" ! SENATE 110TH CONGRESS

1st Session 

REPORT

110–107 

Calendar No. 238 

DEPARTMENTS OF LABOR, HEALTH AND 

HUMAN SERVICES, AND EDUCATION, AND 

RELATED AGENCIES APPROPRIATION BILL, 

2008 

R E P O R T 

OF THE

COMMITTEE ON APPROPRIATIONS 

U.S. SENATE 

ON

S. 1710 

JUNE 27, 2007.—Ordered to be printed 
Departments of Labor, Health and Human Services, and Education, and Related Agencies 

Appropriation Bill, 2008 (S. 1710) 
36–285 PDF 

Calendar No. 238 

110TH CONGRESS REPORT " ! SENATE 1st Session 110–107 

DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATION BILL, 2008 

JUNE 27, 2007.—Ordered to be printed 

Mr. HARKIN, from the Committee on Appropriations, 

submitted the following 

R E P O R T 

[To accompany S. 1710] 

The Committee on Appropriations reports the bill (S. 1710) making appropriations for Departments of Labor, Health and Human 

Services, and Education and related agencies for the fiscal year 

ending September 30, 2008, 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 ............. $605,536,474,000 

Amount of 2007 appropriations ........................ 545,857,321,000 

Amount of 2008 budget estimate ...................... 596,378,249,000 

Bill as recommended to Senate compared to— 

2007 appropriations .................................... ∂59,679,153,000 

2008 budget estimate ................................. ∂9,158,225,000 
(2) 

C O N T E N T S 

Page 

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

Overview and Bill Highlights ................................................................................. 4 

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

Transpancy in Congressional Directives ................................................................ 6 

Title I: Department of Labor: 

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

Employee Benefits Security Administration .................................................. 24 

Employment Standards Administration ......................................................... 26 

Occupational Safety and Health Administration ........................................... 30 

Mine Safety and Health Administration ........................................................ 32 

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

Office of Disability Employment Policy .......................................................... 35 

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

General Provisions ........................................................................................... 41 

Title II: Department of Health and Human Services: 

Health Resources and Services Administration ............................................. 43 

Centers for Disease Control and Prevention .................................................. 75 

National Institutes of Health .......................................................................... 106 

Substance Abuse and Mental Health Services Administration .................... 164 

Agency for Healthcare Research and Quality ................................................ 174 

Centers for Medicare and Medicaid Services ................................................. 177 

Administration for Children and Families ..................................................... 184 

Administration on Aging .................................................................................. 199 

Office of the Secretary ...................................................................................... 204 

General Provisions ........................................................................................... 214 

Title III: Department of Education: 

Education for the Disadvantaged .................................................................... 217 

Impact Aid ......................................................................................................... 223 

School Improvement Programs ........................................................................ 224 

Indian Education .............................................................................................. 229 

Innovation and Improvement .......................................................................... 230 

Safe Schools and Citizenship Education ......................................................... 242 

English Language Acquisition ......................................................................... 244 

Special Education ............................................................................................. 245 

Rehabilitation Services and Disability Research ........................................... 247 

Special Institutions for Persons With Disabilities: 

American Printing House for the Blind ................................................... 253 

National Technical Institute for the Deaf ............................................... 253 

Gallaudet University ................................................................................. 254 

Career, Technical, and Adult Education ........................................................ 254 

Student Financial Assistance .......................................................................... 257 

Student Aid Administration ............................................................................ 259 

Higher Education ............................................................................................. 259 

Howard University ........................................................................................... 271 

College Housing and Academic Facilities Loans ............................................ 271 

Historically Black College and University Capital Financing Program ...... 272 

Institute of Education Science ......................................................................... 272 

Departmental Management: 

Program Administration ........................................................................... 276 

Office for Civil Rights ............................................................................... 277 

Office of the Inspector General ................................................................ 278 

General Provisions ........................................................................................... 278 

Title IV: Related Agencies: 

Committee for Purchase from People who are Blind or Severely Disabled ............................................................................................................... 280 
Page

3 

Title IV—Continued 

Corporation for National and Community Service ........................................ 280 

Corporation for Public Broadcasting ............................................................... 285 

Federal Mediation and Conciliation Service .................................................. 285 

Federal Mine Safety and Health Review Commission .................................. 286 

Institute of Museum and Library Services ..................................................... 286 

Medicare Payment Advisory Commission ...................................................... 289 

National Commission on Libraries and Information Science ....................... 289 

National Council on Disability ........................................................................ 289 

National Labor Relations Board ...................................................................... 290 

National Mediation Board ............................................................................... 290 

Occupational Safety and Health Review Commission ................................... 290 

Railroad Retirement Board .............................................................................. 291 

Social Security Administration ........................................................................ 292 

Title V: General Provisions ..................................................................................... 296 

Budgetary Impact of Bill ......................................................................................... 297 

Compliance With Paragraph 7, Rule XVI of the Standing Rules of the Senate .......................................................................................................................... 297 

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

Senate ................................................................................................................... 298 

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

Senate ................................................................................................................... 299 

Comparative Statement of New Budget Authority ............................................... 300 
(4) 

SUMMARY OF BUDGET ESTIMATES AND COMMITTEE 

RECOMMENDATIONS 

For fiscal year 2008, the Committee recommends total budget authority of $605,536,474,000 for the Departments of Labor, Health 

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

amount, $149,872,000,000 is current year discretionary funding, including offsets. 

OVERVIEW AND BILL HIGHLIGHTS 

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

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

Congress is more important than safeguarding and improving the 

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

300 programs, spanning three Federal Departments and numerous 

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

Virtually every element of this bill reflects the traditional ideal of 

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

an equal opportunity to reach one’s highest potential. 

This bill at the same time provides a safety net of social protections for the needy while stimulating advances in human achievement and the life sciences. At its core, this bill embodies those defining principles by which any free society must be guided: compassion for the less fortunate; respect for family and loved ones; acceptance of personal responsibility for one’s actions; character development; and the avoidance of destructive behavior. 

HIGHLIGHTS OF THE BILL 

Job Training.—The Committee recommendation includes 

$5,247,010,000 for job training programs. This includes 

$1,659,872,000 for the Office of Job Corps, an increase of 

$53,595,000 over the 2007 level and $109,500,000 more than the 

request. The Committee rejected the administration’s proposal to 

cancel $335,000,000 in job training funds currently available for 

training purposes. 

Worker Protection.—The Committee bill provides $828,473,000 to ensure the health and safety of workers, including $498,445,000 for 

the Occupational Safety and Health Administration and 

$330,028,000 for the Mine Safety and Health Administration. This 

total is $40,335,000 more than the 2007 level and $24,718,000 

more than the budget request. 

Child Labor.—The Committee bill includes $82,516,000 for activities designed to end abusive child labor. This is $10,000,000 

above the 2007 level. 
5 

National Institutes of Health.—A total of $29,899,887,000 is recommended to fund biomedical research at the 27 Institutes and 

Centers that comprise the NIH. This represents an increase of 

$1,000,000,000 over the fiscal year 2007 level and $1,278,646,000 

over the budget request. 

Health Centers.—The recommendation includes $2,238,039,000 

for health centers, $250,000,000 over the fiscal 2007 level. 

Nursing Education.—The Committee recommends $169,679,000 

for nursing education, $20,000,000 over the fiscal year 2007 level. 

Autism.—The Committee bill includes $53,500,000 for prevention 

of and support for families affected by autism and other related developmental disorders. This is an increase of $18,500,000 over last 

year’s appropriation. 

Centers for Disease Control and Prevention.—A total of 

$6,426,833,000 is provided in this bill for the Centers for Disease 

Control and Prevention. This is an increase of $224,161,000 over 

the fiscal year 2007 level. This level does not include funding for 

the influenza pandemic, which is appropriated in the HHS Office 

of the Secretary. 

Substance Abuse.—The Committee bill provides $3,404,798,000 

for substance abuse prevention and treatment programs. Included 

in this amount is $2,185,159,000 for substance abuse treatment, 

$197,108,000 for substance abuse prevention and $923,812,000 for 

mental health programs. 

Pandemic Influenza.—The Committee recommendation includes 

$888,000,000 to prepare for and respond to an influenza pandemic. 

Funds are available for the development and purchase of vaccine, 

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

Head Start.—The Committee bill includes $7,088,571,000 for the 

Head Start Program. This represents an increase of $200,000,000 

over the 2007 comparable level. 

Persons With Disabilities.—The Committee recommendation includes $228,548,000 to promote independent living in home and 

community-based settings. This includes $27,712,000 for the Office 

of Disability Employment Policy at the Department of Labor and 

$190,836,000 for programs funded under the Help America Vote 

Act and the Developmental Disabilities Assistance and Bill of 

Rights Act. It also includes $10,000,000 for Real Choice Systems 

Change Grants through the Center for Medicaid and Medicare 

Services. 

Title I (Education).—The Committee has provided 

$13,909,900,000 for title I grants to LEAs, an increase of 

$1,071,775,000 over the fiscal year 2007 appropriation, and 

$500,000,000 for school improvement grants, an increase of 

$375,000,000 over the fiscal year 2007 level. 

Student Financial Aid.—The Committee recommends 

$16,368,883,000 for student financial assistance. The Pell Grant 

Program continues its current maximum grant award of $4,310. 

Higher Education Initiatives.—The Committee bill provides 

$2,028,302,000 for initiatives to provide greater opportunities for 

higher education, including $858,178,000 for Federal TRIO programs, an increase of $30,000,000, and $313,423,000 for GEAR UP, 

an increase of $10,000,000. 
6 

Education for Individuals With Disabilities.—The Committee bill 

provides $12,330,374,000 to help ensure that all children have access to a free and appropriate education. This amount includes 

$11,240,000,000 for Part B grants to States, an increase of 

$457,039,000 over last year and $748,059,000 more than the budget request. The recommended level will reverse the declining share 

of Federal resources for educating students with disabilities and 

raise it to 17.65 percent, the same amount as it was in 2006. 

Rehabilitation Services.—The bill recommends $3,286,942,000 for 

rehabilitation services. These funds are essential for families with 

disabilities seeking employment. The Committee restored funding 

for several important programs proposed for elimination, such as 

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

grant funding at the 2007 level. 

Services for Older Americans.—For programs serving older Americans, the Committee recommendation includes $3,298,628,000. 

This recommendation includes $217,586,000 for senior volunteer 

programs, $483,611,000 for community service employment for 

older Americans, $350,595,000 for supportive services and centers, 

$162,595,000 for family caregiver support programs and 

$773,570,000 for senior nutrition programs. For the medical research activities of the National Institute on Aging, the Committee 

recommends $1,073,048,000. The Committee recommendation also 

includes not less than $35,000,000 for the Medicare insurance 

counseling program. 

Corporation for Public Broadcasting.—The Committee bill recommends an advance appropriation for fiscal year 2010 of 

$420,000,000 for the Corporation for Public Broadcasting. In addition, the Committee bill includes $29,700,000 for conversion to digital broadcasting and $26,750,000 for the replacement project of the 

interconnection system in fiscal year 2008 funding. 

TRANSPARENCY IN CONGRESSIONAL DIRECTIVES

On January 18, 2007, the Senate passed S. 1, The Legislative 

Transparency and Accountability Act of 2007, by a vote of 96–2. 

While the Committee awaits final action on this legislation, the 

chairman and ranking member of the Committee issued interim requirements to ensure that the goals of S. 1 are in place for the appropriations bills for fiscal year 2008. 

The Constitution vests in the Congress the power of the purse. 

The Committee believes strongly that Congress should make the 

decisions on how to allocate the people’s money. In order to improve transparency and accountability in the process of approving 

earmarks (as defined in S. 1) in appropriations measures, each 

Committee report includes, for each earmark: 

—(1) the name of the Member(s) making the request, and where 

appropriate, the President; 

—(2) the name and location of the intended recipient or, if there 

is no specifically intended recipient, the intended location of 

the activity; and 

—(3) the purpose of such earmark. 
7 

The term ‘‘congressional earmark’’ means a provision or report 

language included primarily at the request of a Senator, providing, 

authorizing, or recommending a specific amount of discretionary 

budget authority, credit authority, or other spending authority for 

a contract, loan, loan guarantee, grant, loan authority, or other expenditure with or to an entity, or targeted to a specific state, locality or congressional district, other than through a statutory or administrative, formula-driven, or competitive award process. 

For each earmark, a Member is required to provide a certification that neither the Member (nor his or her spouse) has a pecuniary interest in such earmark, consistent with Senate Rule 

XXXVII(4). Such certifications are available to the public at http:// 

appropriations.senate.gov/senators.cfm or go to appropriations.senate.gov and click on ‘‘Members’’. 

In addition the Committee has significantly reduced the number 

and amount of earmarks included in the fiscal year 2008 bill as 

compared to fiscal year 2005. 

The Committee has instituted these reforms to ensure that there 

is accountability in how it executes its constitutional authority to 

spend Federal dollars. The executive branch must do the same. The 

Committee notes, for example, that the Department of Health and 

Human Services awarded almost $2,000,000,000 in contracts not 

subject to full and open competition in 2006. In addition, a recent 

Congressional Research Service report found that 90 percent of the 

funds under the Department of Labor’s High Growth Job Training 

Initiative were awarded non-competitively, resulting in more than 

$250,000,000 being awarded over the past 5 years without any 

competition or public oversight Therefore, the Committee has included a general provision in title V requiring the Departments of 

Labor, Health and Human Services, and Education to provide a 

quarterly report to the Committee listing all contracts, grants, and 

cooperative agreements awarded by the Department over the past 

90 days for amounts over $100,000 that were not awarded competitively. 

INITIATIVES

Improving the Implementation of NCLB 

The No Child Left Behind Act includes dozens of authorized 

funding programs. But when people talk about the need to adequately fund the law, they’re usually thinking of title I grants to 

local educational agencies. And rightly so. The largest and most important of the Federal education programs, title I grants to LEAs 

help the students who need help the most—the millions who are 

being left behind. It is also the program that, under the NCLB, 

holds schools accountable for improving student performance. That 

is why, when Congress wrote the NCLB, it authorized specific 

funding levels for title I for each year through fiscal year 2007. 

Regrettably, the Federal Government fell short of its commitment on title I each year, and each year the gap between the authorized and appropriated levels grew wider, reaching a cumulative 

total of $54,700,000,000, while the accountability requirements on 

schools grew more and more demanding. 
8 

For fiscal year 2008, the Committee attempts to reverse this 

trend by recommending the largest increase for title I in 5 years— 

$1,071,775,000. The administration called for the same increase, 

but offset the additional funds by proposing to terminate dozens of 

other programs, including career and technical education State 

grants, education technology State grants, arts in education, and 

school counseling; the Committee recommendation achieves its title 

I increase while preserving most of the targeted programs. 

Increasing funding for title I grants to LEAs is not the only way 

that Federal appropriations can be used to improve the implementation of the No Child Left Behind Act, however. Particularly in the 

areas of research and technical assistance, it’s far more efficient 

and effective for the Federal Government to provide key education 

services than expecting States and localities to reinvent the wheel 

many times over. Therefore, the Committee has made it a top priority to identify those pots of money that will help schools meet 

their NCLB accountability requirements, and increase their funding to the extent possible. 

School Improvement Grants.—More than 10,000 schools are currently designated in need of improvement, meaning they failed to 

meet NCLB accountability standards for 2 years in a row. The 

school improvement grants program targets title I funding directly 

to such schools, with the goal of turning them around. Congress 

funded this program for the first time in the fiscal year 2007 joint 

funding resolution, at a level of $125,000,000. For fiscal year 2008, 

the Committee recommends an increase to $500,000,000. 

Enhanced Assessment Instruments.—Accurate assessments are 

key to measuring student achievement. But concerns have been 

raised about the quality of those currently in use. The Committee 

recommends $16,000,000—more than double the fiscal year 2007 

appropriation of $7,563,000—for competitive grants to develop enhanced assessment instruments. The Committee intends the Department to put a priority on assessments for students with disabilities and students with limited English proficiency—two groups 

for which high-quality assessments have been particularly problematic to develop. 

Comprehensive Centers.—These 21 centers, spread out geographically across the country, are charged with advising States how to 

implement NCLB and meet the law’s accountability goals. Some, 

for example, help States develop ways to provide professional development, track student achievement data, and offer assistance to 

schools that have been designated in need of improvement. The 

Committee recommends increasing funding for this program from 

$56,257,000 to $60,000,000. 

Research, Development and Dissemination.—This program supports investments in research intended to generate solutions to 

critical problems in education. The Committee notes that one of the 

bipartisan recommendations of the Commission on No Child Left 

Behind is to double the research budget at IES and target the increase to research that assists schools in meeting the goals of 

NCLB. The Committee recommends increasing funding for this 

purpose from $162,552,000 to $182,552,000. 

Regional Educational Laboratories.—Program funds support a 

network of 10 laboratories that are responsible for promoting the 
9 

use of broad-based systemic strategies to improve student achievement. The Committee recommends increasing funding for this program from $65,470,000 to $68,000,000 to increase their capacity to 

provide timely responses to requests for assistance on issues of urgent regional need. 

Statewide Data Systems.—This program supports competitive 

grants to State educational agencies to enable them to design, develop, and implement statewide, longitudinal data systems for 

managing, analyzing, disaggregating, and using individual student 

data. The Committee notes that one of the bipartisan recommendations of the Commission on No Child Left Behind is to assist States 

with the development, implementation and ongoing support of sufficient data systems, by increasing the budget for this program by 

an additional $100,000,000 for each of the next 4 years. Funding 

provided to date has assisted 14 States, with another 17 expected 

to be funded this year. The Committee recommends increasing 

funding for this program from $24,552,000 to $58,000,000, to enable more States to develop and strengthen their data systems. 

Elimination of Fraud, Waste, and Abuse 

For fiscal year 2008, the Committee has increased funding for a 

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

taxpayer dollars. These program integrity initiatives have been 

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

Unemployment Insurance Program Integrity.—The Committee 

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

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

in inappropriate Unemployment Insurance payments. 

Social Security Program Integrity.—The Committee recommendation includes $476,970,000 for conducting continuing disability reviews [CDRs] and redeterminations of eligibility for Social Security 

Disability and Supplemental Security Income benefits. CDRs save 

$10 in benefit payments for every $1 spent to conduct these activities, while redeterminations save $7 in payments for every $1 for 

doing this work. 

TANF Improper Payments.—The Committee recommendation includes an increase of $6,200,000 for the Administration for Children and Families [ACF] to establish error rates for the temporary 

assistance to needy families [TANF] and child care programs. Efforts to minimize improper payments in these programs are particularly important given that they total over $34,000,000,000 in 

Federal and State funds annually. Previous ACF program integrity 

efforts have achieved over $600,000,000 in savings in the Head 

Start and foster care programs. 

Health Care Program Integrity.—In fiscal year 2006, Medicare 

and Medicaid outlays accounted for nearly $1 out of every $5 of the 

total Federal outlays. Fraud committed against Federal health care 

programs puts Americans at increased risk and diverts critical resources from providing necessary health services to some of the Nation’s most vulnerable populations. 
10 

The Committee has included $383,000,000 for Health Care Fraud 

and Abuse Control activities at the Center for Medicare and Medicaid Services. This is $200,000,000 more than requested by the administration. 

Investment in health care program integrity more than pays for 

itself based on 10 years of documented recoveries to the Medicare 

Part A Trust Fund. In fiscal year 2006 the Medicare Integrity Program [MIP] reported savings of more than $10,000,000,000. This 

computes to a 14:1 overall return on investment from MIP oversight activities. The overall return on investment has been consistent since the inception of MIP with special projects and initiatives achieving even higher returns. 

REPROGRAMMING AND TRANSFER AUTHORITY

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

as well as specifying reprogramming authority in a general provision applying to all funds provided under this act. 
(11) 

TITLE I 

DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION

TRAINING AND EMPLOYMENT SERVICES

Appropriations, 2007 ............................................................................. $3,556,272,000 

Budget estimate, 2008 ........................................................................... 2,972,039,000 

Committee recommendation ................................................................. 3,587,138,000 

The Committee recommends $3,587,138,000 for this account in 

2008 which provides funding primarily for activities under the 

Workforce Investment Act [WIA]. The comparable 2007 level is 

$3,556,272,000 and the administration request is $2,972,039,000. 

The Committee recommendation rejects the proposed $335,000,000 

cancellation of unexpended balances proposed in the budget request. 

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

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

provided for fiscal year 2008 will support the program from July 

1, 2008 through June 30, 2009. A portion of this account’s funding, 

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

forward-funded program year. 

The Committee expects that, while the Workforce Investment 

Act, Wagner-Peyser Act, and Trade Adjustment Act are in the process of being altered and renewed, the administration will refrain 

from unilateral changes to the administration, operation and financing of employment and training programs. Therefore, legislative language is included in section 107 of the general provisions 

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

Pending reauthorization of the Workforce Investment Act the 

Committee is acting on a current law request, deferring without 

prejudice proposed legislative language under the jurisdiction of 

the authorizing committees. The Committee recommendation includes language in section 108 of the general provisions requiring 

that the Department take no action to amend, through regulatory 

or other administrative action, the definition established in 20 CFR 

677.220 for functions and activities under title I of the Workforce 

Investment Act until such time as legislation reauthorizing the act 

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

The Committee notes that the number of unemployed workers 

has increased by 842,000, while the number of manufacturing jobs 

has decreased by 3 million since 2001. Despite these trends, the 

Department of Labor has consistently proposed cutting funding 
12 

available for job training. The Committee once again rejects these 

proposed cuts. 

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

the Department as well—the Committee disagrees with the proposed solutions of the Department. These can be stated simply as 

funding cuts and consolidation of programs. The Committee believes these policy solutions are not the right ones to move American workers forward in this competitive global marketplace. 

Grants to States 

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

Training and Employment Services Grants to States, the same as 

the fiscal year 2007 comparable amount. The budget request includes $2,455,439,000 for this purpose. In addition, the budget proposes to cancel $335,000,000 of job training funds currently available to the workforce development system. The Committee rejects 

this proposal and notes that the Government Accountability Office 

has analyzed spending of the workforce development system and 

found that these funds generally are being spent within authorized 

timeframes. For example, the GAO found that 44 States spent 90 

percent or more of their program year 2000 allotment within 2 

years, even though 3 years is the amount of time they have to 

spend these funds. 

The budget request also proposes legislative language to increase 

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

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

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

many States report that no funds have been transferred under this 

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

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

Dislocated Worker programs if the total amount of unexpended balances in a State exceeds 30 percent during program year 2006. 

These funds would be reallocated using program year 2007 funds 

to States that have unexpended balances lower than 30 percent. 

The Committee recommendation does not include the requested 

language and notes that this issue is most appropriately addressed 

during the reauthorization of the Workforce Investment Act. 

Adult Employment and Training.—For Adult Employment and 

Training Activities, the Committee recommends $864,199,000. The 

comparable fiscal year 2007 level is $864,199,000 and the budget 

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

One-Stop system and most customers receiving training will use 

their individual training accounts to determine which programs 

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

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

not able to find jobs through core services alone. 
13 

Funds made available in this bill support program year 2008 activities, which occur from July 1, 2008 through June 30, 2009. The 

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

1, 2008, and that $712,000,000 is available on October 1, 2008. 

Both categories of funding are available for obligation through 

June 30, 2009. 

Youth Training.—For Youth Training, the Committee recommends $940,500,000. The comparable fiscal year 2007 level is 

$940,500,000 and the budget request includes $840,500,000 for this 

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

with assistance in achieving academic and employment success 

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

mentoring, training, supportive services, and summer employment 

directly linked to academic and occupational learning, incentives 

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

Funds made available in this bill support program year 2008 activities, which occur from April 1, 2008 through June 30, 2009. The 

bill provides that $940,500,000 is available for obligation on April 

1, 2008 and available for obligation through June 30, 2009. 

Dislocated Worker Assistance.—For Dislocated Worker Assistance, the Committee recommends $1,189,811,000. The comparable 

fiscal year 2007 level is $1,189,811,000 and the budget request includes $902,939,000 for this purpose. This program is a State-operated effort which provides core and intensive services, training, and 

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

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

out additional statewide employment and training activities, which 

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

Funds made available in this bill support program year 2008 activities, which occur from July 1, 2008 through June 30, 2009. The 

bill provides that $341,811,000 is available for obligation on July 

1, 2008, and that $848,000,000 is available on October 1, 2008. 

Both categories of funding are available for obligation through 

June 30, 2009. 

Federally Administered Programs 

Dislocated Worker Assistance National Reserve.—The Committee 

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

natural disasters across the country, which cannot be otherwise anticipated, as well as technical assistance and training and demonstration projects, including a community college initiative. 

Funds made available in this bill support program year 2008 activities, which occur from July 1, 2008 through June 30, 2009. The 

bill provides that $66,392,000 is available for obligation on July 1, 

2008, and that $212,000,000 is available on October 1, 2008. Both 
14 

categories of funding are available for obligation through June 30, 

2009. 

The bill also provides that $3,700,000 of the funds available from 

the National Reserve are available on October 1, 2007 for non-competitive grants made within 30 days of the date of enactment of 

this act. The Department shall make non-competitive grants of 

$1,500,000 to the AFL–CIO Working for America Institute (Funding for this grant was requested by Senator Harkin) and 

$2,200,000 to the AFL Appalachian Council, Incorporated (Funding 

for this grant was requested by Senator Specter). 

The Committee bill continues language authorizing the use of 

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

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

dislocations across multiple sectors or local areas of a State. 

The Committee is aware of the economic diversification opportunity brought on by the recent closures of U.S. pineapple plantations and encourages the Department to consider possible collaborations between State and statewide agricultural organizations 

that sponsor multi-culturally sensitive on-farm food safety training 

to mitigate worker dislocation. 

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

comparable fiscal year 2007 level is $125,000,000 and the budget 

request includes $150,000,000 for this purpose. Funds used for this 

initiative should strengthen partnerships between workforce investment boards, community colleges, and employers, to train 

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

requiring these grants to be awarded competitively. 

The Committee notes the lack of baselines and performance information on training outcomes achieved under this program. The 

Committee requests that the Department include in its fiscal year 

2009 budget justification a thorough analysis of available grantee 

reporting on training outcomes and a description of how the Department intends to evaluate the effectiveness of this new program. 

Native American Programs.—For Native American programs, the 

Committee recommends $53,696,000. The comparable fiscal year 

2007 level is $53,696,000 and the budget request includes 

$45,000,000 for this purpose. This program is designed to improve 

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

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

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

Migrant and Seasonal Farmworker Programs.—For Migrant and 

Seasonal Farmworkers, the Committee recommends $79,752,000. 

The comparable fiscal year 2007 level is $79,752,000, while the 

budget proposes to eliminate funding for this purpose. Authorized 

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

members of economically disadvantaged families whose principal 

livelihood is derived from migratory and other forms of seasonal 
15 

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

and outside of the agriculture industry. The Committee recommendation provides that $74,302,000 be 

used for State service area grants. The Committee recommendation 

also includes bill language directing that $4,950,000 be used for migrant and seasonal farmworker housing grants, of which not less 

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

housing organizations working on permanent housing solutions for 

migrant and seasonal farmworkers. The Committee recommendation also includes $500,000 to be used for section 167 training, 

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

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

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

have already demonstrated a capacity to administer effectively a 

diversified program of workforce training and related assistance for 

eligible migrant and seasonal farmworkers. 

Women in Apprenticeship.—The Committee recommends 

$1,000,000 for program year 2008 activities as authorized under 

the Women in Apprenticeship and Non-Traditional Occupations Act 

of 1992. The comparable fiscal year 2007 level is $1,000,000, while 

the budget proposes to eliminate funding for this purpose. These 

funds provide for technical assistance to employers and unions to 

assist them in training, placing, and retraining women in nontraditional jobs and occupations. 

YouthBuild.—The Committee recommends $65,000,000 for the 

YouthBuild program. The comparable fiscal year 2007 level is 

$49,500,000 and the budget request includes $50,000,000 for this 

purpose. 

The YouthBuild program provides the opportunity for eligible 

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

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

and to improving the conditions in their neighborhoods. 

The Committee notes that 68,000 YouthBuild students have built 

or rehabilitated 16,000 units of affordable housing since 1994. Construction projects range from constructing new homes to restoring 

multi-unit buildings to rebuilding entire neighborhoods. 

Job Corps.—The Committee recommendation continues funding 

the Job Corps program as an independent entity reporting to the 

Office of the Secretary of Labor. The budget request proposed returning the program to the Employment and Training Administration. This program is described in a separate account in this report. 

National Activities 

Pilots, Demonstrations, and Research.—The Committee recommends $30,650,000 for pilots, demonstration and research au-
16 

thorized by section 171 of the Workforce Investment Act. The comparable fiscal year 2007 level is $14,700,000 and the budget request includes $13,000,000 for this purpose. These funds support 

grants or contracts to conduct research, pilots or demonstrations 

that improve techniques or demonstrate the effectiveness of programs. 

The Committee encourages the Department to re-assess the performance measures currently in use for pilots, demonstrations, 

evaluation and research. The ones currently utilized are process 

goals that don’t address how such funds are used to improve the 

effectiveness of Department programs. The Committee bill also includes language under section 105 of the general provisions that requires the Department to submit an operating plan by July 1, 2008 

which details the planned expenditure of these funds. 

The Committee recommendation also includes language requiring 

that funds be provided to the following organizations in the 

amounts specified: 

Project Committee recommendation Requested by 

Alu Like, Inc., Honolulu, HI, for training and education ....................................... $100,000 Inouye 

Arc of Blackstone Valley, Pawtucket, RI, to recruit individuals to work as direct 

support professionals in the human services.

325,000 Reed 

Baltimore Department of Planning, Baltimore, MD, to support the expansion of 

workforce development resources.

500,000 Cardin 

Barnabus Uplift, Des Moines, Iowa, for job training and supportive services ..... 500,000 Harkin 

Bismarck State College, Bismarck, ND, for the energy training program ............ 1,000,000 Dorgan, Conrad 

Brockton Area Private Industry Council, Inc., Brockton, MA, for workforce development programs.200,000 Kennedy, Kerry 

Capps Workforce Training Center, Moorhead, MS, for Workforce Training ........... 500,000 Cochran 

Catholic Charities, Chicago, IL, for vocational training and support programs 

at the Saint Leo Residence for Veterans.

550,000 Durbin 

Community Agricultural Vocational Institute, Yakima, WA, for training of agricultural workers.250,000 Murray 

Community College of Allegheny College, Pittsburgh, PA, for job training programs.75,000 Specter 

Community Solution for Clackamas County, Oregon City, Oregon, to expand the 

Working for Independence (WFI) program.

150,000 Smith 

Community Transportation Associatin of America, Washinton, DC, for the 

Joblinks program for continuation costs.

500,000 Harkin 

Cook Inlet Tribal Council, Inc., Anchorage, AK, for the Alaska’s People program 

to provide job training and employment counseling.

500,000 Stevens 

Crowder College, Neosho, MO, to expand technical education programs for 

workforce development.

775,000 Bond 

Des Moines Area Community College, Des Moines, Iowa, for Project Employment.250,000 Harkin, Grassley 

Eastern Michigan University, Ypsilanti, MI, for retraining of displaced workers 400,000 Stabenow, Levin 

Eastern Technology Council, Wayne, PA, for job training programs ..................... 75,000 Specter, Casey 

Fort Lewis College, Durango, CO, for the development of entrepreneurship programs to enhance regional development.150,000 Allard, Salazar 

Foundation for an Independent Tomorrow, Las Vegas, NV, for job training, vocational education, and related support.150,000 Reid 

Foundation of the Delaware County Chamber, Media, PA, for job training programs.75,000 Specter 

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

training, employment and supportive services, including for individuals with 

disabilities.

250,000 Kohl 

Hamilton County Government, Chattanooga, TN, for a workforce initiative ......... 150,000 Alexander 

Harrisburg Area Community College, Harrisburg, PA, for job training programs.75,000 Specter 

Idaho Women Work! at Eastern Idaho Technical College, Idaho Falls, ID, to 

continue and expand the Recruiting for the Information Technology Age 

(RITA) initiative in Idaho.

150,000 Craig 
17 

Project Committee recommendation Requested by 

Iowa Policy Project, Mount Vernon, IA, for a study on temporary and contingent 

workers.

400,000 Harkin 

Iowa Valley Community College, Marshalltown, IA, for community outreach and 

training center.

175,000 Harkin 

Linking Employment, Abilities and Potential, Cleveland, Ohio, for training and 

skill development services for individuals with disabilities in coordination 

with the local workforce investment system.

200,000 Brown 

MAGLEV Inc., McKeesport, PA, for a training program in advanced precision 

fabrication.

100,000 Specter 

Massachussets League of Community Health Centers, East Boston, MA, for a 

health-care workforce development program.

200,000 Kennedy, Kerry 

Maui Community College, HI, for the Remote Rural Hawaii Job Training project 2,400,000 Inouye 

Maui Community College Training and Educational Opportunities, HI, for training and education.1,800,000 Inouye 

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

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

Memphis, Tennessee, for a prisoner re-entry program ......................................... 250,000 Alexander 

Minnesota State Colleges and Universities, St. Paul, MN, for rapid reemployment services for veterans.1,000,000 Coleman, Klobuchar 

Minot State University, Minot, ND, to provide training and master’s degrees to 

Job Corps Center senior management personnel.

750,000 Dorgan, Conrad 

Mississippi State University, Mississippi State, MS, for the Mississippi Integrated Workforce Performance System.400,000 Cochran 

Mississippi State University, Mississippi State, MS, for training development 

and delivery system at the Distributed Learning System for Workforce Training Program.

200,000 Cochran 

Mississippi Technology Alliance, Ridgeland, MS, for the Center for Innovation 

and Entrepreneurial Services.

150,000 Cochran 

Mississippi Valley State University, Itta Bena, MS, for training and development programs at the Automated Identification Technology (AIT)/Automatic 

Data Collection (ADC).

200,000 Cochran 

Moreno Valley, CA, to provide vocational training for young adults, as well as 

the development of an internship with local businesses to put the trainees’ 

job skills to use upon graduation.

150,000 Boxer 

National Council of La Raza in Washington, DC, to provide technical assistance on Hispanic workforce issues including capacity building, language 

barriers, and health care job training in Iowa and other Midwestern States.

500,000 Harkin 

Neumann College, Aston, PA, for the Partnership Advancing Training for Careers in Health program.75,000 Specter 

North Side Industrial Development Corporation, Pittsburgh, PA, for job training 

programs.

75,000 Specter 

Northwest Washington Electrical Industry Joint Apprenticeship and Training 

Committee, Mount Vernon, WA, for expanded training capability, including 

the acquisition of training equipment, to meet the need for skilled electrical 

workers.

150,000 Murray 

Northwest Wisconsin Concentrated Employment Program, Inc., Ashland, WI, for 

workforce development training in Northwest Wisconsin.

300,000 Kohl 

Pacific Mountain Workforce Consortium, Tumwater, WA, for training of qualified 

foresters and restoration professionals in Lewis County.

200,000 Murray 

Pennsylvania Women Work!, Pittsburgh, PA, for job training programs .............. 100,000 Specter 

Philadelphia Shipyard Development Corporation, Philadelphia, PA, for job training programs.100,000 Specter 

Philadelphia Veterans Multi-Service & Education Center, Philadelphia, PA, for 

veterans job training.

75,000 Specter 

Pittsburgh Airport Area Chamber of Commerce Enterprise Foundation, Pittsburgh, PA, for workforce development.75,000 Specter 

Port Jobs, in partnership with South Seattle Community College, Seattle, WA, 

for training of entry-level airport workers.

100,000 Murray 

Portland Community College, Portland, OR, to support the Center for Business 

and Industry.

100,000 Wyden, Smith 

Project ARRIBA, El Paso, TX, for workforce development in the West Texas region.100,000 Hutchison 

Rhodes State College, Lima, Ohio, for equipment, curriculum development, 

training and internships for high-tech engineering technology programs.

150,000 Brown 
18 

Project Committee recommendation Requested by 

Rural Enterprises of Oklahoma, Inc., Durant, OK, for entrepreneurship training 

programs.

100,000 Inhofe 

Saint Leonard’s Ministries, Chicago, IL, for job training and placement for exoffenders.350,000 Durbin 

San Jose, CA, for job training for the homeless ................................................... 400,000 Feinstein 

Santa Ana, CA, for the Work Experience and Literacy Program ........................... 900,000 Feinstein, Boxer 

Santa Maria El Mirador, Santa Fe, NM, to provide an employment training program.700,000 Domenici 

Southwest Washington Workforce Development Council, Vancouver, WA, to create and sustain a partnership between business, education and workforce 

leaders in Southwest Washington.

200,000 Murray 

STRIVE/East Harlem Employment Service, Inc., New York, NY, for the Core job 

training program.

500,000 Schumer, Clinton 

Twin Cities Rise!, Minneapolis, MN, for job training initiatives ........................... 300,000 Klobuchar 

United Auto Workers Region 9 Training Initiative, in New York, for Competitive 

Employment Training Assistance.

250,000 Schumer, Clinton 

University of Mississippi, University, MS, for the Southeastern Center for 

Human Resources Management to develop a partnership between corporations and university scholars.

100,000 Cochran 

University of Southern Mississippi, Hattiesburg, MS, for Workforce Training in 

Marine Composite.

500,000 Cochran 

University of West Florida, Pensacola, FL, for the Hometown Heroes Teach program, for teaching certificates for veterans.100,000 Martinez 

Urban League of Lancaster County, Inc., Lancaster, PA, for job training programs.75,000 Specter 

Vermont Department of Labor, Montpelier, VT, for job training of female inmates in Vermont as they prepare to reenter the workforce.600,000 Leahy 

Vermont Healthcare and Information Technology Education Center, Williston, 

VT, for advanced manufacturing training of displaced workers.

250,000 Leahy 

Vermont Healthcare and Information Technology Education Center, Williston, 

VT, for health care training of displaced workers.

650,000 Leahy 

Vermont Technical College and Vermont Workforce Development Council, Randolph Center, VT, to provide job training to displaced workers in Vermont.700,000 Leahy 

Washington Workforce Association, Vancouver, WA, for job shadowing, internships, and scholarships to prepare students for high-demand occupations.500,000 Murray 

Washington, Ozaukee, Waukesha Workforce Development Inc., Pewaukee, WI, for 

advanced manufacturing and technology training.

450,000 Kohl 

Wisconsin Community Action Program, Madison, WI, for job training assistance 

of low-income individuals.

325,000 Kohl 

Wisconsin Regional Training Partnership, Milwaukee, WI, to assess, prepare, 

and place job-ready candidates in construction, manufacturing, and other 

skilled trades and industries.

300,000 Kohl 

Workforce Connections, Inc., La Crosse, WI, to develop and implement strategic 

workforce development activities in Western Wisconsin.

150,000 Kohl 

Workforce Resource, Inc., Menomonie, WI, for employment assistance ................ 250,000 Kohl 

Wrightco Technologies, Inc, Claysburg, PA, to provide job training, retraining 

and vocational educational programs.

100,000 Specter 

Responsible Reintegration of Youthful Offenders.—The Committee recommendation includes $55,000,000 to continue funding 

for the current Responsible Reintegration of Youthful Offenders 

program. The comparable fiscal year 2007 level is $49,104,000, 

while the budget proposed to eliminate funding for this program. 

The Responsible Reintegration of Youthful Offenders program targets critical funding to help prepare and assist young offenders to 

return to their communities. The program also provides support, 

opportunities, education and training to youth who are court-involved and on probation, in aftercare, on parole, or who would benefit from alternatives to incarceration or diversion from formal judicial proceedings. The Committee intends that funds available for 

this purpose under the fiscal year 2007 appropriation and this act 
19 

be used to continue the youth violence prevention initiative initiated with program year 2006 funds. 

Prisoner Re-entry.—The Committee recommendation does not include funding for the Prisoner Re-entry initiative. The comparable 

fiscal year 2007 level is $19,642,000, while the budget request proposed eliminating funding for this purpose. The budget proposes to 

redirect these funds to a new Responsible Reintegration of Ex-Offenders program described below. 

Responsible Reintegration of Ex-Offenders.—The Committee recommends $13,642,000 for the Responsible Reintegration of Ex-Offenders program. The budget request includes $39,600,000 for this 

new initiative. Funds would be used to connect adult ex-offenders 

with pre-release, mentoring, housing, case management and employment services, utilizing the best practices learned from the 

Prisoner Re-entry initiative. 

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

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

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

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

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

such as the Adult Training formula grant program authorized 

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

Evaluation.—The Committee recommends $4,921,000 to provide 

for the continuing evaluation of programs conducted under the 

Workforce Investment Act, as well as of Federally-funded employment-related activities under other provisions of law. The comparable fiscal year 2007 level is $4,921,000 and the budget request 

includes $7,000,000 for this purpose. 

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

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

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

The budget request includes $150,000,000 for this initiative. The 

Committee recommendation includes a general provision requiring 

these grants to be awarded competitively. 

Denali Commission.—The Committee recommends $6,875,000 for 

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

training in connection with infrastructure building projects it funds 

in rural Alaska. The comparable fiscal year 2007 level is 

$6,875,000, while the budget proposes to eliminate funding for this 

purpose. Funding will allow un-and underemployed rural Alaskans 

to train for better jobs in their villages. 

Other.—The Committee does not recommend additional resources 

for the provision of technical assistance activities funded previously 

from this category. The comparable fiscal year 2007 level is 

$480,000 and the budget request did not recommend funding for 

this activity. Funds are available for this purpose under the pilots, 

demonstrations and research program. 

Job Training for Employment in High Growth Industries.—The 

Committee continues to have a strong interest in the initiatives 

funded from H–1B fees for job training services and related capac-
20 

ity-building activities. The Committee is concerned that 90 percent 

of the funds made available under the High Growth Job Training 

Initiative have not been awarded on a competitive basis. The Committee recommendation continues language similar to that included 

in last year’s bill which requires awards under the High Growth 

Job Training Initiative, Community Based Job Training Grants 

and Workforce Innovation in Regional Economic Development initiative to be made on a competitive basis. 

The Committee notes that there is limited evidence of the training outcomes achieved under the Department’s Demand Driven 

Workforce Initiative, which includes the High Growth Job Training 

Initiative, Community Based Job Training Grants program, and 

Workforce Innovation in Regional Economic Development initiative. 

The Committee is also concerned that this initiative is not sufficiently linked with the workforce development system. The Committee requests the Department provide information in the fiscal 

year 2009 budget justification on the initiative’s integration with 

the public workforce development system, evaluation plan, and performance outcomes and measures. 

The Committee notes that the United States is in the midst of 

a nursing shortage that is expected to intensify as baby boomers 

age and the need for health care grows. In April 2006, the Health 

Resources and Services Administration released projections that 

the Nation’s nursing shortage would grow to more than one million 

nurses by the year 2020. According to American Association of Colleges of Nursing, U.S. nursing schools turned away almost 42,000 

qualified nursing school applicants due in part to an insufficient 

number of faculty. The Committee encourages the Department to 

consider ways to support nursing schools efforts to address this 

workforce shortage, including methods of alleviating the nurse faculty shortage. 

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

Appropriations, 2007 ............................................................................. $483,611,000 

Budget estimate, 2008 ........................................................................... 350,000,000 

Committee recommendation ................................................................. 483,611,000 

The Committee recommends $483,611,000 for community service 

employment for older Americans. The comparable fiscal year 2007 

level is $483,611,000 and the budget request includes $350,000,000. 

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

provides part-time employment in community service activities for 

unemployed, low-income persons aged 55 and over. It is a forwardfunded program, so the fiscal year 2008 appropriation will support 

the program from July 1, 2008, through June 30, 2009. 

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

proven effective network in every State and in practically every 

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

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

and fringe benefits. 

The program provides a wide range of vital community services 

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

areas and in minority neighborhoods. Senior enrollees provide necessary and valuable services at Head Start centers, schools, hos-
21 

pitals, libraries, elderly nutrition sites, senior center, and elsewhere in the community. These services would not be available 

without the program. 

A large proportion of senior enrollees use their work experience 

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

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

The Committee believes that the program should pay special attention to providing community service jobs for older Americans 

with poor employment prospects, including individuals with a longterm detachment from the labor force, older displaced homemakers, 

aged minorities, limited English-speaking persons, and legal immigrants. 

FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

Appropriations, 2007 ............................................................................. $837,600,000 

Budget estimate, 2008 ........................................................................... 888,700,000 

Committee recommendation ................................................................. 888,700,000 

The Committee recommends $888,700,000 for Federal Unemployment Benefits and Allowances. The comparable fiscal year 2007 

amount is $837,600,000 and the budget request includes 

$888,700,000 for this purpose. Trade adjustment benefit payments 

are expected to increase from $558,000,000 in fiscal year 2007 to 

$606,000,000 in fiscal year 2008, while trade training in fiscal year 

2008 will remain roughly constant at $259,700,000 with an estimated 80,000 participants. 

The Trade Adjustment Assistance Reform Act of 2002 that 

amended the Trade Act of 1974 was signed into law on August 6, 

2002. This act consolidated the previous Trade Adjustment Assistance [TAA] and NAFTA Transitional Adjustment Assistance programs, into a single, enhanced TAA program with expanded eligibility, services, and benefits. Additionally, the act provides a program of Alternative Trade Adjustment Assistance for Older Workers. 

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE

OPERATIONS

Appropriations, 2007 ............................................................................. $3,340,350,000 

Budget estimate, 2008 ........................................................................... 3,338,753,000 

Committee recommendation ................................................................. 3,386,632,000 

The Committee recommends $3,386,632,000 for this account. The 

recommendation includes $3,288,223,000 authorized to be drawn 

from the Employment Security Administration account of the unemployment trust fund, and $98,409,000 to be provided from the 

general fund of the Treasury. 

The funds in this account are used to provide administrative 

grants and assistance to State agencies which administer Federal 

and State unemployment compensation laws and operate the public 

employment service. 

The Committee bill includes language proposed in the budget request that would allow States to pay the cost of penalty mail from 

funds allotted to them under the Wagner-Peyser Act. Previously, 

the Department held such funds back from State allotments and 

paid these costs directly. New language proposed in the budget also 
22 

is included that allows States to use funds appropriated under this 

account to assist other States if they are impacted by a major disaster declared by the President. The Committee recommends a total of $2,561,223,000 for unemployment insurance activities. 

For unemployment insurance [UI] State operations, the Com- mittee recommends $2,510,723,000. These funds are available for 

obligation by States through December 31, 2008. However, funds 

used for automation acquisitions are available for obligation by 

States through September 30, 2010. The recommendation includes $10,000,000 to conduct in-person 

reemployment and eligibility assessments in one-stop career centers of claimants of unemployment insurance. In addition, 

$40,000,000 is available for this purpose through a discretionary 

cap adjustment, as provided for in the fiscal year 2008 budget resolution. These program integrity activities will save more than 

$200,000,000 annually in overpayments from the unemployment 

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

to submit interim and final reports on the outcomes achieved 

through these activities, their associated estimated savings, and 

identification of best practices that may be replicated. 

In addition, the Committee recommendation provides for a contingency reserve amount should the unemployment workload exceed an average weekly insured claims volume of 2,786,000. This 

contingency amount would fund the administrative costs of the unemployment insurance workload over the level of 2,786,000 insured 

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

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

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

for a contingency threshold level of 2,629,000. 

For unemployment insurance national activities, the Committee recommends $10,500,000. These funds are directed to activities 

that benefit the State/Federal unemployment insurance program, 

including helping States adopt common technology-based solutions 

to improve efficiency and performance, supporting training and 

contracting for actuarial support for State trust fund management. 

For the Employment Service allotments to States, the Committee 

recommends $715,883,000 which includes $22,883,000 in general 

funds together with an authorization to spend $693,000,000 from 

the Employment Security Administration account of the unemployment trust fund. The comparable fiscal year 2007 amount is 

$715,883,000 and the budget request includes $688,779,000 for allotments to States. These funds are available for the program year 

of July 1, 2008 through June 30, 2009. 

The Committee also recommends $34,000,000 for Employment 

Service national activities. The comparable fiscal year 2007 amount 

is $33,428,000 and the budget request includes $32,766,000 for 

these activities. Within the recommendation, $12,740,000 is for foreign labor certification programs and $2,349,000 is for technical assistance and training, and State workforce agency independent retirement plans, the full amounts requested in the budget. The recommendation also includes $19,000,000 for the administrative activities related to the work opportunity tax credit program. 
23 

For One-Stop Career Centers and Labor Market Information, the Committee recommends $55,985,000. The comparable fiscal year 

2007 level is $63,855,000 and the budget request includes 

$55,985,000 for these activities. The Committee recommendation 

includes funding for America’s Labor Market Information System, 

including core employment statistics, universal access for customers, improving efficiency in labor market transactions, and 

measuring and displaying WIA performance information. The Committee recommends $19,541,000 for the Work Incentives 

Grants program, to help persons with disabilities find and retain 

jobs through the One-Stop Career Center system mandated by the 

Workforce Investment Act. The comparable fiscal year 2007 level is 

$19,514,000, while the budget request proposes to eliminate funding for these activities. Funding will support grants, including the 

Disability Program Navigator initiative, intended to ensure that 

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

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

training, and technical assistance activities, which continues to be 

needed given the recent expansion to 47 States. 

ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS

Appropriations, 2007 ............................................................................. $465,000,000 

Budget estimate, 2008 ........................................................................... 437,000,000 

Committee recommendation ................................................................. 437,000,000 

The Committee recommends $437,000,000 for this account. The 

comparable fiscal year 2007 funding level is $465,000,000 and the 

budget request includes $437,000,000 for this purpose. The appropriation is available to provide advances to several accounts for 

purposes authorized under various Federal and State unemployment compensation laws and the Black Lung Disability Trust 

Fund, whenever balances in such accounts prove insufficient. The 

Committee recommendation assumes that fiscal year 2008 advances will be made to the Black Lung Disability Trust Fund, as 

proposed in the budget request. 

The separate appropriations provided by the Committee for all 

other accounts eligible to borrow from this account in fiscal year 

2008 are expected to be sufficient. Should the need arise, due to 

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

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

Black Lung Disability Trust Fund are now repayable with interest 

to the general fund of the Treasury. 

PROGRAM ADMINISTRATION

Appropriations, 2007 ............................................................................. $199,708,000 

Budget estimate, 2008 ........................................................................... 216,162,000 

Committee recommendation ................................................................. 185,505,000 

The Committee recommendation includes $91,133,000 in general funds for this account, as well as authority to expend $94,372,000 

from the Employment Security Administration account of the unemployment trust fund, for a total of $185,505,000. The recommendation includes the full amount requested to accelerate the 
24 

processing of backlogged foreign labor certificate cases. The Committee expects a progress report by August 31, 2007, detailing the 

status of efforts to eliminate the backlog of pending foreign labor 

certification applications. 

The Committee recommendation reflects shifting $28,872,000 in 

Job Corps staffing costs to a separate appropriation account. 

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

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

Act and the Immigration and Nationality Act, as amended. 

In addition, $13,000,000 is estimated to be available from H–1B 

fees for processing H–1B alien labor certification applications. It is 

estimated that an additional $475,000 will be reimbursed by the 

Federal Emergency Management Agency for support of disaster unemployment activities. 

The Committee believes that the public workforce system is 

strengthened by the effective participation of all of the stakeholders 

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

discretionary funds to support that participation through grants 

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

EMPLOYEE BENEFITS SECURITY ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2007 ............................................................................. $141,573,000 

Budget estimate, 2008 ........................................................................... 147,425,000 

Committee recommendation ................................................................. 143,262,000 

The Committee recommends $143,262,000 for this account. The 

comparable fiscal year 2007 amount is $141,573,000 and the budget request includes $147,425,000. 

The Employee Benefits Security Administration [EBSA] is responsible for the enforcement of title I of the Employee Retirement 

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

areas. ESBA is also responsible for enforcement of sections 8477 

and 8478 of the Federal Employees’ Retirement Security Act of 

1986 [FERSA]. In accordance with the requirements of FERSA, the 

Secretary of Labor has promulgated regulations and prohibited 

transactions class exemptions under the fiduciary responsibility 

and fiduciary bonding provisions of the law governing the Thrift 

Savings Plan for Federal employees. In addition, the Secretary of 

Labor has, pursuant to the requirement of section 8477(g)(1) of 

FERSA, established a program to carry out audits to determine the 

level of compliance with the fiduciary responsibility provisions of 

FERSA applicable to Thrift Savings Plan fiduciaries. ESBA provides funding for the enforcement and compliance; policy, regulation, and public services; and program oversight activities. 
25 

The Committee recommendation is below the budget request because the Department assumed that Congress had not provided 

any funds for the EFAST2 system during the fiscal year 2007 appropriation process. However, funding was made available in fiscal 

year 2007, so $5,000,000 of the request for this system is not needed. 

The Committee recommendation also assumes that EBSA will 

contribute an additional amount of $2,500,000 from its fiscal years 

2007 and 2008 appropriations for the EFAST2 system, generated 

by one-time cost savings proposed in the last 2 years’ budget requests. The Committee expects EBSA to avoid any negative impact 

of the project’s financing on enforcement activities, and compliance 

outreach and education programs. The Committee requests a briefing on EBSA’s plans for the EFAST2 system prior to the announcement of the availability of funds for its development. 

PENSION BENEFIT GUARANTY CORPORATION

The Corporation’s estimated obligations for fiscal year 2008 include single employer benefit payments of $4,831,000,000, multiemployer financial assistance of $106,000,000 and administrative expenses of $411,151,000. Administrative expenses are comprised of 

three activities: (1) Pension insurance activities, $74,784,000; (2) 

pension plan termination expenses, $205,158,000; and (3) operational support, $131,209,000. Such expenditures will be financed 

by permanent authority. 

The Pension Benefit Guaranty Corporation is a wholly owned 

Government corporation established by the Employee Retirement 

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

board of directors. The corporation receives its income primarily 

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

imposed by the act, and investment earnings. It is also authorized 

to borrow up to $100,000,000 from the Treasury. 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 a contingency fund for the 

PBGC 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. The Committee recommendation includes this language to ensure that the PBGC can take immediate, uninterrupted 

action to protect participants’ pension benefits. The Committee expects to be notified immediately of the availability of any funds 

made available by this provision. 

The President’s budget also includes language that provides 

$50,000 in additional funds for investment management fees for 

every $25,000,000 in assets received by the PBGC. The language 

also stipulates that the Committees on Appropriations of the House 

of Representatives and Senate be notified of the availability of 

funds made available by this provision. The Committee bill includes the requested language. 
26 

The single-employer program protects about 34.2 million participants in about 28,800 defined benefit pension plans. The multi-employer insurance program protects about 9.7 million participants in 

more than 1,600 plans. 

EMPLOYMENT STANDARDS ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2007 ............................................................................. $420,871,000 

Budget estimate, 2008 ........................................................................... 447,659,000 

Committee recommendation ................................................................. 438,508,000 

The Committee recommendation includes $438,508,000 for this 

account. The bill contains authority to expend $2,111,000 from the 

special fund established by the Longshore and Harbor Workers’ 

Compensation Act; the remainder of $436,397,000 are general 

funds. In addition, an amount of $32,761,000 is available by transfer from the black lung disability trust fund. Language also is included that authorizes the Employment Standards Administration 

to assess and collect fees to defray the cost for processing applications for homeworker and special minimum wage certifications, and 

applications for registration under the Migrant and Seasonal Agricultural Worker Protection Act. 

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

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

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

lung). 

This recommendation provides sufficient funding to offset the im- pact of inflation, and includes $5,000,000 for both existing and 

newly funded investigators to conduct inspections and investigations of industries with high concentrations of low-wage and other 

vulnerable workers, and industries with high levels of wage and 

hour violations, including overtime violations. 

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

fiscal year 2009 budget justification, a detailed report on its enforcement efforts aimed at low-wage industries, including: the 

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

investigations prompted by complaints from workers and those 

initiatied by the Department; the number of workers covered by 

those investigations; the employer practices that form the basis of 

complaints; and the findings and actions taken, including recovery 

of back wages. 

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

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

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

unreported cash pay. The Committee requests that the fiscal year 
27 

2009 budget justification include detailed information on the Department’s enforcement strategy and record on misclassification 

and unreported cash pay, including: the measures established to 

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

number of workers covered by those investigations; descriptive data 

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

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

other compensatory measures, and cross-referral of complaints to 

the Internal Revenue Service. 

The recommendation includes $2,000,000 to continue activities 

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

for bodily injury caused by asbestos exposure. This may include 

contracts with individuals or entities having relevant experience to 

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

Fair Act of 2005. Activities to shorten the lead-time for implementation of asbestos activities encompass procedures for the processing of claims, including procedures for the expediting of exigent 

health claims, and planning for promulgation of regulations. 

The Committee recommendation includes a rescission of 

$70,000,000 in unexpended balances from H–1B fee receipts the 

Department has been unable to spend over the past several fiscal 

years. The budget proposes to rescind $50,000,000 of these balances. 

SPECIAL BENEFITS

Appropriations, 2007 ............................................................................. $227,000,000 

Budget estimate, 2008 ........................................................................... 203,000,000 

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

The Committee recommends $203,000,000 for this account. The 

comparable fiscal year 2007 amount is $227,000,000 and the budget request includes $203,000,000 for this purpose. The appropriation primarily provides benefits under the Federal Employees’ 

Compensation Act [FECA]. The payments are prescribed by law. In 

fiscal year 2008, an estimated 140,000 injured Federal workers or 

their survivors will file claims; 55,000 will receive long-term wage 

replacement benefits for job-related injuries, diseases, or deaths. 

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

account numbers by individuals filing claims under the Federal 

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

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

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

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

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

The Committee recommendation also continues language allowing carryover of unobligated balances from fiscal year 2007 to be 

used in the following year. 

The Committee again includes appropriation language that retains the drawdown date of August 15. The drawdown authority 
28 

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

without interruption. 

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

Postal Service, the Tennessee Valley Authority, and other entities 

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

share collections to fund capital investment projects and specific 

initiatives to strengthen compensation fund control and oversight. 

SPECIAL BENEFITS FOR DISABLED COAL MINERS

Appropriations, 2007 ............................................................................. $229,373,000 

Budget estimate, 2008 ........................................................................... 208,221,000 

Committee recommendation ................................................................. 208,221,000 

The Committee recommends an appropriation of $208,221,000 in 

fiscal year 2008 for special benefits for disabled coal miners. This 

is in addition to the $68,000,000 appropriated last year as an advance for the first quarter of fiscal year 2008. These funds are used 

to provide monthly benefits to coal miners disabled by black lung 

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

as to pay related administrative costs. 

The Black Lung Consolidation of Administrative Responsibility 

Act was enacted on November 2, 2002. The act amends the Black 

Lung Benefits Act to transfer part B black lung benefits responsibility from the Commissioner of Social Security to the Secretary of 

Labor, thus consolidating all black lung benefit responsibility 

under the Secretary. Part B benefits are based on claims filed on 

or before December 31, 1973. The Secretary of Labor is already responsible for the part C claims filed after December 31, 1973. In 

fiscal year 2008, an estimated 31,800 beneficiaries will receive benefits. 

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

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

reflects a declining beneficiary population. 

The Committee recommends an advance appropriation of $62,000,000 for the first quarter of fiscal year 2009, the same as 

the administration request. These funds will ensure uninterrupted 

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

ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION

PROGRAM

Appropriations, 2007 ............................................................................. $102,307,000 

Budget estimate, 2008 ........................................................................... 104,745,000 

Committee recommendation ................................................................. 104,745,000 

The Committee recommends $104,745,000 for the Energy Employees Occupational Illness Compensation Program [EEOICP]. 

The comparable fiscal year 2007 amount is $102,307,000 and the 

budget request includes $104,745,000 for this program. 

The objective of the EEOICP is to deliver benefits to eligible employees and former employees of the Department of Energy, its con-
29 

tractors and subcontractors or to certain survivors of such individuals, as provided in the Energy Employees Occupational Illness 

Compensation Program Act. The mission also includes delivering 

benefits to certain beneficiaries of the Radiation Exposure Compensation Act. 

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

or former employees (or their survivors) under the act. The program went into effect on July 31, 2001. 

In 2008, the volume of incoming claims under part B of the 

EEOICP is estimated to remain stable at about 7,000 claims from 

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

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

result of their work in producing or testing nuclear weapons. 

Under part E, the Department is expected to receive approximately 12,000 new claims during fiscal year 2008. Under this authority, the Department provides benefits to eligible DOE contractor employees or their survivors who were found to have workrelated occupational illnesses due to exposure to a toxic substance 

at a DOE facility. 

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

cohorts of atomic weapons workers with cancer under the Energy 

Employees Occupational Illness Compensation Program until such 

time as Congress approves proposed changes. The Advisory Board 

on Radiation and Worker Health was created by Congress to review applications based on scientific and medical evidence, with as 

much independence and objectivity as possible. To ensure that the 

Advisory Board can retain its autonomy, the Committee has retained language which transfers $4,500,000 in administrative 

funds within 30 days of enactment to the National Institute for Occupational Safety and Health for the exclusive use of the Board 

and its audit contractor. 

BLACK LUNG DISABILITY TRUST FUND

Appropriations, 2007 ............................................................................. $1,069,546,000 

Budget estimate, 2008 ........................................................................... 1,068,000,000 

Committee recommendation ................................................................. 1,068,000,000 

The Committee recommends $1,068,000,000 for this account in 

2008. The comparable fiscal year 2007 amount is $1,069,546,000 

and the budget request includes $1,068,000,000 for this purpose. 

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

benefit payments. The recommendation assumes that 

$1,009,763,000 for benefit payments and interest, comprised of 

$270,763,000 for benefits payments and $739,000,000 for interest 

payments will be paid in fiscal year 2008. In addition, the appropriation bill provides for transfers from the trust fund for administrative expense for the following Department of Labor agencies: up 

to $32,761,000 for the Employment Standards Administration, up 

to $24,785,000 for Departmental Management, Salaries and Expenses, and up to $335,000 for Departmental Management, Inspec-
30 

tor General. The bill also allows a transfer of up to $356,000 for 

the Department of Treasury. 

The trust fund pays all black lung compensation/medical and 

survivor benefit expenses when no responsible mine operation can 

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

are incurred in administering the benefits program and operating 

the trust fund. 

It is estimated that 32,820 individuals will be receiving black 

lung benefits financed through the end of the fiscal year 2008. 

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

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

from reimbursement from the Advances to the Unemployment 

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

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

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

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2007 ............................................................................. $486,925,000 

Budget estimate, 2008 ........................................................................... 490,277,000 

Committee recommendation ................................................................. 498,445,000 

The Committee recommends $498,445,000 for this account. The 

comparable fiscal year 2007 amount is $486,925,000 and the budget request includes $490,277,000 for authorized activities. This 

agency is responsible for enforcing the Occupational Safety and 

Health Act of 1970 in the Nation’s workplaces. 

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

course tuition fees to be utilized for occupational safety and health 

training and education grants in the private sector. 

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

camp. The Committee also retains language exempting small firms 

in industry classifications having a lost workday injury rate less 

than the national average from general schedule safety inspections. 

These provisions have been in the bill for many years. 

The Committee is concerned that OSHA’s standard setting and 

enforcement capabilities have been diminished over the past several years, due in part to declining budgets. The number of employees covered by inspections has fallen from almost 2.1 million in fiscal year 2000 to just more than 1.2 million in fiscal year 2006, a 

decline of more than 70 percent. The Committee recommendation 

takes a first step toward reversing that decline by providing an increase of more than $11,000,000 for Federal enforcement. The 

Committee directs a portion of these additional funds to address 

the recommendations of the Chemical Safety and Hazard Investigation Board’s related to the March 2005 Texas City refinery explosion, including: conducting comprehensive inspection of facilities at 
31 

the greatest risk of catastrophic accident and hiring or developing 

new, specialized inspectors capable to enforce the process safety 

management standard. Funds not used for this purpose shall be directed toward rebuilding the overall enforcement capacity at OSHA 

through the hiring of new inspectors. Not later than 30 days after 

the date of enactment of this act, the Committee directs OSHA to 

provide a report on its plan for meeting the Board’s recommendations and the Committee’s intent in providing these additional 

funds, and quarterly reports thereafter on progress toward implementing this plan. 

The Committee also is concerned about the pace of occupational 

safety and health standards setting at OSHA, which has essentially drawn to a halt despite planned timetables announced in its 

regulatory agendas. In a number of areas, including the personal 

protective equipment standard which has been in development for 

8 years, and the diacetyl standard, OSHA has not met its own 

deadlines for developing and issuing occupational health and safety 

standards. The Committee directs OSHA to provide a detailed 

timetable for planned actions on occupational health and safety 

standards not later than 30 days after enactment of this act and 

quarterly reports thereafter on progress on implementing the plan, 

including an explanation of any deviations from the initial timetable provided to the Committee. 

Over the past 2 years, the Committee has provided $5,620,000,000 to prepare for the outbreak of an influenza pandemic and includes an additional $888,000,000 in this bill for that 

purpose. However, despite this sense of urgency for the Committee 

and other executive branch agencies, the Committee notes the Department believes that in order to issue an emergency standard to 

protect the health and safety of healthcare workers and emergency 

responders the United States needs to be in the midst of an influenza pandemic. The Committee is troubled by this interpretation 

and urges OSHA to reconsider the standard-setting actions it can 

take on an emergency or expedited basis related to an influenza 

pandemic. The Committee requests a letter report not later than 

July 31, 2007 detailing the Department’s reconsideration of this 

issue and a plan for developing and issuing a standard on this 

issue. 

The Committee is dissatisfied with the lack of progress on 

OSHA’s regulation concerning Employer Payment for Personal Protective Equipment, the public comment period for which ended over 

7 years ago. This is particularly important for Hispanic workers 

and immigrant workers who experience a disproportionate and 

growing number of injuries and fatalities. The Committee expects 

the Secretary to issue a final standard before November 30, 2007 

that is at least as protective as the one promulgated in 1999. 

The Committee notes that, in 2005, there were 375,540 serious 

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

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

tough enforcement measures. Despite this commitment, the Department only issued one ergonomic citation over the past 2 years 

and 3 of 16 guidelines. Since 2004, the Department has almost 
32 

abandoned any action on its announced plan. The Committee directs OSHA to provide not later than 30 days after the date of enactment of this act a report to the Committee detailing the specific 

steps it will take to complete the issuance of the remaining guidelines and actions to practice the tough enforcement measures. This 

report should include a timeframe by which all 16 guidelines will 

be issued and for the implementation of increased enforcement on 

this issue. 

The Committee believes that OSHA’s worker safety and health 

training and education programs, including the grant program that 

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

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

Susan Harwood training grant program to $10,116,000. Bill language specifies that no less than $3,200,000 shall be used to maintain the existing institutional competency building training grants, 

provided that grantees demonstrate satisfactory performance. 

MINE SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2007 ............................................................................. $301,570,000 

Budget estimate, 2008 ........................................................................... 313,478,000 

Committee recommendation ................................................................. 330,028,000 

The Committee recommendation includes $330,028,000 for this 

account. The comparable fiscal year 2007 amount is $301,570,000 

and the budget request includes $313,478,000 for the Mine Safety 

and Health Administration. 

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

same as the fiscal year 2007 comparable level. It also retains the 

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

survival operations in the event of a major disaster. 

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

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

and improving training in conjunction with States and the mining 

industry. 

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

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

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

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

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

for such activities. 

The Committee recommendation includes $13,000,000 above the 

budget request to accelerate the implementation of the MINER Act 

and improve the health and safety of miners. The Committee believes MSHA needs to move more aggressively in a number of 

areas where evidence reveals that insufficient progress is being 
33 

made, as described below. The additional funds provided over the 

request are specifically directed toward ensuring MSHA is able to 

conduct and follow-up on effectively 100 percent of its mandatory 

inspections; adequately train and hire coal mine safety enforcement 

personnel; expedite the development and issuance of standards and 

regulations related to belt-air and refuge chambers; improve the infrastructure at the National Mine Health and Safety Academy; accelerate the certification and approval of safety and health equipment, including the communication and tracking technologies required in the MINER Act; and ensure the compliance with and effectiveness of statutory training requirements. In each of these 

areas and others specifically required by the MINER Act, the Committee requests quarterly progress reports on the progress being 

made with funding provided by this Committee. 

The Committee notes that MSHA conducted 98 percent of mandatory inspections in the coal industry during fiscal year 2006, a 

fact that this Committee finds unacceptable. These inspections 

form the core of the agency’s enforcement efforts, and without 

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

mandatory health and safety inspections are completed in fiscal 

years 2007 and 2008 and any follow-up actions required are taken 

in a timely manner. 

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

year identified continued concerns about MSHA’s preparedness for 

dealing with its future workforce needs, which is expected to be significant given that more than 40 percent of underground coal mine 

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

these retirees are highly experienced inspectors, which adds to the 

impact of these losses. Despite this Committee’s efforts, which resulted in an additional $25,600,000 for MSHA to hire 170 additional enforcement staff and replace losses due to retirement during fiscal years 2006 and 2007, GAO has concluded that MSHA 

lacks a clear and well-thought-out plan to address the expected 

turnover in its experienced workforce which could undermine this 

progress. The Committee urges MSHA to undertake a strategic 

planning process to identify goals and measures for monitoring and 

evaluating its progress on staying ahead of the retirement wave 

and meeting the needs of its enforcement workforce. 

The Committee recommendation includes language, under section 110 of the general provisions of this act, requiring the Secretary to revise regulations not later than June 20, 2008, related 

to the ventilation of active working places in underground coal 

mines utilizing belt haulage entries. In addition, this section requires, by June 15, 2008, the Secretary of Labor to issue regulations, pursuant to the design criteria recommended by the National 

Institute of Occupational Safety and Health and the MINER Act, 

requiring installation of rescue chambers in the working areas of 

underground coal mines. The Committee has provided additional 

resources to ensure that these deadlines can be met. 

The Committee also notes more than 130 proposals for new communication and tracking technology have been submitted since 

January 2006, yet MSHA has field tested 19 systems. In addition, 
34 

MSHA has received 51 applications since January 2006 for approval of communication and tracking systems, but 34 are still 

being reviewed. Additional resources have been provided under 

technical support to accelerate the testing of this technology and 

other equipment to improve the safety and health of miners. 

The Committee recommendation includes an increase over the 

budget request of $3,000,000 to strengthen the monitoring of training and improve the infrastructure at the National Mine Safety 

and Health Academy, which provides professional education and 

training services to the mining community. The GAO recently 

found that MSHA oversight of miner training is complicated by a 

number of factors, including inconsistent instructor approval standards and limited agency monitoring of training sessions. The additional funds should be used to address these deficiencies and ensure that the Academy is capable of keeping up with the training 

and professional education needs of the mining community. The Committee recommendation also includes $2,200,000 for an 

award to the United Mine Workers Association to provide classroom and simulated rescue training for mine rescue teams at its 

Beckley, West Virginia and Washington, Pennsylvania career centers (Funding for this program was requested by Senators Byrd 

and Specter). The Committee notes that a GAO report issued in 

May 2007 found that 81 percent of mine operators considered the 

availability of special training facilities for mine rescue team training in simulated environments to be a challenge. The recommendation also includes $1,350,000 for an award to Wheeling Jesuit University in Wheeling, West Virginia for the National Technology 

Transfer Center to continue the coal slurry impoundment project 

(Funding for this program was requested by Senator Byrd). 

BUREAU OF LABOR STATISTICS

SALARIES AND EXPENSES

Appropriations, 2007 ............................................................................. $548,123,000 

Budget estimate, 2008 ........................................................................... 574,443,000 

Committee recommendation ................................................................. 560,000,000 

The Committee recommends $560,000,000 for this account. The 

comparable fiscal year 2007 amount is $548,123,000 and the budget request includes $574,443,000 for this purpose. The recommendation includes $78,000,000 from the Employment Security 

Administration account of the unemployment trust fund, and 

$482,000,000 in Federal funds. Language contained in the fiscal 

year 2006 bill is retained, pertaining to the Current Employment 

Survey. 

The Bureau of Labor Statistics is the principal factfinding agency 

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

The Committee recommendation includes $1,000,000 to be used 

to conduct research studies on work-related injuries and illnesses. 

These studies, previously conducted by BLS, are important to employers, researchers and policymakers interested in preventing 

workplace injuries. 

The Committee is interested in the progress being made on the 

minimum wage impact study required by section 8014 of the U.S. 

Troop Readiness, Veterans’ Care, Katrina Recovery, and Iraq Ac-
35 

countability Appropriations Act, 2007. The Committee requests the 

Bureau of Labor Statistics submit an interim report not later than 

30 days after the date of enactment of this act on the methodology 

being applied to this study and the progress being made in meeting 

the required transmittal date. The Committee recommendation includes $5,000,000, which may 

be used to continue the Mass Layoff Statistics Program. The Committee bill also includes bill language continued from the fiscal 

year 2006 act which requires BLS to maintain the survey content 

issued prior to June 2005 with respect to the women worker series. 

OFFICE OF DISABILITY EMPLOYMENT POLICY

Appropriations, 2007 ............................................................................. $27,712,000 

Budget estimate, 2008 ........................................................................... 18,602,000 

Committee recommendation ................................................................. 27,712,000 

The Committee recommends $27,712,000 for this account in 

2008. The comparable fiscal year 2007 amount is $27,712,000 and 

the budget request includes $18,602,000 for this account. The Committee intends that at least 80 percent of these funds shall be used 

for demonstration and technical assistance grants to develop innovative and effective practices to increase the employment of youth 

and adults with disabilities. 

Congress created the Office of Disability Employment Policy 

[ODEP] in the Department of Labor’s fiscal year 2001 appropriation. Programs and staff of the former President’s Committee on 

Employment of People with Disabilities [PCEPD] have been integrated into this office. 

The Committee recommends that the Office of Disability Employment Policy continue and expand the existing, structured, internship program for undergraduate college students with disabilities. 

The Committee continues to believe that this structured internship 

program will provide important opportunities for undergraduate 

and graduate students with disabilities to pursue academic and career development opportunities within the Department of Labor 

and other Federal agencies. 

The Committee is concerned by the lack of attention to the problem of underemployment of people with disabilities. The Committee 

is aware that over 50 million Americans have some kind of disability, representing 17 percent of our population. Many of these 

individuals, particularly those with intellectual disabilities, would 

benefit from the social interaction and the physical demands of fulltime employment, but their disability is such that they could not 

be employed in an occupation that is compensated highly enough 

to cover the medical expenses and supportive services they need to 

survive. While some disabilities resulting from injuries can change 

with time, many developmental disabilities are permanent in nature. The Committee believes that the U.S. Government would benefit from the additional tax dollars generated by the additional employment, as well as the prevention of chronic illnesses in this population that can come from the physical and emotional benefits of 

work. Therefore, the Committee directs the Office of Disability Employment Policy to undertake a study on underemployment for individuals with disabilities. The study should include: the number 

of individuals on Federal disability benefit programs who are cur-
36 

rently underemployed; an analysis of the types of disabilities these 

individuals represent; an examination of the categories of disability 

which would leave the individual with the capacity to work full 

time but without the earning potential to sustain him or herself; 

the estimated economic impact of full-time work for these Americans assuming they were allowed to keep all or a portion of their 

benefits, including an estimation of the economic impact to the 

Government and the benefit funds themselves; and finally an analysis of the health impact of full-time work on those populations including the cost savings to health benefit programs. 

DEPARTMENTAL MANAGEMENT

SALARIES AND EXPENSES

Appropriations, 2007 ............................................................................. $298,920,000 

Budget estimate, 2008 ........................................................................... 254,236,000 

Committee recommendation ................................................................. 313,718,000 

The Committee recommendation includes $313,718,000 for this 

account. The comparable fiscal year 2007 amount is $298,920,000 

and the budget request includes $254,236,000 for this purpose. In 

addition, an amount of $24,785,000 is available by transfer from 

the black lung disability trust fund. 

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

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

and overseeing the implementation of departmental policy and 

management activities in support of that goal. In addition, this appropriation includes a variety of operating programs and activities 

that are not involved in departmental management functions, but 

for which other salaries and expenses appropriations are not suitable. 

The Committee recommendation includes $28,680,000 for Executive Direction. The comparable fiscal year 2007 amount is 

$28,189,000 and the budget request includes $28,680,000. 

The Committee recommendation includes $10,300,000 for the 

Women’s Bureau. The comparable fiscal year 2007 funding level is 

$9,666,000 and the budget request includes $9,832,000 for the bureau. The recommendation includes sufficient funds to increase 

support for resources, technical assistance and trainings to help 

women enter, re-enter and advance in the workforce. 

The Committee is disappointed that the Department of Labor 

has once again proposed a budget that drastically reduces funding 

for International Labor Affairs Bureau [ILAB], in particular, those 

initiatives working with the International Labor Organization 

[ILO] to combat abusive and exploitative child labor. 

The Committee is pleased by findings contained in the ILO report entitled ‘‘The End of Child Labor: Within Reach,’’ which was 

released in May 2006. The report stated that child labor is in decline worldwide, in large part because of the programs advanced by 

this Committee. Between 2000 and 2004, the number of child laborers worldwide fell by 11 percent, from 246 million to 218 million. Moreover, the number of children and youth aged 5–17 

trapped in hazardous work decreased by 26 percent, and for the 

age group of 5–14 years, the decline in hazardous work was even 
37 

steeper, at 33 percent. It is a testament to the importance of the 

programs administered by the International Labor Affairs Bureau 

[ILAB], which this Committee has consistently supported. For over 

the past decade, the International Labor Affairs Bureau has built 

up a staff of professional experts with a knowledge base on the 

issue of exploitative child labor that is unrivaled in any other U.S. 

government agency. 

Clearly, these programs administered by ILAB are having a positive impact and the Committee feels strongly that reducing United 

States efforts to eradicate child labor or substantially changing the 

structure and leadership of those efforts would, at best, endanger 

the progress being made. At worse, withdrawing from these efforts 

could damage the credibility and reputation of the United States in 

the countries whose governments are real partners to the United 

States in this effort. 

The Committee is aware that the administration is aggressively 

pursuing multiple trade agreements that promise technical assistance on labor standards, including but not limited to the eradication of child labor. ILAB is the division of the U.S. Government 

with the mission and authority to provide that assistance. Given 

the aggressive trade agenda and the recent commitment to capacity 

building in developing nations as a form of aid, the Committee is 

mystified by the Department’s now annual effort to eliminate these 

programs, this year proposing an astounding 80 percent reduction. Therefore, the Committee recommendation includes $82,516,000 

for the Bureau of International Labor Affairs. Of this amount, the 

Committee directs $42,610,000 be used for the United States contribution to expand on the successful efforts of the ILO’s International Program for the Elimination of Child Labor [IPEC] (Funding for this program was requested by Senator Harkin). Also included is $26,770,000 to help ensure access to basic education for the growing number of children removed from the worst 

forms of child labor in impoverished nations where abusive and exploitative child labor is most acute. The Committee expects the Department of Labor to work with the governments of host countries 

to eliminate school fees that create a barrier to education. 

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

each foreign country that has trade and investment agreements 

with the United States enforces internationally-recognized worker 

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

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

to include in the 2008 report, all former GSP recipients that have 

achieved a Free Trade Agreement with the United States over the 

preceding year. 

The Committee directs the Secretary to establish an annual nonmonetary award recognizing the extraordinary efforts by an individual, company, organization or national government toward the 

reduction of the worst forms of child labor. The award shall be 

named, ‘‘the United States Department of Labor’s Iqbal Masih 

Award for the Elimination of Child Labor.’’ Iqbal Masih was a Pakistani carpet weaver sold into slavery at age four. He escaped from 
38 

his servitude at age 12 and became an outspoken advocate against 

child slavery. He told the world of his plight when he received the 

Reebok Human Rights Award in 1994. He was tragically killed a 

year later at the age of 13 in his native Pakistan. 

The Committee requests an operating plan to be prepared by 

ILAB and provided to the Committee not later than 30 days after 

the date of enactment of this act which details the staffing requirements to meet statutory monitoring, oversight and reporting responsibilities of ILAB. In carrying out these responsibilities, the 

Committee expects ILAB to limit its practice of deducting salaries 

from funds intended for grant programs and establish cost effective 

practices for meeting its mission. The Committee recommends $95,162,000 for the Office of the Solicitor. The comparable fiscal year 2007 funding level is 

$85,488,000 and the budget request includes $95,162,000 for this 

purpose. The Committee intends for the increase provided to support no less than an increase of 19 FTEs over the fiscal year 2007 

staffing level for enforcement support for the Mine Safety and 

Health Administration. 

OFFICE OF JOB CORPS

Appropriations, 2007 ............................................................................. $1,578,277,000 

Budget estimate, 2008 ........................................................................... 1,522,372,000 

Committee recommendation ................................................................. 1,659,872,000 

For Job Corps, the Committee recommends $1,659,872,000. The comparable fiscal year 2007 amount is $1,578,277,000 and the 

budget request includes $1,522,372,000 for this purpose. The recommendation includes $28,872,000 for Federal administrative expenses, for 188 full-time equivalent positions. The budget request 

and comparable fiscal year 2007 level include these administrative 

costs in the ETA Program Administration account. 

The Senate recommendation for operations of job corps centers is $1,516,000,000, comprised of $925,000,000 in fiscal year 2008 

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

bill. For operations, the Committee also recommends advance funding of $591,000,000, which will become available on October 1, 

2008. 

In response to this Committee’s direction to competitively select 

sites for an expansion of Job Corps Centers, the Department of 

Labor selected three new Job Corps Center sites in February 2007. 

The Committee includes an additional $15,000,000 to continue development of these facilities on the timelines provided to the Committee and selected sites. The Committee requests the Department 

of Labor to include in its fiscal year 2009 budget justification an 

analysis of the future funding needs for the new centers and a status report on the progress being achieved toward meeting each of 

the centers opening dates. In addition, $100,000,000 in construction, rehabilitation and acquisition funds are provided in advance 

funding, which will make these funds available on October 1, 2008 

through June 30, 2011. 

The Committee recommendation continues the Office of Job 

Corps as an independent entity reporting to the Office of the Secretary of Labor, retaining program functions previously administered by the Job Corps prior to its transfer from the Employment 
39 

and Training Administration, and ensuring the support necessary 

for oversight and management responsibilities. Although the Office 

of the Assistant Secretary for Administration and Management will 

oversee the procurement process, this arrangement shall not alter 

the existing authorities, duties or activities of Job Corps as it existed prior to the transfer. The Office of Job Corps and the Assistant Secretary for Administration and Management are directed to 

maintain controls to assure the procurement activities are completely separate from program operations. The budget request recommends returning the Job Corps program to the Employment and 

Training Administration. 

The Committee has recognized over the years the quality academic and vocational services Job Corps has provided to over 2 million economically disadvantaged youth. Currently, Job Corps has 

the capacity to serve 1 percent of the over 6 million youth in our 

country that have been left behind by traditional education programs. The Committee has also recognized and responded to this 

growing service gap by mandating an expansion of the program in 

new communities in fiscal year 2006 and fiscal year 2007. The 

Committee rejects the Department of Labor’s proposal to reduce 

Job Corps student training slots by over 4,300. Rather, the Committee includes sufficient funding to maintain student services at 

the existing 122 Job Corps centers, as well as to operate any new 

centers. This funding will ensure that determined young people 

wanting to participate in Job Corps will not be turned away from 

an opportunity to become successful and self-sufficient members of 

their communities. 

The Committee urges the Department to work with the Job 

Corps contractor community, employers and unions to ensure that 

the training slot level mandated by this act is used efficiently and 

effectively toward meeting the goal of expanding services to eligible 

youth. In particular, the Committee notes the fragmentation of contracts for outreach and admissions, from operations, and placement 

which could make it difficult for centers to utilize fully available 

training slots and meet their performance goals. Therefore, the 

Committee requests the Department to report in the fiscal year 

2009 budget justification actions proposed and taken that will enhance the ability of centers to meet their performance goals. 

Given that so few of the eligible Job Corps population is served 

currently, the Committee recognizes the need for additional Job 

Corps centers, particularly in rapidly growing metropolitan areas 

without a Job Corps center. Many of these communities have high 

numbers of eligible youth and are forced to export students to other 

Job Corps centers. The Committee anticipates providing additional 

funding in the future to begin the process of establishing new Job 

Corps centers in large urban areas currently without one. Therefore, the Committee requests that the Department be prepared during the fiscal year 2009 budget process to consider ways to structure and announce a competition for new Job Corps center sites 

meeting the priority areas discussed in this paragraph. 

The Committee is aware of the Department of Labor’s new initiative to increase the number of Job Corps graduates entering postsecondary education. While the Committee agrees that it is a 

worthwhile goal to increase the number of Job Corps graduates 
40 

going on to higher education, it is also aware of the challenge facing Job Corps students who need access to student financial aid 

programs. Therefore, the Committee directs the Office of Job Corps 

and the Department of Education’s Federal Student Aid Office to 

explore possible approaches to increasing awareness of and preparedness for Job Corps students and graduates to enter postsecondary education programs and benefit from assistance available 

through Federal grant, loan and work-study programs. The Committee directs the Departments of Labor and Education to provide 

a letter report not later than 30 days after the date of enactment 

of this act on the steps that can be taken by each Department. 

VETERANS EMPLOYMENT AND TRAINING

Appropriations, 2007 ............................................................................. $223,189,000 

Budget estimate, 2008 ........................................................................... 228,096,000 

Committee recommendation ................................................................. 228,198,000 

The Committee recommends $228,198,000 for this account, including $31,055,000 in general revenue funding and $197,143,000 

to be expended from the Employment Security Administration account of the unemployment trust fund. For State grants the bill provides $161,894,000 which includes 

funding for the Disabled Veterans Outreach Program and the Local 

Veterans Employment Representative Program. 

For Federal administration, the Committee recommends 

$33,282,000. The Committee supports the concept of the Transition 

Assistance Program administered jointly with the Department of 

Defense which assists soon-to-be-discharged service members in 

transitioning into the civilian work force and includes funding to 

maintain this effective program. 

Individuals leaving the military may be at high risk of homelessness due to a lack of job skills transferable to the civilian sector, 

disrupted or dissolved family and social support networks, and 

other risk factors that preceded their military service. The Committee expects the Secretary of Labor to ensure that a module on 

homelessness prevention is added to the Transition Assistance Program curriculum. The module should include a presentation on risk 

factors for homelessness, a self-assessment of risk factors, and contact information for preventative assistance associated with homelessness. 

The Committee recommends $1,967,000 for the National Veterans Training Institute [NVTI]. This Institute provides training to 

the Federal and State staff involved in the direct delivery of employment and training related services to veterans. 

The Committee recommends $23,620,000 for the Homeless Veterans Program. The Committee also recommends $7,435,000 for 

the Veterans Workforce Investment Program, the same as the 

budget request. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2007 ............................................................................. $72,766,000 

Budget estimate, 2008 ........................................................................... 78,658,000 

Committee recommendation ................................................................. 79,658,000 

The Committee recommends $79,658,000 for this account. The 

bill includes $73,929,000 in general funds and authority to transfer 
41 

$5,729,000 from the Employment Security Administration account 

of the unemployment trust fund. In addition, an amount of 

$335,000 is available by transfer from the black lung disability 

trust fund. This level provides sufficient resources to cover built-in 

cost increases, as well as augmenting program accountability activities and expanding the labor racketeering program. 

The Office of the Inspector General [OIG] was created by law to 

protect the integrity of departmental programs as well as the welfare of beneficiaries served by those programs. Through a comprehensive program of audits, investigations, inspections, and program evaluations, the OIG attempts to reduce the incidence of 

fraud, waste, abuse, and mismanagement, and to promote economy, 

efficiency, and effectiveness. 

GENERAL PROVISIONS

General provision bill language is included to: 

Provide for limiting use of Job Corps funding for compensation 

of an individual that is not a Federal employee at a rate in excess 

of Executive Level I (sec. 101). 

Provide for general transfer authority (sec. 102). 

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

with Executive Order 13126 (sec. 103). 

Authorize funds to be appropriated for job training for workers 

involved in construction projects funded through the Denali Commission (sec. 104). 

Require the Labor Department to report to the Committees on 

Appropriations on the projects awarded under research and demonstration projects (sec. 105). 

Require the Secretary to award competitively funds available in 

this act for Community College Initiative Grants, CommunityBased Job Training Grants, and grants for job training for employment in high growth industries (sec. 106). 

Prohibit the Secretary from finalizing or implementing any proposed regulation under the Workforce Investment Act, WagnerPeyser Act or the Trade Adjustment Assistance Reform Act until 

such time as such legislation is enacted (sec. 107). 

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

Workforce Investment Act (sec. 108). 

Prohibit the Department of Labor from using funds under this or 

any other appropriations act to carry out a public-private competition or direct conversion under Office of Management and Budget 

circular A–76 until 60 days after the Committees on Appropriations 

of the House of Representatives and Senate receive a report from 

the Government Accountability Office on the use of competitive 

sourcing at the Department of Labor (sec. 109). 

Requires the Secretary of Labor to revise regulations related to 

the use of belt haulage entries to ventilate active working places 

of underground coal mines without prior approval from the Assistant Secretary of Labor and to issue regulations requiring installation of rescue chambers in the working areas of underground coal 

mines (sec. 110). 
42 

Limit compensation from Federal funds to a rate not greater 

than Executive Level II for any recipient or subrecipient of funds 

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

(sec. 111). 
(43) 

TITLE II 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

HEALTH RESOURCES AND SERVICES ADMINISTRATION

HEALTH RESOURCES AND SERVICES

Appropriations, 2007 ............................................................................. $6,415,702,000 

Budget estimate, 2008 ........................................................................... 5,820,805,000 

Committee recommendation ................................................................. 6,868,673,000 

The Committee provides a program level of $6,868,673,000 for 

the Health Resources and Services Administration [HRSA]. The 

Committee recommendation includes $6,843,673,000 in budget authority and an additional $25,000,000 via transfers available under 

section 241 of the Public Health Services Act. The fiscal year 2007 

comparable program level was $6,415,702,000 and the budget request for fiscal year 2008 was $5,820,805,000. 

Health Resources and Services Administration activities support 

programs to provide health care services for mothers and infants; 

the underserved, elderly, homeless; migrant farm workers; and disadvantaged minorities. This appropriation supports cooperative 

programs in community health, AIDS care, health care provider 

training, and health care delivery systems and facilities. 

BUREAU OF PRIMARY HEALTH CARE

COMMUNITY HEALTH CENTERS

The Committee provides $2,238,039,000 for the community 

health centers program. The fiscal year 2007 comparable program 

level was $1,988,039,000 and the budget request for fiscal year 

2008 was $1,988,467,000. This group of programs includes community health centers, migrant health centers, health care for the 

homeless, and public housing health service grants. The Committee 

continues to strongly support the ongoing effort to increase the 

number of people who have access to medical services at health 

centers, and notes that this program receives one of the largest increases in funding in the Committee recommendation. 

Within the amount provided, $40,000,000 has been allocated to 

offset the rising cost of health care at existing centers and to resolve specific financial situations beyond the control of the local 

health center, such as unusual increases in the number of uninsured patients seeking care. 

Within the amount provided, the Committee has provided 

$44,055,000 under the Federal Tort Claims Act for the Health Centers program. The Committee has included bill language making 

this funding available until expended and allowing costs associated 

with the health centers tort liability relief program to be paid from 

the fund. The Committee intends that the fund be used to pay 
44 

judgments and settlements, occasional witness fees and expenses, 

and the administrative costs of the program, which includes the 

cost of evaluating claims, defending claims, and conducting settlement activities. The Committee is aware of legislation that would 

extend FTCA coverage to volunteer physicians and non-grantee 

health centers, as well as to health centers and their employees 

traveling to provide care in emergency-affected areas. While these 

proposals would extend FTCA coverage to additional providers, the 

Committee expects the amount provided to be adequate to cover 

any increased costs in fiscal year 2008. 

The Committee supports continued efforts to expand the Health 

Centers program into those areas of the country with high poverty 

and no current access to a health center. The Committee urges 

HRSA to implement such an expansion to address the lack of access in the neediest communities of the country, and that eligibility 

for new funding not be limited to certain geographic areas, such as 

counties. The Committee directs HRSA to expedite awards to new 

access points by funding sufficiently high-scoring applications from 

the fiscal year 2007 cycle that were left unfunded. 

Further, the Committee urges HRSA to make funding available 

to increase capacity at existing centers, and for service expansion 

awards adding mental health services, dental services, and pharmacy services at community health centers. The Committee expects 

HRSA to implement any new expansion initiative using the existing, and statutorily-required, proportionality for urban and rural 

communities, as well as migrant, homeless and public housing 

health centers. 

The Committee believes that adequate funding for the technical 

assistance and networking functions available for health centers is 

critical to the successful operation and expansion of the Health 

Centers program. Funds are available within the amount provided 

to continue assistance to existing centers and support expansion to 

new communities. 

The Committee strongly urges HRSA to assist rural communities 

in high-need areas of the country that have not fully participated 

in the Health Center expansion effort in recent years. Despite documented need, many eligible counties have not received health center grants. The focus on financial viability and regionally specific 

criteria, such as homeless populations and migrant workers, has 

sometimes held back communities outside of the targeted demographic. The Committee notes that very high poverty and extremely underserved rural areas experience significant challenges 

in getting resources together to form a successful application. The 

Committee urges HRSA to provide technical assistance and consider funding planning grants to potential new access point grantees to enable them to better compete for health center awards. 

The Committee recognizes the important role of the consolidated 

health centers in caring for people living with or at risk for hepatitis C. The Committee encourages HRSA to increase health centers’ capacity for delivery of medical management and treatment of 

HCV by implementing training and technical assistance initiatives, 

so that health centers are able to increase hepatitis C counseling 

and testing, and medical management and treatment services to 

meet the healthcare priorities of their respective communities. 
45 

The Committee continues to be concerned that community health 

center funds are often not available to small, remote communities 

because the population base is too small. Many of these communities have no health service providers and are forced to travel long 

distances by boat or plane even in emergency situations. The Committee recommends that HRSA examine its regulations and applications procedures to ensure they do not unduly burden small communities and are appropriately flexible to meet the needs of these 

communities. The Committee applauds the agency for its Frontier 

Health Plan initiative, and encourages the agency to continue and 

expand its efforts with this program. 

The Committee recognizes the importance of increasing the use 

of health information technology [IT] at health centers. Health centers have demonstrated improved access to services and improved 

patient outcomes by using electronic health records and other IT 

tools through their participation in various networks, projects, systems, and collaboratives. The Committee urges HRSA to ensure 

that health centers have adequate resources to establish and expand health IT systems to further enhance the delivery of cost-effective, quality health care services. 

The Committee recognizes the service to the uninsured by Integrated Health Centers [IHCs] and Nurse-Managed Health Centers 

[NMHCs]. These nonprofit hospital-affiliated or university-based 

health centers provide much needed primary care to a diverse and 

disadvantaged population. These health centers are frequently the 

only source of primary care to their patients. The Committee encourages HRSA to explore options to include IHCs and NMHCs in 

new public-private safety net partnerships thereby increasing access for the medically underserved and increase the clinical education sites to increase nurse education. Specifically, the Committee encourages HRSA to explore granting these health centers 

the ability to apply for FQHC Look-Alike status. 

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

Act. The Committee notes that $70,000,000 of the $160,000,000 appropriated in fiscal years 1997 and 1998 continues to remain available for guarantees of both loan principal and interest. The Committee notes that some health centers have successfully used funds 

available through the HRSA Loan Guarantee Program to meet 

their capital needs. To maximize the use of the loan guarantee 

funds, the Committee urges HRSA to increase the percentages at 

which loan guarantees are provided for managed care plans, networks, and facilities to the highest authorized levels. 

Native Hawaiian Health Care 

The Committee again includes the legal citation in the bill for 

the Native Hawaiian Health Care Program. The Committee has included sufficient funding so that health care activities funded 

under the Native Hawaiian Health Care Program can be supported 

under the broader community health centers line. The Committee 

expects that not less than $14,200,000 be provided for these activities in fiscal year 2008 (This funding was requested by Senators 

Inouye and Akaka). 
46 

The Committee is pleased with the administration’s response and 

recognition of the island designation and seeks continued support 

in meeting the unique health care access challenges innate to clinics, Federally qualified health centers or hospitals located on these 

islands. The Committee recognizes there are still few Native Hawaiian health care administrators working in Federally qualified 

health centers. The Committee directs that a portion of the funds 

appropriated for Native Hawaiian Health Care Act programs be 

used to develop administrative competency curriculum to prepare 

Native Hawaiians with the expertise necessary to succeed in these 

positions. 

The Committee recognizes that there has been a rapid growth in 

the emerging Hispanic population of Hawaii and such may necessitate new training requirements for healthcare providers and educators in areas of cultural awareness and language. 

Free Clinics Medical Malpractice Coverage 

The Committee provides $40,000 in funding for payments of 

claims under the Federal Tort Claims Act to be made available for 

free clinic health professionals as authorized by U.S.C. title 42, section 233(o) of the Public Health Service Act. The fiscal year 2007 

comparable level was $41,000 and the fiscal year 2008 budget request included $100,000 for this program. This appropriation continues to extend Federal Tort Claims Act coverage to medical volunteers in free clinics in order to expand access to health care services to low-income individuals in medically underserved areas. 

National Hansen’s Disease Program 

The Committee has included $16,500,000 for the National Hansen’s Disease Program. The fiscal year 2007 comparable level was 

$15,972,000 and the budget request for fiscal year 2008 was 

$16,109,000. The program consists of inpatient, outpatient, longterm care, training, and research in Baton Rouge, Louisiana; a residential facility at Carville, Louisiana, and 11 outpatient clinic 

sites in the continental United States and Puerto Rico. 

National Hansen’s Disease Program Buildings and Facilities 

The Committee provides $220,000 for buildings and facilities. 

The fiscal year 2007 comparable level was $220,000 and the budget 

request for fiscal year 2008 was $100,000 for this program. This 

funding provides for the repair and maintenance of buildings at the 

Gillis W. Long Hansen’s Disease Center. 

Payment to Hawaii for Hansen’s Disease Treatment 

The Committee provides $1,996,000 for Hansen’s Disease services. The fiscal year 2007 comparable level was $1,996,000 and the 

budget request for fiscal year 2008 was $1,976,000. Payments are 

made to the State of Hawaii for the medical care and treatment of 

persons with Hansen’s Disease in hospital and clinic facilities at 

Kalaupapa, Molokai and Honolulu. Expenses above the level of appropriated funds are borne by the State of Hawaii. 
47 

BUREAU OF HEALTH PROFESSIONS

National Health Service Corps: Field Placements 

The Committee provides $40,443,000 for field placement activities. The fiscal year 2007 comparable level was $40,443,000 and 

the budget request for fiscal year 2008 was $30,729,000. The funds 

provided for this program are used to support the activities of National Health Service Corps in the field, including travel and transportation costs of assignees, training and education, recruitment of 

volunteers, and retention activities. Salary costs of most new assignees are paid by the employing entity. 

The Committee is pleased by the increasing proportion of National Health Service Corps assignees being placed at Community, 

Migrant, Homeless, and Public Housing Health Centers. The Committee encourages HRSA to further expand this effort to ensure 

that health centers have access to sufficient numbers of health professionals through the Corps. 

The Committee is concerned that the current Health Professional 

Shortage Area [HPSA] scoring process used by HRSA disadvantages many health centers located in medically underserved areas 

of the country. The Committee urges HRSA to apply the same 

placement criteria to physicians seeking J–1 Visa Waivers and 

NHSC Scholars as are currently applied to NHSC Loan Repayment 

recipients. The Committee is concerned that the recent decline in 

J–1 Visa Waiver applicants is due to systemic obstacles, including 

HPSA scoring minimums, rather than diminishing needs in underserved communities. To ensure that the number and location of the 

placements meets the needs of the underserved, the Committee 

urges HRSA to expand eligibility for the J–1 visa waiver program. 

National Health Service Corps: Recruitment 

The Committee provides $85,230,000 for recruitment activities. 

The fiscal year 2007 comparable level was $85,230,000 and the 

budget request for fiscal year 2008 was $85,230,000. This program 

provides major benefits to students (full-cost scholarships or sizable 

loan repayment) in exchange for an agreement to serve as a primary care provider in a high priority Federally designated health 

professional shortage area. These funds should support multi-year, 

rather than single-year, commitments. 

HEALTH PROFESSIONS

The Committee provides $357,425,000 for all HRSA health professions programs. The fiscal year 2007 comparable level was 

$334,425,000 and the budget request for fiscal year 2008 was 

$115,040,000. 

Training for Diversity 

Centers of Excellence 

The Committee provides $11,880,000 for the Centers of Excellence program. The fiscal year 2007 comparable level was 

$11,880,000 and the budget request for fiscal year 2008 did not include any funds for this program. This program was established to 

fund institutions that train a significant portion of the Nation’s mi-
48 

nority health professionals. Funds are used for the recruitment and 

retention of students, faculty training, and the development of 

plans to achieve institutional improvements. The institutions that 

are designated as centers of excellence are private institutions 

whose mission is to train disadvantaged minority students for service in underserved areas. Located in poor communities and usually 

with little State funding, they serve the health care needs of their 

patients, often without payment. 

The Committee is pleased that HRSA has re-focused the Minority Centers of Excellence program on providing support to historically minority health professions institutions. The Committee recognizes the important role of this program in supporting faculty 

and other academic programs at minority institutions. The Committee notes that at the level of funding provided, Public Law 105– 

392, the Health Professions Education Partnerships Act of 1998, 

limits funding to the original four Centers of Excellence. 

Health Careers Opportunity Program 

The Committee provides $3,960,000 for the Health Careers Opportunity Program. The fiscal year 2007 comparable level was 

$3,960,000 and the budget request for fiscal year 2008 did not include any funds for this program. This program provides funds to 

medical and other health professions schools for recruitment of disadvantaged students and pre-professional school preparations. 

For fiscal year 2008, the Committee strongly urges HRSA to give 

priority consideration to awarding grants to those institutions with 

a historic mission of training minorities in the health professions. 

Faculty Loan Repayment 

The Committee provides $1,289,000 for the Faculty Loan Repayment program. The fiscal year 2007 comparable level was 

$1,289,000 and the budget request for fiscal year 2008 did not include any funds for this program. This program provides for the repayment of education loans for individuals from disadvantaged 

backgrounds who are health professions students or graduates, and 

who have agreed to serve for not less than 2 years as a faculty 

member of a health professions school. 

Scholarships for Disadvantaged Students 

The Committee provides $46,657,000 for the Scholarships for 

Disadvantaged Students program. The fiscal year 2007 comparable 

level was $46,657,000 and the budget request for fiscal year 2008 

was $9,733,000. This program provides grants to health professions 

schools for student scholarships to individuals who are from disadvantaged backgrounds and are enrolled as full-time students in 

such schools. 

Training in Primary Care Medicine and Dentistry 

The Committee provides $48,851,000 for Training in Primary 

Care Medicine and Dentistry programs. The fiscal year 2007 comparable level was $48,851,000 and the budget request for fiscal 

year 2008 did not include any funding for this program. The Committee has included bill language funding family medicine activi-
49 

ties at $24,614,000; the general dentistry program at $5,000,000; 

and the pediatric dentistry program at $5,000,000. 

Even though it is most easily preventable, dental decay is the 

most common chronic childhood disease in the United States—five 

times more common than asthma. When dental problems go untreated, the proximity to the brain can lead to fatal conditions. 

Interdisciplinary, Community-based Linkages 

Area Health Education Centers 

The Committee provides $28,681,000 for the Area Health Education Centers program. The fiscal year 2007 comparable level was 

$28,681,000 and the budget request for fiscal year 2008 did not include any funds for this program. This program links university 

health science centers with community health service delivery systems to provide training sites for students, faculty, and practitioners. The program supports three types of projects: Core grants 

to plan and implement programs; special initiative funding for 

schools that have previously received Area Health Education Centers [AHEC] grants; and model programs to extend AHEC programs with 50 percent Federal funding. 

Allied Health and Other Disciplines 

The Committee provides $5,960,000 for the Allied Health and 

Other Disciplines program. The fiscal year 2007 comparable level 

was $3,960,000 and the budget request for fiscal year 2008 did not 

include any funds for this program. These programs seek to improve access, diversity, and distribution of allied health practitioners to areas of need. The program improves access to comprehensive and culturally competent health care services for underserved populations. The Committee recommendation is sufficient to 

continue the Chiropractic-Medical School Demonstration Grant and 

Graduate Psychology training programs at the same levels as in 

fiscal year 2007. 

Within the funds provided, the Committee has included 

$2,000,000 for the dental workforce programs authorized under section 340G of the Public Health Service Act. The fiscal year 2007 

level of $2,000,000 was appropriated in Program Management and 

the fiscal year 2008 budget did not request any funds for this purpose. 

The Graduate Psychology Education Program provides interdisciplinary training for health service psychologists to offer mental 

and behavioral health care services to underserved populations, 

such as older adults, children, chronically ill persons and victims 

of abuse or trauma. While being trained in both rural and urban 

communities, trainees also provide direct services to those who 

would otherwise not receive them. 

Public Health Workforce Development 

With the continued need for public health training throughout 

the country, the Committee believes these programs serve an important role in maintaining the country’s public health infrastructure. 
50 

Public Health, Preventive Medicine, and Dental Public 

Health Programs 

The Committee provides $8,920,000 for these programs. The fis- cal year 2007 comparable level was $7,920,000 and the budget request for fiscal year 2008 did not include any funds for this program. This program supports awards to schools of medicine, osteopathic medicine, public health, and dentistry for support of residency training programs in preventive medicine and dental public 

health; and for financial assistance to trainees enrolled in such programs. 

Nursing Workforce Development Programs 

The Committee provides $169,679,000 for the Nursing Workforce 

Development programs. The fiscal year 2007 comparable level was 

$149,679,000 and the budget request for fiscal year 2008 was 

$105,307,000. The Committee recognizes that the current nursing 

shortage has reached a crisis state across America. The situation 

only promises to worsen due to a lack of young nurses in the profession, an aging existing workforce, and inadequate availability of 

nursing faculty to prepare future nurses. The Committee urges 

HRSA to support programs aimed at increasing nursing faculty 

and encouraging a diverse population’s entry into nursing. 

Advanced Education Nursing 

The Committee provides $68,889,000 for the Advanced Education 

Nursing programs. The fiscal year 2007 comparable level was 

$57,061,000 and the administration did not request funding for this 

program in fiscal year 2008. This program funds nursing schools to 

prepare nurses at the master’s degree or higher level for teaching, 

administration, or service in other professional nursing specialties. 

Within the allocation, the Committee encourages HRSA to allocate 

funding at least at the fiscal year 2007 level for nurse anesthetist 

education. 

Nurse Education, Practice, and Retention 

The Committee provides $37,291,000 for the Nurse Education, 

Practice, and Retention programs. The fiscal year 2007 comparable 

level and the budget request for fiscal year 2008 were $37,291,000. 

The nurse education, practice and retention program is a broad authority with targeted purposes under three priority areas—education, practice and retention—in response to the growing nursing 

shortage. The Committee encourages HRSA to incorporate innovative methods, such as competitive grants for competency-based distance learning technologies, to increase the number of trained 

nurses in the field. The goal of this program is to improve the quality of nursing practice. Activities under this program will initiate 

new projects that will change the educational mix of the nursing 

workforce and empower the workforce to meet the demands of the 

current health care system. 

Nursing Workforce Diversity 

The Committee provides $16,107,000 for the Nursing Workforce 

Diversity program. The fiscal year 2007 comparable level was 

$16,107,000 and the budget request for fiscal year 2008 was 
51 

$16,107,000. The goal of this program is to improve the diversity 

of the nursing workforce through increased educational opportunities for individuals from disadvantaged backgrounds. 

Nurse Loan Repayment and Scholarship Program 

The Committee provides $36,000,000 for the Nurse Loan Repayment and Scholarship programs. The fiscal year 2007 comparable 

level was $31,055,000 and the budget request for fiscal year 2008 

was $43,744,000. This program offers student loan repayment to 

nurses in exchange for an agreement to serve not less than 2 years 

in an Indian Health Service health center, Native Hawaiian health 

center, public hospital, community or migrant health center, or 

rural health clinic. 

Comprehensive Geriatric Education 

The Committee provides $3,392,000 for Comprehensive Geriatric 

Education grants. The fiscal year 2007 comparable level and the 

budget request for fiscal year 2008 were $3,392,000. These grants 

prepare nursing personnel to care for the aging population. 

Nurse Faculty Loan Program 

The Committee provides $8,000,000 for the Nursing Faculty 

Loan program. The fiscal year 2007 comparable level and the budget request for fiscal year 2008 were $4,773,000. This program supports the development of a student loan fund in schools of nursing 

to increase the number of qualified nursing faculty. 

Children’s Hospitals Graduate Medical Education Program 

The Committee has provided $200,000,000 for the Children’s 

Hospitals Graduate Medical Education [GME] program. The fiscal 

year 2007 comparable level was $297,009,000 and the budget request for fiscal year 2008 was $110,018,000. 

The program provides support for health professions training in 

children’s teaching hospitals that have a separate Medicare provider number (‘‘free-standing’’ children’s hospitals). Children’s hospitals are statutorily defined under Medicare as those whose inpatients are predominantly under the age of 18. The funds in this 

program are intended to make the level of Federal Graduate Medical Education support more consistent with other teaching hospitals, including children’s hospitals that share provider numbers 

with other teaching hospitals. Payments are determined by formula, based on a national per-resident amount. Payments support 

training of resident physicians as defined by Medicare in both ambulatory and inpatient settings. 

National Practitioner Data Bank 

The Committee provides $18,900,000 for the national practitioner 

data bank. The fiscal year 2007 comparable level was $16,200,000 

and the budget request for fiscal year 2008 was $18,900,000. The 

Committee and the budget request assume that full funding will be 

provided entirely through the collection of user fees and will cover 

the full cost of operating the data bank. Bill language is included 

to ensure that user fees are collected to cover all costs of processing 

requests and providing such information to data bank users. 
52 

Health Care Integrity and Protection Data Bank 

The Committee provides $3,825,000 for the health care integrity 

and protection data bank. The fiscal year 2007 comparable level 

was $3,825,000 and the administration did not request funding for 

this program in fiscal year 2008. The Committee assumes that full 

funding will be provided entirely through the collection of user fees 

and will cover the full cost of operating the data bank. The data 

bank is intended to collect, maintain, and report on certain actions 

taken against health care providers, suppliers, and practitioners. 

MATERNAL AND CHILD HEALTH BUREAU

Maternal and Child Health Block Grant 

The Committee provides $673,000,000 for the maternal and child 

health [MCH] block grant. The fiscal year 2007 comparable level 

was $673,000,000 and the budget request for fiscal year 2008 was 

$673,000,000. The Committee is moving the appropriations for 

Leadership Education for Neurodevelopmental Disabilities and the 

Developmental-Behavioral Pediatrics Training Program from the 

SPRANS set-aside into a new line for Autism and related Development Disabilities. The Committee provided $20,000,000 for these 

autism-related activities in fiscal year 2007. 

The Maternal and Child Health Block Grant program provides a 

flexible source of funding that allows States to target their most urgent maternal and child health needs through development of community-based networks of preventive and primary care that coordinate and integrate public and private sector resources and programs for pregnant women, mothers, infants, children, and adolescents. The program supports a broad range of activities including 

prenatal care, well child services and immunizations, reducing infant mortality, preventing injury and violence, expanding access to 

oral health care, addressing racial and ethnic disparities and providing comprehensive care for children, adolescents, and families 

through clinics, home visits and school-based health programs. 

The MCH block grant funds are provided to States to support 

health care for mothers and children. According to statute, 85 percent of appropriated funds up to $600,000,000 are distributed to 

States and 15 percent are set aside for special projects of regional 

and national significance [SPRANS]. Also according to statute, 

12.75 percent of funds over $600,000,000 are to be used for community-integrated service systems [CISS] programs. The remaining 

funds over $600,000,000 are distributed on the same 85/15 percent 

split as the basic block grant. 

The Committee does not intend to cut grants to States or the 

grants for community integrated service systems. Therefore, the 

Committee has included a statutory provision to hold harmless 

both of these grant programs. 

The Committee has included bill language identifying 

$95,936,920 for the SPRANS set-aside. Within that total, the Committee intends that $1,536,480 be used for a first-time motherhood 

education program; $2,880,900 be used for epilepsy demonstration 

projects; $990,000 be used for a fetal alcohol syndrome demonstration program; $3,841,200 be used to continue the sickle cell newborn screening program and its locally based outreach and coun-
53 

seling efforts; $1,920,600 be used for newborn and child screening 

for heritable disorders as authorized in title XXVI of the Children’s 

Health Act of 2000; and $4,801,500 be used to continue the oral 

health demonstration programs and activities in the States. 

As stated above, the Committee also provides $1,536,480 for a 

first-time motherhood demonstration program, equally divided between urban and rural settings. Funding for urban settings should 

be focused on community-based doula activities. These funds may 

be used to improve infant health, strengthen families and provide 

supports to ensure family success through a community-based 

doula program. This approach identifies and trains indigenous community leaders to mentor pregnant women during the months of 

pregnancy, birth and the immediate post-partum period. Doulas 

provide pregnancy and childbirth education, early linkage to health 

care and social services, labor coaching, breastfeeding education 

and counseling and parenting skills while fostering parental attachment. Rural areas represent a unique challenge in supporting 

first-time mothers, particularly around the area of lactation support and services. Funding for the rural portion of the demonstration should be focused on the best ways of delivering supportive 

services, including delivery outside the hospital setting both before 

and after the birth of the child. Priority should be given to applications which emphasize breastfeeding initiation and retention. 

As stated above, the Committee has provided $2,880,900 for the 

continuation of epilepsy demonstration programs to improve access 

to health and other services regarding seizures and to encourage 

early detection and treatment in children and others residing in 

medically underserved and rural areas. The Committee is aware of 

the critical need for a public awareness campaign to increase seizure recognition. 

As stated above, the Committee provides $1,920,600 to continue 

the heritable disorders screening program authorized in title XXVI 

of the Children’s Health Act of 2000. Newborn screening is used for 

early identification of infants affected by certain genetic, metabolic, 

hormonal and or functional conditions for which there are effective 

treatments or interventions. Screening detects disorders in 

newborns that, left untreated, can cause death, disability, mental 

retardation and other serious illnesses. 

The Committee encourages HRSA to prioritize Fragile X as a key 

prototype in the development of cost-effective public health screening and genetic counseling programs. The Committee requests a report by July 1, 2008, on progress made in the development of a 

screening tool for Fragile X and encourages HRSA to work with the 

NICHD to work toward the inclusion of Fragile X in newborn 

screening programs. 

As stated above, the Committee has provided $4,801,500 for the 

continuation of oral health programs in the States. These programs 

will help States develop well integrated, quality oral health programs through grants, cooperative agreements, and contracts. As 

linkages continue to be made among disease transmissibility, maternal behaviors, poor birth outcomes and poor periodontal health, 

further program attention is warranted to avoid the need for more 

costly care. 
54 

The Committee recognizes the key role that Maternal and Child 

Health Centers for Leadership in Pediatric Dentistry Education 

provide in preparing dentists with dual training in pediatric dentistry and dental public health. The Committee encourages HRSA 

to provide incentives to the Centers to leverage resources and seek 

matching funds to strengthen center activities. 

The Committee reiterates its long-standing support for the continuation of funding that the Maternal and Child Health Block 

Grant has provided to comprehensive thalassemia treatment centers under the SPRANS program. The Committee urges HRSA to 

continue this program. 

The most crucial need for individuals suffering from chronic fatigue syndrome [CFS] is effective, compassionate medical care. 

HRSA has piloted effective ways of delivering health care services 

to underserved populations. CDC has identified that fewer than 20 

percent of patients with CFS have been diagnosed by a health care 

professional, suggesting that this population is underserved. The 

Committee encourages HRSA to develop models for CFS clinical 

care with the goal of improving the diagnosis and management of 

individuals with CFS throughout our country. 

The Committee recognizes the critical role of hemophilia treatment centers in providing needed comprehensive care for persons 

with bleeding disorders and the expanded role of these centers in 

addressing the needs of persons with bleeding disorders and clotting disorders. The Committee urges HRSA to continue its support 

of this model disease management network. 

Autism and Other Developmental Disorders 

The Committee provides $37,000,000 for the autism and other 

developmental disorders initiative. The fiscal year 2007 comparable 

level was $20,000,000 and the budget request for fiscal year 2008 

was $20,000,000. The program supports surveillance, early detection, education and intervention activities on autism and other developmental disorders, as authorized in the Combating Autism Act 

of 2006. 

The Committee has included sufficient funding to continue and 

expand the Leadership Education in Neurodevelopmental and Related Disabilities [LEND] program, previously funded in the MCHB 

SPRANS account. These University-based programs provide longterm, graduate level interdisciplinary training as well as services 

and care for infants, children, and adolescents with disabilities. 

Sickle Cell Anemia Program 

The Committee provides $3,180,000 for the sickle cell anemia 

demonstration program. The fiscal year 2007 comparable level was 

$2,180,000 and the budget request for fiscal year 2008 was 

$2,184,000. 

Traumatic Brain Injury Program 

The Committee provides $10,000,000 for the traumatic brain injury program. The fiscal year 2007 comparable level was 

$8,910,000 and the budget request for fiscal year 2008 did not include any funding for this program. The program supports implementation and planning grants to States for coordination and im-
55 

provement of services to individuals and families with traumatic 

brain injuries as well as protection and advocacy. Such services can 

include: pre-hospital care, emergency department care, hospital 

care, rehabilitation, transitional services, education, employment, 

and long-term support. The Committee notes that brain injury is 

a signature injury of service in Iraq and that the returning National Guard soldiers rely on community-based systems of care. The 

Committee includes $3,400,000 for protection and advocacy services, as authorized under section 1305 of Public Law 106–310. 

Healthy Start 

The Committee provides $101,518,000 for the healthy start infant mortality initiative. The fiscal year 2007 comparable level was 

$101,518,000 and the budget request for fiscal year 2008 was 

$100,503,000. 

The healthy start initiative was developed to respond to persistently high rates of infant mortality in this Nation. The initiative 

was expanded in fiscal year 1994 by a special projects program, 

which supported an additional seven urban and rural communities 

to implement infant mortality reduction strategies and interventions. The Children’s Health Act of 2000 fully authorized this initiative as an independent program. The Committee urges HRSA to 

give preference to current and former grantees with expiring or recently expired project periods. 

Universal Newborn Hearing Screening and Early Intervention 

The Committee provides $12,000,000 for universal newborn hearing screening and early intervention activities. The fiscal year 2007 

comparable level was $9,804,000 and the budget request for fiscal 

year 2008 did not include any funds for this program. 

The Committee expects HRSA to coordinate projects funded with 

this appropriation with projects related to early hearing detection 

and intervention by the National Center on Birth Defects and Developmental Disabilities, the National Institute on Deafness and 

Other Communication Disorders, the National Institute on Disability and Rehabilitation Research, and the Office of Special Education and Rehabilitative Services. 

Emergency Medical Services for Children 

The Committee provides $20,000,000 for emergency medical services for children. The fiscal year 2007 comparable level was 

$19,800,000 and the budget request for fiscal year 2007 did not include funds for this program. The program supports demonstration 

grants for the delivery of emergency medical services to acutely ill 

and seriously injured children. 

Family-To-Family Health Information Centers 

The Committee has not provided funding for the Family-To-Family Health Information Centers program. The fiscal year 2007 comparable level was $3,000,000 and the budget request for fiscal year 

2008 included $4,000,000 for this initiative. The Committee notes 

that the Deficit Reduction Act of 2005 appropriated $4,000,000 for 

this activity in fiscal year 2008. 
56 

HIV/AIDS BUREAU

ACQUIRED IMMUNE DEFICIENCY SYNDROME

Ryan White AIDS Programs 

The Committee provides $2,170,919,000 for Ryan White AIDS 

programs. The recommendation includes $25,000,000 in transfers 

available under section 241 of the Public Health Service Act. The 

fiscal year 2007 comparable level was $2,137,795,000 and the budget request for fiscal year 2008 was $2,157,912,000. 

Next to the Medicaid program, the Ryan White AIDS programs 

are the largest Federal investment in the care and treatment of 

people living with HIV/AIDS in the United States. These programs 

provides a wide range of community-based services, including primary and home health care, case management, substance abuse 

treatment, mental health services, and nutritional services. 

Within the total provided, the Committee intends that Ryan 

White AIDS activities that are targeted to address the growing 

HIV/AIDS epidemic and its disproportionate impact upon communities of color, including African-Americans, Latinos, Native Americans, Asian Americans, Native Hawaiians, and Pacific Islanders 

continue with at least the level of funding provided in fiscal year 

2007. 

The Committee is concerned that at least 25 percent of persons 

living with HIV are coinfected with HCV, and that HCV-related 

complications are the leading cause of death among persons with 

HIV/AIDS. The Committee requests that HRSA provide additional 

guidance to grantees on providing services to coinfected individuals, and more education and training to medical providers treating HIV/HCV coinfected persons. 

The recent Ryan White CARE Act reauthorization provides not 

less than 25 percent of available funds under titles I and II for 

‘‘support services,’’ necessary for individuals with HIV/AIDS to 

achieve their medical outcomes. The Committee is aware that food 

and nutrition services—which have been provided under the Act 

since 1990—are essential to the comprehensive treatment of HIV/ 

AIDS. 

Emergency Assistance 

The Committee provides $603,993,000 for emergency assistance 

grants to eligible metropolitan areas disproportionately affected by 

the HIV/AIDS epidemic. The fiscal year 2007 comparable level was 

$603,993,000 and the budget request for fiscal year 2008 included 

$603,993,000. These funds are provided to metropolitan areas 

meeting certain criteria. Two thirds of the funds are awarded by 

formula and the remainder is awarded through supplemental competitive grants. 

Comprehensive Care Programs 

The Committee provides $1,225,518,000 for HIV health care and 

support services. The fiscal year 2007 comparable level was 

$1,195,500,000 and the budget request for fiscal year 2008 was 

$1,215,518,000. These funds are awarded to States to support HIV 

service delivery consortia, the provision of home and community- 
57 

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 [ADAP]. 

The Committee continues to be encouraged by the progress of 

anti-retroviral therapy in reducing the mortality rates associated 

with HIV infection and in enhancing the quality of life of patients 

on medication. The Committee includes bill language providing 

$814,546,000 for AIDS medications in the AIDS Drug Assistance 

Program [ADAP]. The fiscal year 2007 comparable level was 

$789,546,000 and the budget request for fiscal year 2008 was 

$814,546,000. The Committee has provided this increase to address 

the long-standing problem of State waiting lists for HIV/AIDS 

medications without unfairly punishing States that have provided 

their own resources to make up funding shortfalls. 

The Committee is aware of the success HIV therapies have had 

on prolonging and enhancing the quality of life for those infected 

with HIV/AIDS. As the infected population lives longer and becomes increasingly resistant to current treatment regimens, there 

is a growing need to focus on access to newer therapies for treatment experienced or ‘‘later stage’’ patients. The Committee encourages HRSA and State ADAPs to prioritize coverage of treatments 

for later stage patients so that there is parity of access to effective 

treatments for patients across the HIV disease spectrum. The Committee further encourages State ADAPs to provide coverage of 

therapies approved by the FDA for the treatment of HCV in HIV/ 

HCV co-infected patients. 

Early Intervention Services 

The Committee provides $193,622,000 for early intervention grants. The fiscal year 2007 comparable level was $193,722,000 

and the budget request for fiscal year 2008 included $199,821,000. 

These funds are awarded competitively to primary health care providers to enhance health care services available to people at risk 

of HIV and AIDS. Funds are used for comprehensive primary care, 

including counseling, testing, diagnostic, and therapeutic services. 

Children, Youth, Women, and Families 

The Committee provides $75,000,000 for grants for coordinated 

services and access to research for women, infants, children and 

youth. The fiscal year 2007 comparable level and the budget request for 2008 were $71,794,000. Funds are awarded to community 

health centers, family planning agencies, comprehensive hemophilia diagnostic and treatment centers, Federally qualified health 

centers under section 1905(1)(2)(B) of the Social Security Act, county and municipal health departments and other nonprofit community-based programs that provide comprehensive primary health 

care services to populations with or at risk for HIV disease. 

The Committee has included increased funding to address the potential influx of new cases identified through the President’s testing initiative funded through the Centers for Disease Control and 

Prevention. The Committee intends that 50 percent of the increase 

be used to increase the average title IV grant amount to increase 

capacity in the existing grantee network. The Committee notes that 

title IV funds may be used for a broad range of activities to reduce 
58 

mother-to-child transmission, including voluntary testing of pregnant women and treatment to reduce mother-to-child transmission. 

Technical assistance may be provided to title IV grantees using 

up to 2 percent of the funds appropriated under this section. Within this amount sufficient funds exist to maintain technical assistance to title IV grantees and to conduct policy analysis and research. 

AIDS Dental Services 

The Committee provides $13,086,000 for AIDS Dental Services. 

The fiscal year 2007 comparable level and the budget request for 

fiscal year 2008 were both $13,086,000. This program provides 

grants to dental schools, dental hygiene schools, and postdoctoral 

dental education programs to assist with the cost of providing unreimbursed oral health care to patients with HIV disease. 

AIDS Education and Training Centers 

The Committee provides $34,700,000 for the AIDS education and 

training centers [AETC’s]. The fiscal year 2007 comparable level 

was $34,700,000 and the budget request for fiscal year 2008 included $28,700,000. AIDS education and training centers train 

health care practitioners, faculty, and students who care for AIDS 

patients outside of the traditional health professions education 

venues, and support curriculum development on diagnosis and 

treatment of HIV infection for health professions schools and training organizations. The targeted education efforts by AETC’s are 

needed to ensure the cost-effective use of the significant expenditures in Ryan White programs and the AIDS drugs assistance program. The agency is urged to fully utilize the AETC’s to ensure the 

quality of medical care and to ensure, as much as possible, that no 

individual with HIV receives suboptimal therapy due to the lack of 

health care provider information. 

HEALTH CARE SYSTEMS BUREAU

Organ Donation and Transplantation 

The Committee provides $25,049,000 for organ donation and 

transplantation activities. The fiscal year 2007 comparable level 

and the budget request for fiscal year 2008 were both $23,049,000. 

These funds support a scientific registry of organ transplant recipients and the National Organ Procurement and Transplantation 

Network to match donors and potential recipients of organs. A portion of the appropriated funds may be used for education of the 

public and health professionals about organ donations and transplants, and to support agency staff providing clearinghouse and 

technical assistance functions. 

The Committee applauds the efforts of the Division of Transplantation to implement the new provision of Public Law 108–116, the 

Organ Donation and Recovery Improvement Act which provides for 

reimbursement of travel and subsistence expenses of living organ 

donors. The Committee strongly supports this means of increasing 

the rate of successful transplantations and has provided $2,000,000 

over the budget request to continue this program. 
59 

The Committee commends HRSA for its leadership in promoting 

increased organ and tissue donations, however the Committee is 

concerned with recent funding reductions for research and demonstration projects that have historically led to increased organ donation and encourages HRSA to restore these programs. 

National Cord Blood Inventory 

The Committee has provided $12,000,000 for the National Cord 

Blood Inventory, which is the successor of the National Cord Blood 

Stem Cell Bank program. The fiscal year 2007 comparable level 

was $3,960,000 and the budget request for fiscal year 2008 was 

$1,966,000. The purpose of this program is to provide funds to cord 

blood banks to build an inventory of the highest quality cord blood 

units for transplantation. 

The Committee is pleased that the first cohort of banks has been 

established and has included sufficient funds to continue this cohort and initiate two more. 

C.W. Bill Young Cell Transplantation Program 

The Committee provides $22,701,000 for the C.W. Bill Young 

Cell Transplantation Program, which is the successor of the National Bone Marrow Donor Registry. The fiscal year 2007 comparable level for the Registry was $25,168,000 and the budget request for fiscal year 2008 was $22,701,000. 

Office of Pharmacy Affairs 

The Committee provides $2,940,000 for the Office of Pharmacy Affairs. The budget request for fiscal year 2008 was $2,940,000 for 

this new program. The Office of Pharmacy Affairs promotes access 

to clinically and cost effective pharmacy services among safety-net 

clinics and hospitals that participate in the 340B Drug Pricing program. Section 340B of the Public Health Service Act requires drug 

manufacturers to provide discounts or rebates to a specified set of 

HHS assisted programs and hospitals that meet the criteria in the 

Social Security Act for serving a disproportionate share of low income patients. These funds will be used to help resolve deficiencies 

that could not be addressed within resources available for the normal operations of the office. Specifically, these deficiencies include 

non-compliance with the 340B pricing requirements and errors and 

omissions in the office’s covered entity database. 

The Committee is concerned by price fluctuations in drugs currently accessed through 340b, which play a major role in the delivery of care in community health centers, title X clinics, and rural 

health centers. The Committee hopes that the funding for Office of 

Pharmacy Affairs will help to address the variability in pricing to 

help clinics plan for their patient load. 

The Committee is aware that, on January 12, 2007, HRSA issued 

proposed guidelines that would make significant changes to the 

long-standing definition of the term ‘‘patient’’ under the 340B program. The Committee agrees with HRSA that certain aspects of the 

current patient definition guidelines require clarification. However, 

the proposed guidelines may place undue burden on pharmacists to 

undertake independent investigations and may inadvertantly reduce participation in this important program. The Committee di-
60 

rects HRSA to modify the proposed guidelines in response to public 

comments received. The Committee directs that HRSA report to 

the Committee on its plan for future guidance no later than September 15, 2007. 

Poison Control Centers 

The Committee provides $23,000,000 for Poison Control Center 

activities. The fiscal year 2007 comparable level was $23,000,000 

and the budget request for fiscal year 2008 was $10,000,000. The 

Poison Control program currently supports a mix of grantees: most 

grantees serve entire States; a few grantees serve multi-State regions; and, in a handful of cases, more than one grantee serves a 

single State. In allocating funds, the Committee has provided sufficient resources to continue the current approach of allocating funding to all certified centers based on service population. 

RURAL HEALTH PROGRAMS

Rural Health Care Services Outreach Grants 

The Committee provides $40,000,000 for rural health outreach 

grants. The fiscal year 2007 comparable level was $38,885,000 and 

the budget request for fiscal year 2008 did not include funds for 

this program. This program supports projects that demonstrate 

new and innovative models of outreach in rural areas such as integration and coordination of health services. 

The Committee understands that many primary care clinics in 

isolated, remote locations are providing extended stay services and 

are not staffed or receiving appropriate compensation to provide 

this service. The Committee encourages the HRSA to continue its 

support for a demonstration project authorized in the Medicare 

Modernization Act to evaluate the effectiveness of a new type of 

provider, the ‘‘Frontier Extended Stay Clinic,’’ to provide expanded 

services in remote and isolated primary care clinics to meet the 

needs of seriously ill or injured patients who cannot be transferred 

quickly to acute care referral centers, and patients who require 

monitoring and observation for a limited time. 

Mississippi’s Delta is a community in which residents disproportionately experience disease risk factors and children are significantly mentally and physically developmentally behind. The Committee recognizes that communities such as this show positive behavioral change when community-based programs and infrastructure are in place. The Committee believes that collaborative programs offering health education, coordination of health services 

and health-related research offer the best hope for breaking the 

cycle of poor health in underprivileged areas such as the Mississippi Delta. Therefore, the Committee recommends the continued funding of these activities (This language was requested by 

Senator Cochran). 

Rural Health Research 

The Committee provides $9,500,000 for the Rural Health Re- search. The fiscal year 2007 comparable level was $8,737,000 and 

the budget request for fiscal year 2008 was $8,737,000. The funds 

provide support for the Office of Rural Health Policy to be the focal 
61 

point for the Department’s efforts to improve the delivery of health 

services to rural communities and populations. Funds are used for 

rural health research centers, the National Advisory Committee on 

Rural Health, and a reference and information service. 

Rural Hospital Flexibility Grants 

The Committee provides $38,538,000 for rural hospital flexibility grants. The fiscal year 2007 comparable level was $63,538,000 and 

the budget request for fiscal year 2008 did not include funds for 

this program. 

Under this program, eligible rural hospitals may convert themselves into limited service facilities termed Critical Access Hospitals. Such entities are then eligible to receive cost-based payments from Medicare. The grant component of the program assists 

States with the development and implementation of State rural 

health plans, conversion assistance, and associated activities. Of the amount provided, the Committee includes $15,000,000 to 

continue the Small Rural Hospital Improvement Grant Program, as 

authorized by section 1820(g)(3) of the Social Security Act and Public Law 107–116 and outlined in House Report 107–342. 

Delta Health Initiative 

The Committee has included $25,000,000 for the Delta Health 

Initiative as authorized in section 223 of this act (This funding was 

requested by Senator Cochran). HRSA awarded a multi-year grant 

in fiscal year 2006 to implement the Delta Health Initiative. The 

Committee notes that continuation of this award in fiscal year 2008 

in the same manner and with the same requirements will satisfy 

the requirements of section 222. 

Rural and Community Access to Emergency Devices 

The Committee provides $3,000,000 for rural and community access to emergency devices. The fiscal year 2007 comparable level 

was $1,487,000 and the budget request for fiscal year 2008 did not 

include funding for this program. This appropriation provides funding for both the rural program under section 413 of the Public 

Health Service Act and the community access demonstration under 

section 313. 

The Committee is concerned that reductions in this program 

were implemented in a manner that disproportionately impacted 

rural areas. The Committee expects that fiscal year 2008 funding 

be equally divided between urban and rural communities. 

Funding will be used to train additional rural and community lay 

rescuers and first responders to use automated external 

defibrillators [AEDs] and to purchase and place AEDs in public 

areas where cardiac arrests are likely to occur. 

State Offices of Rural Health 

The Committee provides $9,000,000 for the State Offices of Rural 

Health. The fiscal year 2007 comparable level and the budget request for fiscal year 2008 were both $8,141,000. The State Office 

of Rural Health program helps the States strengthen rural heath 

care delivery systems by allowing them to better coordinate care 

and improve support and outreach in rural areas. The Committee 
62 

believes that continued funds for this purpose are critical to improving access and quality health care services throughout rural 

communities. 

Black Lung Clinics 

The Committee provides $6,000,000 for black lung clinics. The fiscal year 2007 comparable level was $5,891,000 and the budget 

request for fiscal year 2008 was $5,886,000. This program funds 

clinics that treat respiratory and pulmonary diseases of active and 

retired coal miners, steel mill workers, agricultural workers, and 

others with occupationally-related respiratory and pulmonary impairments. These clinics reduce the incidence of high-cost inpatient 

treatment for these conditions. 

Radiation and Exposure Screening and Education Program 

The Committee provides $1,917,000 for activities authorized by 

the Radiation Exposure Compensation Act. The fiscal year 2007 

comparable level was $1,919,000 and the budget request for fiscal 

year 2008 was $1,904,000. This program provides grants for the 

education, prevention, and early detection of radiogenic cancers 

and diseases resulting from exposure to uranium during its mining 

and milling at nuclear test sites. 

Native and Rural Alaskan Health Care 

The Committee provides $39,283,000 for the Denali Commission. The fiscal year 2007 comparable level was $39,283,000 and the 

budget request for fiscal year 2008 did not include funding for this 

program. These funds support the construction and renovation of 

health clinics, hospitals and social service facilities in rural Alaska, 

as authorized by Public Law 106–113, to help remote communities 

in Alaska develop critically needed health and social service infrastructure for which no other funding sources are available, thereby 

providing health and social services to Alaskans in remote rural 

communities as they are in other communities throughout the 

country. The Committee expects the Denali Commission to allocate 

funds to a mix of rural hospital, clinic, long-term care and social 

service facilities, rather than focusing exclusively on clinic funding. 

Family Planning 

The Committee provides $300,000,000 for the title X family planning program. The fiscal year 2007 comparable level was 

$283,146,000 and the budget request for fiscal year 2008 was 

$283,103,000. 

Title X grants support primary health care services at more than 

4,400 clinics nationwide. About 85 percent of family planning clients are women at or below 150 percent of poverty level. Title X 

of the Public Health Service Act, which established the family planning program, authorizes the provision of a broad range of acceptable and effective family planning methods and preventive health 

services to individuals, regardless of age or marital status. This includes FDA-approved methods of contraception. 

The Committee remains concerned that programs receiving title 

X funds ought to have access to these resources as quickly as possible. The Committee again instructs the Department to distribute 
63 

to the regional offices all of the funds available for family planning 

services no later than 60 days following enactment of this bill. The 

Committee intends that the regional offices should retain the authority for the review, award and administration of family planning 

funds, in the same manner and timeframe as in fiscal year 2006. 

The Committee intends that at least 90 percent of funds appropriated for title X activities be for clinical services authorized under 

section 1001 of the act. The Committee further expects the Office 

of Family Planning to spend any remaining year-end funds in section 1001 activities. 

Health Care-related Facilities and Activities 

The Committee provides $191,235,000 for the construction and 

renovation (including equipment) of health care-related facilities 

and other health care-related activities. No funds were provided for 

these purposes in fiscal year 2007 and the budget request for fiscal 

year 2008 did not include funding for these activities. The Committee expects HRSA to use no more than 1 percent of the funds 

allocated for projects for agency administrative expenses. These 

funds are to be used for the following projects and in the following 

amounts: 

Project Committee recommendation Requested by 

Addison County Dental Care, Middlebury, VT, for equipment and facility upgrades.$200,000 Sanders 

AIDS Resource Center Wisconsin, Milwaukee, WI, to provide health care and 

case management services.

150,000 Kohl 

Alaska Family Practice Residency Program, Anchorage, AK, to support its family practice residency programs.1,000,000 Stevens 

Alaska Federal Health Care Access Network, Anchorage, AK, to support activities of the Alaska Telemedicine Advisory Committee.250,000 Stevens 

Alaska Native Medical Center, Anchorage, AK, for equipment ............................. 750,000 Stevens 

Alaska Psychiatric Institute, Juneau, AK, for the Telebehavioral Health Project 

in Alaska.

400,000 Stevens 

Albany Medical Center, Albany, NY, for the establishment of the Patient Safety 

Center.

500,000 Clinton, Schumer 

Albuquerque Indian Health Center, New Mexico, for renovations and equipment.100,000 Bingaman 

Alegent Health Care System, Omaha, NE, for a community-based Electronic 

Medical Records System.

100,000 Hagel, Ben Nelson 

Allegheny General Hospital, Pittsburgh, PA, for equipment .................................. 200,000 Specter 

Allegheny Singer Research Institute, Pittsburgh, PA, for equipment .................... 100,000 Specter 

Allen Memorial Hospital, Moab, Utah, for construction, renovation, and equipment.50,000 Hatch 

AltaMed Health Services Corporation, Los Angeles, CA, for construction and 

equipment.

100,000 Boxer 

Anchorage Neighborhood Health Center, Anchorage, AK, for construction, renovation, and equipment.400,000 Murkowski 

AnMed Health, Anderson, SC, for renovation and equipment ............................... 100,000 Graham 

Arc of Northern Virginia, Falls Church, VA, for equipment and software to create a Resource Navigator System for individuals with developmental disabilities in the Commonwealth of Virginia.

150,000 Warner, Webb 

Armstrong County Memorial Hospital, Kittanning, PA, for equipment .................. 100,000 Specter 

Association for Utah Community Health, Salt Lake City, Utah, for electronic 

health records for Utah Community Health Centers.

350,000 Bennett, Hatch 

Atchison Hospital Association, Atchison, KS, for renovation and equipment ....... 400,000 Brownback 

Barnes-Kasson County Hospital, Susquehanna, PA, for renovation and equipment.100,000 Specter 

Baylor College of Medicine, Houston, TX, for construction, renovation, and 

equipment at the Vannie E. Cook, Jr. Children’s Cancer and Hematology 

Clinic.

200,000 Hutchison 
64 

Project Committee recommendation Requested by 

Baylor Research Institute, Dallas, Texas, for renovation and equipment ............. 250,000 Cornyn 

Bear River Health Department, Logan, Utah, for the Medical Reserve Corps 

Program.

50,000 Hatch 

Beaver Valley Hospital, Beaver, Utah, for renovation and equipment .................. 50,000 Hatch 

Beebe Medical Center, Lewes, DE, for construction, renovation and equipment.200,000 Biden, Carper 

Beloit Area Community Health Center, Beloit, WI, for construction, renovation 

and equipment.

500,000 Kohl 

Benefis Healthcare Foundation, Great Falls, MT, for health information technology.400,000 Baucus 

Billings Clinic, Billings, MT, for construction, renovation and equipment of a 

cancer center.

400,000 Baucus, Tester 

Billings Clinic, Billings, MT, for a Rural Clinical Information System ................. 350,000 Baucus 

Billings Clinic, Billings, MT, for the Diabetes Center to prevent and treat diabetes.375,000 Tester, Baucus 

Bloomsburg Hospital, Bloomsburg, PA, for cardiology center construction .......... 100,000 Specter 

Boone County Senior Citizen Service Corporation, Columbia, MO, for equipment 

and technology for the Alzheimer’s Disease Demonstration Center on the 

Bluff’s campus.

1,000,000 Bond 

Boston Health Care for the Homeless Program, Boston, MA, for the construction of a health care facility.175,000 Kennedy, Kerry 

Boston Medical Center, Boston, MA, for facilities and equipment for the J. Joseph Moakley Medical Services Building.350,000 Kennedy, Kerry 

Boys Town National Research Hospital, Omaha, NE, for construction, renovation 

and equipment.

900,000 Nelson 

Brackenridge Hospital, Austin, TX, for construction, renovation, and equipment.200,000 Hutchison 

Briar Cliff University, Sioux City, IA for facilities and equipment ........................ 100,000 Harkin, Grassley 

Bridgeport Hospital, Bridgeport, CT, for construction, renovation and equipment.200,000 Dodd, Lieberman 

Brockton Hospital, Brockton, MA, for equipment ................................................... 200,000 Kennedy, Kerry 

Brockton Neighborhood Health Center, Brockton, MA, for construction ................ 200,000 Kennedy, Kerry 

Camillus House, Miami, FL, to construct a new medical facility ......................... 150,000 Bill Nelson, Martinez 

Carilion Health System, Roanoke, VA, for renovation and equipment .................. 150,000 Warner, Webb 

Caring Health Center, Inc., Springfield, MA, for equipment needed to expand 

urgent care and oral health programs.

250,000 Kennedy, Kerry 

Carnegie Mellon University, Pittsburgh, PA, for equipment and renovation ......... 150,000 Specter 

Carolinas Healthcare Center, Charlotte, North Carolina, for equipment for the 

Pediatric Imaging Center at the Levine Children’s Hospital.

350,000 Dole, Burr 

Case Western Reserve University, Cleveland, OH, for equipment ......................... 100,000 Voinovich 

Central Carolina Allied Health Center, Sumter, SC, for construction, renovation, 

and equipment.

250,000 Graham 

Charles Drew Health Center, Inc., Omaha, NE, for construction, renovation and 

equipment.

1,000,000 Ben Nelson 

Chester County Hospital, West Chester, PA, for construction ............................... 100,000 Specter 

Children’s Hospital of KidsPeace, Orefield, PA, for construction and equipment.100,000 Specter 

Children’s Hospitals and Clinics of Minnesota, Minneapolis, MN, to provide pediatric palliative care education and consultation services to clinicians and 

providers.

300,000 Klobuchar, Coleman 

Children’s Health Fund, New York, NY, for the Mississippi Gulf Coast Children’s Health Project in Gulfport, MS.150,000 Cochran 

Children’s Health Fund, New York, NY, to provide mental health services to 

children and families.

300,000 Landrieu 

Children’s Hospital Boston, Boston, MA, for the development of comprehensive 

pediatric electronic medical records system.

220,000 Kennedy, Kerry 

Children’s Hospital of Philadelphia, Philadelphia, PA, for equipment ................. 150,000 Specter 

Children’s Hospital of Pittsburgh, Pittsburgh, PA, for construction ..................... 150,000 Specter, Casey 

Children’s Hospital of The King’s Daughters (CHKD) Health Systems, Norfolk, 

VA, to purchase and equip a Mobile Intensive Care Transport Vehicle for the 

critically ill neonatal and pediatric populations.

200,000 Warner, Webb 

Childrens Hospital of Wisconsin, Milwaukee, WI, for construction, renovation 

and equipment.

200,000 Kohl 

Children’s Hospital, Aurora, CO, for equipment .................................................... 200,000 Allard, Salazar 

Children’s Institute, Pittsburgh, PA, for construction and program expansion .... 100,000 Specter, Casey 
65 

Project Committee recommendation Requested by 

Children’s Medical Center, Dallas, TX, for construction, renovation, and equipment.200,000 Hutchison, Cornyn 

Children’s Specialized Hospital, Mountainside, NJ, for construction, renovation 

and equipment.

300,000 Lautenberg, Menendez 

Chippewa Valley Hospital, Durand, WI, for equipment ......................................... 200,000 Kohl 

CHOICE Regional Health Network, Olympia, WA, for construction, renovation 

and equipment.

500,000 Murray 

Christiana Care Health System, Wilmington, DE, for construction, renovation 

and equipment.

500,000 Biden, Carper 

CHRISTUS Santa Rosa Children’s Hospital, San Antonio, TX, for construction, 

renovation, and equipment.

200,000 Hutchison 

Clarion Hospital Healthcare System, Clarion, PA, for electronic medical records.100,000 Specter 

Clearfield Hospital, Clearfield, PA, for equipment ................................................ 100,000 Specter 

Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, for The Women’s Cancer Genomics Center.900,000 Clinton, Schumer 

College Misericordia, Dallas, PA, for construction ................................................ 100,000 Specter 

College of Saint Scholastica, Duluth, MN, to implement a rural health and 

technology demonstration project.

300,000 Coleman, Klobuchar 

Community Action Agency of Southern New Mexico, Las Cruces, NM, for the Access to Healthcare Initiative.500,000 Domenici, Bingaman 

Community College of Rhode Island, Lincoln, RI, for equipment and laboratory 

facilities for health care education.

250,000 Reed 

Community Health Center of Southeast Kansas, Pittsburg, KS, for renovation 

and equipment.

500,000 Brownback 

Community Health Center of the Black Hills, Rapid City, SD, for facilities and 

equipment.

400,000 Johnson, Thune 

Community Health Centers in Iowa ....................................................................... 2,300,000 Harkin 

Community Health Centers of Arkansas, North Little Rock, AR, for an infrastructure development program.600,000 Lincoln, Pryor 

Community Health Centers of the Rutland Region, Bomoseen, VT, for equipment.100,000 Sanders 

Community Home, Health & Hospice, Longview, WA, to implement a home 

health telemonitoring system.

250,000 Murray, Cantwell 

Community Hospital Telehealth Consortium, Lake Charles, LA, to support the 

information technology networks of regional not-for-profit community health 

systems.

300,000 Landrieu, Vitter 

Community Medical Center, Missoula, MT, for construction, renovation and 

equipment.

350,000 Baucus, Tester 

Cook Children’s Medical Center, Fort Worth, TX, for equipment ........................... 200,000 Hutchison 

Cooperative Telehealth Network, Portneuf Medical Center, Pocatello, ID, to provide and improve distance healthcare access in southeast Idaho.350,000 Craig, Crapo 

Counseling Services of Addison County, Middlebury, VT, to implement an electronic medical record.400,000 Leahy 

Crumley House Brain Injury Rehabilitation Center, Limestone, TN, for brain injury programs.100,000 Alexander 

Culpeper Regional Hospital, Culpeper, VA, for facility design, engineering and 

construction to expand the Emergency Department.

300,000 Warner, Webb 

CVPH Medical Center, Plattsburgh, NY, for construction, renovation and equipment.1,500,000 Schumer, Clinton 

Defiance College, Defiance, Ohio, for training autism caregivers ........................ 200,000 Brown 

Delta Dental of Iowa, Ankeny, IA, for a dental loan repayment program ............ 150,000 Harkin, Grassley 

Delta Dental of South Dakota, Pierre, SD, to provide mobile dental health services.200,000 Johnson 

Denver Health and Hospital Authority, Denver, CO, for construction, renovation 

and equipment.

200,000 Salazar 

Desert Hot Springs, Downey, CA, to construct a primary and urgent care medical clinic.100,000 Boxer 

DuBois Regional Medical Center, Dubois, PA, for equipment ............................... 100,000 Specter, Casey 

East Carolina University, Greenville, NC, for construction, renovation, and 

equipment for the Metabolic Institute.

100,000 Burr, Dole 

East Orange General Hospital, East Orange, NJ, for facilities and equipment .... 750,000 Lautenberg, Menendez 

Easter Seals Iowa, Des Moines, IA, for construction and enhancement of a 

health care center.

400,000 Harkin 
66 

Project Committee recommendation Requested by 

Easter Seals Metropolitan Chicago, Chicago, IL, for their therapeutic School 

and Center for Autism Research.

650,000 Obama, Durbin 

Eastern Oklahoma State College, Wilburton, OK, for health information systems 

and pharmacy technology programs.

100,000 Inhofe 

Eastern Shore Rural Health System Onley Community Health Center, 

Nassawadox, VA, for construction, renovation and equipment.

125,000 Webb, Warner 

Ed Roberts Campus in Berkeley, CA, for construction, renovations and equipment.250,000 Boxer 

Elliot Health System, Manchester, NH, for a backup and support system for 

continuity of services.

250,000 Gregg 

Ephrata Community Hospital, Ephrata, PA, for equipment ................................... 100,000 Specter 

Family Health Centers of San Diego, Inc., San Diego, CA, for construction, renovation and equipment.100,000 Boxer 

Fenway Community Health Center, Boston, MA, for construction, renovation and 

equipment.

250,000 Kennedy, Kerry 

Fish River Rural Health, Eagle Lake, ME, for construction, renovation, and 

equipment.

100,000 Collins, Snowe 

Fletcher Allen Health Care, Burlington, VT, for construction, renovation and 

equipment.

500,000 Leahy 

Fort Wayne, IN, for training of emergency medical personnel, including equipment purchase.200,000 Bayh 

Fox Chase Cancer Center, Philadelphia, PA, for equipment ................................. 150,000 Specter 

Franklin County Medical Center, Preston, ID, for construction, renovation, and 

equipment.

250,000 Craig 

Free Clinic of the Greater Menomonie Area, Inc, Menomonie, WI, for equipment.100,000 Kohl 

Free Clinics of Iowa in Des Moines, IA, to support a network of free clinics ...... 400,000 Harkin 

Fulton County Medical Center, McConnellsburg, PA, for equipment ..................... 100,000 Specter 

Garfield Memorial Hospital, Panguitch, Utah, for construction, renovation, and 

equipment of the emergency room and adjacent clinic.

100,000 Hatch 

Geisinger Health System, Danville, PA, for construction and equipment ............. 200,000 Specter 

Generations, Inc, Camden, NJ, for construction of a medical center ................... 450,000 Lautenberg, Menendez 

Georgia Southern University, Statesboro, GA, for rural health outreach and 

training.

100,000 Chambliss 

Glory House, Sioux Falls, SD, to construct a methamphetamine treatment center.100,000 Johnson 

Good Samaritan Regional Medical Center, Pottsville, PA, for medical outreach.100,000 Specter 

Good Shepherd Rehabilitation Hospital, Allentown, PA, for equipment ................ 100,000 Specter 

Grady Health System, Atlanta, GA, to implement a new Electronic Health 

Record System.

200,000 Chambliss, Isakson 

Greene County, Waynesburg, PA, for a telemedicine initiative ............................. 100,000 Specter 

Gritman Medical Center, Moscow, ID, for equipment and technology .................. 450,000 Craig, Crapo 

Gundersen Lutheran Hospital, La Crosse, WI, for a health information technology system.200,000 Kohl 

Halifax Regional Health System, South Boston, VA, for equipment purchase 

and technology system upgrades for electronic medical records.

150,000 Warner, Webb 

Hamot Medical Center, Erie, PA, for construction and equipment ....................... 100,000 Specter 

Hazleton General Hospital, Hazleton, PA, for equipment ...................................... 100,000 Specter 

Health Care Foundation of North Mississippi, Tupelo, MS, for construction, renovation, and equipment.250,000 Cochran 

Health Occupation Students of America, Flower Mound, TX, for the HOSA Mississippi Emergency Preparedness Pipeline.200,000 Cochran 

HealthHUB, South Royalton, VT, for equipment and facilities .............................. 100,000 Sanders 

Heartland Partnership, Peoria, IL, for construction of a cancer research laboratory.500,000 Durbin 

Helene Fuld College of Nursing, New York, NY, for construction, renovation and 

equipment.

100,000 Schumer, Clinton 

Henry Ford Health System, Flint, MI, for training in advanced techniques ......... 350,000 Levin, Stabenow 

Heritage Valley Health System, Beaver, PA, for construction ............................... 100,000 Specter 

Hidalgo Medical Services Inc., Lordsburg, NM, for construction, renovation, and 

equipment for a Community Health Center in Silver City, New Mexico.

1,000,000 Domenici, Bingaman 

Hilo Medical Center, HI, for a medical robotics training lab ............................... 100,000 Inouye 

Holy Cross Hospital, Chicago, IL, for equipment ................................................... 1,200,000 Durbin 

Holy Cross Hospital, Silver Spring, MD, for equipment ......................................... 375,000 Mikulski, Cardin 
67 

Project Committee recommendation Requested by 

Holy Redeemer Health System, Huntingdon Valley, PA, for construction .............. 100,000 Specter 

Holy Rosary Healthcare, Miles City, MT, for a tele-radiology program ................. 200,000 Tester 

Holy Spirit Hospital, Camp Hill, PA, for equipment .............................................. 100,000 Specter 

Holyoke Hospital, Holyoke, MA, for equipment ....................................................... 220,000 Kennedy, Kerry 

Hood River County, Hood River, OR, for construction of an integrated health 

care facility.

350,000 Wyden, Smith 

Hospice Care Plus, Berea, KY, for construction, renovation, and equipment ....... 150,000 Bunning 

Hospital for Special Surgery, New York, NY, for expansion and modernization of 

its clinical facilities.

500,000 Clinton, Schumer 

House of Mercy in Des Moines, Iowa, for renovation of the medical clinic ......... 300,000 Harkin 

Hunter’s Hope Foundation, Orchard Park, NY, for equipment in the Krabbe’s 

disease programs.

500,000 Clinton, Schumer 

Huntridge Teen Center and Nevada Dental Association, Las Vegas, NV, to purchase equipment and coordinate care for the Huntridge Dental Clinic.175,000 Reid 

Illinois Primary Health Care Association, to develop an electronic medical 

record system.

550,000 Durbin, Obama 

Indiana Regional Medical Center, Indiana, PA, for services expansion ............... 100,000 Specter 

Inova Health System, Falls Church, VA, for construction, renovation, and equipment.100,000 Warner, Webb 

INTEGRIS Health, Oklahoma City, OK, for statewide digital radiology equipment.100,000 Inhofe 

Iowa Caregivers Association, for training and support of certified nurse assistants.350,000 Harkin 

Jackson Medical Mall Foundation, Jackson, MS, for construction, renovation, 

and equipment.

200,000 Cochran 

Jackson State University, Jackson, MS, for Southern Institute for Mental Health 

Research and Training.

400,000 Cochran 

Jameson Hospital, New Castle, PA, for construction ............................................. 100,000 Specter 

Jefferson Regional Medical Center, Pine Bluff, AR, for equipment ...................... 2,000,000 Lincoln, Pryor 

Jefferson Regional Medical Center, Pittsburgh, PA, for equipment ...................... 100,000 Specter 

Jewish Renaissance Medical Center, Perth Amboy, NJ, for construction, renovation and equipment.200,000 Menendez, Lautenberg 

Johns Hopkins University, Baltimore, MD, to expand the Critical Event Preparedness and Response program.350,000 Mikulski 

Kane Community Hospital, Kane, PA, for equipment ............................................ 100,000 Specter 

Kansas State University, Manhattan, KS, for equipment for the Midwest Institute for Comparative Stem Cell Biology.500,000 Brownback 

Keesler AFB, Biloxi, MS, for equipment for Regional Telepathology in South 

Mississippi.

250,000 Cochran 

Kennedy Krieger Institute, Baltimore, MD, for medical equipment ....................... 350,000 Mikulski, Cardin 

Kenosha Community Health Center, Kenosha, WI, for construction, renovation 

and equipment.

200,000 Kohl 

Kootenai Medical Center, Sandpoint, ID, to continue providing and improving 

distance healthcare access in north Idaho.

250,000 Craig 

Lakeshore Foundation, Birmingham, AL, for construction, renovation, and 

equipment.

600,000 Sessions 

Lamoille Community Health Services, Morrisville, VT, for rural outreach activities.100,000 Sanders 

Lane County, Eugene, Oregon, for construction, renovation, and equipment of 

the Springfield Community Health Center.

150,000 Smith, Wyden 

Le Bonheur Children’s Medical Center, Memphis, TN, for construction, renovation, and equipment.500,000 Alexander 

Le Mars Dialysis Center, LeMars, IA, for construction, renovation and equipment.250,000 Harkin 

Legacy Health System, Portland, Oregon, for telemedicine equipment ................ 100,000 Smith 

Lehigh Valley Hospital and Health Network, Allentown, PA, for construction ...... 100,000 Specter 

Lewis and Clark Community College, Godfrey, IL, to purchase and equip a mobile health clinic to serve rural areas.350,000 Obama 

LifeBridge Health of Baltimore, MD, to implement the Computerized Physician 

Order Entry Initiative.

500,000 Mikulski, Cardin 

Lou Ruvo Alzheimer’s Institute, Las Vegas, NV, for construction, renovation, 

and equipment.

400,000 Ensign 

Madison Community Health Center, Madison, WI, for equipment ........................ 325,000 Kohl 

Magee Rehabilitation Hospital, Philadelphia, PA, for equipment ......................... 100,000 Specter 
68 

Project Committee recommendation Requested by 

Magee-Womens Research Institute and Foundation, Pittsburgh, PA, for equipment.100,000 Specter 

Maine Coast Memorial Hospital, Ellsworth, ME, for construction, renovation, 

and equipment.

190,000 Collins, Snowe 

Maliheh Free Clinic, Salt Lake City, Utah, for renovation and equipment ........... 50,000 Hatch 

Marcus Daly Memorial Hospital, Hamilton, MT, for construction, renovation and 

equipment.

300,000 Baucus 

Marcus Institute, Atlanta, GA, for equipment ....................................................... 200,000 Chambliss, Isakson 

Marian Community Hospital, Carbondale, PA, for equipment ............................... 100,000 Specter 

Marias Medical Center, Shelby, MT, to purchase equipment ................................ 200,000 Baucus 

Marquette University, Milwaukee, WI, for a dental health outreach program ...... 250,000 Kohl 

Marshall University, WV, for the Bioengineering and Biomanufacturing Institute.1,575,000 Byrd 

Marshall University, WV, for the construction of a patient care and clinical 

training site in Southwestern West Virginia.

3,250,000 Byrd 

Marshall University, WV, for the Virtual Colonoscopy Outreach Program ............. 1,575,000 Byrd 

Maryland Hospital Association, Elkridge, MD, for the Nursing Career Lattice 

Program.

450,000 Mikulski 

Maui Community Health Center, HI, for construction, renovation and equipment.800,000 Inouye 

Maui Economic Development Board, HI, for the Lanai Women’s Initiative .......... 150,000 Inouye 

McKinley County, New Mexico, Gallup, NM, for construction, renovation, and 

equipment of the dialysis center.

1,000,000 Domenici, Bingaman 

Meadville Medical Center, Meadville, PA, for construction and equipment ......... 100,000 Specter, Casey 

Medical Education Development Consortium, Scranton, PA, for construction ...... 1,000,000 Specter, Casey 

Memorial Hospital of Laramie County, Cheyenne, WY, for design of the Comprehensive Community Cancer Center.400,000 Enzi 

Memorial Hospital, York, PA, for information technology equipment .................... 100,000 Specter 

Memphis Bioworks Foundation, Memphis, TN, for construction, renovation, and 

equipment at the research park.

500,000 Alexander 

Mercy Fitzgerald Hospital, Darby, PA, for equipment ............................................ 100,000 Specter 

Mercy Health Foundation, Durango, CO, for construction, renovation and equipment.200,000 Salazar 

Mercy Health Partners, Scranton, PA, for equipment ............................................ 100,000 Specter 

Mercy Hospital of Philadelphia, Philadelphia, PA, for equipment ........................ 100,000 Specter 

Mercy Hospital, Baltimore, MD, for equipment ...................................................... 850,000 Mikulski 

Mercy Medical Center, Springfield, MA, for equipment ......................................... 225,000 Kennedy, Kerry 

Methodist Hospital System, Houston, TX, for equipment ...................................... 200,000 Hutchison, Cornyn 

Methodist Hospital, Houston, Texas, for renovation and equipment .................... 500,000 Cornyn, Hutchison 

Metro Health, Cleveland, OH, for The Northeast Ohio Senior Health and 

Wellness Center.

100,000 Voinovich 

Mid Valley Hospital, Peckville, PA, for equipment, construction and renovation.100,000 Specter 

Minot State University, Minot, ND, to monitor and treat individuals with autism 

spectrum disorder in rural areas with limited access to health professionals.

500,000 Dorgan, Conrad 

Mississippi Hospital Association, Madison, MS, for the Managed Growth Initiative.400,000 Cochran 

Mississippi Primary Health Care Association, Jackson, MS, ................................. 400,000 Cochran 

Mississippi State University, Mississippi State, MS, for the Tissue Engineering 

Research Center.

350,000 Cochran 

Monongahela Valley Hospital, Monongahela, PA, for equipment .......................... 100,000 Specter 

Monticello, Utah, to provide preventive screening for Monticello Mill Legacy ...... 100,000 Hatch 

Moses Taylor Hospital, Scranton, PA, for equipment ............................................ 100,000 Specter, Casey 

Mount Nittany Medical Center, State College, PA, for construction, renovation, 

and equipment.

100,000 Specter, Casey 

Mount Sinai Medical Center, Miami Beach, FL, for construction, renovation and 

equipment.

400,000 Bill Nelson, Martinez 

Mountain State University, Beckley, WV, for the construction of the Allied 

Health Technology Tower.

3,600,000 Byrd 

Myrna Brind Center of Integrative Medicine, Philadelphia, PA, to develop three 

models of integrative programs of clinical excellence.

100,000 Specter 

Nebraska Hospital Association, Lincoln, NE, to expand the Nebraska Statewide 

Telehealth Network.

400,000 Hagel, Ben Nelson 

Nevada Rural Hospital Partners, Reno, NV, to expand and enhance a rural 

telemedicine project.

350,000 Reid 
69 

Project Committee recommendation Requested by 

New Hampshire Community Health Centers, Concord, NH, for construction, renovation, and equipment.400,000 Gregg 

New Orleans Office of Homeland Security and Emergency Preparedness, New 

Orleans, LA, for equipment and supplies for a mobile medical hospital.

1,000,000 Landrieu 

New York-Presbyterian Hospital, NY, for cardiac care telemetry .......................... 600,000 Clinton, Schumer 

Noble Hospital, Westfield, MA, for construction, renovation and equipment ....... 200,000 Kennedy, Kerry 

Norman Regional Health System, Norman, OK, for a health information technology system.100,000 Inhofe 

North Country Children’s Clinic, Inc., Watertown, NY, for construction and renovation.500,000 Clinton, Schumer 

North Dakota State University, Fargo, ND, to expand a statewide telepharmacy 

project.

1,000,000 Dorgan, Conrad 

North General Hospital, New York, NY, for construction, renovation and equipment.700,000 Clinton, Schumer 

Northcentral Montana Healthcare Alliance, Great Falls, MT, for health information technology.200,000 Tester 

Northeastern Pennsylvania Technology Institute, Scranton, PA, to connect the 

eighteen regional hospitals with state and federal medical experts during 

incident response and recovery.

100,000 Specter 

Northern Larimer County Health District, Fort Collins, CO, for the Acute Mental 

Health and Detoxification Facility.

100,000 Salazar 

Northern Maine Community College, Presque Isle, ME, for construction, renovation, and equipment.150,000 Collins, Snowe 

Northern Virginia Urban League, Alexandria, VA, for services and equipment to 

promote healthy pregnancy outcomes in the Northern Virginia region.

150,000 Warner, Webb 

Northwest Colorado Visiting Nurse Association, Inc., Steamboat Springs, CO, to 

construct and equip a community health clinic.

150,000 Salazar 

Northwest Hospital and Medical Center, Seattle, WA, for a Community Health 

Education and Simulation Center.

1,150,000 Murray, Cantwell 

Northwest Hospital, Baltimore, MD, for equipment ............................................... 375,000 Mikulski 

Northwest Nazarene University, Nampa, ID, for construction, renovation, and 

equipment.

350,000 Craig, Crapo 

Northwest Research and Education Institute, Billings, MT, to create a continuing medical education program.350,000 Baucus 

NYU School of Medicine, New York, NY, for the Basic Research and Imaging 

Program.

900,000 Clinton, Schumer 

Oconee Memorial Hospital, Seneca, SC, to design, develop, and implement a 

community-wide health information exchange system.

100,000 Graham 

Ohio State University Comprehensive Cancer Center, Columbus, OH, for design, 

construction, renovation, and equipment.

100,000 Voinovich 

Ohio University, Athens, Ohio, for the Appalachian Healthcare Screening Program.200,000 Brown 

Ohio Valley General Hospital, McKees Rocks, PA, for equipment ......................... 100,000 Specter 

Oklahoma Foundation for Kidney Disease, Oklahoma City, OK, for telehealth 

applications.

100,000 Inhofe 

Oklahoma Medical Research Foundation, Oklahoma City, OK, for construction, 

renovation, and equipment of a Biotech Research Tower.

100,000 Inhofe 

Oklahoma State University, Center for Health Sciences, Tulsa, OK, for mobile 

health clinics.

100,000 Inhofe 

Orange County Government, Orlando, FL, for health information technology 

equipment.

200,000 Martinez, Bill Nelson 

Ottumwa Regional Health Center, Ottumwa, IA, for construction, renovation 

and equipment.

445,000 Harkin, Grassley 

Our Lady of Lourdes Medical Center, Camden, NJ, for facilities and equipment.700,000 Lautenberg, Menendez 

Owensboro Medical Center, Owensboro, KY, for construction, renovation, and 

equipment.

150,000 Bunning 

Penn State Milton S. Hershey Medical Center/College of Medicine, Hershey, PA, 

for construction.

200,000 Specter 

Philadelphia College of Osteopathic Medicine, Philadelphia, PA, for equipment.100,000 Specter 

Phoebe Putney Memorial Hospital, Albany, GA, to partner with Dougherty County School System to implement a pilot program to promote healthy lifestyles 

in school children.

100,000 Chambliss 
70 

Project Committee recommendation Requested by 

Piedmont Access to Health Services, Inc. (PATHS), Danville, VA, for construction, renovation and equipment.175,000 Webb, Warner 

Pinnacle Health System, Harrisburg, PA, for construction .................................... 100,000 Specter 

Pioneer Valley Life Sciences Institute, Springfield, MA, for the construction of 

biomedical research facilities.

450,000 Kennedy, Kerry 

Pocono Medical Center, East Stroudsburg, PA, for construction .......................... 100,000 Specter 

Pointe Coupe ́e Better Access Community Health (BACH), New Roads, LA, to 

sustain a community-based clinic and diabetic outreach program.

350,000 Landrieu, Vitter 

Powell County, Deer Lodge, MT, for equipment for the Powell County Medical 

Center.

100,000 Baucus 

Primary Care Association of HI, for construction, renovation, equipment, disability services and outreach at the State’s health centers.1,000,000 Inouye, Akaka 

Providence Community Health Center, Providence, RI, for construction ............... 300,000 Reed, Whitehouse 

Providence Medical Center, Kansas City, KS, for telehealth upgrades ................. 500,000 Brownback 

Providence Telehealth Network Rural Outreach Program, Spokane, WA, for 

equipment.

300,000 Murray 

Rapid City Area School District 51/4, Rapid City, SD, for construction, renovation, and equipment for a school-based health clinic.100,000 Thune 

Reading Hospital and Medical Center, West Reading, PA, for equipment ........... 100,000 Specter 

Redevelopment Authority of the County of Washington, Washington, PA, for 

construction and renovation at Washington Hospital.

100,000 Specter 

Rhode Island Quality Institute, Providence, RI, to build a health information 

exchange.

700,000 Whitehouse, Reed 

Rice University, Houston, TX, for equipment for the Collaborative Research 

Center.

500,000 Hutchison 

Riverside County, Moreno Valley, CA, for Riverside County Regional Medical 

Center Trauma Center renovation.

500,000 Feinstein 

Riverside Healthcare, Kankakee, IL, for a computerized physician order entry 

system.

350,000 Obama 

Rochester General Hospital, Rochester, NY, for heart failure equipment and 

training.

250,000 Clinton, Schumer 

Roper/Saint Francis Healthcare, Charleston, SC, for the expansion initiative for 

construction, renovation, and equipment.

200,000 Graham 

Rosebud Alcohol Drug Treatment Center, Rosebud, SD, for the construction of 

a treatment wing.

800,000 Johnson 

Rosebud Inter-facility Transport, Rosebud, SD, for purchase of emergency vehicles and equipment.200,000 Johnson 

Rural Wisconsin Health Cooperative, Sauk City, WI, for health information technology.225,000 Kohl 

Sac and Fox Tribe of the Mississippi in Iowa for a Tribal Health Care Clinic .... 750,000 Harkin 

Sacred Heart Hospital of Allentown,, Allentown, PA, for equipment ..................... 100,000 Specter 

Saint Agnes Hospital, Baltimore, MD, for equipment ........................................... 850,000 Mikulski, Cardin 

Saint Alphonsus Regional Medical Center, Boise, ID, for rural emergency medical services training and equipment.250,000 Craig 

Saint Ambrose University, Davenport, IA, for the construction of a Center for 

Health Sciences Education.

500,000 Harkin, Grassley 

Saint Anthony Hospital, Oklahoma City, OK, for construction, renovation, and 

equipment of a Level II Newborn Nursery.

100,000 Inhofe 

Saint Bernard Health Center, Inc., Chalmette, LA, for construction, renovation 

and equipment.

1,500,000 Landrieu, Vitter 

Saint Croix Regional Family Health Center, Princeston, ME, for construction, 

renovation, and equipment.

180,000 Collins, Snowe 

Saint Francis Hospital, Escabana, MI, for construction, renovation and equipment.300,000 Levin, Stabenow 

Saint Francis University, Loretto, PA, for equipment ............................................ 100,000 Specter 

Saint Joseph’s Hospital, Nashua, NH, for the Patient Focused Technology Initiative.700,000 Sununu, Gregg 

Saint Joseph’s Hospital, Phoenix, AZ, to purchase and equip a mobile prenatal 

clinic for the MoMobile program.

500,000 Kyl 

Saint Louis Children’s Hospital, St. Louis, MO, for construction, renovation, and 

equipment of the Neonatal Intensive Care Unit Expansion.

1,000,000 Bond 

Saint Luke’s Episcopal Hospital, Houston, TX, for equipment for the Neuroscience Center.200,000 Hutchison 

Saint Luke’s Hospital, Allentown, PA, for construction and equipment ............... 100,000 Specter 

Saint Luke’s Miners Memorial Hospital, Coaldale, PA, for equipment ................. 100,000 Specter 
71 

Project Committee recommendation Requested by 

Saint Luke’s Regional Medical Center, Boise, ID, for construction, renovation, 

and equipment.

200,000 Craig, Crapo 

Saint Mary Medical Center, Langhorne, PA, for health outreach programs ......... 100,000 Specter 

Saint Mary’s Good Samaritan Hospital, Mount Vernon, IL, for equipment ........... 500,000 Durbin 

Saint Mary’s Hospital Incorporated, Waterbury, CT, for construction, renovation 

and equipment.

650,000 Lieberman, Dodd 

Saint Mary’s Medical Center, Lewiston, ME, for equipment ................................. 205,000 Collins, Snowe 

Saint Patrick Hospital and Health Sciences Center, Missoula, MT, to implement 

an electronic medical records system.

400,000 Baucus, Tester 

Saint Peter’s Hospital, Helena, MT, for construction, renovation and equipment.150,000 Baucus 

Saint Vincent Healthcare Foundation, Billings, MT, for a feasibility study on the 

establishment of the Montana Children’s Hospital Network.

750,000 Baucus, Tester 

Saint Vincent Regional Medical Center, Santa Fe, NM, for construction, renovation, and equipment.750,000 Domenici, Bingaman 

Saint Vincent’s Hospital, Bridgeport, CT, for renovation and equipment ............. 200,000 Dodd 

San Diego County, Santee, CA, to purchase equipment for Edgemoor Hospital 

renovation.

500,000 Feinstein 

San Francisco, CA, for HIV/AIDS outreach programs ............................................ 700,000 Feinstein 

San Luis Valley Regional Medical Center, Alamosa, CO, for health information 

technology.

200,000 Salazar 

Sanford Health Mid-Dakota Medical Center, Chamberlain, SD, for medical 

equipment.

100,000 Johnson 

Seattle Cancer Care Alliance, Seattle, WA, for equipment ................................... 1,500,000 Murray, Cantwell 

Sharon Regional Health System, Sharon, PA, for equipment ................................ 100,000 Specter 

Shodair Children’s Hospital, Helena, MT, for project Cancer Genetics ................. 150,000 Baucus 

Sierra Vista Hospital, Truth or Consequences, NM, for construction, renovation, 

and equipment.

750,000 Domenici, Bingaman 

Sixteenth Street Community Health Center, Milwaukee, WI, for renovations ........ 325,000 Kohl 

Soldiers & Sailors Memorial Hospital, Wellsboro, PA, for emergency department 

expansion.

100,000 Specter 

Somerset Hospital, Somerset, PA, for equipment .................................................. 100,000 Specter 

South Carolina Office of Rural Health, Lexington, SC, for an electronic medical 

records system.

200,000 Graham 

South Dakota State University, Brookings, SD, for construction of a pharmacy 

education space.

300,000 Johnson 

South Dakota State University, Brookings, SD, to construct the Center for Accelerated Design, Screen, and Development of Biomaterials.350,000 Johnson 

South Sound Health Communication Network, Tacoma, WA, for a community 

Health Record Bank.

250,000 Cantwell 

Southcentral Foundation, Anchorage, AK, to purchase equipment for the Primary Care Center in Anchorage, Alaska.750,000 Stevens 

Southern Methodist University, Dallas, TX, for facilities and equipment at the 

Southwestern Consortium for Anti-Infectives and Virological Research.

200,000 Hutchison 

Stone Soup Group, Anchorage, AK, to continue and expand services to Alaskans 

with autism in Alaska.

200,000 Stevens 

Straub Hospital Burn Center, HI, for health professions training in burn treatment.100,000 Inouye 

Susquehanna Health System, Williamsport, PA, for equipment ............................ 100,000 Specter 

Swedish Medical Center, Seattle, WA, for construction, renovation and equipment.250,000 Cantwell 

Temple University Health System, Philadelphia, PA, for construction and renovation.200,000 Specter, Casey 

Tennessee State University, Nashville, TN, for construction, renovation, and 

equipment of an animal research facility for biomedical research.

250,000 Alexander 

Texas A&M University, College Station, TX, for equipment in the Michael E. 

DeBakey Institute.

300,000 Hutchison 

Texas Health Institute, Austin, TX, for equipment for an emergency communications demonstration project.200,000 Hutchison 

Texas Medical Center, Houston, TX, for the National Center for Human Performance.200,000 Hutchison 

Thomas Jefferson University Hospital, Philadelphia, PA, for construction and 

equipment.

200,000 Specter, Casey 

Toumey Health Care System, Sumter, SC, for equipment ..................................... 100,000 Graham 
72 

Project Committee recommendation Requested by 

Touro University, Henderson, NV, for construction and equipment for the Center 

for Autism Spectrum Disorders.

500,000 Reid 

Translational Genomics Research Institute, Phoenix, AZ, for construction, renovation, and equipment.500,000 Kyl 

Trinitas Health Foundation, Elizabeth, NJ, for construction, equipment and renovation.200,000 Menendez, Lautenberg 

Trinity County, Weaverville, CA, for renovation and equipment to Mountain 

Community Medical Services.

100,000 Boxer 

Tyrone Hospital, Tyrone, PA, for equipment ........................................................... 100,000 Specter 

UMass Memorial Health Care in Worcester, MA for a high-speed network and 

Picture Archiving and Communication System.

900,000 Kennedy, Kerry 

University of Alabama, Tuscaloosa, AL, for construction, renovation, and equipment.11,000,000 Shelby 

University of Alaska Statewide Office, Fairbanks, AK, for the Health Distance 

Education Program in Alaska.

500,000 Stevens 

University of Alaska Statewide Office, Fairbanks, AK, to develop and implement 

a statewide health agenda in Alaska.

750,000 Stevens 

University of Alaska/Anchorage, Anchorage, AK, for the Geriatric and Disabled 

Care Training Program in Anchorage, Alaska.

250,000 Stevens 

University of Colorado, Denver, CO, for construction, renovation, and equipment.300,000 Allard, Salazar 

University of Delaware, Newark, DE, for the Delaware Biotechnology Institute ... 450,000 Biden, Carper 

University of Findlay, Findlay, Ohio, for public health training programs ........... 250,000 Brown 

University of Georgia, Athens, GA, for construction, renovation, and equip 

ment.

100,000 Chambliss 

University of Iowa, Iowa City, IA, for the School of Public Health ....................... 3,000,000 Harkin 

University of Iowa, Iowa City, IA, for the Iowa Institute for Biomedical Discovery.5,000,000 Harkin, Grasssley 

University of Kentucky Research Foundation, Lexington, KY, for equipment and 

renovation.

1,500,000 McConnell 

University of Kentucky Research Foundation, Lexington, KY, for the Kentucky 

Oral Health Initiative.

500,000 McConnell 

University of Louisville Research Foundation, Louisville, KY, to upgrade and expand cardiovascular facilities at the University of Louisville.10,750,000 McConnell 

University of Maryland School of Nursing, Baltimore, MD, for the Institute for 

Educators in Nursing and Health Professions.

1,000,000 Mikulski, Cardin 

University of Miami Miller School of Medicine, Miami, FL, for the Center for Patient Safety.500,000 Bill Nelson 

University of Minnesota, Minneapolis, MN, for construction, renovation, and 

equipment.

350,000 Coleman, Klobuchar 

University of Mississippi Medical Center, Jackson, MS, for construction, renovation, and equipment at the Arthur C. Guyton Laboratory Building.3,000,000 Cochran 

University of Mississippi Medical Center, Jackson, MS, for equipment for the 

School of Dentistry.

150,000 Cochran 

University of Mississippi School of Pharmacy, University, MS, for construction, 

renovation, and equipment.

2,200,000 Cochran 

University of Mississippi, University, MS, for Phase II of the National Center for 

Natural Products Research.

5,000,000 Cochran 

University of Mississippi, University, MS, for the Center for Thermal Pharmaceutical Processing.500,000 Cochran 

University of Nebraska Medical Center, Omaha, NE, for construction of a cancer floor.900,000 Ben Nelson 

University of Nebraska Medical Center, Omaha, NE, for construction, renovation 

and equipment at the College of Nursing in Lincoln, Nebraska.

200,000 Hagel, Ben Nelson 

University of Nebraska Medical Center, Omaha, NE, for the NEED-IT program 

for statewide lung cancer screenings.

100,000 Hagel, Ben Nelson 

University of Nevada Health Sciences System, Las Vegas, NV, for construction 

and equipment.

1,000,000 Reid 

University of Nevada School of Medicine, Center for Molecular Medicine, Reno, 

NV, for the purchase of equipment and for construction.

1,500,000 Reid 

University of Nevada, Las Vegas, NV, for construction at the School of Public 

Health.

600,000 Reid 

University of New Mexico, Albuquerque, NM, for construction, renovation, and 

equipment.

3,750,000 Domenici 
73 

Project Committee recommendation Requested by 

University of North Dakota School of Medicine and Health Services, Grand 

Forks, ND, for construction of a forensic facility.

1,500,000 Dorgan, Conrad 

University of Pennsylvania, Philadelphia, PA, for equipment ............................... 200,000 Specter, Casey 

University of Pittsburgh Cancer Institute, Pittsburgh, PA, for equipment ............ 200,000 Specter 

University of Pittsburgh Medical Center, Pittsburgh, PA, for equipment ............. 100,000 Specter 

University of South Alabama, Mobile, AL, for renovation and equipment ............ 600,000 Sessions 

University of South Dakota, Vermillion, SD, for biomedical laboratory facilities 

and equipment.

200,000 Johnson 

University of South Dakota Sanford School of Medicine, Vermillion, SD, for 

medical equipment.

2,000,000 Johnson 

University of Tennessee Health Science Center, Memphis, TN, for equipment at 

the regional biocontainment laboratory.

250,000 Alexander 

University of Texas M.D. Anderson Cancer Center, Houston, TX, for equipment .. 500,000 Hutchison 

University of Texas Medical Branch at Galveston, Galveston, TX, for equipment.250,000 Hutchison 

University of Washington, Seattle, WA, for the Bothell Nursing Faculty Consortium.200,000 Cantwell 

University of Wisconsin Oshkosh, Oshkosh, WI, for construction and equipment 

of a primary care facility.

150,000 Kohl 

University of Wisconsin Superior, Superior, WI, for construction and equipment.200,000 Kohl 

Valley Baptist Health System, Harlingen, TX, for the Hispanic Stroke Care Center of Excellence for equipment.200,000 Hutchison 

Vermont Information Technology Leaders, Inc, Montpelier, VT, for health information technology.500,000 Leahy 

Village of Kiryas Joel, NY, for construction of a primary care clinic .................... 150,000 Clinton, Schumer 

Virginia Dental Health Foundation, Richmond, VA, for the Mission of Mercy 

project.

100,000 Warner, Webb 

Virginia Primary Care Association, Richmond, VA, for health information technology.200,000 Webb, Warner 

WakeMed Health & Hospitals, Raleigh, North Carolina, for the Emergency Operations and Regional Call Center.200,000 Dole 

Washingon State University, Seattle, WA, for construction and equipment at 

the College of Nursing.

1,500,000 Murray, Cantwell 

Wayne Memorial Hospital, Honesdale, PA, for equipment ..................................... 100,000 Specter 

Wayne Memorial Hospital, Jesup, GA, for construction, renovation, and equipment.100,000 Chambliss, Isakson 

Wentworth-Douglass Hospital, Dover, NH, for equipment ..................................... 450,000 Gregg, Sunune 

Wesley College, Dover, DE, for the expansion of the nursing program ................ 200,000 Carper, Biden 

West Virginia University, for the construction and equipping of medical simulation research and training centers in Morgantown, Charleston and Martinsburg.

3,150,000 Byrd 

West Virginia University, for the construction of a Multiple Sclerosis Center ..... 4,050,000 Byrd 

Westerly Hospital, Westerly, RI, for construction, renovation and equipment ...... 500,000 Reed 

Western Kentucky University Research Foundation, Bowling Green, KY, for the 

Western Kentucky University Mobile Health Screening Unit.

500,000 McConnell 

Western Pennsylvania Hospital, Pittsburgh, PA, for construction ......................... 100,000 Specter 

Wetzel County Hospital, WV, for the expansion and remolding of the Emergency 

Department.

1,000,000 Byrd 

Whitman Walker Clinic of Northern Virginia, Arlington, VA, for construction, 

renovation and equipment.

150,000 Webb, Warner 

Wills Eye Health System, Philadelphia, PA, for equipment ................................... 100,000 Specter 

Wistar Institute, Philadelphia, PA, for construction .............................................. 100,000 Specter 

Wolfson Children’s Hospital, Jacksonville, FL, for equipment ............................... 500,000 Bill Nelson 

Wyoming Health Resources Network, Inc., Cheyenne, WY, to expand recruitment 

and retention of medical professionals in Wyoming.

500,000 Enzi 

Wyoming Valley Health Care System-Hospital, Wilkes-Barre, PA, for equipment.100,000 Specter 

Youth Crisis Center, Jacksonville, FL, for construction, renovation, and equipment.100,000 Martinez, Bill Nelson 

The Committee intends that these funds be disbursed as direct 

subsidy payments. The Committee directs HRSA to develop this 

program with appropriate safeguards to assure compliance by re-
74 

cipients with the intended uses of these funds and with other applicable requirements, such as civil rights statutes and the National 

Historic Preservation Act. Further, the Committee intends that 

when these funds are used for purchase, construction or major alteration of real property or the purchase of equipment, the Federal 

interest in the property will last for a period of 5 years following 

the completion of the project or until such time that the Government is compensated for its proportionate interest in the property 

if the property use changes or the property is transferred or sold, 

whichever time period is less. At the conclusion of that time period, 

the Federal interest in that property shall be terminated. 

The Committee has included bill language to terminate after 5 

years the Federal interest in buildings and equipment funded in 

this line item. The Committee is aware of situations in which 

HRSA has had to track obsolete pieces of equipment, such as old 

medical equipment, for years after the useful life of the equipment 

has ended. The Committee is also aware of situations in which 

HRSA has had to track Federal interest of less than 2 percent of 

total value of a building for years after the completion of construction. The bill language should alleviate these unintended consequences of the grant process. 

Telehealth 

The Committee provides $7,000,000 for telehealth activities. The 

fiscal year 2007 comparable level and the budget request for fiscal 

year 2008 were both $6,819,000. The telehealth program funded 

through the Office for the Advancement of Telehealth promotes the 

effective use of technologies to improve access to health services for 

people who are isolated from healthcare and distance education for 

health professionals. 

The Committee intends for HRSA to continue to carry out activities initiated in fiscal year 2006 related to the telehealth resource 

centers, network grants, telehomecare, and the programs under 

which health licensing boards or various States cooperate to develop and implement policies that will reduce statutory and regulatory barriers to telehealth. 

Program Management 

The Committee provides $145,000,000 for program management 

activities for fiscal year 2008. The fiscal year 2007 comparable level 

was $146,294,000 and the budget request for fiscal year 2008 was 

$144,191,000. 

The Committee commends HRSA for working with stakeholders 

to develop recommendations and implement cost effective clinical 

pharmacy services to improve patient health outcomes as components of federally qualified health centers, rural hospital programs, 

academic medical centers, Indian Health Service programs, Ryan 

White programs, and all HRSA supported programs in which medications play an integral part of patient care. The Committee looks 

forward to receiving a report of these activities. The Committee 

strongly encourages HRSA to continue to develop and implement 

cost effective clinical pharmacy programs in all of the various safety net provider settings. 
75 

The Committee further encourages HRSA to establish a pharmacy collaborative to identify and implement best practices, which 

may improve patient care by establishing the pharmacist as an integral part of a patient-centered, interprofessional health care 

team. 

HEALTH EDUCATION ASSISTANCE LOANS

The Committee provides $1,000,000 to liquidate obligations from 

loans guaranteed before 1992. The fiscal year 2007 comparable 

level was $4,000,000 and the budget request for fiscal year 2008 

was $1,000,000. For administration of the HEAL program including the Office of Default Reduction, the Committee provides 

$2,906,000. The fiscal year 2007 comparable level was $2,898,000 

and the budget request for fiscal year 2008 was $2,906,000. 

The HEAL program insures loans to students in the health professions. The Budget Enforcement Act of 1990, changed the accounting of the HEAL program. One account is used to pay obligations arising from loans guaranteed prior to 1992. A second account 

was created to pay obligations and collect premiums on loans guaranteed in 1992 and after. Administration of the HEAL program is 

separate from administration of other HRSA programs. 

NATIONAL VACCINE INJURY COMPENSATION PROGRAM

The Committee provides that $61,075,000 be released from the 

vaccine injury compensation trust fund in fiscal year 2008, of which 

$3,528,000 is for administrative costs. The total fiscal year 2007 

comparable level was $59,853,000 and the total budget request for 

fiscal year 2008 was $61,075,000. 

The National Vaccine Injury Compensation program provides 

compensation for individuals with vaccine-associated injuries or 

deaths. Funds are awarded to reimburse medical expenses, lost 

earnings, pain and suffering, legal expenses, and a death benefit. 

The vaccine injury compensation trust fund is funded by excise 

taxes on certain childhood vaccines. 

CENTERS FOR DISEASE CONTROL AND PREVENTION

DISEASE CONTROL, RESEARCH, AND TRAINING

Appropriations, 2007 ............................................................................. $6,202,672,000 

Budget estimate, 2008 ........................................................................... 5,982,651,000 

Committee recommendation ................................................................. 6,426,833,000 

The Committee provides a program level of $6,426,833,000 for 

the Centers for Disease Control and Prevention [CDC]. The Committee recommendation includes $6,157,169,000 in budget authority and an additional $269,664,000 via transfers available under 

section 241 of the Public Health Services Act. The fiscal year 2007 

comparable program level was $6,202,672,000 and the program 

level budget request for fiscal year 2008 was $5,982,651,000. 

The Committee notes that an additional $158,000,000 is appropriated within the Public Health and Social Services Emergency 

Fund in this act and will be transferred to the CDC for activities 

to prepare for an influenza pandemic. These amounts are included 

in the President’s request for CDC, but not in the Committee recommendation figures below. Including the pandemic funding, the 
76 

comparable fiscal year 2008 programmatic amount total for CDC 

would be $6,584,513,000. 

The activities of the CDC focus on several major priorities: provide core public health functions; respond to urgent health threats; 

monitor the Nation’s health using sound scientific methods; build 

the Nation’s health infrastructure to insure our national security 

against bioterrorist threats; assure the Nation’s preparedness for 

emerging infectious diseases and potential pandemics; promote 

women’s health; and provide leadership in the implementation of 

nationwide prevention strategies to encourage responsible behavior 

and adoption of lifestyles that are conducive to good health. All 

comparisons to fiscal year 2007 and the fiscal year 2008 budget request account for various reprogrammings and rescissions. These 

are not reflected in the table at the back of this report. 

INFECTIOUS DISEASES

The Committee recommends $1,774,877,000 for infectious disease 

related programs at the CDC. The fiscal year 2007 comparable 

level was $1,804,231,000 and the comparable budget request level 

for fiscal year 2008 was $1,794,368,000. The Committee recommendation includes $12,794,000 in transfers available under 

section 241 of the Public Health Services Act. 

The Coordinating Center for Infectious Disease reorganized in 

fiscal year 2007. The new four center structure includes: Zoonotic, 

Vector Borne, and Enteric Diseases; Preparedness, Detection and 

Control of Infectious Diseases; HIV/AIDS, Viral Hepatitis, STD and 

TB Prevention; and Immunization and Respiratory Diseases. 

Zoonotic, Vector Borne, and Enteric Diseases 

The Committee has included $70,070,000 for fiscal year 2008 for this center. The fiscal year 2007 level was $70,070,000 and the 

2008 budget request was $62,952,000. This Center provides outbreak investigation, infection control and scientific evaluations of 

zoonotic, vector borne and enteric diseases; and conducts food-borne 

illness surveillance and investigation. All activities in this Center 

have been funded at last year’s level. 

Chronic Fatigue Syndrome.—The Committee has included funding to continue a public awareness campaign on chronic fatigue 

syndrome. The Committee also commends the excellent work of the 

CDC’s CFS research program and its systems biology approach to 

CFS and understands that it is recognized as a leading program 

globally. The Committee awaits reports from CDC regarding how 

the organizational restructuring will impact the CFS program and 

how CDC will address emerging evidence concerning human 

herpesvirus 6A and Epstein-Barr virus and CFS. 

Food Safety.—The Committee notes that 76 million Americans 

suffer from food borne illnesses each year and the CDC coordinates 

with State and local health officials to respond to the most severe 

outbreaks. The Committee is concerned by recent E. coli outbreaks 

linked to spinach and lettuce, and urges the CDC to work with the 

Food and Drug Administration to prevent future outbreaks. 

Morgellons Disease.—The Committee urges the Centers for Disease Control and Prevention to study an unexplained skin condition commonly known as Morgellons Disease, which affects over 
77 

10,000 individuals with skin lesions, joint pain, and neurological 

difficulties, among other symptoms. The Committee encourages the 

Centers for Disease Control and Prevention to work as quickly as 

possible to plan and begin this important research to increase the 

amount of information available to practitioners and the public. 

West Nile Virus.—The Committee is aware of the active role that 

State laboratories play in testing for west nile virus. This highly 

seasonal activity is at the forefront of the public’s interaction with 

local health departments and labs. The Committee strongly supports these efforts and has rejected the proposed cut to these important activities. 

Preparedness, Detection and Control of Infectious Diseases 

The Committee has included $156,966,000 for fiscal year 2008 for 

this Center. The comparable level for fiscal year 2007 was 

$155,966,000 and the budget request for fiscal year 2008 was 

$129,641,000. This Center builds epidemiology and laboratory capacity and provides technical assistance to identify and monitor infectious diseases. With the exception noted below, all activities in 

this Center are funded at the same level as the 2007 operating 

plan. 

Antimicrobial Resistance.—The Committee is aware that infectious pathogens such as methicillin-resistant Staphylosossus 

aureus [MRSA] are rapidly gaining new forms of resistance to 

available antimicrobial drugs. The Committee commends the CDC 

for its work in tracking trends over time in community acquired 

MRSA [CA–MRSA] and urges the CDC to continue supporting this 

surveillance effort. The Committee further encourages the CDC to 

strengthen research on CA–MRSA prevention, control and treatment strategies, including the expansion and routinization of it collection of isolates of resistant pathogens from a broad range of sites 

for analysis by CDC experts. Finally, the Committee encourages 

the CDC to post timely and pertinent information available to the 

public through its website. 

Emerging Infectious Diseases.—The Committee provides 

$136,671,000 for all other emerging infectious diseases. This increase of $1,000,000 will provide sufficient resources to expand laboratory capacity, research and support for detecting and characterizing influenza and other infectious diseases. 

Prevention Epicenter Program.—The Committee applauds CDC’s 

support for the Prevention Epicenter Program and has provided 

sufficient resources to continue this program to address patient 

safety issues. 

HIV, Viral Hepatitis, STD, and TB Prevention 

The Committee has included $1,020,191,000 for the activities at 

this Center in fiscal year 2008. The fiscal year 2007 level was 

$1,010,191,000 and the 2008 budget request was $1,056,798,000. 

Recognizing the intersection among these diseases, and the need 

for a focal point for leadership and accountability, CDC combines 

HIV, STD, Viral Hepatitis, and TB activities to provide leadership 

in preventing and controlling human immunodeficiency virus infection, other sexually transmitted diseases [STDs], and tuberculosis. 

CDC works in collaboration with partners at community, State, na-
78 

tional, and international levels, applying multi-disciplinary programs of research, surveillance, technical assistance, and evaluation. These diseases are not yet vaccine preventable and must be 

controlled and prevented by identifying, diagnosing, and treating 

infected persons; providing confidential, culturally competent counseling to identify and reach those who have been exposed to infection and who may not know it; and promoting individual and population level health to reduce high risk behaviors. With the exception of an additional $10,000,000 for TB prevention activities, the 

Committee has provided funding at the level of the fiscal year 2007 

operating plan. 

Hepatitis and Diversity.—The Committee continues to be concerned with the high prevalence of hepatitis among Asian Americans. One out of ten Asian Americans are affected with hepatitis 

B, which along with hepatitis C is associated with an increased incidence of liver cancer. The Committee encourages the CDC to develop targeted research and approaches towards the Asian American community in its work on hepatitis. 

Hepatitis B.—The Committee applauds CDC’s efforts to develop 

and implement a new strategy to screen at risk individuals for 

chronic hepatitis B. As only approximately one-third of individuals 

with hepatitis B are aware of their condition, the Committee urges 

CDC to continue to collaborate with NIDDK in the development of 

a public health strategy to expand the screening of individuals at 

risk for chronic hepatitis B. In addition, the Committee notes that 

accurate national statistics are lacking as to the number of Americans infected with hepatitis B, as existing population-based surveys 

have not included Asian/Pacific Islander groups in whom hepatitis 

B is by far the most common. The Committee urges CDC to continue to implement the recommendations of the National Hepatitis 

C Prevention strategy and the report of the National Viral Hepatitis roundtable. 

Hepatitis C.—The Committee notes that, as 2008 will be the 10th 

anniversary of the National Hepatitis C Prevention Strategy, this 

plan may need to be reviewed and updated. The Committee continues to be concerned that less than half the people infected with 

hepatitis C are aware of their condition, and encourages any update of the strategy to include an aggressive screening program. In 

addition to targeting at-risk populations, the Committee encourages the consideration of age based screening policies to more effectively reach infected populations. 

Hepatitis Prevention.—The Committee continues to be concerned 

about the prevalence of hepatitis and urges CDC to promote liver 

wellness with increased attention to childhood education and primary prevention. 

HIV/AIDS Initiative.—The Committee is strongly supportive of 

the HIV/AIDS initiative begun in fiscal year 2007 and has included 

sufficient funding to maintain that effort within CDC’s HIV/AIDSrelated activities. Although approximately 1 million Americans 

have been infected with HIV, approximately 25 percent are unaware of their infection. This results in increased spread of the disease, as persons who are aware of their infection are more likely 

to modify their behaviors to avoid transmission to others. The Committee notes that quick HIV tests that can provide results in less 
79 

than an hour are a critical component of the initiative. The Committee continues to support bulk purchases of HIV quick tests for 

distribution to providers. 

In fiscal year 2007, the Committee provided no funding for the 

Early Diagnosis and Screening program authorized in section 2625 

of the Public Health Service Act because no State was eligible for 

the program. The Committee is aware of legislation pending in several States that may qualify those States for funding under this 

program. Therefore, the Committee has provided $30,000,000 for 

the program within HIV prevention funding, should States become 

eligible. 

Infertility Prevention.—The Committee notes that there are multiple causes for infertility including ovulatory and hormonal disorders, blocked fallopian tubes, endometriosis and cervical problems among women and poor sperm quality, motility and count 

among men. There are also recognized risk factors that contribute 

to these causes in addition to sexually transmitted diseases, which 

have been the primary focus of CDC’s education on infertility risks. 

These factors include delayed child bearing, smoking, low or excessive body weight and other chronic conditions, exposures to hazardous environmental toxins and contaminants, drug and alcohol 

abuse, diabetes, cancer and, particularly for men, exposure to high 

temperatures. The Committee encourages CDC to consider expanding the scope of this program and provide greater support to public 

education on the risks to fertility. 

Tuberculosis.—The Committee understands that tuberculosis 

[TB] is an enormous health crisis in the developing world, killing 

2 million people every year. Despite the development of effective 

treatments against TB 50 years ago, approximately a third of the 

world’s population is currently infected. 

At a recent hearing, the Committee heard testimony about current testing methods that take 6 to 16 days to correctly diagnose 

the presence of TB bacteria. The Committee is concerned by this 

long delay. The Department of Defense has been working on biological and chemical detection and identification technology that 

can confirm the presence of specific bacteria in just 2 hours. This 

technology is currently being developed to identify chemical and biological threat agents but may be adapted for use in medical diagnosis. The Committee encourages the CDC to work with the Department of Defense and the National Institutes of Health to develop new diagnostic tools to identify TB more rapidly. 

Drug Resistant Tuberculosis.—The Committee has heard testimony about drug resistant tuberculosis and extensively drug resistant TB [XDR–TB]. The Committee is concerned that the underfunding of TB treatment programs worldwide is contributing to this 

dangerous illness. The Committee has included $10,000,000 over 

the fiscal year 2007 operating plan for TB in an effort to shore up 

the public health efforts to prevent TB in general and its progression into XDR–TB. The Committee remains hopeful about the ability of the United States to meet its TB elimination goals. 

The Committee understands that Phase II of CDC’s new formula 

under the TB Elimination and Laboratory Cooperative Agreements 

is scheduled to be implemented in fiscal year 2008. The Committee 
80 

expects the CDC to implement Phase II within the increase provided. 

Immunization and Respiratory Diseases 

The Committee has included a program level of $527,650,000 for 

the activities of this Center in fiscal year 2008. The comparable 

level for fiscal year 2007 was $568,004,000 and the budget request 

included $544,977,000 for this Center. The Committee notes that 

the fiscal year 2007 level and budget request for 2008 include funding to prepare for an influenza pandemic, an activity that the Committee has chosen to fund through the Public Health and Social 

Service Emergency Fund. This Center supports the immunization 

efforts of States by purchasing vaccines and supporting infrastructure; building domestic and international capacity to address annual influenza; and continuously monitoring vaccines for safety. 

With the exception of influenza activities noted below, all of the activities of this Center are funded at the 2007 comparable level. The Committee recommends $457,523,000 for the program authorized under section 317 of the Public Health Service Act. The 

fiscal year 2007 comparable level was $457,523,000 and the budget 

request for fiscal year 2008 was $425,123,000. The Committee recommendation includes $12,794,000 in transfers available under 

section 241 of the Public Health Service Act. 

The Omnibus Reconciliation Act of 1993 established a vaccine 

purchase and distribution system that provides, free of charge, all 

pediatric vaccines recommended for routine use by the Advisory 

Committee on Immunization Practices to all Medicaid-eligible children, uninsured children, underinsured, and native Americans 

through program-registered providers. 

Immunization project grants are awarded to all 50 States, six cities and eight current or former territories for planning, developing, 

and conducting childhood immunization programs including enhancement of the vaccine delivery infrastructure. CDC directly 

maintains a stockpile of vaccines, supports consolidated purchase of 

vaccines for State and local health agencies, and conducts surveillance, investigations, and research into the safety and efficacy of 

new and presently used vaccines. 

The Committee understands that infrastructure costs of delivering vaccines to children in remote areas are substantially higher 

than in other areas of the country, because of the distances that 

must be traveled to administer the vaccine. Some communities are 

so remote, they must be served primarily by air, dramatically increasing the cost of each dose. The Committee encourages CDC to 

increase section 317 grant support for infrastructure development 

and purchase of vaccines for States facing these extreme challenges. 

Adolescent and Adult Immunizations.—The Committee recognizes the success that vaccines research and development, as well 

as a strong national immunization program, have played in protecting children, adolescents, and adults against many previously 

life-threatening and debilitating infectious diseases. The section 

317 program, overseen by CDC’s National Center for Immunization 

and Respiratory Diseases, has demonstrated success by helping to 

raise childhood immunization coverage rates across the United 
81 

States to their highest levels. The Committee recognizes that 

States have not been able to direct sufficient resources toward 

adult immunization despite extremely high rates of vaccine-preventable deaths among adults. Moreover, States now face increased 

challenges in expanding coverage rates as several new, and expensive, vaccines are becoming available for all age groups. 

The Committee is pleased with the report on the 317 program 

that CDC provided, and expects the report to be updated and 

promptly submitted next year by February 1, 2008, to reflect fiscal 

year 2009 cost estimates. The updated report should also include 

an estimate of optimum State and local operations funding as well 

as CDC operations funding needed relative to current levels to conduct and support childhood, adolescent and adult programs. This 

estimate should include the cost of vaccine administration; surveillance and assessment of changes in immunization rates; vaccine 

storage, handling and quality assurance; implementation of centralized vaccine distribution and other vaccine business improvement practices; needs to support provider and public outreach and 

education on new vaccines; identification of barriers to immunization and strategies to address such barriers; maintenance, utilization, and enhancement of Immunization Information Systems [IIS] 

including integration with public health preparedness and other 

public health information technology systems; innovative strategies 

to increase coverage rates in hard-to-reach populations and geographic pockets of need; and other non-vaccine resource needs of a 

comprehensive immunization program. Each of these activities is 

critical to ensuring the delivery of life-saving vaccines to our nation. The Committee urges CDC to consider integrating the data 

from this report into its budget justification on an annual basis. 

Influenza.—The Committee includes $7,311,000 for influenza activities in fiscal year 2008. This funding level is not intended to 

support the pandemic flu activities that were requested in the 

President’s budget, as the Committee has appropriated all pandemic flu activities out of the Office of the Secretary Public Health 

and Social Services Emergency Fund. 

HEALTH PROMOTION

The Coordinating Center for Health Promotion includes the National Center for Chronic Disease Prevention and Health Promotion and the National Center for Birth Defects and Developmental Disabilities. 

The Committee recommends $979,876,000 for Health Promotionrelated activities at the CDC. The fiscal year 2007 comparable level 

was $959,662,000 and the budget request for fiscal year 2008 was 

$958,732,000. 

The Committee recognizes the important role national non-governmental health organizations play in increasing the awareness of 

chronic disease prevention and birth defects and development disabilities issues. 

CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION

The Committee has recommended $851,180,000 for chronic disease prevention and health promotion. The comparable level for fiscal year 2007 was $834,998,000 and the budget request for 2008 
82 

was $834,195,000. Within the total provided, the following amounts 

are available for the following categories of funding above the comparable amount for fiscal year 2007: $4,431,000 to expand heart 

disease and stroke-related activities; $2,000,000 to expand diabetes-related activities; $19,228,000 to expand cancer prevention and 

control activities; $1,000,000 to expand epilepsy and lupus-related 

activities; $2,000,000 to expand tobacco-related activities; 

$3,000,000 for nutrition physical activity and obesity; $775,000 to 

expand health promotion activities; $50,000 to expand safe motherhood and infant health activities; $500,000 for prevention centers; 

and $497,000 for Primary Immune Deficiency Syndrome. The Committee has included more specific information regarding the allocation of these increases below. With the exceptions noted, the Committee has provided funding at the level of the fiscal year 2007 operating plan. 

Chronic diseases have had a profound human and economic toll 

on our Nation. Nearly 125 million Americans today are living with 

some form of chronic condition, including cancer, cardiovascular 

disease, diabetes, arthritis, and various neurological conditions 

such as epilepsy. These and other chronic diseases now account for 

nearly 70 percent of all healthcare costs, as well as 70 percent of 

all deaths annually. A few modifiable risk factors bring suffering 

and early death to millions of Americans. Three such factors—tobacco use, poor nutrition, and lack of physical activity—are major 

contributors to our Nation’s leading causes of death. 

Alzheimer’s Disease and Healthy Aging.—There is growing scientific evidence that many of the same strategies that preserve 

overall health may also help prevent or delay the onset of Alzheimer’s disease and dementia. For example, epidemiological studies appear to link known risk factors for diabetes and heart disease 

with those for Alzheimer’s disease. Within the health promotion increase, the Committee has provided $150,000 over the fiscal year 

2007 level to continue CDC-supported activities to promote brain 

health and prevent Alzheimer’s disease. 

Cancer Prevention and Control.—The Committee is strongly supportive of the CDC cancer programs focused on awareness, education, and early detection and has included a significant increase 

for these programs. 

Within the amounts provided, the following amounts are provided for the specified activities above the comparable amount for 

fiscal year 2007: $10,000,000 to expand breast and cervical cancer 

activities including $6,535,000 to expand Wisewoman; $9,133,000 

to expand comprehensive cancer activities and $100,000 to expand 

activities related to cancer survivorship. All other cancer activities 

are funded at the fiscal year 2007 level. 

Colorectal Cancer.—The Committee is pleased with the leadership of CDC’s National Colorectal Cancer Roundtable in promoting 

the availability and advisability of screening to both health care 

providers and the general public. 

Cerebral Palsy.—The Committee is aware of new research into 

the prevalence of cerebral palsy in cases of preterm birth, which 

may indicate a potential correlation between cerebral palsy rates 

and neonatal treatments. This type of research highlights the need 

for epidemiologic data on cerebral palsy. The Committee requests 
83 

a report by July 31, 2008 on what types of data are most needed 

for a public health response to cerebral palsy and the strengths and 

weaknesses of the various methods of collecting epidemiologic data 

in this population. As part of that report, the Committee encourages the CDC to consider establishing cerebral palsy surveillance 

and epidemiology systems that would work in concert with similar 

disorders. 

Chronic Kidney Disease.—The Committee previously has expressed concern regarding the need to expand public health strategies to combat chronic kidney disease [CKD] given that many individuals are diagnosed too late to initiate treatment regimens that 

could reduce morbidity and mortality. The Committee has included 

$175,000 over the 2007 operating plan within the health promotion 

increase to continue planning for capacity and infrastructure at 

CDC for a kidney disease epidemiology, research and outcomes program and to institute a CKD surveillance system. The Committee 

encourages CDC to continue development of a Public Health Strategy for Chronic Kidney Disease. 

COPD Self Management Demonstration.—The Committee is 

aware that Chronic Obstructive Pulmonary Disease [COPD] is a 

chronic condition similar to diabetes that requires an aggressive 

self-management in order to prevent continued deterioration, hospitalization, and costly medical interventions. In view of the increasing mortality, morbidity, and cost to the Nation’s health care 

system, the Committee urges CDC to demonstrate and validate 

intervention and training protocols that are needed to improve 

health outcomes and reduce health care costs for COPD patients. 

Diabetes.—The Committee has included an increase of $2,000,000 

over the fiscal year 2007 level for diabetes-related activities. Approximately 14.6 million Americans have diabetes, and an estimated 6.2 million people are undiagnosed and therefore untreated. 

The Committee encourages CDC to conduct public awareness campaigns aimed at getting at-risk individuals to identify the stage of 

their diabetes and to prevent or slow the progression of their disease. In particular, the Committee is pleased with CDC’s goal to 

increase the percentage of individuals with diabetes who receive 

annual eye and foot exams, and at least two A1C measures per 

year. 

It is estimated that maintaining a certain blood glucose level 

(A1C target of 7 or below) would reduce complications of diabetes. 

The Committee encourages CDC to expand diabetes education activities to encourage individuals to be tested and know their A1C 

levels so they can take appropriate steps to control their conditions. 

SEARCH Study.—The Committee applauds the CDC and 

NIDDK for their strong support and continuation of the Search for 

Diabetes in Youth Study [SEARCH] which has, for the first time, 

assembled robust data on the epidemic of type 1 and type 2 diabetes in American youth. The Committee encourages the CDC to expand this important work, including the consideration of ancillary 

studies and innovative analyses on the biosamples collected 

through SEARCH. 

Diabetes and Obesity in Diverse Populations.—The Committee is 

concerned about the adverse health toll that the twin epidemics of 

diabetes and obesity are taking across the Nation. An informed and 
84 

culturally sensitive response is urgently needed to address this escalating epidemic. The Committee encourages CDC to fund projects 

of national and community organizations that have the capacity to 

carry out coordinated health promotion programs that will focus on 

diabetes and obesity in the general population and across minority 

communities. The Committee further encourages CDC to identify 

potential grantee organizations directed by and serving individuals 

from communities with disproportionate diabetes and obesity rates. 

The high incidence of diabetes among Native American, Native 

Alaskan, and Native Hawaiian populations persists. The Committee is pleased with the CDC’s efforts to target these populations. It is important to incorporate traditional healing concepts 

and to develop partnerships with community health centers. The 

Committee encourages CDC to build on all its historical efforts in 

this regard. 

Diabetic Kidney Disease.—The Committee strongly encourages 

the CDC to work closely with the National Institute of Diabetes, 

Digestive and Kidney Diseases to ensure that the biosamples and 

data from the Genetics of Kidneys in Diabetes collection are made 

available to the research community in a timely and efficient manner. 

Eating Disorders.—The Committee is concerned about the increasing prevalence of eating disorders affecting 8 to 10 million 

Americans. Research suggests that for females between 15 and 24 

years of age, the mortality rate associated with anorexia nervosa 

is 12 times higher than for all other causes of death. The Committee urges the CDC to implement data collection regarding the 

morbidity and mortality of anorexia nervosa, bulimia nervosa, and 

related eating disorders so that prevention and treatment strategies may be most effective. 

Epilepsy.—The Committee strongly supports the CDC epilepsy 

program, which has made considerable progress over the past decade in establishing and advancing a public health agenda to meet 

the needs of Americans with epilepsy. The Committee applauds 

CDC’s activities to train first-responders, educators, school nurses, 

employers, family caregivers and other health care professionals in 

the recognition, diagnosis and treatment of seizures. The Committee provides $500,000 over fiscal year 2007 levels to continue efforts to expand public health activities on behalf of persons with 

epilepsy. 

Food Allergy and Anaphylaxis Information.—The Committee encourages CDC to create an information center on food allergy and 

anaphylaxis. Food allergy is the leading cause of anaphylaxis (a severe, potentially life-threatening allergic reaction) outside the hospital setting, virtually all of which can be prevented with proper 

education. The Committee encourages the CDC to create a Center 

that will provide guidance to the public and health care professionals about how to avoid products with allergy-causing ingredients and how to respond to potentially life-threatening reactions to 

food allergens. 

Glaucoma and Other Vision Disorders.—Despite the fact that 

half of all blindness can be prevented, it is estimated that the number of blind and visually impaired people will double by 2030 if 

nothing is done to curb vision problems. Within the increase for 
85 

health promotion activities, the Committee has included an increase of $125,000 to expand vision screening programs in preventing blindness and vision impairments among many of the more 

than 30 million adults that suffer from eye-related disorders. 

In addition, the Committee is encouraged by the CDC’s exploration of strategies to implement a national initiative to combat the 

effects of eye-related disorders, especially glaucoma. Within the 

health promotion increase, the Committee has included an increase 

of $125,000 for the expansion of vision screening and education 

programs and to evaluate the efficacy of glaucoma screening using 

mobile units. 

Gynecologic Cancer Education and Awareness Program.—The 

Committee is encouraged by the progress that has been made by 

CDC, in coordination with the Office of Women’s Health at the 

Public Health Service, to initiate a national education campaign on 

Gynecologic Cancers. The Committee strongly urges the rapid completion of the evaluation of past and present activities to increase 

the awareness and knowledge regarding gynecologic cancers and 

the creation of a strategy for improving efforts to increase awareness and knowledge of the public and health care providers with 

respect to gynecological cancers. 

Heart Disease and Stroke.—The Committee remains strongly 

supportive of CDC’s new Division for Heart Disease and Stroke 

Prevention and has included $4,431,000 over the fiscal year 2007 

level to support and expand it’s work. Heart disease, stroke and 

other cardiovascular diseases continue to be the leading cause of 

death in every state; however, effective prevention efforts are not 

practiced universally. Additionally, the current surveillance systems in the United States cannot track our progress towards 

achieving our Healthy People 2010 goals to reduce the epidemic 

burden of heart disease and stroke. 

The Mississippi Delta Region experiences some of the Nation’s 

highest rates of chronic diseases, such as diabetes, hypertension, 

obesity, heart disease, and stroke. The Committee recognizes CDC’s 

expertise in implementing research and programs to prevent the 

leading causes of death and disability. The Committee is aware 

that CDC has been conducting a background community assessment of health and related social and environmental conditions in 

the delta. The Committee has provided $2,000,000 within the program, for CDC to continue and expand these activities (Requested 

by Senator Cochran). 

Inflammatory Bowel Disease.—The Committee understands that 

up to 1.4 million people in the United States may suffer from 

Crohn’s disease or ulcerative colitis, collectively known as inflammatory bowel disease [IBD]. Within the health promotion increase, 

the Committee has included $100,000 over the fiscal year 2007 operating plan level for these activities. 

Interstitial Cystitis.—The Committee understands the burden of 

lack of information regarding interstitial cystitis and supports the 

continuation of these activities at $100,000 over the fiscal year 

2007 funding level within the health promotion increase. 

Lupus.—The Committee recognizes that lupus is a serious, complex, debilitating chronic autoimmune disease that can cause inflammation and tissue damage to virtually any organ system in the 
86 

body and impacts between 1.5 and 2 million individuals. The Committee is concerned by the lack of reliable epidemiological data on 

the incidence and prevalence of all forms of lupus among various 

ethnic and racial groups. The Committee has included $500,000 

over the fiscal year 2007 operating plan level to continue and expand CDC’s lupus-related activities. 

Mind-Body Research.—The Committee continues to support 

mind-body research. The Committee supports this activity at the 

2007 funding level. 

Nutrition, Physical Activity, and Obesity.—The Committee has 

included $3,000,000 over the fiscal year 2007 level for nutrition, 

physical activity, and obesity activities. The Committee understands that the multiple factors contributing to the overweight and 

obesity epidemic took years to develop. Reversing the epidemic will 

require a long-term, well-coordinated, concerted approach to reach 

Americans where they live, work, play, and pray. Effective collaboration among the public, voluntary, and private sectors is critical 

to reshape the social and physical environment of our Nation’s communities and provide the necessary support, information, tools, and 

realistic strategies needed to reverse the current obesity trends nationwide. 

Given the large, preventable health and economic burden of poor 

nutrition, physical inactivity, and unhealthy body weight, the Committee encourages CDC to continue its leadership role in developing, implementing, and evaluating nutrition and physical activity 

population-based strategies to prevent and control overweight and 

obesity. Targeting prevention efforts throughout the lifespan—including children as young as toddlers—as well as promoting fruit 

and vegetable consumption through CDC’s Federal lead role in the 

national 5 A Day program, and increasing the proportion of children, adolescents, and adults who meet daily physical activity recommendations should remain priorities for the agency. The Committee has provided $1,000,000 above the fiscal year 2007 level to 

sustain and expand CDC’s support of the 5 A Day Program. 

Nutrition and Physical Activity Study.—Within the amount provided for Nutrition, Physical Activity and Obesity, the Committee 

has provided sufficient funds to conduct a study of the impact of 

school nutrition and physical activity programs on academic outcomes, including school attendance, student behavior, and student 

achievement on standardized tests. 

Nutrition and Salt Study.—Within the amount provided for Nutrition, Physical Activity and Obesity, the Committee has provided 

$1,000,000 for a study by the Institute of Medicine of the National 

Academy of Sciences that will examine and make recommendations 

regarding various means that could be employed to reduce dietary 

sodium intake to levels recommended by the Dietary Guidelines for 

Americans. These should include, but not be limited to, actions by 

food manufacturers, such as new product development and food reformulation, and governmental approaches, such as regulatory, legislative approaches, and public and professional information and 

education. 

The Committee continues to be concerned with the prevalence of 

obesity among Native Hawaiians. The Committee urges the CDC 

to use culturally-sensitive methods to promote diet, exercise, and 
87 

healthy behaviors in children, adolescents, and adults, particularly 

among Native Hawaiians. 

Office on Smoking and Health.—For years the Committee has expressed its strong support for OSH’s work to reduce tobacco use, 

the leading preventable cause of disease and death in America. The 

Committee recognizes that efforts to reduce smoking and other 

forms of tobacco use are among the most effective and cost effective 

investments in prevention that can be made. As a part of its efforts 

to improve health and reduce health care costs through prevention, 

the Committee has increased funding for OSH by $2,000,000 over 

the fiscal year 2007 level. 

In light of renewed efforts to more appropriately regulate tobacco 

products and to take better advantage of CDC’s unique laboratory 

capacity, the Committee intends that the increase in funding for 

OSH be used to support a substantially stepped up effort by the 

Environmental Health Laboratory to analyze tobacco products and 

cigarette smoke. These efforts are essential to providing critical information about how chemical make-up and product design influence the health consequences of tobacco products and how chemical 

additives, constituents and design affect the toxicity and 

addictiveness of tobacco products and the delivery of nicotine, carcinogens and other toxic substances. 

Oral Health.—The Committee recognizes that to effectively reduce disparities in oral disease will require improvements at the 

State and local levels. The Committee has provided sufficient funding to States to maintain their capacities to assess the prevalence 

of oral diseases, to target interventions, such as additional water 

fluoridation and school-linked sealant programs, and resources to 

the underserved, and to evaluate changes in policies, programs, 

and disease burden. The Committee encourages the CDC to advance efforts to reduce the disparities and health burden from oral 

cancers that are closely linked to chronic diseases such as diabetes 

and heart disease. 

Pioneering Healthier Communities.—The Committee has provided sufficient funding to support the Pioneering Healthier Communities initiative as proposed in the President’s budget, but at the 

same funding level as in fiscal year 2007. 

Prevention Centers.—The Committee encourages the continued 

support of center activities aimed at improving knowledge about 

the effective models for health promotion programs for persons 

with disabilities. The Committee has included $500,000 above the 

2007 operating plan for these centers. 

Primary Immunodeficiency Diseases.—The Committee has included $497,000 over the fiscal year 2007 level for CDC to support 

a national physician education and public awareness campaign, including a targeted outreach to underserved communities, featuring 

public service announcements, physician symposia, publications, a 

website and educational materials, and mailings to physicians, 

school nurses, daycare centers, and others. The Committee is 

pleased that the current campaign has generated more than 

$75,000,000 in donated media coverage and other contributions 

over 3 years, or about 10 private dollars for every public dollar invested. This has directly resulted in a three-fold increase in diagnosis, testing and treatment since the campaign began. 
88 

Prostatitis.—The committee encourages the CDC to consider expanding its investigation of the etiology of prostatitis. 

Public Health Genomics.—The coming era of personalized medicine has broad applicability for the field of public health. The Committee urges CDC to conduct and sponsor public health genomics 

research and develop appropriate programs to identify people at 

risk for disease and early death. CDC is further urged to use 

genomic information to provide targeted and personalized interventions that will prevent disease, disability, and death, and may ultimately save public resources. 

REACH Initiative.—The Committee recognizes the strengths that 

national/multi-geographical minority organizations may be able to 

provide to the REACH Initiative. Such organizations could have 

the capacity to influence communities through pre-existing coalitions and collaborative relationships. Such organizations may also 

be able to provide key support to local organizations that may lack 

the infrastructure needed to fully implement the programmatic activities required for this important program. The Committee urges 

CDC to include such organizations among the entities that are eligible to compete for funding without preventing other applicants 

from receiving these grants. 

Preterm Birth.—Preterm birth is a serious and growing public 

health problem that occurs in 12.5 percent of all births in the 

United States. The Committee encourages the CDC to conduct additional epidemiological studies on preterm birth, including the relationship between prematurity, birth defects and developmental 

disabilities. The Committee also encourages the establishment of 

systems for the collection of maternal-infant clinical and biomedical 

information to link with the Pregnancy Risk Assessment Monitoring System [PRAMS] and other epidemiological studies of prematurity in order to track pregnancy outcomes and prevent 

preterm birth. 

Sleep Disorders.—The Committee is pleased with the activities of 

the National Sleep Awareness Roundtable. The Committee encourages the CDC to continue activities to promote public awareness of 

the benefits of sleep. 

Steps to a Healthier United States.—The Committee applauds the 

Department’s continued commitment to tackling the problems of 

obesity, diabetes, and asthma. The Committee agrees that these 

are three of the most critical chronic conditions afflicting Americans. The Committee is concerned that existing programs that address these problems have not yet been implemented in all of the 

States. The Committee has provided the President’s request level 

to continue this initiative and existing programs within CDC that 

are aimed at obesity, diabetes, and asthma. The Committee strongly urges CDC to coordinate the efforts of these programs such that 

the best possible outcome is achieved using these limited funds. 

Sudden Infant Death Syndrome.—To prevent Sudden Infant 

Death Syndrome [SIDS], the Committee has included $261,000 for 

SIDS prevention activities. In addition, the Committee encourages 

CDC to consider supporting a National Campaign for Cribs pilot 

program. Such a pilot project may be composed of a public health 

education component for new parents and caregivers and seek to 
89 

provide a crib for babies whose mothers and caregivers cannot afford a proper sleeping environment for their children. 

BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, DISABILITY AND

HEALTH

The Committee has included $128,696,000 for birth defects, developmental disabilities, disability and health in fiscal year 2008. 

The comparable level for 2007 was $124,664,000 and the 2008 

budget request was $124,537,000. 

Within the total provided, the following amounts are provided 

above the comparable amount for fiscal year 2007 for the following 

catagories of funding: $200,000 for craniofacial malformation; 

$3,782,000 for activities within Human Development and Disability; and $50,000 for Cooley’s Anemia programs. With the exceptions noted, all other programs are funded at the level of the fiscal 

year 2007 request. 

Attention Deficit/Hyperactivity Disorder.—Within human development and disability funding, the Committee has included an increase of $100,000 to support and expand activities designed to provide information, support services and health professional education regarding attention deficit/hyperactivity disorder. 

Autism.—The Committee is aware of the progress that has been 

made with the autism programs at CDC. The Committee acknowledges the importance of this work by the CDC in the area of autism surveillance and research, and urges this work to continue in 

a timely manner. Within the human development and disability increase, the Committee has included $1,407,000 over the fiscal year 

2007 level to continue the Center’s surveillance and research programs, including the CADDRE and ADDM Network and the National awareness campaign. 

Blood Disorders.—The Committee has provided sufficient funding 

to sustain the hereditary blood disorders programs, including treatment centers, at the fiscal year 2007 levels. The Committee requests strategic plan of action regarding research, outreach activities, and resources needed to address key blood disorders. In preparing this report, CDC should seek input from patient and physician organizations, research scientists, and public health officials. 

Centers for Birth Defects Research and Prevention.—The Committee encourages CDC to consider expanding the promising research being conducted by the regional Centers for Birth Defects 

Research and Prevention and maintain assistance to States to implement and expand community-based birth defects tracking systems, programs to prevent birth defects, and activities to improve 

access to health services for children with birth defects. 

Birth Defects Research, Surveillance and Prevention.—The Committee understands that birth defects are a leading cause of infant 

mortality and about 120,000 babies are born each year with a birth 

defect. Both genetic and environmental factors can cause a birth 

defect, however the causes of 70 percent of birth defects are unknown. The Committee supports CDC’s efforts in the area of birth 

defects surveillance, research and prevention and encourages CDC 

to continue the promising research being conducted by the regional 

centers for birth defects research and prevention. The Committee 

has included sufficient funding to maintain the current level for 
90 

states to continue birth defects surveillance systems, programs to 

prevent birth defects and activities to improve access to health 

services for children with birth. The Committee encourages the 

CDC to expand the birth defects studied in the National Birth Defects Prevention Study to include single gene disorders [SGD], like 

Fragile X. Although these disorders are rare individually, when 

grouped together they affect approximately 1 in 300 births. 

Cooley’s Anemia.—The Committee remains pleased with the 

progress that CDC has made in the establishment of a blood safety 

surveillance program for Cooley’s anemia patients, who are the 

largest consumers of red blood cells. Six treatment centers throughout the Nation handle the medical monitoring and treatment; education and awareness, patient recruitment, and other services are 

being provided; and CDC has created an archive of tested and analyzed blood samples. The Committee has included an increase of 

$50,000 to continue and expand these activities and encourages 

CDC to utilize this program to enhance the safety of the blood supply while improving the health of Cooley’s anemia patients. 

Craniofacial Malformation.—The Committee has included an additional $200,000 over last year’s level for CDC’s initiatives to help 

families of children with craniofacial malformations. The Committee commends CDC for their work on this important public 

health issue. The Committee intends that the increase be used to 

develop and test a pediatric craniofacial outcomes reporting instrument with the goal of creating an optimum standard of treatment 

which will improve the level of care for all children nationwide. In 

addition, the increase may be used to expand and enhance CDC’s 

ongoing studies of children with craniofacial malformations, specifically those relating to ways to decrease secondary surgeries, thus 

saving healthcare cost and trauma to the child. 

Diamond Blackfan Anemia.—The Committee has provided sufficient funds to continue CDC’s public health outreach and surveillance programs for Diamond Blackfan Anemia [DBA] as included 

in the budget request. 

Disabilities Prevention.—The Committee continues to strongly 

support the CDC disabilities prevention program, which provides 

support to States and academic centers to reduce the incidence and 

severity of disabilities, especially developmental and secondary disabilities. 

Down Syndrome.—The Committee commends the CDC for initiating a study to document the onset and course of secondary and 

related developmental and mental disorders in individuals with 

Down syndrome. The Committee encourages further research relating to these areas of dual diagnosis. 

Duchenne and Becker Muscular Dystrophy.—The Committee has 

provided a $100,000 increase within the human development and 

disability funding to continue surveillance, epidemiological, and 

education efforts for Duchenne and Becker muscular dystrophy. 

Fetal Alcohol Spectrum Disorders.—The Committee is concerned 

by the prevalence of fetal alcohol spectrum disorders [FASD] in the 

United States and notes that drinking during pregnancy is the Nation’s leading known preventable cause of mental retardation and 

birth defects. To publicize and promote awareness of this critical 

public health information, the Committee has provided sufficient 
91 

resources to continue these activities. The Committee notes that 

the National Task Force on Fetal Alcohol Syndrome and Fetal Alcohol Effect is due to expire in October 2007. The Committee requests that the CDC submit a progress report within six months 

on the Task Force’s contributions to preventing and reducing fetal 

alcohol spectrum disorders. The report should outline future plans 

for the Task Force, including programmatic and funding priorities. 

Folic Acid Campaign.—The Committee is encouraged with the 

progress made in preventing neural tube defects, but is concerned 

by a recent analysis which found that folate concentrations among 

non-pregnant women of child bearing age decreased by 16 percent 

from 1999–2000 through 2003–2004. The Committee commends the 

CDC for its efforts related to educating women about multivitamin 

usage in order to improve folic acid status and reduce the rate of 

birth defects. The Committee has provided sufficient funding to 

continue these efforts, particularly those that engage Hispanic 

women and other at-risk populations. 

Fragile X.—Within the increase for human development and disability, the Committee has included an additional $1,000,000 over 

last year’s level to support the CDC’s continuation of public health 

activities in the areas of Fragile X, Fragile X-associated tremor/ 

ataxia syndrome, and Fragile X-associated premature ovarian failure. The Committee urges the CDC to focus its efforts primarily on 

increasing epidemiological research, surveillance, and screening efforts, with particular attention towards collecting epidemiological 

data on the incidence and prevalence of Fragile X and related conditions, including autism. The Committee is aware of the potential 

benefit of a national registry to track patients living with Fragile 

X which could be utilized to create a common data entry and management system across research and clinical sites, as well as to 

track the impact of therapeutic interventions. 

The Committee encourages CDC to establish Fragile X surveillance and epidemiology sites throughout the United States based 

on the Metropolitan Atlanta Developmental Disabilities Study and 

the Metropolitan Atlanta Developmental Disabilities Surveillance 

Program. The Committee strongly urges the CDC to leverage Federal funding with private and other public institutions involved in 

the same work, and to prioritize epidemiological research connecting Fragile X, autism, and autism spectrum disorders. 

The Committee requests that CDC report back to the Committee 

no later than April 2008 with a progress update on the agency’s efforts and spending priorities as they relate to Fragile X. 

Healthy Athletes Initiative.—The Committee has included funding at last year’s level for the Healthy Athletes Program, activities 

requested in the President’s budget to provide Special Olympics 

athletes access to an array of health assessment, education, preventive health services and supplies, and referral for follow-up care 

where needed. These services are provided to athletes without cost 

in conjunction with competitions at local, State, national, and international levels. 

Hereditary Hemorrhagic Telangiectasia.—The Committee is 

aware of interest in the establishment of a Hereditary Hemorrhagic 

Telangiectasia [HHT] National Resource Center. The Committee 
92 

encourages the CDC to examine carefully proposals to establish 

such a center. 

Limb Loss Information Center.—The Committee understands 

that more than 1.5 million Americans are living with limb loss due 

to diabetes, heart disease, trauma, and cancer. A key challenge facing individuals with limb loss is gaining access to necessary health 

and rehabilitative services. The Committee provides funding to continue at no less than fiscal year 2007 levels CDC activities addressing these challenges. 

Paralysis programs.—The Committee recommendation for human 

development and disability funding includes an increase of 

$500,000 over fiscal year 2007 for activities to increase awareness 

of paralysis treatments and services, as well as health promotion 

activities meant to expand access to activity-based rehabilition. 

Spina Bifida.—The Committee recognizes that Spina Bifida is 

the leading permanently disabling birth defect in the United 

States, and that spina bifida and related neural tube defects are 

highly preventable. In an effort to continue to prevent spina bifida 

and improve the quality-of-life for individuals affected by spina 

bifida, the Committee recommendation for human development and 

disability increases funding by $500,000 over the fiscal year 2007 

level to provide information and support services. In addition, the 

Committee supports the memorandum of understanding between 

CDC and AHRQ to examine clinical treatment of spina bifida and 

improve quality of life. 

Tourette Syndrome.—The Committee commends CDC for its support of activities to educate parents, physicians, educators, and 

other healthcare workers about the disorder and to expand on the 

scientific knowledge base on prevalence, risk factors and comorbidities of Tourette Syndrome. The Committee has provided 

$175,000 over the fiscal year 2007 level for these activities within 

the increase for the human development and disability category. 

Tuberous Sclerosis Complex.—Tuberous sclerosis complex [TSC] 

is a genetic disorder that causes uncontrollable tumor growth. Because this disorder can affect multiple organs of the body, it is difficult to diagnose, track, and properly treat. The Committee has 

provided resources at the 2007 funding level for CDC to collect and 

analyze data at the nationwide network of TSC clinics; support surveillance and epidemiological studies; and to educate healthcare 

professionals and teachers who come into contact with TSC patients. 

HEALTH INFORMATION AND SERVICE

The Coordinating Center for Health Information and Services includes the National Center for Health Statistics [NCHS], a National Center for Health Marketing, and a National Center for Public Health Informatics. 

The Committee recommends a program level of $232,653,000 for 

Health Information and Service related activities at the CDC. The 

fiscal year 2007 comparable program level was $222,653,000. The 

budget request for 2008 was $243,496,000. 
93 

Health Statistics 

CDC’s statistics give context and perspective on which to base 

important public health decisions. By aggregating the experience of 

individuals, CDC gains a collective understanding of health, collective experience with the health care system, and public health challenges. NCHS data are used to create a basis for comparisons between population groups or geographic areas, as well as an understanding of how trends in health change and develop over time. 

The Committee commends the NCHS for fulfilling its mission as 

the Nation’s premier health statistics agency and for ensuring the 

credibility and integrity of the data it produces. In particular, the 

Committee congratulates the agency for its timely release of critical 

data and encourages it to continue making information, including 

data from the National Health and Nutrition Examination Survey 

[NHANES] and the National Health Interview Study [HIS], accessible to the public as soon as possible. The Committee has provided 

an increase of $8,000,000 above the fiscal year 2007 level. 

Eating Disorders.—The Committee is concerned about the growing incidence and health consequences of eating disorders among 

the population. The extent of the problem, while estimated by several long-term outcome studies as being high, remains unknown. 

The Committee urges the CDC to research the incidence and morbidity and mortality rates of eating disorders, including anorexia 

nervosa, bulimia nervosa, binge eating disorder, and eating disorders not otherwise specified across age, race, and sex. 

Food Allergy.—Life-threatening food allergies severely impair the 

quality of life for allergic children and their parents, and the incidence of food allergies seems to be increasing. For that reason, the 

Committee encourages the CDC to include food allergy in its National Health Interview Survey, or a comparable annual tracking 

mechanism. 

Genomics.—With the success and continual improvement of 

genomic technologies, the Committee encourages CDC to consider 

expanding NHANES to include the genotyping of participants (with 

appropriate consideration for consent and privacy) and assessing 

the genomic impact on public health, along with nutrition and environmental factors. 

Nontuberculous Mycobacteria.—The Committee is concerned that 

nontuberculous mycobacteria [NTM] incidence continues to rise. 

Mycobacteria are environmental organisms found in both water 

and soil that cause significant respiratory damage. The Committee 

continues to encourage NCHS to include questions regarding NTM 

testing in ongoing surveys to enhance understanding of the epidemiology of this emergent disease 

Psoriasis.—As many as 7.5 million Americans are affected by 

psoriasis and/or psoriatic arthritis—chronic, inflammatory, painful 

and disfiguring diseases for which there are limited treatment options and no cure. The Committee understands that there are few 

efforts to collect epidemiologic and other related data on individuals with psoriasis and psoriatic arthritis, and as such, researchers 

and clinicians are limited in their longitudinal understanding of 

the disease and its effects. As such, the Committee strongly encourages the NCHS to add psoriasis and psoriatic arthritis specific components to the 2009–2010 National Health and Nutrition Examina-
94 

tion Survey [NHANES]. Further, the Committee is concerned by 

reports that there is a dearth of scientists conducting epidemiologic 

research in dermatology. As such, the Committee encourages the 

NCHS to work with others within CDC and NIAMS in developing 

programs to encourage dermatologists to work in the field of epidemiology. 

Vital Statistics.—The Committee values the National Center for 

Health Statistics and its critical role in monitoring our Nation’s 

health. The Committee has included sufficient funding to ensure 

that NCHS collects a full year’s worth of data on births, deaths, 

and other vital information under the agreed upon terms of the 

Vital Statistics Cooperative Program. In addition, CDC should consider ways to encourage local jurisdictions to implement electronic 

systems that will improve the timeliness, quality, and security of 

birth and death data. 

Public Health Informatics 

Information systems and information technology are critical to 

the practice of public health. CDC activities reflect ongoing efforts 

to build a national network of public health information systems 

that will enhance public health partner capabilities in detection 

and monitoring, surveillance, data analysis and interpretation, and 

other public health activities. 

Health Marketing 

CDC links directly with the people whose health it is trying to 

improve. This activity uses commercial, nonprofit, and public service marketing practices to better understand people’s health-related 

needs and preferences; to motivate changes in behaviors; and to enhance CDC’s partnerships with public and private organizations to 

more effectively accomplish health protection and improvement. 

ENVIRONMENTAL HEALTH AND INJURY PREVENTION

The Coordinating Center for Environmental Health and Injury 

Prevention includes the National Center for Environmental Health, 

the Agency for Toxic Substances and Disease Registry, and the National Center for Injury Prevention and Control. 

The Committee recommends $296,338,000 for environmental 

health and injury prevention related activities at the CDC. The fiscal year 2007 comparable level was $288,104,000 and the budget 

request for fiscal year 2008 was $287,674,000. 

Environmental Health 

Many of the public health successes that were achieved in the 

20th century can be traced to innovations in environmental health 

practices. However, emerging pathogens and environmental toxins 

continue to pose risks to our health and significant challenges to 

public health. The task of protecting people’s health from hazards 

in their environment requires a broad set of tools. First among 

these tools are surveillance and data collection to determine which 

substances in the environment are getting into people and to what 

degree. It also must be determined whether or not these substances 

are harmful to humans, and at what level of exposure. The Committee recommendation includes an increase of $3,317,000 over the 
95 

fiscal year 2007 level for environmental health activities. With the 

exceptions noted below, all activities are funded at the level of the 

2007 operating plan. 

Amyotrophic Lateral Sclerosis Registry.—The Committee is 

pleased that the CDC is beginning to gather data for a nationwide 

ALS registry that will estimate the incidence and prevalence of the 

disease, promote a better understanding of the disease, and provide 

data that will be useful for research on improving disease management and developing standards of care. The Committee is concerned that ALS is often misdiagnosed as another 

neurodegenerative disorder. The Committee believes that a more 

comprehensive registry, focusing on ALS but including other 

neurodegenerative disorders, will provide a key resource for efforts 

to understanding the biology and epidemiology of ALS. The Committee has provided an additional $2,000,000 over the 2007 operating plan to continue and expand the national ALS Registry to 

other neurodegenerative disorders in line with pending authorization legislation. 

Asthma.—The Committee is pleased with the work that the CDC 

has done to address the increasing prevalence of asthma. However, 

the increase in asthma among children remains alarming. The 

Committee encourages CDC to continue to expand its outreach 

aimed at increasing public awareness of asthma control and prevention strategies, particularly among at-risk populations in underserved communities. In addition, the Committee is deeply concerned with the high incidence of asthma among Hawaiian children, and the high prevalence of asthma among Native Hawaiians 

compared to other adults, including those who are similarly located. The Committee is pleased with the efforts that the CDC has 

taken to monitor lung function and other asthma interventions 

among this and other disparately affected populations and encourages the CDC to continue this important research. 

Childhood Lead Poisoning Prevention.—The Committee continues to commend the CDC for its commitment to support the enhanced development of a portable, hand-held lead screening device 

that holds great promise for increasing childhood screening rates in 

underserved communities. Further development of this device will 

help ensure its application in community health settings. 

Environmental Health Laboratory.—The CDC environmental 

health laboratory performs assessments for State investigations of 

diseases (such as cancer and birth defects) and investigations of 

chemical exposures, such as dioxin, pesticides, mercury and cadmium. CDC is also working with States to improve public health 

laboratories that assess State level biomonitoring needs. CDC 

works closely with academic institutions, other Federal agencies, 

and other partners to measure human exposure to toxic substances 

and the adverse effects of that exposure. The Committee has included $1,000,000 over last year’s level for a pilot program for newborn screening for severe combined immunodeficiency disease. 

Health Tracking Network.—The Committee supports the continued development of a Health Tracking Network, a surveillance system that can integrate environmental hazards data with human 

exposure and health effects data that have possible links to the environment. With health tracking, public health officials can better 
96 

target preventive services, health care providers can offer better 

health care, and the public will be able to develop a clear understanding of what is occurring in their communities and how overall 

health can be improved. 

Laboratory Measurement of Trans Fat.—-The Committee is 

aware that experimental evidence shows an increasing risk of heart 

disease associated with trans fat intake, and that many State and 

local governments are proposing bans in restaurants and schools. 

The Committee encourages the CDC to explore the development of 

a surveillance system to monitor trans fat levels and other important fatty acids, such as omega–3 fatty acids, in humans. 

Landmine Survivor Network.—The Committee strongly supports 

peer support networks for landmine survivors worldwide. The Committee has included $300,000 over the fiscal year 2007 operating 

plan level. These funds will be used to expand peer support networks and the number of survivors that are reached in network 

and non-network countries; strengthen the capacity of medical and 

rehabilitative care facilities to address the needs of amputees; enhance economic opportunities for survivors; and further CDC programs and research for victims of landmines, civil strife and warfare. 

Nontuberculous Mycobacteria Prevention.—Mycobacteria are environmental organisms found in both water and soil that can cause 

significant respiratory damage. The Committee is aware of the increasing incidence of nontuberculous mycobacteria [NTM] pulmonary infections and encourages the CDC to study the environmental issues related to NTM transmission and infection via water 

and soil, as well as to implement a public health education and 

outreach initiative to promote NTM education for health care providers and the general public. Further the Committee encourages 

that CDC develop specific epidemiology studies regarding prevalence, geographic, demographic and host specific data regarding 

NTM infection in the population. 

Volcanic Emissions.—The Committee remains concerned about 

the public health issue of volcanic emissions. Such emissions contribute to the exacerbation of a myriad of pre-existing health conditions in many island residents, especially children. The acute- and 

long-term impact that these emissions have on both the healthy 

and pre-disposed residents warrants further study. The Committee 

has included $17,000 over the fiscal year 2007 level for research 

into the health effects of volcanic emissions and encourages the 

CDC to explore the establishment of a dedicated center that embraces a multi-disciplinary approach in studying the short- and 

long-term health effects of the volcanic emissions. 

Injury Prevention and Control 

CDC is the lead Federal agency for injury prevention and control. 

Programs are designed to prevent premature death and disability 

and reduce human suffering and medical costs caused by: fires and 

burns; poisoning; drowning; violence; lack of bicycle helmet use; 

lack of seatbelt and proper baby seat use; and other injuries. The 

national injury control program at CDC encompasses non-occupational injury and applied research in acute care and rehabilitation 

of the injured. Funds are utilized for both intramural and extra-
97 

mural research as well as assisting State and local health agencies 

in implementing injury prevention programs. The Committee recognizes the vital role CDC serves as a focal point for all Federal injury control activities. 

The Committee has included an increase of $4,917,000 for injury 

prevention and control. Within the increase provided, the Committee has provided the following increases over the fiscal year 

2007 level: $1,000,000 for traumatic brain injury; $1,982,000 for 

youth violence prevention; and $1,935,000 for rape prevention. All 

other activities are funded at the level of the fiscal year 2007 operating plan. 

Child Maltreatment.—The Committee recognizes that child maltreatment is a serious public health threat with extensive shortand long-term health consequences. New avenues to support child 

maltreatment prevention would allow CDC to further the identification, enhancement, and dissemination of evidence-based child 

maltreatment prevention programs, such as positive parenting programs and home visitation programs. 

Falls Prevention.—The Committee is pleased that the CDC has 

initiated a falls prevention and safety program to teach older 

Americans how to prevent falls. The Committee encourages the 

CDC to engage in an awareness campaign to train health care professionals on the prevention of falls. 

Injury Control Research Centers.—The Committee recognizes the 

need for an Injury Control Research Center specializing in children 

and adolescents. Injury is the leading cause of death and disability 

among children and teenagers in the United States. Currently, no 

existing Centers focus exclusively on childhood and adolescent injuries. Therefore, if new Centers are to be added to the program, the 

Committee encourages CDC to give preference to applicants with 

proven experience in children and adolescent injury control and 

prevention research. 

National Violent Death Reporting System.—The Committee is 

supportive of the National Violent Death Reporting System, which 

is a State-based system that collects data from medical examiners, 

coroners, police, crime labs, and death certificates to understand 

the circumstances surrounding violent deaths. The information can 

be used to develop, inform, and evaluate violence prevention programs. The Committee continues to urge the CDC to work with private health and education agencies as well as State agencies in the 

development and implementation of an injury reporting system. 

Suicide Prevention.—The Committee encourages CDC to consider 

supporting the evaluation of suicide prevention planning, programs, and communication efforts to change knowledge and attitudes and to reduce suicide and suicidal behavior. These evaluation 

efforts would support communities to identify promising and effective suicide prevention strategies that follow the public health 

model and build community resilience. 

Violence Against Women.—The Committee urges CDC to increase 

research on the psychological sequelae of violence against women 

and expand research on special populations and their risk for violence including adolescents, older women, ethnic minorities, women 

with disabilities, and other affected populations. 
98 

Youth Violence.—The Committee has included an increase of 

$1,982,000 for CDC’s youth violence prevention activities. The 

Committee notes that the increasing level of youth violence in 

schools and in cities around the Nation is troubling and urges the 

CDC to expand efforts to reduce it. 

OCCUPATIONAL SAFETY AND HEALTH

The Committee recommends $272,397,000 for occupational safety and health programs. The fiscal year 2007 level was $254,099,000 

and the budget request for fiscal year 2008 was $252,998,000. The 

Committee recommendation includes $92,071,000 in transfers 

available under section 241 of the Public Health Service Act. Sufficient funding has been provided to maintain staffing levels at the 

Morgantown facility and increase research funding at that facility. 

The CDC’s National Institute for Occupational Safety and Health 

[NIOSH] is the only Federal agency responsible for conducting research and making recommendations for the prevention of work-related illness and injury. The NIOSH mission spans the spectrum 

of activities necessary for the prevention of work-related illness, injury, disability, and death by gathering information, conducting scientific biomedical research (both applied and basic), and translating the knowledge gained into products and services that impact 

workers in settings from corporate offices to construction sites to 

coal mines. With the exceptions noted below, all other activities are 

funded at the level of the fiscal year 2007 operating plan. 

Education and Research Centers.—The Committee recognizes the 

important role Education and Research Centers [ERCs] play in preventive health research and the training of occupational safety and 

health professionals, and includes an increase of $1,982,000 over 

the amount appropriated for ERCs in fiscal year 2007. 

Farm Health and Safety.—The Committee has included funding 

to continue the farm health and safety initiative. The Committee 

encourages NIOSH to give priority to grants to States and private 

organizations with a focus on disseminating and translating research for occupational safety and health. 

Mine Safety Technology Research.—The Committee has included 

$10,000,000 over the 2007 level for mine safety technology research, development, and testing. The Committee is pleased by the 

additional research being conducted into mine refuge chambers, 

emergency tracking, respiratory and communication devices in line 

with the MINER Act of 2006. The Committee is concerned that the 

focus on MINER Act deadlines may have inadvertently put other 

important mine safety research on hold, and expects that additional funding in fiscal year 2008 will be used to ensure that 

NIOSH’s research agenda in areas such as dust monitoring, roof 

control and disaster prevention are not abandoned. The Committee 

directs NIOSH to expand the required progress reports on 

grantmaking and research findings to these related research goals. 

The Committee is strongly supportive of the memorandum of understanding NIOSH has worked out with the U.S. Army surrounding communication devices and is eager to see NIOSH expand 

on this model of collaboration with other Agencies and industries. 

In particular, the Committee encourages NIOSH to investigate establishing an innovation challenge award similar to those given out 
99 

by NASA and the Department of Defense to leverage private resources to tackle difficult technological problems. 

Miners’ Choice Health Screening Program.—The Committee has 

provided an increase of $300,000 to further implement the Miners’ 

Choice Health Screening Program in fiscal year 2008. This program 

was initiated to encourage all miners to obtain free and confidential chest x-rays to obtain more data on the prevalence of Coal 

Workers’ Pneumonconiosis in support of development of new respirable coal dust rules. The Committee is strongly supportive of 

these efforts and urges NIOSH to work to improve this health 

screening program, thereby helping to protect the health and safety 

of our Nation’s miners. 

National Occupational Research Agenda.—NIOSH provides national and international leadership to prevent work-related illness, 

injury, and death by gathering information, conducting scientific 

research, and translating the knowledge gained into products and 

services. The Committee is pleased with the progress NIOSH has 

made in consulting with partners and stakeholders across the country to examine and update the National Occupational Research 

Agenda for the coming decade. The Committee expects that this 

updated agenda will provide an important blueprint for conducting 

occupational research and examining the impact of stressful workplaces on psychological functioning. The Committee recommendation includes $5,000,000 in increased 

funding for CDC’s National Occupational Research Agenda 

[NORA]. The Committee believes that NORA is a critical scientific 

research program that protects employees and employers from the 

high personal and financial costs of worksite health and safety 

losses. Industries such as agriculture, construction, health care, 

and mining benefit from the scientific research supported by 

NORA. The program’s research agenda focuses on prevention of 

disease and injury resulting from infectious diseases, cancer, asthma, hearing loss, musculoskeletal disorders, traumatic injuries, 

and allergic reactions, among others. The Committee continues to 

strongly support NORA and encourages expansion of its research 

program to cover additional causes of workplace health and safety 

problems. 

National Mesothelioma Registry.—The Committee has provided 

an increase of $100,000 for the continuation and expansion of a National Mesothelioma Registry to collect data regarding symptoms, 

pathology, evaluation, treatment, outcomes, and quality of life and 

a Tissue Bank to include the pre- and post-treatment blood (serum 

and blood cells) specimens as well as tissue specimens from biopsies and surgery. 

National Personal Protective Technologies Laboratory.—The Committee has provided $916,000 above the fiscal year 2007 level of 

funding for the NIOSH National Personal Protective Technologies 

Laboratory to expedite research and development in, and certification of, protective equipment, such as powered air purifying respirators, and combined self-contained breathing apparatus/escape 

sets. 

Volcanic Emissions.—The Committee strongly urges NIOSH to 

continue to study the impact of potentially toxic volcanic emissions. 

In particular, preexisting respiratory conditions such as asthma, 
100 

chronic bronchitis, and emphysema seem to be particularly susceptible to the effects of sulfur dioxide. The acute and long-term impact that these emissions have on both the healthy and pre-disposed residents warrants further study. The Committee strongly 

advises a multi-disciplinary approach in studying the short-and 

long-term health effects of the volcanic emissions. 

GLOBAL HEALTH

The Committee recommends $334,038,000 for global health-related activities at the CDC in fiscal year 2008. The fiscal year 2007 

comparable level was $334,038,000 and the budget request for fiscal year 2008 was $379,719,000. The Office of Global Health leads 

and coordinates CDC’s global programs to promote health and prevent disease in the United States and abroad, including ensuring 

rapid detection and response to emerging health threats. With the 

exceptions noted below, all activities are funded at the level of the 

budget request. The Committee notes that the President’s request 

includes pandemic flu activities that the Committee appropriated 

in the Public Health and Social Services Emergency Fund through 

the HHS Office of the Secretary. 

Global HIV/AIDS.—CDC works with governments in 25 countries in Africa, Asia, and Latin America and the Caribbean focusing 

on primary prevention of HIV/AIDS; care and treatment of tuberculosis and other opportunistic infections, palliative care and appropriate use of antiretroviral medications; and infrastructure and 

capacity development. 

Global Disease Detection.—The Committee commends CDC for its 

role in strengthening the capacity of the public health community, 

both at home and abroad, to respond to global threats, such as 

SARS, monkeypox, West Nile virus, pandemic flu and bioterrorism. 

CDC’s Global Disease Detection System is integral to these efforts. 

This system is designed to provide worldwide technical support to 

ensure rapid and accurate diagnoses of emerging infectious disease 

events, and to provide a secure link between clinicians and laboratories and CDC and the World Health Organization to ensure realtime reporting of emerging threats. The Global Disease Detection 

System also will support sentinel sites in key regions around the 

globe to ensure prompt disease detection and referral to a regional 

laboratory service. These capacities are critical to mitigate the consequences of a catastrophic public health event, whether the cause 

is an intentional act of terrorism or the natural emergence of a 

deadly infectious virus, like SARS. 

Global Immunization Activities.—The Committee includes 

$144,438,000 for global immunization activities, including 

$101,240,000 for polio vaccine, surveillance, and program operations for the highly successful, yet unfinished polio eradication efforts; and $43,198,000 for the purchase of measles vaccine for measles mortality reduction and regional measles elimination initiatives and to expand epidemiologic, laboratory, and programmatic/ 

operational support to WHO and its member countries. 

Global Malaria.—The Committee recognizes that malaria is a 

global emergency affecting mostly poor women and children. While 

malaria is treatable and preventable, it remains one of the leading 

causes of death and disease worldwide. The Committee appreciates 
101 

the integral and unique role that the CDC Malaria Program plays 

in national and global efforts. Insecticide resistance and drug resistance have the potential to compromise global malaria efforts 

and point to the need for the development and testing of new technologies and materials for insecticide treated nets and new antimalarial therapies. The Committee is concerned that failure to support these efforts could seriously impair future control efforts. In 

addition, the Committee supports CDC’s role in providing technical 

assistance to the President’s Malaria Initiative, the World Bank, 

the Global Fund to Fight AIDS, Tuberculosis, and Malaria, and 

other malaria control initiatives. These programs are in need of 

greater expertise and capacity in monitoring and evaluation to support documentation of impact of efforts. The Committee recognizes 

and appreciates that the impact of malaria is not limited to Africa; 

millions of cases and thousands of deaths occur in Asia and the 

Americas—areas not currently targeted by the President’s Malaria 

Initiative. Therefore, the Committee intends the CDC Director may 

have discretion to use some of the funding provided for technical 

assistance and support program research in non-African malariaaffected countries, which, in turn, can then be used to strengthen 

control efforts in African countries. 

TERRORISM

The Committee provides $1,632,448,000 for CDC terrorism preparedness activities. The comparable fiscal year 2007 level was 

$1,541,300,000 and the administration requested $1,504,375,000 

for these activities in fiscal year 2008. Within the funds provided, $760,470,000 is for Upgrading State 

and Local Capacity through grants and cooperative agreements; 

$9,500,000 is for anthrax vaccine studies; $11,095,000 is for quarantine stations; and $581,335,000 is for the Strategic National 

Stockpile. All other activities are funded at the fiscal year 2007 operating plan level. 

Centers for Public Health Preparedness.—The Committee is 

aware that the Pandemic and All-Hazards Preparedness Act, Public Law 109–417, mandated three central responsibilities for Centers for Public Health Preparedness that include developing core 

academic curricula based on established competencies, administering a core competency-based training program, and conducting 

public health systems research. The Committee expects the Secretary and CDC to submit an implementation plan to the Committee prior to making program changes to ensure continuity of 

competency-based education and training as a public health systems research agenda is developed and added to the program. 

State and Local Capacity.—The Committee continues to recognize that bioterrorism events will occur at the local level and will 

require local capacity, preparedness and initial response. It is the 

Committee’s intent that significant funding for State and local public health infrastructure be used to improve local public health capacity and meet the needs determined by local public health agencies. The Committee notes that HHS’ cooperative agreement guidance now includes explicit requirements for local concurrence with 

State spending plans for public health emergency preparedness and 

urges CDC to monitor and enforce these requirements. 
102 

The Committee also recognizes that HHS has incorporated the 

National Response Plan into the cooperative agreement guidance 

and established new CDC Preparedness Goals. The Committee 

therefore urges the Department to assure that any performance 

metrics intended to measure public health preparedness include 

measures of local health department performance in the context of 

their own communities’ emergency management systems. 

Funds for bioterrorism prevention and response are distributed 

through grants to 50 States and four metropolitan areas. The Committee strongly recommends that these funds be distributed based 

on a formula that includes factors for risk of a terrorist event. Risk 

is challenging to quantify, but the Committee suggests that CDC, 

in coordination with the Secretary of Health and Human Services, 

consider the following and other factors: (1) site of headquarters or 

major offices of multinational organizations; (2) site of major financial markets; (3) site of previous incidents of international terrorism; (4) some measure of population density versus just population; (5) internationally recognized icons; (6) percent of national 

daily mass transit riders; and (7) proximity to a major port, including major port ranked on number of cargo containers arriving at 

the port per year. 

Strategic National Stockpile.—Vaccines and antivirals are not 

the only supplies that need to be stockpiled in preparation for a 

pandemic. Currently, most health providers order and stock supplies on a ‘‘just-in-time’’ basis. This means they often only have a 

few days of reserve supplies, equipment like portable respirators, 

and commonly prescribed medications, including many basic protective items, such as protective N95 masks, gloves, gowns, and 

clean hospital linens, many of which are produced abroad and may 

not be available during a global health emergency. 

The Committee commends the Secretary for commissioning the 

Institute of Medicine to evaluate the potential development of reusable respirator facemasks in the event on an influenza pandemic. 

The Committee encourages the Secretary to consider comparative 

data regarding duration of effectiveness, range of cidal activity and 

shelf life for disposable NIOSH approved respirator facemasks with 

particulate filter, antimicrobial coated and antimicrobial iodinated 

technology, and to consider supply needs and issue end-user recommendations for such facemasks. 

PUBLIC HEALTH RESEARCH

Public Health Research.—The Committee has provided 

$31,000,000 to fund the Public Health Research program. The fiscal year 2007 comparable level and 2008 budget request were also 

$31,000,000. The Committee is strongly supportive of public health 

and prevention research, which bridges the gap between medical 

research discoveries and behaviors that people adopt by identifying 

the best strategies for detecting new diseases, assessing the health 

status of populations, motivating healthy lifestyles, communicating 

effective health promotion messages, and acquiring and disseminating information in times of crisis. 
103 

PUBLIC HEALTH IMPROVEMENT AND LEADERSHIP

The Committee provides $209,829,000 for public health improvement and leadership activities at the CDC. The fiscal year 2007 

comparable level was $189,808,000 and the budget request for fiscal year 2008 was $190,412,000. 

Leadership and Management 

The Committee provides $162,879,000 for leadership and management costs at the CDC in fiscal year 2008. The fiscal year 2007 

comparable level was $162,214,000 and the budget request for fiscal year 2008 was $162,879,000. 

In addition, the Committee has included sufficient funding for 

the following projects in the following amounts for fiscal year 2008: 

Project Committee recommendation Requested by 

A Voice for All, Wilmington, DE, for speech and language evaluations for persons with disabilities.$400,000 Harkin 

Alaska Department of Health and Social Services, Juneau, AK, for an Obesity 

Prevention and Control project in Alaska.

500,000 Stevens 

Alaska Department of Health and Social Services, Juneau, AK, for continuation 

and expansion of program to detect and control tuberculosis in Alaska.

500,000 Stevens 

Alaska Multiple Sclerosis Center, Anchorage, AK, for multiple sclerosis related 

activities.

150,000 Stevens 

Albert Einstein Healthcare Network, Philadelphia, PA, for college student 

screening programs.

200,000 Specter 

American Optometric Association, Alexandria, VA, for the InfantSee program .... 500,000 Byrd 

Brown County Oral Health Partnership, Green Bay, WI, to expand an oral health 

program.

300,000 Kohl 

Camden County, Camden, NJ, to purchase, equip and staff a mobile health 

van.

400,000 Lautenberg, Menendez 

Cascade AIDS, Portland, Oregon, to conduct HIV/AIDS awareness and prevention programs.200,000 Smith 

Center for International Rehabilitation, Chicago, IL, for the Disability Rights 

Monitor.

250,000 Harkin 

Colorado School of Mines, Golden, CO, for the development and deployment of 

Mine safety and Rescue through Sensing Networks and Robotics Technology 

(Mine-SENTRY).

200,000 Allard, Salazar 

Community Health Centers in Hawaii for Childhood Rural Asthma Project, for 

childhood rural asthma project.

175,000 Inouye 

Emory University, Atlanta, GA, for the Southeastern Center for Emerging Biologic Threats.300,000 Chambliss, Isakson 

ExemplaSaint Joseph Hospital Foundation, Denver, CO, for the mobile mammography program.100,000 Salazar 

Fletcher Allen Health Care, Burlington, VT, to develop chronic disease registries.200,000 Leahy 

Food Allergy and Anaphylaxis Network, Fairfax, VA, for the Iowa Food Allergy 

Education program.

120,000 Harkin 

Georgia Rural Water Association, Barnesville, GA, for the National Fluoridation 

Training Institute.

100,000 Chambliss 

Health Care Medical Technology, Inc., Sioux Falls, SD, for comprehensive 

health education.

100,000 Johnson 

Health Care Network, Inc, Racine, WI, to coordinate dental services for low-income patients.100,000 Kohl 

Healthy Futures, Columbia, SC, to educate the community to recognize the 

health concerns, specifically obesity, of youth in the minority community.

250,000 Graham 

Healthy Northeast Pennsylvania Initiative, Clarks Summit, PA, for health education.100,000 Specter 

Henderson, Henderson, NV, for a diabetes screening, education and counseling 

program for seniors.

200,000 Reid 

Institute of Medical Humanism, Inc, Bennington, VT, for an end-of-life care 

initiative.

200,000 Leahy 
104 

Project Committee recommendation Requested by 

Iowa Chronic Care Consortium, Des Moines, Iowa, for a preventative health 

demonstration program.

150,000 Harkin, Grassley 

Iowa Department of Public Health to continue the Harkin Wellness Grant program.2,000,000 Harkin 

Iowa Games, Ames, IA, to continue the Lighten Up Iowa program ...................... 100,000 Harkin 

Iowa Health Foundation, for wellness activities for dementia patients ............... 100,000 Harkin 

Iowa State University, Ames, IA, for the Iowa Initiative for Healthier Schools 

and Student Wellness.

450,000 Harkin, Grassley 

Kennedy Health System, Voorhees, NJ, for the Women and Children’s Health 

Pavillion’s Advanced Cancer Prevention and Treatment Initiative.

450,000 Lautenberg, Menendez 

Kids Kicking Cancer, Inc., Lansing, MI, for cancer treatment support activities.700,000 Levin, Stabenow 

Lower Bucks Hospital, Bristol, PA, for autism therapy evaluation ....................... 100,000 Specter 

Marin County, San Rafael, CA, for breast cancer screening and epidemiology ... 150,000 Boxer 

Mary Bird Perkins Cancer Center, Baton Rouge, LA, for additional C.A.R.E Network screenings and program development.100,000 Vitter 

Michigan Health and Hospital Association, Kalamazoo, MI, to improve quality 

of care and patient safety in hospital surgery settings.

500,000 Levin, Stabenow 

Nazareth Hospital, Philadelphia, PA, for health outreach ..................................... 100,000 Specter 

Northeast Regional Cancer Institute, Scranton, PA, for cancer screening evaluation.100,000 Specter 

Nueva Esperanza, Philadelphia, PA, for HIV/AIDS programs ................................. 100,000 Specter 

Pennsylvania Breast Cancer Coalition, Ephrata, PA, for education, awareness, 

and publication production.

100,000 Specter, Casey 

Pittsburgh Regional Health Initiative, Pittsburgh, PA, for an infection control 

training program.

100,000 Specter 

Potter County Human Services, Roulette, PA, for health promotion programs ..... 100,000 Specter 

Providence Multiple Sclerosis Center, Portland, Oregon, to develop a registry for 

multiple sclerosis.

100,000 Smith, Wyden 

Saint Michael’s Medical Center, Newark, NJ, for heart disease screening .......... 200,000 Menendez, Lautenberg 

Sister to Sister-Everyone Has a Heart Foundation to increase women’s awareness of heart disease, Washington, D.C.250,000 Cardin 

South Dakota State University, Brookings, SD, for interdisciplinary research on 

obesity prevention and treatment.

125,000 Johnson, Thune 

Spinal Muscular Atrophy Foundation, New York, NY, for outreach, patient education and registries.500,000 Schumer, Clinton, Harkin, Specter 

Supporting Autism Families Everywhere, Wilkes-Barre, PA, for Autism programs 

and education.

100,000 Specter 

Texas Tech University Health Sciences Center at El Paso, El Paso, TX, for the 

Center for Research and Re-Emerging Infectious Diseases.

500,000 Hutchison 

United Mine Workers of America, Fairfax, VA, for a fuel-cell coalmine vehicle 

demonstration project.

100,000 Specter 

University of Colorado School of Dentistry, Aurora, CO, for a rural oral health 

care program.

200,000 Johnson 

University of Kansas, Lawrence, KS, for the biodiversity research center ............ 1,400,000 Roberts 

University of Montana Rehabilitation, Research, and Training Center, Missoula, 

MT, to develop program Living Well and Working Well with a Disability: Improving Health, Promoting Employment, and Reducing Medical Costs.

150,000 Baucus 

University of Montana, Missoula, MT, for Methamphetamine Detection and 

Health Effects Research.

180,000 Tester 

University of North Carolina at Chapel Hill with East Carolina University, 

Chapel Hill, North Carolina, for the Program in Racial Disparities in Cardiovascular Disease.

700,000 Dole 

University of North Texas, Denton, TX, for the Center for Computational Epidemiology.400,000 Hutchison 

University of Pittsburgh Medical Center, Pittsburgh, PA, for health outreach ..... 200,000 Specter 

University of Wisconsin Milwaukee, Milwaukee, WI, for evidence based adolescent pregnancy prevention programs.240,000 Kohl 

WellSpan Health, York, PA, for health outreach .................................................... 100,000 Specter 

Youth and Family Services, Rapid City, SD, for the Health Connections Program.300,000 Johnson, Thune 

Applied Epidemiology Fellowship Training.—The Committee has 

included $2,000,000 for the Applied Epidemiology Fellowship 
105 

Training program to address the documented shortages of these 

core public health professionals in State and local health departments. 

Director’s Discretionary Fund.—The Committee has provided $7,851,000 for a Director’s Discretionary Fund. This fund will allow 

the director to quickly respond to emerging public health issues 

and threats not contemplated at the time of enactment of the appropriations. 

Epidemic Services and Response.—CDC’s epidemic services and 

response program provides resources and scientific expertise for operating and evaluating surveillance systems; developing and refining research methods and strategies to the benefit of public health 

practice; training public health professionals who are prepared to 

respond to public health emergencies, outbreaks and other assistance requests; and communicating with multi-faceted audiences accurate public health information and effective messages. The Committee recognizes that CDC maintains a keen appreciation for the 

fact that local outbreaks of illness can develop rapidly into 

epidemics; that previously unidentified health problems can appear 

at any time; that contaminated food or defective products may appear in the community without warning; and that the threat of bioterrorism is present in many areas of the world. When CDC participates in an investigation, all of the resources of the agency are 

at the disposal of the affected area, including its state-of-the-art 

laboratories. 

Leadership and Management Savings.—The Committee strongly 

believes that as large a portion as possible of CDC funding should 

go to programs and initiatives that improve the health and safety 

of Americans. To facilitate this goal, any savings in leadership and 

management may be reallocated to the Director’s Discretionary 

Fund upon notification of the Committee. 

PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT

The Committee has provided $99,000,000 for the Preventive 

Health and Health Services Block grant. The fiscal year 2007 comparable level was $99,000,000 and the budget request for fiscal 

year 2008 did not request any funding for this program. 

The block grant provides funding for primary prevention activities and health services that address urgent health problems in 

local communities. This flexible source of funding can be used to 

target concerns where other funds do not exist or where they are 

inadequate to address the extent of the health problem. The grants 

are made to the 50 States, the District of Columbia, two American 

Indian tribes, and eight U.S. territories. 

BUILDINGS AND FACILITIES

The Committee has provided $220,000,000 for the planning, design, and construction of new facilities, repair and renovation of existing CDC facilities, and data security and storage. The fiscal year 

2007 comparable level was $134,400,000 and the budget request for 

fiscal year 2008 was $20,000,000. 

The Committee has again provided bill language to allow CDC 

to enter into a single contract or related contracts for the full scope 

of development and construction of facilities and instructs CDC to 
106 

utilize this authority, when necessary, in constructing the Atlanta 

and Fort Collins facilities. 

BUSINESS SERVICES AND SUPPORT

The Committee provides $344,377,000 for business services support functions at the CDC. The fiscal year 2007 comparable level 

was $344,377,000 and the administration requested a comparable 

level of $319,877,000 for fiscal year 2008. These funds will be used 

to support CDC-wide support functions. 

The Committee strongly believes that as large a portion as possible of CDC funding should go to programs and initiatives that improve the health and safety of Americans. To facilitate this goal, 

any savings in business services support may be reallocated to the 

Director’s Discretionary Fund upon notification of the Committee. 

NATIONAL INSTITUTES OF HEALTH

When the 5-year effort to double funding for the National Institutes of Health ended in fiscal year 2003, few could have imagined 

that the agency would be in the position it finds itself today. After 

4 years of stagnant budgets, its funding has dropped 8.3 percent 

in real terms. The overall success rate for research project grants 

stands at just 21 percent. Young investigators have only the slimmest chance of getting approved on their first try, and even some 

well-established biomedical researchers are leaving the field. 

The impact of this funding squeeze goes far beyond those directly 

involved in awarding and receiving grants. More importantly, it 

threatens the pace of biomedical research and could delay cures 

and treatments that are within reach. And the ripple effect could 

be felt for decades to come if, as feared, we lose the next generation 

of scientists to other careers. 

The Committee took steps to reverse this trend in the fiscal year 

2007 joint funding resolution, which increased NIH funding by 

$570,000,000—enough to launch the National Children’s Study, 

add another 500 research grants, and provide additional funding 

for high-risk grants and young investigators. 

Regrettably, the budget request calls for cutting NIH funding by 

$278,646,000, for a total of $28,621,241,000. The Committee recommendation rejects that cut and instead provides a 

$1,000,000,000 increase over the fiscal year 2007 appropriation, for 

a total of $29,899,887,000. This amount will allow the NIH, for the 

first time since fiscal year 2005, to plan on increasing the average 

costs of new grants (by 3 percent) and provide the full ‘‘committed 

level’’ for noncompeting grants. 

The recommendation provides $110,900,000 for the second full 

year of implementing the National Children’s Study. The fiscal 

year 2007 appropriation was $69,000,000. The Committee also fully 

funds the budget request of $300,000,000 for transfer to the Global 

Fund to Fight AIDS, Tuberculosis and Malaria. The fiscal year 

2007 transfer was $99,000,000. 

The recommendation also includes $96,130,000 for radiological, 

nuclear and chemical countermeasures, and $91,250,000 for Director’s 1-year Bridge awards. 
107 

The Committee recommends $531,300,000 for the Common Fund. 

This is a 10 percent increase over the fiscal year 2007 appropriation of $483,000,000. The budget request is $486,153,000. Within 

the fund, the Committee recommends $28,459,000 for Director’s 

Pioneer Awards, $55,000,000 for Director’s New Innovator Awards 

and up to $25,000,000 that can be awarded using a flexible research authority described in a general provision in the bill. 

The Committee strongly endorses the goals of the Common Fund, 

as articulated in the National Institutes of Health Reform Act of 

2006. In recognition of the growing importance of this funding 

mechanism, and in an effort to provide greater transparency, the 

Committee instituted two changes in the fiscal year 2007 joint 

funding resolution. First, it specified the exact amount appropriated for the Common Fund in bill language. Second, it ended the 

practice of transferring a certain percentage of each Institute and 

Center’s appropriation to the fund. 

This report marks another related change. The Committee will 

now display the Common Fund level on the funding table at the 

back of the report, within the Office of the Director. 

These changes present a challenge in comparing the President’s 

fiscal year 2008 budget request (which was prepared before the 

completion of the fiscal 2007 joint funding resolution) with the fiscal year 2007 appropriated level and with the fiscal year 2008 

Committee recommendation on the funding table. Under the ‘‘budget estimate’’ column, the funding level for each Institute and Center includes a 1.3 percent contribution to the Common Fund, in addition to the base amount for each IC. For the fiscal year 2007 appropriated level and the fiscal year 2008 Committee recommendation, the Institute and Center amounts do not include any Common 

Fund contributions—just the base amount for each IC—while the 

total Common Fund amount is shown on its own line within the 

Office of the Director. 

As a result, the ‘‘budget estimate’’ for each IC reflects an amount 

that is higher relative to the other two columns, while the ‘‘budget 

estimate’’ for the Common Fund is lower relative to the other columns. In future years, all the columns will be consistent. 

The Committee includes a new general provision in the bill that 

transfers funds to HRSA and AHRQ, to be used for National Research Service Awards. 

Budget Justification Materials.—The Committee commends the 

NIH for making significant improvements to its budget justification 

materials, in response to last year’s report language. The Committee reiterates its desire for the justifications to include a funding table for stem cell research. The table should include amounts 

for human and non-human research involving embryonic and nonembryonic stem cells, from fiscal years 2004 through 2009. 

The Committee also expects the justifications to include the funding level necessary to implement the public access policy described 

below. 

Public Access.—The Committee has included bill language that 

would require investigators who are funded by the NIH to submit 

an electronic version of their final peer-reviewed manuscripts to 

the National Library of Medicine’s PubMed Central upon acceptance for publication. The manuscript shall be made publicly avail-
108 

able on PubMed Central as soon as possible, but no later than 12 

months after the official date of publication. The Committee highly 

encourages collaborations with journal publishers that would enable them to deposit manuscripts on behalf of the funded investigators, if all parties agree. The Committee directs the NIH to seek 

and carefully take into account the advice of journal publishers on 

the implementation of this policy. 

In particular, the Committee directs the NIH to ensure that publishers’ copyright protections are maintained. The Committee also 

directs the NIH to provide a report by April 1, 2008, on the status 

of the program, including how many manuscripts have been made 

publicly available through PubMed Central and how many have 

been deposited but not yet made publicly available. The report 

should also break down the amounts by the various submission 

methods, including author deposit, bulk deposit and the NIH portfolio. 

Stem Cell Research.—The Committee includes legislative language (sec. 520) that would supersede the administration’s guidelines on human embryonic stem cell research, which stipulate that 

only those stem cell lines derived by August 9, 2001, are eligible 

for NIH-funded research. Only 21 lines meet those criteria, fewer 

than 10 of which are commonly used by researchers—not nearly 

enough to reflect the diversity of the human population. Furthermore, all 21 are contaminated with mouse feeder cells, and many 

are showing abnormalities. 

The bill language sets a new cut-off date of June 15, 2007, and 

institutes new ethical guidelines that are lifted from S. 5, the Stem 

Cell Research Enhancement Act of 2007, and are tighter than those 

under the administration’s policy. The new provision is not a replacement for S. 5, which would allow NIH-funded research on any 

stem cell line regardless of the date on which it was derived. However, it would create exciting new potential for treatments and 

cures by greatly expanding the number of eligible lines. 

Until this provision is implemented, the Committee strongly 

urges the NIH to support human embryonic stem cell research to 

the greatest extent possible under the current guidelines. The Committee also expects the NIH to explore all other avenues of stem 

cell research, including adult stem cells and stem cells from the 

placenta, amniotic fluid, cord blood and other sources; and alternative methods of establishing pluripotent stem cell lines that do 

not involve the destruction of an embryo. 

NATIONAL CANCER INSTITUTE

Appropriations, 2007 ............................................................................. $4,797,639,000 

Budget estimate, 2008 ........................................................................... 4,782,114,000 

Committee recommendation ................................................................. 4,910,160,000 

The Committee recommends an appropriation of $4,910,160,000 

for the National Cancer Institute [NCI]. The budget request was 

$4,782,114,000. The fiscal year 2007 appropriation was 

$4,797,639,000. The comparable amounts for the budget estimate 

include funds to be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 
109 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Blood Cancers.—The incidence of lymphoma, multiple myeloma 

and acute leukemia/myelodysplasia increases dramatically with 

age, and chronic lymphocytic leukemia [CLL] is almost exclusively 

a disease of the aged. The Committee urges the NCI to place greater emphasis on translational and clinical research in blood cancers, 

with particular attention to blood cancers that affect the elderly. 

Brain Tumors.—The Committee strongly encourages the NCI to 

continue its support for clinical research consortia and SPOREs 

that focus on brain tumors. 

Breast Cancer.—The Committee again strongly urges the NCI to 

give increased attention to breast cancer, particularly in the areas 

of lymphedema, stress, nutrition, exercise, weight, the environment, and ways to help women more fully restore and improve 

their quality of life after treatment. The Committee also urges the 

NCI to further accelerate advances in breast cancer screening technology and to capitalize on existing and create new technologies 

that improve early diagnosis, health outcomes, and survival. 

Cancer Clinical Trials.—Only 3 percent of adult cancer patients 

participate in trials, and the participation by senior citizens is even 

more limited. The Committee urges the NCI to support research to 

investigate decision-making by patients, particularly with respect 

to barriers to, and decisions on, participation in clinical trials. This 

research effort should be undertaken to inform strategies to enhance accrual in cancer clinical trials. Current low levels of accrual 

are often rate-limiting in the development of novel treatment approaches, and solving this problem would ultimately improve outcomes for cancer patients. 

Cancer Genome.—The Committee commends the NHGRI and 

NCI for launching The Cancer Genome Atlas [TCGA], which will 

accelerate the understanding of the molecular basis of cancer using 

genome analysis technologies, including large-scale genome sequencing, copy number variation, and expression analysis. 

Cancer in Minority Communities.—The Committee commends 

the NCI for its continuing efforts to establish a cancer center at a 

minority institution focused on research, treatment, and prevention 

of cancer in African American and other minority communities. 

Cancer in Native Hawaiians.—The Committee continues to be 

deeply concerned that mortality rates for all cancers are much 

higher for Native Hawaiian males and females compared to other 

residents of the State. The Committee strongly urges the NCI to 

increase research that is focused towards understanding cancer 

among Native Hawaiians. 

Cancer Metastasis to Bone.—A frequent complication of cancer is 

its spread to bone. The Committee understands that immune response plays a role in cancer metastasis and urges the NCI to focus 

research in the emerging area of osteoimmunology. The Committee 

encourages the NCI, NIAMS, NIA, and NIDDK to support research 

to determine mechanisms to identify, block and treat cancer metastasis to bone. Furthermore, the Committee urges the NCI to expand research on osteosarcoma to improve survival and quality of 

life and to prevent metastatic osteosarcoma in children and teenagers who develop this cancer. In addition, the NCI is encouraged 
110 

to expand research on tumor dormancy as it relates to bone metastasis. 

Communication Research.—The Committee is pleased to note 

that the NCI has a long history of supporting research on behavioral and sociocultural influences on cancer outcomes and access to 

care, including support for communication research to ensure that 

the public receives accurate, easily understood information about 

the human papillomavirus vaccine, and thus facilitate access for 

those who need appropriate care. 

Gynecologic Oncology Clinical Trials Cooperative Group.—The 

Committee urges the NCI to provide additional resources to fund 

clinical trials through the Gynecologic Oncology Clinical Trials Cooperative Group. Priority should be given to translational research 

involving biologic prognosticators and therapeutic effects of chemotherapy to speed the development and delivery of new cancer treatments to women with gynecologic cancers. 

HPV Vaccine and Cervical Cancer.—The Committee urges the 

NCI to fund research that will allow for the identification of the 

most cost-effective management strategy for cervical cancer screening in the era of HPV L1 vaccines and to identify the circumstances 

where Pap test/HPV screening fails in vaccinated women. 

Imaging Systems Technologies.—The Committee is aware of the 

potential for improved patient care and disease management represented by molecular imaging technologies, especially positron 

emission tomography [PET], through its ability to image the biology of many kinds of cancer and other diseases. The Committee 

continues to support the NCI’s increased emphasis on examining 

the molecular basis of disease through imaging technologies such 

as PET and MicroPET. The Committee further encourages the testing of women for breast cancer and men for prostate cancer to demonstrate and quantify the increased diagnostic and staging capabilities of PET relative to conventional diagnostic and staging technologies, including mammography. 

Liver Cancer.—The Committee notes that the incidence of primary liver cancer continues to increase, liver cancer is the only 

cancer experiencing continuing increases in mortality, and treatment options for physicians remain very limited. Therefore, the 

Committee urges the NCI to work closely with the NIDDK to develop a basic, clinical and translational research program designed 

to reverse these trends and enhance survivability. In addition, the 

Committee welcomes the conclusions of the October 2006 NCI-Hepatitis B Foundation workshop regarding the early detection of liver 

cancer, and it urges the NCI to support more work in this area. 

Lung Cancer.—Lung cancer is the leading cause of cancer death 

among women and minority populations. The Committee encourages the NCI to work with the thoracic surgical community to initiate new clinical trials that involve patients at an early stage of 

the disease when surgery is a treatment option. 

Lymphatic Research and Lymphatic Diseases.—The Committee 

urges the NCI to support research on lymphedema and to devote 

increased resources toward the study of lymphangiogenesis and 

lymphatic imaging. 

Lymphoma Translational and Clinical Research.—The Committee urges the NCI to capitalize on the recent investment in 
111 

basic research on lymphoma by aggressively funding translational 

and clinical research on this disease. The basic research program 

has resulted in significant information about the biology of 

lymphoma and better strategies for identifying critical metabolic 

pathways and immune system functioning in lymphoma. The 

translational and clinical research effort should be strengthened to 

accelerate therapeutic development for lymphoma. 

Melanoma.—The Committee commends the NCI for a workshop 

in February 2007 to develop a Strategic Action Plan for Melanoma 

Research. The Committee strongly encourages the NCI to devote 

sufficient funds in the areas of research opportunity identified by 

the plan and issue program announcements in those areas. The 

Committee requests the NCI to report by July 1, 2008, on steps it 

has taken to implement the plan. In addition, the Committee encourages the NCI to support the creation of a Melanoma Investigators Consortium, and to fund a multi-site, multi-year, populationbased clinical trial to testy the efficacy of early detection methods. 

The Committee also recommends increased collaboration between 

the NCI and the NIAMS on their melanoma research activities. 

Mesothelioma Research.—The Committee is concerned with the 

pace of mesothelimoma research. The NCI is encouraged to establish up to 10 mesothelioma centers and increase related research, 

including clinical trials, detection and prevention methods, 

palliation of disease symptoms and pain management. 

Nanosystems Biology.—The Committee encourages the NCI and 

the Office of the Director to continue to support a collaborative effort to bring nanotechnology, systems biology and molecular imaging together to examine the molecular basis of cancer. Many clinical trials of new drugs are now considered to fail if only 10 percent 

of patients benefit, yet the 10 percent may represent a specific type 

of the disease for which the drug may be 100 percent effective. 

Bringing these three disciplines together may allow researchers to 

identify specific sub-types of cancer and to better target new interventions. Successful results of such an effort could lead to a molecular classification of many types of cancer and to targeted molecular treatments for molecular-specific diseases. 

Neurofibromatosis [NF].—Recognizing NF’s connection to many 

of the most common forms of human cancer, the Committee encourages the NCI to substantially increase its NF research portfolio in 

such areas as further development of animal models, natural history studies, genetic and drug screening, therapeutic experimentation, and clinical and pre-clinical and clinical trials. The Committee also encourages the NCI to create, fund, and implement NF 

clinical and pre-clinical trials infrastructures including NF centers, 

pre-clinical mouse consortiums, patient data bases, and tissue 

banks. The Committee further encourages the NCI to apply existing cancer drugs to NF patients in clinical trials both extramurally 

and intramurally, and to develop new drugs for NF which could 

then apply to the general population. 

Non-Hodgkin Lymphoma.—The incidence rates for non-Hodgkin 

lymphoma in the general population have doubled since the 1970s, 

for reasons that are not clear. The Committee strongly recommends 

an enhanced commitment to research focusing on the possible environmental links to lymphoma. The Committee suggests that the 
112 

NCI direct funds to: (1) studies on the identification of environmental-genetic interactions that may influence the development of 

lymphoma; (2) studies of adequate scope to assure the identification 

of environmental risk factors for specific subtypes of lymphoma; (3) 

small studies designed to improve detection and quantification of 

historically difficult-to-measure environmental factors; (4) studies 

that are directed toward enhancing the understanding of the role 

of the immune system in the initiation and progression of 

lymphoma; and, (5) studies that examine the simultaneous presence of a wide profile of infectious agents among individuals with 

lymphoma. The Committee also notes that lymphoma is often diagnosed in young adulthood and middle age, and survivors may experience immediate, and also late and long-term effects of the disease 

and treatment. The Committee urges the NCI to dedicate some of 

its survivorship research funds on research issues related to problems confronted by lymphoma survivors. 

Ovarian Cancer.—The Committee urges the NCI to support randomized, prospective studies that would lead to the validation and 

acceptance of biomarkers for the early detection of ovarian cancer. 

Pancreatic Cancer.—Research on pancreatic cancer, the country’s 

fourth leading cause of cancer death among men and women, remains underfunded as compared to the top five cancers based on 

mortality. The Committee notes that the NCI currently categorizes 

grants as falling under a specific cancer type if the grant is at least 

25 percent relevant to that cancer. The Committee urges the NCI 

to increase this criterion to 50 percent relevancy for pancreatic cancer research and to fund more pancreatic cancer grants at this 

higher level so that the minimal dollars being funded toward the 

disease are truly pushing the research forward. Further, the Committee requests that the Institute ensure that pancreatic cancer 

grants are reviewed by at least three reviewers who are experts in 

pancreatic cancer research. Finally, the Committee is disappointed 

that the three existing pancreatic cancer Specialized Projects of Research Excellence [SPORE] grants have never been fully funded, 

and it urges the Institute to fully fund no fewer than three pancreatic cancer SPOREs this year. 

Prostate Cancer.—The Committee commends the NCI for its considerable investment in prostate cancer and encourages the Institute to continue to support research to improve the accuracy of 

screening and early detection of this disease. 

Tuberous Sclerosis Complex [TSC].—The Committee applauds 

the NCI for supporting a multi-center clinical trial on TSC, and it 

urges the Institute to support additional clinical trials. The Committee also encourages the NCI to continue to support basic research on the mTOR signaling pathway and the role of the TSC1/ 

2 genes in nutrient sensing, insulin signaling and cell growth and 

proliferation. 

NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

Appropriations, 2007 ............................................................................. $2,922,929,000 

Budget estimate, 2008 ........................................................................... 2,925,413,000 

Committee recommendation ................................................................. 2,992,197,000 

The Committee recommendation includes $2,992,197,000 for the 

National Heart, Lung, and Blood Institute [NHLBI]. The fiscal year 
113 

2007 appropriation was $2,922,929,000 and the budget request was 

$2,925,413,000. The comparable amounts for the budget estimate 

include funds to be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

ACCORD Trial.—The Committee commends the NHLBI on the 

ACCORD trial, which should definitively address the relationship 

between glucose levels, blood pressure and lipids in the formation 

of macrovascular disease. The NHLBI is urged to consider utilization of new therapeutic options, particularly continuous glucose 

sensors, to assist those patients in the study for whom current 

treatments are not allowing target glycemic control levels to be 

achieved. 

Advanced Imaging Technology.—The Committee is aware that 

heart perfusion PET scans using Rubidium-82 are considered the 

‘‘gold standard’’ for determining the extent of muscle damage to the 

heart following a heart attack. The Committee encourages the 

NHLBI to expand its research efforts into the role of biological imaging and PET in delivering more accurate information to determine appropriate treatment for heart disease patients. 

Bleeding and Clotting Disorders.—The Committee commends the 

NHLBI for its commitment to research in bleeding and clotting disorders and encourages the Institute to continue these efforts focusing on improved and novel therapies for these disorders and maintaining its collaborative relationship with patient-advocacy groups 

and the scientific and medical research community. 

Bone Marrow Failure Diseases.—The Committee applauds the 

NHLBI for funding research that has led to a greater understanding of bone marrow failure diseases. The Committee encourages the NHLBI to collaborate with the NCI to fund new research 

efforts that seek new treatments and cures for aplastic anemia, 

myelodysplastic syndromes and paroxysmal nocturnal hemoglobinuria. 

Cardiovascular Diseases.—The Committee commends the Institute for its leadership in undertaking an inclusive strategic planning process, which included a national conference on heart disease 

that was recommended by this Committee in fiscal year 2006. The 

Committee continues to regard research on heart disease, stroke 

and other cardiovascular diseases as a top health priority, and it 

expects the Institute to aggressively expand its investment in 

basic, clinical, translational, and trans-institute research through 

all available mechanisms. 

Chronic Obstruction Pulmonary Disease [COPD].—The Committee commends the NHLBI for launching a national public 

awareness campaign designed to increase awareness, diagnoses, 

and treatment for COPD. The Committee is aware that the Division of Lung Diseases has sponsored several COPD workshops that 

have recommended additional research focused on the disease process, pathogenesis, and therapy and other recommendations. The 

Committee recommends that the NHLBI aggressively pursue 

COPD research as recommended by these expert panels and convene a panel of leading researchers to create a COPD Research Ac-
114 

tion Plan to identify opportunities and to accelerate the pace of research. 

Congenital Heart Disease.—The Committee commends the 

NHLBI for convening a working group to address congenital heart 

diseases, and supports its recommendation that action be taken to 

prevent needless disability and premature mortality. The Committee urges the NHLBI to work with patient associations, other 

appropriate NIH Institutes, and the CDC to develop education and 

research initiatives targeted to the life-long needs of congenital 

heart defect survivors. 

Cooley’s Anemia [Thalassemia].—The Committee remains supportive of the effort being undertaken by the Thalassemia Clinical 

Research Network. In addition, the Committee commends the 

NHLBI for its commitment to pursue gene therapy and urges the 

Institute to move more aggressively in pursuing a research agenda 

that will lead to a cure. 

Depression and Heart Disease.—The NHLBI is encouraged to 

work closely with the NIMH to ensure that projects examining depression in heart disease patients, or how treatment of depression 

may improve adherence to cardiovascular health regimens, are 

routed to the appropriate Institute and review groups so that this 

type of research may be supported. 

Diabetic Cardiovascular Disease.—Research has shown that 

heart disease begins as early as childhood or adolescence in type 

1 diabetes patients. The NHLBI is encouraged to promote research 

to identify early biomarkers of cardiovascular disease in young diabetic patients to learn who might benefit from therapeutic agents 

that are currently used in adults. 

Diamond-Blackfan Anemia [DBA].—The Committee is pleased 

with the NHLBI’s support of research initiatives investigating DBA 

and the enhancement of the DBA Registry. The Committee understands that important advancements have been achieved in the 

areas of further gene discovery and the indication that DBA is the 

first human disorder linked to a ribosome protein deficiency. Understanding that breakthroughs in this disorder may lead to important strides in additional research areas relating to blood cell formation (recovery from cancer chemotherapy), cancer predisposition, 

gene discovery, and the effectiveness of steroids and blood transfusions as treatment options for all bone marrow failure syndromes, the Committee continues to commend the NHLBI for its 

attention to this important disorder. 

Heart Disease in Native Hawaiians.—The Committee continues 

to be concerned that Native Hawaiians have a higher rate of mortality from heart disease and cerebrovascular disease compared to 

other residents of the State. The Committee strongly urges the 

NHLBI to increase research that is focused towards understanding 

heart disease and cerebrovascular disease among Native Hawaiians. 

Hematology.—The Committee commends the NHLBI for developing a strategic plan based on input from its broad constituency 

and for committing 70 percent of its budget to the funding of investigator-initiated research. The Committee encourages the NHLBI, 

in conjunction with the NIDDK, NCI and NIA and experts in hematology research, to identify hematology research priorities that 
115 

can impact chronic malignant and non-malignant bleeding disorders. 

Kidney Disease.—The Committee notes that chronic kidney dysfunction is a unique and important risk factor for the development 

of cardiovascular disease. Additionally, hypertension, or high blood 

pressure, is the second-leading cause of end-stage renal disease 

[ESRD]. Given the significant morbidity and mortality associated 

with cardiovascular disease among patients with kidney disease, 

the Committee recognizes the importance of the urgency to examine the relationship between cardiovascular disease and kidney disease. The Committee encourages the NHBLI and NIDDK to work 

together to develop appropriate basic and clinical research initiatives addressing the pathogenesis of cardiovascular events in patients with kidney disease and exploring therapeutic and preventive interventions. The Committee also encourages the NHBLI to 

work with the renal community to support ongoing educational programs directed to health professionals, patients and the public to 

raise the awareness of the relationship between cardiovascular disease, hypertension and kidney disease. 

Lupus.—The Committee strongly encourages the NHLBI to expand and intensify research on lupus, with a special focus on its 

links to early-onset cardiovascular disease. 

Lymphatic Research and Lymphatic Diseases.—The Committee 

commends the NHLBI for its leadership role in lymphatic research 

and strongly encourages amplified continuation of these efforts in 

concert with the NCI, NIAID, NIDDK, NIAMS, and other relevant 

ICs. In addition, the Committee urges the NHLBI’s Lung Division 

to engage in lymphatic research initiatives, with particular attention to congenital lymphatic malformation-induced pulmonary dysfunction. 

Marfan Syndrome.—The Committee commends the NHLBI for 

its strong leadership on Marfan syndrome research, particularly its 

sponsorship of a landmark ‘‘Pediatric Heart Network’’ clinical trial 

focused on the drug losartan. The Committee encourages the 

NHLBI to continue to partner with the Marfan syndrome community and explore ways to support promising ancillary studies to the 

clinical trial. The Committee also applauds the Institute for establishing a Working Group on Marfan Syndrome. 

Neurofibromatosis [NF].—The Committee applauds the NHLBI 

for its involvement with NF research and with NF patient advocacy 

groups, and it encourages the Institute to continue to expand its 

NF research portfolio. 

Nontuberculous Mycobacteria [NTM].—The Committee commends the NIH for its planning meetings regarding NTM and recommends further collaboration with the NIAID, the advocacy community, and other Federal agencies to provide a better understanding of NTM, enhance diagnostic and treatment options and 

outcomes, and promote education of health care providers. The 

Committee also encourages the NHLBI to issue a program announcement or other appropriate mechanism to ensure the initiation of grant proposals. 

Pulmonary Hypertension [PH].—The Committee continues to 

view research on PH as a high priority. It encourages the NHLBI 

to expand its successful SCCOR program in this area and establish 
116 

a PH Research Network to facilitate collaboration and data sharing 

among leading PH investigators. 

Sickle Cell Disease [SCD].—The Committee encourages the Institute to continue to strengthen its efforts related to the funding of 

the Comprehensive Sickle Cell Centers, the SCD Comprehensive 

Clinical Network centers, and related activities. Specifically, the 

Committee encourages the expansion of opportunities available for 

patients to participate in large, multi-center clinical trials to support the development of more treatment options and the establishment of a central prospective registry of several thousand wellcharacterized individuals with SCD. Additionally, the Institute is 

encouraged to bring new health and medical professionals and researchers into the field to support the next generation of researchers equipped to integrate genomics, proteomics and high-throughput screening expertise into the SCD research field. The Committee 

also encourages the Institute to expand the use of transgenic mice 

and a tissue bank facility, and to encourage collaboration between 

the NHLBI, HRSA, CDC, and national and local organizations. The 

Committee requests an update on these efforts in the fiscal year 

2009 congressional budget justifications. 

Sleep Disorders.—The Committee continues to urge the National 

Center on Sleep Disorders Research to partner with other Federal 

agencies and voluntary health organizations to implement a sleep 

education and public awareness initiative using the roundtable 

model. 

Tuberous Sclerosis Complex.—The Committee urges the NHLBI 

to support basic research on the mTOR signaling pathway and the 

role of the TSC1/2 genes in cell growth and proliferation in the 

heart and lungs. The Committee also urges the NHLBI to continue 

and expand intramural and extramural programs on 

lymphangioleiomyomatosis [LAM], a lung disorder that primarily 

affects women. In particular, research should focus on the natural 

history of LAM in TSC and sporadic LAM, as well as support for 

clinical trials. 

NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH

Appropriations, 2007 ............................................................................. $389,703,000 

Budget estimate, 2008 ........................................................................... 389,722,000 

Committee recommendation ................................................................. 398,602,000 

The Committee recommendation includes $398,602,000 for the 

National Institute of Dental and Craniofacial Research [NIDCR]. 

The fiscal year 2007 appropriation was $389,703,000 and the budget requested $389,722,000. The comparable amounts for the budget 

estimate include funds to be transferred from the Office of AIDS 

Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institutes’s budget. The other amounts do not include any contribution for the Common Fund. 

Temporomandibular Joint and Muscle Disorders [TMJDs].—The 

Committee commends the NIDCR for its efforts to increase funding 

for TMJDs research and stimulate interest in young investigators 

in TMJD research. The Committee urges the NIDCR to give priority to the recommendations of the Fourth Scientific Meeting of 
117 

The TMJ Association, especially those calling for the establishment 

of Regional TMJD Centers of Excellence. Because the multifaceted 

nature of TMJDs requires an approach that coordinates the work 

of many interested parties at the NIH, the Committee expects the 

NIDCR to continue to collaborate and coordinate research and 

awareness activities with the NIBIB, NINDS, NIAMS, ORWH and 

all other relevant ICs as well as the trans-NIH Pain Consortium 

and the NIH Blueprint for Neuroscience Research. The Committee 

also urges the NIDCR to consult regularly with patient advocacy 

groups in the planning of research initiatives. 

NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY

DISEASES

Appropriations, 2007 ............................................................................. $1,705,868,000 

Budget estimate, 2008 ........................................................................... 1,708,045,000 

Committee recommendation ................................................................. 1,747,784,000 

The Committee recommends an appropriation of $1,747,784,000 

for the National Institute of Diabetes and Digestive and Kidney 

Diseases [NIDDK]. The fiscal year 2007 appropriation was 

$1,705,868,000 and the administration’s request is $1,708,045,000. 

The comparable amounts for the budget estimates include funds to 

be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Acute Liver Failure.—The Committee is aware that there is no 

effective and approved medical procedure to maintain liver function 

after acute failure for a period of time until a liver becomes available for transplantation or the liver repairs itself naturally. The 

Committee urges research in this area, consistent with the Liver 

Disease Research Action Plan, to reduce the mortality rate for 

those who suffer from acute liver failure. 

Animal Models of Diabetes.—The Committee applauds the 

NIDDK, in partnership with the NHLBI, for its renewal of the Animal Models of Diabetic Complications Consortium [AMDCC]. While 

the AMDCC focuses on rodent models, the NIDDK is also encouraged to support the development and use of larger animal models 

that more closely mimic diabetes in humans and that can be used 

for preclinical testing of new therapeutic agents to treat complications. 

Beta Cell Biology.—The Committee urges the NIDDK to support 

research focused on translating the fundamental discoveries made 

by the Beta Cell Biology Consortium into clinical applications that 

may directly benefit type 1 diabetes patients. 

Clinical Trials for Type 1 Diabetes.—The Committee urges the 

NIDDK to continue to expand the pipeline of new therapies being 

tested by the Type 1 Diabetes TrialNet to accelerate the rate of 

drug discovery and development to combat type 1 diabetes. For example, anti-CD3 monoclonal antibodies represent a breakthrough 

in the treatment of type 1 diabetes and, for the first time, provide 

a way to intervene in the natural history of the disease. The Committee urges the NIDDK and the NIAID to foster mechanistic and 

clinical research aimed at understanding how anti-CD3 works so 
118 

that drug design can be optimized to reduce side effects and define 

all patient populations who might benefit from anti-CD3 therapy. 

Continuous Glucose Monitoring.—Recent advances in continuous 

glucose monitoring technology have the potential to revolutionize 

the way diabetes is managed on a daily basis, but more research 

is needed to validate this technology in a variety of patient populations under ‘‘real world’’ conditions. Moreover, biomedical research progress is enabling increasing numbers of type 1 diabetes 

patients to live with this disease for more than 50 years. The 

NIDDK is urged to support clinical research on the potential benefits of continuous glucose monitoring in type 1 diabetes patients 

over the age of 65. 

Cooley’s Anemia.—The Committee continues to support NIDDK 

research on iron chelation and non-invasive iron measurement, and 

to encourage the NIDDK to work closely with the NIBIB to develop 

and perfect non-invasive means of measuring iron that accumulates in the heart and liver. 

Diabetes in Native Hawaiians.—The Committee is concerned 

about the high prevalence of diabetes among Native Hawaiians, 

and it urges the NIDDK to continue research in this area. 

Digestive Diseases.—The Committee continues to encourage the 

NIDDK to expand its Digestive Disease Centers program, with an 

increased emphasis on irritable bowel syndrome. 

Drug-induced Liver Injury.—In view of the increasing incidence 

of liver injury from prescription and nonprescription drugs, the 

Committee urges an expansion of the Drug-Induced Liver Injury 

Network. 

Environmental Triggers of Type 1 Diabetes.—The Committee encourages the NIDDK to ensure that resources are made available 

to maximize the knowledge about type 1 diabetes that can be 

gained from The Environmental Determinants of Diabetes in the 

Young Study [TEDDY], including the support of innovative ancillary studies using biosamples and data collected from TEDDY participants. 

Fragile X.—The symptoms of Fragile X syndrome include digestive difficulties. The Committee urges the NIDDK to expand its research activities on Fragile X and to coordinate these efforts with 

other Institutes working on related activities, including the NIMH, 

NINDS, NICHD, NHGRI and the Fogarty International Center. 

Genetics of Diabetic Kidney Disease.—The NIDDK is recognized 

for supporting the whole genome sequencing of the Genetics of Kidneys in Diabetes [GoKinD] collection of genetic samples from nearly 1,900 type 1 diabetes patients and their relatives. This work 

should help identify the genetic factors that make some diabetic 

patients more susceptible to kidney disease. 

Genetics of Type 1 Diabetes.—The Committee commends the 

NIDDK for its oversight of the International Type 1 Diabetes Genetics Consortium, which is in the final stages of recruiting 2,800 

families with two or more children with type 1 diabetes. As the 

sample collection phase nears completion, the NIDDK is encouraged to support researchers who plan to use the genetic collection 

to fully understand the genetic causes of type 1 diabetes. 

Glomerular Disease Research.—The Committee continues to be 

pleased with the work of the NIDDK in the area of glomerular dis-
119 

ease research, particularly as it relates to focal segmental 

glomerulosclerosis. 

Hematology.—Research into basic mechanisms of blood cell formation and function is intimately linked to determining the health 

risks of different diseases and in developing novel therapies for 

treatment. An example is the study of anemias of inflammation 

and chronic disease, which would greatly improve the understanding of chronic infection and immune activation, severe trauma, heart disease, arthritis, and diabetes. The Committee urges 

the NIDDK, using the findings of the 2006 workshop on this topic, 

to work with the NHLBI, NCI, NIA, NIAID and NIAMS to develop 

a research agenda on anemias of inflammation and chronic disease. 

The Committee requests an update in the fiscal year 2009 congressional budget justification on the research opportunities identified 

and the next steps to be taken. 

Hepatitis B.—The Committee is pleased with the NIH commitment to conduct a consensus conference in 2008 on best treatment 

practices for individuals with hepatitis B. The Committee is aware 

that there are six hepatitis B pharmaceutical products on the market and that three of them have become available in the last two 

years. The growing number of treatment options is encouraging 

and suggests a strong rationale for conducting a consensus conference to provide state of the art treatment guidelines for the 

practicing physician community. As only approximately one-third of 

individuals with hepatitis B are aware of their condition, the Committee urges the NIDDK to continue to collaborate with the CDC 

in the development of a public health strategy to expand the 

screening of individuals at risk for chronic hepatitis B. 

Hepatitis C.—The Committee encourages implementation of clinical studies aimed at overcoming antiviral drug resistance to hepatitis C, possibly by utilizing novel agents in combination. 

Inflammatory Bowel Disease [IBD].—The Committee has been 

encouraged in recent years by discoveries related to Crohn’s disease 

and ulcerative colitis, collectively known as IBD. The Committee 

commends the NIDDK for its strong leadership in this area and 

continues to encourage the Institute to increase funding for research, particularly pediatric research, focused on; (1) the cellular, 

molecular and genetic structure of IBD, (2) identification of the 

genes that determine susceptibility or resistance to IBD in various 

patient subgroups, and (3) translation of basic research findings 

into patient clinical trails as outlined in the research agenda developed by the scientific community titled, ‘‘Challenges in Inflammatory Bowel Disease.’’ The Committee also encourages the 

NIDDK to continue to strengthen its partnership with the IBD 

community and increase support for its successful Digestive Disease Centers program with an emphasis on IBD. 

Interstitial Cystitis [IC] and Painful Bladder Syndrome [PBS].— 

The Committee is concerned by a pattern of inconsistent funding 

at the NIDDK on IC/PBS-specific research, and it urges the Institute to make a sustained investment in this area. The Committee 

urges the NIDDK to issue a request for applications for IC/PBSspecific research in areas that examine predisposition/risk factors, 

underlying cellular and molecular pathology of IC/PBS and the association/cross-sensitization of IC/PBS with other disorders/dis-
120 

eases. The Committee also encourages translational research in IC/ 

PBS that includes pilot therapy testing and early intervention of 

lifestyle/behavioral changes to prevent or lessen symptoms. The 

Committee remains concerned about the lack of clarity surrounding 

the nomenclature and definition of IC, and it urges the NIDDK to 

host a meeting of international IC experts that specifically addresses these issues not only to update its own research criteria and 

clarify its investigative questions on IC but also to ensure that the 

United States continues to be at the forefront of all IC research activities. In addition, the Committee is discouraged by the lack of 

progress in the NIDDK-funded RAND study on the epidemiology of 

IC. The NIDDK is urged to take an active role in the last two years 

of this study to ensure that any design flaws are addressed, outside 

experts are consulted and it is well executed. 

Irritable Bowel Syndrome [IBS].—The Committee is pleased that 

the NIDDK is formulating an action plan for digestive diseases 

through the National Commission on Digestive Diseases and that 

IBS will be included. The Committee continues to urge the NIDDK 

to expedite this plan and ensure that IBS be given sufficient attention. 

Islet Transplantation.—The Committee acknowledges the productive collaboration of the NIDDK and NIAID in overseeing the Clinical Islet Transplantation Consortium. The development of seven 

clinical trial protocols of islet transplantation marks a significant 

step toward validating this procedure as a viable treatment for 

Type 1 diabetes patients suffering from extremely ‘‘brittle’’ or difficult-to-control blood sugar levels. The NIDDK and NIAID are 

urged to take steps to ensure the efficient launch of these trials 

and to expedite patient recruitment and enrollment. 

Kidney Disease.—The Committee encourages the NIDDK to expand the kidney disease research infrastructure through an increased number of kidney research core centers to promulgate collaborative research on a local, regional and national level. In addition, the Committee recommends expanded support for investigator-initiated research projects in five priority areas of greatest 

importance clinically: acute renal failure, diabetic nephropathy, hypertension, transplantation, and uremic cardiovascular toxicity. 

The Committee commends the NIDDK for moving forward with the 

Clinical Trials Cooperative Group and supports collaboration with 

the renal community to seek new strategies and energize clinical 

investigation in the above-mentioned areas. 

Lupus.—The Committee encourages the NIDDK to expand and 

intensify research on lupus, which can damage virtually any organ 

system in the body, including the kidneys, stomach and intestinal 

tract. 

Lymphatic Research and Lymphatic Diseases.—The NIDDK is 

urged to study the metabolic link between lymphatic function and 

obesity, dyslipedema and diabetes. In addition, the Committee 

strongly urges the NIDDK to study protein-losing enteropathy, a 

life-threatening complication associated with numerous syndromes 

involving congenital lymphatic malformations. 

Management of Pediatric Kidney Disease.—The complexity and 

variety of causes unique to childhood kidney diseases requires multiple detailed treatment regimens for chronic kidney disease, dialy-
121 

sis and kidney transplantation. When these medication and treatment plans are not followed, patients experience life-threatening 

complications and costly hospitalizations. The Committee urges the 

NIDDK to conduct trans-institute trials to study methods to improve adherence with treatment regimens for children and adolescents, particularly in the areas of dialysis and post kidney transplantation. Additionally, the Committee urges NIDDK to support 

collaborating networks of health care providers to collect data and 

plan trials to improve therapy for the spectrum of childhood kidney 

diseases and the transition of children with kidney disease into 

adulthood. 

National Commission of Digestive Diseases.—The Committee applauds the continuing work of the National Commission of Digestive Diseases to develop a 10-year plan and urges that the chapter 

on liver disease encompass the findings and recommendations of 

the recently updated Liver Disease Research Action Plan. 

Obesity and Translational Research.—The Committee urges the 

NIDDK to address the growing obesity crisis by investigating the 

role of the gastrointestinal tract in regulating food intake, how obesity causes liver disease and colon cancer, and the best treatment 

options and novel therapeutic approaches for preventing and treating obesity, including novel endoscopic therapies and other approaches that extend beyond existing treatment modalities. 

Obesity-related Liver Disease.—There has been a dramatic increase in obesity-related chronic liver disease, which may affect as 

many as one in four adults and a significant number of obese children. This diagnosis encompasses a spectrum of severity with many 

cases evolving into non-alcoholic steatohepatitis [NASH] and, ultimately, cirrhosis. NASH-related liver disease has already become 

an important indicator for liver transplantation, and in the absence 

of better treatments, the need for NASH-related liver transplantation will increase significantly over time. The Committee urges 

the NIDDK to continue to support fatty liver disease clinical trials 

that includes both adult and pediatric populations. 

Polycystic Kidney Disease [PKD].—The Committee is pleased that 

NIH-supported research has rapidly led to the development of multiple human clinical trials and interdisciplinary studies focused on 

slowing or even reversing the progression of PKD. However, the 

Committee is deeply concerned by recent cuts in NIH funding for 

PKD research, combined with coding errors that made it appear as 

if NIDDK funding for PKD were higher than the actual figures. 

Therefore, the Committee strongly urges the NIDDK to increase its 

investment in PKD research by promoting additional PKD clinical 

trials and multidisciplinary research, and expanding studies of 

pathophysiology and molecular biology. 

Prostatitis.—The Committee supports the efforts of the Chronic 

Prostatitis Collaborative Research Network [CPCRN] to find the 

cause and a cure for prostatitis. The past 10 years of research by 

the CPCRN have produced important progress, and the Committee 

urges the NIDDK to fund the research to completion. 

Spina Bifida.—The Committee encourages the Institute to undertake research efforts to study the causes and care of the neurogenic bladder to improve the quality of life of children and adults 

with spina bifida. 
122 

Tuberous Sclerosis Complex.—TSC is a genetic disorder that triggers uncontrollable tumor growth in multiple organs of the body including the kidneys, where patients are at risk for polycystic kidney disease [PKD], cancer or, most commonly, benign growths 

known as angiomyolipoma that can result in kidney failure. The 

Committee urges the NIDDK to continue to support basic research 

on the mTOR signaling pathway and the role of the TSC1/2 genes 

in nutrient sensing, insulin signaling and cell growth and proliferation. The Committee also urges the NIDDK to support research on 

the link between TSC and PKD. 

NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

Appropriations, 2007 ............................................................................. $1,535,545,000 

Budget estimate, 2008 ........................................................................... 1,537,019,000 

Committee recommendation ................................................................. 1,573,268,000 

The Committee recommends an appropriation of $1,573,268,000 

for the National Institute of Neurological Disorders and Stroke 

[NINDS]. The fiscal year 2007 appropriation was $1,535,545,000 

and the budget request is $1,537,019,000. The comparable amounts 

for the budget estimates include funds to be transferred from the 

Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Alzheimer’s Disease.—The Committee recognizes that the NINDS 

has funded several new areas of research on Alzheimer’s that may 

ultimately contribute to the development of therapeutics, as well as 

a translational project involving the screening of small molecules 

that may prevent mutant proteins linked to inherited forms of the 

disease from contributing to detrimental cellular changes. The 

Committee encourages the NINDS to continue to assign a high priority to its Alzheimer research portfolio; expand its research into 

early diagnosis of Alzheimer’s using PET imaging of the brain and 

to share its results with the Centers for Medicare and Medicaid 

Services; and to continue to work in collaboration with the NIA, 

NIMH and other Institutes. 

Basic and Translational Research.—The Committee recognizes 

the NINDS for its cooperative efforts in expanding basic and 

translational research on the processes and mechanisms involved 

in the experience, expression, and regulation of emotion. 

Brain Tumors.—The Committee continues to believe that the 

NINDS should give additional attention to identifying causes of 

and treatments for brain tumors, and it encourages the Institute 

to continue working with the NCI to carry out the recommendations of the Report of the Brain Tumor Progress Review Group. 

Charcot-Marie-Tooth [CMT].—The Committee commends the 

NINDS for holding a workshop on peripheral neuropathies that focused on developing research opportunities to address CMT. The 

workshop concluded that a number of specific research directions 

are relevant to developing treatments for CMT and related disorders, including: (1) the development of high-throughput screening 

to identify candidate treatments that may currently be available 

for patients; (2) research into novel mechanisms to repair genetic 
123 

abnormalities in patients with CMT; (3) research into interactions 

between neurons and glial cells that are disrupted and cause disability in many CMT patients; and (4) research into the biological 

role of inflammatory cells that may exacerbate disability in CMT 

patients. The Committee strongly urges the NINDS to capitalize on 

these recommendations and follow up with a relevant program announcement or request for applications. The Committee also requests an update on these activities in the fiscal year 2009 congressional budget justifications. 

Chronic Inflammatory Demyelinating Polyneuropathy [CIDP].— The Committee urges the NINDS to support research to assist in 

the diagnosis and treatment of CIDP, a rare disorder of the peripheral nerves characterized by gradually increasing weakness of the 

legs and arms. 

Cognitive and Emotional Health Project [CEHP].—The Committee commends the NINDS for its cooperative efforts in producing a searchable database of studies and planning joint efforts 

to solicit research on enhancing healthy cognitive and emotional 

function. 

Dandy-Walker.—The Committee urges the NINDS to form a coordinating committee for Dandy-Walker and hydrocephalus research, and to sponsor a workshop to increase awareness and set 

national research priorities for these diseases. 

Down Syndrome.—The Committee notes the recent publication of 

a number of breakthrough studies concerning the structure and 

function of synapses in cognitive circuits in mouse models of Down 

syndrome. These findings suggest that important advances are possible in the near future that could enhance cognitive function in 

both children and adults with this disorder. The Committee notes 

that these advances were, in part, forecast by the Down syndrome 

workshop sponsored by the NINDS. The Committee commends the 

NINDS for its leadership in organizing the workshop and urges it 

to build upon the important findings that came out of the meeting. 

In particular, the Committee encourages the NINDS to identify opportunities for investigating the genetic and cellular basis for abnormalities in the structure and function of cognitive circuits in 

both the developing and mature nervous systems of people with 

Down syndrome. The NINDS is also encouraged to work with the 

NIA to develop strategies to investigate the biology of age-related 

disorders, such as Alzheimer’s disease and Parkinson’s disease, in 

people with Down syndrome. 

Duchenne and Becker Muscular Dystrophy [DBMD] Translational 

Research.—The Committee understands that the NIH plans to convene a workshop examining DBMD translational opportunities 

later this year. The Committee is pleased that these actions are 

taking place and requests that the NINDS and the Muscular Dystrophy Coordinating Committee develop and submit to the Committee, by February 1, 2008, specific measurable milestones needed 

to establish a DBMD Translational Research Initiative. This information should be part of the annual report called for under the MD 

Care Act and be provided by the NINDS, with support from other 

appropriate Institutes, including the NIAMS and NHLBI. The 

Committee further requests a detailed timeline for establishing a 

DBMD translational research initiative by July 1, 2007, and it 
124 

urges the involvement of representatives from the six MD centers 

of excellence. 

Duchenne Muscular Dystrophy.—The Committee is pleased that 

the Muscular Dystrophy Coordinating Committee [MDCC] has approved the Action Plan for the Muscular Dystrophies. However, the 

plan does not make clear the agency or agencies tasked with primary and secondary responsibilities for achieving each of the 76 research objectives. The Committee requests the MDCC to designate 

those agencies by February 1, 2008. The Committee also encourages the NINDS, NIAMS, and NHLBI to provide the funding needed to support the research agenda at each of the six Paul Wellstone 

Muscular Dystrophy Cooperative Research Centers. 

Dystonia.—The Committee continues to support the expansion of 

research and treatment developments regarding dystonia, and it 

commends the NINDS for sponsoring the scientific workshop on 

dystonia in June 2006. 

Epilepsy.—The Committee applauds the Institute on the second 

‘‘Curing Epilepsy’’ conference, held in March 2007, and it encourages the NINDS, along with the epilepsy community, to update the 

Epilepsy Research Benchmarks to reflect promising future directions for research toward a cure. The Committee requests an update in the fiscal year 2009 congressional budget justifications on 

the state of the science in epilepsy research and critical areas for 

future study, which should include collaborative initiatives with 

the NIMH, NIA, NICHD and patient and scientific organizations. 

Fragile X.—The Committee strongly endorses accelerated funding for basic and translational Fragile X research, especially efforts 

to analyze the linkages among Fragile X syndrome, autism, and autism spectrum disorders. The Committee urges the NINDS to participate in the scientific session described under the section on the 

NICHD and to collaborate with the Fragile X Centers of Excellence 

as well as the Fragile X Clinics Consortium. 

Hydrocephalus.—The NINDS is commended for taking lead sponsorship of the 2005 workshop ‘‘Myths, New Facts, Clear Directions’’ 

to set national research priorities for hydrocephalus. The Committee urges the Institute to significantly increase funding for hydrocephalus research and awareness along with actively soliciting 

grant applications based on the findings from the workshop. The 

Committee also encourages the NINDS to seek opportunities to collaborate with other Institutes, including the NIA, NICHD, NEI, 

NIBIB and ORD, in developing a coordinating committee to support research collaboratively in epidemiology. 

Lupus.—The Committee encourages the NINDS to expand and 

intensify research on lupus, which can attack the blood vessels in 

the brain, causing seizures, psychosis, and stroke. 

Mucolipidosis Type IV [ML4].—The gene causing this debilitating 

genetic metabolic disorder has been identified, so the Committee 

believes it is timely to increase funding that could lead to a treatment or cure. In particular, this should include research involving 

other organisms that bear genes resembling the one whose mutation in humans causes ML4. 

Neurofibromatosis [NF].—The Committee encourages the NINDS 

to continue its efforts in the creation, implementation and funding 

of NF pre-clinical and clinical trials infrastructures, including NF 
125 

Centers, translational research, genetic and drug screening, training of new NF researchers, and clinical trials using existing and 

new drugs on NF patients. The Committee applauds the ongoing 

work of analyzing DNA of NF tumor samples, which not only will 

help find a treatment for NF but also connect it to other forms of 

cancers and other diseases. 

Opsoclonus-Myoclonus Syndrome [OMS].—The Committee continues to urge the Institute to accelerate research efforts to identify 

OMS susceptibility genes and biomarkers and to develop innovative 

immunotherapeutic strategies. 

Parkinson’s Disease.—The Committee is concerned that NIH 

spending on Parkinson’s disease research, overall, is declining. The 

Committee urges the NINDS to dedicate additional funding to pursue promising translational and clinical research that may result 

in scientific breakthroughs for people living with Parkinson’s disease. The Committee commends the NIH for preparing the 2006 

Parkinson’s Disease Strategic Research Plan and requests a report 

by June 1, 2008, that would provide additional information on the 

Plan’s implementation, including funding mechanisms used, such 

as program announcements, requests for proposals; budgetary estimates associated with each of the priority research areas identified 

by the Plan; anticipated next steps; and necessary funding levels. 

The Committee continues to support the Morris K. Udall Parkinson’s Disease Research Centers of Excellence and applauds the creation of an additional center to further focus and manage their 

interdisciplinary efforts. The Committee further encourages NIH to 

require that the centers include a significant clinical component, in 

addition to their ongoing basic and translational research. 

Peripheral Neuropathy.—More than 60 percent of diabetic patients experience some degree of nerve damage that can lead to 

skin ulceration on the feet, poor wound healing, and, in extreme 

cases, lower limb amputation. The NINDS is recognized for organizing a workshop of leading experts in diabetic nerve damage who 

defined challenges and barriers to the successful implementation of 

clinical trials to combat this long-term complication. The NINDS is 

urged to consider establishing a clinical trial network to design and 

conduct clinical research protocols of new agents to prevent or treat 

diabetic nerve damage. 

Spina Bifida.—The Committee encourages the Institute to continue and expand research to address issues related to the prevention and treatment of spina bifida and associated secondary conditions such as hydrocephalus. 

Spinal Muscular Atrophy [SMA].—The Committee commends the 

NINDS for the advancement of the SMA Therapeutics Development program and strongly urges the Institute to continue identifying and completing preclinical research and development of SMA 

drug candidates. The Committee urges the NINDS to plan and 

budget for the successive stages of the project, including, most importantly, funding for clinical trials and infrastructure (e.g., site 

support, patient registries, biomarker development and natural history studies). Lastly, the Committee notes the need to expand basic 

research funding on SMA and requests that a request for applications be issued. 
126 

Stroke.—The Committee commends the Institute for its leadership in initiating a strategic planning process for stroke research 

and expects that the NINDS will work with experts in the field to 

develop this initiative. The Committee urges the Institute to aggressively expand its investment in basic, clinical, translational, 

and trans-institute stroke research through all available mechanisms. The Committee is encouraged that the NINDS convened 

stroke experts to conduct a midpoint review of the 10-year plan 

outlined in the Stroke Progress Review Group report. The Committee strongly supports the full and timely implementation of the 

SPRG report, and it requests a written update on the implementation of the report by July 1, 2008, highlighting activities and initiatives for each of the remaining fiscal years of the plan. 

Stroke Rehabilitation.—The Committee notes the growing body of 

evidence that stroke victims do not achieve the fullest possible recovery from rehabilitation because of limited awareness of appropriate rehabilitation protocols. The Committee therefore urges the 

convening of an experts panel to examine this issue with the goal 

of developing consensus treatment protocols. Finally, the Committee urges implementation of the Stroke Progress Review Report’s recommendations on recovery and rehabilitation. 

Tuberous Sclerosis Complex [TSC].—The Committee applauds 

the leadership undertaken at the NINDS to coordinate research on 

TSC through the Trans-NIH Tuberous Sclerosis Coordinating Committee. The Committee believes the scope of the committee should 

be broadened to include planning of international conferences and 

annual targeted workshops on specific areas of TSC research. The 

Committee also urges the NINDS Human Genetics Resource Center to develop a TSC DNA Repository that would serve as a research resource for the TSC research community. Finally, the Committee urges the NINDS to stimulate and support research on the 

role of early-onset seizures in TSC and subsequent cognitive development. 

Vulvodynia.—The Committee urges the NINDS, in coordination 

with the NICHD, ORWH, NIH Pain Consortium and other ICs, to 

expand its support of research in vulvodynia, with a focus on etiology and multi-center therapeutic trials. The Committee also calls 

on the NINDS to work with the ORWH and other relevant ICs and 

government agencies, as well as patient and professional organizations, to implement an educational outreach campaign on 

vulvodynia. 

NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

Appropriations, 2007 ............................................................................. $4,367,708,000 

Budget estimate, 2008 ........................................................................... 4,592,482,000 

Committee recommendation ................................................................. 4,668,472,000 

The Committee recommends an appropriation of $4,668,472,000 

for the National Institute of Allergy and Infectious Diseases 

[NIAID]. The fiscal year 2007 appropriation was $4,367,708,000 

and the budget request is $4,592,482,000. Included in these funds 

is $300,000,000 to be transferred to the Global Fund to Fight HIV/ 

AIDS, Malaria, and Tuberculosis. The fiscal year 2007 transfer 

amount was $99,000,000. The comparable amounts for the budget 
127 

estimate include funds to be transferred from the Office of AIDS 

Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

The Committee has included bill language requested by the 

President that allows sums obligated in fiscal years 2003 through 

2007 for extramural facilities construction grants to remain available until expended. 

Antiviral Drug Resistance.—One of the major challenges in implementing therapies for hepatitis B and hepatitis C is antiviral 

drug resistance. The Committee encourages the development of 

standardized terminology to describe this resistance, as well as 

studies of the mechanism of resistance and methods to overcome it. 

Asthma.—The Committee urges the NIAID to continue to improve its focus and effort on asthma management, especially as it 

relates to children. 

Atopic Dermatitis and Asthma/Allergic Diseases.—The Committee applauds the NIAID for focusing on atopic dermatitis [AD] 

as a risk factor for adverse reactions to the smallpox vaccine. However, the Committee believes that the NIAID should focus additional attention on the relationship between AD and asthma and 

other allergic diseases. Studies have confirmed that individuals 

with severe AD are more likely to develop particularly severe asthma and allergies. The Committee encourages the NIAID to coordinate with other Institutes on a multidisciplinary initiative to encourage investigator-initiated research projects on AD as it relates 

to the progression to asthma and other allergic diseases as well as 

changes in immune responses to allergen exposure in sensitized patients. 

Autoimmune Disease Research.—The Committee commends the 

NIAID for its successful renewal of the Autoimmune Prevention 

Centers initiative, which has generated and tested innovative ideas 

in autoimmune research. 

Biocontainment Labs.—In 2003, the NIH awarded contracts for 

construction of two extramural National Biocontainment Laboratories for research on infectious agents and related countermeasures. These facilities are due to open in 2008. The Committee 

encourages NIH to provide the Committee with its strategic plan 

for the continued operations of these facilities and for protection of 

the substantial Federal investment in them. 

Drug Development for Type 1 Diabetes.—The NIAID, in collaboration with the NIDDK, is recognized for its successful renewal of the 

Immune Tolerance Network [ITN], which designs and conducts 

clinical trials of new immune modulating therapies for type 1 diabetes and other diseases. The Committees encourages the NIAID to 

continue to explore opportunities for testing drugs that are already 

approved by the FDA for other indications for use as therapies for 

Type 1 diabetes. 

Food Allergy and Anaphylaxis.—The Committee is pleased that 

the NIAID plans to solicit grant applications for research on food 

allergy, and it urges the highest possible level of funding for this 

initiative. The Committee believes that a similar, complementary 
128 

effort should be undertaken with respect to anaphylaxis. A report 

of a second symposium on anaphylaxis co-sponsored by the NIAID 

highlighted a number of areas requiring additional research, including the identification of relevant biomarkers; improved understanding of the basic immunology and pathophysiology of anaphylaxis; and studies of the mechanisms that determine the severity 

of allergic reactions and the variability of organ system responses. 

The report also noted that the three-step treatment follow-up recommended for anaphylaxis is ‘‘infrequently performed in North 

American emergency departments.’’ The Committee urges the 

NIAID to stimulate investigator-initiated research on anaphylaxis 

including clinical studies of ways to improve its diagnosis and prevention as well as emergency treatment. The Committee requests 

a report outlining these efforts in the fiscal year 2009 congressional 

budget justifications. 

Hepatitis B.—The Committee encourages the NIAID to continue 

work in the area of therapeutic drug discovery for hepatitis B. 

Inflammatory Bowel Disease [IBD].—The Committee continues to 

encourage the NIAID to expand its research partnerships with the 

IBD community and increase funding for research focused on the 

immunology of IBD and the interaction of genetics and environmental factors in the development of the disease, particularly in 

pediatric populations. 

Liver Transplantation.—The Committee applauds the significant 

progress in developing successful techniques for liver transplantation, but notes that more work remains on improving the longterm quality of life of individuals who receive such transplants. The 

Committee urges additional research in this area, as well as research to improve patient and graft survival, and pre-transplant 

graft evaluation and preservation, with a particular focus on research to reduce and eventually eliminate a transplant recipient’s 

dependence on immunosuppressive drugs. 

Lupus.—The Committee urges the NIAID to expand and intensify genetic, clinical, and basic research on lupus, with particularly 

strong focus on gene-gene and gene-environmental interactions, epidemiological research, biomarkers, pediatric research, environmental factors, and factors related to the health disparities and comorbidities associated with this diseases. 

Lymphatic Research and Lymphatic Diseases.—With a portfolio 

that includes chronic infections, immune-mediated diseases, transplantation, allergy, asthma and airway infections, the NIAID has 

a significant stake in advancing lymphatic research. The Committee urges the NIAID to work closely with the NHLBI to support 

research that addresses the immune functions of the lymphatic system and the role of immune mechanisms and inflammation in lymphatic diseases, with particular attention to the immunodeficient 

complications associated with congenital lymphatic malformations 

and lymphedema. 

Malaria.—The Committee urges the NIAID to allocate additional 

resources to support malaria vaccine development, drug development, diagnostics, vector control, infrastructure and research capability, and to strengthen components of the Implementation Plan 

for Global Research on Malaria. The Committee is concerned that 

reports of drug-resistant malaria and insecticide-resistant mosqui-
129 

toes are on the rise. To that end, the Committee urges the NIAID 

to undertake additional research on the basic biology and ecology 

of mosquitoes, as well as work in genomics to develop new insecticides or render mosquitoes incapable of transmitting malaria. 

Nontuberculous Mycobacteria [NTM].—The Committee commends the NIAID for its planning meetings regarding NTM and 

recommends further collaboration with the NHLBI, the advocacy 

community and other Federal agencies. The Committee encourages 

the NIAID to advance the understanding of NTM by establishing 

a national registry of patients. Further, the Committee encourages 

the NIAID to issue a program announcement or other appropriate 

mechanism to ensure the initiation of grant proposals and other activities in NTM. 

Parasitic Tropical Diseases.—The Committee urges the NIAID to 

continue research on the development of new vaccines, diagnostics, 

and safe, effective treatments for cholera, African trypanosomiasis 

(African Sleeping Sickness), American trypanosomiasis (Chagas 

disease), visceral leishmaniasis, Buruli ulcer, and other debilitating 

parasitic infections. 

Primary Immunodeficiency [PI] Diseases.—The NIAID is the lead 

agency for research into bone marrow transplantation, which can 

cure some primary immunodeficiencies. The Institute has made significant progress in reducing graft versus host disease [GVHD] and 

improving therapies when GVHD develops. With newborn screening of certain PI diseases being piloted in the States, the Committee urges the Institute to redouble its efforts to assure that 

identified patients have the best possible chance for survival. 

Tuberculosis.—The Committee is extremely concerned about the 

spread of tuberculosis in the United States and around the world, 

and urges the NIAID to continue supporting research toward the 

development of improved medications; an effective, safe vaccine; 

and diagnostics. 

U.S. Immunodeficiency Network [USIDNet].—The Committee recognizes the importance of the USIDNET research and training 

portfolio and urges the NIAID to increase support for the consortium. This unique program provides a mechanism to foster 

progress in this important and under-supported group of primary 

immunodeficiency diseases [PIDD] that historically have impacted 

clinical medicine far beyond their proportional representation in 

the population. The program supports research in this area by both 

new and established investigators with a goal of training the next 

generation of clinicians and scientists to take on the questions that 

can continue to benefit the greater population with suppressed immune systems. A DNA and cell repository and an immunodeficiency patient registry have been established to further facilitate research in this area. The registry can provide a mechanism 

of improved communication with patients to assist recognition of 

new patterns of disease and long-term surveillance of the effect of 

therapeutics and live-agent vaccines in this patient group. 

NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

Appropriations, 2007 ............................................................................. $1,935,808,000 

Budget estimate, 2008 ........................................................................... 1,941,462,000 

Committee recommendation ................................................................. 1,978,601,000 
130 

The Committee recommendation includes $1,978,601,000 for the 

National Institute of General Medical Sciences [NIGMS]. The fiscal 

year 2007 appropriation was $1,935,808,000 and the administration’s request is $1,941,462,000. The comparable amounts for the 

budget estimate include funds to be transferred from the Office of 

AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Behavioral Research.—The Committee continues to be concerned 

that the NIGMS does not support basic behavioral research. The 

Institute’s statutory mandate includes basic behavioral research 

and training, and the Committee believes that the NIGMS has a 

scientific mandate in this area because of the clear relevance of 

fundamental behavioral factors to a variety of diseases and health 

conditions. To date, the NIGMS has not responded to this concern 

despite the recommendation of an NIH working group that called 

for the establishment of such a program, and similar recommendations from the National Academy of Sciences, the Institute of Medicine, and others. The Committee expects the NIGMS to support 

basic behavioral research and training. 

Training Programs.—The Committee continues to be pleased 

with the quality of NIGMS’s training programs, particularly those 

that have a special focus on increasing the number of minority scientists. In addition, the Committee encourages the NIGMS to seek 

out innovative partnerships with professional societies and other 

scientific and educational organizations to recruit and retain minority or disadvantaged students in the research pipeline. 

NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

Appropriations, 2007 ............................................................................. $1,254,707,000 

Budget estimate, 2008 ........................................................................... 1,264,946,000 

Committee recommendation ................................................................. 1,282,231,000 

The Committee recommends an appropriation of $1,282,231,000 

for the National Institute of Child Health and Human Development 

[NICHD]. The fiscal year 2007 appropriation was $1,254,707,000 

and the administration’s request is $1,264,946,000. The comparable 

amounts for the budget estimate include funds to be transferred 

from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Adverse Pregnancy Outcome.—A recent national study showed 

that the rate of pre-term births among first pregnancies has increased 50 percent over the past decade; women in their first pregnancy are at highest risk for developing preeclampsia; and black 

women have a two-fold higher risk of these problems than white 

women. The Committee requests that the NICHD launch an intensive research study of first pregnancy women in order to fill the 

major gap in the research on the etiology, mechanisms and prevention of these complications. The Committee also urges the NICHD 

to investigate the rates of adverse pregnancy outcomes in preg-
131 

nancies associated with assisted reproductive technology [ART]. 

The Committee urges the NICHD to support a multi-center cohort 

study on ART that would emphasize pregnancy outcomes, and 

short-and long-term effects on children, to determine if the adverse 

outcomes are specifically related to ART procedures versus underlying factors within the couple. 

Behavioral Science.—The Committee continues its strong support 

for the broad portfolio of behavioral research at the NICHD. 

Childhood Obesity.—The Committee continues its support for 

NICHD research on the behavioral and social factors that contribute to childhood obesity. 

Demographic Research.—The Committee applauds the NICHD 

for its strong support of demographic research, which has resulted 

in a greater understanding of such topics as family dynamics and 

immigration. The NICHD is encouraged to provide additional resources on research that addresses the future of America’s families, 

including the forces affecting birth rates and family investments in 

children. The Institute should also actively support opportunities 

for interdisciplinary research into the complex socioeconomic and 

biological mechanisms that produce health disparities within our 

population. To ensure the continued vitality of this program, the 

Committee urges the NICHD to maintain its levels of investment 

in demographic training and infrastructure support. 

Diabetes Research in Children.—The Committee commends the 

NICHD for its support of the Diabetes Research in Children Network [DirecNet], which has made excellent progress in studying 

glucose control and the application of new technologies in a pediatric population with diabetes. 

Dietary Intervention to Prevent Juvenile Diabetes.—The Committee applauds the NICHD for its oversight of the Trial to Reduce 

IDDM in the Genetically at Risk [TRIGR] study, which is testing 

whether substitution of hydrolyzed cow’s milk in an infant’s diet 

can reduce the rate of type 1 diabetes in children. The Committee 

urges the NICHD to continue its strong support of TRIGR to follow 

the study participants over the next 10 years. 

Down Syndrome.—The Committee commends the NICHD on earlier efforts to supply mouse models of Down syndrome for the research community. It now encourages the NICHD to partner with 

the NINDS and other agencies to define additional mouse models 

needed to link important structural and functional abnormalities 

that underlie cognitive difficulties to the actions of specific genes 

and gene pathways. The Committee urges the NICHD to take a 

leadership role in providing a robust research portfolio that addresses the problems that affect children with Down syndrome and 

to work collaboratively with other Institutes to carry out this mission. 

Early Language Development.—The Committee applauds the 

NICHD’s continued support of research in early language development, particularly studies that underscore the importance of social 

interaction as a necessary component for language learning. The 

Committee encourages further research to help understand which 

components of social interaction are critical for language development, and how this knowledge can be used to improve the linguistic skills of those with social impairments. 
132 

Epilepsy.—Epilepsy often begins in childhood, and even in its 

mildest forms can modify brain development, with lifelong effects 

on cognitive processes ranging from learning disabilities to severe 

developmental disabilities. Recurring seizures are also common for 

children with autism, brain tumors, cerebral palsy, mental retardation, tuberous sclerosis and a variety of genetic syndromes and may 

dramatically add to the burden of these disorders. The Committee 

urges the NICHD to make research in epilepsy a priority, with particular emphasis on developmental effects, and to coordinate these 

efforts with the NINDS. 

Family Formation.—The Committee encourages the NICHD to 

continue to fund research on effective ways to promote and sustain 

healthy family formations, particularly for low-income families and 

families of color. 

Fragile X.—The Committee strongly encourages the NICHD to 

support upcoming clinical drug trials of pharmaceuticals indicated 

for treatment for Fragile X. In addition, the Committee endorses 

accelerated funding for basic and translational Fragile X research, 

including efforts to analyze the linkages among Fragile X, autism, 

and autism spectrum disorders. The Committee is encouraged by 

the efforts of all of the Institutes supporting Fragile X research to 

coordinate Fragile X research and encourages them to intensify and 

expedite this effort. The Committee urges the NIH, through the 

NICHD and other participating Institutes, to convene a scientific 

session in 2008 to develop pathways to new opportunities for collaborative, directed research across Institutes, and to produce a 

blueprint of coordinated research strategies and public-private 

partnership opportunities for Fragile X. In these efforts, the 

NICHD is urged to collaborate with the three existing federally 

funded Fragile X Centers of Excellence as well as the Fragile X 

Clinics Consortium. The Committee requests the NICHD to report 

to Congress by September 1, 2008, on its progress in achieving 

these goals. The Committee also urges the NICHD to continue to 

prioritize Fragile X as a key prototype in the development of costeffective newborn screening programs. 

Fragile X-associated Premature Ovarian Failure [POF].—POF is 

a condition in which the ovaries stop functioning normally in a 

woman younger than age 40. Studies show that it is often associated with the FMR1 gene, the same gene that causes Fragile X 

syndrome. The Committee acknowledges the importance of furthering research into the FMR1 premutation to inform the research 

community about the genetic causes of infertility and disorders of 

altered ovarian function. The Committee supports further research 

efforts focused on collecting genetic information from women who 

possess a mutation of the FMR1 gene as well as women who have 

POF. To accomplish this goal, the Committee urges the NICHD to 

include the collection of genetic data on women who are relatives 

of people living with Fragile X in the development of a National 

Fragile X Patient Registry in order to facilitate genetic screening 

and counseling services for family members who may be at risk of 

Fragile X. Additionally, the NICHD is encouraged to address POF 

as it relates to the FMR1 gene in the development of a blueprint 

on Fragile X research opportunities. 
133 

Liver Wellness in Children.—The National Children’s Study provides a unique opportunity to study the prevalence of obesity-related chronic liver disease, also known as non-alcoholic 

steatohepatitis [NASH], from birth to early adulthood. The Committee urges the NICHD to analyze the prevalence of NASH under 

the NCS to better understand obesity-related chronic illnesses in 

children and to work with other agencies in the screening and prevention of these diseases. 

Mental Retardation.—The Committee recognizes the contributions of the Mental Retardation/Developmental Disabilities Research Centers [MRDDRC] toward understanding why child development goes awry, discovering ways to prevent developmental disabilities, and discovering treatments and interventions to improve 

the lives of people with developmental disabilities and their families. The Committee is particularly pleased with the MRDDRC contributions in the areas of autism, Fragile X syndrome, Down syndrome and other genetic and environmentally induced disorders. 

However, the Committee is concerned that the MRDDRCs do not 

have sufficient resources to sustain the progress made in this critical area and is especially concerned with the cut in support for recently funded centers. The Committee urges the NICHD to restore 

these reductions and to the extent possible provide additional resources to the MRDDRCs. 

National Center for Medical Rehabilitation Research [NCMRR].— 

The Committee notes that while the NCMRR has the lead at NIH 

for medical rehabilitation, 15 other institutes and centers also fund 

research in this area. The Committee urges the NCMRR to provide 

leadership for this trans-NIH research and to increase its focus on 

institutional and career development awards with the goal of raising the applicant success rates of the several under-represented 

health professions that can contribute significantly to the field, 

such as occupational therapists. The Committee also urges the 

NCMRR to support research on pulmonary rehabilitation. 

Neurofibromatosis.—The Committee continues to encourage the 

NICHD to issue RFAs for NF research, aggressively pursue and expand funding of clinical trials for NF patients in the area of learning disabilities and support the creation of NF Centers involved 

with treating and curing learning disabilities. 

Preterm Birth.—The Committee commends the NICHD for its 

sustained investment in prematurity research through the Maternal-Fetal Medicine Network, the Neonatal Research Network and 

the Genomics and Proteomics Network. The Committee strongly 

encourages the NICHD to expand research on the underlying 

causes of preterm delivery and the development of treatments for 

the prevention of premature birth. 

Primary Immunodeficiency [PI] Diseases.—The Committee continues to support the NICHD’s efforts to educate physicians and 

the public regarding this class of about 140 diseases. The Committee also encourages the Institute’s focus on newborn screening 

research as States begin to implement pilot newborn screening programs for SCID, one of the most severe forms of PI. The NICHD 

is urged to coordinate its efforts with the CDC and the States in 

this implementation period. 
134 

Obstetric Systematic Reviews.—The Committee continues to encourage the NICHD to support obstetric systemic reviews, which 

provide an important resource to practicing physicians and the general public. 

Spina Bifida.—The Committee strongly urges the NICHD to 

make a greater investment in the prevention and treatment of 

spina bifida and its associated secondary conditions. In particular, 

the Committee urges a stronger emphasis on understanding the 

myriad co-morbid conditions experienced by children with spina 

bifida, including paralysis and developmental delay. 

Spinal Muscular Atrophy [SMA].—The Committee has stated in 

previous years that improving the diagnosis of SMA and accelerating the development of treatments for this disease is consistent 

with the NICHD’s mission. However, the Committee is concerned 

that the NICHD has dedicated only minimal resources specifically 

to initiate work and sustain ongoing resources for SMA. The Committee again urges the NICHD to fund specific basic, translational 

and clinical research initiatives on SMA. Further, the Committee 

urges the NICHD to coordinate its efforts with the NINDS and 

NIGMS. 

Stillbirth.—The Committee applauds the NICHD’s efforts to address stillbirth and urges the Institute to fully fund the cooperative 

network’s ongoing study using a standard protocol at five clinical 

sites. 

Tuberous Sclerosis Complex [TSC].—Individuals with TSC— 

many of whom are infants and young children—face a lifetime of 

suffering with seizures, behavioral disorders, autism and mental 

retardation. The Committee urges the NICHD to stimulate and 

support research on the link between autism and TSC, specifically 

the role of the TSC1/2 genes in autism. The Committee also urges 

the NICHD to stimulate and support research on the role of earlyonset seizures in TSC and subsequent cognitive development. 

Uterine Fibroids.—The Committee encourages the NICHD to expand, intensify, and coordinate programs for the conduct and support of research with respect to uterine fibroids. Current research 

and available data do not provide adequate information on the 

rates of prevalence and incidents of fibroids in Asian, Hispanic, and 

other minority women, the costs associated with treating fibroids, 

and the methods by which fibroids may be prevented in these 

women. 

Vulvodynia.—As a result of efforts funded by the NICHD, the 

number of highly qualified scientists interested in researching 

vulvodynia has greatly increased. The Committee commends the 

NICHD for reissuing its program announcement in this area; however, to ensure that experts in vulvodynia, and related chronic pain 

and female reproductive system conditions, are adequately represented on peer review panels, the Committee recommends that 

future program announcements on vulvodynia be issued with ‘‘special review.’’ The Committee commends the NICHD for supporting 

two new projects on vulvodynia in 2006 and strongly urges the Institute to increase the number of awards for vulvodynia studies in 

fiscal year 2008, with a particular emphasis on etiology and multicenter therapeutic trials. Finally, the Committee commends the 

NICHD for working with the ORWH to implement an educational 
135 

outreach campaign on vulvodynia, and calls upon the Institute to 

continue these efforts. 

NATIONAL EYE INSTITUTE

Appropriations, 2007 ............................................................................. $667,116,000 

Budget estimate, 2008 ........................................................................... 667,820,000 

Committee recommendation ................................................................. 681,962,000 

The Committee recommends an appropriation of $681,962,000 for 

the National Eye Institute [NEI]. The fiscal year 2007 appropriation was $667,116,000 and the budget request is $667,820,000. The 

comparable amounts for the budget estimate include funds to be 

transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Age-related Macular Degeneration [AMD].—The Committee commends the NEI for its trans-institute research into the cause, prevention and treatment of AMD, the Nation’s leading cause of blindness, including the identification of gene variants associated with 

an increased risk for AMD, which presents an opportunity to predict and preempt the disease. The Committee encourages further 

research into diagnostics for early detection and appropriate therapies. The Committee also applauds the NEI for initiating the second phase of its Age-related Eye Disease Study [AREDS], in which 

additional dietary supplements are being studied to determine if 

they can demonstrate or enhance their protective effects against 

progression to the advanced form of AMD, as shown with dietary 

zinc and antioxidant vitamins in the study’s first phase. 

Diabetes Management Devices.—The Committee is aware that a 

significant proportion of Americans with diabetes are visually impaired and that there are currently no state-of-the-art glucose monitoring or insulin delivery devices that are user-friendly and accessible to Americans with blindness and low vision. The Committee 

therefore urges the NEI, in collaboration with the NIDDK and the 

Food and Drug Administration, to sponsor a scientific workshop 

that would include representatives from diabetes management device manufacturers and representatives of organizations that address the technology access needs of Americans with low vision or 

blindness to document and clarify the technical capabilities of the 

devices currently on the market and to develop standards for device accessibility for Americans with low vision or blindness. 

Diabetic Eye Disease.—The Committee applauds the NEI for the 

collaborative efforts of the Diabetic Retinopathy Clinical Research 

Network to test innovative treatments for diabetic eye disease. The 

Institute is encouraged to expand and extend the network by increasing the number of clinical trials with new drugs and therapeutics that can treat and prevent diabetic retinopathy. 

NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

Appropriations, 2007 ............................................................................. $642,002,000 

Budget estimate, 2008 ........................................................................... 637,406,000 

Committee recommendation ................................................................. 656,176,000 
136 

The Committee recommends an appropriation of $656,176,000 for 

the National Institute of Environmental Health Sciences [NIEHS]. 

The fiscal year 2007 appropriation was $642,002,000 and the budget request was $637,406,000. The comparable amounts for the 

budget estimate include funds to be transferred from the Office of 

AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Alternative Methods.—The Committee commends the National 

Interagency Center for the Evaluation of Alternative Methods/ 

Interagency Coordinating Committee on the Validation of Alternative Methods [NICEATM/ICCVAM] for commencing a process for 

developing a 5-year plan to research, develop, translate and validate new and revised non-animal and other alternative assays for 

integration of relevant and reliable methods into the Federal agency testing programs. The 5-year plan shall be used to prioritize 

areas, including tiered testing and evaluation frameworks, that 

have the potential to most significantly and rapidly reduce, refine 

or replace laboratory animal methods while at the same time providing an adequate degree of scientific certainty for protection of 

health and the environment. 

Asthma.—Given the link between environmental factors and the 

onset of asthma, chronic obstructive pulmonary disease [COPD], 

and pulmonary fibrosis, the Committee encourages the NIEHS to 

further develop research initiatives to understand the environmental and genetic risk factors for predisposing some individuals 

to and in controlling the severity of these lung diseases. 

Autism.—The Committee remains strongly interested in possible 

environmental causes or triggers of autism. The Committee commends the NIEHS for convening an expert panel in May 2006 regarding thimerosal exposure in response to fiscal year 2006 report 

language. The report from the workshop, titled ‘‘Thimerasol Exposure in Pediatric Vaccines,’’ concluded that comparing the rates of 

autism in the Vaccine Safety Datalink [VSD] over the time period 

before, during and after the removal of thimerasol from most childhood vaccines would be ‘‘uninformative and potentially misleading.’’ 

The report also outlined three alternate studies that could address 

possible associations between thimerosal exposure and increased 

rates of autism. The Committee urges the NIEHS to evaluate the 

merit of conducting these alternate studies and provide an update 

in the fiscal year 2009 congressional budget justifications. 

Behavioral Research.—The Committee encourages the NIEHS to 

maintain its steps toward integrating basic behavioral and social 

science research into its portfolio. The NIEHS is urged to expand 

partnerships with OBSSR and other institutes to fund research on 

common interest including gene and environment interactions and 

health. 

Bone Marrow Failure Diseases.—While there are no known 

causes of bone marrow failure diseases such as aplastic anemia, 

myelodysplastic syndromes [MDS], and paroxysmal nocturnal hemoglobinuria [PNH], they have been linked to environmental fac-
137 

tors. The Committee encourages the NIEHS to work with the 

NHLBI and NCI to fund research that explores these links. 

Genes and Environment Initiative.—The Committee strongly supports the trans-institute effort of the NIEHS and NHGRI to identify the genetic and environmental underpinnings of asthma, diabetes, cancer, and other common illnesses, focusing on the development of innovative technologies for assessing the role that environmental exposures and genetic variation play in the risk of developing disease. 

Global Environmental Health.—The Committee encourages the 

Institute’s effort to develop a Global Environmental Health Initiative designed to identify diseases where environment plausibly constitutes a significant contributor to human disease, develop methodological approaches for advancing research and interventions/ 

therapies on this topic, and support successful and meaningful research in global environmental health. 

Lupus.—As lupus can be triggered by environmental factors, the 

Committee encourages the Institute to expand and intensify research on this disease. 

Parkinson’s Disease.—The Committee commends the NIEHS for 

funding the Collaborative Centers for Neurodegenerative Disease 

Environmental Research [CCNDER] to foster multidisciplinary research approaches to elucidate gene-environment interactions in 

neurodegenerative diseases. The Committee encourages the NIEHS 

to ensure that the CCNDER program continues to pursue promising Parkinson’s research resulting from the Collaborative Centers 

for Parkinson’s Disease Environmental Research [CCPDER] program. The Committee also encourages the NIEHS to work in conjunction with other NIH institutes and CDC, as necessary, to investigate the incidence of Parkinson’s disease, including age, occupation, and geographic population clusters, and related environmental factors relating to the disease. The Committee requests an 

update on these efforts in the report discussed under the NINDS. 

NATIONAL INSTITUTE ON AGING

Appropriations, 2007 ............................................................................. $1,047,260,000 

Budget estimate, 2008 ........................................................................... 1,047,148,000 

Committee recommendation ................................................................. 1,073,048,000 

The Committee recommendation includes $1,073,048,000 for the 

National Institute on Aging [NIA]. The fiscal year 2007 appropriation was $1,047,260,000 and the budget request was 

$1,047,148,000. The comparable amounts for the budget estimate 

include funds to be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Aging and the Workplace.—NIA is encouraged to continue its 

program of research on aging and work, on such important topics 

as improved design of jobs, the workplace, and work schedules to 

accommodate an aging workforce; potential changes in benefit 

plans for an aging workforce; and changing attitudes toward work 

and retirement as the baby boom generation reaches what was 

once considered the age of retirement. 
138 

Alzheimer’s Disease.—Unless science soon finds ways to prevent, 

cure or more effectively treat Alzheimer’s, by mid-century as many 

as 16 million persons will be living with this disease. To prevent 

this will require a stepped-up investment in a comprehensive Alzheimer research strategy that includes: basic investigator-initiated 

research to isolate the best targets for drug development; cost-effective interdisciplinary research across multiple institutions that 

shares data and biological materials; multi-site clinical trials to 

test potential therapies; and larger-scale clinical studies, including 

neuroimaging techniques, to find early biomarkers of disease so as 

to speed drug discovery and to identify those at risk so treatment 

can start soon enough to make a difference. As the lead institute 

in Alzheimer research, the NIA is urged to expand its investment 

into finding more effective treatments and prevention strategies for 

at-risk individuals. 

Behavioral Research.—The Committee commends the NIA for 

participating in the Cognitive and Emotional Health Project in collaboration with the NIMH and NINDS, which will support research 

on maintaining cognitive and emotional health in later life. 

Biology of Aging.—The Committee commends the NIA for work 

it has done to improve understanding of the biological factors that 

regulate the processes of aging. These new discoveries have led 

many scientists to believe that it may become possible to postpone 

the onset of a wide range of fatal and disabling diseases, in a coordinated fashion, by retardation of the aging process. It is widely 

understood that chronic illness is a powerful driver of medical 

costs, which in the United States are expected to reach 

$16,000,000,000,000 annually by 2030. To alleviate this financial 

burden and to develop interventions that can extend health and 

longevity, the Committee urges the NIH to increase dramatically 

its annual investment in the biological basis of aging. 

Bone Strength.—The Committee continues to encourage the NIA, 

in conjunction with the NIAMS, NIBIB, NICHD, NIDDK, NCRR 

and NHLB, to support research, including research on bone structure and periosteal biology, that will achieve identification of the 

parameters that influence bone strength and lead to better prediction for prevention and treatment of bone diseases. 

Demographic and Economic Research.—The Committee urges the 

NIA to sustain its commitment to the Demography of Aging centers 

program and continue its current support of the economic and demographic components of the Roybal Centers for Applied Gerontology. Finally, the Committee commends the NIA for elevating the 

dialogue surrounding global aging issues by hosting with the Department of State the Summit on Global Aging. 

Down Syndrome.—The Committee commends the NIA for its 

support of studies to examine the cellular, molecular and genetic 

bases for age-related neuropathological and cognitive abnormalities 

in people with Down syndrome. It encourages the NIA to further 

examine these abnormalities and to devise new methods for diagnosing and treating them. Given that all people with Down syndrome develop the neuropathological changes of Alzheimer’s disease, and that many or most go on to suffer dementia, the NIA is 

encouraged to consider how studies of the Down syndrome population might enhance the ability to understand, diagnose and treat 
139 

Alzheimer’s disease. The Committee urges the NIA to collaborate 

with other institutes to address the issues that face elderly adults 

with Down syndrome. 

Epilepsy.—The Committee urges the NIA, working with the 

NINDS, to continue research on why epilepsy develops in association with diseases of the elderly and to develop therapies to prevent the occurrence of seizures and to diminish their consequences 

in this population. 

Exercise and Aging.—Given the positive impact of exercise on 

many aspects of aging, from improved cognition and decreased depression to fewer falls and fractures, the Committee is very supportive of NIA’s taking additional steps in exercise research. 

Fragile X-Associated Tremor/Ataxia Syndrome [FXTAS].—The 

Committee urges the NIA to expand its existing dialogue with the 

NINDS to fund research on FXTAS. Given the link between FXTAS 

and adult-onset disorders, this disease may serve as a gateway to 

understanding parkinsonism and dementia. The NIA is urged to 

participate in the NIH’s efforts to develop a coordinated design of 

Fragile X research strategies and public-private partnership opportunities as they relate to FXTAS. 

Healthy Brain.—The Committee encourages the NIA’s cooperation with other Institutes and Centers on the Healthy Brain 

Project. 

Hematology.—The Committee commends the Institute for its increased emphasis on research in thrombotic disorders and anemia 

in the elderly. The frequency of other hematologic diseases, including most of the blood cancers, also increases dramatically with age. 

The Committee encourages the NIA to further its efforts in research in hematologic issues affecting the elderly, including hematologic malignancies and anemias of inflammation and chronic 

disease. 

Stereotypes.—The NIA is encouraged to expand its work on the 

role of stereotypes in the functioning of the aging and elderly. The 

Committee is interested in the social and cultural transformation 

that is taking place as the population ages, and as the workforce 

ages, and encourages additional research on stereotypes that may 

hinder or otherwise affect how our society manages the transformation. 

NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN

DISEASES

Appropriations, 2007 ............................................................................. $508,240,000 

Budget estimate, 2008 ........................................................................... 508,082,000 

Committee recommendation ................................................................. 519,810,000 

The Committee recommends an appropriation of $519,810,000 for 

the National Institute of Arthritis and Musculoskeletal and Skin 

Diseases [NIAMS]. The fiscal year 2007 appropriation was 

$508,240,000 and the budget request is $508,082,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 
140 

Burden of Skin Diseases.—The Committee continues to urge the 

NIAMS to expand its research portfolio on skin disease and develop 

partnerships with the skin disease research community. 

Congenic and Genetic Disease of Bone.—The Committee understands that the science of genetics has led to a greater understanding of numerous systems that affect bone health, but little of 

this technology is being applied to bone research. The Committee 

encourages the NIAMS and NICHD to support research focusing on 

mechanisms for preventing fractures and improving bone quality 

and correcting malformations; on innovations in surgical and nonsurgical approaches to treatment; on physical factors that affect 

growth; and on genetic defects that cause bone disease. Furthermore, the Committee urges the NIAMS, NICHD, NIDCR, and 

NIDDK to expand research on skeletal stem cell biology and the 

genetics and pathophysiology of rare disorders such as fibrous dysplasia, melhoreostosis, XLinked hypophosphatemic rickets and 

fibrodysplasia ossificans progressiva. 

Lupus.—The Committee urges the NIAMS to expand and intensify genetic, clinical, and basic research on lupus, with particular 

focus on understanding the underlying mechanisms of disease, 

gene-gene and gene-environmental interactions, epidemiological research, lupus and kidney disease, biomarkers, pediatric research, 

environmental factors and factors related to the health disparities 

and comorbidities associated with lupus. 

Lymphatic Research and Lymphatic Diseases.—The lymphatics 

are central to the function of bone, muscle, skin and joint tissues. 

The Committee urges the NIAMS to place a high priority on research in lymphatic biology and disease, with the goal of improving 

the understanding of inflammatory, autoimmune and fibrotic mechanisms that impact a myriad of diseases and bodily functions. 

Marfan Syndrome.—The Committee commends the NIAMS for 

the leading role it has played in advancing basic research on 

Marfan syndrome. The Committee notes with interest an NHLBIsponsored clinical trial on the potential benefits of the drug 

losartan in addressing the cardiovascular manifestations of Marfan 

syndrome. The Committee encourages the NIAMS to partner with 

the NHLBI on this research where appropriate, including support 

for ancillary studies that fall under the mission and jurisdiction of 

the NIAMS. 

Musculoskeletal Trauma and Skeletal Pain.—The Committee 

urges the NIAMS, NIA, NIDCR, and NCCAM to study ways to better understand the epidemiology of back pain and improve existing 

diagnostic techniques, as well as develop new ones. The Committee 

also encourages the NIAMS, NIBIB, NICHD, NIDCR, NIDDK and 

NIA to expand research to improve diagnostic and therapeutic approaches to lower the impact of musculoskeletal traumas, as well 

as research on accelerated fracture healing—including the use of 

biochemical or physical bone stimulation, the role of hematopoietic 

niches to preserve bone stem cells, the use of mesenchymal bone 

stem cells, and biomaterials and biologicals in bone repair and regeneration—and research into repair of nonunion fractures in 

osteogenesis imperfecta. 

Paget’s Disease.—The Committee urges the NIAMS to continue to 

study the prevalence, cause, and treatment of Paget’s disease. 
141 

Psoriasis.—The Committee strongly urges the NIAMS to expand 

genetic, clinical, and basic research related to the understanding of 

the cellular and molecular mechanisms of psoriasis and psoriatic 

arthritis research. Moreover, additional attention is needed to conclusively identify the major psoriasis gene as well as others that 

contribute to psoriasis and/or psoriatic arthritis genetic susceptibility. The Committee is concerned about recent studies illustrating 

an elevated risk for certain chronic diseases, such as heart attack 

and diabetes, among individuals with psoriasis, and therefore urges 

the NIAMS to examine the relationship between co-morbidities and 

psoriasis, including shared molecular pathways. Further, the Committee encourages the NIAMS to undertake studies to understand 

individual response to particular therapies for psoriasis and psoriatic arthritis, determine if psoriatic arthritis can be prevented in 

those who are at risk, and examine joint inflammation and the associated damage caused by psoriatic arthritis. 

Tuberous Sclerosis Complex [TSC].—The Committee urges the 

NIAMS to support clinical trials that specifically target skin manifestations of TSC (facial angiofibromas, hypomelanotic macules, 

Shagreen patches, etc.). The Committee also urges the NIAMS to 

support basic research on the mTOR signaling pathway and the 

role of the TSC1/2 genes in skin and muscle cells. 

NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION

DISORDERS

Appropriations, 2007 ............................................................................. $393,668,000 

Budget estimate, 2008 ........................................................................... 393,682,000 

Committee recommendation ................................................................. 402,680,000 

The Committee recommends an appropriation of $402,680,000 for 

the National Institute on Deafness and Other Communication Disorders [NIDCD]. The budget request is $393,682,000 and the fiscal 

year 2007 appropriation was $393,668,000. The comparable 

amounts for the budget estimate include funds to be transferred 

from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Animal Models of Plasticity.—The Committee emphasizes the importance of research into the brain’s response to and changes due 

to stimulation by sound or electricity, as hearing loss will increasingly be ameliorated through advanced restorative technologies 

such as amplification devices and cochlear prostheses. Focus should 

be on how hearing loss changes the central nervous system, with 

studies at the level of synaptic connections through studies of perceptual learning. These should include studies of neural coding, 

neural network function, and ‘‘critical periods’’ during life when 

central auditory processing is affected. The Committee also encourages the use of new methodologies, including computational models, emerging optical tools and new anatomical methods and models. 

Early Detection and Intervention.—The Committee continues to 

support expanded research on early detection, diagnosis and optimal intervention strategies for infants identified at birth with hear-
142 

ing loss and other communication disorders. The Committee urges 

the NIDCD to accelerate efforts to define the role of congenital exposure to cytomegalovirus in progressive hearing loss in childhood 

and foster research to identify novel effective intervention strategies to prevent otitis media and lessen dependence on antibiotic 

therapies. 

Environmentally Induced Hearing Loss.—The Committee remains concerned by the number of Americans who suffer from 

chemical and noise-induced hearing loss. It strongly supports informing the public of the risks to the auditory system from excessive noise, with special emphasis on young individuals. Therefore, 

the expansion of NIDCD’s Wise Ears! Campaign is greatly encouraged. 

Funding Strategies.—The Committee suggests that the NIDCD 

consider novel funding formats such as multi-year project periods, 

with the first several years devoted to technology development and 

the second several years devoted to implementation of the technology. The Committee also encourages the NIDCD to consider 

funding collaborations with foundations and/or other non-government funders of deafness-related research. 

Hearing Devices.—Recognizing that more people are receiving 

cochlear implants, the Committee recommends tissue engineering 

research to improve their efficacy and, for recipients of two implants, research to improve spatial hearing. The Committee also 

encourages the NIDCD to support research building on developments in brain stem prostheses. 

Hereditary Hearing Loss.—The Committee urges the NIDCD to 

continue to support molecular and cellular research to identify the 

structure, regulation and function of genes whose mutation results 

in human communication disorders. In addition, acknowledging the 

progress of the HapMap Project, the Committee encourages the 

NIDCD to consider large-scale screening of patients with hearing 

and other communication disorders to determine the loci of mutant 

genes relevant to susceptibility to manifestation of various outcomes. 

Inner Ear Hair Cell Regeneration.—The Committee applauds 

past support of regenerative studies and urges the NIDCD to continue to give a high priority to biological molecular and genetic research aimed at preventing the loss of hair cells and replacing lost 

and dying inner ear hair cells and other cells compromised by 

aging, drugs, noise and genetic conditions. The Committee encourages the NIDCD to build on animal studies demonstrating the possibility of regenerating lost sensory cells and the potential use of 

stem cells or endogenous precursors to replace lost sensory cells or 

auditory nerve cells. 

Mouse Models.—The Committee recommends developing new 

mouse genetic models for in vivo studies of hair cell development, 

regeneration and damage/protection, including models of hair cell 

damage not caused by aminoglycosides. 

Neurofibromatosis.—NF2 accounts for approximately 5 percent of 

genetic forms of deafness. The Committee therefore encourages the 

NIDCD to expand its NF2 research portfolio. 

Presbycusis.—Presbycusis, the gradual loss of hearing from 

aging, is the most prevalent type of hearing loss and the third lead-
143 

ing chronic disease in people over 65. The Committee encourages 

continuing studies of the declining stria vascularis metabolism, as 

well as investigations of the central mechanisms of presbycusis. 

Tinnitus.—The Committee recommends that the NIDCD expand 

its research into causal mechanisms underlying peripheral and central tinnitus and pursue research to develop therapies for treatment. In 2005, the NIDCD held a workshop to explore areas of 

needed research for the treatment and cure of tinnitus. The Committee urges the Institute to devote additional resources to follow 

up on the workshop’s recommendations, including increasing collaboration with the Department of Defense and the Veterans Administration to support a mutli-disciplinary research approach that 

promotes accurate diagnosis and treatment to cure tinnitus. 

Translational Research.—The Committee applauds the NIDCD’s 

establishment of a Translational Research Branch and urges the 

continuation of research activities and clinical trials that can be 

used in treatments of communication disorders. 

NATIONAL INSTITUTE OF NURSING RESEARCH

Appropriations, 2007 ............................................................................. $137,404,000 

Budget estimate, 2008 ........................................................................... 137,800,000 

Committee recommendation ................................................................. 140,456,000 

The Committee recommends an appropriation of $140,456,000 for 

the National Institute of Nursing Research [NINR]. The budget request is $137,800,000 and the fiscal year 2007 appropriation was 

$137,404,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Nurse-Family Partnership Program.—The Committee urges the 

NINR to expand Nurse-Family Partnership Programs affiliated 

with nurse-managed health centers and involve advanced practice 

nurses in research and demonstration projects. 

Nursing Shortage.—The nursing shortage has an adverse effect 

on the health care delivery system as well as the health of our Nation’s citizens. A shortage of nurse faculty caused schools of nursing to turn away thousands of qualified students last year. The 

NINR confronts this issue by directing 8 percent of its budget to 

research training to help develop the pool of nurse researchers who 

also become faculty. Training support for fast-track baccalaureateto-doctoral program participants is one important initiative. The 17 

recently funded Nursing Partnership Centers to Reduce Health 

Disparities is another initiative that helps produce an adequate 

number of nurse researchers. The Committee encourages these ongoing efforts. The Committee also encourages the NINR to facilitate research projects located in rural areas that serve minority 

nursing students through community colleges. 

NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

Appropriations, 2007 ............................................................................. $436,259,000 

Budget estimate, 2008 ........................................................................... 436,505,000 

Committee recommendation ................................................................. 445,702,000 
144 

The Committee recommends an appropriation of $445,702,000 for 

the National Institute on Alcohol Abuse and Alcoholism [NIAAA]. 

The budget request is $436,505,000 and the fiscal year 2007 appropriation was $436,259,000. The comparable amounts for the budget 

estimate include funds to be transferred from the Office of AIDS 

Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Alaska Natives.—The Committee is aware of serious problems 

with alcohol and substance abuse among Alaska Natives and of the 

need for translating research into clinical applications for this population. The Committee urges the NIAAA to sponsor a research-topractice forum with SAMHSA and other experts to focus on bridging the gap between researchers and practitioners and translating 

scientific research into clinical applications. 

Clinician’s Guide.—The Committee commends the NIAAA for 

widely disseminating its publication ‘‘Helping Patients Who Drink 

Too Much: A Clinician’s Guide.’’ The Committee encourages the 

NIAAA to further develop guide materials, including information 

for clinicians about how to best use the guide, and short pamphlets 

that are targeted toward special subpopulations, and to work with 

professional organizations, SAMHSA, and other international organizations to further disseminate this important resource. The Committee also encourages the NIAAA to develop supporting training 

materials for physicians and other health care providers. 

Collaboration with Single State Authorities [SSAs].—The Committee urges the NIAAA to work with State substance abuse agencies, also known as Single State Authorities [SSAs], on collaborative initiatives to ensure that research findings are relevant and 

adaptable by publicly funded State substance abuse systems. 

Environmental Effects Underlying Alcoholism.—The Committee 

encourages the NIAAA to continue to fund research to determine 

the role of the environment and environmental factors in producing 

lasting and potentially life-altering changes in gene expression and 

gene function that contributes to the development of alcohol abuse 

and addiction with the ultimate goal of developing new medication 

for the treatment of alcohol use disorders. 

Hepatitis Prevention.—The Committee urges the NIAAA to work 

with voluntary health organizations to promote liver wellness, education, and primary prevention of both hepatitis and substance 

abuse. 

Mechanisms of Behavior Change.—The Committee commends the 

NIAAA for launching an interdisciplinary initiative aimed at understanding the social, behavioral and psychological factors in discontinuing harmful drinking by young adults. 

Patterns of Alcohol Consumption.—The Committee encourages 

the NIAAA’s efforts to include measurement of quantity and frequency of alcohol consumption in new classification systems of alcohol problems. The Committee also encourages the NIAAA to continue to fund research that defines both safe and hazardous levels 

of alcohol consumption for various segments of the population. 
145 

Underage Drinking.—The Committee notes that the Surgeon 

General calls for measures to decrease the availability of alcohol to 

youth. The Committee urges the NIAAA to conduct further research on the most effective means of reducing youth access to alcohol and increasing the cost of obtaining it. 

Understanding the Processes of Change in Drinking Behavior.— The Committee understands that a number of distinct treatment 

approaches have been developed to address alcohol use disorders. 

While each approach is useful in reducing alcohol consumption, research suggests that these approaches have similar levels of effectiveness. Recent research has also demonstrated that many individuals transition out of alcohol dependence without professional 

treatment, while others drink heavily but never develop complications required for a diagnosis of dependence. The Committee applauds recent NIAAA research initiatives supporting mechanisms 

of behavioral change using professional treatment mechanisms. 

The Committee encourages the NIAAA to further expand research 

in this area by stimulating interdisciplinary research that integrates biomedical, psychological and social science perspectives on 

mechanisms of behavior change. 

NATIONAL INSTITUTE ON DRUG ABUSE

Appropriations, 2007 ............................................................................. $1,000,621,000 

Budget estimate, 2008 ........................................................................... 1,000,365,000 

Committee recommendation ................................................................. 1,022,594,000 

The Committee recommends an appropriation of $1,022,594,000 

for the National Institute on Drug Abuse [NIDA]. The budget request is $1,000,365,000 and the fiscal year 2007 appropriation was 

$1,000,621,000. The comparable numbers for the budget estimate 

include funds to be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Adolescent Brain Development.—The Committee encourages 

NIDA to continue its emphasis on adolescent brain development to 

better understand how developmental processes and outcomes are 

affected by drug exposure, the environment and genetics. 

Blending Research and Practice.—The Committee notes that it 

takes far too long for clinical research results to be implemented 

as part of routine patient care, and that this lag in diffusion of innovation is costly for society, devastating for individuals and families, and wasteful of knowledge and investments made to improve 

the health and quality of people’s lives. The Committee applauds 

NIDA’s collaborative approach aimed at involving all entities invested in changing the system and making it work better. 

Brain Imaging.—The Committee applauds the Institute’s efforts 

to find new and important uses for brain imaging technologies— 

such as through the new RFA titled ‘‘Brain Imaging Drug Use Prevention Messages’’—and urges the Institute to continue work in 

this area. 

Centers of Excellence for Physician Information.—The Committee 

is pleased that NIDA has created Centers of Excellence for Physician Information, and understands that these centers will serve as 
146 

national models to support the advancement of addiction awareness, prevention, and treatment in primary care practices. 

Clinical Trials Network.—The Committee is pleased with the 

continued success and progress of NIDA’s National Drug Abuse 

Treatment Clinical Trials Network, which provides an infrastructure to test the effectiveness of new and improved interventions in 

real-life community settings with diverse populations. 

Collaboration with Single State Authorities [SSAs].—The Committee commends NIDA for its outreach and work with SAMHSA’s 

Center for Substance Abuse Treatment and State substance abuse 

directors, also known as Single State Authorities [SSAs], to reduce 

the lag between the discovery of an effective treatment intervention 

and its availability at the community level. 

Co-occurring Disorders.—The Committee encourages NIDA to 

continue to work with other agencies to stimulate new research to 

develop effective strategies and to ensure the timely adoption and 

implementation of evidence-based practices for the prevention and 

treatment of co-occurring disorders. 

Criminal Justice Population.—The Committee commends NIDA 

for the success of its Criminal Justice Drug Abuse Treatment Studies program. By providing evidence-based training to judges about 

the neurological and behavioral underpinnings of substance abuse 

and treatment, this program helps ensure that addicted offenders 

will receive appropriate treatment. The Committee encourages 

NIDA to continue its support of behavioral research that can further our understanding about the underlying cognitive, emotional, 

and behavioral factors that lead to drug abuse relapses in prisons 

and how to prevent them. 

Disseminating Addiction Research Information to the General 

Public.—The Committee congratulates NIDA for its collaboration 

with HBO and other partners on the production of the 

groundbreaking documentary film, ‘‘Addiction.’’ This film details 

the latest scientific knowledge on addiction and presents it in a 

compelling way to help the lay public understand addiction as a 

brain disease that can be successfully treated. 

Drug Abuse and HIV/AIDS.—The Committee understands that 

drug abuse and addiction continue to fuel the spread of HIV/AIDS, 

and that drug abuse prevention and treatment interventions can be 

very effective in reducing HIV risk. Research should continue to examine every aspect of HIV/AIDS, drug abuse, and addiction, including risk behaviors associated with both injection and non-injection 

drug abuse; how drugs of abuse alter brain function and impair decision making; and HIV prevention and treatment strategies for diverse groups. The Committee also applauds the Institute for holding a spring 2007 conference titled ‘‘Drug Abuse and Risky Behaviors: The Evolving Dynamics of HIV/AIDS.’’ 

Emerging Drug Problems.—The Committee is pleased with 

NIDA’s efforts to monitor drug use trends and to rapidly inform the 

public of emerging drug problems. 

Genes, Environment, and Development.—The Committee recognizes and commends NIDA for its leadership role in launching the 

Genes, Environment, and Development Initiative [GEDI] with the 

NCI. This initiative will add to the understanding of the contribution of genetic, environmental and developmental factors to the eti-
147 

ology of substance abuse and related phenotypes, and could lead to 

improved and tailored drug abuse and addiction prevention and 

treatment interventions. 

Health Disparities.—The Committee notes that the consequences 

of drug abuse disproportionately impact minorities, especially African American populations. The Committee encourages NIDA to 

conduct more studies in these populations, especially in criminal 

justice settings and geographic areas where HIV/AIDS rates are 

high. 

Hepatitis Prevention.—The Committee urges NIDA to work with 

voluntary health organizations to promote liver wellness, education, and primary prevention of both hepatitis and substance 

abuse. 

Inhalant Abuse.—The Committee urges the Institute to continue 

its support of research on prevention and treatment of inhalant 

abuse, and to enhance public awareness on this issue. 

Marijuana Use.—The Committee urges NIDA to continue to support research on the long-term consequences of marijuana use and 

work with the private sector to develop medications focusing on 

marijuana addiction. 

Methamphetamine Abuse.—The Committee urges NIDA to continue supporting research to address the medical consequences of 

methamphetamine abuse. 

Pain Medications and Addiction.—The Committee commends 

NIDA for taking a leadership role in addressing issues around pain 

medications and addiction. The prevalence of, and process of how 

to prevent, reduce, and treat, negative health consequences such as 

intoxication and physical dependence are not well understood. The 

Committee is pleased that NIDA brought a focus to this important 

issue, in collaboration with the American Medical Association and 

in conjunction with the NIH Pain Consortium, via its spring 2007 

conference ‘‘Pain, Opioids, and Addiction: An Urgent Problem for 

Doctors and Patients.’’ Research in this area should continue to be 

a priority, through such efforts as the Prescription Opioid Use and 

Abuse in the Treatment of Pain initiative. The Committee applauds 

NIDA for continuing to work with private industry to develop antiaddiction medications. 

Primary Care Settings and Youth.—The Committee encourages 

NIDA to continue to support health services research on effective 

ways to educate primary care providers about drug abuse, develop 

brief behavioral interventions for preventing and treating drug use 

and related health problems; and develop methods to integrate 

drug abuse screening, assessment, prevention and treatment into 

primary health care settings. 

Social Neuroscience.—The Committee encourages the Institute to 

continue its focus on the interplay between genes, environment, 

and social factors and their relevance to drug abuse and addiction. 

In particular, the Committee applauds NIDA’s involvement in last 

year’s ‘‘social neuroscience’’ request for applications and this year’s 

‘‘genes, environment, and development initiative’’ request for applications. 

Support for Young Investigators.—The Committee congratulates 

NIDA for its focus on supporting young investigators, especially in 

the area of clinical research. 
148 

NATIONAL INSTITUTE OF MENTAL HEALTH

Appropriations, 2007 ............................................................................. $1,404,494,000 

Budget estimate, 2008 ........................................................................... 1,405,421,000 

Committee recommendation ................................................................. 1,436,001,000 

The Committee recommends an appropriation of $1,436,001,000 

for the National Institute of Mental Health [NIMH]. The budget request is $1,405,421,000 and the fiscal year 2007 appropriation was 

$1,404,494,000. The comparable amounts for the budget estimate 

include funds to be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Alzheimer’s Disease.—The NIMH plays a vital role in efforts to 

develop new treatment strategies for Alzheimer’s disease, from 

basic neuroscience studies to treatment and services research. For 

example, the Institute is supporting a large practical clinical trial 

examining the effectiveness of antipsychotic medications for treating agitation and other behavioral disturbances in Alzheimer patients. The Committee encourages the NIMH to continue to advance understanding of Alzheimer’s disease. 

Basic Behavioral Science.—The Committee urges the NIMH to 

put a higher priority on the study of basic behavioral functions 

such as cognition, emotion, decision-making, and motivation, and to 

maintain its support for research on the promotion of mental 

health and the study of basic psychological factors that influence 

behavior. 

Clinical Research.—The Committee applauds NIMH’s continued 

commitment to the goals of the NIH Roadmap Initiative on reengineering the clinical research enterprise through the new clinical trials networks on bipolar disorder, depression, and schizophrenia. The Committee strongly supports these efforts and urges 

the NIMH to examine treatments of mental disorders across the 

lifespan, with particular attention paid to aging populations and 

youth, and to the effects of psychopharmacological treatments on 

cognition, emotional development, and other co-morbid conditions. 

The Committee further urges the NIMH to examine cultural factors, such as stigma, that influence the diagnosis and treatment of 

mental disorders. 

Down Syndrome.—The Committee encourages the NIMH to develop new strategies for cataloging, understanding, diagnosing and 

treating behavioral disorders that are common in people with Down 

syndrome. They include autism, pervasive developmental disorder, 

obsessive compulsive disorder, depression and psychosis. The Committee urges the NIMH to coordinate its research on Down syndrome with the NICHD, NINDS, NIA and other Institutes. 

Epilepsy.—The connections between epilepsy and depression as 

well as the cognitive burden of epilepsy are of particular importance to the Committee. The Committee strongly urges the Institute to coordinate research into this area with the NINDS and to 

intensify efforts at understanding the etiology and treatment of comorbid mental and neurological disorders. 
149 

Fragile X.—The Committee urges the NIMH to enhance its Fragile X translational research efforts that were identified during focused meetings from November 2001 through July 2004. These include controlled studies of existing and new pharmacological treatments for Fragile X and identification of the key molecular targets 

that are likely candidates for designing drug treatments for Fragile 

X and related disorders such as autism. The Committee also urges 

the NIMH to include Fragile X in its studies of related 

neuropsychiatric disorders and to work with other Institutes such 

as the NICHD and NINDS to develop cooperative research support 

mechanisms in this area. In addition, the Committee encourages 

the NIMH participate in the scientific session described under the 

section on the NICHD. 

Frontier Mental Health Needs.—The Committee commends the 

NIMH on its outreach efforts to determine the unique mental 

health needs that may exist in remote frontier communities, including Alaska. The Committee encourages the NIMH to expand its 

research efforts into these communities, which are often ignored in 

research projects but continue to suffer from high incidences of 

mental health problems including depression, suicide and co-occurring disorders with substance abuse. 

Immigrant Health.—The Committee recognizes that immigrants 

to the United States experience unique stresses, prejudice, and poverty and can be considered at-risk subpopulations for health, emotional and behavioral problems as well as, in the case of children, 

learning and academic difficulties. The effects of immigration on 

the psychological and social well-being are especially profound for 

certain populations, including children, women, individuals with 

disabilities, and those with limited financial resources. To address 

this, the Committee urges the NIMH to partner with other Institutes to boost research on the adaptation, development, health, and 

mental health needs of diverse immigrant children, youth, and 

families. 

Older Adults.—The Committee urges the NIMH to place a 

stronger emphasis on research on adults over age 65 to reflect the 

growth in numbers of this population. The Committee requests that 

the Institute provide data in the fiscal year 2009 congressional 

budget justifications on the amount of NIMH funding directed toward geriatric mental health research over the past 5 years. 

Social Neuroscience.—The Committee is pleased that the emerging field of social neuroscience is among NIMH’s priorities. The 

Committee recognizes that research into the biological mechanisms 

underlying social behaviors related to mental health has great potential in efforts to understand and treat mental disorders such as 

autism and schizophrenia. 

Suicide Prevention.—The Committee is pleased that the NIMH is 

supporting two developing centers for interventions to prevent suicide. The Committee encourages the NIMH to increase its investment in suicide prevention research by supporting advanced centers for this purpose and creating new developing centers. 
150 

NATIONAL HUMAN GENOME RESEARCH INSTITUTE

Appropriations, 2007 ............................................................................. $486,491,000 

Budget estimate, 2008 ........................................................................... 484,436,000 

Committee recommendation ................................................................. 497,031,000 

The Committee recommendation includes $497,031,000 for the 

National Human Genome Research Institute [NHGRI]. The budget 

request is $484,436,000 and the fiscal year 2007 appropriation was 

$486,491,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 

Fragile X.—FMRP, the protein whose absence results in Fragile 

X syndrome, is a regulator of translation of many genes including 

those involved in learning and memory. A genomic approach to understanding the diverse pathways regulated by FMRP would enhance the understanding of human cognition and identify potential 

targets for drug design to alleviate the symptoms of Fragile X and 

related disorders. The Committee urges the NHGRI to consider expanding its research activities on Fragile X and to coordinate these 

efforts with other Institutes working on related activities. 

Spinal Muscular Atrophy [SMA].—The Committee supports the 

development of a pan-ethnic carrier screening program for SMA 

and commends the NHGRI and NICHD for their plans to jointly 

convene a workshop in early 2008 to stimulate carrier screening 

technology development, enhance education and awareness among 

professional and patient communities, and promote policy discussions regarding the ethical and social issues related to implementing new carrier screening programs for disorders such as 

SMA. The Committee requests an update on the workshop in the 

fiscal year 2009 congressional budget justifications. Furthermore, 

the Committee urges the NHGRI to work collaboratively and cooperatively with the advocacy community in this effort. 

Tuberous Sclerosis Complex [TSC].—The Committee urges the 

NHGRI to provide assistance and advice to the TSC research community on TSC gene and genome-wide sequencing projects. 

NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING

Appropriations, 2007 ............................................................................. $296,887,000 

Budget estimate, 2008 ........................................................................... 300,463,000 

Committee recommendation ................................................................. 304,319,000 

The Committee recommends an appropriation of $304,319,000 for 

the National Institute of Biomedical Imaging and Bioengineering 

[NIBIB]. The budget request is $300,463,000 and the fiscal year 

2007 appropriation was $296,887,000. The comparable amounts for 

the budget estimate include funds to be transferred from the Office 

of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Institute’s budget. The other amounts above do not 

include any contribution for the Common Fund. 
151 

Artificial Pancreas.—A fully automated pancreas that responds 

rapidly to changes in diet, physical activity, and metabolic status 

has the potential to improve daily glucose control and dramatically 

reduce the risk of long-term diabetic complications. The NIBIB is 

urged to foster research on algorithms that can replicate normal 

glucose control and accurately close the loop between glucose monitoring and insulin treatment. 

Imaging Beta Cells.—The ability to painlessly and non-invasively 

visualize pancreatic islets in people with type 1 diabetes has the 

potential to revolutionize diagnosis and therapy of type 1 diabetes. 

The Committee recognizes the NIBIB, along with the NIA, NIAID, 

and NIDDK, for their collaborative efforts to promote research on 

the development of new islet imaging technologies. The Committee 

encourages the NIBIB and NIDDK to support translational research efforts to convert advances made in imaging of islets in animal models into technologies that can be applied to human type 1 

diabetes patients. 

Positron emission tomography [PET].—The Committee continues 

to encourage the NIBIB to devote significant resources to molecular 

imaging technologies such as PET and microPET to take advantage 

of the capacities of molecular imaging to detect disease process at 

the molecular level and to monitor the effectiveness of targeted 

gene therapies now under development. The Committee also encourages the NIBIB to collaborate with other, disease-specific Institutes at NIH, so that new imaging technologies are closely tied to 

the research projects being undertaken throughout the NIH. 

NATIONAL CENTER FOR RESEARCH RESOURCES

Appropriations, 2007 ............................................................................. $1,133,240,000 

Budget estimate, 2008 ........................................................................... 1,112,498,000 

Committee recommendation ................................................................. 1,177,997,000 

The Committee recommends an appropriation of $1,177,997,000 

for the National Center for Research Resources [NCRR]. The budget request is $1,112,498,000 and the fiscal year 2007 appropriation 

was $1,133,240,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Center’s budget. The other amounts above do not include any contribution for the Common Fund. 

Clinical and Translational Science Awards [CTSAs].—The Committee strongly endorses the CTSA initiative and urges the NCRR 

to adhere to its goal of supporting 60 CTSAs by 2012. In doing so, 

the Committee urges the NCRR to maintain or strengthen the clinical research infrastructure component currently provided by the 

longstanding General Clinical Research Centers [GCRC] program. 

The Committee requests an update on these activities in the fiscal 

year 2009 congressional budget justifications. 

Imaging.—The Committee applauds the NCRR for its development and support of a national Image Guided Therapy [IGT] Center for research, training, and services related to novel imaging 

tools for disease diagnosis and therapy. The NCRR is encouraged 

to work with the NIDDK and NIBIB to ensure that this unique re-
152 

source center engages with the diabetes research community to accelerate the development of new methods for the non-invasive imaging of pancreatic islets for applications in Type 1 diabetes research and treatment. 

Institutional Development Awards [IDeA].—The Committee has 

provided $223,607,000, for the IDeA program authorized by section 

402(g) of the Public Health Service Act. The fiscal year 2007 funding level was $218,153,000. The Committee recognizes the importance of the Centers of Biomedical Research Excellence and the 

IDeA Networks of Biomedical Research Excellence programs in improving the infrastructure and strengthening the biomedical research capacity and capability of research institutions within the 

IDeA States. 

Islet Cell Resource Centers.—The Committee applauds the NCRR 

for renewal of the Islet Cell Resource Centers [ICRs] program, a 

vital resource for the isolation and distribution of clinical grade 

human islets for transplantation and basic diabetes research. 

Positron Emission Tomography [PET].—The Committee continues to urge the NCRR to support research resource centers for 

the development and refinement of PET as a unique imaging technology to diagnose and stage diseases of the brain, including Alzheimer’s disease. 

Rare Disease Initiative.—The Committee understands that obtaining adequate human biospecimen tissues and clinical data for 

research for many of the more than 7,000 rare diseases known 

today has been a major barrier to adequately expanding research 

aimed ultimately to treat and cure these rare diseases. The Committee, therefore, encourages the NCRR and the Office of Rare Diseases to expand their emphasis on rare diseases human tissue/biospecimen procurement and storage activities for rare diseases research. 

Research Centers at Minority Institutions.—The Committee continues to recognize the critical role played by minority institutions 

at both the graduate and undergraduate level in addressing the 

health research and training needs of minority populations. The 

Committee encourages the NIH to strengthen participation from 

minority institutions and increase resources available in this area. 

The Committee recommends that the NCRR direct supplemental 

funds to high-impact, high-risk research activities within the RCMI 

program such as creating an integrated translational research network to help reduce health disparities. 

NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE

MEDICINE

Appropriations, 2007 ............................................................................. $121,576,000 

Budget estimate, 2008 ........................................................................... 121,699,000 

Committee recommendation ................................................................. 124,213,000 

The Committee has included $124,213,000 for the National Center for Complementary and Alternative Medicine. The budget request is $121,699,000 and the fiscal year 2007 appropriation was 

$121,576,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 
153 

percent of the Center’s budget. The other amounts above do not include any contribution for the Common Fund. 

Improving Liver Disease Outcomes.—The Committee is pleased 

with the progress made in studying the benefit of active ingredients in milk thistle and SAM-e, a naturally occurring compound in 

ameliorating and improving the outcome of individuals with nonalcoholic steatohepatitis [NASH]. As NASH-related liver disease 

has become an important indicator for liver transplantation, in the 

absence of better interventions, the need for NASH-related liver 

transplantation will increase significantly over time. 

Portfolio Balance.—The Committee endorses the goal articulated 

in NCCAM’s 2005–2009 strategic plan to put a greater emphasis 

on basic research and preclinical studies before engaging in costly 

clinical trials. 

NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

Appropriations, 2007 ............................................................................. $199,444,000 

Budget estimate, 2008 ........................................................................... 194,495,000 

Committee recommendation ................................................................. 203,895,000 

The Committee has included $203,895,000 for the National Center on Minority Health and Health Disparities. The budget request 

is $194,495,000 and the fiscal year 2007 appropriation was 

$199,444,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Center’s budget. The other amounts above do not include any contribution for the Common Fund. 

Ethnic Minorities and Research.—The Committee encourages the 

NIH to invest in training programs that seek to prepare ethnic minorities and others for research and services careers that address 

the needs of the Nation’s racial and ethnic diverse populations and 

to ensure, whenever feasible, that psychology is recognized as an 

eligible discipline for funding applications for such training programs. 

Glomerular Disease.—The Committee understands that glomerular disease, a group of diseases affecting the filtering mechanisms 

of the kidneys, is more prevalent among African Americans than 

the general population. The Committee urges the NCMHD to explore collaboration with the NIDDK to support research activities 

related to glomerular injury. 

Lupus.—Lupus is two to three times more common among African American, Hispanic, Asian American and Native American 

women than Caucasian women—a health disparity that remains 

unexplained. Moreover, lupus mortality has increased over the past 

three decades and is higher among older African-American women. 

The Committee urges the NCMHD to prioritize lupus research with 

a particular focus on exploring the associated health disparities 

and co-morbidities such as heart disease, depression, and renal disease. 

Project EXPORT.—The Committee commends the NCMHD for 

its successful ‘‘Project EXPORT’’ initiative and urges continued 

support for this program. 
154 

Research Endowments.—The Committee commends the NCMHD 

for its leadership in addressing the longstanding problem of health 

status disparities in minority and medically underserved populations. The Committee continues to encourage the NCMHD to implement its research endowment program in a manner that is consistent with the authorizing legislation. 

JOHN E. FOGARTY INTERNATIONAL CENTER FOR ADVANCED STUDY IN

THE HEALTH SCIENCES

Appropriations, 2007 ............................................................................. $66,446,000 

Budget estimate, 2008 ........................................................................... 66,594,000 

Committee recommendation ................................................................. 68,000,000 

The Committee recommends an appropriation of $68,000,000 for 

the Fogarty International Center [FIC]. The budget request is 

$66,594,000 and the fiscal year 2007 appropriation was 

$66,446,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the Center’s budget. The other amounts above do not include any contribution for the Common Fund. 

Chronic Obstructive Pulmonary Disease [COPD].—The Committee notes that COPD is the fourth leading cause of death worldwide, and encourages the Fogarty International Center to expand 

its COPD research and training activities. 

Global Health Challenges.—The Committee commends the Center for the success of its programs to strengthen science and public 

health research institutions in low-income countries, specifically in 

malaria, TB, and neglected tropical diseases. The Committee urges 

the FIC to continue supporting research training, focused in these 

areas, to enable developing country scientists to develop effective, 

evidence-based strategies to prevent, treat, and diagnose these debilitating diseases. While major investments in biomedical research 

are resulting in new tools and medical advances, the Committee is 

concerned that improvements in health outcomes will be delayed 

without local scientific expertise to translate research findings into 

practice. The Committee urges the FIC to promote applied health 

research in developing countries to speed the implementation of 

new health interventions for malaria, TB, and neglected tropical 

diseases. 

Training Programs.—The Committee is pleased with the FIC’s 

leadership in training American researchers in global health research though its International Clinical Research Scholars Program 

and the International Research Scientist Development Award Program. The Committee encourages the expansion of the FIC’s training programs that support junior U.S. scientists. The Committee is 

also pleased with the Center’s efforts to supplement grants in AIDS 

International Training and Research Program [AITRP] or International Training and Research Program in Emerging Infectious 

Diseases [ERID], which trains tuberculosis experts in the developing world. The Committee encourages the FIC to support activities, such as the Pan-African Thoracic Society’s Methods in Epidemiologic, Clinical and Operations Research [MECOR] program, 

to expand training opportunities for physicians in Africa. 
155 

NATIONAL LIBRARY OF MEDICINE

Appropriations, 2007 ............................................................................. $329,050,000 

Budget estimate, 2008 ........................................................................... 320,762,000 

Committee recommendation ................................................................. 336,017,000 

The Committee recommends an appropriation of $336,017,000 for 

the National Library of Medicine [NLM]. The budget request is 

$320,762,000 and the fiscal year 2007 appropriation was 

$329,050,000. These amounts include $8,200,000 made available 

from program evaluation funds. The comparable amounts for the 

budget estimate include funds to be transferred from the Office of 

AIDS Research. 

As explained in the opening section on the NIH, the budget request includes a contribution to the Common Fund equal to 1.3 

percent of the NLM’s budget. The other amounts above do not include any contribution for the Common Fund. 

Communication of Research Findings.—One of the fundamental 

charges to the NIH is to facilitate the translation of research findings into practice. In this regard, the Committee is pleased that the 

NLM has helped to launch NIH MedlinePlus magazine, which provides consumers and health professionals authoritative health information based on the latest NIH-supported research in a userfriendly format. The Committee strongly urges the NLM to substantially expand the distribution of this new publication. 

Disease Management Technology.—The Committee urges the 

NLM to conduct outreach activities to all public and private sector 

organizations which have demonstrated capabilities in health information technology. 

Native Hawaiian Healthcare Resources.—The Committee urges 

the NLM to work with Native Hawaiian organizations to increase 

access to health information and health resources for Native Hawaiians. 

Registry of Liver Toxicities.—The Committee applauds the NLM’s 

plan to create an accessible, online registry of the liver toxicity of 

medications and sees this as an important step to help physicians 

and patients avoid the devastating consequences of liver failure. 

The registry will include information regarding the liver toxicity of 

more than 400 drugs. The Committee urges the inclusion in the 

registry of databases that develop information on the interrelationship between environmental toxins and genes. 

OFFICE OF THE DIRECTOR

Appropriations, 2007 ............................................................................. $1,046,901,000 

Budget estimate, 2008 ........................................................................... 517,062,000 

Committee recommendation ................................................................. 1,145,790,000 

The Committee recommends an appropriation of $1,145,790,000 

for the Office of the Director [OD]. The budget request is 

$517,062,000 and the fiscal year 2007 appropriation was 

$1,046,901,000. The comparable amounts for the budget estimate 

include funds to be transferred from the Office of AIDS Research. 

The Committee has included bill language specifying the amount 

for the Common Fund as $531,300,000. The comparable amount for 

fiscal year 2007 was $483,000,000, and the comparable amount for 

the budget request is $486,153,000. The discrepancy between the 
156 

latter amount and the amount on the funding table is explained at 

the beginning of the section on the NIH. The Committee includes bill language providing up to $500,000 

for the Foundation for the NIH. 

Office of Behavioral and Social Sciences Research 

Basic Behavioral Research.—The Committee is aware that basic 

behavioral research focused on such areas as cognition, perception, 

emotion, social interaction, and learning have led to important advances and improved treatments for depression, bipolar and other 

affective disorders, diabetes, compliance on behavior change related 

to diabetes, heart disease, cancer, obesity, and more effective public 

health announcements and interventions. In view of the fact that 

8 out of the 10 leading causes of death have a significant behavioral component and that basic research is the underpinning of advances in behavioral research, the Committee is concerned by the 

continued lack of focus of scientific leadership at NIH for this important field of science. It is therefore requested that the Director 

submit a report to the Committee by December 1, 2007, indicating 

the scientific leadership structure for this field within the appropriate grant-making Institute. 

Gene-Environment Interactions and Health.—The Committee encourages the OBSSR to work with other Institutes and Centers to 

spur progress on understanding the interactions among genetic and 

environmental factors, especially regarding how they might contribute to health disparities in minority populations. 

Office of Rare Diseases 

CETT Program.—The Collaborative, Education and Test Translation [CETT] Program promotes the translation of rare disease genetic tests from research to clinical laboratories. The Committee 

believes that this program can be enhanced by using microarray 

technology in the development of new tests and by close collaboration with and support from those Institutes whose research agendas already relate to specific rare diseases. The Director is urged 

to assure such trans-institute collaborations are aggressively fostered. 

Office of Research on Women’s Health 

Chronic Fatigue Syndrome [CFS].—The Committee commends 

the Office of Research on Women’s Health for its leadership on CFS 

research, particularly the coordination of the request for applications that culminated in the October 2006 announcement of seven 

new awards for in this area. The Committee recognizes the opportunity created by the requirement that the investigators funded 

under this initiative meet annually and encourages the NIH to use 

this meeting to stimulate new research initiatives and build multicenter collaborations. The Committee again urges the NIH to develop an intramural CFS research program and to implement the 

recommendation made by the CFS Advisory Committee to ‘‘establish five Centers of Excellence within the United States that would 

effectively utilize state of the art knowledge concerning the diagnosis, clinical management, treatment and clinical research of persons with CFS.’’ The Committee also urges special attention to CFS 
157 

research as part of the NIH effort to refine its disease/research categories. 

Irritable Bowel Syndrome [IBS].—The Committee is pleased with 

the focus on IBS at the Office of Research of Women’s Health and 

urges additional research in this area. 

Stroke in Women.—Recognizing that women are the single largest group at risk for death from stroke, the Committee believes 

that special attention should be focused on better understanding 

the gender-related differences in this condition. The Committee 

supports the funding of new and continuing NIH studies on postmenopausal hormone replacement therapy and understanding the 

impact of hormones on women’s vascular systems. The Committee 

urges the NIH to increase research in stroke among women of all 

ages, with specific attention to gender-related differences in stroke 

risk, prevention interventions, acute stroke management, the use of 

clot buster drugs, post-stroke recovery, long-term outcomes, and 

quality of care. The Committee further urges NIH to increase research into new therapies for stroke in women including (1) observational research on differences in the way men and women 

present with stroke symptoms, (2) research addressing how stroke 

influences the likelihood and severity of cognitive impairment in 

women, (3) a clinical trial of carotid endarterectomy and 

angioplasty/stenting in women, (4) studies of differences in how 

men and women respond to antiplatelet agents for recurrent stroke 

prevention, and (5) basic science research to address unique brain 

cell death and repair mechanisms in females. The Committee also 

urges and recommends all of these important initiatives be subsumed under an NIH mandate for a Women’s Agenda for Stroke 

Prevention, Diagnosis and Treatment. 

Vulvodynia.—In the last decade, the NIH has supported three 

important research conferences on vulvodynia, as well as the first 

prevalence study and clinical trial on the disorder. These efforts 

have both clearly demonstrated the need for substantial additional 

research and served to heighten the research community’s level of 

interest in studying vulvodynia. The Committee calls upon the Director to build upon these initial successes by coordinating through 

the ORWH an expanded, collaborative extramural and intramural 

research effort into the causes of, and treatments for, vulvodynia. 

This effort should involve the NICHD, NINDS and other relevant 

ICs, as well as the NIH Pain Consortium. The Committee also commends the ORWH for working with patient groups, other relevant 

ICs and women’s health offices in other governmental agencies to 

plan an educational outreach campaign on vulvodynia, as previously requested by the Committee. Finally, the Committee encourages the Director to work with the Center for Scientific Review 

and ICs to ensure that experts in vulvodynia, and related chronic 

pain and female reproductive system conditions, are adequately 

represented on peer-review panels. 

Multi-Institute Research Initiatives 

Antibacterial Therapy.—The Committee is concerned about the 

alarming rates of antibiotic resistance and the related increase in 

morbidity, mortality and health care costs. Little research has been 

devoted to defining optimal dosing regimens, particularly in defin-
158 

ing the minimal duration of therapy necessary to cure many types 

of infections. The Committee recognizes that studies of this type require a long-term commitment and are not likely to be funded by 

pharmaceutical manufacturers since the products are already approved by the FDA. The consensus of many experts is that infections are frequently treated for longer periods of time than are necessary, needlessly increasing the antimicrobial resistance. Therefore, the Committee urges the NIH to support a Clinical Trials Network devoted to defining optimal antibacterial therapy. Multi-center randomized controlled trials to define the necessary length of 

therapy would create an excellent basis of evidence from which coherent and defensible recommendations could be developed. 

Autism.—The Committee requests that the Director report to the 

Committee by July 1, 2008, on progress made to implement the 

provisions of the Combating Autism Act that are relevant to the 

NIH, including funding levels for relevant components of the Interagency Autism Coordinating Committee’s strategic research plan. 

Bridging the Sciences.—The Committee believes the ‘‘Bridging 

the Sciences’’ demonstration program fulfills a need not met elsewhere in the Federal Government by supporting research at the 

interface between the biological, behavioral, and social sciences 

with the physical, chemical, mathematical, and computational 

sciences. The Committee urges the Director to give high priority to 

the program and to urge active consultation and collaboration with 

the Department of Energy, the National Science Foundation, and 

other agencies. The Committee notes the importance of compliance 

with the statutory provisions dealing with appropriate, multidisciplinary peer review panels and the unique type of research envisioned. 

Children’s Brain Tumors.—Brain tumors are the most common 

solid tumor type for children, and the leading cause of pediatric 

solid tissue cancer deaths. The most common forms of childhood 

brain tumors, affecting patients ages 0 to 19, are Juvenile Pilocytic 

Astrocytomas [JPA] and other Pediatric Low Grade Astrocytomas 

[PLGA]. Because current treatments—chemotherapy and radiotherapy—are invasive, toxic, and cause debilitating side effects/impairments, the Committee strongly urges the NCI, NINDS, NIBIB, 

and ORD to develop a comprehensive research plan, including specific timeframes, to focus on children’s brain tumors, with the goal 

of identifying alternative, safer and more effective treatments, as 

well as a cure. The Committee further encourages the NIH to 

achieve this objective by targeting basic and clinical research, accelerating the enhancement of the Institutes’ cancer research portfolios, creating research priorities with a sequential agenda and 

timeline, and facilitating the coordination and collaboration of organizations (both public and private) already funding related research 

initiatives. 

Chromosome Abnormalities.—One out of every 180 babies born 

has a chromosome abnormality that by its very nature is multisystemic because it involves a copy number change in dozens of contiguous genes. The frequency and complexity of these conditions have 

a major impact on childhood morbidity and mortality. The key to 

helping these children is creating interdisciplinary, multi-institute 

research teams. The Committee commends the NIH for supporting 
159 

some independent investigators studying chromosome abnormalities and for partnering to sponsor meetings on many conditions, as 

described in the fiscal year 2008 congressional budget justification. 

The Committee also encourages the NIH to sponsor mechanisms to 

support multidisciplinary research focused on devising treatments 

for the 20,000 babies born every year with a chromosome abnormality, especially those involving chromosome 18. 

Class B Animal Dealers.—While the Committee recognizes that 

the use of animals in research, under certain circumstances, has 

been beneficial to the advancement of biomedical research, the 

Committee would like assurances that such research is conducted 

as humanely as possible. In the case of the use of dogs and cats 

used in research and obtained from Class B dealers, the Committee 

is concerned that such dealers have the potential to provide animals that have not been treated in accord with USDA regulations 

for use in federally supported research. The Committee asks the 

NIH to seek an independent review by a nationally recognized 

panel of experts of the use of Class B dogs and cats in federally 

supported research to determine how frequently such animals are 

used in NIH research and to propose recommendations outlining 

the parameters of such use, if determined to be necessary. 

Cooley’s Anemia.—The Committee is encouraged by promising research being undertaken in gene therapy, especially regarding thalassemia, or Cooley’s anemia. The NIH has indicated that human 

clinical trials could begin between 2008 and 2010. The Committee 

urges that this research move forward without delay at the earliest 

possible date, consistent with safety. 

Distribution of Resources.—In light of the doubling of the agency’s budget over the past 5 years and the rapid encroachment of 

new medical research challenges such as SARS and threats of bioweapons, the Committee believes that the NIH should encourage 

funding of large-scale collaborative efforts to address these and 

other medical challenges. In addition, while the pace of new challenges has increased, review time for proposals submitted to the Institutes at NIH continues to average about 18 months. The Committee strongly encourages the Director to develop means of encouraging large-scale, multi-institution projects to address significant areas of medical research and to devise means of reducing the 

time frames between submission of proposals and awarding of 

grants. 

Down Syndrome.—The Committee is deeply concerned by the significant decrease in funding for Down syndrome research since fiscal year 2003, and it strongly urges the NIH to increase its investment in this area. Due to recent studies and advances, the Committee believes that further research into how to successfully reduce the many adverse health effects of Down syndrome, including 

eradicating all the ill effects of the extra chromosome 21 of Down 

syndrome, is an emerging area of study that deserves NIH’s immediate attention. The Committee urges the Director to take note of 

recent advances in the neurobiology of Down syndrome, especially 

concerning the structure and function of neural circuits that mediate cognition. These advances point to Down syndrome as a fertile 

area for research investments that could lead to effective treatments for cognitive difficulties in both adults and children with this 
160 

disorder. Because the responsibility for researching Down syndrome rests with multiple Institutes, the Committee notes that it 

is an ideal candidate for a trans-NIH initiative. The Committee requests an update on these efforts in the fiscal year 2009 congressional budget justifications. 

Fragile X.—The Committee strongly urges the Director to facilitate and fund public/private partnerships to advance possible treatment strategies and clinical drug trials for this orphan indication, 

including, but not limited to, mGluR5 antagonists, ampakines, 

aripiprazole, and lithium. Nine NIH Institutes and the NCRR currently fund 85 diverse grants to find a treatment and cure for 

Fragile X. Given this array of efforts, the Committee urges the NIH 

to prepare and implement a blueprint to focus and coordinate strategy for maximizing resources dedicated to Fragile X. In addition, 

the Committee urges the NIH to convene a scientific session in 

2008 to develop pathways to new opportunities for collaborative, directed research across Institutes. The Committee requests that the 

Director supply to the Committee, no later than September 1, 2008, 

a progress update on all aspects of Fragile X translational research, 

including the agency’s progress in stimulating and funding partnerships between industry, academia, voluntary health organizations 

and NIH Institutes focused on pharmacological and other therapeutic interventions. 

Hereditary Hemorrhagic Telangiectasia [HHT].—The Committee 

encourages the Director to coordinate the development of an HHT 

Research Plan with the NINDS, NIDDK, NHLBI, NHGRI, and 

NICHD and to issue an RFA to optimize opportunities for research 

identified at the NIH workshop on HHT vascular biology and 

pathophysiology. The Committee also encourages the NIH to establish an HHT tissue registry through coordination with the Office of 

Rare Diseases. 

Human Tissue Supply.—The Committee understands that there 

is an increased need to provide NIH intramural and extramural researchers with human tissues and organs to study human diseases. 

The Committee strongly urges the Director, NCRR, and Institutes 

such as the NCI, NHGRI, NHLBI, NICHD, NIMH, and NINDS to 

identify and expand support for nonprofit organizations that supply 

human tissues to NIH-funded researchers. 

Lymphatic Research and Lymphatic Diseases.— Lymphatic system research falls within and between numerous IC missions, a situation that contributes to its relative neglect as an investigative 

focus. Therefore, the Committee once again strongly urges that the 

NIH foster lymphatic research initiatives and awareness across all 

relevant NIH Institutes and Centers. The Committee also reiterates its earlier requests that relevant ICs specifically cite lymphatic system research in related funding mechanism requests 

where a lymphatic research component is appropriate. 

Minority Institutions.—The Committee continues to be pleased 

with the NIH Director’s implementation of various programs focused on developing the research infrastructure at minority health 

professions institutions, including Research Centers at Minority Institutions, Extramural Biomedical Research Facilities, and the 

NCMHD. The Committee encourages the Director to work closely 

with the NCMHD to establish a program of coordination among 
161 

these various mechanisms and partner with minority health professions schools to address their infrastructure needs. 

Mitochondrial Disease.—The Committee encourages the NIH to 

intensify its research efforts into primary mitochondrial disease, 

which is also implicated in numerous other diseases such as Parkinson’s, Alzheimer’s, heart disease, diabetes and cancer. The Committee understands that intensified research into primary 

mitochondrial disease will help to further understand these other 

conditions. 

Nanosystems Biology.—The Committee encourages the Director, 

along with the NCI, to support a collaborative effort to bring 

nanotechnology, systems biology and molecular imaging together to 

examine the molecular basis of cancer, consistent with the Director’s Roadmap Initiative. Bringing these three disciplines together 

may allow researchers to identify specific sub-types of cancer and 

to better target new interventions. Successful results of such an effort could lead to a molecular classification of many types of cancer 

and to targeted molecular treatments for molecular-specific disease. 

National Children’s Study.—The Committee was disappointed 

that the President’s budget once again has proposed to eliminate 

funding for the National Children’s Study. The Committee supports 

full and timely implementation of the study and has included 

$110,900,000 within the Office of the Director for that purpose. The 

fiscal year 2007 appropriation was $69,000,000. The study aims to 

quantify the impacts of a broad range of environmental influences, 

including physical, chemical, biological and social influences, on 

child health and development. The funding provided will help expand the number of study centers and study locations across the 

Nation. The Committee urges the NIH to coordinate the involvement of all the relevant Federal partners such that this study is 

ready for the field by no later than 2008. 

Osteoporosis.—The Committee urges the NIH to support research 

into the pathophysiology of bone loss in diverse populations in 

order to develop targeted therapies to improve bone density and 

bone quality and to identify racial differences in bone and the origin of racial differences in fracture patterns. Furthermore, the 

Committee urges research to identify patients at risk for fracture 

who do not meet current criteria for osteoporosis, as well as to 

study the effects of current and developing osteoporosis treatments 

on these patients. 

Pain Consortium.—The Committee is pleased with the increased 

activity of the NIH Pain Consortium, including the recent meeting 

showcasing NIH-funded pain research projects. However, the Committee believes that much more needs to be done to realize the 

Consortium’s full potential. The Committee urges the NIH to convene a conference of outside experts in pain research and care to 

review the current pain research portfolio at NIH and make recommendations with respect to gaps in pain research that still need 

to be explored as the end of the congressionally declared Decade of 

Pain Control and Research approaches. The Committee also suggests that the Pain Consortium have a mechanism for ongoing extramural participation and input, such as an advisory committee 

consisting of outside experts. 
162 

Pharmacy.—The Committee is pleased that the NIH recognizes 

the importance of doctors of pharmacy across the research spectrum as evidenced by the newly created ‘‘PharmD Gateway’’ on the 

NIH website. The Committee encourages interested organizations 

to find opportunities that will increase the participation of colleges 

and schools of pharmacy and doctor of pharmacy clinical scientists 

in NIH post-graduate training programs such as the clinical pharmacology research (T32) program. 

Spinal Muscular Atrophy [SMA].—The Committee strongly urges 

the OD to ensure the success of the SMA Project at the NINDS by 

providing active and ongoing support from the OD as well as from 

other related Institutes. The current SMA Project is scheduled to 

reach its near-term milestones in 2007 and thus it is imperative 

that the NIH begin planning and budgeting for the necessary successive stages of the project, including funding for clinical trials 

and the infrastructure that will be needed to support of each of the 

stages of drug development. 

Statistics.—The Committee encourages the Office of Extramural 

Research to update and improve its data-gathering capacity so that 

it may better track and analyze grant and training award success 

rates by the academic discipline of the principle investigator. 

Temporomandibular Joint and Muscle Disorders [TMJDs].—The 

Committee remains encouraged by actions taken over the last year 

by NIH to expand research on TMJDs. However, significant additional work is necessary. Because TMJDs are a complex family of 

diseases and disorders influenced by genetics, gender and environmental and behavioral triggers, research should involve collaborations between many ICs, including the OD, ORWH, NIDCR, 

NIAMS, NINDS, NIBIB, NIDCD, NIAD, NIDDK, NIMH, NCRR, 

and NHLBI, as well as the NIH Pain Consortium. The NIH is 

urged to take quick action to implement the recommendations of 

the Fourth Scientific Meeting of the TMJ Association, especially its 

call for the establishment of regional TMJD Centers of Excellence. 

The Committee again urges the NIBIB to work with the NIDCR to 

develop bioengineering approaches that will improve diagnostics as 

well as treatments for TMJD problems. Complex disease research 

calls for team efforts involving engineers, computer scientists and 

medical scientists to study the jaw anatomy, physiology and the 

complex nervous, endocrine and immune system interactions that 

orchestrate jaw function. The Committee calls on the Director to 

coordinate the work of all relevant ICs and give priority to collaborative, cross-cutting research. While the Committee is pleased that 

the NIH has developed a new brochure for TMJD patients, it once 

again calls on the NIH to develop informational materials directed 

to medical, dental and allied health professionals to improve understanding of TMJDs and their frequent co-morbidities such as mitral 

valve prolapse, irritable bowel syndrome, chronic fatigue syndrome 

and fibromyalgia. 

Tuberous Sclerosis Complex [TSC].—Because of the effects of 

TSC on multiple organ systems, the Committee urges the Office of 

the Director to continue the coordination of TSC research activities 

through the Trans-NIH Tuberous Sclerosis Coordinating Committee. 
163 

Urological Research.—The Committee strongly urges the Director 

to continue to increase and accelerate the research portfolio in urology. The Committee further urges the Director to coordinate and 

stimulate urology-related research across the NIH and other Federal agencies. 

OFFICE OF AIDS RESEARCH

The Committee recommendation does not include a direct appropriation for the Office of AIDS Research [OAR]. Instead, funding 

for AIDS research is included within the appropriation for each Institute, Center, and Division of the NIH. The recommendation also 

includes a general provision which directs that the funding for 

AIDS research, as determined by the Director of the National Institutes of Health and the OAR, be allocated directly to the OAR for 

distribution to the Institutes consistent with the AIDS research 

plan. The recommendation also includes a general provision permitting the Director of the NIH and the OAR to shift up to 3 percent of AIDS research funding among Institutes and Centers 

throughout the year if needs change or unanticipated opportunities 

arise. The Committee requests that the Director provide notification to the Committee in the event the Directors exercise the 3 percent transfer authority. 

The NIH Office of AIDS Research [OAR] coordinates the scientific, budgetary, legislative, and policy elements of the NIH AIDS 

research program. The NIH Revitalization Act Amendments of 

1993 mandates the OAR to develop an annual comprehensive plan 

and budget for all NIH AIDS research and to prepare a Presidential bypass budget. 

BUILDINGS AND FACILITIES

Appropriations, 2007 ............................................................................. $81,081,000 

Budget estimate, 2008 ........................................................................... 136,000,000 

Committee recommendation ................................................................. 121,081,000 

The Committee recommends an appropriation of $121,081,000 for 

buildings and facilities [B&F]. The budget request is $136,000,000 

and the fiscal year 2007 appropriation was $81,081,000. 

Building Improvements.—The Committee is aware that in the 

conduct of research in buildings of the type and age of those operated and owned by the NIH, it will sometimes be necessary to conduct improvements, including renovations and alterations, and/or 

repairs to meet program objectives; and that the needs for such activities often cannot be anticipated in budgets prepared a year or 

more in advance. The Committee, therefore, has included a provision to clarify that consistent with long-standing NIH practice, 

funds appropriated to the Institutes and Centers may be used for 

improvements (renovation/alterations) and repairs provided that (1) 

the funds are not already included in the buildings and facilities 

appropriation, (2) the improvements and repairs funded are principally for the benefit of the program from which the funds are 

drawn, and (3) such activities are conducted under and subject to 

the administrative policies and procedures of the NIH Office of the 

Director. The Committee has included a limitation on the size of 

projects to be funded directly by the Institutes and Centers. 
164 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

Appropriations, 2007 ............................................................................. $3,327,021,000 

Budget estimate, 2008 ........................................................................... 3,167,589,000 

Committee recommendation ................................................................. 3,404,798,000 

The Committee recommends $3,404,798,000 for the Substance 

Abuse and Mental Health Services Administration [SAMHSA] for 

fiscal year 2008. This amount is $77,777,000 above the comparable 

fiscal year 2007 level and $237,209,000 above the administration 

request. The recommendation includes $126,663,000 in transfers 

available under section 241 of the Public Health Service Act. 

SAMHSA is responsible for supporting mental health programs 

and alcohol and other drug abuse prevention and treatment services throughout the country, primarily through categorical grants 

and block grants to States. 

The Committee has provided funding for programs of regional 

and national significance under each of the three SAMHSA centers: 

mental health services, substance abuse treatment, and substance 

abuse prevention. Separate funding is available for the children’s 

mental health services program, projects for assistance in transition from homelessness, the protection and advocacy program, data 

collection activities undertaken by the Office of Applied Studies 

and the two block grant programs: the community mental health 

services block grant and the substance abuse prevention and treatment block grant. 

CENTER FOR MENTAL HEALTH SERVICES

Appropriations, 2007 ............................................................................. $883,858,000 

Budget estimate, 2008 ........................................................................... 807,228,000 

Committee recommendation ................................................................. 923,812,000 

The Committee recommends $923,812,000 for mental health 

services. This amount is $39,954,000 above the comparable level for 

fiscal year 2007 and $116,584,000 above the administration request. The recommendation includes $21,413,000 in transfers available under section 241 of the Public Health Service Act. Included 

in the recommendation is funding for programs of regional and national significance, the mental health performance partnership 

block grant to the States, children’s mental health services, projects 

for assistance in transition from homelessness, and protection and 

advocacy services for individuals with mental illnesses. 

Programs of Regional and National Significance 

The Committee recommends $298,217,000 for programs of regional and national significance. This amount is $34,954,000 above 

the comparable level for fiscal year 2007 and $111,584,000 above 

the administration request. Programs of regional and national significance [PRNS] address priority mental health needs through developing and applying best practices, offering training and technical assistance, providing targeted capacity expansion grants, and 

changing the delivery system through family, client-oriented and 

consumer-run activities. 

The Committee notes that current prevention and health promotion programs are filtered through a fractured array of services 

and systems, with behavioral health often not seen as an integral 
165 

part of overall health. Effective collaboration among mental health 

and public health systems is essential to provide a comprehensive 

range of services to promote the health and well-being of children, 

families, and communities. The Committee recommendation includes $15,000,000 for SAMHSA to assist local communities in the 

coordination and improvement of the integration of behavioral/mental and physical health services. The Committee expects SAMHSA 

to collaborate with HRSA on this initiative, as well as coordinate 

with the Centers for Disease Control and Prevention. 

The Committee intends that the funding provided will allow local 

communities to undertake a range of prevention activities that include: (1) the development of a comprehensive plan to integrate behavioral and physical health; (2) integration of early childhood systems of care to blend services and supports from health, mental 

health, substance abuse, education and social services; and (3) development of community-based networks for preventative and primary care that coordinates and integrates behavioral and physical 

health service delivery. Successful grantees must be able to demonstrate partnerships among public health, mental health, substance abuse and early childhood and elementary education systems. The Committee expects that grantees must be able to evaluate the success of the program based on their ability to provide evidence-based services. 

The Committee remains deeply concerned that each year more 

than 3,000 Americans between the ages of 15 and 24 die by suicide, 

making suicide the third leading cause of death among adolescents. 

Beginning in fiscal year 2005, the Committee has provided funding 

each year for grants to States and tribes to develop youth suicide 

prevention and early intervention programs. The Committee recommendation includes $30,000,000 for these grants, $12,180,000 

above last year’s level and the administration request. In addition, 

the Committee has provided $5,000,000 for campus-based programs 

that address youth suicide prevention. The Committee also provides $5,000,000 for the Suicide Prevention Resource Center. 

The Committee intends that no less than last year’s level of 

funding be used for preventing youth violence. This initiative includes the Safe Schools/Healthy Students interdepartmental program. The administration proposed cutting this initiative by 

$17,446,000. The Committee believes that enhanced school and 

community-based services can strengthen healthy child development, thus reducing violent behavior and substance use. 

The Committee recommendation provides funding at last year’s 

level for statewide consumer network grants and statewide family 

network grants. The administration proposed eliminating both of 

these programs. The Committee also provides funding at last year’s 

level for the consumer and consumer-supporter national technical 

assistance centers. The Committee directs CMHS to support multiyear grants to five such national technical assistance centers. 

The Committee reiterates its strong support for the national 

child traumatic stress network [NCTSN]. The recommendation includes $35,000,000 to support grants through the NCTSN that will 

develop knowledge of best practices, offer trauma training to mental health and other child-serving providers, and provide mental 

health services to children and families suffering from post-trau-
166 

matic stress disorder [PTSD] and other trauma-related disorders as 

a result of having witnessed or experienced a traumatic event. The 

Committee encourages the expansion of the number of network 

centers, with preference to applicants with prior experience in the 

NCTSN and extensive experience in the field of trauma-related 

mental disorders in children, youth, and families. The Committee recommendation restores over $73,000,000 in 

funding to programs that the administration proposed to be reduced or eliminated within PRNS. The budget request proposes to 

eliminate the minority fellowship program, mental health systems 

transformation activities, children’s programs, the anti-stigma campaign, as well as the older adult program. The administration has 

proposed a reduction of $6,216,000 for the State incentives grant 

for transformation. The Committee recommendation includes funding at last year’s level for these and other programs within CMHS. 

Disaster Mental Health.—The Committee recognizes the significant impact that natural and human-made disasters can have on 

mental and behavioral health. In particular, such events can lead 

to negative mental and behavioral health consequences for vulnerable populations, including older adults, children, individuals with 

disabilities, and ethnic minorities. The Committee acknowledges 

the role of the Emergency Mental Health and Traumatic Stress 

Services Branch in supporting the emotional recovery of those impacted by trauma and disasters. The Committee encourages this 

branch, in collaboration with FEMA, to increase attention to the 

mental and behavioral health needs of vulnerable populations during and in the aftermath of a disaster. 

Juvenile Justice.—The Committee encourages SAMSHA to give 

high priority to projects that coordinate, screen, assess, diagnose 

and treat juveniles who have had encounters with the juvenile justice system. The Committee is encouraged by the results of such 

programs that have shown significant decreases in contacts with 

law enforcement. 

Mental Health of Older Adults.—The Committee recognizes that 

older adults are among the fastest growing subgroups of the U.S. 

population. Approximately 20–25 percent of older adults have a 

mental or behavioral health problem. In fact, older white males 

(age 85 and over) currently have the highest rates of suicide of any 

group in the United States. The Committee acknowledges the efforts of SAMHSA to address the mental and behavioral health 

needs of older adults through the targeted capacity expansion grant 

program. The Committee encourages increased support for communities to assist them in building a solid foundation for delivering 

and sustaining effective mental health outreach, treatment and 

prevention services for older adults at risk for a mental disorder. 

Teenage Depression and Suicide.—According to the Centers for 

Disease Control and Prevention, teen suicide rates in the United 

States increased by 18 percent between 2003 and 2004. The Committee is deeply concerned by this disturbing development and 

urges SAMHSA to strengthen its efforts to assist local educational 

systems and non-profit entities to implement mental health screening and suicide prevention programs and to identify evidence-based 

practices for facilitating treatment for youth at risk. As evidencebased programs are developed and identified, the Committee 
167 

strongly urges SAMHSA to determine how these practices can be 

best implemented at the community level. 

The Committee recommendation also includes language requiring 

that funds be provided to the following organizations in the 

amounts specified: 

Project Committee recommendation Requested by 

Access Community Health Network, Chicago, IL, for behavioral health integration programs.$500,000 Durbin 

Carroll County Youth Service Bureau, Westminster, MD, for mental health programs for youth.350,000 Cardin, Mikulski 

Children’s Coalition for Northeast Louisiana, Monroe, LA, to expand a nationally-recognized, community-based mental illness screening program for 

middle school youth.

250,000 Landrieu 

Community Counseling Center, Portland, ME, for the expansion of the Greater 

Portland Trauma Assistance Network.

100,000 Collins, Snowe 

Corporate Alliance for Drug Education, Philadelphia, PA, for mental health programs.100,000 Specter 

Essex County, Newark, NJ, for a mental health initiative ..................................... 750,000 Lautenberg, Menendez 

New Mexico Human Services Department, Behavioral Health Collaborative, 

Santa Fe, NM, to transform the behavioral health services system.

250,000 Bingaman, Domenici 

Oregon Partnership, Portland, Oregon, for mental health services and programs.100,000 Smith 

Rosebud Sioux Tribe, Rosebud, SD, Rosebud, SD, for youth residential and outpatient therapy at Piya Mani Otipi.150,000 Johnson 

Sacramento Housing and Redevelopment Agency, Sacramento, CA, for services 

to the chronically homeless.

100,000 Boxer 

Samaritans of Rhode Island, Providence, RI, to enhance the Suicide Crisis Hotline.250,000 Reed, Whitehouse 

Spurwink Services, New Gloucester, ME, to improve early detection, training, 

timely access and evaluating best practice models for child mental health 

services.

135,000 Collins, Snowe 

United Way of Anchorage, Anchorage, AK, for the 211 project to provide a 

statewide health and human services management system for Alaska.

600,000 Stevens 

Wisconsin Department of Agriculture, Transportation and Consumer Protection, 

Madison, WI, to provide mental health services for farmers and their families throughout Wisconsin.

100,000 Kohl 

Community Mental Health Services Block Grant 

The Committee recommends $428,256,000 for the community 

mental health services block grant, which is the same as the comparable fiscal year 2007 amount and the administration request. 

The recommendation includes $21,413,000 in transfers available 

under section 241 of the Public Health Service Act. 

The community mental health services block grant distributes 

funds to 59 eligible States and Territories through a formula based 

upon specified economic and demographic factors. Applications 

must include an annual plan for providing comprehensive community mental health services to adults with a serious mental illness 

and children with a serious emotional disturbance. Because the 

mental health needs of our Nation’s elderly population are often 

not met by existing programs and because the need for such services is dramatically and rapidly increasing, the Committee encourages SAMHSA to require that States’ plans include specific provisions for mental health services for older adults. 

CHILDREN’S MENTAL HEALTH SERVICES

The Committee recommends $104,078,000 for the children’s mental health services program. This amount is the same as the com-
168 

parable fiscal year 2007 level and the administration request. This 

program provides grants and technical assistance to support community-based services for children and adolescents with serious 

emotional, behavioral or mental disorders. Grantees must provide 

matching funds, and services must involve the educational, juvenile 

justice, and health systems. 

PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS

[PATH]

The Committee recommends $54,261,000 for the PATH Program. 

This amount is the same as the comparable fiscal year 2007 level 

and the administration request. 

PATH provides outreach, mental health, and case management 

services and other community support services to individuals with 

serious mental illness who are homeless or at risk of becoming 

homeless. The PATH program makes a significant difference in the 

lives of homeless persons with mental illnesses. PATH services 

eliminate the revolving door of episodic inpatient and outpatient 

hospital care. Multidisciplinary teams address client needs within 

a continuum of services, providing needed stabilization so that 

mental illnesses and co-occurring substance abuse and medical 

issues can be addressed. Assistance is provided to enhance access 

to housing, rehabilitation and training, and other needed supports, 

assisting homeless people in returning to secure and stable lives. 

PROTECTION AND ADVOCACY

The Committee recommends $39,000,000 for the protection and 

advocacy for individuals with mental illness [PAIMI] program, 

which is $5,000,000 above the comparable fiscal year 2007 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 their own homes. Funds are allocated 

to States according to a formula based on population and relative 

per capita incomes. 

The Committee is aware that many protection and advocacy 

[P&A] agencies are playing a role in correctional facilities, which 

are increasingly holding people with mental illness who have not 

received the supports they need in the community. Nationally as 

many as 20 percent of Americans in jail or prison have a serious 

mental disorder. Providing P&A services to individuals with mental 

illness leaving correctional facilites can improve their reentry into 

communities and can reduce recidivism. The additional funding 

provided by the Committee will allow P&A agencies to improve 

conditions in jails and prisons, promote prevention and diversion 

initiatives, and ensure that prisoners with mental illness are prepared to reenter society with the supports and services needed to 

do well. 

CENTER FOR SUBSTANCE ABUSE TREATMENT

Appropriations, 2007 ............................................................................. $2,157,540,000 

Budget estimate, 2008 ........................................................................... 2,110,681,000 

Committee recommendation ................................................................. 2,185,159,000 
169 

The Committee recommends $2,185,159,000 for substance abuse 

treatment programs. This amount is $27,619,000 above the comparable fiscal year 2007 funding level and $74,478,000 above the 

administration request. The recommendation includes $83,500,000 

in transfers available under section 241 of the Public Health Service Act. This amount funds substance abuse treatment programs of 

regional and national significance and the substance abuse prevention and treatment block grant to the States. 

The Committee commends SAMHSA for its outreach and work 

with the National Institute on Drug Abuse [NIDA] and individual 

State substance abuse authorities to reduce the current 15- to 20- 

year lag between the discovery of an effective treatment intervention and its availability at the community level. In particular, the 

Committee applauds SAMHSA for continuing its work with NIDA 

to strengthen State agencies’ capacity to support and engage in research that will foster statewide adoption of meritorious sciencebased policies and practices. The Committee encourages SAMHSA 

to continue collaborative work with NIDA and individual States to 

ensure that research findings are relevant and adaptable by State 

substance abuse systems. 

Programs of Regional and National Significance 

The Committee recommends $426,568,000 for programs of regional and national significance [PRNS]. The recommendation includes $4,300,000 in transfers available under section 241 of the 

Public Health Service Act. The recommendation is $27,619,000 

above the comparable fiscal year 2007 level and $74,478,000 above 

the administration request. 

Programs of regional and national significance include activities 

to increase capacity by implementing service improvements using 

proven evidence-based approaches and science to services activities, 

which promote the identification of practices thought to have potential for broad service improvement. 

The Committee appreciates the administration’s emphasis on 

funding substance abuse treatment services through the access to 

recovery [ATR] program, screening, brief intervention, referral and 

treatment [SBIRT] and treatment drug courts, but strongly believes that the reduction or elimination of other treatment capacity 

efforts and the elimination of most of the science to service activities from the request is not in the Nation’s best interest. The administration’s requested increases are offset by decreases in opioid 

treatment activities, treatment for homeless persons and persons 

with co-occurring substance use and mental health disorders, children and families programs, pregnant and postpartum women programs, recovery support services, and other programs that are 

small in costs but that provide critical support to States and communities that are attempting to address their serious substance 

abuse services needs. The administration also proposes to eliminate 

science to service activities such as Addiction Technology Transfer 

Centers [ATTCs], the minority fellowship program, Recovery Month 

and consumer affairs activities that support public education campaigns on prescription drug abuse, drug abuse among the elderly, 

abuse of inhalants and youth steroid use. 
170 

Because of the significant value provided by these activities in 

combating substance use disorders, the Committee has provided 

funding for all of CSAT’s PRNS activities at no less than last year’s 

level. 

Within the funds appropriated for CSAT, the Committee rec- ommends $20,000,000 for residential treatment programs for pregnant and postpartum women and their children. This amount is 

$9,610,000 above the comparable level for fiscal year 2007 and 

$16,068,000 above the administration request. 

The Committee has provided last year’s level for the SBIRT program. This competitive grant program assists States, territories, 

and tribes in targeting nondependent drug users and is designed 

to avert the progression of patients from chronic substance abuse 

problems. The SBIRT program works in primary and general care 

settings to identify patients in need of treatment and to provide 

them with appropriate intervention and treatment options. 

The Committee recommendation includes an increase of 

$13,709,000, as requested by the administration, for criminal justice activities including treatment drug court grants. The Committee urges SAMHSA to ensure through the grant application 

process that successful applicants for treatment drug court programs demonstrate evidence of consultation and collaboration with 

the corresponding State substance abuse agency in the planning, 

implementation and evaluation of the grant. 

Blood Borne Pathogens.—The Committee is concerned about the 

prevalence of substance abuse, hepatitis and other blood borne 

pathogens and encourages SAMHSA to promote liver health education and primary prevention activities. This effort could include 

the promotion of healthy lifestyle behaviors for all age groups and 

secondary prevention to promote recovery for those infected with 

blood borne pathogens. 

Rural and Native Communities.—The Committee remains concerned by the disproportionate presence of substance abuse in rural 

and Native communities, particularly for American Indian, Alaska 

Native and Native Hawaiian communities. The Committee reiterates its belief that funds for prevention and treatment programs 

should be targeted to those persons and communities most in need 

of service. Therefore, the Committee has provided sufficient funds 

to fund projects to increase knowledge about effective ways to deliver services to rural and native communities. 

Screening Persons with HIV.—According to the nationally representative HIV Cost and Services Utilization Study [HCSUS], almost half of persons with HIV screened positive for illicit drug use 

or a mental disorder, including depression and anxiety disorder. 

Unfortunately, health care providers fail to notice mental disorder 

and substance use problems in almost half of patients with HIV/ 

AIDS, and mental health and substance use screening is not common practice in primary care settings. The Committee encourages 

SAMHSA to collaborate with HRSA to train health care providers 

to screen HIV/AIDS patients for mental health and substance use 

problems. 

The Committee recommendation also includes language requiring 

that funds be provided to the following organizations in the 

amounts specified: 
171 

Project Committee recommendation Requested by 

Akeela, Inc., Anchorage, AK, for the Re-Entry Program in Anchorage, Alaska ..... $200,000 Stevens 

Anchorage Dept. of Health and Social Services, Anchorage, AK, for the Pathways to Sobriety Project in Anchorage, Alaska.400,000 Stevens 

Asian American Recovery Services, Inc., San Francisco, CA, for substance 

abuse treatment programs.

200,000 Feinstein 

Eddy County, Carlsbad, NM, for substance abuse treatment services ................. 1,000,000 Domenici 

Heartland Family Services, Inc., Omaha, NE, for the Sarpy County Methamphetamine Treatment Program for women and children.100,000 Hagel, Ben Nelson 

Maine Lighthouse Corp., Bar Harbor, ME, for the Therapeutic Community for 

the Substance Abuse Treatment project.

100,000 Collins, Snowe 

Maniilaq, Inc., Kotzebue, AK, for the Mavsigviq Family Recovery Program in 

Northwest Arctic Borough Alaska.

500,000 Stevens 

Marin Services for Women, Inc., Greenbrae, CA, for substance abuse treatment 

for low-income women and their children.

200,000 Feinstein 

Martin Addiction Recovery Center, Martin, SD, to enhance and expand substance abuse intervention and treatment services.200,000 Johnson 

Metro Homeless Youth Services of Los Angeles, CA, for substance abuse counseling.250,000 Feinstein 

Nicasa in Round Lake, IL, for evening outpatient substance abuse treatment 

program for women.

350,000 Durbin 

San Francisco Department of Human Services, CA, for mental health and substance abuse services for the homeless.600,000 Feinstein, Boxer 

University of South Dakota Center for Disabilities, Sioux Falls, SD, for a rural 

substance abuse technical assistance center.

200,000 Johnson 

Substance Abuse Prevention and Treatment Block Grant 

The Committee recommends $1,758,591,000 for the substance 

abuse prevention and treatment block grant. The recommendation 

includes $79,200,000 in transfers available under section 241 of the 

Public Health Service Act. The recommendation is the same as the 

comparable level for fiscal year 2007 and the administration request. The block grant provides funds to States to support alcohol 

and drug abuse prevention, treatment, and rehabilitation services. 

Funds are allocated to the States according to formula. State plans 

must be submitted and approved annually. 

The Committee has not included bill language requested by the 

administration to withhold at least 5 percent of block grant funds 

from States unable to submit National Outcome Measures [NOMs] 

data. The Committee strongly opposes this proposal and believes 

that punitive policies could threaten or interrupt service delivery. 

CENTER FOR SUBSTANCE ABUSE PREVENTION

Appropriations, 2007 ............................................................................. $192,902,000 

Budget estimate, 2008 ........................................................................... 156,461,000 

Committee recommendation ................................................................. 197,108,000 

The Committee recommends $197,108,000 for programs to prevent substance abuse, which is $4,206,000 above the comparable 

fiscal year 2007 level and $40,647,000 above the administration request. 

Programs of Regional and National Significance 

The Committee has provided $197,108,000 for programs of regional and national significance [PRNS]. The Center for Substance 

Abuse Prevention [CSAP] is the sole Federal organization with responsibility for improving accessibility and quality of substance 

abuse prevention services. Through the PRNS, CSAP supports: de-
172 

velopment of new practice knowledge on substance abuse prevention; identification of proven effective models; dissemination of 

science-based intervention information; State and community capacity-building for implementation of proven effective substance 

abuse prevention programs; and programs addressing new needs in 

the prevention system. 

The Committee expects CSAP to focus its efforts on preventing 

substance use among youth through environmental and populationbased strategies due to the cost effectiveness of these approaches. 

Further, the Committee instructs that given the paucity of resources for bona fide substance abuse prevention programs and 

strategies, money specifically appropriated to CSAP for these purposes shall not be reallocated for any other programs or purposes 

within SAMHSA. 

The Committee recommendation includes funding at last year’s 

level for the strategic prevention framework State incentive grant 

[SPF SIG] program, which is designed to promote, bolster and sustain prevention infrastructure in every State in the country. The 

Committee recognizes that the lynchpin of the SPF SIG program 

is State flexibility. Therefore, the Committee urges SAMHSA to 

promote flexibility in the use of SPF SIG funds in order to allow 

each State to tailor prevention services based on a needs assessment or plan, rather than pre-determined strategies that may not 

be appropriate for the populations in their own jurisdiction. 

The Committee provides funding at no less than last year’s level 

for the Centers for the Application of Prevention Technologies 

[CAPTs] instead of the proposed elimination of this program. The 

Committee is extremely concerned with SAMHSA’s proposal to 

eliminate the CAPTs. The purpose of the CAPTs is to translate the 

latest substance abuse prevention science and improve the practices of prevention professionals and community coalition members. 

The CAPTs are SAMHSA’s only regional network system that provides substance abuse prevention workforce training through regional conferences, workshops, customized technical assistance, 

curriculum development, online courses, and trainer events. 

The Committee commends the Surgeon General’s ‘‘Call to Action’’ 

on underage drinking, which emphasizes that alcohol remains the 

most heavily abused substance by America’s youth and focuses national attention on this major public health and safety problem. 

The Committee shares the Surgeon General’s concern about new 

research indicating that the developing adolescent brain may be 

particularly susceptible to long-term harms from alcohol use, including neurocognitive impairment. Those findings add new urgency to public and private sector efforts to prevent and reduce underage drinking. 

The Committee expects the Intergovernmental Coordinating 

Committee on the Prevention of Underage Drinking [ICCPUD] and 

its member agencies to continue coordinating national efforts to 

prevent and reduce underage drinking and its consequences, and 

develop and pursue efforts to carry out the Surgeon General’s Call 

to Action. Those efforts should include supporting and assisting 

State and local efforts to carry out the Surgeon General’s recommendations. In reporting Monitoring the Future and other substance use surveillance data, the Committee expects SAMHSA to 
173 

collaborate with NIDA and other ICCPUD agencies to separately 

and prominently highlight alcohol-related findings. 

In support of the Surgeon General’s recommendations for 

strengthening national efforts to prevent and reduce underage 

drinking, the the Committee recommendation includes $4,000,000 

for activities authorized by the Sober Truth on Preventing [STOP] 

Underage Drinking Act. This amount includes $1,000,000 for continuation of the national adult-oriented media campaign to prevent 

underage drinking and $3,000,000 for grants to help community 

coalitions address underage drinking. 

The Committee supports the continuation and enhancement of 

SAMHSA’s Fetal Alcohol Spectrum Disorders [FASD] Center for 

Excellence, and has included funding at last year’s level for FASD 

activities. The Committee requests that SAMHSA submit a 

progress report in its fiscal year 2009 congressional budget justification on the Center’s accomplishments and lessons learned in 

preventing and reducing fetal alcohol spectrum disorders. The report should outline future plans for the Center, including programmatic and funding priorities. 

The Committee recommendation also includes language requiring 

that funds be provided to the following organizations in the 

amounts specified: 

Project Committee recommendation Requested by 

Cheyenne River Sioux Tribe, Eagle Butte, SD, for a methamphetamine prevention program.$400,000 Johnson 

Clinton County Office of District Attorney, Lock Haven, PA, for substance abuse 

prevention programs.

100,000 Specter 

Community Health Center on the Big Island of Hawaii ........................................ 200,000 Inouye 

Institute for Research, Education and Training in Addictions, Pittsburgh, PA, 

for substance abuse prevention programs.

100,000 Specter 

Iowa Office of Drug Control Policy, Des Moines, IA, to educate parents about 

drug use by teenagers.

100,000 Harkin 

Municipality of Anchorage, Anchorage, AK, for methamphetamine education 

project in Alaska.

400,000 Stevens, Murkowski 

Seton Hill University, Greensburg, PA, for substance abuse prevention programs.100,000 Specter 

Standing Rock Sioux Tribe, Fort Yates, ND, for a methamphetamine prevention 

program.

400,000 Johnson 

Tanana Chiefs Conference, Fairbanks, AK, for the Ch’eghutsen Children’s Mental Health Program in Interior Alaska.500,000 Stevens 

PROGRAM MANAGEMENT

The Committee recommends $98,719,000 for program management activities of the agency. The recommendation includes 

$21,750,000 in transfers available under section 241 of the Public 

Health Service Act. The recommendation is $5,998,000 above the 

comparable level for fiscal year 2007 and $5,500,000 above the 

budget request. The program management activity includes resources for coordinating, directing, and managing the agency’s programs. Program management funds support salaries, benefits, 

space, supplies, equipment, travel, and departmental overhead required to plan, supervise, and administer SAMHSA’s programs. 

The Committee has included an additional $4,000,000 to maintain 

the level of effort for the National Survey on Drug Use and Health 

[NSDUH]. 
174 

Despite the significant levels of Federal, State, and local funding 

for mental health services, and a growing consensus that the Nation’s mental healthcare system must be reformed, there are no 

current regular and periodic population-based sources of data on 

adults with serious mental illness and children with serous emotional disturbance. The Committee believes that such data are necessary to help policymakers implement the recommendations in the 

President’s New Freedom Commission on Mental Health report 

‘‘Achieving the Promise: Transforming Mental Health Care in 

America.’’ 

On the recommendation of a meeting in December 2006 of mental health researchers and stakeholders, the Committee is funding 

the development and calibration of a module in the National Survey on Drug Use and Health [NSDUH] to provide reliable and 

valid data on adults with serious mental illness. 

The meeting of experts also recommended the use of the National 

Health Interview Survey [NHIS], conducted by the National Center 

for Health Statistics at CDC, as the best mechanism to collect information on children with serious emotional disturbance. Thus the 

Committee is providing, in addition to the funds needed to continue 

the validation and calibration studies on NSDUH, $1,500,000 to include mental health questions in the NHIS and to carry out studies 

necessary to ensure the validity and reliability of the NHIS data. 

The Committee is aware of collaborative work by SAMHSA and 

State substance abuse directors to implement outcomes data collection and reporting through the NOMs initiative. The Committee 

commends States and SAMHSA for working to streamline data reporting, reduce administrative burden, and improve accountability. 

The Committee is encouraged by work to examine and promote effective non-proprietary data management tools and State-to-State 

problem solving solutions. The Committee notes that States are 

making progress in reporting NOMs information through the SAPT 

block grant. According to SAMHSA, approximately 40 States voluntarily reported substance abuse outcomes data through the SAPT 

block grant in 2006. States reported positive improvements in a 

number of data domains—including abstinence from alcohol and 

drug use; housing status; criminal justice involvement; and employment. 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

Appropriations, 2007 ............................................................................. $318,986,000 

Budget estimate, 2008 ........................................................................... 329,564,000 

Committee recommendation ................................................................. 329,564,000 

The Committee recommends $329,564,000 for the Agency for 

Healthcare Research and Quality [AHRQ]. This amount is 

$10,578,000 above the comparable funding level for fiscal year 2007 

and is the same as the administration request. The Committee has 

funded AHRQ through budget authority rather than through transfers available under section 241 of the Public Health Service Act. 

The Agency for Healthcare Research and Quality was established 

in 1990 to promote improvements in clinical practice and patient 

outcomes, promote improvements in the financing, organization, 

and delivery of health care services, and increase access to quality 

care. AHRQ is the Federal agency charged to produce and dissemi-
175 

nate scientific and policy-relevant information about the cost, quality, access, and medical effectiveness of health care. AHRQ provides policymakers, health care professionals, and the public with 

the information necessary to improve cost effectiveness and appropriateness of health care and to reduce the costs of health care. 

HEALTH COSTS, QUALITY, AND OUTCOMES

The Committee provides $271,564,000 for research on health 

costs, quality and outcomes [HCQO]. This amount is $10,578,000 

above the comparable funding level for fiscal year 2007 and is the 

same as the administration request. HCQO research activity is focused upon improving clinical practice, improving the health care 

system’s capacity to deliver quality care, and tracking progress toward health goals through monitoring and evaluation. 

Of the total amount provided for HCQO the Committee has included $78,934,000 to continue AHRQ’s patient safety program. Of 

this amount, $44,820,000 will support the Department’s initiative 

to promote the development, adoption, and diffusion of information 

technology in health care. 

The Committee has not provided funding for the administration’s 

personalized health care initiative. Instead, the Committee recommendation includes $30,000,000 for research regarding the outcomes, comparative effectiveness and appropriateness of health 

care interventions. The Committee’s recommendation doubles the 

amount provided for this research, which was authorized under 

section 1013 of the Medicare Prescription Drug, Improvement and 

Modernization Act of 2003. 

The Committee is aware that despite having the most expensive 

health care system in the world based on per capita expenditures, 

the United States ranks well below other countries on key health 

indicators, such as overall life expectancy and infant survival. 

Studies have shown that much of this is due to health care that 

lacks a basis in evidence. Studies have estimated that up to 30 percent of the Nation’s health care spending pays for ineffective, inappropriate or redundant care. 

In order to help providers and patients achieve the best quality 

care, the Committee believes we need a sound foundation of evidence about which treatments work best. AHRQ’s comparative effectiveness research program helps patients and providers make informed decisions about treatment options by providing them with 

unbiased, practically useful information on the benefits and risks 

of treatments for common health problems. With funding provided 

by the Committee in previous years, AHRQ has released final reports focusing on interventions of special importance to Medicare 

beneficiaries, such as the effectiveness of the most commonly prescribed antidepressants, the use of stents for patients with narrow 

kidney arteries, and the accuracy of noninvasive tests for breast 

cancer. The additional funding provided by the Committee will 

allow AHRQ to undertake a greater number of reviews of health 

care interventions including drugs, devices, medical procdedures 

and other treatments that have the most impact on Medicare, as 

well as allow the agency to expand its research to the Medicaid and 

SCHIP programs. 
176 

Deep Vein Thrombosis.—Numerous studies conducted on deep 

vein thrombosis [DVT] have shown that there is a gap between 

knowledge and practice. A recent large scale national study found 

that only one-third of acute hospital patients who were at risk for 

DVT actually received the pharmacological or mechanical prophylaxis according to established guidelines. The Committee urges 

AHRQ to disseminate and make available evidence-based information to healthcare providers and patients as a step toward reducing 

the risks of serious and life-threatening complications from DVT. 

Investigator-initiated Research.—The Committee values AHRQ 

for its critical role in supporting health services research to improve health care quality, reduce costs, advance patient safety, decrease medical errors, eliminate health care disparities, and broaden access to essential services. However, the Committee is troubled 

that AHRQ’s investigator-initiated research portfolio has languished, even though many of the sentinel studies that have 

changed the face of health and health care in the United States are 

the result of researchers’ ingenuity and creativity. To advance scientific discovery and the expansion of knowledge, AHRQ should invest at least as much on an investigator-initiated research agenda 

as it does on intramural health services research. The Committee 

urges the Department to expand funding for AHRQ’s investigatorinitiated research in its fiscal year 2009 budget request. 

Safe Patient Handling.—The Committee is concerned about the 

consequences of manual patient lifting in hospitals, nursing homes 

and other patient care settings that increase the risk to patients 

of injuries such as skin tears, skin ulceration, falls and shoulder 

dislocations. Moreover, workplace injuries to nurses, such as back, 

shoulder and neck injuries, exacerbate the nursing shortage with 

loss of work time or debilitating, career-ending injuries. The Committee urges AHRQ to study the impact of utilizing assistive devices and patient lifting equipment on patient injuries and outcomes, as well as the health and safety of nurses. 

Spina Bifida.—The Committee encourages AHRQ to continue its 

efforts to validate quality patient treatment data measures for the 

National Spina Bifida Patient Registry being developed in partnership with the Centers for Disease Control and Prevention. The 

Committee requests that the Agency report on the status of this effort in its fiscal year 2009 congressional budget justification. 

Unit-of-use Packaging.—The Committee is aware that the Institute of Medicine has recognized the potential benefits provided to 

patients by unit-of-use packaging, which are drug products dispensed directly to patients in containers that provide enough medication for use during a specified time interval. The Committee 

urges AHRQ to conduct a comprehensive study to evaluate unit-ofuse packaging and design approaches that would support various 

patient populations in their medication self-management, including 

children, chronically ill patients, patients taking prescription narcotics, and patients taking antibiotics. 

MEDICAL EXPENDITURES PANEL SURVEYS

The Committee provides $55,300,000 for health insurance and 

medical expenditures panel surveys [MEPS], which is the same as 

the comparable fiscal year 2007 level and the administration re-
177 

quest. MEPS is intended to obtain timely national estimates of 

health care use and expenditures, private and public health insurance coverage, and the availability, costs and scope of private 

health insurance benefits. It also develops cost and savings estimates of proposed changes in policy and identifies impact of policy 

changes on payers, providers, and patients. 

PROGRAM SUPPORT

The Committee recommends $2,700,000 for program support. 

This amount is the same as the comparable fiscal year 2007 level 

and the administration request. This activity supports the overall 

management of the agency. 

CENTERS FOR MEDICARE AND MEDICAID SERVICES

GRANTS TO STATES FOR MEDICAID

Appropriations, 2007 .............................................................................$105,470,957,000 

Budget estimate, 2008 ........................................................................... 141,628,056,000 

Committee recommendation ................................................................. 141,628,056,000 

The Committee recommends $141,628,056,000 for Grants to 

States for Medicaid, the same amount as the administration’s request. This amount excludes $65,257,617,000 in fiscal year 2007 

advance appropriations for fiscal year 2008. In addition, 

$67,292,669,000 is provided for the first quarter of fiscal year 2009, 

as requested by the administration. 

The Medicaid program provides medical care for eligible low-income individuals and families. It is administered by each of the 50 

States, the District of Columbia, Puerto Rico, and the territories. 

Federal funds for medical assistance are made available to the 

States according to a formula, which determines the appropriate 

Federal matching rate for State program costs. This matching rate 

is based upon the State’s average per capita income relative to the 

national average, and shall be no less than 50 percent and no more 

than 83 percent. 

PAYMENTS TO HEALTH CARE TRUST FUNDS

Appropriations, 2007 .............................................................................$176,298,480,000 

Budget estimate, 2008 ........................................................................... 188,628,000,000 

Committee recommendation ................................................................. 188,828,000,000 

The Committee recommends $188,828,000,000 for Federal pay- ments to health care trust funds. This amount is $200,000,000 

more than the administration’s request. This entitlement account 

includes the general fund subsidy to the Federal Supplementary 

Medical Insurance Trust Fund for Medicare part B benefits and for 

Medicare part D drug benefits and administration, plus other reimbursements to the Federal Hospital Insurance Trust Fund for part 

A benefits and related administrative costs that have not been financed by payroll taxes or premium contributions. The Committee 

has provided $140,704,000,000 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 $46,299,000,000 for the general 

fund share of benefits paid under Public Law 108–173, the Medicare Prescription Drug, Improvement and Modernization Act of 
178 

2003. The Committee includes bill language requested by the administration providing indefinite authority for paying the General 

Revenue portion of the part B premium match and provides resources for the part D drug benefit program in the event that the 

annual appropriation is insufficient. The recommendation also includes $269,000,000 for hospital insurance for the uninsured. The 

Committee also recommends $237,000,000 for Federal uninsured 

benefit payment. This payment reimburses the Hospital Insurance 

Trust Fund for the cost of benefits provided to Federal annuitants 

who are eligible for Medicare. The Committee recommendation includes $192,000,000 to be transferred to the Hospital Insurance 

Trust Fund as the general fund share of CMS Program Management administrative expenses. The Committee recommendation 

also includes $744,000,000 to be transferred to the Supplementary 

Insurance Trust Fund as the general fund share of part D administrative expenses. The Committee recommendation includes 

$383,000,000 in reimbursements to the Health Care Fraud and 

Abuse Control [HCFAC] fund. 

PROGRAM MANAGEMENT

Appropriations, 2007 ............................................................................. $3,141,107,000 

Budget estimate, 2008 ........................................................................... 3,274,026,000 

Committee recommendation ................................................................. 3,248,088,000 

The Committee recommends $3,248,088,000 for CMS program 

management, which is $106,981,000 more than the fiscal year 2007 

enacted level. 

Research, Demonstrations, and Evaluations 

The Committee recommends $35,325,000 for research, demonstrations, and evaluation activities, $1,625,000 more than the administration’s request. 

CMS research and demonstration activities facilitate informed 

rational Medicare and Medicaid policy choices and decision making. 

These studies and evaluations include projects to measure the impact of Medicare and Medicaid policy analysis and decision making, 

projects to measure the impact of Medicare and Medicaid on health 

care costs, projects to measure patient outcomes in a variety of 

treatment settings, and projects to develop alternative strategies 

for reimbursement, coverage, and program management. 

The Committee has included $10,000,000 for Real Choice Systems Change Grants for Community Living to States to fund initiatives that establish enduring and systemic improvements in longterm services and supports. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Project Committee recommendation Requested by 

Medicare Chronic Care Practice Research Network, Sioux Falls, SD, to evolve 

and continue the Medicare Coordinated Care Demonstration project.

$675,000 Johnson 

Mississippi Primary Health Care Association, Jackson, MS, for the Mississippi 

PharmNet South 340B Initiative, a 340B health information technology 

model.

100,000 Cochran 

Mosaic, Des Moines, IA, for the Iowa Community Integration Project .................. 350,000 Harkin 
179 

Project Committee recommendation Requested by 

University of Mississippi, University, MS, for the Medication Use and Outcomes 

Research Group.

400,000 Cochran 

University of North Carolina School of Pharmacy, Chapel Hill, NC, to study the 

impact of a primary care practice model utilizing clinical pharmacist practitioners to improve the care of Medicare-eligible populations in NC.

100,000 Burr 

Medicare Operations 

The Committee recommends $2,276,052,000 for Medicare operations, which is $27,563,000 less than the administration’s request. 

The Medicare operations line item covers a broad range of activities including claims processing and program safeguard activities 

performed by Medicare contractors. These contractors also provide 

information, guidance, and technical support to both providers and 

beneficiaries. In addition, this line item includes a variety of 

projects that extend beyond the traditional fee-for-service arena. 

The Committee recommends that not less than $35,000,000 be 

made available for the State Health Insurance Counseling Program. SHIPs provide one-on-one counseling to beneficiaries on complex Medicare-related topics, including Medicare entitlement and 

enrollment, health plan options, prescription drug benefits, 

Medigap and long-term care insurance, and Medicaid. 

The committee recommendation includes $500,000 to support activities of the National Center on Senior Benefits Outreach and Enrollment within the Administration on Aging. CMS is directed to 

coordinate with AoA to utilize cost effective strategies to find and 

enroll those with greatest need in part D and other health and 

human services assistance for which they are eligible. 

The Committee includes bill language that extends the availability of funds for Medicare contracting reform until September 

30, 2009 but does not include language, requested by the Administration that directs CMS to ensure that no fewer than 15 Medicare 

administrative contractors begin operations by December 15, 2008. 

The Committee recommends that $49,869,000 be made available 

for obligation over a 2-year period ending September 30, 2009, for 

contract costs pursuant to the development of the Healthcare Integrated General Ledger Accounting System [HIGLAS]. 

Advances in medicine have enabled increasing numbers of Type 

1 diabetes patients to live with this disease for more than 50 years. 

Recent advances in continuous glucose monitoring technology have 

the potential to revolutionize the way diabetes is managed on a 

daily basis. While research is underway, the Committee urges CMS 

not to make premature coverage decisions for this durable medical 

equipment nor take actions that would delay the private adoption 

of these technologies. 

In early 2007 CMS promulgated new regulations for long term 

acute care hospitals [LTACHS]. The Committee is concerned that 

the CMS guidelines once again set arbitrary quota limits for the 

number of patients which an LTACH can accept from any one hospital. Patients who need access to LTACHS are among the most 

vulnerable of the sick. 

This Committee has previously stated that the decision as to 

which patients should go into a LTACH should be made by physi-
180 

cians based on well-defined patient and hospital admissions criteria—not on arbitrary quotas. The Medicare Payment Advisory 

Commission [MEDPAC] in its March 22, 2007 letter to CMS 

warned that arbitrary criteria increase the risk of unintended consequences. 

The Committee expects that CMS will work closely with providers and others in an expedited timetable to develop and promulgate realistic and workable admissibility criteria which will allow 

for the reasonable and measured expansion of the LTACH system. 

The Committee is aware of concerns that Medicare beneficiaries 

have inconsistent access to recreational therapy [RT] services in 

various inpatient settings due a lack of clarity in CMS regulations. 

These settings are inpatient rehabilitation facilities [IRFs], skilled 

nursing facilities [SNFs] and inpatient psychiatric hospitals [IPFs]. 

CMS has not adequately communicated policies to these inpatient 

providers through revisions to its regulations or the Medicare Benefits Policy Manual [MBPM]. This lack of clarity is creating confusion among Medicare providers and contractors and resulting in inconsistent access to recreational therapy for Medicare beneficiaries 

in need of these services. 

The Committee encourages CMS to issue revised regulations or 

publish policy guidance in the MBPM that clarifies policies related 

to recreational therapies. 

The Committee is aware of the significant Medicare reductions 

(in excess of 25 percent on average) to the Power Mobility Device 

[PMD] fee schedule amounts, which became effective November 15, 

2006. The Committee strongly encourages CMS not to alter further 

the PMD fee schedule in effect November 15, 2006 during fiscal 

year 2008. The Committee further encourages CMS to validate any 

subsequent alterations in a report based on claims data under current PMD fee schedule amounts. The Committee is concerned that 

the Medicare Modernization Act provision requiring mandatory 

provider accreditations has not been fully implemented. Such a requirement will reduce fraud and abuse and ensure beneficiary access only to quality providers and equipment. The Committee believes that the provision of medically necessary PMDs can save 

Medicare money through cost-avoidance associated with expensive 

institutional care or hospitalization resulting from falls by the 

growing elderly population. 

The Committee is aware that the Centers for Medicare and Medicaid Services [CMS] has proposed a national coverage decision 

memorandum for the use of Erythropoiesis Stimulating Agents 

[ESAs] in Cancer and Related Neoplastic Conditions. Recent concerns have been raised by both CMS and the Food and Drug Administration about the use of ESAs in treating anemia that results 

from chemotherapy. These concerns may be valid for patients treated with ESAs to high hemoglobin targets (above 12g/dL), but, as 

the FDA noted, they do not apply to all individuals treated for 

chemotherapy-induced anemia or bone marrow failure diseases, eg. 

myelodysplasia. The Committee is concerned that evidence from 

some studies is being broadly and inappropriately extrapolated, resulting in proposals that are not evidence-based or scientifically 

rigorous. The committee requests that CMS delay finalizing the 

Proposed Decision Memo for Erythropoiesis Stimulating Agents 
181 

[ESAs] for non-renal disease indications (CAG–00383N) until after 

the FDA has completed its current review of ESA labeling. 

State Survey and Certification 

The Committee recommends $293,524,000 for Medicare State 

survey and certification activities, which is the same as the administration’s request. 

Survey and certification activities ensure that institutions and 

agencies providing care to Medicare and Medicaid beneficiaries 

meet Federal health, safety, and program standards. On-site surveys are conducted by State survey agencies, with a pool of Federal 

surveyors performing random monitoring surveys. 

The Committee has included language, requested by the administration, which authorizes the Secretary to charge fees associated 

with the cost of conducting revisits of certain health care facilities. 

Federal Administration 

The Committee recommends $643,187,000 for Federal administration costs, which is the same as the budget request. 

The Committee recommends continuing the Healthy Start, Grow 

Smart program, which disseminates educational brochures to lowincome pregnant women and new mothers. The prenatal brochure 

provides information on prenatal care and highlights the link between maternal behaviors and development of the unborn child. 

The remaining brochures are distributed at birth and at key developmental points during the first two years of life. The publications 

offer vital health and safety information for new parents and focuses on infant brain development and skills these children need 

to be successful in school. 

The Committee commends CMS for supporting rural health 

interdisciplinary training initiatives. The Committee strongly supports demonstration projects to develop interdisciplinary, collaborative and culturally appropriate family medicine residency, nursing and allied health professions training in rural areas. These 

projects have the potential to reduce health disparities and to improve access to culturally appropriate health care for underserved 

populations. The Committee urges CMS to consider waivers of population density requirements for demonstration projects in rural 

and/or isolated areas. 

The Committee encourages CMS to use existing waiver authority 

under the Public Health Service Act to issue waivers of the governance requirements for Federally Qualified Health Centers [FQHC] 

look-alike centers to nurse practice arrangements commonly referred to as nurse-managed health centers. 

The Committee recognizes that nurse practitioners and nursemanaged health centers are an important part of the Nation’s 

healthcare safety-net serving vulnerable and underserved populations. Vulnerable populations are populations comprised of a high 

percentage of uninsured patients that lack access to adequate primary care services. The Committee understands that States have 

the primary role regarding the scope of practice for nurse practitioners and other health practitioners. The Committee is pleased 

that CMS has taken some steps to ensure that these providers do 

not face provider-based discrimination when applying for admission 
182 

to the primary care provider networks of managed care organizations [MCO] operating around the Nation. The Committee is, however, concerned that a large percentage of MCOs have established 

policies which unfairly exclude nurse practitioners as a class of providers from their provider panels. The Committee encourages CMS 

to develop written guidance informing MCOs that Federal regulations allow and encourage nurse practitioners to be part of an 

MCO’s panel of providers. The Committee also encourages CMS to 

conduct a survey of MCOs to determine the extent to which nurse 

practitioners are part of their panel of providers and if not, the reasons for that. 

Since January 1, 1998, nurse practitioners have been providing 

reimbursable care to patients as part B providers. Despite their 

ability to provide and bill for services rendered in all of these 

areas, they are still unable to order or certify home health care for 

patients. CMS has referenced the sections 1861(r) of the Social Security Act’s definition of physician, which does not include nurse 

practitioner. The Committee encourages CMS to expand its interpretation of the word ‘‘physician’’ in Part A, section 1814, of the 

Medicare law to enable nurse practitioners to certify and order hospice and home health care. 

The Committee encourages the Secretary to work across the Department to direct its resources toward programs with the highest 

evidentiary standards, such as randomized trials. For example, the 

Committee is aware of extensive evidence that Nurse-Family Partnership, an early home visitation program for first-time low-income 

mothers, prevents child abuse and childhood injury, helps develop 

positive parent-child relationships, and helps the brain development of the children served. The Committee requests that the Secretary apply the high evidentiary standards to programs across the 

Department, and to support agencies within the Department, such 

as Health Resources and Services Administration [HRSA] and Administration for Children and Families [ACF], adopting evidencebased programs. 

The Committee encourages the Division of Nursing [DON] to use 

existing authority under the Nurse Reinvestment Act to consider 

establishing a grant program that will assist nurse practice arrangements commonly referred to as nurse-managed health centers 

in securing an alternative means of prospective payment reimbursement for their Medicare and Medicaid clients. 

This Committee has supported demonstration projects that have 

assessed the efficacy of using interactive video technology as a 

means for providing intensive behavioral health services to individuals with serious emotional and behavioral challenges, such as autism and other at-risk populations. Such projects have assessed the 

effectiveness of the medium in providing a range of services such 

as behavior analysis, case management, medical services, psychiatric services, support to education and training. However, the 

Committee has observed that one of the most serious obstacles to 

the integration of telemedicine into health practices is the absence 

of consistent, comprehensive reimbursement policies. Medicare authorizes only partial reimbursement. Medicaid policies set at state 

levels vary widely and are inconsistent from State to State. The 

Committee believes that telehealth technology is a way to provide 
183 

intensive behavioral health therapy services in a cost effective 

manner. Further, since the 1999 Supreme Court Olmstead decision, 

the Committee has been dedicating resources towards States to 

move individuals out of institutions into community-based settings. 

The Committee recognizes the potential benefits that telehealth 

technologies can have in supporting the independence, productivity 

and integration into the community of persons with developmental 

disabilities. 

The Committee urges CMS this year to provide it with a comprehensive survey on a State-by-State basis of telehealth services 

provided under Medicaid. It further requests that CMS meet with 

an appropriate array of telehealth specialists including those who 

have been involved in the demonstration projects supported by this 

Committee to survey and assess best practices and professional criteria standards and make recommendations to the Committee concerning national standards for telehealth reimbursement which advances and encourages this technology. 

The Committee is aware that many low-income Medicare part D 

enrollees living with HIV/AIDS have benefited from effective medication management programs. In its fiscal year 2008 budget justification, CMS noted that it was considering demonstration authority as a way to test best practice models of medication therapy 

management programs. The Committee strongly encourages CMS 

to develop such demonstrations in fiscal year 2008. 

The Committee is concerned that many seniors do not have a 

good understanding of the benefits covered, and not covered, under 

the Medicare program. In particular, studies have indicated that a 

majority of adults who are 45 or older overestimate Medicare coverage for long-term care. The Committee commends CMS for stating its intention to inform all target households through its initial 

mailings that ‘‘Medicare generally does not pay’’ for long-term care. 

The Committee also encourages the Department to use other communication methods, in addition to the Internet and direct mail, to 

clarify widely held misperceptions about Medicare and long-term 

care. This policy would allow individuals to better prepare for their 

potential long-term care needs without impoverishing themselves 

to qualify for Medicaid. 

HEALTH CARE FRAUD AND ABUSE CONTROL

Appropriations, 2007 ............................................................................. ........................... 

Budget estimate, 2008 ........................................................................... $183,000,000 

Committee recommendation ................................................................. 383,000,000 

The Committee recommends $383,000,000, to be transferred from 

the Medicare trust funds, for health care fraud and abuse control 

activities. This account has not been funded using discretionary 

funds in prior years. This amount, in addition to the 

$1,131,031,000 in mandatory monies for these activities, will provide a total of $1,514,031,000 for health care fraud and abuse control activities in fiscal year 2008, $200,000,000 over the budget request. 

Reducing fraud, waste, and abuse in Medicare and Medicaid continues to be a top priority of the Committee. The Committee has 

held a number of hearings on fraud and abuse issues over the past 
184 

10 years and expects to begin holding more hearings on this issue 

over the next 12 months. 

ADMINISTRATION FOR CHILDREN AND FAMILIES

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND

FAMILY SUPPORT PROGRAMS

Appropriations, 2007 ............................................................................. $3,263,678,000 

Budget estimate, 2008 ........................................................................... 2,949,713,000 

Committee recommendation ................................................................. 2,949,713,000 

The Committee recommends $2,949,713,000 be made available in 

fiscal year 2008 for payments to States for child support enforcement and family support programs. The Committee recommendation is the same as the budget request under current law. The 

Committee also has provided $1,000,000,000 in advance funding for 

the first quarter of fiscal year 2009 for the child support enforcement program, the same as the budget request. 

These payments support the States’ efforts to promote the selfsufficiency and economic security of low-income families. These 

funds also support efforts to locate non-custodial parents, determine paternity when necessary, and establish and enforce orders of 

support. 

LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM

Appropriations, 2007 ............................................................................. $2,161,170,000 

Budget estimate, 2008 ........................................................................... 1,782,000,000 

Committee recommendation ................................................................. 2,161,170,000 

The Committee recommends $2,161,170,000 for fiscal year 2008 

for the low income home energy assistance program [LIHEAP]. 

This is the same as the comparable funding level for fiscal year 

2007 and $379,170,000 above the budget request. LIHEAP is made 

up of two components: the State grant program and a contingency 

fund. 

The Committee recommendation includes $1,980,000,000 for the 

State grant program, which is the same as the comparable funding 

level for fiscal year 2007 and $480,000,000 above the budget request. LIHEAP grants are awarded to States, territories, Indian 

tribes, and tribal organizations to assist low-income households in 

meeting the costs of home energy. States receive great flexibility in 

how they provide assistance, including direct payments to individuals and vendors and direct provision of fuel. These resources are 

distributed by formula to these entities as defined by statute, based 

in part on each State’s share of home energy expenditures by lowincome households. 

The Committee recommends $181,170,000 for the contingency 

fund. This is the same as the comparable funding level for fiscal 

year 2007 and $100,830,000 below the budget request. The contingency fund may be used to provide assistance to one or more States 

adversely affected by extreme heat or cold, significant price increases, or other causes of energy-related emergencies. 
185 

REFUGEE AND ENTRANT ASSISTANCE

Appropriations, 2007 ............................................................................. $587,847,000 

Budget estimate, 2008 ........................................................................... 655,630,000 

Committee recommendation ................................................................. 654,166,000 

The Committee recommends $654,166,000 for refugee and entrant assistance. The recommendation is $66,319,000 above the 

comparable funding level for fiscal year 2007 and $1,464,000 below 

the budget request for this program. 

The refugee and entrant assistance program is designed to assist 

States in their efforts to assimilate refugees, asylees, Cuban and 

Haitian entrants, and adults and minors who are trafficking victims, into American society as quickly and effectively as possible. 

The program funds State-administered transitional and medical assistance, the voluntary agency matching grant program, programs 

for victims of trafficking and torture, employment and social services, targeted assistance, and preventive health. Based on an estimated refugee admission ceiling of 70,000, this appropriation enables States to provide 8 months of cash and medical assistance to 

eligible refugees and entrants, a variety of social and educational 

services, as well as foster care for refugee and entrant unaccompanied minors. 

In order to carry out the refugee and entrant assistance program, 

the Committee recommends $294,021,000 for transitional and medical assistance including State administration and the voluntary 

agency program; $9,823,000 for victims of trafficking; $154,005,000 

for social services; $4,748,000 for preventive health; and 

$48,590,000 for targeted assistance. 

The Committee is troubled by reports that HHS has been hampered by the Department of Homeland Security and the Department of Justice in providing emergency benefits and services to 

child victims of trafficking. Congress clearly intended in the Trafficking Victims Protection Act of 2000 to allow children to receive 

assistance regardless of their ability or willingness to participate in 

an investigation and prosecution of their traffickers. Yet the Committee understands that, in practice, children are often coerced into 

working with law enforcement because they have contacted HHS 

for access to services. The Committee expects HHS to use its authority from the Trafficking Victims Protection Act to expedite the 

determination of eligibility of child victims without delays from law 

enforcement authorities. 

For unaccompanied children, pursuant to section 462 of the 

Homeland Security Act of 2002, the Committee recommends 

$133,162,000. Funds provided are for the care and placement of unaccompanied alien children [UAC] in the Office of Refugee Resettlement [ORR]. 

The Committee notes that $25,000,000 of the funding increase 

provided for the UAC program is for shelter needs, partly due to 

an estimated 12 percent increase in the average length of stay in 

ORR facilities. The Committee is alarmed by this increase and directs the Department to prepare a report that identifies factors 

contributing to increased shelter costs and delays in the release of 

children from ORR care. The report should examine such factors as 

backlogs in background checks, issuance of travel documents and 
186 

delays in repatriations. The report should also propose cost-effective and expedient solutions to remedy the delays that are costing 

the Department thousands of dollars in shelter care costs per day. 

The Committee has not provided the additional funds requested 

by the administration for expanded background checks. ORR currently performs background checks on the adult to whom the child 

is released, as well as home visits when deemed necessary. The 

Committee believes that expanded background checks would contribute to even lengthier delays in getting children released and 

even longer periods of time in custody. 

The Committee directs ORR to use the increase provided to expand the pro bono legal services initiative. The Committee recognizes the need for unaccompanied children to be appropriately represented before immigration courts and is pleased with the 

progress ORR has made in providing pro bono counsel and support 

services for these children. The Committee has provided sufficient 

funding for ORR to increase its efforts for pro bono legal services 

in all places where UAC are held in and released from Federal custody. The Committee expects ORR to use part of the increase provided to assess the overall impact of the pro bono legal services initiative. 

The Committee also recommends $9,817,000 to treat and assist 

victims of torture. These funds may also be used to provide training to healthcare providers to enable them to treat the physical and 

psychological effects of torture. 

CHILD CARE AND DEVELOPMENT BLOCK GRANT

Appropriations, 2007 ............................................................................. $2,062,081,000 

Budget estimate, 2008 ........................................................................... 2,062,081,000 

Committee recommendation ................................................................. 2,062,081,000 

The Committee recommends $2,062,081,000 for the child care 

and development block grant. This is the same as the comparable 

funding level for fiscal year 2007 and the budget request. The child 

care and development block grant supports grants to States to provide low-income families with financial assistance for child care; for 

improving the quality and availability of child care; and for establishing or expanding child development programs. 

The Committee recommendation continues specific set asides in 

appropriations language, also included in the budget request, that 

provide targeted resources to specific policy priorities including 

$18,777,370 for the purposes of supporting before and afterschool 

services, as well as resource and referral programs. This represents 

the Federal commitment to the activities previously funded under 

the dependent care block grant. The Committee recommendation 

sets aside $267,785,718 for child care quality activities, including 

$98,208,000 specifically for an infant care quality initiative. These 

funds are recommended in addition to the 4 percent quality earmark established in the authorizing legislation. The Committee has 

provided these additional quality funds because of the considerable 

research that demonstrates the importance of serving children in 

high quality child care settings which include nurturing providers 

who are educated in child development and adequately compensated. 
187 

The Committee recommendation also provides $9,821,000 for 

child care research, demonstration and evaluation activities. 

The Committee recommendation for resource and referral activities also includes $982,080 to continue support for a national tollfree hotline that assists families in accessing local information on 

child care options and that provides consumer education materials. 

The Committee expects the grantee to monitor the quality of services provided to families as a result of the program. 

SOCIAL SERVICES BLOCK GRANT

Appropriations, 2007 ............................................................................. $1,700,000,000 

Budget estimate, 2008 ........................................................................... 1,700,000,000 

Committee recommendation ................................................................. 1,700,000,000 

The Committee recommends $1,700,000,000 for fiscal year 2008 

for the social services block grant. The amount is the same as the 

comparable fiscal year 2007 level and the budget request. The 

Committee rejects the administration’s proposed bill language to 

lower the authorized funding level stipulated in section 2003(c) of 

the Social Security Act to $1,200,000,000. 

CHILDREN AND FAMILIES SERVICES PROGRAMS

Appropriations, 2007 ............................................................................. $8,948,970,000 

Budget estimate, 2008 ........................................................................... 8,250,089,000 

Committee recommendation ................................................................. 9,223,832,000 

The Committee recommends $9,223,832,000 for fiscal year 2008 

for children and families services programs. The recommendation 

is $274,862,000 above the comparable funding level for fiscal year 

2007 and $973,743,000 above the budget request. The recommendation includes $10,500,000 in transfers available under section 241 

of the Public Health Service Act. 

This appropriation provides funding for programs for children, 

youth, and families, the developmentally disabled, and Native 

Americans, as well as Federal administrative costs. 

Head Start 

The Committee recommends $7,088,571,000 for Head Start. This 

amount is $200,000,000 above the comparable funding level for fiscal year 2007 and $300,000,000 above the budget request. The 

Committee recommendation includes $1,388,800,000 in advance 

funding that will become available on October 1, 2008. 

Head Start provides comprehensive development services for lowincome children and families that emphasize cognitive and language development, socioemotional development, physical and mental health, and parent involvement to enable each child to develop 

and function at his or her highest potential. At least 10 percent of 

enrollment opportunities in each State are made available to children with disabilities. 

The Committee understands the serious need for additional and 

expanded Head Start facilities in rural areas and among Native 

American populations. The Committee believes that the Department could help serve these needy communities by providing minor 

construction funding, as authorized, in remote Native American 

communities. 
188 

The Committee is aware that the Migrant and Seasonal Head 

Start [MSHS] program was started in 1969 as a direct response to 

the unique needs of migrant farm workers and their families. In 

most States, local childcare resources are not available when migrant families come into a community, especially for infants and 

toddlers. Without childcare resources, parents have no choice but 

to take children to the fields where they are exposed to pesticides, 

hazardous equipment, extreme heat and other health dangers. 

MSHS programs serve approximately 38,000 children annually, operating in 40 States in every region of the country. 

Since 2001, when the Department released a study documenting 

that only 19 percent of eligible children were able to access MSHS 

programs, the Committee has requested that the Secretary come 

forth with a plan for serving a larger proportion of eligible farm 

worker children. While the Committee was pleased that 

$35,000,000 in fiscal year 2005 expansion funds were made available to serve additional migrant children, the Committee continues 

to be concerned that the needs of at risk migrant and seasonal 

farmworker children are not being adequately addressed. The Committee continues to look to the Secretary for a plan that describes 

how adequate systems are being put in place within the Department to ensure that children of migrant and seasonal farmworkers 

have adequate access to Head Start programs. 

The Head Start Bureau shall continue to provide the Committee 

with the number and cost of buses purchased, by region with Head 

Start in the annual congressional budget justification. 

Consolidated Runaway and Homeless Youth Program 

The Committee recommends $102,837,000 for the consolidated 

runaway and homeless youth program. This is $15,000,000 above 

the comparable funding level for fiscal year 2007 and the budget 

request. This program was reauthorized under the Runaway, 

Homeless, and Missing Children Protection Act of 2003. In this reauthorization a statutory formula was established to distribute 

funds between the Basic Center Program and the Transitional Living Program. 

This program addresses the crisis needs of runaway and homeless youth and their families through support to local and State 

governments and private agencies. Basic centers and transitional 

living programs provide services to help address the needs of some 

of the estimated 1.3 to 2.8 million runaway and homeless youth, 

many of whom are running away from unsafe or unhealthy living 

environments. These programs have been proven effective at lessening rates of family conflict and parental abuse, as well as increasing school participation and the employment rates of youth. 

The Committee notes that basic center grantees serve only a fraction of the youth who run away or are homeless. The Committee 

has provided funding above the request level to expand the number 

of basic centers and transitional living grantees so that more atrisk youth can be served. 

The Committee is concerned that the Department has not published a report on promising strategies to end youth homelessness, 

as required by the Runaway, Homeless, and Missing Children Protection Act of 2003. The Committee urges the Secretary to release 
189 

this report to Congress within 6 months of the enactment of this 

act. 

Runaway Youth Prevention Program 

The Committee recommends $20,027,000 for the runaway youth 

prevention program. This is $5,000,000 above the comparable funding level for fiscal year 2007 and the budget request. This is a discretionary grant program open to private nonprofit agencies for the 

provision of services to runaway, homeless, and street youth. Funds 

may be used for street-based outreach and education, including 

treatment, counseling, provision of information, and referrals for 

these youths, many of whom have been subjected to, or are at risk 

of being subjected to, sexual abuse. 

Child Abuse Programs 

The Committee recommends $107,175,000 for child abuse programs. The recommendation is $11,958,000 above the comparable 

level for fiscal year 2007 and $1,600,000 above the budget request. 

The recommendation includes $27,007,000 for State grants, 

$37,738,000 for discretionary activities, and $42,430,000 for community-based child abuse prevention. 

These programs seek to improve and increase activities at all levels of government which identify, prevent, and treat child abuse 

and neglect through State grants, technical assistance, research, 

demonstration, and service improvement. 

The Committee has included funds for a nurse home visitation 

initiative as requested by the administration. These funds will encourage investment of existing Federal, State and local funding 

streams into evidence-based home visitation programs. The Committee notes that these programs have been shown not only to reduce child abuse and neglect, but also to increase employment, 

lower criminal activity, improve child health and contribute to child 

cognitive development. 

The Committee expects that when implementing this program, 

ACF will adhere closely to effective nurse home visitation interventions as they were originally developed and evaluated. ACF should 

not expand these interventions to integrate other initiatives or 

services that could dilute the program. 

Within the funds provided for child abuse discretionary activities, 

the Committee includes funding for the following items: 

Project Committee recommendation Requested by 

Boys and Girls Town of Missouri, St. James, MO, to expand services to abused 

and neglected children.

$500,000 Bond 

Catholic Community Services of Juneau, Juneau, AK, to continue operations at 

its Family Resource Center for child abuse prevention and treatment in Juneau, Alaska.

400,000 Stevens 

Crisis Nursery of the Ozarks, Springfield, MO, for programming, equipment, 

services and curriculum.

200,000 Bond 

Darkness to Light, Charleston, SC, to expand and disseminate the Stewards of 

Children program in consultation with the CARE House of Dayton, OH.

400,000 Brown 

Young Women’s Christian Association, Williamsport, PA, for abused and neglected children’s CASA programs.100,000 Specter 
190 

Abandoned Infants Assistance 

The Committee recommends $11,835,000 for abandoned infants 

assistance, which is the same as the comparable funding level for 

fiscal year 2007 and the budget request. 

This program provides grants to public and private nonprofit 

agencies, State and county child welfare agencies, universities, and 

community-based organizations to develop, implement, and operate 

demonstration projects that will prevent the abandonment of infants and young children, especially those impacted by substance 

abuse and HIV and who are at-risk of being or are currently abandoned. By providing respite care for families and caregivers and assisting abandoned infants and children to reside with their natural 

families or in foster care. 

Child Welfare Services 

The Committee recommends $286,754,000 for child welfare services. This is the same as the comparable funding level for fiscal 

year 2007 and the budget request. 

This program helps State public welfare agencies improve their 

child welfare services with the goal of keeping families together. 

State services include: preventive intervention so that, if possible, 

children will not have to be removed from their homes; reunification so that children can return home; and development of alternative placements like foster care or adoption if children cannot remain at home. These services are provided without regard to income. 

Child Welfare Training 

The Committee recommends $7,335,000 for child welfare services. This is the same as the comparable funding level for fiscal 

year 2007 and the budget request. 

Under section 426, title IV–B of the Social Security Act, discretionary grants are awarded to public and private nonprofit institutions of higher learning to develop and improve education/training 

programs and resources for child welfare service providers. These 

grants upgrade the skills and qualifications of child welfare workers. 

Adoption Opportunities 

The Committee recommends $26,848,000 for adoption opportunities, which is the same as the comparable funding level for fiscal 

year 2007 and the budget request. 

This program eliminates barriers to adoption and helps find permanent homes for children who would benefit by adoption, particularly children with special needs. 

Adoption Incentives 

The Committee recommends $9,500,000 for adoption incentives. 

The recommendation is $4,500,000 above the comparable funding 

level for fiscal year 2007 and $4,000,000 below the budget request. 

The purpose of this program is to provide incentive funds to 

States to encourage an increase in the number of adoptions of children from the public foster care system. The appropriation allows 
191 

incentive payments to be made for adoptions completed prior to 

September 30, 2008. 

Adoption Awareness 

The Committee recommends $12,674,000 for adoption awareness, 

which is the same as the comparable funding level for fiscal year 

2007 and the budget request. This program consists of two activities: the infant adoption awareness training program and the special needs awareness campaign. 

The infant adoption awareness training program provides grants 

to train health centers staff serving pregnant women so that they 

can inform them about adoption and make referrals on request to 

adoption agencies. Within the Committee recommendation, 

$9,728,000 is available for this purpose. 

The special needs adoption campaign supports grants to carry 

out a national campaign to inform the public about the adoption of 

children with special needs. The Committee recommendation includes $2,946,000 to continue this important activity. 

Compassion Capital Fund 

The Committee recommends $53,625,000 for the compassion cap- ital fund [CCF], which is $10,725,000 below the comparable funding level for fiscal year 2007 and $21,375,000 below the budget request. The goal of this program is to help faith-based and community organizations maximize their social impact as they provide 

services to those most in need. The CCF administers three discretionary grant programs: a demonstration program which provides 

funding to intermediary organizations to provide training and technical assistance to smaller faith and community-based organizations; a program to fund capacity-building activities; and a program 

to build the capacity of organizations that combat gang activity and 

youth violence. 

The Committee is concerned that the compassion capital fund 

has yet to demonstrate its effectiveness and for this reason has not 

provided funding for new grants. A program assessment ratings 

tool [PART] review conducted in 2006 gave the program a rating 

of ‘‘Results Not Demonstrated.’’ In addition, the Committee notes 

that the program lacks baseline data for its performance measures 

and therefore it is not possible to determine the CCF’s effectiveness. The Committee understands that ACF is conducting a multiyear evaluation of the program to be completed in 2008. The Committee will consider funding increases for the program when the results of the evaluation are available. 

Social Services Research 

The Committee recommends $11,825,000 for social services research. The comparable funding level for fiscal year 2007 is 

$11,868,000 and the budget request is $5,880,000. 

The Committee recommendation includes $6,000,000 in transfers 

available under section 241 of the Public Health Service Act. These 

funds support research and evaluation projects focusing on finding 

programs that are cost effective, that increase the economic independence of American families and that contribute to healthy development of children and youth. 
192 

The Committee is aware of the dramatic increase in multiracial 

and multiethnic individuals and families in the United States 

today that present a unique social and demographic environment 

for the development of a knowledge base to expand and assess public policies that affect the wellbeing of multiethnic individuals and 

families. The Committee recommends the agency provide full and 

fair consideration of research proposals for this purpose. 

Within the funds provided for social services research, the Committee includes funding for the following items: 

Project Committee recommendation Requested by 

A∂ For Abstinence, Waynesboro, PA, for abstinence education and related 

services.

$30,000 Specter 

Abyssinian Development Corporation, New York, NY, to support and expand 

youth and family displacement prevention programs.

150,000 Clinton, Schumer 

Alaska Children’s Services, Anchorage, AK, for its program to serve low income 

youth in Anchorage, Alaska.

250,000 Stevens 

Alaska Statewide Independent Living Council, Inc., Anchorage, AK, to continue 

and expand the Personal Care Attendant Program and to expand outreach 

efforts to the disabled living in rural Alaska.

200,000 Stevens, Murkowski 

Anna Maria College, Paxton, MA, the Molly Bish Center for the Protection of 

Children and the Elderly.

100,000 Kennedy, Kerry 

Boston Medical Center, Boston, MA, the Children’s AIDS project ......................... 210,000 Kennedy, Kerry 

Catholic Family Center, Rochester, NY, for kinship care outreach ....................... 250,000 Clinton, Schumer 

Catholic Social Services, Wilkes-Barre, PA, for abstinence education and related services.45,000 Specter 

Child Care Resource and Referral Network, Tacoma, WA, for a child care quality initiative.1,000,000 Murray 

Children’s Home Society of Idaho, Boise, ID, for the Bridge Project to place 

Idaho children-in-care in foster care.

250,000 Craig 

City of Chester, Bureau of Health, Chester, PA, for abstinence education and 

related services.

35,000 Specter 

Community Partnership for Children, Inc., Silver City, NM, for a child care 

quality initiative.

200,000 Bingaman 

Community Services for Children, Inc., Allentown, PA, for early childhood development services.100,000 Specter 

Connecticut Council of Family Service Agencies, Wethersfield, CT, for the Empowering People for Success (EPS) initiative.400,000 Dodd, Lieberman 

Crozer Chester Medical Center, Upland, PA, for abstinence education and related services.35,000 Specter 

Family Center of Washington County, Montpelier, VT, to support and expand 

youth services.

500,000 Leahy 

Family Service & Childrens Aid Society, Oil City, PA, for abstinence education 

and related services.

30,000 Specter 

Fathers and Families Center, Indianapolis, IN, for supportive services for fathers.100,000 Bayh 

Friends Association for Care and Protection of Children, West Chester, PA, for 

programs to provide safe, secure housing for children through an emergency shelter for families, transitional housing, specialized foster care and 

adoption programs.

100,000 Specter 

Guidance Center, Ridgeway, PA, for abstinence education and related services.30,000 Specter 

Heart Beat, Millerstown, PA, for abstinence education and related services ...... 45,000 Specter 

Horizons for Homeless Children, Boston, MA, for mentoring, educational, and 

social development programs.

190,000 Kennedy, Kerry 

Keystone Central School District, Mill Hall, PA, for abstinence education and 

related services.

40,000 Specter 

Keystone Economic Development Corporation, Johnstown, PA, for abstinence 

education and related services.

40,000 Specter 

LaSalle University, Philadelphia, PA, for abstinence education and related services.55,000 Specter 

Mercy Hospital of Pittsburgh, Pittsburgh, PA, for abstinence education and related services.55,000 Specter 

My Choice, Inc., Athens, PA, for abstinence education and related services ...... 25,000 Specter 
193 

Project Committee recommendation Requested by 

Neighborhood United Against Drugs, Philadelphia, PA, for abstinence education 

and related services.

45,000 Specter 

New Brighton School District, New Brighton, PA, for abstinence education and 

related services.

35,000 Specter 

Northeast Guidance Center, Detroit, MI, for the Family Life Center project ......... 250,000 Levin, Stabenow 

Northwest Family Services, Alva, OK, to establish behavioral health services 

and family counseling programs.

100,000 Inhofe 

Nueva Esperanza, Philadelphia, PA, for abstinence education and related services.35,000 Specter 

Partners for Healthier Tomorrows, Ephrata, PA, for abstinence education and 

related services.

25,000 Specter 

Pennsylvania Coalition Against Domestic Violence, Harrisburg, PA, for domestic 

violence programs.

100,000 Specter 

Positively Kids, Las Vegas, NV, to create a program to provide home, respite, 

and medical day care for severely-disabled children.

100,000 Reid 

Progressive Believers Ministry, Wynmoor, PA, for abstinence education and related services.30,000 Specter 

Real Commitment, Gettysburg, PA, for abstinence education and related services.55,000 Specter 

School District of Philadelphia, Philadelphia, PA, for abstinence education and 

related services.

45,000 Specter 

Shepherd’s Maternity House, Inc., East Stroudsburg, PA, for abstinence education and related services.30,000 Specter 

Southend Community Services, Inc., Hartford, CT, for social outreach services 

to grandparents raising teenagers.

250,000 Dodd, Lieberman 

Tuscarora Intermediate Unit, McVeytown, PA, for abstinence education and related services.45,000 Specter 

Urban Family Council, Philadelphia, PA, for abstinence education and related 

services.

80,000 Specter 

Washington Hospital Teen Outreach, Washington, PA, for abstinence education 

and related services.

45,000 Specter 

Women’s Care Center of Erie County, Inc., Erie, PA, for abstinence education 

and related services.

45,000 Specter 

York County Human Life Services, York, PA, for abstinence education and related services.45,000 Specter 

Developmental Disabilities 

The Committee recommends $190,836,000 for programs administered by the Administration on Developmental Disabilities. The 

recommendation is $20,001,000 above the comparable funding level 

for fiscal year 2007 and $20,000,000 above the budget request. 

Within the funds provided, $174,116,000 is for carrying out the Developmental Disability Act, and $16,720,000 is for carrying out the 

Help America Vote Act of 2002. 

The Administration on Developmental Disabilities [ADD] supports community-based delivery of services which promote the 

rights of persons of all ages with developmental disabilities. Developmental disability is defined as severe, chronic disability attributed to mental or physical impairments manifested before age 22, 

which causes substantial limitations in major life activities. The 

ADD also provides funding for election assistance for individuals 

with disabilities. This program is for individuals with any type of 

disability. 

Of the funds provided, the Committee recommends $77,271,000 

for State councils. These councils assist each State in promoting 

the development of a comprehensive, statewide, consumer and family-centered system which provides a coordinated array services for 

individuals with development disabilities. State councils undertake 
194 

a range of activities including demonstration of new approaches, 

program and policy analysis, interagency collaboration and coordination, outreach and training. The Committee recommends $42,718,000 for protection and advocacy grants. This formula grant program provides funds to States 

to establish protection and advocacy systems to protect the legal 

and human rights of persons with developmental disabilities who 

are receiving treatment, services, or rehabilitation. The Committee recommends $16,720,000 for disabled voter services. Of these funds, $11,390,000 is to promote disabled voter access, and the remaining $5,330,000 is for disabled voters protection 

and advocacy systems. The election assistance for individuals with 

disabilities program was authorized in the Help America Vote Act 

of 2002. The program enables grantees to make polling places more 

accessible and increase participation in the voting process of individuals with disabilities. 

The Committee recommends $15,414,000 for projects of national 

significance to assist persons with developmental disabilities. This 

program funds grants and contracts that develop new technologies 

and demonstrate innovative methods to support the independence, 

productivity, and integration into the community of persons with 

developmental disabilities. The Committee has included $2,000,000 within its recommendation for a National Clearinghouse and Technical Assistance Center 

with local projects in as many States as funds permit. This Center 

will promote leadership by families of children with disabilities in 

the design and improvement of family-centered and family-controlled systems of family support services, as described in Section 

202(b)(2) of the Families of Children with Disabilities Support Act 

of 2000. The Committee intends these funds to supplement, not 

supplant existing funding for family support activities within the 

projects of national significance account. The Committee recommends $38,713,000 for the University Centers for Excellence in Developmental Disabilities [UCEDDs], a network of 67 centers that are interdisciplinary education, research 

and public service units of a university system or are public or nonprofit entities associated with universities. The Centers serve as 

the major vehicle to translate disability-related research into community practice and to train the next cohort of future professionals 

who will provide services and supports to an increasingly diverse 

population of people with disabilities. The Committee recommendation provides an increase of $5,501,000 above the comparable fiscal 

year 2007 level, which will fund the existing centers at their authorized level, allow them to receive a mdoest cost of living adjustment and support additional training for critical and emerging national needs, such as autism spectrum disorder. 

Native American Programs 

The Committee recommends $49,332,000 for Native American 

programs. This is $5,000,000 above the comparable funding level 

for fiscal year 2007 and the budget request. 

The Administration for Native Americans [ANA] assists Indian 

tribes and Native American organizations in planning and implementing long-term strategies for social and economic development 
195 

through the funding of direct grants for individual projects, training and technical assistance, and research and demonstration programs. 

The Committee is aware that Native American languages are in 

rapid decline in this country and that only 20 of the nearly 300 languages originally spoken in America are still being used by Native 

youth today. The Esther Martinez Native American Languages 

Preservation Act was passed by Congress last year for the purpose 

of halting and reversing this alarming trend. In addition to increasing language fluency, Native language immersion programs have 

additional benefits: evidence suggests they may decrease Native 

dropout rates and increase educational attainment among Native 

youth. The Committee is extremely supportive of this effort and 

has included $5,000,000 in its recommendation to support Native 

language immersion and other revitalization programs. 

Community Services 

The Committee recommends $735,281,000 for the community services programs. The recommendation is $40,707,000 above the 

comparable funding level for fiscal year 2007 and $710,829,000 

above the budget request. 

Within the funds provided, the Committee recommends $670,425,000 for the community services block grant [CSBG], 

which is $40,000,000 above the comparable fiscal year 2007 funding level. The administration did not request funding for this program. These funds are used to make formula grants to States and 

Indian tribes to provide a wide range of services and activities to 

alleviate causes of poverty in communities and to assist low-income 

individuals in becoming self-sufficient. 

Several other discretionary programs are funded from this account. Funding for these programs is recommended at the following 

levels for fiscal year 2008: community economic development, 

$32,404,000; individual development accounts, $24,452,000; and 

rural community facilities, $8,000,000. 

The Committee is aware that the Government Accountability Office [GAO] has found severe deficiencies in the Office of Community 

Services’ [OCS] oversight of the CSBG. A GAO review found that 

OCS lost 2 year’s worth of key documents relating to State monitoring visits, sent monitoring teams without the necessary financial 

expertise to States, and did not use performance data or audit findings to target its monitoring resources toward high risk States. The 

review also found that training and technical assistance funds were 

used to support Federal staff in OCS and that 60 percent of the 

funding was used for a variety of grants unrelated to assisting local 

agencies with problems. The GAO reported OCS has ignored the 

Committee’s direction from the fiscal year 2005 appropriations conference report to implement a training and technical assistance 

needs assessment and delivery plan in consultation with CSBG 

State and local eligible entities. 

The Committee believes the Secretary must make better use of 

funds reserved for training and technical assistance by ensuring 

that the funds are provided solely to State grantees, local eligible 

entities, or their State, regional, and national associations for the 

purpose of expanding their capacity to achieve the purposes of the 
196 

act effectively. While some share of these resources should be available to assist State and local agencies to correct deficiencies, the 

primary purpose of such funding should be to build the organizational and programmatic resources needed to reduce poverty and 

rebuild communities. The Committee believes that this funding is 

not intended for support of Federal administrative expenses. 

The Committee directs that OCS report to the Committee the results of training and technical activities at the end of each grant 

period. Funding for fiscal year 2008 should support, but not be limited to, a system for rating the quality and effectiveness of training 

and technical assistance activities and providers; a program of 

technical assistance for establishing and assessing voluntary local 

agency benchmarks for high performance; and a system for providing effective responses to needs identified by monitoring or corrective action plans. 

Domestic Violence Hotline 

The Committee recommends $3,200,000 for the national domestic 

violence hotline. The comparable funding level for fiscal year 2007 

is $2,970,000, as is the budget request. 

This activity funds the operation of a national, toll-free, 24- 

hours-a-day telephone hotline to provide information and assistance to victims of domestic violence. 

Battered Women’s Shelters 

The Committee recommends $127,000,000 for fiscal year 2008 for battered women’s shelters program. This amount is $2,269,000 

above both the comparable funding level for fiscal year 2007 and 

the budget request. 

These funds support community-based projects which operate 

shelters and provide related assistance for victims of domestic violence and their dependents. Emphasis is given to projects which 

provide counseling, advocacy, and self-help services to victims and 

their children. 

Mentoring Children of Prisoners 

The Committee recommends $49,493,000 for mentoring children 

of prisoners, which is the same as the comparable funding level for 

fiscal year 2007. The administration requested $50,000,000 for this 

activity. 

The mentoring children of prisoners program was authorized in 

2001 under section 439 of the Social Security Act. The purpose of 

this program is to keep children connected to a parent in prison in 

order to increase the chances that the family will come together 

successfully when the parent is released. As a group, children of 

prisoners are less likely than their peers to succeed in school and 

more likely to become engaged in delinquent behavior. 

Independent Living Training Vouchers 

The Committee recommends $46,157,000 for independent living 

training vouchers, which is the same as the comparable funding 

level for fiscal year 2007 and the budget request. 

These funds will support vouchers of up to $5,000 for college tuition, or vocational training for individuals who age out of the foster 
197 

care system so they can be better prepared to live independently 

and contribute productively to society. Studies have shown that 

25,000 youths leave foster care each year at age 18. In addition, 

only 50 percent will have graduated from high school, whereas 52 

percent will be unemployed and 25 percent will be homeless for one 

or more nights. 

Abstinence Education 

The Committee recommends $84,916,000 for community-based abstinence education. This is $28,484,000 below the comparable 

funding level for fiscal year 2007 and $56,248,000 below the administration request. The recommendation includes $4,500,000 in 

transfers available under section 241 of the Public Health Service 

Act. 

The Committee notes that the Department’s recent multi-year, 

experimentally designed evaluation of abstinence-only education 

programs funded under title V of the Social Security Act found that 

they had no effect on the sexual abstinence of youth. The Committee notes that community based abstinence education programs 

have been required to share the same eight statutory elements as 

programs funded under title V. In light of this evaluation, the Committee has not provided funding for the administration’s proposed 

increase or for the national abstinence media campaign. The Committee recommendation fully funds current granteee continuation 

costs. 

The Committee firmly supports the goal of delaying sexual activity and preventing teen pregnancy among youth. However, the 

Committee believes that the Department must encourage further 

innovation in abstinence education programs in order to develop effective, evidence-based interventions. Until abstinence programs 

can demonstrate sizeable and lasting impacts, the Committee does 

not believe that new funding is warranted. 

The Committee is disturbed by reports that grantee materials in 

this program may not contain scientifically accurate information. 

The Committee has included bill language clarifying that funds 

provided under this program must be scientifically accurate as required by Federal law. 

Faith-Based Center 

The Committee recommends $1,386,000 for the operation of the 

Department’s Center for Faith-Based and Community Initiatives. 

This amount is the same as the comparable funding level for fiscal 

year 2007 and the budget request. 

Program Administration 

The Committee recommends $197,225,000 for program administration. This is $9,449,000 above the comparable funding level for 

fiscal year 2007 and is the same as the budget request. 

The Committee recommendation includes an additional 

$6,200,000 to expand the agency’s improper payments activities to 

establish error rates for the temporary assistance for needy families [TANF] and child care programs, as well as for foster care administrative costs. The Committee believes that the agency’s efforts 

to minimize improper payments are particularly important given 
198 

that the TANF and child care programs total approximately 

$34,000,000,000 in Federal and State funds annually. The Committee notes that previous ACF program integrity efforts have 

achieved over $600,000,000 in savings in Head Start and the foster 

care program. 

PROMOTING SAFE AND STABLE FAMILIES

Appropriations, 2007 ............................................................................. $434,100,000 

Budget estimate, 2008 ........................................................................... 434,100,000 

Committee recommendation ................................................................. 434,100,000 

The Committee recommends $434,100,000 for promoting safe and 

stable families, which is the same as the comparable funding level 

for fiscal year 2007 and the budget request. The promoting safe 

and stable families program is comprised of $345,000,000 in capped 

entitlement funds authorized by the Social Security Act and 

$89,100,000 in discretionary appropriations 

Funds available through the promoting safe and stable families 

program are focused on supporting those activities that can prevent 

family crises from emerging which might require the temporary or 

permanent removal of a child from his or her own home. The program provides grants to States, territories, and tribes for provision 

of four broad categories of services to children and families: (1) 

family preservation services; (2) time-limited family reunification 

services; (3) community-based family support services; and (4) 

adoption promotion and support services. The Child and Family 

Services Improvement Act (Public Law 109–288) allocated 

$40,000,000 for formula grants to States to support monthly caseworker visits to children in foster care and for competitive grants 

to regional partnerships to address child welfare issues raised by 

parent or caretaker abuse of methamphetamine or other substance. 

PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION ASSISTANCE

Appropriations, 2007 ............................................................................. $4,912,000,000 

Budget estimate, 2008 ........................................................................... 5,067,000,000 

Committee recommendation ................................................................. 5,067,000,000 

The Committee recommends $5,067,000,000 for payments to 

States for foster care and adoption assistance. The comparable 

funding level for fiscal year 2007 is $4,912,000,000. In addition, the 

Committee recommendation provides $1,776,000,000 for an advance appropriation for the first quarter of fiscal year 2009. The 

Committee recommendation provides the full amount requested 

under current law. 

The foster care program provides Federal reimbursement to 

States for: Maintenance payments to families and institutions caring for eligible foster children, matched at the Federal medical assistance percentage [FMAP] rate for each State; administration and 

training costs to pay for the efficient administration of the foster 

care program; and training of foster care workers and parents. 

The adoption assistance program provides funds to States for 

maintenance costs and the nonrecurring costs of adoption for children with special needs. The goal of this program is to facilitate the 

placement of hard-to-place children in permanent adoptive homes, 

and thus prevent long, inappropriate stays in foster care. As in the 
199 

foster care program, State administrative and training costs are reimbursed under this program. 

The independent living program provides services to foster children under 18 and foster youth ages 18–21 to help them make the 

transition to independent living by engaging in a variety of services 

including educational assistance, life skills training and health 

services. States are awarded grants from the annual appropriation 

proportionate to their share of the number of children in foster 

care, subject to a matching requirement. 

ADMINISTRATION ON AGING

Appropriations, 2007 ............................................................................. $1,383,007,000 

Budget estimate, 2008 ........................................................................... 1,335,146,000 

Committee recommendation ................................................................. 1,441,585,000 

The Committee recommends an appropriation of $1,441,585,000 for aging programs. This amount is $58,578,000 above the comparable fiscal year 2007 level and $106,439,000 above the administration request. 

Supportive Services and Senior Centers 

The Committee recommends an appropriation of $350,595,000 for 

supportive services and senior centers, which is the same as the 

comparable fiscal year 2007 level and the administration request. 

This State formula grant program funds a wide range of social 

services for the elderly, including multipurpose senior centers, 

adult day care, and ombudsman activities. State agencies on aging 

award funds to designated area agencies on aging who in turn 

make awards to local services providers. All individuals age 60 and 

over are eligible for services, although, by law, priority is given to 

serving those who are in the greatest economic and social need, 

with particular attention to low-income minority older individuals, 

older individuals with limited english proficiency, and older individuals residing in rural areas. Under the basic law, States have 

the option to transfer up to 30 percent of funds appropriated between the senior centers program and the nutrition programs, 

which allows the State to determine where the resources are most 

needed. 

Preventive Health Services 

The Committee recommends $21,400,000 for preventive health 

services, which is the same as the comparable fiscal year 2007 

level. The administration did not request funds for this activity. 

Funds appropriated for this program are part of the comprehensive 

and coordinated service systems targeted to those elderly most in 

need. Preventive health services include nutritional counseling and 

education, exercise programs, health screening and assessments, 

and prevention of depression. 

Protection of Vulnerable Older Americans 

The Committee recommends $21,156,000 for grants to States for protection of vulnerable older Americans. This is $1,000,000 above 

the comparable fiscal year 2007 level and $1,990,000 above the administration request. Within the Committee recommendation, 

$16,010,000 is for the ombudsman services program and $5,146,000 
200 

is for the prevention of elder abuse program. Both programs provide formula grants to States to prevent the abuse, neglect, and exploitation of older individuals. The ombudsman program focuses on 

the needs of residents of nursing homes and board and care facilities, while elder abuse prevention targets its message to the elderly 

community at large. 

National Family Caregiver Support Program 

The Committee recommends $156,167,000 for the national family 

caregiver support program, which is the same as comparable fiscal 

year 2007 level and $1,980,000 above the administration request. 

Funds appropriated for this activity establish a multifaceted support system in each State for family caregivers. All States are expected to implement the following five components into their program: information to caregivers about available services; assistance 

to caregivers in gaining access to services; caregiver counseling, 

training and peer support; respite care to enable caregivers to be 

temporarily relieved from their caregiving responsibilities; and limited supplemental services that fill remaining service gaps. 

The Committee recognizes the essential role of family caregivers 

who provide a significant proportion of our Nation’s health and 

long-term care for the chronically ill and aging. While caring for a 

loved one can be rewarding, it may also put caregivers at risk for 

negative physical and mental health consequences. The Committee 

acknowledges the efforts of the Administration on Aging [AoA] to 

provide vital support services for family caregivers through the national family caregiver support program. The Committee encourages increased support of services that may prevent or reduce the 

health burdens of caregiving, including individual counseling, support groups, respite care, and caregiver training. 

Native American Caregiver Support Program 

The Committee recommendation includes $6,428,000 to carry out 

the Native American caregiver support program. This amount is 

$187,000 above the comparable fiscal year 2007 level and the administration request. The program will assist tribes in providing 

multifaceted systems of support services for family caregivers and 

for grandparents or older individuals who are relative caregivers. 

Congregate and Home-delivered Nutrition Services 

For congregate nutrition services, the Committee recommends an 

appropriation of $418,519,000 which is $19,600,000 above the comparable fiscal year 2007 level and $35,118,000 above the administration request. For home-delivered meals, the Committee recommends $197,805,000 which is $9,500,000 above the comparable 

fiscal year 2007 level and $16,807,000 above the administration request. These programs address the nutritional needs of older individuals. Projects funded must make home-delivered and congregate 

meals available at least once a day, 5 days a week, and each meal 

must meet a minimum of one-third of daily dietary requirements. 

While States receive separate allotments of funds for congregate 

and home-delivered nutrition services and support services, they 

are permitted to transfer up to 40 percent of funds between these 

programs. 
201 

The Committee is aware that proper nutrition is essential to the 

health and wellness of older Americans. A healthy diet can prevent 

weakness and frailty, improve resistance to illness and disease, and 

lead to better management of chronic health problems. All of these 

in turn lead to greater independence and quality of life for older 

persons. 

The recent reauthorization of the Older Americans Act recognized the important role that nutrition plays in promoting the 

health and well-being of seniors. In addition to reducing hunger 

and promoting socialization, the nutrition services program was reauthorized with the purpose of assisting older Americans in accessing nutrition and other disease promotion services that can delay 

the onset of adverse health conditions. The act also added greater 

emphasis on nutrition education, nutrition counseling and other 

nutrition services. 

Despite increased recognition of nutrition’s importance to the 

health and well-being of our seniors, the funding level for the nutrition services program has stagnated in recent years, while at the 

same time the population of older Americans continues to increase. 

The Committee notes that the number of meals provided under the 

nutrition services program has declined by more than 8 percent 

from fiscal years 2000 to 2005. The Committee is aware that flat 

funding, along with higher food and transportation costs, has 

forced many programs to implement waiting lists and consolidate 

meal sites in order to cut costs. The Committee hopes that the 

funding increase provided will help alleviate the fiscal strain affecting these programs and will allow them to continue to provide 

meals services that are essential to our seniors. 

The Committee recognizes that the recent reauthorization of the 

Older Americans Act (Public Law 109–365) continues to allow 

States to transfer funds between title III–B, which funds supportive services, and title III–C, which provides funding for nutrition services. While such transfers have remained relatively stable 

over time, amounting to approximately $35,000,000 per year transferred from nutrition programs to supportive services, the Committee is concerned by the decrease of funds available for nutrition 

services. The Committee believes that the specific funding increase 

provided for nutrition services in this bill should be used to directly 

support, facilitate, or foster nutrition programs, and should not be 

transferred for non-nutrition-related supportive services. 

Nutrition Services Incentives Program 

The Committee recommendation includes $157,246,000 for the 

nutrition services incentives program [NSIP], $9,400,000 above the 

comparable fiscal year 2007 funding level and $10,136,000 above 

the administration request. This program augments funding for 

congregate and home-delivered meals provided to older adults. 

Funds provided under this program are dedicated exclusively to the 

provision of meals. NSIP rewards effective performance by States 

and tribal organizations in the efficient delivery of nutritious meals 

to older individuals through the use of cash or commodities. 
202 

Aging Grants to Indian Tribes and Native Hawaiian Organizations 

The Committee recommends $27,834,000 for grants to Native 

Americans, which is $1,700,000 above the comparable fiscal year 

2007 funding level and the administration request. Under this program awards are made to tribal and Alaskan Native organizations 

and to public or nonprofit private organizations serving native Hawaiians which represent at least 50 percent Indians or Alaskan 

Natives 60 years of age or older to provide a broad range of supportive services and assure that nutrition services and information 

and assistance are available. 

Program Innovations 

The Committee recommends $11,420,000 for program innovations, which is $12,638,000 below above the comparable fiscal year 

2007 level and $24,065,000 below the administration request. 

These funds support activities designed to expand public understanding of aging and the aging process, apply social research and 

analysis to improve access to and delivery of services for older individuals, test innovative ideas and programs to serve older individuals, and provide technical assistance to agencies that administer 

the Older Americans Act. 

The Committee has provided funding for the choices for independence initiative in aging network support activities, rather than 

in program innovations as proposed by the administration. 

Recognizing that Alzheimer’s disease often causes patients to exhibit unusual and unpredictable behavior, the AoA supports a 24- 

hour call center to provide family caregivers with professional care 

consultation and crisis intervention through a national network of 

community-based organizations. The Committee has provided 

$1,000,000 to continue this valuable program. 

The Committee continues to support funding at no less than last 

year’s level for national programs scheduled to be refunded in fiscal 

year 2008 that address a variety of issues, including elder abuse, 

Native American issues, and legal services. 

Vision Loss.—The Committee applauds the AoA and CMS’ aging 

and disability resource center [ADRC] program which supports 

State efforts to develop one-stop shop programs at the community 

level to provide information on the range of services and options 

available to older Americans as well as streamlined access to publicly funded benefits. The Committee supports the inclusion of vision loss information among the array of services offered by the 

ADRCs so that the needs of older Americans with vision loss are 

addressed. 

The Committee includes the following projects and activities and 

the following amounts for fiscal year 2008: 

Project Committee recommendation Requested by 

Coalition of Wisconsin Aging Groups, Madison, WI, to conduct outreach and 

education for law enforcement and financial industry on financial elder 

abuse.

$200,000 Kohl 

Disability Rights Wisconsin, Madison, WI, for nursing home support services .... 185,000 Kohl 

Good Samaritan Village of Hastings, Sioux Falls, SD, for the continuation of 

the Sensor Technology Project for Senior Independent Living and Home 

Health.

100,000 Hagel 
203 

Project Committee recommendation Requested by 

Jewish Family & Child Services, Portland, Oregon, for seniors programs and 

services at a Naturally Occurring Retirement Community.

100,000 Smith 

Jewish Family and Children’s Service of Greater Philadelphia, PA, for Naturally 

Occurring Retirement Community.

100,000 Specter 

Jewish Family Service of New Mexico, Albuquerque, NM, to support a Naturally 

Occurring Retirement Communities (NORC) demonstration project.

300,000 Domenici, Bingaman 

Jewish Family Services of Delaware, Wilmington, DE, for a Naturally Occurring 

Retirement Community.

200,000 Biden, Carper 

Jewish Federation of Greater Atlanta, GA, for a Naturally Occurring Retirement 

Community.

100,000 Chambliss 

Jewish Federation of Greater Indianapolis, IN, for a Naturally Occurring Retirement Community.750,000 Bayh, Lugar 

Jewish Federation of Las Vegas, NV, for the Las Vegas Senior Lifeline Program.500,000 Reid 

Nevada Rural Counties RSVP, Carson City, NV, to provide home services to 

seniors in rural areas.

100,000 Reid 

UJA Federation of Northern New Jersey, River Edge, NJ, for a Naturally Occurring Retirement Community.200,000 Lautenberg, Menendez 

United Jewish Federation of Greater Pittsburgh, PA, for a Naturally Occurring 

Retirement Community.

100,000 Specter 

Aging Network Support Activities 

The Committee recommends $42,651,000 for aging network support activities, $29,518,000 above both the comparable amount for 

fiscal year 2007 and the administration request. The Committee 

recommendation includes funding at the administration request 

level for the Eldercare Locator, which is a toll-free, nationwide directory assistance service for older Americans and their caregivers. 

Since 1991, the service has linked more than 700,000 callers to an 

extensive network of resources for aging Americans and their caregivers. 

The Committee recommendation includes $28,000,000 to begin 

national implementation of the choices for independence program. 

The Committee has provided funding for this program in aging network support activities, as reflected in the reauthorized Older 

Americans Act. The administration requested these funds within 

the program innovations activity. The choices for independence program will seek to establish long-term care options for seniors so 

they can live independently in their own communities. The program will continue and expand existing AoA programs that focus 

on nursing home diversion, aging and disability resource centers 

and evidence-based disease prevention activities. 

The Committee has included $1,000,000 within aging network 

support activities for the establishment of a National Center on 

Senior Benefits Outreach and Enrollment, which was included in 

the reauthorization of the Older American Act. Studies show that, 

even after decades of outreach efforts, large percentages of older 

Americans who are eligible for important public benefits are not receiving them. Officials estimate that up to 4.4 million low-income 

beneficiaries are eligible for, but not receiving, low-income subsidies [LIS] under the Medicare Part D prescription drug benefit. 

It is the Committee’s intent that this new Center would work closely with the aging network, as well as state health insurance assistance programs [SHIPs], the Centers for Medicare and Medicaid 

Services [CMS], the Social Security Administration [SSA] and other 
204 

Federal agencies to utilize cost-effective strategies to find and enroll those seniors with greatest economic need. The Committee has 

also included $500,000 in CMS and $1,000,000 in SSA for this purpose. The Committee recommendation includes $1,676,000 for the pension counseling and information program. Regional pension counseling projects provide hands-on personalized advice to workers, retirees and their family members about employer sponsored pension 

and retirement savings plan benefits, and assistance in pursuing 

claims when problems arise. The program has secured nearly 

$75,000,000 in benefits for the thousands of clients it has served— 

a return on Federal investment of more than five to one. Hundreds 

of thousands more have benefited from the program’s outreach and 

information efforts. The Committee’s recommendation includes 

funds to increase support for the counseling projects and expand 

the number of regional counseling projects from five to six. 

The Committee has provided funding at the administration request level for the National Long Term Care Ombudsman Resource 

Center, the National Center on Elder Abuse and the Health Care 

Anti-Fraud, Waste and Abuse Program. 

Alzheimer’s Disease Demonstration Grants to States 

The Committee recommends a funding level of $11,668,000 for 

Alzheimer’s disease demonstration grants to States, which is the 

same as the comparable fiscal year 2007 funding level. The administration proposed eliminating funding for this activity. 

An estimated 70 percent of Americans with Alzheimer’s disease 

live at home, where family members provide the preponderance of 

care. The Alzheimer’s disease demonstration grant program currently supports matching grants to 38 States to help stimulate and 

coordinate services to assist families caring for Alzheimer patients, 

particularly those living in underserved rural communities and minorities. In light of the unique demands Alzheimer’s disease places 

on families and States, the Committee has provided sufficient 

funds to continue this program at its current level. 

Program Administration 

The Committee recommends $18,696,000 for program administration, which is $311,000 above the comparable fiscal year 2007 

funding level and the same as the administration request. These 

funds support salaries and related expenses for program management and oversight activities. 

OFFICE OF THE SECRETARY

GENERAL DEPARTMENTAL MANAGEMENT

Appropriations, 2007 ............................................................................. $356,238,000 

Budget estimate, 2008 ........................................................................... 392,556,000 

Committee recommendation ................................................................. 405,237,000 

The Committee recommends $405,237,000 for general depart- mental management [GDM]. This amount includes $4,000,000 for 

the Secretary’s discretionary fund. The Committee recommendation 

includes the transfer of $5,851,000 from Medicare trust funds, 

which is the same as the administration request. In addition, for 
205 

policy evaluation activities the Committee recommends $46,756,000 

in transfers available under section 241 of the Public Health Service Act. 

This appropriation supports those activities that are associated 

with the Secretary’s role as policy officer and general manager of 

the Department. It supports certain health activities performed by 

the Office of Public Health and Science, including the Office of the 

Surgeon General. GDM funds also support the Department’s centralized services carried out by several Office of the Secretary staff 

divisions, including personnel management, administrative and 

management services, information resources management, intergovernmental relations, legal services, planning and evaluation, finance and accounting, and external affairs. 

The Office of the Surgeon General, in addition to its other responsibilities, provides leadership and management oversight for 

the PHS Commissioned Corps, including the involvement of the 

Corps in departmental emergency preparedness and response activities. 

The Committee directs that specific information requests from 

the chairman and ranking member of the Subcommittee on Labor, 

Health and Human Services, and Education, and Related Agencies, 

on scientific research or any other matter, shall be transmitted to 

the Committee on Appropriations in a prompt professional manner 

and within the timeframe specified in the request. The Committee 

further directs that scientific information requested by the Committees on Appropriations and prepared by Government researchers 

and scientists be transmitted to the Committee on Appropriations, 

uncensored and without delay. The Committee has included $30,000,000 for the transformation 

of the Commissioned Corps. The Committee commends the Secretary on his proposal to transform the Public Health Service Commissioned Corps into a force that is ready to respond to public 

health emergencies and looks forward to working with him on this 

important initiative. 

The Committee has also included $9,500,000 for the Latin American health initiative which will focus on training health care workers in Central and South America. The Committee has held hearings on global health issues, drug-resistant tuberculosis, and pandemic influenza and understands that infectious diseases know no 

borders. While the United States has provided strong financial support for the elimination of HIV/AIDS, tuberculosis, and malaria 

across the world, the Committee understands that these efforts 

cannot succeed without a basic public health infrastructure in 

place. The Committee believes that this health diplomacy initiative 

will address that goal by giving local residents the training they 

need to provide basic health care in Latin America. 

Bill language is included to provide HHS the authority to work 

with non governmental organizations in the provision of medical 

services. Section 215 of the General Provisions is also modified so 

that the State Department can provide the same embassy personnel, space, and logistics services to the Health Diplomacy Initiative that it provides to CDC. 

The Committee has included $1,000,000 for the Secretary to implement section 399CC of the Public Health Service Act (as enacted 
206 

in the Combating Autism Act, Public Law 109–416) related to creation and administration of the Interagency Autism Coordinating 

Committee. 

The Committee recognizes the importance of rebuilding the 

health care delivery system in Louisiana following hurricanes 

Katrina and Rita in 2005 and encourages the Department of 

Health and Human Services to work with the State of Louisiana 

to rebuild a redesigned, properly funded health care system for its 

citizens. Barriers to expanded access and choice to the medically 

uninsured low-income population should be eliminated. Recognizing 

the failings and poor health outcomes of the State’s two-tier delivery system, the Committee encourages HHS to continue working 

with Louisiana on the development of a waiver for more flexible 

use of Federal match DSH dollars to ensure more expanded access 

to community and private providers to the state’s low-income population. To combat the growing pandemic and public health emergency associated with HIV/AIDS, the Committee urges the Department and NIH to review the range of approaches available to addressing liability concerns for the administration and clinical testing of an HIV/AIDS vaccine. 

Preterm Birth.—The Committee has provided sufficient funding 

to convene a Surgeon General’s conference on preterm birth and 

produce a report establishing a public-private agenda to speed the 

identification of and treatments for the causes and risk factors for 

preterm labor and delivery. 

Food Allergies.—Approximately 2 million school-aged children in 

the United States suffer from food allergy, for which there is no 

cure. Allergic reactions in children often occur in the school setting 

and can develop into severe anaphylactic shock that can kill within 

minutes unless epinephrine is administered. It is estimated that 94 

percent of the Nation’s schools have students with food allergy, and 

the incidence is increasing. The Committee encourages the Department to work with the Department of Education and knowledgeable private sector organizations on the development of guidelines 

for the management of children with food allergy as well as a plan 

to disseminate and publicize these guidelines to local educational 

agencies and youth organizations. 

Chronic Fatigue Syndrome.—The Committee appreciates the 

work of the Department’s Chronic Fatigue Syndrome Advisory 

Committee [CFSAC], especially the August 30, 2006 renewal of its 

charter and the personal participation of the Assistant Secretary 

for Health in recent meetings. The Committee encourages the 

CFSAC to prioritize strategies to address the low rate of diagnosis 

of CFS and lack of defined standards of medical care for CFS patients and the stagnation in research funding by CDC and NIH in 

spite of progress being demonstrated in the field. 

Sleep Disorders.—At NIH’s Frontiers of Knowledge in Sleep and 

Sleep Disorders conference in March 2004, the U.S. Surgeon General reported on the profound impact that chronic sleep loss and 

untreated sleep disorders have on Americans of all ages. The public 

health model is well suited to translate these essential health messages to society. The Committee continues to urge the Surgeon 

General to develop a Surgeon General’s Report on Sleep and Sleep 
207 

Disorders and requests report regarding progress made on this initiative. 

The Committee includes the following projects and activities and 

in the following amounts for fiscal year 2008: 

Project Committee recommendation Requested by 

Community Transportation Association of America, Washington, DC, for TA to 

human services transportation providers on ADA requirements.

$1,000,000 Harkin 

Palmer College on Chiropractice, Consortial Center for Chiropractic Research in 

Davenport, Iowa, and the Policy Institute for Integrative Medicine in Philadelphia, PA for a best practices initiative on lower back pain.

400,000 Harkin 

Adolescent Family Life 

The Committee has provided $30,307,000 for the Adolescent 

Family Life Program [AFL], which is the same as the comparable 

fiscal year 2007 level. 

The AFL program funds demonstration projects that provide 

services to pregnant and parenting adolescents, and prevention 

projects which promote abstinence from sexual activity for adolescents. 

Minority Health 

The Committee recommends $49,475,000 for the Office of Minority Health, which is $3,980,000 below the comparable level for fiscal year 2007. 

The Office of Minority Health [OMH] focuses on strategies designed to decrease the disparities and to improve the health status 

of racial and ethnic minority populations in the United States. 

OMH establishes goals, and coordinates all departmental activity 

related to improving health outcomes for disadvantaged and minority individuals. OMH supports several initiatives, including demonstration projects (the Minority Community Health Partnership 

HIV/AIDS, the Bilingual/Bicultural Service, and the Youth Empowerment Program) as well as the Center for Linguistic and Cultural Competency in Health Care, and the Family and Community 

Violence Prevention Program. 

The Committee is encouraged by the progress the Office of Minority Health is making in fiscal year 2007 on the multi-year effort 

to address health disparities issues in the gulf coast region, and 

looks forward to further progress in this area in fiscal year 2008. 

The Committee continues to support cooperative partnerships between OMH and our Nation’s historically black medical schools to 

impact ongoing opportunities and challenges in health disparities 

and training which these institutions are uniquely positioned to address. 

The Committee includes the following projects and activities and 

in the following amounts for fiscal year 2008: 

Project Committee recommendation Requested by 

Saint Francis Hospital, Wilmington, DE, to expand prenatal, maternity, pediatric, and other primary care services to indigent populations.$700,000 Biden, Carper 
208 

Office on Women’s Health 

The Committee recommends $30,369,000 for the Office on Women’s Health. This is $3,000,000 above the comparable level for fiscal 

year 2007. 

The Office on Women’s Health [OWH] develops, stimulates, and 

coordinates women’s health research, health care services, and public and health professional education and training across HHS 

agencies. It advances important crosscutting initiatives and develops public-private partnerships, providing leadership and policy direction, and initiating and synthesizing program activities to redress the disparities in women’s health. 

The Committee understands that lupus is a serious, complex, debilitating chronic autoimmune disease that can cause inflammation 

and tissue damage to virtually any organ system in the body and 

impacts an estimated one to two million individuals. The Committee further understands that public and health professional recognition and understanding of lupus is extremely low, contributing 

to misdiagnoses or late diagnoses that can result in disability or 

death. The Committee has included sufficient funds for the Office 

of Women’s Health to work with the advocacy community to develop and implement a sustained lupus awareness and education 

campaign aimed at reaching health care professionals and the general public, with an emphasis on reaching women at greatest risk 

for developing lupus. The Committee has included $1,000,000 for a study by the Institute of Medicine which would comprehensively review the status of 

women’s health research, summarize what we have learned about 

the how diseases specifically effect woman, and report back to Congress suggestions for the direction of future research. 

HIV/AIDS in Minority Communities 

To address high-priority HIV prevention and treatment needs of 

minority communities heavily impacted by HIV/AIDS, the Committee recommends $51,891,000. This amount is the same as the 

fiscal year 2007 level. These funds are available to key operating 

divisions of the Department with capability and expertise in HIV/ 

AIDS services to assist minority communities with education, community linkages, and technical assistance. 

Afghanistan 

The Committee recommendation includes $5,941,000 for the Secretary’s Afghanistan health initiative. Funds will be used in partnership with the Department of Defense for medical training activities at the Rabia Balkhi Women’s Hospital in Kabul, and for support of maternal and child health throughout Afghanistan. 

Embryo Donation and Adoption 

The Committee continues to believe that increasing public awareness of embryo donation and adoption remains an important goal. 

The Committee has provided $4,000,000 for the Department’s embryo donation and adoption awareness activities, which is 

$2,020,000 more than the comparable fiscal year 2007 funding 

level. The Committee notes that the costs associated with embryo 

adoption may be hindering people from participating in embryo 
209 

adoption. The Committee is aware that the medical procedures involved can be expensive and are not always successful. To address 

these challenges, the Committee has included bill language allowing funds appropriated for embryo adoption activities to be available to pay medical and administrative costs deemed necessary to 

facilitate embryo donations and adoptions. 

OFFICE OF MEDICARE HEARINGS AND APPEALS

Appropriations, 2007 ............................................................................. $59,727,000 

Budget estimate, 2008 ........................................................................... 70,000,000 

Committee recommendation ................................................................. 70,000,000 

The Committee provides $70,000,000 for the Office of Medicare 

Hearings and Appeals, which is $10,273,000 above the comparable 

fiscal year 2007 level. 

The Office of Medicare Hearings and Appeals is responsible for 

hearing Medicare appeals at the administrative law judge level, 

which is the third level of Medicare claims appeals. This office 

began to process Medicare appeals in 2005. Prior to that time, appeals had been processed by the Social Security Administration 

under an interagency agreement with the Centers for Medicare and 

Medicaid Services. This function was transferred to the Office of 

the Secretary by the Medicare Prescription Drug, Improvement and 

Modernization Act of 2003. 

OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION

TECHNOLOGY

Appropriations, 2007 ............................................................................. $61,302,000 

Budget estimate, 2008 ........................................................................... 117,872,000 

Committee recommendation ................................................................. 71,000,000 

The Committee provides $71,000,000 to the Office of the National 

Coordinator for Health Information Technology [ONC]. This 

amount is $9,698,000 above the comparable fiscal year 2007 level. 

The Committee recommendation includes $28,000,000 in transfers 

available under section 241 of the Public Health Service Act. 

The Office of The National Coordinator for Health Information 

Technology is responsible for promoting the use of electronic health 

records in clinical practice, coordinating Federal health information 

systems and collaborating with the private sector to develop standards for a nationwide interoperable health information technology 

infrastructure. 

OFFICE OF INSPECTOR GENERAL

Appropriations, 2007 ............................................................................. $215,378,000 

Budget estimate, 2008 ........................................................................... 241,105,000 

Committee recommendation ................................................................. 242,105,000 

The Committee recommends an appropriation of $242,105,000 for 

the Office of Inspector General [OIG]. which is $1,000,000 above 

the administration request. In addition to discretionary funds provided in this act, the Health Insurance Portability and Accountability Act of 1996 and the Deficit Reduction Act of 2005 both contain permanent appropriations for the Office of Inspector General. 

The total funds provided to the OIG from this bill and other permanent appropriations are $196,418,000 in fiscal year 2008. 
210 

The Office of Inspector General conducts audits, investigations, 

and evaluations, of the programs administered by the Department 

of Health and Human Services Operating and Staff Divisions, including the recipients of HHS’s grant and contract funds. In doing 

so, the OIG addresses issues of waste, fraud, and abuse and makes 

recommendations to improve the efficiency and effectiveness of 

HHS programs and operations. 

As part of its emphasis on fraud and abuse activities, the Committee has increased funding for the OIG over the budget request. 

This office’s oversight of HHS health care programs from fiscal 

year 2004 to fiscal year 2006 resulted in a return on investment 

of approximately $12 for every $1 spent on IG activities, with total 

expected recoveries reaching $2,700,000,000. 

OFFICE FOR CIVIL RIGHTS

Appropriations, 2007 ............................................................................. $34,909,000 

Budget estimate, 2008 ........................................................................... 37,062,000 

Committee recommendation ................................................................. 37,062,000 

The Committee recommends $37,062,000 for the Office for Civil 

Rights [OCR], which is the same as the Administration’s request. 

The recommendation includes the transfer of $3,314,000 from the 

Medicare trust funds. 

The Office for Civil Rights is responsible for enforcing civil 

rights-related statutes in health care and human services programs. To enforce these statutes, OCR investigates complaints of 

discrimination, conducts program reviews to correct discriminatory 

practices, and implements programs to generate voluntary compliance among providers and constituency groups of health and 

human services. 

RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED

OFFICERS

Appropriations, 2007 ............................................................................. $370,698,000 

Budget estimate, 2008 ........................................................................... 402,542,000 

Committee recommendation ................................................................. 402,542,000 

The Committee provides an estimated $402,542,000 for retirement pay and medical benefits for commissioned officers of the U.S. 

Public Health Service, the same as the administration request. 

This account provides for: retirement payments to U.S. Public 

Health Service officers who are retired for age, disability, or length 

of service; payments to survivors of deceased officers; medical care 

to active duty and retired members and dependents and beneficiaries; and for payments to the Social Security Administration 

for military service credits. 

PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

Appropriations, 2007 ............................................................................. $717,320,000 

Budget estimate, 2008 ........................................................................... 1,753,737,000 

Committee recommendation ................................................................. 1,699,556,000 

The Committee provides $1,699,556,000 to the Public Health and 

Social Services Emergency Fund. The Pandemic Preparedness and 

All-Hazards Preparedness Act, enacted into law in December, 2006, 
211 

created the new position of the Assistant Secretary for Preparedness and Response. 

This appropriation supports the activities of the Office of the Assistant Secretary for Preparedness and Response and other activities within the Office of the Secretary to prepare for the health consequences of bioterrorism and other public health emergencies, including pandemic influenza and to support the Department’s cybersecurity efforts. 

Hospital Preparedness 

The Committee’s recommendation includes $438,843,000 for hospital preparedness grants, a decrease of $35,151,000 below the 

comparable fiscal year 2007 level. This program was transferred 

from the Health Resources Services Administration in 2007. 

The Committee’s recommendation includes $25,000,000 to continue the state-of-the-art mass casualty emergency care demonstration proposed in the Hospital Preparedness fiscal year 2007 budget 

request and funded in the fiscal year 2007 joint funding resolution. 

The Committee believes that progress has been made in improving the preparedness of the Nation’s trauma centers to address the 

consequences of a possible future terrorist attack or natural disaster, but that a greater level of preparedness must be achieved. 

The recently-enacted Pandemic and All Hazards Preparedness Act 

recognized the importance of increasing the response capabilities of 

the nation’s trauma centers. Consistent with this, the Committee 

urges the Secretary to emphasize improvements in this area. 

According to a September 2006, report entitled ‘‘U.S. Trauma 

Center Preparedness for a Terrorist Attack’’ (funded by the Centers 

for Disease Control), an assessment of 175 trauma centers found an 

overall preparedness level of 74 percent. The report found that 

Level I trauma centers were more likely to score above average in 

preparedness than Level II centers, that preparedness (and supporting funding) correlated well with proximity to large numbers of 

hazardous sites (especially sites that could trigger mass decontamination requirements), and that funding through the National 

Bioterrorism Hospital Preparedness Program had resulted in high 

levels of emergency planning preparedness. However, the report 

also found significant variations in decontamination and surge capacity, often inadequate planning and preparation for prolonged operations in a ‘‘siege’’ environment, the absence of health care resource capacity monitoring, the absence of adequate preparedness 

for special needs populations, and the need for broader implementation of mutual aid agreements [MAAs) to include cross 

credentialing. 

The Committee strongly urges the Secretary to review these recommendations and to incorporate them into the Hospital Preparedness Cooperative Agreement Grants Program, including through 

providing support for local partnerships. 

Advanced Research and Development 

The Committee recommendation includes $159,000,000 for advanced research and development, an increase of $60,000,000 over 

the fiscal year 2007 level. 
212 

Other Preparedness and Response Activities 

The Committee recommendation includes $158,713,000 for other 

preparedness and response activities within the Office of the Assistant Secretary for Preparedness and Response, the Office of the 

Assistant Secretary for Resources and Technology, and the Office 

of Public Health and Science, and the Office of the Secretary. 

Within the Office of the Assistant Secretary for Preparedness 

and Response, those activities include: —$53,000,000 for the national disaster medical systems, the 

same level as the request. This activity was funded by the Department of Homeland Security in fiscal year 2007. —$22,363,000 for BioShield management, the same level as the 

request. This activity was funded in fiscal year 2007 by CDC 

under the appropriation for the strategic national stockpile. —$6,000,000 for the emergency systems for advance registration 

of volunteer health professionals. This program was transferred from the Health Resources Services Administration in 

2007. 

The Committee recommendation includes $9,482,000 for the Office of the Chief Information officer for information technology 

cyber-security, the same as the fiscal year 2007 level. The Committee recommendation includes $14,113,000 for the 

medical reserve corps program, which is $1,000,000 less than the 

request. 

The Committee realizes that managing a possible a multipronged strategy involving the procurement of vaccines, antibiotics, 

and post-exposure prophylaxis/therapies. HHS has a goal to procure enough vaccine to inoculate 25 million people and up to 

200,000 anthrax therapies. To date, however, HHS has stockpiled 

10 million doses of existing vaccine and 30,000 anthrax treatments. 

The Committee requests that the Department report to the Committee on their plans to protect the country in the case of an anthrax attack. 

Health Care Credentialing 

The Committee recommendation includes $3,300,000 for 

Healthcare provider Credentialing and Security and improvement 

activities within the Office of the Secretary. 

World Trade Center 

The Committee recognizes the importance of addressing the short 

and long-term health needs of those individuals that were exposed 

to the environmental hazards released as a result of the September 

11, 2001 attacks upon the World Trade Center, and affirms the 

commitment of the Federal Government to provide assistance to 

those whose physical and mental health was adversely impacted as 

a result of this exposure. 

The Committee has provided $55,000,000 for treatment, screening, and monitoring activities and has provided bill language which 

directs the Secretary to transfer these funds to the National Institute for Occupational Safety and Health. The Committee intends 

that the NIOSH not only fund existing grantees but to also to provide funding to entities that would provide services to building and 

construction trade workers, residents, office and commercial work-
213 

ers, volunteers, students, and other individuals that were exposed 

to the environmental hazards released as a result of the September 

11, 2001 attacks upon the World Trade Center 

More than 5 years after the attacks, persistent health effects 

have been documented among residents, rescue and recovery workers, such as asthma, chronic sinusitis, and gastrointestinal conditions. Post-traumatic stress disorder [PTSD], anxiety, depression, 

and other health effects have also been diagnosed among many of 

those that have been exposed. The Committee encourages the development of a long-term, comprehensive solution to screen and 

monitor all individuals who were exposed to the environmental 

hazards at the World Trade Center [WTC] site following the terrorist attacks on September 11, 2001 and provide comprehensive 

medical services for those experiencing illnesses or injuries as a result of these exposures. 

Pandemic Influenza Preparedness 

The Committee recommendation includes $888,000,000 for pandemic influenza preparedness activities. Of this amount, 

$652,000,000, to be available until expended, is for activities including purchase of pre-pandemic vaccine for stockpiling, vaccine 

development, the purchase of antivirals and the research and development of diagnostic tests. 

The Committee has led efforts to provide funding for pandemic 

flu preparedness and remains committed to preparing the Nation 

for the next pandemic. The Committee has provided $652,000,000 

of the $870,000,000 requested for non-recurring pandemic influenza 

activities. This amount is based on two factors: (1) the 

$5,620,000,000 thus far appropriated for these activities was done 

so with maximum flexibility to allow modifications to plans as technologies evolve and the pattern of avian flu spread becomes more 

apparent and (2) over $2,600,000,000 of the funds thus far appropriated remain unobligated. 

The Committee is aware of the Department’s spending plans and 

does not intend to imply that the remaining balances are indicative 

of poor performance. However, given the remaining funds and attached flexibility, the case for providing these additional dollars in 

a regular appropriations bill is not strong. The funds provided by 

the Committee will ensure that the next steps in the Department’s 

plan can be taken without impediment while ensuring adequate 

oversight by the Congress. The Committee requests monthly reports updating the status of actions taken and funds obligated. 

The Committee has not specified how these no-year funds are to 

be used, and is broadly supportive of plans for vaccine development 

and purchase, antiviral procurement, and research and development of diagnostics. However, the Committee encourages HHS to 

identify new technologies that might have the potential to greatly 

enhance our response to a pandemic, and to be open to using the 

provided flexibility to make strategic investments in these potentially paradigm shifting technologies. Examples made known to the 

Committee include universal vaccines and passive immunotherapy. 

The Committee continues to support progress being made in influenza and pandemic viral vaccine selection and development. The 

Committee is aware of new technologies for rapid in vitro high 
214 

throughput immune response assessment that could accelerate vaccine protection against influenza and pandemic viruses and monitoring of vaccine efficacy, storage and distribution. The Committee 

encourages the Department and CDC to consider supporting the 

development of such technology. Also within this amount, $78,000,000 is for ongoing activities within the department including $4,000,000 for communication activities, $35,000,000 for pandemic preparedness and planning, 

$15,000,000 for international activities, $15,000,000 for the advanced development of rapid tests and $9,000,000 for management 

and administration. 

And also within this amount, $158,000,000 is to be transferred 

to the Centers for Disease Control and Prevention within 30 days 

of enactment for ongoing pandemic influenza activities, including 

$10,000,000 for quarantine stations; $4,000,000 for human-animal 

interface studies; $48,000,000 for international surveillance, diagnosis, and epidemic investigations; $18,000,000 for rapid outbreak 

response in 15 targeted countries; $20,000,000 for a library of pandemic reference strains; $15,000,000 for a diagnostic reagent stockpile; $10,000,000 for real-time assessment and evaluation of interventions; $15,000,000 for the development of a vaccine registry to 

monitor vaccine use and distribution; and $20,000,000 to fund 

States to increase annual influenza vaccine demand. 

The Committee strongly encourages HHS and CDC to support 

public and professional education, media awareness and outreach 

programs, and pandemic influenza risk communication. These activities would increase seasonal vaccination rates, thereby lowering 

influenza-related deaths and hospitalizations. The Committee 

strongly encourages CDC and HHS to aggressively implement initiatives for increasing influenza vaccine demand to match the increased domestic vaccine production and supply resulting from pandemic preparedness funding. Developing a sustainable business 

model for vaccine production will go a long way toward making 

vaccine available when needed. 

GENERAL PROVISIONS, DEPARTMENT OF HEALTH AND HUMAN

SERVICES

The Committee recommendation continues a provision placing a $50,000 ceiling on official representation expenses (sec. 201). 

The Committee recommendation continues a provision which limits the assignment of certain public health personnel (sec. 202). 

The Committee recommendation retains language regarding setasides in the authorizing statute of the National Institutes of 

Health (sec. 203). 

The Committee recommendation continues a provision limiting 

the use of grant funds to pay individuals no more than an annual 

rate of executive level I (sec. 204). 

The Committee recommendation includes a provision limited the 

use of funds for Head Start to pay compensation of an individual 

in excess of executive level II (sec. 205). 

The Committee recommendation continues a provision restricting 

the Secretary’s use of taps for program evaluation activities unless 

a report is submitted to the Appropriations Committees on the proposed use of funds (sec. 206). 
215 

The Committee recommendation modifies a provision authorizing 

the transfer of up to 2.4 percent of Public Health Service funds for 

evaluation activities (sec. 207). 

The Committee recommendation continues a provision restricting 

transfers of appropriated funds and requires a 15-day notification 

to both the House and Senate Appropriations Committees (sec. 

208). 

The Committee recommendation continues a provision permitting 

the transfer of up to 3 percent of AIDS funds among institutes and 

centers by the Director of NIH and the Director of the Office of 

AIDS Research at NIH (sec. 209). 

The Committee recommendation retains language which requires 

that the use of AIDS research funds be determined jointly by the 

Director of the National Institutes of Health and the Director of the 

Office of AIDS Research and that those funds be allocated directly 

to the Office of AIDS Research for distribution to the institutes and 

centers consistent with the AIDS research plan (sec. 210). 

The Committee recommendation continues a provision regarding 

requirements for family planning applicants (sec. 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 

(sec. 212). 

The Committee recommendation retains language which states 

that no provider services under title X of the PHS Act may be exempt from State laws regarding child abuse (sec. 213). 

The Committee recommendation retains language which prohibits the Secretary from withholding substance abuse treatment 

funds (sec. 214). 

The Committee recommendation continues a provision which facilitates the expenditure of funds for international health activities 

(sec. 215). 

The Committee recommendation includes a provision allowing 

the Division of Federal Occupational Health to use personal services contracting to employ professional, administrative, and occupational health professionals (sec. 216). 

The Committee recommendation modifies a provision authorizing 

the Director of the National Institutes of Health to enter into certain transactions to carry out research in support of the NIH Common Fund (sec. 217). 

The Committee includes a provision that permits the Centers for 

Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry to transfer funds that are available 

for Individual Learning Accounts to ‘‘Disease Control, Research, 

and Training’’ (sec. 218). 

The Committee recommendation includes bill language allowing 

use of funds to continue operating the Council on Graduate Medical 

Education (sec. 219). 

The Committee recommendation modifies language pertaining to 

use of the Centers for Disease Control aircraft (sec. 220). 

The Committee includes a provision pertaining to a new mandatory ‘‘public access’’ policy at the National Institutes of Health (sec. 

221). 
216 

The Committee includes a provision which authorizes funding for 

the Delta Health Alliance (sec. 222). 

The Committee recommendation includes a provision permitting the National Institutes of Health to use up to $2,500,000 per 

project for improvements and repairs of facilities (sec. 223). 

The Committee recommendation includes a provision that transfers funds from NIH to HRSA and AHRQ, to be used for National 

Research Service Awards (sec. 224). 
(217) 

TITLE III 

DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED

Appropriations, 2007 ............................................................................. $14,725,593,000 

Budget estimate, 2008 ........................................................................... 16,689,090,000 

Committee recommendation ................................................................. 15,867,778,000 

The Committee recommends an appropriation of $15,867,778,000 

for education for the disadvantaged. The comparable funding level 

for fiscal year 2007 was $14,725,593,000 and the budget request includes $16,689,090,000 for this account. 

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. That goal is more pressing than ever since the 

passage of the No Child Left Behind Act, which incorporates numerous accountability measures into title I programs, especially 

part A grants to local educational agencies—the largest Federal elementary and secondary education program. 

Funds appropriated in this account primarily support activities 

in the 2008–2009 school year. 

Grants to Local Educational Agencies 

Title I grants to local educational agencies [LEAs] provide supplemental education funding, especially in high-poverty areas, for 

local programs that provide extra academic support to help raise 

the achievement of eligible students or, in the case of schoolwide 

programs, help all students in high-poverty schools to meet challenging State academic standards. The program serves about 18 

million students in nearly all school districts and more than half 

of all public schools—including two-thirds of the Nation’s elementary schools. 

Title I schools help students reach challenging State standards 

through one of two models: ‘‘targeted assistance’’ that supplements 

the regular education program of individual children deemed most 

in need of special assistance, or a ‘‘schoolwide’’ approach that allows schools to use title I funds—in combination with other Federal, State, and local funds—to improve the overall instructional 

program for all children in a school. 

States are required to reserve 4 percent of their allocation under 

this program for school improvement activities, unless such action 

would require a State to reduce the grant award of a local educational agency to an amount below the preceding year. States 

must distribute 95 percent of these reserved funds to local educational agencies for schools identified for improvement, corrective 

action, or restructuring. The Committee intends for States to uti-
218 

lize these funds along with those available under the School Improvement Grants program to make competitive awards to school 

districts that are of sufficient size and scope, and of a multi-year 

duration, so that schools may undertake sustainable, scientifically 

based research reform activities that have a positive impact on improving instructional practices in the classroom. Of the funds available for title I grants to LEAs, up to $4,000,000 shall be available on October 1, 2007, not less than $5,038,599,000 

will become available on July 1, 2008, and $8,867,301,000 will become available on October 1, 2008. The funds that become available on July 1, 2008, and October 1, 2008, will remain available for 

obligation until September 30, 2009. 

Title I grants are distributed through four formulas: basic, concentration, targeted, and education finance incentive grant [EFIG]. Overall, the Committee recommends $13,909,900,000, the same 

as the budget request, for title I grants. The fiscal year 2007 appropriated level was $12,838,125,000. As in past years, the Committee 

divided the increase over fiscal year 2007 equally between the targeted and EFIG formulas, both of which direct a higher share of 

funds to poorer students than the basic and concentration formulas 

do. The budget request allocates all of the increase over fiscal year 

2007 into the targeted account. For title I basic grants, including up to $4,000,000 transferred to 

the Census Bureau for poverty updates, the Committee recommends an appropriation of $6,808,407,000. The comparable 

funding levels for basic grants for fiscal year 2007 and the budget 

request are both $6,808,408,000. Basic grants are awarded to 

school districts with at least 10 poor children who make up more 

than 2 percent of enrollment. 

For concentration grants, the Committee recommends an appro- priation of $1,365,031,000, the same as the comparable funding levels for fiscal year 2007 and the budget request. Funds under this 

program are distributed according to the basic grants formula, except that they go only to LEAs where the number of poor children 

exceeds 6,500 or 15 percent of the total school-aged population. 

The targeted grants formula weights child counts to make higher 

payments to school districts with high numbers or percentages of 

poor students. For these grants, the Committee recommends an appropriation of $2,868,231,000. The comparable funding level for fiscal year 2007 was $2,332,343,000 and the budget request is 

$3,466,618,000. 

The Committee recommends an appropriation of $2,868,231,000 

to be allocated through the EFIG formula. The comparable funding 

level for fiscal year 2007 was $2,332,343,000 and the budget request is $2,269,843,000. The EFIG funding stream is allocated 

using State-level equity and effort factors that are intended to encourage States to improve the equity of their education funding 

systems. 

William F. Goodling Even Start Family Literacy Program 

The Committee does not recommend any funds for the Even 

Start program. The comparable funding level for fiscal year 2007 

was $82,283,000. The budget request does not include any funds 

for this program. 
219 

The Even Start program provides grants for family literacy programs that serve disadvantaged families with children under 8 

years of age and adults eligible for services under the Adult Education and Family Literacy Act. Programs combine early childhood 

education, adult literacy, and parenting education. Funding is provided to States based on their relative share of title I, part A funds, 

and States use these resources to make competitive subgrants to 

partnerships comprised of local educational agencies and other organizations serving families in high-poverty areas. 

School Improvement Grants 

The Committee recommendation includes $500,000,000, the same 

as the budget request, for the school improvement grants program. 

This program was funded for the first time in fiscal year 2007, at 

$125,000,000. The School Improvement Grants program was authorized as part of the No Child Left Behind Act to support a formula grant program to States that will enable them to provide assistance to schools not making adequate yearly progress for at least 

2 years. Under the authorized program, States are required to allocate not less than 95 percent of their awards to schools to enable 

them to, among other things, develop and implement their school 

improvement plans (which may include research-based activities 

such as comprehensive school reform, professional development for 

teachers and staff, and extended learning opportunities.) 

When subgranting these funds to LEAs, the Committee strongly 

urges the Secretary to inform States that they are required to 

make awards of sufficient size and scope to undertake activities required by sections 1116 and 1117 of NCLB, integrate these grant 

funds with other resources awarded by the States under this act 

(particularly, the 4 percent school improvement set-aside), and give 

priority to those LEAs with the lowest-achieving schools that demonstrate the greatest need for school improvement funding and the 

strongest commitment to ensuring that such funds are used to provide adequate resources to enable the lowest-performing schools to 

meet the goals identified in improvement plans, correction action, 

and restructuring plans under section 1116 of NCLB. 

The Committee requests that the fiscal year 2009 congressional 

justification include specific information about the actions taken to 

support the Committee’s intention in providing resources for this 

program and other school improvement activities and steps the Department will take to collect evidence on the outcomes achieved 

with school improvement funds. 

Reading First State Grants 

The Committee recommends $800,000,000 for the Reading First 

State Grants program. The comparable funding level for fiscal year 

2007 was $1,029,234,000. The budget request is $1,018,692,000. 

Reading First is a comprehensive effort to provide States and 

LEAs with funds to implement comprehensive reading instruction 

for children in grades K–3, to help ensure that every child can read 

by the end of third grade. 

The funding cut recommended by the Committee is in direct response to the Education Department’s egregious mismanagement of 

the program, as described in six reports by the Inspector General, 
220 

numerous media accounts and congressional hearings. The Committee notes that Reading First was long touted by the administration as a model education program that awarded grants solely on 

the basis of solid scientific research and effectiveness. The Committee responded by providing more than $5,000,000,000 for the 

program over the past 5 years, as the administration requested. 

Regrettably, it became clear that the Department and its contractors frequently ignored evidence of effectiveness while promoting 

certain programs that were favored by a few key individuals, some 

of whom had a financial interest in the programs’ success. In addition, Department officials flouted the No Child Left Behind Act by 

interfering in State and local decisions regarding the selection of 

reading curricula. The Committee appreciates the Department’s expressed willingness to correct its mistakes and restore the public’s 

trust in its ability to administer Reading First. In the meantime, 

however, the Committee does not believe it would be appropriate 

to maintain funding for the program at its current level. 

Early Reading First 

The Committee recommends $117,666,000, the same as the budget request and the fiscal year 2007 appropriation, for the Early 

Reading First program. 

Early Reading First complements Reading First State Grants by 

providing competitive grants to school districts and nonprofit 

groups to support activities in existing preschool programs that are 

designed to enhance the verbal skills, phonological awareness, letter knowledge, pre-reading skills, and early language development 

of children ages 3 through 5. Funds are targeted to communities 

with high numbers of low-income families. 

Striving Readers 

The Committee recommends $36,000,000 for the Striving Readers initiative. The comparable fiscal year 2007 funding level was 

$31,870,000 and the budget request is $100,000,000. This program 

supports grants to develop, implement, and evaluate reading interventions for middle or high school students reading significantly 

below grade level. Under this program, awards are made to local 

educational agencies eligible to receive funds under part A of title 

I with one or more high schools or middle schools serving a significant number of students reading below grade level. Awards also 

may be made to partnerships including institutions of higher education and eligible nonprofit or for-profit organizations. 

Math Now 

The Committee recommendation does not include any funding for 

the proposed Math Now for Elementary School Students or Math 

Now for Middle School Students initiatives. The budget request for 

each program is $125,000,000. The purpose of both programs is to 

raise student achievement in math. The Committee notes that it already funds the mathematics and science partnerships program, 

and is recommending a small increase for it. 
221 

Improving Literacy Through School Libraries 

The Committee recommends $23,000,000 for the Improving Literacy Through School Libraries program. The fiscal year 2007 appropriation was $19,485,000, the same amount as the budget request. 

This program provides funds for urgently needed, up-to-date 

school library books and training for school library media specialists. LEAs with a child-poverty rate of at least 20 percent are eligible for the competitive awards. Funds may be used to acquire 

school library media resources, including books and advanced technology; facilitate resource-sharing networks among schools and 

school libraries; provide professional development for school library 

media specialists; and provide students with access to school libraries during nonschool hours. 

Promise Scholarships 

The Committee recommendation does not include any funding for 

the proposed Promise Scholarships program. The budget request is 

$250,000,000. This program would provide students from low-income families who are enrolled in persistently low-performing 

schools with scholarships that they can use to pay tuition, fees and 

other costs to attend private or out-of-district schools, or to purchase supplemental educational services. 

Opportunity Scholarships 

The Committee recommendation does not include any funding for 

the proposed Opportunity Scholarships program. The budget request is $50,000,000. This program would provide competitive 

grants to enable students from low-income households who attend 

a school identified for improvement, corrective action or restructuring under the No Child Left Behind Act to attend private or outof-district schools, or to purchase supplemental educational services. 

Migrant Education Program 

The Committee recommends $386,524,000, the same as the fiscal 

year 2007 appropriation, for the migrant education program. The 

budget request is $380,295,000. 

The title I migrant education program authorizes grants to State 

educational agencies for programs to meet the special educational 

needs of the children of migrant agricultural workers and fishermen. Funds are allocated to the States through a statutory formula 

based on each State’s average per-pupil expenditure for education 

and actual counts of migratory children ages 3 through 21 residing 

within the States in the previous year. Only migratory children 

who have moved within the last 3 years are generally eligible to 

be counted and served by the program. 

This appropriation also supports activities to improve interstate 

and intrastate coordination of migrant education programs, as well 

as identifying and improving services to the migrant student population. 
222 

Neglected and Delinquent 

The Committee recommends $49,797,000, the same as the fiscal 

year 2007 appropriation and the budget request, for the title I neglected and delinquent program. 

This program provides financial assistance to State educational 

agencies for education services to neglected and delinquent children and youth in State-run institutions and for juveniles in adult 

correctional institutions. Funds are allocated to individual States 

through a formula based on the number of children in State-operated institutions and per-pupil education expenditures for the 

State. 

States are authorized to set aside at least 15 percent, but not 

more than 30 percent, of their neglected and delinquent funds to 

help students in State-operated institutions make the transition 

into locally operated programs and to support the successful reentry of youth offenders, who are age 20 or younger and have received a secondary school diploma or its recognized equivalent. Reentry activities may include strategies designed to expose the youth 

to, and prepare the youth for, postsecondary education, or vocational and technical training programs. 

Evaluation 

The Committee recommends $9,330,000, the same as the fiscal 

year 2007 appropriation, for evaluation of title I programs. The 

budget request is $9,327,000. 

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. 

Comprehensive School Reform Demonstration 

The Committee includes $1,634,000 for the comprehensive school 

reform demonstration program. The comparable funding level for 

fiscal year 2007 was $2,352,000. The budget request did not include any funds for this program. The Committee recommendation 

is sufficient to pay the continuation costs of the Comprehensive 

School Reform Clearinghouse. 

High School Equivalency Program 

The Committee recommends $18,550,000, the same as the fiscal 

year 2007 appropriation and the budget request, for the high school 

equivalency program [HEP]. 

This program provides 5-year grants to institutions of higher 

education and other nonprofit organizations to recruit migrant students ages 16 and over and provide the academic and support services needed to help them obtain a high school equivalency certificate and subsequently gain employment, win admission to a postsecondary institution or a job-training program, or join the military. Projects provide counseling, health services, stipends, and 

placement assistance. 
223 

College Assistance Migrant Program 

For the College Assistance Migrant Program [CAMP], the Committee recommends $15,377,000, the same amount as the fiscal 

year 2007 appropriation and the budget request. 

Funds provide 5-year grants to institutions of higher education 

and nonprofit organizations for projects that provide tutoring, counseling, and financial assistance to migrant students during their 

first year of postsecondary education. Projects also may use up to 

10 percent of their grants for follow-up services after students have 

completed their first year of college, including assistance in obtaining student financial aid. 

IMPACT AID

Appropriations, 2007 ............................................................................. $1,228,453,000 

Budget estimate, 2008 ........................................................................... 1,228,100,000 

Committee recommendation ................................................................. 1,248,453,000 

The Committee recommends an appropriation of $1,248,453,000 

for impact aid. The comparable funding level for fiscal year 2007 

was $1,228,453,000, and the budget request is $1,228,100,000. 

Impact aid provides financial assistance to school districts for the 

costs of educating children when enrollments and the availability 

of revenues from local sources have been adversely affected by the 

presence of Federal activities. Children who reside on Federal or 

Indian lands generally constitute a financial burden on local school 

systems because these lands do not generate property taxes—a 

major revenue source for elementary and secondary education in 

most communities. In addition, realignments of U.S. military forces 

at bases across the country often lead to influxes of children into 

school districts without producing the new revenues required to 

maintain an appropriate level of education. 

The Committee bill retains language that provides for continued 

eligibility for students affected by the deployment or death of their 

military parent, as long as these children still attend the same 

school district. 

Basic Support Payments.—The Committee recommends 

$1,111,867,000 for basic support payments. The comparable funding level for fiscal year 2007 was $1,091,867,000, the same as the 

budget request. Under this statutory formula, payments are made 

on behalf of all categories of Federally connected children, with a 

priority placed on making payments first to heavily impacted 

school districts and providing any remaining funds for regular 

basic support payments. 

Payments for Children with Disabilities.—The Committee bill includes $49,466,000, the same as the budget request and the fiscal 

year 2007 appropriation, for payments for children with disabilities. Under this program, additional payments are made for certain Federally connected children eligible for services under the Individuals with Disabilities Education Act. 

Facilities Maintenance.—The Committee recommends $4,950,000, 

the same as the fiscal year 2007 appropriation, for facilities maintenance. The budget request is $4,597,000. This activity provides 

funding for emergency repairs and comprehensive capital improvements to certain school facilities owned by the Department of Edu-
224 

cation and used by local educational agencies to serve federally 

connected military dependent students. Funds appropriated for this 

purpose are available until expended. 

Construction.—The Committee recommends $17,820,000, the 

same as the fiscal year 2007 appropriation and the budget request, 

for this program. Formula and competitive grants are authorized to 

be awarded to eligible LEAs for emergency repairs and modernization of school facilities. Funds appropriated for the construction activity are available for obligation for a period of 2 years. 

The fiscal year 2006 and 2007 appropriations for this activity 

stipulated that funds were to be used only on formula construction 

grants to eligible school districts. The budget request proposes bill 

language this year to provide construction funds on a competitive 

basis only. The Committee has provided this requested authority. 

Payments for Federal Property.—The Committee recommends 

$64,350,000, the same as the budget request and the fiscal year 

2007 appropriation, for this activity. These payments compensate 

local educational agencies in part for revenue lost due to the removal of Federal property from local tax rolls. Payments are made 

to LEAs that have a loss of tax base of at least 10 percent of assessed value due to the acquisition since 1938 of real property by 

the U.S. Government. 

SCHOOL IMPROVEMENT PROGRAMS

Appropriations, 2007 ............................................................................. $5,255,478,000 

Budget estimate, 2008 ........................................................................... 4,698,276,000 

Committee recommendation ................................................................. 5,198,525,000 

The Committee recommends an appropriation of $5,198,525,000 

for school improvement programs. The comparable funding level in 

fiscal year 2007 was $5,255,478,000, and the budget request is 

$4,698,276,000. 

State Grants for Improving Teacher Quality 

The Committee recommends $2,887,439,000, the same as the fiscal year 2007 appropriation, for State grants for improving teacher 

quality. The budget request is $2,787,488,000. 

The appropriation for this program primarily supports activities 

associated with the 2008–2009 academic year. Of the funds provided, $1,452,439,000 will become available on July 1, 2008, and 

$1,435,000,000 will become available on October 1, 2008. These 

funds will remain available for obligation until September 30, 2009. 

States and LEAs may use the funds for a range of activities related to the certification, recruitment, professional development, 

and support of teachers and administrators. Activities may include 

reforming teacher certification and licensure requirements, addressing alternative routes to State certification of teachers, recruiting teachers and principals, and implementing teacher mentoring systems, teacher testing, merit pay, and merit-based performance systems. These funds may also be used by districts to 

hire teachers to reduce class sizes. 

Early Childhood Educator Professional Development 

The Committee recommends $14,550,000, the same as the fiscal 

year 2007 appropriation, to support professional development ac-
225 

tivities for early childhood educators and caregivers in high-poverty 

communities. The budget did not request any funds for this program. From this appropriation, the Secretary makes competitive 

grants to partnerships of early childhood and family literacy caregivers and educators in order to provide high-quality, sustained 

and intensive professional development for early childhood educators to help them provide developmentally appropriate schoolreadiness services for preschool-age children. 

Mathematics and Science Partnerships 

The Committee recommends $184,000,000 for the mathematics 

and science partnerships program. The fiscal year 2007 appropriation was $182,160,000, and the budget request is $182,124,000. 

These funds will be used to improve the performance of students 

in the areas of math and science by bringing math and science 

teachers in elementary and secondary schools together with scientists, mathematicians, and engineers to increase the teachers’ 

subject-matter knowledge and improve their teaching skills. When 

the appropriation for this program is $100,000,000 or greater, the 

Secretary is authorized to award grants to States by a formula 

which includes consideration of the number of children aged 5 to 

17 below the poverty line. States then are required to make grants 

competitively to eligible partnerships to enable the entities to pay 

the Federal share of the costs of developing or redesigning more 

rigorous mathematics and science curricula that are aligned with 

State and local standards; creating opportunities for enhanced professional development that improves the subject-matter knowledge 

of math and science teachers; recruiting math and science majors; 

and improving and expanding training of math and science teachers, including the effective integration of technology into curricula 

and instruction. 

Innovative Education Program Strategies State Grants 

The Committee does not recommend any funding for innovative 

education program strategies State grants. Neither does the budget 

request. The comparable funding level for fiscal year 2007 was 

$99,000,000. 

The innovative education program is a flexible source of Federal 

funds that provides support to States and LEAs for developing education reform initiatives that will improve the performance of students, schools, and teachers. 

Educational Technology State Grants 

The Committee recommends $272,250,000, the same as the fiscal 

year 2007 appropriation, for educational technology State grants. 

The budget request did not include any funds for this program. 

The educational technology State grants program supports efforts 

to integrate technology into curricula to improve student learning. 

Funds flow by formula to States and may be used for the purchase 

of hardware and software, teacher training on integrating technology into the curriculum, and efforts to use technology to improve 

communication with parents, among other related purposes. An 

LEA must use at least 25 percent of its formula allocation for professional development in the integration of technology into the cur-
226 

ricula unless it can demonstrate that it already provides such highquality professional development. 

Under the No Child Left Behind Act, States may use up to 5 percent of their award for technical assistance and administrative expenses and then must distribute 50 percent of remaining funds 

based on a formula and 50 percent based on a grant competition. 

However, the Committee bill includes language allowing States to 

award up to 100 percent of their funds competitively. 

Supplemental Education Grants 

The Committee recommendation includes $18,001,000, the same 

as the budget request and the fiscal year 2007 appropriation, for 

supplemental education grants to the Republic of Marshall Islands 

and the Federated States of Micronesia. This grant program was 

authorized by the Compact of Free Association Amendments Act of 

2003. These funds will be transferred from the Department of Education to the Secretary of the Interior for grants to these entities. 

The Committee bill includes language that allows up to 5 percent 

to be used by the FSM and RMI to purchase oversight and technical assistance, which may include reimbursement of the Departments of Labor, Health and Human Services and Education for 

such services. 

21st Century Community Learning Centers 

The Committee recommends an appropriation of $1,000,000,000 

for the 21st Century Community Learning Centers program. The 

fiscal year 2007 appropriation was $981,166,000, and the budget 

request is $981,180,000. 

Funds are allocated to States by formula, which in turn, award 

at least 95 percent of their allocations to local educational agencies, 

community-based organizations and other public and private entities. Grantees use these resources to establish or expand community learning centers that provide activities offering significant extended learning opportunities, such as before- and after-school programs, recreational activities, drug and violence prevention and 

family literacy programs for students and related services to their 

families. Centers must target their services on students who attend 

schools that are eligible to operate a schoolwide program under 

title I of the Elementary and Secondary Education Act or serve 

high percentages of students from low-income families. 

State Assessments and Enhanced Assessment Instruments 

The Committee recommends $416,000,000 for State assessments 

and enhanced assessment instruments. The fiscal year 2007 appropriation was $407,563,000, and the budget request was 

$411,630,000. 

This program has two components. The first provides formula 

grants to States to pay the cost of developing standards and assessments required by the No Child Left Behind Act. 

Under the second component—grants for enhanced assessment 

instruments—appropriations in excess of the ‘‘trigger level’’ (which 

is $400,000,000 in fiscal year 2008) are used for a competitive 

grant program designed to support efforts by States to improve the 

quality and fairness of their assessment systems. The Committee 
227 

recommendation for the second component is $16,000,000, compared with the fiscal year 2007 appropriation of $7,563,000. The 

Committee recommends increased funding for this activity as part 

of its initiative to improve the implementation of the No Child Left 

Behind Act. 

The Committee continues to be concerned that many schools are 

unable to properly assess the performance of limited-English proficient students and students with disabilities. The Committee 

urges the Department to continue to place a high priority on grant 

applications that aim to improve the quality of State assessments 

for students with disabilities and students with limited English 

proficiency, and to ensure the most accurate means of measuring 

their performance on these assessments. 

Javits Gifted and Talented Education 

The Committee recommends $7,596,000, the same as the fiscal 

year 2007 appropriation, for the Javits Gifted and Talented Students Education Program. The budget requests no funding for this 

program. Funds are used for awards to State and local educational 

agencies, institutions of higher education, and other public and private agencies for research, demonstration, and training activities 

designed to enhance the capability of elementary and secondary 

schools to meet the special educational needs of gifted and talented 

students. 

Foreign Language Assistance 

The Committee recommends $26,780,000 for the foreign language 

assistance program. The comparable funding level for fiscal year 

2007 was $23,780,000. The budget request is $23,755,000. 

The Committee intends for funding available under this program 

to promote the goal of well-articulated, long-sequence language programs that lead to demonstrable results for all students. The Committee directs the Department not to make grants to schools that 

are replacing current traditional language programs with critical 

needs language instruction. 

Funds from this program support competitive grants to increase 

the quality and quantity of foreign language instruction. At least 

75 percent of the appropriation must be used to expand foreign language education in the elementary grades. The Committee has included bill language that prohibits foreign language assistance program funds from being used for the foreign language incentive program. 

The Committee is concerned that this program, which is the only 

Federal program designed to help schools meet the need for foreign 

language instruction, is unavailable to the poorest schools because 

grant recipients must provide a 50 percent match from non-Federal 

sources. The Committee, therefore, strongly urges the Secretary to 

use her ability to waive the matching requirement for qualifying 

schools and to increase awareness of this accommodation among 

the affected school population. 

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 
228 

Committee recommends $66,878,000. The fiscal year 2007 appropriation was $61,871,000, and the budget request is $61,878,000. 

This program provides assistance to each State to support an office of the coordinator of education for homeless children and 

youth, to develop and implement State plans for educating homeless children, and to make subgrants to LEAs to support the education of those children. Grants are made to States based on the 

total that each State receives in title I grants to LEAs. 

Under the McKinney-Vento Homeless Children and Youths Program, State educational agencies must ensure that homeless children and youth have equal access to the same free public education, including a public preschool education, as is provided to 

other children and youth. 

Training and Advisory Services 

For training and advisory services authorized by title IV of the Civil Rights Act, the Committee recommends $7,113,000, the same 

as the fiscal year 2007 appropriation and the budget request. 

The funds provided will support awards to operate the 10 regional equity assistance centers [EACs]. Each EAC provides services to school districts upon request. Activities include disseminating information on successful practices and legal requirements 

related to nondiscrimination on the basis of race, color, sex, or national origin in education programs. 

Education for Native Hawaiians 

For programs for the education of Native Hawaiians, the Com- mittee recommends $34,500,000 (Funding for this program was requested by Senators Inouye and Akaka). The comparable fiscal 

year 2007 funding level was $33,907,000. The budget request does 

not include any funding for this purpose. The Committee bill includes language allowing $1,250,000 of the 

funds recommended to be used for construction and renovation of 

Native Hawaiian educational facilities. 

The Committee bill includes also language stipulating that 

$1,250,000 shall be used for a grant to the Center of Excellence at 

the University of Hawaii School of Law, for the Native Hawaiian 

Law School Center of Excellence. This repository houses a compilation of historical and cultural documents that facilitates preservation and examination of laws of great significance to Native Hawaiians. 

The Committee also recommends support of projects that promote the development of academic curricula or instructional materials that are based on archives of oral histories of Native Hawaiian history and culture. Activities supported with project funds 

may include the development of archives for collectable media significant to the State of Hawaii in memory of former Senate Sergeant at Arms Henry Kuualoha Giugni. The Henry Kuualoha 

Giugni Kupuna Archives will facilitate the acquisition of historical 

records and stories unique to the culture of Native Hawaiians. The 

establishment of this archival collection is critical for recording, 

cataloguing, and digitalization of oral histories, both new and old, 

and securing their availability for development of innovative educational programs to assist Native Hawaiian students. 
229 

Alaska Native Educational Equity 

The Committee recommends $34,500,000 for the Alaska Native 

educational equity assistance program (Funding for this program 

was requested by Senator Stevens). The comparable fiscal year 

2007 funding level was $33,907,000. The budget request did not include any funds for this purpose. 

These funds address the severe educational handicaps of Alaska 

Native schoolchildren. Funds are used for the development of supplemental educational programs to benefit Alaska Natives. The 

Committee bill includes language which allows funding provided by 

this program to be used for construction. The Committee expects 

the Department to use some of these funds to address the construction needs of rural schools. 

Rural Education 

The Committee recommends $168,918,000, the same as the fiscal 

year 2007 appropriation, for rural education programs. The budget 

request is $168,851,000. 

The Committee expects that rural education funding will be 

equally divided between the Small, Rural Schools Achievement 

Program, which provides funds to LEAs that serve a small number 

of students, and the Rural and Low-Income Schools Program, 

which provides funds to LEAs that serve concentrations of poor 

students, regardless of the number of students served. 

Comprehensive Centers 

The Committee recommends $60,000,000 for the comprehensive 

centers program. The fiscal year 2007 appropriation was 

$56,257,000, and the budget request is $56,256,000. 

These funds provide continued support to a network of 21 comprehensive centers, at least one of which will operate in each of the 

10 geographic regions of the United States served by the regional 

educational laboratories. The centers are operated by research organizations, agencies, institutions of higher education or partnerships thereof, and provide training and technical assistance on various issues to States, LEAs, and schools as identified through needs 

assessments undertaken in each region. 

The system includes 16 regional centers that are charged with 

providing intensive technical assistance to State educational agencies to increase their capacity to assist local educational agencies 

and schools with meeting the goals of No Child Left Behind. This 

assistance is based in large part on the work of the five content 

centers, which are organized by topic area so these centers can develop the information, materials and resources that the regional 

centers need to fulfill their mission. 

The Committee recommends increased funding for the centers as 

part of its initiative to improve the implementation of the No Child 

Left Behind Act.. 

INDIAN EDUCATION

Appropriations, 2007 ............................................................................. $118,690,000 

Budget estimate, 2008 ........................................................................... 118,683,000 

Committee recommendation ................................................................. 118,690,000 
230 

The Committee recommends $118,690,000, the same as the fiscal 

year 2007 appropriation, for Indian Education programs. The budget request is $118,683,000. 

Grants to Local Education Agencies 

For grants to local educational agencies, the Committee recommends $95,331,000, the same as the fiscal year 2007 funding 

level and the budget request. 

These funds provide financial support to elementary and secondary school programs that serve Indian students, including preschool children. Funds are awarded on a formula basis to local educational agencies, schools supported and operated by the Bureau of 

Indian Affairs, and in some cases directly to Indian Tribes. 

Special Programs for Indian Children 

The Committee recommends $19,399,000, the same as the fiscal 

year 2007 funding level and the budget request, for special programs for Indian children. 

Funds are used for demonstration grants to improve Indian student achievement through early childhood education and college 

preparation programs, and for professional development grants for 

training Indians who are preparing to begin careers in teaching 

and school administration. 

National Activities 

The Committee recommends $3,960,000, the same as the fiscal 

year 2007 appropriation, for national activities. The budget request 

is $3,953,000. Funds will be used to expand efforts to improve research, evaluation, and data collection on the status and effectiveness of Indian education programs. 

INNOVATION AND IMPROVEMENT

Appropriations, 2007 ............................................................................. $837,686,000 

Budget estimate, 2008 ........................................................................... 922,018,000 

Committee recommendation ................................................................. 962,889,000 

The Committee recommends an appropriation of $962,889,000 for 

programs within the innovation and improvement account. The 

comparable fiscal year 2007 funding level for these programs was 

$837,686,000 and the budget request is $922,018,000. 

Troops-to-Teachers 

The Committee recommends an appropriation of $14,645,000, the 

same as the fiscal year 2007 appropriation and the budget request, 

to support the Defense Department’s Troops-to-Teachers program. 

This program helps recruit and prepare retiring and former military personnel to become highly qualified teachers serving in highpoverty school districts. The Secretary of Education transfers program funds to the Department of Defense for the Defense Activity 

for Non-Traditional Education Support to provide assistance, including stipends of up to $5,000 and/or bonuses of up to $10,000 

to eligible members of the Armed Forces so that they can obtain 

teacher certification or licensing. In addition, the program helps 

these individuals find employment in a school. 
231 

Transition to Teaching 

The Committee recommends $44,484,000, the same as the fiscal 

year 2007 appropriation, for the transition to teaching program. 

The budget request is $44,482,000. 

This program provides grants to help support efforts to recruit, 

train, and place nontraditional teaching candidates into teaching 

positions and to support them during their first years in the classroom. In particular, this program is intended to attract mid-career 

professionals and recent college graduates. Program participants 

are placed in high-need schools in high-need LEAs. 

National Writing Project 

The Committee recommends $24,000,000 for the National Writing Project (Funding for this program was requested by Senators 

Cochran, Durbin, Feinstein, Landrieu, Leahy, Mikulski, Reed, 

Akaka, Baucus, Bayh, Biden, Bingaman, Boxer, Brown, Bunning, 

Cardin, Casey, Clinton, Coleman, Collins, Conrad, Crapo, Dodd, 

Grassley, Kennedy, Kerry, Klobuchar, Levin, Lieberman, Lincoln, 

Lott, Lugar, Menendez, Obama, Pryor, Reid, Salazar, Sanders, 

Schumer, Smith, Snowe, Stabenow, Tester, Whitehouse and 

Wyden). The comparable funding level for fiscal year 2007 was 

$21,532,000. The budget request proposes to eliminate Federal 

funding for this program. 

These funds are awarded to the National Writing Project, a nonprofit organization that supports and promotes K–16 teacher training programs in the effective teaching of writing. 

Teaching of Traditional American History 

The Committee recommends $120,000,000 for the teaching of traditional American history program. The comparable fiscal year 

2007 funding level was $119,790,000, and the budget request was 

$50,000,000. This program supports competitive grants to LEAs, 

and funds may be used only to undertake activities that are related 

to American history, and cannot be used for social studies 

coursework. Grant awards are designed to augment the quality of 

American history instruction and to provide professional development activities and teacher education in the area of American history. The Committee directs the Department to continue its current 

policy of awarding 3-year grants. 

The Committee bill retains language that allows the Department 

to reserve up to 3 percent of funds appropriated for this program 

for national activities. 

School Leadership 

The Committee recommends $14,731,000, the same as the fiscal 

year 2007 appropriation, for the school leadership program. The 

budget request proposes to eliminate funding for this program. The 

program provides competitive grants to assist high-need LEAs to 

recruit and train principals and assistant principals through activities such as professional development and training programs. The 

Committee continues to recognize the critical role that principals 

and assistant principals play in creating an environment that fosters effective teaching and high academic achievement for students. 
232 

Advanced Credentialing 

The Committee recommends $9,821,000 for the advanced 

credentialing program (Funding for this program was requested by 

Senators Cochran and Harkin). The comparable fiscal year 2007 

funding level was $16,695,000. The budget request proposes to 

eliminate funds for this program. 

The Committee includes bill language directing all of the funding 

for this program to the National Board for Professional Teaching 

Standards [NBPTS]. Funds available assist the board’s work in 

providing financial support to States for teachers applying for certification, increasing the number of minority teachers seeking certification and developing outreach programs about the advanced 

certification program. 

No funding is included for the American Board for the Certification of Teacher Excellence [ABCTE]; the 5-year grant for the 

ABCTE ended in fiscal year 2007. The Committee recommendation 

is sufficient to continue funding for the NBPTS at the level it received in fiscal year 2007. 

Charter Schools Grants 

The Committee recommends $214,783,000, the same as the fiscal 

year 2007 appropriation, for the support of charter schools. The 

budget request is $214,782,000. 

This appropriation supports the planning, development, and initial implementation of charter schools, which are public schools 

that receive exemption from many statutory and regulatory requirements in exchange for promising to meet agreed-upon accountability measures. State educational agencies that have the authority under State law to approve charter schools are eligible to 

compete for grants. If an eligible SEA does not participate, charter 

schools from the State may apply directly to the Secretary. The authorizing statute requires that amounts appropriated in excess of 

$200,000,000 and less than $300,000,000 shall be used for 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. At the 

Committee recommendation, $14,783,000 will be available to continue support for per-pupil facilities aid grants. 

Credit Enhancement for Charter School Facilities 

The Committee does not recommend any funding for this program. The comparable funding level for fiscal year 2007 was 

$36,611,000, the same as the budget request. The Committee notes 

that the authorization for this program expired in fiscal year 2005. 

This 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 non-Federal funds that 

help charter schools obtain school facilities through purchase, 

lease, renovation and construction. 
233 

Voluntary Public School Choice 

The Committee recommends $26,278,000, the same as the fiscal 

year 2007 appropriation, for the voluntary public school choice program. The budget request is $26,275,000. 

This program supports efforts by States and school districts to 

establish or expand State- or district-wide public school choice programs, especially for parents whose children attend low-performing 

public schools. 

Magnet Schools Assistance 

The Committee recommends $106,693,000, the same as the fiscal 

year 2007 appropriation, for the magnet schools assistance program. The budget request is $106,685,000. 

This program supports grants to local educational agencies to establish and operate magnet schools that are part of a court-ordered 

or federally approved voluntary desegregation plan. Magnet schools 

are designed to attract substantial numbers of students from different social, economic, ethnic, and racial backgrounds. Grantees 

may use funds for planning and promotional materials, teacher salaries, and the purchase of computers and other educational materials and equipment. 

Fund for the Improvement of Education 

The Committee recommends an appropriation of $218,699,000 for 

the Fund for the Improvement of Education [FIE]. The fiscal year 

2007 appropriation was $158,510,000, and the budget request was 

$58,108,000. 

For programs of national significance authorized under section 

5411 of the Elementary and Secondary Education Act [ESEA], the 

Committee recommendation includes $700,000, the same as the 

budget request, for the National Institute of Building Sciences to 

continue operation of the National Clearinghouse for Educational 

Facilities, the Nation’s sole source for comprehensive information 

about school planning, design, financing, construction, and maintenance. The Committee recommends an additional $300,000 for this 

purpose within Safe and Drug-Free Schools and Communities National Programs to address issues related to school safety and 

healthy school buildings. 

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

for America. It also includes resources for the following activities: 

Reach Out and Read; evaluation and data quality initiatives; peer 

review; and other grant activities authorized under section 5411 of 

the ESEA. 

The budget request also proposed funding the Language Teacher 

Corps and the Teacher to Teacher initiative. The Committee recommendation does not include funding for these activities. 

Within the total amount for FIE, the Committee recommendation 

also includes funding for separately authorized programs as described in the paragraphs below. 

The Committee recommends $26,043,000, an increase of 

$1,000,000 over the budget request and the fiscal year 2007 appropriation, to award a contract to Reading Is Fundamental Inc. [RIF] 

to provide reading-motivation activities. RIF, a private nonprofit 
234 

organization, helps prepare young children and motivate older children to read, through activities including the distribution of books. 

The administration recommended eliminating funding for activities listed below. 

The Committee recommends no funding for the Star Schools pro- gram. The fiscal year 2007 appropriation was $11,513,000. The 

Star Schools program is designed to improve instruction in math, 

science, foreign languages, and other areas such as vocational education, to underserved populations by means of telecommunications 

technologies. The Committee recommends $10,890,000, the same as the fiscal 

year 2007 appropriation, for the Ready to Teach program. Ready to 

Teach encompasses funding for PBS TeacherLine and one or more 

nonprofit entities, for the purpose of continuing to develop telecommunications-based programs to improve teacher quality in core 

areas. It also includes digital educational programming grants, 

which encourage community partnerships among local public television stations, State and local educational agencies, and other institutions to develop and distribute digital instructional content 

based on State and local standards. 

The Committee recommends $9,000,000 for the Education 

through Cultural and Historical Organizations [ECHO] Act of 2001 

(Funding for this program was requested by Senators Cochran, 

Inouye, Stevens, and Kennedy). The fiscal year 2007 appropriation 

was $8,910,000. Programs authorized under ECHO provide a broad 

range of educational, cultural, and job training opportunities for 

students from communities across the Nation, including Alaska, 

Hawaii, Massachusetts and Mississippi. The Committee has included $36,277,000 for arts in education 

(Funding for this program was requested by Senators Cochran, 

Bingaman, and Kennedy). The comparable funding level for fiscal 

year 2007 was $35,277,000. Within the total, $6,305,310 is for the 

John F. Kennedy Center for the Performing Arts; $8,365,600 is for 

VSA arts; $13,258,080 is for the competitive art education model 

grant program for the development of model projects that effectively strengthen and integrate arts and cultural partnerships into 

the core curriculum; $7,856,640 is for grants for professional development for music, dance, drama, and visual arts educators to be 

administered by the U.S. Department of Education; $491,040 is to 

continue the evaluation and national dissemination of information 

regarding model programs and professional development projects 

funded through the Arts in Education section, including dissemination promising practices from funded projects and technical assistance for self-evaluation; and $500,000 shall be used to support the 

National Center for Education Statistics Fast Response Survey 

System to collect data for the report of Arts Education in Public Elementary and Secondary Schools during the 2008–2009 school 

year. The Committee expects this survey and reporting to have the 

comprehensive quality of the 2002 report and to include national 

samples of elementary and secondary school principals, as well as 

surveys of elementary and secondary classroom teachers and arts 

specialists. 

The Committee recommends $39,600,000, the same as the fiscal 

year 2007 appropriation, for parental information and resource cen-
235 

ters, which provide training, information, and support to parents, 

State and local education agencies, and other organizations that 

carry out parent education and family involvement programs. 

The Committee notes that the No Child Left Behind Act requires 

grantees to use at least 30 percent of their awards to establish, expand, or operate Parents as Teachers, Home Instruction Program 

for Preschool Youngsters, or other early childhood parent education 

programs. 

The Committee recommends $5,000,000 to continue support for 

the mental health integration in schools program. The comparable 

funding level for fiscal year 2007 was $4,910,000. This program 

supports grants to or contracts with State educational agencies, 

local educational agencies or Indian tribes to increase student access to mental health care by linking schools with their local mental health systems. The Committee expects this program to continue to be carried out by the Office of Safe and Drug-Free Schools. 

The Committee includes $1,879,000, the same as the fiscal year 

2007 appropriation, for the women’s educational equity program. 

This program supports projects that assist in the local implementation of gender equity policies and practices. 

The Committee recommendation includes $1,473,000, the same 

as the fiscal year 2007 appropriation, for activities authorized by 

the Excellence in Economics Education Act. These funds will support a grant to a nonprofit educational organization to promote economic and financial literacy among kindergarten through 12th 

grade students. 

The Committee recommendation includes $1,980,000, the same 

as the fiscal year 2007 appropriation, to carry out the American 

History and Civics Education Act of 2004. From the amount available, the Department will make grants to support Presidential 

Academies for Teaching of American History and Civics and Congressional Academies for Students of American History and Civics. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Project Committee recommendation Requested by 

Action for Bridgeport Community Development, Bridgeport, CT, to expand and 

evaluate the Total Learning model in Bridgeport schools.

$500,000 Lieberman, Dodd 

Alaska Department of Education and Early Development, Juneau, AK, for Big 

Brothers/Big Sisters statewide, in partnership with Alaska Dept. of Education, Boys and Girls Club, and Cook Inlet Tribal Council for a comprehensive mentoring program in Alaska.

300,000 Stevens, Murkowski 

Alaska Dept. of Education and Early Development, Juneau, AK, for the Alaska 

statewide mentor project.

1,250,000 Stevens 

Alaska Sealife Center, Seward, AK, for a marine ecosystems education program.250,000 Stevens 

Allied Services Foundation, Clarks Summit, PA, for dyslexia education programs 

at the Allied Services dePaul School.

75,000 Specter, Casey 

American Foundation for Negro Affairs National Education and Research Fund, 

Philadelphia, PA, to raise the achievement level of minority students and 

increase minority access to higher education.

100,000 Specter 

Anchorage’s Promise, Anchorage, AK, to implement America’s Promise child 

mentoring and support program in Anchorage.

100,000 Stevens 

ASPIRA Inc. of New Jersey, Newark, NJ, to provide academic assistance and 

leadership development.

100,000 Lautenberg, Menendez 
236 

Project Committee recommendation Requested by 

AVANCE, Inc., San Antonio, Texas, for training and curriculum development for 

a parent-child educational program.

250,000 Cornyn 

Barnstable, MA, for the development of programs and procurement of educational equipment at a youth and community center.250,000 Kennedy, Kerry 

Beaver County, Beaver County, PA, to implement educational programming for 

K–12 students, including safe and appropriate use of the Internet.

75,000 Specter 

Berkeley Unified School District, Berkeley, CA, for a nutrition education program.100,000 Boxer 

Berks County Intermediate Unit, Reading, PA, for music education programs .... 100,000 Specter 

Best Buddies International, Inc., Miami, FL, to enhance the lives of people 

with mental retardation by providing opportunities for one-to-one friendships and integrated employment.

250,000 Harkin 

Best Buddies, Miami, FL, to develop a Nevada site for Best Buddies ................ 200,000 Reid 

Big Brothers and Big Sisters of Southeastern Pennsylvania, Philadelphia, PA, 

for recruitment, placement, and oversight of school-based mentoring programs.

600,000 Specter 

Boys & Girls Club of Greater Milwaukee, Milwaukee, WI, to expand an early literacy program for children in Milwaukee.300,000 Kohl 

Brigham City, Brigham City, Utah, for acquisition of equipment for a distance 

learning program.

50,000 Hatch 

Brooklyn Public Library, Brooklyn, NY, for the Learning Centers .......................... 500,000 Clinton, Schumer 

Carnegie Hall, NY, NY, for the National Music Education Programs .................... 250,000 Clinton, Schumer 

Cedar Rapids Symphony Orchestra, Cedar Rapids, IA, to support the Residency 

program.

400,000 Harkin 

Center for Advancing Partnerships in Education, Allentown, PA, to develop a 

foreign language distance learning program and for teacher training.

75,000 Specter 

Charter School Development Fund, Las Vegas, NV, to integrate technology into 

the curriculum at a charter school in Las Vegas.

500,000 Reid 

Chesapeake Bay Foundation, Annapolis, MD, to provide teacher training, student education and field experiences in the Chesapeake Bay.500,000 Cardin, Casey, Warner, 

Webb 

Chester County Intermediate Unit, Dowingtown, PA, for a vocational technical 

education program.

75,000 Specter 

Child and Family Network Centers, Virginia, Alexandria, VA, for education services for at-risk youth.150,000 Warner, Webb 

Children Uniting Nations, Los Angeles, CA, for foster child mentoring program 

in Los Angeles.

200,000 Feinstein 

ChildSight New Mexico, Gallup, NM, for a vision screening and eye glass program for children.50,000 Domenici 

City Year New Hampshire, Stratham, NH, for expansion of an afterschool program for the Young Heroes Program.150,000 Gregg 

Clark County School District, Las Vegas, NV, to create an Education Executive 

Leadership program.

250,000 Reid 

Clark County School District, Las Vegas, NV, to expand the Newcomer Academy 

within Del Sol High School.

250,000 Reid 

Clay County School system, WV, for the continuation and expansion of Skills 

West Virginia programs in counties around West Virginia.

200,000 Byrd 

Communities in Schools of Georgia, Atlanta, GA, for mentoring programs ......... 100,000 Chambliss 

Community Empowerment Association, Inc., Pittsburgh, PA, for a truancy reduction initiative.75,000 Specter 

Congreso de Latinos Unidos, Inc., Philadelphia, PA, for a career education and 

preparation initiative for at-risk youth.

100,000 Specter, Casey 

Council Bluffs Early Learning Resource Center, Council Bluffs, IA, for the FAMILY program.500,000 Harkin 

Creative Visions in Des Moines, IA, for outreach to at-risk youth ....................... 150,000 Harkin 

Cristo Rey High School, Chicago, IL, to improve technologies for the school’s library and technology center.400,000 Durbin 

Cumberland, RI, for afterschool programs and activities ..................................... 500,000 Reed 

Delaware Department of Education, Dover, DE, for the Vision Network of 

Schools and Districts.

250,000 Carper, Biden 

Delta Arts Alliance, Cleveland, MS, for in-school and after school arts education programs.100,000 Cochran 

Des Moines Community School District and Urban Dreams, Des Moines, IA, to 

continue a demonstration on full service community schools.

350,000 Harkin 

Des Moines Community School District, IA, to expand pre-kindergarten programs.750,000 Harkin 
237 

Project Committee recommendation Requested by 

Detroit Area Pre-College Engineering Program, Detroit, MI, for student tracking 

and curriculum development.

200,000 Levin, Stabenow 

Early Childhood and Family Learning Center Foundation, New Orleans, LA, to 

establish a comprehensive early childhood center.

500,000 Landrieu 

East Palo Alto, East Palo Alto, CA, to provide afterschool learning and enrichment activities for the students of East Palo Alto.100,000 Boxer 

East Saint Louis High School, East Saint Louis, IL, to upgrade the school’s 

technology and sciences programs.

600,000 Durbin 

ECHO Center, Burlington, VT, to enhance educational opportunities for students 

regarding the Lake Champlain Quadracentennial.

100,000 Leahy 

Educating Young Minds, Los Angeles, CA, for educational programs .................. 100,000 Feinstein 

Eisenhower Foundation, Washington, DC, to replicate the Delaney Street project 

in Iowa.

700,000 Harkin 

Esmeralda County School District, Goldfield, NV, to continue accelerated reading and math programs for K–8 students in Esmeralda County.100,000 Reid 

Everybody Wins, Washington, DC, for childhood literacy programs ...................... 500,000 Harkin 

Fairbanks North Star Borough School District, Fairbanks, AK, to expand the 

PLATO learning program to Fairbanks North Star Borough.

250,000 Stevens 

Fairfield, Fairfield, CA, to support daily operation of The Place to Be After 

Three afterschool program at local school sites.

100,000 Boxer 

FirstBook, Washington, DC, for the expansion of programs in West Virginia ...... 250,000 Byrd 

FirstBook, Washington, DC, for the Maine literacy initiative for Low Income 

Children.

100,000 Collins, Snowe 

Florence Prever Rosten Foundation, Darby, MT, to develop MAPS: Media Arts in 

the Public Schools program.

100,000 Baucus 

Galena City School District, Galena, AK, for a boarding school for low performing Native students from remote villages across Western Alaska.500,000 Stevens 

George S. Eccles Ice Center, North Logan, Utah, to expand the science, physical education, and creative movement program.50,000 Hatch 

Hackett-Bower Clinic at Magnolia Speech School, Westport, CT, for acquisition 

of equipment and programs.

300,000 Cochran 

Harford County Board of Education, Bel Air, MD, to support a science and 

math program at Aberdeen High School.

400,000 Mikulski 

Harrisburg (PA) Area School District, Harrisburg, PA, to support the district’s 

pre-kindergarten program.

500,000 Casey 

Hays Community Economic Development Corporation, Hays, MT, to develop a 

Native American culturally competent curriculum.

200,000 Baucus, Tester 

Homer-Center School District, Homer City, PA, for science curriculum development and acquisition of technology.100,000 Specter 

Houston Independent School District, Houston, Texas, to create an incentiveperformance plan for teachers at the campus and individual-teacher levels.500,000 Cornyn 

Houston Zoo, Houston, TX, for educational programming ..................................... 100,000 Hutchison 

Indianapolis, IN, for the Indianapolis Center for Education Innovation ............... 400,000 Bayh, Lugar 

Institute for Student Achievement (ISA), Lake Success, NY, for the ISA High 

School Improvement Program.

250,000 Schumer, Clinton 

Internet Keep Safe Coalition, Salt Lake City, Utah, to provide educational materials to k–12 students regarding Internet safety.450,000 Bennett 

Iowa Association of School Boards, Des Moines, IA, for the Lighthouse for 

School Reform project.

500,000 Harkin 

Iowa City Community School District, IA, to implement a literacy program ........ 500,000 Harkin 

Iowa Department of Education to continue the Harkin grant program ................ 7,500,000 Harkin 

Iowa School Boards Foundation, Des Moines, IA, for continuation and expansion of the Skills Iowa program.3,000,000 Harkin 

Iowa State Education Association, Des Moines, IA, for an initiative to educate 

students on the role of international trade in the U.S. economy.

75,000 Grassley 

Jazz at Lincoln Center, NY, NY, for education programs ...................................... 250,000 Clinton, Schumer 

Jeremiah Cromwell Disabilities Center, Portland, ME, for awareness training for 

students.

100,000 Collins, Snowe 

Johns Hopkins University’s Center for Talented Youth, Baltimore, MD, to conduct a longitudinal study on outcomes of Center for Talented Youth summer 

programs.

250,000 Mikulski 

Jumpstart for Young Children, Boston, MA, to recruit and train college students to serve as mentors for at-risk preschool children.150,000 Reed 

Jumpstart for Young Children, Seattle, WA, to expand Jumpstart’s One Child at 

a Time mentoring project in Washington.

350,000 Murray 
238 

Project Committee recommendation Requested by 

Kanawha County School System, WV, for the continuation of Following the 

Leaders programs.

810,000 Byrd 

Kansas Learning Center for Health, Halstead, KS, to support health education, 

including curriculum development.

100,000 Roberts 

Kauai Economic Development Board, HI, for math and science education ......... 300,000 Inouye, Akaka 

KIPP Foundation, San Francisco, CA, for subgrants to support student programs and extended learning time at KIPP Gaston College Preparatory and 

KIPP Pride High School in Gaston, NC.

100,000 Burr, Dole 

KIPP Foundation, San Francisco, CA, to support student programs and extended learning time through a subgrant to KIPP Ujima Village Academy in 

Baltimore.

300,000 Cardin 

KIPP Foundation, San Francisco, CA, for subgrants to support student programs and extended learning time in Nashville and Memphis, Tennessee.

250,000 Alexander 

Klingberg Family Centers, Inc., New Britain, CT, for the acquisition and implementation of new computer technology associated with the Klingberg Family 

Centers’ Special Education Enhancement Initiative.

400,000 Dodd, Lieberman 

La Causa Charter School, Milwaukee, WI, to implement a science and robotics 

lab.

100,000 Kohl 

Lafayette Parish School Board, Lafayette, LA, for acquisition of equipment 

technology upgrades.

67,000 Vitter 

Lander County School District, Battle Mountain, NV, to continue a math and 

science remediation program for high school students.

250,000 Reid 

Loess Hills Area Education Agency in Iowa for a demonstration in early childhood education.750,000 Harkin 

Loras College, Dubuque, IA, for a literacy program with the Dubuque elementary schools.500,000 Harkin, Grassley 

Los Angeles, CA, for the LA’s BEST afterschool enrichment program .................. 250,000 Feinstein 

Louisiana Family Forum, Baton Rouge, LA, to develop a plan to promote better 

science education.

100,000 Vitter 

Louisiana State University in Shreveport, Shreveport, LA, to provide professional development for teachers and faculty in Title I schools with low performance scores.

300,000 Landrieu, Vitter 

Lower Pioneer Valley Educational Collaborative, West Springfield, MA, for the 

procurement of educational equipment and development of academic programs.

200,000 Kennedy, Kerry 

Lyndon Baines Johnson Foundation, Austin, Texas, for the Presidential timeline 

project.

900,000 Harkin 

Lynwood, CA, to expand the afterschool Homework Assistance Program at the 

Lynwood Public Library.

100,000 Boxer 

Maine Alliance for Arts Education, Augusta, ME, for the Complete Education 

for Rural Students project.

100,000 Collins, Snowe 

Marketplace of Ideas/Marketplace for Kids, Inc., Mandan, ND, for a statewide 

program focused on entrepreneurship education.

500,000 Dorgan, Conrad 

Massachusetts 2020 Foundation, Boston, MA, for continued development of an 

expanded instruction demonstration program.

220,000 Kennedy, Kerry 

Maui Economic Development Board, HI, for the girls into science program ........ 300,000 Inouye 

McKelvey Foundation, New Wilmington, PA, to an entrepreneurial college scholarships for rural, low-income Pennsylvania high school graduates.100,000 Specter, Casey 

Mentoring Partnership of Southwestern Pennsylvania, Pittsburgh, PA, for recruitment, placement, and oversight of school-based mentoring programs.500,000 Specter 

Mercy Vocational High School, Philadelphia, PA, for vocational educational programs.100,000 Specter 

Metropolitan Wilmington Urban League, Wilmington, DE, to continue a program 

aimed at closing the achievement gap among low-income and minority students.

500,000 Biden, Carper 

Military Heritage Center Foundation, Carlisle, PA, for the U.S. Army Heritage 

and Education Center for history education programs.

75,000 Specter 

Milwaukee Public Schools, Milwaukee, WI, to support afterschool activities for 

at-risk youth.

1,300,000 Kohl 

Mississippi State University, Mississippi State, MS, for enhancing K–12 

Science and Mathematics Preparation.

500,000 Cochran 

Mississippi University for Women, Columbus, MS, for environmental education 

programs for the Science on the Tennessee-Tombigbee Waterway program.

200,000 Cochran 
239 

Project Committee recommendation Requested by 

National American Indian, Alaskan and Hawaiian Educational Development 

Center, Sheridan, WY, to train teachers serving Native American students in 

an early literacy learning and math framework.

1,000,000 Enzi 

New Mexico Military Institute, Roswell, NM, for a character development leadership camp at the New Mexico Military Institute.50,000 Domenici 

New Mexico State University, Las Cruces, NM, for the Southern New Mexico 

Science, Engineering, Mathematics and Aerospace Academy.

200,000 Domenici 

New Mexico State University, Las Cruces, NM, to continue a program to transition high school students into technical careers.400,000 Bingaman, Domenici 

New School University, New York, NY, for the Institute for Urban Education ...... 950,000 Clinton, Schumer 

New York Hall of Science, Queens, NY, for science exhibits and educational 

programming.

600,000 Clinton, Schumer 

North Country Education Services Agency, Gorham, NH, for the North Country 

Gear Up College Prep Initiative, including online curriculum development.

200,000 Gregg 

North Slope Borough, Anchorage, AK, for an early education program ................ 300,000 Stevens 

Northwest Center, Seattle, WA, to provide and expand academic and vocational 

resources to developmentally delayed or disabled persons in King County.

250,000 Murray, Cantwell 

Oakland School of the Arts, Oakland, CA, for educational equipment ................. 500,000 Feinstein 

Oelwein Community School District, Oelwein, IA, for technology and program 

needs for a math and science academy.

125,000 Grassley 

Ogden City Schools, Ogden, Utah, to enhance the aerospace, math, and 

science curriculum.

50,000 Hatch 

Omaha, Nebraska, for expansion of the Omaha’s after school initiative ............ 100,000 Hagel 

Ouachita Parish School Board, Monroe, LA, for acquisition of equipment technology upgrades.66,000 Vitter 

Pacific Islands Center for Educational Development in American Samoa, for a 

mentoring program aimed at college prep.

650,000 Inouye 

Parents as Teachers National Center, St. Louis, MO, for expanded outreach to 

support school readiness in the Gateway Parents as Teachers program in 

the City of St. Louis.

225,000 Bond 

PE4life Foundation, Kansas City, MO, for expansion and assessment of PE4life 

programs across Iowa.

500,000 Harkin 

Philadelphia Martin Luther King, Jr. Association for Nonviolence Inc., Philadelphia, PA, for its College for Teens program.100,000 Specter 

Polynesian Voyaging Society, Honolulu, HI, for cultural education programs ...... 250,000 Inouye 

Project HOME, Philadelphia, PA, for an after school program .............................. 100,000 Specter 

Provo City, Provo, Utah, to expand education programs at the Arts Center ........ 50,000 Hatch 

Rapides Parish School Board, Alexandria, LA, for acquisition of equipment 

technology upgrades.

66,000 Vitter 

Robert H. Clampitt Foundation, Inc., New York, NY, to train elementary and 

secondary students in journalism.

150,000 Landrieu 

Saint Joseph’s University, Philadelphia, PA, to develop a Public Education Partnership to provide professional development to area principals and teachers.100,000 Specter 

Saint Louis SCORES, St. Louis, MO, to expand after school programs ................ 100,000 Bond 

San Bernadino Boys and Girls Club, San Bernardino, CA, to expand programs 

that are available in education, health and the arts.

250,000 Boxer 

San Jose ́, CA, for the Early Start/Great Start School Readiness Initiative ........... 200,000 Feinstein 

San Juan School District, Blanding, Utah, to provide intervention advocacy and 

case management for at-risk students.

50,000 Hatch 

Save the Children, Westport, CT, for Mississippi Gulf Coast early childhood inschool and after school programs.200,000 Cochran 

Save the Children, Westport, CT, to implement supplemental literacy programs 

for children in grades K–8 in rural Nevada schools.

200,000 Reid 

School at Jacob’s Pillow, Beckett, MA, for the development of youth cultural 

and educational programs.

180,000 Kennedy, Kerry 

Sevier School District, Richfield, Utah, for teacher training and professional 

development to increase student achievement in mathematics.

50,000 Hatch 

Shiloh Economic and Entrepreneurial Lifelong Development Corporation, Plainfield, NJ, for academic enrichment programs.200,000 Menendez, Lautenberg 

Skills Alaska, Anchorage, AK, for statewide teacher training and mentoring 

program, Anchorage.

1,000,000 Stevens 

South Dakota Symphony, Sioux Falls, SD, for educational outreach to Native 

Americans.

100,000 Johnson 

SouthCoastConnected, New Bedford, MA, for implementation of the Drop the 

Drop-Out Rate Initiative.

180,000 Kennedy, Kerry 
240 

Project Committee recommendation Requested by 

Southeast Island School District, Thorne Bay, AK, to develop interactive video 

conferencing to provide special education services to 9 isolated school sites 

in Southeast Alaska.

100,000 Stevens 

SouthEastern Pennsylvania Consortium for Higher Education, Glenside, PA, for 

the Institute of Mathematics and Science to provide professional development to K–12 teachers.

150,000 Specter, Casey 

Springfield, Missouri, for program development and expansion, equipment and 

technology for the Ready to Learn Program.

600,000 Bond 

Technical Research and Development Authority, Titusville, FL, to provide professional workshops for teachers in STEM-related fields.250,000 Bill Nelson 

Tulane University, New Orleans, LA, to provide teacher education and leadership preparation to support the rebuilding of New Orleans schools.1,500,000 Landrieu 

Tulsa Public Schools, Tulsa, OK, for academic programs .................................... 100,000 Inhofe 

Union County, Elizabeth, NJ, for training programs at the Union County Academy for Allied Health Sciences.300,000 Lautenberg, Menendez 

United Inner City Services, Kansas City, MO, to enhance and expand early 

learning programs.

750,000 Bond 

United Way of Southeastern Pennsylvania, Philadelphia, PA, for recruitment, 

placement, and oversight of school-based mentoring programs.

400,000 Specter 

University of Alaska/Southeast, Juneau, AK, for the Alaska Distance Education 

Technology Consortium for distance learning.

1,750,000 Stevens 

University of Maine, Orono, ME, to maintain healthy interscholastic youth 

sports programs.

190,000 Collins, Snowe 

University of North Alabama, Florence, AL, for research to develop a model 

center for teacher preparation.

150,000 Sessions 

University of North Carolina at Greensboro, Greensboro, NC, for a teletherapy 

program to address the shortage of speech language pathologists.

100,000 Burr, Dole 

University of Northern Iowa, Cedar Falls, IA, to continue the 2∂2 teacher education demonstration program.500,000 Harkin, Grassley 

University of Southern Mississippi, Hattiesburg, MS, for gifted education programs at the Frances A. Karnes Center for Gifted Studies program.400,000 Cochran 

University of Southern Mississippi, Hattiesburg, MS, for literacy enhancement .. 400,000 Cochran 

University of Vermont, Burlington, VT, to establish the Educational Excellence 

program.

3,000,000 Leahy, Byrd, Harkin, 

Inouye 

UrbanFUTURE, St. Louis, MO, to expand literacy, mentoring, and after-school 

services.

300,000 Bond 

Utah State Office of Education, Salt Lake City, Utah, for a mentoring program.500,000 Bennett 

Virginia Aquarium and Marine Science Center (VAMSC), Virginia Beach, VA, to 

expand education outreach programs.

150,000 Warner, Webb 

Waldo County Preschool & Family Services, Belfast, ME, for the Maine early 

language and literacy initiative.

100,000 Collins, Snowe 

Washoe County School District, Reno, NV, for equipment for a parental notification system.250,000 Reid 

Washoe County School District, Reno, NV, to expand the Classroom on Wheels 

Program for low-income students.

300,000 Reid 

West River Foundation, Rapid City, SD, for K–12 administrator development .... 100,000 Johnson 

West Valley City, West Valley City, Utah, to expand the after school learning 

program.

50,000 Hatch 

Widener University, Chester, PA, for an early childhood education program ....... 100,000 Specter 

YMCA of Greater Saint Louis, St. Louis, MO, to expand after school programming at the Monsanto Family YMCA.250,000 Bond 

Youth Advocate Programs, Inc., Harrisburg, PA, for alternative school services.100,000 Specter 

Teacher Incentive Fund 

The Committee recommendation includes $99,000,000 for the 

teacher incentive fund program. The fiscal year 2007 appropriation 

was $200,000, and the budget request is $199,000,000. 

Under this program, the Secretary shall use not less than 95 percent of these funds to award competitive grants to local educational 

agencies [LEAs], including charter schools that are LEAs, States, 
241 

or partnerships of (1) a local educational agency, a State, or both 

and (2) at least one nonprofit organization to design and implement 

fair, differentiated compensation systems for public school teachers 

and principals based primarily on measures of gains in student 

achievement, in addition to other factors, for teachers and principals in high-need schools. 

Not more than 5 percent of the appropriation may be used by the 

Secretary to provide schools with assistance in implementing this 

program through one or more grants to an organization or organizations with expertise in providing research-based expert advice to 

support schools initiating and implementing differentiated compensation systems, training school personnel, disseminating information on effective teacher compensation systems, and providing 

program outreach through a clearinghouse of best practices. This 

set-aside also will support the design and implementation of a program evaluation. 

The Committee recommendation will support continuation of 

awards made in calendar years 2006 and 2007, using fiscal year 

2006 funds. 

Ready to Learn Television 

The Committee recommends an appropriation of $25,255,000 for 

the Ready to Learn Television program. The comparable funding 

level for fiscal year 2007 was $24,255,000, the same as the budget 

request. 

Ready to Learn Television supports the development and distribution of educational television programming designed to improve the readiness of preschool children to enter kindergarten and 

elementary school. The program also supports the development, 

production, and dissemination of educational materials designed to 

help parents, children, and caregivers obtain the maximum advantage from educational programming. The Committee expects the increase over fiscal year 2007 to be used for Ready to Learn outreach 

programs at the Corporation for Public Broadcasting. 

Close Up Fellowships 

The Committee recommendation includes $2,500,000 for Close 

Up Fellowships (Funding for this program was requested by Senators Harkin, Craig and Lautenberg). The comparable funding level 

for fiscal year 2007 was $1,454,000. The budget request did not include any funds for this purpose. Close Up Fellowships, which are 

administered by the Close Up Foundation of Washington, DC, provide fellowships to students from low-income families and their 

teachers to enable them to spend 1 week in Washington attending 

seminars and meeting with representatives of the three branches 

of the Federal Government. 

Advanced Placement 

The Committee recommends $42,000,000 for Advanced Placement programs. The comparable funding level for fiscal year 2007 

was $37,026,000. The budget request includes $122,175,000 for this 

purpose. 

The first priority of the program is to subsidize test fees for lowincome students who are enrolled in an Advanced Placement class 
242 

and plan to take an Advanced Placement test. The balance of the 

funds are allocated for Advanced Placement Incentive Program 

grants, which are used to expand access for low-income individuals 

to advanced placement programs. Eligible activities include teacher 

training and participation in online Advanced Placement courses, 

among other related purposes. 

SAFE SCHOOLS AND CITIZENSHIP EDUCATION

Appropriations, 2007 ............................................................................. $729,518,000 

Budget estimate, 2008 ........................................................................... 324,248,000 

Committee recommendation ................................................................. 697,112,000 

Safe and Drug-Free Schools and Communities 

The Committee recommends a total of $697,112,000 for activities 

to promote safe schools and citizenship education. The comparable 

fiscal year 2007 funding level was $729,518,000 and the budget request is $324,248,000. 

State Grant Program.—-The Committee recommends 

$300,000,000 for the safe and drug-free schools and communities 

State grant program. The comparable fiscal year 2007 funding level 

was $346,500,000. The budget request is $100,000,000. This formula-based State grant program provides resources to Governors, 

State educational agencies, and local educational agencies for developing and implementing a wide range of activities that help create and maintain safe and drug-free learning environments in and 

around schools. 

The Committee anticipates that the program will be more focused on specific activities when it is reauthorized as part of the 

No Child Left Behind Act. 

National Programs.—The Committee has included $139,112,000 

for the national programs portion of the safe and drug-free schools 

and communities program. The comparable funding level for fiscal 

year 2007 was $141,112,000, and the budget request is 

$224,248,000. The Committee recommendation includes $1,000,000, 

a reduction of $2,000,000 from fiscal year 2007, for Project SERV 

(School Emergency Response to Violence), which provides education-related services to LEAs in which the learning environment 

has been disrupted due to a violent or traumatic crisis. These funds 

are available until expended. The Committee believes that 

$1,000,000 will be sufficient for fiscal year 2008, given the carryover of funds from previous years. 

The Committee continues to be concerned about the increasing 

problem of alcohol and drug abuse on college campuses. The Committee has included bill language requiring the Department to 

spend $850,000 on a program under the guidelines in section 120(f) 

of Public Law 105–244. This program identifies and provides models of alcohol and drug abuse prevention and education programs 

in higher education. The Committee includes these funds within 

the postsecondary alcohol prevention efforts proposed in the budget 

request. 

The Committee expects that the Department will provide 

$300,000 for the continued operation of the National Clearinghouse 

for Educational Facilities. These funds will be used to address 

issues related to school safety and healthy school buildings. The 
243 

Committee has included additional funds for the Clearinghouse 

through the Fund for the Improvement of Education, as the budget 

requested. The Committee recommendation includes $79,200,000 to continue the Safe Schools/Healthy Students initiative, as the budget 

requested. The Committee also includes funds for school emergency 

preparedness activities, drug testing, the continuation of a study on 

violence prevention, and other activities. 

The Committee recommendation continues the practice of funding character education as a separate program, rather than including it within national activities as proposed by the budget. 

The Committee is concerned about the prevalence of bullying in 

schools, and it urges Federal support for the implementation of effective, research-based and comprehensive bullying prevention programs. The adoption of research and prevention strategies for bullying that targets obese children and its effect on the development 

of low self-esteem is strongly encouraged. 

Alcohol Abuse Reduction 

The Committee recommends $33,000,000 for grants to LEAs to 

develop and implement programs to reduce underage drinking in 

secondary schools. The comparable funding level for fiscal year 

2007 was $32,409,000. The budget request did not include any 

funds for this purpose. The Committee directs the Department and 

the Substance Abuse and Mental Health Services Administration 

[SAMHSA] to continue to work together on this effort. 

Mentoring 

The Committee recommends $50,000,000 to support mentoring 

programs and activities for children who are at risk of failing academically, dropping out of school, getting involved in criminal or 

delinquent activities, or who lack strong positive role models. The 

fiscal year 2007 funding level was $48,814,000. The budget request 

did not include any funds for this purpose. 

Character Education 

The Committee recommends $25,000,000 to provide support for 

the design and implementation of character education programs. 

The comparable funding level for fiscal year 2007 was $24,248,000. 

The budget request is also $24,248,000 for this program, but it proposes to include the funding within safe and drug-free schools and 

communities national activities. 

Elementary and Secondary School Counseling 

The Committee recommends $40,000,000 to establish or expand 

counseling programs in elementary schools. The comparable fiscal 

year 2007 funding level was $34,650,000. The budget request does 

not include any funds for this program. As authorized by the No 

Child Left Behind Act, all amounts appropriated up to $40,000,000 

are used only for elementary school counseling programs. 

Carol M. White Physical Education for Progress Program 

The Committee recommends $80,000,000 to help LEAs and community-based organizations initiate, expand and improve physical 
244 

education programs for students in grades K–12. The comparable 

funding level for fiscal year 2007 was $72,674,000. The budget request does not include any funding for this program. Provision of 

this funding will help schools and communities nationwide improve 

their structured physical education programs for students and help 

children develop healthy lifestyles to combat the epidemic of obesity in the Nation. 

Civic Education 

The Committee recommends $30,000,000 to improve the quality 

of civics and Government education, to foster civic competence and 

responsibility, and to improve the quality of civic and economic 

education through exchange programs with emerging democracies 

(Funding for this program was requested by Senators Cochran, 

Landrieu, Leahy, Reed, Akaka, Baucus, Bayh, Biden, Bingaman, 

Boxer, Brown, Bunning, Cantwell, Cardin, Clinton, Coleman, Collins, Conrad, Dodd, Dole, Durbin, Ensign, Feinstein, Hagel, Kennedy, Kerry, Levin, Lieberman, Lincoln, Lott, Lugar, Martinez, 

Menendez, Murkowski, Bill Nelson, Obama, Pryor, Salazar, Sanders, Schumer, Sessions, Smith, Snowe, Stabenow, Tester, 

Whitehouse, and Wyden). The comparable fiscal year 2007 appropriation was $29,111,000 for civic education, and the budget request proposed to eliminate funding for this purpose. 

The Committee recommends $15,000,000 for the We the People 

programs, which are directed by statute to the Center for Civic 

Education, $12,000,000 for the Cooperative Education Exchange, 

which are directed by statute to the Center for Civic Education and 

the National Council on Economic Education, and $3,000,000 for a 

competitive grant program to improve public knowledge, understanding and support of the Congress and the State legislatures. 

ENGLISH LANGUAGE ACQUISITION

Appropriations, 2007 ............................................................................. $669,008,000 

Budget estimate, 2008 ........................................................................... 670,819,000 

Committee recommendation ................................................................. 670,819,000 

The Committee recommends an appropriation of $670,819,000, 

the same as the budget request, for English language acquisition. 

The fiscal year 2007 appropriation was $669,008,000. 

The Department makes formula grants to States based on each 

State’s share of the Nation’s limited-English-proficient and recent 

immigrant student population. The program is designed to increase 

the capacity of States and school districts to address the needs of 

these students. The No Child Left Behind Act also requires that 6.5 

percent of the appropriation be used to support national activities, 

which include professional development activities designed to increase the number of highly qualified teachers serving limited 

English proficient students; a National Clearinghouse for English 

Language Acquisition and Language Instructional Programs; and 

evaluation activities. The budget request includes language that 

would allow national activities funds to be available for 2 years. 

The Committee bill includes the requested language. 
245 

SPECIAL EDUCATION

Appropriations, 2007 ............................................................................. $11,802,867,000 

Budget estimate, 2008 ........................................................................... 11,485,147,000 

Committee recommendation ................................................................. 12,330,374,000 

The Committee recommends $12,330,374,000 for special education programs authorized by the Individuals with Disabilities 

Education Act [IDEA]. The comparable fiscal year 2007 funding 

level is $11,802,867,000 and the budget request includes 

$11,485,147,000 for such programs. 

Grants to States 

The Committee recommends $11,240,000,000 for special education grants to States, as authorized under part B of the IDEA. 

The comparable fiscal year 2007 funding level is $10,782,961,000 

and the budget request includes $10,491,941,000. This program 

provides formula grants to assist States, Outlying Areas, and other 

entities in meeting the costs of providing special education and related services for children with disabilities. States pass along most 

of these funds to local educational agencies, but may reserve some 

for program monitoring, enforcement, technical assistance, and 

other activities. 

The appropriation for this program primarily supports activities 

associated with the 2008–2009 academic year. Of the funds available for this program, $5,315,800,000 will become available on July 

1, 2008 and $5,924,200,000 will become available on October 1, 

2008. These funds will remain available for obligation until September 30, 2009. 

The budget request includes language capping the Department of 

Interior set-aside at the prior year level, adjusted by the lower of 

the increase in inflation or the increase in the appropriation for 

grants to States. The Committee bill includes this language. 

Preschool Grants 

The Committee recommends $380,751,000 for preschool grants. 

The comparable fiscal year 2007 funding level and the budget request both are $380,751,000. The preschool grants program provides formula grants to States to assist them in making available 

special education and related services for children with disabilities 

aged 3 through 5. States distribute the bulk of the funds to local 

educational agencies. States must serve all eligible children with 

disabilities aged 3 through 5 and have an approved application 

under the Individuals with Disabilities Education Act. 

Grants for Infants and Families 

The Committee recommends $450,000,000 for grants for the infants and families program under part C of the IDEA. The comparable fiscal year 2007 funding level is $436,400,000 and the 

budget request includes $423,067,000 for this purpose. This program provides formula grants to States, Outlying Areas and other 

entities to implement statewide systems of coordinated, comprehensive, multidisciplinary interagency programs to make available 

early intervention services to all children with disabilities, ages 2 

and under, and their families. 
246 

State Personnel Development 

The Committee recommends $46,000,000 for the State personnel 

development program. Funds were not available under the fiscal 

year 2007 appropriation or the budget request for this purpose. 

This program focuses on the professional development needs in 

States by requiring that 90 percent of funds be used for professional development activities. The program supports grants to 

State educational agencies to help them reform and improve their 

personnel preparation and professional development related to 

early intervention, educational and transition services that improve 

outcomes for students with disabilities. 

Technical Assistance and Dissemination 

The Committee recommends $48,903,000 for technical assistance 

and dissemination. The comparable fiscal year 2007 funding level 

is $48,903,000 and the budget request includes $48,902,000 for 

these activities. This program supports awards for technical assistance, model demonstration projects, the dissemination of useful information and other activities. Funding supports activities that are 

designed to improve the services provided under IDEA. 

Personnel Preparation 

The Committee recommends $89,720,000 for the personnel preparation program. The comparable fiscal year 2007 funding level is 

$89,720,000 and the budget request includes $89,719,000 for this 

program. Funds support competitive awards to help address Stateidentified needs for personnel who are qualified to work with children with disabilities, including special education teachers and related services personnel. The program has requirements to fund 

several other broad areas including training for leadership personnel and personnel who work with children with low incidence 

disabilities, and providing enhanced support for beginning special 

educators. 

Parent Information Centers 

The Committee recommends $27,000,000 for parent information 

centers. The comparable fiscal year 2007 funding level and the 

budget request both are $25,704,000 for authorized activities. This 

program makes awards to parent organizations to support parent 

training and information centers, including community parent resource centers. These centers provide training and information to 

meet the needs of parents of children with disabilities living in the 

areas served by the centers, particularly underserved parents, and 

parents of children who may be inappropriately identified. 

Technology and Media Services 

The Committee recommends $40,000,000 for technology and 

media services. The comparable fiscal year 2007 funding level is 

$38,428,000 and the budget request includes $25,063,000 for such 

activities. This program makes competitive awards to support the 

development, demonstration, and use of technology, and educational media activities of value to children with disabilities. 

The Committee recommendation includes $13,000,000 for Recording for the Blind and Dyslexic, Inc. [RFB&D] (Funding for this pro-
247 

gram was requested by Senator Harkin). These funds support the 

continued development, production, and circulation of recorded 

textbooks, increased outreach activities to print-disabled students 

and their teachers, and accelerated use of digital technology. 

The Committee also recommends $1,500,000 for support of the 

Reading Rockets program, administered by the Greater Washington Educational Television Association (Funding for this program was requested by Senator Cochran). 

Special Olympics Education Programs 

The Committee recommendation includes $8,000,000 for Special 

Olympics education programs. This is a new program in fiscal year 

2008 and the budget request did not include any funds for this purpose. Under the Special Olympics Sport and Empowerment Act of 

2004, the Secretary is authorized to provide financial assistance to 

Special Olympics for activities that promote the expansion of Special Olympics and for the design and implementation of education 

programs that can be integrated into classroom instruction and are 

consistent with academic content standards (Funding for the program was requested by Senator Harkin). 

Within the Committee recommendation, $3,000,000 shall be used 

to support the 2009 Special Olympics World Winter Games in 

Idaho (Funding for this program was requested by Senator Craig). 

REHABILITATION SERVICES AND DISABILITY RESEARCH

Appropriations, 2007 ............................................................................. $3,242,512,000 

Budget estimate, 2008 ........................................................................... 3,221,146,000 

Committee recommendation ................................................................. 3,286,942,000 

The Committee recommends $3,286,942,000 for rehabilitation 

services and disability research. The comparable fiscal year 2007 

funding level is $3,242,512,000 and the budget request includes 

$3,184,263,000 for programs in this account. 

The authorizing statute for programs funded in this account, except for those authorized under the Assistive Technology Act, expired September 30, 2004. The program descriptions provided 

below assume the continuation of current law. 

Vocational Rehabilitation State Grants 

The Committee recommends $2,874,043,000 for vocational rehabilitation grants to States. The Committee recommendation provides the full amount authorized by the Rehabilitation Act of 1973. 

The comparable funding level for fiscal year 2007 is $2,837,160,000 

for this program. The President’s budget proposes to eliminate the 

increase provided by the consumer price index adjustment authorized by the authorizing statute. The Committee rejects this proposal. 

Basic State grant funds assist States in providing a range of 

services to help persons with physical and mental disabilities prepare for and engage in meaningful employment. Authorizing legislation requires States to give priority to persons with the most significant disabilities. Funds are allotted to States based on a formula that takes into account population and per capita income. 

States must provide a 21.3-percent match of Federal funds, except 
248 

the State’s share is 50 percent for the cost of construction of a facility for community rehabilitation program purposes. 

The Rehabilitation Act requires that no less than 1 percent and 

not more than 1.5 percent of the appropriation in fiscal year 2008 

for vocational rehabilitation State grants be set aside for grants for 

Indians. Service grants are awarded to Indian tribes on a competitive basis to help tribes develop the capacity to provide vocational 

rehabilitation services to American Indians with disabilities living 

on or near reservations. 

Client Assistance State Grants 

The Committee recommends $11,782,000 for the client assistance 

State grants program. The comparable fiscal year 2007 funding 

level and the budget request both are $11,782,000 for authorized 

activities. 

The client assistance program funds State formula grants to assist vocational rehabilitation clients or client applicants in understanding the benefits available to them and in their relationships 

with service providers. Funds are distributed to States according to 

a population-based formula, except that increases in minimum 

grants are guaranteed to each of the 50 States, the District of Columbia, and Puerto Rico, and guaranteed to each of the outlying 

areas, by a percentage not to exceed the percentage increase in the 

appropriation. States must operate client assistance programs in 

order to receive vocational rehabilitation State grant funds. 

Training 

The Committee recommends $38,438,000 for training rehabilitation personnel. The comparable fiscal year 2007 funding level and 

the budget request both are $38,438,000 for training activities. 

The purpose of this program is to ensure that skilled personnel 

are available to serve the rehabilitation needs of individuals with 

disabilities. It supports training, traineeships, and related activities 

designed to increase the numbers of qualified personnel providing 

rehabilitation services. The program awards grants and contracts 

to States and public or nonprofit agencies and organizations, including institutions of higher education, to pay all or part of the 

cost of conducting training programs. Long-term, in-service, shortterm, experimental and innovative, and continuing education programs are funded, as well as special training programs and programs to train interpreters for persons who are deaf, hard of hearing and deaf-blind. 

Demonstration and Training Programs 

The Committee bill includes $10,490,000 for demonstration and 

training programs for persons with disabilities. The comparable fiscal year 2007 funding level is $6,511,000 and the budget request 

includes $6,840,000 for authorized activities. This program awards 

grants to States and nonprofit agencies and organizations to develop innovative methods and comprehensive services to help individuals with disabilities achieve satisfactory vocational outcomes. 

Demonstration programs support projects for individuals with a 

wide array of disabilities. 
249 

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

award to the American Academy of Orthotists and Prosthetists for 

activities that further the purposes of the grant received by the 

Academy for the period beginning October 1, 2003 (Funding for this 

program was requested by Senator Harkin). 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Project Committee recommendation Requested by 

Alaska Center for the Blind and Visually Impaired, Anchorage, AK, for a partnership with the Lions Club to expand low vision services to Alaskans.$250,000 Stevens 

Darden Rehabilitation Foundation, Gadsden, AL, for programs serving individuals with disabilities who seek to enter the work force.150,000 Sessions 

Kenai Peninsula Independent Living Center, Homer, AK, for the Total Recreation 

and Independent Living Services (TRAILS) project.

200,000 Stevens 

National Ability Center, Park City, Utah, to provide transportation for individuals with cognitive and physical disabilities to participate independently in 

therapeutic recreational programs.

250,000 Bennett 

Rainbow Center for Communicative Disorders, Blue Springs, MO, to expand 

programs available to individuals with severe disabilities.

300,000 Bond 

Southeast Alaska Independent Living, Inc, Juneau, AK, to continue a joint 

recreation and employment project with the Tlingit-Haida Tribe.

200,000 Stevens 

University of Northern Colorado National Center for Low-Incidence Disabilities, 

Greeley, CO, for support to local schools, educational professionals, families 

of infants, children, and youth with low-incidence disabilities.

200,000 Allard 

Deaf Blind Service Center, Seattle, WA, to support the National Support Service 

Provider Pilot Project.

400,000 Murray 

Enable America, Inc., Tampa, Florida, for civic/citizenship demonstration 

project for disabled adults.

600,000 Harkin 

Special Olympics of Iowa, Des Moines, Iowa, for technology upgrades ............... 100,000 Harkin 

Migrant and Seasonal Farmworkers 

The Committee recommends $2,279,000 for migrant and seasonal 

farmworkers, the same amount as the comparable fiscal year 2007 

funding level. The administration proposes eliminating separate 

funding for this program. 

This program provides grants limited to 90 percent of the costs 

of the projects providing comprehensive rehabilitation services to 

migrant and seasonal farm workers with disabilities and their families. Projects also develop innovative methods for reaching and 

serving this population. The program emphasizes outreach, specialized bilingual rehabilitation counseling, and coordination of vocational rehabilitation services with services from other sources. 

Recreational Programs 

The Committee provides $2,518,000 for recreational programs, 

the same amount as the comparable fiscal year 2007 funding level. 

The budget request does not include funding for this program. 

Recreational programs help finance activities such as sports, 

music, dancing, handicrafts, and art to aid in the employment, mobility, and socialization of individuals with disabilities. Grants are 

awarded to States, public agencies, and nonprofit private organizations, including institutions of higher education. Grants are awarded for a 3-year period with the Federal share at 100 percent for the 

first year, 75 percent for the second year, and 50 percent for the 
250 

third year. Programs must maintain the same level of services over 

the 3-year period. 

Protection and Advocacy of Individual Rights 

The Committee recommends $17,489,000 for protection and advocacy of individual rights. The comparable fiscal year 2007 funding 

level and the budget request both are $16,489,000 for this purpose. 

This program provides grants to agencies to protect and advocate 

for the legal and human rights of persons with disabilities who are 

not eligible for protection and advocacy services available through 

the Developmental Disabilities Assistance and Bill of Rights Act or 

the Protection and Advocacy for Individuals with Mental Illness 

Act. 

Projects with Industry 

The Committee recommends $19,538,000 for projects with indus- try. The comparable fiscal year 2007 funding level is $19,538,000 

and the administration proposes eliminating separate funding for 

this program. 

The projects with industry [PWI] program promotes greater participation of business and industry in the rehabilitation process. 

PWI provides training and experience in realistic work settings to 

prepare individuals with disabilities for employment in the competitive job market. Postemployment support services are also provided. The program supports grants to a variety of agencies and organizations, including corporations, community rehabilitation programs, labor and trade associations, and foundations. 

Supported Employment State Grants 

The Committee recommends $29,700,000 for the supported employment State grant program. The comparable fiscal year 2007 

funding level is $29,700,000 and the administration proposes eliminating separate funding for this program. 

This program assists the most severely disabled individuals by 

providing the ongoing support needed to obtain competitive employment. Short-term vocational rehabilitation services are augmented 

with extended services provided by State and local organizations. 

Federal funds are distributed on the basis of population. 

Independent Living State Grants 

The Committee recommends $22,588,000 for independent living 

State grants. The comparable funding level for fiscal year 2007 and 

the budget request both are $22,588,000 for authorized activities. 

The independent living State formula grants program provides 

funding to improve independent living services, support the operation of centers for independent living, conduct studies and analysis, and provide training and outreach. 

Independent Living Centers 

The Committee recommends $74,638,000 for independent living 

centers. The comparable fiscal year 2007 funding level and the 

budget request both are $74,638,000 for the centers. 

These funds support consumer-controlled, cross-disability, nonresidential, community-based centers that are designed and oper-
251 

ated within local communities by individuals with disabilities. 

These centers provide an array of independent living services. 

Independent Living Services for Older Blind Individuals 

The Committee provides $32,895,000 for independent living services to older blind individuals. The comparable fiscal year 2007 

funding level and the budget request both are $32,895,000 for these 

activities. Through this program, assistance is provided to persons 

aged 55 or older to adjust to their blindness, continue living independently and avoid societal costs associated with dependent care. 

Services may include the provision of eyeglasses and other visual 

aids, mobility training, braille instruction and other communication 

services, community integration, and information and referral. 

These services help older individuals age with dignity, continue to 

live independently and avoid significant societal costs associated 

with dependent care. The services most commonly provided by this 

program are daily living skills training, counseling, the provision of 

low-vision devices community integration, information and referral, 

communication devices, and low-vision screening. 

Program Improvement Activities 

The Committee recommends $633,000 for program improvement 

activities. The comparable fiscal year 2007 funding level is 

$835,000 and the budget request includes $633,000 for authorized 

activities. In fiscal year 2008, funds for these activities will continue to support technical assistance efforts to improve the efficiency and effectiveness of the vocational rehabilitation program 

and improve accountability efforts. The funds provided are sufficient to support technical assistance and other ongoing program 

improvement activities, such as improved program performance 

measurement. 

Evaluation 

The Committee recommends $1,695,000 for evaluation activities. 

The comparable fiscal year 2007 funding level is $1,473,000 and 

the budget request includes $1,973,000 for such activities. The 

Committee recommendation continues to support a new multi-year 

study of the State Vocational Rehabilitation Services program. 

These funds support evaluations of the impact and effectiveness 

of programs authorized by the Rehabilitation Act. The Department 

awards competitive contracts for studies to be conducted by persons 

not directly involved with the administration of Rehabilitation Act 

programs. 

Helen Keller National Center 

The Committee recommends $9,511,000 for the Helen Keller National Center for Deaf-Blind Youth and Adults. The comparable fiscal year 2007 funding level is $8,511,000 and the budget request 

includes $8,011,000 for this purpose. 

The Helen Keller National Center consists of a national headquarters in Sands Point, New York, with a residential training and 

rehabilitation facility where deaf-blind persons receive intensive 

specialized services; a network of 10 regional field offices which 

provide referral and counseling assistance to deaf-blind persons; 
252 

and an affiliate network of agencies. The center serves approximately 110 persons with deaf-blindness at its headquarters facility 

and provides field services to approximately 2,000 individuals and 

families and approximately 1,100 organizations. 

National Institute on Disability and Rehabilitation Research 

The Committee recommends $106,705,000 for the National Institute on Disability and Rehabilitation Research [NIDRR]. The comparable fiscal year 2007 funding level and the budget request both 

are $106,705,000 for authorized activities. 

NIDRR develops and implements a comprehensive and coordinated approach to the conduct of research, demonstration projects, 

and related activities that enable persons with disabilities to better 

function at work and in the community, including the training of 

persons who provide rehabilitation services or who conduct rehabilitation research. The Institute awards competitive grants to support research in federally designated priority areas, including rehabilitation research and training centers, rehabilitation engineering 

research centers, research and demonstration projects, and dissemination and utilization projects. NIDRR also supports field-initiated research projects, research training, and fellowships. 

The Committee encourages the National Institute on Disability 

and Rehabilitation Research to continue to pursue CFS-related research proposals through its investigator-initiated and other grants 

programs, including sponsoring studies that will illuminate the nature of disability in CFS, particularly the predominant feature of 

post-exertional relapse, as well as strategies to support the improved function and rehabilitation of CFS patients. 

Assistive Technology 

The Committee recommends $32,000,000 for assistive technology. 

The comparable fiscal year 2007 funding level is $30,452,000 and 

the budget request includes $26,111,000 for activities authorized by 

the Assistive Technology Act of 1998. 

The Assistive Technology program is designed to improve occupational and educational opportunities and the quality of life for people of all ages with disabilities through increased access to assistive 

technology services and devices. The program supports various activities that help States to develop comprehensive, consumer-responsive statewide programs that increase access to, and the availability of, assistive technology devices and services. 

The Committee recommendation includes $26,377,000 for State 

grant activities authorized under section 4, $4,570,000 for protection and advocacy systems authorized by section 5, and $1,053,000 

for technical assistance activities authorized under section 6. 

The Committee encourages States to use the additional funds 

provided for State grant activities authorized under section 4 for 

State-level alternative financing programs. The Committee looks 

forward to reviewing the Department’s mandated report on State 

implementation of this program, particularly the activities related 

to State financing. 
253 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES

AMERICAN PRINTING HOUSE FOR THE BLIND

Appropriations, 2007 ............................................................................. $17,573,000 

Budget estimate, 2008 ........................................................................... 17,573,000 

Committee recommendation ................................................................. 22,000,000 

The Committee recommends $22,000,000 for the American Printing House for the Blind [APH]. The comparable fiscal year 2007 

funding level and budget request both are $17,573,000 for this purpose. 

This appropriation helps support the American Printing House 

for the Blind, which provides educational materials to students who 

are legally blind and enrolled in programs below the college level. 

The Federal subsidy provides more than 60 percent of APH’s total 

sales income. Materials are distributed free of charge to schools 

and States through per capita allotments based on the total number of students who are blind. Materials provided include textbooks 

and other educational aids in braille, large type, and recorded form 

and computer applications. Appropriated funds may be used for 

staff salaries and expenses, as well as equipment purchases and 

other acquisitions consistent with the purpose of the Act to Promote the Education of the Blind. 

In addition to its ongoing activities, the Individuals with Disabilities Education Improvement Act assigned to the American Printing House for the Blind the responsibility of establishing and maintaining a National Instructional Materials Access Center. The 

Committee bill includes language under the special education account to improve the operation and performance of the National Instructional Materials Access Center [NIMAC]. The Committee supports the NIMAC, as established in section 674(e) of Public Law 

108–446, which serves as the central repository for electronic files 

used in reproducing instructional materials in specialized formats 

for students with print disabilities. The intent of the statute is to 

apply this subsection only to materials with an original publication 

date of July 19, 2006 and later. 

NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

Appropriations, 2007 ............................................................................. $56,141,000 

Budget estimate, 2008 ........................................................................... 56,262,000 

Committee recommendation ................................................................. 59,000,000 

The Committee recommends $59,000,000 for the National Technical Institute for the Deaf [NTID]. The comparable fiscal year 

2007 funding level is $56,141,000 and the budget request includes 

$56,262,000 for this purpose. Within the Committee recommendation, $1,705,000 is available for improvements to the campus infrastructure of NTID. 

The Institute, located on the campus of the Rochester Institute 

of Technology, was created by Congress in 1965 to provide a residential facility for postsecondary technical training and education 

for persons who are deaf. NTID also provides support services for 

students who are deaf, trains professionals in the field of deafness, 

and conducts applied research. At the discretion of the Institute, 

funds may be used for the Endowment Grant program. 
254 

GALLAUDET UNIVERSITY

Appropriations, 2007 ............................................................................. $106,998,000 

Budget estimate, 2008 ........................................................................... 106,998,000 

Committee recommendation ................................................................. 111,000,000 

The Committee recommends $111,000,000 for Gallaudet University. The comparable fiscal year 2007 funding level is $106,998,000 

and the budget request includes $106,998,000 for the university. 

Gallaudet University is a private, nonprofit institution offering 

undergraduate, and continuing education programs for students 

who are deaf, as well as graduate programs in fields related to 

deafness for students who are hearing and deaf. The University 

conducts basic and applied research related to hearing impairments and provides public service programs for the deaf community. 

The Model Secondary School for the Deaf serves as a laboratory 

for educational experimentation and development, disseminates 

curricula, materials, and models of instruction for students who are 

deaf, and prepares adolescents who are deaf for postsecondary academic or vocational education or the workplace. The Kendall Demonstration Elementary School develops and provides instruction for 

children from infancy through age 15. 

The budget request includes $600,000 earmarked in bill language 

to evaluate the education programs and administrative operations 

of the University. The Committee recommendation includes the requested funding and language for these activities. 

CAREER, TECHNICAL AND ADULT EDUCATION

Appropriations, 2007 ............................................................................. $1,992,170,000 

Budget estimate, 2008 ........................................................................... 1,189,808,000 

Committee recommendation ................................................................. 1,894,788,000 

The Committee recommendation includes a total of 

$1,894,788,000 for career, technical and adult education. The comparable funding level in fiscal year 2007 is $1,992,170,000 and the 

budget request includes $1,189,808,000 for this account. The recommendation consists of $1,294,306,000 for career and technical 

education, $577,712,000 for adult education and $22,770,000 for 

other activities. 

Career and Technical Education 

The Committee recommends $1,294,306,000 for career and technical education. The comparable fiscal year 2007 funding level is 

$1,296,306,000 and the budget request includes $610,000,000 for 

these activities. 

State Grants.—The Committee recommends $1,181,553,000 for 

State grants, the same amount as the comparable fiscal year 2007 

funding level. The budget request includes $600,000,000 for this 

purpose. Funds provided under the State grant program assist 

States, localities, and outlying areas to expand and improve their 

programs of career and technical education and provide equal access to career and technical education for populations with special 

needs. Persons assisted range from secondary students in 

prevocational courses through adults who need retraining to adapt 

to changing technological and labor market conditions. Funds are 
255 

distributed according to a formula based on State population and 

State per capita income, with hold harmless provisions for small 

States and for a fiscal year 1998 base guarantee. 

Under the Indian and Hawaiian Natives programs, competitive 

grants are awarded to federally recognized Indian tribes or tribal 

organizations and to organizations primarily serving and representing Hawaiian Natives for services that are in addition to 

services such groups are eligible to receive under other provisions 

of the Perkins Act. 

Of the funds available for this program, $390,553,000 will become available on July 1, 2008 and $791,000,000 will become available on October 1, 2008. These funds will remain available for obligation until September 30, 2009. 

Tech-Prep Education State Grants.—The Committee recommends 

$104,753,000 for tech-prep programs. The comparable fiscal year 

2007 funding level is $104,753,000, while the budget request proposes to eliminate funding for this program. This program is designed to link academic and career and technical education and to 

provide a structural link between secondary schools and postsecondary education institutions. Funds are distributed to the States 

through the same formula as the State grant program. States then 

make planning and demonstration grants to consortia of local educational agencies and postsecondary institutions to develop and operate model 4-year programs that begin in high school and provide 

students with the mathematical, science, communication, and technological skills needed to earn a 2-year associate degree or 2-year 

certificate in a given occupational field. 

National Programs.—The Committee recommends $8,000,000 for 

national research programs and other national activities. The comparable fiscal year 2007 funding level and the budget request both 

are $10,000,000 for this program. 

Funds will be used to support the national research center on career and technical education, as well as other activities that will 

help improve career and technical education programs in high 

schools and community colleges. 

ADULT EDUCATION

The Committee recommends $577,712,000 for adult education. 

The comparable fiscal year 2007 funding level is $579,563,000 and 

the budget request includes $579,808,000 for this purpose. The authorizing statute for adult education programs expired on September 30, 2004. Descriptions of these programs provided below assume the continuation of current law. 

The Committee recognizes the importance of the Adult Education 

and Family Literacy Act programs. To ensure that funding for 

these programs is benefiting as many students as possible, the 

Committee encourages the Secretary to evaluate and report on 

whether the amount of funding for State grants that is allowed to 

be set aside for State leadership activities and State program administration is appropriate and how these set-asides impact the assistance reaching students. The Committee expects the Department 

to include the requested information in the fiscal year 2009 budget 

justification. 
256 

Adult Education State Programs.—For adult education State pro- grams, the Committee recommends $564,074,000. The comparable 

fiscal year 2007 funding level is $563,975,000 and the budget request includes $564,074,000 for authorized activities. These funds 

are used by States for programs to enable economically disadvantaged adults to acquire basic literacy skills, to enable those who so 

desire to complete a secondary education, and to make available to 

adults the means to become more employable, productive, and responsible citizens. 

The Committee recommendation continues the English literacy 

and civics education State grants set aside within the adult education State grant appropriation. Within the total, $67,896,000 is 

available to help States or localities affected significantly by immigration and large limited-English populations to implement programs that help immigrants acquire English literacy skills, gain 

knowledge about the rights and responsibilities of citizenship and 

develop skills that will enable them to navigate key institutions of 

American life. 

National Leadership Activities.—The Committee recommends 

$7,000,000 for national leadership activities. The comparable funding level for fiscal year 2007 is $9,005,000 and the budget request 

includes $9,096,000 for this purpose. Under this program, the Department supports applied research, development, dissemination, 

evaluation and program improvement activities to assist States in 

their efforts to improve the quality of adult education programs. 

National Institute for Literacy.—The Committee recommends 

$6,638,000 for the National Institute for Literacy, authorized under 

section 242 of the Adult Education and Family Literacy Act. The 

comparable fiscal year 2007 funding level is $6,583,000 and the 

budget request includes $6,638,000 for this purpose. The Institute 

provides national leadership on issues related to literacy, coordinates literary services and policy, and serves as a national resource 

for adult education and literacy programs. The center also engages 

in a variety of capacity-building activities that support the development of State, regional, and national literary services. 

Smaller Learning Communities 

The Committee does not recommend additional funds for this 

program. The comparable fiscal year 2007 funding level is 

$93,531,000 and the budget request does not include any funds for 

this purpose. This program has supported competitive grants to 

local educational agencies to enable them to create smaller learning 

communities in large schools. Funds have been used to study, research, develop and implement strategies for creating smaller 

learning communities, as well as professional development for staff. 

Two types of grants were made under this program: 1-year planning grants, which help LEAs plan smaller learning communities 

and 3-year implementation grants, which help create or expand 

such learning environments. 

State Grants for Incarcerated Youth Offenders 

The Committee recommends $22,770,000 for education and training for incarcerated youth offenders, the same as the comparable 

funding level for fiscal year 2007. The administration proposes to 
257 

eliminate funding for these activities. This program provides grants 

to State correctional education agencies to assist and encourage incarcerated youth to acquire functional literacy, life and job skills, 

through the pursuit of a postsecondary education certificate or an 

associate of arts or bachelor’s degree. Grants also assist correction 

agencies in providing employment counseling and other related 

services that start during incarceration and continue through 

prerelease and while on parole. Under current law, each student is 

eligible for a grant of not more than $1,500 annually for tuition, 

books, and essential materials, and not more than $300 annually 

for related services such as career development, substance abuse 

counseling, parenting skills training, and health education. In 

order to participate in a program, a student must be no more than 

25 years of age and be eligible to be released from prison within 

5 years. Youth offender grants are for a period not to exceed 5 

years, 1 year of which may be devoted to study in remedial or graduate education. 

STUDENT FINANCIAL ASSISTANCE

Appropriations, 2007 ............................................................................. $15,542,456,000 

Budget estimate, 2008 ........................................................................... 14,394,492,000 

Committee recommendation ................................................................. 16,368,883,000 

The Committee recommends an appropriation of $16,368,883,000 

for student financial assistance. Program authorities and descriptions assume the continuation of current law. 

Federal Pell Grant Program 

For Pell grant awards in the 2008/2009 academic year, the Com- mittee recommends $14,487,000,000 to maintain the record maximum Pell grant award level of $4,310. The appropriation provided 

in this bill will maintain the current grant level without creating 

a shortfall in the program. 

Pell grants provide need-based financial assistance that helps 

low-and middle-income undergraduate students and their families 

defray a portion of the costs of postsecondary education and vocational training. Awards are determined according to a statutory 

need analysis formula that takes into account a student’s family income and assets, household size, and the number of family members, excluding parents, attending postsecondary institutions. Pell 

grants are considered the foundation of Federal postsecondary student aid. 

The President has proposed increasing the maximum Pell grant to $4,600 in fiscal year 2008 and has included legislative language 

with proposed mandatory savings to pay for the increase. The Committee agrees with that proposal and has included sufficient funds 

to maintain the Pell grant at the fiscal year 2007 level of $4,310 

and plans to work in concert with the authorizing committees to 

ensure that the maximum Pell grant is increased to no less than 

the $4,600 level this year. 

Federal Supplemental Educational Opportunity Grants 

The Committee recommends $770,933,000 for Federal supplemental educational opportunity grants [SEOG], the same as the fiscal year 2007 level. The budget did not include fudns for this pro-
258 

gram. This program provides funds to postsecondary institutions 

for need-based grants to undergraduate students. Institutions must 

contribute 25 percent towards SEOG awards, which are subject to 

a maximum grant level of $4,000. School financial aid officers have 

flexibility to determine student awards, though they must give priority to Pell grant recipients with exceptional need. 

Federal Work-Study Programs 

The Committee bill provides $980,492,000 for the Federal workstudy program, the same amount as the budget request. The comparable fiscal year 2007 funding level is $980,354,000. 

This program provides grants to more than 3,300 institutions to 

help an estimated 880,000 undergraduate, graduate, and professional students meet the costs of postsecondary education through 

part-time employment. Work-study jobs must pay at least the Federal minimum wage and institutions must provide at least 25 percent of student earnings. Institutions also must use at least 7 percent of their grants for community-service jobs. 

Federal Perkins Loans 

The Federal Perkins loan program supports student loan revolving funds built up with capital contributions to nearly 1,900 participating institutions. Institutions use these revolving funds, 

which also include Federal capital contributions [FCC], institutional contributions equal to one-third of the FCC, and student repayments, to provide low-interest (5 percent) loans that help financially needy students pay the costs of postsecondary education. 

The Committee recommends $65,471,000 for loan cancellations, 

the same amount as the comparable funding level for fiscal year 

2007. The budget request did not include any funds for this purpose. These funds reimburse institutional revolving funds on behalf 

of borrowers whose loans are cancelled in exchange for statutorily 

specified types of public or military service, such as teaching in a 

qualified low-income school, working in a Head Start Program, 

serving in the Peace Corps or VISTA, or nurses and medical technicians providing health care services. 

The Committee bill does not include any funds for Federal Perkins loans capital contributions. The comparable fiscal year 2007 

funding level did not include such funds and the budget request 

does not provide any funds for this purpose. 

Leveraging Educational Assistance Partnership Program 

For the leveraging educational assistance partnership [LEAP] 

program, the Committee recommends $64,987,000 the same 

amount as the comparable funding level for fiscal year 2007. The 

budget proposes to eliminate funding for this program. 

The leveraging educational assistance partnership program provides a Federal match to States as an incentive for providing needbased grant and work-study assistance to eligible postsecondary 

students. 
259 

STUDENT AID ADMINISTRATION

Appropriations, 2007 ............................................................................. $717,950,000 

Budget estimate, 2008 ........................................................................... 708,216,000 

Committee recommendation ................................................................. 708,216,000 

The Committee recommends $708,216,000 for the Student Aid 

Administration account, the same as the budget request, for activities funded under this account, as reauthorized by the Higher Education Reconciliation Act of 2005. These funds are available until 

expended. That act reclassified most of the administrative costs of 

the Student Aid Account that were classified as mandatory spending through fiscal year 2006. 

Funds appropriated for the Student Aid Administration Account 

will support the Department’s student aid management expenses. 

The Office of Federal Student Aid and Office of Postsecondary Education have primary responsibility for administering Federal student financial assistance programs. 

The Committee is concerned that there have been a number of 

recent reports of abuses by lenders in the student loan program. 

Those abuses include questionable ties between lenders and financial aid officials, including reports of school officials receiving gifts 

and other financial inducements to include a lender on the schools 

preferred lender list. The Committee is concerned that lax Federal 

oversight by the Department of Education has made the situation 

worse. The Committee commends the Secretary for taking the first 

step toward addressing this issue with the recent issuance of regulations but is disappointed that nothing was done by the Department earlier in its administration. 

HIGHER EDUCATION

Appropriations, 2007 ............................................................................. $1,951,053,000 

Budget estimate, 2008 ........................................................................... 1,845,103,000 

Committee recommendation ................................................................. 2,028,302,000 

The Committee recommends an appropriation of $2,028,302,000 

for higher education programs. 

Aid for Institutional Development 

The Committee recommends $507,434,000 for aid for institutional development authorized by titles III and V of the Higher 

Education Act. The comparable funding level for fiscal year 2007 

is $505,814,000. 

Strengthening Institutions.—The Committee bill includes 

$79,535,000, the same as the fiscal year 2007 comparable level. 

The part A program supports competitive, 1-year planning and 5- 

year development grants for institutions with a significant percentage of financially needy students and low educational and general 

expenditures per student in comparison with similar institutions. 

Applicants may use part A funds to develop faculty, strengthen 

academic programs, improve institutional management, and expand student services. Institutions awarded funding under this 

program are not eligible to receive grants under other sections of 

part A or part B. 

Hispanic-Serving Institutions [HSI].—The Committee recommends $94,914,000, the same as the fiscal year 2007 comparable 
260 

level, for institutions at which Hispanic students make up at least 

25 percent of enrollment. Institutions applying for title V funds 

must meet the regular part A requirements. Funds may be used for 

acquisition, rental or lease of scientific or laboratory equipment, 

renovation of instructional facilities, development of faculty, support for academic programs, institutional management, and purchase of educational materials. Title V recipients are not eligible 

for other awards provided under title III, parts A and B. 

Strengthening Historically Black Colleges and Universities.—The 

Committee recommends $238,095,000 for part B grants, the same 

as the fiscal year 2007 level. The part B strengthening historically 

black colleges and universities [HBCU] program makes formula 

grants to HBCUs that may be used to purchase equipment, construct and renovate facilities, develop faculty, support academic 

programs, strengthen institutional management, enhance fundraising activities, provide tutoring and counseling services to students, and conduct outreach to elementary and secondary school 

students. The minimum allotment is $500,000 for each eligible institution. Part B recipients are not eligible for awards under part 

A. 

Strengthening Historically Black Graduate Institutions.—The 

Committee recommends $57,915,000 for the part B, section 326 

program, the same as the fiscal year 2007 level. The section 326 

program provides 5-year grants to strengthen historically black 

graduate institutions [HBGIs]. Grants may be used for any part B 

purpose and to establish an endowment. 

Strengthening Alaska Native and Native Hawaiian-Serving Institutions.—The Committee recommends $12,500,000 for this program, an increase of $715,000 over the fiscal year 2007 level. The 

purpose of this program is to improve and expand the capacity of 

institutions serving Alaska Native and Native Hawaiian students. 

Funds may be used to plan, develop, and implement activities that 

encourage: faculty and curriculum development; better fund and 

administrative management; renovation and improvement of educational facilities; student services; and the purchase of library and 

other educational materials. As initial funding cycles expire, the 

Committee encourages the Department to use simplified application forms to permit participating institutions to obtain continuation funding for successful programs funded under this authority 

(Funding for this program was requested by Senators Inouye and 

Stevens). 

Strengthening Tribally Controlled Colleges and Universities.— 

The Committee recommends $24,475,000 for strengthening tribal 

colleges and universities [TCUs], an increase of $905,000 over the 

fiscal year 2007 level. Tribal colleges and universities rely on a portion of the funds provided to address developmental needs, including faculty development, curriculum and student services. 

In past years, the Committee has supported a competitive grant 

program to assist institutions in addressing long overdue and highpriority infrastructure and facilities requirements. The Committee 

intends for the funds provided to be used to support continuation 

of existing basic grants and new planning or implementation grant 

awards. The remaining funds shall be available for grants for ren-
261 

ovation and construction of facilities to continue to address urgently needed facilities repair and expansion. 

International Education and Foreign Language Studies 

The bill includes a total of $105,751,000 for international education and foreign language programs, which is the same as the fiscal year 2007 level. 

The Committee bill includes language allowing funds to be used 

to support visits and study in foreign countries by individuals who 

plan to utilize their language skills in world areas vital to the 

United States national security in the fields of government, international development and the professions. Bill language also allows 

up to 1 percent of the funds provided to be used for program evaluation, national outreach, and information dissemination activities. 

This language is continued from last year’s bill and was proposed 

in the budget request. 

Domestic Programs.—The Committee recommends $91,541,000 

for domestic program activities related to international education 

and foreign language studies, including international business education, under title VI of the HEA. This is the same as the fiscal 

year 2007 level. Domestic programs include national resource centers, undergraduate international studies and foreign language programs, international research and studies projects, international 

business education projects and centers, American overseas research centers, language resource centers, foreign language and 

area studies fellowships, and technological innovation and cooperation for foreign information access. 

Overseas Programs.—The bill includes $12,610,000 for overseas 

programs authorized under the Mutual Educational and Cultural 

Exchange Act of 1961, popularly known as the Fulbright-Hays Act, 

the same as the fiscal year 2007 level. Under these overseas programs, grants are provided for group and faculty research projects 

abroad, doctoral dissertation research abroad, and special bilateral 

projects. Unlike other programs authorized by the Fulbright-Hays 

Act and administered by the Department of State, these Department of Education programs focus on training American instructors 

and students in order to improve foreign language and area studies 

education in the United States. 

Institute for International Public Policy.—The Committee bill recommends $1,600,000 for the Institute for International Public Policy. This program is designed to increase the number of minority 

individuals in foreign service and related careers by providing a 

grant to a consortium of institutions for undergraduate and graduate level foreign language and international studies. An institutional match of 50 percent is required. 

Fund for the Improvement of Postsecondary Education 

The Committee recommends $81,844,000 for the Fund for the 

Improvement of Postsecondary Education [FIPSE], an increase of 

$59,856,000 over the fiscal year 2007 level. FIPSE stimulates improvements in education beyond high school by supporting exemplary, locally developed projects that have potential for addressing 

problems and recommending improvements in postsecondary education. The Fund is administered by the Department with advice 
262 

from an independent board and provides small, competitive grants 

and contracts to a variety of postsecondary institutions and agencies, including 2- and 4-year colleges and universities, State education agencies, community-based organizations, and other nonprofit institutions and organizations concerned with education beyond high school. The Committee recommendation includes $15,198,000 the full 

amount requested for the comprehensive program, as well as funds 

for international consortia programs. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Project Committee recommendation Requested by 

AIB College of Business, Des Moines, IA, for scholarships in captioning and 

court reporting.

$500,000 Harkin, Grassley 

Aims Community College, Greeley, CO, for equipment for career training in the 

health professions.

50,000 Salazar 

Albertson College of Idaho, Caldwell, ID, for acquisition of equipment, technology and library upgrade.350,000 Craig, Crapo 

Albright College, Reading, PA, for laboratory equipment acquisition ................... 100,000 Specter 

Alpena Community College, Alpena, MI, for curriculum development for the 

Rural Communications Initiative.

300,000 Stabenow, Levin 

Alvernia College, Reading, PA, for scholarships and nursing education programs.100,000 Specter 

Armstrong Atlantic State University, Savannah, GA, for acquisition of equipment and technology upgrades for a distance learning classroom.100,000 Chambliss, Isakson 

Assumption College, Worcester, MA ....................................................................... 150,000 Kennedy, Kerry 

Benjamin Franklin Institute of Technology, Boston, MA, for educational equipment and curriculum development to support medical technology professional training programs.

250,000 Kennedy, Kerry 

Bristol Community College, Fall River, MA, to expand adult literacy and career 

development academic programs.

200,000 Kennedy, Kerry 

Bucknell University, Lewisburg, PA, for laboratory equipment acquisition ........... 100,000 Specter 

California Community Colleges, Sacramento, CA, for Math and Science Teacher 

Initiative.

200,000 Feinstein 

California University of Pennsylvania, California, PA, for curriculum development and teacher training to enhance math and science instruction.100,000 Specter 

Cardinal Stritch University, Milwaukee, WI, to establish a bachelors of science 

nurse degree program.

325,000 Kohl 

Carroll College, Helena, MT, for curriculum development in Civil Engineering .... 250,000 Baucus, Tester 

Cedar Crest College, Allentown, PA, for nursing education programs ................. 100,000 Specter 

Central Maine Community College, Auburn, ME, for nursing education expansion and outreach.150,000 Collins, Snowe 

Clinton School of Public Service at the University of Arkansas, Little Rock, AR, 

for curriculum development.

1,000,000 Lincoln, Pryor 

College Success Foundation, Issaquah, WA, for matching students to scholarships.300,000 Cantwell 

Community College of Southern Nevada, Las Vegas, NV, to purchase equipment and other support for Internet-based course offerings.750,000 Reid 

Connecticut State University, Hartford, CT, for nursing education programs ...... 400,000 Dodd, Lieberman 

Dakota Wesleyan University, Mitchell, SD, for archiving of former Senator 

George McGovern’s papers.

350,000 Johnson, Thune 

Dartmouth College, Hanover, NH, for a new interdisciplinary initiative on engineering and medicine.300,000 Gregg 

Deaf West Theatre, North Hollywood, CA, for cultural experiences for the deaf .. 250,000 Boxer, Harkin 

Dean College, Franklin, MA, to develop programs and procure equipment for 

the Learning Center.

235,000 Kennedy, Kerry 

Delaware County Community College, Media, PA, for laboratory equipment upgrades and acquisition.75,000 Specter 

Dillard University, New Orleans, LA, to establish a recruitment and training 

program for nursing assistants and home health aides.

750,000 Landrieu, Vitter 
263 

Project Committee recommendation Requested by 

Duquesne University of the Holy Spirit, Pittsburgh, PA, for equipment and technology acquisition for a supercomputing facility.100,000 Specter 

East Stroudsburg University, East Stroudsburg, PA, for forensic science education programs.100,000 Specter 

Eastern Iowa Community College, Davenport, IA, for the creation of a center on 

sustainable energy, including equipment.

350,000 Harkin, Grassley 

Eastern New Mexico University, Portales, NM, for technological equipment upgrades.1,000,000 Domenici 

Edinboro University of Pennsylvania, Edinboro, PA, to support a computer 

forensics training program at its Western Pennsylvania High Tech Crime 

Training Center.

100,000 Specter 

Emerson College, Boston, MA, for educational equipment and program development.400,000 Kennedy, Kerry 

Emmanuel College, Boston, MA, for the procurement of educational equipment 

and program development.

300,000 Kennedy, Kerry 

Flathead Valley Community College, Kalispell, MT, for program development at 

the Center for Community Entrepreneurship Education.

350,000 Baucus, Tester 

Focus: HOPE Center for Advanced Technologies Experiential Learning Labs, Detroit, MI, to establish an experiential learning laboratory.500,000 Levin, Stabenow 

Franklin Pierce College, Rindge, NH, for technology-based educational programs and services.400,000 Gregg 

George Meany Center for Labor Studies—the National Labor College, Silver 

Spring, MD, for curriculum development.

900,000 Harkin 

Georgia State University, Atlanta, GA, for science education partnership programs between colleges, universities, schools and life science community 

educational organizations.

100,000 Chambliss 

Golden Apple Foundation, Chicago, IL, for a math and science teacher training 

initiative.

500,000 Durbin 

Henry Kuualoha Giugni Archives at the University of Hawaii at Manoa, to establish an archival facility of historical Native Hawaiian records and stories.250,000 Inouye, Akaka 

Hermiston, Hermiston, OR, to support programs and systems for Latino education.300,000 Smith 

Holyoke Community College, Holyoke, MA, for educational equipment and information technology.200,000 Kennedy, Kerry 

Houston Community College, Houston, TX, for the Accelerated Nursing Proficiency Center.150,000 Hutchison 

Hudson Valley Community College, Troy, NY, to expand the nursing program .... 500,000 Clinton, Schumer 

Huntington Junior College, Huntington, WV, for the expansion of the captioning 

program.

1,080,000 Byrd 

Indiana University of Pennsylvania, Indiana, PA, for equipment acquisition and 

curriculum development for a mine safety course.

100,000 Specter 

Iowa Lakes Community College, Estherville, IA, for equipment to support the 

Sustainable Energy Education program.

250,000 Harkin, Grassley 

Kansas City Kansas Community College, Kansas City, KS, to provide workforce 

development training to improve economic conditions and to reduce prisoner 

recidivism.

500,000 Brownback 

Keystone College, LaPlume, PA, for classroom and laboratory equipment upgrades and acquisition.100,000 Specter 

King’s College, Wilkes-Barre, PA, for curriculum and professional development 

for its Center for Community Engagement and Learning.

100,000 Specter, Casey 

Lackawanna College, Scranton, PA, for laboratory equipment and technology 

upgrades and acquisition.

100,000 Specter 

Lesley University, Cambridge, MA, for educational and research equipment to 

support new science instruction laboratories.

250,000 Kennedy, Kerry 

Lewis-Clark State College, Lewiston, ID, to continue and expand the American 

Indian Students in Leadership of Education (AISLE) program.

250,000 Craig, Crapo 

Lincoln University, Lincoln University, PA, for campus-wide technology upgrades and wiring.100,000 Specter 

Lock Haven University, Lock Haven, PA, to provide professional development 

partnerships and related services.

100,000 Specter 

Maryland Association of Community Colleges, Annapolis, MD, to expand and 

improve nursing programs at Maryland’s community colleges.

2,500,000 Mikulski 

Massachusetts College of Pharmacy, Manchester, NH, for Health Professionals 

Training.

200,000 Sununu 
264 

Project Committee recommendation Requested by 

Messiah College, Grantham, PA, for wireless technology acquisition and technology infrastructure improvements.100,000 Specter 

Metro State College, Denver, CO, for training and equipment acquisition .......... 150,000 Allard 

MidAmerica Nazarene University, Olathe, KS, for equipment acquisition to expand distance education for teachers in western Kansas.300,000 Brownback 

Middle Tennessee State University, Murfreesboro, TN, for the comprehensive 

math and science teacher training program.

500,000 Alexander 

Miles Community College, Miles City, MT, for curriculum development and 

equipment for the Pathways to Careers in Health project.

350,000 Baucus, Tester 

Mississippi State University, Mississippi State, MS, for a leadership training 

program at the Appalachian Leadership Honors Program.

100,000 Cochran 

Mississippi State University, Mississippi State, MS, for acquisition of equipment and curriculum development at the Wise Center-Broadcast Facility 

Conversion to Digital.

1,100,000 Cochran 

Missouri State University, Springfield, MO, for program development and expansion, equipment and technology for the Distance Learning Project on the 

West Plains Campus.

1,000,000 Bond 

Montana Committee for the Humanities, Missoula, MT, to continue civic educational programs.100,000 Baucus 

Montana State University-Billings, Billings, MT, for the Montana Energy Workforce Training Center.145,000 Tester 

Montana State University-Billings, Billings, MT, to develop job-training programs.200,000 Baucus 

Montana State University-Billings, Billings, MT, to expand professional development education programs for the health care industry.200,000 Baucus, Tester 

Moravian College, Bethlehem, PA, for equipment and technology acquisition 

and curriculum development for a science initiative.

100,000 Specter 

Morehouse College, Atlanta, GA, to establish a research initiative to improve 

college graduation of minority students.

100,000 Chambliss, Isakson 

Mott Community College—Center for Advanced Manufacturing, Flint, MI, for a 

clearinghouse and pilot program for new technology.

500,000 Levin, Stabenow 

Muhlenberg College, Allentown, PA, for education and outreach services to 

support undergraduate students with disabilities.

100,000 Specter 

Nevada State College, Henderson, NV, for math and science teacher initiatives.325,000 Reid 

New Hampshire Community Technical College System, Concord, NH, to expand 

and modernize engineering technology programs.

300,000 Sununu, Gregg 

New Hampshire Community Technical College System, Concord, NH, to standardize technology and learning across seven community colleges.250,000 Gregg 

North Dakota State College of Science, Wahpeton, ND, to train students in 

nanoscience and other advanced technologies.

1,000,000 Dorgan, Conrad 

Northeast Community College, Norfolk, NE, for nurse training, including the 

purchase of equipment.

200,000 Hagel, Ben Nelson 

Northern Essex Community College, Lawrence, MA, for equipment for allied 

health program.

245,000 Kennedy, Kerry 

Northern Kentucky University, Highland Heights, KY, for the nursing education 

program.

150,000 Bunning 

Northern Kentucky University, Highland Heights, KY, for the Infrastructure Management Institute.500,000 McConnell 

Northern Rockies Educational Services, Twin Bridges, MT, to develop Taking 

Technology to the Classroom program.

100,000 Baucus 

Northwestern State University of Louisiana, Natchitoches, LA, for a nursing 

education program.

200,000 Landrieu, Vitter 

Oregon Coast Community College, Nursing Program, Newport, OR, for equipment acquisition for a simulation/skills lab for the nursing program.100,000 Smith 

Pennsylvania Highlands Community College, Johnstown, PA, for laboratory 

equipment and technology upgrades and acquisition.

100,000 Specter 

Peru State College, Peru, NE, to support the Adopt-a-High-School program for 

first generation college students in Southeastern Nebraska.

100,000 Hagel, Ben Nelson 

Philadelphia University, Philadelphia, PA, for the Scientific Reasoning/Inquiry 

Based Education (SCRIBE) initiative.

100,000 Specter 

Plymouth State University, Plymouth, NH, for a collaborative research institute 

for sustainable rural economics.

250,000 Gregg 

Portland State University, Portland, OR, to equip its Science Research and 

Teaching Center.

400,000 Wyden, Smith 
265 

Project Committee recommendation Requested by 

Redlands Community College, El Reno, OK, for nursing programs ...................... 100,000 Inhofe 

Riverside Community College, Riverside, CA, to prepare high schools students 

to pursue postgraduate courses in health care.

100,000 Boxer 

Robert Morris University, Moon Township, PA, for health care professional education programs in the use of electronic health records.100,000 Specter 

Rochester Area Colleges, Rochester, NY, for Excellence in Math and Science .... 600,000 Schumer, Clinton 

Rust College, Holly Springs, MS, for acquisition of equipment for the Science 

and Mathematics Annex.

500,000 Cochran 

Ryan Foundation, Wayne, PA, for civic education programs ................................. 100,000 Specter 

Saint Anselm College, Manchester, NH, for a civic education program ............... 250,000 Gregg 

Salt Lake Community College, Salt Lake City, Utah, to train health care professionals.500,000 Bennett 

Salve Regina University, Newport, RI, for historic preservation education programs including equipment.1,000,000 Reed, Whitehouse 

Security on Campus, Inc., King of Prussia, PA, for campus safety peer education programs.25,000 Specter 

Seminole State College, Seminole, OK, for the Medical Laboratory Technology 

Program, including technology acquisition.

100,000 Inhofe 

Shippensburg University, Shippensburg, PA, for technology upgrades and acquisition.100,000 Specter, Casey 

South Carolina Technical College System, Columbia, SC, to fund apprenticeship pilot programs in economically distresses areas.200,000 Graham 

Southeastern Pennsylvania Consortium for Higher Education, Glenside, PA, for 

equipment.

500,000 Casey 

Southern Utah University, Cedar City, Utah, to enhance academic skills and 

training of science teachers in southern Utah through mobile classroom.

50,000 Hatch 

Southwestern Indian Polytechnic Institute, Albuquerque, NM, to expand a renewable energy training program.400,000 Bingaman 

Southwestern University, Georgetown, TX, for the Center for Hispanic Studies ... 200,000 Hutchison 

Spelman College, Atlanta, GA, for programs to recruit and increase graduation 

rates for African-American females pursuing sciences, mathematics, or 

dual-engineering degrees.

100,000 Chambliss 

Springfield Public Schools Academy of Arts and Academics, Springfield, OR, for 

classroom equipment and technology.

100,000 Smith, Wyden 

Stephen F. Austin State University, Nacogdoches, TX, for outreach and education programs at the Early Childhood Research and Development Center.200,000 Hutchison 

State University of New York at New Paltz, New Paltz, NY, for curriculum development in economic development and governance.300,000 Schumer, Clinton 

Stonehill College, Easton, MA, to procure equipment and develop programs for 

the Center for Non-Profit Management.

200,000 Kennedy, Kerry 

Susquehanna University, Selinsgrove, PA, for laboratory equipment and technology acquisition.100,000 Specter, Casey 

Texas Woman’s University, Denton, TX, for the Institute of Health Sciences Dallas Center, for acquisition of technology.200,000 Hutchison 

Thiel College, Greenville, PA, for technology infrastructure upgrades and acquisition.100,000 Specter 

Tougaloo College, Tougaloo, MS, for an international study abroad program ..... 200,000 Cochran 

Turtle Mountain Community College, Belcourt, ND, to develop a vocational and 

technical training curriculum.

750,000 Dorgan, Conrad 

University of Alaska, Anchorage, AK, for the 49th State Scholars program ........ 350,000 Stevens 

University of Alaska, Anchorage, AK, for the Alaska Native Students Science 

and Engineering program.

1,000,000 Stevens 

University of Arizona, Tucson, AZ, for the Integrative Medicine in Residency 

program.

250,000 Harkin 

University of Arkansas for Medical Sciences, Little Rock, AR, for equipment 

and curriculum development for genetic counseling and other health care 

programs.

400,000 Lincoln, Pryor 

University of Central Arkansas, Conway, AR, for information technology ............ 400,000 Lincoln, Pryor 

University of Dubuque in Dubuque, Iowa for the establishment of a nursing 

education program.

500,000 Harkin 

University of Hawaii at Hilo for an Applied Rural Science program and a Clinical Pharmacy Training Program.1,000,000 Inouye, Akaka 

University of Hawaii School of Law, for a health policy center and cultural 

education programs.

250,000 Inouye 
266 

Project Committee recommendation Requested by 

University of Idaho, Moscow, ID, for the Gateway to Math Program, for continued outreach to pre-college math students.200,000 Craig, Crapo 

University of Mississippi, Oxford, MS, for program development and curriculum 3,000,000 Lott 

University of New Hampshire, Manchester Campus, Manchester, NH, to expand 

business and high technology academic programs.

400,000 Sununu 

University of North Carolina at Wilmington, North Carolina, for nursing programs including military veterans, clinical research and distance learning.250,000 Dole 

University of Northern Iowa, Cedar Falls, IA, for the development of math and 

science programs.

200,000 Grassley 

University of Scranton, Scranton, PA, for equipment acquisition to support 

nursing and allied health education programs.

100,000 Specter, Casey 

University of South Dakota, Vermillion, SD, to establish degrees in public 

health.

300,000 Johnson 

University of Southern Mississippi, Hattiesburg, MS, for curriculum development and acquisition of equipment.1,000,000 Lott 

University of Tennessee, Knoxville, TN, for the Baker Center for Public Policy .... 6,000,000 Byrd, Cochran, Harkin 

University of Tulsa, Tulsa, OK, for acquisition of equipment at the Center for 

Information Security.

100,000 Inhofe 

University of Vermont of Burlington, Burlington, VT, to establish advanced 

practice graduate nursing program in psychiatric-mental health nursing.

300,000 Leahy 

University of Vermont of Burlington, VT, Burlington, VT, to establish a child 

psychiatry fellowship program.

200,000 Leahy 

University of Wisconsin Eau Claire, Eau Claire, WI, to provide educational programs in nanotechnology.200,000 Kohl 

University of Wisconsin Platteville, Platteville, WI, to establish an English as a 

Second Language teacher certification program.

150,000 Kohl 

University of Wisconsin Whitewater, Whitewater, WI, to establish a certification 

program for science teachers.

150,000 Kohl 

Urban College of Boston, Boston, MA, to support higher education programs 

serving low-income and minority students.

750,000 Kennedy, Kerry 

Utah Valley State College, Orem, Utah, to expand nursing education, including 

technology acquisition and curriculum development.

50,000 Hatch 

Vermont Technical College, Randolph Center, VT, for equipment for the Fire 

Science Program.

500,000 Sanders 

Villa Julie College, Stevenson, MD, to expand the Nursing Distance Learning 

Program.

750,000 Mikulski 

Virginia Polytechnic Institute and State University, Blacksburg, VA, for equipment.200,000 Warner, Webb 

Washburn University, Topeka, KS, for equipment acquisition to train students 

in science and health-related fields.

300,000 Brownback 

Washington & Jefferson College, Washington, PA, for foreign language programs.100,000 Specter 

Washington State University, Pullman, WA, for mentoring programs women in 

science programs.

400,000 Murray, Cantwell 

Weber State University, Ogden, Utah, to provide mentoring for minority disadvantaged students.50,000 Hatch 

Weber State University, Ogden, Utah, for stipends and tuition assistance for 

faculty to pursue advanced nursing degree.

500,000 Bennett 

West Chester University, West Chester, PA, for technology infrastructure upgrades and acquisition.100,000 Specter 

Western Iowa Tech Community College, Sioux City, IA, for equipment ................ 100,000 Harkin, Grassley 

Western Kentucky University Research Foundation, Bowling Green, KY, for 

equipment acquisition for the science, technology and engineering facility.

1,500,000 McConnell 

Western Oregon University, Monmouth, OR, for equipping a nursing simulation 

laboratory.

250,000 Wyden, Smith 

Wheaton College, Norton, MA, to procure educational equipment and information technology to support science center expansion.200,000 Kennedy, Kerry 

Wheelock College, Boston, MA, for educational equipment and curriculum development for the K–9 science teachers program.250,000 Kennedy, Kerry 

William Paterson University, Wayne, NJ, for curriculum development and other 

activities to establish the Center for the Study of Critical Languages.

250,000 Lautenberg 

Wisconsin Association of Independent Colleges and Universities, Madison, WI, 

to continue implementation of administrative support functions for independent colleges and universities.

200,000 Kohl 
267 

Project Committee recommendation Requested by 

York College of Pennsylvania, York, PA, for laboratory equipment and technology upgrades and acquisition.100,000 Specter, Casey 

York College, York, NE, for training of clinical social workers in central and 

western Nebraska, including curriculum development.

100,000 Hagel, Ben Nelson 

Minority Science and Engineering Improvement 

The Committee recommends $8,730,000 for the Minority Science 

and Engineering Improvement program [MSEIP], the same as the 

fiscal year 2007 level. 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 $8,000,000 for tribally controlled postsecondary vocational institutions, an increase of $634,000 over 

the fiscal year 2007 level. This program provides grants for the operation and improvement of two tribally controlled postsecondary 

vocational institutions to ensure continued and expanding opportunities for Indian students. 

Federal TRIO Programs 

The Committee recommends $858,178,000 for Federal TRIO Programs, an increase of $30,000,000 over the fiscal year 2007 level. 

TRIO programs provide a variety of services to improve postsecondary education opportunities for low-income individuals and 

first-generation college students: Upward Bound offers disadvantaged high school students academic services to develop the skills 

and motivation needed to continue their education; Student Support Services provides remedial instruction, counseling, summer 

programs and grant aid to disadvantaged college students to help 

them complete their postsecondary education; Talent Search identifies and counsels individuals between ages 11 and 27 regarding opportunities for completing high school and enrolling in postsecondary education; Educational Opportunity Centers provide information and counseling on available financial and academic assistance to low-income adults who are first-generation college students; 

and the Ronald E. McNair Postbaccalaureate Achievement Program supports research internships, seminars, tutoring, and other 

activities to encourage disadvantaged college students to enroll in 

graduate programs. 

Gaining Early Awareness and Readiness for Undergraduate Programs [GEARUP] 

The Committee recommends $313,423,000 for GEARUP, an increase of $10,000,000 over the fiscal year 2007 level. 

Under this program funds are used by States and partnerships 

of colleges, middle and high schools, and community organizations 
268 

to assist middle and high schools serving a high percentage of lowincome students. Services provided help students prepare for and 

pursue a postsecondary education. 

Byrd Honors Scholarships 

The Committee recommends $41,000,000 for the Byrd honors scholarship program, an increase of $410,000 over the fiscal year 

2007 level. 

The Byrd honors scholarship program is designed to promote student excellence and achievement and to recognize exceptionally 

able students who show promise of continued excellence. Funds are 

allocated to State education agencies based on each State’s schoolaged population. The State education agencies select the recipients 

of the scholarships in consultation with school administrators, 

teachers, counselors, and parents. The funds provided will support 

a new cohort of first-year students in 2008, and continue support 

for the 2005, 2006, and 2007 cohorts of students in their fourth, 

third and second years of study, respectively. 

Javits Fellowships 

The Committee recommends $9,699,000 for the Javits Fellowships program, the same as the fiscal year 2007 level. 

The Javits Fellowships program provides fellowships of up to 4 

years to students of superior ability who are pursuing doctoral degrees in the arts, humanities, and social sciences at any institution 

of their choice. Each fellowship consists of a student stipend to 

cover living costs, and an institutional payment to cover each fellow’s tuition and other expenses. The Committee bill includes language proposed in the budget that stipulates that funds provided 

in the fiscal year 2008 appropriation support fellowships for the 

2009–2010 academic year. 

Graduate Assistance in Areas of National Need [GAANN] 

The Committee recommends $30,067,000 for graduate assistance 

in areas of national need, the same as the fiscal year 2007 level. 

This program awards competitive grants to graduate academic departments and programs for fellowship support in areas of national 

need as determined by the Secretary. In fiscal year 2005, the Secretary designated the following areas of national need: biology, 

chemistry, computer and information sciences, engineering, geological and related sciences, mathematics, physics, and nursing. Recipients must demonstrate financial need and academic excellence, and 

seek the highest degree in their fields. 

The Committee is especially pleased that the Secretary included 

nursing as an area of national need in its fiscal year 2006 program 

announcement. Given the magnitude of the nursing shortage, the 

Committee was pleased to see the Secretary take this step in establishing a priority for a nursing program that focuses on the preparation of nurse scholars at the Ph.D. level for educational leadership roles. 

The Committee believes that the GAANN program can make a 

difference in helping our Nation prepare for the projected need for 

1.2 million new and replacement nurses by 2014 as identified by 

the U.S. Bureau of Labor Statistics. The Committee encourages the 
269 

Secretary to include nursing as an area of national need in future 

years until our Nation develops an adequate supply of nurses and 

ends this projected shortage. 

Teacher Quality Enhancement Grants 

The Committee recommends $28,521,000 for the teacher quality enhancement grants program. This amount is $31,374,000 below 

the fiscal year 2007 level and a sufficient amount to fund all fiscal 

year 2008 continuation awards. 

The program was established to support initiatives that best 

meet specific teacher preparation and recruitment needs. Further, 

the Higher Education Act provides and designates funding for the 

program in three focus areas: 45 percent of resources support a 

State grant program, 45 percent of funds are used for a partnership program, and 10 percent are designated for a recruitment 

grant program. 

The Committee bill includes language that would allow the Department to fund awards under the three program areas at the discretion of the Department, instead of as mandated by the Higher 

Education Act. The Committee continues this language from last 

year’s bill in order to prevent funds available under this program 

from going unused. 

Under the State grant program, funds may be used for a variety 

of State-level reforms, including more rigorous teacher certification 

and licensure requirements; provision of high-quality alternative 

routes to certification; development of systems to reward high-performing teachers and principals; and development of efforts to reduce the shortage of qualified teachers in high-poverty areas. 

Teacher training partnership grants, which are awarded to local 

partnerships comprised of at least one school of arts and science, 

one school or program of education, a local education agency, and 

a K–12 school, may be used for a variety of activities designed to 

improve teacher preparation and performance, including efforts to 

provide increased academic study in a proposed teaching specialty 

area; to prepare teachers to use technology effectively in the classroom; to provide preservice clinical experiences; and to integrate reliable research-based teaching methods into the curriculum. Partnerships may work with other entities, with those involving businesses receiving priority consideration. Partnerships are eligible to 

receive a one-time-only grant to encourage reform and improvement at the local level. 

The recruitment grant program supports efforts to reduce shortages of qualified teachers in high-need school districts as well as 

provide assistance for high-quality teacher preparation and induction programs to meet the specific educational needs of the local 

area. 

Child Care Access Means Parents in Schools 

The Committee recommends an appropriation of $15,810,000 for 

the Child Care Access Means Parents in School [CCAMPIS] program, the same as the fiscal year 2007 level. CCAMPIS was established in the Higher Education Amendments of 1998 to support the 

efforts of a growing number of non-traditional students who are 

struggling to complete their college degrees at the same time that 
270 

they take care of their children. Discretionary grants of up to 4 

years are made to institutions of higher education to support or establish a campus-based childcare program primarily serving the 

needs of low-income students enrolled at the institution. 

Advancing America through Foreign Language Partnerships 

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

new program. The administration had requested $24,000,000. This 

program funds grants to increase the number of Americans with 

professional levels of competency in languages critical to national 

security. Under this new program grants would be awarded to institutions of higher education for partnerships with school districts 

to create programs of study in kindergarten through postsecondary 

education in critical needs languages. 

Demonstration Projects to Ensure Quality Higher Education for 

Students With Disabilities 

The Committee recommends $6,875,000 for this program, the 

same amount as the comparable fiscal year 2007 funding level. The 

budget proposes no funding for this program. This program’s purpose is to ensure that students with disabilities receive a highquality postsecondary education. Grants are made to support model 

demonstration projects that provide technical assistance and professional development activities for faculty and administrators in 

institutions of higher education. 

The Committee urges the Department to utilize resources available under the GPRA/data collection program to support a rigorous 

evaluation of outcomes achieved by grantees funded under this program and to identify the impact that these funds are having on improving opportunities for students with disabilities at institutions 

of higher education throughout the United States. 

Underground Railroad Program 

The Committee recommendation does not include funding for the 

Underground Railroad program and the budget request does not include any funds for this activity. The comparable fiscal year 2007 

funding level was $1,980,000. The program was authorized by the 

Higher Education Amendments of 1998 and was funded for the 

first time in fiscal year 1999. Grants are provided to research, display, interpret, and collect artifacts relating to the history of the 

underground railroad. Educational organizations receiving funds 

must demonstrate substantial private support through a public-private partnership, create an endowment fund that provides for ongoing operation of the facility, and establish a network of satellite 

centers throughout the United States to share information and 

teach people about the significance of the Underground Railroad in 

American history. 

GPRA/Higher Education Act Program Evaluation 

The Committee recommends $970,000 for data collection associated with the Government Performance and Results Act data collection and to evaluate programs authorized by the Higher Education Act. These funds are used to comply with the Government 

Performance and Results Act, which requires the collection of data 
271 

and evaluation of Higher Education programs and the performance 

of recipients of Higher Education funds. 

B.J. Stupak Olympic Scholarships 

The Committee recommendation does not include funding for this 

program. The comparable fiscal year 2007 funding level is $970,000 

and the budget request did not include funds for this activity. 

Thurgood Marshall Legal Educational Opportunity Program 

The Committee recommendation does not include any funds for 

the Thurgood Marshall Legal Educational Opportunity Program. 

The comparable funding level for fiscal year 2007 is $2,946,000 and 

the budget request does not include any funds for this purpose. 

Under this program, funds help low-income, minority or disadvantaged college students with the information, preparation and 

financial assistance to enter and complete law school study. The 

Higher Education Act stipulates that the Secretary make an award 

to or contract with the Council on Legal Education Opportunity to 

carry out authorized activities. 

HOWARD UNIVERSITY

Appropriations, 2007 ............................................................................. $237,391,000 

Budget estimate, 2008 ........................................................................... 233,866,000 

Committee recommendation ................................................................. 237,392,000 

The Committee recommends an appropriation of $237,392,000 for 

Howard University. The comparable fiscal year 2007 funding level 

is $237,391,000 and the budget request includes $233,866,000 for 

this purpose. Howard University is located in the District of Columbia and offers undergraduate, graduate, and professional degrees through 12 schools and colleges. The university also administers the Howard University Hospital, which provides both inpatient and outpatient care, as well as training in the health professions. Federal funds from this account support more than 50 percent of the university’s projected educational and general expenditures, excluding the hospital. The Committee recommends, within 

the funds provided, not less than $3,526,000 shall be for the endowment program. 

Howard University Hospital.—Within the funds provided, the 

Committee recommends $29,461,000 for the Howard University 

Hospital. The comparable fiscal year 2007 funding level and the 

budget request both are $29,461,000 for this purpose. The hospital 

serves as a major acute and ambulatory care center for the District 

of Columbia and functions as a major teaching facility attached to 

the university. The Federal appropriation provides partial funding 

for the hospital’s operations. 

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS

Appropriations, 2007 ............................................................................. $571,000 

Budget estimate, 2008 ........................................................................... 481,000 

Committee recommendation ................................................................. 481,000 

Federal Administration.—The Committee bill includes $481,000 

for Federal administration of the CHAFL program. The comparable 
272 

fiscal year 2007 funding level is $571,000 and the budget request 

includes $481,000 for such expenses. 

These funds will be used to reimburse the Department for expenses incurred in managing the existing CHAFL loan portfolio 

during fiscal year 2008. These expenses include salaries and benefits, travel, printing, contracts (including contracted loan servicing 

activities), and other expenses directly related to the administration of the CHAFL program. 

HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL

FINANCING PROGRAM

Appropriations, 2007 ............................................................................. $209,000 

Budget estimate, 2008 ........................................................................... 188,000 

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

Federal Administration.—The Committee recommends $188,000 

for Federal administration of the Historically Black College and 

University [HBCU] Capital Financing Program. The comparable 

fiscal year 2007 funding level is $209,000 and the budget request 

includes $188,000 for this activity. 

The HBCU Capital Financing Program makes capital available 

to HBCUs for construction, renovation, and repair of academic facilities by providing a Federal guarantee for private sector construction bonds. Construction loans will be made from the proceeds 

of the sale of the bonds. 

INSTITUTE OF EDUCATION SCIENCE

Appropriations, 2007 ............................................................................. $517,485,000 

Budget estimate, 2008 ........................................................................... 594,262,000 

Committee recommendation ................................................................. 589,826,000 

The Committee recommends $589,826,000 for the Institute of 

Education Sciences. The comparable fiscal year 2007 funding level 

is $517,485,000 and the budget request includes $594,262,000 for 

authorized activities. This account supports education research, 

data collection and analysis activities, and the assessment of student progress. 

RESEARCH, DEVELOPMENT AND DISSEMINATION

The Committee recommends $182,552,000 for education research, 

development and national dissemination activities. The comparable 

fiscal year 2007 amount is $162,552,000 and the budget request includes $162,535,000 for these activities. Funds are available for obligation for 2 fiscal years. These funds support research, development, and dissemination activities that are aimed at expanding 

fundamental knowledge of education and promoting the use of research and development findings in the design of efforts to improve 

education. 

The Committee recommendation includes an increase of 

$20,000,000 over the budget request to accelerate research and development of programs that can help States and local school districts meet the goals of No Child Left Behind [NCLB]. The Committee notes that one of the bipartisan recommendations of The 

Commission on No Child Left Behind is to double the research 

budget at IES and target the increase to research that assists 
273 

schools in meeting the goals of NCLB. The Committee intends for 

these funds to be used in conjunction with IES base funding to develop and evaluate approaches to improving student achievement, 

such as supplemental education services and turnaround programs, 

particularly for schools failing to meet adequate yearly progress. 

The Committee believes that these funds should be used for activities such as, funding large-scale randomized evaluations of programs that appear to be particularly promising through small-scale 

evaluations; funding non-profit developers of proven programs to 

help them create capacity for training, materials production, and 

other activities that would enable these programs to be utilized 

more widely; and fund researchers to carry out large-scale, randomized evaluations of existing programs. 

The Committee strongly supports the Department’s efforts to 

carry out congressionally authorized evaluations of Federal education programs using rigorous methodologies, particularly random 

assignment, that are capable of producing scientifically valid 

knowledge regarding which program activities are effective. To ensure that authorized evaluations are conducted in a rigorous manner that is independent of the program office and includes scientific 

peer review, the Committee believes that the Institute of Education 

Sciences should be the lead agency for the design and implementation of these evaluations. The Committee believes further that it is 

essential for program offices to work collaboratively with the Institute to include a priority or requirement in program solicitations 

for grantee participation in such evaluations, including random assignment, to the extent the Institute deems appropriate and where 

not specifically prohibited by law. The Committee notes that program offices and the Institute have already collaborated in this 

manner to advance rigorous evaluations in programs such as Student Drug Testing, Smaller Learning Communities, Student Mentoring, and Striving Readers. 

The Committee is pleased with the framework identified by the 

Institute in June 2, 2006 correspondence from the Director that 

outlines concrete steps the Institute is taking to implement the national research and development centers program, consistent with 

the intent of the Committee. The Committee intends for fiscal year 

2007 and 2008 funds available to the Institute to be utilized in the 

same manner. 

The Committee is encouraged by the Institute’s continued commitment to increasing the scientific quality of its research projects 

that translate basic cognitive, developmental and neuroscience research findings from into effective classroom practices. The Committee supports the Institute’s focus on math and science cognition 

research that is necessary for the nation’s competitiveness. To 

maximize research investments, the Committee encourages IES to 

increase its communication and coordination of research agendas 

with the National Institute of Child Health and Human Development to increase academic achievement for all students, including 

those with learning disabilities. 

The Committee continues to support the fully integrated use of 

technology in schools and urges the Department to continue evaluating the use of educational technology and its impact on achievement over the long term. In particular, the Committee supports the 
274 

contract recently awarded by the Department to the RAND Corporation for a study of the impact of Carnegie Learning’s Cognitive 

Tutor Algebra I Curriculum. The Department should be prepared 

to comment on the progress of this study during the fiscal year 

2009 budget hearing. 

STATISTICS

The Committee recommends $95,022,000 for data gathering and 

statistical analysis activities of the National Center for Education 

Statistics [NCES]. The comparable fiscal year 2007 funding level is 

$90,022,000 and the budget request includes $119,022,000 for this 

purpose. 

The NCES collects, analyzes, and reports statistics on education 

in the United States. Activities are carried out directly and through 

grants and contracts. The Center collects data on educational institutions at all levels, longitudinal data on student progress, and 

data relevant to public policy. The NCES also provides technical 

assistance to State and local education agencies and postsecondary 

institutions. 

The Committee has included funds above the fiscal year 2007 

level under the arts in education evaluation activity and within 

this program for the National Center for Education Statistics to 

utilize its Fast Response Survey System to collect data for the report of Arts Education in Public Elementary and Secondary Schools 

during the 2008–2009 school year. The Committee expects this survey to be co-requested by the Office of Innovation and Improvement 

and the National Endowment for the Arts, and administered by the 

Institute for Education Sciences. The Committee believes the survey must have the comprehensive quality of the 2002 report and 

should include national samples of elementary and secondary 

school principals, as well as surveys of elementary and secondary 

classroom teachers and arts specialists. 

REGIONAL EDUCATIONAL LABORATORIES

The Committee recommends $68,000,000 to continue support for 

the regional educational laboratories. The comparable fiscal year 

2007 funding level is $65,470,000 and the budget request includes 

$65,464,000 for this purpose. Program funds support a network of 

10 laboratories that are responsible for promoting the use of broadbased systemic strategies to improve student achievement. The 

Committee recommends additional funds for the laboratories to increase their capacity to provide timely responses to requests for assistance on issues of urgent regional need. 

The Committee is pleased that the research, development, dissemination, and technical assistance activities carried out by the 

regional educational laboratories will be consistent with the standards for scientifically based research prescribed in the Education 

Sciences Reform Act of 2002. The Committee believes that the laboratories, working collaboratively with the comprehensive centers 

and Department-supported technical assistance providers, have an 

important role to play in helping parents, States, and school districts improve student achievement as called for in No Child Left 

Behind. In particular, the Committee intends for the laboratories 

and their technical assistance provider partners to provide products 
275 

and services that will help States and school districts utilize the 

school improvement funds available in the Education for the Disadvantaged account to support school improvement activities that 

are supported by scientifically based research. 

RESEARCH AND INNOVATION IN SPECIAL EDUCATION

The Committee recommends $71,840,000 for research and innovation in special education. The comparable funding level for fiscal 

year 2007 is $71,840,000 and the budget request includes 

$71,829,000 for this purpose. The National Center for Special Education Research addresses gaps in scientific knowledge in order to 

improve special education and early intervention services and outcomes for infants, toddlers, and children with disabilities. Funds 

provided to the center are available for obligation for 2 fiscal years. 

SPECIAL EDUCATION STUDIES AND EVALUATIONS

The Committee recommends $9,628,000 for special education 

studies and evaluations. The comparable funding level for fiscal 

year 2007 is $9,900,000 and the budget request includes $9,628,000 

for this purpose. 

This program supports competitive grants, contracts, and cooperative agreements to assess the implementation of the Individuals 

with Disabilities Education Act. Funds also will be used to evaluate 

the effectiveness of State and local efforts to deliver special education services and early intervention programs. Funds are available for obligation for 2 fiscal years. 

STATEWIDE DATA SYSTEMS

The Committee recommendation includes $58,000,000 for statewide data systems. The comparable funding level for fiscal year 

2007 is $24,552,000 and the budget request includes $49,152,000 

for this purpose. 

This program supports competitive grants to State educational 

agencies to enable such agencies to design, develop, and implement 

statewide, longitudinal data systems to manage, analyze, 

disaggregate, and use individual student data. Funds are available 

for obligation for 2 fiscal years. The Committee believes these 

funds are necessary to help States measure individual student performance, particularly as it relates to adequate yearly progress 

goals, more efficiently and accurately. 

The Committee commends the Institute for its work in establishing an expert team to design the program and plan the 2005 

grant competition. These actions are the first steps toward fulfilling 

the goals established in the Educational Technical Assistance Act 

and the statement of the managers accompanying the fiscal year 

2005 Department of Education appropriations act. The Committee 

supports the progress of the Institute of Education Sciences in implementing the Statewide Longitudinal Data Systems program 

through the 14 grant awards made to States to date. The goals of 

these grants are to enhance the ability of States to use education 

data from individual student records to make data-driven decisions 

to improve student learning, to facilitate research to increase student achievement and close achievement gaps, and to comply with 
276 

requirements under the Elementary and Secondary Education Act 

of 1965 and other reporting requirements. The Committee intends 

for the Institute to continue to administer this program in a manner that addresses all of these goals. 

ASSESSMENT

The Committee recommends $104,784,000 for assessment. The 

comparable fiscal year 2007 funding level is $93,149,000 and the 

budget request includes $116,632,000 for authorized activities. 

These funds provide support for the National Assessment of Educational Progress [NAEP], a congressionally mandated assessment 

created to measure the educational achievement of American students. The primary goal of NAEP is to determine and report the 

status and trends over time in educational achievement, subject by 

subject. Beginning in 2002, the Department began paying for State 

participation in biennial reading and mathematics assessments in 

grades 4 and 8. The budget request includes an increase of $22,500,000 to support activities for implementing in 2009 State-level assessments in 

the 12th grade. The Committee recommendation includes a portion 

of the requested funds. 

Within the funds appropriated, the Committee recommends 

$6,037,000 for the National Assessment Governing Board [NAGB], 

which is responsible for formulating policy for NAEP. The comparable fiscal year 2007 amount is $5,054,000 and the budget request includes $6,037,000 for NAGB. 

DEPARTMENTAL MANAGEMENT

PROGRAM ADMINISTRATION

Appropriations, 2007 ............................................................................. $418,587,000 

Budget estimate, 2008 ........................................................................... 446,934,000 

Committee recommendation ................................................................. 432,631,000 

The Committee recommends $432,631,000 for program administration. The comparable fiscal year 2007 funding level is 

$418,587,000 and the budget request includes $446,934,000 for this 

purpose. 

Funds support personnel compensation and benefits, travel, rent, 

communications, utilities, printing, equipment and supplies, automated data processing, and other services required to award, administer, and monitor approximately 180 Federal education programs. Support for program evaluation and studies and advisory 

councils is also provided under this activity. 

The budget request includes $17,303,000 for building renovations 

and related expenses associated with the upgrade of the Mary E. 

Switzer building. The Committee recommendation includes 

$3,000,000 for this purpose and makes the funds available until expended, as proposed in the budget request. 

The Committee is aware that several leading professional societies and lay organizations have recognized the importance of managing life-threatening food allergies in the school setting. It is estimated that 94 percent of the Nation’s schools have students with 

food allergy, and the incidence is increasing. The Committee encourages the Department to work with the Department of Health 
277 

and Human Services and knowledgeable private sector organizations on the development of guidelines for the management of children with food allergy as well as a plan to disseminate these guidelines to State and local educational agencies. 

The rapid pace of technological change and increasing global 

competition constantly challenge our schools to innovate and to improve training in math, science and engineering. As a result, a 

number of promising initiatives are underway to improve the math 

and science skills of middle-school students and to attract students, 

especially young women and minorities, into careers in engineering. Some national multimedia initiatives, for example, combine innovative television programming with specialized lesson plans and 

web-based materials. These multi-faceted approaches complement 

our national goals to improve academic achievement and remain 

competitive in the global marketplace. The Committee encourages 

the Secretary to consider incorporating promising initiatives into 

the Department’s long-term strategy to improve achievement in 

math, science and engineering, particularly among women and minorities. 

OFFICE FOR CIVIL RIGHTS

Appropriations, 2007 ............................................................................. $91,205,000 

Budget estimate, 2008 ........................................................................... 93,771,000 

Committee recommendation ................................................................. 93,771,000 

The Committee recommends $93,771,000 for the Office for Civil 

Rights [OCR]. The comparable fiscal year 2007 amount is 

$91,205,000 and the budget request includes $93,771,000 for this 

purpose. 

The Office for Civil Rights is responsible for the enforcement of 

laws that prohibit discrimination on the basis of race, color, national origin, sex, disability, and age in all programs and institutions funded by the Department of Education. To carry out this responsibility, OCR investigates and resolves discrimination complaints, monitors desegregation and equal educational opportunity 

plans, reviews possible discriminatory practices by recipients of 

Federal education funds, and provides technical assistance to recipients of funds to help them meet civil rights requirements. 

In the Senate report (109–103) for fiscal year 2006, the Committee expressed concern over the Department’s ‘‘Additional Clarification of Intercollegiate Athletics Policy: Three-Part Test—Part 

Three’’ issued in March 2005 and asked the Department to prepare 

a report addressing the other sources of information besides surveys institutions consider to assess student interest under the third 

prong of the three-part test. The Committee is aware that the Secretary has reassured the Congress through several exchanges of 

correspondence, and in its report, that the Additional Clarification 

does not establish any new legal standards, but rather is intended 

to provide institutions with additional guidance on compliance with 

the third part of the three-part test. Accordingly, the Committee 

understands that the 2005 Additional Clarification does not change 

the legal standards for compliance with prong three set forth in the 

1996 Policy Clarification, and that a presumption of compliance 

with prong three may not be achieved solely through reliance on 

a survey. Rather, the Additional Clarification is intended to provide 
278 

recipients with a model survey that they may use as one tool in the 

process of evaluating their compliance with prong three and any 

such survey may only be used in conjunction with the other methods for assessing interest that the 1996 Clarification requires recipients to evaluate (such as interviews with students and coaches 

and participation rates in area high school, club, intramural and 

community sports). 

The Committee also understands that any nonresponse to the 

Model Survey will be considered a nonresponse, rather than an expression of lack of interest. To eliminate confusion regarding the 

use of interest surveys to demonstrate compliance with prong 

three, the Committee directs the Department to provide public notice of the understanding of the Additional Clarification expressed 

in the preceding sentences to all entities covered under title IX, including by posting such notice on the Department’s homepage, and 

by including such notice immediately after the title of each printed 

or electronic version of the Additional Clarification. The Committee 

requests that the Department take this action no later than 60 

days after enactment of this act. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2007 ............................................................................. $50,266,000 

Budget estimate, 2008 ........................................................................... 53,239,000 

Committee recommendation ................................................................. 54,239,000 

The Committee recommends $54,239,000 for the Office of the Inspector General. The comparable fiscal year 2007 amount is 

$50,266,000 and the budget request includes $53,239,000 for authorized activities. 

The Office of the Inspector General has the authority to investigate all departmental programs and administrative activities, including those under contract or grant, to prevent and detect fraud 

and abuse, and to ensure the quality and integrity of those programs. The Office investigates alleged misuse of Federal funds, and 

conducts audits to determine compliance with laws and regulations, efficiency of operations, and effectiveness in achieving program goals. 

GENERAL PROVISIONS

The Committee bill contains language which has been included 

in the bill since 1974, prohibiting the use of funds for the transportation of students or teachers in order to overcome racial imbalance 

(sec. 301). 

The Committee bill contains language included in the bill since 

1977, prohibiting the involuntary transportation of students other 

than to the school nearest to the student’s home (sec. 302). 

The Committee bill contains language which has been included 

in the bill since 1980, prohibiting the use of funds to prevent the 

implementation of programs of voluntary prayer and meditation in 

public schools (sec. 303). 

The Committee bill includes a provision giving the Secretary of 

Education authority to transfer up to 1 percent of any discretionary 

funds between appropriations (sec. 304). 
279 

The Committee bill includes a new provision that prohibits funds 

from this act to be used to promulgate, implement, or enforce any 

revision to the regulations in effect under section 496 of the Higher 

Education Act of 1965 on June 1, 2007, until legislation specifically 

requiring such revision is enacted, (sec. 305). 

The Committee bill includes a provision related to eligibility of 

and computation of payments for certain school districts under the 

Impact Aid program (sec. 306) (Funding for this program was requested by Senator Durbin). 
(280) 

TITLE IV 

RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR

SEVERELY DISABLED

Appropriations, 2007 ............................................................................. $4,652,000 

Budget estimate, 2008 ........................................................................... 4,994,000 

Committee recommendation ................................................................. 4,994,000 

The Committee recommends $4,994,000 for fiscal year 2008 for 

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

The Committee for Purchase From People Who Are Blind or Severely Disabled was established by the Javits-Wagner-O’Day Act of 

1938 as amended. Its primary objective is to increase the employment opportunities for people who are blind or have other severe 

disabilities and, whenever possible, to prepare them to engage in 

competitive employment. 

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE

Appropriations, 2007 ............................................................................. $884,547,000 

Budget estimate, 2008 ........................................................................... 828,680,000 

Committee recommendation ................................................................. 880,909,000 

The Committee recommends $880,909,000 for the Corporation for 

National and Community Service in fiscal year 2008. 

The Corporation for National and Community Service, a Corporation owned by the Federal Government, was established by the National and Community Service Trust Act of 1993 (Public Law 103– 

982) to enhance opportunities for national and community service 

and provide national service education awards. The Corporation 

makes grants to States, institutions of higher education, public and 

private nonprofit organizations, and others to create service opportunities for students, out-of-school youth, and adults. 

DOMESTIC VOLUNTEER SERVICE PROGRAMS

The Committee recommends $313,054,000 for fiscal year 2008 for 

the domestic volunteer service programs of the Corporation for National and Community Service. The comparable level for fiscal year 

2007 is $316,554,000 and $294,226,000 is the administration request for fiscal year 2008. Programs authorized under the Domestic 

Volunteer Service Act include: the Volunteers in Service to America 

Program [VISTA]; the Foster Grandparent Program; the Senior 

Companion Program; and the Retired and Senior Volunteer Program. 
281 

VISTA 

The Committee recommends $95,468,000 for the Volunteers in 

Service to America [VISTA] Program. This amount is equal to the 

comparable funding level for fiscal year 2007. The budget request 

for fiscal year 2008 is $89,734,000. 

VISTA, created in 1964 under the Economic Opportunity Act, 

provides capacity building for small community-based organizations. VISTA volunteers raise resources for local projects, recruit 

and organize volunteers, and establish and expand local community-based programs in housing, employment, health, and economic 

development activities. 

National Senior Volunteer Corps 

The Committee recommends $217,586,000 for the National Senior Volunteer Corps programs, compared to $217,586,000 in fiscal 

year 2007 and $204,492,000 in the fiscal year 2008 budget request. 

In accordance with the Domestic Volunteer Service Act [DVSA], 

the Committee intends that at least one-third of each program’s increase over the fiscal year 2007 level shall be used to fund Programs of National Significance [PNS] expansion grants to allow existing FGP, RSVP, and SCP programs to expand the number of volunteers serving in areas of critical need as identified by Congress 

in the DVSA. All remaining funds shall be used to fund an administrative cost increase for each existing program nationwide. The 

amount to be allocated to individual grantees shall be calculated 

based on a percentage of the entire Federal grant award in fiscal 

year 2007, including the amount specified for payment of non-taxable stipends. The Committee directs that the Corporation shall 

comply with the directive that use of PNS funding increases in the 

FGP, RSVP, SCP, and VISTA shall not be restricted to any particular activity. The Committee further directs that the Corporation shall not stipulate a minimum or maximum for PNS grant 

augmentation. 

The maximum total dollars which may be used in fiscal year 

2008 for Grants.gov/eGrants support, Training and Technical Assistance, and Recruitment and Retention activities shall not exceed 

the amount enacted for these activities in fiscal year 2007. 

Further, funds appropriated for fiscal year 2008 may not be used 

to implement or support service collaboration agreements or any 

other changes in the administration and/or governance of national 

service programs prior to passage of a bill by the authorizing committee of jurisdiction specifying such changes. 

The CNCS shall comply with the directive that use of funds appropriated for FGP, RSVP, SCP, and VISTA shall not be used to 

fund demonstration activities. The Committee has not included 

funding for senior demonstration activities. 

Foster Grandparent Program 

The Committee recommends $110,937,000 for fiscal year 2008 for 

the Foster Grandparent Program, which is equal to the comparable 

funding level for fiscal year 2007. The budget request for fiscal year 

2008 was $97,550,000. This program provides volunteer opportunities to low-income seniors age 60 and over who serve at-risk youth. 
282 

This program not only involves seniors in their communities, but 

also provides a host of services to children. 

Senior Companion Program 

The Committee recommends $46,964,000 for fiscal year 2008 for 

the Senior Companion Program. This amount is the same as the 

comparable funding level for fiscal year 2007. The budget request 

for fiscal year 2008 was $41,299,000. 

This program enables senior citizens to provide personal assistance and companionship to adults with physical, mental, or emotional difficulties. Senior companions provide vital in-home services 

to elderly Americans who would otherwise have to enter nursing 

homes. The volunteers also provide respite care to relieve care 

givers. 

Retired and Senior Volunteer Program 

The Committee recommends $59,685,000 for the Retired and 

Senior Volunteer Program. The comparable level for fiscal year 

2007 is $59,685,000 and the administration request for fiscal year 

2008 is 65,643,000. 

This program involves persons age 55 and over in volunteer opportunities in their communities such as tutoring youth, responding to natural disasters, teaching parenting skills to teen parents, 

and mentoring troubled youth. Funding was not included for a 

baby boomer initiative that would compete and be administered 

separately from the current program. 

NATIONAL AND COMMUNITY SERVICE PROGRAMS

(INCLUDING TRANSFER OF FUNDS)

The Committee recommends $491,435,000 for the programs authorized under the National Community Service Act of 1990. The 

comparable level for fiscal year 2007 is $494,066,000 and the administration request for fiscal year 2008 is $459,422,000. 

The National and Community Service Programs of the Corporation for National and Community Service include: the AmeriCorps 

program (including AmeriCorps State and National and the National Civilian Community Corps); Learn and Serve America, Innovation, Demonstration, Assistance and Evaluation activities; State 

Commission Administration grants; and the National Service 

Trust. 

The Committee recommendation includes $288,291,000 for 

AmeriCorps State and National operating grants (including 

$12,516,000 for State administrative expenses); $117,720,000 for 

the National Service Trust; $10,550,000 for subtitle H fund activities; $31,789,000 for AmeriCorps NCCC; $39,125,000 for Learn and 

Serve; and $3,960,000 for audits and evaluations. 

The Committee has deleted long-standing statutory language 

urging the Corporation to reduce the cost-per-member of service. 

The Committee appreciates the Corporation’s attempt to drive 

down costs, however, the Committee believes that there is much 

merit to the variety of volunteer opportunities that the Corporation 

offers. In particular, the Committee strongly supports full-time and 

residential service models which cost the Government more per 
283 

unit but also provide a strong branding effort for Americorps. Parttime service and education award-only models are an important 

component of AmeriCorps but should not become the sole means of 

service. 

In addition, the Committee was disappointed to note inconsistencies in the calculation of cost-per-member in the Corporation’s 

2008 budget justification with respect to the education award. 

Those inconsistencies unfairly disadvantaged residential service 

programs and were used to justify cuts to the National Civilian 

Community Corps. The Committee expects future calculations of 

cost-per-member to treat the education award equally across all 

programs. 

AmeriCorps Grants Program (not including NCCC) 

Within the amount provided for AmeriCorps grants, the Committee is providing $65,000,000 for national direct grantees. 

The Committee is concerned that national direct funding is 

awarded in a way that disadvantages rural areas of this country. 

The Committee urges the Corporation to put a priority on national 

direct applications that serve rural areas and report to the Committee within 30 days after the end of the fiscal year on the proportion of awards given to rural and urban serving areas. 

The Committee requests that the Corporation provide annual reports to the Committee on Appropriations and the Corporation’s Inspector General on the actual and projected year-end level of 

AmeriCorps membership enrollment, usage, and earnings, and the 

financial status of the Trust fund (revenue, expenses, outstanding 

liabilities, reserve, etc.). 

The Committee recognizes that, even with recent improvements, 

a small lapse is to be expected in AmeriCorps grants due to member turnover. Therefore, the Committee has included bill language 

allowing the Corporation to transfer any funds deobligated from 

closed out AmeriCorps grants to the National Service Trust, offsetting the need for new budget authority in that account in the future. The Committee expects the Corporation to track re-fill rates 

and include that information in the annual budget justification. 

The Committee requests a report from AmeriCorps that provides 

candidate selection and non-selection statistics for each of their 

three programs (AmeriCorps State and National, AmeriCorps 

VISTA and AmeriCorps NCCC) based on the following demographics: ethnicity, gender and educational preparation. 

Innovation, Assistance and Other Activities 

Within the amount recommended for innovation, demonstration, 

and assistance activities, the Committee recommendation includes 

no funding for Presidentially requested earmarks such as Points of 

Light Foundation or America’s Promise. The Committee has increased the cap on the national direct competition funding to encourage these and other previously earmarked entities to compete 

for the funding. 

The Committee has not provided any funding in this account for 

Teach for America; these funds were requested by the administration within the Department of Education. 
284 

The Committee expects a spending plan for innovation activities 

60 days after enactment of this act. 

AmeriCorps National Civilian Community Corps 

The Committee is deeply disappointed that the Corporation has 

moved forward with a consolidation of the National Civilian Community Corps [NCCC] despite clear guidance to the contrary from 

this Committee in the last 3 years of appropriations bills and reports. The Committee has included funding and statutory direction 

to restore the two centers closed by the Corporation in sites identified and evaluated by the Corporation in its geographic assessment 

in 2005 and its more specific site evaluation in October 2006. The 

Committee expects a class to be operating out of each facility by 

the end of fiscal year 2008. 

SALARIES AND EXPENSES

The Committee recommends an appropriation of $69,520,000 for 

the Corporation’s salaries and expenses. The comparable level for 

fiscal year 2007 was $68,964,000 and the administration request 

for fiscal year 2008 was $69,520,000. The Committee reiterates the 

directive under the program account that the Corporation must 

fund all staffing needs from the salaries and expenses account. 

The salaries and expenses appropriation provides funds for staff 

salaries, benefits, travel, training, rent, advisory and assistance 

services, communications and utilities expenses, supplies, equipment, and other operating expenses necessary for management of 

the Corporation’s activities under the National and Community 

Service Act of 1990 and the Domestic Volunteer Service Act of 

1973. 

OFFICE OF INSPECTOR GENERAL

The Committee recommends an appropriation of $6,900,000 for 

the Office of Inspector General [OIG]. The comparable level for fiscal year 2007 was $4,963,000 and the administration request for 

fiscal year 2008 was $5,512,000. 

The goals of the Office of Inspector General are to increase organizational efficiency and effectiveness and to prevent fraud, waste, 

and abuse. The Office of Inspector General within the Corporation 

for National and Community Service was transferred to the Corporation from the former ACTION agency when ACTION was abolished and merged into the Corporation in April 1994. 

The Committee continues to direct the OIG to review the Corporation’s management of the National Service Trust fund. The 

Committee directs the OIG to continue reviewing the annual Trust 

reports and to notify the Committees on Appropriations on the accuracy of the reports. 

ADMINISTRATIVE PROVISIONS

The Committee has included five administrative provisions carried in prior year appropriations acts as follows: language regarding: qualified student loans eligible for education awards; the availability of funds for the placement of volunteers with disabilities; 

the Inspector General to levy sanctions in accordance with stand-
285 

ard Inspector General audit resolutions procedures; language regarding the Corporation to make significant changes to program requirements or policy through public rulemaking and public notice 

and grant selection process; and language limiting the Corporation’s authority to transfer funds between programs. 

CORPORATION FOR PUBLIC BROADCASTING

Appropriations, 2008 ............................................................................. $400,000,000 

Appropriations, 2009 ............................................................................. 400,000,000 

Budget estimate, 2010 ........................................................................... ........................... 

Committee recommendation ................................................................. 420,000,000 

The Committee recommends $420,000,000 be made available for 

the Corporation for Public Broadcasting [CPB], as an advance appropriation for fiscal year 2010. The comparable funding level provided last year was $400,000,000 for fiscal year 2009. The budget 

request does not include advance funds for this program. 

In addition, the Committee recommends $29,700,000 be made 

available in fiscal year 2008 for the conversion to digital broadcasting, the same as the comparable funding level for fiscal year 

2007. The budget request included authority to permit CPB to 

spend up to $30,600,000 in previously appropriated fiscal year 2008 

funds for digital conversion activities. 

The Committee has strongly supported the conversion of public 

broadcasting stations to digital formats and continues to do so in 

this act. However, the Committee recognizes that this conversion to 

digital transmission leaves a great number of stations with limited 

programming and makes a substantial proportion of the public 

broadcasting library unusable. The Committee believes that this 

archive of material is a valuable asset to the public and to historians. Therefore, the Committee intends that CPB may spend a 

portion of the digital conversion funds to develop a digital public 

broadcasting archive pursuant to 47 U.S.C. 396(g)(2)(D). The Committee directs CPB to notify the Committee of the proposed level 

of funding for this activity before making any funds available. 

In addition, the Committee recommends $26,750,000 be made 

available in fiscal year 2008 for the initial stage in the replacement 

project of the radio interconnection system. In fiscal year 2007, 

$34,650,000 was appropriated for this purpose. The budget request 

for fiscal year 2008 included authority to permit CPB to spend up 

to $26,750,000 in previously appropriated fiscal year 2008 funds for 

the radio interconnection system. 

FEDERAL MEDIATION AND CONCILIATION SERVICE

Appropriations, 2007 ............................................................................. $42,849,000 

Budget estimate, 2008 ........................................................................... 43,800,000 

Committee recommendation ................................................................. 44,450,000 

The Committee recommends $44,450,000 for fiscal year 2008 for 

the Federal Mediation and Conciliation Service [FMCS]. The comparable funding level for fiscal year 2007 was $42,849,000 and the 

budget request for fiscal year 2008 includes $43,800,000 for this 

program. 

The FMCS was established by Congress in 1947 to provide mediation, conciliation, and arbitration services to labor and manage-
286 

ment. FMCS is authorized to provide dispute resolution consultation and training to all Federal agencies. 

Within the funds provided, $400,000 is for the Labor-Management Cooperation grant program. The Committee continues to reject the administration’s proposal to eliminate this program. The 

1978 Labor-Management Cooperation Act authorized FMCS to encourage and support joint labor-management committees. This program awards grants to encourage these committees to develop innovative joint approaches to solve workplace problems. It has demonstrated success in improving workplace relationships and in instilling effective and efficient conflict resolution. The Committee 

strongly supports an approach to bridge labor-management relations prior to conflict. 

FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION

Appropriations, 2007 ............................................................................. $7,778,000 

Budget estimate, 2008 ........................................................................... 8,096,000 

Committee recommendation ................................................................. 8,096,000 

The Committee recommends $8,096,000 for fiscal year 2008 for 

the Federal Mine Safety and Health Review Commission. The comparable funding level for fiscal year 2007 was $7,778,000 and the 

fiscal year 2008 budget request includes $8,096,000. 

The Federal Mine Safety and Health Review Commission provides administrative trial and appellate review of legal disputes 

under the Federal Mine Safety and Health Act of 1977. The fivemember Commission provides review of the Commission’s administrative law judge decisions. 

INSTITUTE OF MUSEUM AND LIBRARY SERVICES

Appropriations, 2007 ............................................................................. $247,205,000 

Budget estimate, 2008 ........................................................................... 271,246,000 

Committee recommendation ................................................................. 266,680,000 

The Committee recommends $266,680,000 for fiscal year 2008 for 

the Institute of Museum and Library Services. 

Office of Museum Services Operations Grants 

The Committee recommends $17,152,000 for operations grants. 

These funds support grants to museums for building increased public access, expanding educational services, reaching families and 

children, and using technology more effectively in support of these 

goals. In addition, non-competitive grants are awarded for technical 

assistance in four types of assessments: Institutional, Collections 

Management, Public Dimension, and Governance. In addition to 

the total recommended, $7,920,000 has been provided for National 

Leadership Grants for Museums, $982,000 has been provided for 

the 21st Century Museum Professionals program, $442,000 for museum assessment, $1,000,000 for Native American Museum service 

grants, and $842,000 for Museum Grants for African American 

History and Culture. 

Museum Conservation Programs 

The Committee recommends $3,579,000 for Conservation programs. These funds support grants to allow museums to survey col-
287 

lections, perform training, research, treatment, and environmental 

improvements. In addition, grantees may receive additional funds 

to develop an education component that relates to their conservation project. In addition, non-competitive grants are awarded for 

technical assistance in conservation efforts. 

Museum National Leadership Projects 

The Committee recommends $7,920,000 for National Leadership 

projects. The National Leadership Grants encourage innovation in 

meeting community needs, widespread and creative use of new 

technologies, greater public access to museum collections, and an 

extended impact of Federal dollars through collaborative projects. 

Office of Library Services State Grants 

The Committee recommends $171,500,000 for State grants. This 

funding is sufficient to meet the authorization requirement for an 

increase in the minimum State grant. Funds are provided to States 

by formula to carry out 5-year State plans. These plans must set 

goals and priorities for the State consistent with the purpose of the 

act, describe activities to meet the goals and priorities and describe 

the methods by which progress toward the goals and priorities and 

the success of activities will be evaluated. States may apportion 

their funds between two activities, technology and targeted services. For technology, States may use funds for electronic linkages 

among libraries, linkages to educational, social and information 

services, accessing information through electronic networks, or link 

different types of libraries or share resources among libraries. For 

targeted services, States may direct library and information services to persons having difficulty using a library, underserved urban 

and rural communities, and children from low income families. In 

addition to the total recommended, $3,817,000 has been provided 

for library services to Native Americans and Native Hawaiians. 

The Committee is aware that many traditional healers are aging 

and the world may soon lose the knowledge that they possess. For 

that reason, the Committee encourages IMLS to work for the preservation and documentation of Native Hawaiian traditional cultural healing practices. It is essential that these practices be documented in creative media formats due to the variety and complexity of the practices and the healers. 

Library National Leadership Projects 

The Committee recommends $12,375,000 for national leadership 

projects. These funds support activities of national significance to 

enhance the quality of library services nationwide and to provide 

coordination between libraries and museums. Activities are carried 

out through grants and contracts awarded on a competitive basis 

to libraries, agencies, institutions of higher education and museums. Priority is given to projects that focus on education and training of library personnel, research and development for the improvement of libraries, preservation, digitization of library materials, 

partnerships between libraries and museums and other activities 

that enhance the quality of library services nationwide. In addition 

to the total recommended, $23,760,000 has been provided for the 

Laura Bush 21st Century Librarian program. 
288 

Museum and Library Services Administration 

The Committee recommends $12,917,000 for program administration, the same as the budget request. Funds support personnel 

compensation and benefits, travel, rent, communications, utilities, 

printing, equipment and supplies, automated data processing, and 

other services. In addition to the total recommended, $1,715,000 is 

for data collection activities formerly conducted by the National 

Commission on Libraries and Information Science. 

The Committee recommendation also includes funding for the following organizations in the amounts specified: 

Project Committee recommendation Requested by 

Alaska Native Heritage Center, Anchorage, AK, for a partnership with Koahnic 

Broadcasting for a Native Values project.

$250,000 Stevens 

Archives Partnership Trust, New York, NY, to digitize fragile artifacts ................ 100,000 Reid 

Bethel Performing Arts Center, Liberty, NY, for the Museum at Bethel ............... 1,000,000 Schumer, Clinton 

Biolographical Society of America, New York, NY, for the National First Ladies’ 

Library in Canton, OH, for the First White House Library Catalogue.

130,000 Voinovich 

Bishop Museum in Honolulu, HI, to enhance library services .............................. 150,000 Inouye 

Bishop Museum, Honolulu, HI, to provide Filipino cultural education .................. 250,000 Inouye 

Boston Children’s Museum, Boston, MA, for the development of exhibitions ...... 200,000 Kennedy, Kerry 

Dallas, Texas, for the Women’s Museum to expand outreach and programming 

efforts.

200,000 Hutchison 

Des Moines Art Center, Des Moines, IA, for exhibits ............................................. 350,000 Harkin 

Discovery Center of Idaho, Boise, Idaho, for exhibit displays, education programs and acquisition of equipment.100,000 Crapo 

Fairfield County Public Library, Winnsboro, SC, for acquisition of equipment to 

upgrade the library facilities.

100,000 Graham 

Figge Art Museum, Davenport, Iowa, for exhibits, education programs, and 

community outreach.

400,000 Harkin 

Florida Memorial University, Miami Gardens, FL, for upgrades to the Nathan W 

Collier Library.

200,000 Bill Nelson 

Free Library of Philadelphia Foundation, Philadelphia, PA, for technology upgrades and acquisition.100,000 Specter 

Great Basin College, Elko, NV, to develop museum exhibits and conduct outreach to education programs.350,000 Reid 

Holbrook Public Library, Holbrook, MA, for the development of exhibits .............. 150,000 Kennedy, Kerry 

Iowa Radio Reading Information Service (IRRIS), Des Moines, Iowa, to expand 

services.

250,000 Harkin 

Italian-American Cultural Center of Iowa in Des Moines, IA for exhibits, multimedia collections, display.200,000 Harkin 

James K. Polk Association, Columbia, TN, for exhibit preparation at Polk Presidential Hall.250,000 Alexander 

Kellogg Hubbard Library, Montpelier, VT, for education and outreach ................. 400,000 Leahy 

Los Angeles Craft and Folk Art Museum, Los Angeles, CA, for education and 

outreach.

100,000 Feinstein, Boxer 

Mid-America Arts Alliance, Kansas City, MO, for the HELP program ................... 100,000 Ben Nelson 

Museum of Afro-American History, Boston, MA, for the development of youth 

educational programs.

250,000 Kennedy, Kerry 

Museum of Utah Art & History, Salt Lake City, Utah, to improve technology and 

exhibit preparation.

250,000 Bennett 

New York Botanical Garden, Bronx, NY, for the Virtual Herbarium ...................... 500,000 Clinton, Schumer 

Newport News, Virginia, to enhance library services ............................................ 150,000 Warner, Webb 

Oklahoma City National Memorial Foundation, Oklahoma City, OK, for educational programs and services.100,000 Inhofe 

Oklahoma Native American Cultural and Educational Authority, Oklahoma City, 

OK, for exhibits design.

100,000 Inhofe 

Orem, Utah, for technological upgrades, equipment and resource sharing for 

the Orem public library.

300,000 Bennett, Hatch 

Putnam Museum of History and Natural Science, Davenport, IA, for exhibits 

and community outreach.

400,000 Harkin, Grassley 

Southwest Museum of the American Indian, Los Angeles, CA, for the Native 

American Learning Lab.

500,000 Feinstein, Boxer 
289 

Project Committee recommendation Requested by 

Texas Historical Commission, Austin, TX, for educational programming, outreach, and exhibit development.200,000 Hutchison 

University of Vermont of Burlington, VT, for a digitization project ...................... 500,000 Leahy 

Warner Robbins Museum of Aviation, Warner Robbins, GA, for multieducational 

programs and equipment acquisition.

100,000 Chambliss 

MEDICARE PAYMENT ADVISORY COMMISSION

Appropriations, 2007 ............................................................................. $12,066,000 

Budget estimate, 2008 ........................................................................... 10,748,000 

Committee recommendation ................................................................. 10,748,000 

The Committee recommends $10,748,000 for fiscal year 2008 for 

the Medicare Payment Advisory Commission [MedPAC]. 

The Medicare Payment Advisory Commission was established by 

Congress as part of the Balanced Budget Act of 1997 (Public Law 

1050933). Congress merged the Physician Payment Review Commission with the Prospective Payment Assessment Commission to 

create MedPAC. 

NATIONAL COMMISSION ON LIBRARIES AND INFORMATION SCIENCE

Appropriations, 2007 ............................................................................. $989,000 

Budget estimate, 2008 ........................................................................... ........................... 

Committee recommendation ................................................................. 400,000 

The Committee recommends $400,000 for fiscal year 2008 for the 

National Commission on Libraries and Information Science 

[NCLIS]. The administration budget for fiscal year 2008 requested 

that NCLIS be eliminated and the activities of the Commission be 

taken over by the Institute for Museum and Library Services. The 

Committee concurs with this request and has included $400,000 for 

close out activities. 

The Commission determined the need for, and made recommendations on, library and information services, and advised 

the President and Congress on the development and implementation of national policy in library and information sciences. 

NATIONAL COUNCIL ON DISABILITY

Appropriations, 2007 ............................................................................. $3,426,000 

Budget estimate, 2008 ........................................................................... 3,113,000 

Committee recommendation ................................................................. 3,113,000 

The Committee recommends $3,113,000 for fiscal year 2008 for 

the National Council on Disability. One time funding was included 

in the Emergency Supplemental Appropriation Act of 2007 for technical assistance to the Department of Homeland Security. 

The Council is mandated to make recommendations to the President, the Congress, the Rehabilitation Services Administration, and 

the National Institute on Disability and Rehabilitation Research, 

on the public issues of concern to individuals with disabilities. The 

Council gathers information on the implementation, effectiveness, 

and impact of the Americans with Disabilities Act and looks at 

emerging policy issues as they affect persons with disabilities and 

their ability to enter or reenter the Nation’s work force and to live 

independently. 
290 

NATIONAL LABOR RELATIONS BOARD

Appropriations, 2007 ............................................................................. $251,507,000 

Budget estimate, 2008 ........................................................................... 256,238,000 

Committee recommendation ................................................................. 256,988,000 

The Committee recommends $256,988,000 for fiscal year 2008 for 

the National Labor Relations Board [NLRB]. 

The NLRB is a law enforcement agency which adjudicates disputes under the National Labor Relations Act. 

The mission of the NLRB is to carry out the statutory responsibilities of the National Labor Relations Act as efficiently as possible and in a manner that gives full effect to the rights afforded 

to employees, unions, and employers under the act. 

NATIONAL MEDIATION BOARD

Appropriations, 2007 ............................................................................. $11,596,000 

Budget estimate, 2008 ........................................................................... 12,242,000 

Committee recommendation ................................................................. 12,992,000 

The Committee recommends $12,992,000 for fiscal year 2008 for 

the National Mediation Board [NMB]. 

The National Mediation Board protects interstate commerce as it 

mediates labor-management relations in the railroad and airline 

industries under the Railway Labor Act. The Board mediates collective bargaining disputes, determines the choice of employee bargaining representatives through elections, and administers arbitration of employee grievances. 

The Committee is deeply concerned that it takes the NMB arbiters 30 months on average to resolve a case. The Committee finds 

it equally distressing that the funding for arbitration cases routinely runs out several months before the end of the fiscal year. 

The Committee concludes that the administration has repeatedly 

underestimated the funding necessary to fulfill the arbitration portion of the NMB’s mission. Therefore, within the funds provided, 

$750,000 is to specifically address the backlog of cases held by the 

NMB. The Committee directs the NMB to provide detailed information as to how these funds are used and their impact on the backlog in the fiscal year 2009 budget justification. 

OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION

Appropriations, 2007 ............................................................................. $10,471,000 

Budget estimate, 2008 ........................................................................... 10,696,000 

Committee recommendation ................................................................. 10,696,000 

The Committee recommends $10,696,000 for fiscal year 2008 for 

the Occupational Safety and Health Review Commission. 

The Commission serves as a court to justly and expeditiously resolve disputes between the Occupational Safety and Health Administration [OSHA] and employers charged with violations of health 

and safety standards enforced by OSHA. 
291 

RAILROAD RETIREMENT BOARD

DUAL BENEFITS PAYMENTS ACCOUNT

Appropriations, 2007 ............................................................................. $88,000,000 

Budget estimate, 2008 ........................................................................... 79,000,000 

Committee recommendation ................................................................. 79,000,000 

The Committee recommends $79,000,000 for fiscal year 2008 for 

the Dual Benefits Payments Account, of these funds $6,000,000 is 

from income taxes on vested dual benefits. 

This appropriation provides for vested dual benefit payments authorized by the Railroad Retirement Act of 1974, as amended by 

the Omnibus Reconciliation Act of 1981. This separate account, established for the payment of dual benefits, is funded by general 

fund appropriations and income tax receipts of vested dual benefits. 

FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT ACCOUNT

Appropriations, 2007 ............................................................................. $150,000 

Budget estimate, 2008 ........................................................................... 150,000 

Committee recommendation ................................................................. 150,000 

The Committee recommends $150,000 for fiscal year 2008 for interest earned on non-negotiated checks. 

LIMITATION ON ADMINISTRATION

Appropriations, 2007 ............................................................................. $103,694,000 

Budget estimate, 2008 ........................................................................... 103,518,000 

Committee recommendation ................................................................. 103,694,000 

The Committee recommends $103,694,000 for fiscal year 2008 for 

the administration of railroad retirement/survivor benefit programs. 

The Board administers comprehensive retirement-survivor and 

unemployment-sickness insurance benefit programs for the Nation’s railroad workers and their families. This account limits the 

amount of funds in the railroad retirement and railroad unemployment insurance trust funds which may be used by the Board for 

administrative expenses. 

The Committee has included language to prohibit funds from the 

railroad retirement trust fund from being spent on any charges 

over and above the actual cost of administering the trust fund, including commercial rental rates. 

LIMITATION ON THE OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2007 ............................................................................. $7,173,000 

Budget estimate, 2008 ........................................................................... 7,606,000 

Committee recommendation ................................................................. 8,000,000 

The Committee recommends $8,000,000 for fiscal year 2008 for 

the Office of the Inspector General. 

The Committee has included bill language to allow the Office of 

the Inspector General to use funds to conduct audits, investigations, and reviews of the Medicare program. The Committee finds 

that as long as the RRB has the authority to negotiate and administer the separate Medicare contract, the RRB Inspector General 

should not be prohibited from using funds to review, audit, or in-
292 

vestigate the Railroad Retirement Board’s separate Medicare contract. 

SOCIAL SECURITY ADMINISTRATION

PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

Appropriations, 2007 ............................................................................. $20,470,000 

Budget estimate, 2008 ........................................................................... 28,140,000 

Committee recommendation ................................................................. 28,140,000 

The Committee recommends an appropriation of $28,140,000 for 

payments to Social Security trust funds. The comparable fiscal year 

2007 funding level is $20,470,000 and the budget request includes 

$28,140,000 for this purpose. This amount reimburses the old age 

and survivors and disability insurance trust funds for special payments to certain uninsured persons, costs incurred administering 

pension reform activities, and the value of the interest for benefit 

checks issued but not negotiated. This appropriation restores the 

trust funds to the same financial position they would have been in 

had they not borne these costs, properly charged to the general 

funds. 

SUPPLEMENTAL SECURITY INCOME

Appropriations, 2007 ............................................................................. $29,071,169,000 

Budget estimate, 2008 ........................................................................... 26,911,000,000 

Committee recommendation ................................................................. 26,959,000,000 

The Committee recommends an appropriation of $26,959,000,000 

for supplemental security income. This is in addition to the 

$16,810,000,000 appropriated last year as an advance for the first 

quarter of fiscal year 2008. The comparable fiscal year 2007 funding level is $29,071,169,000 and the budget request includes 

$26,911,000,000. The Committee also recommends an advance appropriation of $14,800,000,000 for the first quarter of fiscal year 

2009 to ensure uninterrupted benefits payments. The program 

level supported by the Committee recommendation is 

$43,769,000,000, compared to the total program level requested in 

the budget of $43,721,000,000. 

These funds are used to pay benefits under the SSI Program, 

which was established to ensure a Federal minimum monthly benefit for aged, blind, and disabled individuals, enabling them to 

meet basic needs. It is estimated that approximately 7 million persons will receive SSI benefits each month during fiscal year 2008. 

In many cases, SSI benefits supplement income from other sources, 

including Social Security benefits. The funds are also used to reimburse the Social Security trust funds for the administrative costs 

for the program with a final settlement by the end of the subsequent fiscal year as required by law, to reimburse vocational rehabilitation agencies for costs incurred in successfully rehabilitating 

SSI recipients and for research and demonstration projects. 

Beneficiary Services 

The Committee recommends $36,000,000 for beneficiary services, 

as proposed in the budget request. The availability of carryover 

budget authority allowed the Congress not to provide additional resources for this activity in fiscal year 2007. This amount is avail-
293 

able for payments to Employment Networks for successful outcomes or milestone payments under the Ticket to Work program 

and for reimbursement of State vocational rehabilitation agencies 

and alternate public or private providers. 

Research and Demonstration Projects 

The Committee recommendation includes $28,000,000 for research and demonstration projects conducted under sections 1110 

and 1115 of the Social Security Act. The comparable fiscal year 

2007 funding level and the budget request both are $27,000,000 for 

authorized activities. 

This amount will support SSA’s efforts to strengthen its policy 

evaluation capability and focus on research of: program issues, the 

impact of demographic changes on future workloads and effective 

return-to-work strategies for disabled beneficiaries. 

The Committee recommendation includes $1,000,000 to support 

activities of the National Center on Senior Benefits Outreach and 

Enrollment within the Administration on Aging [AOA]. SSA is directed to coordinate with AoA to utilize cost effective strategies to 

find and enroll those with greatest need in income maintenance, 

health and human services programs for which they are eligible. 

Administration 

The Committee recommendation includes $3,030,000,000 for payment to the Social Security trust funds for the SSI Program’s share 

of SSA’s base administrative expenses. The comparable fiscal year 

2007 amount is $2,950,169,000 and the budget request includes 

$2,983,000,000 for such activities. 

LIMITATION ON ADMINISTRATIVE EXPENSES

Appropriations, 2007 ............................................................................. $9,295,573,000 

Budget estimate, 2008 ........................................................................... 9,596,953,000 

Committee recommendation ................................................................. 9,721,953,000 

The Committee recommends a program funding level of 

$9,721,953,000 for the limitation on administrative expenses. The 

comparable fiscal year 2007 funding level is $9,295,573,000 and the 

budget request includes $9,596,953,000 for this purpose. 

This account provides resources from the Social Security trust 

funds to administer the Social Security retirement and survivors 

and disability insurance programs, and certain Social Security 

health insurance functions. As authorized by law, it also provides 

resources from the trust funds for certain nontrust fund administrative costs, which are reimbursed from the general funds. These 

include administration of the supplemental security income program for the aged, blind, and disabled; work associated with the 

Pension Reform Act of 1984; and the portion of the annual wage 

reporting work done by the Social Security Administration for the 

benefit of the Internal Revenue Service. The dollars provided also 

support automated data processing activities and fund the State 

disability determination services which make initial and continuing 

disability determinations on behalf of the Social Security Administration. Additionally, the limitation provides funding for computer 

support, and other administrative costs. 
294 

The Committee recommendation includes $9,372,953,000 for routine operating expenses of the agency, as well as the resources related to program integrity activities and those derived from the 

user fees discussed below. 

The Committee recommends $125,000,000 more than the budget 

request to ensure that the backlog of disability claims will decrease, as opposed to increase as assumed under the budget request. The Committee is concerned that over the past several years 

resource limitations, increasing legislative mandates and ineffective administrative reform efforts have created a situation where 

the number of cases awaiting a hearing decision stands at 738,000, 

leading to average waiting times of 505 days, the highest ever in 

SSA history. The Committee requests a letter report not later than 

August 24, 2007, on current and planned initiatives to improve the 

disability process, including the status and results of the disability 

service improvement process being piloted in the New England region and efforts to improve the hearing process. 

The budget request includes bill language earmarking not less 

than $263,970,000 of funds available within this account for continuing disability reviews and redeterminations of eligibility under 

Social Security’s disability programs. An additional $213,000,000 

earmark for continuing disability reviews and redeterminations of 

eligibility also was proposed in the budget request. The Committee 

recommendation includes the requested resources and earmarking 

language. 

Researchers at the Centers for Disease Control and Prevention 

have reported that Chronic Fatigue Syndrome is as disabling as 

chronic obstructive pulmonary disease, end-stage renal failure, and 

multiple sclerosis. The Committee has encouraged SSA officials to 

continue the education of adjudicators at all levels about the functional impact of CFS to ensure that they remain up to date on the 

appropriate evaluation of disability that results from this condition. 

Within 60 days of enactment of this act, the Committee requests 

a report from SSA on these ongoing educational activities as well 

any plans to update the existing policy ruling on CFS, SSR 99–2p. 

Social Security Advisory Board 

The Committee has included not less than $2,000,000 within the 

limitation on administrative expenses account for the Social Security Advisory Board for fiscal year 2008. 

User Fees 

In addition to other amounts provided, the Committee recommends $136,000,000 for administrative activities funded from 

user fees. Of this amount, $135,000,000 is derived from fees paid 

to SSA by States that request SSA to administer State SSI supplementary payments. The remaining $1,000,000 will be generated 

from a fee payment process for non-attorney representatives of 

claimants. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2007 ............................................................................. $92,051,000 

Budget estimate, 2008 ........................................................................... 95,047,000 

Committee recommendation ................................................................. 96,047,000 
295 

The Committee recommends $96,047,000 for activities for the Office of the Inspector General. The comparable fiscal year 2007 funding level is $92,051,000 and the budget request includes 

$95,047,000 for this office. This includes a general fund appropriation of $28,000,000 together with an obligation limitation of 

$68,047,000 from the Federal old-age and survivors insurance trust 

fund and the Federal disability insurance trust fund. 
(296) 

TITLE V—GENERAL PROVISIONS 

The Committee recommendation includes provisions which: authorize transfers of unexpended balances (sec. 501); limit funding 

to 1 year availability unless otherwise specified (sec. 502); limit lobbying and related activities (sec. 503); limit official representation 

expenses (sec. 504); prohibit funding of any program to carry out 

distribution of sterile needles for the hypodermic injection of any 

illegal drug (sec. 505); clarify Federal funding as a component of 

State and local grant funds (sec. 506); limit use of funds for abortion (sec. 507 and sec. 508); restrict human embryo research (sec. 

509); limit the use of funds for promotion of legalization of controlled substances included last year (sec. 510); prohibits the use of 

funds to promulgate regulations regarding the individual health 

identifier (sec. 511); limits use of funds to enter into or review contracts with entities subject to the requirement in section 4212(d) of 

title 38, United States Code, if the report required by that section 

has not been submitted (sec. 512); prohibits transfer of funds made 

available in this Act to any department, agency, or instrumentality 

of the U.S. Government, except as otherwise provided by this or 

any other act (sec. 513); prohibits Federal funding in this act for 

libraries and elementary and secondary schools unless they are in 

compliance with the Children’s Internet Protection Act (sec. 514 

and sec. 515); prohibits funds for the Railroad Retirement Board 

from being used for a non-governmental disbursing agent (sec. 

516); maintains a provision clarifying procedures for reprogramming of funds (sec. 517); prohibits candidates for scientific advisory 

committees from having to disclose their political activities (sec. 

518); includes a new provision that requires the Secretaries of 

Labor, Health and Human Services, and Education to submit a report on the number and amounts of contracts, grants, and cooperative agreements awarded by the Departments on a non-competitive 

basis (sec. 519); and includes a new provision that sets a new eligibility cut-off date for federally funded research on human embryonic stem cells (sec. 520). 
(297) 

BUDGETARY IMPACT OF BILL 

PREPARED IN CONSULTATION WITH THE CONGRESSIONAL BUDGET OFFICE PURSUANT TO SEC. 

308(a), PUBLIC LAW 93–344, AS AMENDED 

[In millions of dollars] 

Budget authority Outlays 

Committee 

allocation 

Amount 

of bill 

Committee 

allocation 

Amount 

of bill 

Comparison of amounts in the bill with Committee allocations 

to its subcommittees of budget totals for 2008: Subcommittee on Labor, HHS, Education: 

Mandatory ............................................................................ 455,281 455,281 455,156 1 455,156 

Discretionary ........................................................................ 149,236 149,872 147,183 1 147,553 

Projection of outlays associated with the recommendation: 

2008 ..................................................................................... .................... .................... .................... 2 512,978 

2009 ..................................................................................... .................... .................... .................... 65,622 

2010 ..................................................................................... .................... .................... .................... 14,711 

2011 ..................................................................................... .................... .................... .................... 3,331 

2012 and future years ........................................................ .................... .................... .................... 659 

Financial assistance to State and local governments for 

2008 ......................................................................................... NA 275,018 NA 238,532 

1 Includes outlays from prior-year budget authority. 

2 Excludes outlays from prior-year budget authority. 

NA: Not applicable. 

NOTE.—Consistent with the funding recommended in the bill for continuing disability reviews and Supplemental Security Income [SSI] redeterminations, control of health care fraud and abuse, and reviews of improper unemployment insurance payments, and in accordance with 

subparagraphs A, C, and D of section 207(c)(2) of Senate Concurrent Resolution 21 (110th Congress), the Committee anticipates that the 

Budget Committee will file a revised section 302(a) allocation for the Committee on Appropriations reflecting an upward adjustment of 

$636,000,000 in budget authority and associated outlays. 

COMPLIANCE WITH PARAGRAPH 7, RULE XVI, OF THE 

STANDING RULES OF THE SENATE 

Paragraph 7 of rule XVI requires that Committee report on general appropriations bills identify each Committee amendment to 

the House bill ‘‘which proposes an item of appropriation which is 

not made to carry out the provisions of an existing law, a treaty 

stipulation, or an act or resolution previously passed by the Senate 

during that session.’’ 

The Committee is filing an original bill, which is not covered 

under this rule, but reports this information in the spirit of full disclosure. 

The Committee recommends funding for the following programs 

and activities which currently lack authorization: Workforce Investment Act; Trade Act of 2002; Homeless Veterans Reintegration program; Title VII of the Public Health Services Act; Title VIII of the 

Public Health Services Act; Traumatic Brain Injury Programs; Universal Newborn Hearing Screening; Organ Transplantation; Rural 

Hospital Flexibility Grants; Denali Commission; Family Planning; 

State Offices of Rural Health; Rural and Community Access to 

Emergency Devices; health centers; National Health Service Corps; 

Healthy Start; telehealth; Infectious Diseases; Health Promotion; 
298 

Birth Defects; Health Information and Services; Environmental 

Health and Injury; Occupational Safety and Health; Global Health; 

Public Health Research; Public Health Improvement and Leadership; Preventive Health and Health Services Block Grant; CDC 

Business Services; Substance Abuse and Mental Health Services 

Programs, except for Stop Act programs; Agency for Healthcare Research and Quality; Low Income Home Energy Assistance Program; 

Refugee and Entrant Assistance programs; Adoption Awareness; 

Child Care and Development Block Grant; Head Start; Developmental Disabilities; Native American Programs; Community Services Block Grant; Rural Facilities; Individual Development Accounts; Community Economic Development; Alzheimer’s Disease 

Demonstration Grants; Title V of the Public Health Services Act; 

Adolescent Family Life; Office of Minority Health; Office of Disease 

Prevention Services; Rehabilitation Services and Disability Research, except sections 4, 5 and 6 of the Assistive Technology Program; Higher Education Act; National Technical Institute for the 

Deaf; Gallaudet University; Corporation for National and Community Service; and National Council on Disability. 

COMPLIANCE WITH PARAGRAPH 7(C), RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Pursuant to paragraph 7(c) of rule XXVI, on June 21, 2007, the 

Committee ordered reported en bloc an original bill (S. 1710) making appropriations for the Departments of Labor, Health and 

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

year ending September 30, 2008, and authorized the chairman of 

the committee or the chairman of the subcommittee to offer the 

text of the Senate bill as a committee amendment in the nature of 

a substitute to the House companion measure, with the bill subject 

to amendment and subject to the budget allocations, by a recorded 

vote of 26–3, a quorum being present. The vote was as follows: 

Yeas Nays 

Chairman Byrd Mr. Nelson 

Mr. Inouye Mr. Gregg 

Mr. Leahy Mr. Brownback 

Mr. Harkin 

Ms. Mikulski 

Mr. Kohl 

Mrs. Murray 

Mr. Dorgan 

Mrs. Feinstein 

Mr. Durbin 

Mr. Johnson 

Ms. Landrieu 

Mr. Reed 

Mr. Lautenberg 

Mr. Cochran 

Mr. Stevens 

Mr. Specter 

Mr. Domenici 

Mr. Bond 

Mr. McConnell 
299 

Mr. Shelby 

Mr. Bennett 

Mr. Craig 

Mrs. Hutchison 

Mr. Allard 

Mr. Alexander 

COMPLIANCE WITH PARAGRAPH 12, RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Paragraph 12 of rule XXVI requires that Committee reports on 

a bill or a joint resolution repealing or amending any statute include ‘‘(a) the text of the statute or part thereof which is proposed 

to be repealed; and (b) a comparative print of that part of the bill 

or joint resolution making the amendment and of the statute or 

part thereof proposed to be amended, showing by stricken through 

type and italics, parallel columns, or other appropriate typographical devices the omissions and insertions which would be 

made by the bill or joint resolution if enacted in the form recommended by the committee.’’ 

The Committee bill as recommended contains no such provisions. 
300 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

TITLE I—DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION 

TRAINING AND EMPLOYMENT SERVICES 

Grants to States: 

Adult Training, current year .............................................................................................................................. 152,199 ............................ 152,199 ............................ ∂152,199 

Advance from prior year ........................................................................................................................... (712,000 ) (712,000 ) (712,000 ) ............................ ............................Fiscal year 2009 ....................................................................................................................................... 712,000 712,000 712,000 ............................ ............................

Adult Training ...................................................................................................................................... 864,199 712,000 864,199 ............................ ∂152,199 

Youth Training ................................................................................................................................................... 940,500 840,500 940,500 ............................ ∂100,000 Dislocated Worker Assistance, current year ...................................................................................................... 341,811 54,939 341,811 ............................ ∂286,872 

Advance from prior year ........................................................................................................................... (848,000 ) (848,000 ) (848,000 ) ............................ ............................Fiscal year 2009 ....................................................................................................................................... 848,000 848,000 848,000 ............................ ............................

Dislocated Worker Assistance .............................................................................................................. 1,189,811 902,939 1,189,811 ............................ ∂286,872 

Subtotal, Grants to States .............................................................................................................. 2,994,510 2,455,439 2,994,510 ............................ ∂539,071 

Current Year ........................................................................................................................... (1,434,510 ) (895,439 ) (1,434,510 ) ............................ (∂539,071 ) Fiscal year 2009 ..................................................................................................................... (1,560,000 ) (1,560,000 ) (1,560,000 ) ............................ ............................

Federally Administered Programs: 

Dislocated Worker Assistance National Reserve: 

Current year .............................................................................................................................................. 70,092 ............................ 70,092 ............................ ∂70,092 Advance from prior year ........................................................................................................................... (212,000 ) (212,000 ) (212,000 ) ............................ ............................Fiscal year 2009 ....................................................................................................................................... 212,000 212,000 212,000 ............................ ............................

Dislocated Worker Assistance Nat’l Reserve ....................................................................................... 282,092 212,000 282,092 ............................ ∂70,092 
301 

Less funding reserved for Community College Initiative (NA) ................................................................ (¥125,000 ) ............................ (¥125,000 ) ............................ (¥125,000 ) 

Dislocated Worker Assistance Nat’l Reserve ....................................................................................... 157,092 212,000 157,092 ............................ ¥54,908 

Native Americans Programs .............................................................................................................................. 53,696 45,000 53,696 ............................ ∂8,696 Migrant and Seasonal Farmworkers Programs ................................................................................................. 79,752 ............................ 79,752 ............................ ∂79,752 Women in Apprenticeship .................................................................................................................................. 1,000 ............................ 1,000 ............................ ∂1,000 YouthBuild ......................................................................................................................................................... 49,500 50,000 65,000 ∂15,500 ∂15,000 

Subtotal, Federally Administered Programs ................................................................................................. 466,040 307,000 481,540 ∂15,500 ∂174,540 

Current Year ......................................................................................................................................... (254,040 ) (95,000 ) (269,540 ) (∂15,500 ) (∂174,540 ) Fiscal year 2009 .................................................................................................................................. (212,000 ) (212,000 ) (212,000 ) ............................ ............................

National Activities: 

Pilots, Demonstrations and Research ...................................................................................................... 14,700 13,000 30,650 ∂15,950 ∂17,650 Responsible Reintegration of Youthful Offender ..................................................................................... 49,104 ............................ 55,000 ∂5,896 ∂55,000 Prisoner Re-entry ...................................................................................................................................... 19,642 ............................ ............................ ¥19,642 ............................Reintegration of Ex-offenders .................................................................................................................. ............................ 39,600 13,642 ∂13,642 ¥25,958 Evaluation ................................................................................................................................................. 4,921 7,000 4,921 ............................ ¥2,079 Community College initiative ................................................................................................................... ............................ 150,000 ............................ ............................ ¥150,000 

Community College initiative (NA) 1 ................................................................................................ (125,000 ) ............................ (125,000 ) ............................ (∂125,000 ) 

Subtotal, CC initiative, program level ........................................................................................ 125,000 150,000 125,000 ............................ ¥25,000 

Denali Commission ................................................................................................................................... 6,875 ............................ 6,875 ............................ ∂6,875 Other ......................................................................................................................................................... 480 ............................ ............................ ¥480 ............................

Subtotal, National activities ................................................................................................................ 95,722 209,600 111,088 ∂15,366 ¥98,512 Total, Training and Employment Services ........................................................................................... 3,556,272 2,972,039 3,587,138 ∂30,866 ∂615,099 

Current Year ................................................................................................................................ (1,784,272 ) (1,200,039 ) (1,815,138 ) (∂30,866 ) (∂615,099 ) Fiscal year 2009 ......................................................................................................................... (1,772,000 ) (1,772,000 ) (1,772,000 ) ............................ ............................

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS .................................................................................. 483,611 350,000 483,611 ............................ ∂133,611 FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES ........................................................................................... 837,600 888,700 888,700 ∂51,100 ............................

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS 

Unemployment Insurance (UI): 

State Operations ................................................................................................................................................ 2,497,770 2,510,723 2,510,723 ∂12,953 ............................Additional UI Program Integrity ........................................................................................................................ ............................ 40,000 40,000 ∂40,000 ............................National Activities ............................................................................................................................................. 9,900 10,500 10,500 ∂600 ............................
302 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Subtotal, Unemployment Insurance .............................................................................................................. 2,507,670 2,561,223 2,561,223 ∂53,553 ............................

Employment Service: 

Allotments to States: 

Federal Funds ........................................................................................................................................... 22,883 22,016 22,883 ............................ ∂867 Trust Funds .............................................................................................................................................. 693,000 666,763 693,000 ............................ ∂26,237 

Subtotal, allotments to States ............................................................................................................ 715,883 688,779 715,883 ............................ ∂27,104 

ES National Activities ........................................................................................................................................ 33,428 32,766 34,000 ∂572 ∂1,234 

Subtotal, Employment Service ...................................................................................................................... 749,311 721,545 749,883 ∂572 ∂28,338 

Federal Funds ...................................................................................................................................... 22,883 22,016 22,883 ............................ ∂867 Trust Funds .......................................................................................................................................... 726,428 699,529 727,000 ∂572 ∂27,471 

One-Stop Career Centers/Labor Market Information .................................................................................................. 63,855 55,985 55,985 ¥7,870 ............................Work Incentives Grants .............................................................................................................................................. 19,514 ............................ 19,541 ∂27 ∂19,541 

Total, State Unemployment & Employment Srvcs ........................................................................................ 3,340,350 3,338,753 3,386,632 ∂46,282 ∂47,879 

Federal Funds ...................................................................................................................................... 106,252 78,001 98,409 ¥7,843 ∂20,408 Trust Funds .......................................................................................................................................... (3,234,098 ) (3,260,752 ) (3,288,223 ) (∂54,125 ) (∂27,471 ) 

ADVANCES TO THE UI AND OTHER TRUST FUNDS ..................................................................................................... 465,000 437,000 437,000 ¥28,000 ............................

PROGRAM ADMINISTRATION 

Adult Employment and Training ................................................................................................................................ 43,442 45,593 44,593 ∂1,151 ¥1,000 

Trust Funds ....................................................................................................................................................... 7,846 8,283 7,846 ............................ ¥437 

Youth Employment and Training 2 ............................................................................................................................. 39,354 40,311 11,439 ¥27,915 ¥28,872 Employment Security .................................................................................................................................................. 6,354 6,376 6,376 ∂22 ............................

Trust Funds ....................................................................................................................................................... 72,113 84,436 84,436 ∂12,323 ............................

Apprenticeship Services ............................................................................................................................................. 21,542 21,725 21,725 ∂183 ............................Executive Direction 2 ................................................................................................................................................... 6,967 7,250 7,000 ∂33 ¥250 
303 

Trust Funds ....................................................................................................................................................... 2,090 2,188 2,090 ............................ ¥98 

Total, Program Administration ...................................................................................................................... 199,708 216,162 185,505 ¥14,203 ¥30,657 

Federal Funds ...................................................................................................................................... 117,659 121,255 91,133 ¥26,526 ¥30,122 Trust Funds .......................................................................................................................................... 82,049 94,907 94,372 ∂12,323 ¥535 

Total, Employment and Training Administration .......................................................................................... 8,882,541 8,202,654 8,968,586 ∂86,045 ∂765,932 

Federal Funds ...................................................................................................................................... 5,566,394 4,846,995 5,585,991 ∂19,597 ∂738,996 

Current Year ................................................................................................................................ (3,794,394 ) (3,074,995 ) (3,813,991 ) (∂19,597 ) (∂738,996 ) Fiscal year 2009 ......................................................................................................................... (1,772,000 ) (1,772,000 ) (1,772,000 ) ............................ ............................

Trust Funds .......................................................................................................................................... 3,316,147 3,355,659 3,382,595 ∂66,448 ∂26,936 

EMPLOYEE BENEFITS SECURITY ADMINISTRATION 

SALARIES AND EXPENSES 

Enforcement and Participant Assistance ................................................................................................................... 118,718 123,163 119,000 ∂282 ¥4,163 Policy and Compliance Assistance ............................................................................................................................ 17,585 18,315 18,315 ∂730 ............................Executive Leadership, Program Oversight and Admin ............................................................................................... 5,270 5,947 5,947 ∂677 ............................

Total, EBSA ................................................................................................................................................... 141,573 147,425 143,262 ∂1,689 ¥4,163 

PENSION BENEFIT GUARANTY CORPORATION 

Pension insurance activities ...................................................................................................................................... (80,357 ) (74,784 ) (74,784 ) (¥5,573 ) ............................Pension plan termination ........................................................................................................................................... (128,466 ) (205,158 ) (205,158 ) (∂76,692 ) ............................Operational support .................................................................................................................................................... (196,567 ) (131,209 ) (131,209 ) (¥65,358 ) ............................

Total, PBGC (Program level) ......................................................................................................................... (405,390 ) (411,151 ) (411,151 ) (∂5,761 ) ............................

EMPLOYMENT STANDARDS ADMINISTRATION 

SALARIES AND EXPENSES 

Enforcement of Wage and Hour Standards ............................................................................................................... 170,220 182,365 184,365 ∂14,145 ∂2,000 Office of Labor-Management Standards .................................................................................................................... 47,753 56,888 45,737 ¥2,016 ¥11,151 Federal Contractor EEO Standards Enforcement ....................................................................................................... 82,441 84,182 84,182 ∂1,741 ............................Federal Programs for Workers’ Compensation ........................................................................................................... 100,889 104,478 104,478 ∂3,589 ............................

Trust Funds ....................................................................................................................................................... 2,042 2,111 2,111 ∂69 ............................

Program Direction and Support ................................................................................................................................. 17,526 17,635 17,635 ∂109 ............................

Total, ESA salaries and expenses ................................................................................................................ 420,871 447,659 438,508 ∂17,637 ¥9,151 

Federal Funds ...................................................................................................................................... 418,829 445,548 436,397 ∂17,568 ¥9,151 Trust Funds .......................................................................................................................................... 2,042 2,111 2,111 ∂69 ............................
304 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

SPECIAL BENEFITS 

Federal employees compensation benefits ................................................................................................................ 224,000 200,000 200,000 ¥24,000 ............................Longshore and harbor workers’ benefits ................................................................................................................... 3,000 3,000 3,000 ............................ ............................

Total, Special Benefits .................................................................................................................................. 227,000 203,000 203,000 ¥24,000 ............................

SPECIAL BENEFITS FOR DISABLED COAL MINERS 

Benefit payments ....................................................................................................................................................... 298,000 271,000 271,000 ¥27,000 ............................Administration ............................................................................................................................................................ 5,373 5,221 5,221 ¥152 ............................

Subtotal, fiscal year 2008 program level .................................................................................................... 303,373 276,221 276,221 ¥27,152 ............................

Less funds advanced in prior year ..................................................................................................... ¥74,000 ¥68,000 ¥68,000 ∂6,000 ............................

Total, Current Year, fiscal year 2008 ........................................................................................................... 229,373 208,221 208,221 ¥21,152 ............................

New advances, 1st quarter fiscal year 2009 ...................................................................................... 68,000 62,000 62,000 ¥6,000 ............................

Total, Special Benefits for Disabled Coal Miners ........................................................................................ 297,373 270,221 270,221 ¥27,152 ............................

Energy Employees Occupational Illness Compensation Fund, Administrative Expenses .......................................... 102,307 104,745 104,745 ∂2,438 ............................

BLACK LUNG DISABILITY TRUST FUND 

Benefit payments and interest on advances ............................................................................................................. 1,010,011 1,009,763 1,009,763 ¥248 ............................Employment Standards Admin., Salaries and expenses ........................................................................................... 33,578 32,761 32,761 ¥817 ............................Departmental Management, Salaries and expenses ................................................................................................. 25,255 24,785 24,785 ¥470 ............................Departmental Management, Inspector General ......................................................................................................... 346 335 335 ¥11 ............................

Subtotal, Black Lung Disability .................................................................................................................... 1,069,190 1,067,644 1,067,644 ¥1,546 ............................

Treasury Department Administrative Costs ............................................................................................................... 356 356 356 ............................ ............................
305 

Total, Black Lung Disability Trust Fund ....................................................................................................... 1,069,546 1,068,000 1,068,000 ¥1,546 ............................Total, Employment Standards Administration .............................................................................................. 2,117,097 2,093,625 2,084,474 ¥32,623 ¥9,151 

Federal Funds ...................................................................................................................................... 2,115,055 2,091,514 2,082,363 ¥32,692 ¥9,151 

Current year ................................................................................................................................ (2,047,055 ) (2,029,514 ) (2,020,363 ) (¥26,692 ) (¥9,151 ) Fiscal year 2009 ......................................................................................................................... (68,000 ) (62,000 ) (62,000 ) (¥6,000 ) ............................

Trust Funds .......................................................................................................................................... 2,042 2,111 2,111 ∂69 ............................

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION 

SALARIES AND EXPENSES 

Safety and Health Standards ..................................................................................................................................... 16,892 16,851 16,892 ............................ ∂41 Federal Enforcement ................................................................................................................................................... 176,973 183,046 188,005 ∂11,032 ∂4,959 State Programs ........................................................................................................................................................... 91,093 91,093 91,093 ............................ ............................Technical Support ....................................................................................................................................................... 22,392 22,066 22,066 ¥326 ............................Compliance Assistance: 

Federal Assistance ............................................................................................................................................ 72,659 79,607 72,659 ............................ ¥6,948 State Consultation Grants ................................................................................................................................. 53,357 54,531 54,531 ∂1,174 ............................Training Grants ................................................................................................................................................. 10,116 ............................ 10,116 ............................ ∂10,116 

Subtotal, Compliance Assistance ................................................................................................................. 136,132 134,138 137,306 ∂1,174 ∂3,168 

Safety and Health Statistics ...................................................................................................................................... 32,274 32,082 32,082 ¥192 ............................Executive Direction and Administration ..................................................................................................................... 11,169 11,001 11,001 ¥168 ............................

Total, OSHA ................................................................................................................................................... 486,925 490,277 498,445 ∂11,520 ∂8,168 

MINE SAFETY AND HEALTH ADMINISTRATION 

SALARIES AND EXPENSES 

Coal Enforcement ....................................................................................................................................................... 120,396 140,620 147,420 ∂27,024 ∂6,800 Metal/Non-Metal Enforcement .................................................................................................................................... 72,506 72,290 72,690 ∂184 ∂400 Standards Development ............................................................................................................................................. 2,727 2,737 3,237 ∂510 ∂500 Assessments ............................................................................................................................................................... 6,556 5,743 6,243 ¥313 ∂500 Educational Policy and Development ......................................................................................................................... 35,326 34,256 37,256 ∂1,930 ∂3,000 Technical Support ....................................................................................................................................................... 29,237 28,200 30,000 ∂763 ∂1,800 Program evaluation and information resources (PEIR) ............................................................................................. 21,185 16,219 16,219 ¥4,966 ............................Program Administration ............................................................................................................................................. 13,637 13,413 16,963 ∂3,326 ∂3,550 

Total, Mine Safety and Health Administration ............................................................................................. 301,570 313,478 330,028 ∂28,458 ∂16,550 
306 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

BUREAU OF LABOR STATISTICS 

SALARIES AND EXPENSES 

Employment and Unemployment Statistics ............................................................................................................... 169,722 175,320 174,320 ∂4,598 ¥1,000 Labor Market Information ........................................................................................................................................... 77,067 78,264 78,000 ∂933 ¥264 Prices and Cost of Living .......................................................................................................................................... 177,847 192,149 178,992 ∂1,145 ¥13,157 Compensation and Working Conditions ..................................................................................................................... 81,658 84,859 85,859 ∂4,201 ∂1,000 Productivity and Technology ....................................................................................................................................... 11,063 11,332 11,063 ............................ ¥269 Executive Direction and Staff Services ...................................................................................................................... 30,766 32,519 31,766 ∂1,000 ¥753 

Total, Bureau of Labor Statistics ................................................................................................................. 548,123 574,443 560,000 ∂11,877 ¥14,443 

Federal Funds ...................................................................................................................................... 471,056 496,179 482,000 ∂10,944 ¥14,179 Trust Funds .......................................................................................................................................... 77,067 78,264 78,000 ∂933 ¥264 

OFFICE OF DISABILITY EMPLOYMENT POLICY 

Salaries and expenses ............................................................................................................................................... 27,712 18,602 27,712 ............................ ∂9,110 

DEPARTMENTAL MANAGEMENT 

SALARIES AND EXPENSES 

Executive Direction ..................................................................................................................................................... 28,189 28,680 28,680 ∂491 ............................Departmental IT Crosscut .......................................................................................................................................... 29,462 31,405 22,000 ¥7,462 ¥9,405 Departmental Management Crosscut ......................................................................................................................... 1,108 750 750 ¥358 ............................Legal Services ............................................................................................................................................................ 85,488 95,162 95,162 ∂9,674 ............................

Trust Funds ....................................................................................................................................................... 308 318 318 ∂10 ............................

International Labor Affairs ......................................................................................................................................... 72,516 14,097 82,516 ∂10,000 ∂68,419 Administration and Management ............................................................................................................................... 32,865 33,362 33,362 ∂497 ............................Adjudication ................................................................................................................................................................ 27,537 28,289 28,289 ∂752 ............................Women’s Bureau ......................................................................................................................................................... 9,666 9,832 10,300 ∂634 ∂468 Civil Rights Activities ................................................................................................................................................. 6,445 6,763 6,763 ∂318 ............................
307 

Chief Financial Officer ............................................................................................................................................... 5,336 5,578 5,578 ∂242 ............................

Total, Salaries and expenses ........................................................................................................................ 298,920 254,236 313,718 ∂14,798 ∂59,482 

Federal Funds ...................................................................................................................................... 298,612 253,918 313,400 ∂14,788 ∂59,482 Trust Funds .......................................................................................................................................... 308 318 318 ∂10 ............................

OFFICE OF JOB CORPS 3

Administration 2 .......................................................................................................................................................... ............................ ............................ 28,872 ∂28,872 ∂28,872 Operations .................................................................................................................................................................. 879,357 831,372 925,000 ∂45,643 ∂93,628 

Advance from prior year ........................................................................................................................... (591,000 ) (591,000 ) (591,000 ) ............................ ............................Fiscal year 2009 ....................................................................................................................................... 591,000 591,000 591,000 ............................ ............................

Construction and Renovation ............................................................................................................................ 7,920 ............................ 15,000 ∂7,080 ∂15,000 

Advance from prior year ........................................................................................................................... (100,000 ) (100,000 ) (100,000 ) ............................ ............................Fiscal year 2009 ....................................................................................................................................... 100,000 100,000 100,000 ............................ ............................

Total, Job Corps ................................................................................................................................... 1,578,277 1,522,372 1,659,872 ∂81,595 ∂137,500 

VETERANS EMPLOYMENT AND TRAINING 

State administration, Grants ..................................................................................................................................... 160,791 161,894 161,894 ∂1,103 ............................Federal Administration ............................................................................................................................................... 31,187 33,282 33,282 ∂2,095 ............................National Veterans’ Training Institute ......................................................................................................................... 1,967 1,949 1,967 ............................ ∂18 Homeless Veterans Program ...................................................................................................................................... 21,809 23,620 23,620 ∂1,811 ............................Veterans Workforce Investment Programs ................................................................................................................. 7,435 7,351 7,435 ............................ ∂84 

Total, Veterans Employment and Training ................................................................................................... 223,189 228,096 228,198 ∂5,009 ∂102 

Federal Funds ...................................................................................................................................... 29,244 30,971 31,055 ∂1,811 ∂84 Trust Funds .......................................................................................................................................... 193,945 197,125 197,143 ∂3,198 ∂18 

OFFICE OF INSPECTOR GENERAL 

Program Activities ...................................................................................................................................................... 67,214 72,929 73,929 ∂6,715 ∂1,000 

Trust Funds ....................................................................................................................................................... 5,552 5,729 5,729 ∂177 ............................

Total, Office of Inspector General ................................................................................................................ 72,766 78,658 79,658 ∂6,892 ∂1,000 

Federal funds ....................................................................................................................................... 67,214 72,929 73,929 ∂6,715 ∂1,000 Trust funds .......................................................................................................................................... 5,552 5,729 5,729 ∂177 ............................

Total, Departmental Management ................................................................................................................ 2,173,152 2,083,362 2,281,446 ∂108,294 ∂198,084 

Federal Funds ...................................................................................................................................... 1,973,347 1,880,190 2,078,256 ∂104,909 ∂198,066 Current Year ......................................................................................................................................... (1,282,347 ) (1,189,190 ) (1,387,256 ) (∂104,909 ) (∂198,066 ) Fiscal year 2009 .................................................................................................................................. (691,000 ) (691,000 ) (691,000 ) ............................ ............................
308 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Trust Funds .......................................................................................................................................... 199,805 203,172 203,190 ∂3,385 ∂18 

WORKING CAPITAL FUND 

Working capital fund .................................................................................................................................................. 6,168 12,000 ............................ ¥6,168 ¥12,000 

Total, Title I, Department of Labor ............................................................................................................... 14,684,861 13,935,866 14,893,953 ∂209,092 ∂958,087 

Federal Funds ...................................................................................................................................... 11,089,800 10,296,660 11,228,057 ∂138,257 ∂931,397 

Current Year ................................................................................................................................ (8,558,800 ) (7,771,660 ) (8,703,057 ) (∂144,257 ) (∂931,397 ) Fiscal year 2009 ......................................................................................................................... (2,531,000 ) (2,525,000 ) (2,525,000 ) (¥6,000 ) ............................

Trust Funds .......................................................................................................................................... 3,595,061 3,639,206 3,665,896 ∂70,835 ∂26,690 

TITLE II—DEPARTMENT OF HEALTH AND HUMAN SERVICES 

HEALTH RESOURCES AND SERVICES ADMINISTRATION 

HEALTH RESOURCES AND SERVICES BUREAU OF PRIMARY HEALTH CARE 

Community health centers ......................................................................................................................................... 1,988,039 1,988,467 2,238,039 ∂250,000 ∂249,572 Free Clinics Medical Malpractice ............................................................................................................................... 41 100 40 ¥1 ¥60 National Hansen’s Disease Services .......................................................................................................................... 15,972 16,109 16,500 ∂528 ∂391 

Buildings and Facilities .................................................................................................................................... 220 100 220 ............................ ∂120 

Payment to Hawaii, treatment of Hansen’s ............................................................................................................... 1,996 1,976 1,996 ............................ ∂20 

Subtotal, Bureau of Primary Health Care .................................................................................................... 2,006,268 2,006,752 2,256,795 ∂250,527 ∂250,043 

BUREAU OF HEALTH PROFESSIONS 

National Health Service Corps: 

Field placements ............................................................................................................................................... 40,443 30,729 40,443 ............................ ∂9,714 Recruitment ....................................................................................................................................................... 85,230 85,230 85,230 ............................ ............................

Subtotal, National Health Service Corps ...................................................................................................... 125,673 115,959 125,673 ............................ ∂9,714 
309 

HEALTH PROFESSIONS 

Training for Diversity: 

Centers of excellence ........................................................................................................................................ 11,880 ............................ 11,880 ............................ ∂11,880 Health careers opportunity program ................................................................................................................. 3,960 ............................ 3,960 ............................ ∂3,960 Faculty loan repayment ..................................................................................................................................... 1,289 ............................ 1,289 ............................ ∂1,289 Scholarships for disadvantaged students ........................................................................................................ 46,657 9,733 46,657 ............................ ∂36,924 

Subtotal, Training for Diversity .................................................................................................................... 63,786 9,733 63,786 ............................ ∂54,053 

Training in Primary Care Medicine and Dentistry ..................................................................................................... 48,851 ............................ 48,851 ............................ ∂48,851 Interdisciplinary Community-Based Linkages: 

Area health education centers .......................................................................................................................... 28,681 ............................ 28,681 ............................ ∂28,681 Allied health and other disciplines ................................................................................................................... 3,960 ............................ 5,960 ∂2,000 ∂5,960 Geriatric education ............................................................................................................................................ 31,548 ............................ 31,548 ............................ ∂31,548 

Subtotal, Interdisciplinary Comm. Linkages ................................................................................................. 64,189 ............................ 66,189 ∂2,000 ∂66,189 

Public health, preventive med. and dental programs ............................................................................................... 7,920 ............................ 8,920 ∂1,000 ∂8,920 Nursing Programs: 

Advanced Education Nursing ............................................................................................................................ 57,061 ............................ 68,889 ∂11,828 ∂68,889 Nurse education, practice, and retention ......................................................................................................... 37,291 37,291 37,291 ............................ ............................Nursing workforce diversity ............................................................................................................................... 16,107 16,107 16,107 ............................ ............................Loan repayment and scholarship program ....................................................................................................... 31,055 43,744 36,000 ∂4,945 ¥7,744 Comprehensive geriatric education ................................................................................................................... 3,392 3,392 3,392 ............................ ............................Nursing faculty loan program ........................................................................................................................... 4,773 4,773 8,000 ∂3,227 ∂3,227 

Subtotal, Nursing programs ......................................................................................................................... 149,679 105,307 169,679 ∂20,000 ∂64,372 Subtotal, Health Professions ........................................................................................................................ 334,425 115,040 357,425 ∂23,000 ∂242,385 

Children’s Hospitals Graduate Medical Education .................................................................................................... 297,009 110,018 200,000 ¥97,009 ∂89,982 National Practitioner Data Bank ................................................................................................................................ 16,200 18,900 18,900 ∂2,700 ............................

User Fees ........................................................................................................................................................... ¥16,200 ¥18,900 ¥18,900 ¥2,700 ............................

Health Care Integrity and Protection Data Bank ....................................................................................................... 3,825 ............................ 3,825 ............................ ∂3,825 

User Fees ........................................................................................................................................................... ¥3,825 ............................ ¥3,825 ............................ ¥3,825 

Subtotal, Bureau of Health Professions ....................................................................................................... 757,107 341,017 683,098 ¥74,009 ∂342,081 

MATERNAL AND CHILD HEALTH BUREAU 

Maternal and Child Health Block Grant .................................................................................................................... 673,000 673,000 673,000 ............................ ............................
310 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Autism and Other Developmental Disorders 4 ............................................................................................................ 20,000 20,000 37,000 ∂17,000 ∂17,000 Sickle cell anemia demonstration program ............................................................................................................... 2,180 2,184 3,180 ∂1,000 ∂996 Traumatic Brain Injury ............................................................................................................................................... 8,910 ............................ 10,000 ∂1,090 ∂10,000 Healthy Start .............................................................................................................................................................. 101,518 100,503 101,518 ............................ ∂1,015 Universal Newborn Hearing ........................................................................................................................................ 9,804 ............................ 12,000 ∂2,196 ∂12,000 Emergency medical services for children .................................................................................................................. 19,800 ............................ 20,000 ∂200 ∂20,000 

Subtotal, Maternal and Child Health Bureau .............................................................................................. 835,212 795,687 856,698 ∂21,486 ∂61,011 

HIV/AIDS BUREAU 

Ryan White AIDS Programs: 

Emergency Assistance ....................................................................................................................................... 603,993 603,993 603,993 ............................ ............................Comprehensive Care Programs ......................................................................................................................... 1,195,500 1,215,518 1,225,518 ∂30,018 ∂10,000 

AIDS Drug Assistance Program (ADAP) (NA) ........................................................................................... (789,546 ) (814,546 ) (814,546 ) (∂25,000 ) ............................

Early Intervention Program ................................................................................................................................ 193,722 199,821 193,622 ¥100 ¥6,199 Children, Youth, Women, and Families ............................................................................................................. 71,794 71,794 75,000 ∂3,206 ∂3,206 AIDS Dental Services ......................................................................................................................................... 13,086 13,086 13,086 ............................ ............................Education and Training Centers ....................................................................................................................... 34,700 28,700 34,700 ............................ ∂6,000 

Subtotal, Ryan White AIDS programs ........................................................................................................... 2,112,795 2,132,912 2,145,919 ∂33,124 ∂13,007 

Evaluation Tap Funding (NA) ............................................................................................................................ (25,000 ) (25,000 ) (25,000 ) ............................ ............................

Subtotal, Ryan White AIDs program level .................................................................................................... (2,137,795 ) (2,157,912 ) (2,170,919 ) (∂33,124 ) (∂13,007 ) Subtotal, HIV/AIDS Bureau ............................................................................................................................ 2,112,795 2,132,912 2,145,919 ∂33,124 ∂13,007 

HEALTHCARE SYSTEMS BUREAU 

Organ Transplantation ............................................................................................................................................... 23,049 23,049 25,049 ∂2,000 ∂2,000 National Cord Blood Inventory ................................................................................................................................... 3,963 1,966 12,000 ∂8,037 ∂10,034 Bone Marrow Program ................................................................................................................................................ 25,168 22,701 22,701 ¥2,467 ............................Office of Pharmacy Affairs ......................................................................................................................................... ............................ 2,940 2,940 ∂2,940 ............................
311 

Poison control ............................................................................................................................................................. 23,000 10,000 23,000 ............................ ∂13,000 

Subtotal, Healthcare systems bureau .......................................................................................................... 75,180 60,656 85,690 ∂10,510 ∂25,034 

RURAL HEALTH PROGRAMS 

Rural outreach grants ................................................................................................................................................ 38,885 ............................ 40,000 ∂1,115 ∂40,000 Rural Health Research ............................................................................................................................................... 8,737 8,737 9,500 ∂763 ∂763 Rural Hospital Flexibility Grants ................................................................................................................................ 63,538 ............................ 38,538 ¥25,000 ∂38,538 Delta Health Initiative 5 .............................................................................................................................................. ............................ ............................ 25,000 ∂25,000 ∂25,000 Rural and community access to emergency devices ................................................................................................ 1,487 ............................ 3,000 ∂1,513 ∂3,000 State Offices of Rural Health .................................................................................................................................... 8,141 8,141 9,000 ∂859 ∂859 Black lung clinics ...................................................................................................................................................... 5,891 5,886 6,000 ∂109 ∂114 Radiation Exposure Screening and Education Program5 .......................................................................................... 1,919 1,904 1,917 ¥2 ∂13 Denali Commission ..................................................................................................................................................... 39,283 ............................ 39,283 ............................ ∂39,283 

Subtotal, Rural health programs .................................................................................................................. 167,881 24,668 172,238 ∂4,357 ∂147,570 

Family Planning .......................................................................................................................................................... 283,146 283,103 300,000 ∂16,854 ∂16,897 Health Care-related Facilities and Activities ............................................................................................................. ............................ ............................ 191,235 ∂191,235 ∂191,235 Telehealth ................................................................................................................................................................... 6,819 6,819 7,000 ∂181 ∂181 Program Management ................................................................................................................................................ 146,294 144,191 145,000 ¥1,294 ∂809 

Total, Health resources and services ........................................................................................................... 6,390,702 5,795,805 6,843,673 ∂452,971 ∂1,047,868 Total, Health resources & services program level ....................................................................................... (6,415,702 ) (5,820,805 ) (6,868,673 ) (∂452,971 ) (∂1,047,868 ) 

Evaluation tap funding ........................................................................................................................ (25,000 ) (25,000 ) (25,000 ) ............................ ............................

HEALTH EDUCATION ASSISTANCE LOANS (HEAL) PROGRAM: 

Liquidating account .......................................................................................................................................... (4,000 ) (1,000 ) (1,000 ) (¥3,000 ) ............................Program management ....................................................................................................................................... 2,898 2,906 2,906 ∂8 ............................

Total, HEAL .................................................................................................................................................... 2,898 2,906 2,906 ∂8 ............................

VACCINE INJURY COMPENSATION PROGRAM TRUST FUND: 

Post-fiscal year 1988 claims ............................................................................................................................ 55,871 57,547 57,547 ∂1,676 ............................HRSA administration ......................................................................................................................................... 3,982 3,528 3,528 ¥454 ............................

Total, Vaccine Injury Compensation Trust Fund .......................................................................................... 59,853 61,075 61,075 ∂1,222 ............................Total, Health Resources and Services Admin .............................................................................................. 6,453,453 5,859,786 6,907,654 ∂454,201 ∂1,047,868 Total, HRSA program level ............................................................................................................................ (6,482,453 ) (5,885,786 ) (6,933,654 ) (∂451,201 ) (∂1,047,868 ) 
312 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

CENTERS FOR DISEASE CONTROL AND PREVENTION 

Infectious Diseases .................................................................................................................................................... 1,791,437 1,781,574 1,762,083 ¥29,354 ¥19,491 

Evaluation Tap Funding .................................................................................................................................... (12,794 ) (12,794 ) (12,794 ) ............................ ............................

Subtotal, Program level ................................................................................................................................ (1,804,231 ) (1,794,368 ) (1,774,877 ) (¥29,354 ) (¥19,491 ) 

Health Promotion ........................................................................................................................................................ 959,662 958,732 979,876 ∂20,214 ∂21,144 Health Information and Service ................................................................................................................................. 88,418 108,361 98,854 ∂10,436 ¥9,507 

Evaluation Tap Funding .................................................................................................................................... (134,235 ) (135,135 ) (133,799 ) (¥436 ) (¥1,336 ) 

Subtotal, Program level ................................................................................................................................ (222,653 ) (243,496 ) (232,653 ) (∂10,000 ) (¥10,843 ) 

Environmental health and injury ............................................................................................................................... 288,104 287,674 296,338 ∂8,234 ∂8,664 Occupational safety and health 6 .............................................................................................................................. 167,028 165,927 180,326 ∂13,298 ∂14,399 

Evaluation Tap Funding .................................................................................................................................... (87,071 ) (87,071 ) (92,071 ) (∂5,000 ) (∂5,000 ) 

Subtotal, Program level 6 .............................................................................................................................. (254,099 ) (252,998 ) (272,397 ) (∂18,298 ) (∂19,399 ) 

Global health .............................................................................................................................................................. 334,038 379,719 334,038 ............................ ¥45,681 Terrorism preparedness and response ....................................................................................................................... 1,541,300 1,504,375 1,632,448 ∂91,148 ∂128,073 Public Health research: 

Federal Funds .................................................................................................................................................... ............................ ............................ ............................ ............................ ............................Evaluation Tap Funding .................................................................................................................................... (31,000 ) (31,000 ) (31,000 ) ............................ ............................

Subtotal, Program level ................................................................................................................................ (31,000 ) (31,000 ) (31,000 ) ............................ ............................

Public health improvement and leadership ............................................................................................................... 189,808 190,412 209,829 ∂20,021 ∂19,417 Preventive health and health services block grant ................................................................................................... 99,000 ............................ 99,000 ............................ ∂99,000 Buildings and Facilities ............................................................................................................................................. 134,400 20,000 220,000 ∂85,600 ∂200,000 Business services ....................................................................................................................................................... 344,377 319,877 344,377 ............................ ∂24,500 
313 

Total, Centers for Disease Control ............................................................................................................... 5,937,572 5,716,651 6,157,169 ∂219,597 ∂440,518 

Evaluation Tap Funding (NA) .............................................................................................................. (265,100 ) (266,000 ) (269,664 ) (∂4,564 ) (∂3,664 ) 

Total, Centers for Disease Control program level ........................................................................................ (6,202,672 ) (5,982,651 ) (6,426,833 ) (∂224,161 ) (∂444,182 ) 

NATIONAL INSTITUTES OF HEALTH 

National Cancer Institute ........................................................................................................................................... 4,797,639 4,782,114 4,910,160 ∂112,521 ∂128,046 National Heart, Lung, and Blood Institute ................................................................................................................ 2,922,929 2,925,413 2,992,197 ∂69,268 ∂66,784 National Institute of Dental & Craniofacial Research .............................................................................................. 389,703 389,722 398,602 ∂8,899 ∂8,880 National Institute of Diabetes and Digestive and Kidney Diseases ......................................................................... 1,705,868 1,708,045 1,747,784 ∂41,916 ∂39,739 

Juvenile diabetes (mandatory) .......................................................................................................................... (150,000 ) (150,000 ) (150,000 ) ............................ ............................

Subtotal, NIDDK ............................................................................................................................................ (1,855,868 ) (1,858,045 ) (1,897,784 ) (∂41,916 ) (∂39,739 ) 

National Institute of Neurological Disorders & Stroke .............................................................................................. 1,535,545 1,537,019 1,573,268 ∂37,723 ∂36,249 National Institute of Allergy & Infectious Diseases 7 ................................................................................................ 4,268,708 4,292,482 4,368,472 ∂99,764 ∂75,990 

Global HIV/AIDS Fund Transfer ......................................................................................................................... 99,000 300,000 300,000 ∂201,000 ............................

Subtotal, NIAID .............................................................................................................................................. 4,367,708 4,592,482 4,668,472 ∂300,764 ∂75,990 

National Institute of General Medical Sciences ........................................................................................................ 1,935,808 1,941,462 1,978,601 ∂42,793 ∂37,139 National Institute of Child Health & Human Development ....................................................................................... 1,254,707 1,264,946 1,282,231 ∂27,524 ∂17,285 National Eye Institute ................................................................................................................................................. 667,116 667,820 681,962 ∂14,846 ∂14,142 National Institute of Environmental Health Sciences ................................................................................................ 642,002 637,406 656,176 ∂14,174 ∂18,770 National Institute on Aging ........................................................................................................................................ 1,047,260 1,047,148 1,073,048 ∂25,788 ∂25,900 National Institute of Arthritis and Musculoskeletal and Skin Diseases ................................................................... 508,240 508,082 519,810 ∂11,570 ∂11,728 National Institute on Deafness and Other Communication Disorders ...................................................................... 393,668 393,682 402,680 ∂9,012 ∂8,998 National Institute of Nursing Research ..................................................................................................................... 137,404 137,800 140,456 ∂3,052 ∂2,656 National Institute on Alcohol Abuse and Alcoholism ................................................................................................ 436,259 436,505 445,702 ∂9,443 ∂9,197 National Institute on Drug Abuse .............................................................................................................................. 1,000,621 1,000,365 1,022,594 ∂21,973 ∂22,229 National Institute of Mental Health ........................................................................................................................... 1,404,494 1,405,421 1,436,001 ∂31,507 ∂30,580 National Human Genome Research Institute ............................................................................................................. 486,491 484,436 497,031 ∂10,540 ∂12,595 National Institute of Biomedical Imaging and Bioengineering ................................................................................. 296,887 300,463 304,319 ∂7,432 ∂3,856 National Center for Research Resources ................................................................................................................... 1,133,240 1,112,498 1,177,997 ∂44,757 ∂65,499 National Center for Complementary and Alternative Medicine ................................................................................. 121,576 121,699 124,213 ∂2,637 ∂2,514 National Center on Minority Health and Health Disparities ...................................................................................... 199,444 194,495 203,895 ∂4,451 ∂9,400 John E. Fogarty International Center ......................................................................................................................... 66,446 66,594 68,000 ∂1,554 ∂1,406 National Library of Medicine ...................................................................................................................................... 320,850 312,562 327,817 ∂6,967 ∂15,255 

Evaluation Tap Funding .................................................................................................................................... (8,200 ) (8,200 ) (8,200 ) ............................ ............................

Subtotal, NLM ............................................................................................................................................... 329,050 320,762 336,017 ∂6,967 ∂15,255 
314 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Office of the Director 7 ............................................................................................................................................... 1,046,901 517,062 1,145,790 ∂98,889 ∂628,728 

Common Fund (Non-Add) .................................................................................................................................. (483,000 ) (121,540 ) (531,300 ) (∂48,300 ) (∂409,760 ) 

Buildings and Facilities ............................................................................................................................................. 81,081 136,000 121,081 ∂40,000 ¥14,919 

Total, National Institutes of Health (NIH) .................................................................................................... 28,899,887 28,621,241 29,899,887 ∂1,000,000 ∂1,278,646 

Global HIV/AIDS Fund Transfer ............................................................................................................ ¥99,000 ¥300,000 ¥300,000 ¥201,000 ............................Evaluation Tap Funding ....................................................................................................................... (8,200 ) (8,200 ) (8,200 ) ............................ ............................

Total, NIH, Program Level ............................................................................................................................. (28,809,087 ) (28,329,441 ) (29,608,087 ) (∂799,000 ) (∂1,278,646 ) 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) 

Mental Health: 

Programs of Regional and National Significance ............................................................................................ 263,263 186,633 298,217 ∂34,954 ∂111,584 Mental Health block grant ................................................................................................................................ 406,843 406,843 406,843 ............................ ............................

Evaluation Tap Funding ........................................................................................................................... (21,413 ) (21,413 ) (21,413 ) ............................ ............................

Subtotal, Program level ....................................................................................................................... (428,256 ) (428,256 ) (428,256 ) ............................ ............................

Children’s Mental Health .................................................................................................................................. 104,078 104,078 104,078 ............................ ............................Grants to States for the Homeless (PATH) ....................................................................................................... 54,261 54,261 54,261 ............................ ............................Protection and Advocacy ................................................................................................................................... 34,000 34,000 39,000 ∂5,000 ∂5,000 

Subtotal, Mental Health ................................................................................................................................ 862,445 785,815 902,399 ∂39,954 ∂116,584 Subtotal, Program level ................................................................................................................................ (883,858 ) (807,228 ) (923,812 ) (∂39,954 ) (∂116,584 ) 

Substance Abuse Treatment: 

Programs of Regional and National Significance ............................................................................................ 394,649 347,790 422,268 ∂27,619 ∂74,478 

Evaluation Tap Funding ........................................................................................................................... (4,300 ) (4,300 ) (4,300 ) ............................ ............................

Subtotal, Program level ....................................................................................................................... (398,949 ) (352,090 ) (426,568 ) (∂27,619 ) (∂74,478 ) 
315 

Substance Abuse block grant ........................................................................................................................... 1,679,391 1,679,391 1,679,391 ............................ ............................

Evaluation Tap Funding ........................................................................................................................... (79,200 ) (79,200 ) (79,200 ) ............................ ............................

Subtotal, Program level ....................................................................................................................... (1,758,591 ) (1,758,591 ) (1,758,591 ) ............................ ............................

Subtotal, Substance Abuse Treatment ......................................................................................................... 2,074,040 2,027,181 2,101,659 ∂27,619 ∂74,478 

Subtotal, Program level ....................................................................................................................... (2,157,540 ) (2,110,681 ) (2,185,159 ) (∂27,619 ) (∂74,478 ) 

Substance Abuse Prevention: 

Programs of Regional and National Significance ............................................................................................ 192,902 156,461 197,108 ∂4,206 ∂40,647 

Program Management ................................................................................................................................................ 76,721 76,969 76,969 ∂248 ............................

Evaluation Tap funding (NA) ............................................................................................................................ (16,000 ) (16,250 ) (21,750 ) (∂5,750 ) (∂5,500 ) 

Subtotal, Program level ................................................................................................................................ 92,721 93,219 98,719 ∂5,998 ∂5,500 Total, SAMHSA ............................................................................................................................................... 3,206,108 3,046,426 3,278,135 ∂72,027 ∂231,709 

Evaluation Tap funding ....................................................................................................................... (120,913 ) (121,163 ) (126,663 ) (∂5,750 ) (∂5,500 ) 

Total, SAMHSA program level ....................................................................................................................... (3,327,021 ) (3,167,589 ) (3,404,798 ) (∂77,777 ) (∂237,209 ) 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 

Research on Health Costs, Quality, and Outcomes: 

Federal Funds .................................................................................................................................................... ............................ ............................ 271,564 ∂271,564 ∂271,564 Evaluation Tap funding (NA) ............................................................................................................................ (260,986 ) (271,564 ) ............................ (¥260,986 ) (¥271,564 ) 

Clinical effectiveness research (NA) ........................................................................................................ (15,000 ) (15,000 ) (30,000 ) (∂15,000 ) (∂15,000 ) Reducing medical errors (NA) .................................................................................................................. (84,000 ) (93,934 ) (78,934 ) (¥5,066 ) (¥15,000 ) 

Subtotal, Program level ....................................................................................................................... (260,986 ) (271,564 ) (271,564 ) (∂10,578 ) ............................

Medical Expenditures Panel Surveys: 

Federal Funds .................................................................................................................................................... ............................ ............................ 55,300 ∂55,300 ∂55,300 Evaluation Tap funding (NA) ............................................................................................................................ (55,300 ) (55,300 ) ............................ (¥55,300 ) (¥55,300 ) 

Program Support: 

Federal Funds .................................................................................................................................................... ............................ ............................ 2,700 ∂2,700 ∂2,700 Evaluation Tap funding (NA) ............................................................................................................................ (2,700 ) (2,700 ) ............................ (¥2,700 ) (¥2,700 ) 

Total, AHRQ ................................................................................................................................................... ............................ ............................ 329,564 ∂329,564 ∂329,564 

Evaluation Tap funding (NA) ............................................................................................................... (318,986 ) (329,564 ) ............................ (¥318,986 ) (¥329,564 ) 
316 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Total, AHRQ program level ........................................................................................................................... (318,986 ) (329,564 ) (329,564 ) (∂10,578 ) ............................Total, Public Health Service appropriation ................................................................................................... 44,497,020 43,244,104 46,572,409 ∂2,075,389 ∂3,328,305 Total, Public Health Service program level .................................................................................................. (45,140,219 ) (43,695,031 ) (46,702,936 ) (∂1,562,717 ) (∂3,007,905 ) 

CENTERS FOR MEDICARE AND MEDICAID SERVICES 

GRANTS TO STATES FOR MEDICAID 

Medicaid current law benefits ................................................................................................................................... 155,467,869 194,109,000 194,109,000 ∂38,641,131 ............................State and local administration .................................................................................................................................. 9,881,583 10,014,716 10,014,716 ∂133,133 ............................Vaccines for Children ................................................................................................................................................. 2,905,330 2,761,957 2,761,957 ¥143,373 ............................

Subtotal, Medicaid program level ................................................................................................................ 168,254,782 206,885,673 206,885,673 ∂38,630,891 ............................

Less funds advanced in prior year ..................................................................................................... ¥62,783,825 ¥65,257,617 ¥65,257,617 ¥2,473,792 ............................

Total, Grants to States for medicaid ........................................................................................................... 105,470,957 141,628,056 141,628,056 ∂36,157,099 ............................

New advance, 1st quarter ................................................................................................................... 65,257,617 67,292,669 67,292,669 ∂2,035,052 ............................

PAYMENTS TO HEALTH CARE TRUST FUNDS 

Supplemental medical insurance ............................................................................................................................... 137,623,000 140,704,000 140,704,000 ∂3,081,000 ............................Hospital insurance for the uninsured ........................................................................................................................ 239,000 269,000 269,000 ∂30,000 ............................Federal uninsured payment ........................................................................................................................................ 229,000 237,000 237,000 ∂8,000 ............................Program management ................................................................................................................................................ 175,000 192,000 192,000 ∂17,000 ............................General revenue for Part D benefit ............................................................................................................................ 37,329,000 46,299,000 46,299,000 ∂8,970,000 ............................General revenue for Part D administration ............................................................................................................... 703,480 744,000 744,000 ∂40,520 ............................HCFAC reimbursement ................................................................................................................................................ ............................ 183,000 383,000 ∂383,000 ∂200,000 Prescription drug eligibility determinations ............................................................................................................... ............................ ............................ ............................ ............................ ............................

Subtotal, Payments to Trust Funds, current law ......................................................................................... 176,298,480 188,628,000 188,828,000 ∂12,529,520 ∂200,000 

Less funds advanced in prior year ..................................................................................................... ............................ ............................ ............................ ............................ ............................
317 

New Advance fiscal year 2009 ............................................................................................................ ............................ ............................ ............................ ............................ ............................

Total, Payments to Trust Funds, current law ............................................................................................... 176,298,480 188,628,000 188,828,000 ∂12,529,520 ∂200,000 

PROGRAM MANAGEMENT 8

Research, Demonstration, Evaluation ........................................................................................................................ 57,420 33,700 35,325 ¥22,095 ∂1,625 Medicare Operations 9 ................................................................................................................................................ 2,159,242 2,303,615 2,276,052 ∂116,810 ¥27,563 Revitalization plan ..................................................................................................................................................... 23,963 ............................ ............................ ¥23,963 ............................State Survey and Certification ................................................................................................................................... 258,128 293,524 293,524 ∂35,396 ............................Federal Administration 9 ............................................................................................................................................. 642,354 643,187 643,187 ∂833 ............................

Total, Program management, Limitation on new BA ................................................................................... 3,141,107 3,274,026 3,248,088 ∂106,981 ¥25,938 

Survey and Certification user fee ........................................................................................................ ............................ (¥35,000 ) (¥35,000 ) (¥35,000 ) ............................

Total, Program management, program level ................................................................................................ (3,141,107 ) (3,239,026 ) (3,213,088 ) (∂71,981 ) (¥25,938 ) 

HEALTH CARE FRAUD AND ABUSE CONTROL 

Part D drug benefit/medicare advantage (MIP) ........................................................................................................ ............................ 137,840 288,480 ∂288,480 ∂150,640 HHS Office of Inspector General ................................................................................................................................ ............................ 17,530 36,690 ∂36,690 ∂19,160 Department of Justice ................................................................................................................................................ ............................ 17,530 36,690 ∂36,690 ∂19,160 Medicaid and SCHIP financial management ............................................................................................................. ............................ 10,100 21,140 ∂21,140 ∂11,040 

Total, Health Care Fraud and Abuse Control ............................................................................................... ............................ 183,000 383,000 ∂383,000 ∂200,000 Total, Center for Medicare and Medicaid Services ...................................................................................... 350,168,161 401,005,751 401,379,813 ∂51,211,652 ∂374,062 

Federal funds ....................................................................................................................................... 347,027,054 397,548,725 397,748,725 ∂50,721,671 ∂200,000 

Current year ................................................................................................................................ (281,769,437 ) (330,256,056 ) (330,456,056 ) (∂48,686,619 ) (∂200,000 ) New advance, fiscal year 2009 .................................................................................................. (65,257,617 ) (67,292,669 ) (67,292,669 ) (∂2,035,052 ) ............................

Trust Funds .......................................................................................................................................... 3,141,107 3,457,026 3,631,088 ∂489,981 ∂174,062 

ADMINISTRATION FOR CHILDREN AND FAMILIES 

FAMILY SUPPORT PAYMENTS TO STATES 

Payments to territories ............................................................................................................................................... 38,000 38,000 38,000 ............................ ............................Repatriation ................................................................................................................................................................ 1,000 1,000 1,000 ............................ ............................

Subtotal, Welfare payments .......................................................................................................................... 39,000 39,000 39,000 ............................ ............................

Child Support Enforcement: 

State and local administration ......................................................................................................................... 3,943,678 3,417,713 3,417,713 ¥525,965 ............................Federal incentive payments .............................................................................................................................. 471,000 483,000 483,000 ∂12,000 ............................
318 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Access and visitation ........................................................................................................................................ 10,000 10,000 10,000 ............................ ............................

Subtotal, Child Support Enforcement ........................................................................................................... 4,424,678 3,910,713 3,910,713 ¥513,965 ............................Total, Family support payments program level ............................................................................................ 4,463,678 3,949,713 3,949,713 ¥513,965 ............................

Less funds advanced in previous years .............................................................................................. ¥1,200,000 ¥1,000,000 ¥1,000,000 ∂200,000 ............................

Total, Family support payments, current year ............................................................................................. 3,263,678 2,949,713 2,949,713 ¥313,965 ............................

New advance, 1st quarter, fiscal year 2009 ...................................................................................... 1,000,000 1,000,000 1,000,000 ............................ ............................

LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP) 

Formula grants ........................................................................................................................................................... 1,980,000 1,500,000 1,980,000 ............................ ∂480,000 

Subtotal, Formula grants .............................................................................................................................. 1,980,000 1,500,000 1,980,000 ............................ ∂480,000 

Contingency fund ....................................................................................................................................................... 181,170 282,000 181,170 ............................ ¥100,830 

Subtotal, Contingency fund .......................................................................................................................... 181,170 282,000 181,170 ............................ ¥100,830 Total, LIHEAP ................................................................................................................................................. 2,161,170 1,782,000 2,161,170 ............................ ∂379,170 Total, LIHEAP, program level ........................................................................................................................ 2,161,170 1,782,000 2,161,170 ............................ ∂379,170 

REFUGEE AND ENTRANT ASSISTANCE 

Transitional and Medical Services ............................................................................................................................. 265,546 294,021 294,021 ∂28,475 ............................Victims of Trafficking ................................................................................................................................................. 9,823 14,816 9,823 ............................ ¥4,993 Social Services ........................................................................................................................................................... 154,005 149,610 154,005 ............................ ∂4,395 Preventive Health ....................................................................................................................................................... 4,748 4,700 4,748 ............................ ∂48 Targeted Assistance ................................................................................................................................................... 48,590 48,104 48,590 ............................ ∂486 Unaccompanied minors .............................................................................................................................................. 95,318 134,662 133,162 ∂37,844 ¥1,500 
319 

Victims of Torture ....................................................................................................................................................... 9,817 9,717 9,817 ............................ ∂100 

Total, Refugee and entrant assistance ........................................................................................................ 587,847 655,630 654,166 ∂66,319 ¥1,464 

CHILD CARE AND DEVELOPMENT BLOCK GRANT ....................................................................................................... 2,062,081 2,062,081 2,062,081 ............................ ............................SOCIAL SERVICES BLOCK GRANT (TITLE XX) ............................................................................................................. 1,700,000 1,700,000 1,700,000 ............................ ............................

CHILDREN AND FAMILIES SERVICES PROGRAMS 

Programs for Children, Youth and Families: 

Head Start, current funded ............................................................................................................................... 5,499,771 5,399,771 5,699,771 ∂200,000 ∂300,000 

Advance from prior year ........................................................................................................................... (1,388,800 ) (1,388,800 ) (1,388,800 ) ............................ ............................Fiscal Year 2009 ...................................................................................................................................... 1,388,800 1,388,800 1,388,800 ............................ ............................

Subtotal, Head Start, program level ................................................................................................... 6,888,571 6,788,571 7,088,571 ∂200,000 ∂300,000 

Consolidated Runaway, Homeless Youth Program ........................................................................................... 87,837 87,837 102,837 ∂15,000 ∂15,000 Prevention grants to reduce abuse of runaway youth ..................................................................................... 15,027 15,027 20,027 ∂5,000 ∂5,000 Child Abuse State Grants ................................................................................................................................. 27,007 27,007 27,007 ............................ ............................Child Abuse Discretionary Activities ................................................................................................................. 25,780 36,138 37,738 ∂11,958 ∂1,600 Community based child abuse prevention ....................................................................................................... 42,430 42,430 42,430 ............................ ............................Abandoned Infants Assistance .......................................................................................................................... 11,835 11,835 11,835 ............................ ............................Child Welfare Services ...................................................................................................................................... 286,754 286,754 286,754 ............................ ............................Child Welfare Training ...................................................................................................................................... 7,335 7,335 7,335 ............................ ............................Adoption Opportunities ...................................................................................................................................... 26,848 26,848 26,848 ............................ ............................Adoption Incentive ............................................................................................................................................. 5,000 13,500 9,500 ∂4,500 ¥4,000 Adoption Awareness .......................................................................................................................................... 12,674 12,674 12,674 ............................ ............................Interstate Home Study for Adoption and Foster Care ...................................................................................... ............................ 10,000 ............................ ............................ ¥10,000 Compassion Capital Fund ................................................................................................................................. 64,350 75,000 53,625 ¥10,725 ¥21,375 

Social Services and Income Maintenance Research ................................................................................................. 5,868 ............................ 5,825 ¥43 ∂5,825 

Evaluation tap funding ..................................................................................................................................... (6,000 ) (5,880 ) (6,000 ) ............................ (∂120 ) 

Subtotal, Program level ................................................................................................................................ (11,868 ) (5,880 ) (11,825 ) (¥43 ) (∂5,945 ) 

Developmental Disabilities Programs: 

State Councils ................................................................................................................................................... 71,771 71,771 77,271 ∂5,500 ∂5,500 Protection and Advocacy ................................................................................................................................... 38,718 38,718 42,718 ∂4,000 ∂4,000 Voting access for individuals with disabilities ................................................................................................ 15,720 15,720 16,720 ∂1,000 ∂1,000 Developmental Disabilities Projects of National Significance .......................................................................... 11,414 11,414 15,414 ∂4,000 ∂4,000 University Centers for Excellence in Developmental Disabilities ..................................................................... 33,212 33,213 38,713 ∂5,501 ∂5,500 

Subtotal, Developmental disabilities programs ........................................................................................... 170,835 170,836 190,836 ∂20,001 ∂20,000 
320 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Native American Programs ......................................................................................................................................... 44,332 44,332 49,332 ∂5,000 ∂5,000 Community Services: 

Grants to States for Community Services ........................................................................................................ 630,425 ............................ 670,425 ∂40,000 ∂670,425 Community Initiative Program: 

Economic Development ............................................................................................................................. 27,022 ............................ 27,022 ............................ ∂27,022 Job Opportunities for Low-Income Individuals ......................................................................................... 5,382 ............................ 5,382 ............................ ∂5,382 Individual Development Account Initiative .............................................................................................. 24,452 24,452 24,452 ............................ ............................Rural Community Facilities ...................................................................................................................... 7,293 ............................ 8,000 ∂707 ∂8,000 

Subtotal, Community Initiative Program ............................................................................................. 64,149 24,452 64,856 ∂707 ∂40,404 

Subtotal, Community Services ........................................................................................................ 694,574 24,452 735,281 ∂40,707 ∂710,829 

Domestic Violence Hotline .......................................................................................................................................... 2,970 2,970 3,200 ∂230 ∂230 Family Violence/Battered Women’s Shelters .............................................................................................................. 124,731 124,731 127,000 ∂2,269 ∂2,269 Mentoring Children of Prisoners ................................................................................................................................ 49,493 50,000 49,493 ............................ ¥507 Independent Living Training Vouchers ....................................................................................................................... 46,157 46,157 46,157 ............................ ............................Abstinence Education ................................................................................................................................................. 108,900 136,664 80,416 ¥28,484 ¥56,248 

Evaluation Tap Funding .................................................................................................................................... (4,500 ) (4,500 ) (4,500 ) ............................ ............................

Subtotal, Program level ................................................................................................................................ (113,400 ) (141,164 ) (84,916 ) (¥28,484 ) (¥56,248 ) 

Faith-Based Center .................................................................................................................................................... 1,386 1,386 1,386 ............................ ............................Program Direction ....................................................................................................................................................... 187,776 197,225 197,225 ∂9,449 ............................

Total, Children and Families Services Programs ......................................................................................... 8,938,470 8,239,709 9,213,332 ∂274,862 ∂973,623 

Current Year ......................................................................................................................................... (7,549,670 ) (6,850,909 ) (7,824,532 ) (∂274,862 ) (∂973,623 ) Fiscal Year 2009 .................................................................................................................................. (1,388,800 ) (1,388,800 ) (1,388,800 ) ............................ ............................Evaluation Tap funding ....................................................................................................................... (10,500 ) (10,380 ) (10,500 ) ............................ (∂120 ) 
321 

Total, Program level ...................................................................................................................................... 8,948,970 8,250,089 9,223,832 ∂274,862 ∂973,743 

PROMOTING SAFE AND STABLE FAMILIES 10 ............................................................................................................... 345,000 345,000 345,000 ............................ ............................

Discretionary Funds ........................................................................................................................................... 89,100 89,100 89,100 ............................ ............................

PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION 

Foster Care ................................................................................................................................................................. 4,475,000 4,581,000 4,581,000 ∂106,000 ............................Adoption Assistance ................................................................................................................................................... 2,027,000 2,156,000 2,156,000 ∂129,000 ............................Independent living ...................................................................................................................................................... 140,000 140,000 140,000 ............................ ............................

Total, Payments to States ............................................................................................................................ 6,642,000 6,877,000 6,877,000 ∂235,000 ............................

Less Advances from Prior Year ........................................................................................................... ¥1,730,000 ¥1,810,000 ¥1,810,000 ¥80,000 ............................

Total, payments, current year ......................................................................................................... 4,912,000 5,067,000 5,067,000 ∂155,000 ............................New Advance, 1st quarter ............................................................................................................... 1,810,000 1,776,000 1,776,000 ¥34,000 ............................

Total, Administration for Children & Families ............................................................................................. 26,869,346 25,666,233 27,017,562 ∂148,216 ∂1,351,329 

Current year ......................................................................................................................................... (22,670,546 ) (21,501,433 ) (22,852,762 ) (∂182,216 ) (∂1,351,329 ) Fiscal year 2009 .................................................................................................................................. (4,198,800 ) (4,164,800 ) (4,164,800 ) (¥34,000 ) ............................Evaluation Tap funding ....................................................................................................................... (10,500 ) (10,380 ) (10,500 ) ............................ (∂120 ) 

Total, Administration for Children & Families ............................................................................................. 26,879,846 25,676,613 27,028,062 ∂148,216 ∂1,351,449 

ADMINISTRATION ON AGING 

Grants to States: 

Supportive Services and Centers ...................................................................................................................... 350,595 350,595 350,595 ............................ ............................Preventive Health .............................................................................................................................................. 21,400 ............................ 21,400 ............................ ∂21,400 Protection of Vulnerable Older Americans—Title VII ....................................................................................... 20,156 19,166 21,156 ∂1,000 ∂1,990 Family Caregivers .............................................................................................................................................. 156,167 154,187 156,167 ............................ ∂1,980 Native American Caregivers Support ................................................................................................................ 6,241 6,241 6,428 ∂187 ∂187 

Subtotal, Caregivers ............................................................................................................................ 162,408 160,428 162,595 ∂187 ∂2,167 

Nutrition: 

Congregate Meals ..................................................................................................................................... 398,919 383,401 418,519 ∂19,600 ∂35,118 Home Delivered Meals .............................................................................................................................. 188,305 180,998 197,805 ∂9,500 ∂16,807 Nutrition Services Incentive Program ....................................................................................................... 147,846 147,110 157,246 ∂9,400 ∂10,136 

Subtotal, Nutrition ............................................................................................................................... 735,070 711,509 773,570 ∂38,500 ∂62,061 Subtotal, Grants to States ................................................................................................................... 1,289,629 1,241,698 1,329,316 ∂39,687 ∂87,618 
322 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Grants for Native Americans ...................................................................................................................................... 26,134 26,134 27,834 ∂1,700 ∂1,700 Program Innovations .................................................................................................................................................. 24,058 35,485 11,420 ¥12,638 ¥24,065 Aging Network Support Activities ............................................................................................................................... 13,133 13,133 42,651 ∂29,518 ∂29,518 Alzheimer’s Disease Demonstrations ......................................................................................................................... 11,668 ............................ 11,668 ............................ ∂11,668 Program Administration ............................................................................................................................................. 18,385 18,696 18,696 ∂311 ............................

Total, Administration on Aging ..................................................................................................................... 1,383,007 1,335,146 1,441,585 ∂58,578 ∂106,439 

OFFICE OF THE SECRETARY 

GENERAL DEPARTMENTAL MANAGEMENT: 

Federal Funds .................................................................................................................................................... 178,674 225,442 227,403 ∂48,729 ∂1,961 Trust Funds ....................................................................................................................................................... 5,793 5,851 5,851 ∂58 ............................

Subtotal ......................................................................................................................................................... 184,467 231,293 233,254 ∂48,787 ∂1,961 

Adolescent Family Life (Title XX) ...................................................................................................................... 30,307 30,307 30,307 ............................ ............................Minority health .................................................................................................................................................. 53,455 43,775 49,475 ¥3,980 ∂5,700 Office of Women’s Health ................................................................................................................................. 28,246 27,369 30,369 ∂2,123 ∂3,000 Minority HIV/AIDS ............................................................................................................................................... 51,891 51,891 51,891 ............................ ............................Afghanistan ....................................................................................................................................................... 5,892 5,941 5,941 ∂49 ............................Embryo adoption awareness campaign ............................................................................................................ 1,980 1,980 4,000 ∂2,020 ∂2,020 Evaluation tap funding (ASPE) (NA) ................................................................................................................. (39,552 ) (46,756 ) (46,756 ) (∂7,204 ) ............................

Total, General Departmental Management ................................................................................................... 356,238 392,556 405,237 ∂48,999 ∂12,681 

Federal Funds ...................................................................................................................................... 350,445 386,705 399,386 ∂48,941 ∂12,681 Trust Funds .......................................................................................................................................... 5,793 5,851 5,851 ∂58 ............................Evaluation tap funding ........................................................................................................................ (39,552 ) (46,756 ) (46,756 ) (∂7,204 ) ............................

OFFICE OF MEDICARE HEARINGS AND APPEALS ........................................................................................................ 59,727 70,000 70,000 ∂10,273 ............................OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY 11 ............................................ 42,402 89,872 43,000 ∂598 ¥46,872 
323 

Evaluation tap funding ..................................................................................................................................... (18,900 ) (28,000 ) (28,000 ) (∂9,100 ) ............................

Total, Health Information Tech. program level ........................................................................................ (61,302 ) (117,872 ) (71,000 ) (∂9,698 ) (¥46,872 ) 

OFFICE OF THE INSPECTOR GENERAL: 

Federal Funds .................................................................................................................................................... 39,808 44,687 45,687 ∂5,879 ∂1,000 

HIPAA funding (NA) .................................................................................................................................. (175,570 ) (196,418 ) (196,418 ) (∂20,848 ) ............................

Medicaid integrity program: Deficit Reduction Act (Public Law 109–171) (NA) ...................................................... ............................ (25,000 ) (25,000 ) (∂25,000 ) ............................

Total, Inspector General program level ........................................................................................................ (215,378 ) (266,105 ) (267,105 ) (∂51,727 ) (∂1,000 ) 

OFFICE FOR CIVIL RIGHTS: 

Federal Funds .................................................................................................................................................... 31,628 33,748 33,748 ∂2,120 ............................Trust Funds ....................................................................................................................................................... 3,281 3,314 3,314 ∂33 ............................

Total, Office for Civil Rights ........................................................................................................................ 34,909 37,062 37,062 ∂2,153 ............................

MEDICAL BENEFITS FOR COMMISSIONED OFFICERS: 

Retirement payments ........................................................................................................................................ 292,249 317,967 317,967 ∂25,718 ............................Survivors benefits .............................................................................................................................................. 17,338 18,026 18,026 ∂688 ............................Dependents’ medical care ................................................................................................................................. 61,111 66,549 66,549 ∂5,438 ............................

Total, Medical benefits for Commissioned Officers ..................................................................................... 370,698 402,542 402,542 ∂31,844 ............................

PUBLIC HEALTH AND SOCIAL SERVICE EMERGENCY FUND 

HRSA homeland security activities 7 .......................................................................................................................... ............................ ............................ ............................ ............................ ............................CDC homeland security activities 7 ............................................................................................................................ ............................ ............................ ............................ ............................ ............................NIH homeland security activities 7 ............................................................................................................................. ............................ ............................ ............................ ............................ ............................Office of the Secretary homeland security activities ................................................................................................ 717,320 780,646 756,556 ∂39,236 ¥24,090 Other PHSSEF homeland security activities ............................................................................................................... ............................ 25,000 55,000 ∂55,000 ∂30,000 Pandemic influenza preparedness ............................................................................................................................. ............................ 948,091 888,000 ∂888,000 ¥60,091 

Total, PHSSEF ................................................................................................................................................ 717,320 1,753,737 1,699,556 ∂982,236 ¥54,181 Total, Office of the Secretary ....................................................................................................................... 1,621,102 2,790,456 2,703,084 ∂1,081,982 ¥87,372 

Federal Funds ...................................................................................................................................... 1,552,301 2,711,291 2,623,919 ∂1,071,618 ¥87,372 Trust Funds .......................................................................................................................................... 68,801 79,165 79,165 ∂10,364 ............................

Total, Title II, Dept of Health & Human Services ........................................................................................ 424,538,636 474,041,690 479,114,453 ∂54,575,817 ∂5,072,763 

Federal Funds ...................................................................................................................................... 421,328,728 470,505,499 475,404,200 ∂54,075,472 ∂4,898,701 

Current year ................................................................................................................................ (351,872,311 ) (399,048,030 ) (403,946,731 ) (∂52,074,420 ) (∂4,898,701 ) 
324 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Fiscal year 2009 ......................................................................................................................... (69,456,417 ) (71,457,469 ) (71,457,469 ) (∂2,001,052 ) ............................

Trust Funds .......................................................................................................................................... 3,209,908 3,536,191 3,710,253 ∂500,345 ∂174,062 

TITLE III—DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED 

Grants to Local Educational Agencies (LEAs): 

Basic Grants: 

Advance from prior year ........................................................................................................................... (1,478,584 ) (1,353,584 ) (1,353,584 ) (¥125,000 ) ............................Forward funded ........................................................................................................................................ 5,451,387 5,325,824 5,038,599 ¥412,788 ¥287,225 Current funded ......................................................................................................................................... 3,437 4,000 4,000 ∂563 ............................

Subtotal, Basic grants current year approp ....................................................................................... 5,454,824 5,329,824 5,042,599 ¥412,225 ¥287,225 Subtotal, Basic grants total funds available ..................................................................................... (6,933,408 ) (6,683,408 ) (6,396,183 ) (¥537,225 ) (¥287,225 ) 

Basic Grants Fiscal Year 2009 Advance .......................................................................................................... 1,353,584 1,478,584 1,765,808 ∂412,224 ∂287,224 

Subtotal, Basic grants, program level ......................................................................................................... 6,808,408 6,808,408 6,808,407 ¥1 ¥1 

Concentration Grants: 

Advance from prior year ........................................................................................................................... (1,365,031 ) (1,365,031 ) (1,365,031 ) ............................ ............................Fiscal Year 2009 Advance ....................................................................................................................... 1,365,031 1,365,031 1,365,031 ............................ ............................

Subtotal, Concentration Grants program level .................................................................................... 1,365,031 1,365,031 1,365,031 ............................ ............................

Targeted Grants: 

Current funded ......................................................................................................................................... ............................ 1,196,775 ............................ ............................ ¥1,196,775 Advance from prior year ........................................................................................................................... (2,269,843 ) (2,332,343 ) (2,332,343 ) (∂62,500 ) ............................Fiscal Year 2009 Advance ....................................................................................................................... 2,332,343 2,269,843 2,868,231 ∂535,888 ∂598,388 

Subtotal, Targeted Grants program level ............................................................................................ 2,332,343 3,466,618 2,868,231 ∂535,888 ¥598,387 
325 

Education Finance Incentive Grants: 

Advance from prior year ........................................................................................................................... (2,269,843 ) (2,332,343 ) (2,332,343 ) (∂62,500 ) ............................Fiscal Year 2009 Advance ....................................................................................................................... 2,332,343 2,269,843 2,868,231 ∂535,888 ∂598,388 

Subtotal, Education Finance Incentive Grants .................................................................................... 2,332,343 2,269,843 2,868,231 ∂535,888 ∂598,388 Subtotal, Grants to LEAs, program level ............................................................................................. 12,838,125 13,909,900 13,909,900 ∂1,071,775 ............................

Even Start ................................................................................................................................................................... 82,283 ............................ ............................ ¥82,283 ............................School improvement grants ....................................................................................................................................... 125,000 500,000 500,000 ∂375,000 ............................Reading First: 

State Grants (forward funded) .......................................................................................................................... 1,029,234 1,018,692 800,000 ¥229,234 ¥218,692 

Early Reading First ..................................................................................................................................................... 117,666 117,666 117,666 ............................ ............................Striving readers 12 ...................................................................................................................................................... 31,870 100,000 36,000 ∂4,130 ¥64,000 Math Now for elementary school students ................................................................................................................ ............................ 125,000 ............................ ............................ ¥125,000 Math Now for middle school students ....................................................................................................................... ............................ 125,000 ............................ ............................ ¥125,000 Literacy through School Libraries .............................................................................................................................. 19,485 19,486 23,000 ∂3,515 ∂3,514 Promise scholarships ................................................................................................................................................. ............................ 250,000 ............................ ............................ ¥250,000 America’s opportunity scholarships for kids ............................................................................................................. ............................ 50,000 ............................ ............................ ¥50,000 State Agency Programs: 

Migrant .............................................................................................................................................................. 386,524 380,295 386,524 ............................ ∂6,229 Neglected and Delinquent/High Risk Youth ...................................................................................................... 49,797 49,797 49,797 ............................ ............................

Subtotal, State Agency programs ................................................................................................................. 436,321 430,092 436,321 ............................ ∂6,229 

Evaluation ................................................................................................................................................................... 9,330 9,327 9,330 ............................ ∂3 Comprehensive School Reform Demonstration .......................................................................................................... 2,352 ............................ 1,634 ¥718 ∂1,634 Migrant Education: 

High School Equivalency Program .................................................................................................................... 18,550 18,550 18,550 ............................ ............................College Assistance Migrant Program ................................................................................................................ 15,377 15,377 15,377 ............................ ............................

Subtotal, Migrant Education ......................................................................................................................... 33,927 33,927 33,927 ............................ ............................Total, Education for the disadvantaged ....................................................................................................... 14,725,593 16,689,090 15,867,778 ∂1,142,185 ¥821,312 

Current Year ......................................................................................................................................... (7,342,292 ) (9,305,789 ) (7,000,477 ) (¥341,815 ) (¥2,305,312 ) Fiscal Year 2009 .................................................................................................................................. (7,383,301 ) (7,383,301 ) (8,867,301 ) (∂1,484,000 ) (∂1,484,000 ) 

Subtotal, forward funded .............................................................................................................................. (7,158,447 ) (8,571,383 ) (6,812,554 ) (¥345,893 ) (¥1,758,829 ) 

IMPACT AID 

Basic Support Payments ............................................................................................................................................ 1,091,867 1,091,867 1,111,867 ∂20,000 ∂20,000 
326 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Payments for Children with Disabilities .................................................................................................................... 49,466 49,466 49,466 ............................ ............................Facilities Maintenance (Sec. 8008) ........................................................................................................................... 4,950 4,597 4,950 ............................ ∂353 Construction (Sec. 8007) ........................................................................................................................................... 17,820 17,820 17,820 ............................ ............................Payments for Federal Property (Sec. 8002) ............................................................................................................... 64,350 64,350 64,350 ............................ ............................

Total, Impact aid .......................................................................................................................................... 1,228,453 1,228,100 1,248,453 ∂20,000 ∂20,353 

SCHOOL IMPROVEMENT PROGRAMS 

State Grants for Improving Teacher Quality .............................................................................................................. 1,452,439 1,352,488 1,452,439 ............................ ∂99,951 

Advance from prior year .................................................................................................................................... (1,435,000 ) (1,435,000 ) (1,435,000 ) ............................ ............................Fiscal Year 2009 ............................................................................................................................................... 1,435,000 1,435,000 1,435,000 ............................ ............................

Subtotal, State Grants for Improving Teacher Quality, program level ........................................................ (2,887,439 ) (2,787,488 ) (2,887,439 ) ............................ (∂99,951 ) 

Early Childhood Educator Professional Development ................................................................................................ 14,550 ............................ 14,550 ............................ ∂14,550 Mathematics and Science Partnerships .................................................................................................................... 182,160 182,124 184,000 ∂1,840 ∂1,876 State Grants for Innovative Education (Education Block Grant) .............................................................................. 99,000 ............................ ............................ ¥99,000 ............................Educational Technology State Grants ........................................................................................................................ 272,250 ............................ 272,250 ............................ ∂272,250 Supplemental Education Grants ................................................................................................................................ 18,001 18,001 18,001 ............................ ............................21st Century Community Learning Centers ............................................................................................................... 981,166 981,180 1,000,000 ∂18,834 ∂18,820 State Assessments/Enhanced Assessment Instruments ............................................................................................ 407,563 411,630 416,000 ∂8,437 ∂4,370 Javits gifted and talented education ......................................................................................................................... 7,596 ............................ 7,596 ............................ ∂7,596 Foreign language assistance ..................................................................................................................................... 23,780 23,755 26,780 ∂3,000 ∂3,025 Education for Homeless Children and Youth ............................................................................................................. 61,871 61,878 66,878 ∂5,007 ∂5,000 Training and Advisory Services (Civil Rights) ........................................................................................................... 7,113 7,113 7,113 ............................ ............................Education for Native Hawaiians ................................................................................................................................ 33,907 ............................ 34,500 ∂593 ∂34,500 Alaska Native Education Equity ................................................................................................................................. 33,907 ............................ 34,500 ∂593 ∂34,500 Rural Education .......................................................................................................................................................... 168,918 168,851 168,918 ............................ ∂67 Comprehensive Centers .............................................................................................................................................. 56,257 56,256 60,000 ∂3,743 ∂3,744 

Total, School improvement programs ........................................................................................................... 5,255,478 4,698,276 5,198,525 ¥56,953 ∂500,249 
327 

Current Year ......................................................................................................................................... (3,820,478 ) (3,263,276 ) (3,763,525 ) (¥56,953 ) (∂500,249 ) Fiscal Year 2009 .................................................................................................................................. (1,435,000 ) (1,435,000 ) (1,435,000 ) ............................ ............................

Subtotal, forward funded .............................................................................................................................. (3,625,367 ) (3,158,151 ) (3,560,485 ) (¥64,882 ) (∂402,334 ) 

INDIAN EDUCATION 

Grants to Local Educational Agencies ....................................................................................................................... 95,331 95,331 95,331 ............................ ............................Federal Programs: 

Special Programs for Indian Children .............................................................................................................. 19,399 19,399 19,399 ............................ ............................National Activities ............................................................................................................................................. 3,960 3,953 3,960 ............................ ∂7 

Subtotal, Federal Programs .......................................................................................................................... 23,359 23,352 23,359 ............................ ∂7 Total, Indian Education ................................................................................................................................ 118,690 118,683 118,690 ............................ ∂7 

INNOVATION AND IMPROVEMENT 

Troops-to-Teachers ..................................................................................................................................................... 14,645 14,645 14,645 ............................ ............................Transition to Teaching ............................................................................................................................................... 44,484 44,482 44,484 ............................ ∂2 National Writing Project ............................................................................................................................................. 21,532 ............................ 24,000 ∂2,468 ∂24,000 Teaching of Traditional American History .................................................................................................................. 119,790 50,000 120,000 ∂210 ∂70,000 School Leadership ...................................................................................................................................................... 14,731 ............................ 14,731 ............................ ∂14,731 Advanced Credentialing ............................................................................................................................................. 16,695 ............................ 9,821 ¥6,874 ∂9,821 Adjunct Teacher Corps ............................................................................................................................................... ............................ 25,000 ............................ ............................ ¥25,000 Charter Schools Grants .............................................................................................................................................. 214,782 214,782 214,783 ∂1 ∂1 Credit Enhancement for Charter School Facilities .................................................................................................... 36,611 36,611 ............................ ¥36,611 ¥36,611 Voluntary Public School Choice .................................................................................................................................. 26,278 26,275 26,278 ............................ ∂3 Magnet Schools Assistance ........................................................................................................................................ 106,693 106,685 106,693 ............................ ∂8 Fund for the Improvement of Education (FIE) ........................................................................................................... 158,510 58,108 218,699 ∂60,189 ∂160,591 Teacher Incentive Fund, Current funded ................................................................................................................... 200 199,000 99,000 ∂98,800 ¥100,000 Teacher Incentive Fund, Forward funded ................................................................................................................... ............................ ............................ ............................ ............................ ............................Ready-to-Learn television ........................................................................................................................................... 24,255 24,255 25,255 ∂1,000 ∂1,000 Close Up Fellowships ................................................................................................................................................. 1,454 ............................ 2,500 ∂1,046 ∂2,500 Advanced Placement .................................................................................................................................................. 37,026 122,175 42,000 ∂4,974 ¥80,175 

Total, Innovation and Improvement .............................................................................................................. 837,686 922,018 962,889 ∂125,203 ∂40,871 Subtotal, Forward funded ............................................................................................................................. ............................ ............................ ............................ ............................ ............................

SAFE SCHOOLS AND CITIZENSHIP EDUCATION 

Safe and Drug Free Schools and Communities: State Grants, forward funded ....................................................... 346,500 100,000 300,000 ¥46,500 ∂200,000 National Programs ...................................................................................................................................................... 141,112 224,248 139,112 ¥2,000 ¥85,136 Alcohol Abuse Reduction ............................................................................................................................................ 32,409 ............................ 33,000 ∂591 ∂33,000 
328 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Mentoring Programs ................................................................................................................................................... 48,814 ............................ 50,000 ∂1,186 ∂50,000 Character education ................................................................................................................................................... 24,248 ............................ 25,000 ∂752 ∂25,000 Elementary and Secondary School Counseling .......................................................................................................... 34,650 ............................ 40,000 ∂5,350 ∂40,000 Carol M. White Physical Education Program ............................................................................................................. 72,674 ............................ 80,000 ∂7,326 ∂80,000 Civic Education .......................................................................................................................................................... 29,111 ............................ 30,000 ∂889 ∂30,000 

Total, Safe Schools and Citizenship Education ........................................................................................... 729,518 324,248 697,112 ¥32,406 ∂372,864 

Current Year ......................................................................................................................................... (729,518 ) (324,248 ) (697,112 ) (¥32,406 ) (∂372,864 ) 

Subtotal, Forward funded ............................................................................................................................. (346,500 ) (100,000 ) (300,000 ) (¥46,500 ) (∂200,000 ) 

ENGLISH LANGUAGE ACQUISITION 

Current funded ........................................................................................................................................................... 43,486 43,603 43,603 ∂117 ............................Forward funded .......................................................................................................................................................... 625,522 627,216 627,216 ∂1,694 ............................

Total, English Language Acquisition ............................................................................................................ 669,008 670,819 670,819 ∂1,811 ............................

SPECIAL EDUCATION 

State Grants: 

Grants to States Part B current year ............................................................................................................... 5,358,761 4,276,741 5,315,800 ¥42,961 ∂1,039,059 

Part B advance from prior year ............................................................................................................... (5,424,200 ) (5,424,200 ) (5,424,200 ) ............................ ............................

Grants to States Part B (Fiscal Year 2009) ..................................................................................................... 5,424,200 6,215,200 5,924,200 ∂500,000 ¥291,000 

Subtotal, Grants to States, program level ................................................................................................... 10,782,961 10,491,941 11,240,000 ∂457,039 ∂748,059 

Preschool Grants ............................................................................................................................................... 380,751 380,751 380,751 ............................ ............................Grants for Infants and Families ....................................................................................................................... 436,400 423,067 450,000 ∂13,600 ∂26,933 

Subtotal, State grants, program level .......................................................................................................... 11,600,112 11,295,759 12,070,751 ∂470,639 ∂774,992 

IDEA National Activities: 

State Personnel Development ............................................................................................................................ ............................ ............................ 46,000 ∂46,000 ∂46,000 Technical Assistance and Dissemination ......................................................................................................... 48,903 48,902 48,903 ............................ ∂1 
329 

Personnel Preparation ....................................................................................................................................... 89,720 89,719 89,720 ............................ ∂1 Parent Information Centers ............................................................................................................................... 25,704 25,704 27,000 ∂1,296 ∂1,296 Technology and Media Services ........................................................................................................................ 38,428 25,063 40,000 ∂1,572 ∂14,937 

Subtotal, IDEA special programs .................................................................................................................. 202,755 189,388 251,623 ∂48,868 ∂62,235 

Special Olympics Education Programs ...................................................................................................................... ............................ ............................ 8,000 ∂8,000 ∂8,000 

Total, Special education ............................................................................................................................... 11,802,867 11,485,147 12,330,374 ∂527,507 ∂845,227 

Current Year ......................................................................................................................................... (6,378,667 ) (5,269,947 ) (6,406,174 ) (∂27,507 ) (∂1,136,227 ) Fiscal Year 2009 .................................................................................................................................. (5,424,200 ) (6,215,200 ) (5,924,200 ) (∂500,000 ) (¥291,000 ) 

Subtotal, Forward funded ............................................................................................................................. (6,175,912 ) (5,080,559 ) (6,192,551 ) (∂16,639 ) (∂1,111,992 ) 

REHABILITATION SERVICES AND DISABILITY RESEARCH 

Vocational Rehabilitation State Grants ..................................................................................................................... 2,837,160 2,874,043 2,874,043 ∂36,883 ............................Client Assistance State grants .................................................................................................................................. 11,782 11,782 11,782 ............................ ............................Training ...................................................................................................................................................................... 38,438 38,438 38,438 ............................ ............................Demonstration and training programs ...................................................................................................................... 6,511 6,840 10,490 ∂3,979 ∂3,650 Migrant and seasonal farmworkers ........................................................................................................................... 2,279 ............................ 2,279 ............................ ∂2,279 Recreational programs ............................................................................................................................................... 2,518 ............................ 2,518 ............................ ∂2,518 Protection and advocacy of individual rights (PAIR) ................................................................................................ 16,489 16,489 17,489 ∂1,000 ∂1,000 Projects with industry ................................................................................................................................................ 19,538 ............................ 19,538 ............................ ∂19,538 Supported employment State grants ......................................................................................................................... 29,700 ............................ 29,700 ............................ ∂29,700 Independent living: 

State grants ...................................................................................................................................................... 22,588 22,588 22,588 ............................ ............................Centers .............................................................................................................................................................. 74,638 74,638 74,638 ............................ ............................Services for older blind individuals .................................................................................................................. 32,895 32,895 32,895 ............................ ............................

Subtotal, Independent living ........................................................................................................................ 130,121 130,121 130,121 ............................ ............................

Program Improvement ................................................................................................................................................ 835 633 633 ¥202 ............................Evaluation ................................................................................................................................................................... 1,473 1,973 1,695 ∂222 ¥278 Helen Keller National Center for Deaf/Blind Youth and Adults ................................................................................ 8,511 8,011 9,511 ∂1,000 ∂1,500 National Inst. Disability and Rehab. Research (NIDRR) ........................................................................................... 106,705 106,705 106,705 ............................ ............................Assistive Technology ................................................................................................................................................... 30,452 26,111 32,000 ∂1,548 ∂5,889 

Subtotal, discretionary programs ................................................................................................................. 405,352 347,103 412,899 ∂7,547 ∂65,796 Total, Rehabilitation services ....................................................................................................................... 3,242,512 3,221,146 3,286,942 ∂44,430 ∂65,796 
330 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES 

AMERICAN PRINTING HOUSE FOR THE BLIND ............................................................................................................ 17,573 17,573 22,000 ∂4,427 ∂4,427 NATIONAL TECHNICAL INSTITUTE FOR THE DEAF (NTID): 

Operations ......................................................................................................................................................... 56,141 55,349 57,295 ∂1,154 ∂1,946 Construction ...................................................................................................................................................... ............................ 913 1,705 ∂1,705 ∂792 

Total, NTID .................................................................................................................................................... 56,141 56,262 59,000 ∂2,859 ∂2,738 

GALLAUDET UNIVERSITY: 

Operations ......................................................................................................................................................... 106,998 106,398 110,400 ∂3,402 ∂4,002 Evaluation .......................................................................................................................................................... ............................ 600 600 ∂600 ............................

Total, Gallaudet ............................................................................................................................................ 106,998 106,998 111,000 ∂4,002 ∂4,002 Total, Special Institutions for Persons with Disabilities .............................................................................. 180,712 180,833 192,000 ∂11,288 ∂11,167 

CAREER, TECHNICAL AND ADULT EDUCATION 

Career and Technical: 

State Grants, current funded ............................................................................................................................ 390,553 600,000 390,553 ............................ ¥209,447 Advance from prior year .................................................................................................................................... (791,000 ) (791,000 ) (791,000 ) ............................ ............................Fiscal Year 2009 ............................................................................................................................................... 791,000 ............................ 791,000 ............................ ∂791,000 

Subtotal, State Grants, program level ......................................................................................................... 1,181,553 600,000 1,181,553 ............................ ∂581,553 

Tech-Prep Education State Grants .................................................................................................................... 104,753 ............................ 104,753 ............................ ∂104,753 National Programs ............................................................................................................................................. 10,000 10,000 8,000 ¥2,000 ¥2,000 

Subtotal, Career and Technical Education ................................................................................................... 1,296,306 610,000 1,294,306 ¥2,000 ∂684,306 

Adult Education: 

State Grants/Adult basic and literacy education State Grants, current funded ............................................. 563,975 564,074 564,074 ∂99 ............................
331 

National Programs: 

National Leadership Activities ................................................................................................................. 9,005 9,096 7,000 ¥2,005 ¥2,096 National Institute for Literacy .................................................................................................................. 6,583 6,638 6,638 ∂55 ............................

Subtotal, National programs ........................................................................................................................ 15,588 15,734 13,638 ¥1,950 ¥2,096 Subtotal, Adult education ............................................................................................................................. 579,563 579,808 577,712 ¥1,851 ¥2,096 

Smaller Learning Communities, current funded ........................................................................................................ 4,677 ............................ ............................ ¥4,677 ............................Smaller Learning Communities, forward funded ....................................................................................................... 88,854 ............................ ............................ ¥88,854 ............................State Grants for Incarcerated Youth Offenders ......................................................................................................... 22,770 ............................ 22,770 ............................ ∂22,770 

Total, Career, Technical and adult education .............................................................................................. 1,992,170 1,189,808 1,894,788 ¥97,382 ∂704,980 

Current Year ......................................................................................................................................... (1,201,170 ) (1,189,808 ) (1,103,788 ) (¥97,382 ) (¥86,020 ) Fiscal Year 2009 .................................................................................................................................. (791,000 ) ............................ (791,000 ) ............................ (∂791,000 ) 

Subtotal, forward funded .............................................................................................................................. (1,196,493 ) (1,189,808 ) (1,103,788 ) (¥92,705 ) (¥86,020 ) 

STUDENT FINANCIAL ASSISTANCE 

Pell Grants—maximum grant (NA) ........................................................................................................................... (4,310 ) (4,050 ) (4,310 ) ............................ (∂260 ) Pell Grants .................................................................................................................................................................. 13,660,711 13,414,000 14,487,000 ∂826,289 ∂1,073,000 Federal Supplemental Educational Opportunity Grants ............................................................................................. 770,933 ............................ 770,933 ............................ ∂770,933 Federal Work Study ..................................................................................................................................................... 980,354 980,492 980,492 ∂138 ............................Federal Perkins loan cancellations ............................................................................................................................ 65,471 ............................ 65,471 ............................ ∂65,471 LEAP program ............................................................................................................................................................. 64,987 ............................ 64,987 ............................ ∂64,987 

Total, Student Financial Assistance ............................................................................................................. 15,542,456 14,394,492 16,368,883 ∂826,427 ∂1,974,391 

STUDENT AID ADMINISTRATION .................................................................................................................................. 717,950 708,216 708,216 ¥9,734 ............................

HIGHER EDUCATION 

Aid for Institutional Development: 

Strengthening Institutions ................................................................................................................................. 79,535 79,535 79,535 ............................ ............................Hispanic Serving Institutions ............................................................................................................................ 94,914 94,911 94,914 ............................ ∂3 Strengthening Historically Black Colleges (HBCUs) ......................................................................................... 238,095 238,095 238,095 ............................ ............................Strengthening Historically Black Graduate Institutions ................................................................................... 57,915 57,915 57,915 ............................ ............................Strengthening Alaska Native and Native Hawaiian-Serving Institutions ......................................................... 11,785 ............................ 12,500 ∂715 ∂12,500 Strengthening Tribal Colleges ........................................................................................................................... 23,570 18,570 24,475 ∂905 ∂5,905 

Subtotal, Aid for Institutional development ................................................................................................. 505,814 489,026 507,434 ∂1,620 ∂18,408 

International Education and Foreign Language: 

Domestic Programs ........................................................................................................................................... 91,541 91,541 91,541 ............................ ............................
332 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Overseas Programs ............................................................................................................................................ 12,610 12,610 12,610 ............................ ............................Institute for International Public Policy ............................................................................................................ 1,600 1,600 1,600 ............................ ............................

Subtotal, International Education & Foreign Lang ...................................................................................... 105,751 105,751 105,751 ............................ ............................

Fund for the Improvement of Postsec. Ed. (FIPSE) ................................................................................................... 21,989 21,988 81,844 ∂59,855 ∂59,856 Minority Science and Engineering Improvement ........................................................................................................ 8,730 8,730 8,730 ............................ ............................Tribally Controlled Postsec Vocational and Technical Institutions 13 ........................................................................ 7,366 7,366 8,000 ∂634 ∂634 Federal TRIO Programs ............................................................................................................................................... 828,178 828,178 858,178 ∂30,000 ∂30,000 GEAR UP ..................................................................................................................................................................... 303,423 303,423 313,423 ∂10,000 ∂10,000 Byrd Honors Scholarships .......................................................................................................................................... 40,590 ............................ 41,000 ∂410 ∂41,000 Javits Fellowships ....................................................................................................................................................... 9,699 9,797 9,699 ............................ ¥98 Graduate Assistance in Areas of National Need ....................................................................................................... 30,067 30,064 30,067 ............................ ∂3 Teacher Quality Enhancement Grants ........................................................................................................................ 59,895 ............................ 28,521 ¥31,374 ∂28,521 Child Care Access Means Parents in School ............................................................................................................. 15,810 15,810 15,810 ............................ ............................Advancing America thru foreign language partnerships .......................................................................................... ............................ 24,000 12,000 ∂12,000 ¥12,000 Demonstration in Disabilities/Higher Education ........................................................................................................ 6,875 ............................ 6,875 ............................ ∂6,875 Underground Railroad Program .................................................................................................................................. 1,980 ............................ ............................ ¥1,980 ............................GPRA data/HEA program evaluation .......................................................................................................................... 970 970 970 ............................ ............................B.J. Stupak Olympic Scholarships .............................................................................................................................. 970 ............................ ............................ ¥970 ............................Thurgood Marshall legal education opportunity program ......................................................................................... 2,946 ............................ ............................ ¥2,946 ............................

Total, Higher education ................................................................................................................................ 1,951,053 1,845,103 2,028,302 ∂77,249 ∂183,199 

HOWARD UNIVERSITY 

Academic Program ..................................................................................................................................................... 204,404 204,405 204,405 ∂1 ............................Endowment Program .................................................................................................................................................. 3,526 ............................ 3,526 ............................ ∂3,526 Howard University Hospital ........................................................................................................................................ 29,461 29,461 29,461 ............................ ............................

Total, Howard University ............................................................................................................................... 237,391 233,866 237,392 ∂1 ∂3,526 

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS (CHAFL) ................................................................................ 571 481 481 ¥90 ............................
333 

HBCU CAPITAL FINANCING PROGRAM—Federal Adm ................................................................................................ 209 188 188 ¥21 ............................

INSTITUTE OF EDUCATION SCIENCES 

Research, development and dissemination ............................................................................................................... 162,552 162,535 182,552 ∂20,000 ∂20,017 Statistics .................................................................................................................................................................... 90,022 119,022 95,022 ∂5,000 ¥24,000 Regional Educational Laboratories ............................................................................................................................ 65,470 65,464 68,000 ∂2,530 ∂2,536 Research in special education ................................................................................................................................... 71,840 71,829 71,840 ............................ ∂11 Special education studies and evaluations ............................................................................................................... 9,900 9,628 9,628 ¥272 ............................Statewide data systems ............................................................................................................................................. 24,552 49,152 58,000 ∂33,448 ∂8,848 Assessment: 

National Assessment ......................................................................................................................................... 88,095 110,595 98,747 ∂10,652 ¥11,848 National Assessment Governing Board ............................................................................................................. 5,054 6,037 6,037 ∂983 ............................

Subtotal, Assessment ................................................................................................................................... 93,149 116,632 104,784 ∂11,635 ¥11,848 Total, IES ....................................................................................................................................................... 517,485 594,262 589,826 ∂72,341 ¥4,436 

DEPARTMENTAL MANAGEMENT 

PROGRAM ADMINISTRATION: 

Salaries and Expenses ...................................................................................................................................... 416,487 429,631 429,631 ∂13,144 ............................Building Modernization ...................................................................................................................................... 2,100 17,303 3,000 ∂900 ¥14,303 

Total, Program administration ...................................................................................................................... 418,587 446,934 432,631 ∂14,044 ¥14,303 

OFFICE FOR CIVIL RIGHTS .......................................................................................................................................... 91,205 93,771 93,771 ∂2,566 ............................OFFICE OF THE INSPECTOR GENERAL ........................................................................................................................ 50,266 53,239 54,239 ∂3,973 ∂1,000 

Total, Departmental management ................................................................................................................ 560,058 593,944 580,641 ∂20,583 ¥13,303 Total, Title III, Department of Education ...................................................................................................... 60,309,860 59,098,720 62,982,299 ∂2,672,439 ∂3,883,579 

Current Year ......................................................................................................................................... (45,276,359 ) (44,065,219 ) (45,964,798 ) (∂688,439 ) (∂1,899,579 ) 

Emergency appropriations .......................................................................................................... ............................ ............................ ............................ ............................ ............................

Fiscal Year 2009 .................................................................................................................................. (15,033,501 ) (15,033,501 ) (17,017,501 ) (∂1,984,000 ) (∂1,984,000 ) 

TITLE IV—RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED ........................................... 4,652 4,994 4,994 ∂342 ............................

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 

DOMESTIC VOLUNTEER SERVICE PROGRAMS 

Volunteers in Service to America (VISTA) .................................................................................................................. 95,468 89,734 95,468 ............................ ∂5,734 
334 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

VISTA cost-share revolving fund ................................................................................................................................ 3,500 ............................ ............................ ¥3,500 ............................National Senior Volunteer Corps: 

Foster Grandparents Program ........................................................................................................................... 110,937 97,550 110,937 ............................ ∂13,387 Senior Companion Program ............................................................................................................................... 46,964 41,299 46,964 ............................ ∂5,665 Retired Senior Volunteer Program ..................................................................................................................... 59,685 65,643 59,685 ............................ ¥5,958 

Subtotal, Senior Volunteers .......................................................................................................................... 217,586 204,492 217,586 ............................ ∂13,094 Total, Domestic Volunteer Service Programs ................................................................................................ 316,554 294,226 313,054 ¥3,500 ∂18,828 

National and Community Service Programs: 

National service trust ........................................................................................................................................ 117,720 122,521 117,720 ............................ ¥4,801 AmeriCorps grants ............................................................................................................................................. 264,825 255,625 275,775 ∂10,950 ∂20,150 Innovation, assistance, and other activities .................................................................................................... 31,131 12,697 10,550 ¥20,581 ¥2,147 Evaluation .......................................................................................................................................................... 3,960 3,960 3,960 ............................ ............................National Civilian Community Corps .................................................................................................................. 26,789 11,620 31,789 ∂5,000 ∂20,169 Learn and Serve America: K–12 and Higher Ed .............................................................................................. 37,125 32,099 39,125 ∂2,000 ∂7,026 State Commission Administrative Grants ......................................................................................................... 12,516 12,000 12,516 ............................ ∂516 Points of Light Foundation ................................................................................................................................ ............................ 8,900 ............................ ............................ ¥8,900 

Subtotal, National and Community Service Programs ................................................................................. 494,066 459,422 491,435 ¥2,631 ∂32,013 

National and Community Service, Salaries and expenses 14 .................................................................................... 68,964 69,520 69,520 ∂556 ............................Office of Inspector General ........................................................................................................................................ 4,963 5,512 6,900 ∂1,937 ∂1,388 

Total, Corp. for National and Community Service ....................................................................................... 884,547 828,680 880,909 ¥3,638 ∂52,229 

CORPORATION FOR PUBLIC BROADCASTING: 

Fiscal year 2010 (current) with fiscal year 2009 comparable ........................................................................ 400,000 ............................ 420,000 ∂20,000 ∂420,000 Fiscal year 2009 advance with fiscal year 2008 comparable (NA) ................................................................. (400,000 ) (400,000 ) (400,000 ) ............................ ............................

Subtotal, fiscal year 2009 program level .................................................................................................... 400,000 400,000 400,000 ............................ ............................
335 

Fiscal year 2008 advance with fiscal year 2007 comparable (NA) ................................................................. (400,000 ) (400,000 ) (400,000 ) ............................ ............................

Rescission of fiscal year 2008 funds (NA) .............................................................................................. ............................ (¥50,000 ) ............................ ............................ (∂50,000 ) 

Subtotal, fiscal year 2008 program level .................................................................................................... 400,000 350,000 400,000 ............................ ∂50,000 

Digitalization program, current funded 15 ......................................................................................................... 29,700 ............................ 29,700 ............................ ∂29,700 

Previous appropriated funds (NA) 16 ........................................................................................................ ............................ (30,600 ) ............................ ............................ (¥30,600 ) 

Interconnection, current funded 15 .................................................................................................................... 34,650 ............................ 26,750 ¥7,900 ∂26,750 

Previous appropriated funds (NA) 16 ........................................................................................................ ............................ (26,750 ) ............................ ............................ (¥26,750 ) 

Subtotal, fiscal year 2008 appropriation ............................................................................................ 64,350 ............................ 56,450 ¥7,900 ∂56,450 

FEDERAL MEDIATION AND CONCILIATION SERVICE .................................................................................................... 42,849 43,800 44,450 ∂1,601 ∂650 FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION ...................................................................................... 7,778 8,096 8,096 ∂318 ............................INSTITUTE OF MUSEUM AND LIBRARY SERVICES ....................................................................................................... 247,205 271,246 266,680 ∂19,475 ¥4,566 MEDICARE PAYMENT ADVISORY COMMISSION ........................................................................................................... 12,066 10,748 10,748 ¥1,318 ............................NATIONAL COMMISSION ON LIBRARIES AND INFO SCIENCE ...................................................................................... 989 ............................ 400 ¥589 ∂400 NATIONAL COUNCIL ON DISABILITY ............................................................................................................................ 3,426 3,113 3,113 ¥313 ............................NATIONAL LABOR RELATIONS BOARD ......................................................................................................................... 251,507 256,238 256,988 ∂5,481 ∂750 NATIONAL MEDIATION BOARD ..................................................................................................................................... 11,596 12,242 12,992 ∂1,396 ∂750 OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION ..................................................................................... 10,471 10,696 10,696 ∂225 ............................

RAILROAD RETIREMENT BOARD 

Dual Benefits Payments Account ............................................................................................................................... 88,000 79,000 79,000 ¥9,000 ............................Less Income Tax Receipts on Dual Benefits ............................................................................................................. ¥6,000 ¥6,000 ¥6,000 ............................ ............................

Subtotal, Dual Benefits ................................................................................................................................ 82,000 73,000 73,000 ¥9,000 ............................

Federal Payment to the RR Retirement Account ....................................................................................................... 150 150 150 ............................ ............................Limitation on Administration ..................................................................................................................................... 103,694 103,518 103,694 ............................ ∂176 

Inspector General .............................................................................................................................................. 7,173 7,606 8,000 ∂827 ∂394 

SOCIAL SECURITY ADMINISTRATION 

Payments to Social Security Trust Funds .................................................................................................................. 20,470 28,140 28,140 ∂7,670 ............................

SUPPLEMENTAL SECURITY INCOME 

Federal benefit payments ........................................................................................................................................... 37,204,000 40,675,000 40,675,000 ∂3,471,000 ............................Beneficiary services .................................................................................................................................................... ............................ 36,000 36,000 ∂36,000 ............................Research and demonstration ..................................................................................................................................... 27,000 27,000 28,000 ∂1,000 ∂1,000 Administration ............................................................................................................................................................ 2,950,169 2,983,000 3,030,000 ∂79,831 ∂47,000 

Subtotal, SSI program level .......................................................................................................................... 40,181,169 43,721,000 43,769,000 ∂3,587,831 ∂48,000 
336 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2007 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2008—Continued 

[In thousands of dollars] 

Item 2007 comparable Budget estimate Committee rec- ommendation 

Senate Committee recommendation compared with (∂ or ¥) 

2007 comparable Budget estimate 

Less funds advanced in prior year ..................................................................................................... ¥11,110,000 ¥16,810,000 ¥16,810,000 ¥5,700,000 ............................

Subtotal, regular SSI current year ................................................................................................................ 29,071,169 26,911,000 26,959,000 ¥2,112,169 ∂48,000 Total, SSI, current request ............................................................................................................................ 29,071,169 26,911,000 26,959,000 ¥2,112,169 ∂48,000 

New advance, 1st quarter, fiscal year 2009 ...................................................................................... 16,810,000 14,800,000 14,800,000 ¥2,010,000 ............................

Total, SSI program ........................................................................................................................................ 45,881,169 41,711,000 41,759,000 ¥4,122,169 ∂48,000 

LIMITATION ON ADMINISTRATIVE EXPENSES 

OASDI Trust Funds ..................................................................................................................................................... 4,598,834 4,698,292 4,776,292 ∂177,458 ∂78,000 HI/SMI Trust Funds ..................................................................................................................................................... 1,626,570 1,679,661 1,679,661 ∂53,091 ............................Social Security Advisory Board ................................................................................................................................... 2,000 2,000 2,000 ............................ ............................SSI .............................................................................................................................................................................. 2,950,169 2,868,000 2,915,000 ¥35,169 ∂47,000 

Subtotal, regular LAE .................................................................................................................................... 9,177,573 9,247,953 9,372,953 ∂195,380 ∂125,000 

Additional Program Integrity Funding: 

OASDI Trust Funds ............................................................................................................................................ ............................ 98,000 98,000 ∂98,000 ............................SSI ..................................................................................................................................................................... ............................ 115,000 115,000 ∂115,000 ............................

Subtotal, Additional Program Integrity Funding ........................................................................................... ............................ 213,000 213,000 ∂213,000 ............................

User Fees: 

SSI User Fee activities ...................................................................................................................................... 117,000 135,000 135,000 ∂18,000 ............................SSPA User Fee Activities ................................................................................................................................... 1,000 1,000 1,000 ............................ ............................

Subtotal, User fees ....................................................................................................................................... 118,000 136,000 136,000 ∂18,000 ............................Total, Limitation on Administrative Expenses .............................................................................................. 9,295,573 9,596,953 9,721,953 ∂426,380 ∂125,000 
337 

OFFICE OF INSPECTOR GENERAL 

Federal Funds ............................................................................................................................................................. 25,902 27,000 28,000 ∂2,098 ∂1,000 Trust Funds ................................................................................................................................................................ 66,149 68,047 68,047 ∂1,898 ............................

Total, Office of Inspector General ................................................................................................................ 92,051 95,047 96,047 ∂3,996 ∂1,000 

Adjustment: Trust fund transfers from general revenues ......................................................................................... ¥2,950,169 ¥2,983,000 ¥3,030,000 ¥79,831 ¥47,000 

Total, Social Security Administration ........................................................................................................... 52,339,094 48,448,140 48,575,140 ¥3,763,954 ∂127,000 

Federal funds ....................................................................................................................................... 46,045,541 41,902,140 41,951,140 ¥4,094,401 ∂49,000 

Current year ................................................................................................................................ (29,235,541 ) (27,102,140 ) (27,151,140 ) (¥2,084,401 ) (∂49,000 ) New advances, 1st quarter ........................................................................................................ (16,810,000 ) (14,800,000 ) (14,800,000 ) (¥2,010,000 ) ............................

Trust funds .......................................................................................................................................... 6,293,553 6,546,000 6,624,000 ∂330,447 ∂78,000 

Total, Title IV, Related Agencies .................................................................................................................. 54,473,547 50,082,267 50,736,500 ¥3,737,047 ∂654,233 

Federal Funds ...................................................................................................................................... 48,057,061 43,414,395 43,990,058 ¥4,067,003 ∂575,663 

Current Year ................................................................................................................................ (30,847,061 ) (28,614,395 ) (28,770,058 ) (¥2,077,003 ) (∂155,663 ) Fiscal Year 2009 Advance .......................................................................................................... (16,810,000 ) (14,800,000 ) (14,800,000 ) (¥2,010,000 ) ............................Fiscal Year 2010 Advance .......................................................................................................... (400,000 ) ............................ (420,000 ) (∂20,000 ) (∂420,000 ) 

Trust Funds .......................................................................................................................................... 6,416,486 6,667,872 6,746,442 ∂329,956 ∂78,570 

1 Funding from the Dislocated Worker National Reserve. 2 Administration for Job Corps funding was transferred from ETA to DM in fiscal year 2006 Act. 3 Job Corps transferred in fiscal year 2006 Act from ETA to Depart. Management but requested in ETA for fiscal year 2008. 4 These funds were included in the Maternal and Child Health Block Grant in fiscal year 2007 and the fiscal year 2008 request. 5 In fiscal year 2006, the Delta Health initiative funded through the Rural hospital flexibility grant program. 7 Public Law 110–28 transferred $49.5 million from NIAID and OD to PHHSEF in fiscal year 2007. 6 Includes Mine Safety and Health. 8 The Deficit Reduction Act of 2005 provided $74,000,000 for CMS Program Management. 9 Fiscal Year 2006 Appropriations Act included a $60,000,000 program administrative reduction. 10 The Deficit Reduction Act of 2005 provided $20,000,000 for the Promoting Safe and Stable Entitlement Program. 11 An additional $50 million for Health IT within AHRQ. 12 Funding for Striving readers is forward funded in the fiscal year 2006 conference agreement only. 13 Fiscal Year 2008 Request under Higher Education. 14 Current funded. 15 Requested funds for these activities are from previously appropriated funds. 16 Funds are transferred from funds appropriated to FEMA. 

Æ