★ 

" ! HOUSE OF REPRESENTATIVES 109TH CONGRESS

2d Session 

REPORT

109–515 

DEPARTMENTS OF LABOR, HEALTH AND 

HUMAN SERVICES, AND EDUCATION, AND 

RELATED AGENCIES APPROPRIATIONS 

BILL, 2007 

R E P O R T 

OF THE

COMMITTEE ON APPROPRIATIONS 

[TO ACCOMPANY H.R. 5647]

TOGETHER WITH

MINORITY AND ADDITIONAL VIEWS 

JUNE 20, 2006.—Committed to the Committee of the Whole House on 

the State of the Union and ordered to be printed 


E:\Seals\Congress.#13
DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, 

AND EDUCATION, AND RELATED AGENCIES APPROPRIATIONS BILL, 2007 

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON : 

1 

★ 28–324 

" ! HOUSE OF REPRESENTATIVES 109TH CONGRESS

2d Session 

REPORT

2006

109–515 

DEPARTMENTS OF LABOR, HEALTH AND 

HUMAN SERVICES, AND EDUCATION, AND 

RELATED AGENCIES APPROPRIATIONS 

BILL, 2007 

R E P O R T 

OF THE

COMMITTEE ON APPROPRIATIONS 

[TO ACCOMPANY H.R. 5647]

TOGETHER WITH

MINORITY AND ADDITIONAL VIEWS 

June 20, 2006.—Committed to the Committee of the Whole House on 

the State of the Union and ordered to be printed 


E:\Seals\Congress.#13
109TH CONGRESS REPORT " ! HOUSE OF REPRESENTATIVES 2d Session 109–515 

DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES APPROPRIATIONS BILL, 2007 

JUNE 20, 2006.—Committed to the Committee of the Whole House on the State of 

the Union and ordered to be printed 

Mr. REGULA, from the Committee on Appropriations, 

submitted the following 

R E P O R T 

together with 

MINORITY AND ADDITIONAL VIEWS 

[To accompany H.R. 5647] 

The Committee on Appropriations submits the following report in 

explanation of the accompanying bill making appropriations for the 

Departments of Labor, Health and Human Services (except the 

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

Education, Committee for Purchase from People Who are Blind or 

Severely Disabled, Corporation for National and Community Service, Corporation for Public Broadcasting, Federal Mediation and 

Conciliation Service, Federal Mine Safety and Health Review Commission, Institute of Museum and Library Services, Medicare Payment Advisory Commission, National Commission on Libraries and 

Information Science, National Council on Disability, National 

Labor Relations Board, National Mediation Board, Occupational 

Safety and Health Review Commission, Railroad Retirement 

Board, and the Social Security Administration for the fiscal year 

ending September 30, 2007, and for other purposes. 

SUMMARY OF ESTIMATES AND APPROPRIATIONS

The following table compares on a summary basis the appropriations including trust funds for fiscal year 2006, the budget request 

for fiscal year 2007 and the Committee recommendation for fiscal 

year 2007 in the accompanying bill. 

2 

2007 LABOR, HHS, EDUCATION APPROPRIATIONS BILL 

[In millions of dollars] 

Fiscal year— 2007 committee 

compared to— 

2006 

adjusted 

2007 

budget 

2007 

committee 2006 

adjusted 

2007 

budget 

Department of Labor ................................................................. $14,531 $14,080 $14,605 +$74 +$525 

Advances .......................................................................... 2,537 2,531 2,481 ¥56 ¥50 

Department of Health and Human Services ............................. 475,252 473,290 475,117 ¥135 +1,827 

Advances .......................................................................... 67,103 69,456 69,456 +2,353 0 

Department of Education .......................................................... 62,962 57,168 58,536 ¥4,426 +1,368 

Advances .......................................................................... 15,034 15,034 15,484 +450 +450 

Related Agencies ....................................................................... 48,933 48,897 48,685 ¥248 ¥212 

Advances .......................................................................... 11,510 16,810 16,810 +5,300 0 

Grand Total, current year .......................................................... 601,678 593,435 596,943 ¥4,735 +3,508 

Advances .......................................................................... 96,184 103,831 104,231 +8,047 +400 

Current year total using 302(b) scorekeeping ......................... 601,398 592,485 596,502 ¥4,896 +4,017 

Mandatory ......................................................................... 460,310 454,691 454,572 ¥5,738 ¥119 

Discretionary ..................................................................... 141,088 137,794 141,930 +842 +4,136 

PROGRAM LEVEL DISCRETIONARY 

[In millions of dollars] 

Fiscal year— 2007 committee 

compared to— 

2006 

adjusted 

2007 

budget 

2007 

committee 2006 

adjusted 

2007 

budget 

Department of Labor ................................................................. $11,534 $10,983 $11,458 ¥$76 $475 

Department of Health and Human Services ............................. 62,698 61,793 63,738 +1,040 +1,945 

Department of Education .......................................................... 55,953 54,331 56,149 +196 +1,818 

Related Agencies ....................................................................... 11,346 11,638 11,426 +80 ¥212 

Subtotal Program Level .................................................... $141,531 $138,745 $142,771 +$1,240 +$4,026 

GENERAL SUMMARY OF THE BILL

Funding levels in the fiscal year 2007 appropriation bill for the 

Departments of Labor, Health and Human Services, Education and 

Related Agencies reflect the Committee’s attempt to establish priorities within the very stringent limitations. This year the Committee has made a special effort to increase funding for programs 

that help low and moderate income people and represent a core 

Federal responsibility. For example, within the allocation, major increases over 2006 or the Budget Request for 2007 are being provided for Pell Grants, vocational education, special education, community health centers and immunization programs. 

Bill total.—Total funding, including offsets, for fiscal year 2007 

in the Departments of Labor, Health and Human Services, Education and Related Agencies Appropriations Act, 2007 is 

$596,502,468,000. 

Discretionary programs.—For Discretionary accounts for 2007 the bill provides $141,930,000,000, including offsets. This is 

$842,180,000 above the fiscal year 2006 comparable level. 

Mandatory programs.—The bill provides $454,572,468,000 for en- titlement programs in fiscal year 2007. This is $5,737,076,000 

below the fiscal year 2006 comparable level. Funding requirements 

for entitlement programs are determined by the basic authorizing 

statutes. Mandatory programs include general fund support for the 

Medicare and Medicaid programs, Supplemental Security Income, 

3 

Trade Adjustment Assistance and Black Lung payments. The following chart indicates the funding levels for the major mandatory 

programs in fiscal years 2006 and 2007. 

MANDATORY 

[Dollars in thousands] 

Program Fiscal Year 2006 Fiscal Year 2007 Change 

Department of Labor: 

Federal Unemployment Benefits and Allowances ............ $966,400 $938,600 ¥$27,800 

Advances to the UI and other trust funds ...................... 465,000 452,000 ¥13,000 

Special Benefits ............................................................... 237,000 230,000 ¥7,000 

Special Benefits for Disabled Coal Miners ..................... 232,250 229,373 ¥2,877 

Energy Employees Occupational Illness Compensation 

Fund ............................................................................. 96,081 102,307 +6,226 

Black Lung Disability Trust Fund .................................... 1,068,000 1,071,000 +3,000 

Department of Health and Human Services: 

Vaccine Injury Compensation Trust Fund ........................ 60,972 62,802 +1,830 

Medicaid current law benefits ......................................... 204,166,276 189,499,928 ¥14,666,348 

Medicaid State and local administration ........................ 9,803,100 9,349,700 ¥453,400 

CMS Vaccines for Children .............................................. 1,502,333 2,006,445 +504,112 

Medicare Payments to Healthcare Trust Funds .............. 178,647,200 197,017,391 +18,370,191 

Welfare Payments ............................................................ 39,000 39,300 +300 

Child Support Enforcement .............................................. 4,079,494 4,076,162 ¥3,332 

Social Services Block Grant ............................................. 1,700,000 1,700,000 0 

Promoting Safe and Stable Families ............................... 305,000 345,000 +40,000 

Payments to States for Foster Care and Adoption ......... 4,940,800 5,211,000 +270,200 

Medical Benefits for Commissioned Officers .................. 328,552 341,694 +13,142 

Department of Education: 

Vocational Rehabilitation ................................................. 2,720,192 2,837,160 +116,968 

Pell Grant Shortfall Payoff ............................................... 4,300,000 0 ¥4,300,000 

Related Agencies: 

Payments to Social Security Trust Funds ........................ 20,470 27,756 +7,286 

Supplemental Security Income ........................................ 37,566,174 37,231,000 ¥335,174 

COMPARISONS

Unless otherwise specified, the descriptions that follow highlight 

the program content and the significant differences that are occurring in 2007 compared to the 2006 enacted levels (including the 

across the board reduction enacted subsequent to the enactment of 

the 2006 appropriations acts.) One time supplementals are not included for purposes of comparison since as one-time appropriations 

there is no assumption that funds would be included in baseline 

funding for those programs. Nevertheless, comparisons to other 

benchmarks can be found in the table at the back of this report as 

well as in separately issued tables or analyses that the Committee 

may issue in the future. 

OPERATING PLAN

The table at the end of this report also provides further details 

concerning the distribution of funds among activities and sub-activities that are recommended in this Act. 

Unless specified otherwise in the bill or this accompanying report, the amounts included in the budget request shall be the 

amounts provided for fiscal year 2007. Within 45 days of enactment 

each Department and related Agency funded by this Act shall submit an operating plan to the Committees on Appropriations in the 

House and the Senate for approval. The operating plan should detail any reprogramming requests which are based on information 

4 

obtained since the submission of the Budget in February 2006 or 

based on the effects of the amounts provided in this Act. 

PROGRAM ASSESSMENT RATING TOOLS (PART) 

A general provision is included in this Act to increase the role 

of the Congress in the Administration’s PART studies, which have 

increasingly become the basis for individual budget requests and 

legislative proposals that consolidate and reduce program levels. 

Unless specifically exempted, no funds are provided in this Act 

to conduct or participate in the conduct of a PART analysis or 

study unless the Committees on Appropriations of the House and 

Senate have approved of the study, inclusive of the data on which 

the analysis will be based, the methodology to be employed and the 

relative weight of each of the four factors that will be assigned to 

the study in determining a final score. 

E-GOV INITIATIVE (E-GOV) 

Language is included as a general provision to this Act precluding the use or transfer of funds provided in this Act to implement the Government-wide ‘‘E-Gov Initiative’’ unless a reprogramming request is included in the initial or an amended operating 

plan. The Committee has become increasingly concerned over the 

failure of this initiative to produce meaningful results, the huge reported costs of implementation and the resulting delay or loss of 

important information technology investments that were requested 

and approved by the Congress. The Committee is also concerned 

about the large number of complaints it has received from career 

program managers who have been forced to transfer funds, shut 

down innovative and creative web sites and delay the development 

of critical technology because they have had to conform to inferior 

Agency-wide Web sites or transfer funds to the Departmental Chief 

Information Officers (CIO) for subsequent transfer to other Departments or Agencies with lead responsibility for a specific E-Gov initiatives. The amounts being assessed on program offices appear to 

have no relationship to the benefits that are returned to the assessed programs. Further, claimed savings associated with the ‘‘EGov Initiative’’ can not be verified. Previous attempts by the Committee to ensure that the initiative would not impede the development of critical technology and the continuation of valuable, innovative or creative web sites have been ignored. In fact, new initiatives have been introduced which means higher assessments on the 

programs in the future. 

Therefore, concurrent with the submission of any request to reprogram or transfer funds in this Act for any purpose relating directly or indirectly to the ‘‘E-Gov Initiative,’’ the lead career executive in the program or office being assessed must submit a certification that: (1) states and attests to the accuracy of previously estimated savings the Department assumed to be associated with the 

‘‘E-Gov Initiative’’ and (2) certifies that the benefits to the program 

or office that would be derived from the proposed transfer exceed 

the benefits to the program or office from the use of funds for the 

purposes for which funds were originally appropriated. Failure to 

submit this certification will automatically result in a denial of the 

request. 

5 

TITLE I—DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION

TRAINING AND EMPLOYMENT SERVICES

(INCLUDING RESCISSION)

The Committee recommends $4,966,899,000 for this account, 

which provides funding authorized primarily by the Workforce Investment Act of 1998 (WIA). This is $150,567,000 below the fiscal 

year 2006 level ($121,679,000 below the 2006 level adjusted for the 

change in Job Corps funding) and $554,494,000 above the budget 

request. 

The Training and Employment Services account is comprised of 

programs that enhance the employment and earnings of those in 

need of such services, operated through a decentralized system of 

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

2007 supporting the effort from July 1, 2007 through June 30, 

2008. 

The Committee directs that the Department take no action to 

amend, through regulatory or other administrative action, the definition established in 20 CFR 667.220 for functions and activities 

under title I of the Workforce Investment Act until April 1, 2007, 

until such time as legislation reauthorizing the Act is enacted or 

until the Department reaches agreement with the Workforce and 

Education and Health, Education, Labor, and Pension Committees, 

whichever occurs first. Recent reports of significant abuses of administrative costs by local Worker Investment Board has prompted 

Congress to take immediate action but also highlights the importance of enacting permanent legislation. 

Based on an analysis of funding cycles, the Committee established that there remain unexpended balances in many of the local 

entities which implement workforce training and employment activities. A summary of this analysis follows: 

STATE FORMULA SPENDING—WIA YOUTH, ADULTS AND DISLOCATED WORKERS PROGRAMS 

TOTAL—PROGRAM YEARS 2000–2007 

[dollars in thousands] 

Program Year Period Unexpended 

carry-in New funding Total available Expenditures Expended (%) Unexpended 

PY 2000 ........................................ $826,788* $3,194,735 $4,021,524 $2,283,197 56.8 $1,738,327 

PY 2001 ........................................ 1,755,277 3,209,861 4,965,138 3,236,579 65.2 1,728,559 

PY 2002 ........................................ 1,706,193 3,276,241 4,982,434 3,565,273 71.6 1,417,161 

PY 2003 ........................................ 1,405,153 3,013,751 4,418,904 3,221,451 72.9 1,197,453 

PY 2004 ........................................ 1,178,102 3,034,746 4,212,848 3,069,784 72.9 1,143,064 

PY 2005 ........................................ 1,133,865 3,038,371 4,172,237 3,030,105 72.6 1,142,132 

PY 2006 (est) ............................... 1,132,428 2,975,891 4,108,319 2,976,106 72.4 1,132,213 

*$954,392 Updated per Department of Labor accounting system (breakout by program not available). 

As a result, prior year balances are being partially reduced 

through a rescission of $325,000,000. This analysis supports the 

Department’s testimony over the past two years concerning 

unspent balances. However, unexpended balances have dropped 

some and many states are using unspent funds toward implementing other training programs and initiatives. Therefore, prior 

year balances are being partially reduced through a one time reVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00009 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
6 

scission of $325,000,000 instead of the full amount of anticipated 

unexpended balances. The Department is instructed to ensure that 

reductions are assigned to entities that have the greatest excess 

balances, to the maximum extent possible. Of greatest concern to 

the Committee is the lapsing of funds in each of the past five years. 

Funds not expended in the allowable time could have been recaptured and applied to other urgent needs in this or other Titles in 

this Act. 

Therefore, the Department’s central Budget Office is further directed to establish a methodology using quarterly reports and end 

of year audited statements to more intensely monitor the expenditure of obligations by the State and local funding recipients and report those findings for the latest program year, for each formula 

grant, to the Committees on Appropriations in the House and Senate. This information should be included as part of the 2008 congressional budget submission. In addition, the Department’s central budget office shall provide the Committees with a detailed description of the funds that have been reallocated between states by 

the Secretary and between programs within states for fiscal year 

2006. 

There is evidence that the ‘‘core’’ funded activities of the Adult, 

Dislocated and Youth programs overlap with the similar core activities funded by the Employment Services account, with both 

WIA and ES funds often distributed to the same local entities, and 

providing the same services. This diminishes the overall effectiveness of the two programs and wastes scarce dollars. The Department is instructed to establish detailed funding criteria for all local 

entities receiving funds from both the WIA and Employment Services accounts that, to the maximum extent possible, ensures that 

overlap of core activities is reduced. The Employment Services Account should be the primary sponsor of core activities and the WIA 

account should be the primary source of more intensive services required by Adult, Dislocated and Youth individuals that are not able 

to secure employment through core services. The Department 

should incorporate these criteria into each local entity plan and 

closely monitor their implementation. 

Adult employment and training activities 

For adult employment and training activities, the Committee recommends $854,000,000. This is $10,199,000 below the fiscal year 

2006 level and $142,000,000 above the budget request. Of the 

amount recommended $712,000,000 will become available on October 1, 2007. This program is authorized by the Workforce Investment Act of 1998. The funds are allocated by formula to States and 

further distributed to local workforce investment boards. Services 

for adults will be provided through the One-Stop Centers system 

and most customers receiving training use their individual training 

accounts to determine which programs and providers fit their 

needs. The Act authorizes core services 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. 

7 

Dislocated worker employment and training activities 

For dislocated worker employment and training activities, the Committee recommends $1,476,064,000. This is $4,161,000 above 

the 2006 level and $361,482,000 above the budget request. Of the 

amount recommended, $1,060,000,000 will become available on October 1, 2007. Of the total, $1,193,264,000 is designated for State 

formula grants that support core services, intensive services, training, and supportive services. In addition, States use these funds for 

rapid response assistance to help workers affected by mass layoffs 

and plant closures. The Committee recommendation includes $282,800,000 for the 

National Reserve, which supports National Emergency Grants to 

respond to mass layoffs, plant and/or military base closings, and 

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

Although the Committee is not in agreement with the separate request for a $150,000,000 Community College Initiative, it is not 

opposed to the use of community colleges for workforce training per 

se. However, the Committee remains concerned about the role and 

use of the One-Stop Centers in the initiative. The Committee does 

not agree with a shift in approach to worker training at this time 

but instead directs that the Department may use up to 

$125,000,000 of funds made available in the National Reserve for 

competitive grants to community colleges for dislocated worker 

training. This repeats the Committee’s recommendation in fiscal 

year 2006. Again in 2007, the Committee directs that future solicitations for grant applications for the Community Based Job Training initiative include One-Stop Career Centers as an eligible applicant and that all applicants describe the relationship of One-StopCenters in their applications. 

Even so, the Committee remains concerned about the use of initiative grant funding for community college capacity building instead of training. This is a departure from traditional Department 

of Labor grant programs. Therefore, the Department is instructed 

to give highest priority to grant applications that will train workers 

with skills needed to operate, maintain, and troubleshoot complex 

integrated technologies and to monitor the expenditure of funds for 

capacity building and training and report these findings to the 

Committees on Appropriations in the House and Senate by March 

31, 2007. The Committee further directs the Department to utilize 

existing curricula developed by previously funded initiatives. 

Youth employment and training activities 

For youth activities, the Committee recommends $935,500,000. This is $5,000,000 below the fiscal year 2006 level and $95,000,000 

above the budget request. 

The Workforce Investment Act of 1998 consolidated the Summer 

Youth Employment and Training Program and Youth Training 

Grants under the Job Training Partnership Act into a single youth 

training activity. The funds are allocated by formula to states and 

further distributed to local workforce investment boards in accordance with the Workforce Investment Act of 1988. 

For the second straight year the budget request proposes funding 

in Labor under proposed legislation. To avoid the possibility that 

8 

the Youthbuild program will not receive funding for fiscal year 

2007, the Committee recommendation requires that within the 

amount made available for youth activities up to $50,000,000 may 

be dedicated toward the Youthbuild Program, the specific amount 

to be determined by the Department, and dependent on when the 

program is authorized for transfer from HUD to Labor. However, 

the provision requires that all funds shall revert to the Youth formula grant program if the program is not authorized for transfer 

by April 1, 2007. 

Job Corps 

The Job Corps, authorized by the Workforce Investment Act of 

1998, is a nationwide network of residential facilities chartered by 

Federal law to provide a comprehensive and intensive array of 

training, job placement and support services to at-risk young 

adults. The mission of Job Corps is to attract eligible young adults, 

teach them the skills they need to become employable and independent, and place them in meaningful jobs or further education. 

Participation in the program is open to people in the 16 to 24 age 

range who are unemployed, have dropped out of school or who are 

at risk of being involved in the criminal corrections system. 

For Job Corps operations the Committee recommends $1,465,000,000. This is $8,740,000 above the ‘‘comparable’’ enacted 

level for 2006 and $64,000,000 above the President’s Budget Request. Funds for Job Corps staff that were included in operations 

in the fiscal year 2006 are included in ‘‘program administration’’ in 

the Budget Request and the Committee recommendation as it has 

been in every other year. Of the amount recommended, 

$591,000,000 will become available on October 1, 2007. 

In addition, the Committee provides $58,000,000 for construction, compared to $100,000,000 in the request and $107,920,000 for fiscal year 2006. The Committee did not include the request to rescind $75,000,000 in construction funds. However, based on the 

projected level of funds for construction and the timeline of construction activities, the Committee includes $50,000,000 in advanced appropriations rather than $100,000,000 as requested. Further, the Job Corps received a $16,000,000 increase in construction 

funds for the two facilities impacted by the hurricanes in the most 

recent supplemental appropriation. Finally, the previously appropriated funds are already available for the construction of two new 

centers. 

The Department is directed to give the highest priority to the 

maintenance, repairs and rehabilitation of existing facilities, prior 

to the use of funds for new facilities. Every new facility increases 

the future demand for funds for operating expenses in an increasing tight budgetary environment. Therefore, emphasis should be 

placed on rehabilitation and repair of existing facilities. 

Furthermore, the Committee supports the effort of the Workforce 

Investment Act of 1998 to more fully integrate Job Corps centers 

into their local communities and directs that the Department review the system developed and employed by Youthbuild America as 

a model for local education and training of at risk youth. 

After being elevated to the Office of the Secretary in celebration 

of its 40th anniversary, in 2007 the Job Corps program is returned 

to ETA, which oversees all youth training activities. 

9 

Native Americans 

For Native Americans, the Committee recommends $50,000,000. 

This is $3,696,000 below the fiscal year 2006 level and $1,458,000 

below the budget request. This program, authorized by the Workforce Investment Act of 1998, is designed to improve the economic 

well being of Native Americans (Indians, Eskimos, Aleuts, and Native Hawaiians) through the provision of training, work experience, 

and other employment-related services and opportunities that are 

intended to aid the participants to secure permanent, unsubsidized 

jobs. The Department of Labor allocates formula grants to Indian 

tribes and other Native American groups whose eligibility for such 

grants is established in accordance with Department regulations. 

The Committee directs the Department to require that the 

planned use of these funds by Indian tribes or Designated Tribal 

Entities be coordinated with and incorporated into the Indian Economic Development Block Grant plans, funded through the Department of Housing and Urban Development. Economic development 

funds and job training funds should go hand in hand. 

Migrant and seasonal farm workers 

The migrant and seasonal farmworkers program, authorized by 

the Workforce Investment Act of 1998, is designed to serve members of economically disadvantaged families whose principal livelihood is derived from migratory and other forms of seasonal farm 

work, 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. 

For migrant and seasonal farm workers, the Committee recommends $80,053,000. This is $801,000 above the fiscal year 2006 

level and $80,053,000 above the president’s budget request. For the 

fourth year in a row the budget request did not include funds for 

this program, and the program continues to be rated as one of the 

least effective in the Department. The Committee is concerned that 

the program is not sufficiently focused on job training. Each year, 

more than 60% of the program’s participants receive no job training. Further, the cost per participant has risen to nearly $3,500. 

However, the Committee recommendation is unwilling to terminate the program, as requested, until the Department has demonstrated that mainstream health and welfare programs, as well as 

mainstream job training programs are in place to provide the combination of services needed to help secure permanent employment 

for farm and forestry workers. Therefore, the Committee is recommending a status quo budget for 2007. As in prior years, the Act 

directs that of the amounts made available, $5,000,000 is targeted 

for migrant and seasonal farmworker housing grants. 

The Act further directs that not less than 70 percent of this 

amount be used for permanent housing grants. Recently the Committee has become aware that some of the remaining funds have 

been allocated to temporary housing. By March 1, 2007 the Department is to provide a list of temporary housing activities and should 

include a list of the grantees, states in which grantees are located, 

the uses of funds and the number of individuals or families served. 

10 

NATIONAL COMPETITIVE GRANT PROGRAMS

This activity includes Workforce Investment Act authorized programs in support of the workforce system including technical assistance and incentive grants, evaluations, pilots, demonstrations 

and research. 

Pilots, Demonstrations and Research.—The Committee recommends $43,361,000 for grants or contracts to conduct research, 

pilots or demonstrations that improve techniques or demonstrate 

the effectiveness of programs. This is $13,661,000 above the fiscal 

year 2006 level and $25,661,000 above the 2007 budget request. Of 

the amount made available in this account, a total of $25,661,000 

is dedicated to specific projects which are detailed below: 

Agudath Israel of America Community Services, Inc., Brooklyn, 

NY, for its Fresh Start job training and counseling program ........ $400,000 

Alabama Southern Community College, Thomasville, AL, for its 

pulp and paper training center ......................................................... 200,000 

Arc of Blackstone Valley, Pawtucket, RI, for a workforce development initiative .................................................................................... 150,000 

Ashland County-West Holmes Career Center, Ashland, OH for the 

Northeast Central Ohio Bioscience Consortium’s creation of a 

customized, tiered training model in the biosciences ...................... 150,000 

Asnuntuck Community College, Enfield, CT to develop a multicluster Manufacturing Technology Center ....................................... 300,000 

Automation Alley, Troy, MI to train incumbent and new workers 

to construct, manage, and evaluate the Digital Manufacturing 

Network .............................................................................................. 750,000 

Bellingham Technical College, Bellingham, WA, for a Process Technology Workforce Development Project ............................................ 150,000 

Bismarck State College, Bismarck, ND, for an instrumentation and 

control training program ................................................................... 250,000 

Brookdale Community College, Lincroft, NJ, for workforce training 

programs through its Center for Excellence in Technology, Telecommunications and Economic Development .................................. 250,000 

Capital Idea, Austin, TX, for a workforce development project ......... 185,000 

Casper Event Center, Casper, WY for infrastructure improvements 100,000 

Center for Employment Training, San Jose, CA, for its Building 

Trade Jobs for Out-of-School Youth Project ..................................... 200,000 

Center for Training and Careers, San Jose, CA, for vocational 

training services ................................................................................. 75,000 

Central Maine Community College, Auburn, ME, for a training 

program in precision metalworking and machine tool technology 150,000 

Charity Cultural Services Center, San Francisco, CA, for job training and placement services for new or recent immigrants ............. 400,000 

Cincinnati Children’s Hospital Medical Center, Cincinnati, OH for 

the Project SEARCH job training for people with disabilities ....... 150,000 

City College of San Francisco, San Francisco, CA, for a health care 

workforce training initiative through the Welcome Back Center 200,000 

City of Alexandria, VA, for an automobile industry workforce development and training initiative .......................................................... 275,000 

City of Las Vegas, NV for a walk-in employment center ................... 366,000 

City of Milwaukee, WI, for a project to train youth in construction 

trades .................................................................................................. 200,000 

College of Southern Maryland, La Plata, MD, for its Partnership 

for the Advancement of Construction and Transportation Training Project ........................................................................................... 250,000 

Community Learning Center, Ft. Worth, TX to provide training for 

dislocated and incumbent aerospace workers .................................. 500,000 

Community Solutions for Clackamas County, OR, for its Working 

for Independence job training and workforce development program .................................................................................................... 250,000 

Consortium for Worker Education, New York, NY, for education, 

job readiness and occupational skills training services .................. 150,000 

Construction Apprenticeship Tech Prep Consortium, North Kansas 

City, MO ............................................................................................. 50,000 

11 

County of Fresno, CA to provide vocational training services ........... 200,000 

Des Moines Area Community College, IA, for training for dislocated workers, and for career exploration and preparation for 

high school and community college students ................................... 250,000 

East Los Angeles Community Union, Los Angeles, CA, for a workforce training initiative ...................................................................... 500,000 

Economic Growth Connection of Westmoreland County, Greensburg, PA, for workforce development initiatives ............................. 200,000 

Enterprise South Industrial Park (ESIP) Workforce Training Center, Chattanooga, TN to establish a state of the art training center ........................................................................................................ 1,300,000 

Essex County Community Organization, Lynn, MA, for its Education Advantage for Manufacturing project ................................... 250,000 

FIB Economic Development Corporation, Inc., Atlanta, GA, for a 

youth pre-apprenticeship program ................................................... 400,000 

Fifth Avenue Committee, Brooklyn, NY, for workforce development 

services for unemployed or underemployed individuals ................. 300,000 

Foundation of the Delaware County Chamber Job Readiness Program, Media, PA to provide workforce development services ........ 75,000 

Fresno County, CA, for the West Fresno County Vocational Training Project ........................................................................................... 300,000 

Frontier Community College, Fairfield, IL to help create a lineman 

training program ................................................................................ 100,000 

Georgia Southern University, Statesboro, GA, for its Southeastern 

Technology Education Program (STEP) workforce training initiative ....................................................................................................... 400,000 

Guam Community College, Barrigada, Guam, for vocational training programs ....................................................................................... 250,000 

Home of Life Community Development Corporation, Chicago, IL, 

for a financial services training and placement program ............... 150,000 

Indochina Sino-American Community Center, New York, NY, for 

its Immigrant Literacy, Technology and Employment Project ....... 150,000 

Iowa Central Community College, Ft. Dodge, IA for workforce 

skills assessment ................................................................................ 300,000 

Ivy Tech Community College of Indiana Center for Cybersecurity, 

Columbus, IN to train the existing and developing workforce ....... 100,000 

Ivy Tech Community College of Indiana, Center for Health Information Technology, Lafayette, IN, for program support and student aid ............................................................................................... 100,000 

Ivy Tech Community College of Indiana, Center for Orthopedic 

Manufacturing, Warsaw, IN for training curriculum ..................... 200,000 

Ivy Tech Community College of Indiana, Warsaw, IN Center for 

Orthopedic Manufacturing to train workers .................................... 350,000 

Ivy Tech Community College, Center for Logistics, Evansville, IN 

for Distribution and Transportation for a technical workforce ...... 200,000 

Ivy Tech Community College, Terre Haute, IN for a Center for 

Geographical Information Systems ................................................... 500,000 

Joint Systems Manufacturing Center, Lima, OH for job training in 

manufacturing technologies .............................................................. 200,000 

JumpStart, Inc., Cleveland, OH for technical assistance job training ........................................................................................................ 200,000 

Kalamazoo Valley Community College, Kalamazoo, MI for training 

and certification curriculum development ....................................... 270,000 

Lancaster County Career and Technology Foundation, Lancaster, 

PA for the Lancaster County Career and Technology Center’s 

Collision Repair Technology program ............................................... 100,000 

Long Island Teen Challenge, West Babylon, NY for vocational 

training program ................................................................................ 100,000 

Louisiana National Guard, Carville, LA for Job Challenge Program 

training and equipment ..................................................................... 150,000 

Make the Road by Walking, Brooklyn, NY, to establish an English 

and Economic Literacy Initiative in the Bushwick neighborhood 200,000 

Marc Center, Mesa, AZ for job training for adults with disabilities 200,000 

Massachusetts College of Liberal Arts, North Adams, MA, for the 

Northern Tier Healthcare Workforce project ................................... 75,000 

Medina County Office of Workforce Development, Medina, OH for 

the Building Careers in the Building Trades Initiative .................. 50,000 

Medina County Office of Workforce Development, Medina, OH, for 

the Building Careers in Healthcare Initiative ................................. 50,000 

12 

Medina County Schools Educational Service Center, Medina, OH 

for the Workforce Initiative program ............................................... 100,000 

Melwood Horticultural Training Center, Upper Marlboro, MD, for 

workforce analysis and services to place individuals with developmental disabilities into competitive employment ........................ 200,000 

Michigan Manufacturing Technology Center, Plymouth, MI for a 

new market sector training pilot ...................................................... 100,000 

Minot State University, Minot, ND, for the Job Corps Executive 

Management Program ....................................................................... 100,000 

Mission Language and Vocational School, San Francisco, CA, for a 

training program in health-related occupations .............................. 400,000 

Moberly Area Community College in Moberly, MO for its Integrated Systems Technology program ................................................ 150,000 

Monterey County Workforce Investment Board, CA, for a study and 

other activities to better align the local workforce development 

system with high-growth industry sectors ....................................... 150,000 

National Association of Street Schools Career Pathways Program, 

Denver, CO for tools and training designed to create positive life 

change for at-risk youth .................................................................... 100,000 

Northeast Bronx Redevelopment Corporation, Bronx, NY, for its 

PROJECT SUCCESS job training initiative .................................... 75,000 

Northern Tier Industry and Education Consortium, Dimock, PA for 

regional career awareness and training programs .......................... 90,000 

Oakland Community College, Oakland County, MI to lead a consortium on emerging sectors in secondary institutions ....................... 500,000 

Oil Region Alliance of Business, Industry and Tourism, Oil City, 

PA for the Rural Technical Training Initiative ............................... 200,000 

Oklahoma State University, Oklahoma City, OK to fund a pilot 

program for training nurse’s aides specializing in long-term care 

facilities ............................................................................................... 500,000 

Opportunity, Inc., Highland Park, IL to expand the Secure Document Destruction for Disabled Persons Division ............................. 250,000 

Our Piece of the Pie, Hartford, CT, for education and employment 

services for out-of-school youth ......................................................... 600,000 

Palm Beach Education Commission, West Palm Beach, FL to initiate a Quality Economic Development, Education, and Employment (QE3) demonstration project .................................................... 100,000 

Patrick County Education Foundation, Stuart, VA, for a workforce 

development project ........................................................................... 100,000 

Philadelphia Workforce Development Corporation, Philadelphia, 

PA, for establishment of a training institute ................................... 175,000 

Piedmont Virginia Community College, Charlottesville, VA for the 

Residential Construction Academy ................................................... 300,000 

Precision Manufacturing Institute, Meadville, PA for training in 

advanced manufacturing initiatives ................................................. 200,000 

Project One, Louisville, KY for the Summer Earnings and Enrichment program ..................................................................................... 100,000 

PRONTO of Long Island, Inc., Bayshore, NY, for a vocational training initiative ....................................................................................... 100,000 

Safer Foundation, Chicago, IL, for training and support services to 

ex-offenders ......................................................................................... 200,000 

San Diego Workforce Partnership, Inc., San Diego, CA, for its 

Adult Special Population Contracted Training Program ................ 250,000 

Schoenbaum Family Enrichment Center, Charleston, WV for the 

Enterprise Development Initiative ................................................... 255,000 

SCLC/Women’s Organizational Movement for Equality Now, Inc., 

Atlanta, GA, for education, employment and support services at 

its Empowerment Training Center ................................................... 100,000 

Sierra College, Rocklin, CA for Mechatronics workforce training 

initiative .............................................................................................. 200,000 

Signature Academy Inc., Chicago, IL, for its Exodus to Excellence 

After School Youth Program ............................................................. 75,000 

South Bay Workforce Investment Board, Hawthorne, CA, for its 

Bridge-to-Work program .................................................................... 335,000 

South Valley Worksource Center, Palmdale, CA to increase business recruitment ................................................................................ 380,000 

Southeast Missouri State University, Cape Girardeau, MO for 

equipment and training ..................................................................... 350,000 

13 

Southern Queens Park Association, Jamaica, NY, for a workforce 

skills training program ...................................................................... 300,000 

Southside Virginia Community College, Alberta, VA for the Heavy 

Equipment Training Center project ................................................. 300,000 

Southwestern Oklahoma State University, Weatherford, OK to develop new manufacturing entrepreneurs through the Western 

Oklahoma Business Commercialization Center .............................. 300,000 

Three Rivers Community College, Norwich, CT for the Collegiate 

Nurse Preceptor program .................................................................. 100,000 

Union Mission, Inc., Savannah, GA, for its culinary arts training 

program, in collaboration with Savannah Technical College ......... 100,000 

United Mine Workers of America, Fairfax, VA, for the UMWA Career Center’s mine worker training and reemployment programs 1,000,000 

University of Saint Francis, Fort Wayne, IN for the Nursing Workforce Initiative .................................................................................... 200,000 

University of the Pacific, Stockton, CA for the Business Forecasting 

Center .................................................................................................. 350,000 

Valley Initiative for Development and Advancement, Weslaco, TX, 

for a workforce development project ................................................. 180,000 

Veteran Community Initiatives, Inc., Johnstown, PA, for employment services and support programs for veterans .......................... 400,000 

Webster University, Old Post Office Campus, St. Louis, MO, for 

workforce development programs ..................................................... 250,000 

West Los Angeles College, Culver City, CA, for a craft and technician training program ........................................................................ 350,000 

Westside Industrial Retention and Expansion Network (WIRENet), Cleveland, OH, for a manufacturing workforce development 

and job placement program ............................................................... 300,000 

Worker Investment Board of Herkimer, Madison and Oneida Counties, NY for an aircraft repair training program ............................. 125,000 

Workforce Resource, Inc., WI, for a regional web-based clearinghouse ................................................................................................... 250,000 

York Technical College, Rock Hill, SC, for its construction trades 

training program ................................................................................ 150,00 

Technical Assistance.—No funds are provided for the technical 

assistance program, as requested. This is $1,980,000 below the fiscal year 2006 level. The development of performance measurement 

systems, the provision of quality services and the promotion of accountability and collaboration should be a quintessential part of 

every program’s activity level. 

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

for the continuing evaluation of programs conducted under the 

Workforce Investment Act of 1998, as well as of Federally funded 

employment-related activities under other provisions of law. This is 

$2,936,000 below the fiscal year 2006 level and the same as the 

budget request. 

Responsible Reintegration of Youthful Offenders.—The Committee does not include funding for the Responsible Reintegration 

of Youthful Offenders program. The budget did not request funds 

for this program. The fiscal year 2006 level is $49,104,000. 

Prisoner Re-entry.—The Committee recommends no further funding for the Prisoner Re-entry Initiative until Congress has authorized the program and has established the authorized program levels. The Committee has funded the program in the past few years 

under the authority of a demonstration program. However, the 

Committee is concerned that continued funding for the program 

under the guise of a demonstration program is inappropriate, since 

all of the restrictions normally associated with the demonstration 

program would have to be waived in order for the program to be 

eligible for funding. It is now time for the program to be authorized 

or dropped. 

14 

Community Based Job Training Initiative.—The Committee does 

not include separate funds for this initiative but provides that of 

the amount made available for the Dislocated Worker National Reserve competitive grant program, up to $125,000,000 can be made 

available for the Initiative. This is the same as provided in 2006. 

Rescissions.—The Committee has included language rescinding 

$325,000,000 in prior year WIA funds, or if needed other headings 

under this title. 

The Committee directs the Department of Labor continue to submit quarterly reports to the House and Senate Appropriations 

Committees on the status of H–1B, National Emergency Grants, 

and High-Growth Job Training Initiative awards, and awards made 

for pilot, demonstration, multi-service, research, and multi-state 

projects as directed in House Report 109–337, except that the Department shall identify all awards made on a sole source basis and 

provide the justification, purpose and expected outcomes for any 

such awards. 

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

The Committee recommends $420,000,000 for community service 

employment for older Americans. This is $12,311,000 below the fiscal year 2006 level and the budget request. The Committee’s recommendation directs the Department to find ways to reduce the 

significant overhead costs of the program pending enactment of the 

program’s reauthorization. 

The community service employment for older Americans program 

provides grants to public and private nonprofit organizations that 

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

does not exceed 125 percent of the poverty level. 

The Committee recommends new language requiring the Secretary of Labor to use a portion of funds to make a grant to the 

Forest Service for the Senior Community Service Employment Program. 

FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

The Committee recommends $938,600,000. This is $27,800,000 

below the fiscal year 2006 level and the same as the budget request. 

The Trade Adjustment Assistance Program (TAA) provides assistance to certified workers adversely affected by imports and 

trade with countries covered by the North America Free Trade 

Agreement. Funding will continue the implementation of the TAA 

program with an emphasis on integrating the program into the 

One-Stop System. The Trade Adjustment Assistance Reform Act of 

2002 expanded the eligibility to include secondary workers and 

workers whose employers shift production overseas. 

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE

OPERATIONS

The Committee recommends $3,411,762,000 for this account. 

This is $53,605,000 above the fiscal year 2006 level and 

$23,955,000 below the budget request. Included in the total available is $3,349,746,000 authorized to be drawn from the EmployVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00018 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
15 

ment Security Administration Account of the Unemployment Trust 

Fund and $62,016,000 to be provided from the general fund of the 

Treasury. The funds in this account are used to provide administrative grants and assistance to State agencies that administer 

Federal and State unemployment compensation laws and operate 

the public employment service. 

For Unemployment Insurance services, the Committee rec- ommends $2,650,075,000. This is $142,405,000 above the fiscal 

year 2006 level and $100,000 below the budget request. The total 

includes $2,640,175,000 for State Operations and $9,900,000 for 

National Activities. Included in the amount provided for State Operations is $40,000,000 for One-Stop Centers to conduct Unemployment Insurance eligibility interviews and to enable staff to investigate unemployment insurance identity theft as requested. However, the original budget request double counted funds for eligibility reviews. 

For the Employment Service, the Committee recommends $688,769,000, which includes $22,016,000 in general funds together 

with an authorization to spend $666,753,000 from the Employment 

Security Administration Account of the Unemployment Trust Fund. 

This is $27,114,000 below the fiscal year 2006 level and the same 

as the budget request. 

The Committee recommends $32,918,000 for ES national activities. This is $510,000 below the fiscal year 2006 level and the same 

as the budget request. 

The Committee recommends $40,000,000 for America’s Labor 

Market Information System. This is $41,662,000 below the fiscal 

year 2006 level and $23,855,000 below the budget request. This 

funding supports access for customers in labor market transactions, 

and measuring and displaying WIA performance information. It is 

important to note that the private sector continues to increase public, free of charge and universal access to job information and the 

States continue to implement their own electronic job banks. 

Therefore, this recommendation agrees with the closing of the 

America’s Jobs Bank. Funds should be focused in three areas: Base 

Realignment and Closures (BRAC), the Workforce Information in 

Regional Economic Development (WIRED) and the Workforce One 

web site. 

The Committee concurs with the recommendation to provide no 

funds for the Work Incentives Grants program. The 2006 budget 

included $19,514,000 for this program to help persons with disabilities find and retain jobs through the One-Stop Career Center system mandated by the Workforce Investment Act. Several years of 

WIG funding have successively demonstrated approaches to improve accessibility to One-Stop Center services for new job seekers 

with disabilities. One-Stop Centers now incorporate these best 

practices into their normal operations. 

ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS

The Committee recommends $452,000,000. This is $13,000,000 

below the fiscal year 2006 level and the same as the budget request. 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. 

16 

PROGRAM ADMINISTRATION

General funds in this account provide the Federal staff to administer employment and training programs under the Workforce Investment Act of 1998, the Older Americans Act, the Trade Act, 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. 

The Committee recommends $211,554,000 for fiscal year 2007. 

This is $42,131,000 above the fiscal year 2006 level and the same 

as the budget request. Most of the increase reflects the return of 

the Job Corps staffing cost to this account. Funds are allocated in 

accordance with the attached table at the end of the report. This 

includes $118,760,000 in general funds and authority to expend 

$92,794,000 from the Employment Security Administration Account of the Unemployment Trust Fund. Of the amount made 

available $700,000 is targeted to the transition of the Youthbuild 

program if the program transfer is authorized by April 1, 2007. 

WORKERS COMPENSATION PROGRAMS

EMPLOYEE BENEFITS SECURITY ADMINISTRATION

SALARIES AND EXPENSES

The bill provides $143,573,000 for the Employee Benefits Security Administration, $10,023,000 above the fiscal year 2006 level 

and the same as the budget request. 

The Committee recognizes the importance of developing and implementing a new EFAST2 system and has provided funds in accordance with the request. Language is also included requiring that 

the Pension Benefit Guaranty Corporation share in the costs of the 

new system since they are also a beneficiary of the system’s development. The Department is directed to provide a schedule for completion within 30 days of enactment and to report monthly on 

progress relative to that schedule to the House and Senate Committees on Appropriations. 

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

8477 and 8478 of the Federal Employees’ Retirement Security Act 

of 1986. The agency was also given responsibilities under the 

Health Insurance Portability and Accountability Act of 1996. 

PENSION BENEFIT GUARANTY CORPORATION

The Corporation’s budget for fiscal year 2007 is $397,644,000, 

which is $100,666,000 above the fiscal year 2006 level and the 

same as the budget request. 

The Corporation is a wholly owned government corporation established by the Employee Retirement Income Security Act of 1974 

(ERISA). The law places it within the Department of Labor and 

makes the Secretary of Labor the chairperson of its board of directors. The Corporation receives its income from insurance premiums 

collected from covered pension plans, collection of employer liabilVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00020 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
17 

ities imposed by ERISA, and investment earnings. It is also authorized to borrow up to $100,000,000 from the United States Treasury. 

The primary purpose of the Corporation is to guarantee the payment of pension plan benefits to participants if covered plans fail 

or go out of existence. 

The bill includes language permitting obligations in excess of the 

amount provided in the bill after approval by the Office of Management and Budget and the Committee on Appropriations in the 

House and Senate. Language is also included to require that the 

PBGC share in the costs of the new EFAST2 System being developed in EBSA, by transferring $7,000,000 to the Employee Benefits 

Security Administration. 

The Committee has included language that permits workload 

driven increases in obligational authority. Although unanticipated 

workload increases do occur, the use of reapportionments authority 

should not become an excuse for bypassing the normal budgetary 

process. The Committee directs the Department to submit a report 

to the Committees on Appropriations in the House and Senate, if 

administrative expenses increase by more than 25 percent during 

fiscal year 2007. 

EMPLOYMENT STANDARDS ADMINISTRATION

SALARIES AND EXPENSES

The Committee recommends $418,495,000 for this account. This 

is $7,431,000 above the fiscal year 2006 level and $18,922,000 

below the budget request. The bill includes $416,419,000 in general 

funds for this account and contains authority to expend $2,076,000 

from the Special Fund established by the Longshore and Harbor 

Workers’ Compensation Act. Funds are to be distributed in accordance with the table at the end of this Report. 

The Employment Standards Administration (ESA) 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 DavisBacon Act, the Family and Medical Leave Act, the Federal Employees’ Compensation Act, the Longshore and Harbor Workers’ Compensation Act, and the Federal Mine Safety and Health Act (black 

lung). The agency also administers Executive Order 11246 related 

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

The Committee recognizes the importance of succession planning 

and appreciates the effort by the ESA to plan and train new staff 

for the future. However, funds were not provided for the staffing 

increase in the absence of a Department-wide succession plan. 

The Department is directed to work with the U.S. Department of 

Agriculture’s Forest Service to implement a Forest Service data 

base on H2B forestry workers. The Department of Labor is instructed, through its Wage and Hour Division, to populate the data 

base with violations of wage disbursements. The Department is further instructed to include as part of its 2008 budget request, a report about its enforcement efforts on those companies that have 

violated employment standards. 

18 

SPECIAL BENEFITS

The bill includes $230,000,000. This is $7,000,000 below the fiscal year 2006 appropriation and the same as the budget request. 

This appropriation primarily provides benefits under the Federal 

Employees’ Compensation Act (FECA). The payments are required 

by law. In fiscal year 2007, an estimated 152,000 injured Federal 

workers or their survivors will file claims; 58,500 will receive longterm wage replacement benefits for job-related injuries, diseases, or 

death. 

SPECIAL BENEFITS FOR DISABLED COAL MINERS

The Committee recommends an appropriation of $229,373,000 for 

special benefits for disabled coal miners, as requested. This is in 

addition to the $74,000,000 appropriated last year as an advance 

for the first quarter of fiscal year 2007. 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 Committee recommends an advance appropriation of $68,000,000 for the first quarter of fiscal year 2008, the same as 

the budget request. These funds will ensure uninterrupted benefit 

payments to coal miners, their widows, and dependents. 

The Black Lung Consolidation of Administrative Responsibility 

Act of 2002 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. 

ADMINISTRATIVE EXPENSES, ENERGY EMPLOYEES OCCUPATIONAL

ILLNESS COMPENSATION FUND

The Committee recommends $102,307,000 for the Energy Employees Occupational Illness Compensation Program authorized by 

Title XXXVI of the National Defense Authorization Act of 2001. 

This is $6,226,000 above the fiscal year 2006 level and the same 

as the budget request. Funds will be used to administer the program that provides compensation to employees or survivors of employees of the Department of Energy (DOE), its contractors and 

subcontractors, companies that provided beryllium to DOE, and 

atomic weapons employees who suffer from a radiation-related cancer, beryllium-related disease, or chronic silicosis as a result of 

their work in producing or testing nuclear weapons, and uranium 

workers covered under the Radiation Exposure Compensation Act. 

The Committee directs the Department to submit a report on the 

implementation of the Part E program, including the level of coordination between the DOL and CDC–NIOSH on the special Exposure Cohort provisions. 

BLACK LUNG DISABILITY TRUST FUND

The Committee recommends such sums as necessary for payment 

of benefits and interest on advances. The Committee estimates that 

$1,071,000,000 will be required for this account. This is $3,000,000 

above the fiscal year 2006 level and the same as the Administration estimates. 

The Trust Fund pays all black lung compensation/medical and 

survivor benefit expenses when no responsible mine operator can 

19 

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

are incurred in administering the benefits program and operating 

the Trust Fund. 

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

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

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

liable. 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. 

The Committee is aware that the fund is more than 

$9,000,000,000 in debt from prior year borrowing from the Treasury and has no hope of keeping current on its interest payments. 

The fund is in the impossible position of having to borrow from the 

Treasury just to pay its interest that it owes to the Treasury. The 

Administration has submitted legislation to implement a one time 

restructuring of its debt to the Treasury, which is now before the 

Authorizing Committees. 

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

The Committee recommends $486,051,000 for the Occupational 

Safety and Health Administration. This is $13,624,000 above the 

fiscal year 2006 level and $2,384,000 above the budget request. 

This agency is responsible for enforcing the Occupational Safety 

and Health Act of 1970 in the Nation’s workplaces. Funds are to 

be distributed in accordance with the table at the end of this report. Included is an increase to fully fund the development and implementation of the OSHA Information System. However, the Department is directed to provide quarterly reports to the Committees 

on Appropriations in the House and Senate on the progress of the 

system’s implementation. 

The Committee continues last year’s direction that OSHA take 

no further action to implement regulations requiring the annual 

testing of respiratory protection for occupational exposure to TB. 

Neither the CDC nor the health industry endorses the requirements in the OSHA rule. 

The Committee is once again disappointed with the lack of 

progress on the agency’s regulation concerning Employer Payment 

for Personal Protective Equipment, the public comment period for 

which ended over seven years ago. The Committee is especially 

concerned because the rate of worker deaths and injuries, which 

has decreased in the last decade for all American workers, has increased by two percent among Hispanic workers during 2003 and 

2004 because they take on a disproportionate number of jobs in the 

nation’s most dangerous professions, including the construction industry. The Committee expects the Secretary to report to the Committee, within 30 days of the enactment of this Act, the definitive 

status of this regulation, the agency’s reasons for not issuing the 

regulation sooner, and a timetable for its issuance. 

20 

MINE SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

The Committee recommends $278,869,000 for this agency. This is $1,183,000 above the fiscal year 2006 level and $8,967,000 below 

the budget request. Funds are to be distributed in accordance with 

the table at the end of this report. This agency enforces the Federal 

Mine Safety and Health Act in underground and surface coal and 

metal and non-metal mines. The requested funding increase was 

not provided since Congress is taking immediate actions to enhance 

the MSHA inspection and enforcement programs in the 2006 supplemental. The program received a $25,600,000 increase in the recent emergency supplemental H.R. 4939 and funds are available 

for two years. Hence the requested increase for 2007 is no longer 

needed. 

The Committee is concerned over several reported incidents 

where, under the guise of ‘‘rebuilding’’, certain equipment manufacturers have built new machines and removed MSHA Approval 

Plates (commonly referred to as ‘‘2G tags’’) from scrap machines, 

reattached these plates to the new machinery that they built, and 

then sold these machines for use in underground mines. Several of 

these machines have been involved in accidents that have resulted 

in serious injuries. The Committee directs MSHA to increase emphasis to ensure that all mining machinery sold by manufacturers 

and re-builders for use in a mine is in compliance with the MSHA 

Approval Plate that is on the machine. The Committee directs that 

MSHA report back to the Committees on Appropriations in the 

House and Senate surveillance and enforcement of this misuse of 

‘‘2G’’ tags by January 1, 2007. 

The Committee commends MSHA for actions on the role of 

equipment technology in mine rescue efforts and directs that the 

agency work with manufacturers of new oxygen technology to determine the extent to which the new technology can be applied to 

mine safety. 

In addition, and in the meantime, the agency is urged to promote 

the use of refillable oxygen cylinders and tubing for mineworker 

safety. 

BUREAU OF LABOR STATISTICS

SALARIES AND EXPENSES

The total funding recommended by the Committee for the Bureau of Labor Statistics (BLS) is $565,288,000. This is $28,189,000 

above the fiscal year 2006 level and $2,000,000 above the budget 

request. The Committee recommends $486,262,000 in general 

funds for this account and authority to spend $79,026,000 from the 

Employment Security Administration Account of the Unemployment Trust Fund. The BLS is the principal fact-finding agency in 

the Federal government in the broad field of labor economics. Its 

principal surveys include the Consumer Price Index and the 

monthly unemployment series. Funds are to be distributed in accordance with the table at the end of the Report. 

The Committee has provided additional funds to expand the 

American Time Use Survey (ATUS). This has become, for example, 

one of the most important surveys for determining dietary patterns 

21 

and food consumption, an important element in the Nation’s evolving understanding of obesity trends. An increase of $2,000,000 is 

provided to conduct a biennial module, improve the response rates 

and conduct research on non-response bias. BLS should conduct a 

module every other year, with the food use module conducted every 

fourth year and other modules on rotating topics conducted in between. 

OFFICE OF DISABILITY EMPLOYMENT POLICY

SALARIES AND EXPENSES

The Committee recommends $20,319,000 for the Office of Disability Employment Policy, which is $7,336,000 below the fiscal 

year 2006 level and the same as the budget request. The Office provides policy guidance and leadership to eliminate employment barriers to people with disabilities. 

The Committee is in agreement with the request to suspend the 

grant program until the results of the three-year research and 

demonstration grants programs has been fully assessed and resulting policy changes incorporated in new policy directives. 

The Committee directs the Secretaries of Labor and HUD and 

the Interagency Council on Homelessness (ICH) to develop a joint 

plan to increase the access of homeless and disabled veterans in locations where homeless veterans congregate, including grantees 

under the homeless provider grant and per diem program and the 

homeless veterans reintegration program, to facilitate re-employment. 

DEPARTMENTAL MANAGEMENT

SALARIES AND EXPENSES

The Committee recommends $236,784,000 for Departmental Management activities. This is $60,796,000 below the fiscal year 

2006 level and $5,307,000 below the budget request. Included is 

$236,462,000 in general funds for this account along with authority 

to transfer $322,000 from the Employment Security Administration 

Account of the Unemployment Trust Fund. The Committee has included $28,000,000 for the Information Technology Crosscut which 

is the requested amount except for funds targeted to the Government-wide ‘‘E-Gov Initiative’’. 

The Departmental Management appropriation finances staff responsible for formulating and overseeing the implementation of Departmental policy and management activities. In addition, this appropriation includes a variety of operating programs and activities 

that are not involved in Departmental Management functions, but 

for which other salaries and expenses appropriations are not suitable. The allocation of the funds is provided in the table accompanying this report. 

The Committee agrees with the request to significantly reduce 

the role of the International Labor Affairs cooperation program. 

Clearly the role of other Agencies, including those at the Department of State and USAID are greatly increased in the areas of 

international labor negotiations. In addition, recent legislation has 

refocused the Department’s activities on research, and administering the labor agreements. 

22 

The Committee recommends that the Department’s strategic 

plan for the Women’s Bureau include a future use of the Women’s 

Work program as part of its overall Women’s Bureau activities. The 

Committee notes however, that the Women’s Work program has 

been funded for years without an authorization and appears to 

have no specific performance measures. It is only fair that funding 

in the future should be contingent on the submission and enactment of authorizing legislation for this program, as is required for 

all others. 

VETERANS EMPLOYMENT AND TRAINING

The Committee recommends $224,440,000 for veteran employment and training activities. This is $2,349,000 above the fiscal 

year 2006 level and $447,000 below the budget request. Within this 

amount, $195,177,000 is to be expended from the Employment Security Administration account of the Unemployment Trust Fund for 

the traditional State and Federal administration of veterans’ employment and training activities. 

Individuals leaving the military are 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 Transition Assistance Program (TAP) has been established to ease the transition 

of separating service members to the civilian sector. The Committee instructs the Secretary of Labor to ensure that a module on 

homelessness prevention is added to the TAP 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. 

OFFICE OF THE INSPECTOR GENERAL

The Committee recommends $73,761,000 for the Office of the Inspector General (OIG). This is $2,660,000 above the fiscal year 

2006 level and the same as the budget request. This includes 

$68,073,000 in general funds along with the authority to transfer 

$5,688,000 from the Employment Security Administration Account 

of the Unemployment Trust Fund. 

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

those programs. Through a program of audits, investigations, and 

program evaluations, the OIG attempts to reduce the incidence of 

fraud, waste, abuse, and mismanagement, and to promote economy, 

efficiency, and effectiveness throughout the Department. 

WORKING CAPITAL FUND (WCF)

The Committee includes no direct appropriation for the WCF for 

2007 postponing further development of the core accounting system, until funds in the pipeline have been expended, the Department has completed its review and assessment of the individual 

program requirements and an in depth discussion of alternatives to 

a new core accounting system for the Department of Labor have 

been vetted with the Committees on Appropriations in the House 

and the Senate. This is $6,168,000 below the 2006 level and 

$13,954,000 below the budget request. 

23 

ADMINISTRATIVE PROVISIONS

Sec. 101. The Committee continues and amends a provision to 

prohibit the use of Job Corps funding for compensation of an individual that is not a Federal Employee at a rate in excess of Executive Level II. 

Sec. 102. The Committee repeats and amends a provision to permit transfers of up to one percent between appropriation Accounts. 

Sec. 103. The Committee continues a prior year prohibition on 

the purchase of goods that were in any part produced by indentured children. 

Sec. 104. Requires the Department to report to the Committees 

on Appropriations on the projects awarded under the research and 

demonstration projects. 

Sec. 105. The Committee recommends new language requiring 

the Secretary to issue a monthly transit subsidy of not less than 

$105 to each of the Department’s eligible employees in the National 

Capital region. 

TITLE II—DEPARTMENT OF HEALTH AND HUMAN 

SERVICES 

HEALTH RESOURCES AND SERVICES ADMINISTRATION

HEALTH RESOURCES AND SERVICES

The Committee includes a program level total of $7,075,917,000 

for health resources and services programs, which is $487,553,000 

above the fiscal year 2006 funding level for these activities and 

$742,062,000 above the budget request. The Health Resources and 

Services Administration (HRSA) supports programs which provide 

health services to disadvantaged, medically underserved, and special populations; decrease infant mortality rates; assist in the education of health professionals; and provide technical assistance regarding the utilization of health resources and facilities. 

Community health centers 

The Committee provides $1,988,000,000 for community health 

centers, which is $205,692,000 above the fiscal year 2006 funding 

level and $25,139,000 above the budget request. These funds support programs which include community health centers, migrant 

health centers, health care for the homeless and public housing 

health service grants. In providing this significant increase to the 

community health centers program, the Committee intends that 

funding will be used to support the development of over 300 new 

or expanded medical capacity sites. Within the total, $25,000,000 

also is included to provide base grant adjustments for existing centers. In addition, the Committee urges the community health centers program to continue the initiative designed to help reduce 

chronic conditions of obesity, diabetes and heart diseases in the 

communities they serve. 

The Committee includes bill language similar to previous years 

limiting the amount of funds available for the payment of claims 

under the Federal Tort Claims Act to $44,550,000, which is the 

same as the budget request and the limitation in the fiscal year 

2006 bill. 

24 

The Committee does not provide additional funds for loan guarantee authority for community health centers under section 330(d) 

of the Public Health Service Act. The Committee notes that an estimated $72,000,000, of the $160,000,000 appropriated in fiscal years 

1997 and 1998, will be available in the program after the end of 

fiscal year 2006 for loan guarantee authority for guarantees of both 

loan principal and interest. 

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 utilizing electronic patient registries and other 

IT tools through their participation in integrated service delivery 

networks, the integrated information and communication technology project, the shared integrated management information system, and health disparities collaboratives. Given this success, the 

Committee urges HRSA to ensure that health centers have adequate resources to establish and expand health IT systems in order 

to further enhance the delivery of cost-effective, quality health care 

services. 

The Committee is pleased by the increasing proportion of National Health Service Corps (NHSC) 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 a sufficient level of health 

professionals through the NHSC, especially given recent efforts to 

expand the health centers program. 

The Committee believes that adequate funding for the technical 

assistance and networking functions available for health centers, 

including through the National Association of Community Health 

Centers, state and regional primary care associations, and planning, developmental, and operational networks, is critical to the 

successful operation and expansion of the health centers program. 

Within amounts provided, the Committee encourages HRSA to 

make funds available to continue technical assistance and networking to existing centers and support the expansion of these activities to new communities. 

The Committee is aware that dental disease disproportionately 

affects our Nation’s most vulnerable populations. New ways of 

bringing oral health care to underserved populations are needed to 

address geographic and other challenges that exist. The Committee 

encourages HRSA to explore innovative programs to delivering preventive and restorative oral health services. Specifically, the Committee encourages HRSA to work with the dental provider community, including representatives of the dentists, dental assistants, 

dental hygienists, and the African-American and Hispanic dental 

communities to explore state and community proposals and programs that seek to improve access to care in accordance with state 

licensing laws. 

Free clinics medical malpractice 

The Committee provides $10,000 for payments of claims under 

the Federal Tort Claims Act to be made available for volunteer free 

clinic health care professionals, which is $30,000 less than the fiscal year 2006 funding level. The budget request did not include 

funding for this program. The program extends Federal Tort 

25 

Claims Act coverage to health care professional volunteers in free 

clinics in order to expand access to health care services to low-income individuals in medically underserved areas. According to section 224(o) of the Public Health Service Act, Section 233(o), a free 

clinic must apply, consistent with the provisions applicable to community health centers, to have each health care professional 

‘deemed’ an employee of the Public Health Service, and therefore 

eligible for coverage under the Federal Tort Claims Act. 

Radiation exposure screening and education program 

The Committee provides $1,917,000 for the radiation exposure 

screening and education program, which is the same as the fiscal 

year 2006 funding level and the budget request. This program provides grants for the education, prevention, and early detection of 

radiogenic cancers and diseases resulting from exposure to uranium during mining and milling at nuclear test sites. 

National Hansen’s disease program 

The Committee provides $15,905,000 for the National Hansen’s 

disease program, which is the same as the fiscal year 2006 funding 

level and the budget request. This program offers Hansen’s disease 

treatment to 11 long-term residents who continue to receive care 

from the National Hansen’s Disease Center and to others who receive care from grant-supported outpatient regional clinics. Other 

former long-term residents have been offered and elected to receive 

a living allowance from the program and now live independently. 

These programs provide treatment to about 3,000 of the 6,000 Hansen’s disease sufferers in the continental United States. 

National Hansen’s disease program—buildings and facilities 

The Committee provides $220,000 for National Hansen’s disease 

buildings and facilities, which is the same as the fiscal year 2006 

funding level and the budget request. These funds are used to finance the repair and upkeep of buildings at the Gillis W. Long 

Hansen’s Disease Center at Carville, Louisiana. 

Payment to Hawaii for treatment of Hansen’s disease 

The Committee provides $1,996,000 for the treatment of persons 

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

as the fiscal year 2006 funding level and the budget request. The 

program, which provides a partial matching payment to the State 

of Hawaii, dates to the period of Father Damien’s facility for sufferers of Hansen’s disease. That facility now has only 40 residents 

who live there by choice, and the grounds have been converted to 

a historical site. Most patients diagnosed with Hansen’s disease in 

Hawaii are now treated in the same manner as new patients on 

the mainland; their care is handled on an out-patient basis, with 

the program paying for 247 active ambulatory Hansen’s disease 

cases. 

Black lung clinics 

The Committee provides $5,891,000 for black lung clinics, which 

is the same as the fiscal year 2006 funding level and the budget 

request. The program supports fifteen grantees that treat a declining population of coal miners with respiratory and pulmonary imVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00029 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
26 

pairments. The clinics presently receive just under one-third of 

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

Of the fifteen grantees, six receive health center funding as well as 

black lung grants. 

National Health Service Corps: field placements 

The Committee provides $42,218,000 for field placements, which is $1,920,000 above the fiscal year 2006 funding level and the 

budget request. These funds are used to support the activities of 

National Health Service Corps (NHSC) obligors and volunteers in 

the field, including travel and transportation costs of assignees, 

training and education, recruitment of students, residents and clinicians and retention activities. Salary costs of most new assignees 

are paid by the employing entity. 

National Health Service Corps: recruitment 

The Committee provides $89,310,000 for recruitment activities, which is $4,080,000 above the fiscal year 2006 funding level and 

the budget request. The program awards scholarships to health 

professions students and assists graduates in repaying their student loans. In return for every year of support, these individuals 

are obligated to provide a year of service in health professional 

shortage areas of greatest need. The minimum obligation is two 

years. 

Health professions 

The Committee provides $309,296,000 for all health professions training programs, which is $14,419,000 above the fiscal year 2006 

funding level and $149,884,000 above the budget request. The table 

at the end of the report identifies how funding is allocated for programs authorized by titles VII and VIII of the Public Health Service Act. The Committee rejects the rescission proposal included in 

the budget request that would have cancelled unobligated balances 

available at institutions of higher education with a student loan revolving fund. 

Centers of excellence 

The Committee provides $11,880,000 for centers of excellence, 

which is the same as the fiscal year 2006 funding level. The budget 

request did not include funding for this program. The program is 

designed to strengthen the national capacity to educate underrepresented minority (URM) students in the health professions by offering special support to those institutions which train a significant 

number of URM individuals. Funds are used for the recruitment 

and retention of students and faculty, information resources and 

curricula, faculty and student research, and the development of 

plans to achieve institutional improvements. 

The Committee is pleased that HRSA has refocused 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 recognizes that the intent of the Title VII funding for the centers of excellence (COE) has been to strengthen the 

national capacity to train students from minority groups that are 

27 

under-represented in these health professions, thereby building a 

more diverse health care workforce, and that budgetary cuts in fiscal year 2006 may not have been adequately inclusive of grants to 

the health professions schools that would reach the Hispanic student population. Therefore this Committee urges, that within the 

Title VII funds appropriated in fiscal year 2007 for the COE program, one third of the funds should be set aside for regional Hispanic centers of excellence, to be selected from a competitive applicant pool, that are located in geographic areas that have a large 

medically underserved Hispanic population, and that would use a 

regional approach to serve that area. 

Health careers opportunity program 

The Committee concurs with the budget request and does not include funding for the health careers opportunity program. The fiscal year 2006 funding level for this program is $3,960,000. 

Faculty loan repayment 

The Committee concurs with the budget request and does not include funding for the faculty loan repayment program. The fiscal 

year 2006 funding level for this program is $1,289,000. 

Scholarships for disadvantaged students 

The Committee provides $46,657,000 for scholarships for disadvantaged students, which is the same as the fiscal year 2006 

funding level and $36,924,000 above the budget request. The program provides grants to eligible health professions and nursing 

schools to provide scholarships to eligible individuals from disadvantaged backgrounds, including students who are members of 

racial and ethnic minority groups. By statute, not less than 16 percent of the funds must go to schools of nursing. 

Training in primary care and dentistry 

The Committee provides $40,851,000 for training in primary care 

and dentistry, which is the same as the fiscal year 2006 funding 

level. The budget request did not include funding for this program. 

The training program is comprised of four elements: (1) family 

medicine; (2) general internal medicine and general pediatrics; (3) 

physician assistants; and (4) general and pediatric dentistry. 

Area health education centers 

The Committee provides $28,681,000 for area health education 

centers, which is the same as the fiscal year 2006 funding level. 

The budget request did not include funding for this program. The 

program provides cooperative agreements to medical and nursing 

schools to encourage the establishment and maintenance of community-based training programs in off-campus rural and underserved areas. Emphasis is also placed on enhancing the diversity 

of the health personnel workforce and improving the practice environment and the quality of care available in underserved areas. 

Allied health and other disciplines 

The Committee provides $3,960,000 for allied health and other 

disciplines, which is the same as the fiscal year 2006 funding level. 

The budget request does not include funding for this program. The 

28 

program assists eligible entities in meeting the costs associated 

with expanding or establishing an allied health professions program. 

The Committee recognizes the importance of the graduate psychology education program, a competitive and peer reviewed grant 

program. Established five years ago, this program has achieved a 

40 percent increase in the rate of students entering into and staying to practice in underserved areas following completion. The need 

for mental health services is significant and well documented. 

Through this program, psychology graduate students are trained 

along with students from over thirty other health professions to 

provide mental and behavioral health care services to underserved 

populations, such as older adults, children, chronically ill persons 

and victims of abuse or trauma including returning military personnel. Within the total for allied health and other disciplines, the 

Committee includes $2,000,000 for graduate psychology education. 

Geriatric programs 

The Committee provides $31,548,000 for geriatric programs, 

which is the same as the fiscal year 2005 funding level. Funding 

for these programs was not included in either the fiscal year 2006 

appropriation or the fiscal year 2007 budget request. The geriatric 

programs are comprised of three activities: (1) geriatric education 

centers; (2) the geriatric training program for physicians, dentists, 

and behavioral and mental health professionals; and (3) Geriatric 

Academic Career Awards. 

Public health, preventive medicine, and dental public health 

programs 

The Committee concurs with the budget request and does not include funding for the public health, preventive medicine, and dental public health programs. The fiscal year 2006 funding level for 

this program is $7,920,000. 

Advanced education nursing 

The Committee provides $57,061,000 for advanced education 

nursing, which is the same as the fiscal year 2006 funding level 

and the budget request. The program provides grant support to eligible entities to meet the costs of: (1) projects that support the enhancement of advanced nursing education and practice; and (2) 

traineeships for individuals in advanced nursing education programs. The program prepares registered nurses as nurse faculty, 

nurse practitioners, clinical nurse specialists, nurse midwives, 

nurse anesthetists, nurse administrators, public health nurses and 

other nurse specialists for advanced practice roles. Within the allocation, the Committee encourages HRSA to allocate funding at 

least at the fiscal year 2001 level for nurse anesthetist education. 

Nurse education, practice and retention 

The Committee provides $37,291,000 for nurse education, practice and retention, which is the same as the fiscal year 2006 funding level and the budget request. 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. 

29 

Nursing workforce diversity 

The Committee provides $16,107,000 for nursing workforce diversity, which is the same as the fiscal year 2006 funding level and 

the budget request. The program provides grants and contracts to 

schools of nursing and other eligible entities to meet the costs of 

special projects to increase nursing education opportunities for individuals who are from disadvantaged backgrounds, including racial and ethnic minorities, by providing student scholarships or stipends, pre-entry preparation, and retention activities. The program 

also contributes to the basic preparation of disadvantaged and minority nurses for leadership positions within the nursing and 

health care community. 

Loan repayment and scholarship program 

The Committee provides $31,055,000 for the nurse loan repayment and scholarship program, which is the same as the fiscal year 

2006 funding level and the budget request. This program offers student loan repayment to nurses or scholarships to nursing students 

in exchange for an agreement to serve not less than two years at 

a health care facility with a critical shortage of nurses. 

The Committee recognizes that registered nurses who participate 

in the loan repayment and scholarship program repay their loans 

and scholarships by working in health care facilities with a critical 

shortage of nurses, serving many of the Nation’s underserved populations. The Committee believes that HRSA should consider allowing graduate educated nurses to repay their service commitment by 

working as a nurse faculty in a school of nursing. 

Comprehensive geriatric nurse education 

The Committee provides $3,392,000 for comprehensive geriatric 

nurse education, which is the same as the fiscal year 2006 funding 

level and the budget request. The comprehensive geriatric education program supports grants for (1) providing training to individuals who will provide geriatric care for the elderly; (2) develop 

and disseminate curricula relating to the treatment of the health 

care problems of elderly individuals; (3) train faculty members in 

geriatrics; or (4) provide continuing education to individuals who 

provide geriatric care. 

Nursing faculty loan program 

The Committee provides $4,773,000 for the nursing faculty loan 

program, which is the same as the fiscal year 2006 funding level 

and the same as the budget request. The nursing faculty loan program supports the development of a student loan fund in schools 

of nursing to increase the number of qualified nursing faculty. Students may receive loans up to $30,000 per year for a maximum of 

5 years. The program has a cancellation provision for up to 85 percent of the loan for recipients working full-time as nursing faculty 

for a period of 4 years. 

Children’s hospitals graduate medical education payment program 

The Committee provides $300,000,000 for the children’s hospitals 

graduate medical education payment program, which is 

$3,000,0000 above the fiscal year 2006 funding level and 

$201,000,000 above the budget request. The program provides supVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00033 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
30 

port for graduate medical education training in children’s teaching 

hospitals that have a separate Medicare provider number (‘‘freestanding’’ children’s hospitals). The funding in this program is intended to make the level of Federal Graduate Medical Education 

support more consistent with other teaching hospitals, including 

children’s hospitals which share provider numbers with other 

teaching hospitals. Payments are determined by formula, based on 

a national per-resident amount. Payments support training of resident physicians as defined by Medicare in both ambulatory and inpatient settings. The Committee believes this program is vital to 

restoring the reimbursement inequity faced by pediatric hospitals, 

which provide very high quality care to children with difficult and 

expensive conditions. 

National practitioner data bank 

The Committee does not provide funding for the national practitioner data bank for fiscal year 2007, which is the same as both 

the fiscal year 2006 appropriations and the budget request. The 

Committee recommendation and the budget request assume that 

the data bank will be self-supporting, with collections of 

$15,700,000 in user fees. The national data bank receives, stores, 

and disseminates information on paid medical malpractice judgments and settlements, sanctions taken by Boards of Medical Examiners, losses of membership in professional societies, and certain 

professional review actions taken by health care entities. Insurance 

companies, State licensure boards and authorities, and other 

health care entities and professional societies are required to report 

information to the data bank within 30 days of each action. The 

coverage of the data bank includes dentists and physicians, and, 

with respect to malpractice settlements and judgments, other categories of licensed health professionals. Hospitals are required to 

search the data bank when a health care provider applies for employment and once every two years thereafter. State licensing 

boards, other health care entities, licensing authorities, and professional societies also have access to the data bank. Traditional bill 

language is included to ensure that user fees are collected to cover 

the full costs of the data bank operations. 

Health care integrity and protection data bank 

The Committee does not provide funding for the health care integrity and protection data bank (HIPDB) for fiscal year 2007. The 

Committee recommendation and the budget request assume that 

the data bank will be self-supporting, with collections of $4,000,000 

in user fees. HIPDB receives, stores, and disseminates information 

on final adverse actions taken against health care providers, suppliers, and practitioners, health care related civil judgments and 

criminal convictions. This information is collected from and made 

available to Government agencies and health plans. 

Maternal and child health block grant 

The Committee provides $700,000,000 for the maternal and child 

health (MCH) block grant, which is $7,000,000 above both the fiscal year 2006 funding level and the budget request. 

The MCH block grant provides funds to States to meet a broad 

range of basic and enabling health services, including personal 

31 

health services; general, population-wide health services, such as 

screening; family support services; and integrated systems of care. 

The authorizing statute provides that, up to a funding level of 

$600,000,000, 85 percent of the funds are distributed to the States, 

with 15 percent of the funds set aside for special projects of regional and national significance (SPRANS). When the appropriation exceeds $600,000,000, 12.75 percent of the amount over 

$600,000,000 is directed to the Community Integrated Service Systems set-aside program. The remaining 87.25 percent is distributed 

by the same 85/15 percent allocation as in the basic block grant formula. 

The Committee has included bill language identifying $117,428,000 for the SPRANS set-aside. Within the total, the Committee urges HRSA to provide the highest possible funding level to 

continue and enhance the Leadership Education in 

Neurodevelopmental and Related Disabilities (LENDs) programs. 

These programs are designed to improve the health status of infants, children and adolescents with or at risk for 

neurodevelopmental and related disabilities and their families. 

This is accomplished through the interdisciplinary training of professionals for leadership roles in the provision of health and related 

care, continuing education, technical assistance, research and consultation. The programs focus on the special health care needs of 

children with a wide range of neurodevelopmental, metabolic and 

genetic disorders. Additional funding would help these programs 

initiate or expand their work in the area of Down Syndrome, autism, and genetics counseling. Within the total, $5,000,000 is provided in SPRANS to help 

states develop well integrated, quality oral health programs 

through grants, cooperative agreements and contracts. The Committee further encourages HRSA to assist states through partnerships with national associations and foundations to focus on state 

based early interventions to prevent early childhood caries. As linkages continue to be made between disease transmissibility and maternal behaviors, and poor birth outcomes and poor periodontal 

health, further program attention is warranted to avoid the need 

for more costly care. 

Within the total, the Committee provides $3,000,000 within the 

SPRANS set-aside to continue epilepsy demonstration programs. 

These programs are designed 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. Of the amount provided, the Committee recommends that up to thirty percent be used to continue to fund the 

development and testing of a national public health awareness 

campaign to increase seizure recognition and improve access to 

care among minorities and underserved populations. The Committee is pleased that HRSA has partnered with a national organization whose mission is to improve the lives of children and adults 

affected by seizure through research, education, advocacy and service. 

In addition, the Committee provides $3,000,000 within the 

SPRANS set-aside to continue the newborn screening for heritable 

disorders demonstrations begun several years ago. Newborn screening is used for early identification of infants affected by certain geVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00035 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
32 

netic, metabolic, hormonal or functional conditions for which there 

are effective treatment or intervention. Screening detects disorders 

in newborns that, left untreated, can cause death, disability, mental retardation and other serious illnesses. 

The Committee commends HRSA for convening the Secretary’s 

advisory committee on heritable disorders and genetic diseases in 

newborns and children to make national recommendations to 

standardize newborn screening programs in the US; and for funding the regional genetic service and newborn screening 

collaboratives to address the maldistribution of genetic services and 

resources to bring services closer to local communities. However, 

the Committee is aware that wide disparities continue to exist in 

the number of conditions screened for in each state. The Committee 

believes that parents and healthcare providers responsible for the 

care of newborns should be able to provide the best chance at a 

healthy start on life, and therefore, strongly urges HRSA to include 

as a requirement for funding a provision that parents be informed 

in writing of the availability of additional tests that may not be required under state law. 

The Committee intends that within the total for the SPRANS 

set-aside, $1,500,000 will be used to develop model demonstration 

programs to develop a national data source by which States can report State-specific rates and improve the screening, detection, and 

treatment of vision problems that would otherwise result in delayed learning and education in children. The Committee encourages HRSA to work in partnership with a national voluntary 

health organization with expertise in children’s vision screening 

and established certified vision screening training programs. 

Of the funds appropriated for the SPRANS set-aside, the Com- mittee includes $4,000,000 to support the continuation and enhancement of the locally-based newborn screening follow-up and 

community-based sickle cell disease outreach and supportive service initiative. 

The Committee reiterates its long-standing support for the continuation of funding that the MCH block grant has provided to 

comprehensive thalassemia treatment centers under the SPRANS 

program. The Committee strongly encourages HRSA to continue 

this program and to coordinate with the relevant voluntary organizations. 

The Committee urges HRSA to maintain its funding support 

through the SPRANS set-aside of the network of hemophilia treatment centers, which provide comprehensive disease management 

services to persons with bleeding and clotting disorders. 

The Committee recognizes the contributions of the longstanding 

Provider’s Partnership program and encourages HRSA to continue 

its funding. The Partnership includes a series of state-level projects 

initiated to address female psychosocial issues through integration 

of medical care with psychosocial services. Such partnerships enhance service integration, minimize demands on individual providers, and facilitate movement between providers and agencies to 

create comprehensive care. 

Sickle cell anemia demonstration program 

The Committee provides $2,178,000 for the sickle cell anemia 

demonstration program, which is the same as the budget request 

33 

and the fiscal year 2006 funding level. This program was created 

to develop systemic mechanisms for the prevention and treatment 

of sickle cell disease. 

Traumatic brain injury 

The Committee provides $8,910,000 for the traumatic brain injury (TBI) program. This is the same as the fiscal year 2006 funding level. The budget request did not include funding for this program. The TBI program funds the development and implementation of statewide systems to ensure access to care including 

prehospital care, emergency department care, hospital care, rehabilitation, transitional services, rehabilitation, education and employment, and long-term community support. Grants also go to 

State protection and advocacy systems. 

Healthy Start 

The Committee provides $101,518,000 for Healthy Start, which 

is the same as the fiscal year 2006 funding level and the budget 

request. Healthy Start provides grants to select communities with 

high rates of infant mortality to help them identify, plan, and implement a diverse range of community-driven strategies that can 

successfully reduce disparities in perinatal health that contribute 

to the Nation’s high infant mortality rate. 

Since 1990, the Maternal and Child Health Bureau has worked 

in cooperative agreement to run the National Fetal Infant Mortality Review (NFIMR) program. NFIMR provides training and assistance to enhance cooperative partnerships among local community health professionals, public health officers, community advocates and consumers to reduce infant mortality. The goal is to improve local services and resources for women, infants and families, 

to remove barriers to care, and to ensure culturally appropriate, 

family friendly services. Such efforts are crucial to understanding 

and addressing infant health disparities in communities at highest 

risk. The Committee encourages HRSA to continue to use Healthy 

Start funds to support the NFIMR project. 

Universal newborn hearing screening 

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

hearing screening program, which is $199,000 more than the fiscal 

year 2006 funding level. The budget request did not include funding for this program. The program provides competitive grants to 

States for universal newborn hearing screening by means of physiologic testing prior to hospital discharge, audiologic evaluation by 

three months of age, and entry into a program of early intervention 

by six months of age. 

Emergency medical services for children 

The Committee provides $19,800,000 for the emergency medical 

services for children (EMSC) program, which is the same as the fiscal year 2006 funding level. The budget request did not include 

funding for this program. Grants are provided to States and territories to improve existing emergency medical services systems and 

to schools of medicine to develop and evaluate improved procedures 

and protocols for treating children. 

34 

Ryan White HIV/AIDS programs 

The Committee provides $2,107,713,000 for Ryan White HIV/ AIDS programs, which is $70,000,000 above the fiscal year 2006 

funding level and $25,000,000 less than the budget request. The 

bill also makes available $25,000,000 in program evaluation funding under section 241 of the Public Health Service for special 

projects of national significance. Within the total provided, the 

Committee provides no less than the funds provided in fiscal year 

2006 for Ryan White HIV/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. 

The Committee is aware that over 30 percent of HIV-infected 

persons in the United States are also chronically infected with the 

hepatitis C virus (HCV). Chronic hepatitis C infection may lead to 

cirrhosis of the liver and liver cancer, and is the leading cause of 

liver transplantation in the U.S. In addition, chronic hepatitis C 

disease progresses more rapidly in HIV-infected persons, and end 

stage liver disease resulting from chronic hepatitis C infection is 

now a leading cause of death for people with HIV/AIDS. The Committee encourages HRSA to provide guidance to CARE Act grantees to encourage them to proactively address HCV care and treatment among their HIV/HCV co-infected patient populations, and 

encourages State AIDS Assistance Programs to provide coverage of 

therapies approved by the FDA for the treatment of HCV in HIV/ 

HCV co-infected patients. 

Emergency assistance 

The Committee provides $603,993,000 for the Part A, emergency 

assistance program, which is the same as the fiscal year 2006 funding level and the budget request. These funds provide grants to 

metropolitan areas with very high numbers of HIV/AIDS cases for 

outpatient and ambulatory health and social support services. Half 

of the amount appropriated is allocated by formula and half is allocated to eligible areas demonstrating additional need through a 

competitive grant process. 

Comprehensive care programs 

The Committee provides $1,190,518,000 for Part B, comprehen- sive care programs, which is $70,000,000 above the fiscal year 2006 

funding level and the same as the budget request. The funds provide formula grants to States for the operation of HIV service delivery consortia in the localities most heavily affected, for the provision of home and community-based care, for continuation of health 

insurance coverage for infected persons, and for purchase of therapeutic drugs. The Committee includes bill language identifying 

$789,546,000 specifically to support State AIDS Drug Assistance 

Programs (ADAP), the same as the fiscal year 2006 funding level 

and the budget request. 

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 treatVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00038 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
35 

ment-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. 

Early intervention program 

The Committee provides $193,622,000 for Part C, the early intervention services program, which is the same as the fiscal year 2006 

funding level and $25,000,000 less than the budget request. Funds 

are used for discretionary grants to community health centers, family planning agencies, comprehensive hemophilia diagnostic and 

treatment centers, Federally-qualified health centers, county and 

municipal health departments and other non-profit communitybased programs that provide comprehensive primary care services 

to populations with or at risk for HIV disease. The grantees provide testing, risk reduction counseling, transmission prevention, 

oral health, nutritional and mental health services, and clinical 

care. Optional services include case management, outreach, and eligibility assistance. 

Children, youth, women, and families 

The Committee provides $71,794,000 for Part D, children, youth, 

women, and families programs, which is the same as the fiscal year 

2006 funding level and the budget request. HIV-infected children, 

youth and women and affected family members have multiple, complex medical, economic and social service needs which often require 

more intensive care coordination, intensive case management, child 

and respite care, and direct service delivery to engage and maintain adolescents and mothers in care. Funds support innovative 

and unique strategies and models to organize, arrange for, and deliver comprehensive services through integration into ongoing systems of care. 

AIDS dental services 

The Committee provides $13,086,000 for AIDS dental services, 

which is the same as the fiscal year 2006 funding level and the 

budget request. The program includes two components: the dental 

reimbursement program, which reimburses dental education programs for non-reimbursed costs incurred in providing care, and the 

community-based dental partnership, which increases access to 

oral health services and provider training in community settings. 

Education and training centers 

The Committee provides $34,700,000 for AIDS education and 

training centers (AETCs), which is the same as the fiscal year 2006 

funding level and the budget request. The centers train health care 

personnel who care for AIDS patients and develop model education 

programs. 

Organ transplantation 

The Committee provides $23,049,000 for organ transplantation 

activities, which is the same as the fiscal year 2006 funding level 

and the budget request. The program supports the Scientific Registry of Transplant Recipients; the Organ Procurement and Transplantation Network, which matches organ donors with potential reVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00039 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
36 

cipients; and grants and contracts with public and private organizations to promote and improve organ donation. 

The Committee is pleased with the progress of the transplantation collaborative project to implement best practices in the various organ procurement organizations and donor hospitals across 

the country. This program is credited with increasing the rate of 

organ donation by 10.8 percent in 2004 and by an additional 6.6 

percent in 2005. The Committee urges that funding be provided to 

the next phase of the transplantation collaborative, which will help 

increase the number of organs donated per individual donor. The 

Committee is also pleased that HRSA has awarded a grant to reimburse for travel and subsistence expenses for individuals traveling 

to transplantation centers for the purpose of organ donation. The 

Committee urges that a careful evaluation process be encompassed 

in this effort to learn its impact on the rate of organ donation and 

organ evaluation resulting in transplantation. The Committee 

notes that there are now twenty states with first-person consent 

laws, which when combined with state registries, have proven to be 

a powerful factor in increasing the rate of donation. 

The Committee commends HRSA for its leadership in promoting 

increased organ and tissue donations across the nation and encourages the Division of Transplantation to expand its partnership with 

the pulmonary hypertension community in this important area. 

National cord blood inventory 

The Committee concurs with the budget request and does not 

provide additional funding for the national cord blood inventory 

program. The fiscal year 2006 appropriation provided an additional 

$3,960,000 for this program. The Committee is very supportive of 

this program, but notes that from the funds provided in fiscal years 

2004 through 2006, more than $22,000,000 remains available for 

obligation. 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. 

Cell transplantation program 

The Committee provides $25,162,000 for the cell transplantation 

program, which is the same as the fiscal year 2006 funding level 

and $2,475,000 above the budget request. The C.W. Bill Young Cell 

Transplantation Program, signed into law on December 20, 2005, 

is the successor to the National Bone Marrow Donor Registry. 

Office of pharmacy affairs 

The Committee provides $2,970,000 for the office of pharmacy affairs, the same level as the budget request. The funding for this 

new budget request within HRSA will help resolve identified deficiencies in the 340B drug pricing program and is intended to make 

major improvements in program operations. 

The Committee is concerned about barriers to safety net pharmacies contracting with the Medicare Part D prescription drug 

plans and the subsequent impact on low income Medicare beneficiaries’ participation. The Committee urges the office of pharmacy 

affairs to work with the Centers for Medicare and Medicaid Services (CMS) to assess safety net participation in Part D networks 

and expand assistance to assure that safety net pharmacies may 

37 

participate on fair and relevant terms. The Committee is aware of 

legislation that would track and analyze the expenditures that 

safety net pharmacies make on behalf of their low income Medicare 

patients which do not count towards beneficiaries’ true out-of-pocket expenditures, and supports the goal of ensuring low-income 

Medicare beneficiaries have continued access to prescription drugs 

through the Medicare program. 

Poison control centers 

The Committee provides $23,068,000 for poison control centers, 

which is the same as the fiscal year 2006 funding level and 

$9,900,000 above the budget request. These funds support a grant 

program for poison control centers. In addition, funds are used to 

maintain a national toll-free number and to implement a media 

campaign to advertise that number, as well as to support the development of uniform patient management guidelines and the improvement of data collection. 

Rural outreach grants 

The Committee provides $40,000,000 for rural outreach grants, which is $1,115,000 above the fiscal year 2006 funding level and 

$29,635,000 above the budget request. The program administers 

grant programs to deliver and improve rural health care services 

to the approximately 54,000,000 Americans living in rural areas. 

Rural health research 

The Committee provides $9,000,000 for rural health research, which is $263,000 above the fiscal year 2006 funding level and the 

budget request. This activity supports several rural health research 

centers and the Secretary’s rural health advisory committee. 

Rural hospital flexibility grants 

The Committee provides $40,000,000 for rural hospital flexibility grants, which is $23,538,000 less than the fiscal year 2006 funding 

level. The budget request did not include funding for this program. 

The program is comprised of two components: (1) flexibility grants 

to States to assist small, at risk rural hospitals that wish to convert to Critical Access Hospitals and receive cost-based payments 

from Medicare and (2) small rural hospital improvement grants 

that provide modest amounts to hospitals to assist them in automation and compliance with confidentiality requirements. 

The Committee concurs with the budget request and does not include funding for the Delta health initiative. The $25,000,000 that 

was provided in fiscal year 2006 was intended to be a one-time 

project. 

Rural and community access to emergency devices 

The Committee provides $1,500,000 for the rural access to emergency devices and the public access defibrillation demonstration 

program, which is $15,000 above the fiscal year 2006 funding level. 

Funding for this program was not included in the budget request. 

The program assists both urban and rural communities in increasing survivability from sudden cardiac arrest by providing funding 

for the purchase, placement, and training in the use of automated 

external defibrillators (AEDs). 

38 

State offices of rural health 

The Committee provides $8,400,000 for State offices of rural 

health, which is $259,000 above the fiscal year 2006 funding level 

and the budget request. The State office of rural health program 

creates a focal point for rural health within each of the fifty States. 

In each State, the office collects and disseminates information on 

rural health, coordinates rural health resources and activities, provides technical assistance to rural providers and communities, and 

helps communities recruit and retain health professionals. 

Denali Commission 

The Committee concurs with the budget request and has not included funding for the Denali Commission. The fiscal year 2006 

funding level is $39,283,000. 

Family planning 

The Committee provides $283,103,000 for the family planning 

program, which is the same as the fiscal year 2006 funding level 

and the budget request. The program provides grants to public and 

private non-profit agencies to support a range of family planning 

and reproductive services, as well as related preventive health 

services such as patient education and counseling, breast and cervical cancer examinations, STD and HIV prevention education, 

counseling and testing and referral, and pregnancy diagnosis and 

counseling. The program also supports training for providers, an 

information and education program, and a research program which 

focuses on family planning service delivery improvements. 

The bill continues to include language making clear that these 

funds shall not be expended for abortions, that all pregnancy counseling shall be nondirective, and that these funds shall not be used 

to promote public opposition to or support of any legislative proposal or candidate for public office. 

Healthcare-related facilities and other programs 

The Committee includes bill language specifying $248,146,000 for 

healthcare-related facilities and other programs. No funding was 

included in the budget request or in the fiscal year 2006 appropriation for this activity. This program provides funds for construction 

and renovation, including equipment, of healthcare and other facilities, directed rural health projects, telehealth grants, health professions training, and other health-related activities. These funds are 

to be used for the following projects and in the following amounts: 

16th Street Community Health Center, Milwaukee, WI for facilities 

and equipment .................................................................................... $75,000 

Access Community Health Network, Chicago, IL for facilities and 

equipment ........................................................................................... 400,000 

Adams County Hospital, West Union, OH for facilities and equipment .................................................................................................... 100,000 

Adventist HealthCare, Rockville, MD for facilities and equipment 200,000 

Aims Community College, Greeley, CO for equipment for career 

training in the health professions ..................................................... 150,000 

Akron General Medical Center, Akron, OH for equipment for an 

ambulatory medical record system ................................................... 200,000 

Alabama Elk River Development Agency, Elkmont, AL for facilities 

and equipment for the Limestone Community Care Medical Clinic .......................................................................................................... 150,000 

39 

Alamo Community College, Floresville, TX for facilities and equipment for nursing education ............................................................... 300,000 

Albany Medical Center, Albany, NY for facilities and equipment .... 250,000 

Alleghany Memorial Hospital, Sparta, NC for an electronic medical 

records system .................................................................................... 200,000 

Allegheny Mountains Community Blood Center, State College, PA 

for a blood mobile ............................................................................... 150,000 

Alliance for NanoHealth, Houston, TX for facilities and equipment 1,200,000 

AltaMed Health Services Corporation, Los Angeles, CA for facilities 

and equipment for a clinic in Boyle Heights ................................... 500,000 

AltaMed Health Services Corporation, Los Angeles, CA for facilities 

and equipment for a clinic in El Monte ............................................ 300,000 

American Oncologic Hospital of Fox Chase Cancer Center in Philadelphia and the University of Maryland Greenebaum Cancer 

Center in Baltimore, for facilities and equipment for the American Russian Cancer Alliance ............................................................ 500,000 

Amite County Medical Services, Inc., Liberty, MS for facilities and 

equipment ........................................................................................... 400,000 

Anne Arundel Community College, Arnold, MD for facilities and 

equipment for health professions education .................................... 500,000 

Antietam Healthcare Foundation, Hagerstown, MD for facilities 

and equipment .................................................................................... 150,000 

Arcadia Methodist Hospital, Arcadia, CA for facilities and equipment .................................................................................................... 1,000,000 

Arizona Dental Foundation, Scottsdale, AZ to provide dental services to low-income residents of Arizona ............................................ 100,000 

Arnold Palmer Hospital, Orlando, FL for facilities and equipment 250,000 

Ashland County Oral Health Services, Inc., Ashland, OH for facilities ....................................................................................................... 50,000 

Aspirus Wausau Hospital, Wausau, WI for facilities and equipment 1,200,000 

Atchison Hospital, Atchison, KS for equipment .................................. 150,000 

Atlantic Health Systems, Florham Park, NJ for a universal electronic health records system ............................................................. 1,000,000 

AtlantiCare Behavioral Health, Egg Harbor Township, NJ for facilities and equipment ....................................................................... 150,000 

Augustana College, Rock Island, IL for facilities and equipment for 

its Center for Communicative Disorders .......................................... 75,000 

Aultman Health Foundation, Canton, OH for equipment for the 

Aultman Hospice Center ................................................................... 700,000 

Autism Center of Virginia, Richmond, VA for equipment .................. 275,000 

Avera St. Anthony Hospital, O’Neill, NE for electronic health 

record interoperability ....................................................................... 125,000 

Avis Goodwin Community Health Center, Somersworth, NH for facilities and equipment ....................................................................... 300,000 

Avista Adventist Hospital, Louisville, CO for an electronic medical 

record system ...................................................................................... 300,000 

Backus Children’s Hospital at Memorial Health University Medical 

Center, Savannah, GA for facilities and equipment ....................... 100,000 

Bacon County Health Services, Alma, GA for facilities and equipment .................................................................................................... 250,000 

Bad River Tribe, Odanah, WI for facilities and equipment for 

health services .................................................................................... 750,000 

Baltimore Medical Systems, Baltimore, MD for facilities and equipment for a new health center in Southeast Baltimore .................... 400,000 

Baltimore Pediatric HIV Program, Baltimore, MD for facilities and 

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

Baptist Child and Family Services, San Antonio, TX for a Unified 

Community Response Center concept .............................................. 500,000 

Baptist Health Care, Pensacola, FL for facilities and equipment for 

the Andrews Institute in Gulf Breeze, FL ....................................... 650,000 

Baptist Health Medical Center, Heber Springs, AR for facilities 

and equipment .................................................................................... 200,000 

Barnert Hospital, Paterson, NJ for facilities and equipment ............ 250,000 

Barre Family Health Center, Barre, MA for facilities and equipment .................................................................................................... 300,000 

Barry University, Miami Shore, FL for facilities and equipment for 

the Institute for Community and Minority Health ......................... 150,000 

BayCare Health System, Clearwater, FL for a medical information 

system initiative ................................................................................. 500,000 

40 

Beaufort Memorial Hospital, Beaufort, SC for equipment for the 

Keyserling Cancer Center ................................................................. 300,000 

Beaumont Hospital, Royal Oak, MI for facilities and equipment ...... 300,000 

Becker College, Worcester, MA for nursing education programs ...... 100,000 

Bellevue Hospital and Bellevue Senior Neighborhood Corporation, 

Bellevue, OH for facilities and equipment ....................................... 100,000 

Beloit Regional Hospice, Beloit, WI for computerization of medical 

records ................................................................................................. 100,000 

Benedictine Hospital, Kingston, NY for information technology ....... 250,000 

Benefis Healthcare, Great Falls, MT for equipment .......................... 200,000 

Berea Health Ministry, Berea, KY for facilities and equipment ....... 50,000 

Bleckley Memorial Hospital, Cochran, GA for facilities and equipment .................................................................................................... 54,000 

Bloomsburg Hospital, Bloomsburg, PA for facilities and equipment 250,000 

Blount Memorial Hospital, Maryville, TN for equipment for the 

Breast Health Center ......................................................................... 150,000 

Blue Ridge Health System, Inc., Arrington, VA for telehealth services ....................................................................................................... 75,000 

Boone Hospital Center, Columbia, MO for facilities and equipment 

for mobile screening ........................................................................... 410,000 

Boscobel Area Health Care, Boscobel, WI for facilities and equipment .................................................................................................... 455,000 

Boston Medical Center, Boston, MA for facilities and equipment for 

the J. Joseph Moakley Medical Services Building .......................... 800,000 

Boston University School of Medicine, Boston, MA for facilities and 

equipment for research and treatment related to amyloidosis ...... 200,000 

Boys and Girls Home of Nebraska, Inc., South Sioux City, NE for 

facilities and equipment for the Children’s Residential Treatment 

Center .................................................................................................. 250,000 

Boys’ Village, Smithfield, OH for facilities .......................................... 200,000 

Brackenridge Hospital, Austin, TX for facilities and equipment ....... 200,000 

Bradford Regional Medical Center, Bradford, PA for equipment ...... 100,000 

Bradley University, Peoria, IL for facilities and equipment for the 

Collaborative Health and Education Center .................................... 500,000 

Brandywine YMCA, Coatesville, PA for therapy/rehabilitation facilities and equipment ....................................................................... 50,000 

Bucks County Health Improvement Partnership, Langhorne, PA 

for the Improving Access to Health Care for Low-Income Residents of Bucks County project .......................................................... 350,000 

Buntain School of Nursing, Northwest University, Kirkland, WA 

for facilities and equipment ............................................................... 185,000 

Bureau County Community Health Clinic, Princeton, IL for facilities and equipment ............................................................................ 150,000 

Burke Medical Center, Waynesboro, GA for a PACS system for radiology services ................................................................................... 400,000 

Byrd Alzheimer’s Center & Research Institute, Tampa, FL for the 

purchase of SELDI and BIOPLEX equipment for identifying biomarkers ............................................................................................... 150,000 

California Hospital Medical Center, Los Angeles, CA for facilities 

and equipment .................................................................................... 800,000 

California State University—San Bernardino, San Bernardino, CA 

for equipment for the nursing and health science education program at the Palm Desert Campus .................................................... 500,000 

California State University Channel Islands, Camarillo, CA for 

equipment for the Regional Clinical Simulation Technology Laboratory ................................................................................................. 240,000 

California State University Program for Education and Research in 

Biotechnology, San Diego, CA, for equipment ................................. 150,000 

Canonsburg General Hospital, Canonsburg, PA for an information 

technology upgrade ............................................................................ 200,000 

Carbon Medical Service Association, East Carbon, UT for facilities 

and equipment .................................................................................... 75,000 

Cardinal Stritch University, Milwaukee, WI to expand communitybased nursing services in connection with its nursing education 

program ............................................................................................... 90,000 

Carilion Health System, Roanoke, VA for equipment for the Smart 

Operating Room ................................................................................. 300,000 

Carolinas Medical Center, Charlotte, NC for facilities and equipment for its Neuromuscular/ALS–MDA Center .............................. 300,000 

41 

Carroll College, Helena, MT for facilities and equipment for the 

Department of Nursing Simulated Patient Care Lab ..................... 230,000 

Carroll County Hospital, Carrollton, KY for facilities and equipment .................................................................................................... 500,000 

Case Western Reserve University, Cleveland, OH for the National 

Center for Regenerative Medicine .................................................... 1,000,000 

Catholic Medical Center, Manchester, NH for equipment ................. 250,000 

Cedar Riverside People’s Center, Minneapolis, MN for facilities and 

equipment and conversion to an electronic medical records system ....................................................................................................... 525,000 

Centenary College, Hackettstown, NJ for facilities and equipment 

for the Nurse Training Program ....................................................... 100,000 

Central Carolina Technical College, Sumter, SC for facilities and 

equipment for a health sciences center ............................................ 500,000 

Central Virginia Community College, Lynchburg, VA for dental hygienist development ........................................................................... 250,000 

Champlain Valley Physicians Hospital Medical Center, Plattsburgh, NY for facilities and equipment ............................................ 200,000 

Charles A. Dean Memorial Hospital, Greenville, ME for facilities 

and equipment .................................................................................... 250,000 

Charles R. Drew University of Medicine and Science, Los Angeles, 

CA for facilities and equipment and faculty salaries and support 400,000 

Charlotte County, Port Charlotte, FL for facilities and equipment 

for a Regional Health Services Complex .......................................... 300,000 

Cherry Street Health Services, Grand Rapids, MI for facilities and 

equipment ........................................................................................... 350,000 

Chester County Hospital, West Chester, PA for facilities and equipment .................................................................................................... 250,000 

Chicago Botanic Gardens, Glencoe, IL for facilities and equipment 

at the Center for Seed Conservation and Medicinal Plant Research .................................................................................................. 400,000 

Chicago Family Health Center, Chicago, IL for facilities and equipment .................................................................................................... 375,000 

Children’s Home of Pittsburgh, Pittsburgh, PA for facilities and 

equipment ........................................................................................... 200,000 

Children’s Hospital and Health System, Wauwatosa, WI for facilities and equipment ............................................................................ 950,000 

Children’s Hospital of The King’s Daughters Health System, Norfolk, VA for a pediatric outpatient mobile MRI unit located in 

Chesapeake, VA ................................................................................. 100,000 

Children’s Health Fund, New York, NY for facilities and equipment 

for the Dallas Children’s Health Project .......................................... 200,000 

Children’s Hospital & Research Center, Oakland, CA for an electronic medical records system ........................................................... 370,000 

Children’s Hospital and Health Center, San Diego, CA for facilities 

and equipment .................................................................................... 150,000 

Children’s Hospital and Regional Medical Center, Seattle, WA for 

facilities and equipment for the Center for Pediatric Bioethics ..... 465,000 

Children’s Hospital Los Angeles, Los Angeles, CA for a pediatric 

nursing residency program ................................................................ 200,000 

Children’s Hospital of Illinois, Peoria, IL for facilities and equipment .................................................................................................... 500,000 

Children’s Hospital of Orange County, Orange, CA for health information technology .............................................................................. 300,000 

Children’s Hospital of the King’s Daughters Health System, Norfolk, VA for facilities equipment in the Princess Anne Pediatric 

Medical Office Building in Virginia Beach ...................................... 1,000,000 

Children’s Hospital, Denver, CO for an electronic medical records 

system ................................................................................................. 300,000 

Children’s Hospital, Seattle, WA for the development of the 

Treuman Katz Center for Pediatric Bioethics ................................. 100,000 

Children’s Memorial Hospital, Chicago, IL for a medical records 

project .................................................................................................. 225,000 

Children’s National Medical Center, Washington DC for facilities 

and equipment .................................................................................... 500,000 

Children’s Specialized Hospital, Mountainside, NJ for facilities and 

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

CHOC at Mission, Mission Viejo, CA for Neonatal and Pediatric Intensive Care Unit Patient Monitors ................................................. 400,000 

42 

Christian Health Care Center, Wyckoff, NJ for medical records system upgrades ...................................................................................... 250,000 

CHRISTUS Santa Rosa Children’s Hospital, San Antonio, TX for 

facilities and equipment .................................................................... 350,000 

Citizens for Quality Sickle Cell Care, Inc., New Britain, CT for facilities and equipment ....................................................................... 100,000 

City of Austin, TX for facilities and equipment for community 

health centers ..................................................................................... 185,000 

City of Bridgeport, Bridgeport, CT for facilities and equipment for 

the Health and Social Service Center .............................................. 200,000 

City of Charlotte, NC for facilities and equipment for the Advanced 

Local Emergency Response Team (ALERT) ..................................... 200,000 

City of Dubuque, IA for facilities and equipment for the development of a federally qualified community health center .................. 300,000 

City of Gladstone, MO for emergency medical equipment ................. 136,000 

City of Hueytown, AL for facilities and equipment for the Senior 

Citizen Center for Health and Wellness .......................................... 200,000 

City of Pembroke Pines, FL for facilities and equipment for a medical facility at the Howard C. Forman Human Services Campus 150,000 

City of Perris, CA for hospital equipment ........................................... 400,000 

City of Stockton, CA for facilities and equipment for the Airport 

Way Community and Health Center ................................................ 150,000 

Clackamas Community College, Oregon City, OR for facilities and 

equipment for health professions training ....................................... 485,000 

Clarion Healthcare System, Clarion, PA for technology upgrades .... 100,000 

Cleveland Clinic Foundation, Cleveland, OH for facilities for the 

Medical Institutes Pavilion ............................................................... 500,000 

Cleveland State University, Cleveland, OH for equipment ............... 200,000 

Coffeyville Regional Medical Center, Coffeyville, KS for facilities 

and equipment .................................................................................... 750,000 

Coles County Council on Aging, Mattoon, IL for facilities and 

equipment for the LifeSpan Senior Center ...................................... 250,000 

College of St. Scholastica, Duluth, MN for a rural health information technology project ....................................................................... 600,000 

Collier County, FL for facilities and equipment for the Florida 

Health Care Center ............................................................................ 100,000 

Colorado State University, Fort Collins, CO for a combined PET 

and CT scanner .................................................................................. 300,000 

Colquitt Regional Medical Center, Moultrie, GA for facilities and 

equipment ........................................................................................... 75,000 

Columbia Memorial Hospital, Hudson, NY for facilities and equipment .................................................................................................... 200,000 

Columbus Children’s Research Institute, Columbus, OH for facilities and equipment ............................................................................ 1,750,000 

Community Blood and Tissue Center, Dayton, OH for an electronic 

data format ......................................................................................... 100,000 

Community Dental Care Foundation, Wausau, WI for dental education and dental services for children ............................................ 100,000 

Community Dental, Albuquerque, NM for facilities and equipment 700,000 

Community Health Care Services Foundation, East Greenbush, NY 

for expansion of telemedicine services .............................................. 100,000 

Community Health Care, Rock Island, IL for facilities and equipment .................................................................................................... 75,000 

Community Health Care, Tacoma, WA for facilities and equipment 750,000 

Community Health Center of the Berkshires, Great Barrington, 

MA for facilities and equipment ....................................................... 75,000 

Community Health Centers of the Rutland Region, Castleton, VT 

for facilities and equipment ............................................................... 150,000 

Community Health Improvement Center, Decatur, IL for facilities 

and equipment .................................................................................... 100,000 

Community Health Improvement Center, Decatur, IL for facilities 

and equipment for the Frances Nelson Community Health Center ........................................................................................................ 100,000 

Community Health Integrated Partnership, Glen Burnie, MD for 

an electronic patient record system .................................................. 600,000 

Community Hospital and Wellness Centers, Bryan, OH for equipment and technology .......................................................................... 100,000 

Community Medical Center, Missoula, MT for the Western Montana Telehealth Network ................................................................... 500,000 

43 

Community Medical Centers, Stockton, CA for facilities and equipment for the Gleason House Homeless Medical Clinic ................... 100,000 

Community New Start, Inc., Austin, TX for facilities and equipment .................................................................................................... 100,000 

Comprehensive Community Action, Cranston, RI for facilities and 

equipment for dental care ................................................................. 250,000 

Connecticut Hospice, Branford, CT for health information technology and telemedicine equipment ................................................. 330,000 

Convergent Knowledge Solutions, LLC, Weston, FL for rural 

healthcare delivery in Alaska ........................................................... 150,000 

Cook Children’s Medical Center, Ft. Worth, TX for equipment ........ 2,300,000 

Cooper Green Hospital, Birmingham, AL for health information 

technology ........................................................................................... 200,000 

Cooperative Education Service Agency No. 11, Turtle Lake, WI for 

dental services .................................................................................... 350,000 

Coos County Family Health Services, Berlin, NH for facilities and 

equipment ........................................................................................... 200,000 

Costilla County, San Luis, CO for facilities and equipment for a 

county health services facility ........................................................... 75,000 

County of Peoria, Peoria, IL for facilities and equipment for the 

Bel-Wood Nursing Home ................................................................... 200,000 

County of San Mateo, CA for facilities and equipment for the San 

Mateo Medical Center ........................................................................ 450,000 

Covenant Health System, Lubbock, TX for equipment ...................... 100,000 

Creighton University, Omaha, NE for facilities and equipment for 

the Boyne School of Dental Science building ................................... 250,000 

Creighton University, Omaha, NE for facilities and equipment for 

the Center for Bioterrorism Response .............................................. 250,000 

Crisis Nursery of the Ozarks, Springfield, MO for equipment .......... 200,000 

Crouse Hospital, Syracuse, NY for an electronic medication administration system .................................................................................. 550,000 

Crozer-Keystone Health System, Springfield, PA for facilities and 

equipment for the Crozer-Chester Nathan Speare Regional Burn 

Treatment Center, Chester, PA ........................................................ 250,000 

Crumley House Rehabilitation Center, Limestone, TN for facilities 

and equipment .................................................................................... 100,000 

Cumberland Medical Center, Crossville, TN for facilities and equipment .................................................................................................... 350,000 

Day Kimball Hospital, Putnam, CT for facilities and equipment ..... 200,000 

Deborah Heart and Lung Center, Browns Mills, NJ for facilities 

and equipment at the Women’s Cardiovascular Wellness Center 100,000 

Deckerville Community Hospital, Deckerville, MI for facilities and 

equipment ........................................................................................... 100,000 

Defiance Regional Medical Center, Fremont, OH for the Breast 

Cancer Detection Technology project ................................................ 100,000 

Delaware Technical and Community College, Dover, DE for facilities and equipment for the health and sciences education building at the Stanton Campus ............................................................... 250,000 

Deschutes County, Bend, OR for the Family Access Network ........... 250,000 

Dorminy Medical Center, Fitzgerald, GA for facilities and equipment .................................................................................................... 125,000 

Du Bois Regional Medical Center, Du Bois, PA for a Regional 

Health Information Organization ..................................................... 300,000 

DuPage County Convalescent Center, Wheaton, IL for facilities and 

equipment ........................................................................................... 250,000 

East Carolina University Metabolic Institute, Greenville, NC for facilities and equipment ....................................................................... 250,000 

East Jefferson General Hospital, Metaire, LA for an electronic 

medical records project ...................................................................... 300,000 

East Orange General Hospital, East Orange, NJ for facilities and 

equipment ........................................................................................... 175,000 

East Pasco Medical Center, Zephyrhills, FL for equipment .............. 250,000 

East Tennessee Children’s Hospital, Knoxville, TN for a Picture 

Archiving and Communications System .......................................... 350,000 

Easter Seals Metropolitan Chicago, Chicago, IL for facilities and 

equipment ........................................................................................... 100,000 

Eastern Connecticut Health Network, Manchester, CT for facilities 

and equipment for the Rockville General Hospital ......................... 200,000 

Eastern Illinois University, Charleston, IL for the nursing program 150,000 

44 

Eisenhower Medical Center, Rancho Mirage, CA for the Annenberg 

Pavilion ............................................................................................... 350,000 

El Proyecto del Barrio, Arleta, CA for facilities and equipment ....... 350,000 

Emergency Medicine Learning and Resource Center, Orlando, FL 

for facilities and equipment ............................................................... 500,000 

Emerson Hospital, Concord, MA for facilities and equipment ........... 200,000 

Endless Mountains Health Systems, Montrose, PA for facilities and 

equipment ........................................................................................... 250,000 

Englewood Hospital and Medical Center, Englewood, NJ for facilities and equipment ............................................................................ 275,000 

Enterprise Valley Medical Clinic, Enterprise, UT for facilities and 

equipment ........................................................................................... 30,000 

Ephrata Community Hospital, Ephrata, PA for facilities and equipment .................................................................................................... 250,000 

Erie County Medical Center, Buffalo, NY for a telemedicine project 100,000 

Erie Family Health Center, Chicago, IL for facilities and equipment .................................................................................................... 350,000 

Eunice Kennedy Shriver Center, University of Massachusetts Medical School, Waltham, MA for facilities and equipment .................. 200,000 

Excela Health Frick Hospital, Mount Pleasant, PA for facilities and 

equipment ........................................................................................... 500,000 

Excela Health Westmoreland Hospital, Greensburg, PA for facilities and equipment ............................................................................ 250,000 

Exempla Good Samaritan Medical Center Foundation, Lafayette, 

CO for an electronic medical record system ..................................... 250,000 

Fairfield Medical Center, Lancaster, OH for facilities and equipment .................................................................................................... 250,000 

Family Health Center of Southern Oklahoma, Tishomingo, OK for 

facilities and equipment .................................................................... 150,000 

Family Maternity Center of the Northern Neck, Kilmarnock, VA 

for equipment ..................................................................................... 150,000 

Family Medicine Center, Anchorage, AK for the Alaska Family 

Practice Residency program .............................................................. 300,000 

Family Medicine Spokane, Spokane, WA for the Rural Training Assistance program ................................................................................ 150,000 

Family Service and Community Mental Health Center, McHenry, 

IL for information technology ........................................................... 200,000 

Ferris State University, Big Rapids, MI for facilities and equipment .................................................................................................... 250,000 

Fisher-Titus Medical Center, Norwalk, OH for facilities and equipment .................................................................................................... 100,000 

Fleming County Hospital, Flemingsburg, KY to purchase and implement a PACS/Teleradiology system ............................................. 100,000 

Florida Atlantic University, Boca Raton, FL for facilities and equipment for the Center for Caring to Reduce Health Disparities ....... 300,000 

Florida Dialogue on Cancer, University of South Florida, Tampa, 

FL for database enhancement ........................................................... 300,000 

Florida Hospital College of Health Sciences, Orlando, FL for facilities and equipment ............................................................................ 250,000 

Florida Institute of Technology, Melbourne, FL for facilities and 

equipment for the Autism Treatment and Research Center .......... 3,000,000 

Florida Southern College, Lakeland, FL for equipment for the 

Nursing Program Laboratory ............................................................ 300,000 

Fort Hudson Health System, Fort Edward, NY for facilities and 

equipment ........................................................................................... 110,000 

Foundation for Comprehensive Community Care, West Palm 

Beach, FL for facilities and equipment ............................................ 300,000 

Fox Chase Cancer Center, Philadelphia, PA for facilities and equipment .................................................................................................... 200,000 

Freeman Health System, Joplin, MO for facilities and equipment 

for a facility in McDonald County .................................................... 1,000,000 

Fremont Memorial Hospital, Fremont, OH for the electronic health 

records and equipment project .......................................................... 100,000 

Friends of the Congressional Glaucoma Caucus Foundation, Lake 

Success, NY for facilities and equipment for the Southwest Texas 

Eye Care Collaborative ...................................................................... 500,000 

Fulton County Medical Center, McConnellsburg, PA for facilities 

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

45 

Gardner Family Health Network, San Jose, CA for facilities and 

equipment for the Gardner South County Health Center .............. 225,000 

Gaston College, Dallas, NC for equipment for the Health Education 

Institute .............................................................................................. 300,000 

Gateway Community Health Center, Laredo, TX for equipment ...... 1,000,000 

Gateway to Care, Houston, TX for health information technology 

initiatives, including training ........................................................... 200,000 

Geisinger Health System Wyoming Valley, Wilkes-Barre, PA for facilities and equipment for the PACE Center in Nanticoke, PA ..... 300,000 

Geisinger Health System, Danville, PA for equipment ...................... 500,000 

Genesis Healthcare System, Zanesville, OH for facilities and equipment for mobile intensive care .......................................................... 300,000 

George Washington University, Washington, DC for the Cancer Institute .................................................................................................. 150,000 

Gerber Memorial Health Services, Fremont, MI for facilities and 

equipment ........................................................................................... 200,000 

Gibson General Hospital, Princeton, IN for facilities and equipment 200,000 

Glen Rose Medical Center, Glen Rose, TX for facilities and equipment .................................................................................................... 700,000 

Glendale Adventist Medical Center, Glendale, CA for facilities and 

equipment ........................................................................................... 350,000 

Goodwill Columbus, Columbus, OH for facilities and equipment for 

the Health and Wellness Center ....................................................... 200,000 

Grady Health System, Atlanta, GA for facilities and equipment ...... 550,000 

Grandview Hospital, Dayton, OH for facilities and equipment ......... 200,000 

Graysville, AL for facilities and equipment for the Senior Citizen 

Center .................................................................................................. 25,000 

Great Basin College, Elko, NV for facilities and equipment for the 

Great Basin Center for Rural Health Education and Services ...... 300,000 

Greater New Bedford Community Health Center, New Bedford, 

MA for facilities and equipment ....................................................... 400,000 

Green River Medical Clinic, Green River, UT for facilities and 

equipment ........................................................................................... 45,000 

Greene County Health Care, Snow Hill NC for facilities and equipment for the James D. Bernstein Community Healthcare Center 

in Greenville ....................................................................................... 250,000 

Greene County, MO for medical services provided in the Greene 

County Jail through a partnership with the Jordan Valley Community Health Center ........................................................................ 330,000 

Griffin Hospital, Derby CT for facilities and equipment .................... 500,000 

Grossmont Hospital Foundation, La Mesa, CA for equipment .......... 100,000 

Grundy County Health Department, Grundy County, IL for facilities and equipment for the Senior Citizen Support Center ............ 125,000 

Guam Memorial Hospital, Tamuning, GU for improvements to hospital information systems .................................................................. 300,000 

Gulf Coast Health Center, Port Arthur, TX for facilities and equipment for a new community health center in Beaumont, TX .......... 200,000 

Gulf of Maine Research Institute, Portland, ME for facilities and 

equipment for biomedical research ................................................... 250,000 

Gundersen Lutheran, Decorah, IA for a remote fetal monitoring 

system for patients in rural Northeast Iowa ................................... 350,000 

Habersham County Medical Center, Demorset, GA for equipment 200,000 

Hackettstown Regional Medical Center, Hackettstown, NJ for facilities and equipment ....................................................................... 250,000 

Halifax Regional Health System, South Boston, VA for an information technology upgrade ..................................................................... 300,000 

Hamilton Community Health Network, Flint, MI for health information technology improvements ..................................................... 400,000 

Harris County Hospital District, Houston, TX for facilities and 

equipment for a diabetes care program ............................................ 250,000 

Harris County Hospital District, Houston, TX for facilities and 

equipment for cardiac monitoring ..................................................... 295,000 

Harris County Hospital District, Houston, TX for facilities and 

equipment for the Ask Your Nurse telephone advice and triage 

system ................................................................................................. 100,000 

Harris County, Katy, TX for facilities and equipment for the Caring Hearts Seniors Community Center ............................................ 350,000 

Harris Methodist Erath County Hospital, Stephenville, TX for facilities and equipment ....................................................................... 150,000 

46 

Harrisburg Area Community College, York, PA for facilities and 

equipment for the Health Careers Center ....................................... 350,000 

Harrison Community Hospital, Cadiz, OH for facilities and equipment .................................................................................................... 75,000 

Harrison Medical Center, Bremerton, WA for health information 

technology ........................................................................................... 100,000 

Harrison Memorial Hospital, Cynthiana, KY to purchase and implement a PACS/Teleradiology system ............................................. 200,000 

Hatzoloh EMS, Monsey, NY for facilities and equipment .................. 250,000 

HAWC Community Health Center, Reno, NV for facilities and 

equipment in Stead, NV .................................................................... 200,000 

Haywood Regional Medical Center, Clyde, NC for facilities and 

equipment ........................................................................................... 400,000 

Health Center, Plainfield, VT for rural healthcare services .............. 75,000 

Health Delivery, Inc., Saginaw, MI for facilities and equipment ...... 175,000 

HealthCare Connection, Inc., Cincinnati, OH for an electronic medical and dental records system .......................................................... 250,000 

HealthHUB, South Royalton, VT, for facilities, equipment and operating costs for a school-based dental clinic in Tunbridge, VT .... 100,000 

HealthNet, Indianapolis, IN for facilities and equipment .................. 250,000 

Heartland Community Health Clinic, Peoria, IL for equipment ....... 300,000 

Hektoen Institute for Medical Research, Chicago, IL for facilities 

and equipment for a health clinic ..................................................... 350,000 

Henderson County Hospital Corporation, Hendersonville, NC for 

facilities and equipment at Pardee Hospital ................................... 500,000 

Henry Ford Health System, Detroit, MI for equipment for the Manufacturing Principles Applied to Health (MPATH) initiative in 

West Bloomfield, MI .......................................................................... 350,000 

Henry Mayo Newhall Hospital, Valencia, CA for facilities and 

equipment ........................................................................................... 1,000,000 

Hernando County Health Department, Brooksville, FL for facilities 

and equipment .................................................................................... 450,000 

Herrick Memorial Hospital, Adrian, MI for facilities and equipment 350,000 

Hi-Desert Memorial Healthcare District, Joshua Tree, CA for 

equipment for the Mobile Medical Clinic ......................................... 300,000 

Holy Cross Hospital, Silver Spring, MD for facilities and equipment 200,000 

Holy Family Hospital Telehealth Program, Spokane, WA for equipment .................................................................................................... 100,000 

Holy Name Hospital, Teaneck, NJ for facilities and equipment ....... 275,000 

Home Nursing Agency, Altoona, PA for a telehealth program .......... 100,000 

Home Sweet Home Ministries, Bloomington, IL for facilities and 

equipment for the residential treatment program .......................... 150,000 

Homecare Workers Training Center, Los Angeles, CA for facilities 

and equipment .................................................................................... 150,000 

Hood River County, Hood River, OR for facilities and equipment for 

the Cascade Locks Integrated Health Care Facility, Cascade 

Locks, OR ............................................................................................ 150,000 

Hoots Memorial Hospital, Yadkinville, NC for technology upgrades 300,000 

Hospice of Knox County, Mt. Vernon, OH for facilities and equipment .................................................................................................... 50,000 

Hospice of McDowell County, Inc., Marion, NC for facilities and 

equipment ........................................................................................... 250,000 

Hospice of Metro Denver, Denver, CO for the Life Quality Institute 100,000 

Hospice of North Central Ohio, Ashland, OH for equipment for the 

Hospice Inpatient Center .................................................................. 100,000 

Hospice of the Western Reserve, Cleveland, OH for equipment ........ 225,000 

House of Mercy, Des Moines, IA for facilities and equipment related to substance abuse treatment .................................................. 200,000 

Houston Medical Center, Warner Robins, GA for facilities and 

equipment ........................................................................................... 50,000 

Hudson Headwaters Health Network, Glen Falls, NY for health information system technology equipment for the Warrensburg 

Health Center, Warrensburg, NY ..................................................... 300,000 

Hudson Valley Community College, Troy, NY for the Weekend 

Nursing Program ................................................................................ 572,000 

Hudson Valley Hospital, Courtlandt Manor, NY to construct a cancer care center .................................................................................... 750,000 

Hudson-Alpha Institute for Biotechnology, Huntsville, AL for facilities and equipment for biomedical research .................................... 450,000 

47 

Humphreys County Memorial Hospital, Belzoni, MS for facilities 

and equipment .................................................................................... 450,000 

Hunterdon Medical Center, Flemington, NJ for equipment .............. 200,000 

Hunter’s Hope Foundation, Orchard Park, NY for equipment for 

the Hunter James Kelly Research Institute .................................... 250,000 

Huron Hospital, East Cleveland, OH for facilities .............................. 500,000 

Idaho Alliance of Leaders in Nursing, Boise, ID for the Idaho Nursing Workforce Center ......................................................................... 300,000 

Idaho Caring Foundation for Children, Boise, ID for the Dental 

Project for Low-income, Uninsured Children .................................. 300,000 

Illinois Masonic Medical Center, Chicago, IL for facilities and 

equipment ........................................................................................... 500,000 

Illinois Primary Health Care Association, Springfield, IL for electronic medical records systems ......................................................... 300,000 

Indiana Regional Medical Center, Indiana, PA for facilities and 

equipment ........................................................................................... 500,000 

Indiana University Center for Bone Cancer Research, Indianapolis, 

IN for facilities ................................................................................... 150,000 

Indiana University School of Medicine, Gary, IN for facilities and 

equipment for the Northwest Indiana Health Research Institute 750,000 

Inland Behavioral and Health Services, San Bernardino, CA for facilities and equipment for the Banning Family Health Center, 

Banning, CA ....................................................................................... 750,000 

INOVA Health System, Falls Church, VA for facilities and equipment for the Claude Moore Health Education Center .................... 250,000 

Institute for Research and Rehabilitation, Houston, TX for equipment .................................................................................................... 200,000 

INTEGRIS Health Systems, Oklahoma City, OK for equipment at 

rural hospitals .................................................................................... 400,000 

Iowa Chronic Care Consortium, Des Moines, IA for the Improving 

the Health Status of Rural Iowans through Prevention health 

monitoring program ........................................................................... 150,000 

Iroquois Memorial Hospital and Resident Home, Watseka, IL for 

facilities and equipment .................................................................... 150,000 

Ittawamba Community College, Fulton, MS for facilities and equipment for the Allied Health Center .................................................... 500,000 

Jackson Community College, Jackson, MI for equipment .................. 200,000 

Jackson Health System, Miami, FL for a mobile health van ............ 100,000 

Jackson Health System, Miami, FL for information technology infrastructure upgrades ........................................................................ 250,000 

James D. Bernstein Community Health Center, Greenville, NC for 

facilities and equipment .................................................................... 100,000 

Jasper Memorial Hospital, Monticello, GA for facilities and equipment .................................................................................................... 50,000 

Jefferson Comprehensive Health Center, Fayette, MS for facilities 

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

Jefferson County Health Center, Monticello, FL for facilities and 

equipment ........................................................................................... 150,000 

Jefferson Regional Medical Center, Pittsburgh, PA for an electronic 

medical record initiative .................................................................... 100,000 

Jersey Shore Hospital, Jersey Shore, PA for technology upgrades ... 200,000 

John Muir Health System, Walnut Creek, CA for the Regional Specialty Examination Network telemedicine initiative ....................... 250,000 

Johnson Memorial Hospital, Stafford Springs, CT for facilities and 

equipment ........................................................................................... 250,000 

Jordan Valley Community Health Center, Springfield, MO for facilities and equipment ....................................................................... 750,000 

JPS Health Network, Fort Worth, TX for facilities and equipment 750,000 

Jupiter Medical Center, Jupiter, FL for equipment ........................... 500,000 

JWCH Institute, Bell Gardens, CA for facilities and equipment for 

the Bell Gardens Health Center ....................................................... 200,000 

Kaweah Delta Health Care District, Visalia, CA for facilities and 

equipment for the Kaweah Delta Community Hospital ................. 100,000 

Kennedy Krieger Institute, Baltimore, MD for facilities and equipment .................................................................................................... 600,000 

Kent State University’s Ashtabula Campus, Ashtabula, OH for facilities for the Health and Science Center ....................................... 500,000 

Kern Valley Healthcare District, Lake Isabella, CA for facilities 

and equipment .................................................................................... 250,000 

48 

Kings County Hospital Center, Brooklyn, NY for facilities and 

equipment ........................................................................................... 100,000 

Kno-Ho-Co-Ashland Community Action Commission, Coshocton, 

OH for a dental health protection program provided through a 

mobile dental unit .............................................................................. 75,000 

Knox Community Hospital, Mt. Vernon OH for facilities and equipment .................................................................................................... 250,000 

Lake Erie College of Osteopathic Medicine, Erie, PA for facilities 

and equipment for the Center for Drug Information and Research .................................................................................................. 300,000 

Lakeland Community College, Mentor, OH for a Regional 

Healthcare Workforce Development Project .................................... 250,000 

Lamoille Community Health Services, Morrisville, VT for rural 

healthcare services ............................................................................. 75,000 

Langlade Memorial Hospital, Antigo, WI for the Rural Dental 

Health Project ..................................................................................... 200,000 

Lawrence Hospital Center: Bronxville, NY for facilities and equipment .................................................................................................... 400,000 

LBJ Tropical Medical Center, Pago Pago, AS for advanced training 

of nurses and other health care staff ............................................... 250,000 

Le Bonheur Children’s Medical Center, Memphis, TN for facilities 

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

League Against Cancer, Miami, FL for equipment ............................ 200,000 

Libertae, Inc., Bensalem, PA for facilities and equipment ................. 150,000 

Liberty County, Bristol, FL for facilities and equipment for a medical clinic ............................................................................................. 450,000 

Lincoln Community Health Center, Durham, NC for facilities and 

equipment ........................................................................................... 240,000 

Lincoln Medical and Mental Health Center, Bronx, NY for facilities 

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

Loretto Hospital, Chicago, IL for facilities and equipment ................ 100,000 

Loretto, Syracuse, NY for facilities and equipment for their elderly 

health care and skilled nursing facilities ......................................... 750,000 

Los Angeles Community College District, Los Angeles, CA for 

health professions education programs ............................................ 400,000 

Los Angeles Orthopaedic Hospital, Los Angeles, CA for facilities 

and equipment .................................................................................... 750,000 

Louisiana Association for the Blind, Shreveport, LA for facilities 

and equipment for the Low Vision Center ....................................... 200,000 

Louisiana State University Health Sciences Center, Shreveport, LA 

for equipment ..................................................................................... 450,000 

Louisiana State University Health Sciences Center, Shreveport, LA 

to support the Health Literacy Initiative of the Louisiana Interagency Task Force on Health Literacy ............................................. 300,000 

Lourdes Health System, Lourdes Medical Center of Burlington 

County, Willingsboro, NJ for equipment .......................................... 200,000 

Lowell Community Health Center, Lowell, MA for facilities and 

equipment ........................................................................................... 150,000 

Lower Bucks Hospital, Bristol, PA for facilities and equipment ....... 350,000 

Loyola University Health System, Maywood, IL for facilities and 

equipment ........................................................................................... 225,000 

Madison Center, South Bend, IN for facilities and equipment for an 

Attention Deficit Hyperactivity Disorder Clinic .............................. 500,000 

Madison County Community Health Center, Anderson, IN for an 

electronic medical records system ..................................................... 200,000 

Madison County Memorial Hospital, Rexburg, ID for facilities and 

equipment ........................................................................................... 400,000 

Madison St. Joseph Health Center, Madisonville, TX for facilities 

and equipment .................................................................................... 165,000 

Maine Primary Care Association, Augusta, ME for an electronic 

medical record project ........................................................................ 150,000 

Malone College, Canton, OH for facilities and equipment ................. 700,000 

Malone Medical Center, Malone, FL for facilities and equipment .... 50,000 

Manchester College, North Manchester, IN for facilities and equipment for the Health and Physical Recreation Center ..................... 1,000,000 

Manchester Memorial Hospital, Manchester, CT for facilities and 

equipment ........................................................................................... 150,000 

Manchester Memorial Hospital, Manchester, KY for a telemedicine 

and telehealth program ..................................................................... 100,000 

49 

Marian Community Hospital, Carbondale, PA for patient safety 

technology upgrades ........................................................................... 250,000 

Marietta Senior Health Center, Marietta, GA for facilities and 

equipment ........................................................................................... 800,000 

Marquette General Hospital, Marquette, MI for facilities and 

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

Marquette University, Milwaukee, WI for dental outreach services 

to train healthcare professionals ...................................................... 200,000 

Marshalltown Medical and Surgical Center, Marshalltown, IA for 

equipment ........................................................................................... 320,000 

Martinsburg City Hospital, Martinsburg, WV for electronic medical 

records technology .............................................................................. 200,000 

Mary Bird Perkins Cancer Center, Baton Rouge, LA for facilities 

and equipment .................................................................................... 100,000 

Mary Rutan Hospital, Bellefontaine, OH for facilities and equipment .................................................................................................... 200,000 

Mary Scott Nursing Home, Dayton, OH for facilities and equipment .................................................................................................... 350,000 

Mason County Health Department, Maysville, KY for facilities and 

equipment ........................................................................................... 500,000 

Massachusetts College of Pharmacy and Health Sciences, Boston, 

MA for telehealth and pharmacy training programs at its 

Worcester campus .............................................................................. 300,000 

Mattawa Community Medical Center, Mattawa, WA for facilities 

and equipment .................................................................................... 100,000 

Maury Regional Hospital, Columbia, TN for facilities and equipment .................................................................................................... 450,000 

Mayaguez Medical Center, Mayaguez, PR for equipment .................. 200,000 

Medina General Hospital, Medina, OH for expansion of its Emergency Department .............................................................................. 1,000,000 

Meharry Medical College, Nashville, TN for facilities and equipment .................................................................................................... 400,000 

Memorial Hermann Healthcare System, Houston, TX for facilities 

and equipment .................................................................................... 200,000 

Mendocino Coast District Hospital, Fort Bragg, CA for facilities 

and equipment .................................................................................... 200,000 

Mendocino Community Health Clinic, Ukiah, California for facilities and equipment for the Lakeside Health Center ....................... 300,000 

Mercer County Hospital, Aledo, IL for facilities and equipment ....... 100,000 

Mercy Hospital, Buffalo, NY for facilities and equipment ................. 300,000 

Mercy Hospital, Miami, FL for facilities and equipment ................... 350,000 

Mercy Jeanette Hospital, Jeanette, PA for patient monitoring and 

wireless telecommunications technology .......................................... 200,000 

Mercy Medical Center, Canton, OH for facilities ................................ 700,000 

Mercy Medical Center, Redding, CA for facilities and equipment .... 500,000 

Mercy Medical Center, Springfield, MA for facilities and equipment 150,000 

Mercy Medical Center-North Iowa, Mason City, IA for electronic 

medical records upgrades .................................................................. 150,000 

Mercy Memorial Hospital System, Monroe, MI for facilities and 

equipment ........................................................................................... 350,000 

Mescalero Apache Tribe, Mescalero, NM for equipment .................... 400,000 

Methodist College, Fayetteville, NC for facilities and equipment for 

training physician assistants ............................................................ 250,000 

Methodist Hospital, Houston, TX for equipment ................................ 400,000 

Methodist Hospital, Houston, TX for pharmacy-related information 

technology ........................................................................................... 300,000 

Metroplex Hospital, Killeen, TX for facilities and equipment ........... 500,000 

MetroWest Medical Center, Framingham, MA for facilities and 

equipment ........................................................................................... 100,000 

Miami Dade College, Miami, FL for facilities and equipment for a 

mobile health unit .............................................................................. 350,000 

Mid Valley Hospital, Peckville, PA for facilities and equipment ....... 250,000 

Middlesex Community College, Lowell, MA for facilities and equipment for training nurses and other health professionals ............... 250,000 

Mid-Hudson Family Health Institute, New Paltz, NY for electronic 

medical record systems ...................................................................... 150,000 

Midwestern University, Glendale, AZ for a rural postgraduate educational program at Sierra Vista Regional Medical Center ........... 400,000 

50 

Miller Children’s Hospital, Long Beach, CA for facilities and equipment .................................................................................................... 450,000 

Mission Community Hospital, Panorama City, CA for facilities and 

equipment for its San Fernando Community Campus for Health 

and Education .................................................................................... 100,000 

Mission Hospitals, Asheville, NC for facilities and equipment .......... 1,250,000 

Missouri Delta Medical Center, Sikeston, MO for equipment ........... 1,000,000 

Mobile Infirmary Health System, Mobile, AL for facilities and 

equipment for the North Baldwin Infirmary ................................... 100,000 

Modoc County, Alturas, CA for equipment for the Modoc Medical 

Center .................................................................................................. 350,000 

Monongahela Valley Hospital, Monongahela, PA for facilities and 

equipment ........................................................................................... 500,000 

Monroe County Hospital, Forsyth, GA for facilities and equipment 45,000 

Montgomery County Board of Supervisors, Kilmichael, MS for facilities and equipment for Kilmichael Hospital ............................... 100,000 

Montgomery County, Rockville, MD for facilities and equipment for 

the Montgomery Cares health care program ................................... 350,000 

Morehead State University, Morehead, KY for rural outreach ......... 500,000 

Morris Heights Health Center, Bronx, NY for facilities and equipment .................................................................................................... 150,000 

Morton Hospital, Taunton, MA for facilities and equipment ............. 350,000 

Mount Nittany Medical Center, State College, PA for equipment 

and technology .................................................................................... 300,000 

Mount Union College, Alliance, OH for facilities ................................ 700,000 

Mount Vernon Hospital, Mount Vernon, NY for facilities and equipment .................................................................................................... 300,000 

Mount Wachusett Community College, Gardner, MA for facilities 

and equipment for nursing education .............................................. 650,000 

Mountain States Health Alliance, Johnson City, TN for facilities 

and equipment for the Children’s Hospital at the Johnson City 

Medical Center ................................................................................... 350,000 

Muckleshoot Indian Tribe, Auburn, WA for facilities and equipment for the Health and Wellness Center ....................................... 100,000 

Municipality of Camuy, PR for medical equipment for the 

Quebrada Health Center ................................................................... 125,000 

Municipality of Ponce, PR for facilities and equipment for the Autism Center ......................................................................................... 225,000 

National Rehabilitation Hospital, Washington, DC for telemedicine 

and health information technology initiatives ................................. 500,000 

Nebraska Hospital Association, Lincoln, NE for the Nebraska 

Statewide Telehealth Network .......................................................... 400,000 

Nevada State College, Henderson, NV for facilities and equipment 

for a School Based Health Center ..................................................... 400,000 

Nevada State College, Henderson, NV for the Nursing Faculty Enhancement Program ........................................................................... 500,000 

New Hampshire Community Technical College System, Concord, 

NH for facilities and equipment for nursing education programs 500,000 

New York City Health and Hospitals Corporation, New York, NY 

for health information technology for the Upper Manhattan 

Health Initiative ................................................................................. 350,000 

New York-Presbyterian Hospital, New York, NY for telemetry technology .................................................................................................. 750,000 

Newport Hospital, Newport, RI for health care information technology .................................................................................................. 650,000 

Niagara Falls Memorial Medical Center, Niagara Falls, NY for facilities and equipment ....................................................................... 250,000 

Nicholas County Hospital, Carlisle, KY for an electronic medical 

records system .................................................................................... 300,000 

Norman Regional Hospital, Norman, OK for health information 

technology equipment and upgrades ................................................ 250,000 

North Central Community Medicine Foundation, Rock Hill, SC for 

an electronic medical records system in partnership with 

Sandhills Medical Foundation .......................................................... 100,000 

North Dakota State University, College of Pharmacy, Fargo, ND 

for a telepharmacy project ................................................................. 350,000 

North General Hospital, New York, NY for facilities and equipment 300,000 

North Shore Long Island Jewish Health System, Great Neck, NY 

for facilities and equipment for the Ambulatory Surgery Center 450,000 

51 

North Shore-Long Island Jewish Health System, Great Neck, NY 

for facilities and equipment for Zucker Hillside Hospital .............. 300,000 

NorthEast Ohio Neighborhood Health Services, Cleveland, OH for 

an electronic health records system ................................................. 250,000 

Northeastern Ohio Universities College of Medicine and College of 

Pharmacy, Rootstown, OH for facilities ........................................... 500,000 

Northeastern Technology Center for Individuals with Disabilities, 

Clifton Park, NY for facilities and equipment ................................. 200,000 

Northern Dutchess Hospital, Rhinebeck, NY for health care information technology .............................................................................. 200,000 

Northwest Alabama Mental Health Center, Jasper, AL for facilities 

and equipment .................................................................................... 190,000 

Northwest Community Health Care, Pascoag, RI for facilities and 

equipment in Foster, RI ..................................................................... 300,000 

Northwest Health Center, Burillville, RI for facilities and equipment .................................................................................................... 300,000 

Northwest Hospital Center, Randallstown, MD for facilities and 

equipment ........................................................................................... 250,000 

Northwest Nazarene University, Nampa, ID for facilities and 

equipment for a nursing facility ....................................................... 300,000 

Northwestern Memorial Hospital, Chicago, IL for facilities and 

equipment for Prentice Women’s Hospital ....................................... 400,000 

Norton Healthcare, Louisville, KY for equipment at Kosair Children’s Hospital ................................................................................... 300,000 

Norwalk Hospital, Norwalk, CT for facilities and equipment ........... 500,000 

Nova Southeastern University, Fort Lauderdale, FL for facilities 

and equipment for the Center for Collaborative Bio-medical Research .................................................................................................. 500,000 

Nurses for Newborns Foundation, St. Louis, MO for program support ...................................................................................................... 350,000 

Nurses for Newborns, Nashville, TN for perinatal services ............... 150,000 

Oakland University School of Nursing, Rochester, MI for facilities 

and equipment for the Center for Pre-Symptom Healthcare and 

Societal Health Research ................................................................... 300,000 

Ocean Beach Hospital, Ilwaco, WA for the Western Washington 

Rural Health Care Collaborative telepharmacy program ............... 450,000 

Ochsner Clinic Foundation, New Orleans, LA for the Ochsner Pediatric Cancer Survivorship Program .................................................. 100,000 

Ohio Hospice and Palliative Care Organization, Columbus, OH for 

the End of Life Resource Center ....................................................... 250,000 

Ohio State University, Columbus, OH for facilities and equipment 

for the Comprehensive Cancer Center ............................................. 700,000 

Ohio State University’s Ohio Agricultural Research and Development Center, Wooster, OH for facilities ........................................... 700,000 

Oklahoma Medical Research Foundation, Oklahoma City, OK for 

facilities and equipment .................................................................... 750,000 

Oklahoma State University Network for Telemedicine and Distance 

Learning, Tulsa, OK for equipment .................................................. 200,000 

Oklahoma State University, Tulsa, OK for the Center for Health 

Science for telemedicine and a distance learning network to rural 

hospitals and clinics ........................................................................... 200,000 

Olympic Community Action Programs, Port Townsend, WA for facilities and equipment for dental care .............................................. 125,000 

Open Cities Health Center, St. Paul, MN for facilities and equipment .................................................................................................... 150,000 

Orange County, Orlando, FL for Primary Care Access Network 

Clinics ................................................................................................. 500,000 

Oregon Coast Community College, Newport, OR for facilities and 

equipment for health professions education .................................... 100,000 

Orrville Hospital Foundation, Dunlap Memorial Hospital, Orrville, 

OH for equipment .............................................................................. 250,000 

Osceola Medical Center, Osceola, WI for facilities and equipment ... 200,000 

Oswego Health, Oswego, NY for an electronic health records system ....................................................................................................... 100,000 

Our Lady of Lourdes Memorial Hospital, Binghamton, NY for facilities and equipment ....................................................................... 350,000 

Owens Community College, Toledo, OH for initiatives to improve 

nurse education and training, in cooperation with the Medical 

University of Ohio Hospital and other health care institutions .... 250,000 

52 

Pacific Renal Care Foundation, Honolulu, HI for equipment and 

telemedicine initiatives related to chronic kidney disease ............. 250,000 

Palisades Medical Center, North Bergen, NJ for facilities and 

equipment ........................................................................................... 275,000 

Palmetto Health, Columbia, SC for facilities and equipment for its 

Children’s Hospital ............................................................................ 450,000 

Parkland Health Center, Farmington, MO for facilities and equipment .................................................................................................... 300,000 

Passavant Area Hospital, Jacksonville, IL for facilities and equipment .................................................................................................... 300,000 

Pattie E. Clay Regional Medical Center, Richmond, KY for facilities 

and equipment .................................................................................... 400,000 

Pedia Manor, Inc., Pipersville, PA for facilities and equipment ........ 30,000 

Pee Dee Healthy Start, Florence, SC for programs to improve maternal and infant health .................................................................... 150,000 

Penn Foundation, Inc., Sellersville, PA for facilities and equipment 100,000 

People, Inc., Williamsville, NY for electronic health records ............. 350,000 

Perry Hospital, Perry, GA for facilities and equipment ..................... 50,000 

Person Memorial Hospital, Roxboro, NC for facilities and equipment .................................................................................................... 250,000 

Philadelphia College of Osteopathic Medicine, Philadelphia, PA for 

facilities and equipment for a laboratory on the Lawrenceville, 

GA campus .......................................................................................... 200,000 

Piedmont Access to Health Services, Danville, VA for an electronic 

medical records system ...................................................................... 100,000 

Piedmont Technical College, Greenwood, SC for equipment ............. 400,000 

Pima Community Access Program, Tucson, AZ for a Regional 

Health Information Organization ..................................................... 500,000 

Pinelas County Human Services Department, Clearwater, FL for 

the mobile medical unit ..................................................................... 200,000 

Pioneer Center of McHenry County, McHenry, IL for facilities and 

equipment for the Senior Residence Center for Adults with Disabilities ................................................................................................ 200,000 

Placer County, Auburn, CA for facilities and equipment for the 

Children’s Health Center and Emergency Shelter .......................... 800,000 

Portage Community Outreach Center, Portage, MI for facilities and 

equipment for the Family Health Clinic .......................................... 80,000 

Portneuf Medical Center, Pocatello, ID for the cardiac and vascular 

services center .................................................................................... 400,000 

Pottstown Area Center, Pottstown, PA for facilities and equipment 200,000 

Powell County Medical Center, Deer Lodge, MT for equipment ....... 150,000 

Powell Hospital District, Powell, WY for electronic information 

technology ........................................................................................... 250,000 

PrairieStar Health Center, Hutchinson, KS for facilities and equipment .................................................................................................... 300,000 

Prescott Hospice House, Prescott, AZ for facilities and equipment 50,000 

Preston Memorial Hospital, Kingwood, WV for facilities and equipment .................................................................................................... 330,000 

Primary Care Development Corp., New York, NY for a primary 

care emergency preparedness initiative ........................................... 200,000 

Providence Holy Cross Medical Center, Mission Hills, CA for facilities and equipment ............................................................................ 200,000 

PULSE of New York, Wantagh, NY for the reduction of medical errors through increased patient safety education ............................. 70,000 

Putnam Hospital Center, Carmel, NY for construction of an oncology center ............................................................................................ 400,000 

Queens Hospital Center, Jamaica, NY for facilities and equipment 250,000 

Quincy Valley Medical Center, Quincy, WA for facilities and equipment .................................................................................................... 200,000 

Ramapo College, Mahwah, NJ for nursing laboratory equipment .... 200,000 

Rapid City Community Health Center, Rapid City, SD for facilities 

and equipment .................................................................................... 600,000 

Reading Hospital School of Nursing, West Reading, PA for facilities 

and equipment .................................................................................... 373,000 

Regional Responses Network, Sterling, CO for facilities and equipment for the alcohol and substance abuse detox/residential treatment facility ........................................................................................ 200,000 

Regis College,Weston, MA for facilities and equipment for nursing 

education ............................................................................................. 100,000 

53 

Ridges Hospital, Burnsville, MN for an ambulatory electronic medical record system ............................................................................... 200,000 

Rio Arriba County, Espanola, NM for facilities and equipment for 

health services .................................................................................... 350,000 

Riverside County Regional Medical Center, Moreno Valley, CA for 

facilities and equipment .................................................................... 400,000 

Riverside Medical Center, Kankakee, IL for equipment .................... 150,000 

Rocking Horse Children’s Health Center, Springfield, OH for facilities and equipment ............................................................................ 400,000 

Roseland Christian Health Ministries, Chicago, IL for facilities and 

equipment for a health center in Dolton, IL .................................... 200,000 

Roswell Park Cancer Institute, Buffalo, NY for facilities and equipment for cancer treatment in collaboration with WCA Hospital in 

Jamestown, NY .................................................................................. 450,000 

RUSH Initiative, Birmingham, AL for school-based health care for 

rural children ..................................................................................... 350,000 

Rush University Medical Center, Chicago, IL for facilities and 

equipment ........................................................................................... 250,000 

Rush-Copley Medical Center, Aurora, IL for facilities and equipment .................................................................................................... 500,000 

Rutherford Hospital, Inc., Rutherfordton, NC for facilities and 

equipment ........................................................................................... 250,000 

Saint Clare’s Hospital, Denville, NJ for facilities and equipment ..... 750,000 

Saint Xavier University, Chicago, IL for equipment for the Nursing 

Skills Laboratory in Orland Park ..................................................... 275,000 

Samuel U. Rodgers Health Center, Kansas City, MO for facilities 

and equipment .................................................................................... 350,000 

San Joaquin County, French Camp, CA for an electronic health 

record system ...................................................................................... 375,000 

Sandoval County, Bernalillo, NM for medical facilities and equipment .................................................................................................... 250,000 

Santa Rosa Memorial Hospital, Orange, CA for an intensive care 

telemedicine and information technology project ............................ 250,000 

Saratoga Hospital, Saratoga Springs, NY for facilities and equipment .................................................................................................... 200,000 

School-Community Health Alliance of Michigan, Okemos, MI for an 

integrated school health network ..................................................... 100,000 

Scotland Memorial Hospital, Laurinburg, NC for facilities and 

equipment ........................................................................................... 200,000 

Scottsdale Healthcare, Scottsdale, AZ for an electronic medical 

records system .................................................................................... 500,000 

Sea View Hospital Rehabilitation Center and Home, Staten Island, 

NY for equipment ............................................................................... 300,000 

Seattle Cancer Care Alliance, Seattle, WA for facilities and equipment .................................................................................................... 500,000 

Serenity House of Volusia Inc., Daytona Beach, FL for facilities 

and equipment for a health-focused treatment facility ................... 200,000 

Shenandoah University, Winchester, VA for facilities and equipment for a biotechnology lab ............................................................. 500,000 

Sierra County Health and Human Services, Loyalton, CA for medical technology improvements ........................................................... 60,000 

Sierra Nevada Memorial Hospital Foundation, Grass Valley, CA for 

an electronic health record system ................................................... 390,000 

Singing River Hospital System, Gautier, MS for facilities and 

equipment ........................................................................................... 550,000 

Sistersville General Hospital, Sistersville, WV for computer system 

upgrades .............................................................................................. 145,000 

Skagit Valley Hospital, Mount Vernon, WA for facilities and equipment .................................................................................................... 250,000 

Soldiers and Sailors Memorial Hospital, Wellsboro, PA for equipment .................................................................................................... 200,000 

Somerset County Board of Commissioners, Somerset, PA for a medical records system ............................................................................. 250,000 

South of Market Health Center, San Francisco, CA for facilities 

and equipment .................................................................................... 750,000 

South Shore Hospital, Weymouth, MA for facilities and equipment 550,000 

Southampton Hospital, Southampton, NY for facilities and equipment .................................................................................................... 400,000 

Southdale Hospital, Edina, MN for equipment ................................... 250,000 

54 

Southeast Cancer Network, Dothan, AL for equipment for the Mobile Mammography Unit ................................................................... 300,000 

Southeast Community College, Cumberland, KY for facilities and 

equipment for an allied health training center ............................... 500,000 

Southeastern Community College, West Burlington, IA for facilities 

and equipment for the health care education program .................. 250,000 

Southern Ohio Health Services Network, Milford, OH for information technology equipment ................................................................ 200,000 

Spectrum Health United Memorial, Greenville, MI for an electronic 

health record system .......................................................................... 150,000 

Spokane County Medical Society Foundation, Spokane, WA for 

Project Access ..................................................................................... 250,000 

St. Anne’s Hospital, Fall River, MA for facilities and equipment ..... 250,000 

St. Anthony Memorial Health Centers, Michigan City, IN for facilities and equipment ............................................................................ 300,000 

St. Anthony’s Health Center, Alton, IL for community health center operations ..................................................................................... 300,000 

St. Bernard Parish, LA for facilities and equipment for primary 

health care .......................................................................................... 500,000 

St. Bernardine Medical Center, San Bernardino, CA for facilities 

and equipment .................................................................................... 350,000 

St. Catharine College, St. Catharine, KY for equipment for the St. 

Catharine Allied Health and Sciences Education Project ............... 200,000 

St. Catherine of Siena Hospital, Smithtown, NY for facilities and 

equipment ........................................................................................... 200,000 

St. Charles Community Health Center, Inc., St. Charles Parish, LA 

for equipment ..................................................................................... 150,000 

St. Clair Hospital, Pittsburgh, PA for facilities and equipment ........ 500,000 

St. Claire Regional Medical Center, Morehead, KY for facilities and 

equipment ........................................................................................... 500,000 

St. Clare Health Care Foundation, Baraboo, WI for facilities and 

equipment for a mobile health clinic ................................................ 350,000 

St. Francis Foundation, Wilmington, DE to support the Tiny Steps 

Program, St. Clare Van, and Center of Hope .................................. 150,000 

St. Francis Health Center, Topeka, KS for equipment ...................... 250,000 

St. Francis Healthcare System, Honolulu, HI for a telemedicine 

demonstration project ........................................................................ 300,000 

St. Francis Hospital, Escanaba, MI for facilities and equipment ...... 250,000 

St. Francis Hospital, Mooresville, IN for facilities and equipment ... 250,000 

St. Francis Medical Center, Trenton, NJ for facilities and equipment .................................................................................................... 350,000 

St. James Hospital and Health Centers, Chicago Heights, IL for facilities and equipment ....................................................................... 400,000 

St. James Parish Hospital, Lutcher, LA for facilities and equipment 300,000 

St. John’s North Shores Hospital, Harrison Township, MI for facilities and equipment ............................................................................ 340,000 

St. Joseph of the Pines, Southern Pines, NC for facilities and 

equipment ........................................................................................... 250,000 

St. Joseph Regional Medical Center, South Bend, IN for a health 

information technology system ......................................................... 1,000,000 

St. Joseph’s Hospital, Buckhannon, WV for facilities and equipment .................................................................................................... 800,000 

St. Josephs Hospital, Nashua, NH for an electronic medical records 

system ................................................................................................. 150,000 

St. Joseph’s Hospital, Phoenix, AZ for facilities and equipment for 

its mobile maternity outreach program ........................................... 150,000 

St. Joseph’s Regional Medical Center, Paterson, NJ for facilities 

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

St. Landry Parish Rural Health Network, Opelousas, LA for the 

Community Enrichment Outreach Programs .................................. 250,000 

St. Luke’s Cornwall Hospital, Cornwall, NY for construction of a 

cancer center ....................................................................................... 600,000 

St. Luke’s Regional Medical Center, Boise, ID for facilities and 

equipment ........................................................................................... 200,000 

St. Mary Medical Center, Apple Valley, CA for the electronic intensive care unit ...................................................................................... 500,000 

St. Mary-Corwin Medical Center, Pueblo, CO for facilities and 

equipment ........................................................................................... 350,000 

55 

St. Mary’s Health Care, Grand Rapids, MI for an automated record 

system ................................................................................................. 100,000 

St. Mary’s Hospital Foundation, Grand Junction, CO for facilities 

and equipment for the Saccomanno Education Center ................... 425,000 

St. Mary’s Hospital, Madison, WI for facilities and equipment ......... 350,000 

St. Mary’s Medical Center North, Knoxville, TN for equipment ....... 150,000 

St. Mary’s Medical Center, Galesburg, IL for facilities and equipment .................................................................................................... 200,000 

St. Mary’s Medical Center, Huntington, WV for facilities and equipment .................................................................................................... 600,000 

St. Peter’s Hospital Foundation, Albany, NY for facilities and 

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

St. Petersburg College, St. Petersburg, FL for facilities and equipment for the Orthotics and Prosthetics program ............................. 1,000,000 

St. Vincent Charity Hospital, Cleveland OH for facilities and equipment .................................................................................................... 750,000 

St. Vincent Healthcare, Billings, MT for the Center for Healthy 

Aging Geriatric Fellowship Program ................................................ 350,000 

St. Vincent’s Medical Center, Bridgeport, CT for facilities and 

equipment ........................................................................................... 400,000 

Stamford Hospital, Stamford, CT for facilities and equipment ......... 300,000 

Stark State College of Technology, North Canton, OH for facilities 

and equipment .................................................................................... 800,000 

State Fair Community College, Sedalia, MO for facilities and 

equipment for nursing and allied health professions education .... 650,000 

Staten Island University Hospital, Staten Island, NY for facilities 

and equipment .................................................................................... 700,000 

Staywell Health Center, Inc., Waterbury, CT for facilities and 

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

StemCyte Research Institute, Arcadia, CA for an umbilical cord 

blood bank ........................................................................................... 500,000 

Stepping Stone School for Exceptional Children, Alma, AR for 

equipment ........................................................................................... 100,000 

Stewart-Marchman Center, Inc., Daytona Beach, FL for facilities 

and equipment for the Florida Regional Residential Addictions 

Treatment Center ............................................................................... 150,000 

Stonewall Primary Care Clinic, Stonewall, OK for facilities and 

equipment ........................................................................................... 360,000 

Suburban Hospital Health Care System, Bethesda, MD for health 

information technology ...................................................................... 150,000 

Summa Health System, Akron, OH for facilities and equipment ..... 400,000 

Susquehanna Health System, Williamsport, PA for an electronic 

health records system ........................................................................ 400,000 

Swedish Covenant Hospital, Chicago, IL for facilities and equipment .................................................................................................... 250,000 

SwedishAmerican Health System, Rockford, IL for facilities and 

equipment for the SwedishAmerican Health System and the Crusader Clinic ......................................................................................... 350,000 

Sweetser, Saco, ME for an electronic client record system ................ 150,000 

Sylvan Grove Hospital, Jackson, GA for facilities and equipment .... 47,000 

Sylvan Springs, AL for facilities and equipment for the Senior Citizens Center for Health and Wellness ............................................... 30,000 

Tallahassee Memorial Hospital, Tallahassee, FL for facilities and 

equipment ........................................................................................... 350,000 

Tampa General Hospital, Tampa, FL for facilities and equipment 350,000 

Tarleton State University, Stephenville, TX for the Center for 

Rural Nursing ..................................................................................... 500,000 

Tarrant County Infant Mortality Task Force, Fort Worth, TX for 

updated county reporting and education and outreach activities 50,000 

Taylor Regional Hospital, Hawkinsville, GA for facilities and equipment .................................................................................................... 54,000 

Tecumseh YMCA, New Carlisle, OH for facilities and equipment 

for physical and occupational therapy, wellness programs, and 

health education ................................................................................. 500,000 

Temple Health and Bioscience Economic Development District, 

Temple, TX for facilities and equipment .......................................... 650,000 

Terra State Community College, Fremont, OH for equipment .......... 100,000 

Teton Valley Hospital, Driggs, ID for facilities and equipment ........ 200,000 

56 

Texas Institute of Genomic Medicine, College Station, TX for equipment .................................................................................................... 350,000 

Texas Tech University Health Sciences Center, El Paso, TX for facilities and equipment for the Center for New and Re-Emerging 

Infectious Diseases ............................................................................. 300,000 

Texas Tech University Health Sciences Center, Lubbock, TX for facilities and equipment for the West Texas Rural Health Institute 1,500,000 

Thomas Jefferson University Hospital, Philadelphia, PA for facilities and equipment for its Breast Care Center ............................... 350,000 

Thompson Health Services, Canandaigua, NY for medical technology upgrades .................................................................................. 200,000 

Thumb Rural Health Network, Port Austin, MI for facilities and 

equipment ........................................................................................... 200,000 

Thundermist Health Centers, Woonsocket, RI for health information technology ................................................................................... 500,000 

TMC HealthCare, Tucson, AZ for facilities and equipment ............... 500,000 

Town of Argo, AL for facilities and equipment for the Senior Citizen Center for Health and Wellness ............................................... 100,000 

Translational Genomics Research Institute, Phoenix, AZ for facilities and equipment ............................................................................ 750,000 

Transylvania Community Hospital, Brevard, NC for facilities and 

equipment ........................................................................................... 250,000 

Troy University, Troy, AL for facilities and equipment for the 

Health and Science Complex ............................................................. 150,000 

Tuba City Regional Health Care Corporation, Tuba City, AZ for facilities and equipment ....................................................................... 350,000 

Tulare Local Healthcare District, Tulare, CA for a computerized radiography/picture archive communication system .......................... 250,000 

Twin City Hospital, Dennison, OH for facilities and equipment ....... 200,000 

Tyler Memorial Hospital, Tunkhannock, PA for upgrades to the 

emergency department ...................................................................... 200,000 

UMass Memorial Health Care, Worcester, MA for a high-speed network and Picture Archiving and Communication System .............. 350,000 

Union Hospital, Terre Haute, IN for the RuralHousecalls.com program .................................................................................................... 250,000 

Uniontown Hospital, Uniontown, PA for facilities and equipment ... 500,000 

United Cerebral Palsy of Southwestern Pennsylvania, Washington, 

PA for facilities and equipment for Your Child’s Place .................. 250,000 

Unity Health Center, Shawnee, OK for an electronic medical 

records program ................................................................................. 750,000 

Unity Health System, Rochester, NY for facilities and equipment 

for the Park Ridge Hospital Emergency Center .............................. 400,000 

University Hospitals Health System, Cleveland, OH for facilities .... 300,000 

University Medical Center, Tucson, AZ for facilities and equipment 1,000,000 

University of Akron, Akron, OH for the Medina University Campus 

for facilities ......................................................................................... 700,000 

University of Alabama, Tuscaloosa, AL for facilities and equipment 

for the Autism Center ........................................................................ 350,000 

University of Arizona College of Nursing, Tucson, AZ for facilities 

and equipment for the Patient Care Learning Center .................... 500,000 

University of Arkansas Community College at Hope, AR for facilities and equipment for health professions education ...................... 200,000 

University of Arkansas for Medical Sciences, Little Rock, AR for facilities and equipment ....................................................................... 200,000 

University of Arkansas for Medical Sciences, Little Rock, AR for 

the Antenatal and Neonatal Guidelines, Education and Learning 

System (ANGELS) ............................................................................. 200,000 

University of Bridgeport, Bridgeport, CT for facilities and equipment for the dental hygiene clinic .................................................... 200,000 

University of California, Davis Health System, Sacramento, CA for 

facilities and equipment for the medical library and education 

center ................................................................................................... 690,000 

University of Chicago Hospitals, Chicago, IL for facilities and 

equipment for Comer Children’s Hospital ....................................... 250,000 

University of Colorado, Aurora, CO for facilities and equipment for 

the Center for Women’s Health Research ........................................ 200,000 

University of Detroit Mercy, Detroit, MI for facilities and equipment for dental education and treatment ........................................ 250,000 

57 

University of Findlay, Findlay, OH for facilities and equipment for 

the Actual Learning Environment Response Training (ALERT) 

Center .................................................................................................. 300,000 

University of Florida College of Medicine, Gainesville, FL for facilities and equipment for a joint project with Duke University Medical Center, Durham, NC ................................................................... 400,000 

University of Florida, Gainesville, FL for facilities and equipment 

for a proton beam cancer treatment facility .................................... 300,000 

University of Georgia, Athens, GA for facilities and equipment for 

the Georgia Center for the Prevention of Obesity and Related 

Disorders ............................................................................................. 350,000 

University of Iowa, Iowa City, IA for equipment for the genetic eye 

disease lab .......................................................................................... 250,000 

University of Iowa, Iowa City, IA for facilities and equipment for 

the Midwest Center Public Health Laboratory ............................... 250,000 

University of Kentucky Research Foundation, Lexington, KY for facilities and equipment ....................................................................... 1,000,000 

University of Louisiana at Monroe, Monroe, LA for an Environmental Scanning Electron Microscope .............................................. 300,000 

University of Louisiana at Monroe, Monroe, LA for facilities and 

equipment for the Health Science building ..................................... 1,000,000 

University of Miami Bascom Palmer Eye Institute, Miami, FL for 

equipment for the Hope for Vision Inherited Eye Disease project 250,000 

University of Miami, Miami, FL for facilities and equipment for the 

Center for Research in Medical Education ...................................... 750,000 

University of Michigan Health System, Ann Arbor, MI for infectious disease laboratory facilities and equipment ........................... 375,000 

University of Mississippi Medical Center, Jackson, MS for equipment for the Obesity Research Center ............................................. 500,000 

University of Nebraska Medical Center, Omaha, NE for facilities 

and equipment .................................................................................... 250,000 

University of North Texas, Denton, TX for facilities and equipment 

for the Center for Computational Epidemiology ............................. 400,000 

University of Northern Colorado, Greeley, CO for facilities and 

equipment for the National Center for Nursing Education ............ 500,000 

University of Northern Colorado, Greeley, CO for the Basic Science 

Project at the Rocky Mountain Cancer Rehabilitation Institute ... 150,000 

University of Northern Colorado, Greeley, CO for the Maple Tree 

Project at the Rocky Mountain Cancer Rehabilitation Institute ... 250,000 

University of Oklahoma-Tulsa, Tulsa, OK for facilities and equipment for the Simulation Center ........................................................ 200,000 

University of South Alabama, Mobile, AL for a real time medical 

electronic data exchange .................................................................... 250,000 

University of South Florida, Tampa, FL for the Florida Network for 

Cancer Clinical Trials ........................................................................ 300,000 

University of Southern Maine, Portland, ME for facilities and 

equipment for nursing education ...................................................... 150,000 

University of Tennessee at Chattanooga, TN for a low birth weight 

study .................................................................................................... 500,000 

University of Texas Health Center at Tyler, Tyler, TX for equipment for the Pulmonary Fibrosis Treatment Initiative .................. 150,000 

University of Texas Health Center at Tyler, Tyler, TX for facilities 

and equipment for the Lung Institute .............................................. 300,000 

University of Texas Medical Branch, Galveston, TX for facilities 

and equipment for its maternal and child health program in 

Pasadena ............................................................................................. 100,000 

University of Texas Southwestern Medical Center, Dallas, TX and 

University of Texas at Dallas for facilities and equipment for 

their joint program on sickle cell disease ......................................... 175,000 

University of Texas Southwestern Medical Center, Dallas, TX for 

equipment for the Nanotechnology Cancer Center ......................... 100,000 

University of Texas Southwestern Medical Center, Dallas, TX for 

facilities and equipment for the Center for Obesity, Diabetes and 

Metabolism Research ......................................................................... 650,000 

University of Virginia Health System, Charlottesville, VA for a 

telehealth project related to cancer prevention, education and 

treatment in Southwest Virginia ...................................................... 200,000 

University of Washington at Bothell, for an initiative to train nursing faculty in partnership with a consortium of colleges ................ 185,000 

58 

University of Wisconsin-Oshkosh, Oshkosh, WI for facilities and 

equipment for the Living Health Community Clinic ...................... 100,000 

Urologic Research Institute, Wheeling, WV for facilities and equipment .................................................................................................... 200,000 

Utah Navajo Health System, Montezuma Creek, UT for facilities 

and equipment .................................................................................... 500,000 

Uwchlan Ambulance Corps, Chester County, PA for equipment ...... 500,000 

Valley Cooperative Health Care Organization, Hudson, WI for an 

electronic health record initiative ..................................................... 450,000 

Valley Hospice, Steubenville, OH for facilities and equipment for a 

hospice in Wheeling, WV ................................................................... 250,000 

Valley Hospital, Ridgewood, NJ for facilities and equipment ............ 250,000 

Valley-Wide Health Systems, Alamosa, CO for facilities and equipment for a primary care and dental facility in Durango ................ 150,000 

Van Andel Institute, Grand Rapids, MI for equipment for the West 

Michigan Community Bio-Med/Molecular Cooperative ................... 200,000 

Vanguard University, Costa Mesa, CA for facilities and equipment 

for the Academic Center for Science, Nursing and Technology ..... 450,000 

Vermont Dental Care Programs, Winooski, VT for facilities and 

equipment ........................................................................................... 150,000 

Via Health of Wayne, Newark, NY for facilities and equipment for 

the Newark-Wayne Community Hospital ........................................ 800,000 

Village of Columbus, NM for emergency medical ambulance services ....................................................................................................... 200,000 

Vincennes University, Vincennes, IN for equipment for the health 

information management and nursing labs ..................................... 500,000 

Virginia Commonwealth University Massey Cancer Center, Richmond, VA for facilities and equipment ............................................. 1,000,000 

Virginia Dental Health Foundation, Richmond, VA for medical 

equipment ........................................................................................... 125,000 

Virtua Health, Marlton, NJ for facilities and equipment .................. 300,000 

Visiting Nurse Association Healthcare Partners of Ohio, Cleveland, 

OH for equipment for the VNA CareWatch program in Northwest Ohio ............................................................................................ 300,000 

Visiting Nurse Association of Manchester and Southern New 

Hampshire, Manchester, NH for equipment .................................... 150,000 

VNA-Hospice of Southern Carroll County and Vicinity, Wolfeboro, 

NH for the establishment of a Southern Carroll County VNA 

Point of Service program ................................................................... 150,000 

Wake County, Raleigh NC for facilities and equipment for a mental 

health facility ..................................................................................... 240,000 

WakeMed Health and Hospitals, Raleigh, NC for health information technology ................................................................................... 140,000 

Walsh University, North Canton, OH for facilities ............................ 700,000 

Warren County Primary Care Center, Bowling Green, KY for facilities and equipment ............................................................................ 150,000 

Washington County, Plymouth, NC for facilities and equipment for 

the Washington County Hospital ...................................................... 300,000 

Washington Hospital, Washington, PA for facilities and equipment 500,000 

Washington State University, Pullman, WA for facilities and equipment for the Nursing School building .............................................. 150,000 

Waterbury Hospital Health Center, Waterbury, CT for a clinical information system ................................................................................ 150,000 

Wayne Medical Center, Waynesboro, TN for the Picture Archiving 

System ................................................................................................. 275,000 

Wayne Memorial Hospital, Honesdale, PA for facilities and equipment .................................................................................................... 250,000 

Wayne Memorial Hospital, Jesup, GA for facilities and equipment 500,000 

Weeks Medical Center, Lancaster, NH for facilities and equipment 

at the Weeks Medical Regional Dental Care Center, Whitefield, 

NH ....................................................................................................... 300,000 

Wentworth Douglas Hospital, Dover, NH for an electronic medical 

record program ................................................................................... 250,000 

West Jefferson Medical Center, Marrero, LA for facilities and 

equipment ........................................................................................... 350,000 

West Shore Medical Center, Manistee, MI for facilities and equipment .................................................................................................... 175,000 

West Side Community Health Services, St. Paul, MN for health information technology .......................................................................... 75,000 

59 

WestCare California, Fresno, CA for facilities and equipment .......... 250,000 

WestCare Health System, Sylva, NC for facilities and equipment ... 350,000 

Western Michigan University, Kalamazoo, MI for facilities and 

equipment for smart nanosensor research ....................................... 300,000 

Western Wayne Family Health Center, Dearborn, MI for facilities 

and equipment .................................................................................... 250,000 

Wetzel County Hospital, New Martinsville, WV for facilities and 

equipment ........................................................................................... 175,000 

Whidden Memorial Hospital, Everett, MA for facilities and equipment .................................................................................................... 350,000 

White County Memorial Hospital, Monticello, IN for facilities and 

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

White Memorial Medical Center, Los Angeles, CA for facilities and 

equipment ........................................................................................... 1,000,000 

White Plains Hospital Center, White Plains, NY for facilities and 

equipment ........................................................................................... 450,000 

White River Health System, Batesville, AR for facilities and equipment for a clinic in Cherokee Village ............................................... 250,000 

Wichita State University, Wichita, KS for facilities and equipment 

for the Center for BioMEMS and Biodevices ................................... 200,000 

William B. Kessler Memorial Hospital, Hammonton, NJ for an integrated hospital information system ............................................... 200,000 

William Backus Hospital, Norwich, CT for facilities and equipment 250,000 

Wind River Community Health Center, Riverton, WY for facilities 

and equipment .................................................................................... 200,000 

Windham Hospital, Windham, CT for facilities and equipment ........ 155,000 

Wing Memorial Hospital, Palmer, MA for facilities and equipment 450,000 

Winneshiek Medical Center, Decorah, IA for equipment ................... 400,000 

Wolfson Children’s Hospital, Jacksonville, FL for facilities and 

equipment ........................................................................................... 350,000 

Women’s Health Services, Santa Fe, NM for facilities and equipment .................................................................................................... 200,000 

Women’s Choice Pregnancy Clinic, Whiteriver, AZ and Hope Maternity House, Show Low, AZ for facilities and equipment for the 

Hope House Maternity Home ............................................................ 50,000 

Woodhull Hospital, Brooklyn, NY for a training program in 

radiologic technology .......................................................................... 375,000 

World Impact Good Samartian Clinic, Wichita, KS for facilities and 

equipment ........................................................................................... 150,000 

Wyoming Community Hospital Foundation, Warsaw, NY for facilities and equipment for the Wyoming County Community Hospital and Nursing Facility ................................................................. 300,000 

Wyoming Health Resources Network, Inc., Cheyenne, WY for recruitment and retention of health care providers in Wyoming ...... 200,000 

Yale University School of Medicine, New Haven, CT for facilities 

and equipment for an ovarian cancer prevention and early detection program ....................................................................................... 400,000 

YMCA of Central Stark County, Canton, OH for facilities ................ 750,000 

YMCA of York and York County, York, PA for facilities and equipment .................................................................................................... 100,000 

Youth Crisis Center, Jacksonville, FL for facilities and equipment 350,000 

Youth For Tomorrow, Bristow, VA for facilities .................................. 100,000 

Bioterrorism hospital grants to States 

The Committee provides $486,606,000 for bioterrorism hospital 

grants to States, which is $8,394,000 less than the fiscal year 2006 

funding level and the same as the budget request. Within this 

total, $474,210,000 is provided for hospital preparedness grants 

and $12,396,000 is provided for the training and curriculum development program. Within the funding provided, the Committee does 

not include funding for a targeted mass casualty earmark requested by the Administration. 

60 

Telehealth 

The Committee provides $10,000,000 for telehealth, which is 

$3,181,000 above the fiscal year 2006 funding level and the budget 

request. The telehealth program works with and supports communities in their efforts to develop cost-effective uses of telehealth 

technologies. These technologies bring health services to isolated 

populations and health-related education to the practitioners who 

serve them. The Committee encourages HRSA, when awarding 

grants for telehealth resource centers, to ensure that all types of 

eligible communities, including urban medically underserved communities, are considered and to provide technical assistance to 

those grantees that are in eligible communities, but are not successful in the grant competition. 

Program management 

The Committee provides $141,071,000 for the cost of Federal 

staff and related activities to coordinate, direct, and manage the 

programs of the Health Resources and Services Administration, 

which is $3,461,000 below the fiscal year 2006 funding level and 

the same as the budget request. The Committee expects HRSA to 

use no more than one percent of the funds allocated for projects for 

agency administrative expenses. 

HEALTH EDUCATION ASSISTANCE LOANS PROGRAM ACCOUNT

The Health Education Assistance Loans (HEAL) program insures 

loans provided by non-Federal lenders to students in health professions schools. Under the accounting rules established in the Budget 

Enforcement Act of 1990, one account is maintained to pay the obligations arising from loans guaranteed prior to fiscal year 1992. A 

second account pays obligations and collects income from premiums 

on loans guaranteed in fiscal year 1992 and beyond. Each annual 

cohort of loans is independently tracked in this account. The authority for this program expired in fiscal year 1999. Fiscal year 

1998 was the last year in which loans were obligated to previous 

borrowers under the HEAL authority. 

The Committee provides $1,000,000 to liquidate obligations from 

loans guaranteed prior to 1992, which is $3,000,000 less than the 

fiscal year 2006 funding level and the same as budget request. 

The Committee provides $2,887,000 for HEAL program management, which is the same as the fiscal year 2006 funding level and 

the budget request. 

VACCINE INJURY COMPENSATION TRUST FUND

The Committee makes available the release of $66,366,000 from 

the Vaccine Injury Compensation Trust Fund in fiscal year 2007, 

which is $1,830,000 above the fiscal year 2006 funding level and 

the same as the budget request. 

The National Vaccine Injury Compensation Program provides a 

system of compensation for individuals with vaccine-associated injuries or deaths. Funds for claims from vaccines administered on 

or after October 1, 1988 are generated by a per-dose excise tax on 

the sale of selected prescribed vaccines. Revenues raised by this tax 

are maintained in a Vaccine Injury Compensation Trust Fund. 

61 

Trust funds made available in the bill will support the liability 

costs of vaccines administered after September 30, 1988. They will 

also support the $3,564,000 in costs incurred by the agency in the 

operation of the program, which is the same as the fiscal year 2006 

funding level and the budget request. 

CENTERS FOR DISEASE CONTROL AND PREVENTION

DISEASE CONTROL, RESEARCH, AND TRAINING

The Committee provides a program level total of $6,173,368,000 

for the Centers for Disease Control and Prevention (CDC), which 

is $82,182,000 above the fiscal year 2006 funding level and 

$74,316,000 above the budget request. Of the funds provided, 

$99,865,000 shall be derived from evaluation set-aside funds available under Section 241 of the Public Health Service Act, which is 

$165,235,000 below both the fiscal year 2006 and requested setaside. 

The CDC assists state and local health authorities and other 

non-governmental health-related organizations to understand, control, and reduce disease and other health problems. The activities 

of CDC focus on several major priorities, including providing core 

public health functions, responding to urgent public health threats, 

monitoring the Nation’s health using scientific methods, building 

the Nation’s public health infrastructure, promoting health 

throughout each life-stage, and providing leadership in the implementation of nationwide prevention strategies to encourage responsible behavior and adoption of lifestyles that are conducive to good 

health. 

The Committee considers the table accompanying this report and 

the numbers identified in the paragraphs that follow to be determinative of the CDC budget. Funds should be apportioned and allocated accordingly, and any changes in funding are subject to the 

normal reprogramming and notification procedures. 

Infectious diseases 

The Committee provides a program level of $1,841,637,000 for infectious diseases, which is $148,420,000 above the fiscal year 2006 

funding level and $55,953,000 above the budget request. Of the 

funds provided, $12,794,000 shall be derived from evaluation setaside funds available under Section 241 of the Public Health Service Act, as proposed in the budget request. 

Infectious diseases control 

The Committee provides $225,938,000 for infectious diseases control, which is $830,000 less than the fiscal year 2006 funding level 

and $19,408,000 less than the budget request. This program supports national surveillance of infectious diseases, the development 

of new or improved prevention and control methods and techniques, the acceleration of the general application of accepted prevention technologies, and strengthening of the capability to respond 

to outbreaks of new and re-emerging infectious diseases. 

Hepatitis.—The Committee has included $17,670,000 to support 

activities of the Viral Hepatitis Division and to implement the National Hepatitis C Prevention Strategy. This funding level is the 

62 

same as provided in fiscal year 2006 and is $177,000 more than the 

budget request. 

The Committee is concerned that more than 75 percent of the 

4,000,000 people with hepatitis C are unaware of their condition 

and urges CDC to support a campaign of public announcements 

that will highlight the need for appropriate screening and medical 

follow up for target populations. The Committee also encourages 

the Division of Viral Hepatitis to collaborate with the Health Resources and Services Administration (HRSA) to implement improved HCV screening programs for HIV-infected individuals 

served by HRSA programs. 

The Committee encourages the Division of Viral Hepatitis to develop and implement a plan for prevention and medical management of hepatitis B, including strategies for expanded vaccination, 

preventive education, surveillance and early detection. 

Pandemic influenza.—The Committee does not provide $34,700,000 in funding requested by the Administration for pandemic influenza activities in the infectious disease control program 

in this appropriation. The Committee has provided $200,000,000 

through fiscal year 2006 supplemental appropriations for CDC activities related to preparing for the potential for an influenza pandemic. A second emergency supplemental appropriation for pandemic influenza is pending. 

West Nile virus.—The Committee intends that of the funds provided for infectious disease control, no less than the funds provided 

in fiscal year 2006 for the West Nile virus program should be provided in fiscal year 2007. 

Emerging infectious diseases.—The Committee provides $101,623,000 to support CDC’s emerging infectious diseases activities, which is the same as the fiscal year 2006 funding level and 

$4,853,000 above the budget request. 

Community-associated Methicillin-resistant Staphylococcus 

aureus (CA–MRSA).—The Committee is concerned about the explosion in virulence and prevalence of MRSA strains in the United 

States. Compounding this problem is a fundamental shift from primarily hospital-based transmission to community-based transmission of MRSA. The spread of CA–MRSA through perfectly 

healthy community members with no hospital contact concerns the 

Committee. Within the funds provided, the Committee encourages 

CDC to conduct a strong, extramural research program in MRSA 

epidemiology and pathophysiology. The Committee encourages 

CDC to maximize this MRSA research through continued support 

for entities with established MRSA research programs. 

HIV/AIDS, STD and TB prevention 

The Committee provides $1,001,122,000 for HIV/AIDS, STD and 

TB prevention, which is $54,545,000 above the fiscal year 2006 

funding level and $31,847,000 below the request. 

Within the total, $706,316,000 is for HIV/AIDS programs, which 

is $55,198,000 above the fiscal year 2006 funding level and 

$33,263,000 below the budget request. The HIV/AIDS programs 

support HIV research, surveillance, epidemiologic and laboratory 

studies, and prevention activities. CDC provides funds to state and 

local health departments to develop and implement integrated community prevention plans. The Committee supports the domestic 

63 

HIV/AIDS initiative proposed in the budget request and provides 

$60,000,000 for the testing component of the initiative within CDC. Within the total, $157,383,000 is for the STD program, which is $653,000 less than the fiscal year 2006 funding level and $454,000 

more than the budget request. The STD program awards grants to 

state and local health departments and other nonprofit entities to 

support a wide variety of public health activities to prevent and 

treat STDs. CDC directly conducts special investigations, surveillance and epidemiologic research. Within the total, $137,423,000 is for the tuberculosis (TB) program. The TB program provides grants to states and large cities 

for a broad range of tuberculosis control activities. In addition, the 

CDC supports state and local laboratories and conducts research, 

epidemiological investigations, and education and training seminars. 

Infertility Prevention.—The Committee is aware that chlamydia 

is the most frequently reported disease in the United States and 

is the number one cause of infertility in the country. From 1987 

through 2004 the reported rate of chlamydial infection in women 

increased from 78.5 cases to 485.0 cases per 100,000. There are an 

estimated 3,000,000 new infections each year. The nation spends 

an estimated $2,400,000,000 in direct and indirect costs for 

chlamydial infections each year. The Committee is aware that 

where it has been established, CDC’s infertility prevention program 

has reduced chlamydia rates by 66 percent and decreased treatment costs by over 80 percent. The Committee encourages CDC to 

expand the infertility screening program. 

Minority HIV/AIDS initiative.—Within the total provided, not 

less than the fiscal year 2006 amount is provided for fiscal year 

2007 for activities that are targeted to address the growing HIV/ 

AIDS epidemic and its disparate impact on communities of color, 

including African Americans, Latinos, Native Americans, Asian 

Americans, Native Hawaiians, and Pacific Islanders. 

Nontuberculous Mycobacteria (NTM).—Mycobacteria are environmental organisms found in both water and soil that can cause substantial respiratory damage. The Committee is aware of the increasing incidence of NTM pulmonary infections in women, particularly involving rapidly growing mycobacteria, an inherently resistant subspecies. The Committee encourages CDC to work towards 

a better understanding of NTM and enhancing diagnostics and 

treatment and promoting education of health care providers. Further, the Committee encourages CDC to dedicate efforts to organize, coordinate and implement an NTM program to evaluate prevalence, risk factors, and comorbidities. 

Sexually transmitted infections.—The Committee is pleased that 

CDC has funded research aimed at assessing the extent to which 

medical students and physicians are familiar with and practice 

screening and counseling tailored to individual patients. Despite 

widespread condom social marketing for the past twenty years, 

40,000 new HIV infections are reported every year and other sexually transmitted infections (STIs) are at unprecedented levels. Significant deficits exist in the current sexual health medical education, and many members of the public at risk for STIs are unaware of their need to be screened. To address these problems the 

Committee urges CDC to: (1) promote evidence-based medical 

64 

school curriculum guidelines for sexual health that will promote 

risk avoidance and non-condom-related risk reduction; and (2) harness the ever-growing power of the Internet to develop innovative 

and attractive strategies in a manner that promotes risk avoidance 

and non-condom-related risk reduction that will efficiently educate 

the public about their STI risks. 

Syphilis elimination.—The Committee is aware that progress in 

controlling syphilis has been substantial as a result of focused efforts in targeted populations. The Committee recognizes the urgency of controlling syphilis because of the impact of this STD on 

the spread of HIV infection and on infant health. The Committee 

is concerned that syphilis demonstrates the continuance of racial 

disparities in health and recommends CDC provide resources to expand the syphilis control program. 

Tuberculosis.—The Committee urges the CDC to accelerate TB 

control and elimination through the Intensified Support and Activities to Accelerate Control (ISAAC), an initiative targeting TB along 

the U.S./Mexico Border, genotyping all culture positive cases, and 

expanding clinical trials for the diagnosis and treatment of TB. 

Immunization 

The Committee provides a program level of $614,577,000 for im- munization, which is $94,705,000 over the fiscal year 2006 funding 

level and $107,208,000 above the current law budget request. Of 

the amount provided, $12,794,000 is to be derived from section 241 

evaluation set-aside funds, as provided in fiscal year 2006 and as 

proposed in the request. In addition, the current Vaccines for Children (VFC) program is expected to provide $2,006,445,000 in vaccine purchases and distribution support in fiscal year 2007, for a 

total of $2,621,022,000 for immunization activities in fiscal year 

2007. 

Immunization project grants are awarded to states and local 

agencies for planning, developing, and conducting childhood immunization programs including enhancement of the vaccine delivery 

infrastructure. CDC directly maintains a stockpile of vaccines, supports consolidated purchase of vaccines for state and local health 

agencies, and conducts surveillance, investigations, and research 

into the safety and efficacy of new and presently used vaccines. The 

Committee notes that there are other Federal programs that provide immunizations to children, including the State Children’s 

Health Insurance Program (SCHIP), the Maternal and Child 

Health Block Grant, and community health centers. 

Within the total, the Committee includes $327,000,000 for vaccine purchase grants, which is $63,977,000 above the fiscal year 

2006 funding level and $94,544,000 above the budget request. Also 

within the total, $200,000,000 is for state operations/infrastructure 

grants, which is $6,160,000 above the fiscal year 2006 funding level 

and $7,520,000 above the budget request. The Committee is aware 

that prior to 2000 and the introduction of new vaccines, such as the 

pneumococcal vaccine, the 317 immunization program was adequately providing vaccines to children traditionally dependent on 

the public sector for support, but who were not eligible for the Vaccines for Children (VFC) program. It is the Committee’s expectation that the additional funding included above the fiscal year 2006 

appropriation will allow eligible children to receive the full recVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00068 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
65 

ommended vaccine schedule and that there will be a significant increase in the total number of children served by the program. 

The Committee directs CDC to provide a report by February 1, 

2007, that provides information on how much funding would be 

needed in fiscal year 2008 to cover the same relative proportion of 

eligible children, adolescents and adults under the section 317 program as was provided in previous years. The report should include 

information on the cost of adding each new vaccine recommended 

for routine vaccination of children and adolescents by the Advisory 

Committee on Immunization Practices since 1999, and annual data 

on state coverage rates for new vaccines. The report should address 

the barriers and time lag related to implementation of new vaccines, including data on two-tiered states that are unable to offer 

all recommended vaccines to all children. The report should also include five-year historical data on section 317 operations infrastructure funding for childhood, adolescent and adult immunization programs, and include information on the ongoing and emerging needs 

to support provider and public education on new vaccines, investigate disease outbreaks, identify and address barriers to immunization, and other activities relative to the current funding level. Finally, the report should include ten-year historical data on the percentage of childhood, adolescent and adult immunization covered 

by funding source. 

The Committee understands that five states have enacted legislation banning the administration of annual flu vaccine to children 

and pregnant women if it contains more than trace amounts of 

mercury. Similar legislation is pending in 16 states. The effective 

date for most of the existing bans, affecting more than 4,000,000 

children and nearly 1,000,000 pregnant women, is July 2006. The 

Committee directs CDC to issue a report that: (1) includes information on the ability of these fives states to meet these mandates for 

the 2006–2007 flu season; (2) outlines specific actions CDC has 

taken to encourage manufacturers to increase the supply of mercury-free (trace amounts) flu vaccine to help states meet the requirements for the 2007–2008 flu season; and (3) provides a 

timeline by which CDC will fulfill the goal established in July 1999 

to remove mercury from all routine childhood immunizations, including influenza vaccine. 

Within the total, $19,800,000 is to fund states to increase demand for annual influenza vaccine as proposed in the budget request. The Committee provides this funding to increase vaccine demand in order to stimulate vaccine manufacturers to produce additional vaccine, thereby increasing vaccine production capacity. 

Also within the total, the Committee includes $22,500,000 for 

vaccine safety activities, which is $4,997,000 above the fiscal year 

2006 funding level and $5,110,000 above the budget request. The 

Committee recognizes the importance of directing additional funding toward vaccine safety research, specifically funding to develop 

better screening methods for children at risk for serious adverse reactions. The Committee recommendation includes $5,000,000 above 

the request for the CDC to expand funding for vaccine safety research, particularly with respect to investigator initiated, peer reviewed, extramural research. Furthermore, the Committee urges 

that this funding be used for non-epidemiology research, to better 

understand risk factors for serious adverse reactions, to develop 

66 

screening tools to eliminate from vaccination those children at 

greater risk for such reactions, and to develop effective treatments 

and interventions for children suffering severe adverse reactions. 

Immunization safety.—The Committee is concerned that CDC 

has failed to implement the recommendations of the Institute of 

Medicine (IOM) report: Vaccine Safety Research, Data Access and 

Public Trust. In fiscal year 2006, this Committee expressed particular interest in seeing CDC move forward with the IOM recommendations that the CDC: (1) establish an independent oversight board to review CDC’s vaccine safety research agenda, study 

protocols, and changes in study protocols, and (2) initiate conversations with managed care organizations involved in the vaccine safety datalink (VSD) to ensure that independent researchers have access to all VSD data, particularly post–2000 data through the National Center for Health Statistics. The Committee expects the 

CDC to implement these provisions immediately. 

Meningococcal disease.—Meningococcal disease is one of the few 

diseases that can be fatal or severely debilitating to an otherwise 

healthy individual within a matter of hours of initial onset. While 

its early symptoms are easily mistaken for influenza, the consequences of delayed diagnosis and treatment include loss of hearing, limb loss, brain damage and death, yet meningococcal disease 

is vaccine preventable in most cases. The Committee is aware of 

the recent improvements in the meningitis vaccine and of CDC’s efforts to increase the availability and focus of information on 

meningococcal disease and ways to prevent it so that the general 

public will be better educated on the symptoms and prevention 

methods. The Committee encourages CDC to improve 

meningococcal education and adolescent immunization programs, 

including giving consideration to partnering with relevant professional and voluntary health associations to ensure that all families, 

especially those with adolescents and young adults, are effectively 

educated on this disease, vaccine availability, and all methods of 

prevention. 

Health promotion 

The Committee provides $964,466,000 for health promotion, 

which is $1,040,000 above the fiscal year 2006 funding level and 

$35,258,000 above the budget request. 

Chronic disease prevention, health promotion, and genomics 

The Committee provides $846,744,000 for chronic disease prevention, health promotion, and genomics, which is $8,080,000 more 

than the fiscal year 2006 funding level and $28,017,000 more than 

the budget request. Chronic diseases have had a profound human 

and economic toll on our nation. More than 1,700,000 Americans 

die of a chronic disease each year. The programs funded by CDC 

provide support for state and community programs, surveillance, 

prevention research, evaluation, and health promotion. 

Within the total provided, the Committee includes the following 

amounts for chronic disease prevention, health promotion, and 

genomics activities: 

$53,000,000 for heart disease and stroke programs, which is 

$8,531,000 above the fiscal year 2006 funding level and 

$9,112,000 above the budget request; 

67 

$69,000,000 for diabetes programs, which is $5,881,000 above the fiscal year 2006 funding level and $6,580,000 above 

the budget request; $307,536,000 for cancer prevention and control programs, which is $377,000 below the fiscal year 2006 funding level and 

$2,846,000 more than the budget request; $22,441,000 for arthritis and other chronic diseases pro- grams, which is $26,000 less than the fiscal year 2006 funding 

level and $8,684,000 more than the budget request (included 

within this total is $7,684,000 for epilepsy programs and 

$1,000,000 for the national lupus patient registry); $102,253,000 for tobacco programs, which is $2,546,000 below the fiscal year 2006 funding level and $432,000 below 

the budget request; $41,477,000 for nutrition, physical activity and obesity pro- grams, which is $43,000 less than the fiscal year 2006 funding 

level and the same as the budget request; $25,727,000 for health promotion, which is $1,716,000 less than the fiscal year 2006 funding level and $1,567,000 more 

than the budget request (included within this total is 

$1,633,000 for Alzheimer’s disease programs and $1,782,000 

for chronic kidney disease programs); $55,820,000 for school health programs, which is $372,000 

less than the fiscal year 2006 funding level and the same as 

the budget request; $44,009,000 for the safe motherhood/infant health programs, which is $283,000 less than the fiscal year 2006 funding level 

and the same as the budget request; $11,022,000 for oral health programs, which is $660,000 less 

than the fiscal year 2006 funding level and the same as the 

budget request; $29,700,000 for prevention centers, which is the same as the fiscal year 2006 funding level and $494,000 more than the 

budget request; 

$43,857,000 for Steps to a Healthier U.S., which is the same 

as the fiscal year 2006 funding level and $1,398,000 less than 

the budget request; 

$34,259,000 for REACH, which is the same as the fiscal year 

2006 funding level and $317,000 more than the budget request, 

and; 

$6,643,000 for genomics, which is $309,000 less than the fiscal year 2006 funding level and $247,000 more than the budget 

request. 

Alzheimer’s disease and healthy aging.—Studies have found lifestyle measures taken to improve physical health may also help protect brain health and lower risks of Alzheimer’s disease and related 

disorders. Epidemiological research reveals that individuals taking 

anti-inflammatory drugs to treat conditions such as arthritis have 

a lower-than-expected occurrence of Alzheimer’s; other studies appear to link known risk factors for diabetes and heart disease to 

risk factors for Alzheimer’s and dementia. In light of this evidence, 

two years ago the Committee launched a CDC brain health initiative to promote greater public awareness and communication, specific public health interventions and more prevention research. In 

light of the continuing threat Alzheimer’s presents to a growing 

68 

number of Americans, the Committee recommends that CDC continue this important initiative. 

Blindness.—The Committee commends CDC for its partnership 

with the nation’s leading voluntary health association dedicated to 

fighting blindness and saving sight, to improve education and early 

detection of potentially blinding eye diseases and encourages CDC 

to continue this partnership. Despite the fact that half of all blindness can be prevented through education, early detection and treatment, it is estimated that the number of blind and visually impaired people will double by 2030 if nothing is done to curb vision 

problems. 

Breast and cervical cancer early detection.—The Committee recognizes that the national breast and cervical cancer early detection 

program (NBCCEDP) administered by CDC is an indispensable 

health program in helping underserved women gain access to 

screening programs for early detection of breast and cervical cancers. The NBCCEDP has served over 2,500,000 women; provided 

5,800,000 screening examinations, including more than 2,800,000 

mammograms; and diagnosed more than 22,000 breast cancers, 

76,000 precancerous cervical lesions and 1,500 cervical cancers. 

Early detection and treatment of breast and cervical cancers greatly increase a woman’s odds of conquering these diseases. 

Cancer survivorship.—The Committee strongly supports the ongoing partnership between CDC and the cancer survivorship resource center to address the needs of the approximately 10,000,000 

cancer survivors living with, through, and beyond cancer. The national cancer survivorship resource center serves as a national resource for cancer patients, survivors, and their family and friends. 

The Committee is especially supportive of efforts to provide comprehensive services to cancer patients and survivors through multiple partnerships, which in turn provide individuals the one stop 

resource they need and deserve. 

Chronic obstructive pulmonary disease (COPD).—COPD is the 

fourth leading cause of death in the United States and the only one 

of the top ten causes of death that is on the increase. The Committee urges CDC to expand its data collection efforts on COPD. 

Specifically, the Committee encourages CDC to include questions in 

the National Health and Nutrition Examination Survey, the National Health Interview Study and the Behavioral Risk Factor Surveillance Survey that asks about COPD by name. 

Colorectal cancer.—Colorectal cancer is the third most commonly 

diagnosed cancer among both men and women in the United States 

and the second leading cause of cancer-related deaths. When 

colorectal cancer is detected and treated early, survival is greatly 

enhanced. 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. The Committee encourages CDC to continue to expand its partnerships with state health departments, professional 

and patient organizations, and private industry to combat this devastating disease. 

Diabetes.—Diabetes is now the sixth leading cause of death in 

the United States, and costs the nation over $132,000,000,000 in 

direct and indirect costs. Approximately 14,600,000 Americans 

have diabetes, and an estimated 6,200,000 people are undiagnosed 

69 

and therefore untreated. The incidence of the disease in America 

has increased approximately 14 percent in the last two years alone, 

and over 1,300,000 new cases of diabetes are diagnosed each year. 

The collateral health effects of diabetes can be devastating, often 

causing heart disease, stroke, blindness, kidney failure, pregnancy 

complications, amputations of the leg, foot, and toe, as well as 

deaths related to flu and pneumonia. Known preventive measures 

can reduce the impact of diabetes, but these preventions are not 

currently practiced universally. As a result, public awareness campaigns must be promoted to reach the general population so that 

at-risk individuals are encouraged to take appropriate measures to 

identify the stage of their diabetes and take action to prevent or 

slow the progression of their disease. A goal of the CDC is 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 seven or below) would reduce complications of diabetes and achieve direct medical cost savings of $35,000,000,000 and 

indirect cost savings of $50,000,000,000 over 10 years. The Committee encourages CDC to consider establishing national public-private partnerships to leverage Federal resources with private-sector 

contributions to expand the National Diabetes Education Program 

and establish a new public awareness campaign to encourage individuals with diabetes to be tested and know their A1C levels so 

that they can take appropriate action to control their condition. 

Epilepsy.—The Committee supports the CDC epilepsy program, 

which is making valuable progress in research, epidemiology and 

surveillance, early detection, improved treatment, public education 

and expansion of interventions to support people with epilepsy and 

their families in their communities. Despite this progress, the Committee acknowledges that significant work must be done to improve 

the quality of care for individuals with epilepsy. 

The Committee applauds CDC’s partnership with the epilepsy 

community in developing and implementing the recommendations 

of Living Well with Epilepsy II. The Committee is pleased with the 

activities to train first-responders, educators, school nurses, and 

other health care professionals with the recognition, diagnosis and 

treatment of seizures. The Committee provides funding to continue 

efforts to expand public health activities on behalf of persons with 

epilepsy. 

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. 

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, to initiate 

a national education campaign on gynecologic cancers, working 

with qualified nonprofit private sector entities. The Committee 

strongly urges the continuation and expansion of this program, 

given that early detection can mean the difference between a 25 

70 

percent five-year survival rate and an 80 percent five-year survival 

rate for women diagnosed with a gynecologic cancer. The Committee also encourages CDC to conduct an examination of the coordination of HHS’ current activities to educate women on 

gynecologic cancers. 

Heart disease and stroke.—The Committee commends CDC for 

creating a division of heart disease and stroke prevention to consolidate and elevate efforts to prevent and control heart disease, 

stroke and other cardiovascular diseases. Given that cardiovascular 

diseases remain the number one killer in every state, the Committee continues to strongly believe that each state should receive 

funding for basic implementation of a state heart disease and 

stroke prevention program. Recognizing that many states still need 

this program, the Committee remains concerned that no new states 

have been added to this program since 2002. The Committee is 

aware that CDC is instituting an open competition, allowing nonfunded states to apply for this program for the first time since 2002 

and requiring all 33 funded states to re-compete for support. The 

Committee urges CDC to fund additional states for basic program 

implementation and add additional states to begin program planning for the state heart disease and stroke prevention program, 

maintain the Paul Coverdell national acute stroke registry, and, 

initiate the development of a state-based cardiac arrest registry. 

Inflammatory bowel disease.—It is estimated that up to 

1,400,000 people in the United States suffer from Crohn’s disease 

or ulcerative colitis, collectively known as inflammatory bowel disease (IBD). The Committee has included funding to continue this 

important initiative. 

Kidney disease.—The Committee is pleased with the progress 

CDC is making to implement the chronic kidney disease program. 

For fiscal year 2007, the Committee provides no less than the level 

provided in fiscal year 2006 to continue development and implementation of a public health kidney disease action plan. 

Obesity.—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 were 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. To effectively address this epidemic, the Committee encourages CDC to provide leadership and coordination for the federal government’s efforts to address the overweight and obesity epidemic. 

Oral Health.—The Committee recognizes that to effectively reduce disparities in oral diseases efforts at state and local levels are 

critical. The Committee has provided funding to strengthen state 

capacities to target effective interventions, such as additional water 

fluoridation and school-linked sealant programs, and resources to 

the underserved, to assess trends in oral diseases, and to evaluate 

changes in policies and programs to reduce the disease burden. The 

Committee encourages CDC to advance efforts to reduce the disparities and health burden from oral diseases that are closely 

linked to chronic diseases such as diabetes and heart disease. 

71 

Primary immunodeficiency diseases.—The Committee has made 

funds available for CDC to support the national physician education and public awareness campaign for primary immune deficiency syndrome. The campaign has featured public service announcements, physician symposia, publications, and the development of website and educational materials, as well as mailings to 

physicians, school nurses, daycare centers, and others. This program has been characterized as a model of public-private cooperation. The campaign was expanded to reach the underserved African-American and Hispanic populations in fiscal year 2006. 

Pulmonary hypertension.—The Committee continues to be interested in pulmonary hypertension (PH), a rare, progressive and fatal 

disease that predominantly affects women, regardless of age or 

race. PH causes deadly deterioration of the heart and lungs and is 

a secondary condition in many other serious disorders such as 

scleroderma and lupus. Because early detection of PH is critical to 

a patient’s survival and quality of life, the Committee continues to 

encourage CDC to work in partnership with the pulmonary hypertension community to foster greater awareness of the disease. 

Sleep disorders.—The Committee continues to be concerned 

about the prevalence of sleep disorders and recognizes the need for 

enhanced public and professional awareness on sleep and sleep disorders. The Committee continues to urge CDC to work with other 

agencies and voluntary health organizations to support and implement a sleep education and public awareness initiative. The Committee also urges CDC to increase support for initiatives connecting 

sleep to overall health and safety. 

Birth defects, developmental disabilities, disability and 

health 

The Committee provides $117,722,000 for birth defects, developmental disabilities, disability and health, which is $7,040,000 less 

than the fiscal year 2006 funding level and $7,241,000 more than 

the budget request. This program collects, analyzes, and makes 

available data on the incidence and causes of birth defects and developmental disabilities. 

Within the total, the Committee provides the following amounts 

for birth defects, developmental disabilities, disability, and health 

activities: 

$38,525,000 for birth defects and developmental disabilities, 

which is $134,000 below the fiscal year 2006 funding level and 

$227,000 more than the budget request; 

$59,996,000 for human development and disability, which is 

$6,246,000 below the fiscal year 2006 funding level and 

$5,601,000 above the budget request (included within this total 

is: $1,782,000 for Tourette syndrome programs; $7,000,000 for 

early hearing detection and intervention; $8,000,000 for muscular dystrophy programs; $1,717,000 for attention deficit/hyperactivity disorder programs; $6,000,000 for spina bifida programs; and $15,500,000 for autism programs); and, 

$19,201,000 for hereditary blood disorders, which is $660,000 

below the fiscal year 2006 funding level and $1,413,000 more 

than the budget request (included within this total is 

$1,944,000 for thallasemia programs). 

72 

Alpha-1 antitrypsin deficiency.—The Committee is aware that 

Alpha-1 antitrypsin deficiency (Alpha-1) is the major genetic risk 

factor for chronic obstructive pulmonary disease (COPD) and cryptogenic liver disease. Early detection allows individuals to engage 

in preventative health measures and receive appropriate therapies 

which significantly improve their health status. In addition, utilization of well defined disease management programs significantly reduces exacerbations and health care costs. The Committee encourages CDC to develop a partnership with appropriate patient and 

professional organizations to actively support Alpha-1 targeted detection efforts that utilize public and professional education regarding obstructive lung disease, both genetic and tobacco related. 

Attention deficit/hyperactivity disorder (AD/HD).—Current estimates indicate that as many as 7.8 percent of school-age children 

have AD/HD and more than two-thirds of these children will continue to experience symptoms through adulthood. Only half of all 

children with AD/HD receive necessary treatment, with lower diagnostic and treatment rates among girls, minorities and children in 

foster care. The Surgeon General has reported a severe lack of professionals trained to diagnose and treat the condition effectively. 

The Committee continues to support the national resource center 

on AD/HD and has provided funding in fiscal year 2007 to continue 

the activities to respond to the overwhelming demand for information and support services; to better reach special populations in 

need; to educate health and education professionals on AD/HD; and 

to enable CDC to continue its population-based research and surveillance, and consider public health intervention opportunities. 

Autism spectrum disorders.—The Committee is aware of the 

progress that has been made with the autism programs. 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. As previously highlighted in this 

report, the Committee includes $15,500,000 for autism activities. 

Within that amount, $12,800,000 is provided for surveillance and 

research programs and $2,700,000 is for the autism awareness 

campaign. 

Birth defects research and surveillance.—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 and to increase assistance to states 

to implement community-based birth defects tracking systems, programs to prevent birth defects, and activities to improve access to 

health services for children with birth defects. 

Blindness.—The Committee is concerned that people with vision 

impairment and blindness have a significant unmet need for appropriate public health interventions and information to prevent further impairment and disability. The lack of such appropriate interventions has resulted in people with vision loss having higher rates 

of depression, hypertension, heart disease, stroke, and physical injuries than people without sensory impairments. The Committee 

urges additional evidence-based research for effective public health 

interventions, as well as the national dissemination of these interventions through a website and other means accessible to the blind 

and visually impaired. The Committee urges CDC to launch this 

73 

initiative and to partner with a national non-profit organization 

that is recognized for leadership in providing information to persons who are blind or visually impaired, including published resource guides, directories of services for consumers in the field, 

scholarly journals on blindness and vision loss, assistive technology 

magazines, and talking books. 

Cerebral palsy.—The Committee encourages CDC to establish 

cerebral palsy surveillance and epidemiology sites throughout the 

United States based on methodology developed in the Metropolitan 

Atlanta Developmental Disabilities Study and the Metropolitan Atlanta Developmental Disabilities Surveillance Program. The Committee encourages CDC to build upon the infrastructure established for the autism developmental disability monitoring sites and 

the centers for autism and developmental disabilities research and 

epidemiology sites and to establish surveillance and epidemiology 

centers for cerebral palsy as was done for autism. 

Cooley’s anemia.—The Committee remains pleased with the 

progress that CDC has made with regard to 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; a private foundation provides education and awareness, 

patient recruitment, and other services; and, CDC has created an 

archive of tested and analyzed blood samples. The Committee urges 

CDC to utilize this program to enhance the safety of the blood supply while improving the health of Cooley’s anemia patients. 

Down syndrome.—The Committee encourages CDC to continue 

its research on the secondary and related developmental and mental disorders in individuals with Down syndrome that it began in 

fiscal year 2005. 

Duchenne and Becker muscular dystrophy (DBMD).—The Committee is pleased that CDC developed and submitted its Duchenne 

and Becker Muscular Dystrophy Strategic Plan to Congress. To ensure the goals of this plan are achieved by the intended deadlines, 

the Committee provides funding to expand the existing surveillance, epidemiological, and education initiatives and to establish a 

nationwide DBMD patient registry by July 1, 2007. The Committee 

believes a nationwide DBMD patient registry will build upon the 

existing surveillance work and ensure the data gathered are deposited in one centralized repository. Additionally, to help ensure adequate patient data are collected, the Committee strongly urges 

CDC to expand the muscular dystrophy surveillance tracking and 

research network by one additional site in 2007. The Committee 

continues to be pleased with the work being done through the joint 

public/private education and outreach cooperative agreement and 

would encourage that additional funds be used to continue and expand this program. The Committee is pleased that CDC is working 

with the Agency for Healthcare Research and Quality to establish 

evidence-driven standards of care for DBMD patients, and encourages both agencies to complete this work by February 1, 2007. 

Folic acid education campaign.—The Committee is encouraged 

with the progress made in preventing neural tube defects, but 

notes that recent research shows only 40 percent of women of childbearing age consume enough folic acid daily. The Committee has 

provided the same funding level for fiscal year 2007 as was proVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00077 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
74 

vided in fiscal year 2006 to enhance the national education campaign to increase the number of women taking folic acid daily. 

Fragile X.—The Committee is encouraged by CDC’s efforts related to Fragile X and support for the Fragile X public health program to expand surveillance and epidemiological research of Fragile X. Given the limited resources available, the Committee urges 

CDC to ensure that the agency’s educational and awareness activities under this initiative are not duplicative of current efforts of nationally recognized authorities in the area of Fragile X, but are instead focused on supporting the further dissemination and distribution of existing informational materials. 

Hemophilia.—The Committee continues to encourage CDC to 

take steps to ensure that additional patient-based organizations 

can participate in its hemophilia grant program on an annual 

basis. The Committee requests that CDC prepare a report on this 

recommendation by January 1, 2007. In addition, the Committee 

encourages CDC to sustain support for the hemophilia treatment 

center network to ensure continued access to comprehensive chronic disease management for people with bleeding and clotting disorders. 

Hereditary hemorrhagic telangiectasia (HHT).—HHT, also known 

as Osler-Weber-Rendu syndrome, is a multi-system vascular genetic disorder producing blood vessel malformations in the brain 

and lung which may result in stroke, hemorrhage, aneurysm and 

death. Sudden death or disability may occur in 20 percent of children and adults, but is largely preventable with proper intervention. The Committee encourages CDC to establish, through a joint 

initiative with the HHT treatment centers, effective evidence-based 

interventions and treatment to improve outcomes and the quality 

of life for people living with HHT. 

Marfan syndrome.—The Committee continues to be interested in 

Marfan syndrome, a progressive and degenerative genetic disorder 

which can result in sudden loss of life from aortic aneurysms. Unfortunately, many individuals affected by Marfan syndrome are 

undiagnosed or misdiagnosed until they experience a cardiac complication. Increasing awareness of this life-threatening disease is 

vital to ensuring accurate diagnosis and appropriate disease management in patients who are at risk for cardiovascular complications. The Committee encourages CDC to partner with the Marfan 

syndrome community to increase awareness of the disease among 

the general public and health care providers. 

Spina bifida.—The Committee recognizes that spina bifida is the 

leading permanently disabling birth defect in the U.S. While spina 

bifida and related neural tube defects are highly preventable 

through proper nutrition, including appropriate folic acid consumption, and its secondary effects can be mitigated through appropriate and proactive medical care and management, such efforts 

have not been adequately supported or coordinated to result in significant reductions in these costly conditions. In an effort to continue to improve the quality-of-life for individuals affected by spina 

bifida and reduce and prevent the occurrence of, and suffering 

from, this birth defect, the Committee encourages CDC to coordinate with the appropriate health organization to promote the prevention of spina bifida and to enhance the lives of all affected. 

Within the funds provided for spina bifida, the Committee supports 

75 

the maintenance and continuation of the national spina bifida 

clearinghouse and resource center to meet the current and growing 

demand for information and support services for individuals and 

families affected by spina bifida. In addition, the Committee supports the Memorandum of Understanding between CDC and the 

Agency for Healthcare Research and Quality to examine clinical 

treatment of spina bifida and improve quality of life. 

The Committee recognizes that the Agent Orange database of 

health and educational services composes the largest repository of 

longitudinal treatment information of people with spina bifida and 

can provide much-needed insight and understanding into the needs 

of people with spina bifida. The Committee commends CDC and 

the Department of Veterans Affairs for their collaborative efforts to 

review and analyze the Agent Orange database to gain better understanding of the treatment, educational, and vocational benefits 

needs and utilization by people with spina bifida. The Committee 

encourages the on-going collaboration to analyze this data and requests a report summarizing the analysis of the data, including 

recommendations based on the analysis as to how to improve treatment and quality-of-life for people with spina bifida. 

Tuberous sclerosis complex (TSC).—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 encourages CDC to develop a 

joint initiative with an appropriate health organization to collect 

and analyze data from the nationwide network of TSC clinics; support surveillance and epidemiological studies; and to educate 

health care professionals and teachers who come into contact with 

TSC patients. 

Health information and service 

The Committee provides $226,400,000 for health information and service, which is $3,497,000 more than the fiscal year 2006 program level and $35,274,000 less than the budget request. The Committee does not concur with the budget request that a portion of 

the funding is to be derived from section 241 evaluation set aside 

funds to carry out National Center for Health Statistics surveys, 

Public Health Informatics evaluations, and health marketing evaluations. The Committee, instead, provides a sufficient amount of 

budget authority to carry out those activities. 

Health statistics 

The Committee provides a total of $109,421,000 for health statistics, which is $400,000 more than the fiscal year 2006 funding level 

and the budget request. The health statistics program is responsible for collecting, interpreting, and disseminating data on the 

health status of the U.S. population and the use of health services. 

Surveys include the National Vital Statistics System, the National 

Health Interview Survey, the National Survey of Family Growth, 

the National Health and Nutrition Examination Survey 

(NHANES), and the National Health Care Survey. 

Within the total provided, the Committee includes $400,000 to 

conduct a study of the feasibility of linking food assistance state 

based program administrative records to the NHANES database. 

The feasibility test will determine whether such linkages are 

76 

logistically and technically feasible, the cost of such linkages, and 

the potential benefits of the linked files. In addition, alternative 

data collection options for obtaining needed information on food assistance programs and food purchasing knowledge and behaviors 

should be explored. The Committee requests that CDC prepare a 

report to the House and Senate Committees on Appropriations regarding this study within 180 days of enactment of this Act. 

The Committee commends the National Center for Health Statistics (NCHS) for fulfilling its mission as the nation’s premiere 

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 

NHANES and the National Health Interview Study, accessible to 

the public as soon as possible. 

Nontuberculous mycobacteria (NTM).—The Committee is concerned that NTM incidence continues to rise. Mycobacteria are environmental organisms found in both water and soil that cause 

substantial respiratory damage. The Committee encourages the national center for health statistics to include questions regarding 

NTM testing in ongoing surveys to gain a better understanding of 

the epidemiology of this emergent disease. 

Psoriasis.—The Committee urges NCHS to ensure that any data 

collected on psoriasis be comprehensive and include the full age 

range of individuals affected by the disease including children, adolescents, and adults. The Committee is interested in having NCHS 

collect and report psoriasis incidence and prevalence data that are 

based on nationwide epidemiological studies. If such data are not 

currently available, the Committee urges NCHS to undertake a 

comprehensive epidemiological study with a focus on determining 

incidence of psoriasis and psoriatic arthritis. The Committee urges 

CDC to consider working with a national psoriasis organization to 

develop a surveillance program to ascertain and monitor psoriasis 

and psoriatic arthritis incidence and co-morbidities. 

Public health informatics 

The Committee provides a total of $73,738,000 for public health 

informatics, which is $3,097,000 more than the fiscal year 2006 

funding level and $35,455,000 less than the budget request. 

Pandemic influenza.—The Committee does not provide 

$39,600,000 in funding requested by the Administration for pandemic influenza activities in public health informatics in this appropriation. The Committee has provided $200,000,000 through fiscal year 2006 supplemental appropriations for CDC activities related to preparing for the potential for an influenza pandemic. A 

second emergency supplemental appropriation for pandemic influenza is pending. 

Health marketing 

The Committee provides a total of $43,241,000 for health marketing, which is the same as the fiscal year 2006 funding level and 

$219,000 less than the budget request. 

77 

Environmental health and injury prevention 

The Committee provides $278,000,000 for environmental health and injury prevention, which is $11,021,000 less than the fiscal 

year 2006 funding level and $1,309,000 less than the budget request. 

Environmental health 

The Committee provides $139,439,000 for environmental health, which is $10,546,000 less than the fiscal year 2006 funding level 

and $1,656,000 less than the budget request. 

Asthma.—The Committee is pleased with the work that CDC has 

done to address the increasing prevalence of asthma. However, the 

increase in asthma among children remains alarming. The Committee urges 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. To further facilitate this effort, CDC is urged to partner 

with voluntary health organizations to support program activity 

consistent with the CDC’s efforts to fund community-based interventions that apply effective approaches demonstrated in research 

projects within the scientific and public health community. 

Biomonitoring.—The Committee applauds the CDC’s biomonitoring efforts and encourages the agency to continue this program 

and continue to improve its efforts to communicate these results in 

context. In particular, the CDC’s National Report on Human Exposure to Environmental Chemicals is a significant new exposure tool 

that provides invaluable information for setting research priorities 

and for tracking trends in human exposures over time. Accordingly, 

the Committee continues to support the CDC environmental health 

laboratory’s efforts to provide exposure information about environmental chemicals. However, as CDC has recognized, this information does not by itself suggest harmful effects in humans. In fact, 

for most chemicals, it is currently difficult to interpret biomonitoring information in a health risk context. Therefore, the Committee encourages CDC to collaborate with federal government and 

private sector toxicologists, health scientists and laboratory analytical chemists, to facilitate the development of the necessary methods to interpret human biomonitoring concentrations in the context 

of potential health risks. 

Childhood lead poisoning prevention.—The Committee commends 

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 Committee recognizes the 

extraordinary services of CDC’s environmental health laboratory to 

develop new and improved biomonitoring methods to accurately 

and rapidly assess human exposure to mercury and arsenic, including exposure to the form of mercury in thimerosal, and to improve 

health risk assessment by expanding studies of the relationship between biomonitoring exposure levels and disease. 

Landmine survivors.—The Committee commends CDC for its 

partnership with a private landmine survivors organization that 

has developed peer support networks for landmine survivors in six 

78 

mine-affected countries around the world. For fiscal year 2007, the 

Committee provides no less than the fiscal year 2006 funding level 

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. 

National Environmental Public Health Tracking Network.—The 

National Environmental Public Health Tracking Network seeks to 

expand the program to monitor, link, and assess environmental 

and health data to identify problems and effective solutions that 

will reduce the burden of chronic and other non-infectious disease 

in the American population. With health tracking, public health officials can better 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. A critical component of 

the program is to ensure that various stakeholders, especially communities, are engaged in the process of developing the state networks and ultimately the network. Therefore, the Committee urges 

CDC and the State and local programs take actions to include communities and other stakeholders in the development and implementation of the tracking network. 

Injury prevention and control 

The Committee provides $138,561,000 for the injury prevention 

and control program, which is $475,000 less than the fiscal year 

2006 funding level and $347,000 above the budget request. The injury prevention and control program supports intramural research, 

injury control research centers, extramural research grants, and 

technical assistance to state and local health departments. 

Child maltreatment.—The Committee applauds CDC’s activities 

in the areas of child maltreatment. A growing body of research indicates that childhood abuse and neglect may contribute significantly to the development of both acute and chronic health conditions throughout the lifespan, including obesity and heart disease. 

The Committee encourages CDC to develop a network of consortia 

that will address research and training, as well as the dissemination of best practices and prevention efforts, on the health harms 

of child abuse and neglect. 

Gun control advocacy.—The Committee recommendation maintains bill language prohibiting federal funds from being used to 

lobby for or against the passage of specific federal, state or local 

legislation intended to advocate or promote gun control. The Committee understands that CDC’s responsibility in this area is primarily data collection and the dissemination of that information 

and expects that research in this area to be objective and grants 

to be awarded through an impartial, scientific peer review process. 

Occupational safety and health 

The Committee provides $251,000,000 for occupational safety 

and health, which is $4,272,000 below the fiscal year 2006 funding 

level and $806,000 above the request. Of the amount provided, 

79 

$87,071,000 is to be derived from section 241 evaluation set-aside 

funds, as proposed in the budget request. 

The National Institute for Occupational Safety and Health 

(NIOSH) conducts applied research, develops criteria for occupational safety and health standards, and provides technical services 

to government, labor and industry, including training for the prevention of work-related diseases and injuries. This appropriation 

supports surveillance, health hazard evaluations, intramural and 

extramural research, instrument and methods development, dissemination, and training grants. The Committee notes that an additional $10,000,000 for research 

to develop mine safety technology has been provided to NIOSH 

within a fiscal year 2006 supplemental appropriations bill. This 

funding is available through fiscal year 2007. 

Global health 

The Committee provides $312,000,000 for global health, which is $1,251,000 below the fiscal year 2006 funding level and 

$69,103,000 below the budget request. 

Through its Global Health activities, CDC coordinates, cooperates, participates with, and provides consultation to other nations, 

U.S. agencies, and international organizations to prevent and contain diseases and environmental health problems and to develop 

and apply health promotion activities. In cooperation with Ministries of Health and other appropriate organizations, CDC tracks 

and assesses evolving global health issues and identifies and develops activities to apply CDC’s technical expertise to be of maximum 

public health benefit. 

Within the total, the following amounts are included for global 

health activities: 

$121,952,000 for the global AIDS program, which is $692,000 

less than the fiscal year 2006 funding level and the same as 

the budget request; $144,398,000 for the global immunization program, which is 

$638,000 less than the fiscal year 2006 funding level and 

$144,000 more than the budget request; 

$33,259,000 for global disease detection, which is $91,000 

more than the fiscal year 2006 funding level and the same as 

the budget request; 

$8,970,000 for the global malaria program, which is $52,000 

less than the fiscal year 2006 funding level and the same as 

the budget request, and; 

$3,421,000 for other global health activities, which is $40,000 

more than the fiscal year 2006 funding level and $69,247,000 

less than the budget request. 

Pandemic influenza.—The Committee does not provide 

$69,300,000 in funding requested by the Administration for pandemic influenza activities in this appropriation. The Committee has 

provided $430,000,000 through fiscal year 2006 supplemental appropriations for CDC activities related to preparing for the potential for an influenza pandemic. 

Tuberculosis (TB) and AIDS.—The Committee understands that 

TB is the leading killer of people with AIDS. The Committee 

strongly urges the CDC to increase its efforts through the global 

AIDS program and the global disease detection initiative to provide 

80 

technical assistance and expertise to nations with high incidence of 

TB–HIV co-infections. 

Terrorism preparedness and response 

The Committee provides $1,605,000,000 for terrorism prepared- ness and response, which is $27,743,000 above the fiscal year 2006 

funding level and $52,161,000 below the budget request. Within 

the funds provided: $823,674,000 is for upgrading state and local capacity, which 

is the same as the fiscal year 2006 funding level and the budget request; $135,628,000 is for upgrading CDC capacity, which is $964,000 less than the fiscal year 2006 funding level and the 

same as the budget request; $13,860,000 is for the anthrax research study which is the 

same as the fiscal year 2006 funding level; $2,970,000 is for the new botulinum toxin research program, 

the same funding level included in the budget request; $78,868,000 is for the biosurveillance initiative, which is 

$437,000 more than the fiscal year 2006 funding level and 

$23,373,000 less than the budget request, and; $550,000,000 is for the strategic national stockpile, which is $25,300,000 above the fiscal year 2006 funding level and 

$42,648,000 below the budget request. 

Botulinum neurotoxin research.—The Committee requests that 

CDC submit a plan to accompany the fiscal year 2008 President’s 

budget request to Congress to participate and share in the development of advanced in-vitro and cell-based fluorescence resonance energy transfer assays for the detection and classification of botulinum neurotoxins being developed by the United States Army’s 

Medical Research Institute of Chemical Defense. The plan should 

identify how the Army program can be leveraged to meet CDC requirements and how CDC will participate in co-development of the 

assay. 

Pandemic influenza.—The Committee does not provide 

$24,800,000 in funding requested by the Administration for pandemic influenza activities within the terrorism programs in this appropriation. The Committee has provided $200,000,000 through fiscal year 2006 supplemental appropriations for CDC activities related to preparing for the potential for an influenza pandemic. A 

second emergency supplemental appropriation for pandemic influenza is pending. 

Strategic national stockpile.—The Committee recognizes that, in 

the wake of the Gulf Coast hurricanes of 2005, CDC is considering 

how to reconfigure the strategic national stockpile to fulfill a broader disaster response mission. Psychotropic medications such as 

anti-psychotic, anti-depressant and anti-seizure medications are 

widely prescribed and critical to the quality of life of those who 

take them. Moreover, the sudden deprivation of these drugs, particularly in the wake of trauma and stress of a disaster, can create 

major mental illness management challenges for emergency responders, diverting crucial resources and impeding recovery. For 

these reasons, the Committee strongly encourages the CDC to include psychotropic medications in a reconfigured strategic national 

stockpile. 

81 

Public health research 

The Committee provides $31,000,000 for public health research, 

which is the same as the fiscal year 2006 funding level and the 

budget request. The Committee does not provide these funds 

through the section 241 evaluation set-aside funds as proposed in 

the budget request, but instead provides these funds through budget authority. 

Through this activity, CDC supports high-quality public health 

research that studies the best methods for making the transition 

from research to practice. Funds support research that is proposed 

by experienced investigators working with communities, health 

practitioners, and policymakers to address local priority health concerns. 

Public health improvement and leadership 

The Committee provides $207,165,000 for public health improve- ment and leadership, which is $17,342,000 above the fiscal year 

2006 funding level and $17,000,000 above the budget request. 

This activity supports several cross-cutting areas within CDC. 

Included is the CDC’s leadership and management function, which 

funds the CDC office of the director, coordinating centers, and each 

constituent center and office. The public health improvement and 

leadership line item also supports the CDC’s public health workforce and career development efforts, the director’s discretionary 

fund, and Congressional projects. 

The Committee is pleased that CDC has continued to support the 

cooperative program with an association representing minority 

health professions and urges continued expansion of this activity, 

including sponsorship of public health and biomedical symposiums 

aimed at increasing career opportunities for minority students. 

The Committee includes the following projects and activities and 

in the following amounts for fiscal year 2007: 

1490 Enterprises, Inc Buffalo, NY for a program to improve physical activity and nutrition among senior citizens ............................ 100,000 

Abington Memorial Hospital, Abington, PA for breast and cervical 

cancer outreach, education and screening programs for medically 

underserved populations .................................................................... 125,000 

Adler Aphasia Center, Maywood, NJ for a program to improve communication and other life skills for people with aphasia ................ 200,000 

Alameda County Public Health Department, Office of AIDS Administration, Oakland, CA for an HIV/AIDS prevention and testing 

initiative .............................................................................................. 250,000 

American Cities Foundation, Philadelphia, PA for community 

health outreach and education programs ......................................... 250,000 

American Foundation for the Blind, Dallas, TX for the Center on 

Vision Loss .......................................................................................... 250,000 

Arkansas Alliance of YMCAs, Warren, AR for programs in the cities of Pine Bluff, Warren, and Hot Springs to reduce childhood 

obesity ................................................................................................. 250,000 

Barnes-Kasson County Hospital, Susquehanna, PA for Obstetrics 

Education and related programs ...................................................... 200,000 

Baylor College of Medicine, Houston, TX for epidemiological research and educational outreach related to childhood cancer in 

cooperation with the Vanie E. Cook Jr. Children’s Cancer and 

Hematology Clinic in McAllen, TX ................................................... 450,000 

Bayside Community Center, San Diego, CA for its STEPS health 

education and outreach program for senior citizens ....................... 100,000 

Boys & Girls Club of Delaware County, Jay, OK for equipment and 

operating expenses for programs to improve diet, physical activity and emotional health ................................................................... 300,000 

82 

California State University-Fullerton, Fullerton, CA for programs 

aimed at preventing obesity and promoting health in children ..... 250,000 

Capital Breast Care Center, Washington, DC for education, screening and counseling related to breast cancer .................................... 175,000 

Children’s Hospital of Philadelphia, PA for the Poison Control Center ........................................................................................................ 250,000 

Christiana Care Women First Community Center of Excellence, 

Wilmington, DE to link healthcare providers and consumers to 

better serve gender and ethnic differences in health ...................... 200,000 

City of Dana Point, CA for the Doheny State Park Beach Epidemiological Study ....................................................................................... 600,000 

Columbus Children’s Research Institute, Children’s Hospital, Columbus, OH for activities at the Injury Research Center ............... 250,000 

Community College Foundation, Sacramento, CA for the ePassport 

foster child health and education data tracking program .............. 200,000 

Community Hospital Telehealth Consortium, Lake Charles, LA for 

technology upgrades ........................................................................... 250,000 

County of Marin, San Rafael, CA for research and analysis related 

to breast cancer incidence and mortality in the county .................. 300,000 

CREATE Foundation, Tupelo, MS to help schools and communities 

combat childhood obesity in North Mississippi ............................... 500,000 

CureSearch National Childhood Cancer Foundation, Bethesda, MD 

for disease diagnosis, education, and outreach ................................ 200,000 

Federation of State Medical Boards, Euless, TX to develop a Physician Data Center ................................................................................ 100,000 

Friends of the Congressional Glaucoma Caucus Foundation, Lake 

Success, NY to provide glaucoma screenings and follow-up in the 

New York metropolitan area ............................................................. 350,000 

Friends of the Congressional Glaucoma Caucus Foundation, Lake 

Success, NY to provide glaucoma screenings and follow-up in the 

U.S. Virgin Islands ............................................................................. 325,000 

Fulton County Department of Health and Wellness, Atlanta, GA 

for emergency preparedness activities including volunteer programs and public information ........................................................... 250,000 

Georgia Chapter of the American Lung Association, Smyrna, GA to 

study the relationship between residential floor coverings and 

distributive patterns of airborne particulates ................................. 350,000 

Gilda’s Club Louisville, Inc., Louisville, KY for psycho-social support services for cancer survivors ..................................................... 300,000 

Golden Gate National Parks Conservancy, San Francisco, CA for 

the Healthy Parks and Healthy Communities project .................... 100,000 

Haitian American Association Against Cancer, Miami, FL for cancer education, outreach, screening and related programs .............. 200,000 

Healthy Eating Lifestyle Principles, Monterey, CA for a program to 

improve nutrition by promoting the accessibility and consumption of fresh fruits and vegetables in schools ................................... 150,000 

Hyacinth AIDS Foundation, New Brunswick, NJ for an HIV/AIDS 

counseling and testing program ........................................................ 75,000 

Ingham Regional Medical Center, Lansing, MI for health and educational outreach ................................................................................ 100,000 

International Rett Syndrome Association, Clinton, MD for education and awareness programs regarding Rett syndrome ............ 200,000 

International Species Information System (ISIS), Eagen, MN for 

the ZIMS project ................................................................................ 400,000 

James Whitcomb Riley Hospital for Children, Indianapolis, IN for 

continuation of autism programs at the Christian Sarkine Autism Treatment Center ...................................................................... 250,000 

John B. Amos Cancer Center, Columbus Regional Healthcare System, Columbus, GA for cancer education and early detection programs ................................................................................................... 350,000 

Kids First, Providence, RI for education and technical assistance 

programs to improve nutrition and physical activity among children ..................................................................................................... 150,000 

King County Emergency Management Division, Seattle, WA to 

support a 24-hour communication and public health notification 

system. ................................................................................................ 200,000 

King County, Seattle, WA for influenza pandemic preparedness ...... 150,000 

Kips Bay Boys and Girls Club, Bronx, NY for a nutrition and antiobesity demonstration program for 6-to 12-year-old children ........ 275,000 

83 

La Rabida Children’s Hospital, Chicago, IL for education and outreach related to diabetes and sickle cell disease ............................. 300,000 

Learning Disabilities Association of Central New York, East Syracuse, NY for mental health, family counseling and other support 

services ................................................................................................ 100,000 

Long Island University, Brooklyn, NY for asthma education, counseling and prevention programs ....................................................... 250,000 

MetroHealth System, Cleveland, OH for the Northeast Ohio Senior 

Health and Wellness Center ............................................................. 100,000 

Middle Tennessee State University, Murfreesboro, TN, for research 

and education regarding ways of increasing physical activity and 

fitness among children and adolescents ........................................... 110,000 

Natividad Medical Center, Salinas, CA for a diabetes care management program ..................................................................................... 150,000 

New Haven Public Schools, New Haven, CT for a PE4Life physical 

education initiative ............................................................................ 150,000 

North Shore Health Project, Gloucester, MA for outreach and education on hepatitis C .......................................................................... 150,000 

Northwestern University, Evanston, IL for the Juvenile Project longitudinal youth study ......................................................................... 250,000 

Pacoima Beautiful, Pacoima, CA for a program to reduce the impact of environmental health hazards in homes and childcare 

centers ................................................................................................. 50,000 

Produce for Better Health Foundation, Wilmington, DE for education programs in Cape Girardeau, MO ......................................... 100,000 

Provena Mercy Center, Aurora, IL for diabetes education and prevention ................................................................................................ 355,000 

Providence Health System, Portland, OR for the Oregon Rural and 

Underserved Cancer Outreach Project ............................................. 250,000 

Pulmonary Hypertension Association, Silver Spring, MD for public 

education and outreach ..................................................................... 250,000 

Queens Pride House, Queens, NY for a health education and 

awareness campaign focusing on prevention of diseases such as 

hepatitis A and B and diabetes ......................................................... 50,000 

S.L.E. Foundation, New York, NY for outreach and education regarding lupus ...................................................................................... 200,000 

San Antonio Metropolitan Health District, San Antonio, TX for further studies and public health outreach regarding environmental 

health concerns at and near the former Kelly Air Force Base ....... 200,000 

Silent Spring Institute, Newton, MA for studies of the impact of environmental pollutants on breast cancer and other disorders ........ 125,000 

Slippery Rock University, Slippery Rock, PA for the Center on Disability and Health to promote and encourage regular physical activity .................................................................................................... 150,000 

South Dakota State University, Brookings, SD for studies related 

to childhood obesity ............................................................................ 125,000 

Southeastern Center for Emerging Biologic Threats, Atlanta, GA ... 500,000 

Southern Methodist University, Dallas, TX for the Medical Anthropology Program ................................................................................... 100,000 

St. John’s Regional Medical Center, Oxnard, CA for diabetes prevention and management programs ................................................. 200,000 

St. John’s Well Child & Family Center, Los Angeles, CA for a patient education program to address obesity, diabetes and hypertension ................................................................................................. 150,000 

Sustainable Resources Center, Minneapolis, MN for a lead poisoning screening and education program ......................................... 175,000 

Toledo Public Schools, Toledo, OH for a nutrition demonstration 

program linked to locally provided foods ......................................... 250,000 

Union Hospital, Terre Haute, IN for a chronic disease management 

assessment program .......................................................................... 250,000 

United Cerebral Palsy Association, Washington, DC for a national 

public education and outreach initiative .......................................... 150,000 

University of Texas, Brownsville, TX for studies regarding the 

health of the Hispanic population in the Rio Grande Valley ......... 250,000 

Visiting Nurse Association Healthcare Partners of Ohio, Cleveland, 

OH for the CareWatch program in Stark, Wayne, Medina and 

Ashland Counties ............................................................................... 100,000 

Voorhees College, Denmark, SC, for its Healthy Campus chronic 

disease prevention research and demonstration program .............. 100,000 

84 

WakeMed Health and Hospitals, Raleigh, NC for pediatric diabetes 

education and prevention activities .................................................. 150,000 

Wayne County Department of Public Health, Detroit, MI for a lead 

poisoning assessment, prevention and intervention program ........ 175,000 

Wayne County Department of Public Services, Detroit, MI for an 

Infant Mortality Prevention Program .............................................. 300,000 

West Babylon, NY School District for an anti-obesity initiative ....... 200,000 

WestCare Foundation, Las Vegas, NV to expand the Batterers 

Intervention Program in Needles, CA and surrounding communities .................................................................................................... 350,000 

Yale New Haven Health System, New Haven, CT for a specialty 

center for public health preparedness .............................................. 500,000 

Youth Becoming Healthy Project, Albany, GA for programs to improve nutrition and increase physical activity among middle 

school students ................................................................................... 75,000 

Preventive health and health services block grant 

The Committee provides $100,000,000 for the preventive health and health services block grant, which is $1,000,000 above the fiscal year 2006 funding level. The budget request did not include 

funding for this program. This block grant provides flexible funds 

to states by formula for a wide range of public and preventive 

health activities. The flexibility afforded to the states, allows them 

to target funds to address chronic diseases, such as diabetes, arthritis, heart disease, and stroke, to direct funds to meet challenges 

of outbreaks of infectious diseases, such as West Nile virus and influenza, and/or to implement prevention and control programs related to injury and abuse. 

As a result of providing funding for the preventive health and 

health services block grant rather than eliminating it as requested 

by the Administration, the Committee does not include bill language requested by the Administration that would authorize states 

to reallocate up to five percent of the funding they receive in CDC 

categorical grants for the purposes related to those conducted 

through the preventive health and health services block grant. 

Buildings and facilities 

The Committee provides $29,700,000 for buildings and facilities, 

which is $128,700,000 below the fiscal year 2006 funding level and 

the same as the budget request. These funds support efficient 

maintenance and operations of new and existing facilities to protect 

the interest and investment of the government so that deterioration of CDC facilities does not occur again. 

Business services and support 

The Committee provides $327,000,000 for business services and 

support, which is $28,384,000 above the fiscal year 2006 funding 

level and $23,146,000 above the budget request. Some of the activities that are supported through this funding are administrative 

services and programs, the human resources center, capital planning and investment control, financial management, security and 

emergency preparedness, and information technology services. 

It is the Committee’s intention that funds provided in business 

services and support are sufficient to carry out CDC’s business 

functions. The Committee will not support the continuation of programmatic ‘‘tapping’’ to achieve additional funding in this area. It 

is for this reason that the Committee has increased the funding for 

this program above both the fiscal year 2006 funding level and the 

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budget request. If additional funding is required for activities that 

are funded within this budget line, the Committee expects CDC to 

work with the Department of Health and Human Services to prepare a reprogramming request to be submitted to the House and 

Senate Committees on Appropriations. 

Within the amount provided, sufficient funds are provided for 

data center operations and maintenance and for a data storage 

hardware capital lease purchase payment. This funding is to further provide for the remote mirroring of information between CDC 

data centers and recovery sites and to provide heterogeneous 

connectivity to existing systems in use at CDC in order to ensure 

the protection, recovery, and availability of critical resources. The 

funding also will provide for enhanced security-specific technologies 

and services in concert with critical infrastructure protection requirements. 

NATIONAL INSTITUTES OF HEALTH

The Committee recommends an appropriation of $28,250,003,000 

for the National Institutes of Health (NIH), which yields a total 

program level of $28,258,203,000. This program level is 

$17,694,000 above the fiscal year 2006 non-emergency appropriation and equal to the request. The Committee recommends a substantial increase in the Office of the Director for activities that benefit multiple institutes and centers (ICs) under the Roadmap initiative, and has recommended corresponding reductions to the budget 

of each IC as proposed in the budget request. 

Budget justification materials.—While the Committee appreciates 

the detailed mechanism tables and pleonastic descriptions of 

science advances that were submitted as part of each institute, center or office’s (IC’s) budget justification for fiscal year 2007, the 

Committee is troubled by the lack of program-level detail displayed 

for each IC. Therefore, the Committee directs NIH, in its fiscal 

year 2008 budget submission, to include the following additional information for each IC for which funding is requested: a table showing funding at the program level, including comparisons between 

the requested level and the two prior fiscal year appropriations; a 

table depicting major program or activity increases and decreases 

as compared to the previous fiscal year along with a detailed justification of the reasons for the increases or decreases; and, for 

each new initiative proposed in fiscal year 2008, the cost and goals 

of that initiative and a detailed justification of the activities proposed to be undertaken in the initiative (including costs of each 

major activity). While the Committee does not direct funding to 

particular diseases and has traditionally provided maximum flexibility to NIH in order to allow it to fund programs and projects in 

a manner consistent with the state of the science, it is appropriate 

that the American people and their elected representatives have access to more detailed information regarding the manner in which 

NIH invests and proposes to invest increasingly scarce taxpayer resources. 

86 

NATIONAL CANCER INSTITUTE

The Committee recommends $4,753,609,000 for the National 

Cancer Institute (NCI), which is $39,747,000 below the fiscal year 

2006 appropriation and the same as the budget request. 

Mission.—NCI conducts and supports basic and applied cancer 

research in early detection, diagnosis, prevention, treatment and 

rehabilitation. NCI provides training support for research scientists, clinicians and educators, and maintains a national network 

of cancer centers, clinical cooperative groups, and community clinical oncology programs, along with cancer prevention and control 

initiatives and outreach programs to rapidly translate basic research findings into clinical practice. 

American Russian Cancer Alliance (ARCA).—The Committee 

commends the members of the American Russian Cancer Alliance 

(ARCA) for their continued pursuit of novel cancer research activities that capitalize on the particular strengths of the respective 

participating institutions. The Committee specifically recognizes 

the progress made in the ARCA-sponsored projects in molecular 

imaging and radioisotope-targeted cancer therapy and diagnosis 

that effectively utilizes the complementary expertise of the leading 

Russian nuclear research center and American cancer centers. The 

ARCA initiatives planned in cancer prevention and the ongoing 

sponsorship of educational and training activities will continue to 

bring together ARCA institutional expertise in the pursuit of cutting-edge cancer research. The Committee applauds the considerable commitment of NCI in providing support to the ARCA infrastructure and cancer prevention pilot projects, and in facilitating 

scientific exchange between the American and Russian partners, 

including the support of visiting scientists and scientific conferences. The Committee encourages NCI to continue its support of 

the cancer prevention research initiatives and the educational aspects of the ARCA agenda, including conference support and scientific exchange and training, which promote the Alliance’s cancer 

research activities while concurrently supporting the national interest in developing new, productive avenues for the use of nuclear 

stockpiles previously earmarked for weapons development. 

Cancer centers.—The Committee commends NCI on the success 

of its cancer centers program. Given that minority populations suffer disproportionately from virtually every form of cancer, the Committee encourages NCI to support the establishment of a comprehensive center at a minority institution focused on research, 

treatment, and prevention of cancer in African American and other 

minority communities. 

Cancer metastasis to bone.—A frequent complication of cancer is 

its spread to bone (bone metastasis), causing severe bone pain and 

pathologic fractures. The Committee encourages NCI, in collaboration with NIAMS, NIA, and NIDDK to support research to determine mechanisms and to identify, block and treat cancer metastasis to bone. 

Furthermore, the Committee encourages 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. 

87 

Community cancer centers.—The Committee commends NCI for 

its foresight in developing the community cancer centers program, 

which is a direct mechanism to translate the most promising advances in cancer treatment from major medical research institutions to community hospitals around the country. The Committee 

request a report by September 30, 2007 regarding the feasibility of 

expanding this pilot program. 

Gynecologic cancers.—Today, in the United States, one woman 

will be diagnosed with a gynecologic cancer every seven minutes. 

That is almost 200 per day and 80,000 in a given year. Furthermore, almost 30,000 women die from a gynecologic cancer each 

year. Existing NCI funding for SPOREs, program projects, the 

Early Detection Network, and investigator initiated grants has accelerated basic, molecular-based research discoveries for 

gynecologic cancers. Recent progress combined with the need for 

further innovation makes this group of cancers an important focus 

under NCI’s broader ‘‘roadmap’’ initiatives. The Committee encourages NCI to give priority to gynecologic cancers under its 

Nanotechnology Plan (CNPlan), its Oncology Biomarker Qualifications Initiative (QBQI), and its Cancer Genomics Atlas Project 

(TCGA), jointly conducted with the National Human Genome Research Institute. This inclusion will allow laboratory discoveries to 

be translated into clinical applications at the bedside causing a decrease in the mortality rates for women with gynecologic cancer. 

Gynecologic oncology clinical trials.—Organized in 1970, the 

Gynecologic Oncology Clinical Trials Cooperative Group (GOG) has 

conducted over 300 clinical trials involving almost 100,000 patients. With over 550 manuscripts in peer reviewed literature, the 

GOG is recognized as the leader in the development of new therapies for women with gynecologic cancer. The Committee encourages 

NCI to support 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. 

Liver cancer.—The Committee is pleased that NCI has issued 

program announcements requesting research projects on 

hepatocellular carcinoma. The Committee remains concerned, however, with the increasing incidence of primary liver cancer, and the 

small number of effective treatments, which is in sharp contrast to 

many other forms of cancer where the incidence is declining and 

the treatment options are rapidly increasing. The Committee encourages NCI to continue to support the NIDDK sponsored HALT– 

C clinical trial, which has particular relevance to the NCI mission. 

NCI is further encouraged to collaborate with the National Institute for Biomedical Imaging and Bioengineering on the development of improved early liver cancer diagnostic techniques. 

Lung cancer.—The Committee remains concerned that the five 

year survival rate for lung cancer is only 15 percent, thirty-five 

years after the passage of the National Cancer Act. The Committee 

recognizes that lung cancer is the leading cause of cancer deaths 

for both men and women—accounting for nearly one in every three 

deaths. The Committee encourages the National Cancer Institute 

to work with CDC, the Centers for Medicare & Medicaid, the Food 

and Drug Administration, the Agency for Healthcare Quality and 

Research, the Department of Defense and other federal agencies to 

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coordinate federal efforts on lung cancer in areas including research, early and late state diagnosis, treatment, and disease management, with goal of increasing five-year survival rates and, ultimately, curing lung cancer. 

Neurofibromatosis (NF).—The committee is pleased that NCI 

conducted clinical trials of NF patients and encourages it to continue its commitment to NF research. Recognizing NF’s connection 

to many of the most common forms of cancer, the Committee encourages NCI to strengthen its NF research portfolio in such areas 

as further development of animal models, natural history studies, 

genetic and drug screening, therapeutic experimentation, and preclinical and clinical trials. The Committee further encourages NCI 

to apply existing cancer drugs to NF patients in clinical trials both 

extramurally and intramurally, and to develop new drugs for NF 

that could then apply to the general population because of NF’s 

connection to many forms of human cancer. The Committee encourages NCI to continue to coordinate its efforts with other NIH institutes and government agencies. 

Specialized Programs for Research Excellence (SPOREs).—The 

Committee has long supported NCI’s Specialized Programs of Research Excellence (SPOREs), and encourages NCI to provide support for the important work done by SPOREs at a level as close to 

the amount provided in fiscal year 2004 as possible, and in the current form, until such time as the Translational Research Working 

Group concludes its evaluation and provides recommendations to 

support translational research more effectively. 

NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

The Committee recommends $2,901,012,000 for the National 

Heart, Lung, and Blood Institute (NHLBI), which is $20,745,000 

below the fiscal year 2006 appropriation and the same as the budget request. 

Mission.—The National Heart, Lung, and Blood Institute provides leadership for a national research program in diseases of the 

heart, blood vessels, lungs, and blood, in transfusion medicine, and 

in sleep disorders through support of basic, clinical, and population-based and health education research. 

Bleeding and clotting disorders.—The Committee commends 

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 the scientific and medical 

research community. 

Bone marrow diseases.—The Committee encourages NHLBI and 

NCI to collaborate on a comprehensive study of the prevalence of 

bone marrow diseases in Asian countries. A better understanding 

of the disproportionate prevalence among Asians may lead to new 

scientific breakthroughs identifying the causes and cures for aplastic anemia and other bone marrow diseases. 

Cardiovascular disease and women.—The Committee remains 

concerned that as the population ages, cardiovascular disease will 

reach pandemic proportions, and that women will continue to be affected at high rates. Therefore, the Committee encourages the institute to place a high priority on heart disease, stroke and other 

cardiovascular diseases in women by increasing resources to stimuVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00092 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
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late, strengthen, and intensify its investment in basic, clinical, 

translational, and trans-institute cardiovascular disease research 

through all available mechanisms. Despite new therapies, the Committee continues to believe that more research is needed to understand better the causes of these diseases in women, develop more 

effective treatments and cures, and prevent cardiovascular diseases. 

Cardiovascular diseases.—The Committee continues to encourage 

the institute to place a high priority on research for heart disease, 

stroke and other cardiovascular diseases, including strengthening 

its research portfolio through all available mechanisms into the 

causes, cure, prevention and treatment of cardiovascular diseases. 

Cooley’s anemia.—The Committee remains supportive of the focused research effort that is being undertaken by the Thalassemia 

Clinical Research Network, which is comprised of the leading research institutions in the field of thalassemia, or Cooley’s anemia. 

The Committee believes that this network is just beginning to meet 

its promise and encourages NHLBI to continue supporting this research. In addition, the Committee commends NHLBI for convening a meeting with regard to gene therapy and encourages the 

institute to move much more aggressively in pursuing a research 

agenda that will lead to a cure at the earliest possible time. 

Cystic fibrosis.—The Committee encourages NHLBI to increase 

support for research aimed at understanding the precise mechanisms by which small molecules correct protein misfolding and 

mistrafficking relevant to lung diseases. Understanding the mechanisms of correction of protein folding and trafficking may contribute to NIH-supported efforts to identify additional ways to affect positively these cellular processes. Also, such investigator-initiated grant proposals could augment current efforts by NIDDK to 

use screening methods to identify promising molecules to address 

protein misfolding. The Committee also encourages the NHLBI to 

continue to explore opportunities to support clinical research networks to accelerate therapeutic development. 

Lymphangioleiomyomatosis (LAM).—The Committee remains 

very interested in efforts to find a cure for LAM, a progressive and 

often fatal lung disease of women with no effective treatment. The 

Committee understands that recent scientific findings have presented new treatment approaches for clinical testing, and that 

expermental trials with the drug sirolimus have begun. The Committee encourages the NHLBI to explore opportunities for funding 

clinical treatment trials through both intramural and extramural 

means and to use all available mechanisms as appropriate, including support of state-of-the-science symposia, request for applications, and facilitating access to human tissues, to stimulate a broad 

range of clinical and basic LAM research. 

Marfan syndrome.—Marfan syndrome is a life threatening disorder characterized by aortic aneurysms, painful orthopedic issues, 

pulmonary issues and ocular manifestations. The Committee commends NHLBI’s Pediatric Heart Network for its support of a clinical trial to test a potential new drug therapy for Marfan syndrome. 

The Committee encourages NHLBI to continue to build on the exciting new advances made in this field to prolong life and dramatically improve the quality of life for people affected with this disorder through all available mechanisms. 

90 

National COPD education and prevention program.—The Committee is pleased that NHLBI held a preliminary workshop to formulate strategies towards implementing a National Chronic Obstructive Pulmonary Disease (COPD) Education and Prevention 

Program. Since COPD is the fourth leading cause of death in the 

United States, the Committee encourages NHLBI to continue its 

education efforts to bring advances in medical care to the public. 

Early identification of those at-risk for or who have COPD is essential in the effort to stem the growth of the population with COPD. 

The Committee encourages NHLBI to continue its efforts in this 

area, working with national lung organizations to develop a national education campaign for providers and the public about 

COPD. 

Neurofibromatosis (NF).—Significant advances continue to be 

made in research on NF’s implications with heart disease and, in 

particular, its involvement with hypertension and congenital heart 

disease that together affect over 50 million Americans. The Committee applauds NHLBI for its involvement with NF research and 

with NF patient advocacy groups and encourages the institute to 

continue its NF research portfolio in light of the significant implications for the general population. 

Nontuberculous mycobacteria (NTM).—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 NTM pulmonary infections in women, particularly involving rapidly growing mycobacteria, an inherently resistant subspecies. The Committee encourages NHLBI to collaborate 

with NIAID and other institutes on research that will lead to a better understanding of NTM, enhanced diagnostics and treatment 

and appropriate education of health care providers. 

Outcomes research in cardiovascular diseases.—The Committee 

commends NHLBI for convening a Working Group on Outcomes 

Research in Cardiovascular Disease and for subsequently publishing a report identifying priority areas for research, including 

developing national surveillance of cardiovascular care and outcomes, promoting patient-centered care, translating best practice 

into clinical practice, involving patients in care, and placing the 

cost of interventions in the context of their real-world effectiveness. 

The Committee encourages the institute to fund the priority areas 

highlighted in the report to enhance the prevention and treatment 

of heart disease, stroke and other cardiovascular diseases. 

Preventing weight gain in young adults.—The Committee is concerned about the ever increasing obesity rates and resulting chronic disease burden. Given the typical increase in weight throughout 

adulthood, evidence suggests that reducing the obesity epidemic 

will require significant attention to preventing progressive weight 

gain starting in early adulthood. Yet, little is known about the best 

methods to achieve weight management in this population. The 

Committee encourages NHLBI to develop and test innovative practical, cost-effective ways for preventing weight gain in young adults 

to reduce heart disease, stroke and other cardiovascular diseases. 

Pulmonary hypertension.—The Committee continues to view pulmonary hypertension research as a high priority and encourages 

NHLBI to support three to four Specialized Centers of Clinically 

91 

Orientated Research (SCCOR) in pulmonary hypertension in fiscal 

year 2007. 

Sleep disorders.—The Committee is pleased that public and professional awareness on sleep will be a component of NHLBI’s strategic planning process and encourages the institute to engage voluntary organizations throughout this process. The Committee continues to encourage the National Center on Sleep Disorders Research to partner with other federal agencies, such as the Centers 

for Disease Control and Prevention, as well as voluntary health organizations to implement a sleep education and public awareness 

initiative using the roundtable model that has been successful for 

other institutes and Public Health Service agencies. 

NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH

The Committee recommends $386,095,000 for the National Institute of Dental and Craniofacial Research (NIDCR), which is 

$3,241,000 below the fiscal year 2006 appropriation and the same 

as the budget request. 

Mission.—The mission of NIDCR is to improve the Nation’s oral, 

dental and craniofacial health through research, research training, 

and the dissemination of health information. NIDCR accomplishes 

its mission by performing and supporting basic and clinical research; conducting and funding research training and career development programs to ensure an adequate number of talented, wellprepared and diverse investigators; coordinating and assisting relevant research and research-related activities among all sectors of 

the research community; and promoting the timely transfer of 

knowledge gained from research and its implications for health to 

the public, health professionals, researchers, and policy-makers. 

Saliva.—The Committee is aware that research on saliva has 

progressed rapidly and holds the potential to be an inexpensive 

non-invasive diagnostic tool for early detection of breast cancer, 

osteoporosis, hepatitis, HIV, and Sjogren’s disease. The Committee 

encourages NIDCR to work cooperatively with NCI and other appropriate institutes in pursuing research initiatives on the development of saliva as a diagnostic tool. 

NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY

DISEASES

The Committee recommends $1,694,298,000 for the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), 

which is $10,627,000 below the fiscal year 2006 appropriation and 

the same as the budget request. In addition, $150,000,000 in mandatory funds are available for juvenile diabetes research at 

NIDDK. 

Mission.—NIDDK supports research in three major disease categories: diabetes, endocrinology, and metabolic diseases; digestive 

diseases and nutrition; and kidney, urologic, and hematologic diseases. NIDDK supports a coordinated program of fundamental and 

clinical research and demonstration projects relating to the causes, 

prevention, diagnosis, and treatment of diseases within these categories. The Institute also supports efforts to transfer the knowledge gained from its research program to health professionals, patients, and the general public. 

92 

Action plan for liver disease research.—The Committee is pleased 

that the NIH Director approved a trans-NIH action plan for liver 

disease research in December 2005. The Committee applauds the 

NIDDK-led efforts to evaluate and critique progress being made in 

each of the sixteen research areas identified by the plan. The Committee looks forward to being kept informed as to the progress 

being made to implement the goals of the plan and continuing efforts by NIH to establish priorities within the framework of each 

individual research area and among the sixteen areas as a whole. 

Acute liver failure.—The Committee applauds the leadership of 

NIDDK to convene a meeting in December 2006 meeting to address 

the important issue of acute liver failure. The Committee encourages that attendance at the December 2006 meeting be broad 

enough to determine what improvements can be made in the U.S. 

based on best practices in other countries. 

Biliary atresia.—The Committee is pleased that the number of 

Biliary Atresia Research Network Centers has increased from 9 to 

10 and that NIDDK, in conjunction with HRSA, will conduct a 

newborn screening conference in September 2006. This conference 

will permit a review and evaluation of best practices in other countries around the world. The Committee looks forward to being informed as to the results of the conference. 

Cooley’s anemia.—The Committee continues to support the high 

quality research being conducted by NIDDK on such issues as iron 

chelation, non-invasive iron measurement, fetal hemoglobin, and 

other topics critical to improving the lives of Cooley’s anemia patients. The development of a less burdensome means of iron chelation is urgently needed. In addition, the Committee encourages 

NIDDK to continue to work closely with NIBIB to develop and perfect non-invasive means of measuring iron. 

Cystic fibrosis.—The Committee commends NIDDK for awarding 

two new Cystic Fibrosis Research and Translational Centers. These 

new awards will facilitate better communication and collaboration 

at these centers on basic and clinical research to develop and test 

new therapies for cystic fibrosis (CF). 

The Committee also commends NIDDK for issuing a program announcement entitled, ‘‘Targeting Diseases Caused by Protein 

Misfolding or Misprocessing.’’ Awards for this research will greatly 

assist in the identification of products through screening that can 

correct the basic protein defect in cystic fibrosis (CF) and that may 

be developed as new CF treatments. The Committee encourages 

NIDDK to continue its support of CF research efforts, including 

protein misfolding, and to collaborate with other institutes to support research to further examine the agents that show promise in 

treating CF. The Committee also encourages NIDDK to continue to 

explore opportunities to support clinical research networks to accelerate therapeutic development. 

Digestive diseases.—Diseases of the digestive system continue to 

affect more than one-half of all Americans at some time in their 

lives. Serious disorders such as colorectal cancer, inflammatory 

bowel disease, irritable bowel syndrome, hemochromatosis, celiac 

disease, and hepatitis take a tremendous toll in terms of human 

suffering, mortality, and economic burden. The Committee commends NIDDK on the success of its Digestive Disease Centers program in addressing a wide range of disorders that result in tremenVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00096 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
93 

dous human suffering and economic cost. The Committee continues 

to encourage NIDDK to expand this important program with an increased emphasis on irritable bowel syndrome. 

Drug induced liver injury.—The Committee is aware of increased 

incidence of drug induced liver injury and encourages additional research focused on identifying the cause of this drug induced morbidity and recommendations for prevention. 

End stage renal disease (ESRD).—The Committee is concerned 

about the significant differences among minority groups in the incidence and prevalence of patients suffering from ESRD. The U.S. 

Renal Data System (USRDS) reports that incidence rates for African-Americans for hemodialysis are more than quadruple that for 

white Americans, and rates for Native Americans and HispanicAmericans are more than double those for white Americans; while 

transplant rates are highest in non-Hispanics. The Committee encourages NIDDK to take steps to ensure adequate inclusion of minority ESRD patients in the Comprehensive Dialysis Study and 

other relevant research so that such trends can be understood for 

their impact on these populations. 

Fatty liver disease.—The Committee notes that there is an 

emerging, obesity-related chronic liver disease that 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 is 

pleased that NIDDK is funding a fatty liver disease clinical trial 

that includes both adult and pediatric populations, and that NIH 

has generated a significant increase in highly competitive science 

and research focused on fatty liver disease. 

Glomerular disease research.—The Committee continues to be 

pleased with the work of NIDDK in the area of glomerular disease 

research, particularly as it relates to focal segmental 

glomerulosclerosis. The Committee commends NIDDK for conducting the recent Glomerular Disease Workshop in January of 

2005, and encourages NIDDK to issue a specific program announcement or other appropriate mechanism to ensure the initiation of grant proposals, training positions, and other activities to 

expand the NIDDK portfolio in this important area of research. 

The Committee requests a report on progress made in this area by 

August 1, 2007. 

Hemodialysis and peritoneal dialysis.—The Committee also is 

aware of wide geographic and ethnic variances in rates of hemodialysis, both center-based and home hemodialysis, as well as peritoneal dialysis, for patients suffering from End Stage Renal Disease (ESRD). The Committee understands that a large clinical trial 

involving hemodialysis is underway and encourages NIDDK to expand its research in this area to include peritoneal dialysis, or to 

develop a similar review for peritoneal dialysis that examines medical outcomes, quality of life, and clinical improvements for ESRD 

patients who choose this important and well-established therapy. 

Hemophilia and hepatitis C (HCV).—The Committee understands that hepatitis C continues to have a devastating impact on 

94 

the hemophilia population, with nearly half of all persons with hemophilia having contracted HCV, and many of these individuals coinfected with HIV. The Committee encourages NIDDK to convene 

a panel of experts and develop a research agenda that would address issues related to co-infection and the progression of liver disease in this population. 

Hepatitis B.—The Committee is aware that there are currently 

1.25 million Americans chronically infected with hepatitis B, a disease that disproportionately affects Asian Americans. The Committee applauds the leadership of NIDDK in conducting an experts’ 

conference in April 2006, and is aware that a significant number 

of new research opportunities have been identified. The Committee 

encourages continued research for hepatitis B. The Committee also 

encourages that a focus be placed on identifying best practices for 

treatment of hepatitis B and supports efforts to reduce the disproportionately high annual treatment costs. Additionally, the 

Committee encourages NIDDK to collaborate with CDC to develop 

a document to reach at-risk populations for intensive public health 

screening, outreach and testing campaigns. 

Incontinence.—Many otherwise healthy, active individuals suffer 

from incontinence. Fecal incontinence, also called bowel incontinence, affects people of all ages and is associated with a wide variety of causes. The Committee is pleased that NIDDK is collaborating with NICHD and the Office of Medical Applications of Research on the incontinence state-of-the-science conference. 

Inflammatory bowel disease.—The Committee has been encouraged in recent years by discoveries related to Crohn’s disease and 

ulcerative colitis, collectively known as inflammatory bowel disease 

(IBD). These extremely complex disorders represent a major cause 

of morbidity from intestinal illness. The Committee commends 

NIDDK for its strong leadership in this area and continues to encourage the institute to increase funding for 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 entitled, 

‘‘Challenges in Inflammatory Bowel Disease.’’ 

The Committee also encourages 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. 

Finally, the Committee is aware that IBD manifests itself differently in children than it does in adults, highlighting the importance of pediatric-focused research if improved diagnostic and 

treatment tools are to be available. The scientific priorities identified by patients, physicians and professional societies include 

growth failure and bone disease; identification of the genes responsible for early onset IBD; and the relationship between children’s 

immune system and IBD onset and treatment. As a next step, the 

Committee encourages NIDDK to conduct focused conferences on 

these priorities and develop research initiatives that will lead to a 

better understanding of the unique issues in pediatric IBD. 

Interstitial cystitis (IC).—Research on interstitial cystitis is still 

in its infancy and while there has been important progress in this 

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area in the last decade, there is still very little known about the 

etiology and pathogenesis of the disease. The Committee encourages NIDDK to place emphasis on IC-specific funding in order to 

focus on the basic science of IC and to attract and sustain research 

in the field. 

The Committee is concerned about the lack of clarity surrounding the definition of IC. While the Committee recognizes that 

this is a complex challenge, NIDDK is encouraged to develop a research definition of IC to clarify the investigative questions and ensure that the research results are comparable and therefore, more 

meaningful. The Committee is concerned that studies of interstitial 

cystitis epidemiology are hamstrung by a lack of clarity and leadership in this area. 

The Committee is pleased that NIDDK worked closely with the 

IC Community to sponsor an international scientific symposium on 

IC. The Committee is also encouraged by NIDDK’s efforts to elevate awareness of IC among providers and encourages NIDDK to 

work more closely with the interstitial cystitis patient community 

and CDC to utilize its resources and expertise effectively. 

Irritable bowel syndrome.—The Committee is pleased that 

NIDDK is formulating an action plan for digestive diseases through 

the National Commission on Digestive Diseases and that irritable 

bowel syndrome or IBS will be included. The Committee encourages NIDDK to expedite this plan. 

Living donor transplantation.—The Committee notes that approximately 9% of liver transplants in the adult population and 

35% in the pediatric population are made possible due to living donations. 

Mucopolysaccharidosis (MPS).—The Committee is gratified by 

NIDDK’s efforts to enhance research on MPS disorders. The Committee appreciates NIDDK’s leadership and outreach to NIAMS in 

the interest of improving collaborative bone and joint disease research in MPS disorders. Research focused on the underlying 

pathophysiology of bone and joint lesions, the gene mutations and 

substrates that are stored, and potential therapeutic approaches 

continue to be of significant interest of the Committee. The Committee commends NIDDK on its accessibility to the affected community as well as its collaborations with NINDS, NICHD, NCRR, 

and ORD in advancing broad-based MPS-related research. 

Pediatric kidney disease.—Kidney disease is a major cause of illness and death in infants, children and adolescents. The increasing 

awareness that many diseases like diabetes and hypertension that 

lead to chronic kidney disease (CKD) and end-stage renal disease 

(ESRD) in adults begin in childhood, demands that strategies to 

prevent kidney disease must begin early in life. The Committee 

recognizes the urgent need to better understand the pathogenesis 

of these conditions, and encourages NIDDK to continue to support 

research focused on the identification and study of genes and gene 

mutations that cause and increase the risk of progressive kidney 

disease. In addition, translational research aimed at clarifying the 

mechanisms underlying the genesis and evolution of kidney injury 

will help create targeted interventions to prevent, identify, and 

treat kideny disease in children. Specifically, the Committee recommends that emphasis be placed on research to determine how 

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lution of CKD, and what interventions may limit cardiovascular 

morbidity in patients with these disease. 

Polycystic kidney disease (PKD).—The Committee is pleased to 

learn that NIH-supported PKD research and partnerships with private organizations have rapidly led to multiple clinical drug trials 

in humans and to interdisciplinary blood pressure and heart studies to validate the advantage in slowing PKD disease progression. 

The Committee is encouraged that new innovative therapies may 

soon be developed to slow or reverse the progression of PKD. The 

Committee also recognizes the crucial role federal research funds 

played leading to the recent publication of data that improves 

measurement of disease progression and that dramatically reduces 

the number of patients needed to obtain valid results from clinical 

trials. The Committee recognizes the significant benefits emanating 

from the PKD Centers of Excellence in promoting interdisciplinary 

scientific research and developing alternative animal models and 

encourages NIDDK to support the efforts of the PKD Centers to 

the maximum extent possible. The Committee also encourages 

NIDDK to pursue fulfillment of the PKD Strategic Plan and longrange planning to facilitate PKD clinical trials and multidisciplinary research. 

NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

The Committee recommends $1,524,750,000 for the National Institute of Neurological Disorders and Stroke (NINDS), which is 

$10,007,000 below the fiscal year 2006 appropriation and the same 

as the budget request. 

Mission.—NINDS supports and conducts basic and clinical neurological research and research training to increase understanding 

of the brain and improve the prevention and treatment of neurological and neuromuscular disorders. The NINDS mission encompasses over 600 disorders, including stroke, head and spinal cord 

injury, epilepsy, multiple sclerosis, and neurodegenerative disorders such as Parkinson’s disease. 

Alzheimer’s disease.—Research supported by NINDS continues to 

play an integral role in widening the scientific base of knowledge 

about Alzheimer’s disease. In a study supported jointly by NINDS, 

NIA and the Alzheimer’s Association, scientists found that administering lithium to genetically engineered mice reduced the accumulation of an abnormal protein that contributes to the degeneration of neurons in Alzheimer’s disease. Further research will determine whether lithium could also reduce neuronal degeneration if 

administered before any significant structural abnormalities occur 

in neurons. The Committee encourages NINDS to continue to assign a high priority to its Alzheimer’s research portfolio, and to 

continue to work closely with NIA and other institutes. 

Down syndrome.—As a follow-up to its successful Down syndrome workshop to address research priorities relating to the 

synaptic structure and function of neuronal circuits, NINDS is encouraged to issue program announcements related to its workshop 

findings. Specifically, the Committee encourages NINDS to support 

investigations relating to the genetic and cellular basis for abnormalities in the structure and function of neuronal circuits in both 

developing and mature nervous systems. NINDS is also encouraged 

to work with the Office of the Director, OPASI, and other institutes 

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to develop a strategic plan for Down syndrome research and to coordinate all Down syndrome research within NIH. In anticipation 

of future clinical trials that will seek to measure accurately cognitive improvement in individuals with Down syndrome, the Committee further encourages NINDS to develop better measurement 

standards and a common data base that can be used generally for 

such trials. 

Duchenne muscular dystrophy (DMD).—The Committee is 

pleased that the Muscular Dystrophy Coordinating Committee 

(MDCC) has approved the Action Plan for the Muscular Dystrophies. While the Committee is glad a comprehensive final plan 

has been issued, there remain concerns that the plan does not adequately clarify which agencies are tasked with primary and secondary responsibilities for achieving each of the 76 research objectives. The Committee requests that the MDCC identify, by February 1, 2007, the agencies and organizations with primary and 

secondary responsibilities for each thematic grouping of research 

objectives in the Action Plan for the Muscular Dystrophies. The 

Committee requests that NIH’s annual report to Congress, authorized in the MD Care Act, include information detailing the NIH’s 

current DMD research goals, the progress made toward goals, the 

total amount of money invested toward the goals, and projected 

spending on DMD research for the present and future fiscal year. 

The Committee encourages NINDS to partner with NIAMS and 

NHLBI to provide the funding needed to adequately support the research agenda at each of the six Wellstone Muscular Dystrophy Cooperative Research Centers. 

Duchenne and Becker muscular dystrophy (DBMD) translational 

research.—The Committee is advised that NIH is working toward 

prioritizing opportunities for DBMD translational research projects 

and plans to convene a workshop examining DBMD translational 

opportunities later this year. The Committee is pleased with this 

development and requests that NIH—through NINDS, the MDCC, 

and the other relevant institutes—develop specific measurable 

milestones, including a timeline, needed to establish a DBMD 

Translational Research Initiative (TRI). This information should be 

included in the annual report to Congress authorized by the MD 

Care Act. The Committee encourages NIH to include representatives from the six MD Centers of Excellence in the process for establishing the DBMD TRI. 

Dystonia.—The Committee continues to support the expansion of 

research and treatment developments regarding dystonia. The 

Committee is pleased with progress made in expanding the 

dystonia research portfolio resulting from the joint dystonia research program announcement and understands that eleven new 

grants have been funded as a result of this initiative. The Committee commends NINDS on its sponsorship of the scientific workshop on dystonia planned for June 2006, and looks forward to initiatives based on this activity. 

Epilepsy.—Epilepsy remains a major, unsolved public health 

problem affecting the lives of millions of Americans and their families. The Committee encourages intensified efforts by the Institute 

to produce breakthroughs in the prevention, treatment, and eventual cure of epilepsy. The Committee applauds the development of 

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lepsy: Focus on the Future’’ conference held in March, 2000 and encourages the institute to address important research issues raised 

at the ‘‘Living Well with Epilepsy II’’ conference held in July, 2003. 

The Committee further encourages NINDS to continue to carry out 

its benchmark priorities, to develop plans and goals for the antiepileptic drug development program, and to report to the Committee on its activities to further these important areas of research. 

Hypoglycemia.—Hypoglycemia or extremely low blood sugar is 

especially difficult to manage in young children with type 1 diabetes but can quickly result in serious consequences such as cognitive 

impairment, nerve damage, seizure, coma, or death. NINDS is encouraged to foster research on understanding the biology of the 

brain and nervous system under conditions of low glucose, devising 

better glucose management technologies that reduce the risk of 

hypoglycemia, and develop new agents to protect patients from 

hypoglycemia-related nerve damage. 

Neurofibromatosis (NF).—Advances in NF research have linked 

NF to cancer, brain tumors, learning disabilities, memory loss and 

heart disease. The Committee encourages NINDS to expand its NF 

clinical, pre-clinical and basic research portfolios and to continue 

its efforts to accelerate the process of translational research. The 

Committee commends NINDS for its leadership role in NF research 

and in coordinating efforts with other institutes and government 

agencies engaged in NF research. The Committee encourages 

NINDS to continue its efforts in the creation, implementation and 

funding of NF pre-clinical and clinical trials infrastructures, including NF 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 encourages NINDS 

to continue to coordinate its efforts with other appropriate institutes at NIH as well as other government agencies. 

Parkinson’s disease.—The Committee supports the innovative 

multidisciplinary research and training concerning Parkinson’s disease provided by the Morris K. Udall Parkinson’s Disease Research 

Centers of Excellence. The Committee encourages NINDS to require that the Udall Centers include a significant clinical/ 

translational component, in addition to ongoing basic research. The 

Committee encourages the Director to provide funding expeditiously at the conclusion of the neuroprotection trials (NET–PD) for 

phase III clinical trials of all the neuroprotection compounds that 

survive futility testing. The Committee requests that the Director 

report on funding for phase III trials three-months after the conclusion of each of the NET–PD trials. The Committee recognizes that 

continuation of promising research is an integral part of the strategic plan for future investments in Parkinson’s research. 

Spinal muscular atrophy (SMA).—SMA is the leading genetic 

killer of infants and toddlers. The Committee understands that the 

severity of the disease, its relatively high incidence, and the possibility of imminent treatments have led NINDS to execute the SMA 

Therapeutics Development Program. The Committee commends 

NINDS for this initiative and encourages NINDS to continue the 

project mission of identifying and completing preclinical research 

and development of drug candidate therapeutics for SMA in the 

coming year. More importantly, the Committee encourages NINDS 

to begin planning and budgeting for the necessary next stages of 

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drug development. The Committee requests that NINDS provide a 

progress report on all aspects of SMA research by April 30, 2007. 

Stroke.—The Committee continues to place a high priority on 

stroke research and encourages NINDS to allocate resources to 

basic, clinical and translational research into stroke. The Committee encourages NINDS to continue implementing the long-range 

strategic plan for stroke research and to continue efforts to improve 

stroke diagnosis, treatment, rehabilitation and prevention. 

Traumatic brain injury (TBI).—The Committee encourages 

NINDS to build upon basic and translational research in brain injury rehabilitation at the National Center on Medical Rehabilitation and Research (NCMRR). NCMRR has awarded grants to eight 

bench science research centers and a data center to establish the 

cooperative multi-center traumatic brain injury clinical trials network. The Committee encourages NINDS to participate in supporting these centers and to support training grants for TBI researchers. 

NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

The Committee recommends $4,270,496,000 for the National Institute of Allergy and Infectious Diseases (NIAID), which is 

$112,805,000 below the fiscal year 2006 appropriation and 

$125,000,000 below the budget request. The Committee recommendation does not include bill language requested by the Administration to permit the transfer of $100,000,000 to the global 

AIDS, tuberculosis, and malaria fund. Instead, the Committee has 

recommended an increase of $130,000,000 above the fiscal year 

2006 appropriation for HRSA and CDC domestic HIV/AIDS programs, and has provided $121,952,000 for global HIV/AIDS activities at CDC. In addition, the Committee recommendation does not 

include bill language that would provide $25,000,000 for the construction of extramural facilities for research on infectious agents 

and countermeasures. The Committee understands that these 

funds are intended to support new facilities rather than completion 

of laboratories that are already partially constructed. Therefore, 

the Committee has provided the requested $25,000,000 to the National Center for Research Resources for open competition among 

all institutions rather than a competition specifically aimed at infectious agents. 

Mission.—NIAID supports and conducts basic and clinical research and research training programs in infectious diseases 

caused by, or associated with, disorders of the immune system. 

NIAID supported research includes research on AIDS, asthma and 

allergies, tuberculosis, sexually transmitted diseases, tropical diseases, and emerging microbes. The goals of NIAID research are to 

understand disease pathogenesis better, to improve disease diagnosis, to develop new and improved drugs to treat diseases, and to 

develop new and improved vaccines to prevent disease, many of 

which significantly affect public health. 

Asthma.—The Committee is pleased with NIAID’s leadership regarding asthma research and management. The Committee encourages NIAID to continue to improve its focus and effort on asthma 

management, especially as it relates to children. The Committee 

also encourages NIAID to continue to support asthma prevention, 

treatment, and research activities. 

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Coinfection research.—The Committee is concerned that there is 

growing evidence of liver toxicity of highly active antiretroviral 

therapy (HAART) in those with decompensated liver disease awaiting liver transplantation. There also appears to be an emerging 

problem of liver cancer in co-infected patients (HCV and/or HBV 

with HIV). The Committee encourages NIAID to initiate research 

initiatives in both of these areas. 

Hepatitis C virus (HCV) vaccine development.—The Committee is 

pleased to learn that phase I of a small hepatitis vaccine human 

trial has been successfully completed and that phase II regarding 

efficacy is underway. The Committee expects to be kept informed 

on progress regarding the development of this vaccine and its potential application for intervening in the development of chronic 

disease among the population currently infected with the hepatitis 

C virus. The Committee is concerned with preliminary information 

that this vaccine candidate may not be universally effective against 

all genotypes of hepatitis C and therefore encourages the simultaneous development of other vaccine candidates against hepatitis C 

vaccine. 

Implementation of the transplantation research action plan.—The 

Committee is pleased that NIAID convened an experts conference 

and developed a five-year transplantation research action plan 

identifying the most urgently needed research to facilitate and increase in the success of organ transplantation. The Committee encourages an annual review of progress made in the various research areas identified by the plan with recommendations and appropriate follow up to enhance progress in promising, but low yielding areas of research specifically as they relate to organ donation, 

organ evaluation and organ transplantation. 

Inflammatory bowel disease.—The Committee continues to note 

with interest a scientific research agenda for Crohn’s disease and 

ulcerative colitis (collectively known as inflammatory bowel disease) entitled ‘‘Challenges in Inflammatory Bowel Disease (IBD).’’ 

This report identifies strong linkages between the functions of the 

immune system and IBD. The Committee encourages the Institute 

to focus on: (1) the immunology of IBD and (2) the interaction of 

genetics and environmental factors in the development of the disease. 

Living donor transplantation.—The Committee recognizes that 

the transplantation of organs, tissues, and cells is a powerful mode 

of treatment for dozens of life-threatening diseases affecting millions of Americans. The Committee encourages NIAID’s basic and 

clinical research programs in transplantation to focus efforts on the 

study of living donor transplantation to enhance success rates by 

reducing morbidity and mortality. Additionally the Committee requests to be informed on the institute’s plans to initiate a cohort 

study to assess the health outcomes of living donors not only following the period immediately after the donation but for the quality of life implications for decades post donation. 

Meningococcal disease-serogroup B immunization research.—Although the Committee recognizes that meningococcal disease is 

vaccine-preventable in most cases, approximately 30 percent of the 

deaths and disabilities from this bacterial infection are attributed 

to serogroup B, which is not vaccine-preventable. The Committee 

encourages NIAID to increase specific research efforts to develop 

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an effective, low-cost vaccine against serogroup B that will help 

protect infants and adolescents in the near term. 

Primary immunodeficiency diseases (PI).—NIAID is the lead 

agency for research into bone marrow transplantation (BMT). Recently, the survival rate for severe combined immune deficiency 

(SCID) from related HLA-identical donors has resulted in a survival rate of over 90%. Unfortunately for most patients, there are 

no HLA identical donors. Alternative approaches using HLAmatched unrelated donors and HLA-mismatched related donors 

have produced very promising results. These new approaches have 

been designed to eliminate graft versus host disease, and other 

complications. The Committee encourages NIAID to develop therapeutic approaches to treating SCID patients who require BMT. Advancements in BMT will benefit not only children with SCID, but 

persons with many other diseases (such as cancer, lupus, and HIV/ 

AIDS) who rely on this therapy. 

Tuberculosis (TB).—The Committee is pleased with NIAID’s efforts to develop an effective TB vaccine, and encourages expansion 

of work on this important initiative. 

NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

The Committee recommends $1,923,481,000 for the National Institute of General Medical Sciences (NIGMS), which is $12,137,000 

below the fiscal year 2006 appropriation and the same as the budget request. 

Mission.—NIGMS supports research and research training in the 

basic biomedical sciences. Institute grantees, working in such fields 

as cell biology, biophysics, genetics, developmental biology, pharmacology, physiology, biological chemistry, bioinformatics, and computational biology study normal biological processes to better understand what goes wrong when disease occurs. In this way, 

NIGMS supports the new knowledge, theories, and technologies 

that can then be applied to the disease-targeted studies supported 

by other NIH components. NIGMS-supported basic research advances also find applications in the biotechnology and pharmaceutical industries. The Institute’s training programs help provide 

the scientists needed by industry and academia. NIGMS also has 

programs to increase the diversity of the biomedical workforce. 

Cystic fibrosis (CF).—The Committee encourages NIGMS to support methods for the creation of tools and reagents and advances 

in techniques for precision monitoring of folding and trafficking 

events and to encourage sharing of resulting data, especially in 

area of protein folding or imaging. These tools will support ongoing 

research efforts by other NIH institutes to screen molecules that 

may affect improper protein folding and trafficking, as well as efforts to develop therapies to correct this defect for CF and other 

diseases. 

Minority scientist training programs.—The Committee continues 

to be pleased with the quality of NIGMS’s training programs, particularly those that have a special focus on increasing the number 

of minority scientists such as the Minority Access to Research Careers (MARC) and Minority Biomedical Research Support (MBRS) 

programs. The Committee encourages NIGMS to continue to support these important initiatives, and is particularly pleased that 

NIGMS has supported biomedical career opportunity programs for 

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high school and undergraduate college students in conjunction with 

historically black health professions schools. The Committee encourages continued, long-term support of this program. 

NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

The Committee recommends $1,257,418,000 for the National Institute of Child Health and Human Development (NICHD), which 

is $7,351,000 below the fiscal year 2006 appropriation and the 

same as the budget request. 

Mission.—The NICHD conducts and supports laboratory and 

clinical research on the reproductive, developmental, and behavioral processes that determine and maintain the health and wellbeing of children, adults, families and populations. In addition, research in medical rehabilitation is supported. 

National Children’s Study.—The Committee is very disappointed 

to see that the proposed elimination of funding for the National 

Children’s Study is mentioned only in passing under the ‘‘Items of 

Significant Interest’’ section and nowhere else in the entirety of 

NIH’s fiscal year 2007 justification material. The lack of discussion 

related to this significant termination, which has enjoyed bipartisan support in the House of Representatives, highlights a serious 

shortcoming in the justification materials—one the Committee expects will be remedied in the fiscal year 2008 submission and beyond. As a result, the Committee has included bill language directing NICHD to dedicate $69,000,000 from within funds provided to 

continue the National Children’s Study, including funding all Vanguard Centers and any other activities that were planned for fiscal 

year 2007. If NIH wishes to request that Congress discontinue the 

study in future fiscal years, the Committee directs that a complete 

justification of the reasons for terminating the study accompany 

the budget request, rather than one sentence tucked away in response to prior year report language. 

Autism spectrum disorders.—The Committee is aware of research 

into the genetic basis of autism spectrum disorders and of NICHD’s 

support for the High Risk Baby Sibling Autism Research Project 

(Baby SIBS) on the incidence of autism among children in the same 

families. Accordingly, the Committee encourages the Institute to 

enhance its support for the Baby SIBS project, and encourages the 

NICHD to enhance its work with and support for similar publicprivate partnerships. The Committee also encourages the Institute 

to enhance its autism research portfolio on gene-environment interactions. 

Best practices for planned vaginal birth.—The committee commends the NIH state-of-the-science panel for its work on cesarean 

section by maternal request, and notes that this panel called for 

‘‘increased research devoted to strategies to predict and influence 

the likelihood of successful vaginal birth, particularly in the first 

pregnancy’’ and for future studies to ‘‘determine whether there are 

modifiable factors in the management of labor that can decrease 

maternal and neonatal complications.’’ Therefore the Committee 

encourages NICHD to develop a prospective study to compare optimal best practices for planned vaginal birth, measuring a broad 

range of physical and mental health outcomes appropriate to the 

sample size, including breastfeeding, attachment and other dimensions of the mother-baby relationship, secondary fertility, and the 

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process and outcomes of subsequent pregnancies; and to support 

translational research to identify effective ways to bring best vaginal birth practices for healthy low-risk mothers into practice. The 

Committee further encourages NICHD to include the full range of 

health professionals involved with maternity care (midwives, obstetricians, family physicians, pediatricians, nurses, doulas) and social 

scientists in planning, implementation and reporting of this research. 

Demographic research.—The Committee commends NICHD for 

its impressive demographic research portfolio. Demographic research is essential for understanding the health, socioeconomic, 

and geographic implications of the rapidly changing U.S. population. The Committee encourages the Institute to invest in its demographic training programs to prepare the next generation of social scientists. Further, the Committee encourages the Institute, in 

a partnership with other Federal agencies, to continue supporting 

critical, accessible databases. Data from these resources and other 

studies supported by the NICHD Demographic and Behavioral 

Sciences Branch are key to informing programs and policies aimed 

at improving the health and productivity of the American people. 

Down syndrome.—NICHD is encouraged to partner with 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. 

Drug safety for children.—The Committee recognizes the importance of ensuring that drugs are safe and effective for use by children. The Committee supports continued implementation of the 

Best Pharmaceuticals for Children Act of 2002, which supports the 

pediatric testing of off-patent drugs, as well as on-patent drugs not 

being studied through existing mechanisms. In implementing this 

provision, NICHD should continue to act as coordinator for all 

other institutes within NIH for which pediatric pharmacological 

drug research may have therapeutic relevance, and in consultation 

with the Food and Drug Administration, develop study requests designed to yield improved pediatric labeling. In preparation for reauthorization of BPCA in 2007, the Committee requests NICHD to 

provide a report on the implementation process instituted, including the process for prioritizing drug studies; the number of pediatric studies supported to date both through the Research Fund 

and through the Foundation for the National Institutes of Health 

(FNIH); the contributions of the individual NIH institutes to the 

studies; the estimated cost of each ongoing or proposed study; the 

nature and type of studies proposed or undertaken including 

whether any studies are comparative; the number of study requests 

referred to the FNIH after being declined by drug manufacturers 

and whether the number declined is increasing or decreasing annually; the estimated completion date of all proposed or ongoing studies; the patent status of the drugs studied; the number of drugs remaining on the priority list; and the key ethical, scientific, intellectual property, and operational issues that have arisen in the implementation of the program. 

Epilepsy.—Epilepsy often begins in childhood and can have potentially devastating effects. Even in its mildest forms, epilepsy can 

modify brain development and have lifelong effects on cognitive 

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processes, employment and other quality of life measures. 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 encourages the Institute to 

actively participate in the NINDS 2007 ‘‘Curing Epilepsy’’ conference to fully develop a research agenda related to epilepsy and 

children. 

Mental retardation/developmental disabilities research centers 

(MR/DDRC).—The Committee recognizes the outstanding contributions of MR/DDRCs 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 MR/DDRC 

contributions in the areas of autism, fragile X syndrome, Down 

syndrome and other genetic and environmentally induced disorders. These centers have greatly improved our understanding of 

the causes of developmental disabilities. However, the Committee 

is concerned that the MR/DDRC Centers do not have sufficient resources to sustain the progress made in this critical area. The Committee encourages NICHD to provide sufficient resources to the 

MR/DDRCs to maintain the level of support available for the fourteen centers that were in the network during 2005. 

Near-term births.—The Committee has learned that the preterm 

birth rate is now over 12 percent of all live births, and of these 75 

percent are near term births. It is estimated that this group encompasses 40 percent of neonatal ICU admissions. These infants are at 

risk for sepsis, pneumonia, feeding difficulties, white matter damage, seizures, apnea, and remain at risk for higher morbidities in 

early infancy. The Committee encourages NICHD to support research in this area. 

Neurofibromatosis (NF).—Learning disabilities occur with high 

frequency in children with NF and in approximately five percent of 

the entire world’s population. The Committee encourages NICHD 

to expand its NF research portfolio through all suitable mechanisms, including RFAs and clinical trials. The Committee further 

encourages NICHD to coordinate its efforts with other NIH institutes and government agencies. 

Obstetric systematic reviews.—The Committee applauds NICHD’s 

efforts supporting the Neonatal Cochrane Review Group since 1995 

that not only provides a substantial scientific resource but also allows the community access to these reviews via the NICHD 

website. These reviews are a valuable resource, providing the most 

comprehensive and timely review of clinical topics. The Committee 

encourages NICHD to provide a similar service to the obstetrical 

community by supporting obstetric systematic reviews and providing them free of cost to the general public, a critical gap in the 

medical community. 

Preterm birth.—The Committee commends NICHD for its commitment to reducing the incidence of premature birth and its consequences through its longstanding support for the Maternal-Fetal 

Medicine Unit and the Neonatal Research Network, as well as the 

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sors of an Institute of Medicine study to define and address the 

health related and economic consequences of premature birth and 

looks forward to publication of the recommendations. The Committee encourages NICHD to expand its research on the causes of 

preterm labor and delivery and improving the care and treatment 

of preterm and low birthweight infants, to work with the Office of 

the NIH Director to develop a strategic plan for research, and to 

coordinate its research with other institutes. 

Primary immunodeficiency diseases (PI).—The Committee is 

pleased with NICHD’s dedication of financial and personnel resources to physician education and public awareness programs. The 

Committee is encouraged by the institute’s commitment to develop 

newborn screening procedures for PI, particularly various forms of 

SCID, utilizing microarray technologies. The Committee encourages NICHD to move ahead with this initiative in partnership with 

the Foundation, other NIH institutes and private industry. 

Pulmonary rehabilitation.—Pulmonary rehabilitation has been 

increasingly recognized as an important treatment option for the 

many patients with disabling chronic lung diseases, like COPD. 

The Committee encourages the National Center for Medical Rehabilitation Research to expand research opportunities in this area. 

Spinal muscular atrophy (SMA).—SMA is the leading genetic 

killer of infants and toddlers, and is the most prevalent genetic 

motor neuron disease. The severity of the disease, its relatively 

high incidence, and the possibility of imminent treatments led 

NINDS to initiate the innovative SMA project. The Committee encourages NICHD to continue to formulate a plan for expanding its 

work and funding for SMA research. Specifically, the Committee 

encourages NICHD to coordinate funding with NINDS to ensure 

increased participation of investigators in SMA and developmental 

neurobiology relevant to SMA. Further, the Committee encourages 

NICHD to take the lead on developing a cross-institute working 

group comprised of NICHD, NINDS and NIGMS to study broader 

questions of care and the role of exercise and nutrition on SMA and 

other neuromuscular disease. 

Stillbirth.—The Committee applauds NICHD’s efforts in addressing stillbirth, a major public health issue. The Committee is aware 

that NICHD cooperative network has initiated a pilot study with 

the overall study using a standard protocol planned to start this 

year, and encourages NICHD to continue to support this effort. 

NATIONAL EYE INSTITUTE

The Committee recommends $661,358,000 for the National Eye 

Institute (NEI), which is $5,398,000 below the fiscal year 2006 appropriation and the same as the budget request. 

Mission.—NEI conducts and supports basic and clinical research, 

research training, and other programs with respect to blinding eye 

diseases, visual disorders, mechanisms of visual function, preservation of sight, and the special health problems and needs of individuals who are visually-impaired or blind. In addition, NEI is responsible for the dissemination of information, specifically public and 

professional education programs aimed at the prevention of blindness. 

Diabetic eye disease.—The Committee applauds NEI for the collaborative efforts of the Diabetic Retinopathy Clinical Research 

106 

Network to test innovative treatment 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 reverse or prevent diabetic retinopathy. 

NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

The Committee recommends $637,323,000 for the National Institute of Environmental Health Science (NIEHS), which is 

$3,809,000 below the fiscal year 2006 appropriation and the same 

as the budget request. 

Mission.—The mission of NIEHS is to prevent disease and improve human health by using environmental sciences to understand human biology and disease. This mission is achieved through 

conducting and supporting disease-oriented biomedical research 

(basic, integrative, clinical, and epidemiologic), enhancing research 

capacity in environmental health sciences, prevention and intervention strategies, and communication with researchers, public health 

and health care providers, and the public. 

Asthma.—Given the link between environmental factors and the 

onset of asthma, COPD, and pulmonary fibrosis, the Committee encourages 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 spectrum disorders.—The Committee is aware of the important research into the genetic and environmental basis of autism spectrum disorders. Accordingly, the Committee encourages 

the Institute to expand its support and funding for gene-environment interaction research in autism, and encourages the institute 

to expand its work with and support for similar public-private partnerships. 

Mercury.—In order to properly research gaps in the area of mercury exposure and brain chemistry, and given recent hearings on 

mercury exposure and relationships between autism and Alzheimer’s disease and mercury exposure, NIEHS is encouraged to 

pursue studies of how inorganic mercury and organic mercury compounds (including ethyl, methyl, and other forms of mercury from 

all sources) are processed in the bodies of children and adults. 

NIEHS is also encouraged to support studies of the toxic effects of 

inorganic mercury and organic mercury compounds on the nervous 

systems of young children, adults, and the elderly and methods of 

properly removing mercury and mercury-containing compounds 

from the brains of affected humans. 

National Toxicology Program Interagency Center for the Evaluation of Alternative Methods/Interagency Coordinating Committee on 

the Validation of Alternative Methods (NICEATM/ICCVAM).—The 

Committee commends the NICEATM/ICCVAM for its leadership 

role in the assessment of new, revised and alternative scientifically 

validated methods for the federal government. The Committee also 

commends the National Toxicology Program (NTP) for finalizing its 

‘‘Roadmap to Achieve the NTP Vision, A Toxicology Program for 

the 21st Century’’, which commits to ‘‘develop and validate improved testing methods and, where feasible, ensure that they reduce, refine or replace the use of animals’’ as one of its top four 

goals. 

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The Committee requests that the NICEATM/ICCVAM, in partnership with the relevant federal agency program offices and the 

NTP, build on the NTP Roadmap to create a five-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. In this five-year 

plan the Committee expects that federal agency program offices 

will identify areas of high priority for new and revised non-animal 

and alternative assays or batteries of those assays to create a path 

forward for the replacement, reduction and refinement of animal 

tests, when this is scientifically valid and appropriate. The Committee requests the plan by November 15, 2007. Furthermore, the 

Committee expects that the cost of assembling this plan will not reduce the NICEATM/ICCVAM funding base. 

Parkinson’s disease (PD).—The Committee commends the NIEHS 

on the work of its Collaborative Centers for Parkinson’s Disease 

Environmental Research (CCPDER) Consortium Program to foster 

multidisciplinary research approaches to discover gene-environment interactions in PD. The Committee encourages NIEHS to 

work in conjunction with other NIH institutes and CDC, as necessary, to investigate and submit a report to the House and Senate 

Committees on Appropriations, on the incidence of Parkinson’s disease, including age, occupation, and geographic population clusters, 

and related environmental factors relating to the disease. The 

Committee requests the report by June 30, 2007. 

Toxic exposure and brain development.—Notwithstanding the Institute of Medicine May 2004 report on autism, the Committee believes it is important to develop a more complete understanding of 

the impact that toxic exposures may have on brain development. 

There is a convergence of findings from tissue culture studies, animal models, and clinical studies of immune dysfunction in children 

with autism and other neurodevelopmental disorders (NDDs) that 

suggests a biological link between genetic sensitivity and damage 

to developing brains from certain toxins. It is important that NIH 

continue this research to better understand the impact that exposures to mercury (including thimerosal) and other toxins have on 

brain development. A more complete understanding of the impact 

of these exposures through research, including animal models, will 

help to develop more effective interventions. 

NATIONAL INSTITUTE ON AGING

The Committee recommends $1,039,828,000 for the National Institute on Aging (NIA), which is $6,803,000 below the fiscal year 

2006 appropriation and the same as the budget request. 

Mission.—NIA supports and conducts biomedical, social and behavioral research, training, and health information dissemination 

with respect to the aging process and the diseases and other special 

problems and needs of older Americans. 

Alzheimer’s disease.—The Committee continues to regard Alzheimer’s disease as a high research priority for the Institute, which 

is encouraged to enhance its investment in Alzheimer’s disease research, placing special emphasis on expediting the translation of 

research findings into effective treatments and prevention strategies for at-risk individuals. 

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Bone strength.—The Committee has learned that although bone 

mineral density has been a useful predictor of susceptibility to fracture, other properties of the skeleton contribute to bone strength, 

including exercise and mechanisms of biomineralization. However, 

little is understood as to how these properties assist in the maintenance of bone strength. The Committee encourages NIA, in collaboration with NIAMS, NIBIB, NICHD, and NHLB to support research that will achieve identification of these parameters and lead 

to better prediction for prevention and treatment of bone diseases 

such as osteoporosis, osteogenesis imperfecta, bone loss due to kidney disease, and heart attacks due to hardening of the arteries. 

Demographic and economic research.—The Committee commends 

NIA for supporting exceptional demographic and economic research 

on the implications of population aging. The Committee encourages 

the Institute to continue supporting the Health and Retirement 

Study (HRS)—an important resource policymakers rely on to help 

inform potential changes to the Social Security and Medicare programs. The Committee applauds the Institute for proactively reviewing its data collection activities and looks forward to learning 

more about the outcome of this review and how the future of major 

surveys, such as the HRS and the National Long-Term Care Survey, may be affected. 

Down syndrome.—The Committee commends 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. The Committee encourages 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, NIA is further encouraged to consider how studies of the Down syndrome 

population might enhance the ability to understand, diagnose and 

treat Alzheimer’s disease. 

Edward R. Roybal Research Centers on Applied Genontology.— 

The Committee supports the Edward R. Roybal Research Centers 

on Applied Gerontology, which are designed to move promising social and behavioral basic research findings out of the laboratory 

and into programs, practices, and policies that will improve the 

lives of older people and the capacity of society to adapt to societal 

aging. The Committee encourages NIA to expand the numbers of 

centers, to develop new topics for research especially in the area of 

diversity and ethnic and minority communities, and to provide opportunities for collaborative, interdisciplinary research between the 

Roybal Centers and other program initiatives such as the Resource 

Centers for Minority Aging Research (RCMAR) and the Demographic Centers. 

Epilepsy.—Epidemiologic studies now show that the incidence of 

epilepsy increases in old age, often in association with stroke, cardiovascular disease, brain tumors and Alzheimer’s disease. The 

Committee encourages NIA, working with NINDS, to carry out research to better understand why epilepsy frequently develops in association with diseases of the elderly and to develop therapies to 

prevent the occurrence of epilepsy in the elderly and diminish its 

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ticipate in NINDS 2007 ‘‘Curing Epilepsy’’ conference to further develop a research agenda related to epilepsy and the elderly. 

NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN

DISEASES

The Committee recommends $504,533,000 for the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), 

which is $3,399,000 below the fiscal year 2006 appropriation and 

the same as the budget request. 

Mission.—NIAMS conducts and supports basic and clinical research and research training, and the dissemination of health information on the more than 100 forms of arthritis; osteoporosis and 

other bone diseases; muscle biology and muscle diseases; orthopedic 

disorders, such as back pain and sports injuries; and numerous 

skin diseases. 

Burden of skin diseases.—The Committee notes the relationship 

between the recent Burden of Skin Diseases report and the September 2002 workshop on the burden of skin diseases sponsored by 

NIAMS. The committee continues to encourage NIAMS to expand 

the research portfolio on skin disease and develop partnerships 

with the skin disease research community to address the recognized challenges and future research endeavors. 

Congenic and genetic disease of bone.—The Committee is aware 

that thousands of children and adolescents nationwide suffer from 

musculoskeletal disorders and malformations. Diseases such as 

osteogenesis imperfecta, fibrous dysplasia, osteopetrosis, and 

Paget’s disease are caused by poorly understood genetic mutations. 

In Paget’s disease, underlying genetic defects can also be exacerbated by environmental factors. The Committee encourages NIAMS 

and NICHD to support research focusing on mechanisms of preventing fractures and improving bone quality and correcting malformations, on innovations in surgical and non-surgical approaches 

to treatment, on physical factors that affect growth, and on genetic 

defects that cause bone disease. 

Lupus.—The Committee is aware that despite numerous important research advances, few new therapies are available to patients 

with lupus. Treatment with steroids, anti-inflammatory agents and 

immunosuppressive medications may be palliative but these medications have numerous side effects and may become less effective 

over time. Advances in the identification of lupus susceptibility 

genes and biomarkers make it imperative that a sustained effort be 

made to translate these research advances into clinically relevant 

treatments. The Committee encourages the Institute to develop focused programs designed to move research advances beyond the 

laboratory. 

Marfan syndrome.—The Committee commends NIAMS and its 

collaborative efforts with other institutes to provide vital research 

on Marfan syndrome, a life-threatening, progressive and degenerative genetic disorder which is characterized by aortic aneurysms, 

orthopedic disabilities and ocular manifestations. Management of 

the syndrome by complicated aortic surgery is extending the life 

span of many. However, it has introduced a new generation of people with debilitating painful orthopedic issues such as early-onset 

arthritis, back pain and headaches due to dural ectasia and joint, 

leg and foot pain. Basic, translational and clinical research includVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00113 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
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ing the natural history of skeletal problems in this area is needed 

to investigate the underlying causes of these manifestations and to 

investigate therapeutic choices. This research is essential to improve the quality of life of those suffering from Marfan syndrome. 

The Committee encourages NIAMS to support research in this area 

through all available mechanisms, as appropriate. 

Mucopolysaccharidosis (MPS).—The Committee encourages the 

NIAMS to support and work collaboratively with NIDDK in an effort to achieve a greater understanding of bone and joint lesions in 

MPS disorders. The Committee supports meaningful NIAMS involvement with other institutes in research that specifically addresses the underlying pathophysiology of bone and joint lesions, 

the gene mutations and substrates that are stored, and potential 

therapeutic approaches to treating these debilitating aspects of 

MPS and related disorders. The Committee encourages NIAMS to 

work with participating NIH institutes and the MPS academic and 

patient advocate community to support and focus efforts in this 

area of study that can be particularly beneficial to patients. 

Osteoporosis.—The Committee is aware that osteoporosis is becoming widespread in all ages of our population. The Committee 

encourages NIAMS to collaborate with other institutes to support 

research into the pathophysiology of bone loss in varied populations 

and in targeted therapies to improve bone density and bone quality 

according to the etiology of osteoporosis. Furthermore, the Committee encourages research to identify patients at risk for fracture 

who do not meet current criteria for osteoporosis, as well as to 

study the effects of available and developing osteoporosis treatments on the reduction of fracture risk in these patients. 

NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION

DISORDERS

The Committee recommends $391,556,000 for the National Institute on Deafness and Other Communication Disorders (NIDCD), 

which is $1,902,000 below the fiscal year 2006 appropriation and 

the same as the budget request. 

Mission.—NIDCD funds and conducts research in human communication. Included in its program areas are research and research training in the normal and disordered mechanisms of hearing, balance, smell, taste, voice, speech and language. The Institute 

addresses special biomedical and behavioral problems associated 

with people who have communication impairments or disorders. In 

addition, NIDCD is actively involved in health promotion and disease prevention, dissemination of research results, and supports efforts to create devices that substitute for lost and impaired sensory 

and communication functions. 

NATIONAL INSTITUTE OF NURSING RESEARCH

The Committee recommends $136,550,000 for the National Institute of Nursing Research (NINR), which is $792,000 below the fiscal year 2006 appropriation and the same as the budget request. 

Mission.—NINR supports and conducts scientific research and 

research training to reduce the burden of illness and disability; improve health-related quality of life; and establish better approaches 

to promote health and prevent disease. 

111 

Behavioral research.—The Committee recognizes the importance 

of behavioral research in preventing and treating disease. While 

understanding the biological basis of disease is essential, behavioral factors have a critical influence on the onset, course, and duration of disease and in the successful management of many disease conditions. The Committee encourages NINR to support behavioral research, including research that examines the interactions of biological and behavioral factors and their effect on treatment and prevention. 

Eliminating health disparities.—Health disparities, whether in 

race, ethnicity, or socioeconomic status, continue to be of concern 

to the Committee. Reducing and ultimately eliminating health disparities is a critical priority for all areas of healthcare research. 

The Committee encourages NINR to fund research into the causes 

of health disparities and into new ways to overcome such disparities. Developing new nurse scientists from underserved populations 

will prove valuable for encouraging new health disparities research. 

End of life research.—The Committee recognizes that improving 

the care of terminally ill patients and their loved ones at the end 

of life is an urgent public health need, especially in view of the increasing numbers of older Americans; and that additional research 

is needed in improving palliative care, improving patient/clinician 

communication, and reducing caregiver burden. The Committee appreciates NINR’s leadership in promoting end-of-life research and 

encourages the institute’s continued focus in this area. 

Research training.—Increasing the number of new nurse scientists is critical for advancing nursing research, especially in light 

of the ongoing nursing shortage. Innovative strategies for recruiting and training new researchers are needed. The Committee encourages NINR to support training programs that will develop the 

next generation of nurse scientists, especially those with multidisciplinary research skills and those from underserved populations. 

NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

The Committee recommends $433,318,000 for the National Institute on Alcohol Abuse and Alcoholism (NIAAA), which is 

$2,612,000 below the fiscal year 2006 appropriation and the same 

as the budget request. 

Mission.—NIAAA supports research to generate new knowledge 

to answer crucial questions about why people drink; why some individuals are vulnerable to alcohol dependence or alcohol-related 

diseases and others are not; the relationship of genetic and environmental factors involved in alcoholism; the mechanisms whereby 

alcohol produces its disabling effects, including organ damage; how 

to prevent alcohol abuse and associated damage, especially in the 

underage population; and how alcoholism treatment can be improved. NIAAA addresses these questions through a program of 

biomedical, behavioral, and epidemiologic research on alcoholism, 

alcohol abuse, and related problems. 

Underage drinking.—The Committee is aware of new NIAAAfunded research findings suggesting that exposure to alcohol advertising increases the likelihood that young people will drink and 

drink heavily. The Committee encourages NIAAA to engage in additional study of alcohol advertising issues as an underage drinking 

112 

prevention research priority, and encourages this research to include data on youth brand and beverage preferences. 

NATIONAL INSTITUTE ON DRUG ABUSE

The Committee recommends $994,829,000 for the National Institute on Drug Abuse (NIDA), which is $5,200,000 below the fiscal 

year 2006 appropriation and the same as the budget request. 

Mission.—NIDA-supported science addresses questions about 

drug abuse and addiction, which range from its causes and consequences to its prevention and treatment. NIDA research explores 

how drugs of abuse affect the brain and behavior and develops effective prevention and treatment strategies; the Institute works to 

ensure the transfer of scientific data to policy makers, practitioners, and the public. 

Adolescent brain development.—The Committee notes 

neuroimaging research by NIDA and others showing that the 

human brain does not fully develop until about age 25. This adds 

to the rationale for referring to addiction as a ‘‘developmental disease.’’ 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. 

Drug treatment in criminal justice setting.—The Committee is 

very concerned about the well-known connections between drug use 

and crime. Research continues to demonstrate that providing treatment to individuals involved in the criminal justice system significantly decreases future drug use and criminal behavior, while improving social functioning. The Committee supports NIDA’s efforts 

in this area, particularly the Criminal Justice Drug Abuse Treatment Studies (CJ–DATS). 

HIV/AIDS.—The Committee understands that one of the most 

significant causes of HIV virus acquisition and transmission is 

drug taking practices and related risk factors in different populations. Drug abuse prevention and treatment interventions can be 

very effective in reducing HIV risk. The Committee commends 

NIDA on its ‘‘Drug Abuse and HIV—Learn the Link’’ public awareness campaign, targeting young people, and encourages the Institute to continue supporting research that focuses on developing and 

testing drug-abuse related interventions designed to reduce the 

spread of HIV/AIDS. 

Reducing health disparities.—The Committee notes that the consequences of drug abuse disproportionately impact minorities, especially African American populations. The Committee is pleased to 

learn that NIDA is encouraging researchers to conduct more studies in this population and to target studies in geographic areas 

where HIV/AIDS is high and/or growing among African Americans, 

including in criminal justice settings. 

Reducing prescription drug abuse.—The Committee notes the 

continued increases in the numbers of people, especially young people, who use prescription drugs for non-medical purposes. The 

Committee is particularly concerned about the inappropriate use of 

opiod analgesics—very powerful pain medications. The Committee 

commends NIDA for its research focus in this area, and for the new 

Prescription Opioid Use and Abuse in the Treatment of Pain initiative. Research targeting a reduction in prescription drug abuse, 

113 

particularly among our nation’s youth, should continue to be a priority for NIDA. 

Translating research to communities.—The Committee commends 

NIDA for its outreach and work with 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 NIDA 

for continuing its work with SAMHSA to strengthen State agencies’ 

capacity to support and engage in research that will foster statewide adoption of meritorious science-based policies and practices. 

The Committee encourages NIDA to continue collaborative work 

with states to ensure the research findings are relevant and adaptable by state substance abuse systems. 

NATIONAL INSTITUTE OF MENTAL HEALTH

The Committee recommends $1,394,806,000 for the National Institute of Mental Health (NIMH), which is $8,709,000 below the fiscal year 2006 appropriation and the same as the budget request. 

Mission.—NIMH is responsible for research activities that seek 

to improve diagnosis, treatments, and overall quality of care for 

persons with mental illnesses. Disorders of high priority to NIMH 

include schizophrenia, depression and manic depressive illness, obsessive-compulsive disorder, anxiety disorders and other mental 

and behavioral disorders that occur across the lifespan; these include childhood mental disorders such as autism and attention-deficit/hyperactivity disorder; eating disorders; and other illnesses. 

NIMH supports and conducts fundamental research in neuroscience, genetics, and behavioral science. In addition to laboratory 

and controlled clinical studies, the NIMH supports research on the 

mental health needs of special populations and health services research. 

Adolescent depression and suicide.—Depressive disorders—one of 

the major risk factors for suicide—continue to be very common in 

adolescence. The Committee is pleased to note that NIMH, in partnership with NIDA and NIAAA, is supporting three research centers whose primary focus is on new trials to reduce adolescent suicide, which now accounts for 13 percent of all adolescent deaths 

and ranks third as a cause of death among teenagers. The Committee therefore encourages NIMH to continue this investment in 

finding ways to better identify the risk factors in children and adolescents, and examining the outcomes of actions taken to assist 

those found to be at risk. 

Alzheimer’s disease.—NIMH continues to play an important part 

in efforts to develop effective treatment strategies for Alzheimer’s 

disease. The Institute is currently supporting research examining 

various aspects of the pathophysiology and genetics of Alzheimer’s 

disease, and studies examining behavioral, emotional and psychiatric symptoms associated with the disorder and their treatment. The Committee encourages NIMH to continue to assign a 

high priority to this research. 

Disaster relief.—The Committee encourages NIMH to consider 

supporting the Historically Black College and University (HBCU) 

mental health consortium to serve as a clearinghouse for responding to the mental health needs of the poor and underserved immediately following a disaster. 

114 

Down syndrome.—The Committee encourages NIMH to develop 

new strategies for cataloging, understanding, diagnosing and treating behavioral disorders that are common in people with Down syndrome, including autism, pervasive developmental disorder, obsessive compulsive disorder, depression and psychosis. The Committee 

encourages NIMH to coordinate its research on Down syndrome 

with NICHD, NINDS, NIA and other institutes. 

Epilepsy.—The Committee applauds the NIMH for its recent 

RFA on the etiology and treatment of comorbid mental and 

neurologic disorders. Studies looking at the connections between 

epilepsy and depression as well as the cognitive burden of epilepsy 

are of particular importance and relevance to this initiative. The 

Committee encourages NIMH to actively participate in the NINDS 

2007 ‘‘Curing Epilepsy’’ conference and to continue to advance research related to epilepsy and mental health. 

Mental health for older Americans.—The Committee is aware 

that demographics will demand a greatly increased focus on mental 

disorders in older persons and commends NIMH for recently recognizing the need to place higher priority on the mental health needs 

of that population. The Committee encourages the Institute to follow through on the 2004 recommendations promulgated by the 

NIMH Aging Research Workgroup and the restructuring of the 

Adult and Geriatric Treatment and Preventive Intervention Research Branch. However, the Committee believes it is critical that 

studies related to the elderly keep pace with the rapid growth of 

this cohort. Despite the recent internal reorganization to focus 

intervention efforts on the aging population, the Committee encourages NIMH to continue to emphasize research on adults over age 

65 to reflect the growth in numbers of this population, particularly 

in light of the public health consequences of an inadequate knowledge base about late-life mental illness. A correlating issue is the 

need for greater numbers of investigators focused on late-life mental health research. Therefore, the Committee encourages NIMH to 

expand research in this area, including issues relating to 

neurodegenerative disorders, and to provide adequate resources to 

advance the geriatric mental health research agenda. The Committee encourages NIMH to continue its commitment to research 

on late-life mental illness as a means to act as a catalyst for investigators to focus on this critical area of research. 

Minority training.—The Committee is disappointed to learn that 

NIMH intends to reduce its commitment to training minority scientists through the Minority Fellowship Program and the Career 

Opportunities in Research Program. Both of these programs have 

demonstrated success in training biomedical and behavioral scientists who are addressing critical ethnic minority mental health 

issues. The Minority Fellowship Program in particular has been an 

important national program that has provided access to training to 

all, without regional or university-specific restrictions. The Committee encourages NIMH to continue to fund programs to meet the 

demands for research on disparities in mental disorders. 

Parkinson’s disease.—The Committee encourages continued collaborations including additional intramural activities between 

NINDS, NIMH, and NIA to enhance understanding of the important psychiatric component of neurodegenerative diseases, particularly Parkinson’s. 

115 

Psoriasis.—Psoriasis is associated with elevated rates of mental 

disability, depression and suicidal ideation. The Committee encourages NIMH to conduct research into the mental health aspects of 

psoriasis, especially as it relates to quality of life and burden of the 

disease. Furthermore, a 2005 study of 44 autoimmune diseases 

found that only psoriasis, when present in women around the time 

of pregnancy, was significantly associated with autism, doubling 

the risk of autism spectrum disorder in their children. The Committee encourages NIMH to support further study of the link between psoriasis and autism. 

NATIONAL HUMAN GENOME RESEARCH INSTITUTE

The Committee recommends $482,942,000 for the National 

Human Genome Research Institute (NHGRI), which is $3,107,000 

below the fiscal year 2006 appropriation and the same as the budget request. 

Mission.—NHGRI coordinates extramural and intramural research, as well as research training, in the areas of genomics and 

genetics. The Division of Extramural Research supports research 

on sequence and function of both human and non-human genomes, 

human genetic variation, technology development for genome research, database management and analysis, and research on the 

ethical, legal, and social implications of human genome research. 

The Division of Intramural Research focuses on applying the tools 

and technologies of the successful Human Genome Project to understanding the genetic and environmental basis of disease, and 

developing DNA-based diagnostics and gene-based therapies. 

Cancer genome.—The Committee commends NHGRI and NCI for 

jointly launching the pilot phase of the Cancer Genome Atlas 

(TCGA). This important new effort will accelerate the understanding of the molecular basis of cancer through the application 

of genome analysis technologies, including large-scale genome sequencing. Using technologies developed by the Human Genome 

Project and recent advances in applying genetic information to improve cancer diagnosis and treatment, this effort should lead to 

new tests to detect cancer in its early, most treatable stages; new 

ways to predict which cancers will respond to which treatments; 

new therapies to target cancer at its most vulnerable points; and, 

ultimately, new strategies to prevent cancer. 

Genes and environment.—The Committee commends NIH and 

the Foundation for the NIH (FNIH) for initiating the Genetic Association Information Network (GAIN), a public-private partnership 

using genetic analysis of existing case-control studies to identify 

the genetic roots of common illnesses. The Committee also commends NIH for building on the momentum of GAIN to advance the 

trans-NIH and DHHS Genes, Environment and Health Initiative 

(GEI), beginning in fiscal year 2007. This new research effort combines genetic analysis and environmental technology development 

to understand the causes of common diseases such as Alzheimer’s, 

diabetes, stroke, cancer, asthma, and heart disease. The Committee 

encourages NHGRI to work with the NIEHS on this important 

project. The Committee also encourages NHGRI to follow up on the 

working group recommendations on a ‘‘Population-Based Cohort 

Study to Determine the Relationships among Genes, Environment, 

and Health.’’ This kind of prospective cohort study of a large samVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00119 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
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ple of Americans could provide a valuable complement to the work 

of GAIN and GEI. 

Liver disease.—The Committee encourages NHGRI to focus on 

the genetic component of biliary atresia and other liver diseases 

with a significant identified genetic component. 

Primary immunodeficiency diseases (PI).—The Committee commends NHGRI for its outstanding work in creating a collaboration 

to develop a newborn screening test for X-linked SCID, the most 

severe form of primary immunodeficiency. The Committee looks 

forward to learning of the results of this effort and encourages further use of this model of public-private partnerships. 

Spinal muscular atrophy (SMA).—The Committee is aware that 

SMA carrier testing is available to help persons of childbearing age 

make more informed reproductive decisions with regard to the risk 

of SMA in their offspring. The Committee encourages NHGRI to 

develop a pilot program to assess the optimal practices for delivery 

of population-based screening for SMA carriers. 

NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING

The Committee recommends $294,850,000 for the National Institute of Biomedical Imaging and Bioengineering (NIBIB), which is 

$1,960,000 below the fiscal year 2006 appropriation and the same 

as the budget request. 

Mission.—The NIBIB mission is to improve human health by 

leading the development and accelerating the application of biomedical technologies. The Institute is committed to integrating the 

engineering and physical sciences with the life sciences to advance 

basic research and medical care. 

Liver tissue engineering.—The Committee encourages NIBIB to 

focus efforts on expanding the Tissue Engineering Program to examine how the development and function of engineered tissues and 

organs can improve treatment techniques for patients afflicted with 

liver disease. 

Liver imaging techniques.—Consistent with NIBIB’s mission to 

improve all diagnostic imaging technologies, the Committee encourages NIBIB to continue to make liver imaging techniques a primary focus, speeding the development of new modalities that better 

capture the early stages of various liver diseases, including cancer, 

as well as offering the potential for less invasive combinations of 

diagnosis and treatment and the evaluation of livers from cadaver 

donors. The Committee encourages NIBIB to participate actively in 

trans-NIH initiatives that address these priorities. 

Technological competitiveness.—As the institute charged with developing new technologies with broad applications to virtually all 

of the diseases and organ systems that constitute the missions of 

the other NIH institutes, NIBIB can play a key role in strengthening U.S. technological competitiveness. The leadership of NIBIB 

in supporting research at the interface of the physical and life 

sciences is especially important in light of the President’s proposal 

to increase our investment significantly in basic research in the 

physical sciences. NIH is responsible for more than 50 percent of 

total federal spending for basic scientific research and thus can 

contribute substantially to this plan. 

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NATIONAL CENTER FOR RESEARCH RESOURCES

The Committee recommends $1,123,242,000 for the National 

Center for Research Resources (NCRR), which is $24,141,000 above 

the fiscal year 2006 appropriation and $25,000,000 above the budget request. The Committee includes bill language identifying 

$25,000,000 for extramural facility construction, which is 

$25,000,000 above the request and the fiscal year 2006 appropriation. 

Mission.—The National Center for Research Resources (NCRR) 

provides laboratory scientists and clinical researchers with environments and tools that they can use to prevent, detect, and treat a 

wide range of diseases. This support enables discoveries that begin 

at the molecular and cellular level, move to animal-based studies, 

and then are translated to patient-oriented clinical research, resulting in cures and treatments for both common and rare diseases. 

NCRR connects researchers with each other and with patients and 

communities across the nation to bring the power of shared resources and research to improve human health. 

Extramural facilities.—The Committee provides $25,000,000 for 

extramural facilities construction grants. The Committee encourages NCRR to give special consideration to applications for extramural construction from potential grantees in states who are 

under-represented with regard to NIH awards and to projects at 

historically minority institutions that have developed a comprehensive plan to address the disproportionate impact of cancer in minority communities. The Committee requests to be notified of expenditures under this program, including the primary purpose of facilities selected for funding, after the peer review process for extramural awards has been completed. The Committee intends that facilities for research on infectious agents and countermeasures 

should be eligible to compete for this funding. 

General Clinical Research Centers (GCRCs)/Clinical and 

Translational Science Awards (CTSAs).—In fiscal year 2006 Congress provided funds to begin the CTSA program, in order to move 

basic research into clinical practice and fundamentally transform 

clinical and translational research. The Committee is pleased that 

NIH, through NCRR, has developed the mechanisms necessary to 

foster the interdisciplinary collaborations that are increasingly necessary for success in curing disease. The Committee understands 

that the clinical research services provided through the current 

GCRCs will be a component of the CTSAs. These clinical services, 

as well as other linked clinical grant mechanisms, will provide the 

locus for a robust clinical and translational research enterprise. As 

the CTSA initiative is implemented, the Committee reminds NIH 

about the need to ensure that the program improves on the current 

clinical research infrastucture provided through the existing 

GCRCs. The Committee requests a report on NCRR’s progress in 

implementing the CTSA program by July 1, 2007. 

Institutional Development Awards (IDeA).—The Committee recommends $215,938,000 for the IDeA program, which is the same 

as the budget request and $4,048,000 below the fiscal year 2006 

appropriation. The Committee recognizes the importance of the 

Centers of Biomedical Research Excellence (COBRE) and the IDeA 

Networks of Biomedical Research Excellence (INBRE) programs, 

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and expects funding for COBRE to be at a level of at least 

$130,000,000 and INBRE funding to be at least $85,000,000. 

Research centers at minority institutions (RCMI).—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. These programs help facilitate the preparation of a new 

generation of scientists at these institutions. The RCMI program 

continues to impact significantly on these problems. The Committee encourages NIH to strengthen participation from minority 

institutions and increase resources available in this area. The Committee also encourages NIH to work with minority institutions with 

a track record of producing minority scholars in science and technology. 

NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE

MEDICINE

The Committee recommends $120,554,000 for the National Center for Complementary and Alternative Medicine (NCCAM), which 

is $911,000 below the fiscal year 2006 appropriation and the same 

as the budget request. 

Mission.—NCCAM was established to stimulate, develop, and 

support rigorous and relevant research of high quality and open, 

objective inquiry into the safety and effectiveness of complementary 

and alternative medicine (CAM) practices and to train individuals 

to apply the tools of exacting science to CAM systems and modalities in order to provide health care professionals and the American 

public with reliable information about these practices. 

Ameliorating liver disease.—The Committee is pleased with 

NCCAM’s efforts to conduct clinical trials in collaboration with 

NIDDK regarding the use of milk thistle as a possible treatment 

in slowing the progression of nonalcoholic steatohepatitis and to reduce the side effects of hepatitis C interferon treatments. The Committee looks forward to the development and dissemination of the 

research results associated with the use of milk thistle as a treatment to ameliorate liver disease. 

Parkinson’s disease (PD).—The Committee encourages NCCAM 

to continue exploration of exercise in its many forms including aerobic, anaerobic and exercises such as Tai Chi Chuan in the treatment of PD. Recent studies show exercise may increase 

neuroprotective chemicals in the brain and decrease falls in the elderly. The Committee also encourages continued research into significant non-motor co-morbidities in Parkinson’s including magnetic 

stimulation for depression, and the phytomedicine Valerian for 

sleep dysfunction. Finally, NCCAM is encouraged to work the Office of Dietary Supplements in investigating supplements which 

may be neuroprotective, such as berries, alpha lipoic acid, N-acetylL-cysteine, acetyl-L-carnitine, vitamin E, ginko biloba, vitamin D, 

vitamin B12, phosphatidylcholine, and glyconutrients. In light of 

the many ways cell death can occur, NCCAM is encouraged to 

study the concurrent implementation of multiple exercise and nutrition-based strategies. 

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NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

The Committee recommends $194,299,000 for the National Center on Minority Health and Health Disparities (NCMHD), which is 

$1,106,000 below the fiscal year 2006 appropriation and the same 

as the budget request. 

Mission.—NCMHD conducts and supports research, training, information dissemination and other programs aimed at reducing the 

disproportionately high incidence and prevalence of disease, burden 

of illness and mortality experienced by certain American populations, including racial and ethnic minorities and other groups, 

such as the urban and rural poor, with disparate health status. 

Cancer in minority communities.—The Committee commends 

NCMHD for its leadership in addressing the disproportionate impact of cancer in minority communities. The Committee encourages 

NCMHD to consider collaborating with NCRR and NCI to support 

the establishment of a cancer center at a historically minority institution focused on research, treatment, and prevention of cancer in 

African American and other minority communities. 

Disaster-related mental health issues in minority communities.— 

The Committee is aware that Hispanic survivors of Hurricanes 

Katrina and Rita may have experienced increased risks for certain 

mental health conditions due, in part, to barriers encountered in 

the mainstream mental health and disaster relief systems. Therefore the Committee encourages NCHMD to seek out research sites 

that can conduct research into culturally-competent and linguistically-appropriate treatment strategies for minority survivors of 

natural and man-made disasters; to develop and evaluate community-based pilot programs to test such strategies; and to submit a 

report to Congress including recommendations for public policy and 

practice to improve the Hispanic community’s access to quality 

mental health treatment. 

Extramural facility construction.—The Committee commends 

NCMHD for its successful ‘‘Project EXPORT’’ initiative and encourages continued support for this important program. Finally, the 

Committee encourages the director of NCMHD to coordinate with 

the NIH Director and the National Center for Research Resources 

to support extramural facility construction and the development of 

other research and research library infrastructure at minority 

health professions schools. 

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 encourages NCMHD to explore collaboration with NIDDK to support research activities related to glomerular injury and requests a report on progress made 

in this area by August 1, 2007. 

Health disparities among Hispanic-Americans.—The Committee 

is aware of promising research about health disparities among Hispanic-Americans that is being conducted, and is particularly impressed that this is the first study of its scope that has been implemented in a Hispanic population in the United States. The Committee therefore encourages NCMHD to continue to conduct similar 

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gional factors affecting such health disparities, with the goal of 

identifying the best proposals and the most promising avenues for 

national, regional and disease-specific research in order to continue 

to make progress in addressing health disparities among HispanicAmericans. 

Liver disease.—The Committee notes that many liver diseases, 

such as hepatitis C, hepatitis B and nonalcoholic steatohepatitis, 

are more common in the African-American, Hispanic, Asian Pacific 

Islander and Native American populations, than in whites. In addition, access to and acceptance of care is particularly problematic in 

these populations. The Committee therefore continues to encourage 

NCMHD to initiate and participate with NIDDK, NIDA and NCI 

in research focused on addressing and reducing these disparities 

and requests that NCMHD report on progress in this regard by 

July 1, 2007. 

Lung disease.—The Committee is concerned with the disproportionate impact of lung diseases on minority populations. The Committee encourages the NCMHD to partner with other NIH institutes, including NHLBI, to develop an epidemiological approach to 

determine the disproportionate impact of airway disease on minority populations. 

Research endowment.—The Committee commends NCMHD for 

its leadership in addressing the longstanding problem of health disparities in minority and medically underserved populations. For 

fiscal year 2007, the Committee continues to encourage NCMHD to 

implement its successful Research Endowment program as an ongoing initiative. Moreover, the Committee encourages NCMHD to 

implement the program in a manner that is consistent with the authorizing legislation. 

JOHN E. FOGARTY INTERNATIONAL CENTER

The Committee recommends $66,681,000 for the Fogarty International Center (FIC), which is $303,000 above the fiscal year 2006 

appropriation and the same as the budget request. 

Mission.—FIC was established to improve the health of the people of the United States and other nations through international 

cooperation in the biomedical sciences. In support of this mission, 

the FIC pursues the following four goals: mobilize international research efforts against global health threats; advance science 

through international cooperation; develop human resources to 

meet global research challenges; and provide leadership in international science policy and research strategies. 

American Russian Cancer Alliance (ARCA).—The Committee 

again recognizes the members of ARCA in their continued pursuit 

of novel cancer research activities that capitalize on the particular 

strengths of the respective participating institutions, and notes the 

achievements in the ARCA-sponsored projects in molecular imaging 

and radioisotope-targeted cancer therapy and diagnosis. As the 

principal NIH institute charged with overseeing and supporting 

international biomedical scientific activities and initiatives, FIC is 

well positioned to provide grant support for bi-national pilot studies, and the Committee looks to Fogarty to assist the Alliance in 

identifying and, when appropriate, in applying for support of pilot 

studies in cancer prevention, treatment, or diagnosis research. 

121 

Chronic obstructive pulmonary disease (COPD).—The Committee 

encourages FIC to expand its COPD research and training activities. 

Tuberculosis training.—The Committee is pleased with FIC’s efforts to supplement grants in the AIDS International Training and 

Research Program (AITRP) and International Training and Research Program in Emerging Infectious Diseases (ERID), which 

train tuberculosis experts in the developing world. Given the magnitude of global TB, the Committee encourages FIC to develop a 

specific free-standing TB training program. 

NATIONAL LIBRARY OF MEDICINE

The Committee recommends $313,269,000 for the National Library of Medicine (NLM), which is $1,641,000 below the fiscal year 

2006 appropriation and the same as the budget request. In addition, $8,200,000 is made available from program evaluation funds 

as requested by the Administration to support the National Center 

on Health Services Research, which is equal to what was provided 

in fiscal year 2006. 

Mission.—NLM collects, organizes, and disseminates information 

important to biomedicine; serves as a national information resource 

for medical education, research, and health service activities; enhances access to biomedical literature through electronic services; 

serves the public by providing electronic access to reliable health 

information for consumers; supports and directs the National Network of Libraries of Medicine; provides grants for research in biomedical communications, medical library development, and training health information specialists; conducts and supports research 

in biomedical informatics and computational biology; and creates 

information resources for genomics, molecular biology, toxicology, 

medical images, environmental health, emergency preparedness 

and response, and health services research. 

Disease management technology.—The Committee encourages 

NLM to conduct outreach activities to all public and private sector 

organizations that have demonstrated capabilities in health information technology. The Committee is particularly interested in disease management technology as it relates to improving care for the 

chronically ill and reducing health care costs. 

Outreach.—The Committee encourages NLM, in coordination 

with medical librarians and other health information specialists, to 

continue its outreach activities aimed at educating health care professionals and the general public about its products and services. 

PubMed Central.—The Committee commends NLM for its leadership in developing PubMed Central, an electronic online repository 

for life science articles. Because of the high level of expertise health 

information specialists have in the organization, collection, and dissemination of medical information, the Committee believes that 

health sciences librarians have a key role to play in the further development of PubMed Central. The Committee encourages NLM to 

work with the medical library community regarding issues related 

to copyright, fair use, peer-review and classification of information 

on PubMed Central. 

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OFFICE OF THE DIRECTOR

(INCLUDING TRANSFER OF FUNDS)

The Committee recommends $667,825,000 for the Office of the 

Director (OD), which is $140,259,000 above the fiscal year 2006 appropriation and the same as the budget request. Included within 

funding for the Office of the Director is $96,030,000 for radiological, 

nuclear and chemical countermeasures. It is intended that the Director allocate these funds to those institutes that support these 

areas of countermeasure research. 

Mission.—OD provides leadership to the NIH research enterprise 

and coordinates and directs initiatives that cross-cut the NIH. OD 

is responsible for the development and management of intramural 

and extramural research and research training policy, the review 

of program quality and effectiveness, the coordination of selected 

NIH-wide program activities, and the administration of centralized 

support activities essential to the operations of NIH. 

The bill repeats language included in prior years authorizing the 

collection of third party payments for the cost of clinical services, 

providing the Director of NIH with one percent transfer authority, 

and allocating up to $500,000 of funds within the Office of the Director appropriation for the Foundation for the National Institutes 

of Health. The Committee recommends $120,700,000 within the Office of the Director for the Director’s Discretionary Fund (DDF), 

which is the same as the request and $28,630,000 above the fiscal 

year 2006 appropriation. In addition, the Committee recommendation includes $159,500,000 for the advanced development of biodefense countermeasures. The Committee also includes bill language providing $10,000 as requested by the Administration for 

representation allowances when specifically approved by the Director of NIH. 

The Committee recommends $3,000,000 for the Office of Portfolio 

Analysis and Strategic Initiatives (OPASI) as requested by the Administration. The Committee believes that OPASI is a critical 

mechanism to review the NIH research portfolio as a whole, to address the issues raised by external groups about the coding of diseases for funding reporting, and, most importantly, as a tool to help 

direct future research efforts in order to maximize the significant 

public investment in biomedical research to cure disease. 

The Committee includes bill language from last year’s bill identifying maximum of $332,000,000 that may be transferred from ICs 

to the Common Fund, which supports activities that are of benefit 

to multiple institutes and centers. The language also requires the 

Director to report to the House and Senate Committees on Appropriations every six months detailing all deposits to and expenditures from the Common Fund. 

Priority setting.—The Committee recognizes the role of serendipity in science, but continues to believe that thorough and 

thoughtful strategic planning is a far superior alternative. The 

Committee commends each IC that has undertaken a strategic 

planning process in conjunction with the best and brightest minds 

in the extramural community. Accordingly, the Committee directs 

each IC to develop a report, to be submitted no later than February 

15, 2007, that identifies, by IC, measures to be taken to ensure 

that awards made via the peer review process in fiscal year 2007 

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and beyond reflect the strategic plans that have been published by 

each IC in conjunction with the extramural community. The Committee expects that such reports will identify specific steps such as 

mechanisms to ensure that strategic directions, as identified in 

strategic plans, are included in the peer review process for unsolicited grant applications as well as an increased emphasis on the use 

of requests for applications (RFAs) that identify specific research 

themes to achieve the strategic goals of each IC, as identified in the 

strategic plan. Furthermore, the Committee expects that each IC 

will adopt a tactical approach to implementing strategic plans so 

as to maximize the significant public investment with the ultimate 

aim of curing diseases. 

Office of Research on Women’s Health 

The Office of Research on Women’s Health (ORWH) works in collaboration with the institutes and centers of NIH to promote and 

foster efforts to address gaps in knowledge related to women’s 

health through the enhancement and expansion of funded research 

and/or the initiation of new investigative studies. ORWH is responsible for ensuring the inclusion of women in clinical research funded by NIH, including the development of a computerized tracking 

system and the implementation of guidelines on such inclusion. 

ORWH is also involved in promoting programs to increase the 

number of women in biomedical science careers, and in the development of women’s health and sex and gender factors in biology as 

a focus of medical/scientific research. 

Irritable bowel syndrome (IBS).—The Committee is pleased with 

the increased focus on IBS at ORWH and encourages the office to 

continue expanding research on this prevalent functional gastrointestinal disorder. 

Office of AIDS Research 

The Office of AIDS Research (OAR) is responsible for coordination of the scientific, budgetary, legislative, and policy elements of 

the NIH AIDS research program. OAR develops a comprehensive 

plan for NIH AIDS-related research activities which is updated annually. The plan is the basis for the president’s budget distribution 

of AIDS-related funds to the Institutes, and centers within NIH. 

The Committee expects the Director of NIH to use this plan and 

the budget developed by OAR to guide his decisions on the allocation of AIDS funding among the Institutes. The Director of NIH 

also should use the full authority of his office to ensure that the 

institutes and centers spend their AIDS research dollars in a manner consistent with the plan. In addition, OAR allocates an emergency AIDS discretionary fund to support research that was not 

anticipated when budget allocations were made. 

The Committee has included the same general provisions in bill 

language that were contained in the fiscal year 2006 appropriations 

bill. This language permits the Director of OAR, jointly with the 

Director of NIH, to transfer between ICs up to three percent of the 

funding determined by NIH to be related to AIDS research. This 

authority could be exercised throughout the fiscal year subject to 

normal reprogramming procedures, and is intended to give NIH 

flexibility to adjust the AIDS allocations among institutes if research opportunities and needs should change. The Committee also 

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repeats language from last year’s bill making the research funds 

identified by NIH as being AIDS-related available to the OAR account for transfer to the institutes. This provision permits the flow 

of funds through the OAR in the spirit of the authorization legislation without requiring the Congress to earmark a specific dollar 

amount for AIDS research. 

Office of Dietary Supplements 

The Office of Dietary Supplements (ODS) was established in recognition that dietary supplements can have an important impact 

on the prevention and management of disease and on the maintenance of health. ODS is charged with promoting, conducting, and 

coordinating scientific research within NIH relating to dietary supplements. 

Office of Behavioral and Social Sciences Research 

The Office of Behavioral and Social Sciences Research (OBSSR) 

provides leadership and direction for the development of a transNIH plan to increase the scope of and support for behavioral and 

social science research and in defining an overall strategy for the 

integration of these disciplines across NIH institutes and centers; 

develops initiatives to stimulate research in the behavioral and social sciences arena and integrate a biobehavioral perspective across 

the research areas of NIH; and promotes studies to evaluate the 

contributions of behavioral, social and lifestyle determinants in the 

development, course, treatment, and prevention of illness and related public health problems. 

Basic behavioral research.—The Committee encourages OBSSR 

to continue working to build alliances among institutes that support and nurture basic behavioral and social sciences research. In 

particular, the Committee encourages OBSSR to partner with 

NIGMS and other funders of basic research to enhance support for 

work on methods, animal models, and the interplay of biological 

factors, behavioral and social influences underlying phenomena 

such as stress that influence multiple health conditions. 

Office of Rare Disease Research 

The Office of Rare Disease Research (ORD) was established in 

recognition of the need to provide a focal point of attention and coordination at NIH for research on rare diseases. ORD works with 

Federal and non-Federal national and international organizations 

concerned with rare disease research and orphan products development; develops a centralized database on rare diseases research; 

and stimulates rare diseases research by supporting scientific 

workshops and symposia to identify research opportunities. 

Pediatric liver diseases.—The Committee is pleased that ORD 

has continued to provide significant funding to support 10 centers 

within the Biliary Atresia Clinical Research Consortium, as well as 

working with NCRR to research cholastatic liver disease in children. 

Multi-Institute Research Issues 

Amyloidosis.—The Committee encourages NIH to continue to intensify its research efforts into the amyloidosis, a group of rare diseases characterized by abnormally folded protein deposits in tisVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00128 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
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sues. These diseases are often fatal and there is no known cure. 

Treatment involving large-dose intravenous chemotherapy followed 

by stem cell replacement or rescue is effective for many patients, 

but this procedure is risky, unsuitable for many patients, and not 

a cure. The Committee understands that NIH will be holding a national conference on amyloidosis and participating in an international conference. The Committee looks forward to being informed on the results of these conferences and to receiving from 

NIH the results and recommendations identifying the next steps 

that need to be taken to increase the understanding, prevention 

and treatment of this devastating group of diseases. 

Clinical and translational research.—The Committee believes 

that using clinical and translational research to move scientific advances developed in the laboratory to mainstream medical practice 

is critical to the effort to cure disease. As such, the Committee commends NIH for launching the Clinical and Translational Science 

Awards (CTSA) program, which will help to transform the manner 

in which basic and applied research reach patients. Accordingly, 

the Committee encourages NIH to expand the use of this concept 

across multiple ICs as quickly as possible in order to ensure that 

potentially life-saving breakthroughs reach patients without delay. 

The Committee requests a report by April 1, 2007 detailing NIH’s 

progress in this area, including identifying any potential barriers 

to widespread implementation of the CSTA program. 

Alpha–1 antitrypsin deficiency.—The Committee is aware that 

Alpha–1 antitrypsin deficiency (Alpha–1) is a major genetic risk 

factor for Chronic Obstructive Pulmonary Disease (COPD). The 

Committee commends NIH, particularly NHLBI, for its plans to 

focus additional research in the area of COPD. The Committee encourages NHLBI, NIDDK, NHGRI and other appropriate institutes 

to enhance the NIH research portfolio, encourage targeted detection, raise public awareness about Alpha–1 and provide appropriate information to health professionals. 

Autism and vaccines.—The Committee continues to be aware of 

concerns about reports of a possible association between the measles component of the measles-mumps-rubella (MMR) vaccine and 

a subset of autism termed autistic entercolitis. The Committee continues its interest in this issue and encourages the Interagency Coordinating Committee to continue to give serious attention to these 

reports. The Committee is aware that NIH-supported research is 

underway, and encourages NIH to avoid further delays in this research. 

The Committee is also concerned that there is some evidence 

that infant exposures to thimerosal in the 1990s may be related to 

the epidemic of neurodevelopmental disorders in children. CDC’s 

most extensive review of Vaccine Safety Datalink data concluded 

that more research needs to be conducted in this arena to answer 

these questions with certainty. The Committee concurs with the 

need for this continued research, particularly given the recent expansion of flu vaccine for children and the fact that most childhood 

vaccines administered in developing countries still contain thimerosal. 

The Committee encourages NIH to dedicate significant resources 

to pursue the recommended research initiatives outlined in the Institute of Medicine’s (IOM) Immunization Review. These reports 

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have identified the research needed to understand better why a 

number of children suffer severe adverse reactions to childhood 

vaccines. Continuation of this research to develop a better understanding of biological mechanism is critical to understanding with 

certainty whether or not thimerosal and other vaccines exposures 

might cause increased risks for some children. 

Autism spectrum disorders.—The Committee is encouraged by 

NIH’s autism research matrix and encourages NIH to devote sufficient resources to this research agenda. The Committee encourages 

NIH when implementing the autism research matrix to coordinate 

with autism organizations already funding research initiatives to 

ensure the most efficient use of its resources. The Committee also 

notes the promise of particular areas cited in the matrix, including 

genetic, gene-environment interactions, behavioral characterizations of the disorder, screening and early diagnosis, and the development of evidence-based interventions. 

Carcinoid tumor disease.—Carcinoid cancer and related 

neuroendocrine tumors are small, slow growing tumors found mostly in the gastrointestinal system, but can also be found in other 

parts of the body such as the pancreas and the lung. The Committee encourages the Director to expand and coordinate research 

and related activities with respect to carcinoid disease and carcinoid tumor biology across all relevant institutes, centers and offices, particularly at NCI, to help foster early and accurate diagnosis as well as develop new, safe, and effective treatments for the 

disease and move toward a cure. In addition, the Committee encourages NCI to hold a summit on carcinoid cancer and requests 

a report by June 1, 2007 on future research plans for carcinoid cancer. 

Chromosome abnormalities.—The Committee commends NIH for 

its efforts over the past year to encourage new research into molecular, genetic, clinical and therapeutic aspects of chromosome abnormalities. Because of the multisystemic consequences of a chromosome abnormality, multidisciplinary and multi-institute support 

by NIH will be required in order to make progress that will be 

meaningful to those affected. The Committee continues to encourage NIH to seek ways to expand and intensify such research, especially studies involving the syndromes of chromosome 18. 

Cystic fibrosis.—The Committee commends the Director and NIH 

for facilitating progress in finding new ways to treat individuals 

with cystic fibrosis (CF). Progress from the 1960s when children 

with CF did not live long enough to attend elementary school to today’s median life expectancy of 35 years has resulted from significant contributions of both NIH and the private sector. The Committee encourages NIH to support more research in CF to cure this 

disease, a goal that is achievable, and can result in lessons to benefit research on other rare, genetic diseases. 

The Committee commends the Director for recent initiatives in 

the NIH Roadmap to re-engineer the clinical research system by 

issuing grants to establish integrative academic homes for clinical 

and translational science. The Committee encourages the Director 

to consider as a model the CF clinical trials network, and to continue to support this model network, which is making great advances in developing new treatments for cystic fibrosis. 

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Down syndrome.—The Committee encourages the Director to establish an NIH Down syndrome research task force on cognition to 

develop a strategic plan for genetic and neurobiological research relating to the cognitive dysfunction and the progressive late-life dementia associated with Down syndrome. The purpose of the strategic plan is to provide a guide for coordinating Down syndrome research on cognition across NIH and for enhancing the development 

of new research efforts based on identification of areas of greatest 

scientific opportunity, especially as they relate to the development 

of future treatments. The plan should include short, intermediate 

and long-term goals for basic and clinical research with strategies 

for achieving goals and with specified time frames for implementation. 

Dystonia.—The Committee is very pleased with progress demonstrated by the NIH intramural research program in the treatment and understanding of dystonia. NIH intramural researchers 

have successfully utilized injections of Botox to treat many patients 

who otherwise would be severely debilitated by dystonia. The Committee encourages continued work in this important area of study 

and treatment. 

Gene therapy research.—The Committee is encouraged by promising research being undertaken in gene therapy, especially in regard to thalassemia, or Cooley’s anemia. The Committee is concerned, however, that the current mechanism for funding gene 

therapy research, while promoting advancement of individual components of gene therapy, lacks an overarching strategy that will 

coalesce these advances and encourage the ultimate goal of curing 

genetic disorders expeditiously. The Committee is equally concerned that the most innovative research in curative gene therapy 

is being conducted in Europe rather than in the U.S. Last year, the 

Committee urged the Director to assess the prospects for the most 

promising areas for breakthroughs in this field and to develop an 

aggressive program to focus resources on it. A meeting was convened on the topic, but the Committee believes that more focused 

and aggressive action is needed. NIH should assess the prospects 

for success in a broad range of diseases, with the goal of curing a 

single gene disorder in the shortest possible time utilizing gene 

therapy. The Committee requests a plan for implementing an aggressive research agenda by January 1, 2007. 

Heart disease research and prevention action plan.—The Committee is pleased to learn that the NIH, through the NHLBI, will 

convene a national conference in 2006 to assess progress and opportunities in heart disease research and prevention and to develop 

a comprehensive, long-range, trans-agency action plan. The Committee looks forward to receiving the report by March 1, 2007, and 

expects the report to be a long-range, trans-agency action plan on 

heart disease research and prevention, with quantifiable goals and 

benchmarks to measure progress in the battle against heart disease. 

Human tissue supply.—The Committee remains interested in 

matching the increased needs of NIH grantees and intramural researchers who rely upon human tissues and organs to study disease and search for cures, including for those researchers dedicated 

to the study and cure of rare diseases. The Committee is aware 

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sue supply. While this is promising, there is still an unmet demand 

for the use of human tissue in research. The Committee encourages 

the Director to strengthen the core for this initiative and to broaden its scope to other institutes such as NCI, NHLBI, and NINDS 

that have not previously participated in the initiative’s core support. 

Lymphatic research and lymphatic diseases.—In light of the 

transformational impact of lymphatic biology and disease research, 

which requires the participation of multiple institutes and centers, 

the Committee encourages the Director to give careful consideration to the development of an initiative for lymphatic biology and 

disease under the auspices of OPASI. In addition, the Committee 

encourages the Director and the Trans-NIH Coordinating Committee on the Lymphatic System to pursue the goals of fostering 

lymphatic research initiatives and awareness across all NIH institutes and centers. 

Microbicides.—There is an urgent need to expand the development pipeline with more microbicide candidate products, particularly those that target HIV in new ways. In addition to candidates 

that may arise from basic research efforts, the best possibilities 

may be found within pharmaceutical companies where there are, 

today, dozens of potential compounds already developed as therapeutics that could move into clinical development as microbicides 

if made available. As outlined in the ‘‘NIH Roadmap,’’ NIH has 

mechanisms in place to encourage partnerships among researchers 

in academia, government and the private sector. The Committee 

encourages the leadership at NIH to support the microbicide field 

by encouraging the pharmaceutical industry to allow its drug candidates to be developed as microbicides. In recent years, the International Partnership for Microbicides has entered into innovative 

agreements with leading pharmaceutical companies to test and develop leading AIDS drugs as microbicides. More partnerships like 

these between the pharmaceutical industry and the non-profit community will be critical. 

Microbicides to prevent HIV/AIDS.—The Committee notes with 

alarm that being female, married and poor are often the most significant risk factors for acquiring HIV. Once developed, 

microbicides will be a critical element of a comprehensive response 

to HIV/AIDS that takes into account the unequal impact of the epidemic on women. The Committee encourages greater emphasis on 

microbicide research and development at NIH. The Committee has 

long advocated that NIH establish a dedicated microbicide unit 

with clearly identified leadership, funding and staffing to accelerate and coordinate NIH-supported microbicide research. Greater 

leadership and coordination on this issue is especially critical given 

that a microbicide-specific clinical trial network is under active review for approval. 

Minority institution research infrastructure.—The Committee 

continues to be pleased with the NIH Director’s implementation of 

various programs focused on developing research infrastructure at 

minority health professions institutions, including Research Centers at Minority Institutions, extramural biomedical research facilities, and the National Center on Minority Health and Health Disparities. The Committee encourages the NIH Director to work 

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ordination among these various mechanisms to partner with minority health professions schools to address their infrastructure needs. 

Mucolipidosis Type IV (ML4).—The Committee commends 

NINDS, NIMH and NICHD for efforts to create a strain of mice 

that replicates the genetic mutation that causes ML4 in humans. 

The Committee encourages continued research in the effort to cure 

ML4 and similar genetic disorders. 

Musculoskeletal trauma and skeletal pain.—The Committee encourages NIAMS, NIA, NIDCR, and NCCAM to study ways to understand better the epidemiology of back pain, and improve on or 

develop new diagnostic techniques for back pain. The Committee 

also encourages expansion of research to improve diagnostic and 

therapeutic approaches to lower the impact of musculoskeletal 

trauma. 

Osteoporosis and bone health action plan.—The Committee appreciates the report the Surgeon General submitted on bone health 

in October 2004. In the report, the Surgeon General calls for a national action plan for bone health. To accomplish this, the Committee encourages NIH to convene a national summit and develop 

a National Action Plan for Bone Health and Osteoporosis. 

Parkinson’s disease (PD).—The Committee continues to encourage NIH to develop a strategic plan for future investments in PD 

research, based on the findings of a planning conference tasked 

with identifying the current shortcomings and future opportunities 

for more effective treatments and potential cures for the disease, 

and with a clearly defined budget for achieving those objectives. 

The Committee understood last year that NIH convened a conference in June of 2005 and instructed NIH to report back to Congress the conclusions and recommended research plan for the next 

three years of PD research. The Committee further encourages 

NIH to submit an implementation plan that outlines progress already made and specific results of investments outlined in that 

plan by June 30, 2007. 

The Committee also encourages continued collaborations including additional intramural activities between NINDS, NIMH, NIA 

and NHGRI to enhance understanding of neurodegenerative diseases and develop therapeutic applications for gene discoveries. 

Psoriasis.—The Committee encourages the Director to expand 

and coordinate research and related activities with respect to psoriasis and psoriatic arthritis across all relevant ICs, particularly at 

NIAMS and NIAID, to help foster new, safe, and effective treatments for these diseases and move toward a cure. 

Rett syndrome.—The Committee applauds NIH’s continued commitment to Rett syndrome research, a gentically-based neurological 

disorder seen almost exclusive in females, which is estimated to 

occur in approximately one in ten thousand female births. Recent 

discoveries suggest that mutations in the gene responsible for Rett 

syndrome are associated with other disorders including learning 

disability, autism, schizophrenia, mental retardation, and in infant 

males, a progressive, fatal encephalopathy. New basic biomedical 

discoveries are also providing insights on general mechanisms of 

postnatal brain development, providing a roadmap of new avenues 

of interventions with the potential to treat Rett syndrome and 

other neurological disorders. 

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The Committee is pleased that NINDS, NIMH, and NICHD have 

partnered with existing advocacy groups in the development of cofunded projects, and encourages additional support for development 

of new animal models and for continuation of the ongoing genotype/ 

phenotype investigations to hasten progress in eliminating this and 

other neurologically based disorders. 

The Committee encourages expansion of research in applied 

areas that will improve the quality of life for individuals with Rett 

syndrome and others with communicative disorders, and encourages NIH to redouble its effort to integrate the work of appropriate 

institutes in this area, including NICHD, NINDS, NIA, NIMH, 

NIDCD, NHGRI, NHLBI, NIAMS, NIDDK, NIGMS, and NCRR. 

The Committee also admires the progress made by the Office of 

Rare Diseases in the development of the Rare Disease Clinical Research Network, and is pleased by the implementation of clinical 

research protocols to create better understanding of the scope of 

Rett syndrome and other rare disorders. 

Shaken baby syndrome.—The Committee encourages NIH to expand its programs to raise public awareness of shaken baby syndrome (SBS) and to expand its programs of research on the prevention and treatment of the syndrome. 

Spinal muscular atrophy (SMA).—The Committee encourages the 

Director to ensure the success of the SMA project by providing active and ongoing support from the OD as well as from other related 

institutes. The Committee is aware that the current SMA project 

is scheduled to conclude in 2007 and encourages the Director to 

begin planning for the necessary follow-on effort to maximize the 

results of this innovative project for SMA and to ensure it serves 

as a model for other diseases. 

Study of gender differences.—The Committee notes that in 2001 

the Institute of Medicine released a report that stressed the importance of gender as a basic variable that needs to be considered in 

all areas of biomedical research. Recent findings have demonstrated that significant differences between men and women 

exist in health and disease. One of the fields where such differences are most pronounced is neuroscience. The Committee encourages each of the fifteen institutes involved in the NIH Neuroscience Blueprint to analyze carefully its entire NIH Neuroscience 

Blueprint research portfolio to ensure gender is included as a variable, when appropriate, and to require that all reported results include gender specific analysis. The Committee requests a written 

report from the Director that includes information on the progress 

of these efforts at all fifteen of the NIH Neuroscience Blueprint institutes prior to the fiscal year 2008 hearings. 

Sturge-Weber Syndrome (SWS).—The Committee encourages the 

Director to develop collaborative, multidisciplinary research, 

translational and clinical studies on SWS with appropriate institutes and centers, as well as with other, appropriate government 

agencies. The Committee encourages NIH to utilize all appropriate 

mechanisms and resources in carrying out these studies. 

Tuberous sclerosis complex (TSC).—TSC is a genetic disorder 

that triggers uncontrollable tumor growth in multiple organs of the 

body, including the brain, heart, kidneys, lungs, liver, eyes or skin. 

Because of the effects of TSC on multiple organ systems, the Committee encourages the Office of the Director to work with all instiVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00134 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
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tutes involved in TSC research to revise the 10-year TSC Research 

Plan into a comprehensive TSC Research Strategy for a Cure. The 

Committee encourages NIH to organize a conference with all institutes supporting TSC research. Also, the Committee encourages 

the Director to support translational research and to fund new investigators in the TSC research field. The Committee is encouraged 

by the collaborative efforts that have been brought forth to produce 

the Program Announcement on Understanding and Treating Tuberous Sclerosis Complex. The Committee encourages NIH to continue this program announcement in future years and expand the 

number of participating institutes. 

Vulvodynia.—Since fiscal year 1998, Congress has highlighted 

the need for research on the prevalence, causes and treatment of 

vulvodynia, a painful and often debilitating disorder of the female 

reproductive system. The Committee is pleased that some progress 

has been made since that time. For example, NICHD has supported a major study of the prevalence of this disorder. The Committee calls upon the Director to build upon these initial successes 

by coordinating through the Office of Women’s Health Research an 

expanded and collaborative extramural and intramural research effort into the causes of and treatments for vulvodynia. This expanded effort should involve ORWH, NICHD, NINDS and other 

relevant ICs as well as the NIH Pain Consortium and should emphasize etiology and multi-center therapeutic trials. In addition, 

the Committee is concerned that many women with vulvodynia remain undiagnosed. To address this shortcoming, the Committee encourages NIH to include information about vulvodynia on its 

website and that it work with relevant groups to implement a national education program for primary care health professionals, patients and the general public on vulvodynia its symptoms, diagnosis and treatment options. The Committee encourages the Director to include experts on vulvodynia and related chronic pain and 

female reproductive system conditions on peer review panels. Finally, the Committee encourages NICHD to reissue its request for 

applications in this area and to fund high quality applications. 

BUILDINGS AND FACILITIES

The Committee recommends $81,081,000 for buildings and facilities, which is the same as both the fiscal year 2006 appropriation 

and the budget request. 

Mission.—The Buildings and Facilities appropriation provides for 

the design, construction, improvement, and major repair of clinical, 

laboratory, and office buildings and supporting facilities essential 

to the mission of the National Institutes of Health. The funds in 

this appropriation support the 77 buildings on the main NIH campus in Bethesda, Maryland; the Animal Center in Poolesville, 

Maryland; the National Institute of Environmental Health Sciences 

facility in Research Triangle Park, North Carolina; and other 

smaller facilities throughout the United States. 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES

The Committee provides a program level of $3,343,135,000 for 

the Substance Abuse and Mental Health Services Administration 

132 

(SAMHSA), which is $16,397,000 above the fiscal year 2006 funding level and $83,134,000 above the budget request. Within the 

total, $126,129,000 is provided through the evaluation set-aside as 

requested. 

SAMHSA is responsible for supporting mental health and alcohol 

and drug abuse prevention and treatment services nationwide 

through discretionary capacity expansion and science to service activities, formula block grants to the States and associated technical 

assistance efforts. The agency consists of three principal centers: 

the Center for Mental Health Services, the Center for Substance 

Abuse Treatment, and the Center for Substance Abuse Prevention. 

The Office of the Administrator is responsible for overall agency 

management. 

The Committee expects that no less than the amounts allocated 

in fiscal year 2006 will be spent in fiscal year 2007 for activities 

throughout SAMHSA that are targeted to address the growing 

HIV/AIDS epidemic and its disparate impact on communities of 

color, including African Americans, Latinos, Native Americans, 

Asian Americans, Native Hawaiians, and Pacific Islanders. These 

funds provide grants to organizations with a history of providing 

culturally competent, community specific, and linguistically appropriate services in hard to reach and high-risk communities of color 

to expand service infrastructure and capacity. 

The Committee includes within the total provided for programs of regional and national significance across SAMHSA, $46,391,000 

for homeless programs, which is the same funding level provided 

in fiscal year 2006 and $5,757,000 more than the budget request. 

The Committee is hopeful that programs that provide supportive 

services to individuals in permanent housing settings will help to 

end long-term homelessness in this country and encourages 

SAMHSA to develop supportive services programs within the authority of the programs of regional and national significance. 

Health disparities need to be addressed as the demographics of 

our society are changing dramatically. The Committee notes that 

minorities represent 30 percent of the population and are projected 

to increase to 40 percent by 2025. Yet, only 23 percent of recent 

doctorates in psychology, social work and nursing were awarded to 

minorities. For fiscal year 2007, the Committee has provided no 

less than the level allocated in fiscal year 2006 for the minority fellowship program in order to train culturally competent mental 

health, and substance abuse treatment and prevention professionals. 

The Committee expects that none of the funds provided for 

SAMHSA will be used to support attachment therapy (AT), a controversial ‘‘treatment’’ on adoptive and foster children who present 

disciplinary problems. Reports have suggested that AT has been 

the cause of abuse, and even death, in several nationally prominent 

cases. While proponents of the ‘‘therapy’’ have been marketing AT 

to child-protection agencies and workers, social-work professionals, 

parents, and others, AT is an un-validated intervention. 

Center for Mental Health Services 

The Committee provides a program level total of $890,114,000 for 

the Center for Mental Health Services (CMHS), which is 

$5,866,000 above the fiscal year 2006 funding level and 

133 

$41,202,000 above the budget request. Within the total, 

$21,629,000 is provided through the evaluation set-aside as requested. The Committee does not include requested bill language 

that would require states to use amounts above their minimum 

mental health block grant allotment for transformation activities. 

Programs of regional and national significance 

The Committee provides $269,303,000 for mental health pro- grams of regional and national significance, which is $6,040,000 

above the fiscal year 2006 funding level and $41,202,000 above the 

budget request. The program includes studies that identify the 

most effective service delivery practices, knowledge synthesis activities that translate program findings into useful products for the 

field, and knowledge application projects that support adoption of 

exemplary service approaches throughout the country. The Committee provides $25,740,000 for the state incentive 

grants for transformation, which is the same as the fiscal year 

2006 funding level and $5,944,000 more than the budget request. 

These comprehensive state mental health plans will enhance the 

use of existing resources at the state and local levels and expand 

the options and array of available supports. These grants are not 

intended to provide direct services, but rather are to aid states in 

developing broad systems changes to better serve persons with 

mental illness. 

The Committee recommends that SAMHSA continue to work 

with states and planning and advisory councils to integrate the 

principles of transformation with a state’s service-delivery system, 

including the mental health block grant. The Committee encourages SAMHSA to provide a mechanism within the state incentive 

grants for transformation to ensure that full and active participation by community-based organizations representing consumers is 

present in all facets of transformation planning and implementation. 

While the Committee is pleased that SAMHSA is focusing on 

helping persons with mental illnesses achieve recovery, a parallel 

effort must be made to strengthen the service capacity of safety net 

community-based mental health providers. Therefore, SAMHSA is 

urged to produce a comprehensive study for the Committee regarding the technical assistance furnished to community mental health 

centers over the last five years on such issues as personnel preparation, evidenced-based practices, quality improvement, integrated 

treatment, and individualized care. 

The Committee provides $89,000,000 for school violence programs, which is $13,290,000 more than the budget request and 

$4,298,000 less than the fiscal year 2006 funding level. At this 

funding level, it is the Committee’s intention that grants will be 

awarded to school districts with the goals of promoting the healthy 

development of children and youth, fostering their resilience in the 

face of adversity, and preventing violence. 

Within funds provided, the Committee recommends $29,500,000 

for the national child traumatic stress initiative, $38,000 more 

than the fiscal year 2006 funding level and the budget request. 

This program has established 54 treatment development and community service centers to treat children who have experienced trauma and also supports the national center for traumatic stress. It 

134 

is estimated that up to 40,000 traumatized children and their families will directly benefit from services delivered as a result of this 

initiative. 

The mental health needs of our Nation’s seniors are largely ignored within our mental health system. While many older Americans experience depression, dementia, anxiety and substance abuse 

disorders, far too often these conditions are not recognized or treated. Outreach to elderly persons conducted in places frequented by 

seniors, such as senior centers, meal sites, primary care settings 

and other locations, is needed. The elderly treatment and outreach 

program is the only federally funded services program dedicated 

specifically to the mental health care of older adults. It is for this 

reason that within the funds provided, the Committee recommends 

that no less than the level allocated in fiscal year 2006 be allocated 

for the older adults program. 

The Committee remains deeply concerned that suicide is the 

third leading cause of death among adolescents. Consistent with 

the recommendations of the President’s New Freedom Commission 

on Mental Health, the Committee has in the past called upon 

SAMHSA to award grants to local educational systems or non-profit entities in conjunction with local educational systems for analyzing screening mechanisms and to identify evidence-based practices for facilitating treatment for youth at risk. The Committee 

strongly urges SAMHSA to continue this effort in fiscal year 2007. 

The Committee recommends that within the funding provided, 

programs that address youth suicide prevention and early intervention strategies, including the suicide resource center, be funded in 

fiscal year 2007 at no less than the amounts allocated in fiscal year 

2006. In addition, the Committee provides $5,000,000 to support 

suicide hotlines, which is $1,979,000 more than both the fiscal year 

2006 funding level and the budget request. 

The Committee recognizes the value of marriage and family therapy (MFT). As one of the five ‘‘core mental health professions’’ designated by the Health Resources and Services Administration, the 

Committee encourages SAMHSA to permit MFT students to be 

granted eligibility to participate in the minority fellowship program. 

The Committee includes the following projects and activities and 

in the following amount for fiscal year 2007: 

American Red Cross, Lower Bucks County Chapter, Levittown, PA 

to provide mental health counseling and case management services, along with related services ....................................................... $250,000 

Community Shelter Board, Columbus, OH for a National Model to 

House Homeless Families .................................................................. 175,000 

Family Support Systems Unlimited, Inc., Bronx, NY for mental 

health services .................................................................................... 175,000 

Fulton County Department of Mental Health, Atlanta, GA for a 

Jail Diversion Program ...................................................................... 300,000 

Heartland Health Outreach, Chicago IL for mental health services 

to refugee children ............................................................................. 150,000 

Helen Wheeler Center for Community Mental Health, Kankakee, 

IL to increase service capacity .......................................................... 315,000 

Jefferson Behavioral Health System, Steubenville, OH for mental 

health services at Beacon House ...................................................... 250,000 

Jewish Association for Residential Care, Farmington Hills, MI for 

mental health support services ......................................................... 300,000 

Lane County, Eugene, OR for mental health and substance abuse 

treatment services for at-risk youth ................................................. 200,000 

135 

Orange County, Orlando, FL to provide for an intensive case management model to manage people released from acute care and 

jail settings who are diagnosed with serious and persistent mental illnesses and co-occurring substance use disorders ................... 250,000 

Pacific Clinics, Arcadia, CA for mental health and suicide prevention programs for adolescents ........................................................... 450,000 

Peninsula Counseling Center, Woodmere, NY for mental health 

services for older adults ..................................................................... 250,000 

Prince George’s County Health Department, Largo, MD for mental 

health services through wellness centers in high schools .............. 100,000 

Progreso Latino, Central Falls, RI for mental health services for 

senior citizens ..................................................................................... 100,000 

San Francisco Department of Public Health, San Francisco, CA for 

mental health and substance abuse services for homeless persons 

in supportive housing ........................................................................ 1,500,000 

St. Mary’s Home for Children, North Providence, RI for mental 

health services to children ................................................................. 350,000 

United Jewish Federation, Pittsburgh, PA for services to adults 

with mental illness ............................................................................. 150,000 

United Way of Lake County, Mentor, OH for the Lake County 

Drop-in Center .................................................................................... 115,000 

University of South Florida, Louis de la Parte Florida Mental 

Health Institute, Tampa, FL to close the knowledge/practice gap 

in mental health and substance abuse programs ............................ 200,000 

Ventura County Probation Office, Ventura, CA for treatment and 

related services for juvenile offenders with mental health and 

chemical dependency problems ......................................................... 250,000 

Ventura County Sheriff’s Department, Ventura, CA for the Crisis 

Intervention Team Training Program .............................................. 210,000 

Mental health block grant 

The Committee provides a program level total of $428,472,000 for 

the mental health block grant, which is $174,000 less than the fiscal year 2006 funding level and the same as the budget request. 

The block grant provides funds to states to support mental health 

prevention, treatment, and rehabilitation services. Funds are allocated according to statutory formula among the states that have 

submitted approved annual plans. The Committee notes that the 

mental health block grant funding represents less than two percent 

of total state mental health funding and less than three percent of 

state community-based mental health services. Within the total, 

$21,629,000 is provided through the evaluation set-aside as requested. 

The Community Mental Health Services Block Grant Program 

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 recommends that SAMHSA require that states’ plans include specific provisions for mental health services for older adults. 

Children’s mental health 

The Committee provides $104,078,000 for the grant program for 

comprehensive community mental health services for children with 

serious emotional disturbance, which is the same as the fiscal year 

2006 funding level and the budget request. Funding for this proVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00139 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
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gram supports grants and technical assistance for communitybased services for children and adolescents up to age 22 with serious emotional, behavioral, or mental disorders. The program assists states and local jurisdictions in developing integrated systems 

of community care. Each individual served receives an individual 

service plan developed with the participation of the family and the 

child. Grantees are required to provide increasing levels of matching funds over the six-year grant period. 

Grants to states for the homeless (PATH) 

The Committee provides $54,261,000 for the grants to states for 

the homeless (PATH) program, which is the same as the fiscal year 

2006 funding level and the budget request. PATH grants to states 

provide assistance to individuals suffering from severe mental illness and/or substance abuse disorders and who are homeless or at 

imminent risk of becoming homeless. Grants may be used for outreach, screening and diagnostic treatment services, rehabilitation 

services, community mental health services, alcohol or drug treatment services, training, case management services, supportive and 

supervisory services in residential settings, and a limited set of 

housing services. 

Protection and advocacy 

The Committee provides $34,000,000 for the protection and advocacy program, which is the same as the budget request and the fiscal year 2006 funding level. This funding is distributed to states according to a formula based on population and income to assist 

state-designated independent advocates to provide legal assistance 

to mentally ill individuals during their residence in state-operated 

facilities and for 90 days following their discharge. 

Center for Substance Abuse Treatment 

The Committee provides a program level total of $2,160,695,000 

for the Center for Substance Abuse Treatment (CSAT), which is 

$3,155,000 above the fiscal year 2006 funding level and 

$26,725,000 above the budget request. Within the total, 

$83,500,000 is provided through the evaluation set-aside as requested. 

Programs of regional and national significance 

The Committee provides a program level total of $326,695,000 for 

substance abuse treatment programs of regional and national significance, which is $72,254,000 below the fiscal year 2006 funding 

level and $48,684,000 below the budget request. Within the total, 

$4,300,000 is provided through the evaluation set-aside as requested. The program supports activities to improve the accountability, capacity and effectiveness of substance abuse treatment 

services and services delivery. These activities include capacity expansion initiatives to help communities respond to serious, emerging and unmet treatment needs and science into services initiatives 

through monitoring and accreditation of treatment programs, training, dissemination and knowledge application activities. The program promotes the adoption of science- and evidence-based treatment practices by developing and field-testing new treatment models in order to facilitate the provision of quality treatment services 

137 

and service delivery. These activities are undertaken in actual 

service settings rather than laboratories and results are disseminated to state agencies and community treatment providers. The 

goal is to promote continuous, positive treatment service delivery 

change for those people who use and abuse alcohol and drugs. 

The Committee does not provide funding for the new access to 

recovery (ATR) voucher incentive program that would create incentive for states to use a portion of their substance abuse prevention 

and treatment block grant to provide services through vouchers. 

The budget request proposes $70,488,000 for this program. As this 

is a new request, no funding was provided for the voucher incentive 

program in fiscal year 2006. The Committee understands that 

states already have the authority to initiate voucher programs in 

their states without this incentive program. As a result, the Committee includes an increase of $75,409,000 to the substance abuse 

prevention and treatment block grant and encourages SAMHSA to 

provide technical assistance and share best practices with those 

states that may want to develop a voucher program with their 

block grant funding. 

The budget request proposes $24,750,000 for a methamphetamine treatment voucher program that would require states to purchase methamphetamine treatment services through the use of 

vouchers, using the ATR treatment voucher program as a model. 

The Committee appreciates and supports the Administration’s interest in dedicating resources to help expand access to clinically appropriate methamphetamine treatment. The Committee is aware 

that state addiction systems employ a broad range of purchasing 

mechanisms that are developed to effectively tailor service delivery 

in ways that best address state and local needs and circumstances. 

The Committee favors the allocation of grants to states in a manner that allows flexibility in managing funds to acknowledge the 

variation in state systems and to continue to support programs 

that are achieving effective outcomes. As a result, the Committee 

is not allocating funding for the proposed treatment voucher program, but instead, the Committee provides $25,000,000 for methamphetamine treatment to state substance abuse agencies without 

requiring states to employ vouchers or any other one specific required service delivery purchasing mechanism. The Committee directs SAMHSA to allow state substance abuse agencies to choose 

financing strategies for methamphetamine treatment services that 

are most appropriate for their own unique systems, including but 

not limited to vouchers. 

Within the funds provided, the Committee recommends 

$31,151,000 for the screening, brief intervention, referral, and 

treatment (SBIRT) program as requested. This competitive grant 

program assists states, territories, and Tribes in targeting non-dependent 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 includes the following projects and activities and 

in the following amounts for fiscal year 2007: 

AIDS Resource Center, Dayton, OH for treatment services .............. $250,000 

138 

Augsburg College, Minneapolis, MN for the StepUP program to assist students in recovery from chemical dependency ...................... 250,000 

Baltimore City Health Department, Baltimore, MD to expand 

buprenorphine treatment services .................................................... 150,000 

Chesterfield County, VA for the Dual Treatment Track program .... 100,000 

City of Jackson, TN for the Jackson Drug Court program ................ 200,000 

City of Las Vegas, NV for mental health and substance abuse 

treatment services within the EVOLVE program ........................... 250,000 

Community Corrections Department, Dakota County, Hastings, 

MN for the All Children Excel demonstration project .................... 150,000 

Gaudenzia, Inc., Norristown, PA to establish the Institute for Professional Development ....................................................................... 100,000 

Gavin Foundation, South Boston, MA for substance abuse treatment services ...................................................................................... 300,000 

Jefferson County Medical Society Outreach Program, Inc. (The 

Healing Place), Louisville, KY for the Women’s Recovery Program .................................................................................................... 225,000 

Minnesota Indian Women’s Resource Center, Minneapolis, MN for 

a dual diagnosis outpatient treatment program .............................. 230,000 

N Street Village Washington, DC for its Recovery Housing treatment program for women with dual diagnoses of addiction and 

mental illness ..................................................................................... 150,000 

Nexstep to Independence, Inc., Louisville, KY for a prisoner reentry program ..................................................................................... 60,000 

Northeast Guidance Center; Detroit, MI for substance abuse treatment and mental health services at The Family Life Center ........ 150,000 

Patrician Movement, San Antonio, TX for substance abuse prevention and treatment programs ............................................................ 250,000 

Self Help Movement, Inc., Philadelphia, PA for inpatient treatment 

services ................................................................................................ 30,000 

Sheriffs Youth Program, Inver Grove Heights, MN for chemical dependency treatment services ............................................................. 150,000 

Washington County, Hillsboro, OR for a residential treatment program for persons with dual diagnoses .............................................. 200,000 

Westcare Kentucky, Frankfort, KY for comprehensive substance 

abuse treatment services at the Pikeville, KY facility .................... 500,000 

Substance abuse prevention and treatment block grant 

The Committee provides a program level total of $1,834,000,000 

for the substance abuse prevention and treatment (SAPT) block 

grant, which is $75,409,000 more than the fiscal year 2006 funding 

level and the budget request. Within the total, $79,200,000 is provided through the evaluation set-aside as requested. The SAPT 

block grant provides funds to states to support alcohol and drug 

abuse prevention, treatment, and rehabilitation services. Funds are 

allocated among the states according to a statutory formula. State 

applications including comprehensive state plans must be approved 

annually by SAMHSA as a condition of receiving funds. 

The Committee expresses its strong support for the SAPT block 

grant, an effective and efficient funding stream that is directed to 

every state and territory. The block grant is the foundation of our 

publicly funded substance abuse prevention and treatment system 

and serves our most vulnerable citizens, including pregnant and 

parenting women, those with HIV/AIDS and others. As a result, 

the Committee remains concerned with any action that could erode, 

weaken, or in any way disrupt this vital funding mechanism. 

The Committee is aware of SAMHSA’s collaborative work with 

state substance abuse directors, also known as single state authorities (SSAs) for substance abuse, to improve the quality of substance 

abuse prevention and treatment data by seeking information on a 

core set of national outcome measures (NOMs) across all SAMHSA 

funding mechanisms, including services funded by the SAPT block 

139 

grant. The Committee commends SAMHSA for working with states 

and territories to streamline data reporting requirements while improving accountability. The Committee encourages SAMHSA to 

continue working directly with the national association representing state substance abuse directors on the variety of implementation issues related to NOMs to ensure continued progress, including work to examine effective non-proprietary data management tools that could continue to implement this initiative in an 

efficient and cost-effective manner. 

Center for substance abuse prevention 

Programs of regional and national significance 

The Committee provides $195,805,000 for the substance abuse 

prevention programs of regional and national significance, which is 

$2,904,000 more than the fiscal year 2006 funding level and 

$15,207,000 more than the budget request. The program identifies 

and disseminates evidence-based substance abuse prevention approaches. 

Within the total, the Committee provides $300,000 for the Advertising Council’s parent-oriented media campaign to combat underage drinking. Funding should be used to continue the campaign, refresh media spots, and evaluate results. 

The Committee is pleased that the Inter-Agency Coordinating 

Committee on the Prevention of Underage Drinking (ICCPUD) has 

taken steps to engage State officials on evdience-based strategies 

for combating underage drinking and to promote increased State 

action to reduce youth alcohol use. The Committee appreciates the 

ICCPUD’s January 2006 submission of a proposed federal underage 

drinking prevention plan, and is very pleased that it included plans 

for a Surgeon General’s ‘‘Call to Action’’ on underage drinking prevention to be releaed in spring of 2006. The Committee urges the 

ICCPUD to ensure that the ‘‘Call to Action’’ is vigorously promoted 

and disseminated to policy-makers and the public. 

The Committee includes the following projects and activities and 

in the following amounts for fiscal year 2007: 

City of Detroit, for substance abuse prevention and treatment services for youth through the SAFETY program .................................. $425,000 

Hamilton County Alcohol and Other Drug Prevention Coalition, 

Jennings, FL for a youth academic and social development program .................................................................................................... 150,000 

Institute for the Advanced Study of the Black Family, Oakland, CA 

for an integrated HIV/AIDS and substance abuse treatment initiative .................................................................................................. 100,000 

Kids Hope United, Lake Villa, IL to expand its multi-systemic therapy program ........................................................................................ 200,000 

Lawrence County Family Center, New Castle, PA for the Lawrence 

County Strategic Alliance for Stable Families ................................ 500,000 

Long Island Crisis Center, Bellmore, NY to conduct a public education and awareness campaign for vulnerable families ................ 80,000 

National Center for Children Exposed to Violence, Yale University 

Child Study Center, New Haven, CT for training, technical assistance, consultation and other services relating to the effects of 

violence on children ........................................................................... 650,000 

Ohio Association of Alcoholism and Drug Abuse Counselors, Shaker 

Heights, OH for the Ohio Alcohol and Drug Workforce Development Project ....................................................................................... 100,000 

Relief Nursery, Eugene, OR for services to methamphetamine-affected children and their families ..................................................... 350,000 

140 

South Boston Community Health Center, South Boston, MA for 

substance abuse prevention programs ............................................. 350,000 

Program management 

The Committee provides a program level total of $96,521,000 for program management, of which $21,000,000 is provided through 

the evaluation set-aside as requested. The fiscal year 2007 program 

level is $4,472,000 below the fiscal year 2006 funding level and the 

same as the budget request. The appropriation provides funding to 

coordinate, direct, and manage the agency’s programs. Funds are 

used for salaries, benefits, space, supplies, equipment, travel and 

overhead. 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

The Committee provides a total of $318,695,000 for the Agency 

for Healthcare Research and Quality (AHRQ), which is the same as 

the fiscal year 2006 funding level and the budget request. 

The mission of the agency is to generate and disseminate information that improves the delivery of health care. Its research goals 

are to determine what works best in clinical practice; improve the 

cost-effective use of health care resources; help consumers make 

more informed choices; and measure and improve the quality of 

care. 

The Committee provides $260,695,000 for research on health 

costs, quality, and outcomes, which is the same as the fiscal year 

2006 funding level and the budget request. This program identifies 

the most effective and efficient approaches to organize, deliver, finance, and reimburse health care services; determines how the 

structure of the delivery system, financial incentives, market 

forces, and better information affects the use, quality, and cost of 

health services; and facilitates the translation of research findings 

for providers, patients, plans, purchasers, and policymakers. It also 

funds research that determines what works best in increasing the 

cost effectiveness and appropriateness of clinical practice; supports 

the development of tools to measure and evaluate health outcomes, 

quality of care, and consumer satisfaction with health care system 

performance; and facilitates the translation of information into 

practical uses through the development and dissemination of research databases. The Committee also encourages AHRQ to look 

favorably on proposals that would proactively detect medical errors 

and preemptively control injury via compact medical devices that 

acquire, analyze and filter data from multiple, disparate, wireless 

and wired sources. 

Within the total for research on health costs, quality, and out- comes, the Committee provides $84,000,000 for the patient safety 

program, which is the same as the fiscal year 2006 funding level 

and the budget request. This amount includes $50,000,000 for 

grants to support the health information technology (HIT) initiative. The Committee urges AHRQ to play a key role in the initiative being developed in the Office of the National Coordinator for 

Health Information Technology. The Committee is aware of several 

pilot projects being funded that demonstrate the reduction in patient harm from the use of integrated medication delivery systems 

and urges AHRQ to continue making such systems a component of 

its HIT grants. 

141 

Also within the total for research on health costs, quality and outcomes, the Committee provides $15,000,000 for comparative 

clinical effectiveness research. This is the same as the fiscal year 

2006 funding level and the budget request. 

The Committee is concerned about the prevalence of undiagnosed 

and untreated mental illness among older Americans. Affective disorders, including depression, anxiety, dementia, and substance 

abuse and dependence, are often misdiagnosed or not recognized at 

all by primary and specialty care physicians in their elderly patients. Research has shown that the treatment of mental illness 

can improve health outcomes for those with other chronic diseases. 

While effective treatments for these conditions are available, there 

is an urgent need to translate advancements from biomedical and 

behavioral research to clinical practice. The Committee urges 

AHRQ to support evidence-based research projects focused on the 

diagnosis and treatment of mental illnesses in the geriatric population, and to disseminate evidence-based reports to physicians and 

other health care professionals. 

The Committee is aware that heart disease, stroke and other cardiovascular diseases are the leading cause of death among women. 

The Committee requests that AHRQ, no later than September 30, 

2007, prepare and submit to the Committee, a report on the quality 

of and access to care for women with heart disease, stroke, and 

other cardiovascular diseases. The report should contain recommendations for eliminating disparities in, and improving the 

treatment of, heart disease, stroke, and other cardiovascular diseases in women. 

The Committee is aware that obesity rates in children have risen 

dramatically in recent years and that obesity may soon overtake tobacco as the leading preventable cause of death. The Committee requests that AHRQ submit a report on the effectiveness of weight 

reduction programs to the Committee not later than 18 months 

after the enactment of this Act. The report should evaluate the 

available scientific evidence regarding the safety and effectiveness 

of the programs, behavior modification, and other weight loss methods, and how successful the programs are in helping individuals 

achieve short-term and long-term weight loss and sustain longterm weight maintenance. 

The Committee is pleased that AHRQ is working with the Centers for Disease Control and Prevention (CDC) to establish evidence-driven standards of care for Duchenne and Becker muscular 

dystrophy patients, and encourages both agencies to complete this 

work by February 1, 2007. 

The Committee is aware that simulation-based medical education 

can ensure clinical competence and reinforce best practices by allowing medical students and experienced clinicians to practice procedures in a realistic setting. The enhanced clinical skill development provided by simulation-based medical training benefits patients and healthcare consumers in the form of improved health 

outcomes, patient safety, and quality; reduced medical errors and 

deaths; and increased healthcare cost savings. The Committee encourages AHRQ to support research, convene workshops, and perform outreach to medical, nursing, and allied health schools to improve the utilization and development of simulation technologies in 

medical education and demonstrate the value of simulation-based 

142 

medical training. AHRQ is encouraged to collaborate with the Department of Defense, the Telemedicine and Advanced Technology 

Research Center (TATRC), the Department of Veterans Affairs, 

and the National Institutes of Health in the further deployment of 

medical simulation research, tools, and training to improve patient 

care. 

The Committee is concerned about end stage renal disease 

(ESRD) and the difference in prevalence of treatment modalities, 

especially the significant difference between peritoneal dialysis and 

hemodialysis. The Committee urges AHRQ to conduct a comprehensive meta-analysis of the best available research studies 

comparing short and long term outcomes of dialysis methods, especially those affecting the quality of life of ESRD patients, and the 

costs associated with the treatment of these patients. The Committee provides $55,300,000 for the Medical Expenditures Panel Surveys (MEPS), which is the same as the fiscal year 

2006 funding level and the budget request. The MEPS provide data 

for timely national estimates of health care use and expenditures, 

private and public health insurance coverage, and the availability, 

costs, and scope of private health insurance benefits. This activity 

also provides data for analysis of changes in behavior as a result 

of market forces or policy changes on health care use, expenditures, 

and insurance coverage; develops cost/savings estimates of proposed changes in policy; and identifies the impact of changes in policy for subgroups of the population. For program support, the Committee provides $2,700,000 which 

is the same as fiscal year 2006 funding level and the budget request. This activity supports the overall direction and management 

of the agency. 

CENTERS FOR MEDICARE AND MEDICAID SERVICES

GRANTS TO STATES FOR MEDICAID

The Committee provides $138,072,248,000 for the Federal share of current law state Medicaid costs, which is $18,882,171,000 below 

the fiscal year 2006 funding level and the same as the budget request. This amount does not include $62,783,825,000 which was 

advance funded in the fiscal year 2006 appropriation for the first 

quarter of fiscal year 2007. In addition, the Committee provides an 

advance appropriation of $65,257,617,000 for program costs in the 

first quarter of fiscal year 2008. The Committee has also included 

indefinite budget authority for unanticipated costs in fiscal year 

2007. 

Federal Medicaid grants reimburse states for 50 to 83 percent 

(depending on per capita income) of their expenditures in providing 

health care for individuals whose income and resources fall below 

specified levels. Subject to certain minimum requirements, states 

have broad authority within the law to set eligibility, coverage, and 

payment levels. Over 51,000,000 low-income individuals will receive health care services in 2007 under the Medicaid program. 

state costs of administering the program are matched at rates that 

generally range from 50 to 100 percent, depending upon the type 

of cost. Total funding for Medicaid includes $2,006,445,000 for the 

entitlement Vaccines for Children program. These funds, which are 

transferred to the Centers for Disease Control and Prevention for 

143 

administration, support the costs of immunization for children who 

are on Medicaid, uninsured or underinsured and receiving immunizations at Federally qualified health centers or rural health clinics. 

The Committee is concerned that certain states have plans to use 

the Federal matching dollars available under Medicaid, not to improve the quality of hospital care in their state, but to fill state 

budget gaps at the expense of quality healthcare for patients. That 

is clearly not the intention of this program and we encourage the 

committees of jurisdiction to take appropriate remedial action. 

PAYMENTS TO HEALTH CARE TRUST FUNDS

The Committee provides $197,017,391,000 for the Payments to the Health Care Trust Funds account, which is $18,370,191,000 

above the fiscal year 2006 funding level and $118,404,000 less than 

the budget 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 drug 

benefits and administration as well as other reimbursements to the 

Federal Hospital Insurance Trust Fund for benefits and related administrative costs, which have not been financed by payroll taxes 

or premium contributions. Funds are not provided for reimbursement for health care fraud and abuse control, since the Committee 

did not fund this new account. The Committee continues to include 

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. 

PROGRAM MANAGEMENT

The Committee makes available $3,153,547,000 in trust funds for 

Federal administration of the Medicare and Medicaid programs, 

which is $73,729,000 above the fiscal year 2006 funding level and 

$5,145,000 above the budget request. The Committee includes bill 

language that extends the availability of $146,760,000 until September 30, 2008 for Medicare contracting reform activities as requested. The Committee also includes bill language requested by 

the Administration which authorizes the Secretary of Health and 

Human Services to charge fees associated with conducting revisit 

surveys on health care facilities. Such fees, estimated at 

$35,000,000, shall be credited to this appropriation as an offsetting 

collection to remain available until expended. 

Research, demonstration, and evaluation 

The Committee provides $46,673,000 for research, demonstration 

and evaluation, which is $10,747,000 below the fiscal year 2006 

funding level and $5,145,000 above the budget request. These 

funds support a variety of studies and demonstrations in such 

areas as monitoring and evaluating health system performance; improving health care financing and delivery mechanisms; modernization of the Medicare program; the needs of vulnerable populations 

in the areas of health care access, delivery systems, and financing; 

and information to improve consumer choice and health status. 

The Committee includes bill language referring to the following 

projects and activities and in the following amounts for fiscal year 

2007: 

144 

Access Health, Inc., Muskegon, MI for the small business health 

coverage program ............................................................................... $300,000 

Bronx-Lebanon Hospital Center, Bronx, NY for a Men’s Health Initiative to demonstrate means of improving health care and preventive services for low-income minority men ................................. 400,000 

Chai Lifeline, New York, NY for support programs for seriously ill 

children and their families ................................................................ 100,000 

City of Detroit, MI for a project to improve access to primary care 

and preventive health services for low-income and uninsured persons ...................................................................................................... 550,000 

City of Los Angeles, CA for a demonstration project to provide mobile medical services for the homeless .............................................. 300,000 

Gadsden County Community Health Council, Quincy, FL for a 

project to help low-income residents obtain prescription drugs ..... 170,000 

Genesys Health System, Grand Blanc, MI for a demonstration program through the Health Access network to improve access to 

dental care for low-income uninsured patients ............................... 50,000 

Good Shepherd Home, Ashland, OH for an elderly health care delivery demonstration .......................................................................... 150,000 

Medicare Rights Center, New York, NY for the Medicare Interactive program .................................................................................... 500,000 

National Hospice and Palliative Care Organization, Alexandria, VA 

for an initiative to increase underserved participation in end-oflife care ............................................................................................... 350,000 

Patient Services Inc., Midlothian, VA for a Medical Insurance and 

Co-payment Assistance Case Management Program for Chronic 

Diseases, including Hepatitis C ........................................................ 100,000 

Riverside Regional Medical Center, Newport News, VA for the Patient Navigator Program ................................................................... 200,000 

San Francisco Department of Public Health, San Francisco, CA for 

a demonstration project to improve HIV/AIDS treatment and 

prevention services ............................................................................. 1,500,000 

Stark Prescription Assistance Network, Inc., Canton, OH for prescription assistance to the uninsured ............................................... 100,000 

Thurston-Mason County Medical Society Volunteer Care Institute, 

Olympia, WA for its Project Access initiative to provide care for 

low-income uninsured patients ......................................................... 200,000 

Virginia Association of Area Agencies on Aging, Richmond, VA for 

a program to educate potential recipients regarding the Medicare 

part D drug benefit ............................................................................ 175,000 

Medicare operations 

The Committee provides $2,145,208,000 to support Medicare 

claims processing contracts, which is $41,966,000 above the fiscal 

year 2006 funding level and the same as the budget request. 

Revitalization plan 

The Committee provides $22,765,000 to remain available for two 

years, as the fourth year of investment in CMS’s efforts to make 

significant improvements to key aspects of managing both the 

agency and the Medicare program. This amount is the same as the 

budget request and $1,198,000 less than the fiscal year 2006 funding level. Funding will target information technology involving 

modernization of Medicare fee-for-service claims processing and 

modernization of the data environment. 

State survey and certification 

The Committee provides $283,524,000 for state inspections of facilities serving Medicare and Medicaid beneficiaries, which is 

$25,396,000 above the fiscal year 2006 funding level and the same 

as the budget request. 

Survey and certification activities ensure that institutions and 

agencies providing care to Medicare and Medicaid beneficiaries 

145 

meet Federal health, safety and program standards. On-site surveys are conducted by state survey agencies, with a pool of Federal 

surveyors performing random monitoring surveys. Over 72,000 surveys and complaint investigations are estimated be performed in 

fiscal year 2007. 

Federal administration 

The Committee provides $655,377,000 to support Federal administrative activities related to the Medicare and Medicaid programs, 

which is $18,312,000 above the fiscal year 2006 funding level and 

the same as the budget request. This amount includes $12,900,000 

for the Healthy Start, Grow Smart program as proposed in the 

budget request. The Committee continues bill language identifying 

$48,960,000 for the contract costs of the health-care integrated general ledger accounting system. 

The Medicare, Medicaid, and Children’s Health Insurance programs ensure the health care security of about 90,000,000 beneficiaries. The Federal administration budget provides funds for the 

staff and operations of CMS to administer these programs. 

The Committee commends CMS for expanding the Quality of Life 

Demonstration (QoL) project to include oral chemotherapy regimens in its data collection on this project. The QoL as implemented 

by CMS in 2005 was an excellent first step in gathering data on 

the impact of chemotherapy as it started to measure important outcomes for cancer patients specifically related to infused chemotherapy. The Committee is pleased with CMS’ decision to broaden 

the demonstration in 2006 to collect data on all types of cancer 

management. The inclusion of oral chemotherapy regimens will 

provide a more comprehensive understanding of the quality of life 

issues impacting all cancer patients. The demonstration project is 

intended to provide a better understanding from cancer patients receiving chemotherapy on such important issues as their pain control management, minimization of nausea and vomiting, and the 

reduction of fatigue. The action taken by CMS to expand the demonstration project will provide important data on all anti-cancer 

regimens and their impact on patients’ quality of life. 

The Committee believes that the growing gap between the size 

of the nation’s aging baby boom population and the number of pulmonary/critical care physicians poses challenges to the future delivery of high quality, efficient care under Medicare and Medicaid. 

The Committee requests that CMS review a recently released report by HRSA on the healthcare workforce, a portion of which focuses on the critical care workforce shortage, and that CMS also 

review other relevant research and consult with the relevant critical care societies in order to develop recommendations for addressing the critical care workforce shortage issue, including the possible 

use of the pulmonary/critical care specialty as a model for developing and testing policy approaches to address workforce shortage 

issues. 

The Committee is aware that heart disease, stroke and other cardiovascular disease are the leading cause of death among women 

and is concerned that women are less likely than men to receive 

treatments for cardiovascular disease, perhaps due to lack of 

awareness and the presence of different symptoms in women than 

in men. The Committee also recognizes that certain diagnostic tests 

146 

for cardiovascular disease may be less accurate in women than 

men. Therefore, the Committee urges the Center for Beneficiary 

Choices of CMS to develop and distribute to female Medicare beneficiaries, physicians, and other appropriate health care professionals educational materials relating to the prevention, diagnosis, 

and treatment of heart disease, stroke, and other cardiovascular 

disease in women. 

The Committee recognizes that CMS has initiated some commendable community-based activities for an MMA education and 

outreach campaign directed towards dual elibigle persons, but the 

Committee is also aware that there is considerable evidence that 

low-income dual eligible persons with mental disabilities continue 

to need direct help with Part D enrollment. Therefore, within the 

amounts appropriated, the Committee encourages that five percent 

of the funds be directed for one-on-one pharmaceutical benefits 

counseling to be provided through community-based organizations 

and safety net community mental health centers. 

The Committee is concerned that patients suffering from end 

stage renal disease (ESRD) are offered the proper modality for the 

best medical outcome and the highest quality of life. The Committee is particularly concerned about factors that may be influencing the choice of modality and the availability of services to 

ESRD patients. Given that Medicate provides coverage for 90 percent of the prevalent dialysis population and 69 percent of those 

with a transplant, the Committee urges CMS, in conjunction with 

other health agencies, to review these patterns and requests CMS 

to provide the Committee with recommendations to ensure public 

health policies, in the form of reimbursement rates, public health 

service, research or other activities related to ESRD, give priority 

to positive medical outcomes and quality of life for ESRD patients. 

ADMINISTRATION FOR CHILDREN AND FAMILIES

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND

FAMILY SUPPORT PROGRAMS

The Committee recommends $2,752,697,000 for the Child Support Enforcement and Family Support programs, and 

$1,000,000,000 in advance funding for the first quarter of fiscal 

year 2008 to ensure timely payments for the child support enforcement program. This is the same as the budget request. The Committee recommends estimated funding of $38,000,000 for Payments 

to Territories, the same as the fiscal year 2006 funding level and 

the budget request. The Committee also recommends $1,000,000 

for the repatriation program, which is the authorized funding level 

under section 1113(d) of the Social Security Act. 

LOW INCOME HOME ENERGY ASSISTANCE

The Committee recommends $1,930,000,000 for the Low-Income 

Home Energy Assistance state formula grants. This is $50,000,000 

less than the fiscal year 2006 funding level and $148,000,000 more 

than the budget request. The Committee recommends $181,170,000 

for the contingent emergency reserve. This is the same as the fiscal 

year 2006 funding level. No funds were requested for this program. 

For Fiscal year 2006, the Deficit Reduction Act of 2005 (as 

amended by Public Law 109–204) provided $500,000,000 for State 

147 

formula grants and $500,000,000 for the contingency emergency reserve (in addition to the funds appropriated for these items in the 

general appropriation Act). 

The low-income home energy assistance program (LIHEAP) provides assistance to low-income households to help pay the costs of 

home energy. Funds are provided through grants to states, Indian 

Tribes, and territories and are used for summer cooling, winter 

heating, and crisis assistance programs. 

REFUGEE AND ENTRANT ASSISTANCE

The Committee recommends $604,329,000 for refugee assistance programs. This is $34,506,000 more than the fiscal year 2006 funding level and $10,606,000 less than the budget request. 

In addition, the Committee recommends that the Office of Refugee Resettlement (ORR) be granted authority to carry over unexpended funds from fiscal year 2007 to reimburse the costs of services provided through September 30, 2009, for all programs within 

ORR’s jurisdiction. 

Transitional and medical services 

The Committee recommends $282,333,000 for transitional and 

medical services. This is $16,786,000 more than the fiscal year 

2006 funding level and the same as the budget request. The transitional and medical services program provides funding for the stateadministered cash and medical assistance program that assists refugees who are not categorically eligible for TANF or Medicaid, the 

unaccompanied minors program that reimburses states for the cost 

of foster care, and the voluntary agency grant program in which 

participating National refugee resettlement agencies provide resettlement assistance with a combination of Federal and matched 

funds. 

Victims of trafficking 

The Committee recommends up to $9,816,000 for the victims of 

trafficking program. This is the same as the fiscal year 2006 funding level and $5,000,000 less than the budget request. The funds 

will ensure continued administration of a national network for 

identification, tracking, and certification of trafficking victims. 

The Committee supports efforts to ensure that child trafficking 

victims do not remain trapped in life-threatening situations out of 

fear of being interrogated by law enforcement authorities. The 

Committee supports the efforts of the Department, under the Trafficking Victim Protection Act of 2000, to independently certify children as child trafficking victims eligible for benefits and services 

and encourages the Department to facilitate the provision of guardians ad litem for child trafficking victims to help ensure their access to emergency benefits and services until their ultimate placement in foster care. 

Social Services 

The Committee recommends $154,004,000 for social services. 

This is the same as the fiscal year 2006 funding level and 

$4,394,000 more than the budget request. Funds are distributed by 

formula as well as through the discretionary grant-making process 

for special projects. 

148 

Within the funds provided, the Committee has included 

$19,000,000 for support to communities with large concentrations 

of Cuban and Haitian entrants of varying ages whose cultural differences make assimilation especially difficult, justifying a more intense level and longer duration of Federal assistance. 

The Committee continues to request the Administration for Children and Families (ACF) to adequately fund refugee school impact 

grants. 

Preventive health 

The Committee recommends $4,748,000 for preventive health 

services. This is the same as the fiscal year 2006 funding level and 

the budget request. These funds are awarded to the states to ensure adequate health assessment activities for refugees. 

Targeted assistance 

The Committee recommends $48,590,000 for the targeted assistance program. This is the same as both the fiscal year 2006 funding level and the budget request. These grants provide assistance 

to areas with high concentrations of refugees. 

Unaccompanied minors 

The Committee recommends $95,022,000 for the unaccompanied 

minors program. This is $17,720,000 more than the fiscal year 

2006 funding level and $10,000,000 less than the budget request. 

The Committee recognizes the legal representation crisis and 

need for guardians for unaccompanied children and is pleased with 

the progress ORR has made in implementing pro bono pilot programs to test the benefits of providing pro bono counsel and guardians for unaccompanied children through its grant to Vera Institute 

for Justice. The Committee has included additional funds to expand 

the pilot pro-bono legal services program to a national level. The 

Committee has also included additional funds for the care and 

placement of an increasing number of unaccompanied alien children through foster care, shelter care, staff secure or secure detention centers, and for additional field staff in areas of high apprehensions. The Committee does not recommend that funds be included for expanded background checks before placement of unaccompanied minors. The Committee expects the Department to continue to perform the rigorous background checks on the adult to 

whom the minor is released and to conduct home assessments as 

circumstances warrant. 

Victims of torture 

The Committee recommends $9,816,000 to provide a comprehensive program of support for domestic centers and programs for victims of torture. This is the same as both the fiscal year 2006 funding level and the budget request. 

PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT

BLOCK GRANT

The Committee recommends $2,062,081,000 for the child care 

and development block grant program, the same as both the fiscal 

year 2006 funding level and the budget request. 

149 

The discretionary funds provided in this bill, along with annual 

child care entitlement funds and matching funds, constitute the 

Child Care and Development Fund. That Fund enables states, Territories, and Indian Tribes to provide child care services for low-income families. The Deficit Reduction Act of 2005 increased the annual child care entitlement contribution to that fund through 2010 

to $2,917,000,000, an annual increase of $200,000,000. 

SOCIAL SERVICES BLOCK GRANT

The Committee recommends $1,700,000,000 for the social services block grant (SSBG). This is the same as the fiscal year 2006 

level. The Committee rejects language proposed in the budget request to override the authorized funding level set forth in section 

2003(c) of the Social Security Act. 

SSBGs are designed to encourage states to furnish a variety of 

social services to needy individuals to prevent and reduce dependency; help individuals achieve and maintain self-sufficiency; prevent or reduce inappropriate institutional care; secure admission or 

referral for institutional care when other forms of care are not appropriate; and prevent neglect, abuse, and exploitation of children 

and adults. 

CHILDREN AND FAMILIES SERVICES PROGRAMS

The Committee recommends a program level total of $8,663,166,000 for children and families services programs. This is 

$194,213,000 less than the fiscal year 2006 funding level and 

$414,064,000 more than the budget request. Within the total provided, $10,500,000 is provided through the evaluation set-aside. 

This account finances a number of programs aimed at enhancing 

the well-being of the Nation’s children and families, particularly 

those who are disadvantaged or troubled. 

Head Start 

The Committee recommends $6,788,571,000 for the Head Start 

program, the same as the fiscal year 2006 funding level and an increase of $2,800,000 over the budget request. Of this total, the 

Committee recommends advancing $1,388,800,000 of this account 

for fiscal year 2008. 

Head Start provides comprehensive child development services to 

economically disadvantaged children and their families. Intended 

primarily for preschoolers from low-income families, the program 

promotes school readiness by enhancing the social and cognitive development of children through educational, health, nutritional, social and other services. At least 10 percent of enrollment opportunities in each state are made available to handicapped children. 

Grants to carry out Head Start programs are awarded to public 

and private nonprofit and for-profit agencies. Unless a waiver is 

approved, grantees must contribute 20 percent of the total cost of 

the program from non-Federal funds, which is usually an in-kind 

contribution. No more than 15 percent of total costs may be for program administration. 

The Committee continues to point to the 2001 study published by 

the Department of Health and Human Services, documenting that 

only 19 percent of eligible children were able to access Migrant and 

Seasonal Head Start Programs. The Committee supports the proviVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00153 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
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sion included in H.R. 2123, the School Readiness Act of 2005 as 

passed by the House, which would address the funding shortfall 

facing Migrant and Seasonal Head Start Programs by reserving 5 

percent of the total annual Head Start appropriation for Migrant 

and Seasonal Head Start Programs. Until such time as the Bureau 

can put in place a system to ensure that access to funding for migrant and seasonal children is comparable to the access enjoyed by 

other eligible children, the Committee encourages the Bureau to 

develop strategies to better serve the needs of migrant and seasonal farm workers and their children and requests that the Secretary submit a report on the Bureau’s ongoing plans to ensure 

that Migrant and Seasonal Head Start programs are able to serve 

a larger percentage of the children eligible for services. 

Consolidated runaway and homeless youth program 

The Committee recommends $87,837,000 for runaway and homeless youth activities. This is the same as both the fiscal year 2006 

funding level and the budget request. Funds for this program are 

distributed between the basic center program and the transitional 

living program under a statutory formula. 

The runaway and homeless youth programs provide grants to 

local public and private organizations to establish and operate runaway and homeless youth shelters to address the crisis needs of 

runaway and homeless youth and their families. Grants are used 

to develop or strengthen community-based shelters, which are outside the law enforcement, juvenile justice, child welfare, and mental health systems. 

The Committee request that ACF work with nonprofit organizations that are trained and dedicated to meeting the needs of young 

homeless children and their families. The Committee directs the 

Department to refrain from vouchering transitional living program 

funds to provide maternity group home services. The Committee 

believes that the voucher policy is ill-advised and, furthermore, 

that the Runaway and Homeless Youth Act does not authorize the 

Department to issue such vouchers. Rather, it is the Committee’s 

continued expectation that current transitional living program 

grantees will provide transitional living opportunities and supports 

to pregnant and parenting homeless youth, as is their current practice. The Committee continues to encourage the Secretary, acting 

through the network of federally-funded runaway and homeless 

youth training and technical assistance providers, to offer guidance 

to grantees and others on the programmatic modifications required 

to address the unique needs of pregnant and parenting youth and 

on the various sources of funding available for residential services 

to this population. 

Prevention grants to reduce abuse of runaway youth 

The Committee recommends $15,027,000 for prevention grants to 

reduce abuse of runaway youth. This is the same as the fiscal year 

2006 funding level and the budget request. This program is designed to reduce the sexual abuse of runaway youth by providing 

grants to support street-based outreach and education to runaway, 

homeless, and street youth who have been sexually abused or who 

are at-risk of sexual abuse. The street outreach program ensures 

rapid engagement with young people in an effort to prevent the 

151 

most terrible situations that take place when they are subjected to 

life on the streets, including physical and sexual abuse, assault, 

commercial sexual exploitation, disease, long-term homelessness, 

and even death. 

Child abuse state grants and discretionary activities 

For child abuse state grants and discretionary activities, the 

Committee recommends $53,137,000. This is $350,000 more than 

both the fiscal year 2006 funding level and the budget request. 

Within this total, the recommendation includes $27,007,000 for 

state grants and $26,130,000 for child abuse discretionary activities. 

Within the funds provided for child abuse discretionary activities, 

the Committee includes funding for the following items: 

Children’s Advocacy Center of Manhattan, New York, NY for assessment and treatment services to victims of child abuse ............ $150,000 

Jefferson County, CO for reengineering of child abuse prevention 

infrastructure ..................................................................................... 150,000 

McKenzie’s Hope, Huntington, IN for child abuse and neglect programs ................................................................................................... 50,000 

Community-based child abuse prevention 

The Committee recommends $42,430,000 for community-based 

child abuse prevention. This is the same as both the fiscal year 

2006 funding level and the budget request. Funds are provided to 

lead state agencies and are used to develop, operate, expand, and 

enhance community-based efforts to strengthen and support families in an effort to prevent child abuse and neglect. 

Abandoned infants assistance 

The Committee recommends $11,835,000 for the Abandoned Infants Assistance program. This is the same as both the fiscal year 

2006 funding level and the budget request. The purpose of this program is to provide financial support to public and private community and faith-based entities to develop, implement, and operate 

demonstration projects that will prevent the abandonment of infants and young children exposed to HIV/AIDS and drugs; identify 

and address their needs; assist such children to reside with their 

natural families or in foster care; recruit, train, and retain foster 

parents as well as health and social services personnel; provide respite care for families and foster families; and prevent the abandonment of infants and young children. 

Child welfare services and training 

The Committee recommends $286,753,000 for child welfare services. This is the same as both the fiscal year 2006 funding level and 

the budget request. This program provides grants to states to assist 

public welfare agencies to improve child welfare services. state 

services include preventive intervention in order for children to 

stay in their homes, alternative placement like foster care or adoption if it is not possible for children to remain at home, and reunification programs so that, if appropriate, children can return home. 

The Committee recommends $7,335,000 for child welfare training. This is the same as both the fiscal year 2006 funding level and 

the budget request. The Committee recognizes the need for trained, 

152 

skilled, and qualified child welfare service workers. This program 

provides grants to institutions of higher education to develop and 

improve education and training programs and resources for child 

welfare service providers as well as students seeking degrees in social work. 

Adoption opportunities 

The Committee recommends $26,848,000 for adoption opportunities. This is the same as both the fiscal year 2006 funding level and 

the budget request. This program provides funding specifically targeted to improving the adoption of children, particularly those with 

special needs, and for providing innovative services that support 

families involved in adoption. 

Adoption incentives 

The Committee recommends $17,820,000 for the adoption incentives program. This is the same as the fiscal year 2006 funding 

level and $11,834,000 less than the budget request. This program 

targets incentives specifically for older children. Funds are awarded to states using three baselines: one for the total number of children adopted, one for children with special needs under the age of 

nine, and one for children aged nine and older. The goal of this program is to increase the number of adoptions nationwide. 

Adoption awareness 

The Committee recommends $12,674,000 for the adoption awareness program. This is the same as the fiscal year 2006 funding 

level and the budget request. This program provides training to 

designated staff of eligible health centers in providing adoption information and referrals to pregnant women on an equal basis with 

all other courses of action included in non-directive counseling to 

pregnant women. 

Compassion capital fund 

The Committee recommends $54,549,000 for the compassion capital fund. This is $9,801,000 less than the fiscal year 2006 funding 

level and $45,451,000 less than the budget request. This program 

provides grants to intermediary organizations that in turn provide 

training and technical assistance to faith and community based organizations. The program also provides capacity-building grants directly to the latter organizations, which include organizations that 

foster supportive relationships with youth. 

Social services and income maintenance research 

The Committee recommends a program level total of $14,395,000 

for social services and income maintenance research, $6,000,000 of 

which is through the evaluation set-aside. The program level total 

is $8,527,000 more than the fiscal year 2006 funding level and 

$14,395,000 more than the budget request. These funds support research, demonstration, evaluation, and dissemination activities. Recent topics funded through this program include welfare-to-work 

strategies and programs to strengthen family relationships and 

promote healthy marriages. 

While the Child Support Enforcement program continues to 

make gains in enforcing child support orders—child support collecVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00156 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
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tions reached $23 billion in 2005, serving an estimated 16 million 

child support cases—the costs and complexities of tracking, locating 

and coordinating child support cases is imposing heavy burdens on 

State automation systems. Both the General Accountability Office 

and the Office of the Inspector General have recommended that 

ACF provide more technical assistance to help States better administer and manage these systems. In addition, broader administration and reporting requirements contained in the Deficit Reduction 

Act of 2005 will place additional strain on the States’ ability to 

manage this program. ACF is currently working with the State Information Technology Consortium to expand data exchange capabilities between the courts and State child support enforcement 

agencies as well as increase collection efficiency in States and tribal organizations. The Committee recommends that collaborative effort continue. 

Within the funds provided for this program, the Committee includes funding for the following items: 

Abstinence the Better Choice, Inc., Akron, OH to expand educational methods of the Responsible Social Values program and 

to update technology .......................................................................... $25,000 

Arrowhead Economic Opportunity Agency, Virginia, MN for the 

Family to Family community-based mentoring program to assist 

low-income families ............................................................................ 250,000 

Beth El House, Alexandria, VA for social services and transitional 

housing for formerly homeless women and their children ............. 75,000 

Beth Gavriel Bukharian Jewish Congregation, Queens, NY for a 

demonstration project to address the needs of elderly immigrants 150,000 

Cherokee County Commission, Centre, Alabama, for Cherokee 

County Family Resource Center ....................................................... 100,000 

Child Adoption Resource Association, Inc., New London, CT for 

adoption services ................................................................................ 60,000 

Children’s Home Society of South Dakota, Sioux Falls, SD for services related to domestic violence, child abuse and neglect ............. 250,000 

Children’s Center of Southwest Missouri, Joplin, MO for child advocacy .................................................................................................. 50,000 

Children’s Home Society of Idaho, Boise, ID for foster care .............. 260,000 

Children’s Hunger Alliance, Columbus, OH for the nutrition and 

obesity education program ................................................................ 100,000 

Children’s Rights Council, Hyattsville, MD for Safe Haven Access 

Centers in Stark County, OH ........................................................... 50,000 

Christian Outreach of Lutherans (COOL), Waukegan, IL for Latino 

leadership development in underserved areas ................................ 125,000 

City and County of Denver, CO for housing assistance, mentoring 

and other services to homeless families and seniors ....................... 150,000 

City of Chicago, IL Department of Housing for assistance to chronically homeless families ..................................................................... 150,000 

City of Detroit, MI for an Individual Development Account initiative. ...................................................................................................... 250,000 

City of Fort Worth, Fort Worth, TX for early childhood development program ..................................................................................... 250,000 

City of Lansing, MI for Michigan Center for Infant Loss .................. 350,000 

City of Portland, OR for services to prevent and end family homelessness ............................................................................................... 250,000 

City of San Jose, CA for its Services for New Americans program, 

including assistance with job seeking skills, citizenship, family 

safety and resettlement ..................................................................... 200,000 

Clearbrook Clinical Services, Arlington Heights, IL for services to 

children with developmental disabilities .......................................... 210,000 

Clearbrook, Arlington Heights, IL to enhance its residential services for persons with developmental disabilities ............................. 100,000 

Cleveland Avenue YMCA, Montgomery, AL for family support services for at- risk youth ......................................................................... 100,000 

Cliff Hagan Boys and Girls Club, Owensboro, KY for computers, 

fitness equipment, and furnishings of new facility ......................... 300,000 

154 

Community Mediation Center of Stark County, OH for a conflict 

resolution program ............................................................................. 50,000 

Community of Hope, Washington, DC for social services to homeless families using a Housing First model ....................................... 225,000 

Community Support Services, Brookfield, IL for counseling and 

services for people with developmental disabilities and their families ...................................................................................................... 150,000 

Connecticut Council of Family Service Agencies, Wethersfield, CT 

for the Empowering People for Success welfare-to-work initiative 300,000 

Cross Road Foundation, Staten Island, NY for crisis pregnancy 

services ................................................................................................ 25,000 

District Attorney, 32nd Judicial District, Houma, LA for counseling 

and other intervention services for at-risk youth and their families ....................................................................................................... 100,000 

Domestic Violence Clearinghouse and Legal Hotline, Honolulu, HI 

for education and other services related to domestic violence prevention ................................................................................................ 250,000 

Dreams with Wings, Inc., Louisville, KY for its Dream Builders— 

Day Program for mentally disabled adults ...................................... 50,000 

East Akron Community House, Akron, OH for youth services programs ................................................................................................... 50,000 

Family and Children First, Inc., Louisville, KY for abused and neglected children’s services .................................................................. 50,000 

Family Center of Columbus, Columbus, GA for family counseling, 

youth mentoring, and other services for families dealing with 

consequences of divorce ..................................................................... 200,000 

Gerard Treatment Programs, Austin, MN for program for abused 

and neglected children with severe emotional or behavioral problems ..................................................................................................... 500,000 

Gulf Coast Jewish Family Services, Clearwater, FL for the Training and Best Practices Research Center for Victims of Torture 

and Genocide ...................................................................................... 300,000 

Helping Children Worldwide, Herndon, VA for support programs 

for low- income students and their families .................................... 250,000 

Hope Village for Children, Meridan, MS for expansion of urgent 

shelter and therapeutic group care ................................................... 300,000 

Interagency Council on Child Abuse and Neglect, El Monte, CA, for 

a mentoring program for foster children in Los Angeles County 240,000 

J.W. Darden Foundation, Opelika, AL for a health resource and 

education screening center ................................................................ 100,000 

Jewish Community Center of Cleveland, Beechwood, OH for 

human services programs for children and families ....................... 100,000 

Kids Hope United, Miami, FL for the WINGS program .................... 200,000 

L.I.F.T. Women’s Resource Center, Detroit, MI, for services to improve self- suficiency and life skills of women transitioning from 

substance abuse, domestic violence or homelessness ...................... 150,000 

Lutheran Social Services, Duluth, MN for services to runaway, 

homeless and other at-risk youth and their families ...................... 250,000 

Mary’s Family, Orlean, VA to develop a respite program for Winchester-area special needs families ................................................... 100,000 

Mecklenburg County, NC for the Mecklenburg County Domestic Violence Initiative .................................................................................. 150,000 

Mecklenburg Domestic Violence Shelter, Mecklenburg, NC for 

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

Missouri Bootheel Regional Consortium, Sikeston, MO for the Fatherhood First program ..................................................................... 300,000 

Monterey County Probation Department, Salinas, CA for the Silver 

Star gang prevention and intervention program ............................. 500,000 

National Energy Assistance Directors’ Association, Washington, DC 

for research and information dissemination related to the LowIncome Home Energy Assistance Program ...................................... 200,000 

New Hope for Families, Pawtucket, RI for case management and 

other supportive services for families leaving emergency shelter 200,000 

Nihonmachi Little Friends, San Francisco, CA for child care and 

family resource and referral services ............................................... 200,000 

PathWays PA, Holmes, PA for programs for teen mothers ............... 120,000 

Pathways/Senderos and the National Campaign to Prevent Teen 

Pregnancy, New Britain, CT for education and outreach ............... 400,000 

155 

Peace River Center, Bartow, FL for Joint Family Intensive Therapy 

Team .................................................................................................... 350,000 

Pennsylvania Women Work, Pittsburgh, PA for program for single 

parents and displaced homemakers ................................................. 500,000 

Public Health Department of Dakota County, West St. Paul, MN 

for the Dakota County Healthy Families program ......................... 300,000 

Quality Services for the Autism Community, Astoria, NY to improve training and skills of health care workers and others serving people with autism ...................................................................... 150,000 

Ridgely, Caroline County, MD for curriculum and program development, staff and consultants, communication devices, and technical support ....................................................................................... 600,000 

Safe Haven of Tarrant County, Arlington, TX for shelter and associated services for victims of domestic violence ............................... 70,000 

Sephardic Bikur Holim of Monmouth County, Deal, NJ for social 

services programs ............................................................................... 100,000 

Shelter for Abused Women, Winchester, VA to develop a model for 

service delivery for domestic violence victims in rural communities. ................................................................................................... 100,000 

South Shore Women’s Center, North Plymouth, MA for domestic violence prevention and intervention services .................................... 75,000 

TLC for Children and Families, Olathe, KS for a transitional living 

program for at-risk and homeless youth .......................................... 250,000 

Union Station Foundation, Pasadena, CA for services to homeless 

families ................................................................................................ 150,000 

University of Louisville, Louisville, KY to enhance clinical services 

for education and training initiatives in autism ............................. 800,000 

Visitation Home, Inc., Yardville, NJ for care of developmentally 

disabled residents ............................................................................... 110,000 

Visually Impaired Preschool Services, Louisville, KY for preschool 

programs for the blind and visually impaired ................................. 200,000 

Voyager Program Inc., Canton, OH for domestic violence prevention ...................................................................................................... 50,000 

Women’s Center of Beaver County, PA for the ‘‘Building Foundations’’ project ....................................................................................... 75,000 

Yale University Child Study Center, New Haven, CT for diagnostic 

and intervention services for children affected by autism or related developmental disorders .......................................................... 400,000 

Developmental disabilities 

For programs authorized by the Developmental Disabilities Assistance and Bill of Rights Act and the Help America Vote Act, the 

Committee recommends $170,836,000. This is the same as the fiscal year 2006 funding level and $1,000 more than the budget request. The account total includes $71,771,000 for allotments to the 

states to fund state Councils, the same as both the budget request 

and the fiscal year 2006 funding level. These Councils engage in 

such activities as planning, policy analysis, demonstrations, training, outreach, interagency coordination, and public education. They 

do not provide direct services to the developmentally disabled population. 

Within the total, $38,718,000 will be available to the states to be 

used for operating a protection and advocacy system to protect the 

legal and human rights of the developmentally disabled. This is the 

same as both the budget request and the fiscal year 2006 funding 

level. 

The Committee recommends $15,720,000 for voting access for individuals with disabilities programs. This is the same as both the 

fiscal year 2006 funding level and the budget request. Within the 

funds provided, $10,890,000 is for payments to states to promote 

access for voters with disabilities and $4,830,000 is for state protecVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00159 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
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tion and advocacy systems. These programs are intended to make 

polling places accessible and provide equal access and participation 

for individuals with disabilities. The protection and advocacy program will ensure that individuals can fully participate in the electoral process, including registering to vote, accessing polling places, 

and casting a vote. 

The Committee recommends $11,414,000 for developmental disabilities projects of national significance. This is the same as both 

the fiscal year 2006 funding level and the budget request. 

The Committee recommends $33,213,000 for the university centers for excellence in developmental disabilities. This is the same 

as the fiscal year 2006 funding level and $1,000 more than the 

budget request. This funding provides discretionary grants to public or not-for-profit entities associated with universities. The grants 

provide basic operational and administrative core support for these 

agencies. In addition, these funds support interdisciplinary training, community services, research and technical assistance, and information dissemination. 

Native American programs 

The Committee recommends $44,332,000 for Native American 

programs. This is the same as both the budget request and the fiscal year 2006 funding level. The Native American programs assist 

Tribal and Village governments, Native American institutions and 

organizations to support and develop stable, diversified local economies. In promoting social and economic self-sufficiency, this program provides financial assistance through direct grants for individual projects, training and technical assistance, and research and 

demonstration programs. 

Community services 

The Committee recommends $507,878,000 for community services activities. This is $483,426,000 more than the budget request 

and $186,696,000 less than the fiscal year 2006 funding level. 

State block grants 

For State block grants, the Committee recommends 

$449,037,000. This is $181,388,000 less than the fiscal year 2006 

funding level. No funds were requested for this program. This program provides grants to states, territories, and Indian Tribes for 

services to meet employment, housing, nutrition, energy, emergency services, and health needs of low-income people. By law, 90 

percent of these funds are passed directly through to local community action agencies that have previously received block grant 

funds. 

The Committee recognizes the impact that its recommended 

funding level may have on rural areas. Rural areas highly depend 

on these funds to provide the infrastructure to deliver antipoverty 

services. Therefore, the Committee encourages the authorizing 

Committee of jurisdiction to review the funding allocations for the 

Community Services Block Grant to ensure that limited funding is 

reaching those areas with the greatest need. 

157 

Community economic development 

The Committee recommends $27,022,000 for community economic development. This is the same as the fiscal year 2006 funding level. No funds were requested for this program. This program 

provides assistance to private, locally initiated community development corporations that sponsor enterprises providing employment, 

training, and business development opportunities for low-income 

residents in poor communities. 

Job opportunities for low-income individuals 

The Committee concurs with the budget request not to include 

funding for job opportunities for low-income individuals. The fiscal 

year 2006 funding level for this program is $5,382,000. This program provides competitive grants to non-profit organizations to create new employment and business opportunities for TANF recipients and other low-income individuals. 

Individual development accounts 

The Committee recommends $24,452,000 for individual development accounts. This is the same as both the fiscal year 2006 funding level and the budget request. Individual development accounts 

are dedicated savings accounts that can be used by families with 

limited means for purchasing a first home, paying for postsecondary education or capitalizing a business. The intent of the program is to encourage participants to develop and reinforce strong 

habits for saving money. Section 501(c)(3) organizations are eligible 

to apply for the funds and applicants must match Federal funds 

with non-Federal funds. 

Rural community facilities 

The Committee recommends $7,367,000 for the rural community 

facilities program. This is $74,000 more than the fiscal year 2006 

funding level. No funds were requested for this program. The Committee includes these funds to be used solely for the purpose of improving water and wastewater facilities in poor, rural communities. 

As in the past, these funds should be allocated to regional rural 

community assistance programs. 

Violent crime reduction programs 

The Committee recommends $124,731,000 for family violence 

prevention and services and battered women’s shelters. This is the 

same as both the fiscal year 2006 funding level and the budget request. This program is designed to assist states and Indian Tribes 

in efforts to prevent family violence and to provide immediate shelter and related assistance for victims of family violence and their 

dependents. The program also provides technical assistance and 

training relating to family violence programs to state and local 

public agencies (including law enforcement agencies), nonprofit private organizations, and persons seeking such assistance. 

The Committee also includes $2,970,000 to continue funding the 

national domestic violence hotline. This is the same as both the fiscal year 2006 funding level and the budget request. 

158 

Mentoring children of prisoners 

The Committee recommends $40,000,000 for the mentoring chil- dren of prisoners program. This is $9,493,000 below the fiscal year 

2006 funding level and the same as the budget request. This program supports competitively awarded grants to states and local 

governments, Indian tribes and consortia, and faith- and community-based organizations to mentor children of prisoners and those 

recently released from prison. 

Independent living training vouchers 

The Committee recommends $46,157,000 for independent living 

training vouchers. This is the same as both the fiscal year 2006 

funding level and the budget request. These funds support vouchers for college tuition or vocational training for individuals who age 

out of the foster care system so they can be better prepared to live 

independently. 

Abstinence education 

The Committee recommends a program level total of $113,400,000 for the community-based abstinence education program, which is the same as the fiscal year 2006 funding level and 

$27,765,000 below the budget request. As requested, $4,500,000 is 

provided within the total through the evaluation set-aside. The program provides support to public and private entities for implementation of community-based abstinence education programs for adolescents aged 12 through 18 (as defined in Section 510(b)(2)(A)– 

(H)). The entire focus of these programs is to educate young people 

and create an environment within communities that supports teen 

decisions to postpone sexual activity until marriage. There is no 

funding match requirement for these grants. The Committee intends that up to five percent of these funds be used to provide technical assistance and capacity-building support to grantees. Within 

the total, up to $10,000,000 may be used to carry out a National 

Abstinence Education Campaign. 

The Committee urges the Administration for Children and Families (ACF) to utilize the set-aside to ensure that programs around 

the country are using appropriate and approved curricula that are 

evidence-based and comply with the appropriate Federal legislation. To that end, the Committee requests ACF to issue a report 

to the Committees on Appropriation of the House and Senate no 

later than 90 days after enactment of this Act on the use of the 

5 percent set-aside and the intended use of the fiscal year 2007 

funds. The Committee also requests ACF to include in this report 

the funds from the National Abstinence Education Campaign that 

are being used for training and technical assistance. 

The Committee reinforces the guidance from its report accompanying the fiscal year 2005 appropriation with respect to the abstinence messages given by the public health entities that are 

grantees in the community-based abstinence education program 

and to the conduct of evaluation activities for the program. 

Faith-based center 

The Committee recommends $1,386,000 for the faith-based center. This is the same as both the budget request and the fiscal year 

2006 funding level. The center will support implementation of 

159 

faith-based and community initiatives in accordance with the President’s executive order. 

Program direction 

The Committee recommends $186,265,000 for program direction expenses for ACF. This is $2,900,000 more than the fiscal year 

2006 funding level and $1,858,000 less than the budget request. 

PROMOTING SAFE AND STABLE FAMILIES

The Committee recommends $434,100,000 for the promoting safe and stable families program. This is $40,000,000 more than the fiscal year 2006 funding level and the same as the budget request. 

Of this amount, $345,000,000 are mandatory funds and 

$89,100,000 are discretionary. 

PAYMENTS TO STATES FOR FOSTER CARE AND ASSISTANCE

The Committee recommends $5,211,000,000 for payments to states for foster care and adoption assistance. This is $270,200,000 

more than the fiscal year 2006 funding level and the same as the 

budget request. The Committee also includes an advance appropriation of $1,810,000,000 for the first quarter of fiscal year 2008 

to ensure timely completion of first quarter grant awards. 

Within the total appropriation, including the advance appropriation from the prior year, the Committee recommends 

$4,757,000,000 for the foster care program to provide maintenance 

payments to states on behalf of children who must live outside 

their homes. This is the same as the budget request and 

$72,000,000 more than the fiscal year 2006 funding level. 

Within the total appropriation, the Committee recommends $2,044,000,000 for adoption assistance. This is $161,000,000 more 

than the fiscal year 2006 funding level and the same as the budget 

request. This program provides training for parents and state administrative staff as well as payments on behalf of categorically eligible children considered difficult to adopt. This annually appropriated entitlement is designed to provide alternatives to long, inappropriate stays in foster care by developing permanent placements with families. 

Within the total appropriation for this account, the Committee recommends $140,000,000 for the independent living program. This 

is the same as the fiscal year 2006 funding level and the budget 

request. The program is designed to assist foster children age 16 

or older to make successful transitions to independence. Funds assist children to earn high school diplomas, receive vocational training, and obtain training in daily living skills. Funds are awarded 

to states on the basis of the number of children on behalf of whom 

Federal foster care payments are received. 

ADMINISTRATION ON AGING

AGING SERVICES PROGRAMS

For programs administered by the Administration on Aging 

(AoA), the Committee recommends a total of $1,390,306,000. This 

is $27,447,000 more than the fiscal year 2006 funding level and 

$55,471,000 more than the budget request. This account funds the 

programs under the Older Americans Act except for the CommuVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00163 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
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nity Services Employment Program, which is administered by the 

Department of Labor. 

Supportive services and centers 

The Committee recommends $350,595,000 for supportive services 

and centers. This is the same as both the fiscal year 2006 funding 

level and the budget request. Funds for supportive services and 

centers are awarded to states and territories for in-home and community-based services for frail elderly persons who are at risk of 

losing their self-sufficiency due to physical or mental impairments. 

The funds contained in the bill will support a variety of activities 

including transportation services, information and assistance, and 

personal care services. 

Preventive health 

The Committee recommends $21,400,000 for preventive health 

services. This is the same as the fiscal year 2006 funding level. No 

funds were requested for this program. These funds are awarded 

to states and territories to support activities that educate older 

adults about the importance of healthy lifestyles and promote 

healthy behaviors that can prevent or delay chronic disease and 

disability. 

Protection of vulnerable older Americans 

The Committee recommends $20,156,000 for the protection of 

vulnerable older Americans. This is the same as the fiscal year 

2006 funding level and $990,000 more than the budget request. 

This includes funding for both the long-term care ombudsman program and the prevention of elder abuse, neglect, and exploitation 

program. The former program protects the rights and interests of 

residents in nursing homes, board and care homes, assisted living 

facilities, and similar adult care facilities. The latter program 

trains law enforcement and medical professionals in recognition of 

and response to elder abuse. 

National family caregiver support program 

The Committee recommends $156,167,000 for the family caregivers program. This is the same as the fiscal year 2006 funding 

level and $1,980,000 more than the budget request. The family 

caregiver program provides formula grants to states to provide a 

support system in each state for family caregivers. All states are 

expected to put in place five basic system components as follows: 

individualized information on available resources; assistance to 

families in locating services from private and voluntary agencies; 

caregiver counseling, training and peer support; respite care; and 

other supplemental services. 

Native American caregiver support program 

The Committee recommends $6,241,000 for the Native American 

caregiver support program. This is the same as both the fiscal year 

2006 funding level and the budget request. The program assists 

Tribes in providing multifaceted systems of support services for 

family caregivers as well as for grandparents caring for grandchildren. 

161 

Nutrition programs 

For congregate and home-delivered meals, as well as the nutrition services incentive program, the Committee recommends 

$722,292,000. This is $7,222,000 more than the fiscal year 2006 

funding level and $10,783,000 more than the budget request. The 

funding distribution for these programs is included in the detailed 

table accompanying this report. These programs are intended to 

address some of the difficulties confronting older individuals; namely, nutrition deficiencies due to inadequate income, lack of adequate facilities to prepare food, and social isolation. 

Grants for Native Americans 

The Committee recommends $26,134,000 for grants for Native 

Americans. This is the same as the fiscal year 2006 funding level 

and the budget request. Grants are distributed to tribal organizations to be used to help Native American elders remain healthy 

and independent by providing transportation, nutrition, health 

screening, and other services. 

Program innovations 

The Committee recommends $44,135,000 for program innovations. This is $19,540,000 more than the fiscal year funding level 

and $8,650,000 more than the budget request. Funds under this 

program are used for competitive grants and contracts to support 

projects that develop new and promising practices to serve older 

adults and their families. 

Alzheimer’s disease often causes patients to exhibit unusual and 

unpredictable behavior, including physical aggression and combativeness and drastic mood swings. AoA funds support a 24-hour call 

center to help families in crisis manage these behaviors with expert 

advice, consultation and referrals. The Committee has provided 

$1,000,000 to continue this valuable resource. 

Within this total, the Committee provides $28,000,000 to begin 

national implementation of the Choices for Independence initiative. 

Choices for Independence builds on the successful program innovations administered by AoA over the last four years, including Aging 

and Disability Resource Centers that are currently operating in 43 

States, evidence-based disease prevention efforts, and the cash and 

counseling initiative. Funding is provided to sustain and expand 

these efforts through a coordinated approach that will provide 

States with enhanced tools for redirecting their long-term care systems to make them more consumer-directed and provide moderate 

and low-income individuals at high risk of institutionalization with 

more options to remain at home and in the community. In implementing Choices for Independence, the Committee encourages AoA 

to continue its close partnership efforts with the Centers for Medicare and Medicaid Services and other agencies. 

Within the funds provided for program innovations, the Committee includes funding for the following items: 

Allied Jewish Federation of Colorado, Denver, CO for a naturally 

occurring retirement communities demonstration project .............. 200,000 

Alzheimer’s Family Organization, New Port Richey, FL for training 

and qualification of dementia care professionals ............................ 200,000 

Boise State University, Boise, ID for Center for the Study of Aging 300,000 

Cyber Seniors, Detroit, MI for the ExperienceSeniorPower program 100,000 

162 

Durham-Chapel Hill Jewish Federation, Durham, NC for a demonstration program to improve assistance to family caregivers ..... 140,000 

Experience Corps, Port Arthur, TX for capacity building and expansion ...................................................................................................... 350,000 

Jewish Community Relations Council of Greater Washington, Fairfax, VA for naturally occurring retirement community demonstration project ............................................................................... 150,000 

Jewish Family & Children’s Service of Greater Boston, Waltham, 

MA for a naturally occurring retirement communities demonstration project .......................................................................................... 200,000 

Jewish Family and Children’s Service of Minneapolis, Minnetonka, 

MN for a naturally occurring retirement communities demonstration project .......................................................................................... 400,000 

Jewish Family Service, Albuquerque, NM for a naturally occurring 

retirement community demonstration project ................................. 400,000 

Jewish Family Service, Los Angeles, CA for a naturally occurring 

retirement communities demonstration project in Park La Brea 

& West Hollywood .............................................................................. 300,000 

Jewish Family Services of Delaware, Wilmington, DE for a naturally occurring retirement community demonstration project ....... 150,000 

Jewish Family Services of Washtenaw County, Ann Arbor, MI for 

a naturally occurring retirement communities demonstration 

project .................................................................................................. 125,000 

Jewish Federation of Central New Jersey, Scotch Plains, NJ for the 

naturally occurring retirement communities demonstration 

project .................................................................................................. 150,000 

Jewish Federation of Greater Indianapolis, Indianapolis, IN for a 

naturally occurring retirement communities supportive services 

demonstration ..................................................................................... 300,000 

Jewish Federation of Greater Monmouth County, NJ for a naturally occurring retirement community demonstration project ....... 200,000 

Jewish Federation of Greater New Haven, Woodbridge, CT to develop, test, evaluate and disseminate an innovative communitybased approach to family caregiver support services ...................... 200,000 

Jewish Federation of Middlesex County, South Amboy, NJ for a 

naturally occurring retirement communities demonstration 

project .................................................................................................. 200,000 

Legal Assistance for Seniors, Oakland, CA for a demonstration 

project, including training, to improve assistance to elderly victims of financial abuse ....................................................................... 250,000 

Nebraska Hospice and Palliative Care Association, Lincoln, NE for 

data collection and evaluation .......................................................... 400,000 

Nursing Assistant Institute at the Jefferson Area Board for Aging, 

Charlottesville, VA for assessment and address of nursing assistant shortages in long-term care settings .......................................... 100,000 

People Inc., Buffalo, NY for an integrated Alzheimer’s and dementia respite care demonstration project .............................................. 75,000 

Prevent Blindness Ohio, Columbus, OH for the Ohio Senior Eye 

project .................................................................................................. 250,000 

Rebuilding Together, Inc., Washington, D.C. for education, training, technical assistance and other services related to its national 

program to reduce the risk of injury to seniors through home 

modifications ....................................................................................... 300,000 

Samuel Field YM&YWHA, Little Neck, NY for a naturally occurring retirement communities demonstration project ...................... 150,000 

Senior Legal Hotline, Sacramento, CA for a demonstration project 

to increase services to non-English-speaking seniors ..................... 60,000 

Shenandoah Area Agency of Aging, Front Royal, VA for a model 

group respite center for persons with Alzheimer’s disease or dementia ................................................................................................. 150,000 

The Aging in New York Fund, Inc. of the New York City Department for the Aging, New York, NY to develop best practices in 

the treatment of Alzheimer’s disease ............................................... 750,000 

UJA Federation of Bergen County, NJ for the Safe and Secure Senior Program ......................................................................................... 300,000 

United Jewish Communities of Metrowest, Parsipanny, NJ for naturally occurring retirement communities demonstration project ... 500,000 

Visiting Nurses Association Healthcare Partners of Ohio, Mansfield, OH for CareWatch .................................................................... 100,000 

163 

Warbasse Community Services, Brooklyn, NY for a naturally occurring retirement communities demonstration project addressing 

mental health needs ........................................................................... 200,000 

Aging network support activities 

The Committee recommends $13,133,000 for aging network support activities, which include five ongoing programs: the Eldercare 

Locator, Pension Counseling, Senior Medicare Patrols, the National 

Long-Term Care Ombudsman Resource Center, and the National 

Center on Elder Abuse. This is the same as both the fiscal year 

2006 funding level and the budget request. These established programs, which began as demonstration projects, provide critical support for the national aging services network. 

Alzheimer’s disease demonstration grants 

The Committee recommends $11,668,000 for Alzheimer’s disease 

demonstration grants. This is the same as the fiscal year 2006 

funding level. No funds were requested for this program. The program provides competitive grants to States to help them plan and 

establish programs to provide models of care to individuals with 

Alzheimer’s disease. Funds are used for respite care and supportive 

services, clearinghouses, training, and administrative costs for 

State offices. 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. Unlike other AoA general service activities, this program is designed to address the unique demands 

Alzheimer’s disease places on families and emphasizes systems 

change to meet those demands. 

Program administration 

The Committee recommends $18,385,000 for program administration expenses. This is the same as the budget request and 

$685,000 more than the fiscal year 2006 funding level. This activity 

provides administrative and management support for all Older 

Americans Act programs administered by AoA. 

OFFICE OF THE SECRETARY

GENERAL DEPARTMENTAL MANAGEMENT

The Committee provides $363,592,000 for general departmental management, which is $5,697,000 above the fiscal year 2006 level 

and $4,827,000 below the budget request. Included in this amount 

is authority to spend $5,792,000 from the Medicare trust funds. In 

addition, the Office of the Secretary has access to $39,552,000 of 

policy evaluation funding. 

This appropriation supports those activities that are associated 

with the Secretary’s roles as policy officer and general manager of 

the Department. The Office of the Secretary also implements Administration and Congressional directives, and provides assistance, 

direction and coordination to the headquarters, regions and field 

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eral small health promotion and disease prevention activities that 

are centrally administered. 

The Committee includes the amounts within the Office of the 

Secretary for the following projects and activities in fiscal year 

2007 listed below: 

University of Texas Southwestern Medical Center, Dallas, TX (in 

cooperation with UT Dallas) for a program to recruit minority 

students into biomedical research (including outreach, mentoring 

and/or scholarships and fellowships) ................................................ $75,000 

Hunterdon Medical Center, Flemington, NJ for its Latino 

Healthcare Initiative .......................................................................... 100,000 

National Hispanic Medical Association, Washington, DC for development of a Hispanic Health Portal to provide on-line health 

education materials ............................................................................ 250,000 

New Hampshire Minority Health Coalition, Manchester, NH to expand the Medical Interoperation Services Project .......................... 300,000 

Northern Virginia Family Services, Oakton, VA to develop a network of local pediatricians providing affordable health care to the 

working poor in Loudoun County, VA .............................................. 100,000 

St. Luke Free Community Clinic, Front Royal, VA to coordinate a 

seven-county effort to address adult hypertension and inadequate 

dental care for the uninsured ............................................................ 350,000 

University Medical Center of Southern Nevada, Las Vegas, NV for 

translation, training, and technology related to its Interpretive 

Services Program ............................................................................... 250,000 

University of Medicine and Dentistry of New Jersey, Newark, NJ 

for research, education and community outreach activities of the 

Institute for the Elimination of Health Disparities ........................ 275,000 

Adolescent family life 

The Committee provides $30,277,000 for the Adolescent Family Life program, which is the same as the 2006 level and $95,000 

below the budget request. The Committee repeats bill language requested by the Administration allocating all funds for prevention 

demonstrations to be available for abstinence education activities 

under section 510(b)(2) of the Social Security Act. The program provides comprehensive and integrated approaches to the delivery of 

care services for pregnant and parenting adolescents, and prevention services that promote abstinence from sexual activity among 

non-parenting teens. 

Office of Minority Health 

The Committee provides $46,775,000 for the Office of Minority 

Health (OMH), which is $9,719,000 below the fiscal year 2006 

amount and the same as the budget request. The 2006 appropriation included a one-time project costing $9,900,000. The OMH 

works with Public Health Service agencies and other agencies of 

the Department in a leadership and policy development role to establish goals and coordinate other activities in the Department regarding disease prevention, health promotion, service delivery and 

research relating to disadvantaged and minority individuals; concludes interagency agreements to stimulate and undertake innovative projects; supports research, demonstration, and evaluation 

projects; and coordinates efforts to promote minority health programs and policies in the voluntary and corporate sectors. 

Historically black medical schools.—The Committee continues to 

be concerned about the diminished partnership between OMH and 

the nation’s historically black medical schools. Consistent with the 

fiscal year 2006 conference report, the Committee encourages OMH 

165 

to: (1) re-establish its unique cooperative agreement with Meharry 

Medical College; (2) develop a formal partnership with the Morehouse School of Medicine and its National Center for Primary Care; 

and (3) coordinate a response to the challenges facing the Charles 

R. Drew University of Medicine and Science, including expanded 

opportunities for biomedical research and support for residency 

training faculty. The Committee requests a report on the status of 

these activities by January 1, 2007. 

Office on Women’s Health 

The Committee provides $28,265,000 for the Office on Women’s 

Health, which is the same as the fiscal year 2006 level and 

$104,000 below the budget request. The Office on Women’s Health 

advises the Secretary and provides Department-wide coordination 

of programs focusing specifically on women’s health. 

HIV/AIDS in minority communities 

The Committee provides $51,891,000 to be available to the Secretary to transfer to the Department’s operating agencies for specific program activities to address the high-priority HIV prevention 

and treatment needs of minority communities. This is the same as 

the fiscal year 2006 level and the budget request. These funds are 

provided to promote an effective culturally competent and linguistically appropriate public health response to the HIV/AIDS epidemic. 

Within the total provided, the Committee expects that 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, will be supported at no 

less than last year’s funding level. 

Afghanistan 

The Committee includes $5,892,000, which is the same as the fiscal year 2006 level and $124,000 below the budget request. These 

funds will be used for the joint Department of Defense and HHS 

initiative to improve the largest women’s hospital in Kabul, Afghanistan and to create four satellite teaching clinics. Bill language 

is included identifying the amount of assistance and citing as authority the Afghanistan Freedom Support Act of 2002. 

Embryo adoption awareness campaign 

The Committee does not provide funding for the embryo adoption 

awareness campaign, which is $1,980,000 below both the Administration request and the fiscal year 2006 level. HHS has received 

funding for four years to conduct embryo adoption public awareness activities. 

Public education campaigns.—The Committee recognizes the important role that minority-owned and -operated media serve in 

reaching key segments of the public, and the U.S. Hispanic population in particular. Given the importance of reaching these communities, the Committee encourages the Department to consider 

the importance of these media and their constituencies when conducting national public health education campaigns, and to target 

resources to reach these communities through minority-owned and 

166 

-operated media. This is particularly critical when that media 

serves residents whose first language is not English, such as in 

Spanish language print media, and when the public health campaigns are targeting conditions that affect non-English speaking 

populations disproportionately, such as cardiovascular disease, cancer, diabetes and obesity. 

Obesity.—The Committee requests the Secretary, not later than 

one year after the enactment of this Act, to submit a report to the 

Committee describing research being conducted on health implications of obesity and being overweight. The report should describe 

the types and numbers of studies completed or being conducted by 

NIH; the types of studies completed or being conducted by CDC on 

individual and community interventions to prevent individuals 

from becoming overweight or obese; and recommendations on further research that is needed. 

Cardiovascular disease and women.—The Committee is concerned that there continues to be a lack of awareness among health 

care providers that cardiovascular disease is the leading killer of 

women in the United States. The Committee encourages the Secretary to conduct an education and awareness campaign for physicians and other health care professionals relating to the prevention, diagnosis, and treatment of heart disease, stroke and other 

cardiovascular diseases in women. 

Sodium.—High sodium diets are strongly correlated with hypertension, heart attack, and stroke. The National Heart, Lung, and 

Blood Institute’s working group on hypertension has called for a 

fifty percent reduction in salt consumption over ten years. The 

Committee encourages the Surgeon General to issue a report on 

salt and hypertension within one year of the passage of this bill. 

Bioterrorism funds: 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. 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. 

The Committee also recognizes that HHS has incorporated the 

National Preparedness Goal into the cooperative agreement guidance and established new CDC Preparedness Goals. The Committee urges the Department to assure that the performance 

metrics for the CDC Preparedness Goals, by which local health department preparedness will be measured, are fully consistent with 

the target capabilities list of the National Preparedness Goal. 

Sleep disorders.—At the National Institutes of Health’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 and that 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 Disorders and requests a report regarding progress made on this initiative. 

Food allergy.—The Committee notes that approximately three 

million children under the age of eighteen suffer from food allergies. There are no Federal guidelines concerning the management 

167 

of life-threatening food allergies in a school setting. The Committee 

encourages the Secretary, working with the Secretary of Education, 

to develop a policy to be used on a voluntary basis to manage the 

risk of food allergy and anaphylaxis in schools within six months 

of the enactment of this Act. These guidelines should include detailed emergency treatment procedures in the event of anaphylaxis 

or other food allergy reaction, strategies to reduce the risk of exposure to anaphylactic causative agents in classrooms and common 

school areas such as the cafeteria, and consideration of the authorization of school personnel to administer epinephrine when the 

school nurse is not immediately available. 

Office of Population Affairs (OPA).—The appropriations bill has 

had a longstanding provision making clear that no family planning 

provider is exempt from any State law requiring notification or reporting of child abuse, child molestation, sexual abuse, rape or incest. The committee is pleased that OPA is developing an audit for 

a representative sample of Title X recipients to measure the level 

of compliance with each of these statutory requirements. The committee directs OPA to begin this audit in calendar year 2006, giving particular attention to states where issues of non-compliance 

have been raised by state government officials. The committee directs the OPA to submit a report no later than March 1, 2007 to 

the House and Senate Appropriations Committees detailing the 

fundings from the audit, including the number of abuse cases that 

have been reported consistent with State law. The Committee 

again directs the OPA to send Title X grantees a reminder notification of this Federal requirement and a report no later than March 

1, 2007, to the House and Senate Appropriations Committee detailing their progress in notifying all grantees of this federal requirement. 

Steroid use.—The Committee supports education efforts to demonstrate the consequences of using performance-enhancing drugs. 

The Department should undertake a comprehensive campaign to 

educate youth on the dangers of steroid use for 5th through 8th 

graders, an education program authorized in the Anabolic Steroid 

Control Act of 2004. 

Genetic screening.—The Committee is pleased that the Secretary’s Advisory Committee on Heritable Disorders and Genetic 

Diseases in Newborns and Children has recommended a uniform 

screening panel for which all newborns should be screened. The 

Advisory Committee is encouraged to update the panel of recommended tests periodically, as well as provide the Secretary with 

recommendations, advice or information on steps to improve newborn screening programs. This Committee strongly urges the Secretary to adopt or reject recommendations no later than 180 days 

after the Advisory Committee issues them, and to make public the 

justification for such determination. 

OFFICE OF MEDICARE HEARINGS AND APPEALS

The Committee provides $70,000,000 for this Office, which is 

$10,600,000 above the fiscal year 2006 level and $4,250,000 below 

the Administration request. This office supports hearing at the administrative law judge level, the third level of Medicare claims appeals. More than 40,000 appeals are projected to be heard in fiscal 

year 2007. 

168 

OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION

TECHNOLOGY

The Committee provides $98,000,000 for the health information technology office, of which $86,070,000 is available in budget authority and $11,930,000 in program evaluation tap funding. This 

total is $36,728,000 above the amount made available in fiscal year 

2006 and $17,872,000 below the Administration request. In addition, $50,000,000 is provided for health information technology activities in the Agency for Healthcare Research and Quality. This 

AHRQ activity is the same as the budget request and the fiscal 

year 2006 level. 

This program is intended to bring together decision-makers to 

develop standards for modern information technology, to devise certification procedures, to develop electronic information architecture 

and to test privacy standards. The ultimate goal is the accurate 

and rapid transfer of a patient’s health information electronically. 

The Committee encourages the Department to develop an interoperability standard, tool set, and validation protocol that facilitate 

seamless medical device information sharing and device 

connectivity. 

OFFICE OF THE INSPECTOR GENERAL

The Committee provides $41,415,000 for the Office of the Inspector General (OIG), which is $2,000,000 more than the fiscal year 

2006 level and $2,345,000 less than the budget request. Permanent 

appropriations for this office are contained in the Health Insurance 

Portability and Accountability Act of 1996, as well as the Deficit 

Reduction Act of 2005. Total funds provided between this bill and 

the permanent appropriations would be $226,415,000 in fiscal year 

2007. 

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

the integrity of Departmental programs as well as the health and 

welfare of beneficiaries served by those programs. Through a comprehensive program of audits, investigations, inspections and program evaluations, the OIG attempts to reduce the incidence of 

fraud, waste, abuse and mismanagement, and to promote economy, 

efficiency and effectiveness throughout the Department. 

OFFICE FOR CIVIL RIGHTS

The Committee provides $36,283,000 for the Office of Civil Rights (OCR), which is $1,637,000 more than the fiscal year 2006 

level and the same as the budget request. This includes authority 

to transfer $3,314,000 from the Medicare trust funds. 

The Office for Civil Rights is responsible for enforcing civil rights 

statutes that prohibit discrimination in health and human services 

programs. OCR implements the civil rights laws through a compliance program designed to generate voluntary compliance among all 

HHS recipients. 

MEDICAL BENEFITS FOR COMMISSIONED OFFICERS

The Committee provides an estimated $341,694,000 for medical 

benefits for commissioned officers of the U.S. Public Health Service. 

This is the same as the Administration request and $13,142,000 

above the fiscal year 2006 amount. 

169 

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 

for 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

The Committee provides $160,475,000 for the public health and 

social services emergency fund for homeland security related activities within the Office of the Secretary, which is $100,448,000 above 

the fiscal year 2006 level and the same as the budget request. 

Within the amount, $81,595,000 is for homeland security preparedness activities within the Office of the Secretary and $78,880,000 

is for pandemic influenza preparedness. 

In addition, the Committee provides for homeland security activities $1,606,000,000 within CDC; $487,000,000 within HRSA; and 

$1,866,000,000 within NIH. 

The Committee does not provide funding within the Office of the 

Secretary for healthcare provider credentialing. The Committee believes a better use of resources would be to expand the ongoing 

credentialing program operated by HRSA to permit cross-state 

credentialing. 

Funding is included for develpment of a national vaccine/antiviral medication logistics management system. This system would 

integrate geospatial analysis, data capture, influenza outcome models, and situational decision-making tools to assist Federal emergency response in conjunction with state and local governments. 

In light of the imminent hurricane season and potential pandemic flu considerations, the Committee is concerned that responses to recent hurricanes revealed problems in assuring availability of an adequate blood supply through implementation of the 

National Response Plan. In particular, the local non-profit community-based blood centers experienced shortages of: fuel for generators to collect and maintain as well as vehicles to distribute a viable blood stock; reliable access to emergency comunications; and 

availability of emergency transportation for distribution of blood 

and supplies. The Committee expects the Secretary of Health and 

Human Services, by August 1, 2006, to submit an operating plan 

with policies and procedures that ensure FDA-licensed or registered blood centers received priority access to fuel, communications equipment and frequencies, and transportation, consistent 

with their role as providers of emergency medical services. Further, 

this plan shall identify any impediments related to State responsibilities in providing priority access to those resources. In preparing the plan, the Secretary shall consult with the Secretary of 

Homeland Security and the Secretary of Transportation regarding 

coordination with their responsibilities under the National Response Plan. 

ADMINISTRATIVE PROVISIONS

Sec. 201. The Committee continues a provision to limit the 

amount available for official reception and representation expenses. 

170 

Sec. 202. The Committee continues a provision to limit the number of Public Health Service employees assigned to assist in child 

survival activities and to work in AIDS programs through and with 

funds provided by the Agency for International Development, the 

United Nations International Children’s Emergency Fund or the 

World Health Organization. 

Sec. 203. The Committee continues a provision to prohibit the 

use of funds to implement section 399F(b) of the Public Health 

Service Act or section 1503 of the NIH Revitalization Act of 1993. 

Sec. 204. The Committee continues and amends a provision to 

limit the salary of an individual through an NIH, AHRQ, or 

SAMHSA grant or other extramural mechanism to not more than 

the rate of Executive Level II. 

Sec. 205. The Committee includes a provision limiting the compensation of an individual working in Head Start to the Federal 

Executive Level II salary. 

Sec. 206. The Committee continues a provision to prohibit the 

Secretary from using evaluation set-aside funds until the Committee receives a report detailing the planned use of such funds. 

Sec. 207. The Committee continues a provision, although changes 

the percentage provided in the fiscal year 2006 bill, permitting the 

Secretary to use up to 1.0 percent of funds authorized under the 

PHS Act for the evaluation of programs. 

(TRANSFER OF FUNDS)

Sec. 208. The Committee continues and amends a provision permitting the Secretary of HHS to transfer up to one percent of any 

discretionary appropriation from an account, provided that no appropriation is increased by more than three percent by any such 

transfer. 

(TRANSFER OF FUNDS)

Sec. 209. The Committee continues a provision to provide the Director of NIH, jointly with the Director of the Office of AIDS Research, the authority to transfer up to three percent of human immunodeficiency virus funds. 

(TRANSFER OF FUNDS)

Sec. 210. The Committee continues a provision to make NIH 

funds available for human immunodeficiency virus research available to the Office of AIDS Research. 

Sec. 211. The Committee continues a provision to prohibit the 

use of Title X funds unless the applicant for the award certifies to 

the Secretary that it encourages family participation in the decision of minors to seek family planning services and that it provides 

counseling to minors on how to resist attempts to coerce minors 

into engaging in sexual activities. 

Sec. 212. The Committee continues a provision related to the 

Medicare Advantage program. 

Sec. 213. The Committee continues a provision stating that no 

provider of services under title X shall be exempt from any state 

law requiring notification or the reporting of child abuse, child molestation, sexual abuse, rape, or incest. 

171 

Sec. 214. The Committee continues a provision to exempt states 

from Synar provisions if certain funding criteria are met. 

Sec. 215. The Committee continues a provision to allow funding 

for CDC international HIV/AIDS and other infectious disease, 

chronic and environmental disease, and other health activities 

abroad to be spent under the State Department Basic Authorities 

Act of 1956. 

Sec. 216. The Committee continues a provision granting authority to the Office of the Director of the National Institutes of Health 

(NIH) to enter directly into transactions in order to implement the 

NIH Roadmap for medical research and permitting the Director to 

utilize peer review procedures, as appropriate, to obtain assessments of scientific and technical merit. 

Sec. 217. The Committee continues a provision that permits the 

Centers for Disease Control and Prevention and the Agency for 

Toxic Substances and Disease Registry to transfer funds that are 

available for Individual Learning Accounts to ‘‘Disease Control, Research, and Training’’. 

Sec. 218. The Committee continues a provision permitting the 

Secretary of Health and Human Services to waive regulations requiring child restraint systems and vehicle monitors on buses that 

transport children attending Head Start programs. The reauthorization of the Head Start program will remedy the disruption 

caused by these regulations and thus the waiver authority expires 

upon enactment the reauthorization. 

Sec. 219. The Committee continues a provision granting authority to the Secretary of HHS to use charter aircraft under contract 

with CDC. 

Sec. 220. The Committee includes a provision requiring NIHfunded authors to deposit final, peer-reviewed manuscripts in the 

National Library of Medicine’s PubMed Central database within 

twelve months of the official date of publication. 

Sec. 221. The Committee recommends new language to preclude 

funds made available in this Act from being used to phase down 

or reduce below 6 percent certain taxes under section 433.68(f)(3) 

of title 42, Code of Federal Regulations. 

TITLE III—DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED

The bill includes $14,652,541,000 for the education for the disadvantaged programs. This amount is $1,817,000,000 less than the 

budget request and $171,380,000 higher than the fiscal year 2006 

appropriation. Of the total amount available, $7,099,907,000 is appropriated for fiscal year 2007 for obligation after July 1, 2007 and 

$7,383,301,000 is appropriated for fiscal year 2008 for obligation on 

or after October 1, 2007. This appropriation account includes compensatory education programs authorized under title I of the Elementary and Secondary Education Act of 1965; and title IV of the 

Higher Education Act. 

Grants to local educational agencies 

Of the amounts provided for title I programs, $6,808,408,000 is 

available for basic grants to local education agencies. This amount 

is the same as both last year’s level and the request. 

172 

Funding for concentration grants, which targets funds to local 

educational agencies in school districts with high levels of disadvantaged children, is $1,365,031,000, the same as both last year 

and the request level. 

The bill includes $2,269,843,000 for targeted grants, the same as 

both last year and the request. 

A total of $2,269,843,000 is included for education finance incentive grants, the same as both the request and last year’s level. 

Financial assistance flows to school districts by formula, based 

primarily on the number of school-aged children from low-income 

families. Within districts, local school officials target funds on 

school attendance areas with the greatest number or percentage of 

children from poor families. Local school districts develop and implement their own programs to help ensure that students in highpoverty schools meet challenging State academic standards. 

Funds under this account are also used to pay the Federal share 

of State administrative costs for title I programs. The maximum 

State administrative grant is equal to one percent of title one local 

educational agency grants or $400,000, whichever is greater. 

The Committee does not include bill language requested by the 

Administration to override existing statutory language that prohibits State educational agencies from reserving the full four percent of their allocations for school improvement programs if the formula reduces any local educational agency allocations. The Committee supports the effort to provide State agencies with funding 

to address school improvement efforts, especially as more schools 

fall into needing improvement categories, but is reluctant to change 

the statute when No Child Left Behind (NCLB) will be considered 

for reauthorization next year. 

With the renewed focus on science, technology, engineering and 

mathematics (STEM) education, the Committee notes with concern 

the under-representation of Hispanics, African Americans, and Native Americans in the STEM fields. For example, the Center for the 

Advancement of Hispanics in Science and Engineering Education 

notes that Hispanic Americans constitute 12 percent of the population in the United States, and yet represent less than three percent of the engineering and scientific community nationwide. With 

the goal of increasing the percentage of all minority subgroups that 

contribute to the STEM fields, the Committee encourages the Department to investigate the reasons for this disparity and issue a 

report within one year with the findings of that investigation, including suggested remedies to bridge the divide. 

Even Start 

The Committee provides $70,000,000 for Even Start, $29,000,000 

below last year and $70,000,000 above the request. Even Start provides grants for programs focusing on the education of low-income 

families, including parents eligible for services under the adult 

Education and Family Literacy Act and their children, aged birth– 

7 years. These parents are not in school, are above the State’s compulsory school attendance age limit, and have not earned a high 

school diploma (or equivalent). Even Start funds are allocated to 

the States, generally in proportion to title I Part A funds. 

173 

School improvement grants 

The Committee provides $200,000,000 for the first year of funding for school improvement grants, authorized under section 

1003(g) of the Elementary and Secondary Education Act. This is 

the same as the Administration request. This formula grant program will make awards to States to provide assistance for local 

school improvement activities required for title I schools that do 

not make adequate yearly progress for at least two consecutive 

years. This assistance will help ensure that States and localities 

have the resources necessary to carry out the continuous improvement required to meet the annual and long-term proficiency goals 

of NCLB. 

The Committees does not include bill language requested by the 

Administration overriding the statutory requirement that States 

subgrant 95 percent of their grant funds to local educational agencies. The Committee hopes this issue will be considered during the 

authorization of No Child Left Behind next year. 

Reading First State Grants 

The bill provides $1,029,234,000 for Reading First State grants, 

which is the same as both the budget request and the fiscal year 

2006 level. This program provides assistance to states and school 

districts in establishing scientific research-based reading programs 

for children in kindergarten through grade three. The program also 

provides for professional development and other support to ensure 

that teachers can identify children at-risk for reading failure and 

provide the most effective early instruction to overcome specific 

barriers to reading proficiency. 

Early Reading First 

The bill provides $103,118,000 for Early Reading First, the same 

as both the budget request and the fiscal year 2006 level. This is 

a competitive grant program targeted toward children from birth 

three through age five, and supports the development of verbal 

skills, phonemic awareness, pre-reading development and assistance for professional development for teachers in evidence-based 

strategies of instruction. 

Striving Readers 

The bill provides $35,000,000 for Striving Readers, $65,000,000 below the budget request and $5,300,000 above last year’s level. 

Striving Readers makes competitive grants to develop, implement 

and evaluate reading interventions for middle- or high-school students who are reading significantly below grade level. 

Math Now 

The bill does not provide $250,000,000 requested by the Administration for two new programs, Math Now for Elementary School 

Students and Math Now for Middle School Students. The Committee supports efforts to improve mathematics instruction, but 

has concerns about beginning additional programs when ongoing 

programs exist that target math and science instruction. The Committee does provide funding for the national mathematics panel to 

develop mathematics content and principles for programs like Math 

Now. 

174 

Literacy through school libraries 

The bill provides $19,486,000 for literacy through school libraries, the same as both the budget request and the fiscal year 2006 

level. This program helps school districts provide students with increased access to up-to-date school library materials, a wellequipped, technologically advanced school library media center, and 

well-trained, and professionally certified school library media specialists. At appropriations of less than $100,000,000 the Department makes competitive awards to districts with a child poverty 

rate of at least 20 percent. 

High school intervention 

The bill does not include funding for the high school intervention 

program proposed by the Administration at $1,475,000,000. The 

Committee supports the Administration’s goals in this program, 

which are to increase the achievement of high school students, particularly students at risk of failing to meet challenging State academic content standards; to eliminate gaps in achievement between 

students from different ethnic and racial groups and between disadvantaged students and their more advantaged peers; and to enable all high school students to graduate with the education, skills, 

and knowledge necessary to succeed in postsecondary education 

and in a demanding, high-technology economy. However, the Committee notes that this program has not been authorized. 

America’s opportunity scholarships for kids 

The bill does not include funding for the America’s opportunity 

scholarships for kids program proposed by the Administration at 

$100,000,000. This demonstration program would provide parents 

with funds either to send their child to a private school or receive 

intensive tutoring assistance. Instead, the Committee provides 

$200,000,000 for assistance to schools that do not make adequate 

yearly progress through the School Improvement Grants program. 

State agency programs: migrant 

The bill includes $386,524,000 for the migrant education program, the same as both the budget request and the fiscal year 2006 

appropriation. This program supports formula grants to State 

agencies for the support of special educational and related services 

to children of migratory agricultural workers and fishermen. The 

purpose of this program is to provide supplementary academic education, remedial or compensatory instruction, English for limited 

English proficient students, testing, plus guidance, counseling and 

other activities to promote coordination of services across States for 

migrant children whose education is interrupted by frequent 

moves. 

State agency programs: neglected and delinquent 

For the State agency program for neglected and delinquent children, the bill includes $49,797,000, which is the same as both the 

budget request and the fiscal year 2006 appropriation. This formula grant program provides services to participants in institutions for juvenile delinquents, adult correctional institutions, or institutions for the neglected. 

175 

Evaluation 

The Committee provides $9,330,000 for evaluation, the same as 

both the 2006 appropriation and the budget request. Title I evaluation supports large scale national evaluations that examine how 

title I is contributing to improved student performance at the 

State, local education agency, and school levels. It also supports 

short-term studies that document promising models. 

Comprehensive school reform 

The bill includes $3,000,000 for the Comprehensive School Reform (CSR) Program, $3,000,000 above the request and $4,920,000 

below last year’s level. The Committee has included bill language 

providing funding for continuation costs of the quality initiative 

awards and the comprehensive school reform clearinghouse. The 

CSR program provided incentive grants of at least $50,000 per 

year, for 3 years, for schools to implement effective, research-driven 

strategies for schoolwide reform. Recent studies have demonstrated 

that comprehensive school-improvement models, when well implemented, boost student achievement to a greater extent than other 

interventions designed to serve similar student populations. Now 

that the NCLB has spurred an increased emphasis school reform 

activities, programs supported by CSR can be funded through Title 

I grants to local educational agencies. 

Migrant education, high school equivalency program 

The bill includes $18,550,000 for the high school equivalency program. This amount is the same as both the budget request and the 

fiscal year 2006 level. The high school equivalency program recruits migrant students aged 16 and over and provides academic 

and support services to help those students obtain a high school 

equivalency certificate and subsequently to gain employment or admission to a postsecondary institution or training program. 

College assistance migrant programs 

The bill includes $15,377,000 for the college assistance migrant 

programs. This amount is the same as both the fiscal year 2006 

level and the budget request. The college assistance migrant program (CAMP) provides tutoring and counseling services to firstyear, undergraduate migrant students and assists those students 

in obtaining student financial aid for their remaining undergraduate years. 

IMPACT AID

The bill provides $1,228,453,000 for Federal impact aid programs 

in fiscal year 2007, the same as both the fiscal year 2006 appropriation and the budget request. This account supports payments 

to school districts affected by Federal activities. Impact Aid represents a Federal responsibility to local schools educating children 

whose families are connected with the military or who live on Indian land. 

The bill also repeats language, as requested by the Administration, ensuring that schools serving the children of military personnel continue to receive Impact Aid funds when the military parents who live on-base are deployed and the child continues to atVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00179 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
176 

tend the same school and in cases in which an on-base military 

parent is killed while on active duty and the child continues to attend the same school. 

Basic support payments 

The bill includes $1,091,867,000 for basic support payments to 

local educational agencies, the same as both the fiscal year 2006 

level and the budget request. Basic support payments compensate 

school districts for lost tax revenue and are made on behalf of Federally-connected children such as children of members of the uniformed services who live on Federal property. 

Payments for children with disabilities 

The Committee recommends $49,466,000 for payments on behalf 

of Federally-connected children with disabilities, the same as both 

the budget request and the fiscal year 2006 appropriation. These 

payments compensate school districts for the increased costs of 

serving Federally-connected children with disabilities. 

Facilities maintenance 

The Committee recommends $4,950,000 for facilities maintenance, the same as both the fiscal year 2006 amount and the budget request. These capital payments are authorized for maintenance 

of certain facilities owned by the Department of Education. 

Construction 

The Committee recommends $17,820,000 for the construction 

program, which is the same as the budget request and the fiscal 

year 2006 level. This program provides formula and competitive 

grants to local educational agencies that educate Federally connected students or have Federally owned land for building and renovating school facilities. The Committee provides funding for the 

formula program rather than, as requested by the Administration, 

for the competitive program. 

Payments for Federal property 

The bill provides $64,350,000 for payments related to Federal 

property, the same as both the fiscal year 2006 level and the budget request. Funds are awarded to school districts to compensate for 

lost tax revenue as the result of Federal acquisition of real property 

since 1938. 

SCHOOL IMPROVEMENT PROGRAMS

The bill includes $4,764,559,000 for school improvement programs. This amount is $490,918,000 less than the fiscal year 2006 

appropriation and $208,599,000 less than the budget request. This 

appropriation account includes programs authorized under titles II, 

IV, V, VI, and VII of the Elementary and Secondary Education Act; 

the McKinney-Vento Homeless Assistance Act, title IV–A of the 

Civil Rights Act, section 203 of the Educational Technical Assistance Act of 2002, and section 105 of the Compact of Free Association Amendments Act of 2003. 

177 

State grants for improving teacher quality 

The bill includes $2,587,000,000 for state grants for improving 

teacher quality, which is $300,439,000 less than both the budget 

request and the fiscal year 2006 level. This program gives States 

and districts a flexible source of funding with which to meet their 

particular needs in strengthening the skills and knowledge of 

teachers and administrators to enable them to improve student 

achievement. States are authorized to retain 2.5 percent of funds 

for state activities, including reforming teacher certification, re-certification or licensure requirements; expanding, establishing or improving alternative routes to state certification; carrying out programs that include support during the initial teaching and leadership experience, such as mentoring programs; assisting school districts in effectively recruiting and retaining highly qualified and effective teachers and principals; reforming tenure systems; and developing professional development programs for principals. 

States send funding to the local level by formula and by competitive grant. Among other things, local uses of funds include initiatives to assist recruitment of principals and fully qualified teachers; 

initiatives to promote retention of highly qualified teachers and 

principals; programs designed to improve the quality of the teacher 

work force; teacher opportunity payments; professional development activities; teacher advancement initiatives and hiring fully 

qualified teachers in order to reduce class size. In the 2003–2004 

school year, the Department reports that states transferred 

$140,000,000 out of teacher quality State grants for use in other 

NCLB programs. 

Early childhood educator professional development 

The bill includes $14,549,000 for early childhood educator professional development, the same as both the budget request and the 

fiscal year 2006 level. This program provides competitive grants to 

partnerships to improve the knowledge and skills of early childhood 

educators and caregivers who work in communities that have high 

concentrations of children living in poverty. 

Mathematics and science partnerships 

The bill includes $225,000,000 for mathematics and science partnerships, $42,840,000 above both the budget request and the fiscal 

year 2006 level. This program promotes strong math and science 

teaching skills for elementary and secondary school teachers. 

Grantees may use program funds to develop rigorous math and 

science curricula, establish distance learning programs, and recruit 

math, science and engineering majors into the teaching profession. 

They may also provide professional development opportunities. 

Grants are made to States by formula based on the number of children aged 5 to 17 who are from families with incomes below the 

poverty line, and States then award the funds competitively to 

partnerships that must include the State agency, an engineering, 

math or science department of an institution of higher education, 

and a high-need school district. Other partners may also be involved. The Committee has increased funding for this program in 

response to the Administration’s K–12 mathematics instruction initiative. 

178 

State grants for innovative programs 

The bill includes $150,000,000 for state grants for innovative pro- grams, which is $51,000,000 above both the budget request and the 

fiscal year 2006 level. This program provides funding to state and 

local educational agencies for 27 purposes identified in statute, including obtaining technology and technology-related training, combating illiteracy among children and adults, addressing the educational needs of gifted and talented children, and implementing 

school improvement and parental involvement activities under 

ESEA Title I. The Committee has increased funding for this program to expand funding available to states, for use as they determine appropriate for their needs, in areas such as educational technology, library enhancements, teacher training, counseling, schoolbased mental health services, dropout prevention, and gifted and 

talented education. 

Educational technology state grants 

The bill does not include funding for education technology activities, consistent with the Administration budget request. The program was funded at $272,250,000 in fiscal year 2006. Under this 

program, states have directed funding to school districts for access 

to technology; teacher professional development; and initiatives 

using technology to increase academic achievement. This program 

has received almost $2,900,000,000 over the last five years. Ninetythree percent of schools report that they have access to the internet 

in instructional rooms as well as declining student-instructional 

computer ratios. State grants for innovative programs and Improving Teacher Quality State grants can be used for technology-related 

professional development and infrastructure. There is additional 

support for technology infrastructure through the E-Rate program, 

administered by the Federal Communications Commission (FCC), 

which supports connectivity in schools and libraries by offering discounted rates on telecommunications and Internet service, as well 

as basic maintenance of connections. In the funding year that 

ended in June, 2005, the FCC committed $2,300,000,000 through 

the e-rate program. Approximately 98 percent of the funds go to a 

school, school district, or consortium; the remaining 2 percent goes 

to libraries. 

Supplemental education grants 

The bill provides $18,001,000 for supplemental education grants 

to the Federated States of Micronesia and the Republic of the Marshall Islands, which is the same as the budget request and the 

2006 appropriation. The Compact of Free Association Amendments 

Act of 2003 (P.L. 108–188) authorizes these entities to receive funding for general education assistance. Bill language is included providing a consolidated amount for supplemental education grants 

since the underlying statute determines the allocation between Micronesia and the Marshall Islands. 

21st century community learning centers 

The bill provides $981,166,000 for 21st century community learning centers, the same as both the 2007 request and the fiscal year 

2006 level. This program is a formula grant to states. Ninety-five 

percent of funds are distributed on a competitive basis from the 

179 

state to local school districts, community-based organizations and 

other public entities and private organizations. Grantees must target students who attend low-performing schools. Funds may be 

used for before and after school activities that advance student academic achievement including remedial education and academic enrichment activities; math, science, arts, music, entrepreneurial and 

technology education; tutoring and mentoring; recreational activities; and expanded library service hours. 

State assessments 

The bill includes $407,563,000 for state assessments, the same as 

both the budget request and the fiscal year 2006 level. This program provides states with funding to develop annual assessments 

and to carry out activities related to ensuring accountability for results in the state’s schools and school districts. 

Javits gifted and talented education 

The bill does not include funding for gifted and talented edu- cation, the same as the budget request and $9,596,000 below the 

fiscal year 2006 level. This program supports grants to build and 

enhance the ability of elementary and secondary schools to meet 

the needs of gifted and talented students. Competitive grants are 

awarded to states and school districts, institutions or higher education and other public and private entities. 

Foreign language assistance grants 

The bill includes $21,780,000 for foreign language assistance grants, $2,000,000 below the budget request and the same as the 

2006 level. The program supports competitive grants to school districts and States to increase the quality and quantity of elementary 

and secondary-level foreign language instruction in the United 

States. 

Education for homeless children and youth 

For the education of homeless children and youth program, the 

Committee recommends $61,871,000, the same as both the budget 

request and the fiscal year 2006 appropriation. Grants are allocated to States in proportion to the total that each State receives 

under the title I program. For local grants, at least 50 percent 

must be used for direct services to homeless children and youth, including tutoring or remedial or other educational services. 

Training and advisory services 

The bill includes $7,113,000 for training and advisory services 

authorized by title IV–A of the Civil Rights Act. This amount is the 

same as both the budget request and the fiscal year 2006 amount. 

Title IV–A authorizes technical assistance and training services for 

local educational agencies to address problems associated with desegregation on the basis of race, sex, or national origin. The Department awards 3-year grants to regional equity assistance centers (EACs) located in each of the ten Department of Education regions. The EACs provide services to school districts upon request. 

Typical activities include disseminating information on successful 

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180 

cational programs; training designed to develop educators’ skills in 

specific areas, such as the identification of race and sex bias in instructional materials; increasing the skills of educational personnel 

in dealing with race-based confrontations such as hate crimes; and 

providing technical assistance in the identification and selection of 

appropriate educational programs to meet the needs of limited 

English proficient students. 

Education for Native Hawaiians 

The Committee recommends $31,433,000 for education for Native 

Hawaiians, which is the same as the budget request and 

$2,474,000 below the fiscal year 2006 amount. A number of authorized programs limited to Native Hawaiians are supported with 

these funds, including a model curriculum project, family-based 

education centers, postsecondary education fellowships, gifted and 

talented education projects, and special education projects for disabled pupils. 

Alaska Native education equity 

The Committee recommends $33,908,000 for the Alaska Native 

education equity program, which is the same as the budget request 

and $1,000 above the fiscal year 2006 amount. These funds are 

used to develop supplemental educational programs to benefit Alaska Natives. 

Rural education 

The bill includes $168,918,000 for rural education programs, the 

same as both the fiscal year 2006 level and the budget request. 

This fund includes two programs to assist rural school districts to 

improve teaching and learning in their schools. The small, rural 

schools achievement program provides funds to rural districts that 

serve a small number of students; the rural and low-income schools 

program provides funds to rural districts that serve concentrations 

of poor students, regardless of the number of students served by 

the district. 

Comprehensive centers 

The bill includes $56,257,000 for comprehensive centers, the 

same as both the fiscal year 2006 level and the budget request. 

These funds are used for the 21 new comprehensive centers first 

funded in fiscal year 2005. The centers include 16 regional centers 

that will provide training and technical assistance to State educational agencies within their geographic regions to help them implement provisions of the Elementary and Secondary Education Act 

State-wide and five content centers, each specializing in a different 

area. 

INDIAN EDUCATION

The bill includes $118,690,000 for Indian education. This amount 

is the same as both the fiscal year 2006 appropriation and the 

budget request. This account supports programs authorized by part 

A of Title VII of the Elementary and Secondary Education Act. 

181 

Grants to local educational agencies 

The bill provides $95,331,000 for grants to local education agencies. This program provides assistance through formula grants to 

school districts and schools supported or operated by the Bureau of 

Indian Affairs. The purpose of this program is to reform elementary and secondary school programs that serve Indian students, including preschool children. Grantees must develop a comprehensive 

plan and assure that the programs they carry out will help Indian 

students reach the same challenging standards that apply to all 

students. This program supplements the regular school program to 

help Indian children sharpen their academic skills, bolster their 

self-confidence, and participate in enrichment activities that would 

otherwise be unavailable. 

Special programs for Indian children 

The Committee recommends $19,399,000 for special programs for 

Indian children. These programs make competitive awards to improve the quality of education for Indian students. This program 

also funds the American Indian Teacher Corps and the American 

Indian Administrator Corps to recruit and support American Indians as teachers and school administrators. 

National activities 

The bill provides $3,960,000 for national activities. Funds under 

this authority support research, evaluation and data collection to 

provide information on the status of education for the Indian population and on the effectiveness of Indian education programs. 

INNOVATION AND IMPROVEMENT

The bill includes $911,413,000 for innovation and improvement 

programs. This amount is $25,073,000 less than the comparable fiscal year 2006 appropriation and $60,447,000 more than the budget 

request. This appropriation account includes programs authorized 

under part G of title I and portions of titles II and V of the Elementary and Secondary Education Act. 

Troops to teachers 

The bill includes $14,645,000 for troops to teachers, the same as 

both the budget request and the fiscal year 2006 level. This program is designed to assist eligible members of the armed forces to 

obtain certification or licensure as elementary and secondary school 

teachers, or vocational or technical teachers. The Committee includes bill language permitting stipends and bonuses under this 

program to be available to those serving in schools receiving title 

I funding. 

Transition to teaching 

The bill includes $44,484,000 for transition to teaching, the same 

as both the budget request and the fiscal year 2006 level. Transition to teaching is designed to help mitigate the shortage of qualified licensed or certified teachers. The program provides competitive grants to help support State and local educational agencies’ efforts to recruit, train and place talented individuals into teaching 

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182 

room. In particular, the program focuses on mid-career professionals with substantial career experience and recent college graduates. Grants are made on a competitive basis. 

National writing project 

The bill provides $21,532,000 for the National Writing Project, 

the same as the fiscal year 2006 level. The President’s budget did 

not request funding for this program. Funds are provided to the 

National Writing Project, a nonprofit educational organization that 

supports training programs to teach writing effectively. To provide 

these services, the National Writing Project contracts with numerous institutions of higher education and nonprofit education providers to operate small teacher training programs. Federal funds 

support 50 percent of the costs of these programs, and recipients 

must contribute an equal amount. 

Teaching of traditional American history 

The bill includes $50,000,000 for the teaching of traditional 

American history, the same as the budget request and $69,790,000 

below the fiscal year 2006 level. This program supports competitive 

grants to school districts to promote the teaching of American history in elementary and secondary schools as a separate academic 

subject. The number of quality applications for assitance under this 

program has been insufficient to justify the current level of funding. 

School leadership 

The bill includes $14,731,000 for school leadership activities, the 

same as the fiscal year 2006 level. The President’s budget did not 

propose funding for this program. The program provides competitive grants to assist high-need school districts with recruiting, 

training, and retaining principals and assistant principals. 

Advanced credentialing 

The bill includes $18,695,000 for advanced credentialing, 

$2,000,000 above the fiscal year 2006 level and $10,695,000 above 

the budget request. The program supports activities to encourage 

and support teachers seeking advanced certification or 

credentialing. The Committee intends that $10,695,000 of the funds 

be awarded to the National Board for Professional Teaching Standards and that $8,000,000 be awarded to the American Board for 

the Certification of Teacher Excellence. 

Charter school grants 

The Committee recommends $214,782,000 for support of charter 

schools, the same as both the budget request and the fiscal year 

2006 amount. Charter schools are developed and administered by 

individuals or groups of individuals, which may include teachers, 

administrators, and parents. These groups enter into charters for 

operation of their schools, which must be granted exemptions from 

State and local rules that limit flexibility in school operation and 

management. Under this program, grants are made to State educational agencies in States that have charter school laws; the State 

educational agencies in turn make sub-grants to authorized public 

183 

chartering agencies in partnerships with developers of charter 

schools. 

Credit enhancement for charter school facilities 

The bill includes $36,611,000 for credit enhancement for charter 

school facilities, the same as both the budget request and fiscal 

year 2006. This program helps charter schools meet their facility 

needs by providing funding on a competitive basis to leverage other 

funds and help charter schools obtain school facilities by means 

such as purchase, lease and donation. Charter schools are more 

likely than traditional schools to have problems obtaining adequate 

facilities because they are perceived as more financially risky than 

other schools, and unlike traditional school districts, charter 

schools generally lack the ability to issue general obligation bonds 

backed by property taxes. 

Voluntary public school choice 

The bill includes $26,278,000 for voluntary public school choice, 

the same as both the budget request and the fiscal year 2006 level. 

This program supports efforts to establish intra-district and interdistrict public school choice programs to provide students in participating schools with the widest variety of options for their education. Funds are used to make competitive awards to States, 

school districts or partnerships. 

Magnet schools assistance 

The bill includes $106,693,000 for the magnet schools assistance 

program, the same as both the budget request and the fiscal year 

2006 level. The magnet schools assistance program awards competitive grants to local educational agencies for use in establishing 

or operating magnet schools that are part of a desegregation plan 

approved by a court or by the Department of Education’s Office for 

Civil Rights. A magnet school is defined by the statute as ‘‘a school 

or education center that offers a special curriculum capable of attracting substantial numbers of students of different racial backgrounds.’’ A funding priority is given to local educational agencies 

that did not receive a grant in the preceding fiscal year. 

Fund for the improvement of education 

The bill includes $183,962,000 for the fund for the improvement 

of education (FIE), which is $25,452,000 above the fiscal year 2006 

level and $79,919,000 above the budget request. The fund for the 

improvement of education has a broad portfolio of activities. Under 

the fund, the Secretary of Education supports activities that identify and disseminate innovative educational approaches. Several 

separate program authorities are included in this line item such as 

Reading is Fundamental, Arts in Education, the national mathematics panel, and Reach Out and Read. 

$10,000,000 is included in FIE for an ‘‘Officers to Principals’’ 

demonstration. Based on the School Leadership program model, the 

demonstration would provide grants to local educational agencies 

to recruit military officers, provide professional development programs in instructional leadership and management, and create financial incentives for officers to become and remain school principals. The Department should give high priority to school districts 

184 

that have been identified as not making adequate yearly progress 

in the allocation of these funds. The program should emphasize 

training opportunities that permit the officers to be placed quickly 

into administrative positions. The Committee believes that creating 

a program to attract military officers to school leadership positions 

would provide school districts with a needed talent pool of able, experienced, committed leaders who could be role models for students. The Committee has learned that an Officers to Principals 

program is currently operating in the State of Maryland, and encourages the Secretary to review that program as it establishes the 

parameters for this demonstration. 

Within the amount provided, the Committee includes funding for 

the following activities: 

ABC Unified School District, Cerritos, CA, for an after school program at Melbourne Elementary School ............................................ $75,000 

Academy for Urban School Leadership, Chicago, IL, for The Chicago Academy and Chicago Academy High School, which may include support for resident teachers .................................................. 350,000 

Action for Bridgeport Community Development, Bridgeport, CT to 

develop a total learning model for Bridgeport, CT schools ............. 100,000 

African-American Male Achievers Network, Inglewood, CA, for its 

Project STEP program for at-risk youth .......................................... 40,000 

AFSA Education Foundation, Washington, DC for financial literacy 

education ............................................................................................. 50,000 

AHEAD Foundation, Inc., Massillon, OH for after school programs, 

CARE TEAMS and its Collaborative Community Network ........... 100,000 

Alamance-Burlington School District, Burlington, NC for the 

Teacher Professional Development Academy for curriculum and 

materials ............................................................................................. 150,000 

Albany State University, Albany, GA, for its Jump Start college 

preparation initiative for at-risk students ....................................... 300,000 

Aledo Independent School District, Aledo, TX for implementation of 

the English as a Second Language program ................................... 200,000 

All Kinds of Minds, Chapel Hill, NC for teacher training ................. 200,000 

Allens Lane Art Center, Philadelphia, PA, for after school and 

summer arts education and enrichment activities .......................... 50,000 

Althea Gibson Community Center, Philadelphia, PA, for education 

and enrichment programs for youth ................................................. 350,000 

American Ballet Theatre, New York, NY, for music education programs ................................................................................................... 300,000 

American Theater Arts for Youth, MT for the Montana Arts in 

Education Program ............................................................................ 100,000 

An Achievable Dream, Inc., Newport News, VA, for education and 

support services for at-risk children, which may include teacher 

stipend scholarships ........................................................................... 550,000 

Antigo School District, WI, for an after school program .................... 180,000 

Apache County Schools, Apache County, AZ for teacher training .... 250,000 

Appalachian Leadership & Education Foundation, Huntington, WV 

for a program to develop character, leadership and technical 

skills of secondary school students ................................................... 400,000 

Arizona State University Institute of Civil Rights, Tempe, AZ, for 

dropout prevention and other education projects ............................ 250,000 

Armory Center for the Arts, Pasadena, CA, for its Walk to Art program for low-income children ............................................................ 50,000 

Army Heritage Center Foundation, Carlisle, PA for teacher preparation for the Voices of the Past Speak to the Future Program 200,000 

Arts Center of the Grand Prairie, Stuttgart, AR, for an after school 

program ............................................................................................... 50,000 

Arts Council in Buffalo and Erie County, Buffalo, NY, for arts education programs .................................................................................. 100,000 

ArtsQuest—The Banana Factory, Bethlehem, PA for the B-Smart 

arts education program ..................................................................... 75,000 

Ashland School District, WI, for an after school program ................. 250,000 

Augusta Public Schools, Augusta, KS to encourage staff development in technology ............................................................................. 300,000 

185 

Austin Independent School District, Austin, TX for supplies for the 

Technology Enhancement Program for low income middle-school 

students ............................................................................................... 250,000 

AVANCE, Inc.—Waco, TX, for its early childhood education and 

family literacy programs ................................................................... 75,000 

AVANCE, Inc., McAllen, TX, for an early childhood development 

and family literacy program in Corpus Christi, TX ........................ 300,000 

Bakersfield Music Theatre, Bakersfield, CA for the Stars School of 

Fine Arts ............................................................................................. 100,000 

Baltimore City Board of School Commissioners, Baltimore, MD, for 

a teacher professional development initiative ................................. 250,000 

Battelle for Kids, Columbus, OH for the value-added student assessment program .............................................................................. 300,000 

Bay Haven Charter Academy Middle School, Lynn Haven, FL, for 

its physical education program, which may include equipment .... 50,000 

Bayfield School District, WI, for an after school program ................. 200,000 

Baylor University, Waco, TX, for its Language and Literacy Center 150,000 

Bellefaire Jewish Children’s Bureau, Cleveland, OH for education 

programs ............................................................................................. 50,000 

Best Buddies International, Inc., for mentoring programs for persons with intellectual disabilities ..................................................... 800,000 

Best Buddies Maryland, Baltimore, MD, for mentoring programs 

for persons with intellectual disabilities .......................................... 150,000 

Best Buddies Rhode Island, Providence, RI, for mentoring programs for persons with intellectual disabilities .............................. 300,000 

Best Buddies Virginia, McLean, VA, for mentoring programs for 

persons with intellectual disabilities ................................................ 250,000 

Big Top Chautauqua, WI, for educational activities ........................... 250,000 

Birchwood School District, WI, for an after school program .............. 200,000 

Blue Ribbon Schools of Excellence, Columbia, SC, for a project to 

implement technology-based best practices in one or more schools 

in South Carolina, which may include acquisition of equipment 100,000 

Bowie State University, Bowie, MD, for establishment of a Principal’s Academy Institute .................................................................. 200,000 

Boys & Girls Club of the Lowcountry, Beaufort, SC for learning activities for disadvantaged children and teens .................................. 150,000 

Boys and Girls Club of San Bernardino, CA, for an after school program in the Delman Heights community ......................................... 125,000 

Boys and Girls Harbor Inc., New York, NY, for a literacy center ..... 100,000 

Boys&Girls Town of Missouri, Columbia, MO for educational equipment .................................................................................................... 250,000 

Bradford Area School District, Bradford, PA for technology upgrades .................................................................................................. 100,000 

Brainerd Public School District (Independent School District 181), 

Brainerd, MN, for its Teacher Support System ............................... 150,000 

Bright Side Opportunities Corporation, Lancaster, PA for the operation of a Community Technology Center for disadvantaged 

youth ................................................................................................... 300,000 

Broadtree Adventures in Education, Chicago, IL, for alternative 

and environmental education programs for at-risk youth .............. 50,000 

Brookdale Community College, Lincroft, NJ, for a Student Success 

Center in Asbury Park, which may include purchase of equipment .................................................................................................... 250,000 

Brooklyn Academy of Music, Brooklyn, NY for its Brooklyn Reads 

initiative .............................................................................................. 250,000 

Bruce School District, WI, for an after school program ...................... 200,000 

Butte County, Oroville, CA for the Literacy Is For Everyone (LIFE) 

Program .............................................................................................. 200,000 

Butternut School District, WI, for an after school program ............... 200,000 

Caldwell Community Center, Toledo, OH, for after school academic 

and enrichment activities for children and youth in North Toledo 300,000 

California Professional Firefighters Foundation, Sacramento, CA, 

to provide its Team SAFE–T emergency preparedness and safety 

initiative in public schools ................................................................. 450,000 

California State University Northridge, CA, for development of an 

assessment and accountability system for teacher education ........ 350,000 

California State University, San Bernardino, CA, for a leadership 

training program for urban youth .................................................... 325,000 

186 

Camp Fire USA Northeast Ohio Council, Medina, OH for the 

Young Leaders Serving Ohio program ............................................. 50,000 

Canton City School District, Canton, OH for the PE 4 Life project 100,000 

Canton Symphony Orchestra Association, Canton, OH for implementation of the Northeast Ohio Arts Education Collaborative .... 100,000 

Carnegie Hall, New York, NY, for its National Music Education 

Program .............................................................................................. 250,000 

Cedar Crest College, Allentown, Lehigh County, PA for a partnership with the Allentown School District and the Da Vinci Discovery Center on secondary school science education ..................... 100,000 

Center for Community Transformation, Chicago, IL, to support faculty, student fellowships, and ongoing secular educational activities in community leadership transformation .................................. 100,000 

Central Pennsylvania Institute of Science and Technology, Pleasant Gap, PA for curriculum and equipment for its vocational 

training program ................................................................................ 600,000 

Charlotte County Public Schools, Port Charlotte, FL to implement 

the MISSING Program in schools .................................................... 300,000 

Charter School Development Foundation, Las Vegas, NV, for the 

Andre Agassi College Preparatory Academy ................................... 175,000 

Chesterfield County, VA for assistive technology for special needs 

students ............................................................................................... 150,000 

Chetek School District, WI, for an after school program ................... 250,000 

Chicago Public Schools, Chicago, IL, for after school and extended 

learning opportunities ....................................................................... 275,000 

Chippewa Falls School District, WI, for an after school program ..... 200,000 

Choctaw Elementary School, Choctaw, OK for equipment for the 

Dreamcatcher Playground Project .................................................... 100,000 

Cincinnati Symphony Orchestra, Cincinnati, OH for the Sound Discoveries Program for K–12 students ................................................. 300,000 

City of Brisbane, CA, for equipment for a homework assistance 

center for youth .................................................................................. 50,000 

City of Fairfield, CA, for after school programs .................................. 300,000 

City of La Habra, La Habra, CA for the KinderScience Program ..... 125,000 

City of Pembroke Pines, FL, for the autism program at the Pembroke Pines—Florida State University Charter School .................. 400,000 

City of Rocklin, Rocklin, CA for the Integrated Schools Program ..... 195,000 

City of St. Paul, MN, for after-school and out-of-school youth academic and enrichment programs ...................................................... 375,000 

City of Whittier, Whittier, CA, for after school programs .................. 225,000 

City School District of New Rochelle, New Rochelle, NY, for after 

school learning centers ...................................................................... 525,000 

Clark County School District, Clark County, NV for filling critical 

teacher shortages ............................................................................... 200,000 

Clark County School District, Las Vegas, NV, for its Parent Initiative, which may include training for teachers and parents ............ 75,000 

Cleary University, Howell, MI to purchase equipment and develop 

technology instruction for high school students .............................. 200,000 

Clemson University, Clemson, SC for the Call Me Mister program 200,000 

Cleveland Institute of Music, Cleveland, OH for distance learning 50,000 

Cleveland Orchestra, Cleveland, OH for education programs ........... 100,000 

Clovis Unified School District, Clovis, CA for curricula and training 

to increase student graduation rates ................................................ 100,000 

College of Alameda, Alameda, CA, for professional development 

services and science laboratory equipment for the Alameda 

Science and Technology Institute ..................................................... 130,000 

College Summit, Inc., Washington, DC, for an initiative to increase 

college enrollment of low-income youth in South Carolina ............ 250,000 

Collegiate Consortium for Workforce and Economic Development, 

Philadelphia, PA for vocational education ....................................... 250,000 

Columbus Zoo and Aquarium, Powell, OH for the Columbus Zoo 

High School ......................................................................................... 250,000 

Communities in Schools of Coweta, Inc., Newnan, GA for equipment for Performance Learning Centers ......................................... 100,000 

Communities In Schools of Glynn County, Brunswick, GA for computers, curriculum and training in an effort to reduce school 

dropouts .............................................................................................. 100,000 

187 

Communities in Schools of Marietta/Cobb County, Marietta, GA for 

equipment and program development for a performance learning 

center ................................................................................................... 100,000 

Communities in Schools, Northeast Texas, Mt. Pleasant, TX for the 

CIS–NETX national stay-in-school network .................................... 350,000 

Community Development Commission of the County of Los Angeles, Monterey Park, CA, for the South Whitter community education and computer center ............................................................... 45,000 

Community Education Partnership, West Valley City, UT for math, 

science and reading programs ........................................................... 300,000 

Community Kollel, Des Moines, IA, for K–12 education programs 100,000 

Compassion Coalition, Inc., Utica, NY for after school programs ..... 125,000 

Connecticut Humanities Council, Middletown, CT, for its 

Motheread/Fatheread family literacy program ................................ 90,000 

Connecticut Public Broadcasting, Inc./Connecticut Public Television, Hartford, CT, for production, evaluation and promotion of 

a math education program ................................................................ 350,000 

Contra Costa College, San Pablo, CA, for its Bridges to the Future 

Program .............................................................................................. 300,000 

CORA Services, Inc., Philadelphia, PA, for youth development and 

education services .............................................................................. 75,000 

Council for Excellence in Government, Washington, DC, for the 

Campaign for the Civic Mission of Schools for development of an 

online inventory of instructional units, courses, and practices on 

civic learning and teaching ............................................................... 500,000 

CREATE Foundation, Tupelo, MS to conduct College for All, a fouryear pilot project in school-based college and career counseling in 

two school districts in MS ................................................................. 200,000 

Crotched Mountain Foundation TRUST Center, Greenfield, NH for 

equipment for an education program for children with autism ..... 150,000 

Denton Independent School District, Denton, TX for the English instruction program ............................................................................... 100,000 

DePaul School, Louisville, KY for outreach to students with dyslexia and other learning disabilities ................................................. 200,000 

Devereaux Glenholme School, Washington, CT for professional 

training in early childhood development .......................................... 300,000 

Dupage County, Wheaton, IL for a countywide physical fitness assessment project pilot ........................................................................ 150,000 

Early Childhood Resource Center, Canton, OH for early childhood 

teacher training .................................................................................. 50,000 

East Atlanta Computer Technology Center, Atlanta, GA, for an 

after school program, which may include equipment for a computer lab .............................................................................................. 150,000 

Education Service Center, Region 12, Hillsboro, TX, for a GEAR 

UP college preparedness program .................................................... 250,000 

Educational Advancement Alliance, Philadelphia, PA, for a college 

preparation initiative, which may include student scholarships ... 400,000 

EduNet24, Bowling Green, KY for educational software for Spanish 

speaking students for the Tecumseh YMCA in New Carlisle, OH 400,000 

Edward Waters College, Jacksonville, FL, for a math and science 

initiative to assist low-performing students .................................... 250,000 

Eisner Pediatric & Family Medical Center, Los Angeles, CA, for its 

Parent Child Home Program ............................................................. 250,000 

Ennis Independent School District, Ennis, TX for an English Instruction Program .............................................................................. 500,000 

Envision Schools, San Francisco, CA, for establishment of the Metropolitan Arts and Technology High School .................................... 450,000 

Erskine College, Due West, SC for the Fine Arts Network for Assisting Rural Education ..................................................................... 100,000 

eta Creative Arts Foundation, Inc., Chicago, IL, for arts education 

programs ............................................................................................. 100,000 

Exchange City, Portsmouth, NH for an EarthWorks immersive 

math and science program ................................................................ 100,000 

Exploratorium, San Francisco, CA, for its Bay Area Science Teacher Recruitment, Retention and Improvement Initiative ................. 550,000 

Fairfax County Park Authority, Fairfax, VA to develop a 

handicapped- accessible playground ................................................. 100,000 

188 

Fairfax County Public Schools, Fairfax, VA for an innovative Chinese, Arabic and Korean language program in Fairfax and 

Clarke County schools ....................................................................... 300,000 

Fairfax County Public Schools, Fairfax, VA for the Emergency 

Medical Services Academy ................................................................ 150,000 

Families In Schools, Los Angeles, CA, for its Read with Me/Lea 

Conmigo family literacy program ..................................................... 150,000 

Fayetteville Technical Community College, Fayetteville, NC for the 

Congressional Scholars program ....................................................... 250,000 

Florida Bay County District Schools, Panama City, FL, for a drug 

abuse prevention program in middle schools ................................... 30,000 

Florida Gulf Coast University, Ft. Myers, FL for educational outreach .................................................................................................... 350,000 

Fontana Unified School District, Fontana, CA, for an integrated 

technology program ............................................................................ 100,000 

Franklin Special School District, Franklin, TN for information 

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

Freedoms Foundation at Valley Forge, Valley Forge, PA to conduct 

a conference on American history for teachers in Oxford, MS ....... 140,000 

Friendship Circle, West Bloomfield, MI for educational programs 

for children with special needs ......................................................... 350,000 

Gallup International Research and Education Center, Omaha, NE 

for curriculum development of entrepreneurship centers in Lincoln and Norfolk ................................................................................. 300,000 

Georgia Project, Inc., Dalton, GA, for initiatives to assist English 

language learners ............................................................................... 225,000 

Girl Scouts of the USA, Washington, DC, for Fair Play .................... 150,000 

Give Every Child A Chance, Manteca, CA for expansion of educational enrichment services ............................................................. 450,000 

Glade Run Foundation, Zelienople, PA for educational programming and technology upgrades .......................................................... 100,000 

Graham County Schools, Graham County, AZ for professional development ............................................................................................ 250,000 

Greenlee County Schools, Greenlee County, AZ for computer equipment .................................................................................................... 100,000 

Hayward School District, WI, for an after school program ................ 150,000 

Heartbeats to the City, Canton, OH for education mentoring programs ................................................................................................... 50,000 

Heartland Educational Consortium, Lake Placid, FL for teacher 

professional development .................................................................. 100,000 

Helen Keller Interational, NY, for the ChildSight Vision Screening 

Program and to provide eyeglasses to children whose educational 

performance may be hindered because of poor vision ..................... 1,000,000 

Hoke County Schools, Raeford, NC for instructional technology ...... 100,000 

Huntington Beach Art Center, Huntington Beach, CA for an arts 

education program for underserved groups ..................................... 50,000 

Institute for Advanced Learning and Research, Danville, VA for 

the Boosting Student Achievement for Competitiveness program 100,000 

Institute for Student Achievement, Lake Success, NY for an education enhancement program at Annandale High School, Annandale, VA ............................................................................................... 100,000 

Institute for Student Achievement, Lake Success, NY, for school reform activities at Wyandanch High School ...................................... 185,000 

Institute for Student Achievement, Lake Success, NY, to implement small learning communities at Morris High School in the 

Bronx ................................................................................................... 75,000 

InTune Foundation Group, Washington, DC, for its Kids in Tune 

music career and education program ............................................... 500,000 

Jacob Burns Film Center, Pleasantville, NY, for education programs ................................................................................................... 200,000 

JASON Project, Needham Heights, MA for the STEP-UP Ohio education program ................................................................................... 100,000 

Jazz at Lincoln Center, New York, NY, for music education programs ................................................................................................... 500,000 

Jersey Shore Area School District, Jersey Shore, PA for equipment 

to create a digital classroom .............................................................. 100,000 

JFYNetWorks, Boston, MA, for implementation of its computerbased JFYNet: Academic Support for Adequate Yearly Progress 

initiative in Malden, Revere, and Framingham, MA ...................... 150,000 

189 

JFYNetWorks, Boston, MA, for implementation of its computerbased JFYNet: Academic Support for Adequate Yearly Progress 

project in one or more low-performing schools in the Boston public school system ................................................................................. 250,000 

Joplin School District, Joplin, MO for the eJOPLIN initiative to improve teaching through technology ................................................... 200,000 

Joplin School District, Joplin, MO for the SMART Board interactive whiteboard ............................................................................... 50,000 

Jumpstart for Young Children, San Francisco, CA, for an early 

childhood enhancement project to provide student mentors to 

preschool children .............................................................................. 450,000 

Jumpstart, Boston, MA, for an early literacy program for at-risk 

children ............................................................................................... 250,000 

Kelberman Center, Utica, NY to expand programs for pre-school 

and school age children with autism spectrum disorder ................ 100,000 

Kentucky Arts Council, Frankfort, KY for arts education programs 

in cities of the first class in Kentucky .............................................. 200,000 

Kewanee Community School District #229, Kewanee, IL, for equipment and technology .......................................................................... 200,000 

KIPP Foundation, San Francisco, CA for KIPP Reach College Preparatory in Oklahoma City, OK ........................................................ 200,000 

KIPP Foundation, San Francisco, CA for leadership training and 

extended learning time at KIPP schools .......................................... 1,000,000 

KIPP Foundation, San Francisco, CA, for KIPP schools in the State 

of Maryland to support school leadership and extended learning 

time ..................................................................................................... 150,000 

KIPP Foundation, San Francisco, CA, for the KIPP Delta College 

Preparatory School in Helena, AR .................................................... 200,000 

Klingberg Family Centers, New Britain, CT for the Special Education Enhancement Initiative .......................................................... 300,000 

KnowledgeWorks Intermediary, LLC, Cincinnati, OH for the Ohio 

High School Transformation Initiative ............................................. 250,000 

Kohl Children’s Museum of Greater Chicago, Glenview, IL for the 

Early Childhood Connections Outreach Initiative .......................... 175,000 

La Crosse School District, La Crosse, WI, for student and parent 

education, enrichment and support services at its Hamilton Family Learning Center ............................................................................ 95,000 

Lab School of Washington, Washington, DC for the Academic 

Achievement Program ........................................................................ 100,000 

Lafourche Parish School Board, Lafourche, LA, for early childhood 

learning centers, which may include portable classrooms and 

equipment ........................................................................................... 100,000 

Laramie County School District Number One, Cheyenne, WY for 

the English as a Second Language Pilot Program .......................... 100,000 

LaSalle High School, Olla, LA for books, material and equipment 550,000 

Learning Collaborative, Indianapolis, IN for the Washington County, IN K–12 Web Portal Technology Development Initiative ......... 500,000 

Learning Point Associates/North Central Regional Education Laboratory, Naperville, IL to help schools implement No Child Left 

Behind ................................................................................................. 200,000 

Lee Pesky Learning Center, Boise, ID to provide educational materials for the Literacy Matters! Program ........................................... 300,000 

Lemay Child & Family Center, St. Louis, MO, for early childhood 

education and family literacy programs ........................................... 100,000 

Lexington City Schools, Lexington, TN for the Technology Enabled 

Alternative Education Program ........................................................ 82,000 

Lighthouse Community Learning Center, Eagle Lake, TX, for vocational, computer, arts and/or other education services for youth, 

which may include the purchase of equipment ............................... 100,000 

Little Black Pearl Art and Design Center, Chicago, IL, for its Art 

Smarts after school program and for in-school workshops ............. 100,000 

Logan City School District, Logan, UT for the sixth grade reading 

assistance project ............................................................................... 200,000 

Longview Independent School District, Longview, TX for its 

English language instruction programs ........................................... 100,000 

Louisiana Resource Center for Educators, Baton Rouge, LA to provide statewide training for all schools and libraries ....................... 200,000 

Lower East Side Conservancy, New York, NY, for education programs and outreach ........................................................................... 200,000 

190 

Luther F. Carson Four Rivers Center, Paducah, KY for the Class 

Acts Education Series for preschool through high school students 100,000 

Madison County School System, Madison County, AL, for development of the Madison County Schools Crisis Management Project 200,000 

Martinez Unified School District, Martinez, CA, for a science education project at Martinez Junior High School ................................ 100,000 

Maryland State Department of Education, Baltimore, MD, for a 

study on teacher education (in reading instruction) in Maryland 300,000 

Math for America, New York, NY, for implementation of its Newton Fellowship Program in Northern Virginia in partnership, 

with Marymount University .............................................................. 350,000 

Medford School District, WI, for an after school program ................. 250,000 

Meredith-Dunn Learning Disabilities Center, Inc., Louisville, KY 

for speech and language therapy programs ..................................... 300,000 

Merrimack College, McQuade Library, North Andover, MA, for an 

information literacy training and community outreach project ..... 250,000 

Metropolitan Wilmington Urban League, Wilmington, DE for the 

Achievement Matters! Initiative ....................................................... 100,000 

Mid-State Technical College, Wisconsin Rapids, WI, for training 

and development of a renewable energy technologies program ..... 250,000 

Milne-Kelvin Grove School District 91, Lockport, IL for enhanced 

technology and computing systems and professional development 100,000 

Milton S. Eisenhower Foundation, Washington DC, to implement a 

Youth Safe Haven after school program in Irvington Township, 

NJ ........................................................................................................ 100,000 

Milton S. Eisenhower Foundation, Washington, D.C., for the Full 

Service Community Schools program in the Canton City Schools 100,000 

Milton S. Eisenhower Foundation, Washington, DC, for its fullservice community schools initiative in Maryland .......................... 200,000 

Milwaukee Public Schools, Milwaukee, WI, for after school and/or 

summer community learning centers ............................................... 600,000 

Mississippi University for Women, Columbus, MS for strengthening partnerships between K–12 parents and their children’s 

teachers, principals, superintendents, and other school personnel 500,000 

Monroe County School District, Key West, FL for equipment to implement a district-wide technology initiative ................................... 200,000 

Montana Schools E-Learning Consortium, Helena, MT for equipment and curriculum development for a State-wide distance 

learning program ................................................................................ 250,000 

National Football Foundation and College Hall of Fame, Morristown, NJ, for the Play It Smart Program ........................................ 300,000 

National Hispanic University, San Jose, CA, for development of a 

‘‘Smart Start’’ early childhood development training and certification program ................................................................................... 350,000 

National Resource Center for Deafblindness, East Greenville, 

Montgomery County, PA for an interactive DVD training program for children with sensory impairments .................................. 100,000 

National Science Center, Augusta, GA for the DLP STEP–UP program to improve student achievement in underserved populations .................................................................................................. 100,000 

National Teachers Hall of Fame, Emporia, KS to recognize exceptional career teachers ........................................................................ 200,000 

Nenana Student Living Center, Nenana, AK for a residential facility for high school students from villages throughout Alaska ........ 200,000 

Network for Closing the Achievement Gap, Des Plaines, IL for 

Project AYP in suburban Cook County, IL ...................................... 200,000 

New Mexico Public Education Department, Santa Fe, NM for summer reading and math institutes throughout the State ................. 250,000 

New York University, New York, NY for the Child Study Center 

to complete an evaluation of ParentCorps ....................................... 250,000 

Nicetown Community Development Corporation Community Center, Philadelphia, PA, for an after school program ......................... 75,000 

North Carolina Agricultural and Technical University, Greensboro, 

NC, for a project to reduce suspension rates of minority students 

in the Guilford County School System ............................................. 300,000 

North Carolina Technology Association Education Foundation, Raleigh, NC for school technology demonstration projects ................. 150,000 

North Philadelphia Youth Association, Philadelphia, PA, for education and enrichment services for youth ........................................ 50,000 

191 

Norwich Public School District, Norwich, CT for the English instruction program ............................................................................... 400,000 

Ogden City School District, Ogden, UT for the Ogden TelepresenceEnabled Academic Mentoring project ............................................... 150,000 

Ohio Department of Education, Columbus, OH for Charter Colleges 

of Education ........................................................................................ 200,000 

Oklahoma City Public Schools Foundation, Oklahoma City, OK to 

support the ‘‘College for All’’ pilot program for at-risk youth ........ 500,000 

O’Neill Sea Odyssey, Santa Cruz, CA, for science education programs for elementary school children .............................................. 150,000 

OneWorld Now!, Seattle, WA, for after school programs and student scholarships for study in foreign countries ............................. 250,000 

Ossining Union Free School District, Ossining, NY, for after school, 

literacy and/or school reform initiatives ........................................... 450,000 

Ouachita Parish School Board, Monroe, LA for family literacy programs ................................................................................................... 350,000 

P.E. 4 Life, Kansas City, MO to establish a P.E. Academy in North 

Mississippi .......................................................................................... 325,000 

Pacific Science Center, Seattle, WA for curriculum development for 

an inquiry-based science program .................................................... 350,000 

Palm Beach County School District, West Palm Beach, FL, for a 

teacher and principal mentoring program ....................................... 500,000 

Parent Institute for Quality Education, San Diego, CA, for a parent 

training program ................................................................................ 350,000 

Pawtucket School Department, Pawtucket, RI, for musical instruments, equipment and instructional materials for the Jacqueline 

Walsh School of the Performing and Visual Arts ............................ 500,000 

PE4life, Kansas City, MO to expand the P.E. program in the 

Titusville School District, PA across the state ................................ 300,000 

Peoria School District 150, Peoria, IL for the Tapping Future Leaders for Urban Schools Initiative ........................................................ 100,000 

Person to Person, Minneapolis, MN, for its Hungry Lil’ Readers 

Club Family Literacy Program ......................................................... 50,000 

Phillips School District, WI, for an after school program .................. 170,000 

Port Chester—Rye Union Free School District, Port Chester, NY, 

for academic enrichment, professional development, family engagement and/or other activities to implement full service community schools .................................................................................... 500,000 

Project GRAD USA, Houston, TX, for school improvement activities 

at one or more schools in the Houston Independent School District and the 18th Congressional District ........................................ 200,000 

Project MORE, Putnam County Educational Service Center, Ottawa, OH for reading programs for students with disabilities ...... 100,000 

Project One Youth Education Program, Cincinnati, OH for afterschool instruction for economically disadvantaged youth ............... 200,000 

PUENTE Learning Center, Los Angeles, CA, for education programs ................................................................................................... 100,000 

Puget Sound Educational Service District, Fife, WA, for its Arts 

Impact teacher training initiative .................................................... 150,000 

Purchase College, State of University of New York, Purchase, NY, 

for a program to address a shortage of high school science and 

math teachers ..................................................................................... 250,000 

Purdue University Calumet, Hammond, IN, for equipment and 

start-up expenses for a magnet school ............................................. 350,000 

Queens Theatre in the Park, Flushing, NY, for a project to provide 

youth with career planning and development in the performing 

arts industry ....................................................................................... 100,000 

RARE Foundation, Troy, MI for educational programs for children 100,000 

Reach for the Stars Learning Center, Brooklyn, NY to expand and 

enhance programs for autistic children ............................................ 200,000 

ReadNet Foundation, New York, NY for an online literacy program 

for at-risk youth in Hudson, NY ....................................................... 1,000,000 

Readnet Foundation, NY, for the ReadNet Online Program for 

school and public libraries in Newport, Jamestown, Middletown, 

and Portsmouth, Rhode Island ......................................................... 300,000 

Ready to Learn, Springfield, MO to develop a program for pre-kindergarten academic, reading readiness and social and emotional 

skill development for pre-school age children and their parents 600,000 

192 

Rhode Island Philharmonic, Providence, RI, for an arts education 

initiative for children in Northern Rhode Island ............................ 100,000 

Riverside County Office of Education, Riverside, CA for the High 

School Science Initiative .................................................................... 300,000 

Rochester City School District, NY, for its Rochester Children’s 

Zone student achievement initiative ................................................ 400,000 

Roseville City School District, Roseville, CA for English as a Second Language program. ..................................................................... 200,000 

Salesian Boys and Girls Club of Los Angeles, CA, for education and 

support services for middle and high school students .................... 100,000 

San Bernardino City Unified School District, San Bernardino, CA 

for the English Learners Program .................................................... 500,000 

San Bernardino County Superintendents of Schools, San 

Bernardino, CA for English Language Learners Initiative ............ 350,000 

San Diego Environmental Foundation, Inc., San Diego, CA, for a 

science-based education program on alternative fuels for students 100,000 

San Joaquin County, Stockton, CA for the San Joaquin A Plus, program to ensure access to tutors and improve reading skills for 

third to sixth graders ......................................................................... 500,000 

San Mateo County, CA, for its Preschool for All program ................. 100,000 

San Pasqual Academy, Escondido, CA for technology upgrades ....... 100,000 

Save San Francisco Bay Association, Oakland, CA, for science education programs .................................................................................. 200,000 

Save the Children, Westport, CT to implement supplemental literacy programs serving children in the first congressional district 

of Arizona ............................................................................................ 400,000 

Save the Children, Westport, CT, for a children’s literacy initiative 

in Campbell County and Fentress County in Tennessee ................ 200,000 

Save the Children, Westport, CT, for a literacy initiative in South 

Carolina .............................................................................................. 150,000 

School Board of Broward County, Broward County, FL for the 

Broward Virtual Education online high school ................................ 250,000 

School Board of Broward County, Fort Lauderdale, FL for teacher 

support and development .................................................................. 500,000 

School for Children with Hidden Intelligence (SCHI), Lakewood, 

NJ for the special education program .............................................. 200,000 

Schultz Center for Teaching and Leadership, Jacksonville, FL for 

expansion of Florida’s educational videoconferencing network ...... 250,000 

Schuylkill Intermediate Unit 29, Mar Lin, PA, for equipment and 

technology for the Schuylkill Technology Centers .......................... 350,000 

Selden/Centereach Youth Association, Selden, NY, for an after 

school program ................................................................................... 75,000 

Silver Crescent Foundation, Charleston, SC for engineering/technology camps for middle and high school students across the 

State .................................................................................................... 200,000 

Smethport Area School District, Smethport, PA for technology upgrades .................................................................................................. 100,000 

Sociedad Latina, Roxbury, MA, for its Mission Community Enrichment Program ..................................................................................... 100,000 

South Bay Workforce Investment Board, Hawthorne, CA, for its Fit 

For Gold after school program .......................................................... 100,000 

SouthEastern Pennsylvania Consortium, Glenside, PA for professional development for elementary and high school teachers ........ 800,000 

Southern Illinois University-Carbondale, College of Education and 

Human Services, Carbondale, IL, for the Saluki Kids’ Academy 300,000 

Southwest Arkansas Community Development Corporation, Magnolia, Arkansas, for summer and after school programs ................ 100,000 

Sparta School District, Sparta, WI, for its Right Step Program ........ 100,000 

St. Joseph Institute for the Deaf, St. Louis, MO for a pilot program 

that will provide early intervention & mainstreaming services to 

severely deaf children in selected unserved or underserved areas 150,000 

St. Mary’s County Public Schools, Leonardtown, MD, for a mathematics, science, and technology academy ......................................... 500,000 

St. Xavier University, Chicago, IL, for development of an early 

childhood professional development center and other program enhancements ......................................................................................... 375,000 

Stamford Public Schools, Stamford, CT for the Technology for 

Teaching initiative ............................................................................. 200,000 

193 

Stark Education Partnership, Canton, OH to implement the P–16 

model ................................................................................................... 75,000 

State College Area School District, State College, PA for technology 

enhancements ..................................................................................... 100,000 

State of Rhode Island, Division of Information Technology, Providence, RI, for its Children’s Data Sharing Project .......................... 250,000 

Steelton-Highspire School District, Steelton, PA, for equipment, 

technology and technology training .................................................. 150,000 

Summit Educational Resources, Tonawanda, NY for technology and 

equipment for classrooms for children with autism ........................ 200,000 

Superior School District, WI, for an after school program ................. 250,000 

Susannah Wesley Community Center, Honolulu, HI, for computers 

and technology to serve at-risk high school students, and other 

students in an after school program ................................................. 50,000 

Tarrytown Union Free School District, Sleepy Hollow, NY, for family literacy activities and professional development to support literacy instruction ................................................................................ 225,000 

Texarkana Independent School District, Texarkana, TX for curriculum development and training with an engineering and math 

focus .................................................................................................... 120,000 

Texas Southern University, Houston, TX, for the TSU/Cuney 

Homes Project Lab School, which may include equipment and 

technology ........................................................................................... 200,000 

Texas State University System, Austin, TX at San Angelo, TX and 

satellite campuses to develop and implement a comprehensive 

mathematics program for K–12 students ......................................... 350,000 

Third Street Music School Settlement, New York, NY, for its Music 

Instruction on the Lower East Side (MILES) arts education program .................................................................................................... 75,000 

Thornton Township High School District 205, South Holland, IL, 

for its Mastery Learning Labs project .............................................. 250,000 

Toledo Jazz Society, Toledo, OH, for music education initiatives for 

youth and teachers ............................................................................. 100,000 

Township of Colony, AL for technology upgrades at a school computer lab, available for students grades K–12 ................................. 20,000 

Towson University, Towson, MD, for an education partnership with 

the City of Baltimore, Baltimore City Public School System and 

the Cherry Hill, MD community ....................................................... 300,000 

Tracy Unified School District, Tracy, CA for the English as a Secondary Language Program ................................................................ 400,000 

Triangle Urban League, Raleigh, NC, for its National Achievers’ 

Society program .................................................................................. 100,000 

Tri-County Educational Service Center, Wooster, OH for a pilot 

project of the Olweus Bullying Prevention Program ....................... 100,000 

Tri-County Educational Service Center, Wooster, OH for technology 

education ............................................................................................. 100,000 

Turlock Unified School District, Turlock, CA to develop and obtain 

software to be used for instruction in the English as a Second 

Language Program ............................................................................. 350,000 

Unified School District 259, Wichita Public Schools, Wichita, KS for 

technology, software and equipment for special education students .................................................................................................... 300,000 

Union County Public Schools, Monroe, NC for the North Carolina 

Central Academy of Technology and Arts ........................................ 200,000 

University of Louisville, Louisville, KY for after school programs 

operated through contract with local non-profit organizations ...... 1,000,000 

University of Massachusetts, Lowell, MA, for its Urban School 

Transformation Study Project ........................................................... 150,000 

University of Memphis, TN, for a Model Teacher Program in collaboration with the Memphis City School System .......................... 300,000 

University of New Mexico, Albuquerque, NM for an Indian education demonstration ......................................................................... 300,000 

University of North Florida, Jacksonville, FL for a Virtual School 

Readiness Incubator Project .............................................................. 250,000 

University of Northern Iowa, Cedar Falls, IA to expand the National Institute of Technology for Inclusive Education We Build 

Communication Access Through Technology (WeBCATT) program .................................................................................................... 200,000 

194 

Valle Lindo School District, South El Monte, CA, for technology upgrades .................................................................................................. 70,000 

Van Go Mobile Arts, Inc., Lawrence, KS, for education and vocational training for at-risk youth ........................................................ 100,000 

Vaughn Next Century Learning Center, Pacoima, CA, for an international studies academy for high school students, which may include technology and equipment ....................................................... 350,000 

Victory School, North Miami Beach, FL, for professional development, student services and community outreach activities ............ 50,000 

Virginia Aquarium, Virginia Beach, VA for educational programs ... 300,000 

Wallace Accelerated High School, Colorado City, TX to support a 

charter program for at-risk students in grades 8–12 ...................... 150,000 

Washington County School District, St. George, UT, for its Family 

Focus family literacy project ............................................................. 350,000 

Washington National Opera, Washington, DC, for a music education project serving Maryland schools .......................................... 150,000 

Washington State University, Takoma, WA, for education and enrichment services for youth at its Center for Community Education, Enrichment and Urban Studies ............................................ 240,000 

Wausau School District, WI, for educational activities and technology .................................................................................................. 550,000 

Way of a Champion, Chesapeake, VA to expand the after-school 

program for at-risk children to three other areas ........................... 300,000 

WE CARE San Jacinto Valley, Inc., San Jacinto, CA for the afterschool tutoring program ..................................................................... 100,000 

Webster School District, WI, for an after school program .................. 250,000 

West County Unified School District, El Cerrito, CA, for a building 

trades apprenticeship program at JFK High School ....................... 150,000 

Western Nebraska Community College, Scottsbluff, NE for the Entrepreneurship Center to serve Scottsbluff and Gering schools ..... 225,000 

Western Reserve Historical Society, Cleveland, OH for education 

programs ............................................................................................. 50,000 

Widener University, Chester, PA for the K–5 Chester-Widener 

Community Demonstration School ................................................... 100,000 

William Barrett Neighbors Community Center, Philadelphia, PA, 

for after school and summer academic and enrichment activities 50,000 

Wisconsin Rapids School District, WI, for an after school program 200,000 

Wolf Trap Foundation, Vienna, VA for the Performing Arts in Vienna, VA to develop early childhood education programs .............. 200,000 

Woodstock Challenger Learning Center for Science & Technology, 

Woodstock, IL for equipment for the Edventure Area .................... 100,000 

Yakima Public Schools, Yakima, WA for equipment for the English 

Language Instruction Program ......................................................... 225,000 

Yellowstone Boys & Girls Ranch, Billings, MT for equipment to integrate counseling services and distance learning .......................... 700,000 

YMCA of the East Bay, Richmond, CA, for after school programs, 

which may include youth scholarships ............................................. 180,000 

Yonkers Public Schools, Yonkers, NY, for after-school and Saturday 

academic enrichment, literacy and professional development 

services, and for parental involvement activities ............................ 1,000,000 

York Technical College, Rock Hill, SC, for its Camp Success engineering and technology program for middle and high school students .................................................................................................... 150,000 

Youngstown City School District, OH, for a Pathways to Building 

Trades Program in the Youngstown and Warren, OH school districts .................................................................................................... 200,000 

Youngstown Symphony Society, Inc., Youngstown, OH for educational programs ............................................................................... 50,000 

YouthFriends, Kansas City, MO, for a mentoring project ................. 250,000 

YWCA of Alliance, Alliance, OH for the Alliance Neighborhood 

Center Apple Seed Project ................................................................. 100,000 

Teacher incentive fund 

The Committee has included $99,000,000 for the teacher incentive program, which is the same as the fiscal year 2006 level and 

the budget request. Of this amount, $4,950,000 is made available 

October 1, 2006 for technical assistance training, and evaluation 

195 

activities. The program provides financial incentives for teachers 

and principals who raise student achievement and close the 

achievement gap in some of the Nation’s highest-need schools. 

Ready to learn television 

The bill does not include funding for the Ready to Learn Tele- vision program, $24,255,000 below both the budget request and the 

fiscal year 2006 level. Ready to Learn supports the development 

and distribution of educational video programming for preschool 

children, elementary school children and their parents. Only public 

telecommunications entities are eligible to receive awards. 

Dropout prevention programs 

The bill does not include funding for the dropout prevention program, the same as the budget request. This program was funded 

at $4,851,000 in fiscal year 2006. The dropout prevention program 

provides assistance to help schools implement effective school dropout prevention and reentry programs. Districts desiring to implement dropout prevention programs can use funds reserved by 

States under title I Part A to support such efforts. 

Close Up fellowships 

The bill does not include funding for Close Up fellowships, the same as the budget request and $1,454,000 below the fiscal year 

2006 level. The Close Up Foundation provides fellowships to students from low income families and their teachers to enable them 

to participate with other students and teachers for a week of seminars on government and meetings with representatives of the three 

branches of the Federal government. 

In 2004, the funds appropriated for Close Up fellowships contributed less than 6 percent of the overall Close Up Foundation budget, 

which totaled $24,400,000. In 2002, Close Up’s national programs 

received support from some 55 corporations and foundations, and 

other funders have been added since that time. The Foundation’s 

participation in Federal grants and contracts has expanded. The 

organization is a key Department of State contractor for different 

exchanges between countries involving youth and adults. Close Up 

also participates in several grants funded under the Department of 

Education’s Teaching American History program. 

Advanced placement program grants 

The Committee recommends $80,000,000 for the advanced placement program. This recommendation is $42,175,000 below the 

budget request and $47,825,000 above the fiscal year 2006 amount. 

The advanced placement test fee program awards grants to States 

to enable them to cover part or all of the cost of advanced placement test fees of low-income students who are enrolled in advanced 

placement classes and plan to take the advanced placement test. 

This program also supports competitive grants to states, school districts and national nonprofit educational agencies for programs 

that encourage greater participation by low-income students in advanced placement courses. 

Because the Committee does not wish to override current statutory authorities, it does not include bill language requested by the 

Administration to require school districts participating in the proVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00199 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
196 

gram to provide incentives for teachers to become qualified to teach 

advanced placement classes in math, science and foreign languages 

and for those whose students pass the advanced placement tests in 

these areas. The Committee also does not include requested bill 

language requiring grantees to provide a two-to-one funding match 

by States and the private sector. However, the Committee understands that the Department of Education may have sufficient authority to achieve many of these objectives through administrative 

action. The Committee encourages the Secretary to use existing authority under section 1705 of part G of title I, ESEA, to encourage 

eligible entities to use a portion of their funding to expand advanced placement offerings and participation in subjects related to 

math, science, and foreign language; to support professional development for advanced placement teachers; and to provide incentives 

to qualified teachers to teach advanced placement classes in core 

academic subjects, including math, science and foreign languages. 

SAFE SCHOOLS AND CITIZENSHIP EDUCATION

The bill includes $623,627,000 for safe schools and citizenship 

education programs. This amount is $105,891,000 less than the fiscal year 2006 appropriation and $357,000,000 more than the budget request. This appropriation account includes programs authorized under parts of titles II, IV, and V of the Elementary and Secondary Education Act. 

Safe and drug-free schools and communities: State grants 

The Committee bill includes $310,000,000 for the State grants 

program, $36,500,000 below the fiscal year 2006 level. The Administration did not request funding for this program. Eighty percent 

of the funds provided flows to state and local agencies and twenty 

percent goes to governors offices for such activities as youth drug 

prevention, violence prevention, and school safety and security. 

Safe and drug-free schools and communities: National programs 

For the national programs under the Safe and Drug-Free Schools 

and Communities Act, the bill provides $196,992,000, $55,880,000 

above the fiscal year 2006 amount and the same as the budget request. Under this program, the Secretary of Education administers 

a variety of activities to prevent the illegal use of drugs and violence among students at all educational levels, preschool through 

postsecondary. Within the amount provided, the Committee intends 

that the student drug testing pilot program be funded at a level of 

$15,000,000. 

In recognition of the facts that alcohol is the number one drug 

of choice among school aged youth and that research has shown 

that adolescents who use alcohol may remember 10 percent less of 

what they have learned than those who do not drink, this Committee expects the Department of Education to ensure that underage drinking prevention is included as a discrete and major priority 

in all substance abuse prevention programs funded under the National Programs portion of the Safe and Drug Free Schools and 

Communities program. 

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Alcohol abuse reduction 

The bill does not include funding for grants to reduce alcohol 

abuse, the same as the budget request and $32,409,000 below the 

fiscal year 2006 level. This program awards competitive grants to 

school districts to develop and implement programs to reduce alcohol abuse in secondary schools. Districts may use their safe and 

drug-free schools State grants or their State Grants for Innovative 

Programs funding to support the activities funded under this program. 

Mentoring programs 

The bill includes $19,000,000 for mentoring programs which provide competitive grants to school districts and community-based organizations to promote mentoring programs for children with the 

greatest need. This is the same as the budget request and 

$29,814,000 below the fiscal year 2006 level. This funding would 

support the final year of a two-year phase-out of the program. Of 

the more than 4,200 mentoring programs nationwide, only about 6 

percent receive mentoring grants from the Department. Only about 

one percent of the 3 million youths across the country who are in 

a formal, mentoring relationship do so by participating in a mentoring project that receives funds under this program. 

Character education 

The bill includes $24,248,000 for character education, the same 

as both the fiscal year 2006 level and the budget request. This program provides support for the design and implementation of character education programs in elementary and secondary schools. 

Grantees may select the elements of character that will be taught, 

and must consider the views of parents and students to be served 

by the program. 

Elementary and secondary school counseling 

The bill includes $22,000,000 for elementary and secondary 

school counseling, $12,650,000 below the fiscal year 2006 level. The 

budget did not propose funding for this program. This program provides grants to school districts to enable them to establish or expand elementary school and secondary school counseling programs. 

Funding will support the continuation costs of ongoing programs. 

School counselors are primarily supported with non-Federal funds. 

In the 2005–2006 school year, grants under this program have paid 

the cost of only about 500 counselors and other school mental 

health professionals nationally, which is one-half of one percent of 

the approximately 100,000 elementary and secondary school guidance counselors in the country. 

Carol M. White physical education program 

The bill includes $26,387,000 for the physical education program, 

the same as the budget request and $46,287,000 below the fiscal 

year 2006 level. Funding will support continuation costs for programs first funded in 2005 and 2006. This program provides grants 

to school districts and community-based organizations to help students make progress toward meeting State standards for physical 

education. 

198 

Civic education 

The bill includes $25,000,000 for civic education, $4,111,000 less 

than the fiscal year 2006 level. The budget request did not propose 

funding for this program. Program funds support the ‘‘We the People’’ and the Cooperative Education Exchange programs. ‘‘We the 

People’’ seeks to promote civic competence and responsibility 

among students. Cooperative Education Exchange provides support 

for education exchange activities in civics and economics between 

the United States and eligible countries in Central and Eastern 

Europe, the Commonwealth of Independent States, any country 

that was formerly a republic of the Soviet Union, the Republic of 

Ireland, the province of Northern Ireland and developing countries 

with a democratic form of government. 

The Center for Civic Education is the statutorily designated recipient of approximately 75 percent of all funds appropriated 

through the Civic Education program in any single year. The Center has also received funds from numerous foundations and an increasing number of state and local entities. The National Council 

on Economic Education is supported by numerous corporations and 

foundations. 

ENGLISH LANGUAGE ACQUISITION

The bill includes $669,007,000 for English language acquisition 

programs. This amount is the same as the budget request and 

$1,000 less than the fiscal year 2006 level. This program provides 

formula grants to States to serve limited English proficient students. Grants are based on each State’s share of the national limited English proficient and recent immigrant student population. 

Funds under this account also support professional development to 

increase the pool of teachers prepared to serve limited English proficient students as well as evaluation activities. 

SPECIAL EDUCATION

The bill includes $11,753,013,000 for programs for children with 

disabilities authorized under the Individuals with Disabilities Education Act (IDEA). This funding level is $55,511,000 above the 

budget request and $100,000,000 above the fiscal year 2006 level. 

State grants: grants to states 

The bill provides $10,733,107,000 for grants to states, 

$50,146,000 above the budget request and $150,146,000 above the 

fiscal year 2006 level. Out of the total made available for school 

year 2007–2008, $4,708,907,000 is appropriated for fiscal year 2007 

for obligation after July 1, 2007 and $6,024,200,000 is appropriated 

for fiscal year 2008 for obligation on, or after, October 1, 2007. 

This program provides formula grants to assist the states in 

meeting the excess costs of providing special education and related 

services to children with disabilities. In order to be eligible for 

funds, states must make free appropriate public education available to all children with disabilities. Funds are distributed based 

on the amount that each state received from the fiscal year 1999 

appropriation, and the numbers of children in the general population and who live in poverty in the age range for which each state 

199 

mandates free appropriate public education for children with disabilities. 

The Committee includes language proposed in the budget request 

to limit the increase in the amount of funds required to be transferred to the Department of the Interior to the lesser of an amount 

equal to the amount transferred in 2006 plus inflation or the percentage increase in the appropriation for the Grants to States program. 

State grants: preschool grants 

The bill provides $380,751,000 for preschool grants, the same as 

both the fiscal year 2006 level and the budget request. This program provides grants to states on the basis of their proportionate 

share of the total number of children in the three through five age 

range and the number of these children living in poverty. These 

funds are provided in order to assist states to make a free appropriate public education available to all children with disabilities in 

the three through five age range. 

State grants: grants for infants and families 

The bill provides $436,400,000 for grants for infants and families, the same as both the fiscal year 2006 level and the budget request. This formula grant program assists states in developing and 

implementing statewide systems of coordinated, comprehensive, 

multidisciplinary, interagency programs to make available early 

intervention services to all children with disabilities, aged birth 

through two, and their families. 

IDEA national activities: state personnel development 

The bill does not include funding for state personnel develop- ment, the same as the Administration request and $50,146,000 

below the fiscal year 2006 level. This program supports competitive 

grants to state educational agencies for reforming and improving 

their systems for personnel preparation and professional development in early intervention, education, and transition services. 

Awards are based on State personnel development plans provided 

by the states. No funds are provided in the bill because available 

unobligated balances from the 2006 appropriation are sufficient to 

support 2007 awards. The Committee intends to resume funding 

personnel development grants in fiscal year 2008 when existing 

funds are depleted. 

Special education—vocational rehabilitation transition initiative 

The bill does not include funding for a new program proposed by 

the Administration to develop systems for using secondary and 

postsecondary school and employment data for students with disabilities. The Administration requested $2,000,000 for this initiative. 

IDEA national activities: technical assistance and dissemination 

The bill includes $48,903,000 for technical assistance and dissemination, the same as both the budget request and the fiscal 

year 2006 level. This program provides funding for technical assistance, model demonstration projects, information dissemination, and 

studies and evaluations through competitive awards that support 

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efforts by state and local education agencies, institutions of higher 

education, and other entities to build state and local capacity to 

make systemic changes and improve results for children with disabilities. 

IDEA national activities: personnel preparation 

The bill includes $89,720,000 for personnel preparation, which is 

the same as both the budget request and the fiscal year 2006 level. 

This program supports competitive awards to help address Stateidentified needs for qualified personnel to work with children with 

disabilities, and to ensure that those personnel have the skills and 

knowledge they need to serve those children. Awards focus on addressing the need for personnel to serve low-incidence populations 

and leadership personnel. 

IDEA national activities: parent information centers 

The bill includes $25,704,000 for parent information centers, the 

same as both the fiscal year 2006 level and the budget request. 

This program makes awards to parent organizations to support 

parent training and information centers, including community parent resource centers. These centers provide training and information to meet the needs of parents of children with disabilities living 

in the areas served by the centers, particularly underserved parents and parents of children who may be inappropriately identified. 

Technical assistance is also provided under this program for developing, assisting and coordinating centers receiving assistance 

under this program. 

IDEA national activities: technology and media services 

The bill includes $38,428,000 for technology and media services, 

which is the same as the fiscal year 2006 level and $7,365,000 

above the budget request. This program makes competitive awards 

to support the development, demonstration, and use of technology 

and educational media activities of educational value to children 

with disabilities. 

The bill includes $11,880,000 for Recording for the Blind and 

Dyslexic Inc. (RFB&D), the same as the fiscal year 2006 level. The 

Administration did not request funding for the program. These 

funds support continued production and circulation of recorded 

textbooks, increased outreach activities to print-disabled students 

and their teachers and accelerated use of digital technology. The 

Committee believes that the funds recommended will enable 

RFB&D to expand its service to students with print disabilities and 

to continue the digital production and use of its extensive library 

of educational materials. 

REHABILITATION SERVICES AND DISABILITY RESEARCH

The bill includes $3,244,247,000 for rehabilitation services and 

disability research. This amount is $63,833,000 above the budget 

request and $118,703,000 above the fiscal year 2006 level. The programs in this account are authorized by the Rehabilitation Act of 

1973, the Helen Keller National Center Act, and the Assistive 

Technology Act of 1998. 

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Vocational rehabilitation grants to States 

For vocational rehabilitation state grants, the bill includes 

$2,837,160,000, the same as the budget request and $116,968,000 

above fiscal year 2006. This program supports basic vocational rehabilitation services through formula grants to the states. These 

grants support a wide range of services designed to help persons 

with physical and mental disabilities prepare for and engage in 

gainful employment to the extent of their capabilities. Emphasis is 

placed on providing vocational rehabilitation services to persons 

with the most significant disabilities. 

Client assistance 

The bill includes $11,782,000 for the client assistance program, 

the same as both the budget request and the fiscal year 2006 

amount. A client assistance program is required in each state as 

a condition of receipt of a basic state grant. State formula grants 

are used to help persons with disabilities overcome problems with 

the service delivery system and improve their understanding of 

services available to them under the Rehabilitation Act. 

Training 

For training personnel to provide rehabilitation services to persons with disabilities, the bill includes $38,438,000, the same as 

both the budget request and the fiscal year 2006 level. The program supports long-term and short-term training, in-service personnel training, and training of interpreters for deaf persons. 

Projects in a broad array of disciplines are funded to ensure that 

skilled personnel are available to serve the vocational needs of persons with disabilities. 

Demonstration and training programs 

The bill includes $8,246,000 for demonstration and training programs, $1,735,000 above both the budget request and the fiscal 

year 2006 level. These programs authorize discretionary awards on 

a competitive basis to public and private organizations to support 

demonstrations, direct services, and related activities for persons 

with disabilities. 

Within the amounts provided for vocational rehabilitation demonstration programs, the Committee includes funding for the following activities: 

Advocating Change Together, St. Paul, MN, for a disability rights 

training initiative ............................................................................... $150,000 

Braille Institute of America, Los Angeles, CA, for replacement of 

a vehicle to provide mobile services to the visually impaired and/ 

or for related services ........................................................................ 100,000 

Enable America, Inc., Tampa, FL for civic/citizenship demonstration project for disabled adults ......................................................... 500,000 

IndependenceFirst, Milwaukee, WI, for its assistive technology program .................................................................................................... 60,000 

Jewish Vocational and Career Counseling Service, San Francisco, 

CA, for a Transition Services Project to provide vocational training and job placement for youth and adults with disabilities ........ 400,000 

South Bay Workforce Investment Board, Hawthorne, CA, for its 

Home Safety and Independence Program for disabled individuals 75,000 

University of South Florida, Tampa, FL, for a demonstration program in orthotics/prosthetics ............................................................. 200,000 

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Vocational Guidance Services, Cleveland, OH, for equipment and 

technology in order to increase employment for persons with disabilities ................................................................................................ 250,000 

Migrant and seasonal farmworkers 

For programs serving migrant and seasonal farmworkers, the bill 

provides $2,279,000, which is the same as the fiscal year 2006 

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

This program provides discretionary grants to make comprehensive 

vocational rehabilitation services available to migrant and seasonal 

farmworkers with vocational disabilities. Projects emphasize outreach activities, specialized bilingual rehabilitation counseling, and 

coordination of vocational rehabilitation services with services from 

other sources. 

Recreational programs 

For recreational programs, the bill provides $2,518,000, the same 

as the fiscal year 2006 level. The Administration did not request 

funding for the program. This program provides individuals with 

recreation and related activities to aid in their employment, mobility, independence, socialization, and community integration. Discretionary grants are made on a competitive basis to states, public 

agencies, and nonprofit private organizations, including institutions 

of higher education. 

Protection and advocacy of individual rights 

For protection and advocacy for persons with disabilities, the bill 

provides $16,489,000, the same as both the budget request and the 

fiscal year 2006 level. Grants are awarded to entities that have the 

authority to pursue legal, administrative, and other appropriate 

remedies needed to protect and advocate the rights of persons with 

disabilities. 

Projects with industry 

For projects with industry, the bill provides $19,538,000, the 

same as the fiscal year 2006 amount. The Administration did not 

request funding for the program. This program promotes greater 

participation of business and industry in the rehabilitation process. 

The program provides placement and job development services to 

assist persons with disabilities to prepare them for employment in 

the competitive labor market. Awards are made to a variety of 

agencies and organizations, including business and industrial corporations, rehabilitation facilities, labor organizations, trade associations, and foundations. 

Supported employment state grants 

For supported employment state grants, the bill includes 

$29,700,000, which is the same as the fiscal year 2006 level. The 

Administration did not request funding for the program. These formula grants assist states in developing collaborative programs with 

public agencies and nonprofit agencies for training and post-employment services leading to supported employment. In supported 

employment programs, persons with the most significant disabilities are given special supervision and assistance to enable them to 

work in an integrated setting. 

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Independent living: state grants 

For state grants for independent living, the bill includes $22,588,000. This amount is the same as both the budget request 

and the fiscal year 2006 level. This program supports formula 

grants to the states to provide services for independent living for 

persons with significant disabilities. 

Independent living: centers 

For centers for independent living, the bill provides $74,638,000, 

which is the same as both the budget request and the fiscal year 

2006 level. A population-based formula determines the total 

amount that is available for discretionary grants to centers in each 

state. These discretionary grants support a network of consumercontrolled, nonresidential, community-based private nonprofit centers that provide a wide range of services to help persons with significant disabilities live more independently in family and community settings. Centers provide information and referral services, 

independent living skills training, peer counseling, and individual 

and systems advocacy. Discretionary grants are made to private 

nonprofit organizations. 

Independent living: services for older blind persons 

For independent living services for older blind individuals, the bill provides $32,895,000. This amount is the same as both the fiscal year 2006 level and the budget request. Funds are distributed 

to states according to a formula based on the population of individuals who are 55 or older, and grants support services for persons 

55 years old or over whose severe visual impairment makes gainful 

employment extremely difficult to obtain, but for whom independent living goals are feasible. 

Program improvement 

For program improvement activities, the bill provides $835,000, 

which is the same as both the fiscal year 2006 level and the budget 

request. The program: (1) provides technical assistance and consultative services to public and non-profit private agencies and organizations; (2) provides short-term training and technical instruction; (3) conducts special demonstrations; (4) collects, prepares, 

publishes and disseminates educational or informational materials; 

and (5) carries out monitoring and conducts evaluations. 

Evaluation 

The bill includes $1,473,000 for program evaluation, the same as 

both the budget request and the fiscal year 2006 level. These funds 

are used to evaluate the impact and effectiveness of individual programs authorized under the Rehabilitation Act. Contracts are 

awarded on an annual basis for studies to be conducted by persons 

not immediately involved in the administration of the programs authorized by the Act. 

Helen Keller National Center 

For the Helen Keller National Center for Deaf-Blind Youth and 

Adults, the bill includes $8,511,000, the same as both the fiscal 

year 2006 level and the budget request. These funds are used for 

the operation of a national center that provides intensive services 

204 

for deaf-blind individuals and their families at Sands Point, New 

York and a network of 10 regional offices that provide referral, 

counseling and transition services, and technical assistance to service providers. 

National Institute on Disability and Rehabilitation Research 

The bill includes $106,705,000 for the National Institute on Disability and Rehabilitation Research, the same as both the budget 

request and the fiscal year 2006 level. The Institute supports research, demonstration and training activities that are designed to 

maximize the employment and integration into society of individuals with disabilities of all ages. 

Assistive technology 

For assistive technology activities, the bill provides $30,452,000, the same as the fiscal year 2006 amount and $8,063,000 above the 

budget request. Technology assistance activities are authorized 

under the Assistive Technology Act of 1998. This Act authorizes 

population-based formula grants to the states to assist them in 

supporting alternative financing programs and assistive technology 

device demonstrations, loan, and reutilization programs. In addition, protection and advocacy services related to assistive technology and national technical assistance activities are supported. 

Of the funds provided, $25,058,000 is for the state grant program, 

$4,341,000 is for the protection and advocacy program, and 

$1,053,000 is for national activities. Consistent with the authorizing statute, the Committee does not provide separate funding for 

the alternative financing program. Instead, funds provided for alternative financing in 2006 are included in the 2007 state grant 

program, which is increased by an amount that is equal to the 

2006 funding for alternative financing. The Committee encourages 

the states to use these additional funds to create or expand state 

alternative financing programs under their state grant program. 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES

AMERICAN PRINTING HOUSE FOR THE BLIND

The bill provides $18,000,000 for the American Printing House for the Blind, an increase of $428,000 above the fiscal year 2006 

appropriation and $427,000 above the budget request. This appropriation subsidizes the production of educational materials for legally blind persons enrolled in pre-college programs. The Printing 

House, which is chartered by the State of Kentucky, manufactures 

and maintains an inventory of educational materials in accessible 

formats that is distributed free of charge to schools and states 

based on the number of blind students in each state. The Printing 

House also conducts research and field activities to inform educators about the availability of materials and how to use them. 

NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

The bill provides $57,000,000 for the National Technical Institute 

for the Deaf (NTID), an increase of $859,000 above the fiscal year 

2006 amount and $1,651,000 over the request. The NTID was established by Congress in 1965 to provide a residential facility for 

postsecondary technical training and education for deaf persons 

205 

with the purpose of promoting the employment of these individuals. 

The Institute also conducts applied research and provides training 

in various aspects of deafness. The Secretary of Education administers these activities through a contract with the Rochester Institute of Technology in Rochester, New York. 

GALLAUDET UNIVERSITY

The bill provides $110,500,000 for Gallaudet University, an increase of $3,502,000 above the fiscal year 2006 appropriation and 

$2,902,000 over the budget request. The Committee does not provide the $600,000 requested by the Administration for evaluation 

and has concerns about the validity of the PART review conducted 

by the Office of Management and Budget in 2005 that rated Gallaudet ‘‘ineffective.’’ Gallaudet is a private, non-profit educational 

institution Federally-chartered in 1864 providing elementary, secondary, undergraduate, and continuing education for deaf persons. 

In addition, the University offers graduate programs in fields related to deafness for deaf and hearing students, conducts research 

on deafness, and provides public service programs for deaf persons. 

VOCATIONAL AND ADULT EDUCATION

The bill includes $1,925,858,000 for vocational and adult education programs. This amount is $66,301,000 below the fiscal year 

2006 level and $1,346,306,000 above the budget request. This appropriation account includes vocational education programs authorized by the Carl D. Perkins Vocational and Applied Technology 

Education Act. The account also includes adult education programs 

originally authorized by the Adult Education Act and reauthorized 

under the Workforce Investment Act of 1998. 

Vocational education basic grants 

The bill includes $1,182,388,000 for basic grants to states under 

the Carl D. Perkins Vocational and Technical Education Act of 

1998, which is the same as the fiscal year 2006 amount. The budget request proposed to eliminate this program and move the funds 

into a high school reform proposal. Out of the total for basic grants 

to states made available for school year 2007–2008, $391,388,000 

is appropriated for fiscal year 2007 for obligation after July 1, 2007 

and $791,000,000 is appropriated for fiscal year 2008 for obligation 

on, or after, October 1, 2007. 

State grants support a variety of vocational education programs 

developed in accordance with the state plan. The Act concentrates 

Federal resources on institutions with high concentrations of lowincome students. The populations assisted by Basic Grants range 

from secondary students in pre-vocational courses to adults who 

need retraining to adapt to changing technological and labor markets. 

The Committee believes that funding provided for this program 

should be dedicated to activities that ensure secondary and postsecondary students are prepared with the requisite skills and knowledge to succeed in today’s globally competitive economy. The Committee urges states to utilize the accountability data collected 

under the program as a means to monitor success in achieving this 

goal. Further, the Committee expects states to direct the use of 

206 

these funds to programs where there is a clear labor market demand. 

Tech-prep 

The bill includes $104,754,000 for tech-prep, the same as the fiscal year 2006 level. The budget request did not propose separate 

line item funding for this program. This appropriation includes activities under title II of the Carl D. Perkins Vocational and Technical Education Act of 1998. The tech-prep education program provides planning and demonstration grants to consortia of local educational agencies and postsecondary institutions to develop and operate model technical education programs. These programs begin in 

high school and provide students with the mathematical, science, 

communications and technological skills needed to enter a 2-year 

associate degree or 2-year certificate program in a given occupational field, and to make a successful transition into further postsecondary education or begin their careers. The purpose of techprep is to develop structural links between secondary and postsecondary institutions that integrate academic and vocational education and better prepare students to make the transition from 

school to careers. 

National programs 

For national programs, the Committee provides $9,164,000, 

which is the same as the fiscal year 2006 level. The Administration 

did not request separate funding for this program. This authority 

supports the conduct and dissemination of research in vocational 

education, and includes support for the National Centers for Research and Dissemination in Career and Technical Education and 

other discretionary research. 

State programs for adult education 

For state grants, the Committee provides $563,975,000, which is 

the same as both the fiscal year 2006 level and the budget request. 

State formula grants support programs to enable all adults to acquire basic literacy skills, to enable those who so desire to complete 

a secondary education, and to make available to adults the means 

to become more employable, productive, and responsible citizens. 

Grants are provided on a formula basis to states under the Adult 

Education and Family Literacy Act. The formula provides an initial 

allotment of $250,000 for each state and $100,000 to each outlying 

area, with additional allotments distributed on the basis of population aged 16 through 60 who are without a high school diploma 

or equivalent who are not enrolled in secondary school. 

States may use 12.5 percent of their allotments for state leadership activities and may use an additional 5 percent or $65,000 for 

state administration. States and localities must give priority to 

adult education and literacy activities that are built on a strong 

foundation of research on effective practices and that effectively 

employ technology. Funds are provided on a forward-funded basis. 

The Committee bill retains language in the 2006 bill that guarantees a portion of the funding will be used to provide civics education services to new immigrants. 

207 

National Programs—national leadership activities 

The Committee provides $9,005,000 for national leadership activities. This amount is the same as both the fiscal year 2006 level 

and the budget request. Through applied research, development, 

dissemination, evaluation, and program improvement activities, 

this program assists state efforts to improve the quality of adult 

education. The funds support such projects as evaluations on the 

status and effectiveness of adult education programs, national and 

international adult literacy surveys, and technical assistance on 

using technology to improve instruction and administration that 

show promise of contributing to the improvement and expansion of 

adult education. 

National Institute for Literacy 

For the National Institute for Literacy, the bill provides $6,572,000, which is the same as both the fiscal year 2006 level 

and the budget request. The Institute supports research and development projects, tracks progress made toward national literacy 

goals, supports research fellowships, disseminates information 

through a national clearinghouse, and coordinates literacy information data from national and state sources. 

The Committee commends the National Institute for Literacy 

(NIFL) and the National Center for Family Literacy (NCFL) in its 

role as convener of the National Early Literacy Panel (NELP). The 

NELP report will be the centerpiece for scientifically-based research in early literacy. As the National Reading Panel examined 

reading for children in kindergarten through grade 3, this effort 

will guide the evolution of early literacy programs which reach 

younger children—from birth to age 5. Once the final report of the 

NELP is published, the Secretary is encouraged to review its findings in consultation with NIFL and NCFL toward the goal of informing the Federal government’s work in early literacy through 

programs providing services to this age cohort, including Head 

Start and child care. 

Smaller learning communities 

The bill includes $50,000,000 for the smaller learning commu- nities program, $43,531,000 below the fiscal year 2006 level. The 

Administration did not request funding for this program. As in past 

years, the bill specifies that these funds shall be used only for activities related to the redesign of large high schools enrolling 1,000 

or more students. Since 2000, nearly $1,000,000,000 in non-Federal 

funds has been invested in this reform effort. Many of the eligible 

schools have not chosen to create smaller learning communities, 

which may indicate that the program has already reached its maximum growth. 

The Committee directs that the Department consult with the 

House and Senate Committees on Appropriations prior to the release of program guidance for the fiscal years 2006 and 2007 smaller learning communities grant competition. The Committee direct 

that a greater share of the five percent set-aside for national activities be used to support direct technical assistance to grantees 

through regional laboratories, university-based organizations, and 

other entities with expertise in high school reform, and direct that 

the Department submit to the House and Senate Committees on 

208 

Appropriations an operating plan outlining the planned use of the 

set-aside prior to the obligation of these funds. Further, the Committee strongly encourages the Department to enter into a jointly 

funded program with a private or public foundation with expertise 

in designing and implementing small schools in order to further leverage the Federal investment in smaller learning communities. 

State grants for incarcerated youth offenders 

The bill does not include funding for state grants for incarcerated youth offenders, the same as the budget request and $22,770,000 

below the fiscal year 2006 level. This program makes grants to 

state correctional agencies to assist and encourage incarcerated 

youths to acquire functional literacy skills and life and job skills. 

The Committee provides $49,797,000 to the Delinquent and Neglect 

program, which is a similar program for State educational agencies 

to provide educational services in juvenile and adult detention facilities. 

STUDENT FINANCIAL ASSISTANCE

The Committee recommends $14,890,745,000 for student financial assistance programs, a reduction of $36,230,000 below the fiscal year 2006 appropriation and $479,745,000 above the budget request. 

Pell grants.—The Committee recommendation increases the maximum Pell Grant to $4,150, which is $100 above both the budget 

request and the fiscal year 2006 amount. The Committee recommends $13,009,000,000 in new budget authority for the Pell 

Grant program, $349,287,000 above the request and $36,230,000 

below the fiscal year 2006 appropriation. Pell Grants provide portable education vouchers to postsecondary students who may use 

them at any of over 6,000 eligible schools. 

Federal supplemental educational opportunity grants (SEOG).— The Committee recommends $770,933,000 for SEOG, the same as 

the request and the fiscal year 2006 appropriation. The SEOG program provides grants through postsecondary institutions to qualified students who demonstrate exceptional financial need. Institutions have broad flexibility within the eligibility criteria for awarding these grants with the exception that priority must be given to 

Pell Grant recipients. 

Work-study.—The Committee recommends $980,354,000 for the 

work-study program, the same as the fiscal year 2006 appropriation and the budget request. Funding for this program is provided 

through institutions to students who work part-time to meet the 

cost of education. Institutions receive funding according to a statutory formula and may allocate it for job location and job development centers. 

Perkins loans cancellations.—The Committee recommends 

$65,471,000 for federal Perkins loans cancellations, $65,471,000 

above the budget request and the same as the fiscal year 2006 appropriation. The Federal Government reimburses institutional Perkins revolving loan funds for loan cancellations permitted under 

Federal law. Loans may be cancelled when the borrower pursues 

a career in 1 of 12 statutorily-designated professions including corrections, medical technical work, and Peace Corps or VISTA service. 

209 

Leveraging educational assistance partnership (LEAP).—The 

Committee recommends $64,987,000 for the LEAP program, the 

same as the fiscal year 2006 appropriation and $64,987,000 above 

the budget request. LEAP provides dollar-for-dollar matching funds 

to states as an incentive for providing need-based grant and work 

study assistance to eligible postsecondary students. Federally supported grants and job earnings are limited to $5,000 per award 

year for full-time students. By law, each state’s allocation is based 

on its relative share of the total national population of students eligible to participate in the programs, except that no state is to receive less than it received in 1979. If LEAP amounts are below this 

level, each state is allocated an amount proportional to the amount 

of funds it received in 1979. If a state does not use all of its allocation, the excess funds are distributed to other states in the same 

proportion as the original distribution. States must, at a minimum, 

match LEAP grants dollar for dollar with state funds provided 

through direct state appropriations for this purpose. 

STUDENT AID ADMINISTRATION

The bill includes $713,720,000 for the Student Aid Administration account. The Committee recommendation is $594,920,000 

above the fiscal year 2006 discretionary appropriation and 

$20,000,000 below the request. Section 8015 of the Deficit Reduction Act of 2005 (P.L. 109–171) shifted mandatory funding formerly 

available through Section 458 of the Higher Education Act to discretionary funding. The Federal Student Aid Office and the Office 

of Postsecondary Education have primary responsibility for administering Federal student financial assistance programs. 

HIGHER EDUCATION

The Committee recommends $1,964,203,000 for higher education 

programs, an increase of $13,150,000 above the fiscal year 2006 appropriation and $855,492,000 above the budget request. 

Strengthening institutions.—The Committee recommends 

$79,535,000 for the regular strengthening institutions program, the 

same as the budget request and the fiscal year 2006 level. This program provides general operating subsidies to institutions with low 

average educational and general expenditures per student and significant percentages of low-income students. Awards may be used 

for faculty and academic program development, management, joint 

use of libraries and laboratories, acquisition of equipment, and student services. 

Strengthening Hispanic-serving institutions (HSIs).—The Committee recommends $94,914,000 for the Hispanic-serving institutions program, the same as the budget request and the fiscal year 

2006 level. The HSI program provides operating subsidies to 

schools that serve at least 25 percent Hispanic students of whom 

at least half are low-income students. 

The Committee is concerned about the acute shortage of Hispanics earning advanced degrees, and supports legislative efforts in 

the reauthorization of the Higher Education Act to expand graduate opportunities for Hispanic students. Therefore, the Committee 

encourages the Department to submit a budget request for HSI 

210 

graduate programs in the event that such a program is authorized 

under Title V of the Higher Education Act. 

Strengthening historically black colleges and universities.—The 

Committee recommends $238,095,000 for strengthening historically 

black colleges and universities (HBCUs), the same as the budget 

request and the fiscal year 2006 appropriation. This program provides operating subsidies to accredited, legally authorized HBCUs 

established prior to 1964 whose principal mission is the education 

of black Americans. Funds may be used to support both programs 

and management and are distributed through a formula grant 

based on the enrollment of Pell Grant recipients, number of graduates, and the number of graduates entering graduate or professional schools in which blacks are underrepresented. The minimum 

grant is $500,000. 

Strengthening historically black graduate institutions.—The Committee recommends $57,915,000 for the strengthening historically 

black graduate institutions program, the same as the budget request and the fiscal year 2006 appropriation. The program provides 

5-year grants to 18 post-secondary institutions that are specified in 

section 326(e)(1) of the Higher Education Act. Awards may be used 

for building endowments as well as the same purposes for which 

the strengthening HBCU grants may be used. 

Strengthening Alaska Native and Native Hawaiian-serving institutions.—The Committee recommends $9,200,000 for strengthening 

Alaska Native and Native Hawaiian-serving institutions, 

$2,585,000 below the fiscal year 2006 appropriation and the same 

as the budget request. 

Strengthening tribally controlled colleges and universities.—The 

Committee recommends $23,570,000 for the strengthening tribally 

controlled colleges and universities program, the same as the budget request and the fiscal year 2006 appropriation. 

International education and foreign languages studies 

Domestic programs.—The Committee recommends $91,541,000 

for the domestic activities of the international education and foreign languages studies programs, the same as the fiscal year 2006 

appropriation and $1,000,000 below the budget request. The program assists graduate and undergraduate foreign language and 

area studies programs and students at institutions of postsecondary education. Programs include national resource centers, foreign language and area studies fellowships, undergraduate international studies and foreign language programs, international research and studies projects, business and international education 

projects, international business education centers, language resource centers, American overseas research centers, and technological innovation and cooperation for foreign information access. In 

general, the Secretary has discretion to allocate funding among 

these various activities. The Committee recommendation does not 

include funding to develop a centralized distance education clearinghouse of online language training materials, as proposed in the 

budget request. 

Overseas programs.—The Committee recommends $12,610,000 

for the overseas programs in international education and foreign 

language studies authorized under the Mutual Educational and 

Cultural Exchange Act of 1961, popularly known as the FulbrightVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00214 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
211 

Hays Act. The Committee recommendation is the same as the 

budget request and the fiscal year 2006 appropriation. Funding for 

these programs support group projects abroad, faculty research 

abroad, special bilateral projects, and doctoral dissertation research 

abroad. 

Institute for International Public Policy.—The Committee recommends $1,600,000 for the Institute for International Public Policy, the same as the budget request and the fiscal year 2006 appropriation. This program provides a grant to an eligible recipient to 

operate the Institute through sub-grantees chosen among minority 

serving institutions. 

Fund for the improvement of postsecondary education.—The Committee recommends $90,115,000 for the Fund for the Improvement 

of Postsecondary Education (FIPSE), $68,126,000 above the budget 

request and the fiscal year 2006 appropriation. FIPSE awards 

grants and contracts to a variety of postsecondary institutions and 

other organizations to improve the quality and delivery of postsecondary education. Within the amounts provided for FIPSE, the 

Committee includes funding for the following: 

Alabama Institute for Deaf and Blind, Talladega, AL for the Alabama Interpreter Training program ................................................. $100,000 

Alabama State University, Montgomery, AL for the Health Careers 

Awareness program ........................................................................... 100,000 

Albany State University, Albany, GA, in partnership with Darton 

College, for an initiative to increase the success of minority 

males and nontraditional students in postsecondary education .... 300,000 

Albuquerque Technical Vocational Institute, Albuquerque, NM for 

a training program in captioning ...................................................... 200,000 

Alfred State College, Alfred, NY for the Court Reporting School ...... 200,000 

Anoka-Ramsey Community College, Coon Rapids, MN for the implementation of a biomedical device manufacturing curriculum ... 100,000 

Antioch University McGregor, Yellow Springs, OH for technology 

equipment ........................................................................................... 250,000 

Azusa Pacific University, Azusa, CA to establish a nursing program .................................................................................................... 500,000 

Bakersfield College, Bakersfield, CA, for nurse training equipment 150,000 

Ball State University, Muncie, IN for the Center for School Innovation ...................................................................................................... 200,000 

Bates Technical College, Tacoma, WA, for equipment and technology .................................................................................................. 450,000 

Bellevue Community College, Bellevue, WA for the Building Safer 

Information Technology Environments program to develop educational and training resources in risk management for information technology ................................................................................... 100,000 

Bemidji State University, Bemidji, MN, for an engineering technology center ....................................................................................... 350,000 

Bemidji State University, Bemidji, MN, for development of a baccalaureate nursing program .................................................................. 350,000 

Bennett College for Women, Greensboro, NC, for technology improvements and professional development ...................................... 350,000 

Bevill State Community College, Sumiton, AL for technology upgrades .................................................................................................. 490,000 

Bluegrass Community and Technical College, Winchester, KY, for 

equipment and technology ................................................................. 300,000 

Brevard Community College, Cocoa, FL for telecommunications 

equipment ........................................................................................... 750,000 

Broward Community College, Broward County, FL, for an education and training program in emergency preparedness and response .................................................................................................. 350,000 

Bucknell University, Lewisburg, PA for a campus technology initiative ....................................................................................................... 250,000 

Buena Vista University, Storm Lake, IA for curriculum development .................................................................................................... 480,000 

212 

Butler County Community College, El Dorado, KS for technical 

training ............................................................................................... 200,000 

Caldwell Community College and Technical Institute, Hudson, NC 

for the Teacher Training Center ....................................................... 150,000 

California Community College System, Sacramento, CA, for a 

biophotonics program at Merced Community College ..................... 300,000 

California Institute of the Arts, Valencia, CA for the National Center for the Advancement of Animation, including purchase of 

equipment ........................................................................................... 220,000 

California State University Channel Islands, Camarillo, CA, for an 

accelerated nursing degree program ................................................ 100,000 

California State University, Bakersfield, Department of Nursing, 

Bakersfield, CA for nurse training equipment ................................ 100,000 

California State University-Fullerton Institute of Gerontology/Ruby 

Gerontology Center, Fullerton, CA for technology upgrades .......... 250,000 

Campbell University, Buies Creek, NC, for its School of Pharmacy 400,000 

Cazenovia College, Cazenovia, NY for equipment for the Enhanced 

Art & Design Instruction Building ................................................... 350,000 

Center for Rural Development, Somerset, KY for equipment purchases for the CenterNET2 Project .................................................. 500,000 

Central Arizona College, Coolidge, AZ for a bilingual nurse education program, including purchase of equipment .......................... 300,000 

Central Florida Community College, Ocala, FL for campus technology upgrades .................................................................................. 300,000 

Central Florida Community College, Ocala, FL for the Equine 

Studies program ................................................................................. 200,000 

Central Piedmont Community College, Charlotte, NC for curriculum development at the Center for Integrated Emergency Response Training .................................................................................. 250,000 

Central Washington University, Ellensburg, WA for laboratory 

equipment ........................................................................................... 350,000 

Cerritos College Foundation, Norwalk, CA, for its Project HOPE 

academic assistance and college preparation program ................... 205,000 

Chadron State College, Chadron, NE for student recruitment and 

retention .............................................................................................. 70,000 

Charleston Southern University, North Charleston, SC for equipment .................................................................................................... 250,000 

Chemeketa Community College, Salem, OR, for personnel, curricula and equipment for a horticulture program ........................... 265,000 

City College of New York, NY, for the Charles B. Rangel Center 

for Public Service to prepare individuals for careers in public 

service, which may include establishing an endowment, library 

and archives for such center ............................................................. 3,000,000 

Clark State Community College, Springfield, OH for the Connecting Our Students to the Future Project .................................... 250,000 

Clayton College and State University, Morrow, GA, for development of a Master of Arts in Archive degree program, which may 

include student scholarships and community outreach .................. 300,000 

Cleveland Institute of Art, Cleveland, OH for expansion of programs ................................................................................................... 50,000 

Coastal Carolina University, Conway, SC for equipment at its 

science center ...................................................................................... 300,000 

College of Lake County, Grayslake, IL to develop and implement 

English as a Second Language instructional classes ...................... 350,000 

College of Southern Idaho, Twin Falls, ID for the Pro-Tech program .................................................................................................... 600,000 

College of Staten Island, Staten Island, NY for technology upgrades 300,000 

Community College of Allegheny County, PA for technical education programs .................................................................................. 850,000 

Community College of Allegheny County, Pittsburgh, PA for the Allied Healthcare Institute, including purchase of equipment .......... 175,000 

Connecticut State University, Hartford, CT, for a project to enhance teacher workforce diversity, recruitment and retention ...... 500,000 

Consensus Organizing Center, San Diego, CA, for its Step Up college preparation initiative ................................................................. 100,000 

Cuyamaca College, El Cajon, CA for equipment ................................. 350,000 

Defiance College, Defiance, OH for the McMaster Citizen-Leader 

program ............................................................................................... 100,000 

213 

Delaware County Community College, Media, PA for purchase of 

equipment ........................................................................................... 250,000 

Delaware Valley College, Doylestown, PA for equipment at the 

Samuel P. Mandell Science Center ................................................... 400,000 

Denver Rescue Mission, Denver, CO for the Literacy and Education 

Center .................................................................................................. 100,000 

Des Moines Area Community College, Ankeny, IA for the Story 

County Career Academy Consortium Project, including equipment .................................................................................................... 400,000 

Des Moines Area Community College, IA, for equipment and technology .................................................................................................. 200,000 

DeSales University, Center Valley, PA for technology upgrades ...... 400,000 

Dowling College, Oakdale, NY, for development of curricula and a 

training program in the field of unmanned aerial vehicles ............ 200,000 

Dutchess Community College, Poughkeepsie, NY for instrument 

flight training programs, including purchase of equipment ........... 100,000 

Dyersburg State Community College, Dyersburg, TN, for an online 

enrollment and information system initiative ................................. 300,000 

Eckerd College, St. Petersburg, FL for technology enhancements .... 200,000 

Edison Community College at Charlotte, Punta Gorda, FL for nursing programs ....................................................................................... 100,000 

Elms College, Chicopee, MA, for equipment and technology for 

nursing and science programs ........................................................... 150,000 

Embry-Riddle Aeronautical University, Prescott, AZ for technology 

upgrades .............................................................................................. 100,000 

Erie Community College, Buffalo, NY, for a program in real time 

writing and captioning, which may include student scholarships 175,000 

Estrella Mountain Community College, Avondale, AZ, for its 

science and math pathways initiative, which may include student 

scholarships ........................................................................................ 150,000 

Everett Community College, Everett, WA, to plan, develop and implement one or more Early College High Schools, in conjunction 

with Whatcom Community College, Skagit Valley College and 

Northwest Indian College .................................................................. 150,000 

Florida Campus Compact, Tallahassee, FL, for a project to enhance 

service learning on college campuses throughout Florida .............. 350,000 

Gadsden State Community College, Gadsden, AL for technology upgrades .................................................................................................. 500,000 

Gateway Community and Technical College, Ft. Mitchell, KY for 

purchase of equipment at the Center for Advanced Manufacturing Competitiveness ...................................................................... 250,000 

Gateway Community College, New Haven, CT, for radiography and 

radiation therapy programs .............................................................. 130,000 

Grossmont College, El Cajon, CA for forensic sciences for the purchase of equipment ............................................................................ 206,000 

Harrisburg University of Science and Technology, Harrisburg, PA, 

for instructional programs, which may include equipment and 

technology ........................................................................................... 400,000 

Heinz C. Prechter Bipolar Research Fund, University of Michigan 

Depression Center, Ann Arbor, MI for the Postsecondary Education Campus Support Project ........................................................ 400,000 

Hickory Metropolitan Higher Education Center, Hickory, NC for 

technology upgrades ........................................................................... 100,000 

Hillsborough Community College, Plant City, FL for equipment ..... 200,000 

Hiram College, Hiram, OH for curriculum development and equipment for the Carbon Conversion Initiative ...................................... 300,000 

Hofstra University, Hempstead, NY, for equipment, technology and 

technology training ............................................................................ 300,000 

Holy Family University, Philadelphia, PA, for nurse education programs ................................................................................................... 150,000 

Hood College, Frederick, MD for bioinformatics programs ................ 250,000 

Houston Community College, Houston, TX, for a project to enhance 

the quality of instruction in business management and entrepreneurship, which may include equipment and technology ............... 50,000 

Houston Community College, Houston, TX, for development of an 

emergency medical technician certificate program ......................... 350,000 

Huntington Junior College, WV, for an initiative to recruit and 

train students in closed captioning ................................................... 250,000 

214 

I KNOW I CAN, Columbus, OH for a student recruitment and retention initiative ................................................................................. 100,000 

Idaho State University, Pocatello, ID for a master’s degree program 

in dental hygiene, including purchase of equipment ...................... 400,000 

Illinois State University, Normal, IL, for Chicago teacher education 

pipeline programs in partnership with the Chicago Public 

Schools and City Colleges of Chicago ............................................... 100,000 

Indiana University-Purdue University Fort Wayne, Fort Wayne, IN 

for the Northeast Indiana Science Education Network .................. 100,000 

Interamerican University of Puerto Rico, San Juan, PR for development of a bilingual cultural competency program ........................... 150,000 

Iowa Valley Community College Education and Training Center, 

Marshalltown, IA for continuing education and job training ......... 175,000 

Ivy Tech Community College of Indiana, Bloomington, IN for the 

Center for Mathematics and Science ................................................ 500,000 

Ivy Tech Community College of Indiana, Bloomington, IN for the 

Early College/Middle College initiative ............................................ 1,000,000 

Jacksonville State University, Jacksonville, AL for the early childhood education and child care program ........................................... 200,000 

Jacksonville University, Jacksonville, FL for the accelerated nursing development program .................................................................. 150,000 

James Rumsey Technical Institute, Martinsburg, WV for the Automotive Technology Program, including purchase of equipment ..... 100,000 

Jefferson College, Jefferson County, MO, for equipment and technology .................................................................................................. 40,000 

Joliet Junior College, Joliet, IL for the Integrated Systems Technology program ................................................................................... 700,000 

Kent State University, Kent, OH for education programs for scientists collaborating at the Oak Clinic for Multiple Sclerosis ....... 200,000 

Kent State University, Kent, OH for the GED Scholars program .... 100,000 

Keuka College, Keuka Park, NY for technology upgrades ................. 240,000 

Kirkwood Community College, Cedar Rapids, IA to establish a program in environmental health, safety and security ........................ 150,000 

La Sierra University, Riverside, CA for equipment for its chemistry 

and biochemistry laboratories ........................................................... 250,000 

Lake City Community College, Lake City, FL for the 21st century 

mathematics initiative ....................................................................... 175,000 

Lakeshore Technical College Bilingual Captioning/Judicial Reporting Initiative, Cleveland, WI to train real time writers and 

captioners ............................................................................................ 250,000 

Laredo Community College, Laredo, TX for technology upgrades 

and programs at Zaffirini Library .................................................... 100,000 

Lawrence Technological University, Southfield, MI, for upgrades to 

the university wireless network ........................................................ 200,000 

Lewis and Clark Community College, Godfrey, IL, for its National 

Great Rivers Research and Education Center ................................. 450,000 

Lincoln College, Lincoln, IL for the Lincoln Barat Teacher Training 

Initiative ............................................................................................. 100,000 

Lincoln Memorial University College of Osteopathic Medicine, Harrogate, TN for curriculum development ........................................... 500,000 

Livingstone College, Salisbury, NC, for teacher training, and for 

science and math academic services and mentoring for minority 

students ............................................................................................... 200,000 

Lorain County Community College, Elyria, OH, for its Learning 

Technology Center .............................................................................. 300,000 

Loyola University Center for Public Service, Chicago, IL for equipment and programming ..................................................................... 500,000 

Lycoming College, Williamsport, PA for campus technology upgrades .................................................................................................. 400,000 

MacMurray College, Jacksonville, IL for technology upgrades ......... 300,000 

Madisonville Community College, Madisonville, KY for curriculum 

development and equipment at the Kentucky Coal Academy in 

conjunction with Henderson Community College, Henderson, KY 200,000 

Madonna University Project LEARN, Livonia, MI for a disaster relief and recovery program .................................................................. 150,000 

Maricopa County Community College, Phoenix, AZ, for the Bilingual Nursing Program at Gateway Community College ................ 300,000 

Marymount Manhattan College, New York, NY, for a minority 

teacher recruitment initiative ........................................................... 300,000 

215 

McNeese State University, Lake Charles, LA for the Louisiana 

Academy for Innovative Teaching and Learning ............................. 200,000 

Mercer University, Macon, GA for equipment for the Critical Personnel Development Program ........................................................... 200,000 

Mesa Community College, Mesa, AZ for nursing recertification curriculum ................................................................................................ 125,000 

Mesa Community College, Mesa, AZ for the Enfermeras En 

Escalera program ............................................................................... 175,000 

Michigan Jewish Institute, Bloomfield, MI for curriculum development .................................................................................................... 100,000 

MidAmerica Nazarene University, Olathe, KS for teacher training 

programs ............................................................................................. 150,000 

Middle Tennessee State University, Murfreesboro, TN, for equipment and personnel for biotechnology training initiatives ............. 440,000 

Midland College Advanced Technology Center, Midland, TX for the 

purchase of equipment and campus-wide network infrastructure 

upgrades .............................................................................................. 150,000 

Mid-South Community College, West Memphis, AR, for the Crossroads Coalition higher education initiative ...................................... 400,000 

Mira Costa College, Oceanside, CA for a nursing education program, including the purchase of equipment .................................... 150,000 

Missouri Southern State University, Joplin, MO for communications equipment .................................................................................. 320,000 

Missouri State University-Springfield, Springfield, MO for equipment and programs at the Missouri Virtual School ........................ 250,000 

Missouri State University-West Plains, West Plains, MO for technology upgrades and programming at the Academic Support Center ........................................................................................................ 300,000 

Monroe Community College, Rochester, NY for a special needs preparedness training program .............................................................. 450,000 

Monroe Community College, Rochester, NY for the Advanced Technology Training Systems Program, including purchase of equipment .................................................................................................... 200,000 

Morehead State University, Morehead, KY for the Institute for Regional Analysis and Public Policy ..................................................... 300,000 

Murray State University, Murray, KY for equipment for the Animal Health Technology Program ...................................................... 350,000 

Naugatuck Valley Community College, Waterbury, CT, for equipment and technology for its nursing program and laboratories ..... 100,000 

Nazareth College, Rochester, NY for equipment and technology upgrades for the Math/Science Teacher Enhancement project .......... 250,000 

Nebraska Wesleyan University, Lincoln, NE for forensic science 

programs, including equipment ........................................................ 150,000 

Nevada State College, Henderson, NV for the Accelerated Nursing 

Program .............................................................................................. 400,000 

New College of Florida, Sarasota, FL for the Public Archaeology 

Laboratory, including the purchase of equipment ........................... 225,000 

New Hampshire Community Technical College, Manchester, NH 

for the pharmacy technician program, including the purchase of 

equipment ........................................................................................... 100,000 

New York State Education and Research Network, Troy, NY, for 

expansion of a statewide fiber optic network to Binghamton to 

serve the State University of New York at Binghamton and create an entry point for the Southern Tier ......................................... 300,000 

New York University, New York, NY, for the John Brademas Center for the Study of Congress, which may include student scholarships and an endowment ............................................................... 750,000 

Niagara County Community College, Sanborn, NY for laboratory 

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

North Arkansas College, Harrison, AR for technology enhancements ................................................................................................... 350,000 

North Carolina Center for Engineering Technologies, Hickory, NC 

for engineering, applied science and management education programs ................................................................................................... 150,000 

North Carolina Central University, Durham, NC, for a biomanufacturing training program .................................................................... 240,000 

North Central College, Naperville, IL for the Community Connections Program ..................................................................................... 100,000 

216 

North Dakota State College of Science, Wahpeton, ND, for a Center 

for Nanoscience Technology Training ............................................... 300,000 

North Florida Community College, Madison, FL for the registered 

nursing program ................................................................................. 125,000 

North Shore Community College, Danvers, MA, for curricula, programming and equipment ................................................................. 100,000 

Northern Illinois University, DeKalb, Illinois, for its Vibration and 

Acoustics Center ................................................................................. 175,000 

Northern Kentucky University Research Foundation, Highland 

Heights, KY for the purchase of equipment .................................... 150,000 

Northern Michigan University, Marquette, MI, for an international 

education initiative, which may include student scholarships ....... 200,000 

Northwest Shoals Community College, Phil Campbell Campus, Phil 

Campbell, AL for technology upgrades ............................................. 500,000 

Nova Southeastern University, Ft. Lauderdale, FL, for its nursing 

education program ............................................................................. 200,000 

Oakland Community College, Bloomfield Hills, MI, for international education programs ............................................................. 350,000 

Oakwood College, Huntsville, AL, for its business school preparation initiative ...................................................................................... 50,000 

Ohio Board of Regents, Columbus, OH for the School for Computational Science ...................................................................................... 200,000 

Owens Community College, Perrysburg Township, OH for Third 

Frontier Network and Emergency Preparedness Training & 

Equipment Initiative .......................................................................... 100,000 

Pacific University, Forest Grove, OR, for equipment and technology 

for its health professions campus ..................................................... 100,000 

Palm Beach Community College, Palm Beach County, FL, for 

equipment and technology ................................................................. 250,000 

Paula and Anthony Rich Center for the Study and Treatment of 

Autism, Youngstown, OH, for distance learning technology and 

programs ............................................................................................. 350,000 

Peru State College, Peru, NE for the Adopt A High School Program 400,000 

Pittsburg State University College of Technology, Pittsburg, KS for 

equipment ........................................................................................... 250,000 

Polk Community College Small Business Training Consortium 

(SBTC), Lakeland, FL to promote workforce development for 

small and medium business in Polk County, FL ............................. 200,000 

Portland State University, OR, for equipment and technology for 

its Science Research and Training Center ....................................... 125,000 

Prince George’s Community College, Largo, MD, for technology upgrades .................................................................................................. 100,000 

Radford University, Radford, VA, for a study of the feasibility of establishing a graduate program in optometry and/or dentistry ...... 250,000 

Redlands Community College, El Reno, OK for nursing curriculum 150,000 

Regis University, Henderson, NV for the Nevada Distance Learning Teacher Certification initiative, including purchase of equipment .................................................................................................... 100,000 

Rhode Island College, Providence, RI, for development of Portuguese and Lusophone Studies Program ........................................ 200,000 

Richard Stockton College of New Jersey, Pomona, NJ for curriculum development at Aviation Research and Technology Park 350,000 

Richmond Community College, Hamlet, NC for equipment and programs at the Richmond Industrial Training Center ....................... 200,000 

Riverside Community College, Riverside, CA for curriculum development for the Fast-Track to the ADN program ............................. 300,000 

Rose State College, Midwest City, OK for technology upgrades to 

the Atkinson Heritage Center ........................................................... 150,000 

Round Rock Higher Education Center, Round Rock, TX for the 

Closing the Gaps program to increase graduates in education, 

science and math ................................................................................ 500,000 

Rutgers University School of Law, Camden, NJ, for student scholarships and loan repayment, internships and public interest programming ............................................................................................ 550,000 

Saginaw Valley State University, Saginaw, MI for curriculum development at the Crisis Management Intervention Center ............ 100,000 

Santa Clara University, Santa Clara, CA, for equipment and technology for its library and information commons initiative ............. 850,000 

217 

Sarasota County Technical Institute, Sarasota, FL for a training 

program in captioning and CART (Communications Access 

Realtime Translation) services .......................................................... 100,000 

Seminole State College, Seminole, OK for technology equipment ..... 500,000 

Shawnee State University, Portsmouth, OH for purchase of equipment at the Motion Capture Facility ............................................... 350,000 

South Florida Community College, Avon Park, FL for laboratory 

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

South Suburban College, South Holland, IL, for equipment and 

technology for its allied health and nursing programs ................... 175,000 

Southeastern Oklahoma State University, Durant, OK, for materials, equipment and technology ....................................................... 300,000 

Southern University at New Orleans, New Orleans, LA, for its 

Louisiana Minority Institution Partnership in Science initiative 350,000 

Sparks College, Shelbyville, IL for a closed captioner training program .................................................................................................... 200,000 

St. Bonaventure University, St. Bonaventure, NY for science equipment .................................................................................................... 425,000 

St. Cloud State University, St. Cloud, MN for the Science Initiative 

of Central Minnesota for curriculum development ......................... 400,000 

St. Francis University, Loretto, PA, for an associates degree program in nursing, which may include technology and equipment 150,000 

St. Petersburg College, St. Petersburg, FL for the Orthotics and 

Prosthetics Bachelor’s Degree program ............................................ 500,000 

State University of New York at Geneseo, NY for equipment ........... 300,000 

State University of New York, College of Environmental Science 

and Forestry, Syracuse, NY for technology infrastructure equipment .................................................................................................... 200,000 

Sun Area Career & Technology Center, New Berlin, PA for the purchase of equipment ............................................................................ 100,000 

Susquehanna University, Selinsgrove, PA to purchase lab equipment for a science facility .................................................................. 750,000 

Sweetwater Education Foundation, Chula Vista, CA, for its Compact for Success program, which may include student scholarships .................................................................................................... 300,000 

Texas College, Tyler, TX for the Regional Center for Career Development ................................................................................................ 100,000 

Texas State Technical College, Waco, TX, for equipment for education and training programs ............................................................ 350,000 

Texas Tech University, Lubbock, TX for the Center for the Study 

of Addiction and Recovery ................................................................. 350,000 

Tohono O?Odham Community College, Sells, AZ, for equipment 

and technology for its multi-purpose learning center, laboratory 

and library complex ........................................................................... 150,000 

Trident Technical College, North Charleston, SC for nursing programs, including purchase of equipment ......................................... 100,000 

Trinity University, San Antonio, TX for equipment and programs 

at the Educators Technology Teaching Laboratory ......................... 200,000 

Truckee Meadows Community College, Reno, NV for a collaborative 

K–16 math and science program ...................................................... 150,000 

University of Arkansas Fort Smith, Fort Smith, AR to conduct a 

study about the feasibility of creating a national center of excellence in information technology ........................................................ 100,000 

University of California, Riverside, Palm Desert, CA campus for 

computer lab equipment .................................................................... 250,000 

University of Central Arkansas, Conway, AR, for a technology 

training and instruction initiative, which may include equipment 350,000 

University of Central Florida, Orlando, FL for the Lou Frey Institute of Politics .................................................................................... 250,000 

University of Cincinnati, Cincinnati, OH for the Teacher Quality 

Partnership ......................................................................................... 250,000 

University of Cincinnati, Cincinnati, OH for the Teacher Quality 

Partnership project ............................................................................ 100,000 

University of Florida, Gainesville, FL for equipment for the Norman Hall project ................................................................................. 300,000 

University of Hawaii, Honolulu, HA, for the American Samoa Community College marine science laboratory, administered by the 

University of Hawaii Sea Grant College Program .......................... 300,000 

218 

University of Kansas Center for Research, Lawrence, Kansas, for 

a high-speed communications network, which may include personnel, equipment and technology .................................................... 400,000 

University of Montevallo, Montevallo, AL for the Teacher Leadership Initiative for School Improvement ............................................ 420,000 

University of North Carolina at Wilmington, Wilmington, NC, for 

an assistive technology center to develop equipment and techniques to improve educational and employment opportunities for 

students with disabilities .................................................................. 300,000 

University of North Texas, Denton, TX for equipment at the Center 

for Advanced Scientific Computing and Modeling .......................... 150,000 

University of South Florida, Tampa, FL for graduate training in 

orthotics and prosthetics ................................................................... 550,000 

University of St. Thomas, St. Paul, MN, for the Interprofessional 

Center for Counseling and Legal Services in Minneapolis ............. 225,000 

University of Texas at El Paso, TX, for development of curricula, 

courses and materials for its Center of Excellence in Border Security and Defense Systems Research .............................................. 250,000 

University of the Incarnate Word Feik School of Pharmacy, San 

Antonio, TX for equipment and programs ....................................... 100,000 

University of Tulsa, Tulsa, OK for the Center for Information Security, including purchase of equipment .............................................. 250,000 

University of Virginia Center for Politics, Charlottesville, VA for 

the Youth Leadership Initiative ........................................................ 1,025,000 

University of Wisconsin-Baraboo, WI, for equipment and technology for its Living and Learning Center ....................................... 150,000 

University of Wisconsin-Whitewater, WI, for equipment and technology .................................................................................................. 150,000 

Utah Valley State College Center for the Study of Ethics, Orem, 

UT for the Democracy and Justice Project ...................................... 150,000 

Utica College, Utica, NY for the Convergence Media Center, including equipment ..................................................................................... 300,000 

Vanguard University, Costa Mesa, CA for equipment and technology upgrades for the teacher training program .......................... 250,000 

Venango Technology Center, Oil City, PA for purchase of equipment .................................................................................................... 100,000 

Ventura Community College, Ventura, CA for the Online Science 

Laboratory for the Visually Impaired ............................................... 150,000 

Virginia Military Institute, Lexington, VA for the homeland security scholars program ......................................................................... 150,000 

Virginia State University, Petersburg, VA to establish a program 

in diplomacy and international economics ....................................... 300,000 

Waldorf College, Forest City, IA for science equipment for bachelors degree program ......................................................................... 120,000 

Wallace Community College, Dothan, AL for technology upgrades 200,000 

Washington Education Foundation, Issaquah, WA, for the Leadership 1000 Scholarship Program ........................................................ 530,000 

Webster University Community Music School, St. Louis, MO for 

purchase of equipment ....................................................................... 200,000 

Webster University, St. Louis, MO, for nursing and biological 

sciences education programs, which may include student financial assistance ..................................................................................... 410,000 

Western Illinois University, Moline, IL, for a counselor education 

program ............................................................................................... 100,000 

Western Piedmont Community College Allied Health Program, 

Morganton, NC for equipment .......................................................... 250,000 

Westminster College, Fulton, MO for curriculum development at 

the Bill Emerson Institute for Leadership and Service .................. 100,000 

Wichita State University, Wichita, KS for engineering programs .... 400,000 

Widener University, Exton, PA for the Academy for Learning in 

Retirement .......................................................................................... 300,000 

Wisconsin Association of Independent Colleges and Universities 

(WAICU) to support continued implementation of the WAICU 

Collaboration Project ......................................................................... 600,000 

Xavier University, Cincinnati, OH for technology upgrades .............. 300,000 

Minority science and engineering improvement.—The Committee 

recommends $8,730,000 for the minority science and engineering 

219 

improvement program (MSEIP), the same as the fiscal year 2006 

appropriation and the budget request. The MSEIP program awards 

grants to improve mathematics, science, and engineering programs 

at institutions serving primarily minority students and to increase 

the number of minority students who pursue advanced degrees and 

careers in those fields. 

Tribally controlled postsecondary vocational and technical institutions.—The Committee recommends $7,366,000 for grants for 

tribally controlled postsecondary vocational and technical institutions, the same as the budget request and the fiscal year 2006 

amount. This program provides grants for the operation and improvement of training programs to ensure continuation and expansion of vocational training opportunities for Indian youth. 

TRIO.—The Committee recommends $828,178,000 for the TRIO 

programs, $448,078,000 above the budget request and the same as 

the fiscal year 2006 appropriation. The TRIO programs provide a 

variety of outreach and support services to encourage low-income, 

potential first-generation college students to enter and complete 

college. Discretionary grants of up to four or five years are awarded 

competitively to institutions of higher education and other agencies. At least two-thirds of the eligible participants in TRIO must 

be low-income, first-generation college students. 

GEAR UP.—The Committee recommends $303,423,000 for the 

GEAR UP program, the same as last year’s level and $303,423,000 

above the budget request. GEAR UP provides grants to states and 

partnerships of low-income middle and high schools, institutions of 

higher education and community organizations to target entire 

grades of students and give them the skills and encouragement to 

successfully pursue postsecondary education. The Committee encourages the Department to give favorable consideration in any 

competitions for GEAR UP funding to partnerships that, in addition to providing early intervention services, guarantee college 

scholarships to GEAR UP students. 

Byrd scholarships.—The bill does not include funding for the 

Byrd scholarships program, the same as the budget request and 

$40,590,000 below the fiscal year 2006 appropriation. The Byrd 

scholarship program provides formula grants to States to award 

$1,500 scholarships to students who demonstrate academic excellence in high school. 

Javits fellowships.—The Committee recommends $9,699,000 for 

the Javits fellowship program, the same as the budget request and 

the fiscal year 2006 appropriation. Under the Javits program, institutions receive Federal support to make fellowship awards to students pursuing doctoral study in the arts, humanities, and social 

sciences. 

Graduate assistance in areas of national need program.—The 

Committee recommends $30,067,000 for the graduate assistance in 

areas of national need (GAANN) program, the same as the budget 

request and the fiscal year 2006 appropriation. The GAANN program awards grants to institutions of higher education to provide 

fellowships to economically disadvantaged students who have demonstrated academic excellence and who are pursuing graduate education in designated areas of national need. 

The Committee is pleased that the Secretary included nursing as 

an area of national need in its fiscal year 2006 program announceVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00223 Fmt 6659 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
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ment for GAANN. Given the magnitude of the nursing shortage, 

this is an appropriate step in establishing a priority for a nursing 

program that focuses on the preparation of nurse scholars at the 

PhD level for educational leadership roles. The Committee encourages the Secretary to include nursing as an area of national need 

until such time as an adequate supply of nurses is prepared to 

enter the workforce. 

Teacher quality enhancement grants.—The Committee recommends $59,895,000 for teacher quality enhancement grants, 

$59,895,000 above the budget request and the same as the fiscal 

year 2006 appropriation. Teacher quality enhancement grants have 

three components: state grants, partnership grants and recruitment grants. By statute, state and partnership grants each receive 

45 percent of the appropriation, and recruitment grants receive 10 

percent. 

Under the state grant component, states apply to receive up to 

three years of funding to improve the quality of their teaching force 

through promoting reform activities such as teacher licensing and 

certification, accountability for high quality teacher preparation 

and professional development and recruiting teachers for high-need 

schools. States must match 50 percent of the federal award. 

Under the partnership component, partnerships apply to receive 

a five-year grant to strengthen the capacity of K–12 educators in 

designing and implementing effective teacher education programs, 

and by increasing collaboration among these practitioners and departments of arts and sciences and schools of education at institutions of higher education. Partnerships must match 25 percent of 

the federal grant in the first year, 35 percent in the second year, 

and 50 percent for the remaining years. 

The recruitment component supports the efforts to reduce shortages of qualified teachers in high-need school districts. States or 

partnerships may apply to receive these grants. 

Child care access means parents in school.—The Committee recommends $15,810,000 for child care access means parents in school 

program, the same as the budget request and the fiscal year 2006 

appropriation. Under this program, institutions may receive discretionary grants of up to four years to support or establish a campusbased childcare program primarily serving the needs of low-income 

students enrolled at the institution. Priority is given to childcare 

programs that leverage significant local or institutional resources 

and utilize a sliding fee scale. Grants can only be used to supplement childcare services or start new programs. 

Advancing America through foreign language partnerships.—The 

Committee recommends no funding for the advancing America 

through foreign language partnerships program, for which 

$24,000,000 was proposed in the budget request. 

Demonstration projects to ensure quality higher education for students with disabilities.—The Committee does not recommend funding for demonstration projects in disabilities, the same as the budget request. The program was funded at $6,875,000 in fiscal year 

2006. This program provides discretionary grants for three years to 

support model demonstration projects that provide technical assistance and professional development activities for faculty and administrators in institutions of higher education in order to provide students with disabilities a high-quality postsecondary education. A 

221 

number of models have now been developed and are being disseminated to other institutions. Furthermore, this activity is eligible 

under the Fund for the Improvement of Postsecondary Education 

(FIPSE) program. 

Underground railroad program.—The Committee does not recommend funding for the underground railroad program, which is 

the same as the budget request. This program was funded at 

$1,980,000 in fiscal year 2006. The underground railroad program 

provides grants to non-profit institutions to research, display, interpret and collect artifacts relating to the history of the underground 

railroad. 

GPRA data/HEA program evaluation.—The Committee recommends $970,000 for program evaluation and development of 

data required under the Government Performance and Results Act 

for Higher Education programs administered by the Department. 

This is the same as the fiscal year 2006 appropriation and the 

budget request. The Committee understands that for many higher 

education programs, baseline and performance indicator data are 

sparse, nonexistent or difficult to collect. Funding under this activity will support the Department in developing high-quality data as 

required under the Government Performance and Results Act. 

Olympic Scholarships.—The bill includes $970,000 for Olympic Scholarships, the same as the fiscal year 2006 level and $970,000 

above the budget request. This program provides financial assistance to athletes who are training at the U.S. Olympic Education 

Center or one of the U.S. Olympic Training Centers and who are 

pursuing a postsecondary education at an institution of higher education. 

Thurgood Marshall legal education opportunity program.—The 

bill does not include funding for the Thurgood Marshall legal education opportunity program, the same as the budget request. The 

program was funded at $2,946,000 in fiscal year 2006. This program provides low-income, minority and disadvantaged college students with the information, preparation and financial assistance 

needed to gain access to and complete law school study. 

HOWARD UNIVERSITY

The Committee recommends $237,392,000 for Howard University, the same as the budget request and $1,000 above the fiscal 

year 2006 appropriation. The bill includes a minimum of 

$3,600,000 for the endowment, which is $74,000 above the current 

level and the same as the budget request. 

Howard University is a ‘‘Research I’’ university located in the 

District of Columbia. Direct appropriations for Howard University 

are authorized by 20 U.S.C. 123, originally enacted in 1867. Howard University provides undergraduate liberal arts, graduate and 

professional instruction to approximately 11,000 students from all 

50 States. Masters degrees are offered in over 55 fields and Doctor 

of Philosophy degrees in 26 fields. 

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS PROGRAM

The Committee recommends $486,000 for the Federal administration of the college housing and academic facilities loan (CHAFL) 

program, the Higher Educational Facilities Loans program and the 

222 

College Housing Loans program, the same as the budget request 

and $81,000 below the fiscal year 2006 appropriation. 

HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL AND

FINANCING PROGRAM

Federal administration.—The Committee recommends $190,000 

for the administration of the historically black college and university capital financing program authorized under part D of title III 

of the Higher Education Act, the same as the budget request and 

$18,000 below the fiscal year 2006 appropriation. The program is 

intended to make capital available for repair and renovation of facilities at historically black colleges and universities. In exceptional 

circumstances, capital provided under the program can be used for 

construction or acquisition of facilities. 

Bond subsidies.—Under the HBCU capital program, a private, 

for-profit ‘‘designated bonding authority’’ issues construction bonds 

to raise capital for loans to historically black colleges and universities for construction projects. The Department provides insurance 

for these bonds, guaranteeing full payment of principal and interest to bond holders. Federally insured bonds and unpaid interest 

are limited by statute to $357,000,000. The letter of credit limitation establishes the total amount of bonds which can be issued by 

the designated bonding authority. The credit limitation must be explicitly stated in an appropriation Act according to the authorizing 

legislation. 

INSTITUTE OF EDUCATION SCIENCES

The bill includes $534,916,000 for the Institute of Education 

Sciences. This amount is $19,552,000 below the budget request, 

and $17,448,000 above the fiscal year 2006 level. This account supports education research, statistics, and assessment activities. 

Research 

This bill includes $162,552,000 for educational research, the 

same as fiscal year 2006 level and the budget request. The Institute of Education Sciences supports research, development and national 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. 

Statistics 

This bill includes $93,022,000 for the activities of the National 

Center for Education Statistics, exclusive of the National Assessment of Educational Progress. This amount is the same as the 

budget request and $3,000,000 above the fiscal year 2006 level. The 

funding increase would support a new secondary longitudinal study 

beginning with an eighth grade cohort. This study will provide important information about dropout rates. 

Statistics activities are authorized under the Education Sciences 

Reform Act of 2002, title I of P.L. 107–279. The Center collects, 

analyzes, and reports statistics on all levels of education in the 

United States. Activities are carried out directly and through 

grants and contracts. Major publications include ‘‘The Condition of 

223 

Education’’ and ‘‘Digest of Education Statistics.’’ Other products include projections of enrollments, teacher supply and demand, and 

educational expenditures. Technical assistance to state and local 

education agencies and postsecondary institutions is provided. 

Regional educational laboratories 

The Committee has included $65,470,000 for the regional educational laboratories, which is the same as both the fiscal year 

2006 level and the budget request. The regional educational laboratories help states and education practitioners implement the requirements contained in the NCLB. This assistance includes product development, applied research, technical assistance and professional development. 

Research in special education 

The bill includes $71,840,000 for research in special education, 

the same as both the fiscal year 2006 level and the budget request. 

This program supports competitive awards to produce and advance 

the use of knowledge to improve services and results for children 

with disabilities. The program focuses on producing new knowledge, integrating research and practice and improving the use of 

knowledge. 

Special education studies and evaluations 

The bill includes $9,900,000 for special education studies and 

evaluations, the same as both the budget request and the fiscal 

year 2006 level. This program awards competitive grants, contracts 

and cooperative agreements to assess the implementation of the Individuals with Disabilities Education Act and the effectiveness of 

state and local efforts to provide special education and early intervention programs and services to infants, toddlers, and children 

with disabilities. 

Statewide data systems 

The bill includes $35,000,000 for statewide data systems development, $19,552,000 below the budget request and $10,448,000 above 

the fiscal year 2006 level. This program awards grants, on a competitive basis, to state educational agencies to enable such agencies 

to design, develop, and implement statewide, longitudinal data systems to efficiently and accurately manage, analyze, disaggregate, 

and use individual student data consistent with the No Child Left 

Behind Act. 

Assessment 

This bill includes $97,132,000 for the National Assessment of 

Educational Progress, the same as the budget request, and 

$4,000,000 above the fiscal year 2006 level. The Assessment is authorized under section 303 of the National Assessment of Educational Progress Authorization Act, and is the only nationally representative survey of educational ability and achievement of American students. The primary goal of the Assessment is to determine 

and report the status and trends of the knowledge and skills of students, subject by subject. Subject areas assessed in the past have 

included reading, writing, mathematics, science, and history, as 

well as citizenship, literature, art, and music. The Assessment is 

224 

operated by contractors through competitive awards made by the 

National Center for Education Statistics; a National Assessment 

Governing Board formulates the policy guidelines for the program. 

Within the amounts provided, $5,037,000 is for the National Assessment Governing Board, which is the same as both the budget 

request and the fiscal year 2006 level. The $4,000,000 increase is 

intended to support the beginning work on implementing in 2009 

state level assessments at the 12th grade level. 

The Committee encourages the Department of begin planning aggressively in 2007 for the grade 8 arts assessment. In addition, the 

Committee urges the Department to include funding in its fiscal 

year 2008 request for the National Center for Education Statistics 

Fast Response Survey on arts education in public elementary and 

secondary schools. 

DEPARTMENTAL MANAGEMENT

The bill includes $567,782,000 for departmental management 

(salaries and expenses) at the Department of Education. This 

amount is $17,511,000 above the fiscal year 2006 level and 

$4,195,000 below the budget request. These activities are authorized by the Department of Education Organization Act, P.L. 96–88, 

and include costs associated with the management and operations 

of the Department as well as separate costs associated with the Office for Civil Rights and the Office of the Inspector General. 

PROGRAM ADMINISTRATION

The bill includes $423,916,000 for program administration. This 

amount is $12,766,000 above the fiscal year 2006 level and 

$2,050,000 below the budget request. These funds support the staff 

and other costs of administering programs and activities at the Department. Items include personnel compensation and health, retirement and other benefits as well as travel, rent, telephones, utilities, postage fees, data processing, printing, equipment, supplies, 

technology training, consultants and other contractual services. 

The bill includes language requested by the Administration making 

$2,500,000 of the total funding provided available until expended 

for building alterations and related expenses for the move of Department staff to the Mary E. Switzer building in Washington, D.C. 

This is $2,050,000 below the amount requested by the Administration. 

OFFICE FOR CIVIL RIGHTS

The bill includes $92,866,000 for the salaries and expenses of the 

Office for Civil Rights. This amount is $2,255,000 above the fiscal 

year 2006 appropriation and the same as the budget request. This 

Office is responsible for enforcing laws that prohibit discrimination 

on the basis of race, color, national origin, sex, disability, membership in a patriotic society, and age in all programs and institutions 

that receive funds from the Department. These laws extend to 50 

state educational agencies, 16,000 local educational agencies, 3,500 

institutions of higher education, as well as to proprietary schools, 

state rehabilitation agencies, libraries, and other institutions receiving Federal funds. 

225 

The Committee supports the tremendous strides for women made 

possible through title IX of the Education Amendments of 1972, but 

is concerned about any possible unintended consequences from its 

enforcement. The Committee has heard complaints that some 

schools have chosen to eliminate teams as a mechanism to gain 

title IX compliance. The Committee requests the Department to report by February 1, 2007 on its activities to educate school administrators on the full scope of compliance strategies and its efforts 

to clarify that compliance does not require the elimination of teams 

or limitation of male participation in athletic programs. 

OFFICE OF THE INSPECTOR GENERAL

The bill includes $51,000,000 for the Office of the Inspector General. This amount is $2,490,000 above the fiscal year 2006 appropriation and $2,145,000 below the budget request. This office has 

authority to inquire into all program and administrative activities 

of the Department as well as into related activities of grant and 

contract recipients. It conducts audits and investigations to determine compliance with applicable laws and regulations, to check alleged fraud and abuse, efficiency of operations, and effectiveness of 

results. 

ADMINISTRATIVE PROVISIONS

Sec. 301. The Committee continues a provision that prohibits 

funds under this Act from being used for the transportation of students or teachers in order to overcome racial imbalances or to carry 

out a plan of racial desegregation. 

Sec. 302. The Committee continues a provision that prohibits 

funds under this Act from being used to require the transportation 

of any student to a school other than the school which is nearest 

the student’s home in order to comply with title VI of the Civil 

Rights Act of 1964. 

Sec. 303. The Committee continues a provision that prohibits 

funds under this Act from being used to prevent the implementation of programs of voluntary prayer and meditation in public 

schools. 

Sec. 304. The Committee continues and amends a provision that 

allows up to one percent of any discretionary funds appropriated 

for the Department of Education to be transferred between appropriations accounts, provided that no appropriation is increased by 

more than three percent by any such transfer. 

Sec. 305. The Committee recommends new language to preclude 

funds made available in this Act to the Department of Education 

in contravention of section 505 of the Illegal Immigration Reform 

and Immigrant Responsibility Act of 1996. 

TITLE IV—RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR

SEVERELY DISABLED

The bill provides $4,995,000 for the Committee for Purchase From People Who Are Blind or Severely Disabled. This is $373,000 

above the fiscal year 2006 appropriation and the same as the budget request. 

226 

The Committee for Purchase From People Who Are Blind or Severely Disabled was established by the 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

The Corporation for National and Community Service was established by the National and Community Service Trust Act of 1993 

to enhance opportunities for national and community service and 

provide national service educational awards. The Corporation 

makes grants to States, institutions of higher education, public and 

private nonprofit organizations, and others to create service opportunities for a wide variety of individuals through full-time national 

and community service programs. 

DOMESTIC VOLUNTEER SERVICE PROGRAMS

The Committee recommends $313,050,000 for the Domestic Volunteer Service Programs that are administered by the Corporation 

for National and Community Service, which is the same as the fiscal year 2006 appropriation and $8,000 below the budget request. 

VISTA.—The Committee recommends $95,464,000 for the Volunteers in Service to America (VISTA) program, which is $2,188,000 

above the fiscal year 2006 level and the same as the budget request. The VISTA program supports individuals who recruit volunteers and organize community volunteer activities but who do not 

provide direct volunteer services. 

National Senior Volunteer Corps.—The Committee recommends a 

total of $217,586,000 for the National Senior Volunteer Corps, the 

same as the fiscal year 2006 appropriation and $6,000 below the 

budget request. Within the amount provided, the Committee recommends the following: 

Foster Grandparents Program .............................................................. $110,937,000 

Senior Companion Program .................................................................. 46,964,000 

Retired Senior Volunteer Program ....................................................... 59,685,000 

In addition, the Committee continues language that prohibits 

CNCS from providing stipends or other monetary incentives to volunteers or volunteer coordinators whose incomes exceed 125 percent of the national poverty level. 

NATIONAL AND COMMUNITY SERVICE PROGRAMS, OPERATING

EXPENSES

(INCLUDING TRANSFER OF FUNDS)

The Committee recommends $437,457,000 for National and Community Service Programs operating expenses, including the Trust. 

This is $77,429,000 less than the fiscal year 2006 appropriation 

and $25,682,000 below the budget request. The Committee recommendation includes the following program levels: 

AmeriCorps grants ................................................................................ $218,060,000 

National Service Trust .......................................................................... 124,720,000 

Learn and Serve .................................................................................... 34,155,000 

National Civilian Community Corps .................................................... 26,730,000 

Innovation and Demonstration ............................................................. 3,966,000 

227 

Evaluation .............................................................................................. 2,460,000 

State Commissions ................................................................................ 12,516,000 

Points of Light Foundation ................................................................... 9,900,000 

America’s Promise ................................................................................. 4,950,000 

AmeriCorps grants.—The Committee recommendation includes 

$218,060,000 for AmeriCorps grants, which is $46,765,000 below 

the fiscal year 2006 appropriation and $40,899,000 below the request. The Committee is concerned with the high levels of carryover balances that the Corporation has accumulated over the past 

several fiscal years. According to budget appendices and reports 

published by OMB, the Corporation has carried over an average of 

$102,200,000 per fiscal year for the last ten fiscal years. While high 

carry-over balances are understandable early in a program’s development, routine high balances appear to demonstrate that the Corporation has received significantly more funding than programs 

under the National and Community Service Act can absorb on an 

annual basis. For fiscal year 2006, the budget appendix indicates 

that the Corporation expects to carry $40,000,000 into fiscal year 

2007. In fact, the Corporation’s budget justification maintains that 

‘‘States have requested less than [a] full formula allocation for several years in a row.’’ This circumstance is not unique, as the justification identifies eight other AmeriCorps grant programs in 

which appropriated funds have exceeded need. Accordingly, the 

Committee recommendation reduces funding for AmeriCorps grants 

by $40,899,000 below the budget request for fiscal year 2007, with 

reductions to the request distributed as follows: 

Formula grants to states ....................................................................... ¥$20,000,000 

Competitive grants to states ................................................................. ¥13,000,000 

Direct national competitive grants to non-profits ............................... ¥4,500,000 

Education award program .................................................................... ¥3,399,000 

Given that the fiscal year 2007 justification indicates that ‘‘demand for EAP grant funds was lower than expected in fiscal year 

2005,’’ the Committee does not believe the requested increase of 

$3,399,000, or 42 percent, is warranted. 

National Service Trust.—The Committee recommends 

$124,720,000 for the National Service Trust, $13,880,000 below the 

fiscal year 2006 appropriation and the same as the budget request. 

The Committee commends the Corporation for its plan to shift 

funding from unfilled slots awarded in prior years in order to cover 

the needs of the Trust in fiscal year 2007. 

Learn and Serve.—The Committee recommends $34,155,000 for 

the Learn and Serve America program, which is the same as the 

budget request and $2,970,000 below the fiscal year 2006 appropriation. 

National Civilian Community Corps.—The Committee recommends $26,730,000 for the National Civilian Community Corps, 

which is 21,780,000 above the request and the same as the fiscal 

year 2006 appropriation. 

Innovation, Demonstration and Assistance.—The Committee recommends $3,966,000 for Innovation, Demonstration and Assistance 

programs, which is $12,315,000 below the fiscal year 2006 appropriation and $5,063,000 below the budget request. The Committee 

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228 

time expenditures in fiscal year 2006 or should be carried out 

through other appropriate programs run by the Corporation. 

Evaluation.—The Committee recommends $2,460,000 for evaluation programs, which is $1,500,000 below both the fiscal year 2006 

level and the budget request. The Committee denies funding for 

the Longitudinal Study of AmeriCorps Members and the Volunteering in the United States projects. The Committee supports 

evaluation efforts aimed at improving the Corporation’s management and the programs it offers, and has provided funding for 

both. 

State Commissions.—The Committee recommends $12,516,000 

for state commission administrative grants, the same as the fiscal 

year 2006 appropriation and the budget request. 

SALARIES AND EXPENSES

The Committee recommends $67,483,000 for salaries and expenses associated with the administrative activities of the Corporation. This is the $1,400,000 above the fiscal year 2006 appropriation and $2,832,000 below the budget request. The Committee approves funding for consolidation of CNCS administrative functions. 

OFFICE OF INSPECTOR GENERAL

The Committee recommends $4,950,000 for the Office of Inspector General, which is $990,000 below the fiscal year 2006 level and 

the same as the budget request. The Committee directs the Inspector General to continue to review the Corporation’s management of 

the National Service Trust. 

The Office of Inspector General is authorized by the Inspector 

General Act of 1978, as amended. This Office provides an independent assessment of all Corporation operations and programs, including those of the Volunteers in Service to America and the National Senior Service Corps, through audits, investigations, and 

other proactive projects. 

ADMINISTRATIVE PROVISIONS

Sec. 401. The Committee recommendation continues language regarding qualified student loans eligible for education awards. 

Sec. 402. The Committee recommendation continues language regarding the availability of funds for the placement of volunteers 

with disabilities. 

Sec. 403. The Committee recommendation continues language directing the Inspector General to levy sanctions in accordance with 

standard Inspector General audit resolution procedures, which include, but are not limited to, debarment of any grantee found to be 

in violation of AmeriCorps’ program requirements, including using 

grant or program funds to lobby the Congress. 

Sec. 404. The Committee recommendation continues language 

that requires the Corporation to ensure that significant changes to 

program requirements or policy are made only through public notice and comment rulemaking. 

Sec. 405. The Committee recommendation includes language prohibiting the Corporation from making education awards in excess 

of the maximum Pell grant. 

229 

CORPORATION FOR PUBLIC BROADCASTING

The Committee concurs with the budget request to provide no 

advance funding for fiscal year 2009 for the Corporation for Public 

Broadcasting (CPB). The Committee can no longer afford to provide 

public broadcasting with the preferential treatment associated with 

receiving a budget two years in advance while critical programs 

like elementary and secondary education, housing for extremely 

low-income families, including the elderly and disabled, homeland 

security, veterans medical care and biomedical research are required to compete with other priorities on an annual basis. Furthermore, the Committee cannot responsibly commit fiscal year 

2009 resources given the difficulty in predicting the budget climate 

two years in advance. 

The Committee recommendation includes authority for CPB to spend up to $38,000,000 in previously appropriated fiscal year 2007 

funds for digital conversion activities and up to $36,000,000 for the 

satellite interconnection system. 

The CPB ombudsmen were established to ensure that all recipients of CPB funding strictly adhere to the standard of objectivity 

and balance in all programs or series of programs of a controversial 

nature. Review by the ombudsmen of substantive complaints is a 

key means of assuring programming meets that standard. The 

Committee expects the ombudsmen will ensure that recipients of 

CPB funding comply with this policy. 

FEDERAL MEDIATION AND CONCILIATION SERVICE

The bill provides $42,842,000 for the Federal Mediation and Con- ciliation Service (FMCS), an increase of $241,000 above the fiscal 

year 2006 appropriation and the same as the budget request. 

The FMCS attempts to prevent and minimize labor-management 

disputes having a significant impact on interstate commerce or national defense, except in the railroad and airline industries. The 

agency convenes boards of inquiry appointed by the President in 

emergency disputes and conducts dispute mediation, preventive 

mediation, and arbitration. In addition, the Service offers alternative dispute resolution services and training to other Federal 

agencies to reduce litigation costs and speed Federal administrative 

proceedings. 

The bill also includes provisions first enacted in the fiscal year 

1996 Appropriations Act granting the agency the authority to accept gifts and to charge fees for certain services. 

FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION

The bill provides $7,731,000 for the Federal Mine Safety and 

Health Review Commission. This is the same as the fiscal year 

2006 appropriation and $155,000 above the budget request. 

The Commission is responsible for reviewing the enforcement activities of the Secretary of Labor under the Federal Mine Safety 

and Health Act. The Commission’s administrative law judges hear 

and decide cases initiated by the Secretary of Labor, mine operators, or miners. The five-member Commission hears appeals from 

administrative law judge decisions, rules on petitions for discretionary review, and may direct, of its own initiative, review of cases 

that present unusual questions of law. 

230 

INSTITUTE OF MUSEUM AND LIBRARY SERVICES

For the Institute of Museum and Library Services (IMLS), the Committee recommends $280,415,000. This is $33,271,000 more 

than the fiscal year 2006 funding level and $18,175,000 more than 

the budget request. The Institute makes state formula grants for 

library services and discretionary national grants for joint library 

and museum projects. 

For library services, the Committee concurs with the budget re- quest and recommends $171,500,000 for state grants, $3,675,000 

for library services to Native Americans and Native Hawaiians, 

$12,930,000 for national leadership grants, and $25,000,000 for the 

Laura Bush 21st century librarian program for the recruitment 

and education of librarians. 

For museum services, the Committee concurs with the budget re- quest and recommends $17,978,000 for museums for America, 

$3,000,000 for 21st Museum Professionals, $500,000 for museum 

assessment, $3,000,000 for conservation project support, $820,000 

for conservation assessment, $8,500,000 for national leadership 

grants for museums, and $920,000 for Native American and Native 

Hawaiian museum services. 

For museum grants for African American history and culture, 

the Committee concurs with the budget request and recommends 

$1,500,000. 

For program administration, the Committee concurs with the budget request and recommends $12,917,000. 

The Committee is aware of the proposal to consolidate NCLIS 

and IMLS in fiscal year 2008. The Committee recognizes the important mission of both agencies and encourages them to foster a 

streamlined, combined agency by the close of fiscal year 2007. 

Within the funds provided for the Institute of Museum and Library Services, the Committee includes funding for the following 

items: 

Aerospace Museum of California Foundation, Inc., McClellan, CA 

for a new interactive exhibit ............................................................. $500,000 

African American Museum of Philadelphia, PA, for exhibits, education programs and outreach ........................................................... 100,000 

American Airpower Museum, Farmingdale, NY, for exhibits and 

education programs ............................................................................ 300,000 

American Jazz Museum, Kansas City, MO, for exhibits, education 

programs, and an archival project .................................................... 200,000 

American West Heritage Center, Wellsville, UT for the Lifelong 

Learning Initiative ............................................................................. 275,000 

America’s Black Holocaust Museum, Milwaukee, WI, for exhibits 

and education programs, which may include acquisition of interactive media center kiosks ................................................................ 75,000 

Antiquarian & Landmarks Society of Connecticut, Hartford, CT for 

educational outreach programs at the Nathan Hale Homestead ... 150,000 

Apple Creek Historical Society, Apple Creek, OH for equipment for 

the Community Learning Center ...................................................... 50,000 

Aviation and Military Museum of Louisiana, Monroe, LA for equipment and display cases ...................................................................... 130,000 

Blank Park Zoo, Des Moines, IA, for exhibits, programming and 

equipment ........................................................................................... 250,000 

Brazos Valley African American Museum, Bryan, TX, for exhibits, 

education programs and/or operations ............................................. 75,000 

Capital City Development Corporation, Boise, ID for expansion and 

development of a permanent agricultural program and exhibition 

at the Discovery Center of Idaho ...................................................... 150,000 

Carnegie Museum of Art, Pittsburgh, PA, for an archive and traveling photojournalism exhibit ............................................................ 250,000 

231 

Children’s Museum of Manhattan, New York, NY, for exhibits and 

education programs ............................................................................ 200,000 

Children’s Museum of the East End, Bridgehampton, NY, for exhibits ................................................................................................... 125,000 

Children’s Museums of Portsmouth Virginia, Portsmouth, VA, for 

exhibits and education programs ...................................................... 75,000 

Cincinnati Museum Center, Cincinnati, OH for website development .................................................................................................... 500,000 

City of Amory, MS for the Amory Regional Museum for collection 

care and digitalization ....................................................................... 300,000 

City of Azusa Library, Azusa, CA, for library materials and equipment .................................................................................................... 150,000 

City of Estacada Library, Estacada, OR, for technology and equipment .................................................................................................... 50,000 

City of Fort Myers, FL for the Edison & Ford Winter Estates .......... 200,000 

Cleveland Museum of Art, Cleveland, OH for technology .................. 50,000 

Connecticut Historical Society Museum, Hartford, CT, for interactive school programs at the Old State House ............................... 100,000 

Contra Costa County Library, Martinez, CA, for library services 

and its Technology for Teens in Transition volunteer mentor program at the Juvenile Hall Library ................................................... 100,000 

Daphne Library Expansion, Daphne, AL for computers, books and 

other library materials ...................................................................... 180,000 

Discovery Center, Boise, ID for educational exhibits and programs 350,000 

Discovery Museum, Bridgeport, CT for programming ........................ 100,000 

Downey City Library, Downey, CA, for the purchase of books .......... 50,000 

Everson Museum of Art in Syracuse, NY for teacher training and 

support for a visual thinking strategies art education program .... 225,000 

Florida Holocaust Museum, St. Petersburg, FL to support ongoing 

museum operations, educational programming, outreach, and collection preservation and conservation .............................................. 500,000 

George and Eleanor McGovern Library, Dakota Wesleyan University, Mitchell, SD, for cataloging, preparing, and archiving documents and artifacts relating to the public service of Senator 

Francis Case and Senator George McGovern .................................. 50,000 

George Washington University, Washington, D.C., for The Eleanor 

Roosevelt Papers Project ................................................................... 150,000 

Georgetown Visitation Monastery, Washington, DC for digitization 

and technology .................................................................................... 100,000 

Harbor Heritage Society, Cleveland, OH for exhibits at the William 

G. Mather Maritime Museum ........................................................... 50,000 

Health Care Foundation of Mississippi, Tupelo, MS for a Children’s 

Health Science Center ....................................................................... 300,000 

Heckscher Museum of Art, Huntington, NY, for digitalization of 

collections and related activities ....................................................... 100,000 

Historic Hudson Valley, Tarrytown, NY, for education programs at 

Philipsburg Manor ............................................................................. 250,000 

Historic Yellow Springs, Inc., Chester Springs, PA for technology 

upgrades .............................................................................................. 25,000 

History Makers, Chicago, IL, for digitization of an oral history archive of interviews with African Americans .................................... 100,000 

History Museum of East Otter Tail County, Perham, MN, for its 

In Their Own Words exhibit ............................................................. 150,000 

Holbrook Public Library, Holbrook, MA, for equipment and technology .................................................................................................. 100,000 

Irwindale Public Library, Irwindale, CA, for a computer system to 

preserve historic materials ................................................................ 30,000 

Louisiana Art and Science Museum, Baton Rouge, LA for equipment, outreach and software development ...................................... 250,000 

Martinsburg Public Library, Martinsburg, WV for computer and 

technology equipment ........................................................................ 50,000 

Massie Heritage Center, Savannah, GA for restoration of exhibits 

and equipment upgrades ................................................................... 950,000 

Massillon Museum, Massillon, OH for technology and digitization 

of collections ....................................................................................... 50,000 

Mauna Kea Astronomy Education Center, Hilo, HI, for exhibits 

and education programs .................................................................... 250,000 

McKinley Museum, Canton, OH for exhibits ...................................... 50,000 

Miami University, Oxford, OH for digitization ................................... 30,000 

232 

Michigan’s Own Military and Space Museum, Frankenmuth, MI, 

for preservation and display of collections, and for operating expenses .................................................................................................. 200,000 

Missouri Botanical Garden, St. Louis, MO, for its math and science 

education project ................................................................................ 300,000 

Morris Museum, Morristown, NJ for development of the Interactive 

Educational Workshop Center exhibit ............................................. 500,000 

Museum of Science and Industry, Chicago, IL, for its Science in 

Your World exhibit ............................................................................. 300,000 

Museum of Science and Technology, Syracuse, NY for exhibits and 

operations ........................................................................................... 500,000 

National Czech & Slovak Museum & Library, Cedar Rapids, IA for 

upgrade of permanent collection ....................................................... 80,000 

National Museum of Industrial History, Bethlehem, PA for program development .............................................................................. 125,000 

North Carolina Zoological Park, Ashboro, NC for exhibits ................ 200,000 

Oklahoma City, OK National Memorial Foundation for community 

education & outreach programs at the Oklahoma City National 

Memorial Museum ............................................................................. 300,000 

Old Stone House of Brooklyn, Inc., NY, for education programs ...... 50,000 

Onondaga County, NY Public Library for technology and communications infrastructure upgrades ..................................................... 250,000 

Oregon Zoo, Portland, OR, for interpretive panels, displays and furnishings for exhibits ........................................................................... 125,000 

Orem Public Library, Orem, UT for technology upgrades ................. 200,000 

Overton County Library, TN, for collections, technology and education programs .................................................................................. 300,000 

Pennsylvania State Police Historical and Educational Museum, 

Hershey, PA, for exhibits, education programs, and operating 

support ................................................................................................ 100,000 

Phillips Collection, Washington, DC, for its National Summer 

Teacher Institute ................................................................................ 100,000 

Pico Rivera Library, Pico Rivera, CA, for books and materials, 

equipment and furnishings ............................................................... 100,000 

Ralph Mark Gilbert Civil Rights Museum, Savannah, GA for exhibits and curriculum .............................................................................. 500,000 

ReadNet Foundation, New York, NY for a literacy initiative in Erie 

and Niagara Counties, NY ................................................................ 100,000 

Rhode Island Holocaust Museum, Providence, RI, for exhibits and 

education programs ............................................................................ 200,000 

Rockwall Library, Rockwall, TX for books and other library materials ..................................................................................................... 100,000 

Rust College, Holly Springs, MS for the digitalization of collections 

and equipment for the Leontyne Price Library ............................... 500,000 

Samuel Dorsky Museum of Art, State University of New York at 

New Paltz, NY, for exhibits and programs ...................................... 50,000 

San Bernardino County Museum, San Bernardino, CA for new exhibits, care of collection, and new learning programs ..................... 200,000 

Sci-Quest, the North Alabama Science Center, Huntsville, AL, for 

science and mathematics education programs and outreach activities ................................................................................................. 250,000 

Shedd Aquarium, Chicago, IL, for exhibits, and for its community 

outreach and mentoring initiative .................................................... 500,000 

Skirball Cultural Center, Los Angeles, CA, for exhibits and education programs .................................................................................. 250,000 

South Florida Science Museum, West Palm Beach, FL for the 

Dekelboum Science Center ................................................................ 300,000 

Stark County Park District, Canton, OH, for exhibits at the 

Canalway Learning Center ............................................................... 50,000 

Taft Museum of Art, Cinncinnati, OH for exhibitions and outreach 200,000 

Texas Tech University, Lubbock, TX for Virtual Vietnam Archive 650,000 

Tillamook County Library, Tillamook, OR, for equipment and technology .................................................................................................. 150,000 

Tubman African American Museum, Macon, GA, for museum and 

education services .............................................................................. 450,000 

University of Puget Sound, Tacoma, WA, for the James R. Slater 

Museum of Natural History for collections, education programs 

and outreach ....................................................................................... 250,000 

Veterans Research Center, Waterloo, IA for new exhibits ................. 250,000 

233 

Virginia War Memorial Educational Foundation, Inc., Richmond, 

VA for four educational materials segments ................................... 200,000 

Yolo County Library, Woodland, CA, for an after school assistance 

and literacy program at the Arthur F. Turner West Sacramento 

Branch Library ................................................................................... 50,000 

Young at Art Children’s Museum, Davie, Florida, for its Global Village project .......................................................................................... 100,000 

Zoo New England, Boston, MA, for its Living Classrooms initiative 150,000 

MEDICARE PAYMENT ADVISORY COMMISSION

The Committee recommends $10,457,000 for the Medicare Payment Advisory Commission (MedPAC), an increase of $391,000 

above the fiscal year 2006 appropriation and the same as the budget request. MedPAC advises Congress on payment and other policy 

issues affecting the Medicare program and on implications of 

changes in health care delivery and in the market for health care 

services on the Medicare program. 

NATIONAL COMMISSION ON LIBRARIES AND INFORMATION SCIENCE

The Committee recommends $983,000 for the National Commission on Libraries and Information Science (NCLIS). This is the 

same as the fiscal year 2006 appropriation and the budget request. 

The Commission advises the Executive and Legislative branches, 

and other public and private organizations on national library and 

information policies and plans. 

The Committee is aware of the proposal to consolidate the Commission and the Institute of Museum and Library Services in fiscal 

year 2008. The Committee recognizes the important mission of 

NCLIS and encourages active planning by both agencies to foster 

a streamlined, combined agency by the close of fiscal year 2007. 

NATIONAL COUNCIL ON DISABILITY

The bill provides $3,180,000 for the National Council on Disability (NCD). This is $67,000 above as the fiscal year 2006 appropriation and $408,000 above the budget request. 

The Council monitors implementation of the Americans with Disabilities Act and makes recommendations to the President, the 

Congress, the Rehabilitation Services Administration, and the National Institute on Disability and Rehabilitation Research on public 

policy issues of concern to individuals with disabilities. 

NATIONAL LABOR RELATIONS BOARD

The bill provides $249,789,000 for the National Labor Relations 

Board (NLRB). This is $44,000 above the fiscal year 2006 appropriation and the same as the budget request. 

The NLRB receives, investigates, and prosecutes unfair labor 

practice charges filed by businesses, labor unions, and individuals. 

It also schedules and conducts representation elections. The fivemember Board considers cases in which an administrative law 

judge decisions are appealed. 

234 

NATIONAL MEDIATION BOARD

The bill provides $11,749,000 for the National Mediation Board (NMB). This is $237,000 above the fiscal year 2006 appropriation 

and the same as the budget request. 

The NMB mediates labor disputes between employees and railroad and airline carriers subject to the Railway Labor Act. The 

Board also resolves representation disputes involving labor organizations seeking to represent railroad or airline employees. 

OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION

The bill provides $10,510,000 for the Occupational Safety and Health Review Commission, $105,000 above the fiscal year 2006 

appropriation and $164,000 above the budget request. 

The Commission adjudicates contested citations issues by the Occupational Safety and Health Administration against employers for 

violations of safety and health standards. The Commission’s administrative law judges settle and decide cases at the initial level of 

review. The agency’s three appointed Commissioners also review 

cases, issue rulings on complicated issues, and may direct review 

of any decision by an administrative law judge. 

RAILROAD RETIREMENT BOARD

DUAL BENEFITS ACCOUNT

The bill provides $88,000,000 for dual benefits, a decrease of $8,030,000 below the fiscal year 2006 appropriation and the same 

as the budget request. 

These funds are used to pay dual benefits to those retirees receiving both railroad retirement and social security benefits. The 

bill includes a provision permitting a portion of these funds to be 

derived from income tax receipts on dual benefits as authorized by 

law. The Railroad Retirement Board estimates that approximately 

$6,000,000 may be derived in this manner. 

FEDERAL PAYMENT TO THE RAILROAD RETIREMENT ACCOUNT

The bill provides $150,000 for the interest earned on unnegotiated checks, the same as the fiscal year 2006 appropriation and the 

budget request. 

LIMITATION ON ADMINISTRATION

The bill provides a consolidated limitation of $103,518,000 on the 

expenditure of railroad retirement and railroad unemployment 

trust funds for administrative expenses of the Railroad Retirement 

Board, an increase of $2,000,000 above the fiscal year 2006 appropriation and the same as the budget request. The bill includes a 

provision from the fiscal year 1999 Appropriations Act prohibiting 

the transfer of resources formerly identified in a Memorandum of 

Understanding from the RRB to the Inspector General. 

The Railroad Retirement Board (RRB) administers comprehensive retirement-survivor and unemployment-sickness insurance 

benefit programs for railroad workers and their families. This account limits the amount of funds in the railroad retirement and 

railroad unemployment insurance trust funds that may be used by 

the RRB for administrative expenses. The Committee prohibits 

235 

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. 

The bill includes language (Sec. 516) limiting the availability of 

funds to the Railroad Retirement Board to enter into an arrangement with a nongovernmental financial institution to serve as disbursing agent for benefits payable under the Railroad Retirement 

Act of 1974. 

The Committee is aware of a proposal to consolidate the financial 

statements and audit of the National Railroad Retirement Investment Trust with the financial statements and audit of the Railroad 

Retirement Board. The Committee notes that the Railroad Retirement and Survivors’ Improvement Act of 2001 mandates that the 

Trust functions independently from the Railroad Retirement Board. 

Further, the Act specifically requires a separate audit of the Trust 

by a nongovernmental auditor, and requires that the results of this 

audit be included in the Trust’s Annual Management Report to 

Congress. The Committee expects that the Trust be administered 

and audited solely in conformance with the Act of 2001. 

LIMITATION ON THE OFFICE OF INSPECTOR GENERAL

The bill provides authority to expend $7,606,000 from the railroad retirement and railroad unemployment insurance trust funds 

for the Office of Inspector General, an increase of $482,000 above 

the fiscal year 2006 appropriation and the same as the budget request. This account provides funding for the Inspector General to 

conduct and supervise audits and investigations of programs and 

operations of the Board. 

The Committee compliments the work of the Office of the Inspector General of the Railroad Retirement Board for their work in obtaining information on actual collections, offsets, and funds put to 

better use as required in House Report 105–635. This information 

is of great use to the Committee and the Committee understands 

the difficulty encountered by the OIG in obtaining it. The Committee expects that the Office of Inspector General will continue to 

report the information to it. 

SOCIAL SECURITY ADMINISTRATION

PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

The Committee recommends $27,756,000 for mandatory payments necessary to compensate the Old Age and Survivors Insurance (OASI) and Disability Insurance (DI) Trust Funds for special 

payments to certain uninsured persons (for which no payroll tax is 

received), costs incurred for administration of pension reform activities and interest lost on the value of benefit checks issued but 

not negotiated. This is $7,286,000 more than the fiscal year 2006 

funding level and the same as the budget request. This appropriation restores the trust funds to the position they would have been 

in had they not borne these costs properly charged to the general 

funds. 

SUPPLEMENTAL SECURITY INCOME PROGRAM

The Committee recommends $29,065,000,000 for the Supplemental Security Income (SSI) program. This is $304,174,000 more 

236 

than the fiscal year 2006 funding level and $60,000,000 less than 

the budget request. The Committee also provides $16,810,000,000 

in advance funding for the first quarter of fiscal year 2008 as requested. 

Beneficiary services 

The Committee concurs with the budget request to use the carryover funding to cover estimated obligations in fiscal year 2007 for 

beneficiary services. Therefore, the Committee has recommended 

no new budget authority for this program. In fiscal year 2006, 

$52,000,000 was provided for this program. These funds are made 

available to reimburse State vocational rehabilitation services 

agencies for successful rehabilitation of SSI recipients. 

Research and demonstration 

Within the appropriation for SSI, the Committee recommends $27,000,000 for research and demonstration activities conducted 

under section 1110 of the Social Security Act. This is the same as 

both the fiscal year 2006 level and the budget request. 

Administration 

Within the appropriation for SSI, the Committee recommends $2,944,000,000 for payment to the Social Security trust funds for 

SSI’s share of the base administrative expenses of the Social Security Administration (SSA). This is $211,000,000 more than the fiscal year 2006 funding level and $60,000,000 less than the budget 

request. 

LIMITATION ON ADMINISTRATIVE EXPENSES

The Committee recommends a limitation on administrative expenses for SSA of $9,175,000,000 to be funded from the Social Security and Medicare trust funds. This is $186,394,000 more than 

the fiscal year 2006 funding level and the same as the budget request. 

Social Security Advisory Board 

The Committee recommends that not less than $2,000,000 within 

the limitation on administrative expenses be available for the Social Security Advisory Board, the same as both the fiscal year 2006 

level and the budget request. 

User fees 

In addition to other amounts provided in the bill, the Committee 

recommends an additional limitation of $118,000,000 for administrative activities funded from user fees. This is $2,000,000 less 

than the fiscal year 2006 level and the same as the budget request. 

OFFICE OF INSPECTOR GENERAL

(INCLUDING TRANSFER OF FUNDS)

The Committee recommends $94,411,000 for the Office of the Inspector General (OIG), $2,935,000 more than the fiscal year 2006 

funding level and $1,589,000 less than the budget request. The bill 

also provides authority to expend $67,976,000 from the Social Security trust funds for activities conducted by the Inspector General, 

237 

$2,270,000 more than the fiscal year 2006 funding level and 

$1,024,000 less than the budget request. 

TITLE V—GENERAL PROVISIONS 

Sec. 501. The Committee continues a provision to allow the Secretaries of Labor, Health and Human Services, and Education to 

transfer unexpended balances of prior appropriations to accounts 

corresponding to current appropriations to be used for the same 

purpose and for the same periods of time for which they were originally appropriated. 

Sec. 502. The Committee continues a provision to prohibit the obligation of funds beyond the current fiscal year unless expressly so 

provided. 

Sec. 503. The Committee continues a provision to prohibit appropriated funds to be used to support or defeat legislation pending 

before the Congress or any State legislature, except in presentation 

to the Congress or any State legislature itself. 

Sec. 504. The Committee continues a provision to limit the 

amount available for official reception and representation expenses 

for the Secretaries of Labor and Education, the Director of the Federal Mediation and Conciliation Service, and the Chairman of the 

National Mediation Board. 

Sec. 505. The Committee continues a provision to prohibit funds 

to be used to carry out a needle distribution program. 

Sec. 506. The Committee continues a provision to require grantees receiving Federal funds to clearly state the percentage of the 

total cost of the program or project that will be financed with Federal money. 

Sec. 507. The Committee continues a provision to prohibit appropriated funds to be used for any abortion. 

Sec. 508. The Committee continues a provision to provide exceptions for Sec. 507 and adds a limitation prohibiting funds from the 

bill to be made available to a Federal, State or local government 

or program if they discriminate against institutional or individual 

health care entities if they do not provide, pay for, or refer for abortions. 

Sec. 509. The Committee continues a provision to prohibit the 

use of funds in the Act concerning research involving human embryos. However, this language should not be construed to limit federal support for research involving human embryonic stem cells 

listed on an NIH registry and carried out in accordance with policy 

outlined by the President. 

Sec. 510. The Committee continues a provision to prohibit the 

use of funds for any activity that promotes the legalization of any 

drug or substance included in schedule I of the schedules of controlled substances. 

Sec. 511. The Committee continues a provision to prohibit the 

use of funds to promulgate or adopt any final standard providing 

for a unique health identifier until legislation is enacted specifically approving the standard. 

Sec. 512. The Committee continues a provision related to annual 

reports to the Secretary of Labor. 

Sec. 513. The Committee continues a provision that prohibits the 

transfer of funds from this Act except by authority provided in this 

Act or another appropriation Act. 

238 

Sec. 514. The Committee includes a provision to limit funds in 

the bill for public libraries to those libraries that comply with the 

requirements of the Children’s Internet Protection Act. 

Sec. 515. The Committee includes a provision to limit technology 

funds in the bill for elementary and secondary schools to those 

schools that comply with the requirements of the Children’s Internet Protection Act. 

Sec. 516. The Committee includes language limiting the availability of funds to the Railroad Retirement Board to enter into an 

arrangement with a nongovernmental financial institution to serve 

as disbursing agent for benefits payable under the Railroad Retirement Act of 1974. 

Sec. 517. The Committee maintains a provision clarifying the 

procedures for reprogramming of funds. The Committee notes that 

this provision is consistent with reprogramming language included 

in other bills within the Committee’s jurisdiction. 

Sec. 518. The Committee continues a provision pertaining to appointments to a scientific advisory committee. 

Sec. 519. The Act includes language requesting each Department 

and related agency to submit an operating plan within 45 days of 

enactment, detailing any reprogramming of funds which result in 

a different funding allocation than that in the fiscal year 2007 Act, 

the accompanying detailed table or budget request. 

Sec. 520. The Act includes language prohibiting the reprogramming or transfer of funds to the ‘‘E-Gov’’ Initiative without an approved reprogramming request from the Committees on Appropriations in the House and Senate. 

Sec. 521. The Act includes language requiring prior approval of 

Program Assessment Rating Tool (PART) analyses and studies. 

Sec. 522. The Act includes language requiring the development 

of traditional Congressional Justifications. Fiscal year 2008 budget 

submissions shall not contain performance or performance integration information and shall not include Performance Assessment 

Rating Tool (PART) information or results. This information shall 

be submitted in separate documents. 

Sec. 523. The Committee includes a provision prohibiting use of 

funds in contravention of the energy efficiency performance goals 

and reporting requirements for Federal buildings contained in two 

statutes and an executive order. 

Sec. 524. The Committee recommends new language precluding 

funds made available by this Act from being used by the Social Security Administration to administer benefit payments under a totalization arrangement that would be inconsistent with existing 

law. 

Sec. 525. The Committee recommends new language amending 

existing law to establish a new minimum wage. 

CONSTITUTIONAL AUTHORITY

Pursuant to clause 3(d)(1) of rule XIII of the Rules of the House 

of Representatives, the Committee on Appropriations bases its authority to report this legislation on clause 7 of section 9 of article 

I of the U.S. Constitution, which states: 

No money shall be drawn from the Treasury but in consequence of Appropriations made by law * * *. 

239 

COMPARISON WITH BUDGET RESOLUTION

Pursuant to clause 3(c)(2) of rule XIII of the Rules of the House 

of Representatives, following is an explanation of compliance with 

section 308(a)(1)(A) of the Congressional Budget Act of 1974, detailing how the new budget authority provided by the accompanying 

bill compares with the report submitted under section 302 of the 

Act for the most recently agreed to concurrent resolution on the 

budget for the fiscal year. This information follows: 

[In millions of dollars] 

302(b) allocation This bill 

Budget 

Authority Outlays Budget Authority Outlays 

Discretionary .................................................................................. $141,930 $145,631 $141,930 $145,488 

Mandatory ...................................................................................... 444,429 445,140 444,429 445,140 

In accordance with the Congressional Budget Act of 1974, the following information was provided to the Committee by the Congressional Budget Office: 

FIVE-YEAR PROJECTIONS

In compliance with section 308(a)(1)(B) of the Congressional 

Budget Act of 1974, the following table contains five-year projections associated with the budget authority provided in the accompanying bill: 

[In millions of dollars] 

Outlays: 

2007 ........................................................................................................... $503,660 

2008 ........................................................................................................... 61,748 

2009 ........................................................................................................... 14,319 

2010 ........................................................................................................... 2,913 

2011 and beyond ....................................................................................... 518 

FINANCIAL ASSISTANCE TO STATE AND LOCAL GOVERNMENTS

Pursuant to section 308(a)(1)(C) of the Congressional Budget Act 

of 1974, the financial assistance to State and local governments is 

as follows: 

[In millions of dollars] 

New budget authority ..................................................................................... $267,808 

Fiscal year 2007 outlays resulting therefrom ............................................... 230,247 

TRANSFER OF FUNDS

Pursuant to clause 3(f)(2) of rule XIII of the Rules of the House 

of Representatives, the following table is submitted describing the 

transfers of funds recommended in the accompanying bill. 

The table shows, by Department and agency, the appropriations 

affected by such transfers. 

APPROPRIATION TRANSFERS RECOMMENDED IN THE BILL 

Account to which transfer is made Amount Account from which transfer is made Amount 

Department of Labor: Department of Labor: 

Special Benefits ................................ (1) Postal Service and various agencies ........ (1) 

240 

APPROPRIATION TRANSFERS RECOMMENDED IN THE BILL—Continued 

Account to which transfer is made Amount Account from which transfer is made Amount 

Various Agencies ............................... (1) Energy Employees Occupational Illness 

Compensation Fund.

(1) 

Employment Standards Administration—Salaries and Expenses.$33,578,000 .... Black Lung Disability Trust Fund ............. $33,578,000 

Departmental Management—Salaries and Expenses.25,255,000 ...... Black Lung Disability Trust Fund ............. 25,255,000 

Office of Inspector General ............... 346,000 ........... Black Lung Disability Trust Fund ............. 346,000 

Employment Benefits Security Administration, Salary and Expenses.7,000,000 ........ Pension Benefits Guaranty Corporation .... 7,000,000 

Department of Health and Human Services: Department of Health and Human Services: 

National Institutes of Health: National Institutes of Health: 

Various institutes and centers 

for AIDS.

up to 3% ......... Various institutes and centers for AIDS ... up to 3% 

Various institutes and centers 

for AIDS.

amount det’d to 

be AIDS.

Office of AIDS Research ............................ amount det’d to 

be AIDS 

Various institutes and centers up to 1% ......... Various institutes and centers .................. up to 1% 

Related Agencies: 

National Service Trust ....................... 124,720,000 .... Corp. for National and Community Service 124,720,000 

National Service Trust ....................... (1) Corp. for National and Community Service (1) 

Social Security Administration: 

Office of Inspector General ...... 67,976,000 ...... Federal Old-Age and Survivors Insurance 

Trust Fund and Federal Disability Insurance Trust Fund.

67,976,000 

1 Such sums 

RESCISSIONS

Pursuant to clause 3(f)(2) of rule XIII of the Rules of the House 

of Representatives, the following table is submitted describing the 

rescissions recommended in the accompanying bill. 

COMPLIANCE WITH RULE XIII, CL. 3(e) (RAMSEYER RULE) 

In compliance with clause 3(e) of rule XIII of the Rules of the 

House of Representatives, changes in existing law made by the bill, 

as reported, are shown as follows (existing law proposed to be omitted is enclosed in black brackets and existing law in which no 

change is proposed is shown in roman): 

SECTION 6 OF THE FAIR LABOR STANDARDS ACT OF 

1938 

MINIMUM WAGES

SEC. 6. (a) Every employer shall pay to each of his employees 

who in any workweek is engaged in commerce or in the production 

of goods for commerce, or is employed in an enterprise engaged in 

commerce or in the production of goods for commerce, wages at the 

following rates: 

(1) except as otherwise provided in this section, not less 

than $4.25 an hour during the period ending on September 30, 

1996, not less than $4.75 an hour during the year beginning 

on October 1, 1996, øand¿ not less than $5.15 an hour beginning September 1, 1997, not less than $5.85 an hour beginning 

on January 1, 2007, not less than $6.55 an hour beginning on 

241 

January 1, 2008, and not less than $7.25 an hour beginning on 

January 1, 2009; 

* * * * * * * 

RESCISSIONS RECOMMENDED IN THE BILL 

Account Amount 

Department of Labor, Training and Employment Service .............. ¥$325,000,000 

CHANGES IN APPLICATION OF EXISTING LAW

Pursuant to clause 3(f) of rule XIII of the Rules of the House of 

Representatives, the following statements are submitted describing 

the effect of provisions in the accompanying bill which may directly 

or indirectly change the application of existing law. 

The bill provides that appropriations shall remain available for 

more than one year for some programs for which the basic authorizing legislation does not so authorize such extended availability. 

In various places in the bill, an earmark of funds within appropriation accounts may not track the authorization language with 

the level of specificity required under clause 2 of rule XXI. 

In several instances, the bill provides advance appropriations for 

fiscal year 2008 for programs for which such advances are not authorized by law. Various pleonasms in the bill may violate clause 

2. 

TITLE I—DEPARTMENT OF LABOR 

TRAINING AND EMPLOYMENT SERVICES

Language prohibiting the use of funds from any other appropriation to provide meal services at or for Job Corps centers. 

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE

OPERATIONS

Language allowing the use of funds for amortization payments to 

states which had independent retirement plans in their state employment service agencies prior to 1980. 

Language allowing the Labor Department to withhold from state 

allotments funds available for penalty mail under the WagnerPeyser Act. 

Language providing that funds in this Act for one-stop career 

centers and unemployment insurance national activities may be 

used for contracts, grants, or agreements with non-state entities. 

Language providing that funds in this Act may be used by the 

states for integrated Employment Service and Unemployment Insurance automation efforts. 

EMPLOYMENT STANDARDS ADMINISTRATION

SALARIES AND EXPENSES

Language authorizing the Secretary of Labor to accept and spend 

all sums of money ordered to be paid to the Secretary, in accordance with the terms of a Consent Judgment in U.S. District Court 

for the Northern Mariana Islands. 

242 

Language authorizing the Secretary of Labor to collect user fees 

for processing certain applications and issuing certain certificates 

and registrations under the Fair Labor Standards Act and the Migrant and Seasonal Agricultural Worker Protection Act. 

SPECIAL BENEFITS

Language providing funds may be used under the Federal Employees’ Compensation Act in which the Secretary of Labor may reimburse an employer, who is not the employer at the time of injury, for portions of the salary of a reemployed, disabled beneficiary. 

Language allowing the Secretary of Labor to transfer certain administrative funds from the Postal Service fund and certain other 

government corporations and agencies related to the administration of the Federal Employees’ Compensation Act. 

Language allowing the Secretary of Labor to require any person 

filing a claim for benefits under the Federal Employees’ Compensation Act or the Longshore and Harbor Workers’ Compensation Act 

to provide such identifying information as the Secretary may require, including a Social Security number. 

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Language establishing a maximum amount available for grants 

to states under the Occupational Safety and Health Act, which 

grants shall be no less than 50 percent of the costs of state programs required to be incurred under plans approved by the Secretary under section 18 of the Act. 

Language authorizing the Occupational Safety and Health Administration to retain and spend up to $750,000 of training institute course tuition fees for training and education grants. 

Language allowing the Secretary of Labor to collect and retain 

fees for services provided to Nationally Recognized Testing Laboratories. 

Language prohibiting OSHA from obligating or expending any of 

these funds to enforce the annual fit test requirement of the General Industry Respiratory Protection Standard with respect to exposure to tuberculosis. 

MINE SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Language allowing the Mine Safety and Health Administration 

to collect up to $750,000 at the National Mine Health and Safety 

Academy for room, board, tuition, and the sale of training materials, otherwise authorized by law to be collected, to be available 

for mine safety and health education and training activities, notwithstanding 31 U.S.C. 3302. 

Language allowing the Mine Safety and Health Administration 

to accept land, buildings, equipment, and other contributions from 

public and private sources; to prosecute projects in cooperation 

with other agencies, Federal, state, or private; and to promote 

health and safety education and training in the mining community 

243 

through cooperative programs with states, industry, and safety associations. 

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

survival operations in the event of major disasters. 

DEPARTMENTAL MANAGEMENT

SALARIES AND EXPENSES

Language providing that no funds made available by this Act 

may be used by the Solicitor of Labor to participate in a review in 

any United States court of appeals of any decision made by the 

Benefits Review Board under section 21 of the Longshore and Harbor Workers’ Compensation Act where such participation is precluded by the decision of the Supreme Court in Director, Office of 

Workers’ Compensation Programs v. Newport News Shipbuilding, 

115 S. Ct. 1278 (1995), notwithstanding any provisions to the contrary contained in Rule 15 of the Federal Rules of Appellate Procedure. 

Language providing that any decision under the Longshore Act 

pending before the Benefits Review Board for more than one year 

shall be considered affirmed by the Board and shall be considered 

the final order of the Board. 

ADMINISTRATIVE PROVISIONS

Language requiring the Secretary of Labor to issue certain 

monthly transit subsidies. 

TITLE II—DEPARTMENT OF HEALTH AND HUMAN 

SERVICES 

HEALTH RESOURCES AND SERVICES ADMINISTRATION

HEALTH RESOURCES AND SERVICES

Language providing that $40,000,000 from general revenues, notwithstanding section 1820(j) of the Social Security Act, shall be 

available for carrying out the Medicare rural hospital flexibility 

grants program under section 1820 of such Act. 

Language providing that in addition to fees authorized by section 

427(b) of the Health Care Quality Improvement Act of 1986, fees 

shall be collected for the full disclosure of information under the 

Act sufficient to recover the full costs of operating the National 

Practitioner Data Bank, and shall remain available until expended 

to carry out that Act. 

Language providing that fees collected under the Health Care 

Fraud and Abuse Data Collection Program, authorized by section 

1128E(d)(2) of the Social Security Act shall be sufficient to recover 

the full costs of operating the program, and shall remain available 

until expended to carry out that Act. 

Language providing that all pregnancy counseling under the 

family planning program shall be nondirective. 

Language providing $70,000,000 for awards to states for HIV/ 

AIDS care and treatment services under subpart I of Part B of the 

Public Health Service Act, notwithstanding sections 2616 through 

2620. 

244 

Language making $25,000,000 available under section 241 of the 

Public Health Service Act to fund special programs for the care and 

treatment of individuals with HIV disease. 

Language identifying a specific amount for maternal and child 

health SPRANS activities, notwithstanding current law. 

CENTERS FOR DISEASE CONTROL AND PREVENTION

Language permitting the Centers for Disease Control and Prevention (CDC) to purchase and insure official motor vehicles in foreign countries. 

Language permitting CDC to purchase, hire, maintain and operate aircraft. 

Language providing that $29,700,000 is available until expended 

for equipment and construction and renovation of facilities. 

Language providing that $121,952,000 is available until September 30, 2007 for International HIV/AIDS. 

Language providing that collections from user fees may be credited to the CDC appropriation. 

Language making specific amounts under section 241 of the Public Health Service Act available to carry out: National Immunization Surveys and the National Occupational Research Agenda. 

Language providing up to $31,800,000 for Individual Learning 

Accounts for full-time equivalents employees of CDC. 

Language allowing the Director of CDC to redirect certain funds 

appropriated under Public Law 101–502. 

Language providing that not to exceed $12,500,000 may be made 

available for grants under section 1509 of the Public Health Service 

Act to not more than 15 States, tribes, or tribal organizations. 

Language permitting CDC to exempt from any personnel ceiling 

applicable to the Agency both civilian and Commissioned Officers 

detailed to the states, municipalities, or other organizations under 

authority of section 214 of the Public Health Service Act for purposes related to homeland security during the period of detail or 

assignment. 

NATIONAL INSTITUTES OF HEALTH

NATIONAL LIBRARY OF MEDICINE

Language providing that the National Library of Medicine may 

enter into certain personal services contracts. 

Language making $8,200,000 available under section 241 of the 

Public Health Service Act to carry out National Information Center 

on Health Services Research and Health Care Technology and related health services. 

OFFICE OF THE DIRECTOR

Language providing that the National Institutes of Health is authorized to collect third party payments for the cost of the clinical 

services that are incurred in NIH research facilities and that such 

payments shall be credited to the NIH Management Fund and 

shall remain available for one fiscal year after they are deposited. 

Language providing the Director of NIH authority to transfer 

funds between appropriation accounts in this or any other Act. 

245 

Language providing that a uniform percentage of the amounts 

appropriated to the Institutes and Centers may be transferred and 

utilized for the NIH Roadmap for Medical Research. 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES

Language providing that notwithstanding section 520A(f)(2) of 

the Public Health Service Act, no funds appropriated for carrying 

out section 520A are available for carrying out section 1971. 

Language making specific amounts available under section 241 of 

the Public Health Service Act to fund technical assistance, National 

data, data collection and evaluation activities; national surveys on 

drug abuse; and, to evaluate substance abuse treatment programs. 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

Language is included to permit the Agency for Healthcare Research and Quality to retain and expend amounts received from 

Freedom of Information Act fees, reimbursable and interagency 

agreements, and the sale of data tapes. 

CENTERS FOR MEDICARE AND MEDICAID SERVICES

GRANTS TO STATES FOR MEDICAID

Language providing that in the administration of title XIX of the 

Social Security Act, payments to a State for any quarter may be 

made with respect to a State plan or plan amendment in effect during any such quarter, if submitted in, or prior to, such quarter and 

approved in that or any such subsequent quarter. 

PAYMENTS TO THE HEALTH CARE TRUST FUNDS

Language providing indefinite authority for paying benefits if the 

annual appropriation is insufficient. 

PROGRAM MANAGEMENT

Language providing that all funds collected in accordance with 

section 353 of the Public Health Service Act, together with such 

sums as may be collected from authorized user fees, administrative 

fees collected relative to Medicare overpayment recovery activities, 

and the sale of data, shall be available for expenditure by the Center for Medicare and Medicaid Services. 

Language allowing fees charged in accordance with 31 U.S.C. 

9701 to be credited to the Centers for Medicare and Medicaid Services administrative account. 

Language providing that funds under this heading are available 

for the Healthy Start, Grow Smart program. 

Language permitting the collection of fees associated with conducting revisit surveys of health care facilities and that such fees 

shall be credited to this appropriation as an offsetting collection 

and shall remain available until expended. 

246 

ADMINISTRATION FOR CHILDREN AND FAMILIES

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND

FAMILY SUPPORT PROGRAMS

Language providing that the sum of the amounts available to a 

state with respect to expenditures under title IV-A of the Social Security Act in fiscal year 1997 under this appropriation and under 

such title IV-A as amended by the Personal Responsibility and 

Work Opportunity Reconciliation Act of 1996 shall not exceed the 

limitations under section 116(b) of such Act. 

LOW INCOME HOME ENERGY ASSISTANCE

Language waiving existing law. 

CHILDREN AND FAMILIES SERVICES PROGRAMS

Language making $6,000,000 available under section 241 of the 

Public Health Service Act to carry out provisions of section 1110 of 

the Social Security Act. 

Language requiring the Secretary to establish certain procedures 

regarding the disposition of intangible property. 

Language imposing certain requirements on grantees under the 

abstinence education program. 

OFFICE OF THE SECRETARY

GENERAL DEPARTMENTAL MANAGEMENT

Language making $39,552,000 available under section 241 of the 

Public Health Service Act to carry out national health or human 

services research and evaluation activities. 

Language providing $13,120,000 for prevention service demonstration grants under the Adolescent Family Life program, notwithstanding current law. 

OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION

TECHNOLOGY

Language making $11,930,000 available under section 241 of the 

Public Health Service Act to carry out health information technology network development activities. 

TITLE III—DEPARTMENT OF EDUCATION 

IMPACT AID

Language ensuring that schools serving the children of military 

personnel continue to receive Impact Aid funds when the military 

parents who live on-base are deployed and the child continues to 

attend the same school and in cases in which an on-base military 

parent is killed while on active duty and the child continues to attend the same school. 

SCHOOL IMPROVEMENT PROGRAMS

Language allowing the Republic of the Marshall Islands and the 

Federated States of Micronesia to reserve up to five percent of their 

supplemental education grants for technical assistance, administration and oversight purposes. 

247 

INNOVATION AND IMPROVEMENT

Language allowing the Secretary to retain up to three percent of 

the funding for the Teaching American History program for technical assistance and the dissemination of information. Language 

permitting stipends and bonuses under the Troops to Teachers program to be made available to those serving in schools receiving 

title I funds. 

SPECIAL EDUCATION

Language identifying $11,880,000 for Recording for the Blind and 

Dyslexic, Inc., the general purposes of which are authorized in the 

Individuals with Disabilities Education Act. 

Language limiting the increase in the amount of funds required 

to be transferred to the Department of the Interior under the 

Grants to States program to the lesser of an amount equal to the 

amount transferred to the Department of the Interior for fiscal 

year 2006 plus inflation or the percentage increase in the appropriation for the Grants to States program. 

VOCATIONAL AND ADULT EDUCATION

Language specifying an allocation formula for awarding State 

grants for English literacy and civics education, which is not otherwise authorized under the Adult Education and Family Literacy 

Act. 

Language stating that a portion of the amount provided for Adult 

Education State Grants shall be for integrated English literacy and 

civics education services to immigrants and other limited English 

proficient populations, and specifying the distribution of such 

funds. 

Language identifying specific funding levels for the National Institute for Literacy and national leadership activities under the 

Adult Education and Family Literacy Act, overriding the statutory 

set-aside of 1.5 percent of the adult education appropriation. 

STUDENT FINANCIAL ASSISTANCE

Language providing that the maximum Pell Grant a student may 

receive in the 2006–2007 academic year shall be $4,150. 

HIGHER EDUCATION

Language providing that funds are available to fund fellowships 

for academic year 2006–2007 under part A, subpart 1 of title VII 

of the Higher Education Act of 1965, under the terms and conditions of part A, subpart 1. 

Language providing that notwithstanding any other provision of 

law, funds made available to carry out title VI of the Higher Education Act and section 102(b)(6) of the Mutual Educational and 

Cultural Exchange Act of 1961 may be used to support visits and 

study in foreign countries by individuals who are participating in 

advanced foreign language training and international studies in 

areas that are vital to United States national security and who 

plan to apply their language skills and knowledge of these countries in the fields of government, the professions, or international 

development. 

248 

HOWARD UNIVERSITY

Language providing that Howard University shall use not less 

than $3,524,000 for the endowment program pursuant to the Howard University Endowment Act. 

TITLE IV—RELATED AGENCIES 

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE

DOMESTIC VOLUNTEER SERVICE PROGRAMS, OPERATING EXPENSES

Language prohibiting certain funds from being used for stipends 

or other monetary incentives for volunteers or volunteer leaders 

whose incomes exceed 125 percent of the national poverty level. 

NATIONAL AND COMMUNITY SERVICE PROGRAMS, OPERATING

EXPENSES

Language allowing certain funds to be used for education awardonly grants. 

Language allowing certain additional funds to be transferred to 

the National Service Trust, upon a determination that it is necessary to support the activities of national service participants and 

after notice is transmitted to the Congress. 

Language prohibiting certain funds from being used to support 

salaries and related expenses (including travel) attributable to employees of the Corporation for National and Community Service. 

Language requiring certain funds to be provided in a manner 

that is consistent with the recommendations of peer review panels 

in order to ensure that priority is given to programs that demonstrate quality, innovation, replicability, and sustainability. 

Language allowing certain funds to support an endowment fund 

and permitting certain investments of the endowment fund. 

Language prohibiting funds for national service programs run by 

certain other Federal agencies. 

Language requiring the Corporation for National and Community Service to increase significantly the level of matching funds 

and in-kind contributions provided by the private sector and to reduce the total Federal costs per participant in all programs. 

Language allowing certain funds to be made available to provide 

assistant to state commissions on national and community service. 

Language allowing certain funds to be used for grant application 

reviews. 

ADMINISTRATIVE PROVISIONS

Language allowing certain loans to be considered qualified student loans. 

Language allowing certain grantees to be eligible for grants targeted to individuals with disabilities. 

Language requiring the Inspector General of the Corporation for 

National and Community Service to conduct random audits of the 

grantees that administer activities under the AmeriCorps programs, to levy sanctions for violations, and to obtain reimbursements of misused funds from grantees committing substantial violations. 

249 

Language requiring the Corporation for National and Community Service to make significant changes to program requirements 

or policies only through public notice and comment rulemaking. 

Language prohibiting personnel of the Corporation for National 

and Community Service from making unauthorized disclosures of 

covered grant selection information. 

FEDERAL MEDIATION AND CONCILIATION SERVICE

SALARIES AND EXPENSES

The bill includes language specifying that notwithstanding 31 

U.S.C. 3302 fees charged by the Federal Mediation and Conciliation Service, up to full-cost recovery, for special training activities 

and for arbitration services shall be credited to and merged with 

its administrative account and shall remain available until expended; that fees for arbitration services shall be available only for 

education, training, and professional development of the agency 

workforce; and that the Director of the Service is authorized to accept on behalf of the United States gifts of services and real, personal, or other property in the aid of any projects or functions within the Director’s jurisdiction. 

NATIONAL LABOR RELATIONS BOARD

SALARIES AND EXPENSES

The bill includes a provision requiring that appropriations to the 

NLRB shall not be available to organize or assist in organizing agricultural laborers or used in connection with investigations, hearings, directives, or orders concerning bargaining units composed of 

agricultural laborers as referred to in 2(3) of the Act of July 5, 1935 

(29 U.S.C. 152), and as amended by the Labor-Management Relations Act, 1947, as amended, and as defined in 3(f) of the Act of 

June 25, 1938 (29 U.S.C. 203), and including in said definition employees engaged in the maintenance and operation of ditches, canals, reservoirs, and waterways, when maintained or operated on 

a mutual non-profit basis and at least 95 per centum of the water 

stored or supplied thereby is used for farming purposes. 

RAILROAD RETIREMENT BOARD

DUAL BENEFITS PAYMENTS ACCOUNT

The bill includes language providing that the total amount provided for railroad retirement dual benefits shall be credited to the 

Dual Benefits Payments Account in 12 approximately equal 

amounts on the first day of each month in the fiscal year. 

LIMITATION ON ADMINISTRATION

The bill includes language providing that the Railroad Retirement Board shall determine the allocation of its administrative 

budget between the railroad retirement accounts and the railroad 

unemployment insurance administration fund. 

250 

SOCIAL SECURITY ADMINISTRATION

SUPPLEMENTAL SECURITY INCOME PROGRAM

Language requiring States to return to the Treasury funds unobligated at the end of the current fiscal year. 

LIMITATION ON ADMINISTRATIVE EXPENSES

Language providing that unobligated balances at the end of fiscal 

year 2007 shall remain available until expended for the agency’s 

information technology and telecommunications hardware and software infrastructure, including related equipment and non-payroll 

administrative expenses associated solely with this information 

technology and telecommunications infrastructure. 

Language providing that reimbursement to the trust funds under 

this heading for expenditures for official time for employees of the 

Social Security Administration pursuant to section 7131 of title 5, 

United States Code, and for facilities or support services for labor 

organizations pursuant to policies, regulations, or procedures referred to in 7135(b) of such title shall be made by the Secretary of 

the Treasury, with interest, from amounts in the general fund not 

otherwise appropriated, as soon as possible after such expenditures 

are made. 

Language providing that funds derived from administration fees 

collected pursuant to 1616(d) of the Social Security Act or 212(b)(3) 

of Public Law 93–66 over $117,000,000 shall be available in fiscal 

year 2008 only to the extent provided in advance in appropriations 

Acts. 

OFFICE OF INSPECTOR GENERAL

Language permitting the transfer of a certain amount of funds 

into this account from the SSA administrative account provided 

that the Appropriations Committees are promptly notified. 

ADMINISTRATIVE AND GENERAL PROVISIONS

Sections 102, 208, 209, 210, 217, 304, and 501 include legislative 

transfer authorities. 

Sections 204, 206, 211, 212, 214, 301, 302, 303, 405, 502, 503, 

505, 507, 508, 509, 510, 511, 512, 513, 514, 515, 516, 517, 518, 520, 

and 521 may be construed as placing legislative limitations on the 

use of funds in the bill. 

Sections 105, 201, 202, 207, 215, 216, 218, 219, 220, 403, 404, 

501, 504, 506, 519, and 522 establish affirmative directions, confer 

new authorities, or impose new responsibilities on departments or 

agencies funded by the bill. 

Section 104 repeals existing law. 

Sections 213, 401, and 402 explicitly waive existing law. 

Section 525 amends existing law. 

DEFINITION OF PROGRAM, PROJECT, AND ACTIVITY

During fiscal year 2007 for purposes of the Balanced Budget and 

Emergency Deficit Control Act of 1985, the following information 

provides the definition of the term ‘‘program, project, and activity’’ 

for departments and agencies under the jurisdiction of the Labor, 

Health and Human Services, and Education and Related Agencies 

251 

Subcommittee. The term ‘‘program, project, and activity’’ shall include the most specific level of budget items identified in the Departments of Labor, Health and Human Services, and Education, 

and Related Agencies Appropriations Act, 2007, the accompanying 

House and Senate Committee reports, the conference report and accompanying joint explanatory statement of the managers of the 

committee of conference. 

STATEMENT OF GENERAL PERFORMANCE GOALS AND OBJECTIVES

Pursuant to clause 3(c)(4) of rule XIII of the Rules of the House 

of Representatives, the following is a statement of general performance goals and objectives for which this measure authorizes funding: 

The Committee on Appropriations considers program performance in developing funding recommendations, including a program’s success in developing and attaining outcome-related goals 

and objectives. 

APPROPRIATIONS NOT AUTHORIZED BY LAW

Pursuant to clause 3 of rule XIII of the Rules of the House of 

Representatives, the following table lists the appropriations in the 

accompanying bill which are not authorized by law: 

Agency/Program Last Year of Authorization Authorization Level 

Appropriations in 

Last Year of Authorization 

Appropriations in this 

Bill 

DEPARTMENT OF LABOR 

ETA: 

Training and Employment Services.2003 ............... Such Sums ................. $5,115,411,000 $4,967,209,000 

Community Service Employment 

for Older Americans.

2005 ............... Such Sums ................. 436,678,000 420,000,000 

VETS: 

Homeless Veterans’ Reintegration Program.2006 ............... $50,000,000 ............... 29,500,000 29,263,000 

DEPARTMENT OF HEALTH AND HUMAN 

SERVICES 

HRSA: 

Health Centers ............................ 2006 ............... Such Sums ................. 1,737,758,000 1,988,000,000 

National Health Service Corps ... 2006 ............... Such Sums ................. 125,528,000 131,528,000 

Health Professions, except certain nursing programs.2002 ............... Such Sums ................. 295,111,000 236,745,000 

Children’s Hospital Graduate 

Medical Education.

2005 ............... Such Sums ................. 300,730,000 300,000,000 

Traumatic Brain Injury ............... 2005 ............... Such Sums ................. 9,297,000 8,910,000 

Healthy Start ............................... 1995 ............... Such Sums ................. 102,543,000 101,518,000 

Newborn Hearing Screening ....... 2002 ............... Such Sums ................. 9,995,000 10,000,000 

Emergency Medical Services for 

Children.

2005 ............... Such Sums ................. 19,831,000 19,800,000 

HIV Health Care Services Program (Ryan White).2005 ............... Such Sums ................. 2,073,296,000 2,107,713,000 

Organ Transplantation ................ 1993 ............... Such Sums ................. 2,767,000 23,049,000 

Rural Health Outreach Grants .... 2006 ............... Such Sums ................. 38,885,000 40,000,000 

Rural and Community Access to 

Emergency Devices.

2003 ............... 25,000,000 ................. 12,419,000 1,500,000 

State Offices of Rural Health ..... 2002 ............... Such Sums ................. 7,996,000 8,400,000 

Denali Commission ..................... 2003 ............... Such Sums ................. 27,321,000 0 

Family Planning .......................... 1985 ............... 158,400,000 ............... 142,500,000 283,103,000 

Hospital Preparedness—Trauma/ 

Emergency Medical Services.

2002 ............... Such Sums ................. 3,499,000 486,606,000 

Telehealth ................................... 2006 ............... Such Sums ................. 6,819,000 10,000,000 

252 

Agency/Program Last Year of Authorization Authorization Level 

Appropriations in 

Last Year of Authorization 

Appropriations in this 

Bill 

CDC: 

Birth Defects ............................... 2002 ............... Such Sums ................. 89,946,000 117,722,000 

Cancer Registries ....................... 2003 ............... Such Sums ................. 45,649,000 47,490,000 

Prostate Cancer .......................... 2004 ............... Such Sums ................. 14,091,000 13,842,000 

Breast and Cervical Cancer Prevention.2003 ............... Such Sums ................. 199,371,000 202,882,000 

Wisewoman ................................. 2003 ............... Such Sums ................. 12,419,000 13,116,000 

Prevention Centers ...................... 2003 ............... Such Sums ................. 26,830,000 29,700,000 

Health Statistics ......................... 2003 ............... Such Sums ................. 25,899,000 109,421,000 

Infectious Disease Control .......... 2005 ............... Such Sums ................. 225,589,000 225,938,000 

Diabetes ...................................... 2005 ............... Such Sums ................. 63,457,000 69,000,000 

Safe Motherhood/Infant Health 

Promotion.

2005 ............... Such Sums ................. 44,738,000 44,009,000 

Oral Health Promotion ................ 2005 ............... Such Sums ................. 11,204,000 11,022,000 

Preventive Health Services Block 

Grant.

1998 ............... Such Sums ................. 194,092,000 100,000,000 

HIV/AIDS Prevention .................... 2005 ............... Such Sums ................. 662,267,000 706,316,000 

Sexually Transmitted Diseases 

Grants.

1998 ............... Such Sums ................. 113,671,000 157,383,000 

Tuberculosis Grants .................... 2002 ............... Such Sums ................. 132,403,000 137,423,000 

Asthma Prevention ...................... 2005 ............... Such Sums ................. 32,422,000 31,994,000 

Lead Poisoning Prevention ......... 2005 ............... Such Sums ................. 36,474,000 35,747,000 

Injury Prevention and Control ..... 2005 ............... Such Sums ................. 138,237,000 138,561,000 

NIH: 

National Institutes of Health— 

Research Training.

1996 ............... Such Sums ................. 416,992,000 0 

National Cancer Institute ........... 1996 ............... Such Sums ................. 2,248,000,000 4,753,609,000 

National Heart, Lung, and Blood 

Institute.

1996 ............... Such Sums ................. 1,354,945,000 2,901,012,000 

National Institute on Aging ........ 1996 ............... Such Sums ................. 453,541,000 1,039,828,000 

National Institute on Alcohol 

Abuse and Alcoholism.

1994 ............... Such Sums ................. 185,538,000 433,318,000 

National Institute on Drug Abuse 1994 ............... Such Sums ................. 424,315,000 994,829,000 

National Institute of Mental 

Health.

1994 ............... Such Sums ................. 613,352,000 1,394,806,000 

National Institute of Biomedical 

Imaging and Bioengineering.

2003 ............... Such Sums ................. 280,100,000 294,850,000 

National Library of Medicine ...... 1996 ............... Such Sums ................. 140,936,000 313,269,000 

SAMHSA: 

Substance Abuse and Mental 

Health Services programs, except Post Traumatic Stress 

and State and Campus Suicide Prevention programs.

FY 2003 .......... Such Sums ................. 3,161,951,000 3,160,576,000 

AHRQ*: ................................................. FY 2005 .......... Such Sums ................. 0 318,695,000 

ACF: 

Office of Refugee Resettlement, 

except: Unaccompanied Alien 

Children, Trafficking Victims 

and Torture Victims.

FY 2002 .......... Such Sums ................. 439,894,000 478,006,000 

Adoption Awareness .................... FY 2005 .......... Such Sums ................. 12,802,000 12,674,000 

Child Care Development Block 

Grant.

FY 2002 .......... 1,000,000,000 ............ 2,099,994,000 2,082,910,000 

Head Start .................................. FY 2003 .......... Such Sums ................. 6,815,570,000 6,899,000,000 

Voting Access for Individuals 

with Disabilities.

FY 2005 .......... 35,000,000 ................. 14,879,000 14,879,000 

Native American programs ......... FY 2002 .......... Such Sums ................. 45,946,000 44,780,000 

Community Services Block Grant 

programs.

FY 2003 .......... Such Sums ................. 739,315,000 389,672,000 

Rural Facilities ........................... FY 2003 .......... Such Sums ................. 7,250,000 7,367,000 

Individual Development Account FY 2003 .......... 25,000,000 ................. 24,990,000 24,452,000 

Promoting Safe and Stable Families.FY 2006 .......... 545,000,000 ............... 434,100,000 434,100,000 

AOA: 

Aging Services Programs ............ FY 2005 .......... Such Sums ................. 1,393,342,000 1,376,217,000 

253 

Agency/Program Last Year of Authorization Authorization Level 

Appropriations in 

Last Year of Authorization 

Appropriations in this 

Bill 

OFFICE OF THE SECRETARY 

Adolescent Family Life (Title XX) ........ FY 1985 .......... 30,000,000 ................. 14,716,000 30,277,000 

DEPARTMENT OF EDUCATION 

Education for the Disadvantaged— 

Migrant Education.

FY 2006 .......... Such Sums ................. 33,927,000 33,927,000 

Innovation and Improvement—Credit 

Enhancement for Charter School 

Facilities.

FY 2004 .......... Such Sums ................. 37,279,000 36,611,000 

Rehabilitation Services and Disability 

Research.

FY 2004 .......... Such Sums ................. 3,011,270,000 3,242,707,000 

Special Institutions for Persons with 

Disabilities: 

National Technical Institute for 

the Deaf.

FY 2006 .......... Such Sums ................. 56,141,000 57,000,000 

Gallaudet University ................... FY 2006 .......... Such Sums ................. 106,998,000 110,500,000 

Vocational and Adult Education FY 2004 .......... Such Sums ................. 2,109,172,000 1,925,858,000 

Student Financial Assistance ..... FY 2004 .......... Such Sums ................. 14,007,296,000 15,281,752,000 

Student Aid Administration ........ FY 2004 .......... Such Sums ................. 116,727,000 124,084,000 

Higher Education: 

Aid for Institutional Development FY 2004 .......... Such Sums ................. 485,065,000 503,229,000 

International Education and Foreign Language.FY 2004 .......... Such Sums ................. 103,680,000 105,751,000 

Domestic Programs ..................... FY 2004 .......... Such Sums ................. 89,211,000 91,541,000 

Institute for International Public 

Policy.

FY 2004 .......... Such Sums ................. 1,629,000 1,600,000 

Fund for Improvement of Post 

Secondary Education.

FY 2004 .......... Such Sums ................. 157,700,000 91,165,000 

Minority Science and Engineering Improvement.FY 2004 .......... Such Sums ................. 8,889,000 8,730,000 

Tribally Controlled Post-Secondary Vocational and Technical Institutions.

FY 2004 .......... 4,000,000 ................... 7,185,000 7,366,000 

Federal TRIO Programs ............... FY 2004 .......... Such Sums ................. 832,559,000 828,178,000 

GEAR UP ..................................... FY 2004 .......... Such Sums ................. 298,230,000 303,423,000 

Javits Fellowships ....................... FY 2004 .......... Such Sums ................. 9,876,000 9,699,000 

Graduate Assistance in Areas of 

National Need.

FY 2004 .......... Such Sums ................. 30,616,000 30,067,000 

Teacher Quality Enhancement 

Grants.

FY 2004 .......... Such Sums ................. 88,887,000 59,895,000 

Child Care Access Means Parents in School.FY 2004 .......... Such Sums ................. 16,098,000 15,810,000 

GPRA Data/HEA program evaluation.FY 2004 .......... Such Sums ................. 988,000 970,000 

B.J. Stupak Olympic Scholarships.FY 2004 .......... Such Sums ................. 988,000 970,000 

Howard University—Endowment 

Program.

FY 1985 .......... 2,000,000 ................... 2,000,000 3,600,000 

RELATED AGENCIES 

Corporation for National and Community Service.FY 1996 .......... Such Sums ................. 600,385,000 822,940,000 

Corporation for Public Broadcasting, 

Interconnection.

FY 1993 .......... 200,000,000 ............... 65,327,000 36,000,000 

Corporation for Public Broadcasting 

Digitalization.

FY 2001 .......... 20,000 ........................ 20,000,000 38,000,000 

National Council on Disability ............. FY 2003 .......... Such Sums ................. 3,144,000 3,180,000 

* Since fiscal year 2003, AHRQ has been funded entirely through the Public Health Service Evaluation Tap. 

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MINORITY VIEWS 

Today, average families are paying more to heat their homes, 

send their kids to college, and obtain health care. At the same 

time, wages are down in real terms for middle- and lower-income 

workers, and the earnings gap between them and the highest income workers is growing. 

The population continues to increase, and schools and colleges 

must find the resources to educate a record number of students. 

The number of Americans without health insurance has increased to 45.8 million—the highest number on record. Since 2000, 

the number of uninsured has risen by 6 million. 

Poverty in America has risen for four straight years. In 2004 (the 

latest year data is available), 37 million people were in poverty— 

up from 32 million in 2000. 

This is the appropriations bill where we fund programs directed 

at alleviating these problems, but the version reported by the Committee this year moves us backward rather than forward. 

To understand what is happening to middle class and underprivileged families who rely on key programs in this bill, it is necessary 

for us to look not just at the changes in this bill from last year, 

but to put those changes in the context of what has happened to 

them over time. 

Most of the budget cuts enacted last year are left in place by this 

bill, and some new cuts are added. Further, we cannot ignore the 

effect of rising population and rising costs, particularly for things 

like health care and energy where prices are rising especially 

quickly. Many key programs in this bill have had funding frozen 

or cut for several years in a row, and the cumulative effect is becoming a serious problem. Many now have considerably less purchasing power and are meeting a much smaller fraction of national 

needs than they did five years ago. 

In terms of programmatic funding, the total in this bill is about $2.2 billion less than provided two years earlier in actual dollar 

terms, before adjustment for inflation or anything else. More to the 

point, the measure is about $11 billion below what would be needed to keep us level with where we were two years ago after adjusting for general inflation and population growth. 

The main reason for these cuts is not that the programs involved 

have been found to be ineffective or that the needs they address 

are not considered important. Rather, this pattern of erosion and 

decline is forced by the overall budget policies that have been 

adopted by this Congress year after year, policies that are shrinking government services in order to provide successive rounds of 

tax cuts targeted to the highest end of the income scale. 

In 2007, the major tax cuts enacted in 2001 and 2003 will cost 

at least $240 billion. Of that total, it is estimated that over $40 billion will go to people with annual incomes of $1 million or more. 

346 

The average tax cut for people in that $1 million plus income group 

is about $114,000 in 2007. At the same time, the House Majority 

insists that we cannot provide even the very modest $3 billion addition to this bill that the Senate voted on a bipartisan basis to support. 

This bill is the clearest example of the devastating consequences 

of the Republican economic policy on America’s families and our 

most vulnerable citizens. 

Following is a summary of some of those effects. 

CRITICAL FAILURES IN THE LHHS BILL FOR AMERICA’S WORKERS

Under this Administration, we have seen two years of job losses 

followed by three years of inadequate economic growth. As a result, 

seven million Americans remain unemployed—one million or 17 

percent more than in 2001. More than 1.3 million Americans have 

been jobless for more than 26 weeks—nearly double the number in 

2001. 

Key Unemployment Indicators 

January–01 May–06 

Change 

number percent 

Number of unemployed .......................................................... 5,997,000 7,015,000 1,018,000 17 

Unemployment rate ................................................................ 4.2% 4.6% 0.4% 10% 

Long-term unemployed ........................................................... 675,000 1,329,000 654,000 97 

Meaningful job training programs and support for jobless workers should be among our highest priorities. These investments are 

necessary—not only to help unemployed Americans get back on 

their feet, but also to increase the skills and competencies of the 

nation’s workforce for 21st century jobs. Yet, in real terms, training 

and employment service programs will have been cut $1.3 billion 

in just two years. 

This bill cuts Workforce Investment Act Programs by $431 million, including $325 million already disbursed to local communities. 

The $325 million rescinded in this bill would especially undermine 

the ability of States and local workforce boards to respond rapidly 

and effectively to unanticipated plant closings, mass layoffs of 

workers and natural disasters. That is because nearly half of the 

rescission comes from Dislocated Worker funds. The bill rescinds 

these funds even though the Government Accountability Office previously determined that the Labor Department consistently underestimates the amounts that States and localities have already committed to job training and other employment services. 

This bill cuts $28 million (3.7 percent) from the U.S. Employment 

Service, which matches jobless people to employers seeking workers. Since FY 2001, 5.5 million or 29 percent fewer people have 

been served by the Employment Service due to budget cuts. 

This bill eliminates America’s Job Bank. Thousands of job seekers find work through America’s Job Bank and thousands of employers use it. It is the backbone for more than 20 state job banks 

as well as the electronic version of a national employment service, 

but this bill terminates this important service. 

347 

This bill cuts $145 million from programs to help at-risk youth 

find work. Nearly four million youth are high school dropouts who 

face a limited future with little hope of obtaining the skills they 

need to become a productive part of the workforce. • The successful YouthBuild program puts unemployed young 

men and women to work building affordable housing while providing them with education and job training assistance. Plans to 

transfer this program from HUD to the Department of Labor will 

cost $50 million. Rather than provide a direct appropriation for 

YouthBuild, the funds for this program would come out of appropriations for formula grants that help localities provide basic education and occupational skills for at-risk and troubled youth. As a 

result, these youth training formula grants would be cut by $55 

million (5.8 percent). • Job Corps, a highly successful residential program that gives 

disadvantaged youth an opportunity to gain the educational, vocational and social skills needed to succeed in the 21st century economy, is cut $41 million (2.6 percent) in this bill. While Job Corps 

operating expenses receive a small $8.7 million increase, the bill 

cuts nearly in half appropriations for Job Corps dormitories, classrooms and other facilities, from $108 million FY 2006 to only $58 

million in FY 2007—which would exacerbate a $350 million backlog of needed facility repairs and renovations. • The youthful offenders training program, which helps only a 

small fraction of some 120,000 juvenile offenders get necessary 

basic education and occupational skills, is eliminated. 

The bill eliminates Title V community service jobs for nearly 

3,000 seniors. Nearly 10 million, mostly female, seniors scrape by 

with incomes barely sufficient to meet their essential needs. They 

are eligible for the part-time, minimum wage community service 

jobs that the Title V senior employment program provides. Four 

years of funding cuts to this program have resulted in a 16.7 percent drop in the number of participants, from 109,900 in FY 2002 

to 91,500 in FY 2006. Although the program provides needed income and allows low-income seniors to serve their local communities, the bill cuts the Title V program again, by $12.3 million (2.8 

percent). 

The bill cuts the International Labor Affairs Bureau (ILAB) by 

$60 million (83 percent) to $12.4 million. ILAB promotes core labor 

standards, removes children from hazardous labor, and strengthens 

social safety nets for disadvantaged workers around the world. In 

recent years, ILAB assistance has removed 250,000 children from 

exploitive work in more than 60 developing countries, and helped 

impoverished children enter and complete school in such countries 

as Mozambique, Angola, Liberia, Ecuador and Bolivia. ILAB has 

supported labor law enforcement in Central America and the Dominican Republic and other developing countries. 

The bill fails to provide a meaningful increase to protect the safety and health of over 111 million Americans. The 2.9 percent increase in the bill for the Occupational Safety and Health Administration (OSHA) will not reverse an 8.6 percent decline in OSHA positions, from 2,370 in FY 2001 to 2,165 in FY 2006. While not 

eliminated as proposed by the Administration, OSHA’s Susan Harwood training grants are cut in half to $5 million. Industry groups, 

348 

unions, and nonprofits use these grants to train workers and employers on ways to prevent workplace safety and health hazards. 

The bill also continues the current prohibition on OSHA regulations requiring annual testing of respiratory protection for occupational exposure to tuberculosis. The bill provides $9 million less than requested for the Mine Safety and Health Administration (MSHA), including a cut of $2.1 

million from the request for coal mine enforcement. This cut will 

partially negate the $25.6 million FY 2006 supplemental appropriation MSHA recently received in order to reverse a loss of 217 coal 

mine inspector positions since FY 2001, a drop of 17.6 percent. The bill inexplicably denies $10 million requested for enforcement of wage and hour laws. Most of these funds were requested 

for 39 new positions to support Labor Department-initiated investigations to help low-wage workers receive the pay to which they 

are entitled and for employer compliance assistance under the Fair 

Labor Standards Act. While cutting these funds to protect worker 

wages, the bill approves 22 new positions for expanded enforcement 

actions under the Labor-Management Reporting and Disclosure Act 

(LMRDA) regarding union financial reporting. LMRDA enforcement positions will have increased 40 percent since FY 2001. 

The bill freezes the Veterans’ Workforce Investment Program and the Homeless Veterans’ Reintegration Program at $7 million 

and $22 million, respectively. In addition, the Jobs for Veterans 

State Grant Program, which supports 2,000 specialists in local 

communities to provide outreach and employment services, is frozen at $161 million. 

CRITICAL FAILURES IN THE LHHS BILL FOR VULNERABLE

POPULATIONS

Despite extraordinarily high energy prices, the Low-Income 

Home Energy Assistance Program (LIHEAP) is cut by one third, 

from $3.2 billion in FY 2006 to $2.1 billion in FY 2007. This program helps low-income people afford to heat their homes, especially 

when energy costs rise far faster than ability to pay. While funding 

would go down by one third, there’s no expectation of any significant reduction in prices. On the contrary, the Energy Department 

now forecasts that prices for electricity and heating oil will actually 

be higher next winter than last, and that natural gas prices will 

come down by only about five percent. 

The Community Services Block Grant (CSBG) is cut by almost one third, from $630 million to $449 million. These grants go to 

1,100 local agencies operating in almost every county of the United 

States to serve some of the poorest people in the nation, many of 

whom have nowhere else to turn for assistance. Example of services provided include child care, job training and job placement, 

emergency help with food and rent, programs for youth and senior 

citizens, home weatherization, parenting education, and adult literacy classes. 

The squeeze on Head Start continues, with funding frozen in FY 

2007 after a cut in FY 2006. The net result is FY 2007 appropriations just three-tenths of one percent higher than three years earlier, creating real dilemmas for Head Start agencies facing rising 

utility bills, higher costs to put gas in their school buses, and the 

349 

need to give their teachers and other staff modest cost-of-living 

raises. To cope, Head Start programs have had to reduce hours (a 

serious problem for working parents), curtail transportation, and 

discontinue some services. The National Head Start Association estimates that another year without any funding increase could force 

enrollment to be cut by 19,000 children. 

Frozen funding for child care grants will mean fewer children 

served, for the fifth year in a row. Parents working at low wages 

desperately need help obtaining safe and affordable child care, but 

appropriations for the Child Care Block Grant have been frozen or 

cut for the past four years. The bill freezes funding again in FY 

2007, leaving the appropriated Block Grant $38 million smaller 

than it was five years earlier in actual dollar terms. Based on average costs per child, the number of children served will have fallen 

by about 20 percent over this period. 

CRITICAL FAILURES IN THE LHHS BILL FOR HEALTH CARE ACCESS

AND SERVICES

For health programs, this bill falls short. It leaves in place most 

of the cuts made last year and lets many key programs continue 

to fall further behind rising costs and rising needs. 

Support for medical research at the National Institutes of Health 

continues to go backward in terms of purchasing power and research projects supported. The bill provides no increase at all for 

NIH, after a small cut last year. In inflation adjusted terms, it represents a 3.7 percent loss of purchasing power since FY 2006 and 

an 11 percent loss since the doubling of the NIH budget was completed in FY 2003. The proposed funding level is estimated to support 656 fewer research project grants than last year and 1,570 

fewer grants than three years ago. With NIH slowly shrinking in 

real terms, momentum is being lost in translating advances in 

basic fields like genetics into new therapies for diseases like cancer, 

Parkinson’s, and Alzheimer’s. 

The $239 million overall increase for programs at the Health Resources and Services Administration (HRSA) doesn’t even restore 

the $271 million cut made last year. HRSA is the agency whose 

mission it is to improve access to health care. Despite rising numbers of uninsured and continuing health disparities, HRSA’s basic 

budget is $32 million less than two years ago in actual dollar 

terms. Adjusted for inflation and population growth, HRSA will 

have lost 8 percent of its purchasing power since FY 2005. 

Efforts to combat health disparities by increasing the number of 

minority health professionals are cut in half. HRSA has a group of 

programs that try to increase the number of minorities and people 

from disadvantaged backgrounds attending medical, dental and 

other health professions schools, based on the observation that 

these are the students most likely to practice in minority and underserved communities after they graduate. Last year’s bill cut this 

group of programs by 46 percent. This year’s bill eliminates two of 

the four programs entirely, including the Health Careers Opportunity Program, which works with minority high school and college 

students to help them prepare to enter health professions schools. 

The National Health Service Corps is shrinking. This program 

provides scholarships and help with loan repayments for health 

350 

professions students and graduates who agree to practice in underserved areas. The bill does provide an increase for the Corps, but 

just enough to reverse the cut made last year. Funding will be no 

higher than two years earlier, while the cost of medical education 

keeps rising. As a result, the number of doctors, dentists and other 

practitioners serving in the Corps appears likely to decrease by at 

least 15 percent between FY 2005 and FY 2007. 

The bill restores only one quarter of the cuts made last year to 

the Maternal and Child Health (MCH) Block Grant, resulting in a 

24 percent net loss in purchasing power since FY 2002. States use 

the MCH Block Grant for a variety of needs, including providing 

prenatal and child health services for people lacking other sources 

of care, financing dental care for uninsured children, and supporting screening of newborn babies for genetic disorders. A very 

important set of uses involves children with disabilities and other 

special health needs, where block grant funds often support services not covered by families’ insurance. 

Despite the looming shortage of nurses, the bill freezes funding 

for nursing education programs for the second year in a row. Last 

year, the scholarship program for nursing students had funds to 

provide aid to only about 6 percent of those who applied, and nursing student loan repayment programs made awards to only about 

13 percent of applicants. 

Last year’s cuts in public health and hospital preparedness programs are left in place. Funding to improve the preparedness of 

state and local health departments to deal with both bioterrorist 

attacks and naturally occurring health emergencies was cut by $95 

million (10 percent) last year (though some additional funding to 

prepare specifically for a flu pandemic was provided in supplemental appropriations). Similarly, grants to improve the capacity of 

hospitals to deal with mass casualties or epidemics were cut $13 

million (2.6 percent) last year, following a $28 million cut the year 

before. The basic preventive health block grant for states health departments has been cut by $32 million (24 percent) since FY 2004. 

The Committee’s bill leaves all these cuts in place, meaning less 

federal help for the state and local health departments that are on 

the front lines in protecting the public against infectious diseases 

and other threats to health. 

No real increases are provided to fight drug abuse or improve 

mental health. The need to expand substance abuse treatment is 

clear, with growing alarm about methamphetamine and continuing 

problems with other drugs, and the state block grant and other 

programs funded in this bill are the largest source of public funding for treatment. Nevertheless, overall appropriations for substance abuse prevention and treatment would be about $40 million 

less than three years earlier in nominal dollar terms, representing 

an 11 percent loss in per capita purchasing power. Similarly, the 

community mental health block grant will have lost 10 percent of 

its purchasing power since FY 2004. 

The U.S. contribution to the Global Fund to Fight HIV/AIDS, Tuberculosis and Malaria is cut by $100 million (18 percent). The bill 

eliminates the $100 million contribution to the Global Fund made 

through the HHS budget. With the $445 million provided in the FY 

2007 Foreign Operations Appropriations Act as passed by the 

351 

1These figures provide an ‘‘apples-to-apples’’ comparison of education program levels, with adjustments to reflect the reclassification of $600 million in student financial aid administration 

funds. These funds were mandatory in FY 2006 and FY 2005 but are reclassified to discretionary in FY 2007. 

House, the overall U.S. contribution would drop from $545 million 

in FY 2006 to $445 million in FY 2007. 

CRITICAL FAILURES IN THE LHHS BILL FOR AMERICA’S STUDENTS

America’s schools and colleges face the ‘‘perfect storm’’ of record 

student enrollments, greater accountability for student academic 

achievement, and continuing fiscal pressures. In the 2007 school 

year funded by this bill, all public schools will be held accountable 

for NCLB mandates, including: 

• Reading and math testing in each of grades 3 through 8, 

• Science testing at least once in each of three grade spans, 

• Assessing all students for their ability to read and speak 

English, 

• Ensuring ‘‘highly qualified’’ teachers for core academic subjects, and 

• Continued progress toward reaching academic proficiency 

for all students by 2014. 

At a time when America’s economic preeminence is threatened 

and human capital is a key to success in the global economy, college is out of reach for millions of Americans. Our international 

competitors—China, India, South Korea and others—are producing 

the intellectual capital they will need to boost their economic 

growth and catch up to the United States. Meanwhile, America is 

a falling behind. 

Economic opportunity and upward mobility are at stake as well. 

Over a lifetime, workers who complete a bachelor’s degree will earn 

one million dollars more than those with only a high school diploma. Yet, only about 18 of every 100 9th graders will make it 

through high school and earn a college degree on time—due to inadequate preparation and financial barriers. 

Despite the need to address these challenges, this bill continues 

a damaging decline in new education investments—cutting the Department of Education for the second year in a row, $404 million 

below FY 2006 and $1.0 billion below FY 2005.1

ELEMENTARY AND SECONDARY EDUCATION ACCESS AND OPPORTUNITY

The bill cuts No Child Left Behind (NCLB) for the second year in a row, nearly $500 million (2.1 percent) below FY 2006 and $1.5 

billion (6.2 percent) below FY 2005. Schools are getting less than 

they received in 2006, 2005, 2004 and even 2003, as the government asks them to do more. The bill falls $16.4 billion short of our 

NCLB funding promises in FY 2007, creating a cumulative shortfall of $56.8 billion. 

NO CHILD LEFT BEHIND BUDGET SHORTFALLS 

[Program level, Dollars in millions, Totals may not add due to rounding] 

FY 2002 FY 2003 FY 2004 FY 2005 FY 2006 FY 2007 

LHHS Bill 

NCLB Authorization ....................... $26,417 $29,217 $32,017 $34,317 $36,867 $39,442 

352 

NO CHILD LEFT BEHIND BUDGET SHORTFALLS—Continued 

[Program level, Dollars in millions, Totals may not add due to rounding] 

FY 2002 FY 2003 FY 2004 FY 2005 FY 2006 FY 2007 

LHHS Bill 

NCLB Appropriations .................... $22,195 $23,837 $24,463 $24,521 $23,504 $23,010 

Shortfall ............................... ¥$4,222 ¥$5,381 ¥$7,554 ¥$9,797 ¥$13,363 ¥$16,432 

The bill freezes Title I formula grants, denying extra reading and 

math instruction for an additional 3.7 million low-income children. 

Title 1 helps ensure that the nation’s most disadvantaged children 

meet rigorous NCLB academic standards by supporting intensive 

reading and math instruction for low-income children. Although the 

bill provides a welcome $200 million in first-time targeted assistance for some schools, all schools are accountable under NCLB. At 

a $12.7 billion for Title 1 formula grants, the bill falls $12.3 billion 

short of the $25 billion promised under NCLB to serve an additional 3.7 million low-income children. Under this bill, over two 

thirds of all school districts—9,500 districts—will see Title I formula grant cuts next year, following a round of cuts in most districts in FY 2006. In real terms, Title I formula grants will have 

been cut nearly $800 million since FY 2005. 

The bill cuts the federal share of IDEA to 17 percent. Congress 

promised to pay 40 percent of the costs of educating 6.9 million students with disabilities under the Individuals with Disabilities Education Improvement Act (IDEA). Instead, the federal share will 

continue to decrease from 18.6 percent in FY 2005 and 17.8 percent 

in FY 2006 to 17 percent in FY 2007. An additional $1 billion 

would be needed to restore the federal share to its FY 2005 level. 

The bill fails to pay for NCLB teacher quality mandates, by cutting teacher training grants by $300 million. Teacher quality 

grants are NCLB’s primary means of helping schools recruit, hire 

and train teachers to meet NCLB’s requirement that 100 percent 

of teachers of core academic subjects are ‘‘highly qualified.’’ Although no State has met these requirements, the $300 million (10.4 

percent) cut in the bill would result in 73,500 fewer teachers receiving high quality training compared to FY 2006. The Education 

Trust reports that high-poverty and high-minority schools, in particular, are shortchanged when it comes to getting teachers with 

strong background in the subjects they teach. These teacher grants 

will have been cut in real terms by $500 million since FY 2005. 

Education Technology State Grants are eliminated ($272 million 

in 2006 and $496 million in 2005). NCLB authorized $1 billion to 

help teachers make the most effective use of classroom technology. 

These education technology grants help schools, universities and 

technical colleges share classes through regional and statewide distance learning networks, provide online professional development 

for teachers, and assist schools in keeping up with ever-changing 

technologies. Schools in AR, AZ, DE, MD, MI, MN, MO, ND, NH, 

OR, VT, and WI are especially impacted by the bill’s elimination 

of education technology grants because their states do not have 

dedicated funds for technology. 

Safe and Drug Free Schools (SDF) State Grants are cut nearly $40 million (10.5 percent). SDF grants help more than 16,000 

353 

school districts implement anti-drug, violence prevention, and 

school safety measure, including measures to address the methamphetamine crisis. SDF funds are being used to help law enforcement, education and social service agencies implement methamphetamine prevention programs and youth mentoring to reduce 

methamphetamine abuse. In real terms, SDF funds will have been 

cut $150 million or 33 percent since FY 2005. The bill freezes the Language Acquisition Program at $669 million, which helps schools hire and train bilingual teachers, provide 

research-based English language instruction, and raise the academic skills of 5 million students who need to learn to speak and 

read English. In 15 states (AL, AR, CO, GA, IN, KS, KY, MO, NE, 

NV, NJ, NC, OR, SC, and TN) the population of English language 

learners has exploded, more than tripling since 1993. Yet, English 

language learning grants have been cut or frozen for four years in 

a row. In real terms, these grants will have been cut $47 million 

or 6.7 percent since FY 2005. The bill freezes after school centers at $981 million, denying extended learning opportunities for an additional 2 million children. 

The tutoring, arts enrichment and mentoring that after school centers provide are in high demand from working parents who want 

their children engaged in interesting, challenging and safe activities in the hours after school. However, states could fund only onethird of all after school applications in FY 2005, and the number 

of children served has been frozen at about 1.3 million for five 

years. With the additional $1.5 billion authorized by NCLB for 

after school programs, two million of the 6.9 million children who 

are regularly unsupervised in the after school hours could be 

served. 

Impact Aid payments to 1,300 school districts enrolling over 12 million students are frozen. The bill provides $1.2 billion for Impact 

Aid, freezing basic support payments for the first time in a decade. 

Through Impact Aid, school districts enrolling 12.1 million children 

receive grants to replace operating revenue lost due to the presence 

of military and other Federal facilities in their communities. These 

funds pay for teachers, books, computers and other essential educational services. Under the bill, 1,300 school districts would receive only 60 percent of the $1.8 billion needed to fully fund Impact 

Aid basic support payments. 

The bill rejects most of the Administration’s math and science 

competitiveness initiatives. Although the President requested $412 

million to boost the math and science performance of America’s students, nearly 80 percent of these initiatives were rejected with the 

notable exception of funding for Advanced Placement programs, 

which was doubled to $80 million. Instead of the proposed Math 

Now initiatives, the bill expands by 23.5 percent the existing Math 

and Science Partnership Program (not part of the President’s initiative) to $225 million. The bill even rejects a modest $35 million 

increase for the President’s national security foreign language initiative to boost language study in critical languages such as Chinese and Arabic. 

The bill freezes vocational education grants. The bill provides 

$1.3 billion for vocational education grants, the same level as last 

year. This action is an improvement over the Administration’s proVerDate Aug 31 2005 23:37 Jun 26, 2006 Jkt 028324 PO 00000 Frm 00357 Fmt 6604 Sfmt 6602 E:\HR\OC\HR515.XXX HR515
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posal to terminate all federal support for career and technical education grants and shift these resources into a new high school 

intervention program. Nevertheless, under the bill, vocational education grants will have lost $83 million in real purchasing power 

since FY 2005. Nearly half of all high school students and about 

one-third of college students take the vocational courses to be ready 

for the world of work. 

The bill freezes adult education state grants. The bill freezes adult education grants at $564 million, sustaining cuts the program received in FY 2006 and FY 2005. Adult education grants 

support basic education, GED, English as a Second Language, and 

family literacy services for 2.8 million adults, including recent immigrants—only a tiny fraction of the 30 million American adults 

who have below basic literacy skills (meaning that they lack the 

skills to do basic tasks such as filling out a job application). Although the Administration admits that there is a ‘‘significant and 

ongoing need for adult education services’’, these grants have lost 

$40 million in purchasing power since FY 2005. 

The bill cuts other important education programs. These include: 

• Even Start is cut $29 million (29 percent), after being cut $127 

million (56 percent) last year. Over 60 percent of the people receiving Even Start’s family literacy services, including immigrants 

seeking basic reading instruction, are at the lowest levels of poverty. 

• School Counseling, which expands elementary school students’ 

access to counseling services, is cut $12.7 million (36.5 percent). 

• The Mentoring Program, which provides mentoring for disadvantaged youth, is cut $29.8 million (61.1 percent). 

• Civic Education, which teaches students about the Constitution and democracy, is cut $4.1 million (14.1 percent). 

• Smaller Learning Communities, which is one of the few education programs targeted to high school reform and improvement, 

is cut $43.5 million (46.5 percent). • Teaching American History, which helps teachers expand their knowledge and instruction of history, is cut $69.8 million (58.3 percent). • The Fund for the Improvement of Education (FIE) is cut $54 

million (33.8 percent) after Congressionally-earmarked projects are 

subtracted. This remaining funding is sufficient to fund only a few 

programs; for example, the Committee Report mentions Reading is 

Fundamental, Arts Education, Reach Out and Read, and the Mathematics Panel. This means that Star Schools, Ready to Teach, Education Through Cultural and Historical Organizations, Foundations 

for Learning, Parental Assistance Centers, Women’s Educational 

Equity, and Mental Health Integration are likely to be eliminated 

under this bill. 

POSTSECONDARY EDUCATION ACCESS AND OPPORTUNITY

The bill cuts the share of college costs paid by the Pell Grant to 

a new low. Pell Grants are the foundation of the nation’s efforts to 

expand college access. Under this bill, the share of 4-year public 

college costs paid by the maximum Pell Grant will drop to 30 percent in FY 2007—a new low—compared to 42 percent in FY 2001, 

and 72 percent in 1976. Due to rising costs, a $300 increase in the 

355 

maximum Pell award is needed just to maintain last year’s purchasing power compared to the $100 increase provided in the bill. 

An even larger increase of $1,650 is needed to restore Pell’s purchasing power to the level that existed at the start of the Bush Administration. 

The bill freezes other college access programs. College WorkStudy, Supplemental Educational Opportunity Grants, Leveraging 

Educational Assistance Program (LEAP) and Perkins Loan cancellations are frozen at last year’s levels. While the bill rejects the 

Administration’s proposal to recall $664 million from Perkins Loan 

revolving funds, these campus-based programs will still see a loss 

of purchasing power after being cut last year. The bill does not 

eliminate GEAR UP or dramatically cut TRIO as the President requested. Nevertheless, at the bill’s freeze level, GEAR UP and 

TRIO will continue to lose purchasing power when it is particularly 

important that minority and low-income students—whose ranks 

are too thin on college campuses—receive a fair shot at a 4-year 

college degree. For example, lack of funding has caused the number 

of at-risk middle grade students served by GEAR UP to drop 42 

percent, from 1.2 million in FY 2002 to 709,000 in FY 2006. 

The bill cuts $20 million needed to effectively administer student 

loan programs. Now that once mandatory student aid administration funds are on the discretionary side of the budget ledger, the 

bill cuts the Administration’s request to administer guaranteed student loan programs by $20 million below the request and $5.1 million below last year. These cuts will hurt efforts to improve the delivery of student financial assistance to needy students, increase 

the efficiency of the program and enhance student loan monitoring. 

CRITICAL FAILURES IN THE LHHS BILL FOR PUBLIC BROADCASTING

While the Committee took the welcome action of reversing a $20 

million rescission in FY 2007 funds for the Corporation for Public 

Broadcasting (CPB), this bill still delivers multiple blows to the nation’s public broadcasting system. 

The bill contains $99.5 million in cuts to public broadcasting. The 

bill fails to provide the final federal payment for replacement of the 

public television satellite interconnection system—the distribution 

backbone of public television. It also fails to provide new resources 

for the FCC-mandated conversion from analog to digital broadcasting. In addition, the bill eliminates two programs in the Education Department that support priority public broadcasting activities: Ready To Learn, which has produced such acclaimed children’s programs as Sesame Street, Between the Lions and Maya & 

Miguel, and Ready To Teach, which supports Internet-based teacher professional development. 

The bill also ends a 30-year practice of providing appropriations 

for public broadcasting two years in advance. The bill fails to restore a $400 million FY 2009 advance appropriation for CPB, even 

though this advance funding is permitted under the FY 2007 budget resolution. 

(356) 

THE DEMOCRATIC ALTERNATIVE 

During Committee consideration of this legislation, Democrats offered an amendment demonstrating what could be done by reordering budget priorities to do less tax cutting for the wealthiest in 

America in order to invest more in education, college student aid, 

job training, medical research, health care and other national priorities. Regrettably, the Democratic amendment was defeated on a 

party line vote of 26 to 36. 

That amendment would have added $6.3 billion to the bill. The 

cost would have been offset by an 11.7 percent reduction in tax cuts 

for people with incomes above $1 million, meaning that millionaires would have their 2007 tax cuts reduced, on average from 

about $114,000 to $101,000. The amendment was fully consistent 

with the alternative that Democrats offered when the budget resolution was considered by the House—an alternative that produced 

lower deficits than the Majority party’s budget while doing better 

for programs like those in this bill. 

Some of the major improvements proposed by the Democratic 

amendment to this bill, to be financed by a modest scaling back of 

upper-income tax cuts, include the following: 

• Workforce Investment Act prior-year appropriations would be 

restored by reversing the $325 million rescission in the bill in order 

to maintain key training and employment services to the unemployed. In addition, $28 million for 1,800 State and local Employment Service offices that have lost 20 percent in real purchasing 

power in just two years would be restored. 

• The Title V Senior Community Service Employment Program 

would be restored to its FY 2006 level so that nearly 3,000 seniors 

across the country do not lose needed employment, income, and the 

opportunity to serve their communities. • Youth training programs, including Job Corps, would receive an additional $91 million, in order to help more of the four million 

out-of-school and unemployed youth earn a decent living and make 

a contribution to their communities. • Occupational safety and health activities, including mine safe- ty activities, would receive an additional $25 million to help ensure 

safe working conditions. • A damaging $60 million cut to the International Labor Affairs 

Bureau would be restored, allowing continued assistance to developing countries for improvement and enforcement of their labor 

standards, and elimination of abusive child labor. • Both the Low-Income Home Energy Assistance Program and 

the Community Services Block Grant would be restored to the FY 

2006 level, and Head Start and child care grants would receive increases to partially catch up with inflation. 

• The National Institutes of Health would receive a 2.7 percent 

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search grants funded and allow some room to pursue high priority 

medical research opportunities. 

• Most health professions training programs would be restored 

to their levels of two years ago, and $25 million would be added 

to help alleviate the shortage of nurses. 

• The Maternal and Child Health Block Grant would receive a 

16 percent increase to reverse part of its 24 percent loss in purchasing power since FY 2002, and Healthy Start would receive an 

additional $25 million to help improve health outcomes for mothers 

and babies in communities with high infant mortality. 

• Substance abuse prevention and treatment programs would get 

$100 million more than provided in the Committee’s bill, including 

funds to double the Committee’s $25 million initiative to expand 

availability of treatment for methamphetamine users. 

• Title 1 would receive $300 million more than the Committee 

bill to lessen cuts that two-thirds of all school districts will see next 

year, and to provide intensive reading and math instruction to an 

additional 90,000 low-income children. 

• Teacher quality and education technology grants would be restored to their FY 2006 levels, while $50 million more than in the 

bill would be provided for English language learning grants to better serve the 5 million children who must learn English. 

• After school centers would see their first significant increase, 

$50 million, in five years. This increase would benefit an additional 

70,000 children with homework assistance, physical activities, and 

arts education when too many children are left to fend for themselves in the hours after school. 

• Special education would receive an additional $420 million in 

order to maintain the federal share of special education costs at 

last year’s level, and prevent further backtracking on the federal 

commitment to contribute 40 percent toward the costs of educating 

children with disabilities. 

• The maximum Pell Grant would be increased $200 to $4,350 

in FY 2007—the amount needed to maintain the Pell Grant’s purchasing power at last year’s level. In order to compete in the 21st 

century, all students will need some type of postsecondary education. 

• Public broadcasting would receive a $400 million FY 2009 advance appropriation, returning to the practice of funding the Corporation for Public Broadcasting two years in advance, first begun 

in 1975. 

REAL WORLD ACTIONS TO REDUCE ABORTIONS

There is one other perspective from which this amendment 

should be viewed—that of facing what real world investments can 

be made in order to reduce the perverse incentives for abortion. 

We spend a lot of time arguing with one another about whether 

abortion should be legal, and under what circumstances, and 

whether we need a constitutional amendment to ban the practice. 

While we are having that argument, though, we should all be able 

to agree on doing things that help reduce the economic pressures 

and other real life conditions that can sometimes cause a woman 

to decide not to carry a pregnancy to term. 

358 

A number of the programs covered by the amendment are directly relevant to the needs of young women in difficult circumstances who may be deciding whether they really are in a position to raise a child. This group includes the Maternal and Child 

Health Block Grant and the Healthy Start program, which help 

provide health care and other services for pregnant women and 

young children lacking other access to care. Other relevant programs include child care assistance, domestic violence prevention 

programs, and the variety of family supports financed through the 

Community Services Block Grant. All of these programs have been 

seriously eroded over the past several years, and the amendment 

begins to reverse that erosion. 

Since access to contraceptive information and services is an important element of preventing pregnancy, the amendment includes 

a 4.8 percent increase to help the title X family planning program 

recoup some of the ground lost to inflation. It also includes a 4.8 

percent increase for the community based abstinence education 

program, for teenagers and families who wish to follow that approach. Both programs would receive the same percentage increase. 

The amendment contains other modest initiatives such as funding for information and outreach to help expectant mothers and 

new families understand and gain access to resources that are 

available to help them care for their children. It also provides for 

counseling for families who have received the results of prenatal 

testing that indicate possible serious disabilities, in order to help 

understand those results and the implications and alternatives. 

We hear many expressions of concern for life. These concerns 

need to go beyond the rhetorical and attack the real life conditions 

that can lead a woman to make another choice. Lectures from politicians will not help unless we extend a hand to assist women to 

overcome economic pressures and other life challenges that sometimes make a pregnancy and the thought of another child seem 

overwhelming. 

Attached to these Minority Views are tables providing further details regarding the Democratic amendment. Also attached are tables showing the impact of cuts made in the bill to selected State 

grant programs and grants to public broadcasting stations. 

DEMOCRATIC AMENDMENT: STRENGTHENING AMERICA’S FUTURE

Dollars in millions 

Critical Investments by Program: 

Make Progress on Our Promises to America’s School Children ........... $1,171 

Provide an additional 90,000 low-income children the opportunity to succeed in school (Title 1) ............................................. 300 

Help schools meet NCLB’s ‘‘highly qualified’’ teacher mandate .... 300 

Expand after school learning opportunities for an additional 

70,000 children ............................................................................... 50 

Enhance English language instruction to 5 million children ........ 50 

Restore the Federal share of special education costs to its FY 

2006 level (IDEA) .......................................................................... 420 

Alleviate the impact of BRAC and global rebasing on local communities (Impact Aid) ................................................................... 50 

Enhance Competitiveness and College Access ....................................... 1,085 

Restore Pell Grant’s purchasing power to FY 2006 level ($4,350 

maximum grant) ............................................................................ 813 

Invest in education technology and competitiveness ..................... 272 

Help America’s Workers Compete in the Global Economy ................... 541 

359 

Dollars in millions 

Restore rescission of Workforce Investment Act training and employment assistance ....................................................................... 325 

Provide job placement assistance to the unemployed (U.S. Employment Service) .......................................................................... 28 

Provide skills training for out-of-school youth (Job Corps and 

YouthBuild) .................................................................................... 91 

Restore part-time, minimum wage jobs for 3,000 seniors (Title V 

Older Americans Act) .................................................................... 12 

Protect worker rights at home and abroad (International Labor 

Affairs Bureau) .............................................................................. 60 

Protect worker safety and health (MSHA and OSHA) .................. 25 

Support Medical Research (NIH) ............................................................ 750 

Improve Access to Health Care (HRSA) ................................................. 339 

Restore health professions programs, to relieve shortages in 

rural and urban under-served areas and increase numbers of 

minority health professionals ....................................................... 125 

Help alleviate the nursing shortage ................................................ 25 

Increase funds to states for child health (Maternal & Child 

Health Block Grant) ...................................................................... 104 

Combat infant mortality and promote infant health (Healthy 

Start) ............................................................................................... 25 

Add doctors and dentists in underserved areas (Nat’l Health 

Service Corps) ................................................................................ 10 

Improve access to dental care .......................................................... 15 

Maintain access to family planning services (title X) .................... 14 

Provide information, counseling and support regarding prenatally diagnosed disabilities ....................................................... 15 

Collect and analyze data regarding abortions, including reasons 

women choose to have them ......................................................... 6 

Protect Public Health Against Infectious Diseases and Environmental Hazards (CDC) ......................................................................... 50 

Support Mental Health and Substance Abuse Treatment and Prevention (SAMHSA) ............................................................................... 150 

Improve mental health services ....................................................... 50 

Increase substance abuse treatment funds, including methamphetamine initiative ................................................................. 100 

Provide Services to Children, Families and Seniors (ACF and AOA) 684 

Help working families obtain childcare for 27,500 more children 185 

Maintain Head Start enrollment and services ............................... 223 

Preserve the Community Services Block Grant ............................. 181 

Expand domestic violence prevention .............................................. 25 

Provide ‘‘meals on wheels’’ and other services for seniors (AOA) 50 

Increase community-based abstinence education ........................... 5 

Increase awareness of resources for pregnant women and new 

families ........................................................................................... 15 

Maintain Contribution to Global Fight Against AIDS .......................... 100 

Subtotal, Investments in America’s Future (Regular FY 2007 Appropriations) ............................................................................................... 4,870 

Continue Home Energy Assistance at FY 2006 Level (LIHEAP 

Emergency Appropriation) ................................................................... 1,050 

Restore FY 2009 advance appropriation for Corporation for Public 

Broadcasting .......................................................................................... 400 

Total, Investments in America’s Future ................................................. 6,320 

REAL WORLD ACTIONS TO REDUCE ABORTIONS

Among the critical investments made by this amendment are a 

cluster of programs that would make it economically easier for lowincome and vulnerable women to choose to carry pregnancies to 

term, as well as to expand the availability of contraception, education and counseling. 

Dollars in millions 

Maternal and infant health care .................................................................... +104 

Childcare .......................................................................................................... +185 

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Dollars in millions 

CSBG assistance to provide people with the opportunity for education, 

training, and work, and to live in decency and dignity ............................ +181 

Domestic violence prevention ......................................................................... +25 

Healthy Start ................................................................................................... +25 

Family Planning .............................................................................................. +14 

Abstinence Education ...................................................................................... +5 

Grants to increase awareness of resources for pregnant women and new 

families .......................................................................................................... +15 

Information, counseling and support regarding prenatally diagnosed disabilities ......................................................................................................... +15 

Data collection and analysis regarding abortion and reasons women 

choose to have abortions .............................................................................. +6 Total 

575 

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DAVE OBEY. STENY HOYER. NITA M. LOWEY. ROSA L. DELAURO. JESSE JACKSON, Jr. 

PATRICK J. KENNEDY. LUCILLE ROYBAL-ALLARD. 

(382) 

ADDITIONAL VIEWS ON THE MINIMUM WAGE INCREASE 

We are pleased that during Appropriations Committee consideration of this bill, the Committee adopted, on a bipartisan basis, the 

Hoyer-Obey Amendment to raise the minimum wage by $2.10 per 

hour, from $5.15 to $7.25. This amendment provides an hourly 

minimum wage of $5.85 on January 1, 2007; $6.55 on January 1, 

2008, and $7.25 on January 1, 2009. 

Americans are struggling with rising fuel prices, ballooning college tuition costs, and a lack of access to affordable housing. Last 

year, the Kaiser Family Foundation reported that annual premiums for family health care coverage had exceeded the annual income of a minimum wage worker. That is why Democrats have 

made raising the minimum wage a top priority. 

The modest minimum wage increase provided in this bill is long 

overdue. It has been nine years since the last increase in the minimum wage, the second longest period without a wage increase 

since the federal minimum wage law was first enacted in 1938. As 

a result of the failure of the minimum wage to keep pace with rising costs, the national minimum wage of $5.15 an hour is now at 

its lowest level in 50 years when adjusted for inflation. It is worth 

noting that when the minimum wage fell to an exceptionally low 

level in 1989, early the next year, Congress adopted an increase in 

the minimum wage of 27 percent over two years with the support 

of then-President George H. W. Bush. 

People who work full-time in America should not be poor. However, in 2003 there were 3.7 million workers who worked full-time, 

year-round, and still lived in poverty. During the 1960s and 1970s, 

the yearly earnings of a full-time, year-round worker earning the 

minimum wage were roughly equal to the poverty level for a family 

of three. To reach the poverty level for a family of three in 2006 

($16,600), a full-time, year-round worker would need to earn $7.98 

an hour—$2.83 more than the current minimum wage. The minimum wage increase of $2.10 per hour over 26 months 

in this bill would directly benefit about 7 million low-wage workers, 

according to the Economic Policy Institute, and its spillover effects 

would benefit an additional 8 million workers. Moreover, this increase would benefit poor workers who need it most: 59 percent of 

the gains from the proposed $2.10 hourly increase would go to 

working households in the bottom 40 percent of the income scale. 

383 

Most Americans support the minimum wage increase provided by 

the Democratic amendment included in this bill. Congress should 

pass this minimum wage increase at the earliest possible date. 

DAVE OBEY. 

STENY HOYER. 

NITA M. LOWEY. 

ROSA L. DELAURO. 

JESSE JACKSON, Jr. 

PATRICK J. KENNEDY. 

LUCILLE ROYBAL-ALLARD. 

Æ