall use any additional funding to provide new 

grants under SPFSIG/PFS. The Committee intends that these new 

grants shall be awarded as the program was originally designed 

prior to fiscal year 2011, with similar eligible applicants, a 

multiyear project period, reliance on epidemiological workgroups, 

and financial incentives for grantees that meet performance targets. The Committee expects SAMHSA to awards these multiyear 

grants on an annual, incremental basis rather than fully funding 

them in fiscal year 2013. 

The Committee recognizes substance abuse prevention as a 

unique and distinct field and urges SAMHSA to promote programming consistent with this finding. The Committee intends that 

funds specifically appropriated for bona fide substance abuse and 

underage drinking prevention purposes shall not be consolidated 

with, reallocated to, or used for any other programs or initiatives 

in SAMHSA which do not have youth drug and underage alcohol 
117 

abuse as a primary purpose, even if these other programs may 

have secondary effects on these goals. 

Underage Drinking.—The Committee provides a total of 

$5,000,000 for Sober Truth on Preventing Underage Drinking 

[STOP] Act Community Based Coalition Enhancement Grants. The 

Committee understands that building on the infrastructure of current and past Drug Free Communities grantees is the most effective way to invest limited Federal dollars to deal with underage 

drinking issues at the community level. 

HEALTH SURVEILLANCE AND PROGRAM SUPPORT

Appropriations, 2012 ............................................................................. $136,293,000 

Budget estimate, 2013 ........................................................................... 119,657,000 

Committee recommendation ................................................................. 128,138,000 

The Committee recommends $128,138,000 for health surveillance 

and program support activities. The recommendation includes 

$27,428,000 in transfers available under section 241 of the PHS 

Act. In addition, the Committee recommends transferring 

$18,000,000 to this account from the PPH Fund. The total program 

level assumed in this bill for health surveillance and support is 

$146,138,000. 

This activity supports Federal staff and the administrative functions of the agency. It also provides funding to SAMHSA’s surveillance and data collection activities, including national surveys such 

as the National Survey on Drug Use and Health. 

The Committee directs SAMHSA to provide within 90 days of enactment of this act a report to Congress that describes: SAMHSA’s 

proposed plan for implementing its Behavioral Health Quality 

Plan, including any proposed changes or additions to current outcome data measures for both discretionary grants and the SAPT 

Block Grant, including the use of dashboards; a description of the 

extent to which SAMHSA is coordinating the development of outcome measures with other HHS agencies, specifically CMS; and the 

extent to which SAMHSA has sought and received stakeholder 

input on changes to data collection and outcome measures. 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

Appropriations, 2012 ............................................................................. $369,053,000 

Budget estimate, 2013 ........................................................................... 334,357,000 

Committee recommendation ................................................................. 364,053,000 

The Committee provides $364,053,000 for AHRQ through transfers available under section 241 of the PHS Act. In addition, the 

Committee recommends transferring $12,000,000 to AHRQ from 

the PPH Fund. The total program level assumed in this bill for 

AHRQ is $376,053,000. 

AHRQ was established in 1990 to enhance the quality, appropriateness and effectiveness of health services, as well as access to 

such services. In order to fulfill this mission, AHRQ conducts, supports, and disseminates scientific and policy-relevant research on 

topics such as reducing medical errors, eliminating healthcare disparities, using information technology, and comparing the effectiveness of drugs and medical procedures. AHRQ-supported research 

provides valuable information to researchers, policymakers, 
118 

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 $236,331,000 for research on health 

costs, quality, and outcomes [HCQO]. The comparable funding level 

for fiscal year 2012 is $235,768,000 and the administration request 

is $206,635,000. In addition, the Committee recommends that 

$12,000,000 be transferred to HCQO from the PPH Fund. The total 

program level assumed in this bill for HCQO is $248,331,000. The 

HCQO research activity is focused upon improving clinical practice, 

improving the healthcare system’s capacity to deliver quality care, 

and tracking progress toward health goals through monitoring and 

evaluation. 

Within the total provided for HCQO, the Committee recommendation includes funding for the following activities: 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee recommendation 

Patient-Centered Health Research ............................................................ 16,600 10,000 10,000 

Prevention/Care Management .................................................................... 15,904 15,904 15,904 

Prevention/Care Management—PPH Fund ................................................ 12,000 12,000 12,000 

Value .......................................................................................................... 3,730 3,614 3,614 

Health Information Technology .................................................................. 25,572 25,572 25,572 

Patient Safety ............................................................................................ 65,585 62,614 66,614 

Crosscutting Activities Related to Quality, Effectiveness and Efficiency 108,377 88,931 114,627 

Within the Prevention portfolio, the Committee recommends that $5,000,000 from the PPH Fund be transferred to support the Research Centers for Excellence in Clinical Preventive Services. The 

Committee also recommends $7,000,000 in PPH Fund transfers to 

support the work of the USPSTF. 

Broadening the Evidence Base.—AHRQ’s research portfolio focuses predominantly on patient safety and healthcare quality. The 

Committee urges AHRQ to develop a more balanced research agenda, supporting all aspects of healthcare research outlined in its 

statutory mission, including: the cost and utilization of, and access 

to, healthcare; and the ways in which healthcare services are organized, delivered, and financed. 

Healthcare Delivery Systems.—The Committee notes that identifying and disseminating improvements to the design of hospital 

rooms and healthcare facilities has the potential to prevent medical 

errors, reduce associated costs, and save lives. Within the Patient 

Safety portfolio, the Committee includes $4,000,000 for research 

grants authorized by section 933 of the PHS Act. These grants will 

provide for the creation of multi-disciplinary teams, consisting of 

patients and their families, clinicians, technology experts, and engineers, to develop and test interventions that improve the safety of 

healthcare services as well as improve accountability and value. 

This is a new activity that was not funded in fiscal year 2012. The 

administration did not request funding for this activity. 

Investigator-Initiated Research.—The Committee continues to 

prioritize investments in investigator-initiated research, which 

forms the backbone of AHRQ’s ability to improve healthcare with 

creative and innovative approaches to ongoing and emerging 
119 

healthcare issues. Within the Crosscutting Activities portfolio, the 

Committee provides $43,364,000, the same amount as the fiscal 

year 2012 level, for investigator-initiated research. The administration request is $29,259,000 for this research. The recommended 

funding level will allow ARHQ to support new investigator-initiated research grants to advance discovery and the free marketplace 

of ideas. 

Maternal-Fetal Medicine.—The practice of maternal-fetal medicine has made great strides. The Committee encourages AHRQ, in 

collaboration with NICHD, to conduct clinical comparative effectiveness research to guide best practices and clinical management. 

Special emphasis should be placed on the use of progesterone, 

when to use it and in whom, as well as on research that will provide guidance on optimal timing of delivery for maternal and fetal 

conditions. 

Medication Therapy Management.—The Committee recognizes 

the importance of medication therapy management [MTM] as a 

critical component of primary care services. In order to further integrate MTM services into primary care, the Committee encourages 

AHRQ to perform a systematic review that includes: the breadth 

and context of MTM services, a synthesis of what is currently 

known about the comparative effectiveness of MTM programs and 

program components, and a delineation of the gaps in the existing 

evidence base. 

Moving Research Into Practice.—Health services research has 

great potential to improve health and healthcare when widely disseminated and used. The Committee continues to support AHRQ’s 

research translation activities, including practice-based research 

centers and learning networks that are designed to better understand healthcare delivery and quickly move the best available research and decisionmaking tools into healthcare practice. 

Quality Measure Development.—The Committee notes that there 

are significant gaps in the quality measures that determine whether Americans are receiving good healthcare. Strong, patient-centered quality measures that fill in current gaps will enable the 

evaluation and reduction of geographic variations in care quality 

and health disparities while improving the delivery of healthcare 

services, patient health outcomes, and population health. For this 

reason, the Committee recommendation includes $4,000,000 within 

the Crosscutting portfolio for AHRQ, in consultation with CMS, to 

develop quality measures as authorized under section 931 of the 

PHS Act. This is a new activity that was not funded in fiscal year 

2012. The administration did not request funding for this activity. 

Scientific Freedom in Contracted Research.—The Committee continues to be concerned that contractual prior restraint clauses on 

the publication of research may inadvertently stifle scientific freedom and hinder the dissemination of findings that can inform 

health policymaking. The Committee urges AHRQ to ensure that 

researchers have the opportunity to publish research findings in 

peer-reviewed journals without unreasonable restrictions to allow 

greater review and input from the scientific community. 

Training Grants.—The Committee is concerned about declines in 

the number of, and funding for, training grants for the next generation of researchers. Within the Crosscutting Activities portfolio, 
120 

the Committee provides $2,250,000 for new, competing pre- and 

post-doctoral training grants. The comparable funding level for fiscal year 2012 is $1,500,000. The administration request did not include funding for new training grants. 

MEDICAL EXPENDITURES PANEL SURVEYS

The Committee provides $59,300,000, the same as the administration request and the comparable funding level for fiscal 2012, for 

Medical Expenditure Panel Surveys [MEPS]. These surveys collect 

detailed information annually from households, healthcare providers, and employers regarding how Americans use and pay for 

healthcare. The data from MEPS are used to develop estimates of 

healthcare utilization, expenditures, sources of payment, and the 

degree of health insurance coverage of the U.S. population. 

PROGRAM SUPPORT

The Committee recommends $68,422,000 for program support. 

This amount is the same as the administration request. The comparable funding level for fiscal year 2012 is $73,985,000. This activity funds the overall management of AHRQ, including salaries, 

benefits, and overhead costs such as rent. The Committee recommendation will support 305 FTEs, the same level as fiscal year 

2012. The Committee recommendation does not include funding for 

tenant improvement costs associated with AHRQ’s relocation. As 

requested by the administration, funding associated with a new 

long-term lease for AHRQ is included in the Office of the Secretary 

account. 

CENTERS FOR MEDICARE AND MEDICAID SERVICES

GRANTS TO STATES FOR MEDICAID

Appropriations, 2012 ......................................................................... $184,279,110,000 

Budget estimate, 2013 ...................................................................... 178,791,197,000 

Committee recommendation ............................................................. 178,791,197,000 

The Committee recommends $178,791,197,000 in mandatory 

funding for grants to States for Medicaid. 

The fiscal year 2013 recommendation excludes $90,614,082,000 

in fiscal year 2012 advance appropriations for fiscal year 2013. As 

requested by the administration, $106,335,631,000 is provided for 

the first quarter of fiscal year 2014. 

The Medicaid program provides medical care for eligible low-income individuals and families. It is administered by each of the 50 

States, the District of Columbia, Puerto Rico, and the territories. 

Federal funds for medical assistance are made available to the 

States according to a formula that determines the appropriate Federal matching rate for State program costs. This matching rate is 

based on the State’s average per capita income relative to the national average and cannot be less than 50 percent. 

PAYMENTS TO HEALTHCARE TRUST FUNDS

Appropriations, 2012 ......................................................................... $230,741,378,000 

Budget estimate, 2013 ...................................................................... 251,718,000,000 

Committee recommendation ............................................................. 251,718,000,000 
121 

The Committee recommends $251,718,000,000 in mandatory 

funding for payments to healthcare trust funds. 

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 $189,520,000,000 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 $60,744,000,000 

for the general fund share of benefits paid under Public Law 108– 

173, the Medicare Prescription Drug, Improvement and Modernization Act of 2003. As in previous years, the Committee includes bill 

language requested by the administration providing indefinite authority for paying the general revenue portion of the part B premium match and provides resources for the part D drug benefit 

program in the event that the annual appropriation is insufficient. 

The Committee recommendation also includes $424,000,000 to be 

transferred to the Supplementary Insurance Trust Fund as the 

general fund share of part D administrative expenses. The Committee recommendation includes $610,000,000 in reimbursements 

to the HCFAC fund. 

PROGRAM MANAGEMENT

Appropriations, 2012 ............................................................................. $3,820,112,000 

Budget estimate, 2013 ........................................................................... 4,820,808,000 

Committee recommendation ................................................................. 4,370,112,000 

The Committee recommends $4,370,112,000 for CMS program 

management. 

Research, Demonstrations, and Evaluations 

The Committee recommends $23,900,000 for research, demonstrations, and evaluation activities. The comparable level for fiscal year 2012 is $21,160,000. The administration requests 

$24,600,000, funded within program operations. The Committee includes sufficient funding to fulfill the President’s request for the 

Medicare Current Beneficiaries Survey, the Research Data Assistance Center, public use data files, and Medicaid Analytic Data. 

CMS research and demonstration activities expand efforts that 

improve the efficiency of payment, delivery, access, and quality of 

the Medicare and Medicaid programs. 

Food Allergies.—In the United States, a patient visits an emergency department every 3 minutes for the treatment of a food-related allergic reaction. The Committee believes that proper management of food allergies could improve patient outcomes, reduce 

costs, and decrease the incidence of preventable death. The Committee encourages CMS to consider food allergy patients in other 

disease management pilot programs. 
122 

Program Operations 

The Committee recommends $3,156,045,000 for program operations. The comparable funding level for fiscal year 2012 is 

$2,608,785,000 and the budget request is $3,618,487,000. 

The program operations account covers a broad range of activities including claims processing and program safeguard activities 

performed by Medicare contractors. These contractors also provide 

information, guidance, and technical support to both providers and 

beneficiaries. 

The Committee includes additional funding for program operations above the fiscal year 2012 level to help support the work required of CMS to implement PPACA. 

PPACA requires CMS in fiscal year 2013 to support States as 

they attempt to meet the January 1, 2014, deadline for a viable 

State-based health insurance exchange. The Committee recommendation includes funding to provide technical assistance to 

States, design and build the Federal fall-back exchange, educate 

Americans on the availability of subsidies, and develop systems to 

determine eligibility and protect the private health information of 

those who apply for health insurance through an exchange. 

The Committee recommendation also includes increased funding 

for the National Medicare Education program. This funding supports beneficiary materials, Internet sites, contact centers and support services. The Committee notes that as the baby boom generation ages into Medicare, the population of Medicare beneficiaries 

will grow by 36 percent by the end of this decade, according to Census estimates. With a record number of Americans signing up for 

Medicare benefits, the Committee recognizes the need to help them 

set up their Medicare benefit plans and to modify beneficiary materials and support systems according to the ways baby boomers are 

most accustomed to accessing information. 

Community First Choice Option.—The Committee commends 

CMS on the completion of the final rule for the implementation of 

the Community First Choice Option. The Committee directs CMS 

to provide information to State Medicaid Directors about the availability of the Community First Choice Option as a way to help 

States meet their obligations to expand opportunities for home and 

community based services for people with disabilities under the Supreme Court’s decision in Olmstead v. L.C. and the Americans with 

Disabilities Act. 

Continuous Oxygen Therapy.—The Committee continues to encourage innovative and more cost-effective methods for treating 

hard-to-heal wounds. The Committee appreciates CMS’ interest in 

commissioning a technology assessment through AHRQ to review 

evidence on continuous oxygen delivery. 

Health Insurance Literacy.—The Committee recognizes that to 

most effectively implement PPACA in medically underserved and 

at-risk communities, individuals with limited literacy and 

numeracy skills will need special attention. The Committee encourages CMS to work with experts to develop effective programs to 

educate these consumers on their rights and the resources available to help them access insurance coverage. 

Healthcare Integrated General Ledger and Accounting System 

[HIGLAS].—The Committee is pleased with the continued progress 
123 

being made to develop and fully implement HIGLAS using ongoing 

funding from this appropriation. Over the past 7 years, at least 

$467,000,000 in additional interest has been earned in the Medicare Trust Funds as a result of HIGLAS implementation. With deployment to 14 fee-for-service Medicare contractors and 19 Medicare administrative contractor sites, the program is on schedule 

and within its budget. The Committee expects deployment to continue as the remaining contractor sites are brought onto the system, achieving 100 percent compliance. The Committee requests 

that the fiscal year 2014 budget justification include lessons 

learned in the implementation of this program that may serve as 

a guide for other similar efforts to implement automated systems 

using commercially available software in the Federal Government. 

Hepatitis Screening.—An estimated two-thirds of chronic hepatitis C cases are baby boomers who are currently beginning to enroll in Medicare in large numbers. Viral hepatitis is very costly to 

treat when diagnosed in the later stages of the disease. The Committee believes that opt-out hepatitis B and C screenings at the 

Welcome to Medicare physical exam would identify a significant 

number of beneficiaries with asymptomatic liver disease and reduce Medicare costs overall. The Committee encourages CMS to 

work with CDC to determine the prevalence of viral hepatitis in 

the soon-to-enroll Medicare population and to develop a cost-benefit 

analysis on this type of screening. 

Pediatric Dental Services.—Although virtually all dental disease 

is fully preventable, tooth decay remains the most common chronic 

illness among children and oral healthcare is the most prevalent 

unmet healthcare need among children. Currently, 34 States allow 

dental hygienists to provide dental care outside of a dental office 

without a prior exam or pre-authorization by a dentist. The Committee urges CMS to update Medicaid dental regulations to reflect 

how dental services are currently delivered in the majority of the 

country. 

Rural Hospital Flexibility.—In 1997, Congress created the Medicare Rural Hospital Flexibility Program for the purposes of improving access to hospital and other health services for rural residents. 

For those hospitals that did not meet the requirement for a minimum distance to another hospital or critical access hospital [CAH] 

of more than a 35-mile drive, or a 15-mile drive based on mountainous terrain or areas with only secondary roads, the program allowed a State to waive the distance requirement for one or more 

facilities designated as a necessary provider. The Committee requests a list of all CAH facilities grandfathered into the program 

through the State waiver system. 

Vaccinations.—The Committee is concerned that the majority of 

healthcare workers, who are at high risk of contracting infectious 

disease, do not get regularly recommended vaccinations. In addition, adult vaccination rates are particularly low for minority 

groups. The Committee supports efforts by CMS to incorporate seasonal influenza vaccination rates into hospital payment updates 

and performance metrics and urges CMS to require Medicare-certified hospitals to offer the seasonal influenza vaccine to healthcare 

workers. 
124 

State Survey and Certification 

The Committee recommends $375,203,000, the same as the fiscal 

year 2012 level, for State survey and certification activities. The 

administration’s request is $387,353,000. 

Survey and certification activities ensure that institutions and 

agencies providing care to Medicare and Medicaid beneficiaries 

meet Federal health, safety, and program standards. On-site surveys are conducted by State survey agencies, with a pool of Federal 

surveyors performing random monitoring surveys. 

The Committee encourages CMS to complete its efforts to collect 

uniform staffing data based on payroll extracts from skilled nursing facilities and nursing facilities reimbursed by Medicare and 

Medicaid. The Committee requests an update from CMS on its 

progress in the fiscal year 2014 budget justification. 

High-Risk Insurance Pools 

The Committee includes $44,000,000, the same as the fiscal year 

2012 level, for high-risk insurance pools. The budget request is 

$22,004,000. 

Federal Administration 

The Committee recommends $770,964,000, the same as the fiscal 

year 2012 level, for Federal administration costs. The budget request is $792,964,000. 

HEALTH CARE FRAUD AND ABUSE CONTROL

Appropriations, 2012 ............................................................................. $309,790,000 

Budget estimate, 2013 ........................................................................... 610,000,000 

Committee recommendation ................................................................. 610,000,000 

The Committee recommends $610,000,000, to be transferred from 

the Medicare trust funds, for health care fraud and abuse control 

[HCFAC] activities. 

The Committee recommendation includes a base amount of 

$311,000,000 and an additional $299,000,000 through a budget cap 

adjustment authorized by section 251(b) of the Balanced Budget 

and Emergency Deficit Control Act of 1985. 

This amount, in addition to the $1,296,665,000 in mandatory 

monies for these activities, will provide a total of $1,906,665,000 for 

HCFAC activities in fiscal year 2013. 

Improper Payments.—The Committee is encouraged by the work 

of the Medicare fee-for-service [FFS] Recovery Audit Contractor 

[RAC] program. While there is clear value in rectifying improper 

payments, the Committee feels strongly that a larger benefit of the 

Medicare FFS RAC program lies in its ability to help identify potential vulnerabilities in the payment system. The list of potential 

vulnerabilities, which CMS identifies from RAC reports, allows 

CMS to make system changes that can prevent improper payments 

in the future. Unfortunately, in 2010, a GAO report found that 

CMS has no formal process in place to ensure that RAC-identified 

vulnerabilities are addressed. The Committee directs CMS to include in its annual report to Congress an accounting of reported 

vulnerabilities each fiscal year broken down by type of improper 

payment, including the number of vulnerabilities identified; the fi-
125 

nancial cost of the vulnerabilities reported; the number that have 

been addressed with a change to the system; the number that have 

a system change identified but are waiting for the change to be 

made; the number that CMS has decided a system change is 

unfeasible; and the number that are waiting CMS review. 

Senior Medicare Patrol [SMP].—The Committee strongly supports the SMP, administered by ACL with historical financial assistance from CMS. The Committee is concerned that the return on 

investment [ROI] calculation included in the performance metrics 

of the program does not adequately reflect outcome data on SMP 

fraud referrals. The Committee requests that a more accurate ROI 

calculation be developed for this important program. The Committee further directs CMS, ACL, DOJ, and HHS OIG to work to 

improve the process of informing beneficiaries and volunteers when 

their tips result in a conviction, a recovery, or a change to Medicare 

policies. 

Transparency Reporting.—The Committee urges CMS to ensure 

transparency and accountability through the accurate reporting of 

transfers of value from drug, device, and group purchasing industries to physicians and teaching hospitals. The Committee encourages CMS to finalize procedures to comply with section 6002 of 

PPACA in time to require data collection in 2013. The Committee 

supports the statutory goal of posting payment reports information 

on a public Web site no later than September 30, 2014. 

ADMINISTRATION FOR CHILDREN AND FAMILIES

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND

FAMILY SUPPORT PROGRAMS

Appropriations, 2012 ............................................................................. $2,847,514,000 

Budget estimate, 2013 ........................................................................... 2,756,485,000 

Committee recommendation ................................................................. 2,756,485,000 

The Committee recommends $2,756,485,000 in fiscal year 2013 

mandatory funds for payments to States for child support enforcement and family support programs. In addition, the Committee recommends $1,100,000,000 in advance funding for the first quarter 

of fiscal year 2014, the same as the budget request and the comparable advance provided last year for the first quarter of fiscal 

year 2013. 

These funds support States’ efforts to promote the self-sufficiency 

and economic security of low-income families, including administrative expenses matching funds and incentive payments to States for 

child support enforcement; grants to States to help establish and 

administer access and visitation programs between non-custodial 

parents and their children; payments to territories for benefits to 

certain aged, blind, or disabled individuals; and temporary benefits 

for certain repatriated citizens. 

LOW INCOME HOME ENERGY ASSISTANCE PROGRAM

Appropriations, 2012 ............................................................................. $3,471,672,000 

Budget estimate, 2013 ........................................................................... 3,020,000,000 

Committee recommendation ................................................................. 3,471,672,000 

The Committee recommends $3,471,672,000 for LIHEAP. 

LIHEAP provides home heating and cooling assistance to low-in-
126 

come households, generally in the form of payments to energy vendors on behalf of the recipient. The Committee recommendation 

represents a 50-percent increase over the fiscal year 2008 nonemergency funding level. 

State Formula Block Grant 

The Committee recommendation includes $3,371,672,000 for the 

State formula block grant. The comparable fiscal year 2012 funding 

level is $3,471,672,000 and the budget request is $2,820,000,000. 

The Committee maintains bill language that allocates these funds 

to States based on the same formula distribution that has been 

used since fiscal year 2009. 

Within this amount, the Committee recommendation includes up 

to $3,000,000, the same as the comparable fiscal year 2012 funding 

level and the budget request, for program integrity and oversight 

efforts. 

Contingency Fund 

The Committee recommendation includes $100,000,000 for the 

contingency fund. This program was not funded in fiscal year 2012; 

the budget request is $200,000,000. The contingency fund supports 

grants to States that are adversely affected by extreme heat or 

cold, energy prices, or other energy-related emergencies. While average home energy costs for many households decreased this past 

year, the costs for households dependent on home fuel oil and other 

home-delivered fuels remain at record levels. Low-income households dependent on home-delivered fuels are also generally not protected by State laws that prohibit utility companies from shutting 

off service during the winter. Therefore, the Committee encourages 

HHS to direct these funds to those States hit hardest by increases 

in home energy costs and facing other energy-related emergencies. 

REFUGEE AND ENTRANT ASSISTANCE

Appropriations, 2012 ............................................................................. $768,334,000 

Budget estimate, 2013 ........................................................................... 805,358,000 

Committee recommendation ................................................................. 805,358,000 

The Committee recommends $805,358,000 for refugee and entrant assistance programs. These programs provide a variety of 

benefits and services to refugees, asylees, Cuban and Haitian entrants, trafficking victims, and torture victims (referred to below as 

‘‘refugees’’). The programs also fund temporary shelter and services 

for unaccompanied alien children apprehended by law enforcement 

who are in Federal custody awaiting adjudication of their immigration status. 

Transitional and Medical Services 

The Committee recommendation includes $343,000,000 for Transitional and Medical Services [TAMS]. The comparable fiscal year 

2012 funding level is $323,195,000 and the budget request is 

$403,000,000. TAMS provides 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. 
127 

In fiscal year 2012 HHS reprogrammed $49,100,000 from TAMS 

to the UAC program in response to a significant increase in the 

number of unaccompanied alien children placed into HHS’ care 

through the first half of the year. This reprogramming will not impact the TAMS program because the number of refugees arriving 

in the United States has been significantly less than the amount 

allowed under law, and assumed in the fiscal year 2012 appropriation. The Committee recommendation assumes current trends will 

continue in fiscal year 2013 and the number of refugees actually 

arriving in the United States will continue to be less than the 

amount allowed under law. The Committee will continue to work 

with HHS and revisit these estimates as necessary. 

Within the total, the Committee recommendation includes not 

less than $65,000,000 for the voluntary agency matching grant program, which provides grants to resettlement agencies to support 

comprehensive services for arriving refugees, 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 in the United States. 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 HHS to explore 

the continued expansion of this program. 

Victims of Trafficking 

The Committee recommendation includes $9,775,000, the same 

as the comparable fiscal year 2012 funding level and the budget request, for the Victims of Trafficking program. This program supports a national network for identifying, certifying, and providing 

comprehensive services to international victims of trafficking. 

Social Services 

The Committee recommendation includes $153,407,000, the same 

amount as the budget request, for social services programs. The 

comparable fiscal year 2012 funding level is $115,107,000. These 

funds include formula and discretionary grants to States and nonprofit organizations to provide a variety of employment and support 

services to recently arrived refugees. 

In fiscal year 2012 HHS reprogrammed $38,300,000 from social 

services to the UAC program in response to a significant increase 

in the number of children placed into HHS’ care through the first 

half of the year. Discretionary social services grants are typically 

awarded for a 12-month budget period at the end of the fiscal year. 

Under this reprogramming, discretionary grants will be awarded at 

the end of fiscal year 2012 but for a shorter budget period. This effectively shifts the budget period for these grants from starting at 

the end of the fiscal year to the middle of the fiscal year. The Committee recommendation will allow eligible grants to be fully funded 

in fiscal year 2013 for a 12-month budget period starting in the 

middle of the fiscal year. 

The Committee strongly encourages ORR to explore the use of 

existing discretionary funds for case management services for particularly vulnerable refugee populations. Refugees enrolled in the 

matching grant program, which generally include those refugees 
128 

easiest to place in employment, have access to such services but 

other refugees generally do not beyond their first 30 to 90 days in 

the United States. Intensive case management services can help 

connect refugees to other support services and provide a comprehensive approach to integration for those that need it most. 

Preventive Health 

The Committee recommendation includes $4,730,000, the same 

as the comparable fiscal year 2012 funding level and the budget request, for preventive health services for refugees. This program 

funds grants to coordinate and promote refugees’ access to health 

screening, treatment, and follow-up services. 

Targeted Assistance 

The Committee recommendation includes $48,401,000, the same 

as the budget request, for targeted assistance for refugees. The 

comparable fiscal year 2012 funding level is $20,201,000. This program provides additional funds to States with an influx of refugee 

arrivals and a high concentration of refugees facing difficulties 

achieving self-sufficiency. In fiscal year 2012 HHS reprogrammed $28,200,000 from the targeted assistance program to the UAC program. As with social services grants, targeted assistance grants are typically awarded for a 

12-month budget period at the end of the fiscal year. Under this 

reprogramming, these grants will be awarded for a shorter budget 

period, effectively shifting the budget period from starting at the 

end of the fiscal year to the middle of the fiscal year. The Committee recommendation will allow eligible grants to be fully funded 

in fiscal year 2013 for a 12-month budget period beginning in the 

middle of the fiscal year. 

Unaccompanied Alien Children 

The Committee recommendation includes $235,000,000 for the 

UAC program. The comparable fiscal year 2012 funding level is 

$284,281,000 and the budget request is $175,000,000. The UAC 

program provides shelter and support services to unaccompanied 

alien children apprehended in the United States by the Department of Homeland Security or other law enforcement agencies. 

Children are taken into HHS’ care pending resolution of their 

claims for relief under U.S. immigration law or release to an adult 

family member or guardian. 

If current trends continue, the number of children placed into 

HHS’ care could nearly double from around 8,000 in recent years 

to over 14,000 in fiscal year 2012. To address this increase, HHS 

reprogrammed a total of $115,600,000 to the UAC program from 

other ORR programs in fiscal year 2012. A significant amount of 

this increase was for emergency-related costs associated with a 

sudden increase in children that required HHS to quickly acquire 

shelter space. As HHS acquires more permanent shelter space, 

these costs should decrease in fiscal year 2013. The Committee recommendation provides an increase over the budget request to support an increase in the number of children being placed into HHS’ 

care and will continue to work with HHS to revise these estimates 

as necessary. 
129 

Many of the children placed into HHS’ care are victims of abuse, 

neglect, or trafficking, or otherwise have physical or mental health 

issues. The Committee is particularly concerned about the impact 

this increase in children will have on the availability of support 

services, including access to pro bono legal representation, child advocates, social workers, physicians, and psychologists. The Committee strongly supports placing these children in areas where 

these vital services are readily available. As HHS pursues additional shelter space, it should provide assurances that children will 

have adequate access to these services. Within the total, the Committee provides $6,100,000 to continue 

the pro bono legal services initiative to support legal representation 

for both released and detained children. These funds are to be used 

to train legal counsel to detect abuse, mistreatment, labor exploitation, and trafficking of these children. 

Victims of Torture 

The Committee recommendation includes $11,045,000 for the 

Victims of Torture program. This amount is the same as the comparable fiscal year 2012 funding level and 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, 2012 ............................................................................. $2,278,313,000 

Budget estimate, 2013 ........................................................................... 2,603,313,000 

Committee recommendation ................................................................. 2,438,313,000 

The Committee recommends $2,438,313,000 for the CCDBG, a 

State formula grant that provides financial assistance to low-income families to help pay for child care and to improve the quality 

of States’ child care programs. 

The Committee recommends that $90,000,000 of the increase 

over the fiscal year 2012 level should be used for formula grants 

to States, tribes, and territories to improve the quality of the early 

childhood care and education workforce. These funds should support activities such as training, education, and other professional 

development (including coaching, mentoring, and other on-site 

training and technical assistance for staff) that are linked to a career pathway or lattice; technical assistance to help providers become licensed and comply with licensing and regulatory requirements; scholarships for further education; and compensation improvement (including rewards or bonuses) linked to increased credential or degree completion. States should work with their State 

Early Childhood Advisory Councils in coordinating these activities. 

States should report on the number of providers and staff, including by type of child care setting and age of children served in the 

setting, that receive support through these funds and the kind of 

support they receive. States applying for these funds should also 

provide assurances that funds will be prioritized first in areas with 

significant concentrations of poverty and unemployment that lack 

access to high-quality early care and education programs, or for 

otherwise underserved populations such as children with disabil-
130 

ities or special needs. Additionally, any use of child assessments 

should conform to the recommendations of the National Research 

Council’s reports on early childhood and assessment. Finally, these 

funds should be used to supplement and not to supplant Federal, 

State, and local funds otherwise used for these purposes. The Committee recommends that the remaining $70,000,000 increase over the fiscal year 2012 level should be used for the regular 

block grant. In recent years, many States have struggled to maintain key child care policies and have tightened eligibility requirements, added to waitlists, increased family copayments, and left reimbursement rates for providers stagnant. As a result, fewer families are receiving assistance and many that do are struggling to 

find quality affordable child care options. This increase will allow 

States to increase the number of families served and generally improve low-income families’ access to quality affordable child care. 

The Committee recommendation also maintains several existing 

set-asides at their comparable fiscal year 2012 funding levels. The 

Committee recommendation includes $19,396,000 for resource and 

referral programs and school-aged child care activities. Of this 

amount $1,000,000 is specified for a national toll-free referral line 

and Web site to provide child care consumer education information 

to low-income families, including information about the quality of 

child care programs, such as information under a State or local 

quality rating and improvement system, and information to help 

families access available child care in their community through 

linkages to State and local data sources. The Committee recommendation also includes $9,871,000 for child care research and 

evaluation activities. Finally, in addition to the funds specified 

above for improving the quality of the early childhood workforce, 

the Committee recommendation also maintains existing set-asides 

for quality improvement activities. These quality improvement 

funds are in addition to the 4-percent quality improvement setaside established in the authorizing legislation. 

Tribes Participating in Public Law 102–477 Programs.—The 

Committee appreciates the administration’s response to concerns 

raised in last year’s Senate Committee report over the imposition 

of additional reporting, auditing and accounting requirements on 

‘‘477 tribes’’, which includes the administration of CCDBG funding. 

For 20 years tribes have operated 477 programs and integrated employment, training, and related services to improve the effectiveness of these services and better serve tribal needs consistent with 

the policy of self-determination. The Committee appreciates the importance of ensuring appropriate transparency and accountability 

of Federal funds but believes that requirements to separately report on funding by CFDA numbers is contrary to the intent of section 14 of Public Law 102–477 and would impair the efficiency of 

the 477 initiative. The Committee appreciates that the administration has accordingly suspended such requirements. The Committee 

continues to believe that any reporting, accounting, or auditing requirements to improve transparency and accountability should be 

consistent with the intent of Public Law 102–477 and should not 

impose unnecessary or burdensome requirements on tribes and 

should be in response to specific identified problems. The Committee expects the administration to continue to work with the 477 
131 

Tribal Work Group so that any new guidelines or requirements 

continue to promote tribal flexibility in the administration of employment, training, and related services under the 477 program. 

The Committee directs HHS to provide a briefing to the Committees on Appropriations of the House and the Senate by September 

30, 2012 on the status of the Tribal Work Group discussions. 

SOCIAL SERVICES BLOCK GRANT

Appropriations, 2012 ............................................................................. $1,700,000,000 

Budget estimate, 2013 ........................................................................... 1,700,000,000 

Committee recommendation ................................................................. 1,700,000,000 

The Committee recommends $1,700,000,000 in mandatory funds 

for the SSBG. This amount is the same as the comparable fiscal 

year 2012 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 low-income 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, 2012 ............................................................................. $9,734,982,000 

Budget estimate, 2013 ........................................................................... 9,515,657,000 

Committee recommendation ................................................................. 9,818,982,000 

The Committee recommends $9,818,982,000 in budget authority 

for children and families services programs. In addition, the Committee recommends $5,762,000, the same as the comparable fiscal 

year 2012 funding level and the budget request, in transfers available under section 241 of the PHS Act. These funds support 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 recommendation includes $8,038,544,000 for 

Head Start. The comparable fiscal year 2012 funding level is 

$7,968,544,000 and the budget request is $8,054,000,000. Head 

Start provides comprehensive early childhood education and development services for low-income children and families, focusing on 

cognitive and language development, socio-emotional development, 

physical and mental health, and parental involvement. 

Within the total, the Committee recommendation includes up to 

$25,000,000 for transition-related costs associated with the Head 

Start Designation Renewal System [DRS]. The Committee recommendation does not include bill language, requested by the administration, making these funds available through fiscal year 

2014. In November 2011, carrying out provisions in the Improving 

Head Start for School Readiness Act of 2007, ACF published a final 
132 

rule which requires grantees that do not meet certain standards to 

re-compete for funding through the DRS. In fiscal year 2012, over 

$1,200,000,000 in grants will be re-competed, with new awards expected to be made in fiscal year 2013. These additional funds will 

support implementation of the DRS and provide start-up related 

costs to new grantees to minimize any disruption in services. In addition, the Committee encourages HHS to consider the unique challenges faced by Head Start grantees in remote and frontier areas 

when reviewing such grantees’ compliance with health and dental 

screening requirements as part of the DRS. 

The Committee recommendation also supports an approximately 

0.6 percent cost-of-living adjustment for each grantee. This will 

help defray rising operational costs so that grantees can maintain 

services for the approximately 962,000 low-income children and 

their families in Head Start programs. 

Consolidated Runaway and Homeless Youth Program 

The Committee recommendation includes $97,355,000, the same 

as the fiscal year 2012 level and the budget request, for the consolidated runaway and homeless youth program. This program supports the Basic Centers program, which provides temporary shelter, counseling, and after-care services to runaway and homeless 

youth under age 18 and their families; the Transitional Living Program, which provides longer-term shelter and services for older 

youth; and a national toll-free runaway and homeless youth crisis 

hotline. 

Education and Prevention Grants To Reduce Sexual Abuse of Runaway Youth 

The Committee recommendation includes $17,901,000, the same 

as the fiscal year 2012 level and the budget request, for education 

and prevention grants to reduce sexual abuse of runaway and 

homeless youth. This program provides competitive grants for 

street-based outreach and education services for runaway and 

homeless youth who are subjected to or are at risk of being subjected to sexual abuse or exploitation. 

Child Abuse Prevention and Treatment State Formula Grants 

The Committee recommendation includes $26,432,000 for child 

abuse prevention and treatment State formula grants. This amount 

is the same as the comparable fiscal year 2012 funding level and 

the budget request. This program provides formula grants to States 

to improve their child protective service systems. 

Child Abuse Prevention and Treatment Discretionary Activities 

The Committee recommendation includes $25,744,000 for child 

abuse prevention and treatment discretionary activities. This 

amount is the same as the comparable fiscal year 2012 funding 

level and the budget request. This program supports discretionary 

grants for research, demonstration, and technical assistance to increase the knowledge base of evidence-based practices and to disseminate information to State and local child welfare programs. 
133 

Child Abuse Prevention and Treatment Community-Based Grants 

The Committee recommendation includes $41,527,000 for child 

abuse prevention and treatment community-based grants. This 

amount is the same as the comparable fiscal year 2012 funding 

level and the budget request. This program provides formula 

grants to States that then disburse funds to local, communitybased organizations to improve local child abuse prevention and 

treatment efforts, including providing direct services and improving 

the coordination between State and community-based organizations. 

Abandoned Infants Assistance 

The Committee recommendation includes $11,553,000 for the 

Abandoned Infants Assistance program. This amount is the same 

as the comparable fiscal year 2012 funding level and the budget request. This program provides discretionary grants to public and 

private community and faith-based organizations to develop, implement, and operate demonstration projects that prevent the abandonment of infants and young children impacted by substance 

abuse and HIV. Funds may be used to provide respite care for families and caregivers, allow abandoned infants and children to reside 

with their natural families or in foster care, and carry out residential care programs for abandoned infants and children who are unable to reside with their families or be placed in foster care. 

Child Welfare Services 

The Committee recommendation includes $280,650,000 for child 

welfare services. This amount is the same as the comparable fiscal 

year 2012 funding level and the budget request. This formula grant 

program helps State and tribal public welfare agencies improve 

their child welfare services with the goal of keeping families together. States and tribes provide a continuum of services that prevent child neglect, abuse or exploitation; allow children to remain 

with their families, when appropriate; promote the safety and permanence of children in foster care and adoptive families; and provide training and professional development to the child welfare 

workforce. 

Child Welfare Research, Training, and Demonstration 

The Committee recommendation includes $31,092,000, the same 

as the budget request, for child welfare research, training, and 

demonstration projects. The comparable fiscal year 2012 funding 

level is $26,092,000. This program provides grants to public and 

nonprofit organizations for demonstration projects that encourage 

experimental and promising types of child welfare services, as well 

as projects that improve education and training programs for child 

welfare service providers. 

The Committee recommends an increase of $5,000,000, as requested by the administration, to enhance efforts to prevent domestic child sex trafficking and improve services for child victims of sex 

trafficking. These funds will be used to train and build capacity in 

existing organizations that come into contact with at-risk youth, 

such as child welfare agencies, foster group homes, runaway and 
134 

homeless youth programs, law enforcement, and courts, to better 

identify and serve this very vulnerable population. 

The Committee has previously encouraged ACF to work with 

ACL and other HHS agencies to evaluate intergenerational approaches for improving outcomes for at-risk youth and families. 

The Committee is particularly interested in initiatives that are 

place-based and leverage the service of older volunteers with supportive housing. Such initiatives have demonstrated potential to reduce demand for social services while improving the health and 

well-being of participating seniors by increasing their civic and societal engagement. The Committee strongly encourages HHS to use 

existing discretionary resources for such initiatives to support 

intermediary and community-based organizations developing 

projects that demonstrate this approach. 

Adoption Opportunities 

The Committee recommends $39,179,000 for the Adoption Opportunities program. This amount is the same as the comparable fiscal 

year 2012 funding level and the budget request. The Adoption Opportunities program funds discretionary grants to help facilitate 

the elimination of barriers to adoption and provide technical assistance to help States increase the number of children adopted, particularly children with special needs. 

Consistent with the reauthorization of this program, the Committee continues to expect that these funds will focus on facilitating the adoption of older children, minority children, and children with special needs. Specifically, the Committee expects HHS 

to focus new grants on strengthening postadoption services and the 

recruitment of adoptive parents for these populations of children. 

Adoption Incentives 

The Committee recommends $39,346,000 for adoption incentives. 

This amount is the same as the comparable fiscal year 2012 funding level and the budget request. This program provides incentive 

payments to States based on a formula in law to encourage States 

to increase the number of adoptions of children from the foster care 

system, with an emphasis on children who are the hardest to place. 

If the payments due to States are higher than the amount of funds 

available, the payments are reduced on a pro rata basis based on 

the amount available. 

Social Services and Income Maintenance Research 

The Committee recommends $5,762,000, the same as the fiscal 

year 2012 level, for social services and income maintenance research. This entire amount is funded through transfers available 

under section 241 of the PHS Act, the same as in fiscal year 2012. 

The budget request is $13,762,000, of which $5,762,000 is funded 

through 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. 

Due to budget constraints, the Committee recommendation does 

not include a $3,000,000 increase requested by the administration 
135 

for an early childhood care and education research and evaluation 

study. Similarly, the Committee recommendation does not include 

a $5,000,000 increase requested by the administration for a new 

initiative to improve services for disconnected youth. However, the 

Committee does include a new general provision on Performance 

Partnerships involving disconnected youth. This new bill language 

provides the Departments of HHS, Education, and Labor flexibility 

to encourage local and State-level innovation among programs serving disconnected youth. 

Developmental Disabilities 

In fiscal year 2012 HHS moved the administration of developmental disabilities programs from ACF to the newly established 

ACL. The Committee supports this administrative change and 

funds these programs within ACL in fiscal year 2013. 

Voting Access for Individuals With Disabilities 

In fiscal year 2012 HHS moved the administration of the voting 

access for individuals with disabilities program from ACF to ACL. 

The Committee supports this administrative change and funds this 

program within ACL in fiscal year 2013. 

Native American Programs 

The Committee recommends $48,583,000 for Native American 

programs. This amount is the same as the comparable fiscal year 

2012 funding level and the budget request. These funds support a 

variety of programs to promote self-sufficiency and cultural preservation activities among Native American, Native Hawaiian, Alaska 

Native, and Pacific Islander organizations and communities. 

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 section 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 continues to strongly encourage ACF to give priority to grantees with 

rigorous immersion programs. 

Community Services Block Grant 

The Committee recommendation includes $677,358,000, the same 

as the comparable fiscal year 2012 funding level, for the Community Services Block Grant [CSBG]. The budget request is 

$350,000,000. The CSBG is a formula grant to States and Indian 

tribes to provide a wide range of services and activities to alleviate 

causes of poverty in communities and to assist low-income individuals in becoming self-sufficient. States are required to pass on at 

least 90 percent of these funds to local community-based organizations, the vast majority of which are community action agencies. 

The Committee continues to strongly support this program, 

which provides critical flexible funding for local organizations that 

serve as a central source of assistance for low-income populations. 

These local organizations typically administer larger Federal programs such as Head Start and LIHEAP. The CSBG provides critical funding to support the administration of these programs at the 
136 

local level, as well as flexible funding to fill in service gaps and 

meet the particular needs of local communities. 

Community Economic Development 

The Committee recommendation includes $29,943,000 for the 

community economic development program. This amount is the 

same as the comparable fiscal year 2012 funding level and the 

budget request. This program provides grants to community development corporations to support employment and business development opportunities for low-income individuals. 

Within the total for community economic development, the Committee recommendation includes up to $10,000,000 for the Healthy 

Foods Financing Initiative [HFFI]. This amount is the same as the 

comparable fiscal year 2012 funding level and the budget request. 

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 low-income and underserved communities. 

Rural Community Facilities 

The Committee recommendation includes $5,981,000 for the 

rural community facilities program. The comparable fiscal year 

2012 funding level is $4,981,000; the budget request eliminates 

funding for this program. The rural community facilities program 

provides grants to regional nonprofit organizations to provide training and technical assistance to low-income rural communities in 

developing and managing safe and affordable water and wastewater treatment facilities. These funds support projects in communities that generally cannot access resources and services through 

similar programs at the Department of Agriculture and the Environmental Protection Agency. 

Assets for Independence 

The Committee recommendation includes $19,869,000 for the Assets for Independences [AFI] program. This amount is the same as 

the comparable fiscal year 2012 funding level and the budget request. The AFI program provides discretionary grants to organizations to support individual development accounts that encourage 

low-income individuals to create savings accounts for dedicated 

purposes, such as buying a home, paying for college, or starting a 

business. 

In addition, the Committee recommendation includes new bill 

language requested by the administration that will allow HHS to 

recapture unused funds by grantees and reallocate them to new or 

existing projects. AFI grantees are required to match individual 

savings with equal amounts of Federal and non-Federal funds. 

Grantees have 5 years to expend funds but some have struggled to 

encourage enough savings or to provide a sufficient match to be 

able to expend their full grant during that time. This new language 

will allow HHS to recapture after 3 years unused funds that HHS 

determines grantees will be unable to spend within their grant period and award it to other organizations. 
137 

The Committee also includes new bill language requested by the 

administration providing for a $1,000,000 evaluation of individual 

development account demonstration projects through the AFI program. 

Domestic Violence Hotline 

The Committee recommendation includes $4,197,000 for the national domestic violence hotline. The comparable fiscal year 2012 

funding level is $3,197,000 and the budget request is $4,500,000. 

This national, toll-free hotline provides information and assistance 

to victims of domestic violence 24 hours a day. 

Family Violence Prevention and Services 

The Committee recommendation includes $133,547,000 for family 

violence prevention and services programs. The comparable fiscal 

year 2012 funding level is $129,547,000 and the budget request is 

$135,000,000. These funds support programs to prevent family violence and provide immediate shelter and related assistance for victims of domestic violence and their dependents. The Committee 

recommends an increase for this program, as well as for the national domestic violence hotline, to respond to an increase in demand for emergency domestic violence shelter services over the last 

several years. According to a 2011 survey of over 1,700 domestic violence programs, on any given day 67,000 victims receive services 

but an additional 10,000, including 6,700 requesting emergency or 

transitional housing, are turned away because of a lack of resources. 

Education and Training Vouchers 

The Committee recommendation includes $45,174,000 for education and training vouchers for foster care youth. This amount is 

the same as the comparable fiscal year 2012 funding level and the 

budget request. This program supports vouchers of up to $5,000 

per year for expenses related to postsecondary education and vocational training for foster care youth up to 21 years of age. 

Disaster Human Services Case Management 

The Committee recommends $1,992,000 for disaster human services case management. This amount is the same as the comparable 

fiscal year 2012 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. 

Program Administration 

The Committee recommendation includes $201,645,000 for ACF 

program administration, which supports the administration of all 

ACF programs. The comparable fiscal year 2012 funding level is 

$198,645,000 and the budget request is $206,447,000. These 
138 

amounts have been adjusted to reflect the move of the Administration on Developmental Disabilities to the new ACL. 

The Committee recommends an increase for program administration to support the implementation of the new Head Start Designation Renewal System as described earlier under the Head Start 

heading. 

PROMOTING SAFE AND STABLE FAMILIES

Appropriations, 2012 ............................................................................. $408,065,000 

Budget estimate, 2013 ........................................................................... 408,065,000 

Committee recommendation ................................................................. 408,065,000 

The Committee recommends $408,065,000 for promoting safe and 

stable families. The Committee recommendation includes 

$345,000,000 in mandatory funds authorized by the Social Security 

Act and $63,065,000 in discretionary appropriations. 

This program supports activities that can prevent the emergence 

of family crises that might require the temporary or permanent removal of a child from his or her home. Grants allow States to operate coordinated programs of family preservation services, time-limited family reunification services, community-based family support 

services, and adoption promotion and support services. 

PAYMENTS FOR FOSTER CARE AND PERMANENCY

Appropriations, 2012 ............................................................................. $5,153,000,000 

Budget estimate, 2013 ........................................................................... 4,810,000,000 

Committee recommendation ................................................................. 4,810,000,000 

The Committee recommends $4,810,000,000 in mandatory funds 

for payments for foster care and permanency. In addition, the Committee recommends $2,200,000,000, the same as the budget request, in advance mandatory funding for the first quarter of fiscal 

year 2014. The comparable advance provided last year for the first 

quarter of fiscal year 2013 is $2,100,000,000. These funds support 

programs that assist States with the costs of maintaining eligible 

children in foster care, prepare children for living on their own, assist relatives with legal guardianship of eligible children, and find 

and support adoptive homes for children with special needs. 

The Committee recommendation includes a program level of $4,143,000,000, the same as the budget request, for foster care programs. The comparable fiscal year 2012 program level is 

$4,288,000,000. This program provides matching reimbursement 

funds for State costs associated with operating and managing their 

foster care programs. 

The Committee recommendation includes a program level of $2,537,000,000, the same as the budget request, for adoption assistance. The comparable fiscal year 2012 program level is 

$2,495,000,000. 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. 

The Committee recommendation includes a program level of $140,000,000 for the independent living program. This amount is 

the same as the comparable fiscal year 2012 program level and the 

budget request. The independent living program provides services 
139 

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. 

The Committee recommendation includes a program level of $90,000,000, the same as the budget request, for the guardianship 

assistance program. The comparable fiscal year 2012 program level 

is $80,000,000. This program provides assistance payments to relatives taking legal guardianship of eligible children who have been 

in foster care. 

ADMINISTRATION FOR COMMUNITY LIVING

AGING AND DISABILITY SERVICES PROGRAMS

Appropriations, 2012 ............................................................................. $1,697,264,000 

Budget estimate, 2013 ........................................................................... 2,152,712,000 

Committee recommendation ................................................................. 1,708,105,000 

The Committee recommends an appropriation of $1,708,105,000 for ACL, which includes $52,115,000 in Medicare trust funds. In 

addition, the Committee recommends that $17,000,000 be transferred to ACL from the PPH Fund. The total program level assumed in this bill for ACL is $1,725,105,000. 

ACL was established by HHS in April 2012 with the goal of increasing access to community supports for older Americans and 

people with disabilities. This new agency was created by combining 

the organizational components of AoA, the HHS Office on Disability, and the Administration on Developmental Disabilities. ACL 

is charged with administering programs authorized under the 

Older Americans Act [OAA] and the Developmental Disabilities 

Act, as well as promoting community living policies throughout the 

Federal Government for older Americans and people with disabilities. 

Home and Community-Based Supportive Services 

The Committee recommends an appropriation of $366,916,000 for 

home- and community-based supportive services program. This 

amount is the same as the comparable funding level for fiscal year 

2012 and the administration request. This program provides formula grants to States and territories to fund a wide range of social 

services that enable seniors to remain independent and in their 

homes for as long as possible. State agencies on aging award funds 

to designated area agencies on aging that, in turn, make awards 

to local service providers. This activity supports services such as 

transportation, adult day care, physical fitness programs, as well 

as in-home assistance such as personal care and homemaker assistance. 

Preventive Health Services 

The Committee recommends $20,945,000 for preventive health 

services. This amount is the same as the comparable funding level 

for fiscal year 2012 and the administration request. This program 

funds activities that help seniors stay healthy and avoid chronic 
140 

disease, thus reducing the need for costly medical interventions. 

The Committee continues language from the fiscal year 2012 bill 

requiring States to use these funds for interventions that are evidence-based and effective, such as enhanced fitness and wellness 

programs, depression screening, and medication management programs. These evidence-based prevention programs have been 

shown through randomized-controlled trials to be effective at helping older adults improve their health status and lower their use of 

healthcare services. 

Protection of Vulnerable Older Americans 

The Committee recommends $21,797,000, the same as the comparable level for fiscal year 2012 and the administration request, 

for grants to States for protection of vulnerable older Americans. 

This activity funds the long-term care ombudsman program and 

the prevention of elder abuse program. Both programs provide formula grants to States to prevent the abuse, neglect, and exploitation of older individuals. The ombudsman program focuses on the 

needs of residents of nursing homes and other long-term care facilities, while the elder abuse prevention program targets the elderly 

community at large. 

National Family Caregiver Support Program 

The Committee recommends $153,621,000 for the national family 

caregiver support program. This amount is the same as the comparable level for fiscal year 2012 and the administration request. 

Funds appropriated for this activity establish a multifaceted support system in each State for family caregivers, allowing them to 

care for their loved ones at home for as long as possible. States 

may use funding to provide information to caregivers about available services, assistance to caregivers in gaining access to services, 

caregiver counseling and training, respite care to enable caregivers 

to be temporarily relieved from their caregiving responsibilities, 

and limited supplemental services that fill remaining service gaps. 

Native American Caregiver Support Program 

The Committee recommendation includes $6,364,000 to carry out 

the Native American caregiver support program. This amount is 

the same as the comparable level for fiscal year 2012 and the administration request. This program provides grants to tribes for the 

support of American Indian, Alaskan Native, and Native Hawaiian 

families caring for older relatives with chronic illness or disability, 

as well as for grandparents caring for grandchildren. 

Congregate and Home-Delivered Nutrition Services 

The Committee recommends an appropriation of $439,070,000 for 

congregate nutrition services and $216,831,000 for home-delivered 

meals. Both amounts are the same as the comparable funding levels for fiscal year 2012 and the administration request. 

These programs address the nutritional needs of older individuals. Funded projects 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 
141 

meals, home-delivered meals, and supportive services, they have 

flexibility to transfer funds between these programs. 

Nutrition Services Incentives Program 

The Committee recommendation includes $160,389,000 for the 

nutrition services incentives program [NSIP]. This amount is the 

same as the comparable funding level for fiscal year 2012 and the 

administration request. NSIP augments funding for congregate and 

home-delivered meals provided to older adults. Funds provided 

under this program are dedicated exclusively to the provision of 

meals. NSIP rewards effective performance by States and tribal organizations in the efficient delivery of nutritious meals to older individuals through the use of cash or commodities. 

Aging Grants to Indian Tribes and Native Hawaiian Organizations 

The Committee recommends $27,601,000 for grants to Native 

Americans. This amount is the same as the comparable funding 

level for fiscal year 2012 and the administration request. 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. 

Aging Network Support Activities 

The Committee recommends $7,873,000 for aging network support activities. This amount is the same as the comparable funding 

level for fiscal year 2012 and the administration request. 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, and provide technical assistance to 

agencies that administer programs authorized by the OAA. 

Within funding for aging network support activities, the Com- mittee provides $998,000 to continue the 24-hour call center that 

provides Alzheimer’s family caregivers with professional care consultation and crisis intervention. This amount is the same as the 

comparable funding level for fiscal year 2012 and the administration request. 

Mental Health.—The Committee notes that approximately 20 to 

25 percent of older adults have a mental or behavioral health problem, with White men aged 85 and older having the highest rates 

of suicide of any group in the United States. The Committee urges 

ACL to expand its efforts to address the mental and behavioral 

health needs of older adults, including implementation of the mental and behavioral health provisions in the OAA. The Committee 

also urges ACL to designate an officer responsible for administering mental health services for older Americans. 

Alzheimer’s Disease Demonstration Grants to States 

The Committee recommendation includes $4,011,000 for Alzheimer’s disease demonstration grants to States. This amount is 

the same as the comparable funding level for fiscal year 2012. The 

administration request is $9,537,000. This program funds competitive grants to States to test and implement new models of care for 

individuals with Alzheimer’s disease. 
142 

Lifespan Respite Care 

The Committee recommends $4,990,000 for the Lifespan Respite 

Care program. The comparable funding level for fiscal year 2012 

level and the administration request is $2,490,000. 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 to and quality of respite 

care services, thereby reducing family caregiver strain. 

The Committee recognizes the essential role of family caregivers 

who provide a significant proportion of our Nation’s health and 

long-term services and supports for the chronically ill and aging. 

Respite care can provide family caregivers with relief necessary to 

maintain their own health, bolster family stability and well being, 

and avoid or delay more costly nursing home or foster care placements. The Committee urges the Secretary to ensure that State 

agencies, as well as aging and disability research centers [ADRCs], 

use these funds to serve all age groups, chronic conditions, and disability categories equitably and without preference. 

Chronic Disease Self-Management Program 

The Committee recommends $10,000,000 be transferred from the 

PPH Fund to ACL for the Chronic Disease Self-Management Program [CDSMP]. This amount is the same as the comparable funding level in fiscal year 2012 and the administration request. This 

program assists those with chronic disease with managing their 

conditions and improving their health status. Topics covered by the 

program include nutrition, appropriate use of medications, fitness, 

and effective communications with healthcare providers. The Committee notes that the CDSMP has been shown through multiple 

studies to result in significant and measurable improvements in 

health and quality of life, as well as reductions in hospitalizations 

and emergency room visits. 

Elder Falls Prevention 

The Committee recommends that $7,000,000 in mandatory funding be transferred from the PPH Fund for elder falls prevention activities at ACL, in coordination with CDC. This is a new activity 

that was not funded in fiscal year 2012. The administration did not 

request funding for this program. 

The Committee notes that falls are the leading cause of fatal and 

nonfatal injuries for those 65 and older. Each year, 1-in-3 Americans aged 65 and older falls. Every 15 seconds, an older adult is 

treated in the emergency room for a fall-related injury. Preventing 

falls will help seniors stay independent and in their homes, avoiding costly hospitalizations and hip fractures, which frequently lead 

to nursing home placement. The Committee intends that funds provided to ACL should be used for public education about the risk of 

these falls, as well as implementation and dissemination of community-based strategies that have been proven to reduce the incidence 

of falls among seniors. 

Adult Protective Services Demonstrations 

The Committee recommendation includes $8,000,000 for adult 

protective services demonstrations. This amount is the same as the 
143 

administration request. This is a new program that did not receive 

funding in fiscal year 2012. This program, as established in the 

Elder Justice Act, will provide competitive grants to States to test 

and evaluate innovative approaches to preventing and responding 

to elder abuse. 

Senior Medicare Patrol 

The Committee recommends $9,402,000 for the Senior Medicare 

Patrol [SMP] program. This amount is the same as the comparable 

funding level for fiscal year 2012 and the administration request. 

These funds support a network of retired senior volunteers who 

educate older adults on preventing and identifying healthcare 

fraud and abuse. 

The Committee strongly supports the SMP program, administered by ACL with historical financial assistance from CMS. The 

Committee is concerned that the return on investment [ROI] calculation included in the performance metrics of the program does 

not adequately reflect outcome data on SMP fraud referrals. The 

Committee requests that a more accurate ROI calculation be developed for this important program. The Committee requests that 

ACL, CMS, DOJ, and the HHS OIG work to improve the process 

of informing beneficiaries when their tips directly result in a conviction, a recovery, or a change to Medicare policies. 

Elder Rights Support Activities 

The Committee recommends $4,088,000 for elder rights support 

activities. This amount is the same as the comparable funding level 

for fiscal year 2012 and the administration request. This activity 

supports programs that provide information, training, and technical assistance to legal and aging services organizations in order 

to prevent and detect elder abuse and neglect. 

Aging and Disability Resource Centers 

The Committee recommendation includes $6,457,000 for ADRCs. 

This amount is the same as the comparable funding level for fiscal 

year 2012. The administration did not request funding for this program. ADRCs provide ‘‘one stop shop’’ entry points into long-term 

care at the community level. The Committee recommendation continues funding for this program in recognition of the centers’ role 

in providing access to a range of home- and community-based resources that allow seniors and individuals with disabilities to maintain their independence. 

State Health Insurance Assistance Program 

The Committee recommendation includes $52,115,000 for State 

Health Insurance Assistance Programs [SHIPs], which provide accurate and understandable health insurance information to Medicare beneficiaries and their families. This is the same as the comparable fiscal year 2012 level. The administration request is 

$51,902,000. The Committee concurs with the administration’s proposal to transfer this grant program to ACL from CMS and includes bill language that reflects this transfer. The Committee 

notes that many SHIPs are already housed in, or are partnered 

with, area agencies on aging. Activities of the SHIPs are also 
144 

aligned with ACL’s mission to develop a comprehensive system of 

home- and community-based services to help seniors maintain their 

health and independence. 

Community Service Employment for Older Americans 

The Committee recommendation does not include funding for the 

CSEOA program in ACL, as proposed by the administration. The 

administration request is $448,251,000 for this program. The Committee continues to provide funding for this program in the Department of Labor. 

Developmental Disabilities State Councils 

The Committee recommendation includes $74,774,000 for State 

councils on development disabilities. This amount is the same as 

the comparable fiscal year 2012 funding level and the budget request. These State councils work to develop, improve, and expand 

the system of services and supports for people with developmental 

disabilities. By engaging in activities such as training, educating 

the public, building capacity, and advocating for change in State 

policies, these councils support the inclusion and integration of individuals with developmental disabilities in all aspects of community life. 

Developmental Disabilities Protection and Advocacy 

The Committee recommendation includes $40,865,000 for protection and advocacy programs for people with developmental disabilities. This amount is the same as the comparable fiscal year 2012 

funding level and the budget request. This formula grant program 

provides funds to States to establish and maintain protection and 

advocacy systems to protect the legal and human rights of persons 

with developmental disabilities who are receiving treatment, services, or rehabilitation. 

Voting Access for Individuals With Disabilities 

The Committee recommendation includes $5,235,000 for voting 

access for individuals with disabilities. This amount is the same as 

the comparable fiscal year 2012 funding level and the budget request. This program provides grants to protection and advocacy organizations to ensure that individuals with disabilities have the opportunity to participate in every step of the electoral process, including registering to vote, accessing polling places, and casting a 

vote. 

Developmental Disabilities Projects of National Significance 

The Committee recommendation includes $8,317,000 for projects 

of national significance to assist persons with developmental disabilities. This amount is the same as the comparable fiscal year 

2012 funding level and the budget request. 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. 
145 

University Centers for Excellence in Developmental Disabilities 

The Committee recommendation includes $38,792,000 for University Centers for Excellence in Developmental Disabilities 

[UCEDDs]. This amount is the same as the comparable fiscal year 

2012 funding level and the budget request. The UCEDD program 

supports a network of 67 university-based centers that provide 

interdisciplinary education, conduct research, and develop model 

services for children and adults with disabilities. The centers serve 

as the major vehicle to translate disability-related research into 

community practice and to train the next cohort of future professionals who will provide services and supports to an increasingly 

diverse population of people with disabilities. 

Program Administration 

The Committee recommends $29,652,000, the same as the administration request, for program administration. The comparable 

funding level for fiscal year 2012 is $29,311,000. These levels have 

been adjusted for comparability to reflect the administrative costs 

associated with the Administration for Developmental Disabilities 

and the Office on Disability, which are now part of ACL. These 

funds support salaries and related expenses for program management and oversight activities. 

OFFICE OF THE SECRETARY

GENERAL DEPARTMENTAL MANAGEMENT

Appropriations, 2012 ............................................................................. $542,197,000 

Budget estimate, 2013 ........................................................................... 421,895,000 

Committee recommendation ................................................................. 535,639,000 

The Committee recommends $535,639,000 for general departmental management [GDM]. The recommendation includes 

$69,211,000 in transfers available under section 241 of the PHS 

Act. Funding levels have been adjusted to reflect the transfer to 

ACL of the Office on Disability. 

This appropriation supports activities that are associated with 

the Secretary’s role as policy officer and general manager of the 

Department. It supports health activities performed by the Office 

of the Assistant Secretary for Health [ASH], 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 Committee recommendation includes an increase of 

$2,800,000, requested by the administration, for acquisition reform 

activities. The Committee does not include funding for abstinenceonly education programs, consistent with the administration request. The comparable fiscal year 2012 funding level for abstinence-only education programs is $4,991,000. 

The Committee recommendation includes $250,000 for continued 

support of the Advisory Council on Alzheimer’s Research, Care, and 

Services. 
146 

Antimicrobial Resistance.—The Committee commends the work 

of the Interagency Task Force on Antimicrobial Resistance 

[ITFAR], particularly the final action plan, but is concerned that 

the plan is missing measurable benchmarks and completion deadlines. The Committee urges the Secretary to designate an office 

and director within ASH or ASPR to lead the task force and coordinate the Federal response. The Committee further recommends 

that the task force work with non-government antimicrobial resistance experts to help set priorities and provide expert input on a 

routine basis. 

Biovigilance Network.—The Committee recognizes the leadership 

of ASH and the Office of Blood Safety and Availability in coordinating efforts between CDC, FDA, NIH, AHRQ, HRSA, and CMS, 

as well as experts in transfusion medicine and blood banking, in 

the development and implementation of surveillance systems to 

track medical errors and adverse events occurring at any point in 

the collection, processing, distribution, or transfusion of blood. The 

Committee urges ASH to further these biovigilance efforts as a 

public/private collaboration allowing for in-depth analysis of the 

data collected as well as the development of interventions and best 

practices that can be implemented to eliminate errors and waste, 

thus improving patient health and safety and reducing costs. 

Drug Shortages.—The Committee urges the Secretary, in consultation with FDA, to establish an interagency and intra-agency 

task force to address drug shortages. The task force should have 

stakeholder input, including an expert in how shortages affect pediatric patients. The study should examine whether other countries 

have experienced drug shortages, the extent and effect of the shortages, as well as any steps these countries are taking to mitigate 

or prevent such shortages. 

Freely Associated States.—Pursuant to the Compact of Free Association Act of 1985 (Public Law 99–239), and continued under the 

Compact of Free Association Amendments Act of 2003 (Public Law 

108–188), citizens of the FAS are accorded the privilege of freely 

traveling and residing in the United States without a set time 

limit. Upon arrival, FAS migrants often arrive with serious medical 

needs, requiring acute care such as dialysis and chemotherapy. As 

such, affected jurisdictions are seeing an increase in the number of 

cases involving tuberculosis, hepatitis, and sexually transmitted 

diseases which is putting a further strain on already constrained 

public health resources and education services. The Secretary is directed to work within the National Security Council Interagency 

Policy Committee on Freely Associated State Affairs to implement 

an effective action plan that addresses some of these issues. The 

Secretary should also provide effective guidance and feedback to 

the island nations through the Joint Economic Management Committee and Joint Economic Management Financial Accountability 

Committee process by ensuring that funds provided to the FAS nations are spent wisely to develop capacity in the islands to promote 

economic development, provide pre-health screenings, and to create 

an education program to ensure that FAS migrants know what is 

expected of them upon arrival to the affected jurisdictions. 

Global Health Threats.—The Committee acknowledges the urgent need for new technologies in the fight against global health 
147 

threats as well as the need to sustain and protect U.S. investment 

in this important research. The Committee urges the FDA, CDC, 

and NIH to each create metrics to measure progress and to develop 

concrete plans to prioritize and incorporate global health research, 

product development, and regulation into the U.S. global health 

and development strategies, in line with the new HHS Global 

Health Strategy. 

Human Services Transportation.—The Committee recommendation includes $1,000,000 for a competitive grant to provide technical assistance to local government and nonprofit transportation 

providers. This assistance should focus on the most cost-effective 

ways to provide transportation assistance and information to persons with disabilities. In addition, because of rising fuel prices, 

such technical assistance should include expanding the use of accessible, fuel-efficient taxi service for persons with disabilities and 

those receiving dialysis. Congress appropriated $998,000 for a similar purpose in fiscal year 2012. 

Overdose Prevention.—Accidental deaths from overdose, particularly from prescription drugs such as opioids, are on the rise and 

have become the leading cause of preventable death for individuals 

under the age of 65 in the United States. The Committee strongly 

encourages the Secretary to launch a public awareness campaign 

to educate the public and health professionals about the signs, 

symptoms, and risk factors for overdose, as well as how individuals 

can make linkages to recovery and treatment services. The Committee urges the Secretary to develop the campaign with the participation of Federal agencies including SAMHSA, NIDA, HRSA, 

FDA, and the Office of National Drug Control Policy. 

Pain Management.—A recent IOM report concluded that pain 

represents a public health crisis that impacts more than 1 out of 

every 3 adults, costs the American economy over $560,000,000,000 

in added healthcare costs and lost productivity, and results in unnecessary human suffering. The Committee requests that HHS develop a comprehensive plan with specific goals, actions, and timeframes regarding reducing barriers to pain management, educating 

the public, improving professional education, and refocusing pain 

research efforts at NIH. The Committee requests that this plan be 

submitted to the House and Senate Committees on Appropriations 

by March 2013. 

Traumatic Brain Injury [TBI].—The Committee notes that TBI is 

a leading cause of death and disability worldwide, especially in 

children and young adults ages 1 to 44. Due to the high prevalence 

of TBI, the Committee believes there is a need for multidisciplinary 

approaches to rapid evaluation and diagnosis of injured patients 

who have the potential for the development of TBI, as well as the 

development of early intervention and treatment protocol for use in 

preventing TBI and improving patient outcomes. The Secretary is 

encouraged to support a competitively awarded program of academic centers focused on developing and implementing multidisciplinary approaches to the early diagnosis and innovative treatment 

models for TBI victims. 

Urban-Based Network.—The Committee continues to encourage 

the Secretary and other agencies within the Department such as 

HRSA, AHRQ, CDC, CMS, and OMH to partner with NIMHD in 
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supporting a network of urban-based institutions focused on, and 

with demonstrated commitment and capacity to, addressing recruitment and training needs of minority and urban underserved 

populations and reducing health disparities in these urban communities. 

Teen Pregnancy Prevention 

The Committee recommendation includes $113,047,000 for the 

Teenage Pregnancy Prevention [TPP] program, which is the same 

as the comparable funding level for fiscal year 2012. The recommendation includes $8,455,000 in transfers available under section 241 of the PHS Act. The administration requests $109,022,000 

for the TPP program, with $104,790,000 funded through transfers 

from the PPH Fund. 

This program supports competitive grants to public and private 

entities to replicate evidence-based teen pregnancy prevention approaches. The Committee recommendation includes $4,000,000 to 

continue the Federal evaluation of the projects funded by this program. 

Office of Minority Health 

The Committee recommends $55,782,000, the same as the fiscal 

year 2012 funding level, for OMH. The administration request is 

$41,100,000. OMH focuses on strategies designed to decrease 

health disparities and to improve the health status of racial and 

ethnic minority populations in the United States. OMH establishes 

goals and coordinates all departmental activity related to improving health outcomes for disadvantaged and minority individuals. 

The Committee strongly urges continuation of existing programs 

run by OMH to address health disparities in rural and disadvantaged populations. The Committee recommendation includes $1,000,000 to continue 

the national health education program on lupus for healthcare providers, with the goal of improving diagnosis for those with lupus 

and reducing health disparities. This program is intended to engage healthcare providers, educators, and schools of health professions in working together to improve lupus diagnosis and treatment through education. 

Cancer in Asian/Pacific Islanders.—Asian and Pacific Islanders 

[API] have a high incidence of stomach cancer and liver cancers 

compared to Caucasians. The Committee continues to urge the Department to focus on the unique and pressing needs regarding cancer in the API population. 

Chronic Kidney Disease [CKD].—The Committee continues to 

prioritize early detection and treatment of CKD in minority communities to improve health outcomes and eliminate health disparities. In particular, the Committee urges the Department to focus 

on the prevention of CKD in Filipino populations, who have one of 

the highest rates of incidence per capita. The Committee encourages OMH to partner with minority health professions schools to 

educate providers on the benefits and opportunities for early detection and treatment of CKD. 

Health Disparities in Women.—Women of racial and ethnic minorities face higher rates of obesity, cancer, diabetes, heart disease, 
149 

HIV/AIDS, and other diseases when compared with white women. 

A disproportionately higher rate of preterm birth exists among African-American women that cannot be accounted for by known risk 

factors. The Committee encourages HHS to conduct research into 

the causes of these health disparities and develop and evaluate 

interventions to address these causes. 

Hepatitis B.—The Committee urges OMH to expand hepatitis B 

outreach and preventive programs specific to API and other groups 

disproportionately affected by this disease. 

Offices of Minority Health.—The Committee continues to be encouraged by the Department’s implementation of the Action Plan 

to Reduce Racial and Ethnic Health Disparities, as well as the National Stakeholder Strategy for Achieving Health Equity. The Committee strongly supports the Offices of Minority Health in the Office of the Secretary, AHRQ, CDC, CMS, FDA, HRSA, and 

SAMHSA, which are charged with leading the strategy. The Secretary is encouraged to work closely with communities, as well as 

the public and private sectors, in this effort. 

Office of Women’s Health 

The Committee recommends $29,120,000, the same as the administration request, for OWH. The comparable level for fiscal year 

2012 is $33,682,000. OWH develops, stimulates, and coordinates 

women’s health research, healthcare services, and public and 

healthcare professional education across the Department. It advances important crosscutting initiatives and develops public-private partnerships, providing leadership and policy direction, and 

initiating and synthesizing program activities to redress the disparities in women’s health. The Committee recommendation includes $3,010,000 to continue 

the violence against women’s initiative. This initiative provides 

funding to public health programs that integrate domestic and sexual violence assessment and intervention into basic care, as well as 

encourages collaborations between healthcare providers, public 

health programs, and domestic and sexual violence programs. 

HIV/AIDS in Minority Communities 

The Committee recommends $53,681,000 for this program, which 

addresses high-priority HIV prevention and treatment needs of minority communities heavily impacted by HIV/AIDS. The funding 

level provided is the same as the comparable level for fiscal year 

2012. The administration request is $53,891,000. The Committee 

provides funding for this activity through budget authority, rather 

than through transfers available under section 241 of the PHS Act 

as requested by the administration. These funds are available to 

key operating divisions of the Department with expertise in HIV/ 

AIDS services to assist minority communities with education, community linkages, and technical assistance. 

Embryo Donation and Adoption 

The Committee does not provide funding for embryo donation 

and adoption awareness activities, consistent with the administration request. The fiscal year 2012 funding level for this program is 

$1,996,000. The Committee notes that this program has had a lim-
150 

ited number of applicants since its inception and the administration has been unable to demonstrate its effectiveness. 

OFFICE OF MEDICARE HEARINGS AND APPEALS

Appropriations, 2012 ............................................................................. $72,011,000 

Budget estimate, 2013 ........................................................................... 84,234,000 

Committee recommendation ................................................................. 79,908,000 

The Committee provides $79,908,000 for OMHA. OMHA is responsible for hearing Medicare appeals at the administrative law 

judge level, which is the third level of Medicare claims appeals. 

The Office ensures that Medicare beneficiaries who are dissatisfied 

with the initial decisions about their benefits or eligibility can appeal and exercise their right to a hearing in front of an administrative law judge. The Committee recommendation provides additional 

funding to OMHA to address its growing backlog of cases and expand its capacity to adjudicate Medicare appeals. 

OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION

TECHNOLOGY

Appropriations, 2012 ............................................................................. $61,226,000 

Budget estimate, 2013 ........................................................................... 66,257,000 

Committee recommendation ................................................................. 66,257,000 

The Committee makes available $66,257,000 to ONC, which includes $49,842,000 in transfers available under section 241 of the 

PHS Act. ONC is responsible for promoting the use of electronic 

health records in clinical practice, coordinating Federal health information systems, and collaborating with the private sector to develop standards for a nationwide interoperable health information 

technology infrastructure. 

OFFICE OF INSPECTOR GENERAL

Appropriations, 2012 ............................................................................. $50,083,000 

Budget estimate, 2013 ........................................................................... 58,579,000 

Committee recommendation ................................................................. 55,483,000 

The Committee recommends an appropriation of $55,483,000 for 

the HHS OIG. In addition to discretionary funds provided in this 

act, the Health Insurance Portability and Accountability Act of 

1996 provides a permanent appropriation of $196,669,000 for OIG. 

OIG conducts audits, investigations, and evaluations of the programs administered by the Department’s operating and staff divisions, including the recipients of the Department’s grant and contract funds. In doing so, 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 

recommended increase over the fiscal year 2012 level should be 

used to support staff previously funded through ARRA, who will be 

redirected toward other departmental priorities. 

OFFICE FOR CIVIL RIGHTS

Appropriations, 2012 ............................................................................. $40,938,000 

Budget estimate, 2013 ........................................................................... 38,966,000 

Committee recommendation ................................................................. 38,966,000 
151 

The Committee recommends $38,966,000 for OCR, which 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. OCR also has responsibility 

for implementing and enforcing privacy protections under the 

HITECH Act. 

RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED

OFFICERS

Appropriations, 2012 ............................................................................. $497,350,000 

Budget estimate, 2013 ........................................................................... 527,151,000 

Committee recommendation ................................................................. 527,151,000 

The Committee provides an estimated $527,151,000 in mandatory funds for retirement pay and medical benefits for commissioned officers of the U.S. Public Health Service [PHS]. 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, 2012 ............................................................................. $983,231,000 

Budget estimate, 2013 ........................................................................... 1,057,262,000 

Committee recommendation ................................................................. 1,020,220,000 

The Committee recommends $1,020,220,000 for the Public 

Health and Social Services Emergency Fund [PHSSEF]. This appropriation supports the activities of ASPR and other components 

within the Office of the Secretary to prepare for the health consequences of bioterrorism and other public health emergencies, including pandemic influenza. It also provides funding for the Department’s cybersecurity efforts. 

The Committee does not support transferring additional balances 

from Public Law 111–32, the Supplemental Appropriations Act, 

2009, to CDC as proposed by the administration. The Committee 

believes that the remaining supplemental funds should be used for 

the purposes for which they were intended, namely increasing domestic influenza vaccine production capacity, improving international pandemic preparedness efforts, and developing better vaccines, antivirals, and diagnostics. Specifically, the Committee 

strongly supports BARDA’s International Influenza Vaccine Manufacturing Capacity Building Program. Through this program, HHS 

helps developing countries build sustainable influenza vaccine production capacity, which includes establishing manufacturing facilities and ensuring a skilled in-country workforce. So far, 12 developing countries have received technical and financial support from 

BARDA to establish influenza vaccine manufacturing capacity. In 

2005, the capacity to produce pandemic influenza vaccine in these 

countries was less than 1 million doses. By 2016, continued financial support from BARDA will enable manufacturers in these countries to produce up to 300 million doses of vaccine to respond to a 

pandemic. The Committee notes that the capability of developing 
152 

countries to produce influenza vaccine within their borders is crucial to reducing the threat of a global pandemic. The Committee 

strongly urges BARDA to continue this effort with existing balances from the fiscal year 2009 supplemental. 

Office of the Assistant Secretary for Preparedness and Response 

The Committee recommendation includes $944,821,000 for activities administered by ASPR. The administration request is 

$981,863,000 and the comparable funding level for fiscal year 2012 

is $925,612,000. ASPR was created by the Pandemic and All-Hazards Preparedness Act to lead the Department’s activities regarding preventing, preparing for, and responding to public health 

emergencies, including disasters and acts of terrorism. 

Virtual Training.—The Committee notes the need, particularly 

at the local level, to improve surge capacity and enhance community and hospital preparedness for public health emergencies using 

today’s enabling training technologies. Virtual training tools have 

the potential to revolutionize medical emergency response training 

with a corresponding reduction in costs. The Committee urges 

ASPR to develop and standardize such hospital preparedness training using state-of-the-art, 3D, medical response simulation technology with a goal of exporting it to all States to preclude redundant efforts. 

Hospital Preparedness Program 

The Committee’s recommendation includes $324,650,000 for the 

Hospital Preparedness Program [HPP]. The administration request 

for HPP is $254,500,000 and the comparable funding level for fiscal 

year 2012 is $374,650,000. This program provides grants to States 

and localities to enhance hospital preparedness and improve overall 

surge capacity in public health emergencies. 

Funds will be used in fiscal year 2013 to transform HPP toward 

an emphasis on healthcare coalitions at the regional and community level rather than on individual hospitals. The Committee requests a multiyear plan from the Department describing this 

change. This plan should include the program’s framework for determining funding levels for coalitions, strategies to improve coordination with public health departments, inclusion of nonacute hospitals and ambulatory care settings, and engagement with individual healthcare providers. 

Medical Surge Capacity.—The ability of our healthcare system to 

quickly expand beyond normal capacity during a major emergency 

is critical in securing preparedness for our Nation. The Committee 

urges the Secretary to extend health system surge capacity by creating a national framework to guide States and local entities on developing crisis standards of care in the event of a mass casualty 

event or crisis. The Secretary should also clarify Federal law to implement uniform liability applying to all volunteer health professionals during a declared public health emergency. 

Emergency System for Advance Registration of Volunteer 

Health Professionals [ESAR VHP] 

The Committee recommendation includes $4,989,000 for the 

ESAR VHP program. This amount is the same as the comparable 
153 

funding level for fiscal year 2012. This program is a national network of State-based registries that allows health professionals to 

volunteer in public health emergencies and disasters. The administration requests $500,000 for this program and proposes discontinuing these grants, noting that all 50 States and the 

District of Columbia have developed ESAR VHP programs. However, the Committee believes that ESAR VHP is a critical component of providing workforce surge capacity in the event of a public 

health emergency. For this reason, the Committee provides continued funding for the ESAR VHP program and expects grantees to 

use the funds to support volunteer recruitment and retention, 

training and coordination, and integration of ESAR VHP with the 

Medical Reserve Corps at the State and local level. 

Biomedical Advanced Research and Development 

The Committee recommendation includes $465,000,000 for advanced research and development. The administration request is 

$546,671,000 for this activity and the comparable funding level for 

fiscal year 2012 is $415,000,000. As in previous years, the Committee includes bill language to transfer $415,000,000 from the 

Project BioShield Special Reserve Fund advance appropriation to 

fund advanced research and development of medical countermeasures. This amount is the same as the administration request 

and the comparable level from fiscal year 2012. 

Advanced Research and Development.—The fiscal year 2012 Senate Report included language encouraging ASPR to work with 

NIAID to ensure that sufficient research is being conducted to develop a bioagent detection and bioterrorism warning system based 

on bioinformatics technology that would allow for the direct identification and sample characterization of pathogens in rapid fashion. 

The Committee requests an update on these efforts within 60 days 

of enactment of this act. 

Anthrax.—The Committee continues to be concerned about the 

country’s level of preparedness against biological threats, most particularly anthrax. The Committee notes that BARDA is moving forward with developing a variety of countermeasures to anthrax, including antitoxins, enhancements to the current AVA vaccine, and 

most importantly a next generation recombinant vaccine. The Committee expects BARDA to keep it informed of its progress in developing a recombinant anthrax vaccine for the Strategic National 

Stockpile [SNS]. 

Antibiotic Research and Development.—The Committee recognizes that the increasing failure of approved, life-saving antibiotics, 

as well as the plummeting number of new antibiotics in development, seriously threatens our Nation’s health and potentially our 

security. The Committee encourages BARDA to continue awarding 

contracts for promising new antibiotics that otherwise might not 

make it to market due to existing challenges and particularly for 

new antibiotics intended to treat multidrug-resistant pathogens. 

Multiyear Planning Process.—The Committee notes that the 2010 

review of the Public Health Emergency Medical Countermeasure 

Enterprise endorsed a 5-year planning process to enable the Department to forecast, plan for, and communicate its long-range advanced development needs. The Committee directs the Department 
154 

to report on the implementation of such a coordinated 5-year budgetary planning process based on medical countermeasure priorities 

and goals not later than 180 days after the date of enactment of 

this act, and every year thereafter. This report should include specific information on the Department’s planned investments for the 

next 5-year fiscal period, including: the cost of procuring and maintaining all materials placed in SNS, the costs associated with maintaining existing research and development contracts for medical 

countermeasures, and the costs associated with anticipated new research and development contracts for medical countermeasures. 

Strategic Investor 

The Committee recommendation includes $20,000,000 to create 

the Strategic Investor program. The purpose of this program is to 

provide financial support and business expertise to emerging biodefense companies that develop medical countermeasures for the 

Federal stockpile. The administration requests $50,000,000 for this 

activity. Funding was not provided in fiscal year 2012. 

Medical Countermeasure Dispensing 

The Committee recommendation includes $5,000,000, the same 

as the administration request, for the Medical Countermeasure 

Dispensing program. Funding for this program was last provided 

in fiscal year 2010. 

Funding provided by the Committee will support the continued 

implementation of the National Postal Model, which provides for 

the delivery of medical countermeasures through the U.S. Postal 

Service during a bioterrorist attack. 

Other Activities 

The Committee recommendation includes the following amounts 

for the following activities within ASPR: 

—Operations—$32,981,000; 

—Preparedness and Emergency Operations—$24,647,000; 

—National Disaster Medical System—$52,390,000; and 

—Policy, Strategic Planning, and Communications—$15,164,000. 

Office of the Assistant Secretary for Administration 

The Committee recommends $40,000,000 for information technology cybersecurity in the Office of the Assistant Secretary for Administration. This amount is the same as the administration request. The comparable funding level for fiscal year 2012 is 

$39,924,000. These funds provide for continuous monitoring and security incident response coordination for the Department’s computer systems and networks. 

Office of the Assistant Secretary for Health 

The Committee recommendation includes $10,971,000, the same 

as the administration request, for the medical reserve corps program in ASH. This program is a national network of local volunteers who work to strengthen the public health infrastructure and 

preparedness capabilities of their communities. The comparable 

funding level for fiscal year 2012 is $11,247,000. 
155 

Office of the Secretary 

The Committee recommendation includes $24,428,000 for activities within the Office of the Secretary. This amount is the same as 

the administration request. The comparable fiscal year 2012 funding level is $6,448,000. 

Lease Replacement 

The Committee recommendation includes $17,000,000, the same 

as the administration request, for relocation and fit-out costs associated with new long-term leases for HHS agencies. In fiscal year 

2012 funding for this activity was provided in the accounts of each 

HHS agency. 

Office of Security and Strategic Information 

The Committee includes $7,428,000 for the Office of Security and 

Strategic Information to secure and strengthen the Department’s 

critical assets. This amount is the same as the administration request. The comparable level for fiscal year 2012 is $6,448,000. 

PREVENTION AND PUBLIC HEALTH FUND

The PPH Fund was created in section 4002 of PPACA. The fund 

provides $12,500,000,000 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, PPACA specifically gives the Committee authority to 

transfer funds into Federal programs that support the goal of making America healthier. 

In fiscal year 2013, the level appropriated for the fund is 

$1,000,000,000, the same as the fiscal year 2012 level. The Committee includes bill language in section 220 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: 

Agency Account Program Committee recommendation 

CDC ................ Chronic Disease Prevention, Health Promotion, and Genomics.Community Transformation Grants ............. $280,000,000 

CDC ................ Immunization and Respiratory Diseases .... Section 317 Immunization Grants .............. 190,000,000 

CDC ................ Chronic Disease Prevention, Health Promotion, and Genomics.Office of Smoking and Health .................... 95,000,000 

CDC ................ CDC-Wide Activities .................................... Public Health Infrastructure grants ............ 40,200,000 

CDC ................ Emerging and Zoonotic Infectious Diseases Epidemiology and Laboratory Capacity 

Grants.

40,000,000 

CDC ................ Chronic Disease Prevention, Health Promotion, and Genomics.Racial and Ethnic Approaches to Community Health.40,000,000 

CDC ................ Environmental Health .................................. Environmental and Health Outcome Tracking Network.35,000,000 

CDC ................ Public Health Scientific Services ................ Health Surveillance and Statistics ............. 35,000,000 
156 

Agency Account Program Committee recommendation 

SAMHSA .......... Mental Health .............................................. Primary and Behavioral Healthcare Integration.35,000,000 

CDC ................ CDC-Wide Activities .................................... Public Health Workforce .............................. 25,000,000 

HRSA ............... Health Workforce ......................................... Public Health Training Centers ................... 25,000,000 

SAMHSA .......... Substance Abuse Treatment ....................... Screening, Brief Intervention and Referral 

to Treatment.

25,000,000 

SAMHSA .......... Health Surveillance and Program Support.Surveillance activities ................................. 18,000,000 

CDC ................ Emerging and Zoonotic Infectious Diseases.Healthcare Associated Infections ................ 11,750,000 

ACL ................. Aging and Disability Services ..................... Chronic Disease Self Management ............. 10,000,000 

CDC ................ Chronic Disease Prevention, Health Promotion, and Genomics.Diabetes Prevention Program ...................... 10,000,000 

CDC ................ Public Health Scientific Services ................ Guide to Community Preventive Services ... 10,000,000 

CDC ................ Chronic Disease Prevention, Health Promotion, and Genomics.Prevention Research Centers ...................... 10,000,000 

CDC ................ HIV/AIDS, Viral Hepatitis, STD, and TB Prevention.Viral Hepatitis Screening ............................ 10,000,000 

CDC ................ Chronic Disease Prevention, Health Promotion, and Genomics.Workplace Wellness grants ......................... 10,000,000 

SAMHSA .......... Mental Health .............................................. Suicide Prevention ....................................... 10,000,000 

CDC ................ Chronic Disease Prevention, Health Promotion, and Genomics.Breast Feeding Promotion and Support 

Grants.

7,050,000 

AHRQ .............. Health Costs, Quality, and Outcomes ......... U.S. Preventive Services Task Force ........... 7,000,000 

ACL ................. Aging and Disability Services ..................... Elderly Falls Prevention ............................... 7,000,000 

AHRQ .............. Health Costs, Quality, and Outcomes ......... Clinical Prevention Research Centers for 

Excellence.

5,000,000 

CDC ................ Chronic Disease Prevention, Health Promotion, and Genomics.Million Hearts Program ............................... 5,000,000 

CDC ................ Injury Prevention and Control ..................... Elderly Falls Prevention ............................... 3,000,000 

CDC ................ CDC-Wide Activities .................................... National Prevention, Health Promotion, and 

Public Health Council.

1,000,000 

GENERAL PROVISIONS

Section 201. The bill continues a provision placing a $50,000 ceiling on official representation expenses. 

Section 202. The bill continues a provision that limits the assignment of certain public health personnel. 

Section 203. The bill continues a provision limiting the use of 

certain grant funds to pay individuals more than an annual rate 

of executive level II. 

Section 204. 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. 

Section 205. The Committee recommendation continues a provision authorizing the transfer of up to 2.5 percent of PHS Act funds 

for evaluation activities. 

Section 206. 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. 

Section 207. The Committee recommendation continues a provision permitting the transfer of up to 3 percent of AIDS funds 

among ICs by the Director of NIH and the Director of the Office 

of AIDS Research at NIH. 

Section 208. The Committee recommendation retains language 

which requires that the use of AIDS research funds be determined 
157 

jointly by the Director of NIH 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. 

Section 209. The Committee recommendation continues a provision regarding requirements for family planning applicants. 

Section 210. 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. 

Section 211. 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. 

Section 212. The Committee recommendation modifies a provision which facilitates the expenditure of funds for international 

health activities. 

Section 213. The Committee recommendation continues a provision authorizing the Director of NIH to enter into certain transactions to carry out research in support of the NIH Common Fund. 

Section 214. The Committee continues a provision that permits 

CDC 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’’. 

Section 215. The Committee recommendation includes bill language allowing use of funds to continue operating the Council on 

Graduate Medical Education. 

Section 216. The Committee recommendation continues a provision permitting NIH to use up to $3,500,000 per project for improvements and repairs of facilities. 

Section 217. The Committee recommendation includes a provision that transfers funds from NIH to HRSA and AHRQ, to be used 

for National Research Service Awards. 

Section 218. The Committee recommendation modifies a provision requiring a publicly available Web site that details expenditures from the PPH Fund. 

Section 219. The Committee recommendation includes a new provision that rescinds unobligated mandatory funds from the Abstinence Education program. 

Section 220. The Committee recommendation includes a new provision transferring mandatory funds from section 4002 of the Patient Protection and Affordable Care Act to accounts within the Department for activities outlined under the heading ‘‘Prevention and 

Public Health Fund’’ in this report. 

Section 221. The Committee recommendation includes a new provision that allows the Director of CDC to detail staff in response 

to a public health emergency. 

Section 222. The Committee recommendation includes a new provision requiring fiscal year 2014 budget justifications to include 

certain FTE information with respect to PPACA. 

Section 223. The Committee includes a new provision requiring 

the Secretary to respond to certain correspondence. 
(158) 

TITLE III 

DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED

Appropriations, 2012 ............................................................................. $15,741,703,000 

Budget estimate, 2013 ........................................................................... 15,530,002,000 

Committee recommendation ................................................................. 15,840,103,000 

The Committee recommends an appropriation of $15,840,103,000 

for education for the disadvantaged. 

The President’s budget was based on the administration’s proposal to reauthorize the ESEA, but no such bill has passed the 

Senate. As a result, the Committee bill is based on current law for 

programs authorized under the ESEA. 

The programs in the Education for the Disadvantaged account 

help ensure that poor and low-achieving children are not left behind in the Nation’s effort to raise the academic performance of all 

children and youth. Funds appropriated in this account primarily 

support activities in the 2013–2014 school year. 

Grants to Local Educational Agencies 

Title I grants to 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 $14,616,457,000 for the title I 

grants to LEAs program. The comparable fiscal year 2012 level and 

budget request also are $14,516,457,000. 

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 $3,984,000 transferred to 

the Census Bureau for poverty updates, the Committee recommends an appropriation of $6,577,904,000, the same amount as 

the fiscal year 2012 level and budget request. 

For concentration grants, the Committee recommends 

$1,362,301,000, the same amount as the fiscal year 2012 level and 

budget request. 

For grants through the targeted formula, the Committee recommends $3,338,126,000. The comparable fiscal year 2012 level 

and budget request are $3,288,126,000. 

For grants through the EFIG formula, the Committee recommends $3,338,126,000. The comparable fiscal year 2012 level 

and budget request are $3,288,126,000. 

Of the funds available for title I grants to LEAs, up to $3,984,000 

shall be available on October 1, 2012; $3,771,296,000 will become 

available on July 1, 2013; and $10,841,177,000 will become avail-
159 

able on October 1, 2013. The funds that become available on July 

1, 2013, and October 1, 2013, will remain available for obligation 

through September 30, 2014. 

The Committee notes that the biggest barrier for homeless children and youth attempting to enroll in and attend school regularly 

is the lack of transportation. The Committee bill includes a new 

provision clarifying that title I funds may be used to address this 

transportation issue, as well as support homeless liaisons. 

The Committee also notes that the ESEA allows title I funds to 

be used to implement integrated student support services that address both the academic and nonacademic needs of students 

through partnerships of schools and nonprofit providers. The Committee believes, at the discretion of schools choosing to use funds 

for such activities, that such decisions should be based on evidence 

that the activities implemented will have a significant effect on student outcomes. 

School Improvement Grants 

The Committee recommendation includes $533,552,000, the same 

amount as the fiscal year 2012 level and budget request, for the 

SIG program. 

The Committee continues authority provided by prior appropriations acts that addresses several issues. First, it continues the expansion of the number of schools that may receive funds through 

the program. This language allows schools to be eligible for SIG if 

they are eligible for title I and have not made adequate yearly 

progress for at least 2 years or are in the State’s lowest quintile 

of performance based on proficiency rates. Second, language also allows States to make subgrants of not more than $2,000,000 to each 

participating school. And, a set-aside of up to 5 percent of the SIG 

appropriation may be used for national activities. 

The Committee continues to believe that the SIG program holds 

great promise for improving outcomes for students in our Nation’s 

lowest-achieving schools. At the request of three Committee members, the GAO analyzed certain aspects of the SIG program, focusing particularly on challenges for successful SIG implementation, 

the Department’s technical assistance and oversight activities, and 

State administration of SIG. Interim and final reports released 

during the past 12 months identified, among other things, that 

local capacity—such as the ability to attract and retain administrative staff with school turnaround expertise or high-quality teachers—influenced implementation, and that SIG interventions were 

often challenging for low-capacity districts. Further, the GAO found 

that third-party contractors rarely were reviewed for contract performance. The Committee believes the Department should implement effective strategies that address the GAO’s findings as soon 

as possible. 

The Committee also notes that Federal and non-Federal investments in school turnaround and comprehensive school reform have 

identified, developed, or supported research-proven, replicable models for struggling schools. Such schools now have a growing number 

of options to match their needs. Therefore, the Committee bill includes new language that will allow schools that receive SIG funds 
160 

the flexibility to choose and implement a research-proven, wholeschool reform model. 

The Committee believes that the Department needs to take additional steps to support parent engagement and family support 

through SIG and other programs and activities. The Committee 

notes that evidence-based parent education and family support 

models have been shown to increase parent knowledge of child development; provide early detection of developmental delays; and increase children’s school readiness and school success. The Committee directs the Department to address this issue through its national activities set-aside and other appropriate actions. 

Striving Readers 

The Committee recommends $159,698,000, the same amount as 

the comparable fiscal year 2012 level, to continue the Striving 

Readers initiative. The budget request proposes to consolidate this 

funding within a new Effective Teaching and Learning program 

under the administration’s reauthorization proposal. 

The Committee bill includes language that continues the competitive portion of the program as it was established in the fiscal 

year 2010 appropriations act. This comprehensive literacy program 

will advance literacy skills for all students, including English language learners and students with disabilities, from birth through 

grade 12. 

Migrant Education Program 

The Committee recommends $393,236,000, the same as the fiscal 

year 2012 level and budget request, for the migrant education program. 

The title I migrant education program authorizes grants to SEAs 

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 identify and improve services to the migrant student population. 

Neglected and Delinquent 

The Committee recommends $50,231,000, the same amount as 

the fiscal year 2012 level and budget request, for the title I neglected and delinquent program. 

This program provides financial assistance to SEAs for education 

services to neglected and delinquent children and youth in Staterun institutions and for juveniles in adult correctional institutions. 

States are authorized to set aside at least 15 percent, but not more 

than 30 percent, of their neglected and delinquent funds to help 

students in State-operated institutions make the transition into locally operated programs and to support the successful re-entry of 

youth offenders who are age 20 or younger and have received a secondary school diploma or its recognized equivalent. 

Evaluation 

The Committee recommends $1,594,000 for evaluation of title I 

programs. The budget request proposes to fund evaluation efforts 

through a comprehensive evaluation authority contained in the ad-
161 

ministration’s reauthorization proposal. The comparable fiscal year 

2012 amount is $3,194,000. 

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. 

The Committee bill also includes a new general provision in this 

title that clarifies the Department’s authority to reserve up to 0.5 

percent of each ESEA appropriation in the bill for evaluation of 

ESEA programs funded in this act. These resources are in addition 

to any funds specifically provided for evaluation purposes. The Department shall provide the Senate Committees on Appropriations 

and HELP with an evaluation plan not later than 10 days before 

the initial obligation of funds under the provision. 

High School Graduation Initiative 

The Committee recommends $48,809,000, the same amount as 

the fiscal year 2012 level, for the High School Graduation Initiative 

under title I, part H of the ESEA. The budget request does not include any funding for this program but proposes to fund related activities through a broader College Pathways and Accelerated 

Learning program. 

The High School Graduation Initiative provides competitive 

grants to LEAs or SEAs to implement effective high school graduation and re-entry strategies in schools and districts that serve students in grades 6 through 12 and have annual school dropout rates 

that are above their State’s average. Funds also are used for certain national activities, including evaluation, technical assistance, 

and dissemination of information on effective programs and best 

practices. 

Special Programs for Migrant Students 

The Committee recommends $36,526,000, the same amount as 

the fiscal year 2012 level and budget request, for Special Programs 

for Migrant Students. 

The Higher Education Opportunity Act of 2008 reauthorized the 

High School Equivalency Program [HEP] and College Assistance 

Migrant Program [CAMP] within the Special Programs for Migrant 

Students, and added a new provision allowing the Department to 

reserve up to 0.5 percent of the funds appropriated between the 

two programs for outreach, technical assistance, and professional 

development activities. In addition, under current law, if the total 

amount appropriated is below $40,000,000, the remaining funds 

are to be distributed between the two programs in the same proportion as the amounts available for each program the previous 

year. 

HEP projects are 5-year grants to institutions of higher education and other nonprofit organizations to recruit migrant students ages 16 and older 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 

post-secondary institution or a job-training program, or join the 

military. 
162 

CAMP projects are 5-year grants to institutions of higher education and nonprofit organizations to provide tutoring, counseling, 

and financial assistance to migrant students during their first year 

of postsecondary education. 

IMPACT AID

Appropriations, 2012 ............................................................................. $1,291,186,000 

Budget estimate, 2013 ........................................................................... 1,224,239,000 

Committee recommendation ................................................................. 1,291,186,000 

The Committee recommends $1,291,186,000 for impact aid. 

Impact aid provides financial assistance to school districts for the 

costs of educating children when enrollments and the availability 

of revenues from local sources have been adversely affected by the 

presence of Federal activities. Children who reside on Federal or 

Indian lands generally constitute a financial burden on local school 

systems because these lands do not generate property taxes—a 

major revenue source for elementary and secondary education in 

most communities. In addition, realignments of U.S. military forces 

at bases across the country often lead to influxes of children into 

school districts without producing the new revenues required to 

maintain an appropriate level of education. 

The Committee bill retains language that provides for continued 

eligibility for students affected by the deployment or death of their 

military parent, as long as these children still attend schools in the 

same school district. 

Basic Support Payments.—The Committee recommends 

$1,153,540,000, the same amount as the fiscal year 2012 level and 

budget request, for basic support payments. Under this statutory 

formula, payments are made on behalf of all categories of federally 

connected children, with a priority placed on making payments 

first to heavily impacted school districts and providing any remaining funds for regular basic support payments. 

Payments for Children With Disabilities.—The Committee bill includes $48,413,000, the same amount as the fiscal year 2012 level 

and the budget request, for payments for children with disabilities. 

Under this program, additional payments are made for certain federally connected children eligible for services under IDEA. 

Facilities Maintenance.—The Committee recommends $4,845,000, 

the same amount as the fiscal year 2012 level and budget request, 

for facilities maintenance. This activity provides funding for emergency repairs and comprehensive capital improvements to certain 

school facilities owned by the Department and used by LEAs to 

serve federally connected military dependent students. Funds appropriated for this purpose are available until expended. 

Construction.—The Committee recommends $17,441,000, the 

same amount as the fiscal year 2012 level and budget request, for 

the construction program. Formula and competitive grants are authorized to be awarded to eligible LEAs for emergency repairs and 

modernization of school facilities. 

The Committee recommendation includes bill language allowing 

these funds to be awarded entirely through the authorized formula. 

The budget request proposes to award funds on a competitive basis. 

Last year’s bill provided these funds entirely through competitive 

allocations. 
163 

Payments for Federal Property.—The Committee recommends 

$66,947,000, the same amount as the fiscal year 2012 level, for 

payments for Federal property. The budget request eliminates 

funding 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, 2012 ............................................................................. $4,544,596,000 

Budget estimate, 2013 ........................................................................... 2,436,203,000 

Committee recommendation ................................................................. 4,544,596,000 

The Committee recommendation includes $4,544,596,000 for 

school improvement programs. 

The President’s budget was based on the administration’s proposal to reauthorize the ESEA, but no such bill has passed the 

Senate. As a result, programs in this account are based generally 

on current law, as authorized under the ESEA. 

Effective Teaching and Learning: Literacy 

The Committee recommends no funds for the proposed Effective 

Teaching and Learning: Literacy program. The budget request is 

$186,892,000. Activities supported under this proposed program 

are instead funded under current law. 

The Effective Teaching and Learning: Literacy program would 

provide competitive grants to SEAs, or SEAs in partnership with 

appropriate outside entities, to support development and implementation of comprehensive, evidence-based State and local efforts 

to provide high-quality literacy programs aligned with college- and 

career-ready English language standards. 

Effective Teaching and Learning: Science, Technology, Engineering, 

and Mathematics 

The Committee recommends no funds for the proposed Effective 

Teaching and Learning: STEM program. The budget request is 

$149,716,000. Activities supported under this proposed program 

are instead funded under current law. 

The Effective Teaching and Learning: STEM would provide competitive grants to SEAs, or SEAs in partnership with appropriate 

outside entities, to support State and local efforts to implement a 

comprehensive strategy for the provision of high-quality STEM instruction and support to students from preschool through grade 12. 

Effective Teaching and Learning for a Well-Rounded Education 

The Committee recommends no funds for the proposed Effective 

Teaching and Learning for a Well-Rounded Education program. 

The budget request is $90,000,000. Activities supported under this 

proposed program are instead funded under current law. 

The Effective Teaching and Learning for a Well-Rounded Education program would provide competitive grants to high-need 

LEAs, SEAs, and institutions of higher education or nonprofit organizations in partnership with one or more high-need LEAs to support the development and expansion of innovative practices to improve teaching and learning across a well-rounded curriculum that 

includes the arts, health education, physical education, foreign lan-
164 

guages, civics and government, history, geography, environmental 

education, economics and financial literacy, and other subjects. 

College Pathways and Accelerated Learning 

The Committee recommends no funds for the proposed College 

Pathways and Accelerated Learning program. The budget request 

is $81,282,000. Activities supported under this proposed program 

are instead funded under current law. 

The College Pathways and Accelerated Learning program would 

support efforts to increase high school graduation rates and preparation for college matriculation and success by providing collegelevel and other accelerated courses and instruction in middle and 

high schools with concentrations of students from low-income families and in high schools with low graduation rates. 

State Grants for Improving Teacher Quality 

The Committee recommends $2,466,567,000, the same amount as 

the fiscal year 2012 level, for State grants for improving teacher 

quality. The budget request does not include any funding for this 

program but instead proposes $2,466,567,000 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 2013–2014 academic year. Of the funds provided, $785,126,000 will become available on July 1, 2013, and 

$1,681,441,000 will become available on October 1, 2013. These 

funds will remain available for obligation through September 30, 

2014. 

States and LEAs may use funds for a range of activities related 

to the certification, recruitment, professional development, and 

support of teachers and administrators. Activities may include reforming teacher certification and licensure requirements, addressing alternative routes to State certification of teachers, recruiting 

teachers and principals, and implementing teacher mentoring systems, teacher testing, merit pay, and merit-based performance systems. These funds may also be used by districts to hire teachers 

to reduce class sizes. 

The Committee bill modifies a set-aside included in prior year 

bills for competitive awards to national not-for-profit organizations 

for recruiting, training, or providing professional enhancement activities for teachers or teachers and school leaders, particularly for 

high-need schools most likely to face shortages in these areas. The 

Committee recommends that up to 5.5 percent of funds available 

for the State grants for improving teacher quality program shall be 

used for this purpose; in fiscal year 2012, the set-aside was 1.5 percent. The bill language also differs slightly from prior years by allowing up to 10 percent of the set-aside funds to be used for related 

research, development, evaluation, dissemination, and technical assistance. 

Mathematics and Science Partnerships 

The Committee recommends $149,716,000, the same as the comparable fiscal year 2012 level, for the mathematics and science 

partnerships program. The budget request does not include any 
165 

funding for this program but instead proposes $149,716,000 for a 

new Effective Teaching and Learning: STEM program. 

The ESEA requires that when the appropriation for this program is higher than $100,000,000, the funds are to be distributed to 

States by formula. The Committee has been concerned that at recent appropriations levels, this funding has been spread too thinly 

among the States to make a significant impact. 

At the recommended funding level, the ESEA requires the Department to make competitive awards to eligible partnerships, 

which must include an engineering, math, or science department of 

an institution of higher learning and a high-need LEA. Partnerships will seek to improve the performance of students in the areas 

of math and science, including engineering, 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 Committee notes that it is including additional resources 

under FIE to create a new, evidence-based grant competition jointly administered by the Department and NSF that will focus on developing, evaluating, and scaling-up effective practices that can 

help increase student achievement in mathematics, and for related 

activities. 

Supplemental Education Grants 

The Committee recommendation includes $17,619,000, the same 

amount as the fiscal year 2012 level and budget request, 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 to the Secretary of the Interior for grants to 

these entities. The Committee bill continues 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, HHS, and Education for such services. 

21st Century Community Learning Centers 

The Committee recommends an appropriation of $1,151,673,000, 

the same amount as the fiscal year 2012 level and budget request, 

for the 21st Century Community Learning Centers 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 afterschool programs, recreational activities, drug and violence prevention, and family literacy programs 

for students and related services to their families. Centers must 

target their services to students who attend schools that are eligible to operate a schoolwide program under title I of the ESEA or 

serve high percentages of students from low-income families. 

A growing body of evidence demonstrates that students benefit 

academically from a longer school day, week, and year. The Com-
166 

mittee notes that some school districts have adopted strategies to 

extend the school day without significant new investments, such as 

through staggered school schedules and innovative partnerships 

with community partners. 

The Committee bill includes new language to expand the design 

options for subgrants under the 21st CCLC program for high-quality, afterschool, before school, summer learning, and expanded 

learning time programs. 

The Committee believes that SEAs should award grants to highquality programs that address individual student learning needs 

and student well-being. Funded programs should deliver services 

through a variety of high-quality and effective strategies for boosting learning and enrichment including afterschool, before school, 

summer school, or expanded day, week, or year opportunities; align 

with and complement, rather than replicate, the regular school day, 

by offering a range of activities that capture student interest and 

support student engagement to promote higher class attendance, 

reduce risk for retention or dropping out, and foster good health; 

integrate academics, enrichment, and skill development through 

hands-on experiences that make learning relevant and engaging; 

and actively address the specific learning needs and interests of all 

types of students, especially those who may benefit from approaches and experiences not offered in the traditional classroom 

setting. 

The Committee urges the Department to provide guidance and 

technical assistance to States, schools, and community partners on 

how to develop and maintain strong community-school partnerships, implement continuous quality improvement processes, and 

ensure that programs meet the needs of individual students. The 

Committee also urges the Department to consult with experts in 

the field, including State and local intermediaries, in creating and 

providing such guidance and technical assistance. The Committee 

directs the Department to refrain from giving priority to, showing 

preference for, or providing direction about whether communities 

should use these funds for afterschool, before school, summer 

school, or expanded school day programs, unless specifically requested by SEAs or LEAs. 

The Committee also directs the Secretary to report to Congress 

on the progress of the ESEA—No Child Left Behind waiver process 

initiated in the fall of 2011, specifically in terms of the impact on 

the 21st Century Community Learning Centers and student participation in, and access to, afterschool, before school, and summer 

learning programs, as a result of the flexibility provided to SEAs 

under waiver option 11. The Department should report on the 

number of children served and the centers/sites offering expanded 

learning in the 3 years preceding the waiver approval and the 3 

years following waiver approval, as well as the number of hours of 

and diversity of programming available to students through such 

grants at each site and the average cost of the programs (per student and per site) before and after waiver approval. All data should 

be provided at the State level. 
167 

State Assessments and Enhanced Assessment Instruments 

The Committee recommends $389,214,000, the same amount as 

the fiscal year 2012 level and budget request, for State assessments 

and enhanced assessment instruments. 

This program has two components. The first provides formula 

grants to States to pay the cost of developing and implementing 

standards and assessments required by the ESEA. The Committee 

provides $380,000,000 for this purpose. 

Under the second component—grants for enhanced assessment 

instruments—appropriations in excess of the State assessment program are used for a competitive grant program designed to support 

efforts by States to improve the quality and reliability of their assessment systems. The Committee recommendation for the second 

component is $9,214,000. 

The Committee urges the Department to place a high priority in 

the fiscal year 2013 enhanced instruments grant competition on 

improving 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. 

Education for Homeless Children and Youth 

For carrying out education activities authorized by title VII, subtitle B of the Stewart B. McKinney Homeless Assistance Act, the 

Committee recommends $65,173,000. This amount is the same as 

the budget request and the comparable fiscal year 2012 level. 

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 Youth Program, SEAs 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 bill also includes language under the Education 

for the Disadvantaged account clarifying the availability of title I 

funds for services to homeless children and youths. 

Training and Advisory Services 

For training and advisory services authorized by title IV of the 

Civil Rights Act, the Committee recommends $6,962,000. This is 

the same amount as the budget request and the comparable fiscal 

year 2012 level. 

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. 
168 

Education for Native Hawaiians 

For programs for the education of Native Hawaiians, the Com- mittee recommends $34,181,000. This is the same amount as the 

budget request and the comparable fiscal year 2012 amount. 

The Committee bill continues a provision that allows funding 

provided by this program to be used for construction. 

Alaska Native Educational Equity 

The Committee recommends $33,185,000, the same amount as 

the fiscal year 2012 level and 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 continues language that allows funding provided by 

this program to be used for construction. The Committee bill also 

includes language overriding the authorizing statute’s requirement 

to make noncompetitive awards to certain organizations. 

The Committee is aware that the ESEA includes a priority for 

funding under this program for applications from Alaska Native regional nonprofit organizations, or consortia that include at least 

one Alaska Native regional nonprofit organization. Therefore, the 

Committee directs the Department to distribute funding for new 

awards under this program based only on the priority authorized 

under part C of title VII of the ESEA. Within 180 days of enactment of this act, the Committee also directs the Department to prepare and submit a report on activities funded under this program, 

including how such activities are achieving the purposes of the program as authorized in the ESEA. The report should also include a 

plan on how the Department will work to improve consultation 

with and participation of Alaska Native organizations, Alaska Native regional nonprofit organizations, or consortia that include at 

least one Alaska Native regional nonprofit organizations in the program. 

Rural Education 

The Committee recommends $179,193,000, the same amount as 

the fiscal year 2012 level and budget request, for rural education 

programs. 

The Committee expects that rural education funding will be 

equally divided between the Small, Rural Schools Achievement 

Program, which provides funds to LEAs that serve a small number 

of students, and the Rural and Low-Income Schools Program, 

which provides funds to LEAs that serve concentrations of poor 

students, regardless of the number of students served. 

Comprehensive Centers 

The Committee recommends $51,113,000, the same amount as 

the fiscal year 2012 level and budget request, for the comprehensive centers program. 

These funds provide support to a network of 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, 
169 

and schools as identified through needs assessments undertaken in 

each region. The system currently includes 16 regional centers, 

which are charged with providing intensive technical assistance to 

SEAs to increase their capacity to assist LEAs and schools with 

meeting the goals of the ESEA, and content centers, which are organized by topic area. 

The Committee strongly supports the mission of the centers, particularly with regard to their role in helping develop State capacity 

to meet the needs of LEAs and schools. The Committee also believes that the centers play an important part in the Department’s 

system of technical assistance and appreciates the steps the Department has taken to align and coordinate its various technical 

assistance activities. The Committee encourages the Department to 

continue its efforts in coordinating its technical assistance activities and requests that the Department describe these efforts and 

future plans in the fiscal year 2014 congressional budget justification. 

INDIAN EDUCATION

Appropriations, 2012 ............................................................................. $130,779,000 

Budget estimate, 2013 ........................................................................... 130,779,000 

Committee recommendation ................................................................. 130,779,000 

The Committee recommends $130,779,000 for Indian education 

programs. 

Grants to Local Educational Agencies 

For grants to LEAs, the Committee recommends $105,921,000, 

the same amount as the fiscal year 2012 level and 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 LEAs, 

schools supported and operated by the Department of the Interior/ 

Bureau of Indian Education, and in some cases directly to Indian 

tribes. 

Special Programs for Indian Children 

The Committee recommends $18,986,000, the same amount as 

the fiscal year 2012 level and budget request, for special programs 

for Indian children. 

Funds are used for demonstration grants to improve Indian student achievement through early childhood education and college 

preparation programs, and for professional development grants for 

training Indians who are preparing to begin careers in teaching 

and school administration. 

National Activities 

The Committee recommends $5,872,000, the same amount as the 

comparable fiscal year 2012 funding level and budget request, for 

national activities. 

Funds will be used to expand efforts to improve research, evaluation, and data collection on the status and effectiveness of Indian 

education programs, and to continue grants to tribal educational 

departments for education administration and planning. 
170 

INNOVATION AND IMPROVEMENT

Appropriations, 2012 ............................................................................. $1,527,536,000 

Budget estimate, 2013 ........................................................................... 4,332,166,000 

Committee recommendation ................................................................. 1,545,966,000 

The Committee recommends $1,545,966,000 for programs within 

the innovation and improvement account. 

The President’s budget was based on the administration’s proposal to reauthorize the ESEA, but no such bill has passed the 

Senate. As a result, programs in this account are based generally 

on current law. 

Race to the Top 

The Committee recommends $549,284,000 for the Race to the 

Top [RTT] program. The budget request includes $850,000,000 for 

this program. These funds are available for obligation through December 31, 2013. 

RTT, which was established in ARRA, has supported and 

incentivized reforms that are designed to reduce achievement gaps; 

improve student achievement, graduation rates, and college enrollments; and encourage the broad replication of effective practices. 

The Committee bill continues language allowing local school districts to be eligible for RTT grants and up to 5 percent of the appropriation for this program to be used for evaluation and technical 

assistance. 

Funds also may be used for Race to the Top–Early Learning 

Challenge [RTT–ELC], a component that was added in the fiscal 

year 2011 appropriations bill. The goal of RTT–ELC is to improve 

the quality of early learning and development and close the 

achievement gap for children with high needs. The RTT–ELC grant 

competition focuses on improving early learning and development 

for young children by supporting States’ efforts to increase the 

number and percentage of low-income and disadvantaged children 

in each age group of infants, toddlers, and preschoolers enrolled in 

high-quality early learning and development programs; and designing and implementing an integrated system of high-quality early 

learning and development programs and services. Grants may be 

made to States, or consortia thereof, which may make subgrants to 

appropriate entities. 

The Committee expects a significant portion of the fiscal year 

2013 appropriation to be used for RTT–ELC. In combination with 

additional resources allocated for the CCDBG and Head Start programs, the Committee expects these investments to help improve 

early learning and development systems and opportunities for 

young children. The Committee bill includes language requiring the 

Departments of Education and HHS to jointly administer RTT– 

ELC. 

The Committee applauds the Department’s efforts to ensure that 

rural areas have a fair opportunity to compete in recent grant competitions, including the LEA-level competition under RTT. The 

Committee directs the Department in developing any fiscal year 

2013 notice under RTT to provide an absolute priority for rural 

States or rural LEAs, as applicable. 
171 

Investing in Innovation 

The Committee recommends $149,417,000, the same amount as 

the fiscal year 2012 level, for the Investing in Innovation program. 

The budget request is $150,000,000 for this purpose. 

Investing in Innovation, which was established in ARRA, has 

provided a source for replicating education programs that meet the 

highest level of evidence; expanding those with significant levels of 

evidence; and supporting promising practices for which there is 

some level of appropriate research. The Committee supports this 

three-tier evidentiary model and believes that this feature of the 

program should continue to guide future funding opportunities and 

decisions. The Committee also appreciates the priority given to 

rural applicants in the last two competitions and believes that this 

priority should continue to be used in the fiscal year 2013 competition. The Committee expects the Department to distribute grants 

equally among the absolute priority categories unless there are an 

insufficient number of qualified grants for a particular category. 

The Committee bill continues language from last year’s bill providing up to 5 percent of the appropriation for this program to be 

used for evaluation and technical assistance. The Committee expects to be notified in advance of the proposed uses of these funds. 

The Committee bill also includes new language allowing up to 30 

percent of the funds for this program to be used to support ARPA– 

ED, a new organization that will be created to identify and promote 

advances in fundamental and applied sciences and engineering 

that could be translated into new learning technologies; to develop, 

test, and evaluate novel learning technologies and related processes; and to accelerate transformational technological advances. 

Prior to obligating any funds for ARPA–ED, the Committee directs 

the Department to provide the Senate Committees on Appropriations and HELP with a report describing the goals, planned activities, and organization related to this new effort. 

Effective Teachers and Leaders 

The Committee recommends no funding to create the Effective 

Teachers and Leaders State grant program. The budget request includes $2,466,567,000 for this program based on the administration’s reauthorization proposal. 

The Committee has provided $2,466,567,000 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 program. 

Effective Teachers and Leaders Innovation Fund 

The Committee recommends no funding to create the Effective 

Teachers and Leaders Innovation Fund. The budget request includes $400,000,000 for this program based on the administration’s 

reauthorization proposal. 

The Committee provides $299,433,000 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 program. 
172 

Teacher and Leader Pathways 

The Committee recommends no funding to create the Teacher 

and Leader Pathways program. The budget request includes 

$74,676,000 for this program based on the administration’s reauthorization proposal. 

The Committee provides resources under current law programs 

that may be used for similar purposes as those proposed under this 

new program. 

Expanding Educational Options 

The Committee recommends no funding to create the Expanding 

Educational Options program. The budget request includes 

$255,036,000 for this program based on the administration’s reauthorization proposal. 

The Committee provides resources under current law programs 

that may be used for similar purposes as those proposed under this 

new program. 

Transition to Teaching 

The Committee recommends $18,200,000 for the Transition to 

Teaching program. The budget request proposes an Excellent Instructional Teams initiative that could support activities carried 

out under this program, but includes no funds specifically for Transition to Teaching. The fiscal year 2012 level is $26,054,000 for this 

program. 

This program provides grants to help support efforts to recruit, 

train, and place nontraditional teaching candidates into teaching 

positions and to support them during their first years in the classroom. In particular, this program is intended to attract mid-career 

professionals and recent college graduates. Program participants 

are placed in high-need schools in high-need LEAs. 

School Leadership 

The Committee recommends $29,107,000, the same amount as 

the fiscal year 2012 level, for the school leadership program. The 

budget request proposes a Teacher and Leader Pathways program 

that could support activities funded through this program, but includes no funds specifically for school leadership. 

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 urges the Department to put a 

high priority on grants that prepare, place, and support school 

leaders in schools most in need of improvement, as defined by status as persistently lowest-achieving, priority, or focus schools. 

Charter Schools 

The Committee recommends a total of $254,836,000, the same 

amount as the fiscal year 2012 level, for the support of charter 

schools. The budget request proposes no dedicated funding for the 
173 

charter schools program, instead providing support for such activities through a broader Expanding Educational Options program. 

The Committee allocates the recommended funding as follows: $221,836,000 for charter school grants, up to $11,000,000 for State 

facilities incentives, not less than $11,000,000 for the credit enhancement for charter schools facilities program, and up to 

$11,000,000 for national activities designed to support local, State, 

and national efforts to increase the number of high-quality charter 

schools. 

The Charter Schools grants program supports the planning, development, and initial implementation of charter schools. SEAs 

that have the authority under State law to approve charter schools 

are eligible to compete for grants. If an eligible SEA does not participate, charter schools from the State may apply directly to the 

Secretary. 

Under the State facilities program, the Department awards 5- 

year competitive grants to States that operate per-pupil facilities 

aid programs for charters schools. Federal funds are used to match 

State-funded programs in order to provide charter schools with additional resources for charter school facilities financing. 

The credit enhancement program provides assistance to help 

charter schools meet their facility needs. Funds are provided on a 

competitive basis to public and nonprofit entities, to leverage nonFederal funds that help charter schools obtain school facilities 

through purchase, lease, renovation, and construction. 

The Committee continues bill language that allows the Secretary 

to reserve a portion of the charter school grant funds to make multiple awards to charter management organizations and other entities for the replication and expansion of successful charter school 

models that have a track record of success. This year’s bill requires 

that not less than $30,000,000 of funds available for charter school 

grants shall be used for this purpose. Last year’s bill caps this activity at $55,000,000 but only roughly $29,000,000 is expected to be 

used for this purpose. 

The Committee urges the Department to continue using a portion of the funds available for national activities to address issues 

related to services to students with disabilities enrolled in or interested in enrolling in charter schools, as well as efforts to strengthen charter authorizing practices that will result in a greater share 

of high-quality charter schools. 

Magnet Schools Assistance 

The Committee recommends $96,733,000, the same amount as 

the comparable fiscal year 2012 level, for the magnet schools assistance program. The budget request includes $99,611,000 for this 

purpose. 

This program supports grants to LEAs 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, salaries of instructional 

staff, and the purchase of technology, educational materials, and 

equipment. 
174 

Fund for the Improvement of Education 

The Committee recommends an appropriation of $85,735,000 for FIE. The fiscal year 2012 appropriation is $65,775,000 and the 

budget request is $36,276,000 for this purpose. 

Within programs of national significance, the Committee includes $29,000,000 to continue the initiative funded in last year’s bill that 

provides competitive awards to national not-for-profit organizations 

or school libraries for providing books and childhood literacy activities to children and families living in high-need communities. The 

Committee expects no less than 50 percent of these funds to be 

made available to applications from school libraries proposing highquality projects for increasing access to a wide range of print and 

electronic resources that provide learning opportunities to all students, but particularly those less likely to have access to such materials at home. 

The Committee recommendation also includes $19,235,000 for a 

new STEM initiative. A portion of these funds will be used jointly 

with funds provided to NSF for a program using a tiered-evidence 

model, similar to the Investing in Innovation program, that seeks 

to develop, evaluate, and scale-up proven practices that can help 

improve teaching and learning in mathematics. Another portion of 

the funds for this initiative will be used for STEM-related activities 

at IES to improve the evidence base for STEM programs across the 

Federal Government; this portion may also be used for providing 

technical assistance to other Federal agencies and the field to improve evaluations. 

Within programs of national significance, the Committee also recommends $2,950,000 to support inter-agency strategies to 

strengthen re-engagement activities and outcomes of Federal programs serving disconnected youth, $5,424,000 to continue awards 

for full-service community schools, $1,276,000 for data quality and 

evaluation initiatives, and $350,000 for peer review. It also includes $1,000,000 to support a new competition for operation of a 

clearinghouse on educational facilities, which will provide information on planning, designing, financing, building, maintaining, and 

operating safe, healthy, high-performance educational facilities, including early learning centers. 

Within the amount for FIE, the Committee also includes 

$26,500,000 for the Arts in Education program. The budget request 

includes funds for similar activities under its proposed Effective 

Teaching and Learning for a Well-Rounded Education program, but 

no funds specifically for arts in education. The fiscal year 2012 appropriation is $24,935,000. The funding is used for competitive 

awards for national nonprofit organizations engaged in arts education, professional development activities, and model arts education programs. Funds also are used for evaluation and dissemination activities, as well as a partnership with the National Endowment for the Arts. The Committee appreciates the recent release of 

the arts education report prepared by NCES. The Committee believes that this survey should be conducted more frequently than 

once every 10 years. The Committee also directs the Department 

to take more effective steps in disseminating what is being learned 

through the model and professional development grants funded 

under the Arts in Education program. 
175 

Teacher Incentive Fund 

The Committee recommendation includes $299,433,000, the same 

amount as the fiscal year 2012 level, for TIF. The budget proposal 

supports the program through a broader Teacher and Leader Innovation Fund based on the administration’s reauthorization proposal 

but includes no funding specifically for TIF. 

The goals of TIF are to improve student achievement by increasing teacher and principal effectiveness; reform compensation systems to reward gains in student achievement; increase the number 

of effective teachers teaching low-income, minority, and disadvantaged students, and students in hard-to-staff subjects; and other activities designed to increase the effectiveness of teachers, principals, and other personnel in high-need schools. 

Ready-To-Learn Television 

The Committee recommendation includes $27,194,000, the same 

amount as the fiscal year 2012 level, for the Ready-to-Learn Television program. The budget request proposes to fund similar activities through its proposed Effective Teaching and Learning: Literacy 

program, but includes no funding specifically for Ready-to-Learn. 

The Ready-to-Learn program is intended to use the power and 

reach of public television to help prepare children, especially disadvantaged children, enter and succeed in school. The ESEA requires that all programming and digital content created under 

Ready-to-Learn be specifically designed for nationwide distribution 

over public television stations’ digital broadcasting channels and 

the Internet. The act also requires funds to be made available to 

public telecommunications entities to ensure that these programs 

and related educational materials are disseminated and distributed 

to the widest possible audience and are made accessible to all 

Americans. 

Advanced Placement 

The Committee recommends $36,027,000 for AP programs. The comparable fiscal year 2012 level is $30,027,000. The budget request proposes to fund similar activities through its College Pathways and Accelerated Learning program, but does not include 

funding specifically for AP. 

These funds support two programs, the AP Test Fee program and 

the AP Incentive [API] program. The purpose of both 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 SEAs 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 SEAs, LEAs, or national nonprofit educational entities to expand access for low-income individuals to AP 

programs through activities including teacher training; development of pre-advanced placement courses; coordination and articulation between grade levels to prepare students for academic achievement in AP or IB courses; books and supplies; and participation in 

online AP or IB courses. Under the authorizing statute, the Department must give priority to funding the test fee program. 
176 

SAFE SCHOOLS AND CITIZENSHIP EDUCATION

Appropriations, 2012 ............................................................................. $255,753,000 

Budget estimate, 2013 ........................................................................... 295,866,000 

Committee recommendation ................................................................. 259,589,000 

The Committee recommends a total of $259,589,000 for activities 

to promote safe schools, healthy students, and citizenship education. 

The President’s budget was based on the administration’s proposal to reauthorize the ESEA, but no such bill has passed the 

Senate. As a result, the Committee bill is based on current law for 

programs authorized under the ESEA. 

Promise Neighborhoods 

The Committee recommends $80,000,000 for the Promise Neighborhoods program. The comparable fiscal year 2012 funding level 

is $59,887,000, and the budget request is $100,000,000. 

Funds are available for obligation through December 31, 2013. 

By providing an extra quarter to obligate these funds, the Committee gives fiscal year 2012 planning grantees sufficient time to 

develop implementation plans that could be funded by this bill and 

provides the Department ample time to evaluate whether prioryear implementation grantees are making significant progress required to justify the receipt of continuation awards in fiscal year 

2013. 

Competitive grants are awarded to nonprofit, community-based 

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 serves a highpoverty urban neighborhood or rural community. 

Two types of awards are 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. 

At the funding level recommended by the Committee, the Department could use roughly $67,000,000 to support implementation 

grants for prior planning grant recipients or communities with 

high-quality plans for achieving the goals of the program. Approximately $13,000,000 would be available for another round of planning grants and for technical assistance activities. 

Successful, Safe, and Healthy Students 

The Committee recommends no funds for this proposed new program, which is based on the administration’s reauthorization plan. 

The Committee has allocated funds for related current law programs, as described under the individual headings in this account. 

Under this program, the Department would award grants to 

SEAs, title I-eligible LEAs, and their partners for programs designed to improve the school culture and climate; improve students’ 
177 

physical health and well-being; and improve students’ mental 

health and well-being. 

Safe and Drug-Free National Activities 

The Committee recommendation includes $48,600,000 for the national activities portion of the Safe and Drug-Free Schools and 

Communities program. The comparable fiscal year 2012 funding 

level is $64,877,000. The budget request proposes to fund related 

activities within the proposed Successful, Safe, and Healthy Students program. 

The Committee recommendation includes funds for continuation 

costs related to safe and supportive schools grants and other activities. 

The Committee is aware of the Department’s work with elementary and secondary schools and institutions of higher education 

[IHEs] to support the successful adoption of the National Incident 

Management System [NIMS]. Since all schools and IHEs have a 

critical role in emergency management, it is important that they 

adopt NIMS at the organizational and operational levels as part of 

an integrated school and campus emergency management plan. 

Therefore, the Committee encourages the Department to continue 

to collaborate with the Department of Homeland Security, make 

widely available the guidance on the implementation of NIMS for 

schools and IHEs as part of all-hazard emergency management 

planning, and provide training resources on safety and security at 

large venues. 

Elementary and Secondary School Counseling 

The Committee recommends $52,296,000, the same amount as 

the comparable fiscal year 2012 funding level, to establish or expand counseling programs in elementary and secondary schools. 

The budget request recommends consolidating this program into its 

proposed Successful, Safe, and Healthy Students program, but does 

not include any funding specifically for counseling. As authorized, 

at least $40,000,000 must be used to support elementary school 

counseling programs. 

Carol M. White Physical Education for Progress Program 

The Committee recommendation includes $78,693,000, the same 

as the fiscal year 2012 level, to help LEAs and community-based 

organizations initiate, expand, and improve physical education programs for students in grades K–12. The budget request recommends this program into its proposed Successful, Safe, and 

Healthy Students program, but does not include any funding specifically for physical education. 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. 

ENGLISH LANGUAGE ACQUISITION

Appropriations, 2012 ............................................................................. $732,144,000 

Budget estimate, 2013 ........................................................................... 732,144,000 

Committee recommendation ................................................................. 732,144,000 
178 

The Committee recommends an appropriation of $732,144,000 for 

English language acquisition. 

The President’s budget was based on the administration’s proposal to reauthorize the ESEA, but no such bill has passed the 

Senate. As a result, the Committee bill is based on current law for 

programs authorized under the ESEA. 

The Department makes formula grants to States based on each 

State’s share of the Nation’s limited-English-proficient and recent 

immigrant student population. The program is designed to increase 

the capacity of States and school districts to address the needs of 

these students. The authorizing statute requires that 6.5 percent of 

the appropriation be used to support national activities, which include professional development activities designed to increase the 

number of highly qualified teachers serving limited-English-proficient students; a National Clearinghouse for English Language 

Acquisition and Language Instructional Programs; and evaluation 

activities. National activities funds shall be available for 2 years. 

The Committee bill continues language that requires the Secretary to use a 3-year average of the most recent data available 

from the American Community Survey for calculating allocations to 

all States under this program. 

SPECIAL EDUCATION

Appropriations, 2012 ............................................................................. $12,640,709,000 

Budget estimate, 2013 ........................................................................... 12,687,307,000 

Committee recommendation ................................................................. 12,770,709,000 

The Committee recommends an appropriation of $12,770,709,000 

for special education programs. 

Grants to States 

The Committee recommends $11,677,855,000, an increase of 

$100,000,000 more than the fiscal year 2012 level and budget request, for special education grants to States, authorized under section 611 of part B of the IDEA. 

This program provides formula grants to assist States, outlying 

areas, and other entities in meeting the costs of providing special 

education and related services for children with disabilities. States 

pass along most of these funds to LEAs, but may reserve some for 

program monitoring, enforcement, technical assistance, and other 

activities. 

The appropriation for this program primarily supports activities 

associated with the 2013–2014 academic year. Of the funds available for this program, $2,394,472,000 will become available on July 

1, 2013, and $9,283,383,000 will become available on October 1, 

2013. These funds will remain available for obligation through September 30, 2014. 

As requested by the administration, the Committee continues bill 

language capping the Department of the Interior set-aside at the 

prior year level, adjusted by the lower of the increase in inflation 

or the change in the appropriation for grants to States. This provision also would prevent a decrease in the amount to be transferred 

in case the funding for this program decreases or does not change. 

The bill also includes new language clarifying provisions of the 

IDEA. The first provision clarifies that penalties paid by States for 
179 

violating maintenance of effort under part B of the IDEA shall be 

reallocated to States by formula to those States that did not violate 

those requirements. The language further clarifies that both the reduced State allocations due to penalties paid and increased 

amounts under the reallocation shall not be considered in fiscal 

year 2013 or future years for allocations under the statutory formula. These provisions are included in the administration’s budget 

request. 

The bill also includes new language clarifying that the level of 

effort under part B that an LEA must meet in the year after it fails 

to maintain its fiscal effort is the level that it should have met in 

the prior year. This language clarifies congressional intent and is 

consistent with OSEP’s April 4, 2012, informal guidance letter on 

the issue. Finally, the bill includes language clarifying that funds 

reserved under section 611(c) of the IDEA may be used to help improve State capacity to meet data collection requirements under 

the IDEA and improve data collection, quality, and use under the 

act. 

Preschool Grants 

The Committee recommends $372,646,000, the same amount as 

the fiscal year 2012 level and budget request, 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 LEAs. 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 $462,710,000, the same amount as 

the budget request, for the grants for infants and families program 

under part C of the IDEA. The comparable fiscal year 2012 level 

is $442,710,000. Part C of the IDEA authorizes formula grants to 

States, outlying areas, and other entities to implement statewide 

systems for providing early intervention services to all children 

with disabilities, ages 2 and younger, and their families. The IDEA 

also gives States the option of extending eligibility for part C services to children 3 and older if they were previously served under 

part C and will continue to be served until entrance to kindergarten. 

As requested by the administration, the Committee bill includes 

new language allowing the Department to use up to $2,710,000 for 

incentive grants to States that choose to serve children 3 years old 

until entrance into elementary school. The IDEA currently allows 

up to 15 percent of the amount above $460,000,000 to be used for 

this purpose, which would be too small under the level of the Committee recommendation to effectively serve potentially interested 

States. 

State Personnel Development 

The Committee recommends $45,011,000, the same amount as 

the budget request, for the State personnel development program. 

The comparable fiscal year 2012 amount is $43,917,000. This pro-
180 

gram 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 SEAs 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 $46,781,000, the same amount as 

the budget request and fiscal year 2012 level, for technical assistance and dissemination. This program supports awards for technical assistance, model demonstration projects, the dissemination 

of useful information, and other activities. Funding supports activities that are designed to improve the services provided under the 

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. Prior to issuing new notices for fiscal year 2013 competitions, the Committee directs OSEP to develop a long-term strategic 

plan for its technical assistance activities that is aligned with its 

revised monitoring and data reporting structures as well as the Department’s other technical assistance activities. 

Personnel Preparation 

The Committee recommends $86,205,000 for the personnel prep- aration program. The budget request is $85,799,000 and the comparable fiscal year 2012 amount is $88,299,000. 

Funds support competitive awards to help address State-identified needs for personnel who are qualified to work with children 

with disabilities, including special education teachers and related 

services personnel. The program is required to fund several other 

broad areas, including training 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 $29,917,000 for parent information 

centers. The budget request and comparable fiscal year 2012 

amount are $28,917,000. This program makes awards to parent organizations to support parent training and information centers, including community parent resource centers. These centers provide 

training and information to meet the needs of parents of children 

with disabilities living in the areas served by the centers, particularly underserved parents and parents of children who may be inappropriately identified. 

Technology and Media Services 

The Committee recommends $29,588,000, the same amount as 

the budget request and comparable fiscal year 2012 level, for technology and media services. This program makes competitive 

awards to support the development, demonstration, and use of 

technology and educational media activities of value to children 

with disabilities. 
181 

PROMISE: Promoting Readiness of Minors in SSI 

The Committee recommendation includes $11,996,000 for PROMISE and makes these funds available for obligation through September 30, 2014. The budget request includes $30,000,000 for this 

activity. Last year’s bill provides $1,996,000 under this account, as 

well as additional resources from unclaimed VR State grant funds 

and funds provided to SSA. 

The goal of PROMISE is to improve outcomes, such as employment and completion of postsecondary education, of children who 

receive SSI, as well as their families. Competitive grants will be 

awarded to a small number of States for a period of 5 years. States 

will use funds to improve the coordination and increase the use of 

existing services for which children receiving SSI and their families 

are already eligible. The Committee includes new bill language requested by the administration that slightly modifies the program 

as it was initially created in last year’s bill. 

As requested by the administration, the Committee bill also includes new bill language that allows a portion of the funds provided to be used for Pay for Success awards, which are described 

in the highlights section in the introduction to the Committee report. The Committee expects to be notified prior to the issuance of 

any notice related to the Pay for Success activity. 

Special Olympics 

The Committee recommendation includes $8,000,000, the same 

amount as the fiscal year 2012 level and budget request, for Special Olympics education 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 its expansion 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 includes language requested by the administration allowing funds to be used to support Special Olympics National and World Games. This language was not included in last 

year’s bill, but has been included in bills from prior years. 

REHABILITATION SERVICES AND DISABILITY RESEARCH

Appropriations, 2012 ............................................................................. $3,511,281,000 

Budget estimate, 2013 ........................................................................... 3,581,313,000 

Committee recommendation ................................................................. 3,626,380,000 

The Committee recommends $3,626,380,000 for rehabilitation 

services and disability research. 

Vocational Rehabilitation State Grants 

The Committee recommends $3,230,972,000 for VR grants to 

States. The Committee recommends the full amount authorized by 

the Rehabilitation Act of 1973 for this mandatory funding stream. 

The comparable fiscal year 2012 level is $3,121,712,000. The fiscal 

year 2013 budget request is $3,167,369,000 and assumes several 

program consolidations and eliminations as part of a proposal to reauthorize WIA. While the Senate authorizing committee has made 

significant progress on a WIA reauthorization, legislation has not 
182 

yet passed the Senate. As a result, the Committee recommendation 

follows current law. 

Basic State grant funds assist States in providing a range of 

services to help persons with physical and mental disabilities prepare for and engage in meaningful employment. 

The Rehabilitation Act requires that not less than 1 percent and 

not more than 1.5 percent of the appropriation in fiscal year 2013 

for VR State grants be set aside for grants for Indians. 

The Committee bill continues language, as requested by the administration, allowing unmatched funds in excess of any funds requested during the reallotment process to be available for the 

PROMISE program described under the Special Education account 

and SSA. Such funds used for the PROMISE program will remain 

available for obligation through September 30, 2014. 

As requested by the administration, the Committee bill also includes new bill language that allows a portion of the funds provided under the PROMISE program to be used for Pay for Success 

awards, which are described in the highlights section in the introduction to the Committee report. The Committee expects to be notified prior to the issuance of any notice related to Pay for Success 

activity. The budget request also provides a $10,000,000 set-aside for 

WIF. The Committee does not recommend any funds for WIF from 

VR grants to States due to budget constraints, but instead recommends funding through the Department of Labor to continue 

this initiative. 

Client Assistance State Grants 

The Committee recommends $12,240,000 in discretionary funds, 

the same amount provided in fiscal year 2012 and the budget request, for the client assistance State grants program. 

The client assistance program funds State formula grants to help 

VR clients or client applicants understand the benefits available to 

them and work with service providers. States must operate client 

assistance programs in order to receive VR State grant funds. 

Training 

The Committee recommends $35,515,000, the same as the comparable fiscal year 2012 level, for training rehabilitation personnel. 

The budget request provides $30,188,000. 

The purpose of this program is to ensure that skilled personnel 

are available to serve the rehabilitation needs of individuals with 

disabilities. It supports training, traineeships, and related activities 

designed to increase the numbers of qualified personnel providing 

rehabilitation services. The program awards grants and contracts 

to States and public or nonprofit agencies and organizations, including institutions of higher education, to pay all or part of the 

cost of conducting training programs. 

Demonstration and Training Programs 

The Committee recommends $6,500,000 for demonstration and 

training programs; this amount is an increase of $1,175,000 above 

the comparable fiscal year 2012 funding level. The budget request 

includes $5,750,000. 
183 

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 recommendation includes $425,000 for new technical assistance activities, as requested in the budget, for RSA to 

direct program improvement resources to the areas of greatest need 

and assist the field to improve outcomes for individuals with disabilities. 

The Committee recommendation includes $750,000 to support a 

new competition for parent training and information centers, which 

provide information and training on transition planning, the adult 

service system, and strategies that prepare youth for successful 

employment, postsecondary education, and independent living outcomes. The Committee expects RSA to coordinate with OSEP in 

carrying out this activity. 

Migrant and Seasonal Farmworkers 

The Committee recommends $1,262,000, the same as the comparable fiscal year 2012 funding level, for migrant and seasonal 

farmworkers. The budget request proposes consolidating this program into the VR State Grants Program. 

This program provides grants for comprehensive rehabilitation 

services to migrant and seasonal farmworkers with disabilities and 

their families. 

Protection and Advocacy of Individual Rights 

The Committee recommends $18,031,000, the same amount provided in fiscal year 2012 and the budget request, for protection and 

advocacy of individual rights. 

This program provides grants to agencies to protect and advocate 

for the legal and human rights of persons with disabilities who are 

ineligible for protection and advocacy services available through 

the Developmental Disabilities Assistance and Bill of Rights Act or 

the Protection and Advocacy for Individuals with Mental Illness 

Act. 

Supported Employment State Grants 

The Committee recommends $29,068,000, the same as the comparable fiscal year 2012 level, for the supported employment State 

grant program. The budget request proposes consolidating this program into the VR State Grants program. 

This program assists the most severely disabled individuals by 

providing ongoing support needed to obtain competitive employment. 

Independent Living State Grants 

The Committee recommends $23,359,000, the same amount provided in fiscal year 2012 and the budget request, for independent 

living State grants. 

This program provides formula grants to States to improve independent living services, support the operation of centers for inde-
184 

pendent living, conduct studies and analysis, and provide training 

and outreach. 

Centers for Independent Living 

The Committee recommends $79,953,000, the same amount provided in fiscal year 2012 and the budget request, for independent 

living centers. 

These funds support consumer-controlled, cross-disability, nonresidential, community-based centers that are designed and operated within local communities by individuals with disabilities. 

These centers provide an array of independent living services. 

The Committee commends the work by these centers and encourages them to continue their efforts to facilitate the transition of individuals with significant disabilities from institutional settings to 

home and community based residences, and from school to postsecondary life, including employment. 

Independent Living Services for Older Blind Individuals 

The Committee provides $34,018,000, the same amount provided 

in fiscal year 2012 and the budget request, for independent living 

services to older blind individuals. 

Through this program, assistance is provided to persons aged 55 

or older to adjust to their blindness, continue living independently, 

and avoid societal costs associated with dependent care. Services 

most commonly provided by this program are daily living skills 

training, counseling, community integration, information and referral, the provision of low-vision devices and communication devices, 

and low-vision screening. 

Helen Keller National Center 

The Committee recommends $9,145,000 for the Helen Keller National Center for Deaf-Blind Youth and Adults. This is the same 

amount as the budget request and fiscal year 2012 level. 

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. 

National Institute on Disability and Rehabilitation Research 

The Committee recommends $108,817,000, the same as the comparable fiscal year 2012 level, for NIDRR. The budget request includes $106,817,000 for this purpose. 

NIDRR develops and implements a comprehensive and coordinated approach to the conduct of research, demonstration projects 

and related activities that enable persons with disabilities to better 

function at work and in the community, including the training of 

persons who provide rehabilitation services or conduct rehabilitation research. The Institute awards competitive grants to support 

research in federally designated priority areas, including rehabilitation research and training centers, rehabilitation engineering research centers, research and demonstration projects, and dissemi-
185 

nation 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. The 

Committee urges the Secretary to embrace NIDRR’s mission and 

enhance its stature and visibility within the Department. It also 

urges the NIDRR director to focus attention on ensuring that the 

practical implications of research outcomes are summarized and research activities and findings are made publicly available in a 

timely manner. 

Assistive Technology 

The Committee recommends $37,500,000 for assistive technology. 

The fiscal year 2012 funding level is $32,836,000. The budget request includes $30,840,000 for this purpose. 

The Assistive Technology program is designed to improve occupational and educational opportunities and the quality of life for people of all ages with disabilities through increased access to assistive 

technology services and devices. The program supports various activities that help States develop comprehensive, consumer-responsive statewide programs that increase access to, and the availability of, assistive technology devices and services. 

The Committee recommendation will ensure all 50 Statewide Assistive Technology programs, the District of Columbia, and outlying 

areas will receive the minimum grant provided under statute for 

the first time. 

The Committee recommendation includes $31,000,000 for State 

grant activities authorized under section 4 of the Rehabilitation Act 

of 1973, $5,500,000 for protection and advocacy systems authorized 

by section 5, and $1,000,000 for technical assistance activities authorized under section 6. The comparable fiscal year 2012 levels 

are $25,560,599, $4,282,890, and $996,114, respectively. 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES

AMERICAN PRINTING HOUSE FOR THE BLIND

Appropriations, 2012 ............................................................................. $24,505,000 

Budget estimate, 2013 ........................................................................... 24,505,000 

Committee recommendation ................................................................. 24,505,000 

The Committee recommends $24,505,000 to help support APH. 

APH provides educational materials to students who are legally 

blind and enrolled in programs below the college level. The Federal 

subsidy provides approximately 70 percent of APH’s total sales income. Materials are distributed free of charge to schools and States 

through per capita allotments based on the total number of students who are blind. Materials provided include textbooks and 

other educational aids in Braille, large type, recorded form, and 

computer applications. Appropriated funds may be used for staff 

salaries and expenses, as well as equipment purchases and other 
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acquisitions consistent with the purpose of the Act to Promote the 

Education of the Blind. 

NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

Appropriations, 2012 ............................................................................. $65,422,000 

Budget estimate, 2013 ........................................................................... 65,037,000 

Committee recommendation ................................................................. 65,422,000 

The Committee recommends $65,422,000 for NTID. This level 

supports operational costs only, as in fiscal year 2012. The budget 

request includes $2,000,000 for construction expenses in addition to 

operational costs. 

NTID, 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. NTID also provides support services for students who are deaf, trains professionals in the 

field of deafness, and conducts applied research. 

GALLAUDET UNIVERSITY

Appropriations, 2012 ............................................................................. $125,516,000 

Budget estimate, 2013 ........................................................................... 117,541,000 

Committee recommendation ................................................................. 125,000,000 

The Committee recommends $125,000,000 for Gallaudet University. 

Gallaudet University is a private, nonprofit institution offering 

undergraduate and continuing education programs for students 

who are deaf, as well as graduate programs in fields related to 

deafness for students who are hearing and deaf. The university 

conducts basic and applied research related to hearing impairments and provides public service programs for the deaf community. 

Federal funding also supports the Model Secondary School for 

the Deaf, which serves as a laboratory for educational experimentation and development; disseminates curricula, materials, and 

models of instruction for students who are deaf; and prepares adolescents who are deaf for postsecondary academic or vocational education or the workplace. The Kendall Demonstration Elementary 

School develops and provides instruction for children from infancy 

through age 15. 

The Committee bill includes $7,000,000 for construction-related 

activities at Gallaudet University. The administration does not request funds specifically for construction, but allows up to 

$7,000,000 to be set aside from operations for construction-related 

activities. 

CAREER, TECHNICAL, AND ADULT EDUCATION

Appropriations, 2012 ............................................................................. $1,737,154,000 

Budget estimate, 2013 ........................................................................... 1,737,154,000 

Committee recommendation ................................................................. 1,737,154,000 

The Committee recommends a total of $1,737,154,000 for career, 

technical, and adult education. 
187 

Career and Technical Education 

The Committee recommends $1,130,859,000, the same as the 

comparable fiscal year 2012 level and the budget request, for career 

and technical education [CTE]. 

State Grants.—The Committee recommends $1,123,030,000, the 

same as the comparable fiscal year 2012 level and budget request, 

for CTE State grants. 

Funds provided under the State grant program assist States, localities, and outlying areas expand and improve their CTE program 

and help ensure equal access to CTE 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. 

Under the Indian and Hawaiian Natives programs, competitive 

grants are awarded to federally recognized Indian tribes or tribal 

organizations and to organizations primarily serving and representing Hawaiian Natives for services that are additional to services received by these groups under other provisions of the Perkins 

Act. 

Of the funds available for this program, $332,030,000 will become available July 1, 2013, and $791,000,000 will become available on October 1, 2013. These funds will remain available for obligation until September 30, 2014. 

National Programs.—The Committee recommends $7,829,000 for 

national research programs and other national activities. This 

amount is the same as the comparable fiscal year 2012 funding 

level and the budget request. 

Funds are used to support the CTE national research center, as 

well as activities designed to improve the quality of performance 

data States collect and report to the Department. 

Adult Education 

The Committee recommends $606,295,000, the same as the fiscal 

year 2012 level and the budget request, for adult education. 

Adult Education State Grant.—For adult basic and literacy education State grants, the Committee recommends $594,993,000, the 

same as the fiscal year 2012 level and the budget request. 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 Committee recommendation continues the English literacy 

and civics education State grants set-aside within the adult education State grants appropriation. Within the total, $74,709,000 is 

available to help States or localities affected significantly by immigration and large limited-English populations to implement programs that help immigrants acquire English literacy skills, gain 

knowledge about the rights and responsibilities of citizenship, and 

develop skills that will enable them to navigate key institutions of 

American life. This set-aside is the same as the fiscal year 2012 

level and the budget request. 
188 

The budget request also provides a $15,000,000 set-aside for 

WIF, to be jointly administered by the Department and DOL. The 

Committee does not recommend any adult education funds for WIF 

due to budget constraints. Instead, the Committee provides WIF 

funding only through DOL. 

The budget request includes a general provision that provides 

the Secretary with the authority to waive statutes and regulations 

relating to title II of WIA and title I of the Rehabilitation Act of 

1973 when the Secretary believes waivers would substantially improve employment and education outcomes. The Committee does 

not include the general provision. 

National Leadership Activities.—The Committee recommends 

$11,302,000, the same amount as the fiscal year 2012 level and the 

budget request, for national leadership activities. 

The Committee urges the Department to strengthen adult education programs to increase the focus on adults with the lowest literacy and numeracy skills. A vital component of delivering these 

services to those individuals are community-based organizations 

that have successfully implemented strategies for delivering basic 

adult literacy instruction together with employment training. The 

Committee encourages the Department to work with DOL to identify promising approaches to succeed in this effort, including approaches that support the Department’s career pathways and postsecondary transition initiatives. In recognition of the critical role 

adult learners play in advising on successful learner outcomes, the 

Committee also requests that the Department work with national 

adult literacy organizations to identify and promote new capacity 

building initiatives on adult learner leadership and advisory roles 

in local programs. 

STUDENT FINANCIAL ASSISTANCE

Appropriations, 2012 ............................................................................. $24,535,281,000 

Budget estimate, 2013 ........................................................................... 24,685,281,000 

Committee recommendation ................................................................. 24,535,281,000 

The Committee recommends an appropriation of $24,535,281,000 

for programs under the student financial assistance account. 

Federal Pell Grant Program 

The Committee recommends $22,824,000,000 in discretionary 

funding, the same amount as the fiscal year 2012 level and the 

budget request, for the Pell grant program. This amount will support an increase in the maximum Pell grant award from $5,550 to 

$5,635—the first increase in the maximum award since fiscal year 

2010. 

Pell Grants provide need-based financial assistance that helps 

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. 

More than 9.6 million students are expected to receive a Pell 

grant during the 2012–2013 academic year. Of the 9.3 million students who relied on Pell Grants during the 2010–2011 award year, 
189 

74 percent had incomes or came from families with incomes less 

than or equal to $30,000. 

The Pell grant program is funded partly through the discretionary appropriations process and partly through mandatory funding. The HCERA included additional mandatory money for the program to increase the maximum grant by the Consumer Price Index 

beginning in academic year 2013–2014 as long as the discretionary 

portion of the funding is sufficient to support $4,860 of the maximum award. The Committee recommendation for fiscal year 2013 

meets that requirement, so it will trigger enough mandatory funding to add $775 ($85 more than in fiscal year 2012) to the maximum award on top of the discretionary portion, for a total maximum award of $5,635. 

In fiscal year 2012, Congress made several programmatic changes to the Pell grant program to close the $1,362,000,000 funding gap between the estimated cost of maintaining the maximum 

award and the discretionary funding level provided the previous 

year. These changes reduced program costs in fiscal year 2012 and 

into the future, and helped improve the fiscal sustainability of the 

Pell grant program. 

Together with mandatory funding from the HCERA and BCA, 

plus discretionary funding in the fiscal year 2012 Consolidated Appropriations Act, as well as $2,087,000,000 in cumulative surplus 

budget authority from previous fiscal years, the fiscal year 2013 

funding level will provide an estimated $1,839,000,000 more than 

is needed to support the discretionary base award of $4,860 and 

trigger the mandatory increase in the maximum award. This surplus will carry over into fiscal year 2014. 

While the Committee’s recommendation ensures there will be no 

funding gap in fiscal year 2013, the Committee is extremely concerned about the funding cliff expected in fiscal year 2014. If the 

discretionary funding for Pell grants were level funded again in fiscal year 2014, it is estimated that an additional $6,003,000,000 

would be needed to continue supporting the discretionary portion 

of the maximum award at $4,860. 

Ignoring this looming crisis would be irresponsible. Therefore, 

the Committee recommends three reforms to the student financial 

aid programs that will provide offsets that will not only put a down 

payment on the Pell grant program’s funding needs but also 

incentivize students to complete their education, eliminate excessive payments to guaranty agencies, and reduce fraud related to 

distance education programs. Together, these changes will produce 

$3,517,000,000 in savings in fiscal years 2013 and 2014, all of 

which will be put back into the Pell grant program to further reduce the funding cliff in fiscal year 2014. The remaining savings 

from these provisions will be applied in later years. 

First, the Committee recommendation includes bill language that 

limits the duration of a student borrower’s in-school interest subsidy to 150 percent of the normal time required to complete the 

educational program. For example, an undergraduate student enrolled in a 4-year bachelor’s degree program will be eligible to receive the in-school interest subsidy for up to 6 years. Currently, 

subsidized Stafford student loan borrowers receive the in-school interest subsidy the entire time they remain enrolled. The proposal 
190 

to limit the subsidy duration will encourage borrowers to complete 

their educational program in a timelier manner. The Committee 

recommendation will impact new borrowers only. The administration included a similar proposal in the budget request that would 

have applied to current borrowers as well. 

The second reform recommended by the Committee, and requested by the administration, will reduce the amount of loan rehabilitation funds that may be retained by guaranty agencies. 

A student borrower who has defaulted on his or her loan has the 

opportunity to rehabilitate it by making a series of nine payments 

over a 10-month period. The guaranty agency then sells the loan 

to an eligible lender, triggering the removal of the default status. 

Guaranty agencies are compensated in two ways through the rehabilitation process. First, they receive 18.5 percent of the original defaulted amount, plus an additional 18.5 percent collection fee that 

is charged to the borrower. This means the guaranty agency retains 37 percent of each loan rehabilitated. 

The Committee recommendation includes bill language that 

eliminates the guaranty agencies’ retention of 18.5 percent of the 

original balance and requires the guaranty agencies to remit the 

original balance to the Department, as opposed to selling the remaining 81.5 percent of the original balance to an eligible lender. 

In addition, the fee charged to borrowers will be capped at 16 percent as opposed to 18.5 percent. The Department estimates this 

policy will reduce borrower fees by $58,000,000 in fiscal year 2013. 

The Committee notes that many guaranty agencies are affiliated 

with not-for-profit servicers that will benefit from new loan servicing contracts awarded under the HCERA. These new contracts 

will reduce or even eliminate the financial impact of the proposed 

reform to the guaranty agencies. 

Third, the Committee recommendation includes a reform to limit 

Pell Grants to cover only tuition, fees, books, and supplies, and not 

room and board, for students enrolled in programs provided exclusively by distance education. The Committee notes that, with recent statutory changes that removed the restrictions on the eligibility of distance education programs for student financial aid, 

there has been a significant increase in the number of education 

programs offered solely online and in the number of students receiving Pell Grants to enroll in such programs. In September 2011, 

the Department’s Inspector General [IG] issued an Investigative 

Program Advisory Report alerting the Department about the 

growth of fraud in distance education programs. Specifically, the 

report noted that since 2005, 215 participants in 42 fraud rings 

have been convicted and ordered to pay $7,500,000 in restitution 

and fines and that 17 percent of the agency’s open cases are related 

to distance education fraud. The IG also expressed concern that the 

cost of attendance [COA] for distance education students includes 

an allowance for room and board, which is in contrast to the requirement for students enrolled in correspondence courses. The 

COA for those students excludes room and board. 

Therefore, the Committee includes new bill language that will 

limit the COA calculation for purposes of determining Pell grant 

award amounts. Only the costs of tuition, fees, books, and supplies 

will be included in the COA used to determine the Pell grant 
191 

award amount for an individual enrolled in an education program 

delivered exclusively online. Students enrolled in programs that 

are taught in an on-campus location, or taught using a mix of both 

on-campus instruction and instruction through distance education, 

will be unaffected by this reform. 

Protecting Financial Aid for Students and Taxpayers 

The Committee is disturbed by recent findings that some colleges 

and universities are using Federal student financial assistance 

funding for aggressive marketing, recruitment, and advertising 

rather than for the programs’ intended purpose—to help low- and 

middle-income students pursue an academic degree. 

At a time when Federal resources are scarce and students and 

families across the Nation are struggling to afford a college education, this practice should not be tolerated. 

To that end, the Committee includes bill language that prohibits 

all colleges and universities receiving funding through the HEA 

from spending Federal educational program dollars on advertising, 

marketing, and recruitment. Colleges and universities will continue 

to be free to spend however much they want on these activities; 

this provision simply stipulates that they cannot use Federal tax 

dollars that are intended for student aid and educational programs 

to do so. This reform will target Federal resources at educating students, as opposed to online advertisements and aggressive recruiters, and help ensure that taxpayers are getting a good return on 

their investment. 

Federal Supplemental Educational Opportunity Grant Program 

The Committee recommends $734,599,000 for the SEOG program. This amount is the same as the fiscal year 2012 level and 

the budget request. 

The SEOG program provides funds to postsecondary institutions 

for need-based grants to undergraduate students. Institutions must 

contribute at least 25 percent toward SEOG awards. Students qualify for grants of up to $4,000 by demonstrating financial need. 

School financial aid officers have flexibility to determine student 

awards, though they must give priority to Pell grant recipients 

with exceptional need. 

The budget request recommends reforming the SEOG allocation 

formula and redirecting SEOG funding from higher-priced and 

well-endowed institutions to lower-priced public and private institutions that enroll and graduate higher numbers of Pell-eligible 

students and restrain tuition increases. The budget request does 

not include any specific recommendations or bill language on how 

to accomplish these goals. The Committee supports the proposals 

in principle but believes they deserve more deliberation in Congress. 

Federal Work-Study Program 

The Committee bill provides $976,682,000 for the FWS program. 

This is the same amount as the comparable fiscal year 2012 level. 

The budget request includes $1,126,682,000 and directs the 

$150,000,000 in new funds to institutions opting to participate in 

an enhanced work-study partnership with prospective employers. 
192 

The budget request also recommends reforming the FWS allocation formula to target and incentivize funding toward institutions 

that enroll and graduate relatively high numbers of Pell-eligible 

students as well as offer lower, net tuition prices and fees and/or 

contain growth in tuition and fees. The budget request does not include bill language on this proposal and no hearings on the topic 

have been held in the Senate or House. The Committee supports 

the administration’s goals, but believes the proposal deserves more 

deliberation in Congress. 

This program provides grants to about 3,400 institutions to help 

an estimated 700,000 undergraduate, graduate, and professional 

students meet the costs of postsecondary education through parttime employment. Work-study jobs must pay at least the Federal 

minimum wage and institutions must provide at least 25 percent 

of student earnings. Institutions also must use at least 7 percent 

of their grants for community service jobs. 

The Committee recognizes that community service opportunities 

allow students to gain work experience and develop skills that they 

may be able to use in future careers and encourages the Department to bolster these opportunities at participating FWS institutions. 

The Committee expects the Department to provide the same 

funding from the FWS program appropriation in fiscal year 2013 

as in the prior year for the Work Colleges program authorized 

under section 448 of the HEA. 

Federal Perkins Loans 

The Federal Perkins loan program supports student loan revolving funds built up with capital contributions to nearly 1,700 participating institutions. Institutions use these revolving funds, 

which also include Federal capital contributions [FCCs], institutional contributions equal to one-third of the FCCs, and student repayments, to provide low-interest, subsidized loans that help financially needy students pay the costs of postsecondary education. 

The Committee recommends no new funds for the Perkins Loans 

program, as was the case in fiscal year 2012. The budget request 

proposes to restructure the Perkins Loan program as a mandatory 

credit program—and to expand institutional participation by up to 

an additional 2,700 postsecondary education institutions. The Committee bill does not include this proposal. 

STUDENT AID ADMINISTRATION

Appropriations, 2012 ............................................................................. $1,043,387,000 

Budget estimate, 2013 ........................................................................... 1,126,363,000 

Committee recommendation ................................................................. 1,126,363,000 

The Committee recommends $1,126,363,000 for the Student Aid 

Administration account. These funds are available until September 

30, 2014, and support the Department’s student aid management 

expenses. 

The HCERA terminated the authority under the HEA to make 

loans under the Federal Family Education Loan Program as of 

June 2010. Beginning July 1, 2010, 100 percent of student loans 

are now made through the William D. Ford Direct Loan Program 
193 

and are serviced by private for-profit and not-for-profit servicers 

under contract with the Department. The Committee recommendation includes $726,618,000 for administrative costs and $399,745,000 for loan servicing activities. 

The Committee recommendation for these two activities represents 

a combined $82,976,000 increase over the fiscal year 2012 level. 

The Committee recommendation reflects the increased application, 

origination, and servicing costs associated with the recent legislative changes. These increases are necessary to manage the higher 

loan volume, ensure the operational integrity of Federal student 

aid systems, and provide high-quality service to student and parent 

borrowers. 

The budget request includes a general provision transferring the 

Health Education Assistance Loan program from HHS to the Department. The Committee recommendation includes new bill language authorizing the transfer and provides $2,807,000 for the 

costs of managing and servicing outstanding loans. 

The Committee directs the Department to continue to provide 

quarterly reports detailing its obligation plan by quarter for spending mandatory and discretionary funding for student aid administrative activities broken out by servicer, activity, and funding 

source. 

HIGHER EDUCATION

Appropriations, 2012 ............................................................................. $1,869,656,000 

Budget estimate, 2013 ........................................................................... 2,914,064,000 

Committee recommendation ................................................................. 1,911,348,000 

The Committee recommends an appropriation of $1,911,348,000 

for higher education programs. 

Aid for Institutional Development 

The Committee recommends $531,076,000 for Aid for Institutional Development. This total and the recommended levels for 

each of the individual programs below are the same as the comparable levels for fiscal year 2012 and the budget request. 

Strengthening Institutions.—The Committee bill recommends 

$80,623,000 to provide competitive, 1-year planning and 5-year development grants for institutions with a significant percentage of 

financially needy students and low educational and general expenditures per student in comparison with similar institutions. Applicants may use these funds to develop faculty, strengthen academic programs, improve institutional management, and expand 

student services. 

Hispanic-Serving Institutions [HSIs].—The Committee recommends $100,432,000 for competitive grants to institutions at 

which Hispanic students make up at least 25 percent of enrollment. 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. In 

addition to the Committee-recommended level, the HCERA provides $100,000,000 of mandatory funding in each fiscal year 

through 2019 to support HSIs in the development of STEM and articulation programs. 
194 

Promoting Postbaccalaureate Opportunities for Hispanic Americans.—The Committee recommends $9,011,000 for competitive 5- 

year grants to HSIs to help Hispanic Americans gain entry into 

and succeed in graduate study. Institutions may use funding to 

support low-income students through outreach programs; academic 

support services; mentoring and financial assistance; acquisition, 

rental, or lease of scientific or laboratory equipment; construction 

and other facilities improvements; and purchase of educational materials. 

Strengthening Historically Black Colleges and Universities.—The 

Committee recommends $227,980,000 for the strengthening 

HBCUs program. The program makes formula grants to HBCUs 

that may be used to purchase equipment, construct and renovate 

facilities, develop faculty, support academic programs, strengthen 

institutional management, enhance fundraising activities, provide 

tutoring and counseling services to students, and conduct outreach 

to elementary and secondary school students. In addition to the 

Committee-recommended level, this program will receive 

$85,000,000 of mandatory funding through the HCERA in each fiscal year through 2019. 

Strengthening Historically Black Graduate Institutions 

[HBGIs].—The Committee recommends $58,958,000 for the 

Strengthening HBGIs program. This program provides 5-year 

grants to provide scholarships for low-income students and academic and counseling services to improve student success. Funds 

may also be used for construction, maintenance and renovation activities, the purchase or lease of scientific and laboratory equipment, and the establishment of an endowment. 

Strengthening Predominately Black Institutions [PBIs].—The 

Committee recommends $9,262,000 for the Strengthening PBIs program. This program provides 5-year grants to PBIs to plan and implement programs to enhance the institutions’ capacity to serve 

more low- and middle-income Black American students. In addition 

to the Committee-recommended level, the HCERA provides 

$15,000,000 of mandatory funding in each fiscal year through 2019 

to support programs at PBIs in the areas of STEM, health education, internationalization or globalization, teacher preparation, 

and improving the educational outcomes of African-American 

males. 

Strengthening Asian American and Native American Pacific Islander-Serving Institutions [AANAPISIs].—The Committee recommends $3,119,000 for 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 lowincome individuals. In addition to the Committee-recommended 

level, AANAPISIs will receive $5,000,000 of mandatory funding 

through the HCERA in each fiscal year through 2019 to develop 

faculty, strengthen academic programs, improve institutional management, and expand student services. AANAPISIs may also use 

mandatory funds for construction of classrooms, libraries, laboratories, and other instructional facilities. 
195 

Strengthening Alaska Native and Native Hawaiian-Serving Institutions.—The Committee recommends $12,859,000 for this program. In addition to the Committee-recommended level, these institutions receive $15,000,000 of mandatory funding through the 

HCERA in each fiscal year through 2019. 

The purpose of this program is to improve and expand the capacity of institutions serving Alaska Native and Native Hawaiian students and low-income individuals. Funds may be used to plan, develop, and implement activities that encourage faculty and curriculum development, better fund administrative management, renovation, and improvement of educational facilities, enhanced student services, the purchase of library and other educational materials, and education or counseling services designed to improve the 

financial and economic literacy of students or their families. 

Strengthening Native American-Serving Nontribal Institutions.— 

The Committee recommends $3,119,000 for this program, which 

serves institutions that enroll at least 10 percent Native American 

students and at least 50 percent low-income students. In addition 

to the Committee-recommended level, these institutions receive 

$5,000,000 of mandatory funding through the HCERA in each fiscal year through 2019 to help institutions 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 Tribally Controlled Colleges and Universities.— 

The Committee recommends $25,713,000 for this program. 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 receives $30,000,000 of mandatory 

funding through the HCERA in each fiscal year through 2019. 

International Education and Foreign Language Studies 

The bill includes a total of $75,729,000, the same as the budget 

request, for international education and foreign language programs. The comparable fiscal year 2012 level is $74,037,000. 

Funds are used to support visits and study in foreign countries 

by individuals who plan to utilize their language skills in areas 

vital to U.S. national security in the fields of government, international development, and the professions. 

Domestic Programs.—The Committee recommends $68,278,000 

for domestic program activities related to international education 

and foreign language studies under title VI of the HEA. This 

amount is the same as the budget request. The fiscal year 2012 

level is $66,586,000. Funding will support continuation awards in 

the national resource centers, foreign language and area studies 

fellowships, international business education projects and centers, 

language resource centers, and American overseas research centers. The Committee urges the Secretary to preserve the program’s 

longstanding focus on activities and institutions that address the 

Nation’s need for a strong training and research capacity in foreign 

languages and international studies, including increasing the pool 
196 

of international experts in areas that are essential to national security and economic competitiveness. 

The increase in funds over the fiscal year 2012 level should be 

used to support new awards in the Undergraduate International 

Studies and Foreign Language program. The Committee recognizes 

that study abroad helps prepare students to function effectively in 

a global environment and recommends funding to expand access to 

study abroad, as authorized by section 604(b) of the HEA, particularly for underserved student populations and to nontraditional 

destinations, especially in developing countries. 

Overseas Programs.—The Committee recommends $7,451,000 for 

overseas programs authorized under the Mutual Educational and 

Cultural Exchange Act of 1961, popularly known as the FulbrightHays Act. This amount is the same as the comparable fiscal year 

2012 funding level and the budget request. Funding is provided for 

group, faculty, or doctoral dissertation research abroad as well as 

special bilateral projects. Grants focus on training American instructors and students in order to improve foreign language and 

area studies education in the United States. 

Fund for the Improvement of Postsecondary Education 

The Committee recommends $43,494,000 for FIPSE. The comparable fiscal year 2012 funding level is $3,494,000 and the budget 

request for this program is $70,000,000. 

The Committee includes $39,000,000 to create the First in the 

World initiative, which will be modeled after the Investing in Innovation program. The budget request includes $55,500,000 for this 

new program. The initiative will help ensure institutions of higher 

education have access to and implement innovative strategies and 

practices that have been shown to be effective in improving educational outcomes and making college more affordable for students 

and families. The Committee recommends that up to $14,000,000 

be set aside for minority-serving institutions to improve their students’ persistence and completion rates while keeping costs under 

control. The Committee is particularly interested in supporting programs that target innovative strategies at low-income students. 

Training for Realtime Writers.—Within the total for FIPSE, the 

Committee recommendation includes $1,128,000 for the Training 

for Realtime Writers program authorized by section 872 of the 

HEA. This amount is the same as the fiscal year 2012 level. The 

budget request does not include funding for this program, which 

provides grants to institutions of higher education to establish programs to train realtime writers. Eligible activities include curriculum development, student recruitment, distance learning, mentoring, and scholarships. The program places a priority on encouraging individuals with disabilities to pursue careers in realtime 

writing. More than 30 million Americans are considered deaf or 

hard of hearing, and many require captioning services to participate in mainstream activities and gain access to emergency broadcasts. Federal law requires that all television broadcasts be closed 

captioned, yet a shortage of trained captioners is contributing to 

the barrier to full-quality captioning of realtime television programming such as news, weather, and emergency messaging. 
197 

Low-Income Single Parents.—The Committee recognizes the importance of providing targeted, supportive services to low-income, 

single-parent students, such as on-campus housing, child care, 

counseling, advising, internship opportunities, financial aid, and financial aid counseling and assistance. The Committee continues to 

encourage the Department to promote replication of best practices 

that have proven to successfully provide postsecondary degree completion opportunities for low-income single parents. 

The Committee includes new bill language, as proposed in the 

budget, allowing any funds from title III (Institutional Aid), title V 

(Developing Institutions), and part AA of title VIII (Masters and 

Postbaccalaureate Programs) of the HEA that would otherwise 

lapse to carry out an initiative to improve college completion rates 

at minority-serving institutions. 

Analysis of Federal Regulations and Reporting Requirements on 

Institutions of Higher Education.—The Committee directs 

$1,000,000 for the Secretary to enter into an agreement with the 

National Research Council of the National Academy of Sciences to 

conduct a study on the impacts of Federal regulations and reporting requirements on institutions of higher education as authorized 

under section 1106 of the Higher Education Opportunity Act of 

2008. The study shall include information describing, by agency, 

the number of Federal regulations and reporting requirements affecting institutions of higher education, the estimated time required and costs to institutions of higher education (disaggregated 

by types of institutions) to comply with the regulations and reporting requirements affecting institutions of higher education, and recommendations for consolidating, streamlining, and eliminating redundant and burdensome Federal regulations and reporting requirements affecting institutions of higher education. The study 

shall be submitted to the Senate and House Committees on Appropriations, as well as the Committee on HELP and the Committee 

on Education and the Workforce not later than 1 year after the 

date of enactment of this act. 

Model Comprehensive Transition and Postsecondary Programs for 

Students With Intellectual Disabilities 

The Committee recommendation includes $10,957,000 for this 

program as authorized by section 769 of the HEA. This is the same 

level that was provided in fiscal year 2012. The budget request includes $10,978,000 for this purpose within FIPSE rather than as 

a distinct program. 

These funds provide competitive grants to postsecondary institutions to establish model programs to help students with intellectual 

disabilities transition to and complete college. Funds may be used 

for student support services; academic enrichment, socialization, or 

independent living; integrated work experiences; and partnerships 

with LEAs to support students with intellectual disabilities participating in the model program who are still eligible for special education and related services under the IDEA. 

Funds also support a national coordinating center that is charged 

with conducting and disseminating research on strategies to promote positive academic, social, employment, and independent living 

outcomes for students with intellectual disabilities. 
198 

The Committee is aware that the national coordinating center 

has been unable to collect data about the characteristics of students served, course access, employment, and costs associated with 

creating these services because its evaluation system has yet to be 

approved. It is important for the Committee to learn which supports are successful in improving educational and employment outcomes for students with intellectual disabilities. Therefore, the 

Committee urges the Department, in coordination with OMB, to finalize the national coordinating center’s evaluation system, so that 

data can be captured in a timely manner. 

Minority Science and Engineering Improvement 

The Committee recommends $9,466,000 for the Minority Science 

and Engineering Improvement program. This amount is the same 

as the comparable fiscal year 2012 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 $8,131,000 for tribally controlled 

postsecondary vocational institutions. This amount is the same as 

the comparable fiscal year 2012 funding level and the budget request. This program provides grants for the operation and improvement of tribally controlled postsecondary vocational institutions to 

ensure continued and expanding opportunities for Indian students. 

Federal TRIO Programs 

The Committee recommends $839,932,000, the same amount as 

the fiscal year 2012 level and budget request, for Federal TRIO 

programs. 

TRIO programs provide a variety of services to improve postsecondary education opportunities for low-income individuals and 

first-generation college students. Upward Bound offers disadvantaged high school students academic services to develop the skills 

and motivation needed to pursue and complete a postsecondary 

education; Student Support Services provides developmental instruction, counseling, summer programs, and grant aid to disadvantaged college students to help them complete their postsecondary education; Talent Search identifies and counsels individuals 

between ages 11 and 27 regarding opportunities for completing 

high school and enrolling in postsecondary education; Educational 

Opportunity Centers provide information and counseling on available financial and academic assistance to low-income adults who 

are first-generation college students; and the Ronald E. McNair 

Postbaccalaureate Achievement Program supports research internships, seminars, tutoring, and other activities to encourage disadvantaged college students to enroll in doctoral programs. 

The Committee is aware that the Department plans to reallocate 

fiscal year 2012 funds from the McNair Postbaccalaureate Achieve-
199 

ment program to the Upward Bound Math-Science program. Recognizing the importance of increasing attainment of doctoral degrees 

by students from disadvantaged backgrounds, the Committee directs the Department to submit a report, not later than 90 days 

after enactment of this act, on the impact of any proposed reduction on preparing and assisting students in the pursuit of doctoral 

degrees. Additionally, the Committee expects to be notified in advance of the obligation of any Federal TRIO funds for fiscal year 

2013 and urges the Department to restore any proposed reduction 

in funding to the McNair Postbaccalaureate Achievement program 

within available resources. 

Gaining Early Awareness and Readiness for Undergraduate Programs 

The Committee recommends $302,244,000 for GEAR UP. This 

amount is the same as the comparable fiscal year 2012 funding 

level and the budget request. GEAR UP funds are used by States 

and partnerships of colleges, middle and high schools, and community organizations to assist cohorts or students in middle and high 

schools serving a high percentage of low-income students. Services 

provided help students prepare for and pursue a postsecondary 

education. 

Graduate Assistance in Areas of National Need and Javits Fellowships 

The Committee recommends $30,909,000, the same amount as 

the fiscal year 2012 level and the budget request, to support the 

GAANN and Javits Fellowships programs. 

GAANN awards competitive grants to graduate academic departments and programs for fellowship support in areas of national 

need as determined by the Secretary. Javits Fellowships are 

awarded to students of superior ability who are pursuing doctoral 

degrees in the arts, humanities, and social sciences. Each fellowship consists of a student stipend to cover living costs and an institutional payment to cover each fellow’s tuition and other expenses. 

In fiscal year 2012, Congress consolidated the GAANN and Javits Fellowships programs, as proposed by the administration. The 

Committee recommendation for fiscal year 2013 includes new bill 

language allowing funds awarded under GAANN to be used to fund 

continuation costs for the Javits Fellowships program. 

The Committee urges the Department to ensure that the arts, 

humanities, and social science disciplines supported by the current 

Javits program are eligible fields for new and continuing grant 

competitions under the consolidated GAANN and Javits programs. 

The Committee requests that the Department provide a plan for 

the implementation of the consolidation. The report should be submitted to the Committee within 30 days of the enactment of this 

act. 

Teacher Quality Partnership Program 

The Committee recommends $42,833,000, the same as the fiscal 

year 2012 level, for the teacher quality partnership program. The 

budget request consolidates this program into a proposed new 

Teacher and Leader Pathways authority as part of the administra-
200 

tion’s plan for reauthorizing the ESEA. The Teacher Quality Partnership Program helps improve the quality of teachers working in 

high-need schools and early childhood education programs by creating model teacher preparation and residency programs. 

Child Care Access Means Parents in Schools 

The Committee recommends an appropriation of $15,970,000 for 

CCAMPIS. This amount is the same as the comparable fiscal year 

2012 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 child care program primarily serving the 

needs of low-income students enrolled at the institution. 

GPRA/Higher Education Act Program Evaluation 

The Committee recommends $607,000 to collect data associated 

with the Government Performance and Results Act and to evaluate 

programs authorized by the HEA. This amount is the same as the 

comparable fiscal year 2012 funding level and the budget request. 

Hawkins Centers of Excellence 

Because of budget constraints, the Committee does not recommend funding for the proposed new Hawkins Centers of Excellence. The budget request includes $30,000,000 for this program as 

a way to increase the talent pool of effective minority educators by 

expanding and reforming teacher education programs at minorityserving institutions. 

Race to the Top: College Affordability and Completion 

The budget request includes $1,000,000,000 to create the proposed Race to the Top: College Affordability and Completion initiative, which would provide competitive grants to States with strong 

records of, and commitments to, increasing college affordability, 

quality, and value. The Committee recognizes the importance of addressing rapidly increasing college costs and encouraging Statelevel reform of higher education policies, but it does not include 

funding for this program because of budget constraints. The Committee also notes that the Senate and House authorizing committees have held no hearings on this proposed initiative. 

The Committee notes that the concerns the administration has 

raised about rising college costs are very serious ones, and agrees 

that action is needed to reduce burdens on families and improve 

outcomes for students. The Committee bill funds the First in the 

World competition requested in the President’s budget as a first 

step toward tackling the challenges of college affordability and 

completion at the State and institution level. While the administration’s request for a new Race to the Top cannot be accommodated 

in this year’s bill, the Committee believes it is important for States 

to adopt reforms to higher education policies and practices that will 

reduce college costs for students. The Committee will continue to 

support these efforts and consider the Race to the Top proposal in 

the future, after additional deliberation in Congress. 
201 

HOWARD UNIVERSITY

Appropriations, 2012 ............................................................................. $234,064,000 

Budget estimate, 2013 ........................................................................... 234,064,000 

Committee recommendation ................................................................. 234,064,000 

The Committee recommends an appropriation of $234,064,000 for 

Howard University. Howard 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 43 percent of the university’s projected educational and general expenditures, excluding the hospital. The 

Committee recommends, within the funds provided, not less than 

$3,593,000 for the endowment program. 

Howard University Hospital.—Within the funds provided, the 

Committee recommends $28,834,000 for the Howard University 

Hospital. 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 PROGRAM

Appropriations, 2012 ............................................................................. $459,000 

Budget estimate, 2013 ........................................................................... 459,000 

Committee recommendation ................................................................. 459,000 

Federal Administration.—The Committee bill includes $459,000 

for Federal administration of the CHAFL program. These funds 

will be used to reimburse the Department for expenses incurred in 

managing the existing CHAFL loan portfolio during fiscal year 

2013. These expenses include salaries and benefits, travel, printing, 

contracts, and other expenses directly related to the administration 

of the CHAFL program. 

HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL

FINANCING PROGRAM ACCOUNT

Appropriations, 2012 ............................................................................. $20,502,000 

Budget estimate, 2013 ........................................................................... 20,502,000 

Committee recommendation ................................................................. 20,502,000 

The Committee recommends $20,502,000 for the HBCU Capital 

Financing Program. 

The Committee recommendation includes $20,150,000 to pay the 

loan subsidy costs in guaranteed loan authority under this program. This amount will support $320,350,000 in new loan volume 

in fiscal year 2013. The remaining $352,000 will be used for administrative expenses. 

The HBCU Capital Financing Program makes capital available 

to HBCUs for construction, renovation, and repair of academic facilities by providing a Federal guarantee for private sector construction bonds. Construction loans will be made from the proceeds 

of the sale of the bonds. As requested by the administration, the 

Committee retains bill language allowing the program to make 
202 

loans to public and private HBCUs without regard to the limitations within section 344(a) of the HEA. 

The Committee recommendation includes new bill language, as 

proposed in the budget request, that allows the loan subsidy funding to be available for 2 fiscal years. The Department has found 

that the 1-year timeframe to insure loans constrains the planning 

process for new program loans, decreasing the number of projects 

that can be considered for funding and limiting the Department’s 

ability to achieve the statutory mandate of ensuring that loans are 

fairly allocated among as many eligible institutions as possible. 

INSTITUTE OF EDUCATION SCIENCES

Appropriations, 2012 ............................................................................. $593,664,000 

Budget estimate, 2013 ........................................................................... 621,150,000 

Committee recommendation ................................................................. 618,661,000 

The Committee recommends $618,661,000 for IES. This account 

supports education research, development, dissemination, and evaluation; data collection and analysis activities; and the assessment 

of student progress. 

The Committee commends IES’s attempts to improve the rigor, 

relevance, and utilization of education research that leads to enhanced education policy and classroom practices. The Committee 

urges IES to continue its efforts in these areas, particularly 

through the regional educational laboratories and the research, development, and dissemination program. 

RESEARCH, DEVELOPMENT, AND DISSEMINATION

The Committee recommends $189,787,000, the same as the fiscal 

year 2012 level, for education research, development, and national 

dissemination activities. The budget request is $202,273,000. 

Funds are available for obligation for 2 fiscal years. These funds 

support 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 directs IES to continue support for research and 

development activities related to gifted and talented education that 

directly support learning and improve the academic achievement of 

gifted and talented students, including those who may not be formally identified as gifted and those who are from underrepresented 

populations. The Committee also directs IES to support a National 

Research Center on the Gifted and Talented and to ensure that 

gifted and talented education is reported in national reports produced by IES. 

The Committee is particularly supportive of IES’ research partnership work, which seeks to leverage investments in statewide, 

longitudinal data systems in supporting reform and data-based decisionmaking. The Committee believes that this work should include local partnerships that seek to integrate these statewide systems with local and State health and human service data systems 

for policy- and practice-relevant research on educational risk and 

resilience among disadvantaged students. 

The Committee continues to support IES research announcements that provide an opportunity for researchers to explore how 
203 

closed captions could be best used to increase literacy and to evaluate whether changes to closed captions might enhance their effect. 

STATISTICS

The Committee recommends $114,745,000 for data gathering and 

statistical analysis activities at NCES. The increase of $5,997,000 

provided above the fiscal year 2012 level will allow NCES to provide partial support to States that would like to benchmark their 

student performance against countries that participate in the Program for International Student Assessment. The budget request includes $114,745,000 for NCES. 

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. NCES also provides technical assistance to SEAs, LEAs, and postsecondary institutions. 

REGIONAL EDUCATIONAL LABORATORIES

The Committee recommends $57,426,000 to continue support for 

the regional educational laboratories. This amount is the same as 

the fiscal year 2012 level and the budget request. Funds available 

in this bill will continue to support a network of 10 laboratories. 

The laboratories are responsible for promoting the use and development of knowledge and evidence in broad-based systemic strategies 

to increase student learning and further school improvement efforts. The Committee appreciates the efforts of IES to strengthen 

the connections between practitioners and the research community, 

so that federally supported research is practical and meets the 

needs of the field. 

RESEARCH AND INNOVATION IN SPECIAL EDUCATION

The Committee recommends $59,905,000, an increase of 

$10,000,000 over the fiscal year 2012 funding level and the budget 

request, for research and innovation in special education conducted 

by the National Center for Special Education Research [NCSER]. 

At the Committee-recommended funding level, NCSER should be 

able to fund roughly $20,000,000 in new awards in fiscal year 2013. 

The Center addresses gaps in scientific knowledge in order to improve special education and early intervention services and outcomes for infants, toddlers, and children with disabilities. Funds 

provided to the center are available for obligation for 2 fiscal years. 

Under the Individuals with Disabilities Education Improvement 

Act of 2004, Congress established NCSER to improve the overall 

quality and rigor of the special education research conducted by the 

Department, and to ensure that the needs of children with disabilities are included throughout other research programs, data collection efforts, and related activities conducted at IES, OSEP, and 

other offices of the Department. The Committee therefore directs 

the Director to submit a report within 90 days of enactment on the 

Institute’s plans for a comprehensive research agenda for special 

education. 
204 

SPECIAL EDUCATION STUDIES AND EVALUATIONS

The Committee recommends $11,415,000 for special education 

studies and evaluations. This amount is the same as the fiscal year 

2012 level and the budget request. 

This program supports competitive grants, contracts, and cooperative agreements to assess the implementation of IDEA. Funds are 

also 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 $53,077,000, the same 

amount as the budget request, for statewide data systems. The fiscal year 2012 level is $38,077,000. 

This program supports competitive grants to SEAs to enable 

such agencies to design, develop, and implement statewide, longitudinal data systems to manage, analyze, disaggregate, and use individual data for students of all ages. Early childhood, postsecondary, 

and workforce information systems may be linked to such systems 

or developed with program funds. The Committee believes the Department should continue its efforts to ensure every State has the 

base support necessary to develop effective systems. Funds are 

available for obligation for 2 fiscal years. 

The Committee bill allows up to $20,000,000 to be used for 

awards to public or private agencies or organizations to support activities to improve data coordination, quality, and use at the local, 

State, and national levels. The Committee requests that, prior to 

obligating any funds for this purpose, the Department provide to 

the Committee an operating plan describing the proposed purpose 

and use of such funds. 

ASSESSMENT

The Committee recommends $132,306,000, the same amount as 

the budget request, to provide support for NAEP, a congressionally 

mandated assessment created to measure and report the educational achievement of American students in a range of subjects 

and analyze trends over time. The comparable fiscal year 2012 

amount is $138,306,000. 

Within the funds appropriated, the Committee recommends 

$7,690,000, the same amount as the budget request, for NAGB. 

The comparable fiscal year 2012 level is $8,690,000. NAGB is responsible for formulating policy for NAEP. 

DEPARTMENTAL MANAGEMENT

PROGRAM ADMINISTRATION

Appropriations, 2012 ............................................................................. $446,259,000 

Budget estimate, 2013 ........................................................................... 463,815,000 

Committee recommendation ................................................................. 448,470,000 

The Committee recommends $448,470,000 for program administration. 

Funds support personnel compensation and benefits, travel, rent, 

communications, utilities, printing, equipment and supplies, auto-
205 

mated data processing, and other services required to award, administer, and monitor Federal education programs. Support for 

program evaluation and studies and advisory councils also is provided under this account. 

The Committee recommendation includes $2,211,000, the same 

amount as the budget request, for building modernization activities 

for the Department. The fiscal year 2012 bill did not provide any 

resources for this purpose. 

The Committee is concerned with deficiencies in geography education at the elementary and secondary education levels and geographic education research in the United States. The Committee 

recognizes that a sound understanding of geography is critical to 

ensuring that the American workforce is qualified for jobs in 

geospatial technologies and other emerging industries. The Committee directs GAO to conduct a study on the status of geographic 

education and the ability of U.S. graduates to fill and retain skilled 

jobs, particularly in geospatial technologies. Additionally, recognizing fiscal constraints on States and LEAs, the Committee requests GAO to report on the challenges elementary and secondary 

schools face in providing geographic education within limited resources. 

OFFICE FOR CIVIL RIGHTS

Appropriations, 2012 ............................................................................. $102,624,000 

Budget estimate, 2013 ........................................................................... 105,318,000 

Committee recommendation ................................................................. 102,624,000 

The Committee recommends $102,624,000 for OCR. 

OCR is responsible for the enforcement of laws that prohibit discrimination on the basis of race, color, national origin, sex, disability, and age in all programs and institutions that receive financial assistance from the Department. 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 these civil rights requirements. 

The Committee finds troubling the continued high rates of outof-school suspension and expulsion evidenced in the Civil Rights 

Data Collection [CRDC]. Research demonstrates that over-reliance 

on suspension and expulsion does not improve school safety, does 

little to correct misbehavior, is associated with worse school-wide 

educational outcomes, and increases the likelihood of a student 

dropping out and having contact with the juvenile justice system. 

However, as the CRDC shows, some schools have successfully lowered suspension and expulsion rates and have demonstrated academic improvement in the process. 

The Committee applauds the Department for its recent expansion of the CRDC to include more data related to school discipline 

and climate. The Committee recommends further expansion of the 

CRDC to include a comprehensive set of school discipline data indicators such as: the grade level of students subject to discipline, the 

length of time of any exclusionary discipline action, and 

disaggregation by the general types of incidents giving rise to disciplinary action. Adequate collection and reporting of this informa-
206 

tion will engender the implementation of the types of evidencebased approaches to improving school discipline and climate that 

improve academic performance, student attendance, and perceptions of school safety while lowering disciplinary rates. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2012 ............................................................................. $59,820,000 

Budget estimate, 2013 ........................................................................... 62,401,000 

Committee recommendation ................................................................. 59,820,000 

The Committee recommends $59,820,000 for OIG. 

OIG 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 

Section 301. The bill continues a provision prohibiting the use of 

funds for the transportation of students or teachers in order to 

overcome racial imbalance. 

Section 302. The bill continues a provision prohibiting the involuntary transportation of students other than to the school nearest 

to the student’s home. 

Section 303. The bill continues a provision prohibiting the use of 

funds to prevent the implementation of programs of voluntary 

prayer and meditation in public schools. 

Section 304. The bill continues a provision giving the Secretary 

authority to transfer up to 1 percent of any discretionary funds between appropriations. 

Section 305. The bill continues a provision that allows the outlying areas to consolidate funds under title V of the ESEA. 

Section 306. The bill continues a provision that allows the Republic of Palau to receive certain Federal funds. 

Section 307. The bill includes a new provision changing the name 

of the Office of Vocational and Adult Education to the Office of Career, Technical, and Adult Education. 

Section 308. The bill contains a new provision that clarifies the 

Department’s authority to reserve up to 0.5 percent of each ESEA 

appropriation in the bill for evaluation of ESEA programs funded 

in this act. These resources are in addition to any funds specifically 

provided for evaluation purposes. The Department shall provide 

the Committees on Appropriations and HELP with an evaluation 

plan not later than 10 days before any funds are obligated under 

the provision. 

Section 309. The bill includes a new provision prohibiting all colleges and universities that receive funding through HEA from 

spending Federal educational program dollars on advertising, marketing, and recruitment. 

Section 310. The bill includes a new provision that reforms the 

student aid programs by eliminating the interest subsidy for new 

borrowers who remain in-school beyond 150 percent of their pro-
207 

gram length, reducing subsidies for guaranty agencies that rehabilitate defaulted loans, and reducing fraud related to distance education programs. The savings from these reforms are reappropriated into the Pell grant program. The provision will also allow 

certain students to become eligible for Pell grants through the ability to benefit option and to limit the number of not-for-profit student loan servicers. 
(208) 

TITLE IV 

RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR

SEVERELY DISABLED

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $5,375,000 

Budget estimate, 2013 ........................................................................... 5,396,000 

Committee recommendation ................................................................. 5,375,000 

The Committee recommends $5,375,000 for the Committee for 

Purchase from People Who Are Blind or Severely Disabled. 

The primary purpose of this program is to increase the employment opportunities for people who are blind or have other severe 

disabilities and, whenever possible, to prepare them to engage in 

competitive employment. 

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE

OPERATING EXPENSES

Appropriations, 2012 ............................................................................. $750,252,000 

Budget estimate, 2013 ........................................................................... 760,498,000 

Committee recommendation ................................................................. 760,498,000 

The Committee recommends $760,498,000 for the operating expenses of CNCS. 

The Committee recommendation is sufficient to maintain the 

number of AmeriCorps members at over 82,000. 

The Committee bill includes a consolidation of the Training and 

Technical Assistance grants into the State Commission grants. The 

Committee believes that this consolidation will create efficiencies 

at both the Federal and State levels of government by combining 

two State grants with overlapping purposes. 

CNCS, a corporation owned by the Federal Government, was established to enhance opportunities for national and community 

service. The Corporation makes grants to States, institutions of 

higher education, public and private nonprofit organizations, and 

others to create service opportunities for students, out-of-school 

youth, and adults. 

CNCS administers programs authorized under the Domestic Volunteer Service Act, the National and Community Service Trust Act, 

and the SERVE America Act. 

VISTA

The Committee recommends $95,300,000, the same as the budget request, for VISTA. The fiscal year 2012 level is $94,820,000. 

VISTA provides capacity building for small, community-based organizations with a mission of combating poverty. VISTA members 
209 

raise resources, recruit and organize volunteers, and establish and 

expand programs in housing, employment, health, and economic 

development activities. 

NATIONAL SENIOR VOLUNTEER CORPS

The Committee recommends $208,883,000 for the National Senior Volunteer Corps Programs. The fiscal year 2012 comparable 

level is $207,491,000 and the budget request is $207,883,000. 

Senior Corps is a collection of programs that connect Americans 

older than the age of 55 with opportunities to contribute their job 

skills and expertise to community projects and organizations. Programs include the Retired Senior Volunteer Program, the Foster 

Grandparent Program, and the Senior Companion Program. 

The Committee recommendation includes funding for the following activities in the following amounts: 

[In thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

request 

Committee 

recommendation 

Retired Senior Volunteer Program ............................................................. 50,204 50,299 51,299 

Foster Grandparent Program ..................................................................... 110,565 110,774 110,774 

Senior Companion Program ....................................................................... 46,722 46,810 46,810 

The Committee includes $1,000,000 above the request in the Retired Senior Volunteer Program [RSVP] to provide training and 

technical assistance to grantees as they begin to undergo the grant 

competition process set out in the SERVE America Act, scheduled 

to begin in fiscal year 2013. 

AMERICORPS STATE AND NATIONAL GRANTS

The Committee recommends $346,368,000 for AmeriCorps State 

and National Grants. The fiscal year 2012 level is $344,348,000. 

The budget request is $345,000,000. 

AmeriCorps State and National Grants provide funds to local 

and national organizations and agencies to address community 

needs in education, public safety, health, and the environment. 

Each of these organizations and agencies, in turn, uses its 

AmeriCorps funding to recruit, place, and supervise AmeriCorps 

members. AmeriCorps members receive a modest living allowance 

and other benefits proportional to their level of time commitment. 

In fiscal year 2009, Congress removed a long-standing provision 

capping the amount of funding that could be awarded as national 

direct grants. Fiscal year 2012 was the fourth year in which CNCS 

determined the funding balance between State and national direct 

awardees. The Committee requests a report, no later than 60 days 

after the beginning of fiscal year 2013, on the balance of awards 

between national direct grants, State competitive grants, and State 

formula awards for the 4 years prior to and the 4 years subsequent 

to the elimination of the statutory cap. The report should include 

a State-by-State analysis that includes number of members, number of grants, and dollar amounts for each State. 

The Committee is very supportive of the work being done by 

members supported by the national direct program; however, the 

Committee is concerned by the lack of support for rural America 
210 

in this program. The Committee directs CNCS to develop an action 

plan for how to create a more appropriate balance between urban 

and rural communities in the national direct program. The Committee encourages CNCS to engage organizations that specialize in 

addressing rural needs to determine the type of technical assistance that might increase their participation in this important program. 

National Civilian Community Corps [NCCC] 

The Committee recommendation includes $30,742,000 for NCCC. 

The comparable fiscal year 2012 level is $31,882,000 and the budget request is $30,110,000. The recommended reduction reflects the 

completion of one-time relocation activities related to the loss of the 

Perry Point campus. 

NCCC is a full-time, team-based residential program for men 

and women ages 18 to 24. Members are assigned to 1 of 5 campuses for a 10-month service commitment. 

The Committee is pleased by the creation of FEMA Corps, a new 

partnership between CNCS and the Federal Emergency Management Agency [FEMA]. This partnership is a welcome recognition of 

the significant contribution that NCCC teams have made to communities hardest hit by natural disasters. FEMA Corps will broaden this traditional mission of NCCC by creating a new Corps with 

additional responsibilities and training. Given that NCCC has routinely executed task orders from FEMA in the past, the Committee 

believes that allowing FEMA to deploy NCCC members directly 

will create sorely needed efficiencies in times of crisis. 

INNOVATION, DEMONSTRATION, AND ASSISTANCE ACTIVITIES

The Committee recommendation includes $54,215,000 for Innovation, Demonstration, and Assistance Activities. The comparable fiscal year 2012 level is $53,280,000. The budget request is 

$53,215,000. 

Within the funds provided for the Innovation account, the Committee includes $45,000,000 for the Social Innovation fund authorized under section 1807 of the SERVE America Act. The fiscal year 

2012 comparable level is $44,815,000. The budget request is 

$50,000,000. 

In addition, $5,000,000 is included for the Volunteer Generation 

Fund authorized under section 198P of the SERVE America Act, 

and $1,000,000 for MLK Service Day. The fiscal year 2012 comparable levels are $3,984,000 and $992,000, respectively. The budget request does not include funds for either activity. 

EVALUATION

The Committee recommendation includes $5,000,000, the same 

as the budget request, for CNCS evaluation activities. The fiscal 

year 2012 level is $2,994,000. 

The Committee intends that part of the increase in evaluation 

funds be used to continue the Civic Health Assessment, which is 

funded in Training and Technical Assistance in fiscal year 2012. 
211 

STATE COMMISSION GRANTS

The Committee includes $19,990,000 for State Commission 

grants. The fiscal year 2012 level is $15,437,000 and the budget request is $20,990,000. 

The recommended increase over the budget request reflects the 

Committee’s intention to consolidate the training and technical assistance grants into the State Commission Grants. The Committee 

believes that this consolidation will create efficiencies at both the 

Federal and State levels of government by combining two State 

grants with overlapping purposes. The Committee expects CNCS to 

develop measures to ensure that States adequately train new applicants and newly awarded grantees in accountability procedures. 

The Committee does not continue a provision in the fiscal year 

2012 bill that lowered the State minimum award to $200,000 from 

the $250,000 level prescribed in the SERVE America Act. 

The Committee is concerned that Commission grants are awarded based on a formula that does not take into account either the 

number of grants, the number of members, or the dollar amounts 

administered by any of the State commissions. As CNCS moves to 

consolidate training and technical assistance into this funding 

stream, the Committee encourages CNCS to consider linking the 

State Commission Grants more closely to their federally mandated 

workload. 

PAYMENT TO THE NATIONAL SERVICE TRUST

Appropriations, 2012 ............................................................................. $211,797,000 

Budget estimate, 2013 ........................................................................... 208,744,000 

Committee recommendation ................................................................. 208,744,000 

The Committee recommends an appropriation of $208,744,000 for 

making payments to the National Service Trust. 

The National Service Trust makes payments of Segal education 

awards, pays interest that accrues on qualified student loans for 

AmeriCorps participants during terms of service in approved national service positions, and makes other payments entitled to 

members who serve in the programs of CNCS. 

The recommended funding level is sufficient to support no less 

than the same number of servicemembers as were enrolled in fiscal 

year 2012. 

The Committee is aware that some institutions of higher education, in recognition and appreciation of members’ service, have 

agreed to match the Segal educational award either financially or 

through some other inducement. This is a practice that the Committee applauds and would like to encourage due to the increasing 

costs of higher education and limited resources for financial aid. To 

that end, the Committee directs CNCS to include in members’ endof-service packet of information a list of all institutions and programs in the country that match the educational award. The Committee further directs CNCS to make a current list available on its 

Web site and in the AmeriCorps portal. 
212 

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $82,843,000 

Budget estimate, 2013 ........................................................................... 88,000,000 

Committee recommendation ................................................................. 88,000,000 

The Committee recommends an appropriation of $88,000,000 for 

CNCS salaries and expenses. 

The salaries and expenses appropriation provides funds for staff 

salaries, benefits, travel, training, rent, equipment, and other operating expenses necessary for management of CNCS programs and 

activities. 

The Committee strongly supports efforts to redesign the outreach 

activities meant to recruit and support national service members 

with disabilities. The program should build on successful models of 

integration of persons with disabilities. The Committee notes that 

section 129(k) of the National and Community Service Act of 1990 

requires CNCS to reserve 2 percent of funds for disability training 

and support activities. Though flexibility exists to use excess funds 

in other ways, the Congress clearly intended this effort to be robust. Therefore, the Committee requests that CNCS begin to report 

in the annual congressional budget justification the amount for disability training and support activities proposed for the current fiscal year and the amount obligated in the 5 prior fiscal years. 

The Committee remains strongly supportive of service learning. 

The Committee encourages CNCS to work with the heads of State 

service commissions, former Learn and Serve America grantees, 

SEAs, and other relevant stakeholders to formulate a plan to advance service learning. The Committee further encourages CNCS to 

become a national resource on service learning by collecting and 

disseminating model curricula and public information on school districts that provide service learning opportunities for school-aged 

children. 

OFFICE OF INSPECTOR GENERAL

Appropriations, 2012 ............................................................................. $3,992,000 

Budget estimate, 2013 ........................................................................... 5,400,000 

Committee recommendation ................................................................. 5,400,000 

The Committee recommends an appropriation of $5,400,000 for 

the CNCS OIG. 

The OIG’s goals are to increase organizational efficiency and effectiveness within the Corporation and to prevent fraud, waste, and 

abuse. 

The recommended level of funding should allow the IG to hire 

three new criminal investigators, one criminal analyst, two auditors and an audit manager. 

ADMINISTRATIVE PROVISIONS

The Committee retains language in previous bills concerning four 

administrative provisions: requiring the Corporation to make any 

significant changes to program requirements or policy through 

rule-making (section 401), stipulating minimum share requirements (section 402), requiring that donations supplement and not 

supplant operations (section 403), and aligning requirements regarding the use of Education Awards at GI bill-eligible institutions 
213 

(section 404). The Committee bill does not include language requested by the administration to modify the SERVE America Act 

with respect to the Senior Corps grant award process. 

CORPORATION FOR PUBLIC BROADCASTING

Appropriations, 2012 ............................................................................. $444,159,000 

Appropriations, 2013 ............................................................................. 445,000,000 

Appropriations, 2014 ............................................................................. 445,000,000 

Budget estimate, 2015 ........................................................................... 445,000,000 

Committee recommendation, 2015 ....................................................... 445,000,000 

The Committee recommends $445,000,000 for CPB as an advance 

appropriation for fiscal year 2015. Two-year advance funding has 

been in place since 1975 to ensure the independence of public 

broadcasting programming. 

The majority of these funds go directly to local public television 

and radio stations to support their programming. CPB funds also 

support the creation of content for radio, television, and other platforms; system support activities that benefit the entire public 

broadcasting community; and CPB’s administrative costs. 

FEDERAL MEDIATION AND CONCILIATION SERVICE

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $46,163,000 

Budget estimate, 2013 ........................................................................... 47,045,000 

Committee recommendation ................................................................. 46,163,000 

The Committee recommends $46,163,000 for the Federal Mediation and Conciliation Service [FMCS]. FMCS provides mediation, 

conciliation, and arbitration services to labor and management organizations to prevent and minimize work stoppages and promote 

stable labor-management relationships. FMCS is also authorized to 

provide dispute resolution consultation and training to all Federal 

agencies. 

Within the total, the Committee recommendation includes up to 

$400,000, the same amount as the budget request, for labor-management partnership grants. This program was not funded in fiscal 

year 2012. These grants support innovative approaches to collaborative labor-management relationships to resolve potential problems, explore ways to improve productivity, and avert serious work 

stoppages. 

FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $17,604,000 

Budget estimate, 2013 ........................................................................... 16,000,000 

Committee recommendation ................................................................. 17,000,000 

The Committee recommends $17,000,000 for FMSHRC. 

FMSHRC provides administrative trial and appellate review of 

legal disputes under the Federal Mine Safety and Health Act of 

1977. Most cases involve civil penalties proposed by MSHA. 

FMSHRC’s administrative law judges [ALJs] decide cases at the 

trial level and the five-member Commission provides review of the 

ALJ decisions. 
214 

The comparable fiscal year 2012 funding level includes 

$2,680,000 in one-time costs associated with developing an electronic case management system and moving FMSHRC to new office 

space. Excluding these one-time costs, the Committee recommendation represents a $2,076,000 increase over the comparable fiscal 

year 2012 operating level. 

This increase in funding, and corresponding increases at DOL, 

supports continued Federal efforts to reduce the backlog of appealed cases up for review at FMSHRC. The rate of contested 

MSHA citations has more than quadrupled since 2006, resulting in 

a corresponding fourfold increase in the number of cases appealed 

to FMSHRC annually. For many years FMSHRC’s funding did not 

keep up with this added workload resulting in a significant increase in the number of backlogged cases awaiting review and the 

time it takes to process cases. This has created a dangerous incentive for mine operators to contest violations solely to delay enforcement. Congress provided additional resources over the last several 

years to increase capacity to process contested cases but at current 

funding levels FMSRHC is still only able to keep up with incoming 

cases. As a result, pending cases and processing times are expected 

to remain at approximately their current levels. The Committee 

recommendation allows FMSHRC to decrease the number of pending cases and the time it takes to process cases. 

INSTITUTE OF MUSEUM AND LIBRARY SERVICES

OFFICE OF MUSEUM AND LIBRARIES: GRANTS AND ADMINISTRATION

Appropriations, 2012 ............................................................................. $231,954,000 

Budget estimate, 2013 ........................................................................... 231,954,000 

Committee recommendation ................................................................. 231,954,000 

The Committee recommends $231,954,000 for IMLS. IMLS supports programs for museums and libraries that encourage innovation, provide lifelong learning opportunities, promote cultural and 

civic engagement, and improve access to a variety of services and 

information. 

The budget request proposes to consolidate the Conservation 

Project Support program with the Museums for America program 

and the 21st Century Museum Professionals program with the National Leadership program, for the purpose of simplifying and 

streamlining the grantee application process and IMLS’ management of these programs. The Committee supports these consolidations. 

The Committee encourages IMLS to consider allowing museums, 

as appropriate, to be considered as organizations that primarily 

serve and represent Native Hawaiians for eligibility purposes 

under the Native American/Native Hawaiian Museum Services program. 

Within the total for IMLS, the Committee recommendation includes the amounts below: 
215 

[in thousands of dollars] 

Budget activity Fiscal year 2012 

comparable 

Fiscal year 2013 

budget request 

Fiscal year 2013 Committee recommendation 

Library Services Technology Act: 

Grants to States ............................................................................... 156,365 156,365 156,365 

Native American Library Services ..................................................... 3,869 3,869 3,869 

National Leadership: Libraries .......................................................... 11,946 12,000 12,000 

Laura Bush 21st Century Librarian .................................................. 12,524 12,470 12,470 

Subtotal, LSTA .............................................................................. 184,704 184,704 184,704 

Museums Services Act: 

Museums for America ....................................................................... 18,030 20,643 20,643 

21st Century Museum Professionals ................................................ 1,969 ........................ ........................

Conservation Project Support ........................................................... 2,675 ........................ ........................

Native American/Hawaiian Museum Services .................................. 926 926 926 

National Leadership: Museums ........................................................ 5,911 7,880 7,880 

Subtotal, MSA ............................................................................... 29,449 29,449 29,449 

African American History and Culture Act ................................................ 1,410 1,410 1,410 

Administration ............................................................................................ 14,505 14,505 14,505 

Research, Analysis, and Data Collection .................................................. 1,886 1,886 1,886 

MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $5,989,000 

Budget estimate, 2013 ........................................................................... 11,000,000 

Committee recommendation ................................................................. 9,500,000 

The Committee recommends $9,500,000 for MACPAC. MACPAC 

was established in the Children’s Health Insurance Program Reauthorization Act of 2009 and is tasked with reviewing State and 

Federal Medicaid and Children’s Health Insurance Program access 

and payment policies and making recommendations to Congress, 

the Secretary of HHS, and the States on a wide range of issues affecting those programs. The Committee recommendation will allow 

MACPAC to continue to build capacity to carry out these activities. 

MEDICARE PAYMENT ADVISORY COMMISSION

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $11,778,000 

Budget estimate, 2013 ........................................................................... 12,210,000 

Committee recommendation ................................................................. 11,778,000 

The Committee recommends $11,778,000 for MedPAC, which 

provides independent policy and technical advice on issues affecting 

the Medicare program. 

NATIONAL COUNCIL ON DISABILITY

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $3,258,000 

Budget estimate, 2013 ........................................................................... 3,258,000 

Committee recommendation ................................................................. 3,258,000 

The Committee recommends $3,258,000 for the National Council 

on Disability [NCD]. NCD is mandated to make recommendations 
216 

to the President, Congress, the RSA, and NIDRR on issues of concern to individuals with disabilities. The Council gathers information on the implementation, effectiveness, and impact of the Americans with Disabilities Act and examines emerging policy issues as 

they affect persons with disabilities and their ability to enter or reenter the Nation’s workforce and to live independently. 

NATIONAL HEALTH CARE WORKFORCE COMMISSION

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. ........................... 

Budget estimate, 2013 ........................................................................... $3,000,000 

Committee recommendation ................................................................. 3,000,000 

The Committee recommendation includes $3,000,000 for the National Health Care Workforce Commission, which was authorized 

in PPACA but has not yet been funded. 

The Commission will serve as a resource to Congress, the President, and State and local entities in evaluating healthcare workforce needs, including assessing education and training activities to 

determine to what extent the demand for health workers is being 

met; identifying barriers to improved coordination at the Federal, 

State and local levels; and recommending changes to address those 

barriers. 

NATIONAL LABOR RELATIONS BOARD

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $278,306,000 

Budget estimate, 2013 ........................................................................... 292,800,000 

Committee recommendation ................................................................. 288,306,000 

The Committee recommends $288,306,000 for NLRB, which administers and enforces the National Labor Relations Act and protects employee and employer rights provided under that act. 

The Committee recommends an increase of $10,000,000 for 

planned relocation costs in fiscal year 2013. The General Services 

Administration has recommended that NLRB reduce its headquarters space and estimates that $10,000,000 will be needed for 

those associated costs. In future years this reduction in space is expected to reduce NLRB’s rent costs by approximately 30 percent, 

or $4,600,000 annually. 

NATIONAL MEDIATION BOARD

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $13,411,000 

Budget estimate, 2013 ........................................................................... 13,530,000 

Committee recommendation ................................................................. 14,411,000 

The Committee recommends $14,411,000 for the National Mediation Board [NMB], which mediates labor-management relations in 

the railroad and airline industries under the Railway Labor Act. 

The NMB mediates collective bargaining disputes, conducts elections to determine the choice of employee bargaining representatives, and administers arbitration of employee grievances. The 

Committee recommendation includes an increase over the com-
217 

parable fiscal year 2012 funding level to prevent backlogs of key 

workloads and to respond to oversight and reporting requirements 

included in the FAA Modernization and Reform Act of 2012. 

OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION

SALARIES AND EXPENSES

Appropriations, 2012 ............................................................................. $11,667,000 

Budget estimate, 2013 ........................................................................... 11,965,000 

Committee recommendation ................................................................. 11,667,000 

The Committee recommends $11,667,000 for the Occupational 

Safety and Health Review Commission [OSHRC]. OSHRC serves as 

a court to resolve disputes between OSHA and employers charged 

with violations of health and safety standards enforced by OSHA. 

RAILROAD RETIREMENT BOARD

The Railroad Retirement Board [RRB] administers the retirement/survivor and unemployment/sickness insurance benefit programs for railroad workers and their families under the Railroad 

Retirement Act and Railroad Unemployment Insurance Act. 

DUAL BENEFITS PAYMENTS ACCOUNT

Appropriations, 2012 ............................................................................. $50,904,000 

Budget estimate, 2013 ........................................................................... 45,000,000 

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

The Committee recommends $45,000,000 for the Dual Benefits 

Payments Account. This amount includes an estimated $3,000,000 

derived from income taxes on vested dual benefits. This appropriation provides for vested dual benefit payments to beneficiaries covered under both the railroad retirement and Social Security systems. 

FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT ACCOUNT

Appropriations, 2012 ............................................................................. $150,000 

Budget estimate, 2013 ........................................................................... 150,000 

Committee recommendation ................................................................. 150,000 

The Committee recommends $150,000 for Federal payments to 

the railroad retirement account. These funds reimburse the railroad retirement trust funds for interest earned on non-negotiated 

checks. 

LIMITATION ON ADMINISTRATION

Appropriations, 2012 ............................................................................. $108,649,000 

Budget estimate, 2013 ........................................................................... 112,415,000 

Committee recommendation ................................................................. 111,649,000 

The Committee recommends $111,649,000 for RRB’s costs associated with the administration of railroad retirement/survivor and 

unemployment/sickness benefit programs. This account limits the 

amount of funds in the railroad retirement and railroad unemployment insurance trust funds that may be used by the Board for administrative expenses. The Committee recommendation includes an 

increase over the comparable fiscal year 2012 funding level to support RRB’s transition to a new financial management system. 
218 

LIMITATION ON THE OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2012 ............................................................................. $8,155,000 

Budget estimate, 2013 ........................................................................... 8,820,000 

Committee recommendation ................................................................. 8,155,000 

The Committee recommends $8,155,000 for the RRB OIG. This 

Office conducts audits and investigations to protect the integrity of 

the RRB trust funds and provides comprehensive oversight of all 

RRB operations and programs. 

SOCIAL SECURITY ADMINISTRATION

PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

Appropriations, 2012 ............................................................................. $20,404,000 

Budget estimate, 2013 ........................................................................... 20,402,000 

Committee recommendation ................................................................. 20,402,000 

The Committee recommends $20,402,000 in mandatory funds for 

payments to Social Security trust funds. This account reimburses 

the Old Age and Survivors Insurance [OASI] and Disability Insurance [DI] trust funds for special payments to certain uninsured 

persons, costs incurred administering pension reform activities, and 

the value of the interest for benefit checks issued but not negotiated. This appropriation restores the trust funds to the same financial position they would have been in had they not borne these 

costs and they were properly charged to general revenues. 

SUPPLEMENTAL SECURITY INCOME PROGRAM

Appropriations, 2012 ............................................................................. $37,823,550,000 

Budget estimate, 2013 ........................................................................... 40,043,000,000 

Committee recommendation ................................................................. 40,043,000,000 

The Committee recommends $40,043,000,000 in fiscal year 2013 

mandatory funds for the SSI program. In addition, the Committee 

recommends $19,300,000,000, the same as the budget request, in 

advance funding for the first quarter of fiscal year 2014. The comparable advance provided last year for the first quarter of fiscal 

year 2013 is $18,200,000,000. The SSI program guarantees a minimum level of income to individuals who are disabled, blind, or 

older than age 65, and meet certain income and resource limitations. 

Federal Benefit Payments 

The Committee recommendation includes a fiscal year 2013 program level of $54,245,000,000, the same as the budget request, for 

Federal benefit payments. This includes a regular fiscal year 2013 

mandatory appropriation of $36,045,000,000 and a mandatory advance appropriation provided last year for the first quarter of fiscal 

year 2013 of $18,200,000,000. The comparable fiscal year 2012 program level is $47,557,000,000. The increase in fiscal year 2013 is 

largely the result of having 13 Federal monthly benefit payments 

compared with 11 in fiscal year 2012. Monthly SSI benefit payments are typically made on the first day of the month. But if the 

first day of the month falls on a weekend or holiday, the payment 

is accelerated to the previous business day. As a result, the number 

of monthly payments in some fiscal years can vary. In fiscal year 
219 

2013 the SSI program will provide an average monthly benefit of 

$544 to 8.2 million recipients. 

Beneficiary Services 

As in the budget request, the Committee recommendation does 

not include new mandatory budget authority for beneficiary services. The comparable fiscal year 2012 funding level is $47,000,000. 

Carryover of prior year unobligated balances will be sufficient to 

fund these activities in fiscal year 2013 and will support a fiscal 

year 2013 program level of $59,000,000. The comparable fiscal year 

2012 program level is $52,000,000. 

These funds reimburse 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 [ENs], including VR agencies, in exchange for employment and support services. Instead of reimbursing ENs for specific services, the Ticket to Work program pays ENs 

based on recipients achieving certain milestones and outcomes. 

Research and Demonstration 

The Committee recommendation includes $48,000,000, 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 2012 funding 

level is $7,998,000. Because of the availability of unobligated balances, these funds will support a fiscal year 2013 program level of 

$57,270,000, compared to $51,422,000 in fiscal year 2012. 

These funds support a variety of research and demonstration 

projects designed to improve the disability process, promote selfsufficiency and assist individuals in returning to work, encourage 

savings and retirement planning through financial literacy, and 

generally provide analytical and data resources for use in preparing and reviewing policy proposals. 

Within the total for research and demonstration, the Committee 

recommends $7,200,000, the same amount as the budget request, 

for the PROMISE program. The comparable fiscal year 2012 funding level is $2,800,000. This demonstration program is jointly administered by SSA and the Department of Education and includes 

interagency collaboration with the Departments of HHS and Labor. 

The goal of the PROMISE program is to test interventions that improve health, education, postsecondary, employment, and family 

outcomes for children receiving SSI by encouraging innovation and 

improving coordination between existing programs and services. In 

fiscal year 2013, the Department of Education expects to award 

competitive grants to a small number of States to test promising 

strategies. These funds at SSA will support program design and 

evaluation activities. 

Within the total for research and demonstration the Committee 

recommends $3,000,000 for a new demonstration program to test 

the impact of providing financial literacy information on the OASI, 

DI, and SSI programs to high school-aged youth. 
220 

Administrative Expenses 

The Committee recommendation includes $3,950,000,000, the 

same as the budget request, for SSI program administrative expenses. The comparable fiscal year 2012 funding level is 

$3,611,552,000. This appropriation funds the SSI program’s share 

of administrative expenses incurred through the Limitation on Administrative Expenses [LAE] account. 

LIMITATION ON ADMINISTRATIVE EXPENSES

Appropriations, 2012 ............................................................................. $11,445,192,000 

Budget estimate, 2013 ........................................................................... 11,755,000,000 

Committee recommendation ................................................................. 11,735,544,000 

The Committee recommends $11,735,544,000 for SSA’s LAE account. This account provides resources for SSA to administer the 

OASI, DI, and SSI programs, and to support CMS in administering 

the Medicare program. The LAE account is funded by the Social 

Security and Medicare trust funds for their share of administrative 

expenses, the general fund for the SSI program’s share of administrative expenses, and applicable user fees. The majority of these 

funds are used to process retirement and disability claims, which 

SSA expects will stay at near-record levels in fiscal year 2013. 

The Committee applauds the work SSA has done in recent years 

to reduce the disability hearings backlog and the time it takes to 

process disability hearings. SSA has reduced the average time it 

takes to process a disability hearing from 532 days in 2008 to 354 

days in 2012, despite a record increase in disability hearings over 

that period. SSA has also greatly improved the parity of processing 

times across the country. In fiscal year 2008 some hearing offices 

had average processing times over 900 days but this year no hearing office has a processing time over 475 days. 

Work Incentives Planning and Assistance [WIPA] and Protection 

and Advocacy for Beneficiaries of Social Security [PABSS].—The 

WIPA and PABSS programs provide valuable services to disabled 

beneficiaries, particularly in helping them return to work. However, because of a delay in the reauthorization process, WIPA 

grantees have been told they will have to shut down at the end of 

June 2012 and PABSS grantees at the end of September 2012. The 

Committee strongly encourages SSA to use fiscal year 2012 funds, 

and the broad authority provided in annual appropriations language, to continue these programs. Specifically, the Committee encourages SSA to extend current WIPA and PABSS grants as soon 

as possible for a short period of time, up to 1 year, to prevent any 

disruption in services. If there are subsequent changes to the programs, through reauthorization or otherwise, this would give the 

Agency ample time to run a new competition and make new 

awards without unnecessarily creating a gap in services. In addition, the Committee recommendation for fiscal year 2013 includes 

$23,000,000 for WIPA and $7,000,000 for PABSS. 

Representative Payee Oversight.—The Committee recommendation includes not less than $2,500,000 for SSA to continue to partner with outside organizations to improve representative payee 

oversight. SSA assigns representative payees when beneficiaries 

are unable to financially manage their own benefit payments. 
221 

These funds support activities to identify and prevent fraud and 

abuse within the program. 

Social Security Advisory Board.—The Committee recommendation includes not less than $2,150,000, the same as the budget request, for the Social Security Advisory Board. The comparable fiscal year 2012 funding level is $2,146,000. The Social Security Advisory Board advises the Commissioner of Social Security and makes 

recommendations to Congress and the President on policies relating to the OASI, DI, and SSI programs. 

Social Security Annual Statements.—The Committee believes 

that Social Security Annual Statements, required by statute to be 

provided to everyone older than age 25, provide valuable information to workers on their benefits under the OASI and DI programs. 

In addition, they allow workers to check their earnings history and 

notify SSA of any errors in a timely fashion. Earnings discrepancies identified years later can often be complicated and time-consuming to resolve. Therefore, the Committee directs SSA to resume 

the mailing of annual Social Security Account Statements in accordance with section 1143(c)(2) of the Social Security Act. 

Field Office Closings.—The Committee directs SSA to submit a 

report to the Committee on Appropriations of the Senate within 90 

days of enactment of this act on its policies and procedures for closing and consolidating field offices. The report should include a detailed description of the process SSA uses and the factors it considers when deciding which offices to close, and its process for notifying the public of such closures. It should also include an analysis 

of the offices closed in fiscal year 2012 based on those factors. Finally, the Committee directs SSA to provide a readily available 

public notice of proposed field office closures. Such notice should be 

provided not less than 90 days prior to closing any field office. 

Adminstrative Law Judge Disclosure Policy.—The Committee is 

concerned about SSA’s new policy to not disclose the name of the 

ALJ who will preside over a disability appeal until the day of the 

hearing. The Committee notes SSA’s concern with the possibility of 

claimant representatives abusing the process, specifically as it relates to declining a video hearing or postponing other hearings simply to search for judges they believe are more likely to allow a case. 

This abuse challenges the integrity of the process and can cause 

administrative delays. However, such a broad policy change could 

have unintended consequences. The Committee strongly encourages 

SSA to consider policies more targeted at suspected abuse, such as 

sanctions against individual representatives or changes to regulations to prevent representatives from canceling a video hearing 

close to the hearing date without due cause. The Committee directs 

SSA to submit a report to the Committee on Appropriations of the 

Senate no later than November 1, 2012, detailing the type and 

scope of abuse under the previous policy and alternative policies 

that were considered or could otherwise be used to address the 

issue. 

Program Integrity 

Within the total for LAE, the Committee recommendation includes $1,024,000,000, the same as the budget request, for program 

integrity activities. This includes $273,000,000 in base funding and 
222 

$751,000,000 in cap adjustment funding allowed under the Budget 

Control Act of 2011. The comparable fiscal year 2012 funding level 

is $756,052,000. These funds support program integrity activities 

such as continuing disability reviews [CDRs] and redeterminations 

of nonmedical eligibility under the SSI program. This increase in 

funding in fiscal year 2013 will allow SSA to conduct approximately 650,000 full medical CDRs, 215,000 more than in fiscal year 

2012, and 2,622,000 SSI redeterminations, the same amount as in 

fiscal year 2012. In total, these activities are projected to save approximately $8,100,000,000 over 10 years to the Social Security, 

Medicare, and Medicaid programs. 

User Fees 

Within the total for LAE, the Committee recommendation includes up to $166,500,000 for administrative activities funded from 

user fees. This includes $166,000,000 in fees paid to SSA by States 

that request SSA to administer State SSI supplementary payments 

and up to $500,000 from a fee payment process for nonattorney 

representatives of claimants. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2012 ............................................................................. $102,283,000 

Budget estimate, 2013 ........................................................................... 107,600,000 

Committee recommendation ................................................................. 102,283,000 

The Committee recommends $102,283,000, the same as the comparable fiscal year 2012 funding level, for OIG. The budget request 

is $107,600,000. The recommendation includes $73,396,000 funded 

from the OASI and DI trust funds for those programs’ share of inspector general expenses and $28,887,000 funded from general revenues for the SSI program’s share of expenses. 
(223) 

TITLE V—GENERAL PROVISIONS 

Section 501. The bill continues a provision authorizing transfers 

of unexpended balances. 

Section 502. The bill continues a provision limiting funding to 1- 

year availability unless otherwise specified. 

Section 503. The bill modifies a provision limiting lobbying and 

related activities. 

Section 504. The bill continues a provision limiting official representation expenses. 

Section 505. The bill continues a provision clarifying Federal 

funding as a component of State and local grant funds. 

Sections 506 and 507. The bill continues provisions limiting the 

use of funds for abortion. 

Section 508. The bill continues a provision restricting human embryo research. 

Section 509. The bill continues a provision limiting the use of 

funds for promotion of legalization of controlled substances. 

Section 510. The bill continues a provision prohibiting the use of 

funds to promulgate regulations regarding the individual health 

identifier. 

Section 511. The bill continues a provision limiting the 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. 

Section 512. The bill continues a provision prohibiting the 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. 

Section 513. The bill continues a provision prohibiting Federal 

funding in this act for libraries unless they are in compliance with 

the Children’s Internet Protection Act. 

Section 514. The bill continues a provision maintaining a procedure for reprogramming of funds. 

Section 515. The bill continues a provision prohibiting candidates 

for scientific advisory committees from having to disclose their political activities. 

Section 516. The bill continues a provision requiring each department and related agency to submit an operating plan. 

Section 517. The bill continues a provision requiring 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. 

Section 518. The bill continues a provision prohibiting the use of 

funds for a grant or contract exceeding $5,000,000 unless the prospective contractor or grantee makes certain certifications regarding Federal tax liability. 
224 

Section 519. The bill modifies a provision rescinding funds from 

the State Children’s Health Insurance Program performance bonus 

fund. 

Section 520. The bill modifies a provision regarding funding for 

programs that carry out distribution of sterile needles or syringes. 

Section 521. The bill continues a provision requiring each department and SSA to provide quarterly reports on the status of balances of appropriations. 

Section 522. The bill adds a new provision authorizing the transfer of the Health Education Assistance Loan program from the Department of Health and Human Services to the Department of 

Education. 

Section 523. The bill adds a new provision establishing Performance Partnership Pilots related to discretionary funds available in 

this act. 

Section 524. The bill adds a new provision requiring departments, agencies, boards, and commissions funded in this act to submit quarterly reports regarding conferences. 

Section 525. The bill adds a new provision limiting the attendance of Federal employees at any single international conference. 
(225) 

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 is filing an original bill, which is not covered 

under this rule, but reports this information in the spirit of full disclosure. 

The Committee recommends funding for the following programs 

and activities which currently lack authorization: Elementary and 

Secondary Education Act; National Center for Special Education 

Research; parts C and D of the Individuals with Disabilities Education Act; Education Sciences Reform Act; Special Olympics Sport 

and Empowerment Act of 2004; Workforce Investment Act; Homeless Veterans Reintegration Program; Universal Newborn Hearing 

Screening; Organ Transplantation; Family Planning; Rural Health 

programs; Traumatic Brain Injury programs; Combating Autism 

Act; Public Health Improvement Act; Healthy Start; Telehealth; 

Health Professions Education Partnership Act; Children’s Health 

Act; Women’s Health Research and Prevention Amendments of 

1998; Birth Defects Prevention, Preventive Health Amendments of 

1993; Substance Abuse and Mental Health Services programs, except for Depression Centers of Excellence and grants for Primary 

and Behavioral Healthcare Integration; Low Income Home Energy 

Assistance Program; Refugee and Entrant Assistance programs; 

Adoption Opportunities; Child Welfare Services and Research; 

Child Care and Development Block Grant; Developmental Disabilities programs; Voting Access for Individuals with Disabilities; Native American Programs; Community Services Block Grant; Rural 

Facilities; Individual Development Accounts; Community Economic 

Development; Alzheimer’s Disease Demonstration Grants; Adolescent Family Life; Office of Disease Prevention and Health Promotion; Rehabilitation Services and Disability Research, except sections 4, 5, and 6 of the Assistive Technology Program; Institute of 

Education Sciences; Corporation for Public Broadcasting; Museum 

and Library Services Act programs; National Council on Disability; 

and Older Americans Act. 

COMPLIANCE WITH PARAGRAPH 7(c), RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Pursuant to paragraph 7(c) of rule XXVI, on June 14, 2012, the 

Committee ordered favorably reported favorably an original bill (S. 

3301) making appropriations for the Departments of Labor, Health 

and Human Services, and Education, and related agencies for the 
226 

fiscal year ending September 30, 2013, subject to amendment and 

subject to its spending allocations, by a recorded vote of 16–14, a 

quorum being present. The vote was as follows: 

Yeas Nays 

Chairman Inouye Mr. Cochran 

Mr. Leahy Mr. McConnell 

Mr. Harkin Mr. Shelby 

Ms. Mikulski Mrs. Hutchison 

Mr. Kohl Mr. Alexander 

Mrs. Murray Ms. Collins 

Mrs. Feinstein Ms. Murkowski 

Mr. Durbin Mr. Graham 

Mr. Johnson (SD) Mr. Kirk 

Ms. Landrieu Mr. Coats 

Mr. Reed Mr. Blunt 

Mr. Lautenberg Mr. Moran 

Mr. Nelson Mr. Hoeven 

Mr. Pryor Mr. Johnson (WI) 

Mr. Tester 

Mr. Brown 

COMPLIANCE WITH PARAGRAPH 12, RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Paragraph 12 of rule XXVI requires that Committee reports on 

a bill or a joint resolution repealing or amending any statute include ‘‘(a) the text of the statute or part thereof which is proposed 

to be repealed; and (b) a comparative print of that part of the bill 

or joint resolution making the amendment and of the statute or 

part thereof proposed to be amended, showing by stricken through 

type and italics, parallel columns, or other appropriate typographical devices the omissions and insertions which would be 

made by the bill or joint resolution if enacted in the form recommended by the committee.’’ 

In compliance with this rule, changes in existing law proposed to 

be made by the bill are shown as follows: existing law to be omitted 

is enclosed in black brackets; new matter is printed in italic; and 

existing law in which no change is proposed is shown in roman. 

TITLE 20—EDUCATION 

CHAPTER 28—HIGHER EDUCATION RESOURCES AND 

STUDENT ASSISTANCE 

SUBCHAPTER I—GENERAL PROVISIONS 

PART A—DEFINITIONS

§ 1011m. Certification regarding the use of certain Federal 

funds and restrictions on sources of funds for recruiting and marketing activities 

(a) Prohibition 

* * * * * * * 

(d) Certification 
227 

Each institution of higher education or other postsecondary 

educational institution receiving Federal funding under the Higher 

Education Act of 1965 (20 U.S.C. 1001 et seq.) [and 42 U.S.C. 2751 

et seq.], as a condition for receiving such funding, shall annually 

certify to the Secretary of Education that the requirements of øsubsections (a) through (c)¿ subsections (a), (b), (c), and (e) have been 

met. 

(e) RESTRICTIONS ON SOURCES OF FUNDS FOR RECRUITING AND

MARKETING ACTIVITIES.— (1) IN GENERAL.—An institution of higher education, or 

other postsecondary educational institution, may not use revenues derived from Federal educational assistance funds for recruiting or marketing activities described in paragraph (2). 

(2) COVERED ACTIVITIES.—Except as provided in paragraph 

(3), the recruiting and marketing activities subject to paragraph 

(1) shall include the following: 

(A) Advertising and promotion activities, including 

paid announcements in newspapers, magazines, radio, television, billboards, electronic media, naming rights, or any 

other public medium of communication, including paying 

for displays or promotions at job fairs, military installations, or college recruiting events. 

(B) Efforts to identify and attract prospective students, 

either directly or through a contractor or other third party, 

including contact concerning a prospective student’s potential enrollment or application for grant, loan, or work assistance under title IV of the Higher Education Act of 1965 

(20 U.S.C. 1070 et seq.) or participation in preadmission or 

advising activities, including— 

(i) paying employees responsible for overseeing enrollment and for contacting potential students in-person, by phone, by email, or by other internet communications regarding enrollment; and 

(ii) soliciting an individual to provide contact information to an institution of higher education, including websites established for such purpose and funds 

paid to third parties for such purpose. 

(C) Such other activities as the Secretary of Education 

may prescribe, including paying for promotion or sponsorship of education or military-related associations. 

(3) EXCEPTIONS.—Any activity that is required as a condition of receipt of funds by an institution under title IV of the 

Higher Education Act of 1965 (20 U.S.C. 1070 et seq.), is specifically authorized under such title, or is otherwise specified by 

the Secretary of Education, shall not be considered to be a covered activity under paragraph (2). 

(4) FEDERAL EDUCATIONAL ASSISTANCE FUNDS.—In this 

subsection, the term ‘‘Federal educational assistance funds’’ 

means any Federal financial assistance provided under any 

Federal law, through a grant, contract, subsidy, loan, guarantee, insurance or other means, including Federal financial 

assistance that is disbursed or delivered to an institution on behalf of a student or to a student to be used to attend the institution. 
228 

(5) RULE OF CONSTRUCTION.—Nothing in this section shall 

be construed as a limitation on the use by an institution of revenues derived from sources other than Federal educational assistance funds. 

(6) REPORTING.—Each institution of higher education, or 

other postsecondary educational institution, that receives revenues derived from Federal educational assistance funds shall 

report annually to the Secretary of Education and to Congress 

the institution’s expenditures on advertising, marketing, and recruiting. 

ø(e)¿ (f) Actions to implement and enforce 

The Secretary of Education shall take such actions as are necessary to ensure that the provisions of this section are implemented and enforced. 

* * * * * * * 

SUBCHAPTER IV—STUDENT ASSISTANCE 

PART A—GRANTS TO STUDENTS IN ATTENDANCE AT INSTITUTIONS

OF HIGHER EDUCATION

SUBPART 1—FEDERAL PELL GRANTS

§ 1070a. Federal Pell Grants: amount and determinations; 

applications 

(a) Program authority and method of distribution 

* * * * * * * 

(b) Purpose and amount of grants 

(1) * * * 

* * * * * * * 

(7) ADDITIONAL FUNDS.— 

(A) IN GENERAL.— * * * 

(i) * * * 

* * * * * * * 

ø(iv) to carry out this sectionø(I) $13,500,000,000 for fiscal year 2011; 

ø(II) $13,795,000,000 for fiscal year 2012; 

ø(III) $7,587,000,000 for fiscal year 2013; 

ø(IV) $588,000,000 for fiscal year 2014; 

ø(V) $0 for fiscal year 2015; 

ø(VI) $0 for fiscal year 2016; 

ø(VII) $1,574,000,000 for fiscal year 2017; 

ø(VIII) $1,382,000,000 for fiscal year 2018; 

ø(IX) $1,409,000,000 for fiscal year 2019; 

ø(X) $1,430,000,000 for fiscal year 2020; and 

ø(XI) $1,145,000,000 for fiscal year 2021 and 

each succeeding fiscal year.¿ 

(iv) to carry out this section— 

(I) $13,500,000,000 for fiscal year 2011; 

(II) $13,795,000,000 for fiscal year 2012; 

(III) $10,683,000,000 for fiscal year 2013; 
229 

(IV) $1,009,000,000 for fiscal year 2014; 

(V) $0 for fiscal year 2015; 

(VI) $0 for fiscal year 2016; 

(VII) $1,574,000,000 for fiscal year 2017; 

(VIII) $1,595,000,000 for fiscal year 2018; 

(IX) $1,622,000,000 for fiscal year 2019; 

(X) $1,643,000,000 for fiscal year 2020; 

(XI) $1,358,000,000 for fiscal year 2021 and 

each succeeding fiscal year. 

* * * * * * * 

PART B—FEDERAL FAMILY EDUCATION LOAN PROGRAM

§ 1078–6. Default reduction program 

(a) Other repayment incentives 

(1) Sale or assignment of loan 

(A) In general 

Each guaranty agency, upon securing 9 payments 

made within 20 days of the due date during 10 consecutive 

months of amounts owed on a loan for which the Secretary 

has made a payment under paragraph (1) of section 

1078(c) of this title, shall— 

(i) * * * 

ø(ii) on or before September 30, 2011, assignthe 

loan to the Secretary if—¿ 

(ii) on or after October 1, 2012, assign the loan to 

the Secretary if the guaranty agency has been unable 

to sell the loan under clause (i). 

* * * * * * * 

(D) Duties upon sale 

With respect to a loan sold under subparagraph (A)(i)— 

ø(i) the guaranty agency— 

ø(I) shall repay the Secretary 81.5 percent of the 

amount of the principal balance outstanding at 

the time of such sale, multiplied by the reinsurance percentage in effect when payment under the 

guaranty agreement was made with respect to the 

loan; and¿ 

(i) the guaranty agency— 

(I) shall, in the case of a sale made on or after 

October 1, 2012, repay the Secretary 100 percent of 

the amount of the principal balance outstanding at 

the time of such sale, multiplied by the reinsurance 

percentage in effect when payment under the guaranty agreement was made with respect to the loan; 

and 

(II) may, in the case of a sale made on or after 

October 1, 2012, in order to defray collection 

costs— 

(aa) charge to the borrower an amount not 

to exceed 16 percent of the outstanding prin-
230 

cipal and interest at the time of the loan sale; 

and 

(bb) retain such amount from the proceeds 

of the loan sale; and 

* * * * * * * 

PART C—WILLIAM D. FORD FEDERAL DIRECT LOAN PROGRAM

§ 1087e. Terms and conditions of loans 

(a) In general 

* * * * * * * 

(p) Disclosures 

Each institution of higher education with which the Secretary 

has an agreement under section 1087c of this title, and each contractor with which the Secretary has a contract under section 1087f 

of this title, shall, with respect to loans under this part and in accordance with such regulations as the Secretary shall prescribe, 

comply with each of the requirements under section 1083 of this 

title that apply to a lender with respect to a loan under part B. 

(q) ELIGIBILITY FOR, AND INTEREST CHARGES ON, FEDERAL DIRECT STAFFORD LOANS FOR NEW BORROWERS ON OR AFTER JULY 1, 

2013.— 

(1) IN GENERAL.—Notwithstanding subsection (a) or any 

other provision of this title, any borrower who was a new borrower on or after July 1, 2013, shall not be eligible for a Federal Direct Stafford Loan if the period of time for which the 

borrower has received Federal Direct Stafford loans, in the aggregate, exceeds the period of enrollment described in paragraph (3). Such borrower may still receive any Federal Direct 

Unsubsidized Stafford Loan for which such borrower is otherwise eligible. 

(2) PAYMENT OF INTEREST ON FEDERAL DIRECT STAFFORD

LOANS.—Notwithstanding subsection (f)(1)(A) or any other provision of this title and beginning on the date upon which a borrower who is in school becomes ineligible for a Federal Direct 

Stafford Loan as a result of paragraph (1), interest on all Federal Direct Stafford Loans that were disbursed to such borrower 

on or after July 1, 2013, shall accrue. Such interest shall be 

paid or capitalized in the same manner as interest on a Federal 

Direct Unsubsidized Stafford Loan is paid or capitalized under 

section 428H(e)(2). 

(3) PERIOD OF ENROLLMENT.— 

(A) IN GENERAL.—The aggregate period of enrollment 

referred to in paragraph (1) shall not exceed the lesser of— 

(i) a period equal to 150 percent of the published 

length of the educational program in which the student 

is enrolled; or 

(ii) in the case of a borrower who was previously 

enrolled in one or more other educational programs 

that began after July 1, 2013, a period of time equal 

to the difference between— 
231 

(I) 150 percent of the published length of the 

longest educational program in which the borrower 

was, or is, enrolled; and 

(II) any periods of enrollment in which the 

borrower received a Federal Direct Stafford Loan. 

(B) LESS THAN FULL-TIME BASIS.—The Secretary shall 

specify in regulation how the aggregate period described in 

subparagraph (A) shall be calculated with respect to a borrower who was or is enrolled on a less than full-time basis. 

* * * * * * * 

§ 1087f. Contracts 

(a) Contracts for supplies and services 

(1) In general 

* * * * * * * 

(4) Servicing by eligible not-for-profit servicers 

(A) Servicing contracts 

(i) In general 

The Secretary shall contract with each eligible 

not-for-profit servicer to service loans originated under 

this part, if the servicer—’’ 

* * * * * * * 

(B) Allocations 

(i) In general 

The Secretary shall (except as provided in clause 

(ii)) allocate to an eligible not-for-profit servicer, subject to the contract of such servicer described in subparagraph (A), the servicing rights for the loan accounts of 100,000 borrowers (including borrowers who 

borrowed loans in a prior year that were serviced by 

the servicer). 

(ii) Servicer allocation 

The Secretary may reallocate, increase, reduce, or 

terminate an eligible not-for-profit servicer’s allocation 

of servicing rights under clause (i) based on the performance of such servicer, on the same terms as loan 

allocations provided by contracts awarded pursuant to 

paragraph (1). 

(5) SPECIAL RULE FOR NOT-FOR-PROFIT SERVICERS WITH AFFILIATES.—Notwithstanding any other provision of this section, 

only an eligible not-for-profit servicer described in clause (i) or 

(ii) of subsection (c)(1)(B) shall receive a contract with the Secretary under paragraph (4)(A), and an allocation under paragraph (4)(B), except that, if an eligible not-for-profit servicer so 

described is also a corporation described in subparagraphs (A) 

and (B) of section 150(d)(2) of the Internal Revenue Code of 

1986, then the affiliated entity of that servicer (described in 

subsection (c)(1)(B)(ii)) shall receive the contract with the Secretary under paragraph (4)(A), and an allocation under para-
232 

graph (4)(B), rather than the eligible not-for-profit servicer described in clause (i) or (ii) of subsection (c)(1)(B). 

(6) SPECIAL RULE FOR NOT-FOR-PROFIT SERVICERS WITH

SHARED MANAGEMENT OR COMMON CONTROL.—Notwithstanding 

any other provision of this section, in the case of entities that 

otherwise meet the definition of an eligible not-for-profit servicer 

under this section but 2 or more of the same individuals serve 

as part of the management, board of directors, or other governing body of more than one such entity, or the Secretary determines that one entity controls, is controlled by, or is under 

common control with, another such entity, all such entities with 

that shared management or control shall receive one aggregate 

allocation under paragraph (4)(B) and be treated for purposes 

of paragraph (4) as though all of such entities were a single eligible not-for-profit servicer. 

* * * * * * * 

PART E—NEED ANALYSIS

§ 1087ll. Cost of attendance 

For the purpose of this subchapter and part C of subchapter I of 

chapter 34 of title 42, the term ‘‘cost of attendance’’ means— 

(1) * * * 

* * * * * * * 

(3) except as provided in paragraph (10)(A)(i), an allowance 

(as determined by the institution) for room and board costs incurred by the student which— 

* * * * * * * 

ø(10) for a student receiving all or part of the student’s instruction by means of telecommunications technology, no distinction shall be made with respect to the mode of instruction 

in determining costs;¿ 

(10)(A) with respect to the determination of a student’s need 

for a Federal Pell Grant, in the case of a student who is receiving— 

(i) all instruction (excluding limited periods in which 

the student is required to be physically present at the institution for noninstructional purposes, such as orientation or 

the administration of examinations) by means of telecommunications technology, only tuition and fees, books 

and supplies; or 

(ii) part of the student’s instruction by means of telecommunications technology, no distinction shall be made 

with respect to the mode of instruction in determining costs; 

and 

(B) with respect to the determination of a student’s need for 

assistance under this title other than a Federal Pell Grant, in 

the case of a student who is receiving all or part of the student’s 

instruction by means of telecommunications technology, no distinction shall be made with respect to the mode of instruction 

in determining costs; 

* * * * * * * 
233 

PART F—GENERAL PROVISIONS RELATING TO STUDENT ASSISTANCE

PROGRAMS

§ 1091. Student eligibility 

(a) * * * 

* * * * * * * 

ø(d) Students who are not high school graduates 

øIn order for a student who does not have a certificate of graduation from a school providing secondary education, or the recognized equivalent of such certificate, to be eligible for any assistance 

under subparts 1, 3, and 4 of part A and parts B, C, and D of this 

subchapter and part C of subchapter I of chapter 34 of title 42, the 

student shall have completed a secondary school education in a 

home school setting that is treated as a home school or private 

school under State law.¿ 

(d) STUDENTS WHO ARE NOT HIGH SCHOOL GRADUATES.— (1) STUDENT ELIGIBILITY.—In order for a student who does 

not have a certificate of graduation from a school providing secondary education, or the recognized equivalent of such certificate, to be eligible for any assistance under subparts 1, 3, and 

4 of part A and parts B, C, D, and E of this title, the student 

shall meet the requirements of one of the following subparagraphs: 

(A) The student is enrolled in an eligible career pathway program and meets one of the following standards: 

(i) The student shall take an independently administered examination and shall achieve a score, specified 

by the Secretary, demonstrating that such student can 

benefit from the education or training being offered. 

Such examination shall be approved by the Secretary 

on the basis of compliance with such standards for development, administration, and scoring as the Secretary may prescribe in regulations. 

(ii) The student shall be determined as having the 

ability to benefit from the education or training in accordance with such process as the State shall prescribe. 

Any such process described or approved by a State for 

the purposes of this section shall be effective 6 months 

after the date of submission to the Secretary unless the 

Secretary disapproves such process. In determining 

whether to approve or disapprove such process, the Secretary shall take into account the effectiveness of such 

process in enabling students without high school diplomas or the equivalent thereof to benefit from the instruction offered by institutions utilizing such process, 

and shall also take into account the cultural diversity, 

economic circumstances, and educational preparation 

of the populations served by the institutions. 

(iii) The student shall be determined by the institution of higher education as having the ability to benefit 

from the education or training offered by the institution of higher education upon satisfactory completion of 

6 credit hours or the equivalent coursework that are 
234 

applicable toward a degree or certificate offered by the 

institution of higher education. 

(B) The student has completed a secondary school education in a home school setting that is treated as a home 

school or private school under State law. 

(2) ELIGIBLE CAREER PATHWAY PROGRAM.—In this subsection, the term ‘‘eligible career pathway program’’ means a 

program that— 

(A) concurrently enrolls participants in connected adult 

education and eligible postsecondary programs; 

(B) provides counseling and supportive services to identify and attain academic and career goals; 

(C) provides structured course sequences that— 

(i) are articulated and contextualized; and 

(ii) allow students to advance to higher levels of 

education and employment; 

(D) provides opportunities for acceleration to attain recognized postsecondary credentials, including degrees, industry relevant certifications, and certificates of completion 

of apprenticeship programs; 

(E) is organized to meet the needs of adults; 

(F) is aligned with the education and skill needs of the 

regional economy; and 

(G) has been developed and implemented in collaboration with partners in business, workforce development, and 

economic development. 

* * * * * * * 

CHAPTER 44—CAREER AND TECHNICAL EDUCATION 

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 

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. 

* * * * * * * 
235 

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) There shall be in the Department— 

(A) * * * 

* * * * * * * 

(C) an øAssistant Secretary for Vocational and Adult 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 

with the Federal Interagency Committee on Education to coordinate related activities and programs of other Federal departments 

and agencies. 
236 

TITLE 40—PUBLIC BUILDINGS, PROPERTY, AND WORKS 

PART A—GENERAL

CHAPTER 31—GENERAL 

SUBCHAPTER IV—WAGE RATE REQUIREMENTS 

§ 3144. Authority øof Comptroller General¿ to pay wages and 

list contractors violating contracts 

(a) PAYMENT OF WAGES.— 

(1) IN GENERAL.—øThe Comptroller General¿ The Secretary of Labor shall pay directly to laborers and mechanics 

from any accrued payments withheld under the terms of a contract any wages found to be due laborers and mechanics under 

this subchapter. 

* * * * * * * 

CHAPTER 37—CONTRACT WORK HOURS AND SAFETY 

STANDARDS 

§ 3703. Report of violations and withholding of amounts for 

unpaid wages and liquidated damages 

(a) REPORTS OF INSPECTORS.— * * * 

* * * * * * * 

(b) WITHHOLDING AMOUNTS.— 

(1) DETERMINING AMOUNT.— * * * 

* * * * * * * 

(3) PAYMENT.—øThe Comptroller General¿ The Secretary 

of Labor shall pay the amount administratively determined to 

be due directly to the laborers and mechanics from amounts 

withheld on account of underpayments of wages if the amount 

withheld is adequate. If the amount withheld is not adequate, 

øthe Comptroller General¿ the Secretary of Labor shall pay an 

equitable proportion of the amount due. 

TITLE 42—THE PUBLIC HEALTH AND WELFARE 

CHAPTER 6A—PUBLIC HEALTH SERVICE 

SUBCHAPTER V—HEALTH PROFESSIONS EDUCATION 

PART A—STUDENT LOANS

SUBPART I—INSURED HEALTH EDUCATION ASSISTANCE 

LOANS TO GRADUATE STUDENTS 

§ 292o. Definitions 

For purposes of this subpart: 

(1) The term ‘‘eligible institution’’ means, with respect to a fiscal year, a school of medicine, osteopathic medicine, dentistry, veterinary medicine, optometry, podiatric medicine, pharmacy, public 

health, allied health, or chiropractic, or a graduate program in 
237 

health administration or behavioral and mental health practice, including clinical psychology. 

* * * * * * * 

(5)(A) The term ‘‘default rate’’, in the case of an eligible entity, 

means the percentage constituted by the ratio of— 

(i) the principal amount of loans insuredunder this 

subpart— 

(I) that are made with respect to the entity and 

that enter repayment status after April 7, 1987; and 

(II) for which amounts have been paid under section 292f(a) of this title to insurance beneficiaries, exclusive of any loan for which amounts have been so 

paid as a result of the death or total and permanent 

disability of the borrower; exclusive of any loan for 

which the borrower begins payments to the Secretary 

on the loan pursuant to section 292f(b) of this title and 

maintains payments for 12 consecutive months in accordance with the agreement involved (with the loan 

subsequently being included or excluded, as the case 

may be, as amounts paid under section 292f(a) of this 

title according to whether further defaults occur and 

whether with respect to the default involved compliance with such requirement regarding 12 consecutive 

months occurs); and exclusive of any loan on which 

payments may not be recovered by reason of the obligation under the loan being discharged in bankruptcy 

under title 11; to 

(ii) the total principal amount of loans insured under 

this subpart that are made with respect to the entity and 

that enter repayment status after April 7, 1987. 

(B) For purposes of subparagraph (A), a loan insured 

under this subpart shall be considered to have entered repayment status if the applicable period described in subparagraph 

(B) of section 292d(a)(2) of this title regarding the loan has expired (without regard to whether any period described in subparagraph (C) of such section is applicable regarding the loan). 

(C) For purposes of subparagraph (A), the term ‘‘eligible 

entity’’ means an eligible institution, an eligible lender, or a 

holder, as the case may be. 

(D) For purposes of subparagraph (A), a loan is made with 

respect to an eligible entity if— 

(i) in the case of an eligible institution, the loan was 

made to students of the institution; 

(ii) in the case of an eligible lender, the loan was made 

by the lender; and 

(iii) in the case of a holder, the loan was purchased by 

the holder. 

(6) The term ‘‘Secretary’’ means the Secretary of Education. 
238 

TITLE 48—TERRITORIES AND INSULAR POSSESSIONS 

CHAPTER 18—MICRONESIA, MARSHALL ISLANDS, AND 

PALAU 

SUBCHAPTER I—MICRONESIA AND MARSHALL ISLANDS 

PART B—APPROVAL AND IMPLEMENTATION OF COMPACTS, AS

AMENDED

§ 1921d. Supplemental provisions 

(a) Domestic program requirements 

* * * * * * * 

(f) Continuing programs and laws 

(1) Federated States of Micronesia and Republic of the 

Marshall Islands 

* * * * * * * 

(A) Emergency and disaster assistance 

* * * * * * * 

(B) Treatment of additional programs 

(i) Consultation 

* * * * * * * 

(ix) Applicability 

The government, institutions, and people of Palau 

shall remain eligible for appropriations and to receive 

grants under the provisions of law specified in clauses 

(ii) and (iii) until the end of fiscal year ø2009¿ 2013, 

to the extent the government, institutions, and people 

of Palau were so eligible under such provisions in fiscal year 2003. 

DEPARTMENT OF EDUCATION ORGANIZATION ACT, 

1980, PUBLIC LAW 96–88 

SECTION 1. This Act may be cited as the ‘‘Department of Education Organization Act’’. 

TABLE OF CONTENTS 

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 
239 

BUDGETARY IMPACT OF BILL 

PREPARED IN CONSULTATION WITH THE CONGRESSIONAL BUDGET OFFICE PURSUANT TO SEC. 

308(a), PUBLIC LAW 93–344, AS AMENDED 

[In millions of dollars] 

Budget authority Outlays 

Committee 

allocation 

Amount 

in bill 

Committee 

allocation 

Amount 

in bill 

Comparison of amounts in the bill with Committee allocations to its subcommittees of amounts in the 

Budget Resolution for 2013: Subcommittee on 

Labor, Health and Human Services, Education, and 

Related Agencies: 

Mandatory ............................................................... 594,910 594,910 594,481 1 594,481 

Discretionary ........................................................... 157,722 158,772 168,600 1 165,542 

Security .......................................................... .................... .................... NA NA 

Nonsecurity .................................................... 157,722 158,722 NA NA 

Projections of outlays associated with the recommendation: 

2013 ........................................................................ .................... .................... .................... 2 663,774 

2014 ........................................................................ .................... .................... .................... 73,446 

2015 ........................................................................ .................... .................... .................... 17,804 

2016 ........................................................................ .................... .................... .................... 2,919 

2017 and future years ........................................... .................... .................... .................... 642

Financial assistance to State and local governments 

for 

2013 ............................................................................ NA 323,132 NA 305,979 

1 Includes outlays from prior-year budget authority. 

2 Excludes outlays from prior-year budget authority. 

NA: Not applicable. 

NOTE.—Consistent with the funding recommended in the bill for continuing disability reviews and redeterminations and for 

healthcare fraud and abuse control and in accordance with subparagraphs (B) and (C) of section 251(b)(2) of the BBEDCA of 1985 

and section 106 of the Deficit Control Act of 2011, the Committee anticipates that the Budget Committee will file a revised section 

302(a) allocation for the Committee on Appropriations reflecting an upward adjustment of $1,050,000,000 in budget authority plus 

associated outlays. 
240 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

TITLE I—DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION 

TRAINING AND EMPLOYMENT SERVICES 

Grants to States: 

Adult Training, current year .............................................................................................................................. 58,811 57,465 58,811 ............................ ∂1,346 

Advance from prior year ........................................................................................................................... (710,654 ) (712,000 ) (712,000 ) (∂1,346 ) ............................Fiscal year 2014 ....................................................................................................................................... 712,000 712,000 712,000 ............................ ............................

Subtotal ................................................................................................................................................ 770,811 769,465 770,811 ............................ ∂1,346 

Youth Training ................................................................................................................................................... 824,353 824,353 824,353 ............................ ............................Dislocated Worker Assistance, current year ...................................................................................................... 148,151 146,526 148,151 ............................ ∂1,625 

Advance from prior year ........................................................................................................................... (858,375 ) (860,000 ) (860,000 ) (∂1,625 ) ............................Fiscal year 2014 ....................................................................................................................................... 860,000 860,000 860,000 ............................ ............................

Subtotal ................................................................................................................................................ 1,008,151 1,006,526 1,008,151 ............................ ∂1,625 Subtotal, Grants to States ................................................................................................................... 2,603,315 2,600,344 2,603,315 ............................ ∂2,971 

Current Year .................................................................................................................................... (1,031,315 ) (1,028,344 ) (1,031,315 ) ............................ (∂2,971 ) Fiscal year 2014 .............................................................................................................................. (1,572,000 ) (1,572,000 ) (1,572,000 ) ............................ ............................

Federally Administered Programs: 

Dislocated Worker Assistance National Reserve: 

Current year .............................................................................................................................................. 24,066 23,688 24,066 ............................ ∂378 Advance from prior year ........................................................................................................................... (199,622 ) (200,000 ) (200,000 ) (∂378 ) ............................Fiscal year 2014 ....................................................................................................................................... 200,000 200,000 200,000 ............................ ............................

Subtotal ................................................................................................................................................ 224,066 223,688 224,066 ............................ ∂378 Subtotal, Dislocated Worker Assistance .............................................................................................. 1,232,217 1,230,214 1,232,217 ............................ ∂2,003 
241 

Native Americans .............................................................................................................................................. 47,562 52,562 47,562 ............................ ¥5,000 Migrant and Seasonal Farmworker programs ................................................................................................... 84,291 84,291 84,291 ............................ ............................Women in Apprenticeship .................................................................................................................................. 996 ............................ 996 ............................ ∂996 YouthBuild activities ......................................................................................................................................... 79,689 79,689 79,689 ............................ ............................Workforce Innovation Fund ................................................................................................................................ 49,906 100,000 49,906 ............................ ¥50,094 

Subtotal, Federally Administered Programs [FAP] ........................................................................................ 486,510 540,230 486,510 ............................ ¥53,720 

Current Year ......................................................................................................................................... (286,510 ) (340,230 ) (286,510 ) ............................ (¥53,720 ) Fiscal year 2014 .................................................................................................................................. (200,000 ) (200,000 ) (200,000 ) ............................ ............................

National Activities: 

Pilots, Demonstrations, and Research ..................................................................................................... 6,603 ............................ ............................ ¥6,603 ............................Reintegration of Ex-Offenders .................................................................................................................. 80,238 85,238 80,238 ............................ ¥5,000 Evaluation ................................................................................................................................................. 9,563 ............................ ............................ ¥9,563 ............................Workforce Data Quality Initiative ............................................................................................................. 6,463 6,000 6,000 ¥463 ............................

Subtotal ................................................................................................................................................ 102,867 91,238 86,238 ¥16,629 ¥5,000 Total, Training and Employment Services [TES] ................................................................................. 3,192,692 3,231,812 3,176,063 ¥16,629 ¥55,749 

Current Year .................................................................................................................................... (1,420,692 ) (1,459,812 ) (1,404,063 ) (¥16,629 ) (¥55,749 ) Fiscal year 2014 .............................................................................................................................. (1,772,000 ) (1,772,000 ) (1,772,000 ) ............................ ............................

OFFICE OF JOB CORPS 

Administration ............................................................................................................................................................ 29,077 29,132 29,132 ∂55 ............................Operations .................................................................................................................................................................. 1,569,078 1,545,872 1,569,078 ............................ ∂23,206 

Advance from prior year .................................................................................................................................... (589,883 ) ............................ ............................ (¥589,883 ) ............................

Construction, Rehabilitation and Acquisition ............................................................................................................ 104,792 75,000 75,000 ¥29,792 ............................

Advance from prior year .................................................................................................................................... (99,811 ) ............................ ............................ (¥99,811 ) ............................

Total, Office of Job Corps ............................................................................................................................. 1,702,947 1,650,004 1,673,210 ¥29,737 ∂23,206 

Current Year ......................................................................................................................................... (1,702,947 ) (1,650,004 ) (1,673,210 ) (¥29,737 ) (∂23,206 ) 

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS 1 ................................................................................ 448,251 ............................ 448,251 ............................ ∂448,251 FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES ........................................................................................... 1,100,100 1,421,000 1,421,000 ∂320,900 ............................

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS 

Unemployment Compensation [UI]: 

State Operations ................................................................................................................................................ 3,209,172 3,004,912 3,004,912 ¥204,260 ............................National Activities ............................................................................................................................................. 11,266 11,297 11,297 ∂31 ............................

Subtotal, Unemployment Compensation ....................................................................................................... 3,220,438 3,016,209 3,016,209 ¥204,229 ............................
242 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Employment Service [ES]: 

Allotments to States: 

Federal Funds ........................................................................................................................................... 22,595 22,638 22,638 ∂43 ............................Trust Funds .............................................................................................................................................. 678,247 708,204 708,204 ∂29,957 ............................

Subtotal ................................................................................................................................................ 700,842 730,842 730,842 ∂30,000 ............................

ES National Activities ........................................................................................................................................ 20,912 20,952 20,952 ∂40 ............................

Subtotal, Employment Service ...................................................................................................................... 721,754 751,794 751,794 ∂30,040 ............................

Federal Funds ...................................................................................................................................... (22,595 ) (22,638 ) (22,638 ) (∂43 ) ............................Trust Funds .......................................................................................................................................... (699,159 ) (729,156 ) (729,156 ) (∂29,997 ) ............................

Foreign Labor Certification: 

Federal Administration ...................................................................................................................................... 50,323 50,418 50,418 ∂95 ............................Grants to States ................................................................................................................................................ 15,070 15,099 15,099 ∂29 ............................

Subtotal, Foreign Labor Certification ........................................................................................................... 65,393 65,517 65,517 ∂124 ............................

One-Stop Career Centers/Labor Market Information .................................................................................................. 63,473 115,720 63,473 ............................ ¥52,247 

Total, State UI and ES .................................................................................................................................. 4,071,058 3,949,240 3,896,993 ¥174,065 ¥52,247 

Federal Funds ...................................................................................................................................... (86,068 ) (138,358 ) (86,111 ) (∂43 ) (¥52,247 ) Trust Funds .......................................................................................................................................... (3,984,990 ) (3,810,882 ) (3,810,882 ) (¥174,108 ) ............................

STATE PAID LEAVE FUND ............................................................................................................................................ ............................ 5,000 ............................ ............................ ¥5,000 ADVANCES TO THE UI AND OTHER TRUST FUNDS 2 ................................................................................................... 171,000 ............................ ............................ ¥171,000 ............................

PROGRAM ADMINISTRATION 

Adult Employment and Training ................................................................................................................................ 46,677 47,015 46,677 ............................ ¥338 

Trust Funds ....................................................................................................................................................... 8,518 8,536 8,518 ............................ ¥18 

Youth Employment and Training ................................................................................................................................ 12,260 12,283 12,260 ............................ ¥23 Employment Security .................................................................................................................................................. 3,476 3,483 3,476 ............................ ¥7 
243 

Trust Funds ....................................................................................................................................................... 39,343 39,417 39,343 ............................ ¥74 

Apprenticeship Services ............................................................................................................................................. 27,676 27,728 27,676 ............................ ¥52 Executive Direction ..................................................................................................................................................... 7,048 7,062 7,048 ............................ ¥14 

Trust Funds ....................................................................................................................................................... 2,083 2,087 2,083 ............................ ¥4 

Total, Program Administration ...................................................................................................................... 147,081 147,611 147,081 ............................ ¥530 

Federal Funds ...................................................................................................................................... (97,137 ) (97,571 ) (97,137 ) ............................ (¥434 ) Trust Funds .......................................................................................................................................... (49,944 ) (50,040 ) (49,944 ) ............................ (¥96 ) 

Total, Employment and Training Admin. [ETA] ............................................................................................ 10,833,129 10,404,667 10,762,598 ¥70,531 ∂357,931 

Federal Funds ...................................................................................................................................... 6,798,195 6,543,745 6,901,772 ∂103,577 ∂358,027 

Current Year ................................................................................................................................ (5,026,195 ) (4,771,745 ) (5,129,772 ) (∂103,577 ) (∂358,027 ) Fiscal year 2014 ......................................................................................................................... (1,772,000 ) (1,772,000 ) (1,772,000 ) ............................ ............................

Trust Funds .......................................................................................................................................... 4,034,934 3,860,922 3,860,826 ¥174,108 ¥96 

EMPLOYEE BENEFITS SECURITY ADMINISTRATION [EBSA] 

SALARIES AND EXPENSES 

Enforcement and Participant Assistance ................................................................................................................... 145,243 145,243 145,243 ............................ ............................Policy and Compliance Assistance ............................................................................................................................ 31,205 31,205 31,205 ............................ ............................Executive Leadership, Program Oversight and Admin ............................................................................................... 6,705 6,705 6,705 ............................ ............................

Total, EBSA ................................................................................................................................................... 183,153 183,153 183,153 ............................ ............................

PENSION BENEFIT GUARANTY CORPORATION [PBGC] 

Pension Insurance Activities ...................................................................................................................................... (84,219 ) (75,943 ) (75,943 ) (¥8,276 ) ............................Pension Plan Termination .......................................................................................................................................... (238,993 ) (240,611 ) (240,611 ) (∂1,618 ) ............................Operational Support ................................................................................................................................................... (153,689 ) (162,459 ) (162,459 ) (∂8,770 ) ............................

Total, PBGC (program level) ......................................................................................................................... (476,901 ) (479,013 ) (479,013 ) (∂2,112 ) ............................

Enforcement of Wage & Hour Standards ................................................................................................................... 227,061 237,730 237,730 ∂10,669 ............................OFFICE OF LABOR-MANAGEMENT STANDARDS ........................................................................................................... 41,289 41,771 41,289 ............................ ¥482 Feeral Contractor EEO Standards Enforcement ......................................................................................................... 105,187 106,415 105,187 ............................ ¥1,228 

FEDERAL PROGRAMS FOR WORKERS’ COMPENSATION 

Salaries and Expenses ............................................................................................................................................... 115,720 120,056 115,720 ............................ ¥4,336 

Trust Funds ....................................................................................................................................................... 2,120 2,134 2,120 ............................ ¥14 

Total, Salaries and Expenses ....................................................................................................................... 117,840 122,190 117,840 ............................ ¥4,350 

Federal Funds ...................................................................................................................................... (115,720 ) (120,056 ) (115,720 ) ............................ (¥4,336 ) 
244 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Trust Funds .......................................................................................................................................... (2,120 ) (2,134 ) (2,120 ) ............................ (¥14 ) 

SPECIAL BENEFITS 

Federal Employees’ Compensation Benefits .............................................................................................................. 347,000 393,000 393,000 ∂46,000 ............................Longshore and Harbor Workers’ Benefits ................................................................................................................... 3,000 3,000 3,000 ............................ ............................

Total, Special Benefits .................................................................................................................................. 350,000 396,000 396,000 ∂46,000 ............................

SPECIAL BENEFITS FOR DISABLED COAL MINERS 

Benefit Payments ....................................................................................................................................................... 177,000 158,000 158,000 ¥19,000 ............................Administration ............................................................................................................................................................ 5,227 5,220 5,220 ¥7 ............................

Subtotal, fiscal year 2014 program level .................................................................................................... 182,227 163,220 163,220 ¥19,007 ............................

Less funds advanced in prior year ..................................................................................................... ¥41,000 ¥40,000 ¥40,000 ∂1,000 ............................

Total, Current Year, fiscal year 2014 ........................................................................................................... 141,227 123,220 123,220 ¥18,007 ............................

New advances, 1st quarter fiscal year 2014 ...................................................................................... 40,000 35,000 35,000 ¥5,000 ............................

Total, Special Benefits for Disabled Coal Miners ........................................................................................ 181,227 158,220 158,220 ¥23,007 ............................

ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION FUND 

Part B Administrative Expenses ................................................................................................................................. 52,147 54,962 54,962 ∂2,815 ............................

BLACK LUNG DISABILITY TRUST FUND 

Benefit Payments and Interest on Advances ............................................................................................................. 242,609 250,043 250,043 ∂7,434 ............................Workers’ Compensation Programs, Salaries and Expenses ....................................................................................... 32,906 32,906 32,906 ............................ ............................Departmental Management, Salaries and Expenses ................................................................................................. 25,217 25,217 25,217 ............................ ............................Departmental Management, Inspector General ......................................................................................................... 327 327 327 ............................ ............................

Subtotal, Black Lung Disability .................................................................................................................... 301,059 308,493 308,493 ∂7,434 ............................
245 

Treasury Department Administrative Costs ............................................................................................................... 356 356 356 ............................ ............................

Total, Black Lung Disability Trust Fund ....................................................................................................... 301,415 308,849 308,849 ∂7,434 ............................Total, Federal Programs for Workers’ Compensation ................................................................................... 1,002,629 1,040,221 1,035,871 ∂33,242 ¥4,350 

Federal Funds ...................................................................................................................................... 1,000,509 1,038,087 1,033,751 ∂33,242 ¥4,336 

Current year ................................................................................................................................ (960,509 ) (1,003,087 ) (998,751 ) (∂38,242 ) (¥4,336 ) Fiscal year 2014 ......................................................................................................................... (40,000 ) (35,000 ) (35,000 ) (¥5,000 ) ............................

Trust Funds .......................................................................................................................................... 2,120 2,134 2,120 ............................ ¥14 

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION [OSHA] 

SALARIES AND EXPENSES 

Safety and Health Standards ..................................................................................................................................... 19,962 21,008 20,964 ∂1,002 ¥44 Federal Enforcement ................................................................................................................................................... 207,753 207,075 207,075 ¥678 ............................Whistleblower enforcement ......................................................................................................................................... 15,873 20,739 18,650 ∂2,777 ¥2,089 State Programs ........................................................................................................................................................... 104,196 104,196 104,196 ............................ ............................Technical Support ....................................................................................................................................................... 25,820 24,880 24,880 ¥940 ............................Compliance Assistance: 

Federal Assistance ............................................................................................................................................ 76,355 73,131 75,000 ¥1,355 ∂1,869 State Consultation Grants ................................................................................................................................. 57,890 57,890 57,890 ............................ ............................Training Grants ................................................................................................................................................. 10,709 10,709 11,000 ∂291 ∂291 

Subtotal, Compliance Assistance ................................................................................................................. 144,954 141,730 143,890 ¥1,064 ∂2,160 

Safety and Health Statistics ...................................................................................................................................... 34,739 34,313 34,313 ¥426 ............................Executive Direction and Administration ..................................................................................................................... 11,491 11,527 11,500 ∂9 ¥27 

Total, OSHA ................................................................................................................................................... 564,788 565,468 565,468 ∂680 ............................

MINE SAFETY AND HEALTH ADMINISTRATION 

SALARIES AND EXPENSES 

Coal Enforcement ....................................................................................................................................................... 164,500 167,859 167,859 ∂3,359 ............................Metal/Non-Metal Enforcement .................................................................................................................................... 89,063 91,697 91,697 ∂2,634 ............................Standards Development ............................................................................................................................................. 4,764 5,416 5,416 ∂652 ............................Assessments ............................................................................................................................................................... 7,103 6,732 7,000 ¥103 ∂268 Educational Policy and Development ......................................................................................................................... 38,325 31,682 33,555 ¥4,770 ∂1,873 Technical Support ....................................................................................................................................................... 33,613 33,791 33,791 ∂178 ............................Program Evaluation and Information Resources [PEIR] ............................................................................................ 18,157 17,990 17,990 ¥167 ............................
246 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Program Administration ............................................................................................................................................. 16,998 16,729 18,962 ∂1,964 ∂2,233 

Total, Mine Safety and Health Administration ............................................................................................. 372,523 371,896 376,270 ∂3,747 ∂4,374 Total, Worker Protection Agencies ................................................................................................................ 1,611,841 1,628,623 1,626,937 ∂15,096 ¥1,686 

Federal Funds ...................................................................................................................................... (1,609,721 ) (1,626,489 ) (1,624,817 ) (∂15,096 ) (¥1,672 ) Trust Funds .......................................................................................................................................... (2,120 ) (2,134 ) (2,120 ) ............................ (¥14 ) 

BUREAU OF LABOR STATISTICS 

SALARIES AND EXPENSES 

Employment and Unemployment Statistics ............................................................................................................... 209,367 213,219 214,367 ∂5,000 ∂1,148 Labor Market Information ........................................................................................................................................... 67,176 67,176 67,176 ............................ ............................Prices and Cost of Living .......................................................................................................................................... 205,888 211,084 210,860 ∂4,972 ¥224 Compensation and Working Conditions ..................................................................................................................... 80,391 81,545 80,391 ............................ ¥1,154 Productivity and Technology ....................................................................................................................................... 12,013 10,205 12,013 ............................ ∂1,808 Executive Direction and Staff Services ...................................................................................................................... 34,236 34,978 34,236 ............................ ¥742 

Total, Bureau of Labor Statistics ................................................................................................................. 609,071 618,207 619,043 ∂9,972 ∂836 

Federal Funds ...................................................................................................................................... 541,895 551,031 551,867 ∂9,972 ∂836 Trust Funds .......................................................................................................................................... 67,176 67,176 67,176 ............................ ............................

OFFICE OF DISABILITY EMPLOYMENT POLICY 

SALARIES AND EXPENSES ........................................................................................................................................... 38,879 38,953 38,953 ∂74 ............................

DEPARTMENTAL MANAGEMENT 

SALARIES AND EXPENSES 

Executive Direction ..................................................................................................................................................... 32,722 32,722 32,722 ............................ ............................Departmental Program Evaluation ............................................................................................................................. 24,360 9,000 9,000 ¥15,360 ............................Legal Services ............................................................................................................................................................ 129,647 130,938 130,938 ∂1,291 ............................

Trust Funds ....................................................................................................................................................... 325 326 326 ∂1 ............................
247 

International Labor Affairs ......................................................................................................................................... 92,309 94,984 94,984 ∂2,675 ............................Administration and Management ............................................................................................................................... 29,982 29,614 29,614 ¥368 ............................Adjudication ................................................................................................................................................................ 29,495 29,639 29,639 ∂144 ............................Women’s Bureau ......................................................................................................................................................... 11,559 9,081 9,081 ¥2,478 ............................Civil Rights Activities ................................................................................................................................................. 7,260 7,273 7,273 ∂13 ............................Chief Financial Officer ............................................................................................................................................... 5,340 5,350 5,350 ∂10 ............................

Total, Salaries and expenses ........................................................................................................................ 362,999 348,927 348,927 ¥14,072 ............................

Federal Funds ...................................................................................................................................... (362,674 ) (348,601 ) (348,601 ) (¥14,073 ) ............................Trust Funds .......................................................................................................................................... (325 ) (326 ) (326 ) (∂1 ) ............................

VETERANS EMPLOYMENT AND TRAINING 

State Administration, Grants ..................................................................................................................................... 165,081 170,049 172,000 ∂6,919 ∂1,951 Transition Assistance Program .................................................................................................................................. 8,983 12,000 14,000 ∂5,017 ∂2,000 Federal Administration ............................................................................................................................................... 35,155 35,222 35,222 ∂67 ............................National Veterans Training Institute .......................................................................................................................... 2,439 3,414 3,414 ∂975 ............................Homeless Veterans Program ...................................................................................................................................... 38,185 38,185 38,185 ............................ ............................Veterans Workforce Investment Programs ................................................................................................................. 14,594 ............................ ............................ ¥14,594 ............................

Total, Veterans Employment and Training ................................................................................................... 264,437 258,870 262,821 ¥1,616 ∂3,951 

Federal Funds ...................................................................................................................................... 52,779 38,185 38,185 ¥14,594 ............................Trust Funds .......................................................................................................................................... 211,658 220,685 224,636 ∂12,978 ∂3,951 

INFRASTRUCTURE TECHNOLOGY MODERNIZATION 

Departmental support systems .................................................................................................................................. 11,829 8,000 7,985 ¥3,844 ¥15 Infrastructure technology modernization .................................................................................................................... 7,985 13,852 11,829 ∂3,844 ¥2,023 

Total, IT Modernization ................................................................................................................................. 19,814 21,852 19,814 ............................ ¥2,038 

OFFICE OF INSPECTOR GENERAL 

Program Activities ...................................................................................................................................................... 77,790 79,199 77,790 ............................ ¥1,409 

Trust Funds ....................................................................................................................................................... 5,898 5,909 5,898 ............................ ¥11 

Total, Office of Inspector General ................................................................................................................ 83,688 85,108 83,688 ............................ ¥1,420 Total, Departmental Management ................................................................................................................ 730,938 714,757 715,250 ¥15,688 ∂493 

Federal Funds ...................................................................................................................................... 513,057 487,837 484,390 ¥28,667 ¥3,447 

Current Year ................................................................................................................................ (513,057 ) (487,837 ) (484,390 ) (¥28,667 ) (¥3,447 ) 

Trust Funds .......................................................................................................................................... 217,881 226,920 230,860 ∂12,979 ∂3,940 
248 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Total, Title I, Department of Labor ............................................................................................................... 14,708,647 14,323,238 14,680,812 ¥27,835 ∂357,574 

Federal Funds ...................................................................................................................................... 10,386,536 10,166,086 10,519,830 ∂133,294 ∂353,744 

Current Year ................................................................................................................................ (8,574,536 ) (8,359,086 ) (8,712,830 ) (∂138,294 ) (∂353,744 ) Fiscal year 2014 ......................................................................................................................... (1,812,000 ) (1,807,000 ) (1,807,000 ) (¥5,000 ) ............................

Trust Funds .......................................................................................................................................... 4,322,111 4,157,152 4,160,982 ¥161,129 ∂3,830 

TITLE II—DEPARTMENT OF HEALTH AND HUMAN SERVICES 

HEALTH RESOURCES AND SERVICES ADMINISTRATION [HRSA] 

HEALTH RESOURCES AND SERVICES 

Primary Health Care 

Community Health Centers ........................................................................................................................................ 1,566,892 1,561,803 1,566,892 ............................ ∂5,089 Free Clinics Medical Malpractice ............................................................................................................................... 40 40 40 ............................ ............................National Hansen’s Disease Program .......................................................................................................................... 16,045 16,045 16,045 ............................ ............................Hansen’s Disease Program Buildings and Facilities ................................................................................................. 127 127 127 ............................ ............................Payment to Hawaii, Treatment of Hansen’s .............................................................................................................. 1,960 1,960 1,960 ............................ ............................

Subtotal, Primary Health Care ...................................................................................................................... 1,585,064 1,579,975 1,585,064 ............................ ∂5,089 

Bureau of Health Professions [BHP] 

Health Workforce 

Health Professions, Training for Diversity: 

Centers of Excellence ........................................................................................................................................ 22,909 22,909 22,909 ............................ ............................Health Careers Opportunity Program ................................................................................................................ 14,822 ............................ ............................ ¥14,822 ............................Faculty Loan Repayment ................................................................................................................................... 1,243 1,243 1,243 ............................ ............................Scholarships for Disadvantaged Students ........................................................................................................ 47,452 47,452 47,452 ............................ ............................

Subtotal, Training for Diversity .................................................................................................................... 86,426 71,604 71,604 ¥14,822 ............................

Training in Primary Care Medicine ............................................................................................................................ 38,962 50,962 48,962 ∂10,000 ¥2,000 Pediatric Loan Repayment ......................................................................................................................................... ............................ 5,000 ............................ ............................ ¥5,000 
249 

Oral Health Training ................................................................................................................................................... 32,392 32,392 32,392 ............................ ............................Interdisciplinary Community-Based Linkages: 

Area Health Education Centers ......................................................................................................................... 27,220 ............................ 27,220 ............................ ∂27,220 Geriatric Programs ............................................................................................................................................ 30,629 30,629 30,629 ............................ ............................Mental and Behavorial Health .......................................................................................................................... 2,892 2,892 2,892 ............................ ............................

Evaluation Tap Funding ........................................................................................................................... ............................ (5,000 ) ............................ ............................ (¥5,000 ) Prevention and Public Health Fund 3 ....................................................................................................... (10,000 ) ............................ ............................ (¥10,000 ) ............................

Subtotal, Interdisciplinary Community Linkages ................................................................................. 60,741 33,521 60,741 ............................ ∂27,220 

Subtotal, Evaluation Tap Funding .............................................................................................. ............................ 5,000 ............................ ............................ ¥5,000 Subtotal, Prevention and Public Health Fund 3 .......................................................................... 10,000 ............................ ............................ ¥10,000 ............................

Total, Interdisciplinary Community Linkages ...................................................................................... 70,741 38,521 60,741 ¥10,000 ∂22,220 

Workforce Information and Analysis .......................................................................................................................... 2,782 ............................ 7,782 ∂5,000 ∂7,782 

Evaluation Tap Funding .................................................................................................................................... ............................ (10,000 ) ............................ ............................ (¥10,000 ) 

Public Health and Preventive Medicine programs ..................................................................................................... 8,111 9,609 10,111 ∂2,000 ∂502 

Prevention and Public Health Fund 3 ................................................................................................................ (25,000 ) (10,000 ) (25,000 ) ............................ (∂15,000 ) 

Subtotal ......................................................................................................................................................... 33,111 19,609 35,111 ∂2,000 ∂15,502 

Nursing Programs: 

Advanced Education Nursing ............................................................................................................................ 63,925 63,925 63,925 ............................ ............................

Evaluation Tap Funding ........................................................................................................................... ............................ (20,000 ) ............................ ............................ (¥20,000 ) 

Nurse Education, Practice, and Retention ........................................................................................................ 39,182 39,182 39,182 ............................ ............................Nursing Workforce Diversity .............................................................................................................................. 15,819 15,819 15,819 ............................ ............................Loan Repayment and Scholarship Program ...................................................................................................... 83,135 83,135 83,135 ............................ ............................Comprehensive Geriatric Education .................................................................................................................. 4,485 4,485 4,485 ............................ ............................Nursing Faculty Loan Program .......................................................................................................................... 24,553 24,553 24,553 ............................ ............................

Subtotal, Nursing programs ......................................................................................................................... 231,099 231,099 231,099 ............................ ............................Subtotal, Evaluation Tap Funding ................................................................................................................ ............................ (20,000 ) ............................ ............................ (¥20,000 ) 

Children’s Hospitals Graduate Medical Education .................................................................................................... 265,171 88,000 265,171 ............................ ∂177,171 National Practitioner Data Bank ................................................................................................................................ 28,016 28,016 28,016 ............................ ............................

User Fees ........................................................................................................................................................... ¥28,016 ¥28,016 ¥28,016 ............................ ............................

Subtotal, Bureau of Health Professions ....................................................................................................... 725,684 522,187 727,862 ∂2,178 ∂205,675 
250 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Subtotal, Evaluation Tap Funding ................................................................................................................ ............................ (35,000 ) ............................ ............................ (¥35,000 ) Subtotal, Prevention and Public Health Fund .............................................................................................. (35,000 ) (10,000 ) (25,000 ) (¥10,000 ) (∂15,000 ) Total, Health Professions Program Level ...................................................................................................... 760,684 567,187 752,862 ¥7,822 ∂185,675 

Maternal and Child Health 

Maternal and Child Health Block Grant .................................................................................................................... 638,646 640,098 640,098 ∂1,452 ............................Sickle Cell Anemia Demonstration Program .............................................................................................................. 4,665 4,665 4,665 ............................ ............................Traumatic Brain Injury ............................................................................................................................................... 9,760 9,760 9,760 ............................ ............................Autism and Other Developmental Disorders .............................................................................................................. 47,142 47,142 47,142 ............................ ............................Heritable Disorders ..................................................................................................................................................... 9,834 9,834 9,834 ............................ ............................Healthy Start .............................................................................................................................................................. 103,532 103,532 103,532 ............................ ............................Universal Newborn Hearing ........................................................................................................................................ 18,660 18,660 18,660 ............................ ............................Emergency Medical Services for Children .................................................................................................................. 21,116 21,116 21,116 ............................ ............................

Subtotal, Maternal and Child Health ........................................................................................................... 853,355 854,807 854,807 ∂1,452 ............................

Ryan White HIV/AIDS Program 

Ryan White AIDS Programs: 

Emergency Assistance ....................................................................................................................................... 666,071 671,258 666,071 ............................ ¥5,187 Comprehensive Care Programs ......................................................................................................................... 1,360,827 1,422,341 1,390,827 ∂30,000 ¥31,514 

AIDS Drug Assistance Program [ADAP] (NA) ........................................................................................... (933,299 ) (1,000,000 ) (963,299 ) (∂30,000 ) (¥36,701 ) 

Early Intervention Program ................................................................................................................................ 215,086 235,564 215,086 ............................ ¥20,478 Children, Youth, Women, and Families ............................................................................................................. 77,167 69,582 77,167 ............................ ∂7,585 AIDS Dental Services ......................................................................................................................................... 13,485 13,485 13,485 ............................ ............................Education and Training Centers ....................................................................................................................... 34,542 34,542 34,542 ............................ ............................

Subtotal, Ryan White AIDS programs ........................................................................................................... 2,367,178 2,446,772 2,397,178 ∂30,000 ¥49,594 

Evaluation Tap Funding (NA) ............................................................................................................................ (25,000 ) (25,000 ) (25,000 ) ............................ ............................
251 

Subtotal, Ryan White AIDs program level .................................................................................................... (2,392,178 ) (2,471,772 ) (2,422,178 ) (∂30,000 ) (¥49,594 ) 

Health Care Systems 

Organ Transplantation ............................................................................................................................................... 24,015 24,015 24,015 ............................ ............................National Cord Blood Inventory ................................................................................................................................... 11,887 11,887 11,887 ............................ ............................Bone Marrow Program ................................................................................................................................................ 23,330 23,330 23,330 ............................ ............................Office of Pharmacy Affairs ......................................................................................................................................... 4,472 4,472 4,472 ............................ ............................340B Drug Pricing User Fees ..................................................................................................................................... ............................ 6,000 6,000 ∂6,000 ............................

User Fees ........................................................................................................................................................... ............................ ¥6,000 ¥6,000 ¥6,000 ............................

Poison Control ............................................................................................................................................................ 18,830 18,830 18,830 ............................ ............................

Subtotal, Health Care Systems ..................................................................................................................... 82,534 82,534 82,534 ............................ ............................

Rural Health 

Rural Outreach Grants ............................................................................................................................................... 55,553 55,553 57,553 ∂2,000 ∂2,000 Rural Health Research/Policy Development ............................................................................................................... 9,866 9,866 9,866 ............................ ............................Rural Hospital Flexibility Grants ................................................................................................................................ 41,040 26,200 41,040 ............................ ∂14,840 Rural and Community Access to Emergency Devices ............................................................................................... 1,100 ............................ 5,000 ∂3,900 ∂5,000 State Offices of Rural Health .................................................................................................................................... 10,036 10,036 10,036 ............................ ............................Black Lung Clinics ..................................................................................................................................................... 7,140 7,140 7,140 ............................ ............................Radiation Exposure Screening and Education Program ............................................................................................ 1,935 1,935 1,935 ............................ ............................Telehealth ................................................................................................................................................................... 11,502 11,502 11,502 ............................ ............................

Subtotal, Rural Health .................................................................................................................................. 138,172 122,232 144,072 ∂5,900 ∂21,840 

Family Planning .......................................................................................................................................................... 293,870 296,838 293,870 ............................ ¥2,968 Program Management ................................................................................................................................................ 159,894 162,517 162,517 ∂2,623 ............................

Total, Health resources & services program level ....................................................................................... (6,265,751 ) (6,137,862 ) (6,297,904 ) (∂32,153 ) (∂160,042 ) 

HEALTH EDUCATION ASSISTANCE LOANS PROGRAM ACCOUNT 

HEAL Liquidating Account .......................................................................................................................................... (1,000 ) (1,000 ) (1,000 ) ............................ ............................HEAL Program Management ....................................................................................................................................... 2,807 2,807 2,807 ............................ ............................

Total, HEAL .................................................................................................................................................... 2,807 2,807 2,807 ............................ ............................

VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 

Post-fiscal year 1988 Claims .................................................................................................................................... 235,000 235,000 235,000 ............................ ............................HRSA Administration .................................................................................................................................................. 6,477 6,477 6,477 ............................ ............................

Total, Vaccine Injury Compensation Trust Fund .......................................................................................... 241,477 241,477 241,477 ............................ ............................
252 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Total, Health Resources & Services Administration ..................................................................................... 6,450,035 6,312,146 6,492,188 ∂42,153 ∂180,042 

Total, Evaluation tap funding ............................................................................................................. (25,000 ) (60,000 ) (25,000 ) ............................ (¥35,000 ) 

Prevention and Public Health Fund 3 ................................................................................................................ (35,000 ) (10,000 ) (25,000 ) (¥10,000 ) (∂15,000 ) 

Total, HRSA program level ............................................................................................................................ (6,510,035 ) (6,382,146 ) (6,542,188 ) (∂32,153 ) (∂160,042 ) 

CENTERS FOR DISEASE CONTROL AND PREVENTION 

DISEASE CONTROL, RESEARCH, AND TRAINING 

Immunization and Respiratory Diseases .................................................................................................................... 576,083 583,855 576,083 ............................ ¥7,772 

Evaluation Tap Funding .................................................................................................................................... (12,864 ) (13,765 ) (12,864 ) ............................ (¥901 ) Pandemic Flu balances (Public Law 111–32) .................................................................................................. ............................ (51,049 ) ............................ ............................ (¥51,049 ) Prevention and Public Health Fund 3 ................................................................................................................ (190,000 ) (72,460 ) (190,000 ) ............................ (∂117,540 ) 

Subtotal ......................................................................................................................................................... (778,947 ) (721,129 ) (778,947 ) ............................ (∂57,818 ) 

HIV/AIDS, Viral Hepatitis, STD, and TB Prevention .................................................................................................... 1,099,934 1,145,678 1,101,934 ∂2,000 ¥43,744 

Prevention and Public Health Fund 3 ................................................................................................................ (10,000 ) ............................ (10,000 ) ............................ (∂10,000 ) 

Subtotal, HIV/AIDS, Viral Hepathitis, STD & TB ........................................................................................... 1,109,934 1,145,678 1,111,934 ∂2,000 ¥33,744 

Emerging and Zoonotic Infectious Diseases .............................................................................................................. 252,476 279,477 269,274 ∂16,798 ¥10,203 

Prevention and Public Health Fund 3 ................................................................................................................ (51,750 ) (51,750 ) (51,750 ) ............................ ............................

Subtotal, Emerging and Zoonotic Infectious ................................................................................................ 304,226 331,227 321,024 ∂16,798 ¥10,203 

Chronic Disease Prevention and Health Promotion ................................................................................................... 756,377 608,019 798,445 ∂42,068 ∂190,426 

Evaluation Tap Funding .................................................................................................................................... ............................ (25,000 ) ............................ ............................ (¥25,000 ) Prevention and Public Health Fund 3 ................................................................................................................ (427,050 ) (511,711 ) (457,050 ) (∂30,000 ) (¥54,661 ) 

Subtotal, Chronic Disiease Prevention ......................................................................................................... (1,183,427 ) (1,144,730 ) (1,255,495 ) (∂72,068 ) (∂110,765 ) 

Birth Defects and Developmental Disabilities ........................................................................................................... 137,287 18,476 134,500 ¥2,787 ∂116,024 
253 

Prevention and Public Health Fund 3 ................................................................................................................ ............................ (107,089 ) ............................ ............................ (¥107,089 ) 

Subtotal, Birth Defects ................................................................................................................................. (137,287 ) (125,565 ) (134,500 ) (¥2,787 ) (∂8,935 ) 

Public Health Scientific Services ............................................................................................................................... 143,972 35,695 143,972 ............................ ∂108,277 

Evaluation Tap Funding .................................................................................................................................... (247,769 ) (379,374 ) (247,769 ) ............................ (¥131,605 ) Prevention and Public Health Fund 3 ................................................................................................................ (70,000 ) (90,000 ) (70,000 ) ............................ (¥20,000 ) 

Subtotal ......................................................................................................................................................... (461,741 ) (505,069 ) (461,741 ) ............................ (¥43,328 ) 

Environmental Health ................................................................................................................................................. 104,998 103,672 114,667 ∂9,669 ∂10,995 

Prevention and Public Health Fund 3 ................................................................................................................ (35,000 ) (29,000 ) (35,000 ) ............................ (∂6,000 ) 

Subtotal ......................................................................................................................................................... (139,998 ) (132,672 ) (149,667 ) (∂9,669 ) (∂16,995 ) 

Injury Prevention and Control .................................................................................................................................... 137,693 137,754 137,693 ............................ ¥61 

Prevention and Public Health Fund 3 ................................................................................................................ ............................ ............................ (3,000 ) (∂3,000 ) (∂3,000 ) 

Subtotal ......................................................................................................................................................... (137,693 ) (137,754 ) (140,693 ) (∂3,000 ) (∂2,939 ) 

National Institute for Occupational Safety & Health 3 .............................................................................................. 181,864 ............................ 181,864 ............................ ∂181,864 

Evaluation Tap Funding .................................................................................................................................... (110,724 ) (249,364 ) (110,724 ) ............................ (¥138,640 ) 

Subtotal ......................................................................................................................................................... (292,588 ) (249,364 ) (292,588 ) ............................ (∂43,224 ) 

Energy Employees Occupational Illness Compensation Program .............................................................................. 55,358 55,358 55,358 ............................ ............................Global Health .............................................................................................................................................................. 347,594 362,889 362,594 ∂15,000 ¥295 Public Health Preparedness and Response ............................................................................................................... 1,299,479 1,228,360 1,299,479 ............................ ∂71,119 

Pandemic Flu balances (Public Law 111–32) .................................................................................................. (30,000 ) (46,776 ) ............................ (¥30,000 ) (¥46,776 ) 

Subtotal ......................................................................................................................................................... 1,329,479 1,275,136 1,299,479 ¥30,000 ∂24,343 

CDC-Wide Activities .................................................................................................................................................... 617,913 487,648 593,193 ¥24,720 ∂105,545 Prevention and Public Health Fund 3 ......................................................................................................................... (41,200 ) (41,200 ) (41,200 ) ............................ ............................

Subtotal, CDC-Wide Activities ...................................................................................................................... (659,113 ) (528,848 ) (634,393 ) (¥24,720 ) (∂105,545 ) Total, Centers for Disease Control ............................................................................................................... 6,536,028 5,950,091 6,627,056 ∂91,028 ∂676,965 

Discretionary ........................................................................................................................................ 5,655,670 4,991,523 5,713,698 ∂58,028 ∂722,175 Evaluation Tap Funding (NA) .............................................................................................................. (371,357 ) (667,503 ) (371,357 ) ............................ (¥296,146 ) Pandemic Flu balances (Public Law 111–32) .................................................................................... (30,000 ) (97,825 ) ............................ (¥30,000 ) (¥97,825 ) Prevention and Public Health Fund 3 .................................................................................................. (825,000 ) (903,210 ) (858,000 ) (∂33,000 ) (¥45,210 ) 
254 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Total, Centers for Disease Control Program Level ....................................................................................... (6,937,385 ) (6,715,419 ) (6,998,413 ) (∂61,028 ) (∂282,994 ) 

NATIONAL INSTITUTES OF HEALTH 

National Cancer Institute ........................................................................................................................................... 5,067,396 5,068,864 5,084,227 ∂16,831 ∂15,363 National Heart, Lung, and Blood Institute ................................................................................................................ 3,076,115 3,076,067 3,085,390 ∂9,275 ∂9,323 National Institute of Dental & Craniofacial Research .............................................................................................. 410,322 408,212 409,449 ¥873 ∂1,237 National Institute of Diabetes and Digestive and Kidney Diseases [NIDDK] ............................................................ 1,795,348 1,792,107 1,797,539 ∂2,191 ∂5,432 National Institute of Neurological Disorders & Stroke .............................................................................................. 1,624,830 1,624,707 1,629,631 ∂4,801 ∂4,924 National Institute of Allergy and Infectious Diseases ............................................................................................... 4,486,473 4,495,307 4,508,932 ∂22,459 ∂13,625 

Global HIV/AIDS Fund Transfer ......................................................................................................................... ............................ ............................ ............................ ............................ ............................

Subtotal, NIAID program level ...................................................................................................................... 4,486,473 4,495,307 4,508,932 ∂22,459 ∂13,625 

National Institute of General Medical Sciences ........................................................................................................ 2,427,742 2,378,835 2,387,112 ¥40,630 ∂8,277 National Institute of Child Health & Human Development ....................................................................................... 1,320,151 1,320,600 1,324,603 ∂4,452 ∂4,003 National Eye Institute ................................................................................................................................................. 702,049 693,015 695,115 ¥6,934 ∂2,100 National Institute of Environmental Health Sciences ................................................................................................ 684,923 684,030 686,103 ∂1,180 ∂2,073 National Institute on Aging ........................................................................................................................................ 1,121,400 1,102,650 1,124,265 ∂2,865 ∂21,615 National Institute of Arthritis and Musculoskeletal and Skin Diseases ................................................................... 535,280 535,610 537,233 ∂1,953 ∂1,623 National Institute on Deafness and Other Communication Disorders ...................................................................... 415,880 417,297 418,562 ∂2,682 ∂1,265 National Institute of Nursing Research ..................................................................................................................... 144,633 144,153 144,590 ¥43 ∂437 National Institute on Alcohol Abuse and Alcoholism ................................................................................................ 459,085 457,104 458,489 ¥596 ∂1,385 National Institute on Drug Abuse .............................................................................................................................. 1,052,373 1,054,001 1,057,196 ∂4,823 ∂3,195 National Institute of Mental Health ........................................................................................................................... 1,478,868 1,479,204 1,483,687 ∂4,819 ∂4,483 National Human Genome Research Institute ............................................................................................................. 512,727 511,370 512,920 ∂193 ∂1,550 National Institute of Biomedical Imaging and Bioengineering ................................................................................. 338,038 336,896 337,917 ¥121 ∂1,021 National Center for Complementary and Alternative Medicine ................................................................................. 127,937 127,930 128,318 ∂381 ∂388 National Institute on Minority Health and Health Disparities ................................................................................... 276,179 279,389 280,236 ∂4,057 ∂847 John E. Fogarty International Center ......................................................................................................................... 69,556 69,758 69,969 ∂413 ∂211 National Center for Advancing Translation Sciences ................................................................................................ 574,823 639,033 631,346 ∂56,523 ¥7,687 National Library of Medicine [NLM] ........................................................................................................................... 337,322 372,651 373,781 ∂36,459 ∂1,130 
255 

Evaluation Tap Funding .................................................................................................................................... (8,200 ) (8,200 ) (8,200 ) ............................ ............................

Subtotal ......................................................................................................................................................... 345,522 380,851 381,981 ∂36,459 ∂1,130 

Office of the Director ................................................................................................................................................. 1,458,501 1,429,161 1,431,341 ¥27,160 ∂2,180 

Common fund .................................................................................................................................................... (544,930 ) (544,930 ) (544,930 ) ............................ ............................

Buildings and Facilities ............................................................................................................................................. 125,308 125,308 125,308 ............................ ............................

Total, National Institutes of Health [NIH] .................................................................................................... 30,623,259 30,623,259 30,723,259 ∂100,000 ∂100,000 

Evaluation Tap Funding ....................................................................................................................... (8,200 ) (8,200 ) (8,200 ) ............................ ............................

Total, NIH Program Level .............................................................................................................................. (30,631,459 ) (30,631,459 ) (30,731,459 ) (∂100,000 ) (∂100,000 ) 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION [SAMHSA] 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 

Mental Health: 

Programs of Regional and National Significance ............................................................................................ 275,756 219,550 270,394 ¥5,362 ∂50,844 Prevention and Public Health Fund 3 ................................................................................................................ (45,000 ) (28,000 ) (45,000 ) ............................ (∂17,000 ) 

Subtotal, PRNS .............................................................................................................................................. (320,756 ) (247,550 ) (315,394 ) (¥5,362 ) (∂67,844 ) 

Mental Health block grant ................................................................................................................................ 438,717 438,717 458,717 ∂20,000 ∂20,000 

Evaluation Tap Funding ........................................................................................................................... (21,039 ) (21,039 ) (21,039 ) ............................ ............................

Subtotal, MHBG Program level ............................................................................................................ (459,756 ) (459,756 ) (479,756 ) (∂20,000 ) (∂20,000 ) 

Children’s Mental Health .................................................................................................................................. 117,315 88,557 117,315 ............................ ∂28,758 Grants to States for the Homeless (PATH) ....................................................................................................... 64,794 64,794 64,794 ............................ ............................Protection and Advocacy ................................................................................................................................... 36,238 36,238 36,238 ............................ ............................State prevention grants .................................................................................................................................... ............................ 55,000 ............................ ............................ ¥55,000 

Subtotal, Mental Health ................................................................................................................................ 932,820 902,856 947,458 ∂14,638 ∂44,602 Subtotal, Mental health program level ........................................................................................................ (998,859 ) (951,895 ) (1,013,497 ) (∂14,638 ) (∂61,602 ) 

Substance Abuse Treatment: 

Programs of Regional and National Significance ............................................................................................ 398,242 334,139 368,813 ¥29,429 ∂34,674 Prevention and Public Health Fund 3 ................................................................................................................ (25,000 ) (30,000 ) (25,000 ) ............................ (¥5,000 ) 

Evaluation Tap Funding ........................................................................................................................... (2,000 ) ............................ (2,000 ) ............................ (∂2,000 ) 

Subtotal, Program level ....................................................................................................................... (425,242 ) (364,139 ) (395,813 ) (¥29,429 ) (∂31,674 ) 
256 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Substance Abuse block grant ........................................................................................................................... 1,721,132 1,376,906 1,741,132 ∂20,000 ∂364,226 

Evaluation Tap Funding ........................................................................................................................... (79,200 ) (71,724 ) (79,200 ) ............................ (∂7,476 ) 

Subtotal, Program level ....................................................................................................................... (1,800,332 ) (1,448,630 ) (1,820,332 ) (∂20,000 ) (∂371,702 ) 

Substance abuse prevention grants ................................................................................................................. ............................ 404,501 ............................ ............................ ¥404,501 

Subtotal, Substance Abuse Treatment ......................................................................................................... 2,119,374 2,115,546 2,109,945 ¥9,429 ¥5,601 Subtotal, Program level ................................................................................................................................ (2,225,574 ) (2,217,270 ) (2,216,145 ) (¥9,429 ) (¥1,125 ) 

Substance Abuse Prevention: 

Programs of Regional and National Significance ............................................................................................ 185,956 58,877 184,433 ¥1,523 ∂125,556 Prevention and Public Health Fund 3 ................................................................................................................ ............................ (7,000 ) ............................ ............................ (¥7,000 ) 

Subtotal ......................................................................................................................................................... 185,956 58,877 184,433 ¥1,523 ∂125,556 Subtotal, Program Level ............................................................................................................................... (185,956 ) (65,877 ) (184,433 ) (¥1,523 ) (∂118,556 ) 

Health Surveillance and Program Support: 

Program Management ....................................................................................................................................... 76,891 72,229 72,229 ¥4,662 ............................Health Surveillance ........................................................................................................................................... 1,996 2,000 1,996 ............................ ¥4 

Prevention and Public Health Fund 3 ....................................................................................................... (18,000 ) ............................ (18,000 ) ............................ (∂18,000 ) Evaluation Tap Funding ........................................................................................................................... (27,428 ) (45,428 ) (27,428 ) ............................ (¥18,000 ) 

Surveillance, Program level ................................................................................................................. (47,424 ) (47,428 ) (47,424 ) ............................ (¥4 ) 

Military Families ......................................................................................................................................................... 3,493 ............................ ............................ ¥3,493 ............................Data Requests and Publications ............................................................................................................................... ............................ 1,500 1,500 ∂1,500 ............................

User Fees ........................................................................................................................................................... ............................ ¥1,500 ¥1,500 ¥1,500 ............................

Public Awareness and Support .................................................................................................................................. 13,545 ............................ 13,545 ............................ ∂13,545 

Evaluation Tap Funding .................................................................................................................................... ............................ (13,571 ) ............................ ............................ (¥13,571 ) 

Performance and Quality Information Systems ......................................................................................................... 12,940 ............................ 12,940 ............................ ∂12,940 
257 

Evaluation Tap Funding .................................................................................................................................... ............................ (12,996 ) ............................ ............................ (¥12,996 ) 

Tribal Prevention Grants [PPHF] ................................................................................................................................ ............................ (40,000 ) ............................ ............................ (¥40,000 ) 

Total, Health Surveillance ............................................................................................................................. 108,865 74,229 100,710 ¥8,155 ∂26,481 Total, Health Surveillance Program Level .................................................................................................... 154,293 186,224 146,138 ¥8,155 ¥40,086 Total, SAMHSA ............................................................................................................................................... 3,347,015 3,151,508 3,342,546 ¥4,469 ∂191,038 

Evaluation Tap Funding ....................................................................................................................... (129,667 ) (164,758 ) (129,667 ) ............................ (¥35,091 ) Prevention and Public Health Fund 3 .................................................................................................. (88,000 ) (105,000 ) (88,000 ) ............................ (¥17,000 ) 

Total, SAMHSA Program Level ...................................................................................................................... (3,564,682 ) (3,421,266 ) (3,560,213 ) (¥4,469 ) (∂138,947 ) 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY [AHRQ] 

HEALTHCARE RESEARCH AND QUALITY 

Research on Health Costs, Quality, and Outcomes: 

Evaluation Tap funding ..................................................................................................................................... (235,768 ) (206,635 ) (236,331 ) (∂563 ) (∂29,696 ) Prevention and Public Health Fund 3 ................................................................................................................ (12,000 ) (12,000 ) (12,000 ) ............................ ............................

Subtotal, Health Costs, Quality, and Outcomes ........................................................................................... (247,768 ) (218,635 ) (248,331 ) (∂563 ) (∂29,696 ) 

Medical Expenditures Panel Surveys: 

Evaluation Tap Funding (NA) ............................................................................................................................ (59,300 ) (59,300 ) (59,300 ) ............................ ............................

Subtotal, Medical Expenditures Panel Surveys ............................................................................................ (59,300 ) (59,300 ) (59,300 ) ............................ ............................

Program Support: 

Evaluation Tap Funding (NA) ............................................................................................................................ (73,985 ) (68,422 ) (68,422 ) (¥5,563 ) ............................

Subtotal ......................................................................................................................................................... (73,985 ) (68,422 ) (68,422 ) (¥5,563 ) ............................

Evaluation Tap Funding (NA) .............................................................................................................. (369,053 ) (334,357 ) (364,053 ) (¥5,000 ) (∂29,696 ) AHRQ, Prevention and Public Health Fund 3 ....................................................................................... (12,000 ) (12,000 ) (12,000 ) ............................ ............................

Total, AHRQ Program Level ........................................................................................................................... (381,053 ) (346,357 ) (376,053 ) (¥5,000 ) (∂29,696 ) Total, Public Health Service (PHS) appropriation ........................................................................................ 46,131,337 45,133,794 46,327,049 ∂195,712 ∂1,193,255 Total, Public Health Service Program Level ................................................................................................. (48,148,614 ) (47,612,647 ) (48,322,326 ) (∂173,712 ) (∂709,679 ) 
258 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

CENTERS FOR MEDICARE AND MEDICAID SERVICES 

GRANTS TO STATES FOR MEDICAID 

Medicaid Current Law Benefits .................................................................................................................................. 253,884,907 250,398,918 250,398,918 ¥3,485,989 ............................State and Local Administration ................................................................................................................................. 12,808,496 14,735,346 14,735,346 ∂1,926,850 ............................Vaccines for Children ................................................................................................................................................. 4,030,996 4,271,015 4,271,015 ∂240,019 ............................

Subtotal, Medicaid Program Level ................................................................................................................ 270,724,399 269,405,279 269,405,279 ¥1,319,120 ............................

Less funds advanced in prior year ..................................................................................................... ¥86,445,289 ¥90,614,082 ¥90,614,082 ¥4,168,793 ............................

Total, Grants to States for Medicaid ............................................................................................................ 184,279,110 178,791,197 178,791,197 ¥5,487,913 ............................

New advance, 1st quarter ................................................................................................................... 90,614,082 106,335,631 106,335,631 ∂15,721,549 ............................

PAYMENTS TO HEALTH CARE TRUST FUNDS 

Supplemental Medical Insurance ............................................................................................................................... 178,041,000 189,520,000 189,520,000 ∂11,479,000 ............................Federal Uninsured Payment ....................................................................................................................................... 262,000 228,000 228,000 ¥34,000 ............................Program Management ................................................................................................................................................ 222,000 192,000 192,000 ¥30,000 ............................General Revenue for Part D Benefit .......................................................................................................................... 51,431,000 60,744,000 60,744,000 ∂9,313,000 ............................General Revenue for Part D Administration .............................................................................................................. 475,000 424,000 424,000 ¥51,000 ............................HCFAC Reimbursement ............................................................................................................................................... 310,378 610,000 610,000 ∂299,622 ............................

Total, Payments to Trust Funds, Program Level .......................................................................................... 230,741,378 251,718,000 251,718,000 ∂20,976,622 ............................

PROGRAM MANAGEMENT 

Research, Demonstration, Evaluation ........................................................................................................................ 21,160 ............................ 23,900 ∂2,740 ∂23,900 Program operations .................................................................................................................................................... 2,608,785 3,618,487 3,156,045 ∂547,260 ¥462,442 State Survey and Certification ................................................................................................................................... 375,203 387,353 375,203 ............................ ¥12,150 High Risk Insurance Pools ......................................................................................................................................... 44,000 22,004 44,000 ............................ ∂21,996 Federal Administration ............................................................................................................................................... 770,964 792,964 770,964 ............................ ¥22,000 

Total, Program management, Limitation on new BA ................................................................................... 3,820,112 4,820,808 4,370,112 ∂550,000 ¥450,696 
259 

HEALTH CARE FRAUD AND ABUSE CONTROL 

Part D Drug Benefit/Medicare Advantage [MIP] ........................................................................................................ 219,463 362,792 362,792 ∂143,329 ............................HHS Office of Inspector General ................................................................................................................................ 29,674 102,500 102,500 ∂72,826 ............................Medicaid/CHIP ............................................................................................................................................................ 30,979 46,906 46,906 ∂15,927 ............................Department of Justice ................................................................................................................................................ 29,674 97,802 97,802 ∂68,128 ............................

Total, Health Care Fraud and Abuse Control ............................................................................................... 309,790 610,000 610,000 ∂300,210 ............................Total, Centers for Medicare and Medicaid Services .................................................................................... 509,764,472 542,275,636 541,824,940 ∂32,060,468 ¥450,696 

Federal funds ....................................................................................................................................... 505,634,570 536,844,828 536,844,828 ∂31,210,258 ............................

Current year ................................................................................................................................ (415,020,488 ) (430,509,197 ) (430,509,197 ) (∂15,488,709 ) ............................New advance, fiscal year 2014 .................................................................................................. (90,614,082 ) (106,335,631 ) (106,335,631 ) (∂15,721,549 ) ............................

Trust Funds .......................................................................................................................................... 4,129,902 5,430,808 4,980,112 ∂850,210 ¥450,696 

ADMINISTRATION FOR CHILDREN AND FAMILIES 

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT PROGRAMS 

Payments to Territories .............................................................................................................................................. 33,000 33,000 33,000 ............................ ............................Repatriation ................................................................................................................................................................ 1,000 1,000 1,000 ............................ ............................

Subtotal, Welfare payments .......................................................................................................................... 34,000 34,000 34,000 ............................ ............................

Child Support Enforcement: 

State and Local Administration ........................................................................................................................ 3,484,514 3,272,647 3,272,647 ¥211,867 ............................Federal Incentive Payments .............................................................................................................................. 519,000 539,838 539,838 ∂20,838 ............................Access and Visitation ........................................................................................................................................ 10,000 10,000 10,000 ............................ ............................

Subtotal, Child Support Enforcement ........................................................................................................... 4,013,514 3,822,485 3,822,485 ¥191,029 ............................Total, Family Support Payments Program Level ........................................................................................... 4,047,514 3,856,485 3,856,485 ¥191,029 ............................

Less funds advanced in previous years .............................................................................................. ¥1,200,000 ¥1,100,000 ¥1,100,000 ∂100,000 ............................

Total, Family Support Payments, current year ............................................................................................. 2,847,514 2,756,485 2,756,485 ¥91,029 ............................

New advance, 1st quarter, fiscal year 2014 ...................................................................................... 1,100,000 1,100,000 1,100,000 ............................ ............................

LOW-INCOME HOME ENERGY ASSISTANCE [LIHEAP] 

Formula Grants ........................................................................................................................................................... 3,471,672 2,820,000 3,371,672 ¥100,000 ∂551,672 Contingency Fund ....................................................................................................................................................... ............................ 200,000 100,000 ∂100,000 ¥100,000 

Total, LIHEAP, Program Level ....................................................................................................................... 3,471,672 3,020,000 3,471,672 ............................ ∂451,672 
260 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

REFUGEE AND ENTRANT ASSISTANCE 

Transitional and Medical Services ............................................................................................................................. 323,195 403,000 343,000 ∂19,805 ¥60,000 Victims of Trafficking ................................................................................................................................................. 9,775 9,775 9,775 ............................ ............................Social Services ........................................................................................................................................................... 115,107 153,407 153,407 ∂38,300 ............................Preventive Health ....................................................................................................................................................... 4,730 4,730 4,730 ............................ ............................Targeted Assistance ................................................................................................................................................... 20,201 48,401 48,401 ∂28,200 ............................Unaccompanied Minors .............................................................................................................................................. 284,281 175,000 235,000 ¥49,281 ∂60,000 Victims of Torture ....................................................................................................................................................... 11,045 11,045 11,045 ............................ ............................

Total, Refugee and Entrant Assistance ........................................................................................................ 768,334 805,358 805,358 ∂37,024 ............................

PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT BLOCK GRANT 

Child Care and Development Block Grant ................................................................................................................. 2,278,313 2,603,313 2,438,313 ∂160,000 ¥165,000 SOCIAL SERVICES BLOCK GRANT (TITLE XX) ............................................................................................................. 1,700,000 1,700,000 1,700,000 ............................ ............................

CHILDREN AND FAMILIES SERVICES PROGRAMS 

Programs for Children, Youth and Families: 

Head Start, current funded ............................................................................................................................... 7,968,544 8,054,000 8,038,544 ∂70,000 ¥15,456 Consolidated Runaway, Homeless Youth Program ........................................................................................... 97,355 97,355 97,355 ............................ ............................Prevention Grants to Reduce Abuse of Runaway Youth ................................................................................... 17,901 17,901 17,901 ............................ ............................Child Abuse State Grants ................................................................................................................................. 26,432 26,432 26,432 ............................ ............................Child Abuse Discretionary Activities ................................................................................................................. 25,744 25,744 25,744 ............................ ............................Community Based Child Abuse Prevention ....................................................................................................... 41,527 41,527 41,527 ............................ ............................Abandoned Infants Assistance .......................................................................................................................... 11,553 11,553 11,553 ............................ ............................Child Welfare Services ...................................................................................................................................... 280,650 280,650 280,650 ............................ ............................Child Welfare Training/Innovative Approaches to Foster Care ......................................................................... 26,092 31,092 31,092 ∂5,000 ............................Adoption Opportunities ...................................................................................................................................... 39,179 39,179 39,179 ............................ ............................Adoption Incentive ............................................................................................................................................. 39,346 39,346 39,346 ............................ ............................

Social Services and Income Maintenance Research ................................................................................................. ............................ 8,000 ............................ ............................ ¥8,000 
261 

Evaluation Tap Funding .................................................................................................................................... (5,762 ) (5,762 ) (5,762 ) ............................ ............................

Subtotal, Program Level ............................................................................................................................... (5,762 ) (13,762 ) (5,762 ) ............................ (¥8,000 ) 

Native American Programs ......................................................................................................................................... 48,583 48,583 48,583 ............................ ............................Community Services: 

Community Services Block Grant Act programs: 

Grants to States for Community Services ............................................................................................... 677,358 350,000 677,358 ............................ ∂327,358 Economic Development ............................................................................................................................. 29,943 29,943 29,943 ............................ ............................Rural Community Facilities ...................................................................................................................... 4,981 ............................ 5,981 ∂1,000 ∂5,981 

Subtotal ................................................................................................................................................ 712,282 379,943 713,282 ∂1,000 ∂333,339 

Individual Development Account Initiative .............................................................................................. 19,869 19,869 19,869 ............................ ............................

Subtotal, Community Services ............................................................................................................. 732,151 399,812 733,151 ∂1,000 ∂333,339 

Domestic Violence Hotline .......................................................................................................................................... 3,197 4,500 4,197 ∂1,000 ¥303 Family Violence/Battered Women’s Shelters .............................................................................................................. 129,547 135,000 133,547 ∂4,000 ¥1,453 Independent Living Training Vouchers ....................................................................................................................... 45,174 45,174 45,174 ............................ ............................Faith-Based Center .................................................................................................................................................... 1,370 1,370 1,370 ............................ ............................Disaster Human Services Case Management ............................................................................................................ 1,992 1,992 1,992 ............................ ............................Program Direction ....................................................................................................................................................... 198,645 206,447 201,645 ∂3,000 ¥4,802 

Total, Children and Families Services Programs ......................................................................................... 9,734,982 9,515,657 9,818,982 ∂84,000 ∂303,325 

Current Year ......................................................................................................................................... (9,734,982 ) (9,515,657 ) (9,818,982 ) (∂84,000 ) (∂303,325 ) Evaluation Tap Funding ....................................................................................................................... (5,762 ) (5,762 ) (5,762 ) ............................ ............................

Total, Program Level ..................................................................................................................................... (9,740,744 ) (9,521,419 ) (9,824,744 ) (∂84,000 ) (∂303,325 ) 

PROMOTING SAFE AND STABLE FAMILIES .................................................................................................................. 345,000 345,000 345,000 ............................ ............................

Discretionary Funds ........................................................................................................................................... 63,065 63,065 63,065 ............................ ............................

PAYMENTS FOR FOSTER CARE AND PERMANENCY 

Foster Care ................................................................................................................................................................. 4,288,000 4,143,000 4,143,000 ¥145,000 ............................Adoption Assistance ................................................................................................................................................... 2,495,000 2,537,000 2,537,000 ∂42,000 ............................Kinship Guardianship ................................................................................................................................................. 80,000 90,000 90,000 ∂10,000 ............................Independent Living ..................................................................................................................................................... 140,000 140,000 140,000 ............................ ............................

Total, Payments to States ............................................................................................................................ 7,003,000 6,910,000 6,910,000 ¥93,000 ............................

Less Advances from Prior Year ........................................................................................................... ¥1,850,000 ¥2,100,000 ¥2,100,000 ¥250,000 ............................
262 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Total, payments, current year ..................................................................................................... 5,153,000 4,810,000 4,810,000 ¥343,000 ............................New Advance, 1st quarter .......................................................................................................... 2,100,000 2,200,000 2,200,000 ∂100,000 ............................

Total, Administration for Children & Families ............................................................................................. 29,561,880 28,918,878 29,508,875 ¥53,005 ∂589,997 

Current year ......................................................................................................................................... (26,361,880 ) (25,618,878 ) (26,208,875 ) (¥153,005 ) (∂589,997 ) Fiscal year 2014 .................................................................................................................................. (3,200,000 ) (3,300,000 ) (3,300,000 ) (∂100,000 ) ............................Evaluation Tap Funding ....................................................................................................................... (5,762 ) (5,762 ) (5,762 ) ............................ ............................

Total, ACF Program Level ............................................................................................................................. 29,567,642 28,924,640 29,514,637 ¥53,005 ∂589,997 

ADMINISTRATION FOR COMMUNITY LIVING 

AGING AND DISABILITY SERVICES PROGRAMS 

Grants to States: 

Home and Community-based Supportive Services ........................................................................................... 366,916 366,916 366,916 ............................ ............................Preventive Health .............................................................................................................................................. 20,945 20,945 20,945 ............................ ............................Protection of Vulnerable Older Americans—Title VII ....................................................................................... 21,797 21,797 21,797 ............................ ............................

Subtotal ......................................................................................................................................................... 409,658 409,658 409,658 ............................ ............................

Family Caregivers .............................................................................................................................................. 153,621 153,621 153,621 ............................ ............................Native American Caregivers Support ................................................................................................................ 6,364 6,364 6,364 ............................ ............................

Subtotal, Caregivers ..................................................................................................................................... 159,985 159,985 159,985 ............................ ............................

Nutrition: 

Congregate Meals ..................................................................................................................................... 439,070 439,070 439,070 ............................ ............................Home Delivered Meals .............................................................................................................................. 216,831 216,831 216,831 ............................ ............................Nutrition Services Incentive Program ....................................................................................................... 160,389 160,389 160,389 ............................ ............................

Subtotal ................................................................................................................................................ 816,290 816,290 816,290 ............................ ............................Subtotal, Grants to States ................................................................................................................... 1,385,933 1,385,933 1,385,933 ............................ ............................
263 

Grants for Native Americans ...................................................................................................................................... 27,601 27,601 27,601 ............................ ............................Aging Network Support Activities ............................................................................................................................... 7,873 7,873 7,873 ............................ ............................Alzheimer’s Disease Demonstrations ......................................................................................................................... 4,011 9,537 4,011 ............................ ¥5,526 Lifespan Respite Care ................................................................................................................................................ 2,490 2,490 4,990 ∂2,500 ∂2,500 Chronic Disease Self-Management Program ............................................................................................................. ............................ ............................ ............................ ............................ ............................

Prevention and Public Health Fund 3 ................................................................................................................ (10,000 ) (10,000 ) (10,000 ) ............................ ............................

Elder Falls .................................................................................................................................................................. ............................ ............................ ............................ ............................ ............................

Prevention and Public Health Fund 3 ................................................................................................................ ............................ ............................ (7,000 ) (∂7,000 ) (∂7,000 ) 

Adult Protective Services Demonstration ................................................................................................................... ............................ 8,000 8,000 ∂8,000 ............................Senior Medicare Patrol Program ................................................................................................................................ 9,402 9,402 9,402 ............................ ............................Elder Rights Support Activities .................................................................................................................................. 4,088 4,088 4,088 ............................ ............................Aging and Disability Resources ................................................................................................................................. 6,457 ............................ 6,457 ............................ ∂6,457 State Health Insurance Program ................................................................................................................................ 52,115 51,902 52,115 ............................ ∂213 Community Service Employment for Older Americans ............................................................................................... ............................ 448,251 ............................ ............................ ¥448,251 Developmental Disabilities Programs: 

State Councils ................................................................................................................................................... 74,774 74,774 74,774 ............................ ............................Protection and Advocacy ................................................................................................................................... 40,865 40,865 40,865 ............................ ............................Voting Access for Individuals with Disabilities ................................................................................................ 5,235 5,235 5,235 ............................ ............................Developmental Disabilities Projects of National Significance .......................................................................... 8,317 8,317 8,317 ............................ ............................Universtiy Centers of Excellence ....................................................................................................................... 38,792 38,792 38,792 ............................ ............................

Subtotal ......................................................................................................................................................... 167,983 167,983 167,983 ............................ ............................

Program Administration ............................................................................................................................................. 29,311 29,652 29,652 ∂341 ............................

Total, Administration for Community Living ................................................................................................ 1,697,264 2,152,712 1,708,105 ∂10,841 ¥444,607 

Federal funds ....................................................................................................................................... 1,645,149 2,100,810 1,655,990 ∂10,841 ¥444,820 Trust Funds .......................................................................................................................................... (52,115 ) (51,902 ) (52,115 ) ............................ (∂213 ) 

Total, ACL Program Level ............................................................................................................................. 1,707,264 2,162,712 1,725,105 ∂17,841 ¥437,607 

OFFICE OF THE SECRETARY 

GENERAL DEPARTMENTAL MANAGEMENT 

General Departmental Management: 

Federal Funds .................................................................................................................................................... 223,253 234,834 223,253 ............................ ¥11,581 Prevention and Public Health Fund 3 ................................................................................................................ (30,000 ) (105,000 ) ............................ (¥30,000 ) (¥105,000 ) 

Subtotal ......................................................................................................................................................... 253,253 339,834 223,253 ¥30,000 ¥116,581 

Teen Pregnancy Prevention Community Grants ......................................................................................................... 104,592 ............................ 104,592 ............................ ∂104,592 
264 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Prevention and Public Health Fund 3 ................................................................................................................ ............................ (104,790 ) ............................ ............................ (¥104,790 ) 

Teen Pregnancy Prevention approaches Evaluation Tap Funding ............................................................................. (8,455 ) (4,232 ) (8,455 ) ............................ (∂4,223 ) 

Subtotal, Pregnancy Grants .......................................................................................................................... (113,047 ) (109,022 ) (113,047 ) ............................ (∂4,025 ) 

Minority Health ........................................................................................................................................................... 55,782 41,100 55,782 ............................ ∂14,682 Office of Women’s Health .......................................................................................................................................... 33,682 29,120 29,120 ¥4,562 ............................Minority HIV/AIDS ........................................................................................................................................................ 53,681 ............................ 53,681 ............................ ∂53,681 

Evaluation Tap Funding .................................................................................................................................... ............................ (53,891 ) ............................ ............................ (¥53,891 ) 

Embryo Adoption Awareness Campaign ..................................................................................................................... 1,996 ............................ ............................ ¥1,996 ............................Planning and Evaluation, Evaluation Tap Funding ................................................................................................... (60,756 ) (58,718 ) (60,756 ) ............................ (∂2,038 ) 

Total, General Departmental Management ................................................................................................... 542,197 421,895 535,639 ¥6,558 ∂113,744 

Federal Funds ...................................................................................................................................... (472,986 ) (305,054 ) (466,428 ) (¥6,558 ) (∂161,374 ) Evaluation Tap Funding (NA) .............................................................................................................. (69,211 ) (116,841 ) (69,211 ) ............................ (¥47,630 ) Prevention and Public Health Fund 3 .................................................................................................. (30,000 ) (209,790 ) ............................ (¥30,000 ) (¥209,790 ) 

Total, General Departmental Management Program .................................................................................... 572,197 631,685 535,639 ¥36,558 ¥96,046 

OFFICE OF MEDICARE HEARINGS AND APPEALS ........................................................................................................ 72,011 84,234 79,908 ∂7,897 ¥4,326 OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY ................................................ 16,415 26,246 16,415 ............................ ¥9,831 

Evaluation Tap Funding .................................................................................................................................... (44,811 ) (40,011 ) (49,842 ) (∂5,031 ) (∂9,831 ) 

Total, Program Level ..................................................................................................................................... (61,226 ) (66,257 ) (66,257 ) (∂5,031 ) ............................

OFFICE OF INSPECTOR GENERAL 

Inspector General Federal Funds ............................................................................................................................... 50,083 58,579 55,483 ∂5,400 ¥3,096 

HIPAA/HCFAC funding (NA) ............................................................................................................................... (196,090 ) (196,669 ) (196,669 ) (∂579 ) ............................

Total, Inspector General Program Level ....................................................................................................... (246,173 ) (255,248 ) (252,152 ) (∂5,979 ) (¥3,096 ) 
265 

OFFICE FOR CIVIL RIGHTS: 

Federal Funds .................................................................................................................................................... 40,938 38,966 38,966 ¥1,972 ............................

Total, Office for Civil Rights ........................................................................................................................ 40,938 38,966 38,966 ¥1,972 ............................

RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS 

Retirement Payments ................................................................................................................................................. 375,016 395,452 395,452 ∂20,436 ............................Survivors Benefits ...................................................................................................................................................... 28,350 31,043 31,043 ∂2,693 ............................Dependents’ Medical Care ......................................................................................................................................... 93,984 100,656 100,656 ∂6,672 ............................

Total, Medical Benefits for Commissioned Officers ..................................................................................... 497,350 527,151 527,151 ∂29,801 ............................

PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND 

Assistant Secretary for Preparedness and Response 

Operations .................................................................................................................................................................. 32,981 32,991 32,981 ............................ ¥10 Preparedness and Emergency Operations .................................................................................................................. 29,583 24,647 24,647 ¥4,936 ............................National Disaster Medical System ............................................................................................................................. 52,735 52,390 52,390 ¥345 ............................Hospital Preparedness Cooperative Agreement Grants ............................................................................................. 374,650 254,500 324,650 ¥50,000 ∂70,150 Emergency Systems for Advanced Registration of Volunteer Health Professionals [ESAR–VHP] ............................. 4,989 500 4,989 ............................ ∂4,489 Biomedical Advanced Research and Development Authority [BARDA] ...................................................................... 415,000 546,671 465,000 ∂50,000 ¥81,671 Medical Countermeasure Strategic Investment Corp ................................................................................................ ............................ 50,000 20,000 ∂20,000 ¥30,000 Medical Countermeasure Dispensing ......................................................................................................................... ............................ 5,000 5,000 ∂5,000 ............................Policy and Planning ................................................................................................................................................... 15,674 15,164 15,164 ¥510 ............................

Subtotal, AS for Preparedness and Response .............................................................................................. 925,612 981,863 944,821 ∂19,209 ¥37,042 

Assistant Secretary for Administration 

Cybersecurity .............................................................................................................................................................. 39,924 40,000 40,000 ∂76 ............................

Assistant Secretary for Health 

Medical Reserve Corps ............................................................................................................................................... 11,247 10,971 10,971 ¥276 ............................

Office of the Secretary 

Office of Security and Strategic Information ............................................................................................................. 6,448 7,428 7,428 ∂980 ............................HHS Lease Replacements ........................................................................................................................................... ............................ 17,000 17,000 ∂17,000 ............................

Subtotal, Office of the Secretary .................................................................................................................. 6,448 24,428 24,428 ∂17,980 ............................Subtotal, Non-pandemic flu/BARDA/BioShield/Parklawn .............................................................................. 568,231 642,262 605,220 ∂36,989 ¥37,042 
266 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Total, PHSSEF ................................................................................................................................................ 983,231 1,057,262 1,020,220 ∂36,989 ¥37,042 Total, Office of the Secretary ....................................................................................................................... 2,133,014 2,097,492 2,204,571 ∂71,557 ∂107,079 

Federal Funds ...................................................................................................................................... 2,061,003 2,013,258 2,124,663 ∂63,660 ∂111,405 Trust Funds .......................................................................................................................................... 72,011 84,234 79,908 ∂7,897 ¥4,326 Evaluation Tap Funding (NA) .............................................................................................................. (114,022 ) (156,852 ) (119,053 ) (∂5,031 ) (¥37,799 ) 

Total, Office of the Secretary Program Level ............................................................................................... 2,277,036 2,464,134 2,323,624 ∂46,588 ¥140,510 Total, Title II, Dept of Health & Human Services ........................................................................................ 589,287,967 620,578,512 621,573,540 ∂32,285,573 ∂995,028 

Federal Funds ...................................................................................................................................... 585,033,939 615,011,568 616,461,405 ∂31,427,466 ∂1,449,837 

Current year ................................................................................................................................ (491,219,857 ) (505,375,937 ) (506,825,774 ) (∂15,605,917 ) (∂1,449,837 ) Fiscal year 2014 ......................................................................................................................... (93,814,082 ) (109,635,631 ) (109,635,631 ) (∂15,821,549 ) ............................

Trust Funds .......................................................................................................................................... 4,254,028 5,566,944 5,112,135 ∂858,107 ¥454,809 Pandemic Flu balances (Public Law 111–32) .................................................................................... (30,000 ) (97,825 ) ............................ (¥30,000 ) (¥97,825 ) 

TITLE III—DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED 

Grants to Local Educational Agencies [LEAs]: 

Basic Grants: 

Advance from prior year ........................................................................................................................... (2,956,911 ) (2,962,510 ) (2,962,510 ) (∂5,599 ) ............................Forward funded ........................................................................................................................................ 3,611,410 2,830,559 3,611,410 ............................ ∂780,851 Current funded ......................................................................................................................................... 3,984 4,000 3,984 ............................ ¥16 

Subtotal, Basic grants current year approp ....................................................................................... 3,615,394 2,834,559 3,615,394 ............................ ∂780,835 Subtotal, Basic grants total funds available ..................................................................................... (6,572,305 ) (5,797,069 ) (6,577,904 ) (∂5,599 ) (∂780,835 ) 

Basic Grants fiscal year 2014 Advance ........................................................................................................... 2,962,510 3,743,345 2,962,510 ............................ ¥780,835 

Subtotal, Basic grants, program level ......................................................................................................... 6,577,904 6,577,904 6,577,904 ............................ ............................
267 

Concentration Grants: 

Advance from prior year ........................................................................................................................... (1,359,726 ) (1,362,301 ) (1,362,301 ) (∂2,575 ) ............................Fiscal year 2014 Advance ........................................................................................................................ 1,362,301 1,362,301 1,362,301 ............................ ............................

Targeted Grants: 

Forward funded ........................................................................................................................................ 29,943 ............................ 79,943 ∂50,000 ∂79,943 Advance from prior year ........................................................................................................................... (3,252,025 ) (3,258,183 ) (3,258,183 ) (∂6,158 ) ............................Fiscal year 2014 Advance ........................................................................................................................ 3,258,183 3,288,126 3,258,183 ............................ ¥29,943 

Subtotal (excluding emergencies) ....................................................................................................... 3,288,126 3,288,126 3,338,126 ∂50,000 ∂50,000 

Education Finance Incentive Grants: 

Forward Funded ........................................................................................................................................ 29,943 ............................ 79,943 ∂50,000 ∂79,943 Advance from prior year ........................................................................................................................... (3,252,025 ) (3,258,183 ) (3,258,183 ) (∂6,158 ) ............................Fiscal year 2014 Advance ........................................................................................................................ 3,258,183 3,288,126 3,258,183 ............................ ¥29,943 

Subtotal ................................................................................................................................................ 3,288,126 3,288,126 3,338,126 ∂50,000 ∂50,000 Subtotal, Grants to LEAs, program level ............................................................................................. 14,516,457 14,516,457 14,616,457 ∂100,000 ∂100,000 Subtotal, Grants to LEAs, program level ............................................................................................. 14,516,457 14,516,457 14,616,457 ∂100,000 ∂100,000 

School Improvement Grants ....................................................................................................................................... 533,552 533,552 533,552 ............................ ............................Striving Readers ......................................................................................................................................................... 159,698 ............................ 159,698 ............................ ∂159,698 State Agency Programs: 

Migrant .............................................................................................................................................................. 393,236 393,236 393,236 ............................ ............................Neglected and Delinquent/High Risk Youth ...................................................................................................... 50,231 50,231 50,231 ............................ ............................

Subtotal, State Agency programs ................................................................................................................. 443,467 443,467 443,467 ............................ ............................

Evaluation ................................................................................................................................................................... 3,194 ............................ 1,594 ¥1,600 ∂1,594 High School Graduation Initiative .............................................................................................................................. 48,809 ............................ 48,809 ............................ ∂48,809 Migrant Education: 

High School Equivalency Program .................................................................................................................... 36,526 36,526 36,526 ............................ ............................

Total, Education for the disadvantaged ....................................................................................................... 15,741,703 15,530,002 15,840,103 ∂98,400 ∂310,101 

Current Year ......................................................................................................................................... (4,900,526 ) (3,848,104 ) (4,998,926 ) (∂98,400 ) (∂1,150,822 ) Fiscal year 2014 .................................................................................................................................. (10,841,177 ) (11,681,898 ) (10,841,177 ) ............................ (¥840,721 ) 

Subtotal, Forward Funded ............................................................................................................................. (4,808,013 ) (3,807,578 ) (4,908,013 ) (∂100,000 ) (∂1,100,435 ) 

IMPACT AID 

Basic Support Payments ............................................................................................................................................ 1,153,540 1,153,540 1,153,540 ............................ ............................
268 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Payments for Children with Disabilities .................................................................................................................... 48,413 48,413 48,413 ............................ ............................Facilities Maintenance (Sec. 8008) ........................................................................................................................... 4,845 4,845 4,845 ............................ ............................Construction (Sec. 8007) ........................................................................................................................................... 17,441 17,441 17,441 ............................ ............................Payments for Federal Property (Sec. 8002) ............................................................................................................... 66,947 ............................ 66,947 ............................ ∂66,947 

Total, Impact aid .......................................................................................................................................... 1,291,186 1,224,239 1,291,186 ............................ ∂66,947 

SCHOOL IMPROVEMENT PROGRAMS 

Effective Teaching and Learning: Literacy ................................................................................................................ ............................ 186,892 ............................ ............................ ¥186,892 Effective Teaching and Learning: STEM .................................................................................................................... ............................ 149,716 ............................ ............................ ¥149,716 Effective Teaching and Learning for Well-Rounded Educ ......................................................................................... ............................ 90,000 ............................ ............................ ¥90,000 College Pathways ....................................................................................................................................................... ............................ 81,282 ............................ ............................ ¥81,282 State Grants for Improving Teacher Quality .............................................................................................................. 785,126 ............................ 785,126 ............................ ∂785,126 

Advance from prior year .................................................................................................................................... (1,678,263 ) (1,681,441 ) (1,681,441 ) (∂3,178 ) ............................Fiscal year 2014 ................................................................................................................................................ 1,681,441 ............................ 1,681,441 ............................ ∂1,681,441 

Subtotal, State Grants for Improving Teacher Quality, program level ........................................................ 2,466,567 ............................ 2,466,567 ............................ ∂2,466,567 

Mathematics and Science Partnerships .................................................................................................................... 149,716 ............................ 149,716 ............................ ∂149,716 Supplemental Education Grants ................................................................................................................................ 17,619 17,619 17,619 ............................ ............................21st Century Community Learning Centers ............................................................................................................... 1,151,673 1,151,673 1,151,673 ............................ ............................State Assessments/Enhanced Assessment Instruments ............................................................................................ 389,214 389,214 389,214 ............................ ............................Consolidated Runaway and Homeless Youth programs ............................................................................................ 65,173 65,173 65,173 ............................ ............................Training and Advisory Services (Civil Rights) ........................................................................................................... 6,962 6,962 6,962 ............................ ............................Education for Native Hawaiians ................................................................................................................................ 34,181 34,181 34,181 ............................ ............................Alaska Native Education Equity ................................................................................................................................. 33,185 33,185 33,185 ............................ ............................Rural Education .......................................................................................................................................................... 179,193 179,193 179,193 ............................ ............................Comprehensive Centers .............................................................................................................................................. 51,113 51,113 51,113 ............................ ............................

Total, School improvement programs ........................................................................................................... 4,544,596 2,436,203 4,544,596 ............................ ∂2,108,393 

Current Year ......................................................................................................................................... (2,863,155 ) (2,436,203 ) (2,863,155 ) ............................ (∂426,952 ) Fiscal year 2014 .................................................................................................................................. (1,681,441 ) ............................ (1,681,441 ) ............................ (∂1,681,441 ) 
269 

Subtotal, Forward Funded ............................................................................................................................. (2,720,095 ) (1,785,253 ) (2,720,095 ) ............................ (∂934,842 ) 

INDIAN EDUCATION 

Grants to Local Educational Agencies ....................................................................................................................... 105,921 105,921 105,921 ............................ ............................Federal Programs: 

Special Programs for Indian Children .............................................................................................................. 18,986 18,986 18,986 ............................ ............................National Activities ............................................................................................................................................. 5,872 5,872 5,872 ............................ ............................

Subtotal, Federal Programs .......................................................................................................................... 24,858 24,858 24,858 ............................ ............................Total, Indian Education ................................................................................................................................ 130,779 130,779 130,779 ............................ ............................

INNOVATION AND IMPROVEMENT 

Race to the Top .......................................................................................................................................................... 548,960 850,000 549,284 ∂324 ¥300,716 Investing in Innovation Fund ..................................................................................................................................... 149,417 150,000 149,417 ............................ ¥583 Effective Teachers and Leaders State Grants ........................................................................................................... ............................ 2,466,567 ............................ ............................ ¥2,466,567 Teacher and Leader Innovation Fund ........................................................................................................................ ............................ 400,000 ............................ ............................ ¥400,000 Teacher and Leader Pathways ................................................................................................................................... ............................ 74,676 ............................ ............................ ¥74,676 Expanding Educational Options ................................................................................................................................. ............................ 255,036 ............................ ............................ ¥255,036 Transition to Teaching ............................................................................................................................................... 26,054 ............................ 18,200 ¥7,854 ∂18,200 School Leadership ...................................................................................................................................................... 29,107 ............................ 29,107 ............................ ∂29,107 Charter Schools Grants .............................................................................................................................................. 254,836 ............................ 254,836 ............................ ∂254,836 Magnet Schools Assistance ........................................................................................................................................ 96,733 99,611 96,733 ............................ ¥2,878 Fund for the Improvement of Education [FIE] ........................................................................................................... 65,775 36,276 85,735 ∂19,960 ∂49,459 Teacher Incentive Fund .............................................................................................................................................. 299,433 ............................ 299,433 ............................ ∂299,433 Ready-to-Learn television ........................................................................................................................................... 27,194 ............................ 27,194 ............................ ∂27,194 Advanced Placement .................................................................................................................................................. 30,027 ............................ 36,027 ∂6,000 ∂36,027 

Total, Innovation and Improvement .............................................................................................................. 1,527,536 4,332,166 1,545,966 ∂18,430 ¥2,786,200 

Current Year ......................................................................................................................................... (1,527,536 ) (4,332,166 ) (1,545,966 ) (∂18,430 ) (¥2,786,200 ) 

SAFE SCHOOLS AND CITIZENSHIP EDUCATION 

Safe and Healthy Students ........................................................................................................................................ ............................ 195,866 ............................ ............................ ¥195,866 Promise Neighborhoods .............................................................................................................................................. 59,887 100,000 80,000 ∂20,113 ¥20,000 National Programs ...................................................................................................................................................... 64,877 ............................ 48,600 ¥16,277 ∂48,600 Elementary and Secondary School Counseling .......................................................................................................... 52,296 ............................ 52,296 ............................ ∂52,296 Carol M. White Physical Education Program ............................................................................................................. 78,693 ............................ 78,693 ............................ ∂78,693 

Total, Safe Schools and Citizenship Education ........................................................................................... 255,753 295,866 259,589 ∂3,836 ¥36,277 
270 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

ENGLISH LANGUAGE ACQUISITION 

Current funded ........................................................................................................................................................... 47,589 47,589 47,589 ............................ ............................Forward funded .......................................................................................................................................................... 684,555 684,555 684,555 ............................ ............................

Total, English Language Acquisition ............................................................................................................ 732,144 732,144 732,144 ............................ ............................

SPECIAL EDUCATION 

State Grants: 

Grants to States Part B current year ............................................................................................................... 2,294,472 1,453,752 2,394,472 ∂100,000 ∂940,720 

Part B advance from prior year ............................................................................................................... (8,576,143 ) (9,283,383 ) (9,283,383 ) (∂707,240 ) ............................

Grants to States Part B (fiscal year 2014) ...................................................................................................... 9,283,383 10,124,103 9,283,383 ............................ ¥840,720 

Subtotal, program level ................................................................................................................................ 11,577,855 11,577,855 11,677,855 ∂100,000 ∂100,000 

Preschool Grants ............................................................................................................................................... 372,646 372,646 372,646 ............................ ............................Grants for Infants and Families ....................................................................................................................... 442,710 462,710 462,710 ∂20,000 ............................

Subtotal, program level ................................................................................................................................ 12,393,211 12,413,211 12,513,211 ∂120,000 ∂100,000 

IDEA National Activities (current funded): 

State Personnel Development ............................................................................................................................ 43,917 45,011 45,011 ∂1,094 ............................Technical Assistance and Dissemination ......................................................................................................... 46,781 46,781 46,781 ............................ ............................Personnel Preparation ....................................................................................................................................... 88,299 85,799 86,205 ¥2,094 ∂406 Parent Information Centers ............................................................................................................................... 28,917 28,917 29,917 ∂1,000 ∂1,000 Technology and Media Services ........................................................................................................................ 29,588 29,588 29,588 ............................ ............................

Subtotal, IDEA special programs .................................................................................................................. 237,502 236,096 237,502 ............................ ∂1,406 

Special Olympics Education Programs ...................................................................................................................... 8,000 8,000 8,000 ............................ ............................PROMISE ..................................................................................................................................................................... 1,996 30,000 11,996 ∂10,000 ¥18,004 

Total, Special education ............................................................................................................................... 12,640,709 12,687,307 12,770,709 ∂130,000 ∂83,402 
271 

Current Year ......................................................................................................................................... (3,357,326 ) (2,563,204 ) (3,487,326 ) (∂130,000 ) (∂924,122 ) Fiscal year 2014 .................................................................................................................................. (9,283,383 ) (10,124,103 ) (9,283,383 ) ............................ (¥840,720 ) 

Subtotal, Forward Funded ............................................................................................................................. (3,109,828 ) (2,289,108 ) (3,229,828 ) (∂120,000 ) (∂940,720 ) 

REHABILITATION SERVICES AND DISABILITY RESEARCH 

Vocational Rehabilitation State Grants ..................................................................................................................... 3,121,712 3,230,972 3,230,972 ∂109,260 ............................

Discretionary modification (NA) ........................................................................................................................ ............................ (¥63,603 ) ............................ ............................ (∂63,603 ) 

Subtotal, VR State grants program level ..................................................................................................... 3,121,712 3,167,369 3,230,972 ∂109,260 ∂63,603 

Client Assistance State grants .................................................................................................................................. 12,240 12,240 12,240 ............................ ............................Training ...................................................................................................................................................................... 35,515 30,188 35,515 ............................ ∂5,327 Demonstration and Training programs ...................................................................................................................... 5,325 5,750 6,500 ∂1,175 ∂750 Migrant and Seasonal Farmworkers .......................................................................................................................... 1,262 ............................ 1,262 ............................ ∂1,262 Protection and Advocacy of Individual Rights [PAIR] ............................................................................................... 18,031 18,031 18,031 ............................ ............................Supported Employment State grants ......................................................................................................................... 29,068 ............................ 29,068 ............................ ∂29,068 Independent Living: 

State Grants ...................................................................................................................................................... 23,359 23,359 23,359 ............................ ............................Centers .............................................................................................................................................................. 79,953 79,953 79,953 ............................ ............................Services for Older Blind Individuals ................................................................................................................. 34,018 34,018 34,018 ............................ ............................

Subtotal ......................................................................................................................................................... 137,330 137,330 137,330 ............................ ............................

Helen Keller National Center for Deaf/Blind Youth and Adults ................................................................................ 9,145 9,145 9,145 ............................ ............................National Inst. Disability and Rehab. Research [NIDRR] ........................................................................................... 108,817 106,817 108,817 ............................ ∂2,000 Assistive Technology ................................................................................................................................................... 32,836 30,840 37,500 ∂4,664 ∂6,660 

Subtotal, Discretionary programs ................................................................................................................. 389,569 350,341 395,408 ∂5,839 ∂45,067 Total, Rehabilitation services ....................................................................................................................... 3,511,281 3,581,313 3,626,380 ∂115,099 ∂45,067 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES 

AMERICAN PRINTING HOUSE FOR THE BLIND ............................................................................................................ 24,505 24,505 24,505 ............................ ............................NATIONAL TECHNICAL INSTITUTE FOR THE DEAF [NTID]: 

Operations ......................................................................................................................................................... 65,422 63,037 65,422 ............................ ∂2,385 Construction ...................................................................................................................................................... ............................ 2,000 ............................ ............................ ¥2,000 

Total, NTID .................................................................................................................................................... 65,422 65,037 65,422 ............................ ∂385 

GALLAUDET UNIVERSITY: 

Operations ......................................................................................................................................................... 117,541 117,541 118,000 ∂459 ∂459 
272 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Construction ...................................................................................................................................................... 7,975 ............................ 7,000 ¥975 ∂7,000 

Total, Gallaudet University ........................................................................................................................... 125,516 117,541 125,000 ¥516 ∂7,459 Total, Special Institutions for Persons with Disabilities .............................................................................. 215,443 207,083 214,927 ¥516 ∂7,844 

CAREER, TECHNICAL AND ADULT EDUCATION 

Career Education: 

Basic State Grants/Secondary & Technical Education State Grants, current funded ..................................... 332,030 332,030 332,030 ............................ ............................

Advance from prior year ........................................................................................................................... (789,505 ) (791,000 ) (791,000 ) (∂1,495 ) ............................Fiscal year 2014 ....................................................................................................................................... 791,000 791,000 791,000 ............................ ............................

Subtotal, Basic State Grants, program level ...................................................................................... 1,123,030 1,123,030 1,123,030 ............................ ............................

National Programs ............................................................................................................................................. 7,829 7,829 7,829 ............................ ............................

Subtotal, Career Education ........................................................................................................................... 1,130,859 1,130,859 1,130,859 ............................ ............................

Adult Education: 

State Grants/Adult Basic and Literacy Education: 

State Grants, current funded ................................................................................................................... 594,993 594,993 594,993 ............................ ............................

National Leadership Activities ................................................................................................................................... 11,302 11,302 11,302 ............................ ............................

Subtotal, Adult education ............................................................................................................................. 606,295 606,295 606,295 ............................ ............................Total, Career and adult education ............................................................................................................... 1,737,154 1,737,154 1,737,154 ............................ ............................

Current Year ......................................................................................................................................... (946,154 ) (946,154 ) (946,154 ) ............................ ............................Fiscal year 2014 .................................................................................................................................. (791,000 ) (791,000 ) (791,000 ) ............................ ............................

Subtotal, Forward Funded ............................................................................................................................. (946,154 ) (946,154 ) (946,154 ) ............................ ............................

STUDENT FINANCIAL ASSISTANCE 

Pell Grants—maximum grant (NA) ........................................................................................................................... (4,860 ) (4,860 ) (4,860 ) ............................ ............................
273 

Pell Grants .................................................................................................................................................................. 22,824,000 22,824,000 22,824,000 ............................ ............................Federal Supplemental Educational Opportunity Grants ............................................................................................. 734,599 734,599 734,599 ............................ ............................Federal Work Study ..................................................................................................................................................... 976,682 1,126,682 976,682 ............................ ¥150,000 

Total, Student Financial Assistance [SFA] ................................................................................................... 24,535,281 24,685,281 24,535,281 ............................ ¥150,000 

STUDENT AID ADMINISTRATION 

Salaries and Expenses ............................................................................................................................................... 675,750 726,618 726,618 ∂50,868 ............................Servicing Activities ..................................................................................................................................................... 367,637 399,745 399,745 ∂32,108 ............................

Total, Student Aid Administration ................................................................................................................ 1,043,387 1,126,363 1,126,363 ∂82,976 ............................

HIGHER EDUCATION 

Aid for Institutional Development: 

Strengthening Institutions ................................................................................................................................. 80,623 80,623 80,623 ............................ ............................Hispanic Serving Institutions ............................................................................................................................ 100,432 100,432 100,432 ............................ ............................Promoting Post-Baccalaureate Opportunities for Hispanic Americans ............................................................ 9,011 9,011 9,011 ............................ ............................Strengthening Historically Black Colleges (HBCUs) ......................................................................................... 227,980 227,980 227,980 ............................ ............................Strengthening Historically Black Graduate Institutions ................................................................................... 58,958 58,958 58,958 ............................ ............................Strengthening Predominantly Black Institutions .............................................................................................. 9,262 9,262 9,262 ............................ ............................Asian American Pacific Islander ....................................................................................................................... 3,119 3,119 3,119 ............................ ............................Strengthening Alaska Native and Native Hawaiian-Serving Institutions ......................................................... 12,859 12,859 12,859 ............................ ............................Strengthening Native American-Serving Nontribal Institutions ........................................................................ 3,119 3,119 3,119 ............................ ............................Strengthening Tribal Colleges ........................................................................................................................... 25,713 25,713 25,713 ............................ ............................

Subtotal, Aid for Institutional development ................................................................................................. 531,076 531,076 531,076 ............................ ............................

International Education and Foreign Language: 

Domestic Programs ........................................................................................................................................... 66,586 68,278 68,278 ∂1,692 ............................Overseas Programs ............................................................................................................................................ 7,451 7,451 7,451 ............................ ............................

Subtotal, International Education & Foreign Lang ...................................................................................... 74,037 75,729 75,729 ∂1,692 ............................

Fund for the Improvement of Postsec. Ed. [FIPSE] ................................................................................................... 3,494 70,000 43,494 ∂40,000 ¥26,506 Postsecondary Program for Students with Intellectual Disabilities .......................................................................... 10,957 ............................ 10,957 ............................ ∂10,957 Minority Science and Engineering Improvement ........................................................................................................ 9,466 9,466 9,466 ............................ ............................Tribally Controlled Postsec Voc/Tech Institutions ...................................................................................................... 8,131 8,131 8,131 ............................ ............................Federal TRIO Programs ............................................................................................................................................... 839,932 839,932 839,932 ............................ ............................GEAR UP ..................................................................................................................................................................... 302,244 302,244 302,244 ............................ ............................Graduate Assistance in Areas of National Need ....................................................................................................... 30,909 30,909 30,909 ............................ ............................Teacher Quality Partnerships ..................................................................................................................................... 42,833 ............................ 42,833 ............................ ∂42,833 
274 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

Child Care Access Means Parents in School ............................................................................................................. 15,970 15,970 15,970 ............................ ............................GPRA Data/HEA Program Evaluation ......................................................................................................................... 607 607 607 ............................ ............................Hawkins Centers of Excellence .................................................................................................................................. ............................ 30,000 ............................ ............................ ¥30,000 Race to the Top: College Affordability and Completion ............................................................................................ ............................ 1,000,000 ............................ ............................ ¥1,000,000 

Total, Higher Education ................................................................................................................................ 1,869,656 2,914,064 1,911,348 ∂41,692 ¥1,002,716 

HOWARD UNIVERSITY 

Academic Program ..................................................................................................................................................... 201,637 201,637 201,637 ............................ ............................Endowment Program .................................................................................................................................................. 3,593 3,593 3,593 ............................ ............................Howard University Hospital ........................................................................................................................................ 28,834 28,834 28,834 ............................ ............................

Total, Howard University ............................................................................................................................... 234,064 234,064 234,064 ............................ ............................

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS [CHAFL] ................................................................................ 459 459 459 ............................ ............................

HBCU CAPITAL FINANCING PROGRAM 

HBCU Federal Administration ..................................................................................................................................... 352 352 352 ............................ ............................HBCU Loan Subsidies ................................................................................................................................................. 20,150 20,150 20,150 ............................ ............................

Total, HBCU Capital Financing Program ...................................................................................................... 20,502 20,502 20,502 ............................ ............................

INSTITUTE OF EDUCATION SCIENCES [IES] 

Research, Development and Dissemination ............................................................................................................... 189,787 202,273 189,787 ............................ ¥12,486 Statistics .................................................................................................................................................................... 108,748 114,748 114,745 ∂5,997 ¥3 Regional Educational Laboratories ............................................................................................................................ 57,426 57,426 57,426 ............................ ............................Research in Special Education .................................................................................................................................. 49,905 49,905 59,905 ∂10,000 ∂10,000 Special Education Studies and Evaluations .............................................................................................................. 11,415 11,415 11,415 ............................ ............................Statewide Data Systems ............................................................................................................................................ 38,077 53,077 53,077 ∂15,000 ............................Assessment: 

National Assessment ......................................................................................................................................... 129,616 124,616 124,616 ¥5,000 ............................
275 

National Assessment Governing Board ............................................................................................................. 8,690 7,690 7,690 ¥1,000 ............................

Subtotal, Assessment ................................................................................................................................... 138,306 132,306 132,306 ¥6,000 ............................Total, IES ....................................................................................................................................................... 593,664 621,150 618,661 ∂24,997 ¥2,489 

DEPARTMENTAL MANAGEMENT 

PROGRAM ADMINISTRATION: 

Salaries and Expenses ...................................................................................................................................... 446,259 461,604 446,259 ............................ ¥15,345 Building Modernization ...................................................................................................................................... ............................ 2,211 2,211 ∂2,211 ............................

Total, Program administration ...................................................................................................................... 446,259 463,815 448,470 ∂2,211 ¥15,345 

OFFICE FOR CIVIL RIGHTS .......................................................................................................................................... 102,624 105,318 102,624 ............................ ¥2,694 OFFICE OF THE INSPECTOR GENERAL ........................................................................................................................ 59,820 62,401 59,820 ............................ ¥2,581 

Total, Departmental management ................................................................................................................ 608,703 631,534 610,914 ∂2,211 ¥20,620 Total, Title III, Department of Education ...................................................................................................... 71,234,000 73,127,673 71,751,125 ∂517,125 ¥1,376,548 

Current Year ......................................................................................................................................... (48,636,999 ) (50,530,672 ) (49,154,124 ) (∂517,125 ) (¥1,376,548 ) Fiscal year 2014 .................................................................................................................................. (22,597,001 ) (22,597,001 ) (22,597,001 ) ............................ ............................

TITLE IV—RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED ........................................... 5,375 5,396 5,375 ............................ ¥21 

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 

OPERATING EXPENSES 

Domestic Volunteer Service Programs: 

Volunteers in Service to America [VISTA] ......................................................................................................... 94,820 95,300 95,300 ∂480 ............................National Senior Volunteer Corps: 

Foster Grandparents Program .................................................................................................................. 110,565 110,774 110,774 ∂209 ............................Senior Companion Program ...................................................................................................................... 46,722 46,810 46,810 ∂88 ............................Retired Senior Volunteer Program ............................................................................................................ 50,204 50,299 51,299 ∂1,095 ∂1,000 

Subtotal, Senior Volunteers ................................................................................................................. 207,491 207,883 208,883 ∂1,392 ∂1,000 Subtotal, Domestic Volunteer Service Programs ................................................................................. 302,311 303,183 304,183 ∂1,872 ∂1,000 
276 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

National and Community Service Programs: 

AmeriCorps State and National Grants ............................................................................................................ 344,348 345,000 346,368 ∂2,020 ∂1,368 Disability Placement Funds ............................................................................................................................... ............................ 3,000 ............................ ............................ ¥3,000 Innovation, Assistance, and Other Activities .................................................................................................... 53,280 53,215 54,215 ∂935 ∂1,000 Evaluation .......................................................................................................................................................... 2,994 5,000 5,000 ∂2,006 ............................National Civilian Community Corps .................................................................................................................. 31,882 30,110 30,742 ¥1,140 ∂632 State Commission Grants ................................................................................................................................. 15,437 20,990 19,990 ∂4,553 ¥1,000 

Subtotal, National & Community Service Programs .................................................................................... 447,941 457,315 456,315 ∂8,374 ¥1,000 Total, Operating expenses ............................................................................................................................ 750,252 760,498 760,498 ∂10,246 ............................

Payment to the National Service Trust ...................................................................................................................... 211,797 208,744 208,744 ¥3,053 ............................Salaries and Expenses ............................................................................................................................................... 82,843 88,000 88,000 ∂5,157 ............................Office of Inspector General ........................................................................................................................................ 3,992 5,400 5,400 ∂1,408 ............................

Total, Corp. for National and Community Service ....................................................................................... 1,048,884 1,062,642 1,062,642 ∂13,758 ............................

CORPORATION FOR PUBLIC BROADCASTING: 

Fiscal year 2015 (current) with fiscal year 2014 comparable ........................................................................ 445,000 445,000 445,000 ............................ ............................Fiscal year 2014 advance with fiscal year 2013 comparable (NA) ................................................................. (445,000 ) (445,000 ) (445,000 ) ............................ ............................Fiscal year 2013 advance with fiscal year 2012 comparable (NA) ................................................................. (444,159 ) (445,000 ) (445,000 ) (∂841 ) ............................

Subtotal, fiscal year 2013 appropriation ..................................................................................................... ............................ ............................ ............................ ............................ ............................

FEDERAL MEDIATION AND CONCILIATION SERVICE .................................................................................................... 46,163 47,045 46,163 ............................ ¥882 FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION ...................................................................................... 17,604 16,000 17,000 ¥604 ∂1,000 INSTITUTE OF MUSEUM AND LIBRARY SERVICES ....................................................................................................... 231,954 231,954 231,954 ............................ ............................MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION ....................................................................................... 5,989 11,000 9,500 ∂3,511 ¥1,500 MEDICARE PAYMENT ADVISORY COMMISSION ........................................................................................................... 11,778 12,210 11,778 ............................ ¥432 NATIONAL COUNCIL ON DISABILITY ............................................................................................................................ 3,258 3,258 3,258 ............................ ............................NATIONAL HEALTH CARE WORKFORCE COMMISSION ................................................................................................. ............................ 3,000 3,000 ∂3,000 ............................NATIONAL LABOR RELATIONS BOARD ......................................................................................................................... 278,306 292,800 288,306 ∂10,000 ¥4,494 
277 

NATIONAL MEDIATION BOARD ..................................................................................................................................... 13,411 13,530 14,411 ∂1,000 ∂881 OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION ..................................................................................... 11,667 11,965 11,667 ............................ ¥298 

RAILROAD RETIREMENT BOARD 

Dual Benefits Payments Account ............................................................................................................................... 50,904 45,000 45,000 ¥5,904 ............................Less Income Tax Receipts on Dual Benefits ............................................................................................................. ¥2,000 ¥3,000 ¥3,000 ¥1,000 ............................

Subtotal, Dual Benefits ................................................................................................................................ 48,904 42,000 42,000 ¥6,904 ............................

Federal Payment to the RR Retirement Account ....................................................................................................... 150 150 150 ............................ ............................Limitation on Administration ..................................................................................................................................... 108,649 112,415 111,649 ∂3,000 ¥766 

Inspector General .............................................................................................................................................. 8,155 8,820 8,155 ............................ ¥665 

SOCIAL SECURITY ADMINISTRATION 

Payments to Social Security Trust Funds .................................................................................................................. 20,404 20,402 20,402 ¥2 ............................

SUPPLEMENTAL SECURITY INCOME 

Federal Benefit Payments .......................................................................................................................................... 47,557,000 54,245,000 54,245,000 ∂6,688,000 ............................Beneficiary Services ................................................................................................................................................... 47,000 ............................ ............................ ¥47,000 ............................Research and Demonstration ..................................................................................................................................... 7,998 48,000 48,000 ∂40,002 ............................Administration ............................................................................................................................................................ 3,611,552 3,950,000 3,950,000 ∂338,448 ............................

Subtotal, SSI program level .......................................................................................................................... 51,223,550 58,243,000 58,243,000 ∂7,019,450 ............................

Less funds advanced in prior year ..................................................................................................... ¥13,400,000 ¥18,200,000 ¥18,200,000 ¥4,800,000 ............................

Subtotal, regular SSI current year ................................................................................................................ 37,823,550 40,043,000 40,043,000 ∂2,219,450 ............................

New advance, 1st quarter, fiscal year 2014 ...................................................................................... 18,200,000 19,300,000 19,300,000 ∂1,100,000 ............................

Total, SSI program ........................................................................................................................................ 56,023,550 59,343,000 59,343,000 ∂3,319,450 ............................

LIMITATION ON ADMINISTRATIVE EXPENSES 

OASDI Trust Funds ..................................................................................................................................................... 5,320,028 5,275,463 5,256,007 ¥64,021 ¥19,456 HI/SMI Trust Funds ..................................................................................................................................................... 2,089,794 1,901,313 1,901,313 ¥188,481 ............................Social Security Advisory Board ................................................................................................................................... 2,146 2,150 2,150 ∂4 ............................SSI .............................................................................................................................................................................. 3,123,576 3,386,074 3,386,074 ∂262,498 ............................

Subtotal, regular LAE .................................................................................................................................... 10,535,544 10,565,000 10,545,544 ∂10,000 ¥19,456 

User Fees: 

SSI User Fee activities ...................................................................................................................................... 153,596 166,000 166,000 ∂12,404 ............................
278 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2012 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2013—Continued 

[In thousands of dollars] 

Item 2011 appropriation Budget estimate Committee recommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2012 appropriation Budget estimate 

SSPA User Fee Activities ................................................................................................................................... ............................ ............................ ............................ ............................ ............................

Subtotal, User fees ....................................................................................................................................... 153,596 166,000 166,000 ∂12,404 ............................Subtotal, Limitation on administrative expenses ......................................................................................... 10,689,140 10,731,000 10,711,544 ∂22,404 ¥19,456 

Program Integrity Funding: 

OASDI Trust Funds ............................................................................................................................................ 268,076 460,074 460,074 ∂191,998 ............................SSI ..................................................................................................................................................................... 487,976 563,926 563,926 ∂75,950 ............................

Subtotal, Program integrity funding ............................................................................................................. 756,052 1,024,000 1,024,000 ∂267,948 ............................Total, Limitation on Administrative Expenses .............................................................................................. 11,445,192 11,755,000 11,735,544 ∂290,352 ¥19,456 

OFFICE OF THE INSPECTOR GENERAL 

Federal Funds ............................................................................................................................................................. 28,887 30,000 28,887 ............................ ¥1,113 Trust Funds ................................................................................................................................................................ 73,396 77,600 73,396 ............................ ¥4,204 

Total, Office of the Inspector General .......................................................................................................... 102,283 107,600 102,283 ............................ ¥5,317 

Adjustment: Trust fund transfers from general revenues ......................................................................................... ¥3,611,552 ¥3,950,000 ¥3,950,000 ¥338,448 ............................

Total, Social Security Administration ........................................................................................................... 63,979,877 67,276,002 67,251,229 ∂3,271,352 ¥24,773 

Federal funds ....................................................................................................................................... 56,226,437 59,559,402 59,558,289 ∂3,331,852 ¥1,113 

Current year ................................................................................................................................ (38,026,437 ) (40,259,402 ) (40,258,289 ) (∂2,231,852 ) (¥1,113 ) New advances, 1st quarter ........................................................................................................ (18,200,000 ) (19,300,000 ) (19,300,000 ) (∂1,100,000 ) ............................

Trust funds .......................................................................................................................................... 7,753,440 7,716,600 7,692,940 ¥60,500 ¥23,660 

Total, Title IV, Related Agencies .................................................................................................................. 66,265,124 69,595,187 69,563,237 ∂3,298,113 ¥31,950 

Federal Funds ...................................................................................................................................... 58,383,102 61,745,142 61,738,715 ∂3,355,613 ¥6,427 

Current Year ................................................................................................................................ (39,738,102 ) (42,000,142 ) (41,993,715 ) (∂2,255,613 ) (¥6,427 ) Current Year (emergency) ........................................................................................................... ............................ ............................ ............................ ............................ ............................
279 

Fiscal year 2014 Advance .......................................................................................................... (18,200,000 ) (19,300,000 ) (19,300,000 ) (∂1,100,000 ) ............................Fiscal year 2014 Advance .......................................................................................................... (445,000 ) (445,000 ) (445,000 ) ............................ ............................

Trust Funds .......................................................................................................................................... 7,882,022 7,850,045 7,824,522 ¥57,500 ¥25,523 

Grand Total ................................................................................................................................................... 741,495,738 777,624,610 777,568,714 ∂36,072,976 ¥55,896 

1 President’s budget request these funds in the Admin for Community living at HHS. 2 Two year availability 3 Section 4002 of Public Law 111–148. 

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