" ! SENATE 109TH CONGRESS

2d Session 

REPORT

109–287 

Calendar No. 526 

DEPARTMENTS OF LABOR, HEALTH AND 

HUMAN SERVICES, AND EDUCATION, AND 

RELATED AGENCIES APPROPRIATION BILL, 

2007 

R E P O R T 

OF THE

COMMITTEE ON APPROPRIATIONS 

U.S. SENATE 

ON

S. 3708 

JULY 20, 2006.—Ordered to be printed 
Departments of Labor, Health and Human Services, and Education, and Related Agencies 

Appropriation Bill, 2007 (S. 3708) 
28–752 PDF 

Calendar No. 526 

109TH CONGRESS REPORT " ! SENATE 2d Session 109–287 

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

JULY 20, 2006.—Ordered to be printed 

Mr. SPECTER, from the Committee on Appropriations, 

submitted the following 

R E P O R T 

[To accompany S. 3708] 

The Committee on Appropriations reports the bill (S. 3708) making appropriations for Departments of Labor, Health and Human 

Services, and Education and related agencies for the fiscal year 

ending September 30, 2007, and for other purposes, reports favorably thereon and recommends that the bill do pass. 

Amount of budget authority 

Total of bill as reported to the Senate ............. $605,536,272,000 

Amount of 2006 appropriations ........................ 609,531,301,000 

Amount of 2007 budget estimate ...................... 601,083,544,000 

Amount of House allowance 1 ............................ 604,990,972,000 

Bill as recommended to Senate compared to— 

2006 appropriations .................................... ¥3,995,029,000 

2007 budget estimate ................................. ∂4,452,728,000 

House allowance ......................................... ∂545,300,000 

1 H.R. 5647 as reported to the House. 
(2) 

C O N T E N T S 

Page 

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

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

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

Title I: Department of Labor: 

Employment and Training Administration .................................................... 7 

Employee Benefits Security Administration .................................................. 19 

Employment Standards Administration ......................................................... 20 

Occupational Safety and Health Administration ........................................... 24 

Mine Safety and Health Administration ........................................................ 25 

Bureau of Labor Statistics ............................................................................... 26 

Office of Disability Employment Policy .......................................................... 26 

Departmental Management ............................................................................. 28 

General Provisions ........................................................................................... 35 

Title II: Department of Health and Human Services: 

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

Centers for Disease Control and Prevention .................................................. 70 

National Institutes of Health .......................................................................... 101 

Substance Abuse and Mental Health Services Administration .................... 170 

Agency for Healthcare Research and Quality ................................................ 182 

Centers for Medicare and Medicaid Services ................................................. 184 

Administration for Children and Families ..................................................... 191 

Administration on Aging .................................................................................. 209 

Office of the Secretary ...................................................................................... 214 

General Provisions, Department of Health and Human Services ................ 222 

Title III: Department of Education: 

Education for the Disadvantaged .................................................................... 224 

Impact Aid ......................................................................................................... 232 

School Improvement Programs ........................................................................ 233 

Indian Education .............................................................................................. 241 

Innovation and Improvement .......................................................................... 241 

Safe Schools and Citizenship Education ......................................................... 253 

English Language Acquisition ......................................................................... 256 

Special Education ............................................................................................. 257 

Rehabilitation Services and Disability Research ........................................... 260 

Special Institutions for Persons With Disabilities: 

American Printing House for the Blind ................................................... 266 

National Technical Institute for the Deaf ............................................... 267 

Gallaudet University ................................................................................. 267 

Vocational and Adult Education ..................................................................... 268 

Student Financial Assistance .......................................................................... 271 

Student Aid Administration ............................................................................ 273 

Higher Education ............................................................................................. 273 

Howard University ........................................................................................... 285 

College Housing and Academic Facilities Loans ............................................ 286 

Historically Black College and University Capital Financing Program ...... 286 

Institute of Education Science ......................................................................... 286 

Departmental Management: 

Program Administration ........................................................................... 291 

Office for Civil Rights ............................................................................... 291 

General Provisions ........................................................................................... 292 

Title IV: Related Agencies: 

Committee for Purchase from People who are Blind or Severely Disabled ............................................................................................................... 294 

Corporation for National and Community Service ........................................ 294 
Page

3 

Title IV—Continued 

Corporation for Public Broadcasting ............................................................... 298 

Federal Mediation and Conciliation Service .................................................. 299 

Federal Mine Safety and Health Review Commission .................................. 300 

Institute of Museum and Library Services ..................................................... 300 

Medicare Payment Advisory Commission ...................................................... 303 

National Commission on Libraries and Information Science ....................... 303 

National Council on Disability ........................................................................ 303 

National Labor Relations Board ...................................................................... 304 

National Mediation Board ............................................................................... 304 

Occupational Safety and Health Review Commission ................................... 305 

Railroad Retirement Board .............................................................................. 305 

Social Security Administration ........................................................................ 306 

Title V: General Provisions ..................................................................................... 310 

Budgetary Impact of Bill ......................................................................................... 311 

Compliance With Paragraph 7, Rule XVI of the Standing Rules of the Senate .......................................................................................................................... 311 

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

Senate ................................................................................................................... 312 

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

Senate ................................................................................................................... 313 

Comparative Statement of New Budget Authority ............................................... 314 
(4) 

SUMMARY OF BUDGET ESTIMATES AND COMMITTEE 

RECOMMENDATIONS 

For fiscal year 2007, the Committee recommends total budget authority of $605,536,272,000 for the Departments of Labor, Health 

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

amount, $142,800,000,000 is current year discretionary funding, including offsets. 

OVERVIEW AND BILL HIGHLIGHTS 

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

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

Congress is more important than safeguarding and improving the 

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

300 programs, spanning three Federal Departments and numerous 

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

Virtually every element of this bill reflects the traditional ideal of 

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

an equal opportunity to reach one’s highest potential. 

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

HIGHLIGHTS OF THE BILL 

Job Training.—The Committee recommendation includes 

$5,089,620,000 for job training programs, an increase of 

$677,215,000 over the budget request, but $27,846,000 below the 

comparable 2006 level. This includes $1,629,788,000 for the Office 

of Job Corps, and $1,476,064,000 for Dislocated Worker Assistance. 

Worker Protection.—The Committee bill includes $1,620,700,000 

to ensure the health and safety of workers, including $249,789,000 

for the National Labor Relations Board, $491,167,000 for the Occupational Safety and Health Administration and $300,436,000 for 

the Mine Safety and Health Administration. The recommendation 

is an increase of $76,300,000 over the 2006 level. 

Child Labor.—The Committee bill includes $72,516,000 for activities designed to end abusive child labor. This is $60,153,000 

above the budget request, but the same as the 2006 level. 

National Institutes of Health.—A total of $28,550,667,000 is recommended to fund biomedical research at the 27 Institutes and 
5 

Centers that comprise the NIH. This represents an increase of 

$220,820,000 over the fiscal year 2006 level and $200,664,000 over 

the budget request. 

Health Centers.—The recommendation includes $1,926,076,000 

for health centers, $145,000,000 over the fiscal 2006 level. 

Substance Abuse.—The Committee bill provides $3,336,812,000 

for substance abuse prevention and treatment programs. Included 

in this amount is $2,130,757,000 for substance abuse treatment, 

$196,729,000 for substance abuse prevention and $911,805,000 for 

mental health programs. 

Low-income Home Energy Assistance State Grants.—The Committee recommends $2,161,170,000 for heating and cooling assistance for low-income individuals and families, $379,170,000 above 

the budget request and $1,485,000 more than the 2006 comparable 

level. 

Head Start.—The Committee recommendation includes 

$6,788,571,000 for the Head Start Program. This represents an increase of $3,709,000 over the 2006 comparable level. 

Persons With Disabilities.—To promote independent living in home and community-based settings. This includes $27,655,000 for 

the Office of Disability Employment Policy at the Department of 

Labor, $15,720,000 for Disabled Voter Services and $10,000,000 for 

Real Choice Systems Change Grants through the Center for Medicaid and Medicare Services. 

Education for the Disadvantaged.—The Committee has provided $14,447,189,000 in grants to enhance educational opportunities for 

disadvantaged children. 

Educator Professional Development.—The Committee recommends $3,470,374,000 for various professional development programs administered by the Department of Education. 

English Language Acquisition.—The Committee recommends 

$669,007,000 for bilingual education. 

Student Financial Aid.—The Committee recommends 

$14,488,458,000 for student financial assistance. The Pell Grant 

Program continues its current maximum grant award of $4,050. 

Higher Education Initiatives.—The Committee bill provides 

$2,002,692,000 for initiatives to provide greater opportunities for 

higher education, including $828,178,000 for Federal TRIO programs and $303,423,000 for GEAR UP. 

Education for Individuals With Disabilities.—The Committee bill 

provides $11,400,112,000 to help ensure that all children have access to a free and appropriate education, and that all infants and 

toddlers with disabilities have access to early intervention services. 

Rehabilitation Services.—The bill recommends $3,248,312,000 for 

rehabilitation services. These funds are essential for families with 

disabilities seeking employment. The Committee restored funding 

for several important programs proposed for elimination, such as 

Supported Employment State Grants, Projects with Industry, Recreational programs and programs for migrant and seasonal farmworkers. 

Services for Older Americans.—For programs serving older Americans, the Committee recommendation includes $2,941,563,000. 

This recommendation includes $217,592,000 for senior volunteer 

programs, $432,311,000 for community service employment for 
6 

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

$156,167,000 for family caregiver support programs and 

$715,070,000 for senior nutrition programs. For the medical research activities of the National Institute on Aging, the Committee 

recommends $1,039,828,000. The Committee recommendation also 

includes not less than $30,000,000 for the Medicare insurance 

counseling program. 

Corporation for Public Broadcasting.—The Committee bill recommends an advance appropriation for fiscal year 2009 of 

$400,000,000 for the Corporation for Public Broadcasting. In addition, the Committee bill includes $29,700,000 for conversion to digital broadcasting and $36,000,000 for the replacement project of the 

interconnection system in fiscal year 2007 funding. 

REPROGRAMMING AND TRANSFER AUTHORITY

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

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

COMPARISONS TO HOUSE BILL

The comparisons in this report are to the House reported version 

of the bill. The Committee has initiated an original Senate bill, 

since the House of Representatives has not yet taken action on 

H.R. 5647 as reported by the House Appropriations Committee. 
(7) 

TITLE I 

DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION

TRAINING AND EMPLOYMENT SERVICES

Appropriations, 2006 1 ........................................................................... $3,524,708,000 

Budget estimate, 2007 ........................................................................... 2,910,803,000 

House allowance .................................................................................... 3,443,899,000 

Committee recommendation ................................................................. 3,459,832,000 

1 Excludes $125,000,000 in emergency supplemental appropriations pursuant to Public Law 

109–148. 

The Committee recommends $3,459,832,000 for this account in 

2007 which provides funding primarily for activities under the 

Workforce Investment Act [WIA]. This is $64,876,000 less than the 

comparable 2006 level, $15,933,000 more than the House allowance, and $549,029,000 over the administration request. The Committee recommendation does not include the $325,000,000 rescission of prior year funds proposed by the House, for which there was 

no budget request. 

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

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

provided for fiscal year 2007 will support the program from July 

1, 2007 through June 30, 2008. 

Beginning with the fiscal year 2000 appropriation, budget constraints required that a portion of this account’s funding be advance appropriated, yet still available for the forward-funded program year. This practice will continue in this year’s appropriation. 

Pending reauthorization of the Workforce Investment Act the 

Committee is acting on a current law request, deferring without 

prejudice proposed legislative language under the jurisdiction of 

the authorizing committees. 

The Committee recommendation retains language from last 

year’s bill requiring that the Department take no action to amend, 

through regulatory or other administrative action, the definition established in 20 CFR 677.220 for functions and activities under title 

I of the Workforce Investment Act until such time as legislation reauthorizing the Act is enacted. Similar language was included in 

the House bill. The Committee expects that, while the Workforce 

Investment Act is in the process of being altered and renewed, the 

Administration will refrain from unilateral changes to the administration, operation and financing of employment and training programs. Specifically, the Committee expects that no funds be uti-
8 

lized for the proposed career advancement account initiative unless 

specifically authorized by law. 

Adult Employment and Training.—For Adult Employment and Training Activities, the Committee recommends $800,000,000, 

which is $88,000,000 more than the budget request, $54,000,000 

less than the House allowance, and $64,199,000 less than the program year 2006 level. This program is formula-funded to States 

and further distributed to local workforce investment boards. Services for adults will be provided through the One-Stop system and 

most customers receiving training will use their individual training 

accounts to determine which programs and providers fit their 

needs. The act authorizes core services, which will be available to 

all adults with no eligibility requirements, and intensive services, 

for unemployed individuals who are not able to find jobs through 

core services alone. 

Dislocated Worker Assistance.—For Dislocated Worker Assistance, the Committee recommends $1,476,064,000, $4,161,000 more 

than the comparable program year 2006 level, $361,482,000 more 

than the budget request, and the same as the House allowance. Of 

the total, $1,193,264,000 is designated for State formula grants. 

This program is a State-operated effort which provides core services, intensive services, training, and supportive services to help 

permanently separated workers return to productive, unsubsidized 

employment. In addition, States use these funds for rapid response 

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

statewide employment and training activities, which may include 

implementation of innovative incumbent and dislocated worker 

training programs, and programs such as Advanced Manufacturing 

Integrated Systems Technology. The recommendation includes 

$282,800,000 available to the Secretary for activities such as responding to mass layoffs, plant and/or military base closings, and 

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

The Committee bill continues language authorizing the use of 

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

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

dislocations across multiple sectors or local areas of a State. 

The Committee recommendation includes, as it has in past years, 

funding for dislocated worker projects aimed at assisting the longterm unemployed. 

The Committee is encouraged by the administration’s efforts in 

addressing our Nation’s nursing shortage. Native Hawaiians, along 

with other ethnic minority populations throughout rural America, 

feel this critical shortage much more acutely. The Department is 

strongly urged to work collaboratively with nursing programs 

amidst such populations to facilitate opportunities for summer employment of nursing students. 

The Committee is aware of the economic diversification opportunity brought on by the human and natural resources released by 

the recently announced closure of a century old pineapple plantation on Oahu and recommends that collaboration between the Ha-
9 

waii Department of Labor and Industrial relations and the Hawaii 

Farm Bureau Federation to promote and sponsor multiculturally 

farm food safety training. The Committee urges sensitive consideration of this and other employment challenges posed to the people 

of Hawaii as a result of torrential rains and devastating floods. 

Community-Based Job Training Initiative.—The Committee recommendation includes $125,000,000 to carry out the Community 

College/Community-Based Job Training Grant initiative, compared 

to the $150,000,000 request. The Committee recommendation allocates $125,000,000 from National Emergency Grant funds available 

under section 132(a)(2)(A) of the Workforce Investment Act, as does 

the House bill for this initiative. The Secretary is expected to initially use resources from the National Emergency Grants account 

for these awards that are designated for non-emergencies under 

sections 171(d) and 170(b) of the Workforce Investment Act. Community Based Job Training Grant awards will also be subject to 

the limitations of sections 171(c)(4)(A) through 171(c)(4)(C) of the 

Workforce Investment Act to ensure that these grants are awarded 

competitively. Funds used for this initiative should strengthen 

partnerships between workforce investment boards, community colleges, and employers, to train workers for high growth, high demand industries in the new economy. 

The Committee encourages the Employment and Training Administration to consider, in future solicitations for grant applications for the Community Based Job Training Initiative, including 

One Stop Career Centers, and in rural areas and other communities without community colleges, eligibility of alternative education and training providers to apply for these grants. 

Youth Training.—For Youth Training, the Committee recommends $935,500,000, which is $95,000,000 more than the budget 

request and the same as House allowance. The purpose of Youth 

Training is to provide eligible youth with assistance in achieving 

academic and employment success through improving educational 

and skill competencies and providing connections to employers. 

Other activities include providing mentoring opportunities, opportunities for training, supportive services, summer employment opportunities that are directly linked to academic and occupational 

learning, incentives for recognition and achievement, and activities 

related to leadership development, citizenship, and community 

service. 

Youthbuild.—Like the House, 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 Committee concurs with House bill language that all 

funds shall revert to the youth formula grant program if the Youth 

build program is not authorized for transfer to the Labor Department by April 1, 2007. 

Job Corps.—The Committee recommendation continues funding 

the Job Corps program as an independent entity reporting to the 

Office of the Secretary of Labor. The budget request and House allowance recommend returning the program to the Employment and 

Training Administration. This program is described in a separate 

account in this report. 
10 

Responsible Reintegration of Youthful Offenders.—The Committee recommendation includes $60,000,000, to continue funding 

for the current Responsible Reintegration of Youthful Offenders 

program. Neither the budget request nor the House allowance included funding for this program, which was funded at $49,104,000 

in program year 2006. The Responsible Reintegration of Youthful 

Offenders program targets critical funding to help prepare and assist young offenders to return to their communities. The program 

also provides support, opportunities, education and training to 

youth who are court-involved and on probation, in aftercare, on parole, or who would benefit from alternatives to incarceration or diversion from formal judicial proceedings. 

The Committee commends the work of the Second Chance Program of San Diego for its exemplary recidivism reduction program. 

The State of California is particularly in need of reentry services, 

as it houses 40 percent of our Nation’s inmates. Second Chance is 

one of the STRIVE network of program affiliates previously supported by the Department. The Committee expects the Department 

to support Second Chance through funding to expand and replicate 

its recidivism prevention program. 

The Committee is aware of the Ready4Work demonstration created in 2003 to strengthen local support networks, in areas of high 

crime, for young adults as they reenter their communities following 

detention and/or incarceration. The Committee expects the Department to support Public/Private Ventures through funding to ensure 

the effectiveness of these initiatives through the continued design, 

testing and study of ex-offender assistance. 

Prisoner Re-entry.—The recommendation does not include separate funding for the prisoner re-entry initiative, instead expanding 

funding under the Responsible Reintegration of Youthful Offenders 

Program. The House did not include funding for this initiative for 

which the budget requested the current level of $19,642,000. 

Native Americans.—For Native Americans, the Committee recommends $50,000,000, the same as the House allowance, compared 

to the budget request of $51,548,000 and the $53,696,000 enacted 

program year 2006 level. This program is designed to improve the 

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

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

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

Migrant and Seasonal Farmworkers.—For Migrant and Seasonal 

Farmworkers, the Committee recommends $80,657,000, compared 

to the 2006 enacted level of $79,756,000. Authorized by the Workforce Investment Act, this program is designed to serve members 

of economically disadvantaged families whose principal livelihood is 

derived from migratory and other forms of seasonal farmwork, or 

fishing, or logging activities. Enrollees and their families are provided with employment training and related services intended to 

prepare them for stable, year-round employment within and outside of the agriculture industry. The Committee notes that for the 

past 3 fiscal years, this program has exceeded the goals set for it 

by the Department of Labor. 
11 

There are at least 3 million hard-working migrant and seasonal farmworkers in America whose annual incomes are below $10,000. 

At a time when most State budgets are shrinking and many of the 

basic services provided by State and local governments are being 

cut back, the Committee recognizes the importance of sustaining a 

national commitment, dating from 1964, to help alleviate the 

chronic seasonal unemployment and underemployment that traps 

many farmworker families in a cycle of poverty across generations 

and that deprives many farmworker children of educational opportunities and real prospects for better jobs at higher wages. The 

Committee also recognizes that many State and local government 

officials will be reluctant to fund this training and related assistance for this vulnerable portion of our Nation’s workforce who migrate through many States every year, even though the work they 

perform is essential to the economic well-being of our Nation’s 

farmers, growers, and small businesses. The Committee recommendation of $80,657,000 for program year 

2007 activities authorized under section 167 of the Workforce Investment Act is reflected in two separate line items on the table 

accompanying the Committee Report: ‘‘Migrant and Seasonal 

Farmworkers’’ and ‘‘National Activities/Other.’’ Under the Migrant 

and Seasonal Farmworkers line item, the Committee recommends 

$80,053,000. The Committee recommendation includes bill language directing that $5,000,000 of this amount be used for migrant 

and seasonal farmworker housing grants, of which not less than 70 

percent shall be for permanent housing. The principal purpose of 

these funds is to continue the network of local farmworker housing 

organizations working on permanent housing solutions for migrant 

and seasonal farmworkers. The Committee encourages greater emphasis on the southeast region for farmworker housing grants. The 

recommendation also provides that the remaining amount of 

$75,053,000 be used for State service area grants, including funding grantees in those States impacted by formula reductions to at 

least the amount they were alloted in program year 2004. Within 

the National Activities/Other line item, the Committee recommendation includes $604,000 to be used for Section 167 training, 

technical assistance and related activities, including funds for migrant rest center activities. The Committee urges the Department 

to continue valuable technical assistance services provided by the 

Association of Farmworker Opportunity Programs. Finally, the 

Committee wishes to again advise the Department regarding the 

requirements of the Workforce Investment Act in selecting an eligible entity to receive a State service area grant under section 167. 

Such an entity must have already demonstrated a capacity to administer effectively a diversified program of workforce training and 

related assistance for eligible migrant and seasonal farmworkers. 

National Programs.—This activity includes WIA-authorized programs in support of the workforce system including technical assistance and incentive grants, evaluations, pilots, demonstrations 

and research, and the Women in Apprenticeship Program. 

Technical Assistance.—The Committee recommends $1,604,000 

for the provision of technical assistance, a decrease of $376,000 

from the program year 2006 level. Neither the budget request nor 

House allowance recommend funding for this activity. This includes 
12 

$1,000,000 for technical assistance to employers and unions to assist them in training, placing, and retraining women in nontraditional jobs and occupations, as authorized under the Women in Apprenticeship and Non-Traditional Occupations Act of 1992, Public 

Law 102–530; this amount is specified in bill language, to prevent 

its being diverted to other purposes. As described in the Migrant 

and Seasonal Farmworker section of this report, the recommendation also includes $604,000 for WIA Section 167 activities. 

Pilots, Demonstrations, and Research.—The Committee recommends $44,815,000, an increase of $27,115,000 over the budget 

request, and $1,454,000 over the House allowance for grants or 

contracts to conduct research, pilots or demonstrations that improve techniques or demonstrate the effectiveness of programs. In addition, the Committee recommends $6,875,000 to continue 

activities of the Denali Commission, for job training in connection 

with infrastructure building projects it funds in rural Alaska. 

Funding will allow unemployed and underemployed rural Alaskans 

to train for high paying jobs in their villages. 

The Committee is deeply concerned about the ability of the 28 

million Americans who are deaf or hard-of-hearing to be informed 

of critical news and information in the post-9/11/01 environment. 

The Committee is aware that court reporting schools may not be 

able to meet the ‘‘unfunded mandate’’ set by the Telecommunications Act of 1996 to provide closed captioning of 100 percent of 

broadcast programming. These compelling concerns justify continued Federal support to those schools to increase their capability to 

attract and train more real time writers and to work closely with 

the broadcasting industry to significantly increase the amount of 

programming that is closed captioned, that 100 million Americans 

utilize closed captioning in some form and the shortage of providers 

need to be addressed immediately. 

The University of Hawaii Center on the Family remains committed to the development of a socially and culturally sensitive 

knowledge base that expands and assesses public policies that affect the wellbeing of the growing population of multi-ethnic individuals and families residing within the State. 

The Committee recommendation also includes language requiring 

that funds be provided to the following organizations in the 

amounts specified: 

Amount 

413 Hope Mission Ministries, Incorporated, Philadelphia, PA, for continuing adult-vocational and technology training programs .............................................................................................................................. $100,000 

ACTION Housing, Inc., Pittsburgh, PA for Project Opportunity, for a program that connects entry-level 

healthcare employees to advance financial literacy and improve job retention ......................................... 100,000 

Allegheny County Department of Economic Development, Pittsburgh, PA to create a workforce delivery system that will train available manufacturing workers to meet the workforce needs of the community ..... 500,000 

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

American Community Partnerships, Washington, DC, for the Working Together for Jobs-Philadelphia in 

conjunction with the Philadelphia Housing Authority to provide pre-apprenticeship training .................... 250,000 

Big Picture Company, Providence, RI, for the design and implementation of an adult education program .. 200,000 

Bismarck State College, Bismarck, ND, for development of an instrument and control energy education 

training program ........................................................................................................................................... 500,000 

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

Canton Production Workforce Development Training, Jackson, MS ................................................................... 400,000 

Carnegie Library of Pittsburgh, Pittsburgh, PA, to sustain operations of a Job and Career Education Center .................................................................................................................................................................. 100,000 
13 

Amount 

Catholic Charities, Chicago, IL, for vocational training and support programs at the St. Leo Residence for 

Veterans ......................................................................................................................................................... 350,000 

Center for Career and Workforce Education, Indianola, MS, to focus on the training, education, and skills 

improvement needs of businesses and industries within the Delta region ................................................ 400,000 

Central Maine Community College, Precision Manufacturing Advantage, Auburn, ME to prepare unemployed and underemployed workers for precision metalworking trades ....................................................... 165,000 

Chester County Economic Development Council Workforce Development Program, Exton, PA to train workers in bio-med and IT industries .................................................................................................................. 100,000 

City of Las Vegas, Las Vegas, NV for the EVOLVE career training program ................................................... 500,000 

City of New Haven, CT, for the Youth@Work Project ........................................................................................ 200,000 

City of San Jose, CA, for job training for the homeless ................................................................................... 300,000 

Community College of Allegheny County, Pittsburgh, PA to support the region’s economic development by 

employment training ...................................................................................................................................... 500,000 

Congreso de Latinos Unidos’s Youth Works, Philadelphia, PA, program will hire at risk youth to train them 

in life skills, work skills, GED, and financial literacy .................................................................................. 100,000 

Cook Inlet Tribal Council, Anchorage, AK for the Alaska’s People Program to provide job training and employment counseling ...................................................................................................................................... 500,000 

Crowder College, Neosho, MO to develop a workforce development program .................................................. 250,000

East Boston Neighborhood Health Center, East Boston, MA, for a health-care workforce development program .............................................................................................................................................................. 200,000 

Eastern Michigan University, for retraining displaced workers ........................................................................ 500,000 

Eastern Technology Council, Wayne, PA, to provide women and minority displaced workers with access to 

training and employment opportunities in the technology and life sciences sectors ................................. 100,000 

Fay-Penn Economic Development Council located in Uniontown, PA to support the Reaching Educational 

Achievement with Community Help (REACH) program ................................................................................. 100,000 

Foundation for an Independent Tomorrow, FIT, Las Vegas, NV, for job training, vocational education, and 

support ........................................................................................................................................................... 250,000 

Greater Philadelphia Marketing and Tourism Corporation, Philadelphia, PA to train tourism workforce on 

marketplace dynamics ................................................................................................................................... 100,000 

Hamilton County, TN Workforce Training Initiative, to support workforce training and development ............. 200,000 

Idaho Women Work! at the Centers for New Direction at Eastern Idaho Technical College, Idaho Falls, ID, 

to continue and expand the Recruiting for the Information Technology Age initiative in Idaho ................ 150,000 

Impact Services Corporation, Philadelphia, PA, to support its Community Job Placement and Training Program .............................................................................................................................................................. 100,000 

International Longshore and Warehouse Union Local 19, Seattle, WA, for training programs on new port 

security requirements .................................................................................................................................... 200,000 

Iowa Policy Project for a study on temporary and contingent workers ............................................................ 400,000 

ISED Ventures, Des Moines, IA, for job training and supportive services ........................................................ 500,000 

Itawamba Community College, MS to set up a training program to work with industry to train students 

and faculty in highly technical operations ................................................................................................... 300,000 

IUPAT District Council 21 Apprentice Training Fund, Philadelphia, PA to purchase equipment to upgrade 

classes for Journeypersons and to train new Apprentices ........................................................................... 250,000 

Jewish Family and Children’s Service of Minneapolis, Minnetonka, MN to prepare disadvantaged people 

for the biosciences workforce ........................................................................................................................ 100,000 

Lackawanna College, Scranton, PA to provide training to area residents as Computerized Numerical Controls Machinists ............................................................................................................................................. 100,000 

MAGLEV Inc., McKeesport, PA, for a training program in advanced precision fabrication ............................. 300,000 

Maui Community College Remote Rural Hawaii Job Training Project, for the Remote Rural Hawaii Job 

Training project ............................................................................................................................................. 1,900,000 

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

Maui Economic Development Board, HI, for high tech training ....................................................................... 300,000 

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

Mercy Vocational High School, Philadelphia, PA to expand the certified nursing assistant training program 

for inner city youth ........................................................................................................................................ 200,000 

Metropolitan Career Center, Philadelphia, PA, to offer workforce training to low-income and under educated individuals ........................................................................................................................................... 100,000 

Minnesota State Colleges and State Universities, St. Paul, MN, to assist veteran-serving organizations to 

serve veterans in pursuing education, including programs customized for veterans’ needs ..................... 150,000 

Minot State University, Minot, ND, to provide training and master’s degrees to Job Corps Center senior 

management personnel ................................................................................................................................. 500,000 

Mississippi State University, Starkville, MS to establish a data warehouse to integrate data from state 

and local agencies involved in workforce development ............................................................................... 500,000 

Mississippi State University, Starkville, MS, to deploy a system for the assessment and measurement of 

return on investment for workforce development training ........................................................................... 400,000 

Mississippi Valley State University, Itta Bena, MS to assist in the continued development and expansion 

of its Automated Identification Technology (AIT)/Automatic Data Collection (ADC) Program ..................... 400,000 
14 

Amount 

National Council of La Raza in Washington, DC, to provide technical assistance on Hispanic workforce 

issues including capacity building, language barriers, and health care job training ................................ 500,000 

Nevada Women Work!, Reno, NV, to implement the Recruiting for the Information Technology Age initiative in Nevada ............................................................................................................................................... 150,000 

Northeast Pennsylvania Labor Management Council, Wilkes-Barre, PA to assist the older, dislocated worker transition into re-employment .................................................................................................................. 100,000 

Northwest Washington Electrical Industry Joint Apprenticeship and Training Committee, Mount Vernon, 

WA, to expand training programs, including equipment purchase .............................................................. 125,000 

Pacific Mountain Workforce Development Council, Lacey, WA, to provide training for qualified foresters 

and restoration professionals in Lewis County ............................................................................................. 100,000 

Partnership Advancing Training for Careers in Health, Media, PA, to develop curriculum and create an incentive program to recruit health workers at all steps of the career ladder ............................................. 100,000

Pennsylvania Highlands Community College, Johnstown, PA to develop community college capabilities for 

comprehensive workforce training ................................................................................................................. 500,000 

Philadelphia Convention & Visitors Bureau, Philadelphia, PA for educational and training programs for 

the tourism workforce .................................................................................................................................... 100,000 

Philadelphia Shipyard Development Corporation, Philadelphia, PA, to expand the number of apprenticeship 

opportunities at the Aker Philadelphia Shipyard .......................................................................................... 100,000 

Philadelphia Veterans Multi-Service and Education Center, Philadelphia, PA for job training for veterans 

at the multi-purpose center .......................................................................................................................... 400,000 

Pittsburgh Life Sciences Greenhouse, Pittsburgh, PA to provide retraining for displaced workers and continued training for incumbent workers in the biotechnology and life sciences industries ......................... 100,000 

Port Jobs, in partnership with South Seattle Community College, Seattle, WA, to create a career ladder for 

entry-level airport workers ............................................................................................................................. 100,000 

Portland Community College, Portland, OR, for the Center for Business and Industry ................................... 300,000 

Precision Manufacturing Institute, Erie, PA to assist regional manufacturers in a competitive world economy by developing new machining technology initiatives and training programs ..................................... 100,000 

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

Saint Leonard’s Ministries, Chicago, IL, for job training and placement for ex-offenders ............................. 250,000 

Santa Maria El Mirador, Santa Fe, NM to provide an employment training program ..................................... 2,000,000 

Snohomish County Workforce Development Council, Everett, WA, for high tech training programs ............... 750,000 

Southwest Washington Workforce Development Council, Vancouver, WA, for a mentoring program with an 

emphasis on math and science .................................................................................................................... 100,000 

Texas Workforce Commission, Austin, TX, for the Texas Adult Technology Training Project ........................... 200,000 

The Joblinks program for continuation costs .................................................................................................... 500,000 

Tioga County Development Corporation, Wellsboro, PA, for a skills-based training program in a variety of 

production and operations procedures .......................................................................................................... 100,000 

Tri County Workforce Development Council, Yakima, WA, to establish an incumbent worker training program .............................................................................................................................................................. 150,000 

Union Project, Pittsburgh, PA, to provide job and life skills training in an underserved urban community .. 100,000 

University of Mississippi, Oxford, MS Center for Second Language Acquisition for English language training and instruction ........................................................................................................................................ 400,000 

University of Mississippi, Oxford, MS to develop a Southeastern Center for Human Resources Management 

and create a partnership between major corporations and university scholars ......................................... 500,000 

Vermont Department of Labor of Montpelier, VT, to provide employment resources to help women reenter 

society after incarceration ............................................................................................................................. 600,000 

Vermont Technical College of Randolph, VT, to provide job training to displaced workers in Vermont ......... 750,000 

Waukesha-Ozaukee-Washington Workforce Development, Pewaukee, WI for job training programs in metal 

working, including technology and equipment ............................................................................................. 450,000 

WHYY, Inc., Philadelphia, PA, to expand to Delaware a program for bilingual workplace and literacy skills 250,000 

Wisconsin Community Action Program Association, Madison, WI, to expand support services for job training .................................................................................................................................................................. 325,000 

Wisconsin Regional Training Partnership, Milwaukee, WI, to provide pre-employment certificate training 

and apprenticeship education ....................................................................................................................... 400,000 

Wrightco Technologies, Inc, Claysburg, PA, to provide training, retraining and vocational skills upgrade 

programs in homeland security systems and communications ................................................................... 100,000 

York College of Pennsylvania, York, PA to develop an Electrical/Computer Engineering program to provide 

a locally-based trained workforce to meet the needs of local small businesses and manufacturers ....... 100,000 

The bill also includes continuation funding from prior year appropriations for the following activities: the Appalachian Council; 

the Working for America Institute; The National Center on Education and the Economy; and the Delta Housing Development Corporation. 
15 

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

for the continuing evaluation of programs conducted under the 

Workforce Investment Act, as well as of federally-funded employment-related activities under other provisions of law. 

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

Appropriations, 2006 ............................................................................. $432,311,000 

Budget estimate, 2007 ........................................................................... 432,311,000 

House allowance .................................................................................... 420,000,000 

Committee recommendation ................................................................. 432,311,000 

The Committee recommends $432,311,000, the same as the budget request, the House allowance, and the program year 2006 comparable level for community service employment for older Americans. The House recommendation is $420,000,000, a reduction of 

$12,311,000. This program, authorized by title V of the Older 

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

It is forward-funded from July to June, and the 2007 appropriation 

will support the program from July 1, 2007, through June 30, 2008. 

The Committee believes that within the title V community service 

employment program for older Americans, special attention should 

be paid to providing community service jobs for older Americans 

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

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

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

proven effective network in every State and in practically every 

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

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

and fringe benefits. 

The program provides a wide range of vital community services 

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

areas and in minority neighborhoods. Senior enrollees provide necessary and valuable services at Head Start centers, schools, hospitals, libraries, elderly nutrition sites, senior center, and elsewhere in the community. These services would not be available 

without the program. 

A large proportion of senior enrollees use their work experience 

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

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

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

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

aged minorities, limited English-speaking persons, and legal immigrants. 
16 

FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

Appropriations, 2006 ............................................................................. $966,400,000 

Budget estimate, 2007 ........................................................................... 938,600,000 

House allowance .................................................................................... 938,600,000 

Committee recommendation ................................................................. 938,600,000 

The Committee recommends $938,600,000 the same as the budget estimate and House allowance for fiscal year 2007, and a decrease of $27,800,000 below the fiscal year 2006 appropriation for 

Federal Unemployment Benefits and Allowances. Trade adjustment 

benefit payments are expected to decline from $707,000,000 in fiscal year 2006 to $679,000,000 in fiscal year 2007, while trade training in fiscal year 2007 will increase by $200,000 to $259,400,000 

with an estimated 78,000 participants. 

The Committee expects the Department to provide funds to the 

State of Alaska to mitigate negative effects on Alaskan fishermen 

and other Alaskan displaced workers stemming from passage of 

trade legislation in 2002. Funds should be provided on a flexible 

basis to cover costs of job training and placement programs, among 

other uses. 

The Trade Adjustment Assistance Reform Act of 2002 that 

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

2002 (Public Law 107–210). This act consolidated the previous 

Trade Adjustment Assistance [TAA] and NAFTA Transitional Adjustment Assistance [NAFTA–TAA] programs, into a single, enhanced TAA program with expanded eligibility, services, and benefits. Additionally, the Act provides a program of Alternative Trade 

Adjustment Assistance for Older Workers. 

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE

OPERATIONS

Appropriations, 2006 ............................................................................. $3,358,157,000 

Budget estimate, 2007 ........................................................................... 3,435,717,000 

House allowance .................................................................................... 3,411,762,000 

Committee recommendation ................................................................. 3,350,876,000 

The Committee recommends $3,350,876,000 for this account. Included in the total availability is $3,246,346,000 authorized to be 

drawn from the ‘‘Employment Security Administration’’ account of 

the unemployment trust fund, and $104,530,000 to be provided 

from the general fund of the Treasury. 

The funds in this account are used to provide administrative 

grants and assistance to State agencies which administer Federal 

and State unemployment compensation laws and operate the public 

employment service. 

For unemployment insurance [UI] services, the bill provides 

$2,546,675,000. This includes $2,536,775,000 for State Operations, 

and $9,900,000 for UI national activities, which is directed to activities that benefit the State/Federal unemployment insurance 

program. The bill provides for a contingency reserve amount should 

the unemployment workload exceed an average weekly insured 

claims volume of 2,708,000. This contingency amount would fund 

the administrative costs of unemployment insurance workload over 

the level of 2,708,000 insured unemployed per week at a rate of 

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

amount granted for amounts of less than 100,000 insured unem-
17 

ployed; the President’s budget and House allowance provide for a 

contingency threshold level of $2,963,000. 

For the Employment Service allotments to States, 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 the same as the budget request and 

House allowance and below the enacted level of $715,883,000 for 

allotments to States. These funds are available for the program 

year of July 1, 2007 through June 30, 2008. 

The recommendation also includes $32,918,000 for Employment 

Service national activities, a decrease of $510,000 from the fiscal 

year 2006 level, as requested by the administration. The recommendation is $18,677,000 for the work opportunity tax credit 

program, $1,000,000 over the 2006 enacted level. 

The recommendation also includes $63,000,000 for One-Stop Career Centers, compared to the budget request of $63,855,000 and 

House allowance of $40,000,000 and 2006 enacted level of 

$81,662,000. The Committee recommendation includes funding for 

America’s Labor Market Information System, including core employment statistics, universal access for customers, improving efficiency in labor market transactions, and measuring and displaying 

WIA performance information. 

The recommendation includes $19,514,000 for the Work Incentives Grants program, to help persons with disabilities find and retain jobs through the One-Stop Career Center system mandated by 

the Workforce Investment Act. Funding will support grants, including the Disability Program Navigator initiative, intended to ensure 

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

services for persons with disabilities. The budget request and 

House allowance provide no funding for this program. 

ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS

Appropriations, 2006 ............................................................................. $465,000,000 

Budget estimate, 2007 ........................................................................... 452,000,000 

House allowance .................................................................................... 452,000,000 

Committee recommendation ................................................................. 452,000,000 

The Committee recommends $452,000,000, the same as the budget estimate and House allowance for fiscal year 2007, and 

$13,000,000 less than the fiscal year 2006 level. The appropriation 

is available to provide advances to several accounts for purposes 

authorized under various Federal and State unemployment compensation laws and the Black Lung Disability Trust Fund, whenever balances in such accounts prove insufficient. The bill anticipates that fiscal year 2006 advances will be made to the Black 

Lung Disability Trust Fund. 

The separate appropriations provided by the Committee for all 

other accounts eligible to borrow from this account in fiscal year 

2007 are expected to be sufficient. Should the need arise, due to 

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

legitimate reasons, advances will be made to the appropriate accounts to the extent funds are available. Funds advanced to the 
18 

Black Lung Disability Trust Fund are now repayable with interest 

to the general fund of the Treasury. 

PROGRAM ADMINISTRATION

Appropriations, 2006 ............................................................................. $169,423,000 

Budget estimate, 2007 ........................................................................... 211,554,000 

House allowance .................................................................................... 211,554,000 

Committee recommendation ................................................................. 184,976,000 

The Committee recommendation includes $90,182,000 in general funds for this account, as well as authority to expend $94,794,000 

from the ‘‘Employment Security Administration’’ account of the unemployment trust fund, for a total of $184,976,000. This level provides sufficient resources to cover built-in cost increases. It also 

provides a $2,000,000 increase over the request to accelerate the 

processing of backlogged foreign labor certificate cases. The Committee expects a progress report by August 31, 2006, detailing the 

status of efforts to eliminate the backlog of pending foreign labor 

certification applications. The Committee recommendation reflects 

shifting $28,578,000 in Job Corps staffing costs to a separate appropriations account. 

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

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

Act and the Immigration and Nationality Act, as amended. Federal 

staff costs related to the Wagner-Peyser Act in this account are 

split 97 percent to 3 percent between unemployment trust funds 

and general revenue, respectively. 

The Committee believes that the public workforce system is 

strengthened by the effective participation of all of the stakeholders 

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

discretionary funds to support that participation through grants 

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

The Committee is concerned that there are limited opportunities 

for Native Hawaiian administrators in health care organizations 

and encourages effective training programs to prepare Native Hawaiians with the expertise to excel in these areas. 

The Committee instructs that, for the purposes of the temporary 

visa programs, the Department of Labor shall treat loggers as agricultural workers and not as non-agricultural workers. Presently, 

the Department classifies loggers as non-agricultural; however, 

since June 1987, it has imposed upon them the same worker protections and labor standards as H–2A agricultural workers. Employers wishing to hire logger aliens must already provide transportation, housing, and meals, and must make the same benefits 

available to U.S. workers based on Department policy that predates the 1986 immigration reforms. The provision applies strictly 

to loggers, and shall not affect any other H–2B workers. 
19 

EMPLOYEE BENEFITS SECURITY ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2006 ............................................................................. $133,550,000 

Budget estimate, 2007 ........................................................................... 143,573,000 

House allowance .................................................................................... 143,573,000 

Committee recommendation ................................................................. 143,573,000 

The Committee recommendation provides $143,573,000 for this account which is $10,023,000 above the 2006 comparable level. 

This provides sufficient resources to cover built-in cost increases, as 

well as the requested program increase to develop an new E–FAST 

filing and acceptance system to better protect employee pension 

and health benefits. 

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

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

areas. ESBA is also responsible for enforcement of sections 8477 

and 8478 of the Federal Employees’ Retirement Security Act of 

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

Secretary of Labor has promulgated regulations and prohibited 

transactions class exemptions under the fiduciary responsibility 

and fiduciary bonding provisions of the law governing the Thrift 

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

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

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

level of compliance with the fiduciary responsibility provisions of 

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

PENSION BENEFIT GUARANTY CORPORATION

The Corporation’s estimated obligations for fiscal year 2007 in- clude single employer benefit payments of $5,334,000,000, multiemployer financial assistance of $93,000,000 and administrative expenses of $397,644,000. Administrative expenses are comprised of 

three activities: (1) Pension insurance activities, $78,614,000; (2) 

operational support, $125,580,000; and (3) pension plan termination expenses, $193,450,000. Such expenditures will be financed 

by permanent authority. 

The Pension Benefit Guaranty Corporation is a wholly owned 

Government corporation established by the Employee Retirement 

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

board of directors. The corporation receives its income primarily 

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

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

to borrow up to $100,000,000 from the Treasury. The primary purpose of the corporation is to guarantee the payment of pension plan 

benefits to participants if covered defined benefit plans fail or go 

out of existence. 

The 2006 budget does not recommend a discretionary limit on administrative expenditures [LAE] for PBGC. The PBGC’s budget reflects—in a way that is more accountable to the Committee—the 
20 

level of administrative expenditures that the Committee believes is 

appropriate to PBGC’s changing responsibilities to protect the pensions it insures. PBGC’s dollar benefit levels and workload change 

from year to year as specific pension plans fail. Most of its workload involves terminating failed pension plans, so that pension benefits can be paid. The workload of plan termination especially fluctuates from year to year as large plans (or a spate of small ones) 

terminate, and then as the terminations are completed. The language provides the PBGC the flexibility to respond when dictated 

by increased workload and increased benefit payments, while increasing accountability to the Committee by requiring approval by 

the Office of Management and Budget and the Committees on Appropriations. 

The single-employer program protects about 34.6 million participants in about 29,600 defined benefit pension plans. The multi-employer insurance program protects about 9.8 million participants in 

more than 1,600 plans. 

EMPLOYMENT STANDARDS ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2006 ............................................................................. $411,064,000 

Budget estimate, 2007 ........................................................................... 437,417,000 

House allowance .................................................................................... 418,495,000 

Committee recommendation ................................................................. 435,371,000 

The Committee recommendation includes $435,371,000 for this 

account. The bill contains authority to expend $2,076,000 from the 

special fund established by the Longshore and Harbor Workers’ 

Compensation Act; the remainder of $433,295,000 are general 

funds. In addition, an amount of $33,578,000 is available by transfer from the black lung disability trust fund. 

This recommendation provides sufficient funding to offset the impact of inflation, and includes resources for the requested Enforcement of Wage and Hour Standards program increase. The 

$17,526,000 request for Program Direction has been reduced to 

$17,000,000; an addition of $2,000,000 is described in the following 

paragraph. 

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

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

for bodily injury caused by asbestos exposure. This may include 

contracts with individuals or entities having relevant experience to 

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

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

health claims, and planning for promulgation of regulations. 

Executive Order 11246 requires that employers doing business 

with the Federal Government comply with Federal laws and regulations requiring nondiscrimination and affirmative action. To facilitate enforcement of this mandate, the Department of Labor 

adopted a regulation in 2000 to require the Office of Federal Contract Compliance Programs [OFCCP] to distribute an Equal Opportunity Survey to all Federal contractors to obtain compliance data 

on employment and compensation practices. The regulation speci-
21 

fied that the data should be used, in part, to inform OFCCP’s selection of contractors for compliance reviews. The Committee is aware 

that in the 6 years since the regulation’s adoption, OFCCP has only 

distributed the survey one time and to a small percentage of contractors. In addition, the Committee understands that the collected 

data was not analyzed nor was it used for compliance reviews, as 

required by the regulations of 2000. Therefore, the Committee has 

included $1,000,000 for the distribution, analysis and compliance 

utilization of the Equal Opportunity Survey. 

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

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

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

lung). 

SPECIAL BENEFITS

Appropriations, 2006 ............................................................................. $237,000,000 

Budget estimate, 2007 ........................................................................... 230,000,000 

House allowance .................................................................................... 230,000,000 

Committee recommendation ................................................................. 230,000,000 

The Committee recommends $230,000,000, the same as the 

House allowance and budget estimate for fiscal year 2007, and 

$7,000,000 less than fiscal year 2006. This appropriation primarily 

provides benefits under the Federal Employees’ Compensation Act 

[FECA]. The payments are prescribed by law. In fiscal year 2007, 

an estimated 152,000 injured Federal workers or their survivors 

will file claims; 52,000 will receive long-term wage replacement 

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

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

account numbers by individuals filing claims under the Federal 

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

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

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

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

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

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

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

without interruption. 

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

Postal Service, the Tennessee Valley Authority, and other entities 

are required to pay to cover their fair share of the costs of admin-
22 

istering the claims filed by their employees under FECA. The Committee concurs with requested bill language to allow use of fair 

share collections to fund capital investment projects and specific 

initiatives to strengthen compensation fund control and oversight. 

SPECIAL BENEFITS FOR DISABLED COAL MINERS

Appropriations, 2006 ............................................................................. $232,250,000 

Budget estimate, 2007 ........................................................................... 229,373,000 

House allowance .................................................................................... 229,373,000 

Committee recommendation ................................................................. 229,373,000 

The Black Lung Consolidation of Administrative Responsibility 

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

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

Labor, thus consolidating all black lung benefit responsibility 

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

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

fiscal year 2007, an estimated 36,500 beneficiaries (4,000 miners 

and 32,500 survivors) will receive benefits. 

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

fiscal year 2007 for special benefits for disabled coal miners. This 

is in addition to the $74,000,000 appropriated last year as an advance for the first quarter of fiscal year 2007. The recommendation 

is the same as the administration request and House allowance. 

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. 

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

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

reflects a declining beneficiary population. 

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

the administration request. These funds will ensure uninterrupted 

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

ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION

PROGRAM

Appropriations, 2006 ............................................................................. $96,081,000 

Budget estimate, 2007 ........................................................................... 102,307,000 

House allowance .................................................................................... 102,307,000 

Committee recommendation ................................................................. 102,307,000 

The Committee recommends $102,307,000, the same as the budget estimate for fiscal year 2007, and $6,226,000 more than 2006. 

The mission of the Energy Employees Occupational Illness Compensation Program is to deliver benefits to eligible employees and 

former employees of the Department of Energy, its contractors and 

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

Program Act. The mission also includes delivering benefits to certain beneficiaries of the Radiation Exposure Compensation Act. 

The Department of Labor’s Office of Workers’ Compensation Programs within the Employment Standards Administration is responsible for adjudicating and administering claims filed by employees 
23 

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

In 2007, the volume of incoming claims under Part B of the Energy Employees Occupational Illness Compensation Program is estimated to remain stable at about 7,500 claims from Department 

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

under contract with DOE, who suffer from a radiation-related cancer, beryllium-related disease, or chronic silicosis as a result of 

their work in producing or testing nuclear weapons. 

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

cohorts of atomic weapons workers with cancer under the Energy 

Employees Occupational Illness Compensation Program until such 

time as Congress approves proposed changes. The Advisory Board 

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

much independence and objectivity as possible. To ensure that the 

Advisory Board can retain its autonomy, the Committee has retained language from the fiscal year 2006 enacted appropriations 

legislation which transfers $4,500,000 in administrative funds 

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

audit contractor. 

BLACK LUNG DISABILITY TRUST FUND

Appropriations, 2006 ............................................................................. $1,068,000,000 

Budget estimate, 2007 ........................................................................... 1,071,000,000 

House allowance .................................................................................... 1,071,000,000 

Committee recommendation ................................................................. 1,071,000,000 

The Committee recommends $1,071,000,000 for this account in 

2007, an increase of $3,000,000 above the fiscal year 2006 level, 

and the same as the budget request and House allowance. The appropriation language changed beginning in fiscal year 2003 for the 

Black Lung Disability Trust Fund to provide such sums as may be 

necessary to pay for benefits. This change eliminated the need for 

drawdowns from the subsequent year appropriation in order to 

meet current year compensation, interest, and other benefit payments. 

The total amount available for fiscal year 2007 will provide 

$294,465,000 for benefits payments, and $59,535,000 for administrative expenses for the Department of Labor. Also, included is 

$717,000,000 for interest payments on advances. 

The trust fund pays all black lung compensation/medical and 

survivor benefit expenses when no responsible mine operation can 

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

are incurred in administering the benefits program and operating 

the trust fund. 

It is estimated that people will be receiving black lung benefits 

financed through the end of the fiscal year 2007, compared to an 

estimated receiving benefits in fiscal year 2006. 

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

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

from reimbursement from the Advances to the Unemployment 
24 

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

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

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

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2006 ............................................................................. $472,427,000 

Budget estimate, 2007 ........................................................................... 483,667,000 

House allowance .................................................................................... 486,051,000 

Committee recommendation ................................................................. 491,167,000 

The Committee recommendation includes $491,167,000 for this 

account. This is an increase of $5,116,000 over the House allowance 

and $7,500,000 over the budget request. This agency is responsible 

for enforcing the Occupational Safety and Health Act of 1970 in the 

Nation’s workplaces. 

This recommendation provides sufficient funding to offset the impact of inflation, as well as additional resources to fund the development and implementation of the OSHA Information System. 

In addition, the Committee has included language to allow 

OSHA to retain up to $750,000 per fiscal year of training institute 

course tuition fees to be utilized for occupational safety and health 

training and education grants in the private sector. 

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

camp. The Committee also retains language exempting small firms 

in industry classifications having a lost workday injury rate less 

than the national average from general schedule safety inspections. 

These provisions have been in the bill for many years. 

The Committee believes that OSHA’s worker safety and health 

training and education programs, including the grant program that 

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

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

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

provided that grantees demonstrate satisfactory performance. 

The Committee is dissatisfied with the lack of progress on 

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

7 years ago. This is particularly important for Hispanic workers 

and immigrant workers who experience a disproportionate and 

growing number of injuries and fatalities. The Committee expects 

the Secretary to report to the Committee within 30 days of 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. 
25 

The Committee has provided $53,357,000, the current level, for 

the State consultation grant program and expects that this program will continue to be targeted to provide compliance assistance 

to small businesses. 

The Committee continues to be pleased with OSHA’s efforts in 

placing high priority on the voluntary protection programs [VPP] 

and other voluntary cooperative programs. The Committee expects 

OSHA to continue to place high priority on the VPP. Cooperative 

voluntary programs, especially the VPP, are an important part of 

OSHA’s ability to assure worker safety and health and should be 

administered in conjunction with an effective strong enforcement 

program. 

The Committee also intends that the Office of Regulatory Analysis continue to be funded as close as possible to its present level. 

MINE SAFETY AND HEALTH ADMINISTRATION

SALARIES AND EXPENSES

Appropriations, 2006 1 ........................................................................... $277,686,000 

Budget estimate, 2007 ........................................................................... 287,836,000 

House allowance .................................................................................... 278,869,000 

Committee recommendation ................................................................. 302,436,000 

1 Excludes $25,600,000 in emergency supplemental appropriations pursuant to Public Law 

109–234. 

The Committee recommendation includes $302,436,000 for this 

account, an increase of $14,600,000 over the budget request level, 

and $23,567,000 more than the House allowance. 

This recommendation provides sufficient funding to offset the impact of inflation, as well as additional resources for coal mine enforcement. It deletes one-time funding of projects contained in the 

2006 enacted level, but includes funding for new projects. 

The Committee continues to be concerned by the over 40 percent 

increase in fatalities experienced in coal mines in the first 6 

months of 2006. In the past 5 years, from fiscal year 2001 to fiscal 

year 2006, the coal enforcement division of MSHA reduced staff by 

217 FTE. It was for that reason that the Committee included an 

additional $25,600,000 in Public Law 109–234 to recruit, hire, train 

and equip coal mine inspectors and restore the office to its fiscal 

year 2001 staffing level. 

Within the funds provided for mine safety, the Committee recommends $133,395,000 for coal enforcement activities. This level is 

$13,000,000 above the budget request, $16,243,000 above the fiscal 

year 2006 regular appropriation before supplemental funds, and it 

is $9,357,000 below the total fiscal year 2006 appropriations level 

including supplemental funds. Supplemental funds remain available in 2007 and should continue to be used to support additional 

coal mine inspectors. The Committee expects that hiring and training should be done expeditiously in fiscal year 2006 and completed 

early in fiscal year 2007 and that the 2008 budget put forth by 

MSHA should include sufficient funds to maintain the 2001 level 

of staffing. 

The Committee expects that progress reports on hiring will continue to be submitted to the Committee on Appropriations on a 

quarterly basis with additional information on the progress of the 
26 

additional inspectors through the Academy and their distribution 

among the district offices. 

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

same as the fiscal year 2006 comparable level. It also retains the 

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

survival operations in the event of a major disaster. 

The Committee concurs with House report language directing 

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. 

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

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

and improving training in conjunction with States and the mining 

industry. 

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

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

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

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

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

for such activities. 

The Committee recommendation also contains $1,600,000 specified in bill language for two projects not included in the budget request or House allowance. 

BUREAU OF LABOR STATISTICS

SALARIES AND EXPENSES

Appropriations, 2006 ............................................................................. $537,099,000 

Budget estimate, 2007 ........................................................................... 563,288,000 

House allowance .................................................................................... 565,288,000 

Committee recommendation ................................................................. 563,288,000 

The Committee recommends the budget request of $563,288,000 

for this account, $26,189,000 more than the 2006 comparable level. 

This includes $79,026,000 from the ‘‘Employment Security Administration’’ account of the unemployment trust fund, and 

$484,262,000 in Federal funds. This funding level will cover the 

agency’s built-in increases, and includes $5,000,000 which may be 

used to continue the Mass Layoff Statistics Program. Language 

contained in the fiscal year 2006 bill is retained, pertaining to the 

Current Employment Survey. 

The Bureau of Labor Statistics is the principal fact finding agency in the Federal Government in the broad field of labor economics. 

OFFICE OF DISABILITY EMPLOYMENT POLICY

Appropriations, 2006 ............................................................................. $27,655,000 

Budget estimate, 2007 ........................................................................... 20,319,000 

House allowance .................................................................................... 20,319,000 

Committee recommendation ................................................................. 27,655,000 
27 

The Committee recommends $27,655,000 for this account in 

2007. This is $7,336,000 more than the President’s request and the 

same as 2006. The Committee intends that at least 80 percent of 

these funds shall be used for demonstration and technical assistance grants to develop innovative and effective practices to increase 

the employment of youth and adults with disabilities. 

Congress created the Office of Disability Employment Policy 

[ODEP] in the Department of Labor’s fiscal year 2001 appropriation. Programs and staff of the former President’s Committee on 

Employment of People with Disabilities [PCEPD] have been integrated into this office. 

The Committee recommends that the Office of Disability Employment Policy continue and expand the existing, structured, internship program for undergraduate college students with disabilities, 

at no less than current appropriation levels. The Committee continues to believe that this innovative, structured internship program will provide important opportunities for undergraduate and 

graduate students with disabilities to pursue academic and career 

development opportunities within the Department of Labor and 

other Federal agencies. The Committee has included $5,000,000 to continue the self-employment initiative, of which $3,000,000 is to be used to continue 

the national technical assistance grant. The Committee recognizes 

that self-employment is not an option for all persons with disabilities but believes that it can be a beneficial way to promote independence and develop assets within the disability community. The 

special needs of this population require more support and technical 

assistance in business development, as well as benefits counseling. 

Therefore, the Committee intends that the national technical assistance grant be used to provide expertise and help to local service 

providers including vocational rehabilitation agencies, one-stop 

training centers, and other organizations trying to promote self-employment. 

The Committee is concerned by the elimination of the Youth 

State Alignment Grants. This program helps youth with disabilities 

transition from school to work by aligning the efforts of school districts, workforce investment programs, juvenile justice programs 

and other not-for-profit service providers. The Committee encourages ODEP to continue this important effort. 

The Committee is concerned by the lack of attention to the problem of underemployment of people with disabilities. The Committee 

is aware that over 50 million Americans have some kind of disability, representing 17 percent of our population. Many of these 

individuals, particularly those with intellectual disabilities, would 

benefit from the social interaction and the physical demands of fulltime employment, but their disability is such that they could not 

be employed in an occupation that is compensated highly enough 

to cover the medical expenses and supportive services they need to 

survive. While some disabilities resulting from injuries can change 

with time, many developmental disabilities are permanent in nature. The Committee believes that the U.S. Government would benefit from the additional tax dollars generated by the additional employment, as well as the prevention of chronic illnesses in this population that can come from the physical and emotional benefits of 
28 

work. Therefore, the Committee directs the Office of Disability Employment Policy to undertake a study on underemployment for individuals with disabilities. The study should include: the number 

of individuals on Federal disability benefit programs who are currently underemployed; an analysis of the types of disabilities these 

individuals represent; an examination of the categories of disability 

which would leave the individual with the capacity to work full 

time but without the earning potential to sustain him or herself; 

the estimated economic impact of full-time work for these Americans assuming they were allowed to keep all or a portion of their 

benefits, including an estimation of the economic impact to the 

Government and the benefit funds themselves; and finally an analysis of the health impact of full-time work on those populations including the cost savings to health benefit programs. 

DEPARTMENTAL MANAGEMENT

SALARIES AND EXPENSES

Appropriations, 2006 ............................................................................. $297,580,000 

Budget estimate, 2007 ........................................................................... 242,091,000 

House allowance .................................................................................... 236,784,000 

Committee recommendation ................................................................. 293,405,000 

The Committee recommendation includes $293,405,000 for this 

account, which is $51,314,000 more than the budget request and 

$4,175,000 less than the 2006 comparable level. In addition, an 

amount of $25,255,000 is available by transfer from the black lung 

disability trust fund, which is the same as the budget request and 

the House allowance. 

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

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

and overseeing the implementation of departmental policy and 

management activities in support of that goal. In addition, this appropriation includes a variety of operating programs and activities 

that are not involved in departmental management functions, but 

for which other salaries and expenses appropriations are not suitable. 

The Committee recommendation includes $25,534,000 for Executive Direction, the same as the fiscal year 2006 comparable level. 

Within this amount the fiscal year 2006 comparable level of 

$4,651,000 is for the Office of Congressional and Intergovernmental 

Affairs. 

The Committee concurs with the budget request of $6,735,000 for 

Civil Rights activities, an increase of $349,000 over the House allowance. 

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

Women’s Bureau, an increase of $334,000 over the 2006 level. The 

Committee is pleased with the effectiveness of Women Work! in advancing women in the workplace. The organization’s work is strategically aligned with the goals of the Women’s Bureau, and has continued each year to exceed its performance measures. The Committee strongly supports continued funding for this important program and believes that Women Work!’s outstanding performance 

merits increased support from the Women’s Bureau. 
29 

The Committee is disappointed that the Department of Labor 

has once again put forward a budget for the coming year that drastically reduces funding for International Labor Affairs Bureau 

[ILAB], in particular, those initiatives working with the International Labor Organization [ILO] to combat abusive and exploitative child labor. 

The Committee is pleased by findings contained in the ILO report entitled ‘‘The End of Child Labor: Within Reach,’’ which was 

released in May 2006. The report stated that child labor is in decline worldwide, in large part because of the programs advanced by 

this Committee. Between 2000 and 2004, the number of child laborers worldwide fell by 11 percent, from 246 million to 218 million. Moreover, the number of children and youth aged 5–17 

trapped in hazardous work decreased by 26 percent, and for the 

age group of 5–14 years, the decline in hazardous work was even 

steeper, at 33 percent. It is a testament to the importance of the 

programs administered by the International Labor Affairs Bureau, 

which this Committee has consistently supported. Clearly, these 

programs are having a positive impact and the Committee feels 

strongly that reducing United States efforts to eradicate child labor 

or substantially changing the structure and leadership of those efforts would, at best, endanger the progress being made. At worse, 

withdrawing from these efforts could damage the credibility and 

reputation of the United States in the countries whose governments are real partners to the United States in this effort. 

The Committee is aware that the administration is aggressively 

pursing multiple trade agreements that promise technical assistance on labor standards, including but not limited to the eradication of child labor. ILAB is the division of the U.S. Government 

with the mission and authority to provide that assistance. Given 

the aggressive trade agenda and the recent commitment to capacity 

building in developing nations as a form of aid, the Committee is 

mystified by the Department’s now annual effort to eliminate these 

programs, this year proposing an astounding 86 percent reduction. 

Therefore, the Committee recommendation includes $72,516,000 

for the Bureau of International Labor Affairs. Of this amount, the 

Committee’s recommendation includes $37,620,000 for the U.S. 

contribution to sustain the successful efforts of the ILO’s International Program for the Elimination of Child Labor [IPEC]. Also 

included is $22,770,000 to help ensure access to basic education for 

the growing number of children removed from the worst forms of 

child labor in impoverished nations where abusive and exploitative 

child labor is most acute. The Committee expects the Department 

of Labor to work with the governments of host countries to eliminate school fees that create a barrier to education. 

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

each foreign country that has trade and investment agreements 

with the United States enforces internationally-recognized worker 

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

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

to include in the 2007 report, all former GSP recipients that have 
30 

achieved a Free Trade Agreement with the United States over the 

preceding year. 

For the administration of ILAB programs, including FTE for Federal Administration, the Committee recommends $12,126,000. The 

Committee is dismayed that costs from salaries and expenses have 

been supplemented from out of the grant programs themselves. The 

Committee notes with displeasure that at times the amount deducted from grant programs has exceeded 14 percent. The Committee directs that in fiscal year 2007, no more than 7 percent may 

be deducted from grant programs for the administration of the 

grants. The Committee expects the 2008 budget submission to 

eliminate the need for any transfer by including sufficient funds to 

maintain the staff of ILAB. The Committee has included sufficient 

funds in the program administration line to fully maintain the 49 

FTE currently assigned to the Office of the Deputy Under Secretary, the Office of Trade Agreement Implementation, the Office 

of International Economic Affairs and the International Child 

Labor Program. 

The Committee concurs with the budget request and House allowance of $85,188,000 for the Office of the Solicitor, an increase 

of $4,737,000 over the enacted fiscal year 2006 appropriation level. 

The Committee notes that the Office of the Solicitor has augmented 

its fiscal year 2006 appropriation by $4,055,000, requiring Department of Labor agencies to pay for certain functions that previously 

had been performed without cost to client agencies. The Committee 

expects that this practice not be continued in fiscal year 2007 and 

future years. If additional resources are needed for the Solicitor’s 

Office, the regular transfer authority or reprogramming procedures 

should be used, or the administration should submit a budget 

amendment or supplemental appropriations request. For future 

years, the President’s Budget submission to Congress should adequately address the request for all functions of the Office of the Solicitor. 

The Committee is concerned by communication difficulties with 

the Department of Labor. The Committee is responsible for providing adequate resources to fulfill the mission of the agency and 

overseeing the expenditure of those resources. When emergencies 

arise, such as coal mine disasters or the hurricanes the Committee 

must act quickly to ensure that resources are available and appropriately distributed. Conversely, many initiatives funded by the 

Committee span multiple years, multiple appropriations bills. The 

Committee must have a senior official available to respond in a 

timely manner, and possesses the needed institutional knowledge 

to address immediate or long term initiatives. The Office of Congressional and Inter-Governmental Affairs consistently experiences 

high turnover and has little experience in or knowledge of the detailed budget process and execution procedures that are most often 

the information needed by the Committee. Within 15 days of the 

adoption of this Senate Committee report, the Committee directs 

the Secretary to designate an individual from the Budget office to 

be responsible for responding to Committee staff. The individual 

should be experienced in budget formulation and execution. 
31 

OFFICE OF JOB CORPS

Appropriations, 2006 1 ........................................................................... $1,592,758,000 

Budget estimate, 2007 ........................................................................... 1,501,602,000 

House allowance .................................................................................... 1,523,000,000 

Committee recommendation ................................................................. 1,629,788,000 

1 Excludes $16,000,000 in emergency supplemental appropriations pursuant to Public Law 

109–234. 

For Job Corps, the Committee recommends $1,629,788,000, $37,030,000 more than the 2006 comparable level. This includes 

$28,578,000 for Federal administrative expenses, for 188 full-time 

equivalent positions; the budget request and House allowance include these administrative costs in the ETA Program Administration account. The Senate recommendation for direct program cost 

is $1,601,210,000, compared to the $1,501,602,000 budget request 

and $1,523,000,000 House Allowance. The Committee concurs with 

the House in not agreeing to the proposed $75,000,000 rescission 

of funds previously appropriated for construction and renovation 

activities. 

The Committee recommendation continues the Office of Job 

Corps as an independent entity reporting to the Office of the Secretary of Labor, retaining program functions previously administered by the Job Corps prior to its transfer from the Employment 

and Training Administration, and ensuring the support necessary 

for oversight and management responsibilities. Although the Office 

of the Assistant Secretary for Administration and Management will 

oversee the procurement process, this arrangement shall not alter 

the existing authorities, duties or activities of Job Corps as it existed prior to the transfer. The Office of Job Corps and the Assistant Secretary for Administration and Management are directed to 

maintain controls to assure the procurement activities are completely separate from program operations. The budget request and 

House allowance recommend returning the Job Corps program to 

the Employment and Training Administration. 

The Committee applauds Job Corps for establishing partnerships 

with national employers, and encourages Job Corps to continue to 

work with both large employers and small businesses to ensure 

that student training meets current labor market needs. Job Corps 

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 voluntary and is open to economically disadvantaged young people in the 16–24 age range who are unemployed and out of school. Most Job Corps students come from disruptive or debilitating environments, and it is important that they 

be relocated to residential facilities where they can benefit from the 

highly structured and carefully integrated services provided by the 

Job Corps program. A limited number of opportunities are also 

available for non-residential participation. 

As a national training program, Job Corps is particularly wellsuited to help meet the needs of large, multi-state employers for 

skilled entry-level workers. The Committee commends Job Corps 
32 

for establishing partnerships with national employers, and encourages Job Corps to continue to work with larger employers and 

small businesses to ensure that student training meets current 

labor market needs. The Committee urges Job Corps to also 

strengthen and expand the program in order to help meet our nation’s needs for trained, entry level workers in three critical areas: 

health care, homeland security and national defense. In addition, 

Job Corps should intensify its efforts to upgrade its vocational offerings and curricula to reflect industry standards and required 

certifications recognized by employers. 

The Committee commends the Job Corps program for establishing cost-effective national and local partnerships with the U.S. 

Army, Navy, and Coast Guard to recruit high quality military personnel. Job Corps students’ average scores on military entrance 

exams exceed the national average in their education verification 

tier. On average, the Army recruits more than 2,000 Job Corps 

graduates each year. The Committee also recognizes that many Job 

Corps centers have developed optional military-oriented curriculum 

for students, and that training is providing skills that are in high 

demand by all military branches, including computer technology, 

nursing and welding. The Committee encourages the Job Corps to 

explore further options in developing systematic approaches to 

partner with the military, including developing a military-endorsed 

curriculum for students. The Committee expects the Job Corps to 

provide the Committee with a report by February 15, 2007 on the 

potential options, including establishing a partnership with the 

U.S. Department of Defense, for establishing military-oriented curriculum for students. 

The Job Corps has also been widely successful in certifying hundreds of students in various homeland security fields and skills including first responder training and security training. Private security companies have built strong partnerships with Job Corps centers across the Nation to utilize these skilled and disciplined students to meet the demand for increased homeland security capacity 

in our local communities. The Committee expects the Job Corps to 

explore options to expand programs to provide high quality recruits 

to agencies of the U.S. Department of Homeland Security related 

to border security such as the Transportation Security Administration [TSA] and U.S. Customs and Border Protection. The Committee expects the Job Corps by February 15, 2007 to provide the 

Committee with a report on the potential options for building and 

strengthening these partnerships. The Committee also expects the 

Job Corps to provide the Committee with a report by December 31, 

2006 on the development, in conjunction with the TSA, of pilot 

demonstration projects at multiple Job Corps sites so that the Job 

Corps can help to fill unmet needs, as directed and funded by Congress in the fiscal year 2005 Consolidated Appropriations Act. 

The Committee commends the Job Corps for developing programs to help address the Nation’s shortfall of staff in health professions, including nursing, pharmacy, and lab technician trades. 

The Committee supports an initiative to establish a minimum of 

two existing Job Corps centers as ‘‘health care magnet’’ centers. 

Each health care magnet center will be dedicated to training Job 

Corps students in the health sciences, including CNAs, LPNs, 
33 

health records technicians, dieticians, pharmacy technicians, 

healthcare facilities maintenance, and medical billing. The Columbia Basin (Washington), Keystone (Pennsylvania), and the Miami 

(Florida) Job Corps Centers have expressed interest in being designated health care magnet centers. 

The Committee commends the work of the NJCA Foundation for 

Youth Opportunities [FYO] in its charitable and educational activities and programs that benefit youth, especially those at-risk. The 

FYO seeks to provide resources and research that helps non-profit, 

for profit, and Government agencies further education and training 

opportunities for disadvantaged youth. The Committee expects the 

Department to support the FYO through funding to implement programs and services that raise public awareness and support for atrisk youth. 

The Committee is committed to promoting and expanding costeffective Federal programs that have a proven record of success 

provide consistent and positive results and help address national 

labor shortages. Therefore, the Committee recommends 

$10,000,000 for two new Job Corps sites. In the selection process, 

priority should go to: (1) a site hosted by a community college in 

a State with an existing center no more than 250 miles apart that 

can be started in the short term as a satellite Job Corps center 

(residential or non-residential) and later converted to stand alone 

facility; and (2) a site in a State that currently does not have a Job 

Corps center. 

The Committee is aware of the efforts of Indian Hills Community 

College [IHCC] in Ottumwa, Iowa, in forging a partnership with 

the existing Job Corps center in Denison, Iowa. IHCC is on the cutting edge of job training initiatives that could be the next generation of Job Corps occupational training. Indian Hills operates the 

only center in the Nation that is designed specifically to train technicians for the expanding agricultural biotechnology sector. The 

Committee appreciates IHCC’s efforts as a current working partner 

in the Federal workforce system, a hub of a state-wide industrial 

new jobs training program and a leader in technical training for 

agricultural biotechnology. 

The Committee recognizes Utah’s Management and Training 

Corporation for operation of successful job-training programs 

through the Job Corps program. For more than a quarter of a century, the Management and Training Corporation has provided lifechanging opportunities for young people though academic, vocational, and social skills training. The Committee appreciates Utah’s 

Weber Basin and Clearfield, Utah Job Corps centers and their efforts toward preparing thousands of young Americans for meaningful careers. 

VETERANS EMPLOYMENT AND TRAINING

Appropriations, 2006 ............................................................................. $222,091,000 

Budget estimate, 2007 ........................................................................... 224,887,000 

House allowance .................................................................................... 224,440,000 

Committee recommendation ................................................................. 224,867,000 

The Committee recommendation includes $224,867,000 for this 

account, including $29,263,000 in general revenue funding and 

$195,604,000 to be expended from the ‘‘Employment Security Ad-
34 

ministration’’ account of the unemployment trust fund. This is 

$2,718,000 more than the 2006 comparable level. 

For State grants the bill provides $161,218,000, which includes 

funding for the Disabled Veterans Outreach Program and the Local 

Veterans Employment Representative Program. 

For Federal administration, the Committee recommends 

$32,417,000, the same as the budget request and the House allowance. The Committee supports the concept of the Transition Assistance Program administered jointly with the Department of Defense 

which assists soon-to-be-discharged service members in 

transitioning into the civilian work force and includes funding to 

maintain this effective program. 

Individuals leaving the military may be at high risk of homelessness due to a lack of job skills transferable to the civilian sector, 

disrupted or dissolved family and social support networks, and 

other risk factors that preceded their military service. The Committee expects the Secretary of Labor to ensure that a module on 

homelessness prevention is added to the Transition Assistance Program curriculum. The module should include a presentation on risk 

factors for homelessness, a self-assessment of risk factors, and contact information for preventative assistance associated with homelessness. 

The Committee recommendation includes $1,969,000, the same 

as the budget request, for the National Veterans Training Institute 

[NVTI]. This Institute provides training to the Federal and State 

staff involved in the direct delivery of employment and training related services to veterans. 

The Committee recommendation includes $21,838,000 for the 

Homeless Veterans Program, the same as the budget request. Also 

included is $7,425,000 for the Veterans Workforce Investment Program, the same as the budget request. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2006 ............................................................................. $71,101,000 

Budget estimate, 2007 ........................................................................... 73,761,000 

House allowance .................................................................................... 73,761,000 

Committee recommendation ................................................................. 75,761,000 

The bill includes $75,761,000 for this account, $4,660,000 above 

the 2006 comparable level. The bill includes $5,688,000 in general 

funds and authority to transfer $70,073,000 from the ‘‘Employment 

Security Administration’’ account of the unemployment trust fund. 

In addition, an amount of $346,000 is available by transfer from 

the black lung disability trust fund. This level provides sufficient 

resources to cover built-in cost increases, as well as augmenting 

program accountability activities and expanding the labor racketeering program. 

The Office of the Inspector General [OIG] was created by law to 

protect the integrity of departmental programs as well as the welfare of beneficiaries served by those programs. Through a comprehensive program of audits, investigations, inspections, and program evaluations, the OIG attempts to reduce the incidence of 

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

efficiency, and effectiveness. 
35 

GENERAL PROVISIONS

General provision bill language is included to: 

Provide for limiting use of Job Corps funding for compensation 

of an individual that is not a Federal employee at a rate in excess 

of Executive Level I (sec. 101) 

Provide for general transfer authority (sec. 102). 

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

with Executive Order 13126 (sec. 103). 

Authorize funds to be appropriated for job training for workers 

involved in construction projects funded through the Denali Commission (sec. 104). 

Require the Department of Labor to submit its fiscal year 2008 

congressional budget justifications in the same format and level of 

detail used by the Department of Education in its fiscal year 2007 

congressional budget justification (sec. 105). 

Require the Labor Department to report to the Committees on 

Appropriations on the projects awarded under research and demonstration projects (sec. 106). 

Require the Secretary to issue monthly transit subsidy of not less 

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

National Capital region (sec. 107). 

SEC. 108. Retains a provision from the fiscal year 2006 supplemental limiting compensation from Federal funds to a rate not 

greater than Executive Level II for any recipient or subrecipient receiving funds under the heading, ‘‘Employment and Training Administration’’. 
(36) 

TITLE II 

DEPARTMENT OF HEALTH AND HUMAN SERVICES 

HEALTH RESOURCES AND SERVICES ADMINISTRATION

HEALTH RESOURCES AND SERVICES

Appropriations, 2006 1 ........................................................................... $6,587,855,000 

Budget estimate, 2007 ........................................................................... 6,333,855,000 

House allowance .................................................................................... 7,075,917,000 

Committee recommendation ................................................................. 6,992,859,000 

1 Excludes $4,000,000 in emergency supplemental appropriations pursuant to Public Law 109– 

234. 

The Committee provides a program level of $6,992,859,000 for 

the Health Resources and Services Administration [HRSA]. The 

Committee recommendation includes $6,967,859,000 in budget authority and an additional $25,000,000 via transfers available under 

section 241 of the Public Health Services Act. The fiscal year 2006 

comparable program level was $6,587,855,000, the budget request 

for fiscal year 2007 was $6,333,855,000, and the House Committee 

recommendation was $7,075,917,000. 

Health Resources and Services Administration activities support 

programs to provide health care services for mothers and infants; 

the underserved, elderly, homeless; migrant farm workers; and disadvantaged minorities. This appropriation supports cooperative 

programs in community health, AIDS care, health care provider 

training, and health care delivery systems and facilities. 

BUREAU OF PRIMARY HEALTH CARE

COMMUNITY HEALTH CENTERS

The Committee provides $1,926,076,000 for the community 

health centers program. The fiscal year 2006 comparable program 

level was $1,781,076,000 and the budget request for fiscal year 

2007 was $1,962,861,000. This group of programs includes community health centers, migrant health centers, health care for the 

homeless, and public housing health service grants. The Committee 

continues to strongly support the on-gong effort to increase the 

number of people who have access to medical services at health 

centers, and notes that this program receive one of the largest increases in funding in the Committee recommendation. 

Within the amount provided, $25,000,000 has been allocated to 

offset the rising cost of health care at existing centers and to resolve specific financial situations beyond the control of the local 

health center, such as unusual increases in the number of uninsured patients seeking care. 

Within the amount provided, the Committee has provided 

$44,550,000 under the Federal Tort Claims Act for the Health Cen-
37 

ters program. The Committee has included bill language making 

this funding available until expended and allowing costs associated 

with the health centers tort liability relief program to be paid from 

the fund. The Committee intends that the fund be used to pay 

judgments and settlements, occasional witness fees and expenses, 

and the administrative costs of the program, which includes the 

cost of evaluating claims, defending claims, and conducting settlement activities. The Committee is aware of legislation that would 

extend FTCA coverage to volunteer physicians and non-grantee 

health centers, as well as to health centers and their employees 

traveling to provide care in emergency-affected areas. While these 

proposals would extend FTCA coverage to additional providers, the 

Committee expects the amount provided to be adequate to cover 

any increased costs in fiscal year 2007. 

The Committee believes that adequate funding for the technical 

assistance and networking functions available for health centers is 

critical to the successful operation and expansion of the Health 

Centers program. Funds are available within the amount provided 

to continue assistance to existing centers and support expansion to 

new communities. 

The Committee strongly urges HRSA to assist rural communities 

in high-need areas of the country that have not fully participated 

in the Health Center expansion effort in recent years. Despite documented need, many eligible counties have not received health center grants. The focus on financial viability and regionally specific 

criteria, such as homeless populations and migrant workers, has 

sometimes held back communities outside of the targeted demographic. The Committee notes that some majority African-American areas of the rural Southeastern United States have fared particularly badly in the award of health center grants. The Committee urges HRSA to provide technical assistance and consider 

funding planning grants to potential new access point grantees to 

enable them to better compete for health center awards. 

The Committee commends the efforts of health centers to deliver 

culturally and linguistically appropriate care and urges the Secretary to work with health centers to further enable these efforts. 

The Committee also urges the Department to establish centers in 

un-served and under-served communities and to implement strategies to increase the numbers and diversity of health professionals 

at community health centers. 

The Committee recognizes the important role of the consolidated 

health centers in caring for people living with or at risk for hepatitis C. The Committee encourages HRSA to increase health centers’ capacity for delivery of medical management and treatment of 

HCV by implementing training and technical assistance initiatives, 

so that health centers are able to increase hepatitis C counseling 

and testing, and medical management and treatment services to 

meet the healthcare priorities of their respective communities. 

The Committee continues to be concerned that community health 

center funds are often not available to small, remote communities 

in Alaska, Hawaii and other similar States because the population 

base is too small. Many of these communities have no health service providers and are forced to travel long distances by boat or 

plane even in emergency situations. The Committee recommends 
38 

that HRSA examine its regulations and applications procedures to 

ensure they do not unduly burden small communities and are appropriately flexible to meet the needs of these communities. The 

Committee applauds the agency for its initiatives, such as the 

‘‘Alaska Frontier Health Plan,’’ and encourages the agency to continue and expand its efforts with this program. 

The Committee recognizes the importance of increasing the use 

of health information technology [IT] at health centers. Health centers have demonstrated improved access to services and improved 

patient outcomes by using electronic health records and other IT 

tools through their participation in various networks, projects, systems, and collaboratives. The Committee urges HRSA to ensure 

that health centers have adequate resources to establish and expand health IT systems to further enhance the delivery of cost-effective, quality health care services. 

The Committee recognizes the service to the uninsured by Integrated Health Centers [IHCs] and Nurse-Managed Health Centers 

[NMHCs]. These nonprofit hospital-affiliated or university-based 

health centers provide much needed primary care to a diverse and 

disadvantaged population. These health centers are frequently the 

only source of primary care to their patients. The Committee encourages HRSA to explore options to include IHCs and NMHCs in 

new public-private safety net partnerships thereby increasing access for the medically underserved. Specifically, the Committee encourages HRSA to explore granting these health centers the ability 

to apply for FQHC Look-Alike status. 

The Committee encourages HRSA to make funding available for 

service expansion awards, especially those expanding access to 

mental health services, with full and fair consideration given to 

health centers in communities affected by Hurricanes Katrina and 

Rita. Further, the Committee recognizes that School-Based Health 

Centers are effective providers of mental health services to underserved populations and encourages HRSA to give priority to applications for service expansions to such applicants. 

The Committee does not provide additional funds for loan guarantee authority under section 330(d) of the Public Health Service 

Act. The Committee notes that $72,000,000 of the $160,000,000 appropriated in fiscal years 1997 and 1998 continues to remain available for guarantees of both loan principal and interest. The Committee notes that some health centers have successfully used funds 

available through the HRSA Loan Guarantee Program to meet 

their capital needs. To maximize the use of the loan guarantee 

funds, the Committee urges HRSA to increase the percentages at 

which loan guarantees are provided for managed care plans, networks, and facilities to the highest authorized levels. 

Native Hawaiian Health Care 

The Committee again includes the legal citation in the bill for 

the Native Hawaiian Health Care Program. The Committee has included sufficient funding so that health care activities funded 

under the Native Hawaiian Health Care Program can be supported 

under the broader community health centers line. The Committee 

expects that not less than $14,200,000 be provided for these activities in fiscal year 2007. 
39 

The Committee recognizes there are still few Native Hawaiian 

health care administrators working in Federally qualified health 

centers. The Committee directs that a portion of the funds appropriated for Native Hawaiian Health Care Act programs be used to 

develop administrative competency curriculum to prepare Native 

Hawaiians with the expertise necessary to succeed in these positions. 

Free Clinics Medical Malpractice Coverage 

The Committee provides $10,000 in funding for payments of 

claims under the Federal Tort Claims Act to be made available for 

free clinic health professionals as authorized by U.S.C. Title 42, 

Section 233(o) of the Public Health Service Act. The fiscal year 

2006 comparable level was $40,000 and the fiscal year 2007 budget 

request did not include funding for this program. This appropriation continues to extend Federal Tort Claims Act coverage to medical volunteers in free clinics in order to expand access to health 

care services to low-income individuals in medically underserved 

areas. 

Radiation and Exposure Screening and Education Program 

The Committee provides $1,917,000 for activities authorized by 

the Radiation Exposure Compensation Act. The fiscal year 2006 

comparable level was $1,916,000 and the budget request for fiscal 

year 2007 was $1,917,000. This program provides grants for the 

education, prevention, and early detection of radiogenic cancers 

and diseases resulting from exposure to uranium during its mining 

and milling at nuclear test sites. 

National Hansen’s Disease Program 

The Committee has included $16,705,000 for the National Hansen’s Disease Program. The fiscal year 2006 comparable level was 

$15,894,000 and the budget request for fiscal year 2007 was 

$15,905,000. The program consists of inpatient, outpatient, longterm care, training, and research in Baton Rouge, Louisiana; a residential facility at Carville, Louisiana, and 11 outpatient clinic 

sites serving approximately 3,100 patients in the continental 

United States and Puerto Rico. The Committee has provided an increase of $811,000 over fiscal year 2006 to maintain appropriate 

staffing levels at both facilities. 

National Hansen’s Disease Program Buildings and Facilities 

The Committee provides $220,000 for buildings and facilities. 

The fiscal year 2006 comparable level was $220,000 and the budget 

request for fiscal year 2007 was $220,000 for this program. This 

funding provides for the repair and maintenance of buildings at the 

Gillis W. Long Hansen’s Disease Center. 

Payment to Hawaii for Hansen’s Disease Treatment 

The Committee provides $1,996,000 for Hansen’s Disease services. The fiscal year 2006 comparable level was $1,995,000 and the 

budget request for fiscal year 2007 was $1,996,000. Payments are 

made to the State of Hawaii for the medical care and treatment of 

persons with Hansen’s Disease in hospital and clinic facilities at 
40 

Kalaupapa, Molokai and Honolulu. Expenses above the level of appropriated funds are borne by the State of Hawaii. 

Black Lung Clinics 

The Committee provides $6,000,000 for black lung clinics. The 

fiscal year 2006 comparable level was $5,887,000 and the budget 

request for fiscal year 2007 was $5,891,000. This program funds 

clinics that treat respiratory and pulmonary diseases of active and 

retired coal miners, steel mill workers, agricultural workers, and 

others with occupationally-related respiratory and pulmonary impairments. These clinics reduce the incidence of high-cost inpatient 

treatment for these conditions. 

BUREAU OF HEALTH PROFESSIONS

National Health Service Corps: Field Placements 

The Committee provides $40,298,000 for field placement activities. The fiscal year 2006 comparable level was $40,270,000 and 

the budget request for fiscal year 2007 was $40,298,000. The funds 

provided for this program are used to support the activities of National Health Service Corps in the field, including travel and transportation costs of assignees, training and education, recruitment of 

volunteers, and retention activities. Salary costs of most new assignees are paid by the employing entity. 

The Committee is pleased by the increasing proportion of National Health Service Corps assignees being placed at Community, 

Migrant, Homeless, and Public Housing Health Centers. The Committee encourages HRSA to further expand this effort to ensure 

that health centers have access to sufficient numbers of health professionals through the Corps. 

The Committee is concerned that the current Health Professional 

Shortage Area [HPSA] scoring process used by HRSA disadvantages many health centers located in medically underserved areas 

of the country. The Committee urges HRSA to apply the same 

placement criteria to physicians seeking J–1 Visa Waivers and 

NHSC Scholars as are currently applied to NHSC Loan Repayment 

recipients. The Committee is concerned that the recent decline in 

J–1 Visa Waiver applicants is due to systemic obstacles, including 

HPSA scoring minimums, rather than diminishing needs in underserved communities. To ensure that the number and location of the 

placements meets the needs of the underserved, the Committee 

urges HRSA to expand eligibility for the J–1 visa waiver program. 

National Health Service Corps: Recruitment 

The Committee provides $85,230,000 for recruitment activities. The fiscal year 2006 comparable level was $85,171,000 and the 

budget request for fiscal year 2007 was $85,230,000. This program 

provides major benefits to students (full-cost scholarships or sizable 

loan repayment) in exchange for an agreement to serve as a primary care provider in a high priority federally designated health 

professional shortage area. These funds should support multi-year, 

rather than single-year, commitments. 

The Committee understands that the Department of Labor has 

identified physical therapists as being one of only two types of 
41 

health professionals in significant shortage. The Committee urges 

HRSA to identify the health occupation of physical therapist for 

placement in underserved communities. Loan repayment programs 

would be an incentive to recruit individuals to seek this practice 

opportunity and to retain qualified physical therapists to address 

the unique needs of these communities in the areas of rehabilitation, disease management, prevention, and public health. 

The Committee encourages HRSA to include doctors of optometry 

in the NHSC Student Loan Repayment Program with the goal of 

making preventive eye care services more accessible in community 

health centers within health professional shortage areas. The Committee requests that HRSA be prepared to report on progress towards this goal during deliberations for the fiscal year 2008 budget. 

HEALTH PROFESSIONS

The Committee provides $304,082,000 for all HRSA health professions programs. The fiscal year 2006 comparable level was 

$294,674,000 and the budget request for fiscal year 2007 was 

$159,412,000. 

The Committee recognizes that the determination of whether an 

individual is from an economically disadvantaged background has 

been problematic for health professions and nursing grant and cooperative agreement programs authorized by titles III, VII, and 

VIII of the Public Health Service Act, such as the Nursing Workforce Diversity Program. The Committee is pleased that HRSA responded to concerns and issued new guidance and methodology for 

the aforementioned programs on February 18, 2005 (70 FR 8381– 

8382). However, the Committee is concerned that despite the revisions, parental income remains a factor in the determination of 

whether an individual is from an economically disadvantaged background, even if the student lives with a relative other than a parent. Therefore, the Committee encourages HRSA to omit the consideration of parental income from fiscal year 2007 competitions as 

well as from future guidance and methodology issued for health 

professions and nursing grant and cooperative agreement programs 

authorized by titles III, VII, and VIII of the Public Health Service 

Act. 

Training for Diversity 

Centers of Excellence 

The Committee provides $11,872,000 for the Centers of Excellence program. The fiscal year 2006 comparable level was 

$11,872,000 and the budget request for fiscal year 2007 did not include any funds for this program. This program was established to 

fund institutions that train a significant portion of the Nation’s minority health professionals. Funds are used for the recruitment and 

retention of students, faculty training, and the development of 

plans to achieve institutional improvements. The institutions that 

are designated as centers of excellence are private institutions 

whose mission is to train disadvantaged minority students for service in underserved areas. Located in poor communities and usually 
42 

with little State funding, they serve the health care needs of their 

patients—often without payment. 

The Committee is pleased that HRSA has re-focused the Minority Centers of Excellence program on providing support to historically minority health professions institutions. The Committee recognizes the important role of this program in supporting faculty 

and other academic programs at minority institutions. The Committee notes that at the level of funding provided, Public Law 105– 

392, the Health Professions Education Partnerships Act of 1998, 

limits funding to the original four Centers of Excellence. 

Health Careers Opportunity Program 

The Committee provides $3,957,000 for the Health Careers Opportunity Program. The fiscal year 2006 comparable level was 

$3,957,000 and the budget request for fiscal year 2007 did not include any funds for this program. This program provides funds to 

medical and other health professions schools for recruitment of disadvantaged students and pre-professional school preparations. 

The Committee is concerned about the reduced level of support 

provided to minority health professions schools through the H–COP 

program in recent fiscal years. For fiscal year 2007, the Committee 

strongly urges HRSA to give priority consideration to awarding 

grants to those institutions with a historic mission of training minorities in the health professions. 

Faculty Loan Repayment 

The Committee provides $1,288,000 for the Faculty Loan Repayment program. The fiscal year 2006 comparable level was 

$1,288,000 and the budget request for fiscal year 2007 did not include any funds for this program. This program provides for the repayment of education loans for individuals from disadvantaged 

backgrounds who are health professions students or graduates, and 

who have agreed to serve for not less than 2 years as a faculty 

member of a health professions school. 

Scholarships for Disadvantaged Students 

The Committee provides $46,625,000 for the Scholarships for 

Disadvantaged Students program. The fiscal year 2006 comparable 

level was $46,625,000 and the budget request for fiscal year 2007 

was $9,733,000. This program provides grants to health professions 

schools for student scholarships to individuals who are from disadvantaged backgrounds and are enrolled as full-time students in 

such schools. 

Training in Primary Care Medicine and Dentistry 

The Committee provides $50,000,000 for Training in Primary 

Care Medicine and Dentistry programs. The fiscal year 2006 comparable level was $40,823,000 and the budget request for fiscal 

year 2007 did not include any funding for this program. 

Family Medicine Training 

Family medicine activities support grants for graduate training 

in family medicine, grants for pre-doctoral training in family medicine, grants for faculty development in family medicine, and grants 
43 

for the establishment of departments of family medicine. The Committee reiterates its support for this program and recognizes its importance in increasing the number of primary care physicians in 

underserved areas. 

The Committee has included bill language enabling HRSA to 

fund its family medicine activities at a level of $31,000,000. 

General Internal Medicine and Pediatrics Training 

This program provides funds to public and private nonprofit hospitals and schools of medicine and osteopathic medicine to support 

residencies in internal medicine and pediatrics. Grants may also 

include support for faculty. 

Physician Assistants 

This program supports planning, development, and operation of 

physician assistant training programs. 

General Dentistry and Pediatric Dental Residencies 

This program assists dental schools and postgraduate dental 

training institutions to meet the costs of planning, developing, and 

operating residency training and advanced education programs in 

general practice of dentistry and funds innovative models for 

postdoctoral general dentistry and pediatric dentistry. 

The Committee has included bill language enabling HRSA to 

fund the pediatric dental program at a level of $5,000,000 The 

Committee recognizes that the approximately 40 percent of U.S. 

children living in low-income households have about three to five 

times the level of untreated dental disease compared to their more 

affluent peers. Recruitment and retention of pediatric dental educators is vital to pediatric dental residency programs. Pediatric 

dentists treat about 30 percent of the children in this country, and 

train all of the dentists who treat children. Additionally, rural 

States are disproportionately underserved by pediatric dentists, as 

several States have fewer than 10 pediatric dentists. The Committee encourages HRSA to develop pediatric dentistry faculty development and student loan repayment programs. 

Interdisciplinary, Community-based Linkages 

Area Health Education Centers 

The Committee provides $28,661,000 for the Area Health Education Centers program. The fiscal year 2006 comparable level was 

$28,661,000 and the budget request for fiscal year 2007 did not include any funds for this program. This program links university 

health science centers with community health service delivery systems to provide training sites for students, faculty, and practitioners. The program supports three types of projects: Core grants 

to plan and implement programs; special initiative funding for 

schools that have previously received Area Health Education Centers [AHEC] grants; and model programs to extend AHEC programs with 50 percent Federal funding. 
44 

Allied Health and Other Disciplines 

The Committee provides $4,000,000 for the Allied Health and 

Other Disciplines program. The fiscal year 2006 comparable level 

was $3,957,000 and the budget request for fiscal year 2007 did not 

include any funds for this program. These programs seek to improve access, diversity, and distribution of allied health practitioners to areas of need. The program improves access to comprehensive and culturally competent health care services for underserved populations. The Committee recommendation is sufficient to 

continue the Chiropractic-Medical School Demonstration Grant and 

Graduate Psychology training programs at the same levels as in 

fiscal year 2006. 

Public Health Workforce Development 

With the continued need for public health training throughout 

the country, the Committee believes these programs serve an important role in maintaining the country’s public health infrastructure. 

Public Health, Preventive Medicine, and Dental Public 

Health Programs 

The Committee provides $8,000,000 for these programs. The fiscal year 2006 comparable level was $7,915,000 and the budget request for fiscal year 2007 did not include any funds for this program. This program supports awards to schools of medicine, osteopathic medicine, public health, and dentistry for support of residency training programs in preventive medicine and dental public 

health; and for financial assistance to trainees enrolled in such programs. 

Nursing Workforce Development Programs 

The Committee provides $149,679,000 for the Nursing Workforce 

Development programs. The fiscal year 2006 comparable level was 

$149,576,000 and the budget request for fiscal year 2007 was 

$149,679,000. The Committee recognizes that the current nursing 

shortage has reached a crisis state across America. The situation 

only promises to worsen due to a lack of young nurses in the profession, an aging existing workforce, and inadequate availability of 

nursing faculty to prepare future nurses. The Committee urges 

HRSA to support programs aimed at increasing nursing faculty 

and encouraging a diverse population’s entry into nursing. 

Advanced Education Nursing 

The Committee provides $57,061,000 for the Advanced Education 

Nursing programs. The fiscal year 2006 comparable level was 

$57,021,000 and the budget request for fiscal year 2007 was 

$57,061,000. This program funds nursing schools to prepare nurses 

at the master’s degree or higher level for teaching, administration, 

or service in other professional nursing specialties. Within the allocation, the Committee encourages HRSA to allocate funding at 

least at the fiscal year 2006 level for nurse anesthetist education. 
45 

Nurse Education, Practice, and Retention 

The Committee provides $37,291,000 for the Nurse Education, 

Practice, and Retention programs. The fiscal year 2006 comparable 

level was $37,265,000 and the budget request for fiscal year 2007 

was $37,291,000. The goal of this program is to improve the quality 

of nursing practice. Activities under this program will initiate new 

projects that will change the educational mix of the nursing workforce and empower the workforce to meet the demands of the current health care system. 

Nursing Workforce Diversity 

The Committee provides $16,107,000 for the Nursing Workforce 

Diversity program. The fiscal year 2006 comparable level was 

$16,096,000 and the budget request for fiscal year 2007 was 

$16,107,000. The goal of this program is to improve the diversity 

of the nursing workforce through increased educational opportunities for individuals from disadvantaged backgrounds. 

Nurse Loan Repayment and Scholarship Program 

The Committee provides $31,055,000 for the Nurse Loan Repayment and Scholarship programs. The fiscal year 2006 comparable 

level was $31,034,000 and the budget request for fiscal year 2007 

was $31,055,000. This program offers student loan repayment to 

nurses in exchange for an agreement to serve not less than 2 years 

in an Indian Health Service health center, Native Hawaiian health 

center, public hospital, community or migrant health center, or 

rural health clinic. 

Nurse Faculty Loan Program 

The Committee provides $4,773,000 for the Nursing Faculty 

Loan program. The fiscal year 2006 comparable level was 

$4,770,000 and the budget request for fiscal year 2007 was 

$4,773,000. This program supports the development of a student 

loan fund in schools of nursing to increase the number of qualified 

nursing faculty. 

Comprehensive Geriatric Education 

The Committee provides $3,392,000 for Comprehensive Geriatric 

Education grants. The fiscal year 2006 comparable level was 

$3,390,000 and the budget request for fiscal year 2007 was 

$3,392,000. These grants prepare nursing personnel to care for the 

aging population. 

Patient Navigator 

The Committee provides $5,000,000 for Patient Navigator Grants 

authorized by Public Law 109–18. No funds were included in the 

fiscal year 2007 budget request for this program. These funds will 

be used to provide patient navigator services to improve health 

care outcomes. 

Patient navigators are individuals who know the local community and can help patients navigate through the complicated health 

care system. They help with referrals and follow-up treatment and 

direct patients to programs and clinical trials that are available to 

help them get the treatment and care they need to fight cancer and 
46 

other chronic diseases. In addition, the patient navigator guides patients to health coverage that they may be eligible to receive. They 

also conduct ongoing outreach to communities with health disparities to encourage people to get screenings and early detection services. 

Children’s Hospitals Graduate Medical Education Program 

The Committee has provided $200,000,000 for the Children’s 

Hospitals Graduate Medical Education [GME] program. The fiscal 

year 2006 comparable level was $296,795,000 and the budget request for fiscal year 2007 was $99,000,000. 

The program provides support for health professions training in 

children’s teaching hospitals that have a separate Medicare provider number (‘‘free-standing’’ children’s hospitals). Children’s hospitals are statutorily defined under Medicare as those whose inpatients are predominantly under the age of 18. The funds in this 

program are intended to make the level of Federal Graduate Medical Education support more consistent with other teaching hospitals, including children’s hospitals that share provider numbers 

with other teaching hospitals. Payments are determined by formula, based on a national per-resident amount. Payments support 

training of resident physicians as defined by Medicare in both ambulatory and inpatient settings. 

National Practitioner Data Bank 

The Committee provides $15,700,000 for the national practitioner 

data bank. The fiscal year 2006 comparable level was $15,700,000 

and the budget request for fiscal year 2007 was $15,700,000. The 

Committee and the budget request assume that full funding will be 

provided entirely through the collection of user fees and will cover 

the full cost of operating the data bank. Bill language is included 

to ensure that user fees are collected to cover all costs of processing 

requests and providing such information to data bank users. 

Health Care Integrity and Protection Data Bank 

The Committee provides $4,000,000 for the health care integrity 

and protection data bank. The fiscal year 2006 comparable level 

was $4,000,000 and the budget request for fiscal year 2007 was 

$4,000,000. The Committee and the budget request assume that 

full funding will be provided entirely through the collection of user 

fees and will cover the full cost of operating the data bank. The 

data bank is intended to collect, maintain, and report on certain actions taken against health care providers, suppliers, and practitioners. 

MATERNAL AND CHILD HEALTH BUREAU

Maternal and Child Health Block Grant 

The Committee provides $693,000,000 for the maternal and child 

health [MCH] block grant. The fiscal year 2006 comparable level 

was $692,521,000 and the budget request for fiscal year 2007 was 

$693,000,000. 

The Maternal and Child Health Block Grant program provides a 

flexible source of funding that allows States to target their most ur-
47 

gent maternal and child health needs through development of community-based networks of preventive and primary care that coordinate and integrate public and private sector resources and programs for pregnant women, mothers, infants, children, and adolescents. The program supports a broad range of activities including 

prenatal care, well child services and immunizations, reducing infant mortality, preventing injury and violence, expanding access to 

oral health care, addressing racial and ethnic disparities and providing comprehensive care for children, adolescents, and families 

through clinics, home visits and school-based health programs. 

The MCH block grant funds are provided to States to support 

health care for mothers and children. According to statute, 85 percent of appropriated funds up to $600,000,000 are distributed to 

States and 15 percent are set aside for special projects of regional 

and national significance [SPRANS]. Also according to statute, 

12.75 percent of funds over $600,000,000 are to be used for community-integrated service systems [CISS] programs. The remaining 

funds over $600,000,000 are distributed on the same 85/15 percent 

split as the basic block grant. 

The Committee has included bill language identifying $116,051,892 for the SPRANS set-aside. Within that total, the 

Committee intends that $1,536,480 be used for a first-time motherhood education program; $2,880,900 be used for epilepsy demonstration projects; $990,000 be used for a fetal alcohol syndrome 

demonstration program; $3,841,200 be used to continue the sickle 

cell newborn screening program and its locally based outreach and 

counseling efforts; $1,920,600 be used for newborn and child 

screening for heritable disorders as authorized in title XXVI of the 

Children’s Health Act of 2000; and $4,801,500 be used to continue 

the oral health demonstration programs and activities in the 

States. 

As stated above, the Committee also provides $1,536,480 for a 

first-time motherhood demonstration program, equally divided between urban and rural settings. Funding for urban settings should 

be focused on community-based doula activities. These funds may 

be used to improve infant health, strengthen families and provide 

supports to ensure family success through a community-based 

doula program. This approach identifies and trains indigenous community leaders to mentor pregnant women during the months of 

pregnancy, birth and the immediate post-partum period. Doulas 

provide pregnancy and childbirth education, early linkage to health 

care and social services, labor coaching, breastfeeding education 

and counseling and parenting skills while fostering parental attachment. Rural areas represent a unique challenge in supporting 

first-time mothers, particularly around the area of lactation support and services. Funding for the rural portion of the demonstration should be focused on the best ways of delivering supportive 

services, including delivery outside the hospital setting both before 

and after the birth of the child. Priority should be given to applications which emphasize breastfeeding initiation and retention. 

As stated above, the Committee has provided $2,880,900 for the 

continuation of epilepsy demonstration programs to improve access 

to health and other services regarding seizures and to encourage 

early detection and treatment in children and others residing in 
48 

medically underserved and rural areas. Of the amount provided, 

the Committee recommends 30 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 encourages HRSA to conduct these programs in partnership 

with a national organization whose mission is to improve the lives 

of children and adults affected by seizure through research, education, advocacy and service. The Committee has included $990,000 to continue the demonstration program on fetal alcohol syndrome. Each year, 40,000 

children are born with fetal alcohol spectrum disorders [FASD], the 

leading known cause of mental retardation and birth defects. The 

demonstration program should continue to coordinate services between the National Organization on Fetal Alcohol Syndrome and 

community health centers to improve the prevention, identification, 

and support of individuals with fetal alcohol syndrome. In addition, 

funds have been included to engage and include maternal child 

health sites in this successful demonstration. 

As stated above, the Committee provides $1,920,600 to continue 

the heritable disorders screening program authorized in Title XXVI 

of the Children’s Health Act of 2000. Newborn screening is used for 

early identification of infants affected by certain genetic, metabolic, 

hormonal and or functional conditions for which there is effective 

treatment or intervention. Screening detects disorders in newborns 

that, left untreated, can cause death, disability, mental retardation 

and other serious illnesses. The Committee is aware that wide disparities 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, encourages HRSA to consider including guidance that parents be informed in writing of the availability of additional tests that may 

not be required under State law. 

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 United States; 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. 

As stated above, the Committee has provided $4,801,500 for the 

continuation of oral health programs in the States. These programs 

will help States develop well integrated, quality oral health programs through grants, cooperative agreements, and contracts. The 

Committee 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 among disease transmissibility, maternal behaviors, poor birth outcomes and poor periodontal health, further 

program attention is warranted to avoid the need for more costly 

care. 

The Committee recognizes the key role that Maternal and Child 

Health Centers for Leadership in Pediatric Dentistry Education 
49 

provide in preparing dentists with dual training in pediatric dentistry and dental public health. Dentists in the three currently 

funded programs concentrate on working with Federal, State, and 

local programs that provide services for vulnerable populations including low-income children and women and children with special 

health care needs. Dentists trained through these centers become 

future faculty and policy leaders specializing in pediatric dentistry 

and maternal and child health. The Committee encourages HRSA 

to expand this program. 

The Committee reiterates its long-standing support for the continuation of funding that the Maternal and Child Health Block 

Grant has provided to comprehensive thalassemia treatment centers under the SPRANS program. The Committee urges HRSA to 

continue this program, expand it to include additional centers 

around the country, and to continue its existing partnership on 

these activities with a voluntary organization. 

The most crucial need for individuals suffering from Chronic Fatigue Syndrome [CFS] is for effective, compassionate medical care. 

Through its demonstration grants program, HRSA has piloted effective ways of delivering health care services to those with emerging illnesses. The Committee encourages HRSA to provide demonstration grants to develop model CFS clinical centers with the 

goal of delivering effective, multidisciplinary clinical care to persons with CFS. 

The Committee recognizes the critical role of hemophilia treatment centers in providing needed comprehensive care for persons 

with bleeding disorders and the expanded role of these centers in 

addressing the needs of women with bleeding disorders and persons with clotting disorders such as thrombophilia. The Committee 

urges HRSA to continue its support of this model disease management network. 

The Committee encourages HRSA to consider partnering with a 

national non-profit voluntary organization to develop model demonstration programs to develop a national data source by which 

States could 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 is aware that HRSA has been reviewing the 

State Core Performance Measures for children. Last year, the Committee included report language encouraging HRSA to consider developing a National Core Performance Measure for children’s vision. This is necessary to ensure care is provided to the many 

school-age children with significant vision problems. The Committee requests that HRSA report to the Committee on Appropriations by June 15, 2007 the status of the MCH Core Performance 

Measure review process, the anticipated timeline for review completion, and the steps the Administrator has taken to ensure appropriate vision screening for children entering school. 

Sickle Cell Anemia Demonstration Program 

The Committee provides $3,000,000 for the sickle cell anemia 

demonstration program. The fiscal year 2006 comparable level was 

$2,176,000 and the budget request for fiscal year 2007 was 

$2,178,000. 
50 

Traumatic Brain Injury Program 

The Committee provides $8,910,000 for the traumatic brain injury program. The fiscal year 2006 comparable level was 

$8,904,000 and the budget request for fiscal year 2007 did not include any funding for this program. The program supports implementation and planning grants to States for coordination and improvement of services to individuals and families with traumatic 

brain injuries as well as protection and advocacy. Such services can 

include: pre-hospital care, emergency department care, hospital 

care, rehabilitation, transitional services, education, employment, 

and long-term support. The Committee includes $3,000,000 for protection and advocacy services, as authorized under section 1305 of 

Public Law 106–310. 

Healthy Start Initiative 

The Committee provides $101,518,000 for the healthy start infant mortality initiative. The fiscal year 2006 comparable level was 

$101,448,000 and the budget request for fiscal year 2007 was 

$101,518,000. 

The healthy start initiative was developed to respond to persistently high rates of infant mortality in this Nation. The initiative 

was expanded in fiscal year 1994 by a special projects program, 

which supported an additional seven urban and rural communities 

to implement infant mortality reduction strategies and interventions. The Children’s Health Act of 2000 fully authorized this initiative as an independent program. The Committee urges HRSA to 

give preference to current and former grantees with expiring or recently expired project periods. 

Universal Newborn Hearing Screening and Early Intervention 

The Committee provides $10,000,000 for universal newborn hearing screening and early intervention activities. The fiscal year 2006 

comparable level was $9,794,000 and the budget request for fiscal 

year 2007 did not include any funds for this program. 

The Committee expects HRSA to coordinate projects funded with 

this appropriation with projects related to early hearing detection 

and intervention by the National Center on Birth Defects and Developmental Disabilities, the National Institute on Deafness and 

Other Communication Disorders, the National Institute on Disability and Rehabilitation Research, and the Office of Special Education and Rehabilitative Services. 

Emergency Medical Services for Children 

The Committee provides $20,000,000 for emergency medical services for children. The fiscal year 2006 comparable level was 

$19,786,000 and the budget request for fiscal year 2007 did not include funds for this program. The program supports demonstration 

grants for the delivery of emergency medical services to acutely ill 

and seriously injured children. 

The Committee continues to be pleased with the progress made 

for the emergency medical services for children. The 10-year Institute of Medicine study of emergency medical services for children 

was informative, and the Committee looks forward to its 20-year 

update. 
51 

Family-To-Family Health Information Centers 

The Committee has not provided funding for the Family-To-Family Health Information Centers program. The budget request for 

fiscal year 2007 included $3,000,000 for this new initiative. The 

Committee notes that the Deficit Reduction Act of 2005 appropriated $3,000,000 for this activity in fiscal year 2007. 

HIV/AIDS BUREAU

ACQUIRED IMMUNE DEFICIENCY SYNDROME

Ryan White AIDS Programs 

The Committee provides $2,139,091,000 for Ryan White AIDS 

programs. The recommendation includes $25,000,000 in transfers 

available under section 241 of the Public Health Service Act. The 

fiscal year 2006 comparable level was $2,061,305,000 and the budget request for fiscal year 2007 was $2,157,713,000. In the absence 

of the reauthorization of the Ryan White CARE Act and with the 

exception of the deviations noted in the following sections, the 

Committee intends that funds be distributed using the same methodologies used in fiscal year 2006. 

Next to the Medicaid program, the Ryan White CARE Act (the 

CARE Act) is the largest Federal investment in the care and treatment of people living with HIV/AIDS in the United States. The 

CARE Act provides a wide range of community-based services, including primary and home health care, case management, substance abuse treatment, mental health services, and nutritional 

services. 

Within the total provided, the Committee intends that Ryan 

White AIDS activities that are targeted to address the growing 

HIV/AIDS epidemic and its disproportionate impact upon communities of color, including African-Americans, Latinos, Native Americans, Asian Americans, Native Hawaiians, and Pacific Islanders 

continue with at least the level of funding provided in fiscal year 

2006. 

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 United States. 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 urges 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. 

Emergency Assistance—Title I 

The Committee provides $605,993,000, an increase of $2,417,000 

over fiscal year 2006 and $2,000,000 over the budget request, for 

emergency assistance grants to eligible metropolitan areas disproportionately affected by the HIV/AIDS epidemic. These funds 

are provided to metropolitan areas meeting certain criteria. Half of 
52 

the funds are awarded by formula and the other half are awarded 

through supplemental competitive grants. 

Comprehensive Care Programs—Title II 

The Committee provides $1,190,518,000 for HIV health care and 

support services. These funds are awarded to States to support 

HIV service delivery consortia, the provision of home and community-based care services for individuals with HIV disease, continuation of health insurance coverage for low-income persons with HIV 

disease and support for State AIDS drug assistance programs 

[ADAP]. 

The Committee continues to be encouraged by the progress of 

anti-retroviral therapy in reducing the mortality rates associated 

with HIV infection and in enhancing the quality of life of patients 

on medication. The Committee includes bill language for 

$844,546,000 for AIDS medications in the AIDS Drug Assistance 

Program [ADAP]. The fiscal year 2006 comparable level was 

$789,005,000 and the budget request for fiscal year 2007 was 

$789,546,000. The Committee has provided this increase to address 

the long-standing problem of State waiting lists for HIV/AIDS 

medications without unfairly punishing States that have provided 

their own resources to make up funding shortfalls. 

The Committee has included requested bill language and pro- vided $15,000,000 over the fiscal year 2006 level for Title II to fund 

the initiative within Title II to enable the Secretary to target HIV 

care and treatment funds to areas of greatest need. It is the understanding of the Committee that the enhanced flexibility associated 

with these resources will be used to provide health care and treatment services to individuals in greatest need, including those newly 

diagnosed as a result of increased testing, and to further address 

the long-standing problem of State waiting lists for HIV/AIDS 

medications. 

The Committee is aware of the success HIV therapies have had 

on prolonging and enhancing the quality of life for those infected 

with HIV/AIDS. As the infected population lives longer and becomes increasingly resistant to current treatment regimens, there 

is a growing need to focus on access to newer therapies for treatment experienced or ‘‘later stage’’ patients. The Committee encourages HRSA and State ADAPs to prioritize coverage of treatments 

for later stage patients so that there is parity of access to effective 

treatments for patients across the HIV disease spectrum. The Committee further encourages State ADAPs to provide coverage of 

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

HCV co-infected patients. 

Early Intervention Services—Title III 

The Committee provides $195,488,000, an increase of $2,000,000 

over the fiscal year 2006 level and $23,134,000 below the budget 

request, for early intervention grants. These funds are awarded 

competitively to primary health care providers to enhance health 

care services available to people at risk of HIV and AIDS. Funds 

are used for comprehensive primary care, including counseling, 

testing, diagnostic, and therapeutic services. The Committee has 

provided an increase over the fiscal year 2006 level of $2,000,000 
53 

to maintain service levels provided through the existing program. 

The Committee has not provided funding, nor overridden existing 

authorities, as proposed in the fiscal year 2007 budget request for 

the ‘‘HIV community action grants’’ initiative. 

Children, Youth, Women, and Families—Title IV 

The Committee provides $73,294,000, an increase of $1,550,000 over the fiscal year 2006 level and $1,500,000 over the budget request, for title IV CARE Act programs for Children, Youth, Women, 

and Families. Funds are awarded to community health centers, 

family planning agencies, comprehensive hemophilia diagnostic and 

treatment centers, federally qualified health centers under section 

1905(1)(2)(B) of the Social Security Act, county and municipal 

health departments and other nonprofit community-based programs that provide comprehensive primary health care services to 

populations with or at risk for HIV disease. 

Title IV of the CARE Act provides a program of grants for coordinated services and access to research for women, infants, children 

and youth. Title IV grantees may engage in a broad range of activities to reduce mother-to-child transmission, including voluntary 

testing of pregnant women and treatment to reduce mother-to-child 

transmission. In addition, title IV grantees are required to provide 

individuals with information and education on opportunities to participate in HIV/AIDS clinical research. Title IV of the Ryan White 

CARE Act is specifically charged with linking women, children, 

youth and families living with HIV/AIDS to care, services and research. With a specific focus on families, Title IV grantees have 

taken the lead on reducing mother-to-child HIV transmission in the 

United States, provide family-centered HIV care and services, and 

closely coordinate HIV testing with expert health care and social 

services. Nearly 90 percent of families served under title IV are African-American and Hispanic. Title IV funds 90 lead grantees that 

coordinate health care services through over 650 community-based 

health centers, children’s hospitals, academic health centers, and 

other health care agencies. Nearly 20 organizations funded by title 

IV have been faith-based organizations and have been working on 

the front lines of this epidemic for two decades. 

The Committee expects HRSA to maximize available funds under 

this part to existing grantees. The Committee is concerned that 

previous report language to HRSA regarding the analysis of data 

pertaining to administrative costs in title IV has still not been followed, making it almost impossible for HRSA to impose a cap in 

fiscal year 2007. The Committee strongly urges HRSA to collaborate with grantees under this title to produce necessary tools for 

the accurate collection of expense data. Unless HRSA can produce 

data regarding administrative expenses with a precise definition to 

ensure accuracy and comparability, the agency will be unable to 

impose a limitation on such expenses without harming the ability 

of grantees to provide services for women, children, youth and families infected with HIV. 

The Committee is aware of the efforts of title IV grantees to care 

for youth infected with HIV and urges HRSA to disseminate the effective practices and models of care developed by title IV grantees 

across all Ryan White CARE Act providers. 
54 

Technical assistance may be provided to title IV grantees using 

up to 2 percent of the funds appropriated under this section. Within this amount sufficient funds exist to maintain agreements to 

provide technical assistance to title IV grantees and to conduct policy analysis and research. 

AIDS Education and Training Centers—Part F 

The Committee provides $35,200,000, an increase of $524,000 

over the fiscal year 2006 level and $500,000 over the budget request, for the AIDS education and training centers [AETC’s]. AIDS 

education and training centers train health care practitioners, faculty, and students who care for AIDS patients outside of the traditional health professions education venues, and support curriculum 

development on diagnosis and treatment of HIV infection for health 

professions schools and training organizations. The targeted education efforts by AETC’s are needed to ensure the cost-effective use 

of the significant expenditures in Ryan White programs and the 

AIDS drugs assistance program. The agency is urged to fully utilize 

the AETC’s to ensure the quality of medical care and to ensure, as 

much as possible, that no individual with HIV receives suboptimal 

therapy due to the lack of health care provider information. 

AIDS Dental Services—Part F 

The Committee provides $13,598,000, an increase of $521,000 

over the fiscal year 2006 level and $512,000 over the budget request, for AIDS Dental Services. This program provides grants to 

dental schools, dental hygiene schools, and postdoctoral dental education programs to assist with the cost of providing unreimbursed 

oral health care to patients with HIV disease. 

HEALTH CARE SYSTEMS BUREAU

Organ Donation and Transplantation 

The Committee provides $25,049,000 for organ donation and 

transplantation activities. The fiscal year 2006 comparable level 

was $23,033,000 and the budget request for fiscal year 2007 was 

$23,049,000. These funds support a scientific registry of organ 

transplant recipients and the National Organ Procurement and 

Transplantation Network to match donors and potential recipients 

of organs. A portion of the appropriated funds may be used for education of the public and health professionals about organ donations 

and transplants, and to support agency staff providing clearinghouse and technical assistance functions. 

The Committee notes that Public Law 108–216, the Organ Donation Recovery and Improvement Act of 2004 authorizes valuable 

new uses of these funds, including patient travel, and has provided 

$2,000,000 over the budget request to initiate implementation of 

the new law. The Committee notes that the new provisions may 

have a direct impact on increasing the rate of successful 

transplantations. 

The Committee applauds HRSA for its successful ‘‘Organ Donation Breakthrough Collaborative’’ campaign to identify and promote 

best practices in organ donations for hospitals and organ procurement organizations. Improving the rate of donation nationally is 
55 

crucial to making life-saving organ transplantations more widely 

available for patients with diabetes, heart disease, end stage renal 

disease, and many other devastating illnesses. The Committee encourages HRSA to improve the allocation system with the goal of 

expanding the number of available organs, including pancreases for 

transplantation or islet extraction in patients with diabetes. 

The Committee is concerned that pregnant women and their families are unaware of the benefits of umbilical cord blood in treating 

many congenital and genetic diseases. The Committee encourages 

HRSA to consider adding umbilical cord blood to organ and tissue 

donation education programs operated by HRSA to provide education on options for umbilical cord blood storage. 

The Committee commends HRSA for its leadership in promoting 

increased organ and tissue donations and encourages the Division 

of Transplantation to continue its partnership with the pulmonary 

hypertension community in this important area. 

C.W. Bill Young Cell Transplantation Program 

The Committee provides $22,687,000 for the C.W. Bill Young 

Cell Transplantation Program, which is the successor of the National Bone Marrow Donor Registry. The fiscal year 2006 comparable level for the Registry was $25,145,000 and the budget request for fiscal year 2007 was $22,687,000. 

The Committee is pleased that HRSA is moving forward to implement the C.W. Bill Young Cell Transplantation Program. The 

Committee is committed to expanding the opportunities for those 

in need of a bone marrow transplant. It is the Committee’s expectation that those program functions that remain under the direct 

oversight of the Secretary, i.e. Patient Advocacy and Case Management, single point of access, and the Stem Cell Therapeutic Outcomes Database, will operate in an objective and unbiased manner, 

free from conflicts of interest, such that they can support use of the 

stem cell source material that is most appropriate for the individual patient. 

National Cord Blood Inventory 

The Committee has provided $3,960,000 for the National Cord 

Blood Inventory, which is the successor of the National Cord Blood 

Stem Cell Bank program. The fiscal year 2006 comparable level 

was $3,957,000 and the budget request for fiscal year 2007 did not 

request funds for this activity. The purpose of this program is to 

provide funds to cord blood banks to build an inventory of the highest quality cord blood units for transplantation. 

The Committee is concerned that the establishment of the Advisory Council, required by the Stem Cell Therapeutic and Research 

Act of 2005, Public Law 109–129, has been delayed. The Advisory 

Council is intended to provide independent, scientific counsel related to all aspects of the C.W. Bill Young Cell Transplantation 

Program. Congress envisioned the Advisory Council would play a 

prominent role in developing a scientifically sound definition of a 

‘‘high-quality cord blood unit.’’ In addition, it was anticipated that 

the Secretary would consult with the Advisory Council regarding 

the accreditation requirements for cord blood banks, the standardized data requirements, and other related matters. The Committee 
56 

believes it is very important to assure the highest quality throughout the cord blood collection and storage process. Therefore, the 

Committee strongly urges HRSA to move forward with the creation 

of the Advisory Council. 

Poison Control Centers 

The Committee provides $23,068,000 for Poison Control Center 

activities. The fiscal year 2006 comparable level was $23,052,000 

and the budget request for fiscal year 2007 was $13,168,000. The 

Poison Control Program currently supports a mix of grantees: most 

grantees serve entire States; a few grantees serve multi-State regions; and, in a handful of cases, more than one grantee serves a 

single State. The Committee is generally supportive of this current 

structure and instructs HRSA not to make any changes aimed at 

replacing existing single State grantees with multi-State providers. 

In allocating funds, the Committee has provided sufficient resources to continue the current approach of allocating funding to 

all certified centers based on service population. 

Office of Pharmacy Affairs 

The Committee provides $2,970,000 for the Office of Pharmacy 

Affairs. The budget request for fiscal year 2007 was $2,970,000 for 

this new program. The Office of Pharmacy Affairs promotes access 

to clinically and cost effective pharmacy services among safety-net 

clinics and hospitals that participate in the 340B Drug Pricing Program. Section 340B of the Public Health Service Act requires drug 

manufacturers to provide discounts or rebates to a specified set of 

HHS assisted programs and hospitals that meet the criteria in the 

Social Security Act for serving a disproportionate share of low income patients. These funds will be used to help resolve deficiencies 

that could not be addressed within resources available for the normal operations of the office. Specifically, these deficiencies include 

non-compliance with the 340B pricing requirements and errors and 

omissions in the office’s covered entity database. 

The Committee is concerned by price fluctuations in drugs currently accessed through 340b, which play a major role in the delivery of care in community health centers, title X clinics, and rural 

health centers. The Committee hopes that the funding for Office of 

Pharmacy Affairs will help to address the variability in pricing to 

help clinics plan for their patient load. 

The Committee is also concerned by 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 HRSA to work with 

the Centers for Medicare and Medicaid Services to assess safety 

net participation in part D networks and expand assistance to assure that safety net pharmacies may participate on fair 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 that 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. 
57 

Trauma Care 

The Committee provides $1,000,000 for the trauma/emergency 

medical services program. This program did not receive funding in 

fiscal year 2006 and the budget request for fiscal year 2007 did not 

include funding for this program. This program is intended to improve the Nation’s overall emergency medical systems, which are 

constantly activated to respond to a wide range of natural and 

man-made disasters. 

RURAL HEALTH PROGRAMS

Rural Health Policy Development Program 

The Committee provides $8,737,000 for the Rural Health Policy 

Development Program. The fiscal year 2006 comparable level was 

$8,731,000 and the budget request for fiscal year 2007 was 

$8,737,000. The funds provide support for the Office of Rural 

Health Policy to be the focal point for the Department’s efforts to 

improve the delivery of health services to rural communities and 

populations. Funds are used for rural health research centers, the 

National Advisory Committee on Rural Health, and a reference and 

information service. 

Rural Health Care Services Outreach Grants 

The Committee provides $38,885,000 for rural health outreach 

grants. The fiscal year 2006 comparable level was $38,858,000 and 

the budget request for fiscal year 2007 was $10,365,000. This program supports projects that demonstrate new and innovative models of outreach in rural areas such as integration and coordination 

of health services. 

The Committee understands that many primary care clinics in 

isolated, remote locations are providing extended stay services and 

are not staffed or receiving appropriate compensation to provide 

this service. The Committee encourages the HRSA to continue its 

support for a demonstration project authorized in the Medicare 

Modernization Act to evaluate the effectiveness of a new type of 

provider, the ‘‘Frontier Extended Stay Clinic,’’ to provide expanded 

services in remote and isolated primary care clinics to meet the 

needs of seriously ill or injured patients who cannot be transferred 

quickly to acute care referral centers, and patients who require 

monitoring and observation for a limited time. 

Mississippi’s Delta is a community in which residents disproportionately experience disease risk factors and children are significantly mentally and physically developmentally behind. The Committee recognizes that communities such as this show positive behavioral change when community-based programs and infrastructure are in place. The Committee believes that collaborative programs offering health education, coordination of health services 

and health-related research offer the best hope for breaking the 

cycle of poor health in underprivileged areas such as the Mississippi Delta. Therefore, the Committee recommends the continued funding of these activities as already initiated and undertaken 

by the coordinated efforts of the Mississippi Delta Health Alliance, 

which is a collaboration involving Delta State University, Mis-
58 

sissippi State University, the University of Mississippi Medical 

Center, and the Mississippi State Department of Health. 

Rural and Community Access to Emergency Devices 

The Committee provides $1,500,000 for rural and community access to emergency devices. The fiscal year 2006 comparable level 

was $1,484,000 and the budget request for fiscal year 2007 did not 

include funding for this program. This appropriation provides funding for both the rural program under section 413 of the Public 

Health Service Act and the community access demonstration under 

section 313. 

The Committee is concerned that reductions in the fiscal year 

2006 appropriation for this program were implemented in a manner that disproportionately impacted rural areas. The Committee 

expects that a portion of the fiscal year 2007 funding be used to 

provide defibrillators to rural communities. 

Funding will be used to train additional rural and community lay 

rescuers and first responders to use automated external 

defibrillators [AEDs] and to purchase and place AEDs in public 

areas where cardiac arrests are likely to occur. 

Rural Hospital Flexibility Grants 

The Committee provides $38,538,000 for rural hospital flexibility grants. The fiscal year 2006 comparable level was $63,494,000 and 

the budget request for fiscal year 2007 did not include funds for 

this program. The Committee notes that the fiscal year 2006 level 

included $25,000,000 for the first year of the Delta Health Initiative, which is now funded as a separately authorized line item. 

Under this program, eligible rural hospitals may convert themselves into limited service facilities termed Critical Access Hospitals. Such entities are then eligible to receive cost-based payments from Medicare. The grant component of the program assists 

States with the development and implementation of State rural 

health plans, conversion assistance, and associated activities. 

Of the amount provided, the Committee includes $15,000,000 to 

continue the Small Rural Hospital Improvement Grant Program, as 

authorized by section 1820(g)(3) of the Social Security Act and Public Law 107–116 and outlined in House Report 107–342. 

Delta Health Initiative 

The Committee has included $35,000,000 for the Delta Health 

Initiative as authorized in section 223 of this act. The Committee 

understands that HRSA intends to award a multi-year award in 

fiscal year 2006 to implement the Delta Health Initiative as described in House Report 109–337. The Committee notes that continuation of this award in fiscal year 2007 in the same manner and 

with the same requirements will satisfy the requirements of section 

223. 

State Offices of Rural Health 

The Committee provides $8,141,000 for the State Offices of Rural 

Health. The fiscal year 2006 comparable level was $8,135,000 and 

the budget request for fiscal year 2007 was $8,141,000. The State 

Office of Rural Health program helps the States strengthen rural 
59 

heath care delivery systems by allowing them to better coordinate 

care and improve support and outreach in rural areas. The Committee believes that continued funds for this purpose are critical to 

improving access and quality health care services throughout rural 

communities. 

Native and Rural Alaskan Health Care 

The Committee provides $39,283,000 for the Denali Commission. The fiscal year 2006 comparable level was $39,283,000 and the 

budget request for fiscal year 2007 did not include funding for this 

program. These funds support construction and renovation of 

health clinics, hospitals and social service facilities in rural Alaska, 

as authorized by Public Law 106–113, to help remote communities 

in Alaska develop critically needed health and social service infrastructure for which no other funding sources are available, thereby 

providing health and social services to Alaskans in remote rural 

communities as they are in other communities throughout the 

country. The Committee expects the Denali Commission to allocate 

funds to a mix of rural hospital, clinic, long-term care and social 

service facilities, rather than focusing exclusively on clinic funding. 

Terrorism Preparedness 

The Committee provides $486,606,000 for bioterrorism prepared- ness related activities at HRSA. Within this total, $466,210,000 is 

provided for hospital preparedness, $8,000,000 is provided for 

credentialing and guidelines development, and $12,396,000 is provided for training and curriculum development. 

Within the total provided for hospital preparedness grants, the Committee approves the request for $15,000,000 to create a medical surge capacity national demonstration at the Washington Hospital Center. This funding will increase emergency care capacity for 

the Nation’s Capital, and serve as a national demonstration center 

for advanced mass casualty emergency facility design, training, and 

care. 

Family Planning 

The Committee provides $283,103,000 for the title X family planning program. The fiscal year 2006 comparable level was 

$282,907,000 and the budget request for fiscal year 2007 was 

$283,103,000. 

Title X grants support primary health care services at more than 

4,500 clinics nationwide. About 85 percent of family planning clients are women at or below 150 percent of poverty level. Title X 

of the Public Health Service Act, which established the family planning program, authorizes the provision of a broad range of acceptable and effective family planning methods and preventive health 

services to individuals, regardless of age or marital status. This includes FDA-approved methods of contraception. 

The Committee remains concerned that programs receiving Title 

X funds ought to have access to these resources as quickly as possible. The Committee again instructs the Department to distribute 

to the regional offices all of the funds available for family planning 

services no later than 60 days following enactment of this bill. The 

Committee intends that the regional offices should retain the au-
60 

thority for the review, award and administration of family planning 

funds, in the same manner and time frame as in fiscal year 2006. 

The Committee intends that at least 90 percent of funds appropriated for Title X activities be for clinical services authorized 

under section 1001 of the Act. The Committee further expects the 

Office of Family Planning to spend any remaining year-end funds 

in section 1001 activities. 

Health Care-related Facilities and Activities 

The Committee provides $260,028,000 for the construction and 

renovation (including equipment) of health care-related facilities 

and other health care-related activities. No funds were provided for 

these purposes in fiscal year 2006 and the budget request for fiscal 

year 2007 did not include funding for these activities. The Committee expects HRSA to use no more than 1 percent of the funds 

allocated for projects for agency administrative expenses. These 

funds are to be used for the following projects and in the following 

amounts: 

Amount 

ACTION Donated Dental Program/Arizona Dental Foundation, Arizona to support a community dental program .............................................................................................................................................................. $100,000 

AIDS Healthcare Foundation, Los Angeles, CA for a demonstration of residential and outpatient treatment 

facilities ......................................................................................................................................................... 900,000 

Aims Community College, Greeley, CO, for equipment for the allied health program ..................................... 100,000 

Alaska Federal Health Care Access Network, Anchorage, AK, to create a regional telehealth resource center .................................................................................................................................................................. 1,000,000 

Alaska Federal Health Care Access Network, Anchorage, AK, to support activities of the Alaska Telemedicine Advisory Committee ............................................................................................................................... 500,000 

Alaska Native Medical Center in Anchorage, AK for equipment ....................................................................... 2,000,000 

Alaska Psychiatric Institute, Anchorage, AK for its Telebehavioral Health Project .......................................... 400,000 

Albany Medical Center, Albany, NY, for the establishment of the Patient Safety Center ............................... 500,000 

Albuquerque Indian Health Center, New Mexico, for renovations and equipment ........................................... 200,000 

Allegheny General Hospital, Pittsburgh, PA, for construction, renovation and equipment .............................. 800,000 

Allegheny Singer Research Institute, Pittsburgh, PA for equipment and renovation ....................................... 800,000 

Alton Memorial Hospital, Alton, IL for renovation and equipment at the Riverbend Stroke Center ................ 100,000 

Armstrong Center for Medicine and Health (ACMH), Kittanning, PA, for equipment ....................................... 100,000 

Association for Utah Community Health, Salt Lake City, UT, for expansion of telemedicine services ............ 250,000 

Avis Goodwin Community Health Center, Somersworth, NH, for construction, renovation and equipment ..... 200,000 

Baptist Health Care, Pensacola, FL, for construction, renovation and equipment .......................................... 450,000

Barnes-Kasson County Hospital, Susquehanna, PA, for construction, renovation, and equipment ................. 300,000 

Bear River Health Department, Logan, UT, for its Medicare Reserve Corps Program ..................................... 100,000 

Beartooth Hospital and Health Center, Red Lodge, MT for construction, renovation and equipment ............. 500,000 

Beaver Valley Hospital, Beaver, UT, for equipment .......................................................................................... 100,000 

Beloit Area Community Health Center, Beloit, WI, for renovation and equipment ........................................... 500,000

Benedictine Hospital, Kingston, NY, for purchase of technology ...................................................................... 250,000 

Benefis Healthcare, Great Falls, MT, to establish a health information technology demonstration project in 

rural Montana ................................................................................................................................................ 500,000 

Billings Clinic Diabetes Center, Billings, MT, to create a center for diabetes prevention and treatment ..... 250,000 

Billings Clinic, Billings, MT, for construction, renovation, and equipment ...................................................... 1,200,000 

Bloomsburg Hospital, Bloomsburg, PA for construction, renovation and equipment ....................................... 300,000 

Blue Mountain Health System, Lehighton, PA for equipment at the Gilbert Medical Center .......................... 100,000 

Bon Secours Richmond Health System, Richmond, VA for equipment ............................................................. 100,000 

Boone County Senior Citizen Service Corporation, Columbia, MO for equipment for the Alzheimer’s Disease 

Demonstration Center on the Bluff’s campus .............................................................................................. 1,000,000 

Boston Health Care for the Homeless Program, Boston, MA, for the construction of a health care facility .. 175,000 

Boston Medical Center, Boston, MA, for facilities and equipment for the J. Joseph Moakley Medical Services Building .................................................................................................................................................. 350,000 

Boys Town National Research Hospital, Omaha, NE, for construction, renovation and equipment ................ 900,000 

Bozeman Deaconess Hospital, Bozeman, MT, for an electronic medical record system .................................. 500,000 

Brackenridge Hospital, Austin, TX, for construction, renovation, and equipment ............................................ 200,000 

Breast Cancer Detection Center of Alaska, Inc., Fairbanks, AK for equipment ............................................... 100,000 

Briar Cliff University, Sioux City, IA for facilities and equipment .................................................................... 100,000 
61 

Amount 

Brockton Hospital, Brockton, MA, for equipment .............................................................................................. 200,000 

Brockton Neighborhood Health Center, Brockton, MA, for construction ............................................................ 200,000 

Bucknell University, Lewisburg, PA, for a partnership with Geisinger Health System of Danville, PA for a 

joint teaching and training program ............................................................................................................ 800,000 

Bucktail Medical Center, Renovo, PA for equipment ........................................................................................ 100,000 

Camillus House, Inc., Miami, FL, to expand its medical facility ...................................................................... 200,000 

Carbon Medical Services Association, Inc., East Carbon, UT, for construction, renovation, and equipment .. 200,000 

Cardinal Stritch University, Milwaukee, WI, to establish a bachelors of science nurse degree program for 

nurses at Zablocki Veteran’s Hospital .......................................................................................................... 325,000 

Care New England, Warwick, RI, for equipment ............................................................................................... 225,000 

Carilion Health System, Roanoke, VA, for equipment ....................................................................................... 100,000 

Caring Health Center, Inc., Springfield, MA, for equipment needed to expand urgent care and oral health 

programs ........................................................................................................................................................ 250,000 

Carnegie Mellon University, Pittsburgh, PA, for equipment .............................................................................. 800,000 

Carolinas Medical Center, Charlotte, NC for construction, renovation and equipment ................................... 150,000 

Case Western Reserve University, Cleveland, OH, for the National Flight Nursing Academy and Flight 

Nursing Program ............................................................................................................................................ 200,000 

Catholic Charities of Maine, St. Lewis Center Biddeford, ME, for construction, renovation, and equipment 

of a dental center to serve low income children ......................................................................................... 290,000 

Central Carolina Allied Health Center, Sumter, SC, for construction, renovation, and equipment ................. 175,000 

Charles Drew Health Center, Omaha, NE, for construction .............................................................................. 1,000,000 

Children’s Hospital at Johnson City Medical Center, Johnson City, TN for construction, renovation, and 

equipment ...................................................................................................................................................... 500,000 

Children’s Hospital Medical Center of Akron, OH, for construction, renovation and equipment ..................... 500,000 

Children’s Hospital of KidsPeace, Orefield, PA, for construction, renovation, and equipment ........................ 100,000 

Children’s Hospital of The King’s Daughters Health System, Norfolk, VA, for equipment ............................... 100,000 

Children’s Hospital, Denver, CO for construction, renovation and equipment ................................................. 1,300,000 

Children’s Institute of Pittsburgh, PA for construction, renovation and equipment ........................................ 250,000 

Children’s Care Hospital, Sioux Falls, SD, for construction .............................................................................. 140,000 

Children’s Health Fund/Phoenix Children’s Health Project, Phoenix, AZ for equipment .................................. 100,000 

Children’s Home of Pittsburgh, Pittsburgh, PA, for equipment ........................................................................ 200,000 

Children’s Hospital Boston, Boston, MA, for the development of comprehensive pediatric electronic medical records system ....................................................................................................................................... 220,000 

Children’s Hospital Foundation at Saint Francis, Tulsa, OK for equipment .................................................... 100,000 

Children’s Hospital of Pittsburgh, Pittsburgh, PA, for construction, renovation and equipment .................... 500,000 

Childrens Hospital of Wisconsin, Milwaukee, WI, for construction, renovation and equipment ...................... 200,000 

Children’s Medical Center, Dallas, TX, for equipment ...................................................................................... 250,000 

CHOICE Regional Health Network, Olympia, WA, Emergency Care Center Case Coordination Program .......... 200,000 

Christiana Care Health System, Visiting Nursing Association, Newark, Delaware, for the purchase of telemonitors ......................................................................................................................................................... 250,000 

CHRISTUS San Rosa Children’s Hospital, San Antonio, TX, for construction, renovation, and equipment ..... 200,000 

Cincinnati Children’s Hospital, Cincinnati, Ohio, for equipment ...................................................................... 700,000 

City and County of San Francisco Department of Public Health, CA, for HIV/AIDS Outpatient Services ........ 400,000 

City of Fort Wayne, IN, for training of emergency medical personnel, including equipment purchase .......... 200,000 

Clarion Hospital, Clarion, PA for equipment to implement electronic medical records ................................... 300,000 

Cleveland Clinic Foundation, Cleveland, OH for equipment ............................................................................. 500,000 

Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, for The Women’s Cancer Genomics Center ............ 900,000 

College Misericodia, Dallas, PA, for construction, renovation, and equipment ................................................ 200,000 

Columbus Children’s Research Institute, Columbus, OH, for construction, renovation, and equipment ........ 150,000 

Community Blood Center/Community Tissue Services, Dayton, OH, for the DataCentric (RFID and Data 

Warehousing Project) ..................................................................................................................................... 700,000 

Community Health Access Project, Mansfield, OH, to train community health workers .................................. 100,000 

Community Health Center of Burlington, Burlington, VT, for equipment ......................................................... 100,000 

Community Health Centers in Iowa ................................................................................................................... 3,850,000 

Community Health Centers of Arkansas, North Little Rock, AR, for construction, renovation and equipment ............................................................................................................................................................... 450,000 

Community Medical Center Healthcare System, Scranton, PA to create and implement comprehensive Information Technology initiatives ................................................................................................................... 250,000 

Connie Dwyer Breast Center, Newark, NJ, for equipment ................................................................................. 200,000 

Cook Children’s Medical Center, Fort Worth, TX for construction, renovation and equipment ........................ 300,000 

Cooper University Hospital, Camden, NJ, for the Neurological Institute .......................................................... 500,000 

Copper Queen Hospital, Bisbee, AZ for construction, renovation, and equipment .......................................... 100,000 

County of McKinley, NM for construction and expansion of a dialysis center ................................................. 1,000,000 

County of Riverside, CA, for the Riverside County Regional Medical Center Trauma Center Renovation ....... 250,000 

Culpeper Regional Hospital, Culpeper, VA, for construction, renovation, and equipment ............................... 100,000 

CVPH Medical Center, Plattsburgh, NY, for construction, renovation and equipment ..................................... 500,000 
62 

Amount 

Day Kimball Hospital, Putnam, Connecticut, for equipment ............................................................................ 500,000 

Deborah Heart and Lung Center, Brown Mills, NJ, for construction, renovation and equipment .................... 250,000 

Delaware Valley Community Health, Inc., Philadelphia, PA, for equipment ..................................................... 100,000 

Delta Dental of Iowa, Ankeny, IA, for a dental loan repayment program ........................................................ 150,000 

DuBois Regional Medical Center, DuBois, PA, for equipment .......................................................................... 100,000 

East Orange General Hospital, East Orange, NJ, for renovations for the Emergency Room ............................ 500,000 

East Tennessee State University College of Pharmacy, Johnson City, TN for construction, renovation, and 

equipment ...................................................................................................................................................... 500,000 

Easter Seals Iowa, for construction and enhancement of a health care center ............................................. 400,000

Ed Roberts Campus in Berkeley, CA ................................................................................................................. 750,000 

Edward Waters College, Jacksonville, FL, for training students in HIV, tuberculosis, hypertension, and diabetes outreach ............................................................................................................................................... 100,000 

Elk Regional Health System, St. Marys, PA for equipment ............................................................................... 200,000 

Elliot Hospital and Visiting Nurse Association Telemedicine Project, Manchester, NH, for telehealth and information technology equipment ................................................................................................................... 200,000 

Endless Mountains Health Systems, Montrose, PA, for construction, renovation, and equipment .................. 300,000 

Enterprise Valley Medical Clinic, Enterprise, UT, for equipment ...................................................................... 100,000 

Evangelical Community Hospital, Lewisburg, PA to reduce medical errors with real time risk management ............................................................................................................................................................... 100,000 

Excela Health Latrobe Hospital, Latrobe, PA, for construction, renovation, and equipment ........................... 250,000 

Exempla Saint Joseph’s Hospital, Denver, CO, for equipment and operations of a mobile women’s clinic ... 250,000 

Fenway Community Health Center, Boston, MA, for construction, renovation and equipment ........................ 250,000 

Fish River Rural Health, Eagle Lake, ME, for construction, renovation, and equipment of a dental facility 100,000 

Fletcher Allen Health Care of Burlington, VT, for construction and equipment ............................................... 500,000 

Forum Health, Youngstown, OH, for equipment ................................................................................................ 700,000 

Fox Chase Cancer Center, Philadelphia, PA, to purchase equipment .............................................................. 600,000 

Free Clinic of the Greater Menomonie Area, Inc, Menomonie, WI, for equipment and administration ........... 100,000 

Free Clinics of Iowa in Des Moines, to support a network of free clinics ....................................................... 400,000 

Freeman Health System, Joplin, MO for construction, renovation, and equipment of a facility in McDonald 

County, Missouri ............................................................................................................................................ 500,000 

Garden State Cancer Center, Belleville, NJ, for equipment .............................................................................. 250,000 

Garfield Memorial Hospital, Garfield County, UT for construction, renovation and equipment ....................... 200,000 

Geisinger Health System, Danville, PA for construction, renovation and equipment ....................................... 300,000 

Generations Inc., Lindenwold, NJ, for construction of Nex Generation Medical Center .................................... 300,000 

Good Samaritan Health System, Lebanon, PA, for equipment .......................................................................... 250,000 

Good Samaritan Hospital, Pottsville, PA, for medical outreach ....................................................................... 250,000 

Good Shepherd Rehabilitation Hospital, Allentown, PA, for equipment ............................................................ 250,000 

Grand View Hospital, Sellersville, PA, for construction, renovation, and equipment ....................................... 250,000 

Great Basin College, Elko, NV, for Elko Clinic renovations .............................................................................. 350,000 

Green River Medical Center, Green River, UT, for equipment ........................................................................... 200,000 

Greene Care Clinic, Inc., Stanardsville, VA, for rural health outreach ............................................................. 100,000 

Gritman Medical Center, Moscow, ID for equipment to implement advanced clinical information systems .. 100,000 

Gundersen Lutheran Hospital, LaCrosse, WI, for equipment ............................................................................ 200,000 

Hackensack University Medical Center, Hackensack, NJ, for the Ambulatory Adult Cancer Center ................ 200,000 

Halifax Regional Health System, South Boston, VA, for electronic medical records ........................................ 100,000

Hancock County Municipal Government and Wellmont Health System, Sneedville, TN for construction, renovation, and equipment ................................................................................................................................ 500,000 

Harris County Hospital District, Houston, TX, for the purchase of diabetes equipment ................................. 200,000 

Hazleton General Hospital, Hazleton, PA, for equipment .................................................................................. 250,000 

Health Care Foundation of North Mississippi, Tupelo, MS, for the Children’s Health Science Education 

Center ............................................................................................................................................................ 1,000,000 

Health Federation of Philadelphia, Philadelphia, PA, for equipment ............................................................... 100,000 

Health Work Force Institute, Seattle WA, to develop and implement a diversity recruitment and worker development initiative ....................................................................................................................................... 500,000 

Heartland Partnership, Peoria, IL, for construction of a cancer research laboratory ...................................... 400,000 

Helene Fuld College of Nursing, New York, NY, for construction ..................................................................... 350,000 

Heritage Valley Health System, Beaver, PA, for construction, renovation, and equipment ............................. 100,000 

Hilo Medical Center, HI, for a medical robotics training lab ........................................................................... 100,000 

Holy Cross Hospital, Chicago, IL, for equipment .............................................................................................. 1,000,000 

Holy Name Hospital, Teaneck, NJ, for construction, renovation and equipment .............................................. 100,000 

Holy Names University, Oakland, CA, for renovation and equipment of the nursing school ........................... 150,000 

Holy Redeemer Health System, Huntingdon Valley, PA, for construction, renovation, and equipment ............ 250,000 

Holyoke Hospital, Holyoke, MA, for equipment .................................................................................................. 220,000 

Hospital for Special Surgery, New York, NY, for expansion and modernization of its clinical facilities ......... 500,000 

House of Mercy in Des Moines, Iowa, for renovation of the medical clinic ..................................................... 300,000 

Humility of Mary Health Partners, Youngstown, OH, for the Electronic Medical Records—Medication Administration Project ....................................................................................................................................... 500,000 
63 

Amount 

Hunter’s Hope Foundation, Orchard Park, NY, for equipment in the Krabbe’s disease programs .................. 500,000 

Huntridge Teen Center, Las Vegas, NV, to purchase dental equipment and coordinate dental care ............. 125,000 

Idaho State University, Telehealth Idaho Network, to continue expanding and improving health care access ................................................................................................................................................................ 500,000 

Illinois Primary Health Care Association to develop an electronic medical record system ............................. 200,000 

Independence Square Foundation, Kingston, RI, for construction, renovation, and equipment of health-related facilities ............................................................................................................................................... 250,000 

Indiana University School of Medicine, Indianapolis, IN, for equipment to support the Cancer Center 

Translational Pathway project ....................................................................................................................... 1,250,000 

Inova Health System, Falls Church, VA, for construction, renovation, and equipment ................................... 100,000 

Intermountain Healthcare, Salt Lake City, UT for equipment to implement electronic medical records ........ 500,000 

Iowa Caregivers Association for training and support of certified nurse assistants ...................................... 350,000

Iowa Central Community College, Fort Dodge, IA, for a dental program including equipment ...................... 250,000 

J.C. Blair Memorial Hospital, Huntingdon, PA, for equipment .......................................................................... 200,000 

Jackson Laboratory, Research Expansion, Bar Harbor, ME, for construction, renovation, and equipment ...... 290,000 

Jackson Medical Mall Foundation, Jackson, MS, for construction, renovation, and equipment ...................... 700,000 

Jackson State University, Jackson, MS, for the Southern Institute for Mental Health Research and Training 800,000 

Jameson Hospital, New Castle, PA, construction, renovation, and equipment ................................................ 300,000 

Jefferson Regional Medical Center, Pittsburgh, PA, for electronic medical records ........................................ 150,000 

Jersey Shore Hospital, Jersey Shore, PA for equipment ..................................................................................... 100,000 

Jewish Renaissance Medical Center, Perth Amboy, NJ, for construction, renovation and equipment ............. 450,000 

Johns Hopkins University, Baltimore, MD, for their Critical Event Preparedness and Response program ...... 300,000 

Joseph Health Services of Rhode Island, North Providence, RI for equipment ................................................ 175,000 

Kane Community Hospital, Kane, PA for equipment ......................................................................................... 300,000 

Kansas State University, Manhattan, KS for equipment ................................................................................... 1,300,000 

Kaweah Delta Healthcare District, Visalia, CA, for Neonatal ICU equipment .................................................. 200,000 

Kenosha Community Health Center, Kenosha, WI, for construction, renovation and equipment ..................... 300,000 

Kent County Visiting Nurses Association (VNA of Care New England), Warwick, RI, for equipment .............. 200,000 

Kent State University, Kent, OH, for the Oak Clinic Partnership for equipment .............................................. 475,000 

Keystone Rural Health Center, Camp Hill, PA, for equipment .......................................................................... 100,000 

Lake Erie Research Institute, Girard, PA, for equipment .................................................................................. 100,000 

Lakeland Regional Medical Center, Lakeland, FL, for construction, renovation and equipment ..................... 500,000 

Lancaster Cleft Palate Clinic, Lancaster, PA for construction, renovation and equipment ............................. 200,000 

Lancaster General Hospital, Lancaster, PA, for construction, renovation, and equipment .............................. 200,000 

Latrobe Area Hospital, Latrobe, PA for construction, renovation and equipment ............................................ 200,000 

Le Bonheur Children’s Medical Center, Memphis, TN for construction, renovation, and equipment .............. 1,000,000 

Lebanon College, Lebanon, NH, for construction, renovation, and equipment ................................................. 500,000 

Lehigh Valley Hospital and Health Network, Allentown, PA for equipment ...................................................... 100,000 

Lehigh Valley Hospital and Health Network, Allentown, PA, for construction, renovation, and equipment .... 150,000 

LeMoyne-Owen College, Memphis, TN, Community Health Center for construction, renovation, and equipment ............................................................................................................................................................... 400,000 

LifeBridge Health of Baltimore, MD, to implement the Computerized Physician Order Entry Initiative .......... 500,000 

Lincoln County Health and Human Services Department, Newport, OR for construction, renovation and 

equipment ...................................................................................................................................................... 100,000 

Lourdes Health System, Camden, NJ, for equipment at the Osborn Family Health Center ............................. 200,000 

Lower Bucks Hospital, Bristol, PA for equipment ............................................................................................. 200,000 

Magee Rehabilitation Hospital, Philadelphia, PA, for equipment ..................................................................... 250,000 

Magee Women’s Research Institute, Pittsburgh, PA, for construction, renovation and expansion .................. 500,000 

Magic Valley Regional Medical Center, Twin Falls, ID for equipment .............................................................. 250,000 

Main Line Health System, Bryn Mawr, PA, for construction, renovation, and equipment ............................... 250,000 

Maine Coast Memorial Hospital, Ellsworth, ME for construction, renovation and equipment ......................... 190,000 

Maine Hospice Council, Inc., Augusta, ME, to establish the Maine Center for End-of-Life Care ................... 100,000 

Maine Primary Care Association, Maine Electronic Medical Record Adoption, Augusta, ME, for implementing an electronic medical record network in rural Maine .................................................................... 140,000 

Maliheh Free Clinic, Salt Lake City, UT, for equipment .................................................................................... 100,000 

Marias Medical Center, Shelby, MT for equipment ........................................................................................... 400,000 

Marshall University, WV, for the Bioengineering and Biomanufacturing Institute ........................................... 2,700,000 

Marshall University, WV, for the construction of a patient care and clinical training site in Southwestern 

West Virginia ................................................................................................................................................. 6,500,000 

Marshall University, WV, for the Virtual Colonoscopy Outreach Program ......................................................... 1,750,000 

Mary Scott Nursing Center, Dayton, OH, for construction, renovation, and equipment ................................... 400,000 

Maryland Hospital Association, for their nursing lattice program ................................................................... 350,000 

Mattawa Community Medical Clinic, Mattawa, WA, to complete construction of a new Rural Health Clinic 400,000 

Maui Community Health Center, HI, for construction, renovation and equipment .......................................... 250,000 

Maui Economic Development Board, HI, for the Lanai Women’s Initiative ...................................................... 100,000 

Maury Regional Hospital, Columbia, TN for construction, renovation, and equipment ................................... 400,000 
64 

Amount 

Meadville Medical Center, Meadville, PA, for construction, renovation, and equipment ................................. 250,000 

Meharry Medical College, Nashville, TN, for construction, renovation, and equipment ................................... 1,000,000

Memorial Hermann Southwest Hospital, Houston, TX, for construction, renovation, and equipment .............. 250,000 

Memorial Hospital, York, PA, for construction, renovation, and equipment ..................................................... 250,000 

Memphis Bioworks Foundation, Memphis, TN, for construction, renovation, and equipment .......................... 500,000 

Mercy Health Partners, Scranton, PA, for equipment ........................................................................................ 250,000 

Mercy Health System, Conshohocken, PA, for equipment ................................................................................. 250,000 

Mercy Housing Inc., Denver, CO, for construction, renovation, and equipment of health care facilities ....... 100,000 

Mercy Medical Center, Springfield, MA, for equipment ..................................................................................... 225,000 

Methodist Healthcare System, Houston, TX, for equipment .............................................................................. 200,000 

MetroHealth System, Cleveland, OH, for construction, renovation, and equipment ......................................... 350,000 

Miami Children’s Hospital, Miami, FL for equipment ....................................................................................... 300,000 

Miami University, Oxford, OH, for equipment .................................................................................................... 400,000 

Middle Tennessee State University, Murfreesboro, TN, for construction, renovation, and equipment ............. 500,000 

Midtown Community Health Center, Ogden, UT, for equipment ....................................................................... 200,000 

Minot State University, Minot, ND, for a telehealth wellness program for people with disabilities ............... 200,000 

Mississippi Hospital Association, Jackson, MS, for construction, renovation, and equipment ........................ 850,000 

Mississippi Primary Health Care Association, Jackson, MS, for construction, renovation, and equipment of 

Community Health Centers ............................................................................................................................ 3,200,000 

Mississippi Primary Health Care Association, Jackson, MS, for development of the PharmNet South 340B 

Program ......................................................................................................................................................... 500,000 

Mississippi State University, Starkville, MS, for renovation and equipment in support of developing a Program of Excellence in Tissue Engineering and Biomaterials ....................................................................... 900,000 

Missouri Highlands Health Care, Ellington, MO for construction, renovation and equipment ........................ 875,000 

Monongahela Valley Hospital, Monongahela, PA for equipment ....................................................................... 250,000 

Moses Taylor Hospital, Scranton, PA, for equipment ........................................................................................ 250,000 

Mount Sinai Medical Center, Miami Beach, FL, for construction, renovation and equipment ........................ 250,000 

Mountain State University, Beckley, WV, for the construction of the Allied Health Technology Tower ............ 4,000,000 

Mountainlands Community Health Center, Provo, UT for construction, renovation and equipment ................ 150,000 

National Center for Genome Resources, Santa Fe, NM for equipment ............................................................. 1,100,000 

National Jewish Medical and Research Center, Denver, CO, for construction, renovation, and equipment ... 100,000 

Nebraska Hospital Association Research and Education Foundation in Lincoln, NE for its Nebraska Statewide Telehealth Network Project ................................................................................................................... 200,000 

Nevada Rural Hospital Partners in Reno, NV, to expand and improve telemedicine in rural Nevada ............ 450,000 

New Hampshire Community Health Centers, Bi-State Primary Care Association, Concord, NH ...................... 300,000 

New York-Presbyterian Hospital, NY, for cardiac care telemetry equipment .................................................... 650,000 

North Arkansas College, Harrison, AR, for equipment for the North Arkansas Partnership for Health Education ............................................................................................................................................................. 570,000 

North Country Children’s Clinic, Inc., Watertown, NY, for construction and renovation .................................. 500,000 

North Dakota State University, Fargo, ND, to expand a statewide telepharmacy project ................................ 1,000,000 

North Idaho Rural Health Consortium (NIRHC), Bonner General Hospital, Sandpoint, ID, to continue providing and improving distance healthcare access in north Idaho .............................................................. 750,000 

Northeast Wisconsin Technical College, Green Bay, WI, to purchase equipment for a mobile clinic ............. 400,000 

Northeastern Pennsylvania Technology Institute, Scranton, PA, to connect the eighteen regional hospitals 

with state and federal medical experts during incident response and recovery ........................................ 100,000 

Northeastern Vermont Regional Hospital, St Johnsbury, VT, for construction, renovation and equipment ..... 750,000 

Northern Rockies Medical Center, Cut Bank, MT for equipment ...................................................................... 250,000 

Northwest Center for the Developmentally Disabled, Seattle, WA, for a portable medical records project .... 400,000 

Northwest Hospital and Medical Center, Seattle, WA, for construction, renovation and equipment ............... 750,000 

Norton Community Hospital, Norton, VA, for equipment to implement digitized medical records .................. 200,000 

Nova University, Fort Lauderdale, FL, for construction of the Center for Collaborative Biomedical Research ............................................................................................................................................................ 250,000 

NYU School of Medicine, NY, NY, for the Basic Research and Imaging Program ........................................... 900,000 

Ohio Valley General Hospital, McKees Rocks, PA for equipment ...................................................................... 100,000 

Oklahoma State University Center for Health Sciences, Tulsa, OK for equipment .......................................... 160,000 

Orange County, Orlando, FL, for Primary Care Access Network Clinic ............................................................. 100,000 

Ottumwa Regional Health Center, Ottumwa, IA, for construction, renovation and equipment ....................... 750,000 

Oxford Enterprise Center, Oxford, MS, for construction, renovation, and equipment of facilities for health 

research ......................................................................................................................................................... 1,000,000 

Pacific Northwest National Laboratory, Richland, WA, to create a proteomics laboratory for clinical applications ........................................................................................................................................................... 500,000 

Paula and Anthony Rich Center for the Study and Treatment of Autism, Youngstown, OH, for equipment .. 500,000 

Penn State Milton S. Hershey Medical Center/College of Medicine, Hershey, PA for rural health outreach ... 300,000 

Penn State University, Milton S. Hershey Medical Center, Hershey, PA, for equipment .................................. 700,000 

Pennsylvania Homecare Association, Lemoyne, PA, for home tele-health programs serving rural areas ....... 100,000 

Pinnacle Health Hospitals, Harrisburg, PA, for equipment ............................................................................... 250,000 
65 

Amount 

Pioneer Valley Life Sciences Institute, Springfield, MA, for the construction of biomedical research facilities ................................................................................................................................................................. 475,000 

Pittsburgh Mercy Health System, Pittsburgh, PA, for construction, renovation, and equipment ..................... 250,000 

Pocono Medical Center, East Stroudsburg, PA, for construction, renovation, and equipment ........................ 450,000 

Powell County Medical Center, Deer Lodge, MT for equipment ........................................................................ 200,000 

Primary Care Association of HI, for construction, renovation, equipment, disability services and outreach 

at the State’s health centers ........................................................................................................................ 750,000 

Providence Community Health Centers, Providence, RI for construction, renovation and equipment ............. 250,000 

Providence Health System of Washington, DBA Providence Alaska Medical Center for family practice residency activities .............................................................................................................................................. 1,300,000 

Rainbow Babies & Children’s Hospital, Cleveland, OH, for equipment ........................................................... 700,000 

Rapid City Area School District 51/4, Rapid City, SD, for construction, renovation, and equipment of a 

school-based health clinic ............................................................................................................................ 150,000 

Reading Hospital and Medical Center, Reading PA for equipment .................................................................. 300,000 

Richford Health Center, Inc of Richford, VT, for construction, renovation and equipment ............................. 100,000 

Riverside Regional Medical Center (RRMC), Newport News, VA, for equipment .............................................. 100,000 

Rochester General Hospital, Rochester, NY, for heart failure equipment and training ................................... 250,000 

Rockland Community College, Suffern, NY, for new science, allied health and nursing labs ........................ 250,000 

Rosebud Alcohol Drug Treatment Center, Rosebud, SD, for the construction of a treatment wing ................ 400,000 

Rosebud Inter-facility Transport, Rosebud, SD, for purchase of emergency vehicles and equipment ............ 150,000 

Rural Health Technology Consortium, Billings, MT to develop a Rural Clinical Information System .............. 700,000 

Rural Wisconsin Health Cooperative, Sauk City, WI, to develop electronic health records ............................. 225,000 

Rutgers, The State University of New Jersey, New Brunswick, for the Rutgers Universtion Mammalian Biology Resource Center ...................................................................................................................................... 200,000 

Sac and Fox Tribe of the Mississippi in Iowa for a Tribal Health Care Clinic ................................................ 750,000 

Sacred Heart Hospital, Allentown, PA, for equipment and renovation ............................................................. 450,000 

Saint Croix Regional Family Health Center, East Grand Facility Expansion for Behavioral Health, Danforth, 

ME, for construction, renovation, and equipment of its Danforth site ........................................................ 195,000 

Saint Elizabeth Medical Center, Edgewood, KY for construction, renovation, and equipment ........................ 300,000 

Saint Elizabeth Medical Center, Utica, NY, for renovation and expansion of the emergency department ..... 350,000 

Saint Francis Hospital, Escanaba, MI, for construction, renovation and equipment ....................................... 250,000 

Saint Francis Memorial Hospital, San Francisco, CA, for the Surgery Suite Expansion .................................. 200,000 

Saint John’s Lutheran Ministries, Billings, MT, construction, renovation, and equipment .............................. 500,000 

Saint Joseph Hospital, Nashua, NH, for development and expansion of the electronic medical record system ................................................................................................................................................................. 500,000 

Saint Joseph’s Hospital and Medical Center, Phoenix, AZ, for a mobile clinic ............................................... 350,000 

Saint Louis Children’s Hospital, Saint Louis, MO for construction, renovation and equipment ...................... 1,000,000 

Saint Louis University, Saint Louis, MO, for equipment at the Advanced Neurosurgical Innovation Center .. 1,000,000 

Saint Luke’s Episcopal Hospital Neuroscience Center, Houston, TX, for equipment ........................................ 250,000 

Saint Luke’s Miners Memorial Hospital, Coaldale, PA for equipment .............................................................. 200,000 

Saint Luke’s Hospital, Allentown, PA for construction, renovation and equipment ......................................... 250,000

Saint Luke’s Regional Medical Center, Boise, ID for equipment ...................................................................... 800,000 

Saint Mary Medical Center, Langhorne, PA, for construction, renovation, and equipment ............................. 100,000 

Saint Mary’s Good Samaritan, Inc., Mount Vernon, IL for equipment .............................................................. 100,000 

Saint Mary’s Regional Medical Center, Reno, NV, for construction, renovation and equipment ..................... 1,000,000 

Saint Patrick Hospital and Health Sciences Center, Missoula, MT for equipment to implement an electronic medical records system ...................................................................................................................... 500,000 

Saint Peter’s Hospital, Helena, MT for construction, renovation and equipment ............................................ 500,000 

Saint Thomas Health Services, Nashville, TN for construction, renovation and equipment ............................ 250,000 

Saint Vincent Charity Hospital, Cleveland, OH, for construction, renovation, and equipment ........................ 100,000 

Saint Vincent Healthcare Foundation, Billings, MT for construction, renovation and equipment ................... 2,500,000 

Saint Vincent Healthcare, Billings, MT, to create a continuing medical education program ......................... 750,000 

Saint Vincent Regional Medical Center, New Mexico, for construction, renovation and equipment ............... 1,000,000 

Salt Lake Community College, Salt Lake City, UT, for construction, renovation, and equipment ................... 850,000 

Salt Lake County Aging Services, Salt Lake County, UT, for construction, renovation, and equipment ......... 100,000 

Salud Latina/Latino Health, Chicago, IL, for equipment to monitor the health status and outcomes ........... 100,000 

San Luis Valley Regional Medical Center, Alamosa, CO, for the Health Information Technology Project ....... 200,000 

Seattle Cancer Care Alliance, Seattle, WA, for the acquisition of a mobile mammography specialty vehicle 

and for digital imaging equipment .............................................................................................................. 700,000 

Sharon Regional Health System, Sharon, PA for equipment ............................................................................ 200,000 

Shodair Hospital, Helena, MT, for project Cancer Genetics .............................................................................. 250,000 

Singing River Health System, Gautier, MS, for equipment for the Gulf Coast Emergency Infrastructure 

Project ............................................................................................................................................................ 150,000 

Skagit Valley Hospital, Mount Vernon, WA, for equipment for the Cancer Care Center .................................. 200,000 

Somerset Hospital, Somerset, PA for equipment ............................................................................................... 450,000 

Southcentral Foundation in Anchorage, AK for equipment at its Primary Care Center ................................... 2,000,000 
66 

Amount 

Southeast Lancaster Health Services, Inc, Lancaster, PA, for electronic medical records .............................. 100,000 

Southeast Missouri State University, Cape Girardeau, MO for construction, renovation, and equipment ...... 250,000 

Southeastern Ohio Regional Medical Center, Cambridge, OH, for electronic health records .......................... 350,000 

Southern Ohio Health Services Network, Milford, OH, for equipment and technology infrastructure upgrades ............................................................................................................................................................ 300,000 

Spectrum Health Services, Philadelphia, PA for construction, renovation and equipment .............................. 100,000 

Stamford Hospital, Stamford, Connecticut, for the expansion emergency services department and primary 

care facilities ................................................................................................................................................. 150,000 

State of New Mexico to improve rural healthcare through telehealth, focused on mental health .................. 750,000 

Straub Hospital Burn Center, HI, for health professions training in burn treatment ...................................... 100,000

Summa Health System, Akron, OH, for construction, renovation, and equipment of the Cancer Center ........ 500,000 

SUN Home Health Services, Inc., Northumberland, PA, for facilities and equipment ...................................... 100,000 

Susquehanna Health System, Williamsport, PA, for construction, renovation, and equipment ....................... 400,000 

SwedishAmerican Health System, Rockford, IL, for construction and equipment for a clinic in Davis Junction ................................................................................................................................................................. 100,000 

Swedish Medical Center, Seattle, WA, for the Seattle Neuroscience Institute ................................................. 750,000 

Swift River Health Care, Rumford, ME, for construction, renovation, and equipment .................................... 100,000 

Swope Health Services, Kansas City, MO, for equipment ................................................................................. 250,000 

Temple University Health System, Philadelphia, PA, for construction, renovation, and equipment ................ 800,000 

Temple University, Philadelphia, PA, for construction, renovation, and equipment at the Temple University 

School of Medicine’s Center for Minority Health .......................................................................................... 100,000 

Tennessee Technological University, Cookeville, TN, for construction, renovation, and equipment ................. 500,000 

Texas A&M University, College Station, TX, for equipment ............................................................................... 500,000 

Texas Children’s Hospital, Houston, TX, for Project Medical Home .................................................................. 250,000 

Texas Health Institute, Austin, TX, for equipment for an emergency communications demonstration project ................................................................................................................................................................. 200,000 

Thomas Jefferson University Hospital, Philadelphia, PA, for construction, renovation, and equipment .......... 450,000 

Thomas Jefferson University, Philadelphia, PA, for equipment ......................................................................... 500,000 

Toledo Children’s Hospital, Toledo OH, for construction, renovation, and equipment of the Children’s Palliative Care Center ........................................................................................................................................ 300,000 

Trinitas Health Foundation, Elizabeth, NJ, for the Trinitas Hospital Cancer Care Initiative ........................... 250,000 

Twin City Hospital, Dennison, OH, for equipment ............................................................................................. 500,000 

Tyrone Hospital, Tyrone, PA, for equipment ....................................................................................................... 250,000 

UMass Memorial Health Care in Worcester, MA for a high-speed network and Picture Archiving and Communication System ........................................................................................................................................ 900,000 

Uniontown Hospital, Uniontown, PA, for construction, renovation, and equipment of the Chest Pain Center .................................................................................................................................................................. 200,000 

University Medical Center, Tucson, AZ for construction, renovation, and equipment ...................................... 750,000 

University of Alabama at Birmingham, AL for construction of Phase II of the Interdisciplinary Sciences 

Building ......................................................................................................................................................... 10,000,000 

University of Alabama, Tuscaloosa, AL for construction of a Health Services Facility .................................... 10,000,000 

University of Alaska at Anchorage, Anchorage, AK, for its Geriatric and Disabled Care Training Program ... 250,000 

University of Alaska at Fairbanks and University of Alaska at Anchorage, AK, for their program to train 

Alaska natives for careers in psychology ..................................................................................................... 500,000 

University of Arizona, Tucson, AZ, for construction, renovation, and equipment ............................................. 750,000 

University of Arizona, Tucson, AZ, for equipment ............................................................................................. 850,000 

University of Arkansas for Medical Sciences, Little Rock, AR for equipment and renovation of 

Endovascular Imaging Suite ......................................................................................................................... 200,000 

University of Delaware, Newark, DE, for the Delaware Biotechnology Institute ............................................... 400,000 

University of Georgia, Coverdell Center for Biomedical Health Sciences, Athens, GA for equipment ............. 125,000 

University of Houston System, Houston, TX, for equipment of a DNA laboratory at UH-Victoria .................... 100,000 

University of Iowa, Iowa City, IA, for facilities and equipment for a public health laboratory ....................... 1,000,000 

University of Kansas Medical Center, Kansas City, KS for equipment ............................................................. 300,000 

University of Kentucky in Lexington, KY, for the Kentucky Oral Health Initiative ............................................ 1,000,000 

University of Kentucky, Lexington, KY, for construction, renovation, and equipment ...................................... 1,500,000 

University of Louisville in Louisville, KY for construction, renovation and equipment .................................... 15,700,000 

University of Louisville, Center for Cardiovascular Care, Louisville, KY, for construction, renovation and 

equipment ...................................................................................................................................................... 3,200,000 

University of Maryland at Baltimore, to establish a Institute for Nurse Educators ........................................ 750,000 

University of Miami, FL, Miller School of Medicine, for the Center for Patient Safety .................................... 500,000 

University of Minnesota, Minneapolis, MN for construction, renovation and equipment at the Muscular 

Dystrophy Center ............................................................................................................................................ 150,000 

University of Mississippi Medical Center, Jackson, MS, for development, construction, renovation, and 

equipment of the National Biomedical Research Imaging Center ............................................................... 2,800,000 

University of Mississippi Medical Center, School of Dentistry, Jackson, MS .................................................... 500,000 
67 

Amount 

University of Mississippi, Oxford, MS, Center for Thermal Pharmaceutical Processing, for construction, 

renovation, and equipment ........................................................................................................................... 900,000 

University of Mississippi, Oxford, MS, for construction, renovation, and equipment at the National Center 

for Natural Products Research ...................................................................................................................... 7,900,000 

University of Mississippi, Oxford, MS, for construction, renovation, and equipment of a School of Pharmacy facility .................................................................................................................................................. 2,900,000 

University of Missouri-Kansas City, Kansas City, MO, for construction, renovation, and equipment ............. 1,000,000 

University of Nebraska Medical Center, to construct a cancer research floor ................................................. 1,000,000 

University of Nevada-Reno, Reno, NV, for construction and equipping of the biomedical research buildning ................................................................................................................................................................ 1,000,000 

University of New Mexico, Albuquerque, NM, for construction, renovation, and equipment ............................ 8,296,000 

University of North Dakota School of Medicine and Health Services, Grand Forks, ND, for construction of a 

forensic facility .............................................................................................................................................. 300,000 

University of North Dakota School of Medicine, Center for Rural Health and Medicine, Grand Forks, ND, to 

identify and address the health needs of elderly rural residents ............................................................... 500,000 

University of North Dakota, for the Indians Into Medicine program ................................................................ 350,000 

University of North Texas, Denton, TX, for equipment for the Center for Computational Epidemiology ......... 500,000 

University of Pennsylvania, Philadelphia, PA, for construction, renovation, and equipment ........................... 800,000 

University of Pittsburgh Cancer Institute, Pittsburgh, PA, for equipment ....................................................... 800,000 

University of Pittsburgh, Pittsburgh, PA, for equipment to address rare diseases ......................................... 500,000 

University of South Alabama, Cancer Research Institute, Mobile, AL for equipment ...................................... 1,400,000

University of South Dakota Department of Dental Hygiene, Vermillion, SD, for purchase of dental clinic 

equipment ...................................................................................................................................................... 140,000 

University of South Dakota School of Medicine, Vermillion, SD, for the construction of the medical school 1,000,000 

University of Southern Maine, Portland, ME, for construction, renovation, and equipment ............................ 400,000 

University of Southern Mississippi Research Foundation, Hattiesburg, MS, for equipment ............................ 450,000 

University of Tennessee Health Science Center, Memphis, TN for construction, renovation, and equipment 400,000 

University of Tennessee Medical Center Knoxville, TN for equipment .............................................................. 250,000 

University of Texas MD Anderson Cancer Center, Houston, TX, for equipment ................................................ 500,000 

University of Texas Medical Branch in Galveston, Galveston, TX, to expand telehealth capabilities ............. 100,000 

University of Texas Medical Branch, Galveston, TX, for equipment ................................................................. 600,000 

University of Wisconsin-Oshkosh Foundation, Oshkosh,WI, for equipment ....................................................... 150,000 

University of Wisconsin-Superior, Superior, WI, for construction and equipment ............................................ 200,000 

Utah Navajo Health Systems Inc, Montezuma Creek, UT for equipment .......................................................... 100,000 

Valley-Wide Health Systems, Durango, CO, for construction, renovation and equipment ............................... 100,000 

Vanderbilt University Medical Center, Nashville, TN, for the Nurses for Newborns of Tennessee program .... 250,000 

Vannie E. Cook, Jr. Cancer Foundation, Baylor College of Medicine, Houston, TX, for construction, renovation and equipment ....................................................................................................................................... 300,000 

Vantage Health Care Network, Meadville, PA, for elderly-care professional training programs ...................... 100,000 

Venice Family Clinic, Venice, CA, for renovations and equipment at the Pico Health Center ........................ 200,000 

Vermont Association of Hospitals and Health Systems of Montpelier, VT, for health information technology ............................................................................................................................................................. 400,000 

Virginia Commonwealth University (VCU) Massey Cancer Center, Richmond, VA, for construction, renovation, and equipment ...................................................................................................................................... 100,000 

Visiting Nurse Association of Omaha Nebraska, for Omaha’s CareWatch program for the chronically ill ..... 300,000 

Visiting Nurses Association of Greater Philadelphia, Philadelphia, PA for equipment, training and outreach .............................................................................................................................................................. 100,000 

Visiting Nurses Association of Manchester and Southern New Hampshire, for an electronic medical record 

project ............................................................................................................................................................ 300,000 

Washington Hospital, Washington, PA for construction, renovation and equipment ....................................... 300,000 

Washington State University, College of Nursing, Spokane, WA, for construction and equipment for medical school nursing facility ............................................................................................................................ 1,500,000 

Wayne Community Health Centers, Inc., Bicknell, UT, for equipment .............................................................. 100,000 

Wayne Memorial Hospital, Honesdale, PA for construction, renovation and equipment .................................. 100,000 

Welcome House, Inc., OH, for the Eldercare/MRDD Project and construction, renovation, and equipment .... 500,000 

Wellspan Health, York, PA, for disease management services ......................................................................... 250,000 

Wentworth-Douglass Hospital, Dover, NH for equipment to implement electronic medical records ............... 500,000 

Wesley College, Dover, DE, for the expansion of the nursing program ............................................................ 700,000 

West Pennsylvania Allegheny Health System, Pittsburgh, PA for equipment ................................................... 200,000 

West Virginia University for the construction and equipping of medical simulation research and training 

centers in Morgantown, Charleston and Martinsburg .................................................................................. 3,500,000 

West Virginia University for the construction of a Multiple Sclerosis Center .................................................. 4,500,000 

Westerly Hospital, Westerly, RI, for construction and renovation ..................................................................... 500,000 

Western Pennsylvania Hospital, Pittsburgh, PA, for equipment ....................................................................... 100,000 

Wetzel County Hospital, WV, for the expansion and remolding of the Emergency Department ...................... 1,000,000 
68 

Amount 

Wexner Heritage Village, Columbus, OH, for the Larry and Leonore Zusman Jewish Community Hospice for 

renovation and equipment ............................................................................................................................ 170,000 

Wheaton Franciscan Health Care -Southeast Wisconsin, Inc., for equipment ................................................. 200,000 

Wilcox Health Center, Warwick, RI, for construction, renovation, and equipment ........................................... 250,000 

Wills Eye Hospital, Philadelphia, PA, for construction, renovation, and equipment ........................................ 500,000 

Wisconsin Primary Health Care Association, Madison, WI, for an electronic medical records system ........... 225,000 

Wistar Institute, Philadelphia, PA, for construction, renovation, and equipment ............................................ 100,000 

Wolfson Children’s Hospital, Jacksonville, FL, for equipment ........................................................................... 250,000 

Women and Infants Hospital, Providence, RI for construction, renovation and equipment ............................ 200,000 

Women’s Care Center of Erie County, Inc., Erie, PA, for health outreach ........................................................ 100,000 

Wyoming Dental Association, Casper, WY, to track, train, and recruit needed oral health care providers .... 200,000 

Wyoming Department of Health, Office of Telemedicine, Cheyenne, WY, to support the Wyoming Network 

for Telehealth (WyNETTE) program ................................................................................................................ 1,800,000 

Wyoming Valley Health Care System, Wilkes Barre, PA, for equipment ........................................................... 250,000 

Xavier University, New Orleans, LA, for construction of a biotechnology and pharmacology building ........... 500,000 

Youth for Tomorrow, Inc, Bristow, VA, for construction, renovation, and equipment of a clinical facility ..... 200,000 

The Committee intends that these funds be disbursed as direct 

subsidy payments. The Committee directs HRSA to develop this 

program with appropriate safeguards to assure compliance by recipients with the intended uses of these funds and with other applicable requirements, such as civil rights statutes and the National 

Historic Preservation Act. Further, the Committee intends that 

when these funds are used for purchase, construction or major alteration of real property or the purchase of equipment, the Federal 

interest in the property will last for a period of 5 years following 

the completion of the project or until such time that the Government is compensated for its proportionate interest in the property 

if the property use changes or the property is transferred or sold, 

whichever time period is less. At the conclusion of that time period, 

the Federal Interest in that property shall be terminated. 

The Committee has included bill language to terminate after 5 

years the Federal interest in buildings and equipment funded in 

this line item. The Committee is aware of situations in which 

HRSA has had to track obsolete pieces of equipment, such as old 

medical equipment, for years after the useful life of the equipment 

has ended. The Committee is also aware of situations in which 

HRSA has had to track Federal interest of less than 2 percent of 

total value of a building for years after the completion of construction. The bill language should alleviate these unintended consequences of the grant process. 

Telehealth 

The Committee provides $6,819,000 for telehealth activities. The 

fiscal year 2006 comparable level was $6,814,000 and the budget 

request for fiscal year 2007 was $6,819,000. The telehealth program funded through the Office for the Advancement of Telehealth 

promotes the effective use of technologies to improve access to 

health services for people who are isolated from healthcare and distance education for health professionals. 

Telehealth is an innovation that promises greater access and 

higher quality health care with reduced costs. The practice of telemedicine, however, has been under-utilized and under-funded despite numerous studies praising the ability of telehealth to deliver 

care to individuals in remote and underserved areas. The adoption 

of telehealth has been hampered by legal, financial, and regulatory 
69 

barriers. The Committee intends that HRSA continue to carry out 

programs and expand support for activities authorized under the 

Health Care Safety Net Amendments as initiated in the Fiscal 

Year 2006 Labor, Health & Human Services, and Education Appropriations Act, including telehealth resource centers, network 

grants, demonstration or pilot projects for telehomecare, and programs under which health licensing boards or various States cooperate to develop and implement policies that will reduce statutory and regulatory barriers to telehealth. The Committee intends 

that HRSA place a high priority on the needs of rural States with 

populations of less than 1,500,000 individuals in the award and 

geographical placement of new telehealth resource grants. 

Program Management 

The Committee provides $144,432,000 for program management 

activities for fiscal year 2007. The fiscal year 2006 comparable level 

was $144,432,000 and the budget request for fiscal year 2007 was 

$141,071,000. The Committee has included $2,000,000 to continue 

the dental workforce programs authorized in section 340G of the 

Public Health Service Act. 

The Committee is pleased that the Mathematica evaluation of 

the HRSA clinical pharmacy demonstration projects proved valuable to patients, health centers, and colleges and schools of pharmacy. The Committee requests that HRSA submit a report to the 

Chairmen of the Senate Committee on Appropriations, Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies, and the Senate Committee on Health, 

Education, Labor, and Pensions making recommendations on similar improvements that might be made to all HRSA programs in 

which medications play an integral role in patient care, such as 

health centers and Ryan White programs. The Committee expects 

HRSA to collaborate with external organizations such as the American Association of Colleges of Pharmacy, the National Association 

of Community Health Centers, and members of the 340B Coalition 

to develop the recommendations that should include options for financing clinical pharmacy services in HRSA supported programs, 

cost of such financing, and opportunities for maintaining and building upon the relationships with colleges and schools of pharmacy. 

HEALTH EDUCATION ASSISTANCE LOANS

The Committee provides $1,000,000 to liquidate obligations from 

loans guaranteed before 1992. The fiscal year 2006 comparable 

level was $4,000,000 and the budget request for fiscal year 2007 

was $1,000,000. For administration of the HEAL Program including the Office of Default Reduction, the Committee provides 

$2,887,000. The fiscal year 2006 comparable level was $2,885,000 

and the budget request for fiscal year 2007 was $2,887,000. 

The HEAL Program insures loans to students in the health professions. The Budget Enforcement Act of 1990, changed the accounting of the HEAL Program. One account is used to pay obligations arising from loans guaranteed prior to 1992. A second account 

was created to pay obligations and collect premiums on loans guaranteed in 1992 and after. Administration of the HEAL Program is 

separate from administration of other HRSA programs. 
70 

NATIONAL VACCINE INJURY COMPENSATION PROGRAM

The Committee provides that $66,366,000 be released from the 

vaccine injury compensation trust fund in fiscal year 2007, of which 

$3,564,000 is for administrative costs. The total fiscal year 2006 

comparable level was $64,534,000 and the total budget request for 

fiscal year 2007 was $66,366,000. 

The National Vaccine Injury Compensation Program provides 

compensation for individuals with vaccine-associated injuries or 

deaths. Funds are awarded to reimburse medical expenses, lost 

earnings, pain and suffering, legal expenses, and a death benefit. 

The vaccine injury compensation trust fund is funded by excise 

taxes on certain childhood vaccines. 

CENTERS FOR DISEASE CONTROL AND PREVENTION

DISEASE CONTROL, RESEARCH, AND TRAINING

Appropriations, 2006 1 ........................................................................... $6,087,183,000 

Budget estimate, 2007 ........................................................................... 6,099,052,000 

House allowance .................................................................................... 6,173,368,000 

Committee recommendation ................................................................. 6,195,765,000 

Excludes $293,000,000 in emergency supplemental appropriations pursuant to Public Laws 

109–13, 109–148, and 109–234. 

The Committee provides a program level of $6,195,765,000 for 

the Centers for Disease Control and Prevention [CDC]. The Committee recommendation includes $6,095,900,000 in budget authority and an additional $99,865,000 via transfers available under section 241 of the Public Health Services Act. The fiscal year 2006 

comparable program level was $6,380,183,000 and the program 

level budget request for fiscal year 2007 was $6,099,052,000. 

The activities of the CDC focus on several major priorities: provide core public health functions; respond to urgent health threats; 

monitor the Nation’s health using sound scientific methods; build 

the Nation’s health infrastructure to insure our national security 

against bioterrorist threats; assure the Nation’s preparedness for 

emerging infectious diseases and potential pandemics; promote 

women’s health; and provide leadership in the implementation of 

nationwide prevention strategies to encourage responsible behavior 

and adoption of lifestyles that are conducive to good health. All 

comparisons to fiscal year 2006 and the fiscal year 2007 budget request account for various reprogrammings and rescissions. These 

are not reflected in the table at the back of this report. 

INFECTIOUS DISEASES

The Committee recommends $1,726,237,000 for infectious disease 

related programs at the CDC. The fiscal year 2006 comparable 

level was $1,692,058,000 and the comparable budget request level 

for fiscal year 2007 was $1,777,099,000. The Committee recommendation includes $12,794,000 in transfers available under 

section 241 of the Public Health Services Act. 

The Coordinating Center for Infectious Diseases includes the National Center for Infectious Diseases, the National Center for STD, 

TB, and HIV Prevention, and the National Immunization Program. 
71 

Infectious Diseases Control 

The Committee has provided $266,366,000 for infectious diseases 

preparedness and control activities. The Committee intends that all 

infectious disease control activities be funded at least at the level 

of the administration’s request and that the additional funds be 

used to address emerging issues as determined by CDC. 

These activities focus on: national surveillance of infectious disease; applied research to develop new or improved diagnoses; prevention and control strategies; working with State and local departments and private health care providers to transfer application of 

infectious disease prevention technologies; and strengthening the 

capability to respond to outbreaks of new or reemerging diseases 

and pandemics. With the exceptions noted below, the Committee 

has provided funding at the level of the fiscal year 2007 request. 

Chronic Fatigue Syndrome.—With the full restoration of 

$12,900,000 to the Chronic Fatigue Syndrome [CFS] research program in response to a report from the Inspector General dated May 

12, 1999, the Committee commends CDC for developing a comprehensive CFS program that now leads CFS research efforts 

worldwide. The Committee is encouraged by the commitment of the 

CFS research team and the exciting progress it is making in understanding the pathophysiology of CFS. The Committee encourages 

CDC to provide sufficient resources to sustain this leadership and 

to protect the progress made and has provided an additional 

$1,000,000 over the budget request level to aid these efforts. The 

Committee is also concerned that the CDC restructuring not undermine this momentum. The Committee requests a report by May 1, 

2007 that outlines how the restored funding was used and how the 

CDC restructuring will affect CFS research. The Committee commends CDC on the joint CDC/CFIDS Association of America national public education and awareness campaign. The Committee is 

disappointed by the postponement of the campaign and expects 

CDC to expedite the campaign and ensure that the intent and objectives of the overall campaign, as originally envisioned, are 

achieved. 

The Committee understands that emerging evidence indicates 

that human herpesvirus 6A and Epstein-Barr virus may play a role 

in CFS. The Committee encourages CDC to investigate the role 

that these viruses may play, including as possible causative agents. 

Emerging Infectious Diseases.—The Committee provides $130,000,000 for all other emerging infectious diseases. This increase will provide sufficient resources to expand laboratory capacity, research and support for detecting and characterizing influenza 

and other pathogens that would likely be in the differential diagnosis of patients with febrile illnesses. 

Hepatitis.—The Committee continues to be concerned that more 

than many of the people infected with hepatitis C are unaware of 

their condition. The Committee encourages CDC to collaborate with 

national voluntary health organizations to raise awareness of appropriate screening and medical follow up of target populations. 

The Committee is also aware of increasing rates of hepatitis A and 

B infections among select adult populations, as well as the alarming rate of individuals co-infected with both hepatitis C and HIV. 

The Committee encourages CDC to aid hepatitis screening initia-
72 

tives in the States; help establish guidelines and recommendations 

for preemptive programs; consider focusing on education and 

awareness programs targeted at specific populations where there is 

a high prevalence of hepatitis B and where therapeutic interventions are increasingly effective; and implement the National Hepatitis C Prevention Strategy to address the emerging threat of hepatitis C. In addition, the Committee strongly urges CDC to collaborate with the Health Resources and Services Administration to implement improved HCV screening programs for HIV-infected individuals served by HRSA programs. 

Pandemic Influenza.—The Committee has provided $24,659,000, an increase of $22,000,000 over the fiscal year 2006 level. The 

Committee anticipates that these funds will be used to develop a 

diagnostic reagent stockpile and a library of pandemic reference 

strains. 

Prevention Epicenter Program.—The Committee applauds CDC’s 

support for the Prevention Epicenter Program and has provided 

sufficient resources to continue this program to address patient 

safety issues. 

HIV, STD, and TB Prevention 

Recognizing the intersection among these diseases, and the need 

for a focal point for leadership and accountability, CDC combines 

HIV, STD, and TB activities to provide leadership in preventing 

and controlling human immunodeficiency virus infection, other sexually transmitted diseases [STDs], and tuberculosis. CDC works in 

collaboration with partners at community, State, national, and 

international levels, applying multi-disciplinary programs of research, surveillance, technical assistance, and evaluation. These 

diseases are not yet vaccine preventable and must be controlled 

and prevented by identifying, diagnosing, and treating infected persons; provision of confidential, culturally competent counseling to 

identify and reach those who have been exposed to infection and 

who may not know it; and individual and population level health 

promotion to reduce high risk behaviors. With the exceptions noted 

below, the Committee has provided funding at the level of the fiscal 

year 2007 request. 

HIV/AIDS Initiative.—The Committee is strongly supportive of 

the HIV/AIDS initiative described in the budget request, and has 

included an increase of $19,176,000 over the fiscal year 2006 level 

for CDC’s HIV/AIDS-related activities. Within that increase, 

$4,551,000 above the fiscal year 2006 level is for National, Regional, and other organizations. Although approximately 1 million 

Americans have been infected with HIV, approximately 25 percent 

are unaware of their infection. This results in increased spread of 

the disease, as persons who are aware of their infection are more 

likely to modify their behaviors to avoid transmission to others. 

The increase provided by the Committee should be used to increase 

testing in medical settings, make voluntary testing a routine part 

of medical care, and create new testing guidelines, models, and best 

practices. The Committee notes that quick HIV tests that can provide results in less than an hour are a critical component of the 

initiative. The Committee has supported bulk purchases of HIV 

quick tests for distribution to providers, and—as a result of the 
73 

provided increase—expects an increase in the number of tests distributed to grantees. 

Infertility Prevention.—The Committee notes that there are multiple causes for infertility including ovulatory and hormonal disorders, blocked fallopian tubes, endometriosis and cervical problems among women and poor sperm quality, motility and count 

among men. There are also recognized risk factors that contribute 

to these causes in addition to sexually transmitted diseases, which 

has been the primary focus of CDC’s education on infertility risks. 

These factors include delayed child bearing, smoking, low or excessive body weight and other chronic conditions, exposures to hazardous environmental toxins and contaminants, drug and alcohol 

abuse, diabetes, cancer and, particularly for men, exposure to high 

temperatures. The Committee encourages CDC to consider expanding the scope of this program and provide greater support to public 

education on the risks to fertility. 

Oral Fluid Rapid HIV Tests.—The Committee commends the Department for the domestic HIV/AIDS testing initiative for increased 

testing among high risk populations. The Committee is supportive 

of CDC’s use of the oral fluid rapid HIV test in its HIV/AIDS activities and strongly encourages CDC to move forward as quickly as 

possible with the bulk purchase of additional tests to supply CDC 

grantees with an adequate and ongoing inventory. The Committee 

recognizes the economy and efficiency of CDC’s bulk purchase of 

oral fluid rapid HIV kits for distribution to CDC funded sites, and 

has provided funding within the domestic HIV/AIDS testing initiative to continue and expand this activity. 

Tuberculosis.—The Committee is pleased with the efforts of the 

tuberculosis control program, which has reduced the number of 

new tuberculosis cases for the past 10 years. However, the number 

of new tuberculosis cases in foreign-born individuals in the United 

States remains a concern. Although tuberculosis rates have been 

falling, the Committee is aware that similar low rates have been 

achieved in the past only to see a reemergence of the disease due 

to inadequate control efforts. In the end, any savings achieved during that period were more than used to again gain control of the 

incidence of the disease. The Committee has provided sufficient resources to maintain the fiscal year 2006 level of funding for tuberculosis control efforts and to prevent a similar reemergence. 

The Committee understands that TB is an enormous health crisis in the developing world, killing 2 million people every year. Despite the development of effective treatments against TB 50 years 

ago, there have never been more people infected with the disease 

in the history of the world. The Committee encourages CDC to continue and, if possible, expand the existing TB vaccine research cooperative agreement. 

The Committee understands that the CDC is planning a new initiative called the Intensified Support and Activities to Accelerate 

Control [ISAAC]. ISAAC plans call for targeting TB in African 

Americans and along the U.S./Mexico border, universal genotyping 

of all culture positive TB cases, and expanding clinical trials and 

development of new tools for the diagnosis and treatment of TB. 

The Committee encourages the CDC to implement ISSAC to accelerate the control and elimination of TB. 
74 

In fiscal year 2006, the Committee encouraged the CDC in the 

Senate report to make available funds to States suffering from TB 

cases among recently-arrived Hmong. The Committee understands 

the CDC and Department of State still have not adequately contained the TB outbreak in the Thailand refugee camp and serious 

TB control problems have recently become apparent, including long 

delays in lab testing and an absence of oversight of complicated 

multi-drug resistant TB cases. As a result, TB importation with 

Hmong newcomers has continued through December 2005. The 

Committee again encourages additional funding through CDC’s cooperative agreements to help States respond to the TB epidemic 

among this population. The Committee recognizes the importance 

of Transitional and Medical Services funding under the Refugee 

and Entrant Assistance Program to specifically target the TB medical care needs of this population. 

Immunization 

The Committee recommends $479,303,000 for the program authorized under section 317 of the Public Health Service Act. The 

fiscal year 2006 comparable level was $504,406,000 and the budget 

request for fiscal year 2007 was $492,551,000. The Committee recommendation includes $12,794,000 in transfers available under 

section 241 of the Public Health Service Act. 

The Omnibus Reconciliation Act of 1993 established a vaccine 

purchase and distribution system that provides, free of charge, all 

pediatric vaccines recommended for routine use by the Advisory 

Committee on Immunization Practices to all Medicaid-eligible children, uninsured children, underinsured, and native Americans 

through program-registered providers. The President’s Budget proposes a shift of $100,000,000 in funding for vaccine purchase from the discretionary section 317 program to the mandatory Vaccines for Children Program. The Committee is opposed to the proposed $100,000,000 funding shift, which 

is contingent on a change in authorizing legislation that has not 

yet occurred. 

Immunization project grants are awarded to all 50 States, six cities and eight current or former territories for planning, developing, 

and conducting childhood immunization programs including enhancement of the vaccine delivery infrastructure. CDC directly 

maintains a stockpile of vaccines, supports consolidated purchase of 

vaccines for State and local health agencies, and conducts surveillance, investigations, and research into the safety and efficacy of 

new and presently used vaccines. 

Despite great success in lowering disease levels and raising immunization coverage rates, much remains to be done to ensure the 

protection of children and adults worldwide. Approximately 1 million 2-year-old children in the United States have not received one 

or more of the more established, recommended vaccines. One of our 

Nation’s greatest challenges is extending our success in childhood 

immunization to the adult population. The burden due to the occurrence of vaccine-preventable diseases in adults in the United States 

is staggering. As many as 40,000 U.S. adults each year die of influenza, pneumococcal infections and hepatitis B. CDC is addressing 

these obstacles to the greatest extent possible and continues to pro-
75 

vide leadership to reduce disability and death resulting from diseases that can be prevented through vaccination. 

Vaccines protect not only the individual vaccinated, but the community as well. When high levels of vaccination are achieved, disease transmission is reduced and children too young for vaccination, children with compromised immune systems, and children 

who cannot receive vaccines for medical reasons are indirectly protected because they are not exposed to disease. Clusters of under 

and non-immunized children in communities are at danger for developing vaccine-preventable diseases. In addition, such children 

can become a reservoir of infection disseminating disease to all 

communities. Federal support for removing financial barriers to 

vaccination has included the Vaccines for Children Program for uninsured children and the 317 immunization grants that provide eligibility for all children, adolescents, and adults. 

The Committee is concerned that failure to increase 317 immunization grant support to cover newly recommended vaccines to prevent pneumonia, meningitis, whooping cough, influenza, hepatitis 

A, and rotavirus will create a group of children, adolescents and 

adults in most communities in this country who are unvaccinated. 

Spread of mumps recently into and then out of Iowa and other 

neighboring states highlights the problem of dissemination of infectious diseases when they are introduced into a community. The 

Committee is aware that prior to 2000 and the introduction of new 

vaccines such as pneumococal vaccine that the 317 immunization 

program was adequately assuring that children traditionally dependent on the public sector for support but who were not eligible 

for the Vaccines for Children Program could receive needed vaccines. In 1999, the 317 immunization program allowed 747,000 

children to receive the full immunization schedule. Since that date, 

there has been a growing gap where the 317 program is lagging in 

support relative to the VFC program. In 2006, the 317 program 

was only able to support an estimated 280,000 children due to lack 

of funding. 

Therefore, the Committee requests CDC to provide a report by 

March 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 due to insufficient funding. The report should also include 5-year historical 

data on section 317 operations infrastructure funding for childhood, 

adolescent and adult immunization programs, and present 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 in-
76 

clude 10-year historical data on the percentage of childhood, adolescent and adult immunization covered by funding source. 

The Committee encourages CDC to increase section 317 grant 

support for infrastructure development and purchase of vaccines 

for the State of Alaska’s universal immunization program. It has 

been brought to the Committee’s attention that infrastructure costs 

of delivering vaccines to children in Alaska are substantially higher 

than in other areas of the country, because of the many small, remote communities which must be served primarily by air. The 

Committee encourages the agency to give careful consideration to 

Alaska’s request for sufficient funding for the purchase of vaccines 

needed for 90 percent of Alaskan children and to provide infrastructure support needed to deliver these vaccines at the community level, including development of a statewide immunization registry to ensure that all children in Alaska are immunized. The 

Committee notes that failure to immunize children in remote areas 

of Alaska results in deaths each year from exposure to open sewage 

lagoons and contaminated water. 

Vaccine Tracking.—The Committee is pleased by CDC’s development of the Surveillance, Preparedness, Awareness and Response 

System and has included sufficient resources to continue this program at the level of the budget request. In light of vaccine shortages that have occurred over the past several flu seasons, the Committee understands that this system could serve as a valuable surveillance and tracking system for private and public sector inventory levels of vaccine. 

HEALTH PROMOTION

The Coordinating Center for Health Promotion includes the National Center for Chronic Disease Prevention and Health Promotion and the National Center for Birth Defects and Developmental Disabilities. 

The Committee recommends $967,671,000 for Health Promotionrelated activities at the CDC. The fiscal year 2006 comparable level 

was $957,973,000 and the budget request for fiscal year 2007 was 

$924,439,000. 

The Committee recognizes the important role national non-governmental health organizations play in increasing the awareness of 

chronic disease prevention and birth defects and development disabilities issues. Therefore, the Committee has included $5,000,000 

to allow for the award of projects to support the dissemination of 

information on the condition or disease and effective public health 

interventions or to conduct public and professional health awareness and education efforts. Using a competitive review process, 

each project should be awarded for a 4-year, non-renewable project 

period and should not exceed $1,500,000 per year. 

CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION

Within the total provided, the following amounts are provided for 

the specified activities above the comparable amount for fiscal year 

2006: $5,762,000 to expand heart disease and stroke-related activities; $2,237,000 to expand diabetes-related activities; $5,266,000, to 

expand cancer prevention and control activities; $830,000 to expand tobacco-related activities; and $2,930,000 for nutrition phys-
77 

ical activity and obesity. With the exceptions noted, the Committee 

has provided funding at the level of the fiscal year 2007 request 

Chronic diseases have had a profound human and economic toll 

on our Nation. Nearly 125 million Americans today are living with 

some form of chronic condition, including cancer, cardiovascular 

disease, diabetes, arthritis, and various neurological conditions 

such as epilepsy. These and other chronic diseases now account for 

nearly 70 percent of all healthcare costs, as well as 70 percent of 

all deaths annually. A few modifiable risk factors bring suffering 

and early death to millions of Americans. Three such factors—tobacco use, poor nutrition, and lack of physical activity—are major 

contributors to our Nation’s leading causes of death. 

Alzheimer’s Disease and Healthy Aging.—The Committee is 

aware that 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, 2 years ago Congress 

launched a CDC brain health initiative, in collaboration with the 

Alzheimer’s Association, 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 number of Americans, the Committee has provided sufficient resources to continue this important initiative at 

the same level of funding as was provided in fiscal year 2006. 

Amyotrophic Lateral Sclerosis.—The Committee is pleased that 

the CDC is beginning to gather data for a nationwide ALS registry 

that will estimate the incidence and prevalence of the disease, promote a better understanding of the disease, and provide data that 

will be useful for research on improving disease management and 

developing standards of care. The Committee has provided sufficient funding to continue to develop a national ALS Registry. 

Assay Standardization.—The Committee commends the CDC for 

its efforts to standardize assays that are essential for research on 

the causes and prevention of type 1 diabetes. Standardized methods to measure diabetes autoantibodies improve the prediction of 

disease risk in vulnerable individuals, enable direct comparisons of 

new therapies in clinical trials, and facilitate the exchange of data 

within the research community. The CDC is encouraged to expedite 

development of a standard assay for C-peptide, which the Committee is aware may serve as a biomarker and reduce the length 

of clinical trials for new drugs to prevent or reverse type 1 diabetes. 

Cancer Prevention and Control.—The Committee is strongly supportive of the CDC cancer programs focused on awareness, education, and early detection and has included a significant increase 

for these programs. 

Within the amounts provided, the following amounts are provided for the specified activities above the comparable amount for 

fiscal year 2006: $5,145,000 to expand comprehensive cancer activities and $121,000 to expand activities related to the Cancer Survi-
78 

vorship Resource Center Program. All other cancer activities are 

funded at the fiscal year 2006 level. 

Cancer Survivorship Resource Center.—The Committee supports 

the ongoing partnership between CDC and the Lance Armstrong 

Foundation to address the needs of the approximately 10 million 

cancer survivors. The Committee is particularly supportive of efforts to provide comprehensive services to cancer patients and survivors. 

Cerebral Palsy.—The Committee encourages the CDC to consider 

establishing cerebral palsy surveillance and epidemiology sites that 

would use methodology developed in the Metropolitan Atlanta Developmental Disabilities Study and the Metropolitan Atlanta Developmental Disabilities Surveillance Program, with the addition of 

sophisticated imaging techniques, genetics and clinical evaluations. 

Chronic Kidney Disease.—Twenty million Americans have chronic kidney disease [CKD], and another 20 million are at risk of developing the disease. Individuals with diabetes or hypertension 

have especially high vulnerability. Kidney disease is the ninth 

leading cause of death in the United States, and death by cardiovascular disease is 10 to 30 times higher in kidney dialysis patients 

than in the general population. The number of individuals with end 

stage renal disease [ESRD], irreversible kidney failure requiring either dialysis or a transplant to remain alive, is expected to increase 

from 372,000 patients in 2000 to over 712,000 by 2015. 

In fiscal year 2006, the Committee initiated a Chronic Kidney 

Disease program at CDC to address this growing health issue. The 

Committee is pleased with the progress CDC is making to implement a Chronic Kidney Disease program. The Committee has included $1,000,000 to continue development and implementation of 

a public health strategy for chronic kidney disease. Second year activities will continue planning for capacity and infrastructure at 

CDC for a kidney disease epidemiology, research and outcomes program and to institute a CKD surveillance system. Funding may 

also support State-based, culturally appropriate, community demonstration projects for CKD detection and treatment. 

Chronic Obstructive Pulmonary Disease.—Chronic obstructive 

pulmonary disease [COPD] is the fourth leading cause of death in 

the United States and the only one of the top 10 causes of death 

that is on the increase. The Committee encourages the CDC to expand its data collection efforts on COPD. Specifically, the Committee encourages the CDC to include questions on COPD 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. 

Delta Health Intervention.—The Mississippi Delta Region experiences some of the Nation’s highest rates of chronic diseases, such 

as diabetes, hypertension, obesity, heart disease, and stroke. The 

Committee recognizes CDC’s expertise in implementing research 

and programs to prevent the leading causes of death and disability. 

The Committee is aware that CDC has been conducting a background community assessment of health and related social and environmental conditions in the delta in partnership with the Delta 

Health Alliance. The Committee has provided $3,000,000, within 

the Heart Disease and Stroke program, for CDC to continue and 
79 

expand this partnership to develop and implement a long-range 

health intervention plan that has the goal of breaking the cycle of 

poor health in the Mississippi Delta region. 

Diabetes.—Diabetes is now the sixth leading cause of death in 

the United States. Approximately 14.6 million Americans have diabetes, and an estimated 6.2 million people are undiagnosed and 

therefore untreated. 

The collateral health effects of diabetes can be devastating, often 

causing cause 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. Therefore 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 7 or below) would reduce complications of diabetes. 

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 augment public awareness campaigns to encourage individuals with diabetes to be tested and know their A1C 

levels so that they can take appropriate action to control their condition. 

The Committee is concerned about the adverse health toll that 

the twin epidemics of diabetes and obesity are taking across the 

Nation. An informed and culturally sensitive response is urgently 

needed to address this escalating epidemic. The Committee encourages CDC to fund projects of national and community organizations 

that have the capacity to carry out coordinated health promotion 

programs that will focus on diabetes and obesity in the general 

population and across minority communities. The Committee further encourages CDC to identify potential grantee organizations directed by and serving individuals from communities with disproportionate diabetes and obesity rates. 

The high incidence of diabetes among Native American, Native 

Alaskan, and Native Hawaiian populations persists. The Committee is pleased with the CDC’s efforts to target this population, 

in particular, to assist the leadership of Native Hawaiian and Pacific Basin Islander communities. It is important to incorporate traditional healing concepts and to develop partnerships with community health centers. The Committee encourages CDC to build on all 

its historical efforts in this regard. 

Diabetic Kidney Disease.—The Committee strongly encourages 

the CDC to work closely with the National Institute of Diabetes, 

Digestive and Kidney Diseases to ensure that the biosamples and 

data from the Genetics of Kidneys in Diabetes collection are made 

available to the research community in a timely and efficient manner. 
80 

Epilepsy.—The Committee supports the CDC epilepsy program 

and its partnership with the Epilepsy Foundation. This program is 

conducting 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. The Committee has provided sufficient resources to 

continue this partnership. 

Food Allergy and Anaphylaxis Information.—The Committee encourages CDC to create a National Information Center on Food Allergy and Anaphylaxis. Food allergy is a growing public health and 

food safety concern in the United States. Twelve million Americans—including 3 million children—suffer from food allergies and 

the incidence is increasing. Because there is no cure, avoidance of 

the allergen is the only way to prevent reactions. Food allergy is 

the leading cause of anaphylaxis (a severe, potentially life-threatening allergic reaction) outside the hospital setting causing an estimated 30,000 emergency room visits and 150 to 200 deaths annually, virtually all of which can be prevented with proper education. 

The Committee encourages the CDC to create a Center that will 

provide guidance to the public and health care professionals about 

how to avoid products with allergy-causing ingredients and how to 

respond to potentially life-threatening reactions to food allergens. 

The Committee encourages CDC to partner with a national nonprofit organization with a proven track record in developing and 

providing general information, educational materials, and training 

support to the public, health care providers, educators, Government 

agencies and food and restaurant industry leaders regarding the 

primary and secondary prevention of allergic reactions to food. 

Glaucoma and Other Vision Disorders.—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. Recognizing this emerging public health 

threat, the Committee is aware of the demonstrated success of vision screening programs in preventing blindness and vision impairments among many of the more than 30 million adults that suffer 

from eye-related disorders. 

The Committee is encouraged by the CDC’s exploration of strategies to implement a national initiative to combat the effects of eyerelated disorders, especially glaucoma. The Committee has included 

sufficient resources to maintain at least the fiscal year 2006 level 

for vision screening and education programs in partnership with 

national voluntary health agencies and for CDC to continue to develop a national vision screening and education program. In addition, the Committee has again included sufficient resources to 

maintain at least the fiscal year 2006 level of funding for a model 

project that is testing and evaluating the efficacy of glaucoma 

screening using mobile units. 

Heart Disease and Stroke.—The Committee commends the 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 No. 1 killer in every State, the Committee continues to support the goal of providing funding for basic 
81 

implementation of a State Heart Disease and Stroke Prevention 

Program in each State. The Committee has provided sufficient 

funding to maintain the Paul Coverdell National Acute Stroke Registry, and initiate the development of a State-based cardiac arrest 

registry. 

Inflammatory Bowel Disease.—The Committee understands that 

up to 1.4 million people in the United States may suffer from 

Crohn’s disease or ulcerative colitis, collectively known as inflammatory bowel disease [IBD]. In fiscal year 2006, the Committee 

provided funds for CDC to expand a national IBD epidemiology 

program in partnership with the Crohn’s and Colitis Foundation of 

America. For fiscal year 2007, the Committee has included funding 

to continue this important initiative. 

Interstitial Cystitis.—The Committee is pleased by the establishment of a cooperative agreement between the CDC and the Interstitial Cystitis Association and has included funds to continue the 

public and professional education initiative regarding interstitial 

cystitis. 

Liver Wellness.—The Committee continues to be concerned about 

the prevalence of hepatitis and encourages CDC, particularly the 

Division of Adolescent and School Health, to work with voluntary 

health organizations to promote liver wellness with increased attention toward childhood education and prevention. 

Lung Disease.—The Committee encourages the CDC to consider 

supporting efforts to validate the importance of spirometry 

screenings in early detection of lung disease. Such efforts include 

further research and development of projects to facilitate the translation of new scientific knowledge into spirometry public health 

screening programs. The Committee urges the CDC to continue to 

coordinate with the National Heart, Lung, and Blood Institute in 

translating the results of these efforts into guidance for public 

health programs, including vital signs and screening programs. 

Lupus.—The Committee recognizes that lupus is a serious, complex, debilitating chronic autoimmune disease that can cause inflammation and tissue damage to virtually any organ system in the 

body and impacts between 1.5 and 2 million individuals. The Committee is concerned by the lack of reliable epidemiological data on 

the incidence and prevalence of all forms of lupus among various 

ethnic and racial groups. The Committee has included sufficient resources to continue CDC’s lupus-related activities. 

Mind-Body Research.—The Committee continues to support 

mind-body research and has provided sufficient funding to continue 

these efforts in the same form as in fiscal year 2006. 

Needlesticks.—The Committee is concerned about the high incidence of percutaneous injuries caused by accidental needlesticks 

particularly among the diabetic population because of secondary 

complications that inhibit their sense of feel. Data indicating that 

many people who administer insulin on their own do not properly 

discard contaminated syringes is troubling. Safe needle disposal is 

a practice that should be encouraged through diabetic self-management training to prevent injuries from accidental needlesticks. 

Moreover, the medical community should have improved data related to health consequences arising from accidental needlestick injuries, especially among diabetics, to improve awareness and stimu-
82 

late safer practices. The Committee requests that CDC conduct a 

comprehensive study on the health effects of needlestick injuries 

with particular emphasis on the diabetic population. This study 

should examine the prevalence of accidental needlesticks, the 

causes thereof, direct and secondary health consequences, attendant healthcare costs, and the effectiveness of available self-management technologies, including modern electronic needle disposal devices, that could help prevent percutaneous needlestick injuries. 

The CDC is requested to provide a report with recommendations on 

how the medical and public health community can address 

needlestick injuries to the Committee by June 30, 2007. 

Nutrition, Physical Activity, and Obesity.—The Committee understands that the multiple factors contributing to the overweight and 

obesity epidemic took years to develop. Reversing the epidemic will 

require a long-term, well-coordinated, concerted approach to reach 

Americans where they live, work, play, and pray. Effective collaboration among the public, voluntary, and private sectors is critical 

to reshape the social and physical environment of our Nation’s communities and provide the necessary support, information, tools, and 

realistic strategies needed to reverse the current obesity trends nationwide. 

Given the large, preventable health and economic burden of poor 

nutrition, physical inactivity, and unhealthy body weight, the Committee encourages CDC to continue its leadership role in developing, implementing, and evaluating nutrition and physical activity 

population-based strategies to prevent and control overweight and 

obesity. Targeting prevention efforts throughout the lifespan—including children as young as toddlers—as well as promoting fruit 

and vegetable consumption through CDC’s Federal lead role in the 

national 5 A Day program, and increasing the proportion of children, adolescents, and adults who meet daily physical activity recommendations should remain priorities for the agency. The Committee has provided $500,000 above the fiscal year 2006 level to 

sustain and expand CDC’s support of the 5 A Day Program. 

To reduce consumer confusion about the myriad of health messages about obesity, diabetes, and cardiovascular disease, the Committee encourages the CDC to design and develop mechanisms for 

fast-tracked translation of research into reasoned guidance for the 

American public. 

To prevent unhealthy weight gain and maintain healthy weight 

among children and adolescents, CDC is urged to work with the 

U.S. Department of Education to issue a report with recommendations about reintroducing school physical education into the school 

day. 

Nutrition and Physical Activity Study.—Within the amount provided for Nutrition, Physical Activity and Obesity, the Committee 

has provided sufficient funds to conduct a study of the impact of 

school nutrition and physical activity programs on academic outcomes, including school attendance, student behavior, and student 

achievement on standardized tests. 

Office on Smoking and Health.—The Committee continues its 

long-time efforts to combat tobacco use—the leading preventable 

cause of death—which kills more than 400,000 Americans and adds 

$89,000,000,000 in healthcare costs every year. The Committee is 
83 

concerned that while the Nation has made some progress in this 

area, a new survey released by the CDC finds the first increase in 

the Nation’s high school smoking rate since 1997. The new survey 

found that the percentage of students reporting they have smoked 

a cigarette in the past month increased to 23 percent. Also, in June 

an NIH consensus panel concluded that of the 44.5 million adult 

smokers in the United States, 70 percent want to quit and 40 percent make a serious quit attempt each year, but fewer than 5 percent succeed in any given year. The panel found that while effective methods to stop smoking are already available and could double or triple quit rates, not enough smokers request or are being 

offered these interventions. At the same time, States have significantly reduced their support for tobacco prevention efforts and tobacco companies are spending record amounts to promote tobacco 

use. Accordingly, the Committee has provided an increase in funding for OSH—the Federal Government’s key agency for tobacco control—to expand its efforts to reduce the human and financial tolls 

caused by tobacco use. 

Oral Health.—The Committee recognizes that to effectively reduce disparities in oral disease will require improvements at the 

State and local levels. The Committee has provided sufficient funding to States to maintain their capacities to assess the prevalence 

of oral diseases, to target interventions, such as additional water 

fluoridation and school-linked sealant programs, and resources to 

the underserved, and to evaluate changes in policies, programs, 

and disease burden. The Committee encourages the CDC to advance efforts to reduce the disparities and health burden from oral 

cancers that are closely linked to chronic diseases such as diabetes 

and heart disease. 

Pioneering Healthier Communities.—The Committee has provided sufficient funding to support the Pioneering Healthier Communities initiative at the same level as in fiscal year 2006. 

Prevention Centers.—The Committee encourages the continued 

support of center activities aimed at improving knowledge about 

the effective models for health promotion programs for persons 

with disabilities. 

Primary Immunodeficiency Diseases.—Congress has made funds 

available for CDC to support the national physician education and 

public awareness campaign developed by the Jeffrey Modell Foundation. The Foundation program has generated more than 

$50,000,000 in donated media coverage, resulting in substantial increases in the number of diagnosed patients. 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 recently expanded to 

reach the underserved African-American and Hispanic populations, 

and the Committee has provided $2,400,000 to maintain the program. 

Public Health Genomics.—The coming era of personalized medicine has broad applicability for the field of public health. The Committee urges CDC to conduct and sponsor public health genomics 

research and develop appropriate programs to identify people at 
84 

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. 

Pulmonary Fibrosis.—The Committee previously has expressed 

concern regarding the need to expand public health strategies to 

combat lung disease particularly pulmonary fibrosis, a disease that 

is terminal and for which there is currently no effective treatment. 

Many individuals are diagnosed too late to initiate treatment regimens that could reduce morbidity and mortality. Currently more 

than 40,000 die from this disease annually. Lung disease is the 

third leading cause of death in the United States. The Committee 

encourages the CDC to collaborate with the National Heart, Lung, 

and Blood Institute to develop surveillance, epidemiology, and 

health outcomes programs. 

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 consider partnering with the pulmonary hypertension community to foster greater awareness of the disease. 

REACH Initiative.—The Committee recognizes the strengths that 

national/multi-geographical minority organizations may be able to 

provide to the REACH Initiative. Such organizations could have 

the capacity to influence communities through pre-existing coalitions and collaborative relationships. Such organizations may also 

be able to provide key support to local organizations that may lack 

the infrastructure needed to fully implement the programmatic activities required for this important program. The Committee urges 

CDC to include such organizations among the entities that are eligible to compete for funding without preventing other applicants 

from receiving these grants. The Committee has provided sufficient 

resources to continue REACH activities at the fiscal year 2006 

level. 

SEARCH for Diabetes in Youth Study.—-The Committee is aware 

of the SEARCH for Diabetes in Youth Study, which is determining 

the incidence and prevalence of diabetes in youth under the age of 

20 years in six locations across the United States. As the first 5- 

year phase of SEARCH comes to a close, the CDC and NIDDK are 

urged to make biosamples and data readily available to the biomedical research community for ancillary studies testing novel 

ideas. 

Steps to a Healthier United States.—The Committee applauds the 

Department’s continued commitment to tackling the problems of 

obesity, diabetes, and asthma. The Committee agrees that these 

are three of the most critical chronic conditions afflicting Americans. The Committee is concerned that existing programs that address these problems have not yet been implemented in all of the 

States. The Committee has provided sufficient resources to continue this initiative and existing programs within CDC that are 

aimed at obesity, diabetes, and asthma. The Committee strongly 
85 

urges CDC to coordinate the efforts of these programs such that 

the best possible outcome is achieved using these limited funds. 

Sudden Infant Death Syndrome.—To prevent Sudden Infant 

Death Syndrome [SIDS], the Committee encourages CDC to consider supporting a National Campaign for Cribs pilot program in 

partnership with a national voluntary organization dedicated to infant survival. Such a pilot project may be composed of a public 

health education component for new parents and caregivers and 

seek to provide a crib for babies whose mothers and caregivers cannot afford a proper sleeping environment for their children. 

Birth Defects, Developmental Disabilities, Disability and Health 

Within the total provided, the following amounts are provided for 

the specified activities above the comparable amount for fiscal year 

2006: $1,000,000 for tuberous sclerosis and $386,000 to expand 

support for the Special Olympics Healthy Athletes Initiative. With 

the exceptions noted, all other programs are funded at the level of 

the fiscal year 2007 request. 

Autism.—The Committee is aware of the progress that has been 

made with the autism programs at CDC. The Committee acknowledges the importance of this work by the CDC in the area of autism surveillance and research, and urges this work to continue in 

a timely manner. Sufficient resources have been provided to continue the Center’s surveillance and research programs—including 

the CADDRE and ADDM Network—and the National awareness 

campaign. 

Centers for Birth Defects Research and Prevention.—The Committee encourages CDC to consider expanding the promising research being conducted by the regional Centers for Birth Defects 

Research and Prevention and maintain assistance to States to implement and expand community-based birth defects tracking systems, programs to prevent birth defects, and activities to improve 

access to health services for children with birth defects. 

CHADD Resource Center.—The Committee is aware of the demand for information, support services, and health professional 

education regarding attention deficit/hyper activity disorder [AD/ 

HD]. The Committee continues to support the National Resource 

Center on AD/HD and has provided sufficient resources to provide 

the same level of support as was provided in fiscal year 2006. 

Christopher and Dana Reeve Paralysis Resource Center.—The 

Committee understands the growing demand for information, resources, and public health services by individuals with paralysis. 

The Committee has included $5,909,000 for the Paralysis Resource 

Center and the associated rehabilitation therapy program. 

Cooley’s Anemia.—The Committee remains pleased with the 

progress that CDC has made in the establishment of a blood safety 

surveillance program for Cooley’s anemia patients, who are the 

largest consumers of red blood cells. Six treatment centers throughout the Nation handle the medical monitoring and treatment; the 

Cooley’s Anemia Foundation provides education and awareness, patient recruitment, and other services; and CDC has created an archive of tested and analyzed blood samples. The Committee has included funds to continue this program and encourages CDC to uti-
86 

lize this program to enhance the safety of the blood supply while 

improving the health of Cooley’s anemia patients. 

Craniofacial Malformation.—The Committee has continued funding for CDC’s initiatives to help families of children with 

craniofacial malformations. The Committee commends CDC for 

their work on this important public health issue and encourages 

them to continue work with State and private partners, including 

the National Foundation for Facial Reconstruction. 

Diamond Blackfan Anemia.—The Committee has provided sufficient funds to continue CDC’s public health outreach and surveillance program for Diamond Blackfan Anemia [DBA]. These funds 

should continue to be used to (a) educate clinicians and blood disorder treatment centers about DBA and how to diagnose it and (b) 

collaborate with a Clinical Care Center, which already has significant experience in treating DBA patients, to create a critical mass 

of DBA expertise where DBA patients may be referred. 

Disabilities Prevention.—The Committee continues to strongly 

support the CDC disabilities prevention program, which provides 

support to States and academic centers to reduce the incidence and 

severity of disabilities, especially developmental and secondary disabilities. 

Duchenne and Becker Muscular Dystrophy.—The Committee has 

provided sufficient funding to continue surveillance, epidemiological, and education efforts for Duchenne and Becker muscular dystrophy. 

Fetal Alcohol Spectrum Disorders.—The Committee is concerned 

by the prevalence of fetal alcohol spectrum disorders [FASD] in the 

United States and notes that drinking during pregnancy is the Nation’s leading known preventable cause of mental retardation and 

birth defects. To publicize and promote awareness of this critical 

updated public health information, the Committee has provided 

sufficient resources to continue these activities. 

Folic Acid Campaign.—The Committee is encouraged with the 

progress made in preventing neural tube defects, but notes that recent March of Dimes and CDC research shows only 40 percent of 

women of childbearing age consume enough folic acid daily. The 

Committee commends the CDC for its efforts related to educating 

women about multivitamin usage in order to improve folic acid status and reduce the rate of birth defects. The Committee has provided sufficient funding to continue these efforts. 

Fragile X.—The Committee is encouraged by the 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 the 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. The Committee is aware that the introduction of an early childhood developmental screening program, creation of appropriate genetic counseling protocols for supporting families of new diagnoses, and the 

development of standards of care for clinicians and care providers 

are all existing agency priorities that would directly benefit individ-
87 

uals impacted by Fragile X and related conditions. The Committee 

encourages the CDC to consider Fragile X as a model for these important initiatives. 

Hereditary Hemorrhagic Telangiectasia.—The Committee is 

aware of interest in the establishment of a Hereditary Hemorrhagic 

Telangiectasia [HHT] National Resource Center through a partnership between the CDC and a national voluntary agency representing HHT families. The Committee encourages the CDC to examine carefully proposals to establish such a center. 

Limb Loss Information Center.—The Committee understands 

that more than 1.5 million Americans are living with limb loss due 

to diabetes, heart disease, trauma, and cancer. A key challenge facing individuals with limb loss is gaining access to necessary health 

and rehabilitative services. The Committee commends CDC for its 

collaborations with voluntary organizations to identify strategies to 

remove these barriers. The Committee continues to support the 

CDC’s resource and information center, which assists individuals 

living with disabilities, and their families, in need of information 

on medical, physical, and emotional needs, and resources and support to reintegrate socially and economically into society. 

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. 

Prader-Willi Syndrome.—Prader-Willi syndrome is the most common known genetic cause of life-threatening obesity in children. 

The Committee encourages the CDC to initiate a study of the incidence rate of Prader-Willi syndrome and to provide a system for 

tracking the complications from the syndrome including causes of 

premature death. Additionally, early diagnosis and treatment is 

crucial to the proper treatment of Prader-Willi syndrome and can 

significantly reduce the long-term care costs. The Committee encourages the CDC to develop and disseminate educational materials to clinicians, educators, and parents in collaboration with voluntary organizations. 

Special Olympics Healthy Athletes Initiative.—To address the 

unmet health needs among its athletes, Special Olympics created 

the Healthy Athletes Program, which provides Special Olympics 

athletes access to an array of health assessment, education, preventive health services and supplies, and referral for follow-up care 

where needed. These services are provided to athletes without cost 

in conjunction with competitions at local, State, national, and international levels. The Committee has included $6,000,000 for this 

program. 

Spina Bifida.—The Committee recognizes that Spina Bifida is 

the leading permanently disabling birth defect in the United 

States. While Spina Bifida and related neural tube defects are 
88 

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 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 provides $5,000,000 for the 

National Spina Bifida Program and within the amount provided, 

$200,000 is for the maintenance 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 AHRQ to examine clinical treatment of Spina Bifida and improve quality of 

life. 

The Committee understands that the Agent Orange database of 

health and educational services composes the largest repository of 

longitudinal treatment information of people with Spina Bifida and 

may provide insight and understanding into the needs of people 

with Spina Bifida. The Committee commends the 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 and educational and vocational needs of 

people with Spina Bifida. The Committee encourages the ongoing 

collaboration to analyze this data and requests a report by June 15, 

2007, 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. 

Tourette Syndrome.—The Committee commends CDC for its continued partnership with the national Tourette Syndrome Association in developing a public health education and research program 

to continue to educate parents, physicians, educators, and other 

healthcare workers about the disorder and to expand on the scientific knowledge base on prevalence, risk factors and comorbidities of Tourette Syndrome. The Committee has provided 

sufficient resources to maintain the partnership between the national TSA and the CDC at the same level as in fiscal year 2006. 

Tuberous Sclerosis Complex.—Tuberous sclerosis complex [TSC] 

is a genetic disorder that causes uncontrollable tumor growth. Because this disorder can affect multiple organs of the body, it is difficult to diagnose, track, and properly treat. The Committee has 

provided sufficient resources for CDC to partner with the Tuberous 

Sclerosis Alliance to collect and analyze data at the nationwide network of TSC clinics; support surveillance and epidemiological studies; and to educate healthcare professionals and teachers who come 

into contact with TSC patients. 

HEALTH INFORMATION AND SERVICE

The Coordinating Center for Health Information and Services includes the National Center for Health Statistics [NCHS], a new 

National Center for Health Marketing, and a new National Center 

for Public Health Informatics. 
89 

The Committee recommends a program level of $246,280,000 for 

Health Information and Service related activities at the CDC. The 

fiscal year 2006 comparable program level was $222,005,000. 

Health Statistics 

CDC’s statistics give context and perspective on which we can 

base important public health decisions. By aggregating the experience of individuals, CDC gains a collective understanding of health, 

collective experience with the health care system, and our problems 

and public health challenges. NCHS data are used to create a basis 

for comparisons between population groups or geographic areas, as 

well as an understanding of how trends in health change and develop over time. 

The Committee commends the NCHS for fulfilling its mission as 

the Nation’s 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 the National Health and Nutrition Examination Survey 

[NHANES] and the National Health Interview Study [HIS], accessible to the public as soon as possible. The Committee has provided 

funding at the level of the fiscal year 2007 budget request. 

Eating Disorders.—The Committee is concerned about the growing incidence and health consequences of eating disorders among 

the population. The extent of the problem while estimated by several long-term outcome studies as being high remains unknown. 

The Committee urges the CDC to research the incidence and morbidity and mortality rates of eating disorders, including anorexia 

nervosa, bulimia nervosa, binge eating disorder, and eating disorders not otherwise specified across age, race, and sex. 

Psoriasis.—The Committee urges the 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 the 

Center collect and report psoriasis incidence and prevalence data 

that are based on nationwide epidemiological studies. If such data 

are not currently available, the Committee encourages the Center 

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 comorbidities. 

Public Health Informatics 

Information systems and information technology are critical to 

the practice of public health. CDC activities reflect ongoing efforts 

to build a national network of public health information systems 

that will enhance public health partner capabilities in detection 

and monitoring, surveillance, data analysis and interpretation, and 

other public health activities. With the exceptions noted below, all 

activities are funded at the level of the budget request. 

Vaccine Registry.—The Committee has provided $20,000,000 for 

a vaccine registry to monitor vaccine use. The development of a 
90 

vaccine registry is critical to ensuring that vaccines reach the targeted audience and that antivirals are appropriately administered. 

Health Marketing 

CDC links directly with the people whose health it is trying to 

improve. This activity uses commercial, nonprofit, and public service marketing practices to better understand people’s health-related 

needs and preferences; to motivate changes in behaviors; and to enhance CDC’s partnerships with public and private organizations to 

more effectively accomplish health protection and improvement. 

Risk Communication.—The Committee has provided $8,000,000 

for CDC’s risk communication activities related to potential 

pandemics. 

ENVIRONMENTAL HEALTH AND INJURY PREVENTION

The Coordinating Center for Environmental Health and Injury 

Prevention includes the National Center for Environmental Health, 

the Agency for Toxic Substances and Disease Registry, and the National Center for Injury Prevention and Control. The Committee recommends $276,658,000 for environmental 

health and injury prevention related activities at the CDC. The fiscal year 2006 comparable level was $287,475,000 and the budget 

request for fiscal year 2007 was $277,876,000. 

Environmental Health 

Many of the public health successes that were achieved in the 

20th century can be traced to innovations in environmental health 

practices. However, emerging pathogens and environmental toxins 

continue to pose risks to our health and significant challenges to 

public health. The task of protecting people’s health from hazards 

in their environment requires a broad set of tools. First among 

these tools are surveillance and data collection to determine which 

substances in the environment are getting into people and to what 

degree. It also must be determined whether or not these substances 

are harmful to humans, and at what level of exposure. With the 

exceptions noted below, all activities are funded at the level of the 

budget request. 

Amyotrophic Lateral Sclerosis Registry.—The Committee has provided sufficient funding to continue the ALS registry. 

Asthma.—The Committee is pleased with the work that the CDC 

has done to address the increasing prevalence of asthma. However, 

the increase in asthma among children remains alarming. The 

Committee encourages CDC to continue to expand its outreach 

aimed at increasing public awareness of asthma control and prevention strategies, particularly among at-risk populations in underserved communities. 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 Expo-
91 

sure to Environmental Chemicals is a significant new exposure tool 

that provides valuable 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. As CDC has recognized, this information does 

not by itself suggest harmful effects in humans. The Committee understands that for many chemicals it is difficult to interpret biomonitoring information in a health risk context. The Committee encourages the 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 the CDC for its commitment to support the enhanced development of a portable, hand-held lead screening device that holds 

great promise for increasing childhood screening rates in underserved communities. Further development of this device will help 

ensure its application in community health settings. 

Environmental Health Laboratory.—The CDC environmental 

health laboratory performs assessments for State investigations of 

diseases (such as cancer and birth defects) and investigations of 

chemical exposures, such as dioxin, pesticides, mercury and cadmium. CDC is also working with States to improve public health 

laboratories that assess State level biomonitoring needs. CDC 

works closely with academic institutions, other Federal agencies, 

and other partners to measure human exposure to toxic substances 

and the adverse effects of that exposure. 

Health Tracking Network.—The Committee has provided $20,000,000 to continue the development of a Health Tracking Network, which seeks to develop a surveillance system that can integrate environmental hazards data with human exposure and 

health effects data that have possible links to the environment. 

With health tracking, public health officials can better 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. 

Landmine Survivor Network.—The Committee commends CDC 

for its partnership with the Landmine Survivor Network that has 

developed peer support networks for landmine survivors in six 

mine-affected countries. The Committee has included sufficient resources to continue support of the network at the fiscal year 2006 

level. These funds will be used to expand peer support networks 

and the number of survivors that are reached in network and nonnetwork 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. 

Volcanic Emissions.—The Committee remains concerned about 

the public health issue of volcanic emissions. Such emissions contribute to the exacerbation of a myriad of pre-existing health conditions in many island residents, especially children. The acute- and 
92 

long-term impact that these emissions have on both the healthy 

and pre-disposed residents warrants further study. The Committee 

encourages the establishment of a dedicated center that embraces 

a multi-disciplinary approach in studying the short- and long-term 

health effects of the volcanic emissions. 

Injury Prevention and Control 

CDC is the lead Federal agency for injury prevention and control. 

Programs are designed to prevent premature death and disability 

and reduce human suffering and medical costs caused by: fires and 

burns; poisoning; drowning; violence; lack of bicycle helmet use; 

lack of seatbelt and proper baby seat use; and other injuries. The 

national injury control program at CDC encompasses non-occupational injury and applied research in acute care and rehabilitation 

of the injured. Funds are utilized for both intramural and extramural research as well as assisting State and local health agencies 

in implementing injury prevention programs. The Committee recognizes the vital role CDC serves as a focal point for all Federal injury control activities. 

Within the total provided, the Committee has provided the following increases over the fiscal year 2006 level: $804,000 for unintentional injury and $638,000 for rape prevention. All other activities are funded at the level of the fiscal year 2007 budget request. 

Child Maltreatment.—The Committee recognizes that child maltreatment is a serious public health threat with extensive shortand long-term health consequences. New avenues to support child 

maltreatment prevention would allow CDC to further the identification, enhancement, and dissemination of evidence-based child 

maltreatment prevention programs, such as positive parenting programs and home visitation programs. 

Children’s Injury Control Research Center.—The Committee recognizes the need for an additional Injury Control Research Center, 

located in Federal Region V, that will conduct research on injury 

and injury prevention related to children and adolescents. The 

Committee believes that children and adolescent populations have 

special and underserved needs in injury control. Injury is the leading cause of death and disability among children and teenagers in 

the United States. Currently, there is no center that focuses exclusively on childhood and adolescent injuries even though children 

and adolescents are affected by injury more than any other segment in the United States. Preference should be given to applicants 

with proven experience in children and adolescent injury control 

and prevention research. The Committee has included $804,000 

above the fiscal year 2006 level for this purpose. 

Injury Data.—The Committee commends CDC for participating 

in discussions among the Home Safety Council, representatives of 

various injury prevention research groups, and providers of injury 

data from diverse hazard disciplines. The Committee understands 

that these discussions addressed the challenges of completeness, 

quality and consistency of existing injury data collection systems 

for home safety, traffic, consumer products, and violence. The Committee encourages CDC to continue its participation in this ongoing dialog. 
93 

National Violent Death Reporting System.—The Committee is 

supportive of the National Violent Death Reporting System, which 

is a State-based system that collects data from medical examiners, 

coroners, police, crime labs, and death certificates to understand 

the circumstances surrounding violent deaths. The information can 

be used to develop, inform, and evaluate violence prevention programs. The Committee urges the CDC to continue to work with private health and education agencies as well as State agencies in the 

development and implementation of an injury reporting system. 

Suicide Prevention.—The Committee encourages CDC to consider 

supporting the evaluation of suicide prevention planning, programs, and communication efforts to change knowledge and attitudes and to reduce suicide and suicidal behavior. These evaluation 

efforts would support communities to identify promising and effective suicide prevention strategies that follow the public health 

model and build community resilience. 

Trauma Information and Exchange Program.—The Committee 

supports the continuation of the Trauma Information and Exchange Program. 

Violence Against Women.—The Committee urges CDC to increase 

research on the psychological sequelae of violence against women 

and expand research on special populations and their risk for violence including adolescents, older women, ethnic minorities, women 

with disabilities, and other affected populations. 

Youth Violence.—The Committee has included $23,883,000 for 

CDC’s youth violence prevention activities. The Committee notes 

that the level of youth violence in cities around the Nation is troubling. The city of Philadelphia continues to experience a spike in 

youth violence. 

OCCUPATIONAL SAFETY AND HEALTH

The Committee recommends $257,881,000 for occupational safety and health programs. The fiscal year 2006 level was $262,883,000 

and the budget request for fiscal year 2007 was $249,357,000. The 

Committee recommendation includes $87,071,000 in transfers 

available under section 241 of the Public Health Service Act. Sufficient funding has been provided to maintain staffing levels at the 

Morgantown facility and increase research funding at that facility. 

The CDC’s National Institute for Occupational Safety and Health 

[NIOSH] is the only Federal agency responsible for conducting research and making recommendations for the prevention of work-related illness and injury. The NIOSH mission spans the spectrum 

of activities necessary for the prevention of work-related illness, injury, disability, and death by gathering information, conducting scientific biomedical research (both applied and basic), and translating the knowledge gained into products and services that impact 

workers in settings from corporate offices to construction sites to 

coal mines. With the exceptions noted below, all other activities are 

funded at the level of the fiscal year 2007 request. 

Construction Safety and Health.—The Committee once again is 

very pleased with the progress that NIOSH has made in its program directed at occupational illnesses and injuries in the building 

and construction industry and has included funding to continue 

this important worker safety initiative. 
94 

Education and Research Centers.—The Committee recognizes the 

important role Education and Research Centers [ERCs] play in preventive health research and the training of occupational safety and 

health professionals, and includes an increase of $825,000 for ERCs 

over the amount appropriated for ERCs in fiscal year 2006. 

Farm Health and Safety.—The Committee has included funding 

to continue the farm health and safety initiative. This important 

initiative, begun in fiscal year 1990, has a primary focus of reducing the incidence of fatal and nonfatal injuries and occupational 

diseases among the millions of agricultural workers and their families in the United States. The Committee encourages NIOSH to 

give priority to grants to States and private organizations with a 

focus on disseminating and translating research for occupational 

safety and health. 

Mine Safety Technology Research.—The Committee has included 

$6,000,000 over the President’s request for mine safety technology 

research, development, and testing. The Committee encourages 

NIOSH to use these funds for both intramural and extramural activities focusing on the research, development, and testing of mine 

refuge chambers, emergency tracking, respiratory, and communication devices. The Committee has received reports of technologies 

being used in other countries that is not being utilized in this country and encourages NIOSH to look at those technologies. 

The CDC is expected to submit progress reports on grantmaking 

and research findings to the Committee on Appropriations of the 

House of Representatives and the Committee on Appropriations of 

the Senate in accordance with the requirements of section 7010 of 

Public Law 109–234. 

Miners’ Choice Health Screening Program.—The Committee has 

provided sufficient resources to continue to implement the Miners’ 

Choice Health Screening Program in fiscal year 2007. This program 

was initiated to encourage all miners to obtain free and confidential chest x-rays to obtain more data on the prevalence of Coal 

Workers’ Pneumonconiosis in support of development of new respirable coal dust rules. The Committee is strongly supportive of 

these efforts and urges NIOSH to work to improve this health 

screening program thereby helping to protect the health and safety 

our Nation’s miners. 

National Occupational Research Agenda.—NIOSH provides national and international leadership to prevent work-related illness, 

injury, and death by gathering information, conducting scientific 

research, and translating the knowledge gained into products and 

services. The Committee is pleased with the progress NIOSH has 

made in consulting with partners and stakeholders across the country to examine and update the National Occupational Research 

Agenda for the coming decade. The Committee expects that this 

updated agenda will provide an important blueprint for conducting 

occupational research and examining the impact of stressful workplaces on psychological functioning. 

The Committee recommendation includes sufficient resources to 

maintain funding for CDC’s National Occupational Research Agenda [NORA]. The Committee believes that NORA is a critical scientific research program that protects employees and employers 

from the high personal and financial costs of work site health and 
95 

safety losses. Industries such as agriculture, construction, health 

care, and mining benefit from the scientific research supported by 

NORA. The program’s research agenda focuses on prevention of 

disease and injury resulting from infectious diseases, cancer, asthma, hearing loss, musculoskeletal disorders, traumatic injuries, 

and allergic reactions, among others. The Committee continues to 

strongly support NORA and encourages expansion of its research 

program to cover additional causes of workplace health and safety 

problems. 

National Mesothelioma Registry.—The Committee has again pro- vided $1,000,000 for the continuation of a National Mesothelioma 

Registry to collect data regarding symptoms, pathology, evaluation, 

treatment, outcomes, and quality of life and a Tissue Bank to include the pre- and post-treatment blood (serum and blood cells) 

specimens as well as tissue specimens from biopsies and surgery. 

National Personal Protective Technologies Laboratory.—The Committee has provided $500,000 above the fiscal year 2006 level of 

funding for the NIOSH National Personal Protective Technologies 

Laboratory to expedite research and development in, and certification of, protective equipment, such as powered air purifying respirators, and combined self-contained breathing apparatus/escape 

sets. 

The Committee encourages NIOSH to consider the value of a 

study to evaluate all classes of disposable NIOSH approved respirator facemasks, including but not limited to particulate and 

antimicrobial technology for effectiveness against transmission of 

avian influenza and other pathogens. 

GLOBAL HEALTH

The Committee recommends $368,892,000 for global health-related activities at the CDC in fiscal year 2007. The fiscal year 2006 

comparable level was $379,624,000 and the budget request for fiscal year 2007 was $379,147,000. The Office of Global Health leads 

and coordinates CDC’s global programs to promote health and prevent disease in the United States and abroad, including ensuring 

rapid detection and response to emerging health threats. With the 

exceptions noted below, all activities are funded at the level of the 

budget request. 

Global HIV/AIDS.—CDC works with governments in 25 countries in Africa, Asia, and Latin America and the Caribbean focusing 

on primary prevention of HIV/AIDS; care and treatment of tuberculosis and other opportunistic infections, palliative care and appropriate use of antiretroviral medications; and infrastructure and 

capacity development. 

Global Disease Detection.—The Committee commends CDC for its 

role in strengthening the capacity of the public health community, 

both at home and abroad, to respond to global threats, such as 

SARS, monkeypox, West Nile virus, pandemic flu and bioterrorism. 

CDC’s Global Disease Detection System is integral to these efforts. 

This system is designed to provide worldwide technical support to 

ensure rapid and accurate diagnoses of emerging infectious disease 

events, and to provide a secure link between clinicians and laboratories and CDC and the World Health Organization to ensure realtime reporting of emerging threats. The Global Disease Detection 
96 

System also will support sentinel sites in key regions around the 

globe to ensure prompt disease detection and referral to a regional 

laboratory service. These capacities are critical to mitigate the consequences of a catastrophic public health event, whether the cause 

is an intentional act of terrorism or the natural emergence of a 

deadly infectious virus, like SARS. 

Global Immunization Activities.—The Committee includes 

$143,514,000 for global immunization activities, including 

$100,591,000 for polio vaccine, surveillance, and program operations for the highly successful, yet unfinished polio eradication efforts; and $42,923,000 for the purchase of measles vaccine for measles mortality reduction and regional measles elimination initiatives and to expand epidemiologic, laboratory, and programmatic/ 

operational support to WHO and its member countries. 

Global Malaria.—The Committee has provided $8,600,000 to continue the global malaria program. 

Pandemics.—The Committee has provided $40,000,000 for international and domestic surveillance, diagnosis and epidemic investigations including real-time point-of care surveillance methods 

sensitive enough to detect first cases of influenza and other potential pandemics among infants, children, and adults in domestic 

community settings. Further, the Committee has included an increase of $19,000,000 

for rapid outbreak response in 15 target countries and for humananimal interface studies. 

PUBLIC HEALTH RESEARCH

Public Health Research.—The Committee has provided $31,000,000 to fund the Public Health Research program. The fiscal year 2006 comparable level and budget request were also 

$31,000,000. The Committee is strongly supportive of public health 

and prevention research, which bridge the gap between medical research discoveries and behaviors that people adopt by identifying 

the best strategies for detecting new diseases, assessing the health 

status of populations, motivating healthy lifestyles, communicating 

effective health promotion messages, and acquiring and disseminating information in times of crisis. 

PUBLIC HEALTH IMPROVEMENT AND LEADERSHIP

The Committee provides $219,828,000 for public health improvement and leadership activities at the CDC. The fiscal year 2006 

comparable level was $189,106,000 and the budget request for fiscal year 2007 was $189,190,000. 

Leadership and Management 

The Committee provides $161,716,000 for leadership and management costs at the CDC in fiscal year 2007. The fiscal year 2006 

comparable level was $161,592,000 and the budget request for fiscal year 2007 was $161,716,000. 

In addition, the Committee has included sufficient funding for 

the following projects in the following amounts for fiscal year 2007: 

Amount 

A Voice for All, Wilmington, DE, for speech and language evaluations for persons with disabilities ............ $400,000 
97 

Amount 

AIDS Resource Center Wisconsin, Milwaukee, WI, for health care and case management services ............... 150,000 

Alaska Multiple Sclerosis Center, Inc, Anchorage, AK, for its multiple sclerosis related activities ................ 150,000 

Albert Einstein Healthcare Network (AEHN), Philadelphia, PA, for genetic testing and education/outreach .. 800,000 

Allied Services Foundation, Clarks Summit, PA, for pediatric health programs for children with developmental disabilities ......................................................................................................................................... 250,000 

American Trauma Society, Upper Marlboro, MD to expand the Trauma Survivor Network programs .............. 300,000 

BioAdvance, Philadelphia, PA, to strengthen existing biomedical informatics training activities .................. 150,000 

Brown County Oral Health Partnership, Green Bay, WI, to expand a childhood oral health program ............ 350,000 

Cascade AIDS, Portland, OR, to conduct HIV/AIDS awareness and prevention programs throughout 

Oregon ............................................................................................................................................................ 250,000 

Center for Autism Research (CeFAR) at the University of Pittsburgh, Pittsburgh, PA, for its autism-related 

activities ........................................................................................................................................................ 250,000 

Center for Mind Body Medicine, Washington, DC, to train health and mental health professionals in treating war and terrorism related trauma in the U.S. and abroad ................................................................... 100,000 

Columbia Urban League, Columbia, SC, to expand health education in minority communities ..................... 225,000 

Columbus Children’s Research Institute, Columbus, OH, for the Center for Injury Research and Policy ....... 750,000 

Community Dental Care Foundation, Wausau, WI, to expand dental education and dental services ............. 150,000 

Community Health Centers in Hawaii for Childhood Rural Asthma Project ..................................................... 175,000 

Domestic Violence HELP, Pittsburgh, PA, for domestic violence programs ...................................................... 100,000 

Dr. Gertrude A. Barber National Institute, Erie, PA, to address autism spectrum disorders .......................... 200,000 

East Los Angeles Community Union (TELACU) Education Foundation, Los Angeles, CA, for a diabetes outreach and prevention program ...................................................................................................................... 750,000 

Farrell Area School District, PA, for a fitness & health program that is developmentally appropriate for all 

students ......................................................................................................................................................... 100,000 

Fletcher Allen Health Care of Burlington, VT, for chronic disease registries ................................................... 250,000 

Food Allergy and Anaphylaxis Network, Fairfax, VA, for the Iowa Food Allergy Education program ................ 120,000 

Geisinger Medical Center in Danville, PA, for an updated study of the emergency medicine workforce ....... 100,000 

Health Care Network, Inc., Racine, WI, to expand dental services .................................................................. 100,000 

Healthy Northeast Pennsylvania Initiative, Clarks Summit, PA to address chronic disease management 

and mental health and health education ..................................................................................................... 100,000 

Heritage Valley Health System, Beaver, PA to expand the capacity of three disease management programs ............................................................................................................................................................. 200,000 

Highlands Hospital, Connellsville, PA, for equipment to support microbicide research .................................. 100,000 

Inland Northwest Health Services, Northwest Health Programs, Spokane, WA, to develop, test and evaluate 

tools for regional disease surveillance ......................................................................................................... 300,000 

Inner Harmony Foundation, Clarks Summit, PA, for New Beginnings cancer care program and alternative 

medicine ........................................................................................................................................................ 100,000 

Iowa Chronic Care Consortium, Des Moines, Iowa, for a preventative health demonstration program .......... 150,000 

Iowa Department of Public Health to continue the Harkin Wellness Grant program ...................................... 2,000,000 

Iowa Health Foundation, for wellness activities for dementia patients ........................................................... 100,000 

Iowa State University, Ames, IA, for the Iowa Initiative for Healthier Schools and Student Wellness ............ 650,000 

Kennebec Valley YMCA, Augusta, ME, for the Every Kid Deserves a Y for A Lifetime Capital Campaign ...... 100,000 

Kennedy Health System, Voorhees, NJ, for the Women and Children’s Health Pavillion’s Advanced Cancer 

Prevention and Treatment Initiative .............................................................................................................. 500,000 

Kids Kicking Cancer, Detroit, MI, for the Hero’s Circle Program ...................................................................... 1,000,000 

Manatee County Department of Health, Bradenton, FL, for Tallevast health screenings ................................ 200,000 

Marcus Institute, Atlanta, GA, for clinical programs for children with developmental disabilities ................ 100,000 

Marquette University, Milwaukee, WI, for a dental health outreach program .................................................. 250,000 

MAVIN Foundation, Seattle, WA, for education and outreach on health issues affecting multiracial populations ............................................................................................................................................................ 200,000 

Medical Institute, Austin, TX, to communicate credible, evidence-based medical and scientific information 

to promote healthy sexual decisions ............................................................................................................. 250,000 

Metropolitan AIDS Neighborhood Nutrition Alliance (MANNA), Philadelphia, PA, for public health outreach 

for the chronically ill ..................................................................................................................................... 100,000 

Michigan Health and Hospital Association, for the Keystone Center for Patient Safety and Quality Project 500,000 

Mississippi State Department of Health, Jackson, MS, to develop and implement a statewide man-made 

and natural disaster preparedness and response program ......................................................................... 2,800,000 

Mississippi University for Women, Columbus, MS, to implement Healthy Community Outreach .................... 500,000 

Muhlenberg College, Allentown, PA, for a Public Health education program .................................................. 100,000 

Myrna Brind Center of Integrative Medicine, Philadelphia, PA, to develop three models of integrative programs of clinical excellence .......................................................................................................................... 100,000 

National Nursing Centers Consortium, Philadelphia, PA, for a Lead Safe Babies Program ............................ 100,000 

Northeast Regional Cancer Institute, Scranton, PA, for cancer screening evaluation ..................................... 100,000 

Northern Virginia Urban League, Inc, Alexandria, VA, to promote healthy pregnancy outcomes .................... 100,000 

Ohio Chapter of the American Academy of Pediatrics, Worthington, OH, for the Early Identification of Autism Initiative ................................................................................................................................................ 500,000 
98 

Amount 

Oral Vaccine Institute in Las Vegas, Nevada for the development of innovative vaccine delivery alternatives ........................................................................................................................................................... 950,000 

Partnership for Food Safety Education, Washington, DC, for the FightBAC campaign ................................... 250,000 

Pennsylvania Affiliate of the SIDS Alliance, Inc., Pittsburgh, PA, to expand the ‘‘Cribs for Kids’’ program 

throughout Pennsylvania and the nation ...................................................................................................... 200,000 

Pennsylvania Breast Cancer Coalition, Ephrata, PA to expand and enhance their breast cancer guide 

book ............................................................................................................................................................... 100,000 

Philadelphia Department of Public Health, Philadelphia, PA, for pandemic flu preparedness ....................... 100,000 

Providence Medical Center, Kansas City, KS, for the Chronic Disease Management Center .......................... 500,000 

Rett Syndrome Research Association, Cincinnati, OH, for education and outreach activities ........................ 500,000 

Saint Mary’s Hospital, Lewiston, ME, for a Patient Safety and Outcomes Improvement project .................... 305,000 

Self Reliance Foundation, Washington DC, for the National Hispanic Health Communications Project ......... 450,000 

Sister to Sister—Everyone Has a Heart Foundation, Washington, DC, to increase womens’ awareness of 

heart disease ................................................................................................................................................. 500,000 

Southeastern Center for Emerging Biologic Threats, Atlanta, GA .................................................................... 400,000 

Southern Nevada Health District, to purchase equipment and to expand its immunization program ........... 350,000 

Spinal Muscular Atrophy Foundation, New York, NY, to address spinal muscular atrophy ............................. 100,000 

State Information Technology Consortium, Herndon, VA, for patient safety programs and outreach ............. 100,000 

State of Alaska Department of Health and Social Services, Juneau, AK for detection and control of tuberculosis in Alaska ........................................................................................................................................... 500,000 

State of Alaska Department of Health and Social Services, Juneau, AK for the Obesity Prevention and 

Control program ............................................................................................................................................. 500,000 

State of Alaska, Department of Health and Social Services, AK, for Avian Influenza Surveillance ................ 750,000 

Stone Soup Group, Anchorage, AK, for services to disabled children and their families ................................ 200,000 

Sullivan County Medical Center, Laporte, PA, to provide for patient outreach and prevention of chronic illnesses ............................................................................................................................................................ 200,000 

Supporting Autism and Families Everywhere, Wilkes-Barre, PA, for autism education programs and services ................................................................................................................................................................ 100,000 

Temple University, School of Medicine, Philadelphia, PA, to establish a Center for Minority Health ............. 400,000 

Texas Tech University Health Services Center at El Paso, TX, to establish a Center for Research and ReEmerging Infectious Diseases ....................................................................................................................... 900,000 

Tioga Dental Services, Wellsboro, PA, for construction, renovation, and equipment ....................................... 100,000

Tulane University, New Orleans, LA, for a center on health emergency preparedness and response ............. 200,000 

University of Alaska Statewide Office, Fairbanks, AK to conduct avian flu surveillance activities ................ 1,000,000 

University of Alaska Statewide Office, Fairbanks, AK to continue to develop and implement its statewide 

health agenda ............................................................................................................................................... 750,000 

University of Louisville in Louisville, KY, for the Chronic Disease Management Education Program in Cancer .................................................................................................................................................................. 350,000 

University of North Carolina, Chapel Hill, NC to address Racial Disparities and Cardiovascular Diseases .. 200,000 

University of Northern Iowa, Cedar Falls, IA, to support youth fitness and obesity efforts in rural Iowa ...... 240,000 

University of Pittsburgh Medical Center, Pittsburgh, PA, for a minority-cardiac study .................................. 800,000 

University of West Florida, Pensacola, FL, for the University of West Florida, PERCH Program ..................... 300,000 

Utah Department of Health, Salt Lake City, UT, for the establishment of a Utah Regional Homeland Defense Medical Center ..................................................................................................................................... 100,000 

WakeMed, Raleigh, NC to address Pediatric Diabetes ...................................................................................... 100,000 

Wellness Community, Philadelphia, PA, for cancer education, outreach, and support services ..................... 100,000 

Western Kentucky University in Bowling Green, Kentucky, for the health promotion and disease prevention 

program at the Hispanic Resource Center ................................................................................................... 250,000 

Youth and Family Services, Girls Incorporated of Rapid City, SD, for the Health Connections program ....... 150,000 

Director’s Discretionary Fund.—The Committee has provided 

$8,000,000 for a Director’s Discretionary Fund. This fund will allow 

the Director to quickly respond to emerging public health issues 

and threats not contemplated at the time of enactment of the appropriations. 

Epidemic Services and Response.—CDC’s epidemic services and 

response program provides resources and scientific expertise for operating and evaluating surveillance systems; developing and refining research methods and strategies to the benefit of public health 

practice; training public health professionals who are prepared to 

respond to public health emergencies, outbreaks and other assistance requests; and communicating with multi-faceted audiences accurate public health information and effective messages. The Com-
99 

mittee recognizes that CDC maintains a keen appreciation for the 

fact that local outbreaks of illness can develop rapidly into 

epidemics, that previously unidentified health problems can appear 

at any time, that contaminated food or defective products may appear in the community without warning, and that the threat of bioterrorism is present in many areas of the world. When CDC participates in an investigation, all of the resources of the Agency are 

at the disposal of the affected area, including its state-of-the-art 

laboratories. 

Leadership and Management Savings.—The Committee strongly 

believes that as large a portion as possible of CDC funding should 

go to programs and initiatives that improve the health and safety 

of Americans. To facilitate this goal, any savings in leadership and 

management may be reallocated to the Director’s Discretionary 

Fund upon notification of the Committee. 

Minority Health Professions.—The Committee is pleased that 

CDC has continued to support the cooperative program with the 

Minority Health Professions Foundation and urges continued expansion of this activity, including sponsorship of public health and 

biomedical symposiums aimed at increasing career opportunities 

for minority students. 

PREVENTATIVE HEALTH AND HEALTH SERVICES BLOCK GRANT

The Committee has provided $100,000,000 for the Preventative 

Health & Health Services Block grant. The fiscal year 2006 comparable level was $98,932,000 and the budget request for fiscal 

year 2007 did not request any funding for this program. 

The block grant provides funding for primary prevention activities and health services that address urgent health problems in 

local communities. This flexible source of funding can be used to 

target concerns where other funds do not exist or where they are 

inadequate to address the extent of the health problem. The grants 

are made to the 50 States, the District of Columbia, two American 

Indian tribes, and eight U.S. territories. 

BUILDINGS AND FACILITIES

The Committee has provided $100,000,000 for the planning, design, and construction of new facilities, repair and renovation of existing CDC facilities, and data security and storage. The fiscal year 

2006 comparable level was $158,291,000 and the budget request for 

fiscal year 2007 was $29,700,000. 

The Committee has again provided bill language to allow CDC 

to enter into a single contract or related contracts for the full scope 

of development and construction of facilities and instructs CDC to 

utilize this authority, when necessary, in constructing the Atlanta 

and Fort Collins facilities. 

The Committee intends that $5,000,000 of the funds provided be 

used to continue construction of the Fort Collins, Colorado facility. 

BUSINESS SERVICES AND SUPPORT

The Committee provides $323,058,000 for business services support functions at the CDC. The fiscal year 2006 comparable level 

was $317,615,000 and the administration requested a comparable 
100 

level of $323,058,000 for fiscal year 2007. These funds will be used 

to support CDC-wide support functions. 

The Committee strongly believes that as large a portion as possible of CDC funding should go to programs and initiatives that improve the health and safety of Americans. To facilitate this goal, 

any savings in business services support may be reallocated to the 

Director’s Discretionary Fund upon notification of the Committee. 

TERRORISM

The Committee provides $1,578,260,000 for CDC terrorism preparedness activities. The comparable fiscal year 2006 level was 

$1,576,173,000 and the administration requested $1,657,161,000 

for these activities in fiscal year 2007. 

Within the funds provided, $823,674,000 is for Upgrading State 

and Local Capacity through grants and cooperative agreements; 

$30,690,000 is for the Centers for Public Health Preparedness; 

$5,346,000 is for the Advanced Practice Centers; $26,630,000 is for 

other State and Local Capacity; $135,628,000 is for upgrading CDC 

Capacity; $13,001,000 is for anthrax vaccine studies; $52,987,000 is 

for the Biosurveillance Initiative, including $25,000,000 for Bio 

Sense and $18,000,000 for quarantine stations; and $550,000,000 is 

for the Strategic National Stockpile. 

State and Local Capacity.—The Committee continues to recognize that bioterrorism events will occur at the local level and will 

require local capacity, preparedness and initial response. It is the 

Committee’s intent that significant funding for State and local public health infrastructure be used to improve local public health capacity and meet the needs determined by local public health agencies. The Committee notes that HHS’ cooperative agreement guidance now includes explicit requirements for local concurrence with 

State spending plans for public health emergency preparedness and 

urges CDC to monitor and enforce these requirements. 

The Committee also recognizes that HHS has incorporated the 

National Response Plan into the cooperative agreement guidance 

and established new CDC Preparedness Goals. The Committee 

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 all requirements in the Target Capabilities being developed under 

Homeland Security Presidential Directive 8 by the Department of 

Homeland Security. 

Funds for bioterrorism prevention and response are distributed 

through grants to 50 States and four metropolitan areas. The Committee strongly recommends that these funds be distributed based 

on a formula that includes factors for risk of a terrorist event. Risk 

is challenging to quantify, but the Committee suggests that CDC, 

in coordination with the Secretary of Health and Human Services, 

consider the following and other factors: (1) Site of headquarters or 

major offices of multinational organizations; (2) site of major financial markets; (3) site of previous incidents of international terrorism; (4) some measure of population density versus just population; (5) internationally recognized icons; (6) percent of national 

daily mass transit riders; (7) proximity to a major port, including 
101 

major port ranked on number of cargo containers arriving at the 

port per year. 

Pacific Emergency Health Initiative.—The Committee recognizes 

that the Pacific Emergency Health Initiative [PEHI] may facilitate 

the disaster preparededness plans for the communities of the Republic of Palau, the U.S. Territories of Guam and American Samoa, 

the Commonwealth of Marianas Islands, the Federated States of 

Micronesia and the Republic of Marshall Islands. The Committee 

encourages CDC to consider supporting the Pacific Emergency 

Health Initiative for the completion and maintenance of emergency 

plans and training to fortify our Nation’s westernmost Pacific borders against health threats associated with terrorist’s acts, natural 

disasters and emerging diseases. Activities might include awareness of how to mitigate disease and deaths due to the aforementioned causes and the provision of data and tools essential for enhancing research studies in disaster management. 

The research derived from these experiences with disaster management will be useful in the development of standards of response 

in the Pacific and the U.S. mainland. The Pacific Emergency 

Health Initiative should coordinate these efforts with existing institutions such as the Pacific Island Health Officers Association, the 

World Health Organization, the Secretariat of Pacific Community 

and the U.S. Department of Defense. 

Strategic National Stockpile.—Vaccines and antivirals are not 

the only supplies that need to be stockpiled in preparation for a 

pandemic. Currently, most health providers order and stock supplies on a ‘‘just-in-time’’ basis. This means they often only have a 

few days of reserve supplies, equipment like portable respirators, 

and commonly prescribed medications, including many basic protective items, such as protective N95 masks, gloves, gowns, and 

clean hospital linens, many of which are produced abroad and may 

not be available during a global health emergency. 

The Committee commends the Secretary for commissioning the 

Institute of Medicine to evaluate the potential development of reusable respirator facemasks in the event on an influenza pandemic. 

The Committee encourages the Secretary to consider comparative 

data regarding duration of effectiveness, range of cidal activity and 

shelf life for disposable NIOSH approved respirator facemasks with 

particulate filter, antimicrobial coated and antimicrobial iodinated 

technology, and to consider supply needs and issue end-user recommendations for such facemasks. 

NATIONAL INSTITUTES OF HEALTH

The National Institutes of Health has played a unique and defining role in the advancement of this Nation’s health and well-being, 

fueling discoveries that have led to life-saving surgical techniques; 

tools that permit earlier, more accurate diagnosis of disease; and 

the development of drugs and vaccines that have vastly improved 

disease treatment and prevention. To those who question the merit 

of investing taxpayer dollars in medical research, the Committee 

contends that the long-term value of this national investment is 

without question. For example, this year, for the first time in history the number of Americans dying from cancer will decline; over 

the past three decades, deaths caused by cardiovascular disease 
102 

has dropped 60 percent, with 815,000 fewer people dying each year 

from coronary disease alone; and NIH-supported research led to the 

discovery that intensive lifestyle interventions can reduce type 2 diabetes by more than 50 percent. 

While research sponsored by NIH is driven, first and foremost, 

by the hope of curing illness, easing suffering and extending life, 

often overlooked are the significant contributions the agency makes 

to the economic vitality of this Nation. Yet other challenges remain. 

In 2003, an estimated 18 million adults were not working because 

of a disability, chronic disease or other health reasons. Sixty-nine 

million reported missing days due to illness, for a total of 407 million days of lost time at work. All told, labor time lost due to health 

reasons represents lost economic output totaling an estimated 

$260,000,000,000 per year. All the while, the United States is being 

confronted with new threats, from bioterrorism and West Nile virus 

to rising rates of obesity and diabetes. In the face of those challenges, the Committee is concerned that short-term budget savings 

will cloud the potential of dividends paid in the form of healthier, 

more productive lives; that growing pressure for immediate pay-off 

will take precedence over research where clinical need is greatest; 

and that the pipeline of new scientists—the hope for tomorrow’s 

discoveries—will be lost. 

Budget Justification Materials.—The Committee takes seriously 

its oversight responsibilities, which include assuring that policies 

and programs are executed in accordance with appropriations law, 

and in a timely and administratively efficient manner. An important tool in the oversight process is the justification material submitted to the Committee. These documents are intended to provide 

an accounting of funds already appropriated as well as the rationale underlying the President’s budget request. In recent years, 

however, the content of the NIH justification materials has become 

less informative, often failing to provide clear, concise, and detailed 

information. Prior to the development of next year’s budget justifications, the Committee expects to work with NIH officials to develop a more consistent format that affords increased transparency 

of NIH research activities, both ongoing and proposed, and provides 

greater accountability of research dollars. 

The NIH Mission.—NIH is a large and complex organization, 

supported by a community of more than 200,000 scientists at more 

than 1,700 institutions across the Nation. Nevertheless, its mission 

is simple and straightforward: to improve and safeguard the health 

of every American. The agency’s stewardship of taxpayers’ dollars 

transcends organizational lines. Research needs do not fit neatly 

into bureaucratic functions. As such, the Committee has eliminated 

any references in this report to the mission of individual institutes 

and centers. Moreover, the Committee expects that research will 

not be discouraged, nor will collaboration be hampered by artificial 

barriers. 

Biomedical Research and Development Price Index.—The Committee is once again disappointed that the budget request would require NIH to break its funding commitments to existing grantees. 

Forcing grantees to reduce the scope of research that is already underway disrupts the research plan and reduces the science that 

NIH purchased when the initial award was made. The Committee 
103 

believes, that to the extent resources allow, NIH should follow its 

cost management plan principles, which will help NIH continue to 

maintain the purchasing power of the research in which it invests. 

Human Embryonic Stem Cell Research.—The Committee continues to be concerned that the current administration policy relating to human embryonic stem cell research is so narrow that it is 

stifling the pace of stem cell research. The Committee strongly believes that embryonic stem cell research holds enormous potential 

for the treatment of cardiovascular disease, Parkinson’s, spinal 

cord injuries and a vast array of other diseases and injuries. After 

convening 18 in-depth hearings on the subject, the Committee believes that with the proper safeguards in place, this field of investigation ought to be widened. While it originally appeared that 78 

embryonic stem cell lines would be available for research under the 

Federal policy, now, nearly 5 years after the President’s announcement on August 9, 2001, only 21 lines are available to researchers. 

Moreover, scientists have told the Committee that all available 

stem cell lines were grown with mouse feeder cells, making their 

therapeutic use for humans uncertain. The Committee strongly 

urges the administration to modify the current embryonic stem cell 

policy so that it provides this area of research the greatest opportunity to lead to the treatments and cures for which we are all hoping. 

The Committee also strongly urges that the NIH explore all avenues of stem cell research including adult stem cells and alternative methods of establishing human embryonic stem cell lines 

that do not involve the destruction of an embryo. 

The Committee is also deeply concerned with the slow pace of 

implementation of the current stem cell policy. The Committee was 

informed that, under the budget request, NIH plans to spend 

$39,000,000, the same as fiscal year 2006, on human embryonic 

stem cell research. The Committee strongly urges the NIH to commit a substantial amount of resources to all methods of human embryonic stem cell research. Finally, the Committee expects the NIH 

to provide detailed reporting on funding for all forms of stem cell 

research in future congressional budget justifications. 

The Committee recommends $28,550,667,000 for the NIH. This 

amount is $220,820,000 above the fiscal year 2006 appropriation 

and $200,664,000 over the budget request. 

NATIONAL CANCER INSTITUTE

Appropriations, 2006 ............................................................................. $4,790,063,000 

Budget estimate, 2007 ........................................................................... 4,753,609,000 

House allowance .................................................................................... 4,753,609,000 

Committee recommendation ................................................................. 4,799,063,000 

The Committee recommends an appropriation of $4,799,063,000 

for the National Cancer Institute [NCI]. The budget request was 

$4,753,609,000. The fiscal year 2006 appropriation was 

$4,750,063,000. The comparable amounts for the budget estimate 

include funds to be transferred from the Office of AIDS Research. 

Academic Public Private Partnership Program.—The Committee 

is concerned about the NCI decision to cancel the Academic Public 

Private Partnership Program [AP–4], which was instituted by the 

NCI to increase the success rate of complex drug discovery and de-
104 

velopment research through collaborations involving universitybased researchers and the private sector. Particularly given current 

funding constraints and the fact that the AP–4 program would amplify the Federal investment with a significant private sector 

match, the Committee encourages the NCI to reconsider the decision to terminate this program and to proceed with awards based 

on the peer review recommendations of already reviewed-consortia 

proposals. 

Angiogenesis.—The Committee encourages the NCI to continue 

its leadership in support of interdisciplinary research on 

angiogenesis—the growth of new blood vessels—through the TransInstitute Angiogenesis Research Program [TARP]. Advances in this 

field have the potential to impact treatment of multiple diseases, 

including cancer, diabetes, heart disease, stroke, and others. 

Blood Cancers.—The Committee urges NCI to place greater emphasis on both translational and clinical research in blood cancers 

such as leukemia, lymphoma, multiple myeloma, and 

myeloproliferative disorders in order to develop more effective 

treatments for these diseases and further the translation of laboratory discoveries to the patient’s bedside. 

Breast Cancer.—The Committee strongly urges the NCI to give 

increased attention to areas of research that focus on helping 

women to more fully restore and improve their quality of life after 

treatment, including further breast cancer research on 

lymphedema, stress, nutrition, exercise, weight, and the environment. The Committee strongly urges the NCI to further accelerate 

advances in breast cancer screening technology and to capitalize on 

existing and create new technologies that improve early diagnosis, 

health outcomes, and survival. 

Cancer Centers at Minority Institutions.—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. The Committee is 

pleased with NCI’s attention to this important matter. 

Cancer Genome.—The Committee commends the 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. 

Cancer Metastasis to Bone.—A frequent complication of cancer is 

its spread to bone (bone metastasis), which occurs in up to 80 percent of patients with myeloma, 70 percent of patients with either 

breast or prostate cancer, and 15 to 30 percent of patients with 

lung, colon, stomach, bladder, uterine, rectal, and renal cancer, 
105 

causing severe bone pain and pathologic fractures. Only 20 percent 

of breast cancer patients and 5 percent of lung cancer patients survive more than 5 years after discovery of bone metastasis. The 

Committee urges 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 urges 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. 

Cancer Vaccines.—The Committee has recently become aware of 

emerging vaccine technologies, including a vaccine for the treatment of nicotine addiction, which could prevent carcinogenesis. The 

Committee urges NCI, in collaboration with NIDA, to support clinical trials to make available to the public vaccines to prevent cancer. 

Chronic Lymphocytic Leukemia [CLL].—This incurable disease is 

the most common form of adult leukemia in the United States. The 

Committee once again urges the NCI to increase research into 

CLL, including improved therapies and their rapid movement from 

the laboratory to the bedside. The Committee strongly urges the 

NCI to give favorable consideration to continuing and expanding 

the scope of research activities funded through the CLL Research 

Consortium as it works to defeat this blood disorder. 

Dissemination Research.—The Committee commends the NCI for 

its leadership on an initiative to help evidence-based behavioral 

interventions reach the public more quickly. The Committee is supportive of NCI’s efforts to inspire research that will overcome barriers to the adoption of evidence-based interventions that previous 

research has shown to be effective, but where adoption to date has 

been limited or significantly delayed. 

Gynecologic Cancers.—The Committee encourages NCI to give 

priority to gynecologic cancers and to work with the National 

Human Genome Research Institute on the Cancer Genomics 

project. The Committee further encourages the 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. 

Imaging Systems Technologies.—The Committee is encouraged by 

progress made by the NCI following its August 1999 conference on 

biomedical imaging, and it urges the NCI to continue to take a 

leadership role with the Centers for Medicare and Medicaid Services [CMS] and the Food and Drug Administration to avoid duplicative reviews of new imaging technologies which may prevent their 

benefits from reaching patients on a timely basis. The Committee 

is aware of the great potential for improved patient care and disease management represented by molecular imaging technologies, 

especially positron emission tomography [PET], through its ability 

to image the biology of many kinds of cancer and other diseases. 

The Committee continues to support the NCI’s increased emphasis 

on examining the molecular basis of disease through imaging technologies such as PET and MicroPET. The Committee continues to 

encourage the large-scale testing of women for breast cancer and 

men for prostate cancer to demonstrate and quantify the increased 
106 

diagnostic and staging capabilities of PET relative to conventional 

diagnostic and staging technologies, including mammography. 

Liver Cancer.—The Committee remains concerned about the increasing incidence of primary liver cancer and the small number of 

effective treatments—a situation that stands in sharp contrast to 

many other forms of cancer for which the incidence is declining and 

the treatment options are growing. The Committee urges the NCI 

to continue to support the NIDDK-sponsored HALT–C clinical trial 

and to collaborate with the NIBIB on the development of improved 

early liver cancer diagnostic techniques. The Committee welcomes 

NCI’s program announcements on hepatocellular carcinoma but 

urges the Institute to set aside specific funds for research on this 

disease. 

Lung Cancer.—Lung cancer remains a major public health issue 

and is the leading cause of cancer death among women and minority populations. The death rate is expected to escalate as the population ages. The Committee encourages the NCI to work with the 

thoracic surgical community to initiate new clinical trials that involve patients at an early stage of the disease when surgery is a 

treatment option. 

Lymphatic Research and Lymphedema.—The Committee urges 

NCI to support research on lymphedema, a chronic, progressive 

and historically neglected condition faced by many cancer survivors. The Committee also urges the Institute to devote increased 

resources toward the study of lymphangiogenesis and lymphatic 

imaging, which are critical to a greater understanding of cancer 

metastasis and lymphedema. 

Lymphoma Research.—The Committee urges the National Cancer Institute [NCI] to capitalize on the recent basic research investment by accelerating the translation of basic research findings into 

new treatment strategies for lymphoma. This may require a greater investment in lymphoma translational and clinical research initiatives, including more clinical trials focused on innovative 

lymphoma therapies. The Committee believes that the substantial 

impact of the disease on individuals, families, and society requires 

a more urgent lymphoma therapeutic development effort. The Committee recommends that NCI devote resources to: (1) studies of 

adequate scope to assure the identification of environmental risk 

factors for specific subtypes of lymphoma; (2) small studies designed to improve detection and quantification of historically difficult-to-measure environmental factors; (3) studies that are directed toward enhancing the understanding of the role of the immune system in the initiation and progression of lymphoma; and 

(4) studies that examine the simultaneous presence of a wide profile of infectious agents among individuals with lymphoma. The 

Committee also notes that lymphoma survivors may face significant long-term effects from their treatment. The Committee urges 

NCI to dedicate some of its survivorship research funds on research 

issues related to problems confronted by lymphoma survivors. 

Melanoma.—Melanoma is the fastest growing cancer in the 

United States and worldwide. The etiology of the disease is not 

well understood, and the average life span of patients with advanced melanoma is less than 1 year. Nevertheless, there is a 

shortage of melanoma researchers and a lack of effective of drugs 
107 

and treatments. Therefore, the Committee strongly urges the NCI 

to convene a panel of consumers, extramural and intramural scientists to develop a 5-year strategic plan for melanoma research 

and submit it to the Committee by July 1, 2007. The strategic plan 

should identify the current shortfalls and promise of melanoma research and recommended new directions and targets for future research. The plan should also explore the role of new and innovative 

technologies including shared biospecimen repositories, identify 

and validate melanoma-specific targets to design effective therapy; 

and identify opportunities for facilitating translational research in 

this area. 

Mesothelioma Research.—The Committee is concerned with the 

pace of mesothelimoma research. To address these concerns, the 

Committee strongly encourages the NCI to establish up to 10 mesothelioma centers, increase research, including clinical trials, detection and prevention methods, palliation of disease symptoms and 

pain management. 

Nanosystems Biology.—The Committee encourages NCI and the 

Office of the NIH Director to continue to support a collaborative effort to bring nanotechnology, systems biology and molecular imaging together to examine the molecular basis of cancer. Initial efforts have shown that cancers such as breast cancer are not a single disease, but may encompass many different diseases, when examined at the molecular level. Many clinical trials of new drugs 

are now considered to fail if only 10 percent of patients benefit, yet 

the 10 percent may represent a specific type of the disease for 

which the drug may be 100 percent effective. Bringing these three 

disciplines together may allow researchers to identify specific subtypes of cancer and to better target new interventions. Successful 

results of such an effort could lead to a molecular classification of 

many types of cancer and to targeted molecular treatments for molecular-specific diseases. 

Neurofibromatosis.—The committee commends NCI for conducting clinical trials of NF1 patients and encourages NCI to increase funding for NF research. Recognizing NF’s connection to 

many of the most common forms of human cancer, the Committee 

encourages NCI to substantially increase its NF research portfolio 

in such areas as further development of animal models, natural 

history studies, genetic and drug screening, therapeutic experimentation, and pre-clinical and clinical trials. The Committee encourages NCI to create, fund, and implement NF clinical and pre-clinical trials infrastructures including NF centers and pre-clinical 

mouse consortiums, patient databases, and tissue banks. 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 which could then apply to the 

general population because of NF’s connection to most forms of 

human cancer. The Committee encourages NCI to continue to coordinate its efforts with other NIH institutes and government 

agencies. 

Pancreatic Cancer.—Pancreatic cancer is the country’s fourth 

leading cause of cancer death, yet it remains severely underfunded, 

as compared to the top five cancers based on mortality. While the 

Committee notes that the NCI is pursuing major new scientific re-
108 

search initiatives in the areas of nanotechnology and genomics, it 

urges the Institute to maintain its investments in the primary research areas, including early detection, diagnosis and treatment. 

The Committee also reminds the NIH that, in last year’s Senate report, it requested a professional judgment budget to be submitted 

by May 1, 2006. The Committee is very disappointed that the Department delayed the release of that budget so that it could not be 

reviewed by the deadline for producing this year’s Senate report, 

in mid-July. The Committee strongly urges the Department to release the budget as quickly as possible. In addition, the Committee 

requests detailed fiscal year 2007 spending plans for pancreatic 

cancer research, as compared with fiscal years 2005 and 2006, 

within 90 days of the passage of this act. 

Pediatric Cancer.—The NCI is currently partially funding a portfolio of studies looking at the causes and most effective treatments 

for childhood cancers. The Children’s Oncology Group [COG] is conducting important laboratory research on cancer cells to discover 

the reasons children get cancer, developing and making available 

new treatments that destroy cancers, and improving the quality of 

life and long-term survival for pediatric cancer patients. However, 

the NCI is only funding approximately 50 percent of the approved 

collaborative pediatric cancer research projects. The Committee understands the COG acts as a cancer center without walls and reimburses hospitals for enrolling pediatric cancer patients into the best 

available clinical trials. The Committee encourages the NCI to increase the percentage of approved funding directed to the COG in 

order to open additional treatment protocols and make more treatment options available to physicians and families. 

Prostate Cancer.—The Committee commends the NCI for the considerable investment in prostate cancer and encourages NCI to continue to support research to improve the accuracy of screening and 

early detection of prostate cancer. 

Specialized Programs for Research Excellence [SPORE].—The 

Committee encourages the National Cancer Institute to fund the 

SPOREs at fiscal year 2004 funding levels and administer the program following fiscal year 2004 guidelines, providing for grant renewals until such time that the Translational Research Working 

Group [TRWG] concludes its evaluation and provides recommendations to more effectively support translational research. 

Tuberous Sclerosis Complex.—Tuberous sclerosis complex, or 

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. In light of its similarities to the 

uncontrolled growth of cancer cells, many scientists believe that determining the cause of tumor growth in TSC could open the way 

for cures and treatments for cancer as well. The Committee encourages NCI to expand its clinical trial network to include more sites 

and additional trials, and to assist in the development of protocols 

for additional clinical trials for tumor growth in TSC. Also, the 

Committee urges NCI to collaborate with NIDDK to conduct research on the needs identified in a recent conference on nutrient 

sensing and insulin-signaling in cells. 
109 

NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

Appropriations, 2006 ............................................................................. $2,919,750,000 

Budget estimate, 2007 ........................................................................... 2,901,012,000 

House allowance .................................................................................... 2,901,012,000 

Committee recommendation ................................................................. 2,924,299,000 

The Committee recommendation includes $2,924,299,000 for the 

National Heart, Lung, and Blood Institute [NHLBI]. The fiscal year 

2006 appropriation was $2,919,750,000 and the budget request was 

$2,901,012,000. The comparable amounts for the budget estimate 

include funds to be transferred from the Office of AIDS Research. 

Advanced Imaging Technology for Heart Disease and Stroke.— The Committee is aware that heart perfusion PET scans using Rubidium–82 are considered the ‘‘gold standard’’ for determining the 

extent of muscle damage to the heart following a heart attack. The 

Committee encourages the NHLBI to expand its research efforts 

into the role of biological imaging and PET in delivering more accurate information to determine appropriate treatment for heart disease patients. 

Cardiothoracic Surgery.—The field of cardiothoracic surgery contributes significantly to the improvement in cardiac health in this 

country and the Committee is encouraged by the advances in the 

field. The Committee supports the steps the Institute is taking to 

establish a network for cardiothoracic surgical investigations, and 

urges implementation of this plan with sufficient funding to continue the progress being made in the treatment of heart disease. 

The Committee supports the Institute’s effort to develop a strategic 

plan and expects cardiothoracic surgeons to be represented in the 

planning process. The Institute’s support for an intramural program in cardiothoracic surgery is an important step in expanding 

the role of surgery in cardiovascular research. 

Cardiovascular Diseases.—The Committee encourages the Institute to place the highest priority on heart disease, stroke, and 

other cardiovascular diseases by providing the resources to stimulate and strengthen basic, clinical, translational, and trans-institute cardiovascular disease research through all available mechanisms. The Committee continues to strongly believe that more research is critically needed to better understand the causes of cardiovascular diseases and to develop more effective treatment and 

cures. 

Chronic Obstructive Pulmonary Disease [COPD].—The Committee understands that COPD may be a predictor of future onset 

of lung cancer. With 24 million people having decreased lung function, and in the face of an ever-aging population, the need to develop better treatment and prevention strategies to address this 

linkage will only increase over the coming decade. The Committee 

encourages NHLBI to collaborate more fully with NCI to develop 

appropriate research initiatives that can be undertaken cooperatively, and encourages NHLBI to sponsor a workshop on COPD as 

it relates to lung cancer with input from the lung community to address these issues. 

Congenital Heart Disease.—The Committee commends the 

NHLBI for convening a working group to address this issue, and 

supports its recommendation that action be taken to prevent needless disability and premature mortality in this rapidly-growing pop-
110 

ulation. The Committee urges the NHLBI to work with the CDC, 

the Adult Congenital Heart Association, and others to develop outreach efforts to reach the many CHD survivors currently ‘‘lost’’ to 

cardiac care and to create a national adult congenital heart disease 

registry and research network. 

Cooley’s Anemia.—The Committee remains strongly supportive of 

the focused research effort that is being undertaken by the Thalassemia Clinical Research Network, which is composed 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 it urges the Institute to continue to support 

the research projects undertaken by it. In addition, the Committee 

commends NHLBI for convening a meeting with regard to gene 

therapy and urges the Institute to move much more aggressively 

in pursuing a research agenda that will lead to a cure at the earliest possible time. 

Diamond-Blackfan Anemia.—The Committee is pleased that 

NHLBI has awarded grants for research initiatives to investigate 

the rare bone marrow deficiency disorder, Diamond Blackfan Anemia [DBA]. The Committee understands that breakthroughs in this 

disorder may lead to important strides in research especially relating to blood cell formation (recovery from cancer chemotherapy), 

cancer predisposition, gene discovery, and the effectiveness of 

steroids and blood transfusions as treatment options for all bone 

marrow failure syndromes. The Committee commends NHLBI for 

its attention to this disorder. 

Hematology.—The Committee recognizes the strategic planning 

process underway at NHLBI and encourages the Institute to continue to place a high priority on hematology research. Further research efforts in vascular biology and thrombosis, immunobiology, 

and blood progenitor/stem cells will provide a better understanding 

of hematologic diseases and allow for the development of improved 

treatments and targeted therapies to combat heart attacks, stroke, 

and chronic malignant and non-malignant blood disorders. The 

Committee encourages NHLBI to work with experts in the field of 

hematology in developing its strategic plan. 

Hereditary Hemorrhagic Telangiectasia [HHT].—The Committee 

is aware that HHT is a rare, multi-system genetic disorder of the 

blood vessels that can result in stroke, hemorrhage, and death. The 

Committee encourages the NIH to explore opportunities for additional clinical and basic research on HHT. 

Juvenile Diabetes.—Cardiovascular disease is the major cause of 

mortality for individuals with diabetes. It is also a major contributor to morbidity and direct and indirect costs of diabetes. The 

Committee urges NHLBI to support research to investigate the epidemic of cardiovascular disease in patients with type 1 diabetes. 

Lymphangioleiomyomatosis [LAM].—The Committee remains 

very interested in efforts to find a cure for LAM. The Committee 

understands that recent scientific findings have presented new 

treatment approaches for clinical testing, and that experimental 

trials with the drug sirolimus have begun. The Committee encourages continuation of the intramural research protocol and further 

urges the NHLBI to explore opportunities for funding clinical treatment trials through both intramural and extramural means and to 
111 

use all available mechanisms as appropriate, including support of 

state-of-the-science symposia, request for applications, and the facilitation of access to human tissues, to stimulate a broad range of 

clinical and basic LAM research. 

Lymphatic Research and Lymphatic Diseases.—The Committee 

urges the NHLBI’s Lung Division to engage in lymphatic research 

initiatives, with particular attention to congenital lymphatic malformation-induced pulmonary dysfunction. 

Marfan Syndrome.—The Committee commends NIAMS for its 

support of research opportunities to study this life-threatening, degenerative genetic disorder. The Committee also commends the 

NHLBI Pediatric Heart Network for its support of a clinical trial 

of a potential new drug therapy. The Committee urges the Institute 

to continue to support the major advances made in this area 

through all available mechanisms, as deemed appropriate. 

Neurofibromatosis.—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. 

The Committee applauds NHLBI for its involvement with NF research and with NF patient advocacy groups, and encourages the 

Institute to continue to expand its NF research portfolio in light of 

the enormous implications for the general population. 

Outcomes Research in Cardiovascular Diseases.—The Committee 

commends the 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.—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 urges the NHLBI to 

initiate a project to prevent and test innovative practical, cost-effective ways to prevent weight gain in young adults, with the goal of 

reducing heart disease, stroke and other cardiovascular diseases. 

Pulmonary Fibrosis.—The Committee previously has expressed 

concern regarding the need to expand public health strategies to 

combat lung disease, particularly pulmonary fibrosis. Many individuals are diagnosed too late to initiate treatment regimens that 

could reduce morbidity and mortality. The Committee urges the 

NHLBI to increase funding for lung research, particularly in the 

area of pulmonary fibrosis. The Committee further urges the 

NHLBI to convene a consensus conference of experts in the area 

of lung disease and other stakeholders to lay the groundwork for 

a formal Pulmonary Fibrosis Disease Action Plan for prevention 

and control of this deadly disease. 

Pulmonary Hypertension.—Pulmonary hypertension [PH] is a 

rare, progressive and fatal disease which causes deadly deteriora-
112 

tion of the heart and lungs. The Committee continues to view research in this area as a high priority and commends NHLBI for its 

plans to establish Specialized Centers of Clinically Orientated Research [SCCOR] in pulmonary hypertension. The Committee encourages NHLBI to prioritize support for 3–4 SCCORs this year 

and continue efforts to expand basic and translational research on 

PH in partnership with the pulmonary hypertension community. 

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 urge 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, such as the National Sleep Foundation, 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. 

Tuberous Sclerosis Complex.—Research has demonstrated a link 

between TSC and lymphangioleiomyomatosis [LAM], a lung disorder that primarily affects women. The Committee urges NHLBI 

to support clinical trials on individuals suffering from both LAM 

and TSC. 

NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH

Appropriations, 2006 ............................................................................. $389,069,000 

Budget estimate, 2007 ........................................................................... 386,095,000 

House allowance .................................................................................... 386,095,000 

Committee recommendation ................................................................. 389,669,000 

The Committee recommendation includes $389,669,000 for the 

National Institute of Dental and Craniofacial Research [NIDCR]. 

The fiscal year 2006 appropriation was $389,069,000 and the budget requested $386,095,000. The comparable amounts for the budget 

estimate include funds to be transferred from the Office of AIDS 

Research. 

Dental Disease.—Dental Disease is the most common chronic 

childhood illness and the most prevalent unmet need in poor children. Research indicates that dental disease has a serious impact 

on learning and overall health of children, and recent data indicates an increase in early childhood caries. The Committee commends the NIDCR for its current efforts in this area and urges the 

NIDCR to strongly support additional research to determine the 

most effective methods for preventing, controlling, and treating 

early childhood caries. 

Genetic Disorders.—The Committee commends the NIDCR for its 

participation in efforts to create a strain of mice which has the 

same genetic characteristics as that of humans, and urges that research in this area be continued. 

Temporomandibular Joint [TMJ] Disorders.—The Committee 

commends the NIDCR for its efforts to increase funding for TMJ 

research and stimulate interest in young investigators in TMJ research. Because the multifaceted nature of TMJ disorders requires 

an approach that coordinates the work of many interested parties 

at NIH, the Committee expects the NIDCR to continue to collabo-
113 

rate and coordinate research and awareness activities with NINDS, 

ORWH and all other relevant ICs. The Committee also urges the 

NIDCR to consult regularly with patient advocacy groups in the 

planning of research initiatives. 

NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY

DISEASES

Appropriations, 2006 ............................................................................. $1,703,753,000 

Budget estimate, 2007 ........................................................................... 1,694,298,000 

House allowance .................................................................................... 1,694,298,000 

Committee recommendation ................................................................. 1,707,753,000 

The Committee recommends an appropriation of $1,707,753,000 

for the National Institute of Diabetes and Digestive and Kidney 

Diseases [NIDDK]. The fiscal year 2006 appropriation was 

$1,703,753,000 and the administration’s request is $1,694,298,000. 

The comparable amounts for the budget estimates include funds to 

be transferred from the Office of AIDS Research. 

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 16 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 16 research areas. 

Acute Liver Failure.—The Committee applauds the leadership of 

the NIDDK to convene a meeting in December 2006 to address the 

important issue of acute liver failure. The Committee urges that 

the attendance at the meeting will be broad enough to determine 

what improvements can be made in the U.S. market based on best 

practices in other countries. 

Behavioral Research on Diabetes.—The Committee commends the 

Institute for its continuing commitment to behavioral research on 

adherence to diet and exercise regimens to prevent or slow the progression of Type II diabetes. The Committee is concerned, however, 

that the strategic plan for research to combat Type I diabetes includes almost no behavioral research. NIDDK is encouraged to examine the impact of diet and exercise interventions on the health 

and glucose control of Type I diabetics. 

Biliary Atresia.—The Committee is pleased that the number of 

Biliary Atresia Research Network Centers has increased from 9 to 

10 and that NIDDK, and 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. 

Bone Marrow Diseases.—The Committee commends the NIDDK’s 

focus on finding effective treatment for iron overload that threatens 

the lives of transfusion-dependent bone marrow patients. The 

NIDDK is urged to collaborate with the NIBIB to expand research 

that will enable patients suffering from aplastic anemia, 

myelodysplastic syndromes, and paroxysmal nocturnal hemoglobinuria to obtain efficient iron measurement and chelation. 
114 

Cooley’s Anemia.—The Committee continues to support the highquality research being conducted by the 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 the NIBIB to develop and 

perfect non-invasive means of measuring iron. 

Crohn’s 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 the NIDDK for 

its strong leadership in this area and continues to encourage the 

Institute to increase funding for research focused on the cellular, 

molecular and genetic structure of IBD; identification of the genes 

that determine susceptibility or resistance to IBD in various patient subgroups; and translation of basic research findings into patient clinical trials, as outlined in the research agenda developed 

by the scientific community titled ‘‘Challenges in Inflammatory 

Bowel Disease.’’ The Committee also encourages the NIDDK to continue to strengthen its partnership with the IBD community and 

increase support for its successful Digestive Disease Centers program with an emphasis on IBD. 

Diamond-Blackfan Anemia.—The Committee strongly encourages 

NIDDK to develop grant opportunities and increase research to 

support DBA. 

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 tremendous 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 urges additional 

research focused on identifying the cause of this drug-induced morbidity and recommendations for prevention. This research is particularly important because the unintended and episodic liver injury creates an impediment to people using highly beneficial pharmaceuticals to address other indications. 

End-stage Renal Disease.—The Committee is concerned about the 

significant differences among minority groups in the incidence and 

prevalence of patients suffering from end-stage renal disease 

[ESRD]. The Committee urges 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. 

The Committee also is aware of wide geographic and ethnic 

variances in rates of hemodialysis, both center-based and home 
115 

hemodialysis, as well as peritoneal dialysis, for patients suffering 

from ESRD. The Committee understands that a large clinical trial 

involving hemodialysis is underway and urges the 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. 

Fatty Liver Disease.—The Committee notes a diagnosis of fatty 

liver disease encompasses a spectrum of severity disease 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 

NIH leadership has generated a significant increase in highly competitive science and research focused on fatty liver disease. 

Fragile X.—The symptoms of Fragile X syndrome include digestive difficulties. Some affected individuals also show hyperphagia 

and obesity. Understanding this disorder may help researchers develop treatments to relieve disease symptoms and to better understand disorders with similar symptoms. The Committee urges the 

NIDDK to expand its research activities on Fragile X and to coordinate these efforts with other Institutes working on related activities, including NIMH, NINDS, NICHD, and the Fogarty International Center. 

Genetics of Type 1 Diabetes.—The NIDDK is asked to accelerate 

its efforts to ensure the research community’s access to biosamples 

and data collected by the Type 1 Diabetes Genetics Consortium and 

the Genetics of Kidneys in Diabetes [GoKinD] study. Efforts to 

share resources and support innovative research will assist researchers in developing new methods of measuring an individual’s 

risk for type 1 diabetes or its complications. 

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 2005, 

and urges 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 progress report during the fiscal year 2008 hearings. 

Hematology.—The Committee is aware of the high-quality hematology research in iron metabolism, gene regulation, and stem cell 

plasticity. The Committee encourages the Institute to set priorities 

for future research in these and other areas that significantly impact a broad array of blood disorders. The Committee further encourages the Institute to increase research in the area of anemia 

of chronic inflammation and is pleased to see that the Institute 

plans to hold a conference on this topic to identify key research 

questions and priority areas for study. The Committee requests a 

report by July 1, 2006, on the promising research opportunities 
116 

identified and the steps to be taken to accelerate research in these 

areas. 

Hepatitis B.—The Committee urges a continuing priority on increased research for hepatitis B. The Committee applauds the leadership of the NIDDK in conducting an experts’ conference on this 

disease in April 2006 and is aware that a significant number of 

new research opportunities have been identified. The Committee 

urges that a focus be placed on identifying best practices of the 

treatment of hepatitis B and supports efforts to reduce the disproportionately high annual treatment costs for hepatitis B. Additionally, the Committee urges the NIDDK to collaborate with the 

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 and 

urges the institute to prioritize implementation of this conference. 

Inflammatory Bowel Disease [IBD] in Children.—The Committee 

has learned that research into adult disease is of limited assistance 

in managing younger patients because the condition manifests 

itself in very different ways in pediatric cases. Consumer and physician organizations have identified priority areas for basic research in pediatric IBD. These are: growth failure and bone disease; identification of the genes responsible for early onset IBD; 

and the relationship between children’s immune systems and IBD 

onset and response to treatment. The Committee encourages 

NIDDK to conduct focused conferences on these priorities to develop research initiatives that will lead to better diagnosis and 

more effective treatment of pediatric IBD, as well as to determine 

potential ways that the condition may be prevented. 

Interstitial Cystitis.—Research on interstitial cystitis is still in its 

infancy. While there has been important progress in this area in 

the last decade, there is still very little known about the etiology 

and pathogenesis of the disease. The Committee urges the NIDDK 

to set aside IC-specific funding in order to focus on the basic 

science of IC and to attract and sustain research in the field. The 

Committee was pleased that the NIDDK worked closely with the 

Interstitial Cystitis Association to put on an international scientific 

symposium on IC. The Committee was also encouraged by the 

NIDDK’s efforts to elevate awareness of IC among providers and 

would like to see the NIDDK continue to work more closely with 

the interstitial cystitis patient community and the 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 [IBS] will be included. The Committee continues 

to direct NIDDK to expedite this plan and ensure that IBS be 

given sufficient attention in order to increase the functional gastrointestinal and IBS research portfolio at NIDDK. The Committee 

also encourages NIDDK to continue to strengthen its partnership 
117 

with the IBD community and increase support for its successful Digestive Disease Centers program with an emphasis on IBD. 

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. From this perspective, the Committee urges 

NIDDK’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 would like 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. 

Lymphatic Research and Lymphatic Diseases.—The lymphatic 

system plays an important role in the transport and digestion of 

fats. The NIDDK is urged to study the metabolic link between lymphatic function and obesity, dyslipedema and diabetes. In addition, 

the Committee strongly urges NIDDK to study protein losing 

enteropathy, a life-threatening complication associated with numerous syndromes involving congenital lymphatic malformations. 

Pediatric Kidney Disease.—Kidney disease is a major cause of illness and death in infants, children and adolescents. In addition, 

many diseases like diabetes and hypertension that lead to chronic 

kidney disease [CKD] and end-stage renal disease [ESRD] in adults 

begin in childhood; therefore, 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 it 

urges the 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 kidney disease in children. Specifically, the Committee recommends that emphasis be placed on research to determine how obesity, type 2 diabetes, and hypertension contribute to the evolution of CKD, and 

what interventions may limit cardiovascular morbidity in patients 

with these diseases. 

Polycystic Kidney Disease [PKD].—The Committee is pleased to 

learn that NIH-supported PKD research, in partnership with private organizations, has rapidly led to multiple clinical drug trials 

in humans and to interdisciplinary blood pressure and heart studies to validate the advantages of slowing PKD progression. The 

Committee is encouraged that with additional support and resources for these trials, the establishment of core facilities, gene 

registries and research on the interrelationship of PDK with tuberous sclerosis complex, new innovative therapies may soon be developed to slow or reverse the progression of PKD for more than 

600,000 Americans who suffer from the disease. The Committee 

also acknowledges the recent publication of data from the CRISP 

study, which makes available a much better measure of disease 

progression and which dramatically reduces the number of patients 

needed to obtain valid results from clinical trials, thus greatly ac-
118 

celerating the pace and accuracy of clinical PKD research and reducing its cost. The Committee recognizes the significant benefits 

emanating from the PKD Centers of Excellence in promoting interdisciplinary scientific research and developing alternative animal 

models; therefore, the Committee encourages the NIKKD to support the efforts of the PKD Centers to the maximum extent possible. Given the momentum and therapeutic opportunities in PKD 

science, the Committee also strongly urges the NIDDK to pursue 

fulfillment of the PKD Strategic Plan, facilitate PKD clinical trials 

and multidisciplinary research, and expand studies of 

pathophysiology and cellular pathobiology. 

Prostatitis.—The Committee encourages the Institute to provide 

more diverse medical specialties to supplement and build upon the 

insufficient treatment options and the background of basic information now available for prostatitis. 

Type 1 Diabetes Clinic Trials.—The Committee is encouraged by 

the launch of new clinical trials to prevent or treat type 1 diabetes 

through the Type 1 Diabetes TrialNet. NIDDK is encouraged to expedite the launch of new trials in TrialNet to ensure that patients 

continue to receive the benefits of innovative research and discoveries. 

Tuberous Sclerosis Complex.—Tuberous sclerosis complex, or 

TSC, is a genetic disorder that triggers uncontrollable tumor 

growth in multiple organs of the body including the kidneys, where 

patients are at risk for polycystic kidney disease [PKD], cancer or, 

most commonly, benign growths known as angiomyolipoma that 

can result in kidney failure. The Committee urges the NIDDK to 

collaborate with the NCI to conduct research on the needs identified in a recent conference on nutrient sensing and insulin-signaling in cells. The Committee also encourages the NIDDK to expand research on the link between PKD and TSC. 

Urological Research.—The Committee strongly urges the NIDDK 

to establish a Urological Disease Research Branch within the Division of Kidney, Urologic, and Hematologic Diseases [DKUH]. Despite significant increases in funding for the Institute, the Committee remains concerned that the research portfolio in urology has 

not kept pace with the impact of these diseases on women, men, 

and children. The Committee believes a Urological Disease Research Branch will better focus and accelerate research on urology 

disease in the NIDDK and help coordinate and stimulate urologyrelated research across the NIH and within other Federal agencies. 

NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

Appropriations, 2006 ............................................................................. $1,533,703,000 

Budget estimate, 2007 ........................................................................... 1,524,750,000 

House allowance .................................................................................... 1,524,750,000 

Committee recommendation ................................................................. 1,537,703,000 

The Committee recommends an appropriation of $1,537,703,000 

for the National Institute of Neurological Disorders and Stroke 

[NINDS]. The fiscal year 2006 appropriation was $1,533,703,000 

and the budget request is $1,524,750,000. The comparable amounts 

for the budget estimates include funds to be transferred from the 

Office of AIDS Research. 
119 

Alzheimer’s Disease.—Research supported by the NINDS continues to play an integral role in widening the scientific base of 

knowledge about Alzheimer’s disease. In a study supported jointly 

by the NINDS, the NIA and the Alzheimer’s Association, scientists 

found that administering lithium to genetically engineered mice reduced the accumulation of an abnormal protein, called tau, 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 

the NINDS to continue to assign a high priority to its Alzheimer’s 

research portfolio, and to continue to work closely with the NIA 

and other Institutes. The Committee further urges the NINDS, in 

collaboration with the NIA and NIMH, to expand its research into 

early diagnosis of Alzheimer’s using PET imaging of the brain, and 

to share its results with the Centers for Medicare and Medicaid 

Services. 

Amyotrophic Lateral Sclerosis [ALS].—The Committee is gratified by the increased capacity in the past 2 years for drug discovery 

and patient care regarding ALS throughout the Nation’s major academic centers and community clinics. Collaborations between the 

NINDS and voluntary health associations, such as the coordination 

of the NIH National Center for Drug Discovery in 

Neurodegeneration with The ALS Association’s new clinical TREAT 

ALS program, provide an evolved nationwide infrastructure for accelerating programs in translational research. More patients now 

have access to more clinical trials through the increased prevalence 

of ALS centers, which not only define, establish and support a national standard of care in the management of ALS, but also interrelate with state-of-the art research. The Committee is also pleased 

with the continuing collaboration between NIH, the Department of 

Veterans Affairs and the Department of Defense to advance ALS 

research and identify treatments for this disease that afflicts veterans in disproportionate numbers. The Committee encourages 

NIH to continue collaborating with other relevant Federal agencies 

as well, including the Centers for Disease Control and Prevention. 

Batten Disease.—The Committee strongly urges the Institute to 

increase funding for Batten disease research by actively soliciting 

grant applications and taking aggressive steps to assure that a vigorous research program is established. The Committee expects to 

be informed of the steps taken to increase research on Batten disease. 

Brain Tumors.—The Committee continues to believe that additional attention should be given by NINDS to identifying causes of 

and treatments for brain tumors and encourages NINDS to continue working with NCI to carry out the recommendations of the 

Report of the Brain Tumor Progress Review Group. 

Chronic Inflammatory Demyelinating Polyneuropathy [CIDP].— 

The Committee recognizes that Chronic Inflammatory 

Demyelinating Polyneuropathy [CIDP] is a rare disorder of the peripheral nerves characterized by gradually increasing weakness of 

the legs and arms. The Committee urges the National Institute of 

Neurological Diseases and Stroke to support research to assist in 

the diagnosis and treatment of CIDP. 
120 

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 

strongly encouraged to issue special program announcements related to its workshop findings. Specifically, the Committee encourages NINDS to identify and fund investigations relating to the genetic and cellular basis for abnormalities in the structure and function of neuronal circuits in both the developing and mature nervous 

systems. NINDS is also encouraged to work with the Office of the 

Director, OPASI, and the other institutes 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 accurately measure cognitive improvement in individuals with Down syndrome, the Committee further encourages 

NINDS to begin to develop better measurement standards and a 

common database that can be used generally for such trials. 

Duchenne and Becker MD Translational Research.—The Committee is advised that the NIH is working toward prioritizing opportunities for Duchenne and Becker Muscular Dystrophy 

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 Muscular Dystrophy Coordinating Committee, and the other relevant Institutes—develop specific measurable milestones, including a timeline, needed to establish a DBMD 

Translational Research Initiative. The Committee also requests 

that this information be included in the annual report to Congress 

authorized by the MD Care Act. The Committee encourages the 

NIH to include representatives from the 6 MD Centers of Excellence in the process for establishing the DBMD Translational Research Initiative. 

Duchenne Muscular Dystrophy.—The Committee is pleased that 

the Muscular Dystrophy Coordinating Committee [MDCC] has approved the Action Plan for the Muscular Dystrophies. The Committee remains concerned 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 strongly encourages the MDCC to designate by April 1, 

2007, the agencies with primary and secondary responsibilities for 

working toward each research objective. The Committee requests 

that the 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 each goal, the total amount 

of money invested toward each goal, and projected spending on 

DMD research for the present and future fiscal year. The Committee further 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. 

Dystonia.—The Committee continues to support the expansion of 

research and treatment developments regarding the neurological 

movement disorder dystonia. The Committee is pleased with 

progress made in expanding the dystonia research portfolio resulting from the joint dystonia research program announcement and 
121 

understands that 11 new grants have been funded as a result of 

this initiative. The Committee commends NINDS on its sponsorship of the scientific workshop on dystonia and looks forward to initiatives based on this activity. 

Epilepsy.—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 benchmarks for epilepsy research resulting from the 

‘‘Curing Epilepsy: 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 encourages the NINDS to designate 

resources to implement its benchmark priorities, to develop plans 

and goals for the anti-epileptic drug development program, and to 

provide pertinent updates on these activities. 

Fragile X.—Fragile X is a single-gene disorder, but both its 

symptoms and its cellular mechanisms suggest the involvement of 

multiple genes and specific brain pathways that are associated 

with other neurological disorders, such as autism and seizures. Recent research offers clear evidence of disruption of fundamental 

brain circuitry in Fragile X. Thus, Fragile X research has the potential to contribute to the understanding of multiple disorders, 

such as seizure disorders, developmental disorders and autism. The 

Committee urges the NINDS to intensify its research into these 

issues as they relate to Fragile X, and to coordinate this research 

with other Institutes working on Fragile X, including, but not limited to, NIMH and NICHD. 

Fragile X-Associated Tremor/Ataxia Syndrome [FXTAS].—Carriers of premutation [CGG] expansions of the Fragile X gene are 

generally thought to be spared most of the problems associated 

with the full mutation; however, a newly identified neurological 

disorder, involving progressively severe tremor and difficulty with 

walking and balance, appears to specifically affect some older 

premutation carriers, generally grandfathers of children with Fragile X syndrome. Although this neurological disorder occurs by a 

separate mechanism from Fragile X syndrome and affects different 

individuals, it is caused by the same gene, and therefore opens a 

new portal for understanding how the Fragile X gene works. The 

Committee encourages NINDS to use FXTAS as a gateway to understanding other adult/aging disorders including parkinsonism 

and dementia. The Institute is encouraged to work with the NIA 

to expand research on FXTAS. 

Healthy Brain Initiative.—NINDS is commended for its cooperative efforts in producing a searchable database of studies and planning joint efforts to solicit research on enhancing healthy cognitive 

and emotional function. This initiative is a model of how institutes 

can work together on complex issues involving multiple disciplines 

and methodologies. Given the importance of maintaining and enhancing brain health at all stages of life, NINDS is encouraged to 

make this initiative a priority. 

Human Herpesviruses.—The Committee requests the NINDS, in 

coordination with NIAID and other appropriate NIH Institutes, to 

engage in research into the possible role of human herpesviruses 

6A and 6B in the onset and progression of multiple sclerosis, 
122 

mesial temporal lobe epilepsy, status epilepticus, HIV/AIDS, chronic fatigue syndrome and other neurological, and immune system 

diseases. 

Mucolipidosis Type IV [ML4].—The Committee encourages the 

Institute to expand research involving other organisms which bear 

genes resembling the one whose mutation in humans causes ML4. 

This research could be beneficial not only to those with ML4, but 

a number of other disorders involving TRP genes and other genetic 

disorders. 

Neurofibromatosis.—Advances in NF research have linked NF to 

cancer, brain tumors, learning disabilities, memory loss and heart 

disease. The Committee encourages NINDS to aggressively 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 exemplary 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 calls 

upon NINDS to continue to coordinate its efforts with the other institutes at NIH as well as other government agencies. 

Opsoclonus-Myoclonus Syndrome [OMS].—OMS is a rare, autoimmune, paraneoplastic disorder that targets the brain. In childhood, it is associated with neuroblastoma of the chest, abdomen, or 

pelvis. Besides the hallmark features of opsoclonus (involuntary 

saccadic eye movements), myoclonus (tremulousness, muscle jerks), 

and ataxia (gait disorder), the children have rages, inability to 

sleep, and may become mute and unable to sit or stand. Permanent 

problems in motor control, language development, behavior, and 

cognition—even mental retardation—are common. The available 

treatment options for OMS are extremely limited. The Committee 

urges the Institute to accelerate research efforts to identify OMS 

susceptibility genes and biomarkers, and to develop innovative 

immunotherapeutic strategies. 

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 the Director to 

create an additional Coordinating Udall Center to further focus and 

manage the interdisciplinary efforts of the Udall Centers. The 

Committee further encourages NIH to require that the Udall Centers include a significant clinical component, in addition to their 

ongoing basic research. In reviewing the Udall Center grants, the 

Committee also encourages the NIH to evaluate the applicants in 

a manner that recognizes the unique aspects of the clinical, coordination, and multidisciplinary components of the applicants, while 

continuing to preserve the integrity of the peer-review process. 

The Committee has urged the Director to expeditiously provide 

funding at the conclusion of the neuroprotection trials [NET–PD] 

for phase III clinical trials of all the neuroprotection compounds 

found to be not futile, including combinations of them. The Com-
123 

mittee requests the Director to report to the Committee the current 

status of the NET–PD after the conclusion of each of the futility 

studies. 

Peripheral Neuropathy.—This neurological disorder causes debilitating pain, weakness in the arms and legs, and difficulty walking. 

Although research is underway on diabetic neuropathy and HIV/ 

AIDS-related neuropathy, the Committee strongly urges the 

NINDS to strengthen its research portfolio on other forms of neuropathy, and it notes with interest the upcoming workshop that the 

NINDS will convene to identify research goals. 

Pick’s Disease.—The Committee urges the NINDS to initiate 

funding for drug discovery efforts that focus on specific targets relevant to treating the mechanisms underlying brain degeneration 

due to frontotemporal dementia [FTD]. The Committee further encourages the NINDS to conduct multicenter treatment trials for 

symptomatic management of Pick’s disease and other FTDs. The 

Committee encourages the Institute to focus on methods for discovering the causes of this family of diseases, improving diagnostic accuracy, and providing longitudinal characterizations so that the 

success of intervention can be determined. 

Rett Syndrome.—The Committee remains concerned at the level 

of funding dedicated toward research into Rett Syndrome, an incurable and devastating childhood neurological disorder that is the 

leading cause of severe neurologic impairment in females and the 

only autism spectrum disorder with a known genetic cause. While 

once considered rare, increased diagnosis suggests that the prevalence of Rett Syndrome may be much greater than current estimates. Furthermore, Rett Syndrome is linked with autism, schizophrenia, bipolar disease and other mental disorders. The discovery 

in 1999 of the specific genetic cause of Rett Syndrome, a gene 

called MECP2, was a crucial breakthrough. The Committee encourages research aimed at understanding the pathogenesis of Rett 

Syndrome, the function of MECP2 in the developing and mature 

nervous system, and the identification of the targets of MECP2 and 

their role in disease. The development of outcome measures and 

new quantifiable assays to study Rett and related disorders are 

also needed to prepare for future interventional trials in patients. 

The Committee also encourages NIH to coordinate with private organizations supporting research initiatives in this area in order to 

ensure the most efficient use of resources. 

Spinal Muscular Atrophy [SMA].—The Committee understands 

that the severity of SMA and 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 strongly urges NIH/NINDS to 

continue to commit the resources to ensure a timely completion of 

the project mission of identifying and completing preclinical research and development of drug candidate therapeutics for SMA by 

2007. More importantly, the Committee strongly encourages 

NINDS to begin planning and budgeting for the necessary next 

stages of drug development. The Committee requests that NIH report back to the Committee no later than April 2007 with a 

progress report on all aspects of SMA research. 
124 

Stroke.—The Committee continues to place a high priority on 

stroke research and strongly encourages the NINDS to increase resources for basic, clinical and translational research and related activities into stroke. The Committee remains concerned that funding 

for stroke research over the years has not kept pace with the scientific opportunities, the number of Americans afflicted with 

stroke, and the economic toll of this disease. Therefore, the Committee encourages the NINDS to aggressively expand its stroke 

education program, to implement the long-range strategic plan for 

stroke research and to continue searching for novel approaches to 

improve stroke diagnosis, treatment, rehabilitation, and prevention. The Committee continues to support full and timely implementation of the SPRG report and expects another written update 

by July 1, 2007, highlighting activities and initiatives. 

Stroke Rehabilitation.—The Committee commends the Institute’s 

commitment to update the findings and recommendations of the 

Stroke Progress Review Report and urges that a special focus of 

the update be on the need to redouble efforts on rehabilitation 

science and the translation of rehabilitation discoveries into practice. The Committee notes that there is a growing body of evidence 

that stroke victims do not achieve the fullest possible recovery from 

rehabilitation because of limited awareness of research evidence for 

the effectiveness of appropriate rehabilitation protocols and urges 

that this matter be addressed with additional research. Finally, the 

Committee urges the inclusion of rehabilitation scientists in 

NINDS-sponsored workshops, expert conferences and consensus 

conferences as appropriate. 

Tuberous Sclerosis Complex.—The Committee is encouraged that 

the NINDS has organized a Trans-NIH Tuberous Sclerosis Coordinating Committee, and it urges the Institute to continue to take a 

leadership role in convening meetings of this group. The Committee 

believes that the scope of the Coordinating Committee should be 

broadened to include an international conference every 2 years. 

The Committee also encourages the NINDS to work with the 

NICHD and the NIMH to organize a conference focused on psychiatric issues and cognitive disabilities in TSC. 

Vulvodynia.—NIH-supported research indicates that millions of 

women suffer from chronic pelvic and genitourinary pain conditions 

such as vulvodynia. Therefore, the Committee calls upon the 

NINDS, in coordination with the NICHD, ORWH, the NIH Pain 

Consortium and other ICs, to expand its support of research in this 

area, with a focus on etiology and multi-center therapeutic trials. 

The Committee also calls on NINDS to work with ORWH and other 

relevant ICs and government agencies, as well as patient and professional organizations, to implement an educational outreach campaign on vulvodynia. 

NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

Appropriations, 2006 ............................................................................. $4,380,268,000 

Budget estimate, 2007 ........................................................................... 4,395,496,000 

House allowance .................................................................................... 4,270,496,000 

Committee recommendation ................................................................. 4,395,496,000 

The Committee recommends an appropriation of $4,395,496,000 

for the National Institute of Allergy and Infectious Diseases 
125 

[NIAID]. The fiscal year 2006 appropriation was $4,380,268,000 

and the budget request is $4,395,496,000. Included in these funds 

is $100,000,000 to be transferred to the Global Fund to Fight HIV/ 

AIDS, Malaria, and Tuberculosis. Also included is bill language 

permitting up to $25,000,000 for extramural facilities construction 

grants. The comparable amounts for the budget estimate include 

funds to be transferred from the Office of AIDS Research. 

Anaphylaxis.—The Committee is pleased that the NIAID has 

continued its collaboration with private sector organizations to improve the diagnosis and treatment of anaphylaxis, a particularly 

severe reaction often resulting from allergic responses to food or 

medications. A recent published report of a second symposium cosponsored by NIAID emphasized the need for expanded research 

related to anaphylaxis. The report highlighted a number of areas 

requiring additional research including the identification of relevant biomarkers; improved understanding of the basic immunology and pathophysiology of anaphylaxis; and studies of the 

mechanisms that determine the severity of allergic reactions and 

the variability of organ system responses. The Committee urges the 

NIAID to take steps to stimulate investigator-initiated research on 

these and other questions and requests a report outlining these efforts by May 1, 2007. 

Antibiotic Resistance.—NIAID should move aggressively to 

strengthen translational research efforts in the area of antibiotic 

research and development particularly with regard to multi-drug 

resistant gram negative bacterial infections for which few drugs are 

moving forward in the pharmaceutical pipeline as well as 

methicillin-resistant Staphylococcus aureus [MRSA] infections, 

which have become a silent epidemic in communities and hospitals 

across the country. NIAID also should accelerate its antibiotic resistance basic research efforts to more quickly advance our understanding of mechanisms of resistance and how resistant microbes 

impact human health. 

Antimicrobial Resistance.—The Committee commends NCI, CDC 

and NIAID for their multi-agency efforts focused on reducing antimicrobial resistance to infectious diseases, improving the medical 

management of patients infected by hospital- and community-acquired Staphylococcus aureus and similar infections, and developing new therapeutics for treatment of these infections. However, 

the Committee notes that no FDA-licensed vaccines for prevention 

of hospital- and community-acquired multidrug-resistant Staphylococcus aureus and similar infections are currently available and 

views this as a critical gap in medicine and public health. The 

Committee is aware that new conjugate vaccine technologies currently exist and clinical studies of promising bacterial vaccine candidates have been conducted. The Committee urges NIAID to assist 

in supporting advanced development and clinical studies needed to 

make vaccines and immune therapeutics available for prevention 

and treatment of these life-threatening infections. 

Asthma.—The Committee is very pleased with NIAID’s leadership regarding asthma research and management. The Committee 

urges NIAID to continue to improve its focus and effort on asthma 

management, especially as it relates to children. The Committee 

also urges the NIAID to collaborate more aggressively with vol-
126 

untary health organizations to support asthma prevention, treatment, and research activities. 

Atopic Dermatitis.—In recent years, the Committee has encouraged the NIAID to work with NIAMS and other institutes on a 

multi-institute initiative to encourage investigator-initiated research projects on atopic dermatitis [AD], commonly known as eczema. As NIAID continues its focus on the smallpox vaccine, it is 

important to expand investigator-initiated research on adverse reactions to the vaccine experienced by individuals with AD. In addition, studies have confirmed that individuals with severe AD are 

more likely to develop severe asthma and other allergic diseases. 

The Committee was pleased to receive the February 2006 report on 

NIAID’s research efforts related to AD. The Atopic Dermatitis and 

Vaccinia Immunization Network and the Immune Tolerance Network are important initiatives. However, the Committee believes 

more needs to be done to encourage investigator-initiated research 

on AD, particularly in light of recently announced discoveries by 

NIH scientists regarding the relationship of ineffective skin barrier 

and immune system response to allergens. The Committee again 

encourages the NIAID to cooperate with NIAMS and other institutes to spearhead a multidisciplinary, multi-institute initiative to 

encourage investigator-initiated research projects on AD as it relates to smallpox vaccination as well as the progression to asthma 

and other allergic diseases. 

Autoimmune Diseases.—The NIAID is commended for its support 

of research into the cause and treatment of autoimmune diseases. 

NIAID programs play a key role in understanding the roots of 

autoimmune disease and developing new treatments to stop disease 

without life-long suppression of the patients’ immune systems. The 

Committee encourages NIAID to support communication between 

researchers studying different autoimmune diseases so that findings in one disease can quickly be applied to related conditions. As 

part of this effort, NIAID is urged to expand its interactions with 

the National Center for Biotechnology Information [NCBI] to establish a database where results of studies can be readily accessed by 

the research community. 

Behavioral Research on Pandemic Flu.—The Committee encourages NIAID to work with OBSSR to identify and fund behavioral 

research on infectious diseases. In particular, behavioral research 

in areas such as risk perception, adherence to vaccination recommendations, and public health preparedness could enhance scientific research on preparation and response to pandemic influenza 

outbreaks. 

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 significant 

research initiatives in both of these areas. 

Hepatitis.—The Committee continues to be concerned about the 

prevalence of hepatitis and urges NIAID to work with voluntary 

health organizations to promote liver wellness, education, and prevention of hepatitis. 
127 

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 is concerned with preliminary 

information that this vaccine candidate may not be universally effective against all genotypes of hepatitis C and therefore urges the 

simultaneous development of other vaccine candidates against this 

disease. 

Immune Tolerance Network.—The Committee commends the 

NIAID and NIDDK for their support of preclinical studies of new 

approaches to immune tolerance to prevent or treat type 1 diabetes. The Committee urges the NIAID to expedite the translation of 

promising results into early phase clinical trials within the Immune Tolerance Network. 

Implementation of the Transplantation Research Action Plan.— The Committee is pleased that NIAID convened an experts conference and developed a 5-year Transplantation Research Action 

Plan identifying the most urgently needed research to facilitate and 

increase in the success of organ transplantation. The Committee 

urges an annual review of progress made in the various research 

areas identified by the plan with recommendations and appropriate 

followup 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) titled ‘‘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 expand its research partnerships with the IBD community in fiscal year 2007 and increase funding for research focused on the immunology of IBD and the interaction of genetics and environmental 

factors in the development of the disease. 

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. From this perspective, the Committee urges 

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 would like 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. 

Lupus.—The Committee urges the NIAID to expand and intensify genetic, clinical and basic research and related activities with 

respect to lupus, with particular focus on identifying biomarkers 

and addressing the apparent health disparities associated with this 

disease. 

Lymphatic Research and Lymphatic Diseases.—With a portfolio 

that includes chronic infections, immune-mediated diseases, transplantation, allergy, asthma and airway infections, the NIAID has 
128 

a significant stake in advancing lymphatic research. The Committee urges the NIAID to work closely with the NHLBI to support 

research that addresses the immune functions of the lymphatic system and the role of immune mechanisms and inflammation in lymphatic diseases, with particular attention to the immunodeficient 

complications associated with congenital lymphatic malformations 

and lymphedema. 

Primary Immunodeficiency Diseases.—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 percent. Unfortunately, there are no HLA identical donors for most patients. Alternative approaches using HLA-matched 

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. Research and resources should be directed by NIAID to develop therapeutic approaches to ‘‘curing’’ SCID patients who require BMT. 

Psoriasis.—The Committee urges NIAID to support genetic, clinical, and basic research related to the understanding of the cellular 

and molecular mechanisms of psoriasis and psoriatic arthritis, 

chronic and immune-medicated diseases. 

Tuberculosis.—The World Health Organization [WHO] estimates 

that nearly one-third of the world’s population will become infected 

with tuberculosis [TB], and by 2020, 70,000,000 people will die 

worldwide of this disease. The Committee is pleased with NIAID’s 

efforts to develop an effective TB vaccine and notes NIAID expansion of work on this important initiative. 

Xenotransplantation.—The Committee commends the NIAID on 

developing a xenotransplantation initiative and encourages the Institute to foster collaborations and shared resources among investigators to reduce the waiting list of organ transplant recipients. 

Specifically, NIAID is encouraged to evaluate the benefits of using 

porcine pancreases, which could provide an unlimited supply of insulin-producing cells for transplantation to restore normal glucose 

control in diabetic patients. 

NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

Appropriations, 2006 ............................................................................. $1,934,288,000 

Budget estimate, 2007 ........................................................................... 1,923,481,000 

House allowance .................................................................................... 1,923,481,000 

Committee recommendation ................................................................. 1,934,888,000 

The Committee recommendation includes $1,934,888,000 for the 

National Institute of General Medical Sciences [NIGMS]. The fiscal 

year 2006 appropriation was $1,934,288,000 and the administration’s request is $1,923,481,000. The comparable amounts for the 

budget estimate include funds to be transferred from the Office of 

AIDS Research. 

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 
129 

Committee encourages NIGMS to continue to support these important initiatives, and is particularly pleased that NIGMS has supported biomedical career opportunity programs for high school and 

undergraduate college students in conjunction with historically 

black health professions schools. The Committee urges continued, 

long-term support of this program. 

NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

Appropriations, 2006 ............................................................................. $1,263,900,000 

Budget estimate, 2007 ........................................................................... 1,257,418,000 

House allowance .................................................................................... 1,257,418,000 

Committee recommendation ................................................................. 1,264,500,000 

The Committee recommends an appropriation of $1,264,500,000 

for the National Institute of Child Health and Human Development 

[NICHD]. The fiscal year 2006 appropriation was $1,263,900,000 

and the administration’s request was $1,257,418,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

Autism.—The Committee is aware of the important research into 

the genetic basis of autism spectrum disorders and of its 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 expand its support and funding for the Baby SIBS project, and encourages the Institute to expand its work with and support for 

similar public-private partnerships. The Committee also encourages the Institute to expand its autism research portfolio on geneenvironment interactions. 

Behavioral Science.—The Committee emphasizes its strong support for the broad portfolio of behavioral research at NICHD and 

supports its efforts to determine the biological, behavioral, and social factors that affect cognitive, social, and personality development of children in a variety of settings. The Committee encourages the Institute to maintain its support for research and training 

in behavioral science as it engages in its priority-setting process. 

Childhood Obesity.—The Committee is pleased that NICHD is 

funding behavioral intervention research focused on preventing 

childhood obesity. The Committee encourages additional clinical 

trials that focus on the effectiveness of behavioral interventions in 

settings beyond primary care, including the home, school, community, and other environments that influence physical activity and 

health behaviors. The Committee recognizes the critical importance 

of prevention efforts in this area and supports continued initiatives 

to promote healthy behaviors in children and adolescents, particularly for ethnic minority populations. 

Demographic Research.—The Committee commends the NICHD 

for supporting demographic research, which 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 urges the Institute, in a partnership with other Federal 

agencies, to continue supporting critical, accessible databases, such 

as the National Longitudinal Study of Adolescent Health. 
130 

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. The Committee also encourages NICHD to work with 

the Office of the Director, OPASI and the other Institutes to develop a strategic plan for Down syndrome research and to coordinate its research within NIH. 

Drug Safety for Children.—The Committee strongly 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 the 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 Institutes of the NIH 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. 

Family Formation.—The Committee is pleased that the NICHD 

is working with other Institutes and agencies to assess the state 

of the science and research needs related to children exposed to domestic and community violence, war, and terrorism. The Committee encourages the NICHD to continue to fund research on effective ways to promote and sustain healthy family formations, particularly for low-income families and families of color. The Institute 

is encouraged to include research related to family, community and 

cultural factors that serve as risk or protective factors and promote 

resilience from exposure to violence in the home, communities, and 

schools. 

Fragile X.—The Committee is pleased that the NICHD has funded three Fragile X research centers, and it urges the NICHD to increase funding for them, with the goal of enhancing the centers and 

recruiting new researchers to the Fragile X field. The Committee 

also encourages the NICHD to coordinate its Fragile X research efforts internally, by partnering with others, and by relating Fragile 

X research with that in other developmental disorders, such as autism research. The Committee also notes that newborn screening 

can play a vital role in identifying infants affected by certain ge-
131 

netic, metabolic, hormonal or functional conditions, such as Fragile 

X, for which there is effective treatment or intervention. Yet, the 

Committee is also aware that wide disparities exist with regard to 

the number and types of conditions screened for in each State. Recent advances in gene discovery and new technology, however, may 

soon make it possible to screen for significantly greater numbers of 

conditions than are currently tested for today. To advance these efforts, the agency is encouraged to support continued efforts to create a screening study using Fragile X as a prototype. 

Fragile X-related Premature Ovarian Failure [POF].—POF is a 

condition in which the ovaries stop functioning normally in a 

woman younger than age 40. Studies show that women who have 

POF of unknown cause have a 1 in 50 chance of being a 

premutation carrier of the FMR1 gene, the gene that causes Fragile X syndrome. Women with POF and a family history of female 

relatives with POF have a 1 in 15 chance of carrying this 

premutation. The Committee recognizes that there is a need for a 

focused approach to investigating POF due to the FMR1 

premutation. While the intramural research program of NICHD 

has been doing work for nearly two decades in this area, there remains much to be learned about the mechanism causing POF, abnormal ovarian function as it relates to FMR1, and mental health 

effects on young women who get the double diagnosis of premature 

ovarian failure and the FMR1 premutation. The Committee encourages the NICHD to commit additional resources and expand research into POF. 

Learning and School Readiness.—The Committee continues to 

support NICHD on its commitment to research in reading, learning 

disabilities and math and science cognition. The Committee is encouraged that NICHD has made progress on developing comprehensive, culturally neutral and developmentally appropriate assessments and instruments to measure cognitive, social and emotional skills for preschool-aged children that are necessary for 

school readiness. 

National Center for Medical Rehabilitation Research.—The Committee is pleased with the continuing effort of NCMRR to coordinate rehabilitation research initiatives among the several relevant 

Institutes including NINDS, NICHD, NIA, and NIMH. The Committee is concerned, however, that the contribution of rehabilitation 

sciences to the fullest possible recovery of individuals who experience functional limitations or have chronic disabilities does not 

meet its potential. Therefore, the Committee urges that NCMRR 

redouble its trans-NIH efforts to expand rehabilitation research in 

the portfolio of the several Institutes and help insure the translation of this research into practice. 

National Longitudinal Study of Adolescent Health.—The Committee is pleased that the NICHD funded another round of the Add 

Health Study, which has provided a rich resource of the effects of 

home, family, and school environment on behaviors that promote 

health or could contribute to adverse health outcomes. By collecting 

data on biological, behavioral and social factors, researchers are 

discovering at which points during development significant increases in some risk behaviors, such as smoking, alcohol use and 

physical activity, are most likely to occur. As these risk behaviors 
132 

offer early predictors of future chronic diseases such as cardiovascular disease and diabetes, the study provides valuable information to inform public health prevention efforts. Given the important 

findings of this nationally representative study, the Committee encourages NICHD to ensure that the next wave is provided adequate funding. 

Near-term Births.—The preterm birth rate is now over 12 percent of all live births; 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, and apnea and 

remain at risk for higher morbidities in early infancy. The Committee understands that this group of infants has not been well 

studied and may account for a portion of the increase in adverse 

long-term outcomes such as autism, attention deficit disorders, and 

neurodevelopmental disorders. The NICHD is encouraged to facilitate the critical need for research in this area. 

Neurofibromatosis.—Learning disabilities occur with high frequency (30–65 percent) in children with NF and in approximately 

5 percent of the entire world’s population. Enormous advances have 

been made in the past few years in the successful treatment and 

curing of learning disabilities in pre-clinical NF animal models. 

Therefore, the Committee encourages NICHD to issue RFAs for NF 

research, aggressively pursue and expand funding of clinical trials 

for NF patients in the area of learning disabilities, and support the 

creation of NF Centers involved with treating and curing learning 

disabilities. 

Obstetric Systematic Reviews.—The Committee applauds the 

NICHD’s efforts supporting the Neonatal Cochrane Review Group, 

which not only provides a substantial scientific resource but also 

allows the community access to these reviews via the NICHD 

website. These reviews are an invaluable resource, providing the 

most comprehensive and timely review of clinical topics. The Committee strongly 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. 

Physician Scientists and Researchers.—The Committee commends the NICHD for responding to the scientific community’s 

need for enhanced training programs to provide a solid framework 

for the development of physician scientists and researchers. A substantial investment has been made in traineeships, fellowships, 

and research career awards. The NICHD is encouraged to identify 

funding opportunities for NIH-trained investigators who have demonstrated a commitment to a research career. 

Prader-Willi Syndrome.—Prader-Willi Syndrome is the most 

common known genetic cause of life threatening obesity in children. 

The Committee strongly encourages the NICHD to place a high priority on Prader-Willi Syndrome research to study childhood obesity. 

Furthermore, the NICHD is urged to incorporate Prader-Willi Syndrome into the planning process for The National Children’s Study. 

Preterm Birth.—The Committee applauds NICHD’s efforts in 

supporting research to understand, prevent and treat preterm 

birth, including workshops on major gaps in knowledge areas. Despite these efforts, however, the rate of preterm births continues to 
133 

rise. The Committee therefore strongly urges the NICHD to fully 

support the Maternal Fetal Medicine Units Network so that it can 

continue to address issues pertaining to preterm births and low 

birth-weight deliveries, and to fully support the new Genomic and 

Proteomic Network, which will hasten a better understanding behind the pathophysiology of premature birth, discover novel diagnostic biomarkers, and ultimately aid in formulating more effective 

interventional strategies to prevent premature birth. 

Primary Immunodeficiency Diseases.—The Committee commends 

the NICHD for continuing to dedicate financial and personnel resources to the physician education and public awareness program 

conducted by the Jeffrey Modell Foundation regarding this class of 

about 140 diseases. The Committee is strongly encouraged by the 

Institute’s commitment to develop newborn screening procedures 

for PI, particularly various forms of severe combined immune deficiency, utilizing microarray technologies. The Committee believes 

that the NICHD should move ahead aggressively with this initiative, in partnership with the Foundation, other NIH Institutes and 

private industry, and dedicate financial and personnel resources to 

newborn screening. 

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 the 

NINDS to initiate the innovative SMA Project. The Committee 

strongly urges 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, role of exercise and 

nutrition on SMA and other neuromuscular disease. 

Stillbirth.—The Committee applauds the NICHD’s efforts in addressing stillbirth, a major public health issue with morbidity 

equal to that of all infant deaths. The Committee understands that 

the NICHD cooperative network has initiated a pilot study, with 

the overall study using a standard protocol planned to start this 

year. The Committee strongly encourages the NICHD to fully fund 

this effort. 

Tuberous Sclerosis Complex.—The Committee urges the NICHD 

to explore the links between autism and TSC, and to conduct epidemiology studies on the prevalence of mental illness in TSC patients. The Committee suggests that the NICHD collaborate with 

the NINDS and the NIMH to sponsor a conference focused on psychiatric issues and cognitive disabilities in TSC. 

Type 1 Diabetes Information Access and Integration.—The Trial 

to Reduce the Incidence of Diabetes in the Genetically-At-Risk 
134 

[TRIGR] is a multi-year clinical trial testing the potential influence 

of cow’s milk on the development of type 1 diabetes in young children. The Committee urges the NICHD and NIDDK to ensure that 

TRIGR biosamples and data are made available to the research 

community. The Institutes are encouraged to integrate TRIGR with 

other relevant clinical studies on type 1 diabetes, such as the Type 

1 Diabetes Genetics Consortium. 

Type 1 Diabetes Research in Children Network.—The Committee 

commends the NICHD for excellent progress made through the Diabetes Research in Children Network (DirecNet) which supports research to optimize the complex management of type 1 diabetes in 

children. The Committee urges the Institute to continue its strong 

support of DirecNet and to pursue robust translation of the research into clinical practice to improve the health of diabetic children. 

Vulvodynia.—As a result of efforts funded by the NICHD, the 

number of highly qualified scientists interested in researching 

vulvodynia has greatly increased. The Committee commends 

NICHD for reissuing its program announcement in this area and 

recommends that a request for applications be issued. The Committee strongly urges NICHD to increase the number of awards for 

vulvodynia studies, with a particular emphasis on etiology and 

multi-center therapeutic trials. Finally, the Committee calls upon 

NICHD to work with ORWH and other relevant ICs and Government agencies, as well as patient and professional organizations, to 

implement an educational outreach campaign on vulvodynia. 

NATIONAL EYE INSTITUTE

Appropriations, 2006 ............................................................................. $666,298,000 

Budget estimate, 2007 ........................................................................... 661,358,000 

House allowance .................................................................................... 661,358,000 

Committee recommendation ................................................................. 666,898,000 

The Committee recommends an appropriation of $666,898,000 for 

the National Eye Institute [NEI]. The budget request and the administration request is $661,358,000. The comparable amounts for 

the budget estimate include funds to be transferred from the Office 

of AIDS Research. 

Age-related Macular Degeneration.—The Committee was pleased 

to hear of the recent discovery of a second gene which can increase 

the risk of developing age-related macular degeneration. The identification of these genes creates the opportunity to predict and preempt the disease, thus preserving independence and mobility for 

millions of Americans. These gene discoveries also validate a new 

approach to identify the subtle genetic risk factors underlying common, complex diseases. The Committee notes that Genome wide association studies allow scientists to scan the entire genome of patients with common diseases and compare their DNA to controls 

without disease. The Committee urges the Institute to move on an 

expedited basis to translate this finding into treatment for those 

suffering from this condition. 
135 

NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

Appropriations, 2006 ............................................................................. $640,692,000 

Budget estimate, 2007 ........................................................................... 637,323,000 

House allowance .................................................................................... 637,323,000 

Committee recommendation ................................................................. 641,292,000 

The Committee recommends an appropriation of $641,292,000 for 

the National Institute of Environmental Health Sciences [NIEHS]. 

The budget request was $637,323,000, and the fiscal year 2006 appropriation was $640,692,000. The comparable amounts for the 

budget estimate include funds to be transferred from the Office of 

AIDS Research. 

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, such as a 

large multi-center, long-term longitudinal, and maternal/birth cohort to understand the environmental and genetic risk factors for 

predisposing some individuals to and in controlling the severity of 

these lung diseases. 

Autism.—The Committee 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. 

Behavioral Research in Strategic Plan.—NIEHS is requested to 

report to the Committee during the fiscal year 2008 hearings on 

plans to extend its research on obesity and the built environment, 

and other areas in which behavioral research is to be involved in 

its research portfolio in the coming years. Individual and group behavior with regard to diet, exercise, work, recreation, family, and 

neighborhood interaction, are critically important areas to investigate, to build knowledge about how people’s environments shape 

their health. 

Genes and the Environment.—The Committee commends the 

NIEHS for its partnership with NHGRI in the Genes and Environment Initiative [GEI] which supports studies in genetic analysis 

and environmental technology development to understand the 

causes of common diseases such as Parkinson’s, asthma, stroke, 

cancer, and heart disease. NIEHS’s role in developing new technology to monitor personal environmental exposures, dietary intake, and physical activity will greatly enhance our ability to understand how they interact with genetic variations and result in 

human disease. The NIEHS is encouraged to take a closer look at 

environmental interactions with genes, and to involve expert behavioral and social scientists in the initiative to enhance the success and applicability of this important research. 

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 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.’’ 
136 

The Committee encourages the NICEATM/ICCVAM, in partnership with the relevant Federal agencies to build on the NTP Roadmap to create a 5-year plan to research, develop, translate and 

validate new and revised non-animal and other alternative assays 

for integration of relevant and reliable methods into the Federal 

agency testing programs. The Committee encourages the Federal 

agency program offices to identify areas of high priority for new 

and revised non-animal and alternative assays for the replacement, 

reduction and refinement of animal tests. The Committee further 

encourages relevant agencies to include the public when developing 

this plan. The Committee further requests a status report during 

the fiscal year 2008 budget hearings. 

Parkinson’s Disease.—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 elucidate gene-environment 

interactions in PD. The Committee urges the NIEHS to work in 

conjunction with other NIH Institutes and the Centers for Disease 

Control and Prevention as necessary, to conduct an investigation 

and prepare and submit a report to the Committee on the incidence 

of Parkinson’s disease, including age, occupation, and geographic 

population clusters, and related environmental factors relating to 

the disease. The report shall be submitted by June 30, 2007. 

Strategic Plan.—The Committee commends NIEHS for preparing 

a new Strategic Plan to speed its progress in understanding how 

the environment influences the development and progression of disease. The Committee notes especially the goals of building integrated environmental health research programs to address problems in human biology and human disease and of fostering the development of partnerships between NIH, other research agencies, 

academia, industry, and community organizations to improve 

human health. 

Volcanic Emissions.—The Committee continues to have concerns 

about the public health impacts of volcanic emissions in Hawaii. 

Such emissions contribute to the exacerbation of a myriad of preexisting health conditions in many island residents, especially children. The acute and long-term impact that these emissions have on 

both the healthy and pre-disposed residents warrants further 

study. The Committee strongly advises the NIH to embrace a 

multi-disciplinary approach in studying the short- and long-term 

health effects of volcanic emissions, and to consider the establishment of a center dedicated to such research. 

NATIONAL INSTITUTE ON AGING

Appropriations, 2006 ............................................................................. $1,045,912,000 

Budget estimate, 2007 ........................................................................... 1,039,828,000 

House allowance .................................................................................... 1,039,828,000 

Committee recommendation ................................................................. 1,048,912,000 

The Committee recommendation includes $1,048,912,000 for the 

National Institute on Aging [NIA]. The budget request was 

$1,039,828,000 and the fiscal year 2006 appropriation was 

$1,045,912,000. The comparable amounts for the budget estimate 

include funds to be transferred from the Office of AIDS Research. 
137 

Alzheimer’s Disease.—More than one in 10 Americans over age 

65 and nearly half of those over 85 suffer from Alzheimer’s disease. 

As the Baby Boom generation enters the age of highest risk, between 11 million to 16 million will be stricken with Alzheimer’s. 

Their complex health and long-term care needs will continue to 

take an enormous toll on family caregivers, and place an even 

greater strain on Federal and State healthcare programs. Total 

Medicare spending for beneficiaries with Alzheimer’s will double in 

the next decade—rising from $91,000,000,000 in 2005 to 

$189,000,000,000 in 2015; over the same period, Medicaid spending 

on nursing home care alone will increase from $21,000,000,000 to 

$27,000,000,000. As a result of past investments in research recommended by the Committee, drugs now are available for treating 

the symptoms of Alzheimer’s, and clinical trials are underway to 

test other promising compounds. The NIA has launched a public/ 

private imaging initiative that should accelerate the development 

of new, more effective treatments; and a genetics initiative that 

will make it possible to target new treatments on those who stand 

the best chance of benefiting. In light of its enormous human and 

financial toll this disease exacts, the Committee regards Alzheimer’s disease as a high priority for the Institute. NIA is urged 

to expand 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. 

Behavioral and Social Research on Work and Retirement.—The 

Committee encourages NIA to maintain its commitment to research on patterns and cycles of work in aging populations. Research on how jobs may be ‘‘retrofitted’’ for an aging workforce, or 

how workplaces can better accommodate aging workers, is encouraged. Research on how older workers plan for and experience retirement is also timely and encouraged. 

Bone Strength.—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 urges the NIA, in collaboration with the NIAMS, 

NIBIB, NICHD, and NHLBI, to support research that is aimed at 

identifying these parameters and will lead to 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 the NIA for supporting demographic and economic research 

on the implications of population aging. With the number of Americans over the age of 65 expected to double over the next 25 years, 

the Institute is well poised to inform the public and policymakers 

about the implications of this anticipated trend and the macroeconomic and global aspects of aging. In particular, the Committee 

urges the Institute to continue supporting the Health and Retirement Study [HRS], which can help inform policymakers about potential changes to the Social Security and Medicare programs. 
138 

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. It 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 encouraged to consider how 

studies of the Down syndrome population might enhance the ability 

to understand, diagnose and treat Alzheimer’s disease. The Committee encourages NIA to coordinate its research with NICHD, 

NINDS, NIMH and other institutes. 

Fragile X-associated Tremor/Ataxia Syndrome [FXTAS].—The 

Committee applauds the NIA for working alongside the NINDS to 

fund research on FXTAS. It encourages the NIA to expand its research into this newly identified neurological disorder, which involves progressively severe tremors and difficulty with walking and 

balance that appears to specifically affect some older premutation 

carriers, generally grandfathers of children with Fragile X syndrome. 

Healthy Brain Initiative.—NIA is commended for its cooperative 

efforts in producing a searchable database of studies and planning 

joint efforts to solicit research on enhancing healthy cognitive and 

emotional function. This initiative is a model of how institutes can 

work together on complex issues involving multiple disciplines and 

methodologies. Given the importance of maintaining and enhancing 

brain health as the population ages, NIA is encouraged to make 

this initiative a priority. 

Hematology.—The Committee looks forward to learning more 

about NIA’s collaborative efforts with the American Society of Hematology and NHLBI to identify research priorities in venous and 

arterial thrombosis, blood clots that can lead to death and serious 

morbidity, including pulmonary embolism, lower extremity phlebitis, heart attacks, strokes and chronic respiratory dysfunction. In 

light of research findings showing that age is one of the most important risk factors for thrombosis, the Committee urges NIA and 

NHLBI to develop a research agenda in this area to learn more 

about the underlying causes of thrombosis and its impact on the elderly. 

NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN

DISEASES

Appropriations, 2006 ............................................................................. $507,583,000 

Budget estimate, 2007 ........................................................................... 504,533,000 

House allowance .................................................................................... 504,533,000 

Committee recommendation ................................................................. 508,583,000 

The Committee recommends an appropriation of $508,583,000 for 

the National Institute of Arthritis and Musculoskeletal and Skin 

Diseases [NIAMS]. The budget requested $504,533,000 and the fiscal year 2006 appropriation was $507,583,000. The comparable 

amounts for the budget estimate include funds to be transferred 

from the Office of AIDS Research. 

Burden of Skin Diseases.—The Committee notes the relationship 

between the recent Burden of Skin Diseases report and the Sep-
139 

tember 2002 workshop on the burden of skin diseases sponsored by 

NIAMS. The Committee continues to urge 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 urges 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. 

Genetics of Rare Disorders.—The Committee urges NIAMS to collaborate with NICHD, NIDCR, and NIDDK to expand research on 

the genetics for the rare disorders fibrous dysplasia and 

osteopetrosis, and to expand research on mechanisms of these diseases in humans. 

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 urges the Institute to develop focused 

programs designed to move research advances from the laboratory 

to the patient’s bedside so that the complications of lupus and the 

underlying disease can be treated more effectively. 

Marfan Syndrome.—The Committee commends NIAMS for supporting research on Marfan syndrome and for collaborating with 

other Institutes to study this disease. Better management of cardiovascular issues associated with Marfan syndrome has extended 

the lives of many but has introduced an older generation of people 

who live with chronic pain because of orthopedic problems. Basic, 

translational and clinical research including the natural history of 

skeletal problems is required to understand the underlying early 

orthopedic deterioration in people with Marfan syndrome and to investigate possible therapeutic choices. The Committee urges 

NIAMS to support this effort through all available mechanisms, as 

deemed appropriate. 

Musculoskeletal Trauma and Skeletal Pain.—The Committee recognizes that more than half of all Americans who are injured each 

year incur injuries to the musculoskeletal system. Back pain is a 

major reason for lost time from work, and, in our military, bone 

trauma is now accounting for over 50 percent of all combat injuries. 

The Committee urges NIAMS, NIA, NIDCR, and NCCAM to study 

ways to better understand the epidemiology of back pain, improve 

on existing diagnostic techniques for back pain, as well as to de-
140 

velop new ones. The Committee also encourages the expansion of 

research to improve diagnostic and therapeutic approaches to lower 

the impact of musculoskeletal trauma. 

Osteoporosis.—The Committee is aware that osteoporosis is becoming widespread in all ages of our population. NIAMS is urged 

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 urges research to identify patients at risk for fracture who do not meet current criteria for osteoporosis, as well as to study the effects of available and developing osteoporosis treatments on the reduction of 

fracture risk in these patients. 

Psoriasis.—The Committee is disappointed that funding for psoriasis research has not grown significantly over the past decade. 

The Committee strongly urges NIAMS to expand and coordinate 

genetic, clinical, and basic psoriasis and psoriatic arthritis research 

and related activities, with emphasis on the cellular and molecular 

mechanisms of disease; genetics that lead to psoriasis susceptibility; the natural course and history of psoriasis before, during 

and after treatment with conventional therapies; the role of inflammation in skin and joints and co-morbidities such as obesity, depression and hypertension; the development of diagnostic tests for 

psoriatic arthritis; the unique challenges faced by children with 

psoriasis; and the use of certain types of antibodies to prevent relapse of psoriasis. 

Tuberous Sclerosis Complex [TSC].—The Committee urges 

NIAMS to explore new strategies for the treatment of skin manifestations of TSC utilizing knowledge of basic mechanisms, such as 

mTOR inhibitors and angiogenesis inhibitors. 

NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION

DISORDERS

Appropriations, 2006 ............................................................................. $393,188,000 

Budget estimate, 2007 ........................................................................... 391,556,000 

House allowance .................................................................................... 391,556,000 

Committee recommendation ................................................................. 395,188,000 

The Committee recommends an appropriation of $395,188,000 for 

the National Institute on Deafness and Other Communication Disorders [NIDCD]. The budget requested $391,556,000, and the fiscal 

year 2006 appropriation was $393,188,000. The comparable 

amounts for the budget estimate include funds to be transferred 

from the Office of AIDS Research. 

Neurofibromatosis.—NF2 accounts for approximately 5 percent of 

genetic forms of deafness. Unlike other genetic forms of deafness, 

NF2-associated deafness is potentially preventable or curable if 

tumor growth is halted before damage has been done to the adjacent nerve. Research is now being conducted to cure deafness in 

NF2 mice through gene therapy, with enormous implications for 

gene therapy in general and for patients suffering from 

meningiomas and other tumors in particular. The Committee 

therefore encourages NIDCD to expand its NF2 research portfolio 

through all suitable mechanisms including RFAs and clinical trials. 
141 

NATIONAL INSTITUTE OF NURSING RESEARCH

Appropriations, 2006 ............................................................................. $137,248,000 

Budget estimate, 2007 ........................................................................... 136,550,000 

House allowance .................................................................................... 136,550,000 

Committee recommendation ................................................................. 137,848,000 

The Committee recommends an appropriation of $137,848,000 for 

the National Institute of Nursing Research [NINR]. The budget request was $136,550,000 and the fiscal year 2006 appropriation was 

$137,248,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

Behavioral Research.—The Committee realizes the importance of 

behavioral research in preventing and treating disease. While understanding the biological basis of disease is essential, it is understood that 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 

devote significant efforts to 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 our Nation’s healthcare system and to this Committee. Reducing, 

and ultimately eliminating, health disparities is a critical priority 

for all areas of healthcare research. The Committee urges 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.—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. Additional research is needed in improving palliative 

care, improving patient/clinician communication, and reducing 

caregiver burden. The Committee recognizes NINR’s leadership in 

promoting end-of-life research and encourages the Institute’s continued focus in this area. 

Nurse-Managed Health Centers.—The Committee urges the 

NINR to increase support for research and demonstration projects 

involving nurse-managed health centers and advanced practice 

nurses. 

Nursing Shortage.—The nursing shortage has an adverse effect 

on the health care delivery system as well as the health of our Nation’s citizens. A shortage of nurse faculty caused schools of nursing to turn away thousands of qualified students last year. NINR 

confronts this issue by directing 8 percent of its budget to research 

training to help develop the pool of nurse researchers who also become faculty. Training support for fast-track baccalaureate-to-doctoral program participants is one important initiative. The 17 recently funded Nursing Partnership Centers to Reduce Health Disparities is another initiative that helps produce an adequate number of nurse researchers. The Committee encourages these ongoing 

efforts. The Committee also encourages NINR to facilitate research 

projects located in rural areas that serve minority nursing students 

through community colleges. 
142 

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

Appropriations, 2006 ............................................................................. $435,630,000 

Budget estimate, 2007 ........................................................................... 433,318,000 

House allowance .................................................................................... 433,318,000 

Committee recommendation ................................................................. 436,630,000 

The Committee recommends an appropriation of $436,630,000 for 

the National Institute on Alcohol Abuse and Alcoholism [NIAAA]. 

The budget request was $433,318,000 and the fiscal year 2006 appropriation was $435,630,000. The comparable amounts for the 

budget estimate include funds to be transferred from the Office of 

AIDS Research. 

Alaska Substance Abuse.—The Committee is aware of serious 

problems with alcohol and substance abuse in Alaska, especially 

among its Alaska Native population, and of the need for translating research into clinical applications for this population. The 

Committee urges NIAAA to sponsor a Research to Practice Forum 

with the Substance Abuse and Mental Health Services Administration and universities to focus on bridging the gap between researchers and practitioners and translating scientific research into 

clinical applications, and encourages NIAAA to support the implementation of any recommendations developed at the forum. 

Clinician’s Guide.—The Committee understands that NIAAA has 

recently revised its publication ‘‘Helping Patients Who Drink Too 

Much: A Clinician’s Guide.’’ The Committee applauds that the 

guide has been disseminated to thousands of primary care and 

mental health practitioners and organizations through an extensive 

program of direct mail and email announcements. The Committee 

encourages NIAAA to further develop guide materials, including information for clinicians about how to best use the guide, and short 

pamphlets that are targeted toward special subpopulations, and to 

work with professional organizations, SAMHSA, and other international organizations to further disseminate this important resource. 

Epigenetic (Environmental) Effects Underlying Alcoholism.—The 

Committee understands that alcoholism is a complex behavioral 

disorder and that the genetic composition of an individual contributes to over half of the risk for developing this behavior, while the 

individual’s environmental interactions and influences also contribute significantly to this risk. Research supported by NIAAA has 

identified several candidate genes that increase an individual’s risk 

for developing an alcohol use disorder once the person chooses to 

drink alcohol. The Committee encourages NIAAA to continue to 

fund research to determine the role of the environment and environmental factors in producing lasting and potentially life-altering 

changes in gene expression and gene function that contributes to 

the development of alcohol abuse and addiction with the ultimate 
143 

goal of developing new medication for the treatment of alcohol use 

disorders. 

Underage Drinking.—The Committee commends the NIAAA for 

its team approach in developing and guiding its research programs 

to understand the many factors that contribute to the onset of 

drinking and abuse of alcohol by youth. The Committee is aware 

that the NIAAA has partnered with the Surgeon General in the 

preparation of ‘‘A Call to Action on Underage Drinking,’’ which will 

provide guidance to the public on this topic. The Committee commends the NIAAA for providing the scientific foundation for this 

report through the research supported by its Underage Drinking 

Initiative and for continuing to work with the Office of the Surgeon 

General and other Federal agencies on this effort. 

Understanding Natural Recovery from Alcohol Dependence.—Recent research has demonstrated that many individuals transition 

out of alcohol dependence without professional treatment. The 

Committee encourages NIAAA to investigate the mechanisms 

through which individuals alter their drinking behavior without 

professional treatment in order to design more effective treatments 

for alcohol use disorders. 

NATIONAL INSTITUTE ON DRUG ABUSE

Appropriations, 2006 ............................................................................. $999,342,000 

Budget estimate, 2007 ........................................................................... 994,829,000 

House allowance .................................................................................... 994,829,000 

Committee recommendation ................................................................. 1,000,342,000 

The Committee recommends an appropriation of $1,000,342,000 

for the National Institute on Drug Abuse [NIDA]. The budget request was $994,829,000. The fiscal year 2006 appropriation was 

$999,342,000. The comparable numbers for the budget estimate include funds to be transferred from the Office of AIDS Research. 

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. 

Collaboration With Single State Authorities [SSAs].—The Committee commends NIDA for its outreach and work with SAMHSA’s 

Center for Substance Abuse Treatment [CSAT] and State substance abuse directors, also known as Single State Authorities 

[SSAs], 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 working with SAMHSA on a recent RFA designed to strengthen 

State Substance Abuse agencies’ capacity to support and engage in 

research that will foster State-wide adoption of meritorious sciencebased policies and practices. The Committee also encourages NIDA 

to continue its collaborative work with SSAs by working through 

the national association representing State substance abuse directors on its ‘‘blending activities’’ to ensure that research findings are 

relevant and adaptable by State substance abuse systems. 
144 

Co-Occurring Disorders.—The Committee recognizes that substance abuse is a disorder that can affect the course of other diseases, such as HIV/AIDS, mental illness, trauma, cancer, and cardiovascular disease. To adequately address co-occurring health 

problems, the Committee encourages the Institute to work with 

other agencies to stimulate new research to develop effective strategies and to ensure the timely adoption and implementation of evidence-based practices for the prevention and treatment of co-occurring disorders. 

Drug Abuse and 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 

congratulates NIDA on its ‘‘Drug Abuse and HIV—Learn the Link’’ 

public awareness campaign, targeting young people, and urges the 

Institute to continue supporting research that focuses on developing and testing drug-abuse related interventions designed to reduce the spread of HIV/AIDS. 

Drug Treatment in Criminal Justice Settings.—The Committee is 

very concerned about the well-established 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 strongly supports NIDA’s efforts in this area, particularly the Criminal Justice 

Drug Abuse Treatment Studies [CJ–DATS]. 

Emerging Drug Problems.—The Committee recognizes that drug 

use patterns are constantly changing and is pleased with NIDA’s 

efforts to monitor drug use trends and to rapidly inform the public 

of emerging drug problems. The Committee especially encourages 

NIDA to continue supporting research that provides reliable data 

on emerging drug trends, particularly among youth and in major 

cities across the country. 

Genetics and New Technological Advances to Curtail Addiction.— 

The Committee recognizes that not everyone who takes drugs becomes addicted. Research has shown that genetics plays a critical 

role in addiction, and that the interplay between genetics and environment is crucial. The Institute is urged to further investigate 

this phenomenon. 

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 their studies in geographic areas where 

HIV/AIDS is high and or growing among African Americans, including in criminal justice settings. 

Inhalant Abuse.—The Committee understands and is alarmed 

that inhalant use continues to be a significant problem among our 

youth. The Committee urges the Institute to continue its support 

of research on prevention and treatment of inhalant abuse, and to 

enhance public awareness on this issue. 

Marijuana Use.—The Committee is concerned with the continuing widespread use of marijuana. The Committee urges NIDA 
145 

to continue support for efforts to assess the long-term consequences 

of marijuana use on cognitive abilities, achievement, and mental 

and physical health, as well as work with the private sector to develop medications focusing on marijuana addiction. 

Medications Development.—The Committee applauds NIDA for 

its leadership in working with private industry to develop anti-addiction medications and is pleased this collaboration has resulted 

in a new medication for opiate addiction. The Committee encourages NIDA to continue its efforts to engage the private sector in 

the development of anti-addiction medications, particularly for cocaine, methamphetamine, and marijuana. 

Methamphetamine Abuse.—The Committee is very concerned 

about the continued abuse of methamphetamine across the United 

States. The Committee notes the advances in understanding methamphetamine abuse and addiction, and is encouraged by the growing evidence of treatment effectiveness in these populations. The 

Committee urges NIDA to continue supporting research to address 

the broad medical consequences of methamphetamine abuse. 

Primary Care Settings and Youth.—The Committee recognizes 

that primary care settings are potential key points of access to prevent and treat problem drug use among young people. The Committee encourages NIDA to continue to support health services research on effective ways to educate primary care providers about 

drug abuse and develop brief behavioral interventions for preventing and treating drug use and related health problems; and develop methods to integrate drug abuse screening, assessment, prevention and treatment into primary health care settings. 

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. Particular concern revolves around the inappropriate use of opioid 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, 

particularly among our Nation’s youth, should continue to be a priority for NIDA. 

Social Neuroscience.—Research-based knowledge about the dynamic interactions of genes with the environment confirms addiction as a complex and chronic disease of the brain with many contributors to its expression in individuals. The Committee applauds 

NIDA’s involvement in the recently released ‘‘social neuroscience’’ 

request for applications, and encourages the Institute to continue 

its focus on the interplay between genes, environment, and social 

factors and their relevance to drug abuse and addiction. 

Translational Research—Ensuring Research is Adaptable and 

Useable.—The Committee commends NIDA for its broad and varied 

information dissemination programs. The Committee also understands that the Institute is focused on stimulating and supporting 

innovative research to determine the components necessary for 

adopting, adapting, delivering, and maintaining effective researchsupported policies, programs, and practices. As evidence-based 

strategies are developed, the Committee urges NIDA to support re-
146 

search to determine how these practices can be best implemented 

at the community level. 

NATIONAL INSTITUTE OF MENTAL HEALTH

Appropriations, 2006 ............................................................................. $1,402,551,000 

Budget estimate, 2007 ........................................................................... 1,394,806,000 

House allowance .................................................................................... 1,394,806,000 

Committee recommendation ................................................................. 1,403,551,000 

The Committee recommends an appropriation of $1,403,551,000 

for the National Institute of Mental Health [NIMH]. The budget request was $1,394,806,000 and the fiscal year 2006 appropriation 

was $1,402,551,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS 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 

suicidality. Suicide now accounts for 13 percent of all adolescent 

deaths and ranks third as a cause of death among teenagers. The 

Committee therefore strongly 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. 

Autism.—The Committee is pleased to learn that the NIMH is 

placing increased emphasis on studies of autism in its intramural 

research program on the Bethesda campus. The Committee supports these NIMH efforts in addition to its significantly higher levels of support for autism research throughout the country. One 

such intramural study will seek to better understand regressive autism, which occurs in children who appear to develop normally for 

the first 12–15 months of life and then begin to lose language skills 

and developmental milestones. This study will gather information 

about the behavioral and medical characteristics of regressive autism and compare the findings with those from healthy children, 

children with non-regressive autism, and children with Rett’s disorder (a genetic disorder in which children have autistic features 

with clear regression). Information from this study may help doctors diagnose autism more accurately, treat the disorder more effectively, and prevent future cases of regressive autism. 

Basic Behavioral Science.—The Committee urges the Institute to 

maintain its support for the research on the promotion of mental 

health and the study of psychological, social, and legal factors that 

influence behavior. In particular, the Institute is encouraged to 

continue its commitment to basic behavioral research that exam-
147 

ines the basic psychological functions that promote mental health 

or become disturbed in mental disorders. 

Clinical Trials.—The committee is pleased with NIMH’s major 

initiative involving ‘‘practical’’ clinical trials. Traditional clinical 

trials of medications must test their safety and efficacy for approval. They are usually short, limited in scope and take place in 

very controlled environments with carefully selected participants. 

However, in reality, medications are almost never used in such 

pristine and carefully constructed settings. Rather, they are used 

by people very often suffering from one or more co-morbid disorders 

who live in everyday, commonplace settings. In order to find out 

the effectiveness of these medications in ‘‘real-world’’ settings— 

comparing them with other medications in general use—NIMH 

launched a major effort to answer questions that patients, families 

and practicing physicians might ask about the use of these medications in their lives. The Committee requests a report on the major 

findings from these studies before the fiscal year 2008 hearings. 

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. They include autism, pervasive developmental disorder, obsessive compulsive disorder, depression and psychosis. The Committee urges NIMH to coordinate its research on Down syndrome 

with NICHD, NINDS, NIA, and other institutes. 

Fragile X.—Fragile X is the most common single-gene 

neuropsychiatric disease known. It causes cognitive impairment, 

mental disorders such as obsessive-compulsive disorder, and extreme anxiety. The Committee commends the NIMH for spearheading three focused research meetings devoted to identifying critical research needs, in November 2001, January 2003, and July 

2004. The Committee notes that many of these needs remain to be 

addressed, and it again urges the NIMH to pursue them. These include controlled studies of existing and new pharmacological treatments for Fragile X and identification of the key molecular targets 

that are likely candidates for designing drug treatments for Fragile 

X and related disorders such as autism. The Committee also urges 

the NIMH to include Fragile X in its studies of related 

neuropsychiatric disorders and to work with other Institutes such 

as the NICHD and NINDS to develop cooperative research support 

mechanisms in this area. In addition, the Committee urges the 

NIMH to work with industry and academia to test available medications and bring new treatments to market. 

Frontier Mental Health Needs.—The Committee commends 

NIMH on its outreach efforts to determine the differences in mental health needs which may exist in remote frontier communities, 

including Alaska. The Committee encourages NIMH to expand its 

research efforts into these communities, which are often ignored in 

research projects, but which continue to suffer from high incidences 

of mental health problems including depression, suicide and co-occurring disorders with substance abuse. 

Historically Black College and University [HBCU] Mental Health 

Consortium.—The Committee recommends that NIMH consider 

support for the Historically Black College and University [HBCU] 

mental health consortium to serve as a clearinghouse for respond-
148 

ing to the mental health needs of the poor and underserved immediately following a disaster. 

Mental Health and Older Adults.—The Committee is pleased 

that NIMH recognizes the importance and interrelatedness of cognitive, emotional health and mental health function in older adults 

and is collaborating with other institutes on efforts such as the 

Cognitive and Emotion Health Project. Given the increasing older 

adult population, it is critical to explore scientific opportunities to 

maintain cognitive functioning and mental health to prevent mental disorders like depression in older adults. NIMH is encouraged 

to continue its pivotal role as the primary institute for mental 

health and aging research by expanding its research on older 

adults to include large-scale, multi-site trials of behaviorally based 

treatments of depression, anxiety, and for managing behaviors associated with cognitive impairments as well as increasing opportunities for training future behavioral scientists focused on older 

adults. 

Minority Training.—The Committee is disappointed to learn that 

the NIMH intends to reduce its commitment to training minority 

scientists through the Minority Fellowship Program and the Career 

Opportunities in Research Program. Both 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. Reducing these 

programs will have a disproportionate impact on minority mental 

health training when the focus should be on reducing health disparities for vulnerable and underserved populations. 

Neuroscience Blueprint.—The Committee is pleased with NIMH’s 

leadership role, along with NINDS, in the Neuroscience Blueprint 

initiative, which is a cooperative effort of 15 NIH Institutes and 

Centers supporting research on the nervous system. These kinds of 

trans-NIH initiatives should be a model because they assure the 

pooling of resources and expertise—essential to take full advantage 

of the opportunities for progress that may exist across the agency. 

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. 

Prader-Willi Syndrome.—The Committee commends the NIMH 

for its efforts to further the understanding and description of the 

mental health components of Prader-Willi syndrome. The Committee recommends that NIMH expand its programs to develop 

practical treatment protocols, including pharmaceutical options, for 

the severe anxiety, obsessive-compulsive disorder, oppositional-defiant disorder and psychotic mental illness aspects of Prader-Willi 

Syndrome. 

Psychological Impacts of Trauma.—The Committee is pleased 

that NIMH is working with the Department of Veterans Affairs to 

ensure that psychosocial and pharmacological interventions are 

available to returning soldiers, veterans and their families. The 

Committee supports NIMH research related to the psychological 
149 

impact of both acute and chronic exposure to threats of violence, 

including terrorism, war, natural disasters, and domestic and community violence. Within the area of trauma, particular emphasis 

should also be placed on vulnerable populations, such as trauma 

survivors, children and older adults. The Committee encourages 

NIMH to expand its research portfolio to include research related 

to psychosocial factors that promote detection or prediction, prevention, and post-exposure recovery and resilience. 

Schizophrenia.—The Committee supports NIMH’s initiative that 

targets cognitive problems for people with schizophrenia. Cognitive 

deficits, such as trouble with memory, attention, and executive 

function (capacity to make judgments and control impulses), are responsible for much of the long term disability in schizophrenia. 

They remain a significant barrier to a productive life for people 

with the disease, yet the medications currently available provide no 

relief for cognitive problems. There has been a lack of scientific 

consensus on which cognitive impairments should be targeted and 

which tools are best for measuring them. To address these issues, 

NIMH launched the Measurement and Treatment Research to Improve Cognition in Schizophrenia [MATRICS] program. It brought 

together representatives from academia, industry, and regulatory 

agencies to develop a comprehensive assessment tool to measure 

cognitive functioning in people with schizophrenia. This has been 

completed, and now in the second phase novel compounds designed 

to enhance cognition will be tested. NIMH has awarded a 4-year 

contract to six academic medical centers to create a network of 

Treatment Units for Research on Neurocognition and Schizophrenia [TURNS]. The research will test the effectiveness of new 

drug treatments for the cognitive deficits of schizophrenia. 

Translating Behavioral Research.—The Committee supports 

NIMH’s efforts to advance the application of behavioral research 

and interventions in clinical settings to address the public health 

burden of mental disorders. The Committee strongly supports additional clinical trials that examine the effectiveness of behavioral 

interventions in community-based settings and utilizing adaptive 

treatment designs. Behavioral interventions are especially needed 

for children and adolescents with mental disorders, including posttraumatic stress disorder, eating disorders, attention deficit-hyperactivity disorder, and the most common forms of depression. 

Translational research in the behavioral sciences is especially needed to address how basic behavioral processes, such as cognition, 

emotion, motivation, development and social interaction, inform the 

diagnosis, treatment and delivery of services for mental disorders. 

Tuberous Sclerosis Complex.—Tuberous sclerosis complex, or 

TSC, is a genetic disorder that triggers uncontrollable tumor 

growth in multiple organs of the body. The Committee urges NIMH 

to explore the links between autism and TSC, and conduct epidemiology studies on the prevalence of mental illness in TSC patients. 

The Committee suggests that NIMH collaborate with NINDS and 

NICHD to sponsor a conference focused on psychiatric issues and 

cognitive disabilities in TSC. 
150 

NATIONAL HUMAN GENOME RESEARCH INSTITUTE

Appropriations, 2006 ............................................................................. $485,715,000 

Budget estimate, 2007 ........................................................................... 482,942,000 

House allowance .................................................................................... 482,942,000 

Committee recommendation ................................................................. 486,315,000 

The Committee recommendation includes $486,315,000 for the 

National Human Genome Research Institute [NHGRI]. The budget 

requested $482,942,000 and the fiscal year 2006 appropriation was 

$485,715,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

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 and Environment 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 sample of 

Americans could provide a valuable complement to the work of 

GAIN and GEI. 

Liver Disease.—The Committee urges NHGRI to focus on the genetic component of biliary atresia and other liver diseases with an 

identified genetic component. 

Mapping Human Genes.—The Committee commends NHGRI for 

its leadership in developing technologies that will help accelerate 

the delivery of molecular medicine. The completion of the HapMap 

is a helpful tool in the identification of genes that determine susceptibility to diseases such as diabetes and heart disease. The Committee encourages NHGRI to continue its efforts to make these resources available to the research community. 

Parkinson’s Disease.—The Committee encourages the National 

Human Genome Research Institute to work with NINDS and other 

Institutes conducting Parkinson’s research to derive biological and 

therapeutic insights from recently discovered Parkinson’s susceptibility genes and the completed Human Genome Project. The Committee 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, particularly for Parkinson’s. 

Primary Immunodeficiency Diseases.—NHGRI is commended for 

its use of a public-private partnership with the Jeffrey Modell 

Foundation to develop a newborn screening test for X-linked SCID, 

the most severe form of primary immunodeficiency. 

Spinal Muscular Atrophy [SMA].— The Committee is aware that 

SMA carrier testing is available to help persons of childbearing age 
151 

make more informed reproductive decisions with regard to the risk 

of SMA in their offspring. The Committee strongly encourages 

NHGRI to develop a pilot program to assess the optimal practices 

for delivery of population-based screening for SMA carriers. 

Tuberous Sclerosis Complex.—Tuberous sclerosis complex, or 

TSC, is a genetic disorder that triggers uncontrollable tumor 

growth in multiple organs of the body. The Committee urges 

NHGRI to provide assistance and advice to the TSC research community on TSC gene and genome-wide sequencing projects. 

NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING

Appropriations, 2006 ............................................................................. $296,606,000 

Budget estimate, 2007 ........................................................................... 294,850,000 

House allowance .................................................................................... 294,850,000 

Committee recommendation ................................................................. 297,606,000 

The Committee recommends an appropriation of $297,606,000 for 

the National Institute of Biomedical Imaging and Bioengineering 

[NIBIB]. The budget requested $294,850,000 and the fiscal year 

2006 appropriation was $296,606,000. The comparable amounts for 

the budget estimate include funds to be transferred from the Office 

of AIDS Research. 

Artificial Pancreas.—Maintaining blood glucose levels as close to 

normal values as possible is proven to reduce the risk of long-term 

complications in diabetes. However, tight glucose control is difficult 

to achieve, especially in young children. The NIBIB is encouraged 

to expedite research on ‘‘closing the loop’’ between glucose monitoring technologies and insulin delivery devices as a means to automate glucose control and improve disease management. 

Image-guided Surgery.—The Committee continues to be encouraged by the potential of image-guided surgery to improve patient 

outcomes. The Committee supports the Institute’s efforts to expand 

its efforts in this area. 

Liver Imaging Techniques.—Consistent with NIBIB’s mission to 

improve all diagnostic imaging technologies, the Committee urges 

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 urges NIBIB to participate actively in transNIH initiatives that address these priorities. 

Liver Tissue Engineering.—The Committee urges 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. 

PET and MicroPET.—The Committee continues to encourage the 

Institute to provide increased support for molecular imaging technologies such as positron emission tomography [PET] and 

microPET to take advantage of the capacities of molecular imaging 

to detect disease process at the molecular level and to monitor the 

effectiveness of targeted gene therapies now under development. 

The Committee also encourages the Institute to develop its research agenda in close collaboration with other, disease-specific In-
152 

stitutes at NIH, so that new imaging technologies are closely tied 

to the research projects being undertaken by the various other Institutes of NIH. 

NATIONAL CENTER FOR RESEARCH RESOURCES

Appropriations, 2006 ............................................................................. $1,098,346,000 

Budget estimate, 2007 ........................................................................... 1,098,242,000 

House allowance .................................................................................... 1,123,242,000 

Committee recommendation ................................................................. 1,104,346,000 

The Committee recommends an appropriation of $1,104,346,000 

for the National Center for Research Resources [NCRR]. The budget request was $1,098,242,000 and the fiscal year 2006 appropriation was $1,098,346,000. The comparable amounts for the budget 

estimate include funds to be transferred from the Office of AIDS 

Research. 

Extramural Construction.—Due to budget constraints, the Committee has provided no funding for the extramural biomedical facility renovation and construction. 

General Clinical Research Centers/Clinical and Translational 

Science Award.—Last year, the Committee provided funds for the 

initiation of the Clinical and Translational Science Awards 

[CTSAs]. The Committee supports the goal of the CTSA initiative 

to provide an integrated setting for inter-disciplinary clinical research and clinical research training and recognizes that the ultimate goal is improved health care for the American people. The 

Committee has been strongly supportive of the General Clinical Research Centers [GCRCs] program, which has for decades supported 

clinical researchers with specialty nursing care, patient facilities, 

laboratory testing, and specialized monitoring and diagnostic capabilities. The Committee believes that during this transition period 

to CTSAs, NIH must assure that these clinical services are maintained or enhanced. The Committee has included $361,200,000 for 

clinical research supported by the GCRCs and the CTSAs combined. Within this amount, NIH is encouraged to ensure a smooth 

transition from the GCRC program to the CTSA program, in a 

manner that establishes the critical mass necessary to launch this 

new paradigm, while being attentive to the needs of those institutions and programs which have served well as the foundation for 

this new program. The NIH is encouraged to fully fund up to 8 new 

CTSA awards rather than the 10 additional new CTSA awards proposed by the NCRR. The Committee expects the GCRCs to be 

reconfigured into the CTSA grant and requests a status report 

from NIH no later than July 1, 2007, which describes the CTSA 

awards which have been made to date, and which details the portion of the budget allocated to GCRCs funded by M01 awards and 

the portion of the budget used for the new CTSA awards and that 

was derived from the M01 awards. 

The Committee expects the NIH to involve the extramural clinical research community in the development and evaluation of the 

CTSA program and its anticipated impact on translational and 

clinical research. This review should include an assessment of 

whether the CTSA program provides sufficient support for clinical 

research focused on the health of children. The Committee requests 

a report no later than July 1, 2007 on the status of this evaluation 
153 

and the manner in which the recommendations and concerns of the 

clinical research community will be addressed in any future request for applications for CTSAs. 

Human Islet Cell Resource Centers.—The Committee is encouraged that the Islet Cell Resource Centers [ICR] program has been 

renewed. The Committee supports the Centers’ goals of providing 

islets for transplantation into diabetes patients and making human 

islets readily available for research. Further, the Committee is supportive of the Centers serving as regional islet isolation facilities 

with the ability to transport high-quality human islets to many 

transplant centers, thus expanding the availability of islet transplantation to a larger pool of diabetes patients across the Nation. 

Institutional Development Awards [IDeA].—The Committee has 

provided $215,938,000, the same as the budget request for the 

IDeA program authorized by section 402(g) of the Public Health 

Service Act. The Committee recognizes the importance of the Centers of Biomedical Research Excellence and the IDeA Networks of 

Biomedical Research Excellence programs and expects funding to 

be maintained for both. The focus of IDeA should continue to be on 

improving the necessary infrastructure and strengthening the biomedical research capacity and capability of research institutions 

within the IDeA States. 

Research Centers at Minority Institutions.—The Committee continues to recognize the critical role played by minority institutions 

at both the graduate and undergraduate level in addressing the 

health research and training needs of minority populations. These 

programs help facilitate the preparation of a new generation of scientists at these institutions. The Research Centers in Minority Institutions [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. 

Research Resource Centers.—The Committee continues to urge 

NCRR to support research resource centers for the development 

and refinement of positron emission tomography [PET] as a unique 

imaging technology to diagnose and stage diseases of the brain, including Alzheimer’s disease. 

NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE

MEDICINE

Appropriations, 2006 ............................................................................. $121,382,000 

Budget estimate, 2007 ........................................................................... 120,554,000 

House allowance .................................................................................... 120,554,000 

Committee recommendation ................................................................. 121,982,000 

The Committee has included $121,982,000 for the National Center for Complementary and Alternative Medicine. The budget request was $120,544,000 and the fiscal year 2006 appropriation was 

$121,382,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

The Committee strongly supports the work of the National Center for Complementary and Alternative Medicine. The Center is 

charged with assuring that complementary and alternative thera-
154 

pies be rigorously reviewed to provide consumers reliable information. 

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.—The Committee encourages NCCAM to 

continue exploration of exercise in its many forms including aerobic, anaerobic and Chinese exercises such as Tai Chi Chuan in the 

treatment of Parkinson’s. 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, Nacetyl-L-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. 

NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

Appropriations, 2006 ............................................................................. $195,271,000 

Budget estimate, 2007 ........................................................................... 194,299,000 

House allowance .................................................................................... 194,299,000 

Committee recommendation ................................................................. 196,771,000 

The Committee has included $196,771,000 for the National Center on Minority Health and Health Disparities. The budget request 

was $194,299,000 and the fiscal year 2006 appropriation was 

$195,271,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

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 the National Center for Research Resources and the National Cancer Institute in supporting 

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. 

Genomic Analysis of Disease.—The Committee is encouraged by 

the opportunities that exist for NCMHD. The Center is encouraged 

to strengthen its focus on efforts to unravel the genomic analysis 

of diseases that disproportionately affect minorities; applying advances stemming from unraveling the physiology and genetics of 

diabetes; furthering implementation of recommendations stemming 

from the IOM report Examining the Health Disparities Research 

Plan of the National Institutes of Health: Unfinished Business; developing innovative strategies for improving the health status and 
155 

health outcomes of minorities; furthering the understanding of the 

dietary link in disease prevention and control; strengthening and 

expanding the involvement and participation of minority organizations including minority community-based organizations in research, outreach, awareness and prevention activities. 

Glomerular Disease.—The Committee understands that glomerular disease, a group of diseases affecting the filtering mechanisms 

of the kidneys, is more prevalent among African Americans than 

the general population. The Committee urges NCMHD to explore 

collaboration with NIDDK to support research activities related to 

glomerular injury and requests a status report on progress made 

in this area during the fiscal year 2008 appropriations hearings. 

Health Professions.—To help close the gaps in research training 

and clinical applications with respect to racial and ethnic health 

disparities, the Committee encourages the NCMHD to work with 

the HRSA via pre and post doctorial training of health professions 

in these areas. Also, important in this area is capacity and infrastructure building for strengthening support in the areas of faculty 

and student research and training in an effort to build transitional 

bridges between high schools, junior colleges and 4-year institutions. Steps also need to be taken to intensify participatory community research that addresses priority areas in which wide gaps in 

health status exist as delineated in Healthy People 2010, and other 

national epidemiological and surveillance data sets. 

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 European Americans. In addition, access to and acceptance of care is particularly 

problematic in these populations. The Committee therefore continues to urge the Center to initiate and participate with NIDDK, 

NIDA and NCI in research focused on addressing and reducing 

these disparities. 

Minority Health Disparities.—The Committee commends the National Center on Minority Health and Health Disparities for its 

leadership in addressing the longstanding problem of health status 

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. The Committee believes that implementation 

of recommendations stemming from the IOM Unequal Treatment: 

Confronting Racial and Ethnic Disparities in Health Care study 

offer significant opportunities for improving health across communities of color. NCMHD is encouraged to work with minority organizations and minority community-based efforts to disseminate research-based health information to further engage minority national organizations and minority community-based organizations 

in implementing recommendations of the Institute of Medicine 

study. 

Project EXPORT.—The Committee commends NCMHD for its 

successful ‘‘Project EXPORT’’ initiative and urges continued support for this important program. The Committee encourages the di-
156 

rector of NCMHD to coordinate with the NIH Director and the National Center for Research Resources in support of extramural facility construction and the development of other research and research library infrastructure at minority health professions schools. 

JOHN E. FOGARTY INTERNATIONAL CENTER FOR ADVANCED STUDY IN

THE HEALTH SCIENCES

Appropriations, 2006 ............................................................................. $66,332,000 

Budget estimate, 2007 ........................................................................... 66,681,000 

House allowance .................................................................................... 66,681,000 

Committee recommendation ................................................................. 66,832,000 

The Committee recommends an appropriation of $66,832,000 for 

the Fogarty International Center [FIC]. The budget request was 

$66,681,000 and the fiscal year 2006 appropriation was 

$66,332,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

Chronic Obstructive Pulmonary Disease.—The Committee notes 

that Chronic Obstructive Pulmonary Disease [COPD] is the fourth 

leading cause of death worldwide, and encourages the Fogarty 

International Center to expand its COPD research and training activities. 

Fragile X.—International collaboration among scientists is an essential element in Fragile X research. The Committee encourages 

the Fogarty International Center to consider Fragile X syndrome 

through all appropriate programs, such as the Fogarty International Research Collaboration Award and the FIC Brain Disorders in the Developing World Program. The Committee also encourages the Fogarty International Center to establish public/private partnerships that will increase the number of international 

fragile X research projects and collaborations. 

Tuberculosis Training.—The Committee is pleased with the 

Fogarty International Center’s efforts to supplement grants in 

AIDS International Training and Research Program [AITRP] or 

International Training and Research Program in Emerging Infectious Diseases [ERID], which trains tuberculosis experts in the developing world. Given the magnitude of global tuberculosis, the 

Committee encourages FIC to develop a specific free-standing TB 

training program. 

NATIONAL LIBRARY OF MEDICINE

Appropriations, 2006 ............................................................................. $314,694,000 

Budget estimate, 2007 ........................................................................... 313,269,000 

House allowance .................................................................................... 313,269,000 

Committee recommendation ................................................................. 315,294,000 

The Committee recommends an appropriation of $315,294,000 for 

the National Library of Medicine [NLM]. The budget requested 

$313,269,000 and the fiscal year 2006 appropriation was 

$314,694,000. These amounts include $8,200,000 made available 

from program evaluation funds. The comparable amounts for the 

budget estimate include funds to be transferred from the Office of 

AIDS Research. 

Disease Management Technology.—The Committee urges NLM to 

conduct outreach activities to all public and private sector organizations which have demonstrated capabilities in health information 
157 

technology. The Committee is particularly interested in disease 

management technology as it relates to saving health care dollars, 

and improving care for chronically ill individuals and the workforce. 

Native Hawaiian Healing.—The Committee encourages the preservation and documentation of Native Hawaiian traditional cultural healing practices. 

Outreach.—The Committee encourages NLM to continue its outreach activities aimed at educating health care professionals and 

the general public about the Library’s products and services, in coordination with medical librarians and other health information 

specialists. 

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. 

OFFICE OF THE DIRECTOR

Appropriations, 2006 ............................................................................. $527,238,000 

Budget estimate, 2007 ........................................................................... 667,825,000 

House allowance .................................................................................... 667,825,000 

Committee recommendation ................................................................. 687,825,000 

The Committee recommends an appropriation of $687,825,000 for 

the Office of the Director [OD]. The budget request was 

$667,825,000 and the amount appropriated in fiscal year 2006 was 

$527,238,000. The comparable amounts for the budget estimate include funds to be transferred from the Office of AIDS Research. 

The Committee has included within the total, $96,030,000 to support specific targeted research activities needed to develop radiological/nuclear and chemical threat countermeasures. 

The Committee has also included language requested in the 

President’s budget to provide additional transfer authority for the 

NIH Common Fund. The Committee believes that the amounts 

transferred from the Institutes and Centers to the NIH Common 

Fund should reflect a uniform percentage of the transfer amount. 

Ombudsman Activities.—The Committee understands that, with 

the exception of a limited number of topics such as the treatment 

of human subjects, neither the NIH nor the Department has a 

structure in place to process and address complaints by investigators and others about the ways in which NIH-funded research activities are conducted. In an agency with an annual appropriation 

of more than $28,000,000,000, this is not acceptable. The Committee strongly urges the NIH to put in place a structure in which 

complaints about NIH-funded grants and other activities can be 

evaluated objectively. 
158 

Office of Behavioral and Social Sciences Research 

Basic Behavioral Research.—OBSSR is congratulated on its tenth 

anniversary at NIH. 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. 

Social Work Research.—The Committee commends the NIH for 

implementing recommendations of the May 2003 NIH Plan for Social Work Research, including the release of program announcements titled ‘‘Research on Social Work Practice and Concepts in 

Health,’’ which are designed to encourage social work research related to improving health outcomes for persons with medical and 

behavioral disorders and conditions. The Committee requests that 

NIH submit a progress report in June 2007 that covers the 4 years 

since the plan was released. The report should outline the efforts 

made by NIH to utilize and support social work research in areas 

related to aging, health disparities, child and family issues and behavioral health. 

Education and the Workplace.—The Committee encourages 

OBSSR to intensify its efforts to increase scientific understanding 

of the elements of education and the workplace that most affect 

health. The Committee strongly encourages OBSSR to increase its 

investment in projects and studies that focus on maintaining behavior change in the areas of disease prevention, control, and 

health outcomes especially in cancer, diabetes, obesity, asthma, 

heart disease, HIV/AIDS, chronic obstructive pulmonary disease, 

and stroke. 

Office of Dietary Supplements 

The Committee continues to strongly support the important work 

of this Office. Use of dietary supplements has increased significantly among Americans who want to improve their health and 

prevent disease. There is a great need for additional research to 

better inform consumers of the health benefits of supplements. 

Office of Rare Disease Research 

Pediatric Liver Diseases.—The Committee is pleased that the 

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. 

Office of Research on Women’s Health 

Irritable Bowel Syndrome.—The Committee is pleased with the 

increased focus on irritable bowel syndrome [IBS] at the NIH’s Office of Women’s Health, and urges the office to continue expanding 

research on this prevalent functional gastrointestinal disorder. 

Stroke in Women.—Recognizing that women are the single largest group at risk for death from stroke, the Committee believes 

that special attention should be focused on better understanding 
159 

the gender-related differences in stroke. Studies suggest that significant gender differences occur in the evaluation and treatment 

of stroke patients, with women often receiving fewer diagnostic 

tests and intervention procedures. Increased research is needed to 

understand these differences and provide a means to optimize 

stroke care for all patients. Some aspects of the disease unique to 

women include strokes related to pregnancy and the use of oral 

contraceptives; stroke in younger women requires increased attention. Stroke is additionally a leading cause of serious disability 

among women and may contribute to late-life cognitive decline. The 

Committee supports the funding of new and continuing NIH studies that investigate the impact of postmenopausal hormone replacement therapy on stroke risk. Continued support of clinical and 

basic research on hormone physiology in women is necessary to understanding the impact of hormones on women’s vascular systems. 

The Committee urges NIH to increase research in stroke among 

women of all ages, with specific attention to gender-related differences in stroke risk, and to stroke prevention interventions, 

acute stroke management, post-stroke recovery, long-term outcomes, and quality of care. The Committee further urges NIH to increase research into new therapies for stroke in women as well as 

into ways of enhancing the vascular health of all Americans, including (1) observational research on differences in the way men 

and women present with stroke symptoms, (2) research addressing 

how stroke influences the likelihood and severity of cognitive impairment in women, (3) a clinical trial of carotid endarterectomy 

and angioplasty/stenting in women, (4) studies of differences in 

how men and women respond to antiplatelet agents for recurrent 

stroke prevention, and (5) basic science research to address unique 

brain cell death and repair mechanisms in females. 

The Committee also encourages and supports NIH’s initiatives 

toward advancing the organization of stroke care in women, including post-stroke rehabilitation, and the identification of stroke treatment and research centers that would provide rapid, early, continuous 24-hour treatment to stroke victims, including the use of the 

clot-buster t–PA, when appropriate. Designated areas in medical 

facilities equipped with the resources and personnel for treating 

stroke would also promote the early evaluation of innovative stroke 

treatments. In addition, the Committee recommends all of these 

important initiatives be subsumed under an NIH mandate for a 

Women’s Agenda for Stroke Prevention, Diagnosis and Treatment. 

Vulvodynia.—In recent years, NIH has supported two important 

research conferences on vulvodynia, as well as the first prevalence 

study and clinical trial on the disorder. These efforts have both 

clearly demonstrated the need for substantial additional research 

and served to heighten the research community’s level of interest 

in studying vulvodynia. The Committee calls upon the Director to 

build upon these initial successes by coordinating through the 

ORWH an expanded, collaborative extramural and intramural research effort into the causes of, and treatments for, vulvodynia. 

This expanded effort should involve ORWH, NICHD, NINDS and 

other relevant ICs, as well as the NIH Pain Consortium. The Committee commends ORWH for initiating a dialogue with the National Vulvodynia Association to determine the best approach for 
160 

launching an educational outreach campaign on vulvodynia, as the 

Committee requested last year. ORWH is encouraged to implement 

this effort with the help of other relevant ICs and women’s health 

offices in governmental agencies including HHS, FDA, HRSA and 

CDC. Finally, the Committee encourages the Director to work with 

the Center for Scientific Review and ICs to ensure that experts in 

vulvodynia, and related chronic pain and female reproductive system conditions, are adequately represented on peer review panels. 

Women and AIDS Treatments.—While much progress has been 

made with regard to AIDS treatments, considerable work remains 

especially with regard to HIV/AIDS across communities of color 

and in women. The Committee encourages the NIH to further examine how these medications work in smaller frame women; how 

best to ensure women follow treatment regimens; mental health 

impact of HIV/AIDS in women including depression; and impact on 

memory, AIDS related cognitive dementia. 

Women and Biomedical Research.—In 2001, the Institute of Medicine released a report that stressed the importance of biological 

sex as a basic variable that needs to be considered in all areas of 

biomedical research. Recent findings have demonstrated significant 

differences between men and women exist in health and disease. 

For many disorders, the sex of the patient influences disease etiology, natural history, diagnosis and treatment alternatives and 

outcomes. One of the fields where such differences are most pronounced is neuroscience. The Committee strongly encourages each 

of the 15 Institutes involved in the NIH Neuroscience Blueprint to 

carefully analyze their entire NIH Neuroscience Blueprint research 

portfolio to ensure sex is included as a variable,when appropriate, 

and to require that all reported results include sex specific analysis. The Committee would like a written report from the Director 

that includes information on the progress of these efforts at all 15 

of the NIH Neuroscience Blueprint Institutes prior to the fiscal 

year 2008 hearings. 

Multi-Institute Research Initiatives 

Autism Spectrum Disorders.—The Committee is encouraged by 

the NIH’s autism research matrix and urges NIH to devote sufficient resources to this research agenda. The Committee urges the 

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. 

Autoimmune Diseases.—Congress commends the NIH Autoimmune Diseases Coordinating Committee [ADCC] for fostering 

collaborative, integrated multi-Institute research on issues affecting the genetically related family of autoimmune diseases. The 

ADCC should focus on the role of environmental and infectious 

agents in the initiation and/or exacerbation of autoimmune diseases. Additionally, the Committee encourages the ADCC to be 

proactive in identifying promising areas of autoimmune research 
161 

where collaboration among the NIH institutes enhances the potential for major advances. 

Center for Scientific Review [CSR].—The Committee has received 

reports from scientists and professional organizations that many 

grant applications are referred to study sections that do not include 

reviewers with the appropriate expertise. The Committee is concerned that this may be adversely impacting research in important 

areas of science and medicine, such as cardiothoracic surgery. The 

Committee requests that CSR examine the pattern of grant application referral to study sections, especially as it relates to 

cardiothoracic surgery grants, and be prepared to report at the fiscal year 2008 hearings on the results of the examination and what 

recommended steps may be needed to assure that applications are 

reviewed by study sections that have the expertise to provide a 

thorough, impartial review. 

Charcot-Marie-Tooth Disease.—The Committee welcomes the upcoming NINDS workshop on peripheral neuropathies and is 

pleased the agenda will focus on developing research opportunities 

to address Charcot-Marie-Tooth disease [CMT]. The Committee 

hopes all relevant NIH institutes and centers, including the National Institute of Arthritis and Musculoskeletal and Skin Diseases, 

National Institute of Diabetes and Digestive and Kidney Disorders 

and National Institute of Child Health and Human Development, 

will participate in the workshop. The Committee, therefore, requests a report on the workshop on peripheral neuropathies and on 

developments in CMT and CMT-related research by March 2007. 

In addition, the Committee requests that in 2007 NIH begin reporting annual funding figures on CMT research supported by all 

of the institutes and centers. 

Chronic Fatigue Syndrome.—The Committee commends the NIH 

for the July 14, 2005, request for applications [RFA] on CFS. The 

Committee supports the CFS Advisory Committee’s recommendation to ‘‘establish five Centers of Excellence within the United 

States that would effectively utilize state of the art knowledge concerning the diagnosis, clinical management, treatment and clinical 

research of persons with CFS.’’ The Committee notes that the recommendation includes modeling the CFS centers after the existing 

Centers of Excellence program, with funding in the range of 

$1,500,000 per center per year for 5 years. The Committee has reviewed the Director’s July 2006 report on NIH Research Activities 

on Chronic Fatigue Syndrome. The coding instructions for grants 

appear insufficient and overly broad, allowing the inclusion of nonCFS-specific studies. Thus, the Committee remains concerned that 

funds for CFS are not reported appropriately. It is imperative that 

NIH improve its methods of accounting for disease-specific research, consistent with recommendations from the NIH’s Council of 

Public Representatives and the Institute of Medicine’s 2003 report, 

‘‘Enhancing the Vitality of the NIH: Organizational Changes to 

Meet New Challenges.’’ Within 60 days of passage of this bill, the 

Committee requests the NIH to work with the CFS Advisory Committee to refine its coding instructions and revise its report to the 

Committee accordingly. 

Clinical Research.—The Committee is aware that NIH is establishing large, validated databases to measure patient-reported out-
162 

comes from clinical trials that cover a wide range of chronic diseases and demographic characteristics. NIH is urged to create 

databases to measure and track outcomes for surgical procedures, 

in order to establish common data standards and facilitate comparisons among surgical clinical research studies. A report on the 

development of these surgical databases is expected in the fiscal 

year 2008 Congressional budget justifications. 

Down Syndrome.—The Committee urges the Director of NIH 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-, intermediateand 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 urges continued work in this important area of study and 

treatment. 

Fragile X.—The Committee notes the impressive progress made 

by Fragile X researchers in understanding the basic neural defects 

that cause this developmental disorder. The success of these 

translational research efforts has made treatment of Fragile X a 

near-term possibility. However, collaborative efforts between industry, academia and NIH Institutes are likely to be necessary to develop promising therapies. The Committee further notes that while 

Fragile X is a relatively common genetic disease, the treatments 

being developed for Fragile X may also be effective for a much larger number of people with related autism spectrum disorders. Research has shown many possible treatment strategies which merit 

human Fragile X clinical trials, including, but not limited to, 

mGluR5 antagonists, Ampakines, aripiprazole, and lithium. The 

Committee strongly urges the Director to facilitate and fund public/ 

private partnerships that will enable these vital studies to proceed. 

The Committee also urges the Director to take an active role in coordinating Fragile X research at NIH, by organizing regular intramural meetings of program directors from all institutes sponsoring 

Fragile X research projects. 

Gene Therapy Research.—The Committee is encouraged by promising research being undertaken in gene therapy, especially in regard to thalassemia, or Cooley’s anemia. It 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. Last year, the Committee urged the Director to as-
163 

sess 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 is strongly urged to develop a plan for assessing the prospects 

for success in Cooley’s anemia and a broad range of diseases, with 

the goal of curing a single gene disorder in the shortest possible 

time utilizing gene therapy. 

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 understands that the Institute will invite stakeholders from 

the research, practice, and patient advocacy communities and include representatives from relevant NIH components and other 

Federal agencies, including CDC, AHRQ, and DOD. The Committee 

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. 

Hereditary Hemorrhagic Telangiectasia [HHT].—The Committee 

is aware that HHT is a rare, multi-system genetic disorder of the 

blood vessels that can result in stroke, hemorrhage, and death. The 

Committee encourages the NIH to explore opportunities for additional clinical and basic research on HHT. 

Human Tissue Supply.—The Committee remains interested in 

matching the increased needs of NIH grantees, intramural, and 

university-based researchers who rely upon human tissues and organs to study human diseases and search for cures, including for 

those researchers dedicated to the study and cure of rare diseases. 

The Committee is aware that one of the leaders in this competitive 

field, the National Disease Research Interchange [NDRI], is positioned to obtain this valuable and effective alternative research resource. More than 500 peer-reviewed research advances made by 

NDRI-dependent researchers have been published in recent years, 

contributing to the research community’s fund of knowledge. The 

Committee encourages the Director to increase support NDRI receives from NCRR, and to broaden the scope of the multi-Institute 

initiative by strongly urging the Institute Directors of NCI, 

NHGRI, NHLBI, NICHD, NIMH, and NINDS to identify and expand support for NDRI. 

Information, Dissemination and Outreach.—The Nation invests 

greatly in the NIH providing tremendous opportunities for accelerated improvements in health and quality of life. Research advances 

must be applied more expeditiously to ensure greater improvements in health outcomes across all communities of color and the 

general public. To maximize the benefits of this national Federal 

enterprise and resource, the Committee strongly urges the NIH to 

improve, strengthen, and expand its systems of information dissemination and outreach to healthcare providers, minority organizations, and the public. The NIH system must accelerate the dissemination and application of research findings and advances in 
164 

prevention, diagnosis, treatment, behavioral response, awareness, 

and other health improvement opportunities. 

Lymphangioleiomyomatosis [LAM].—The Committee remains 

very interested in efforts to find a cure and treatments for LAM, 

a progressive and fatal lung disease that strikes women, usually in 

their childbearing years. Currently, there are no effective treatments. The Committee understands that recent scientific findings 

have presented new treatment approaches for clinical testing, and 

that experimental trials with the drug sirolimus have begun. The 

Committee urges the NHLBI, as well as the NCI, the Office of Rare 

Diseases, and the NINDS to find clinical treatment trials through 

both intramural and extramural means and to use all available 

mechanisms as appropriate, including support of state-of-thescience symposia, request for applications, and facilitating access to 

human tissues to stimulate a broad range of clinical and basic 

LAM research. The Committee also commends the NCRR and ORD 

for their roles in supporting the Rare Lung Disease Consortium. 

Lymphatic Research.—The lymphatic system plays a vital role in 

the immune system, the digestive system, and a wide range of diseases, including lymphedema, asthma, and cancer. There is growing evidence, for example, that intervening in the lymphatic system 

could help reduce the spread of tumors. Other research suggests 

that it contributes to unwanted inflammation. Until recently, however, the scientific and medical professions have not sufficiently 

recognized its importance. While substantial resources have been 

spent to study the blood circulatory system, far fewer have been devoted to the lymphatic circulatory system. Therefore, the Committee urges the NIH to consider research on the lymphatic system 

as an initiative within the newly created Office of Portfolio Analysis and Strategic Initiatives. In keeping with OPASI’s purpose, 

such research would address an area of emerging scientific opportunity, and it would not focus on a specific group of diseases, but 

a broad range. Furthermore, while a better understanding of the 

lymphatic system would benefit numerous Institutes and Centers, 

basic research in this area currently falls both within and between 

existing IC missions—a situation that contributes to the scientific 

neglect of the lymphatic system. The Committee also urges the 

NHLBI, NCI, NIAID and other ICs to improve coordination for 

lymphatic system research through the Trans-NIH Coordinating 

Committee and to specifically cite lymphatic system research in 

NIH funding mechanisms such as program announcements and 

RFAs. 

Medical Challenges.—In light of new medical challenges such as 

SARS and the threat of bioweapons, the Director is encouraged to 

increase collaborative efforts to address these and other medical 

challenges. In addition the Committee encourages the Director to 

conduct multi-institute projects to address these challenges. 

Minority Health Professions Institutions.—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. 
165 

Nanosystems Biology.—The Committee encourages the Director, 

along with NCI, to support a collaborative effort to bring 

nanotechnology, systems biology and molecular imaging together to 

examine the molecular basis of cancer, consistent with the Director’s Roadmap Initiative. Initial efforts have shown that cancers 

such as breast cancer are not a single disease, but may encompass 

many different diseases, when examined at the molecular level. 

Many clinical trials of new drugs are now considered to fail if only 

10 percent of patients benefit, yet that 10 percent may represent 

a specific type of the disease, for which the drug in question may 

be 100 percent effective. Bringing these three disciplines together 

may allow researchers to identify specific sub-types of cancer and 

to better target new interventions. Successful results of such an effort could lead to a molecular classification of many types of cancer 

and to targeted molecular treatments for molecular-specific disease. 

National Children’s Study.—The Committee was very disappointed that the President’s budget proposed to eliminate funding for the National Children’s Study. The Committee supports full 

and timely implementation of the Study [NCS] and has included 

funds within the Office of the Director to continue the study. This 

study aims to quantify the impacts of a broad range of environmental influences, including physical, chemical, biological and social influences, on child health and development. Now that the pilot 

phase of the project has gotten underway, the Committee believes 

it is timely to reconsider the scientific strategy to measure environmental exposures and genetic factors. Major scientific advances 

have occurred in several fields since the National Children’s Study 

was first authorized, and the leadership of the NCS is urged to 

bring in additional objective scientific expertise to assess the scientific merit of the study components. The Committee further 

urges the NIH to coordinate the involvement of the Departments, 

the lead Federal partners and other interested institutes, agencies 

and non-Federal partners conducting research on children’s environmental health and development, such that this study is ready 

for the field by no later than 2007. 

National Commission on Digestive Diseases.—The Committee directs the Director of the National Institutes of Health is planning 

to extend the charter for the National Commission on Digestive 

Diseases from 2 years to 4 years from the date of its establishment 

in order to provide for adequate consideration of all study, evaluation, and planning matters as directed by the Committee in Senate 

Report 108–345 for fiscal year 2005 (as carried out by the Director 

in the notice appearing in the Federal Register of August 26, 2005, 

volume 70, number 165, pages 50377–50378). 

National Private Research Centers.—The Committee recognizes 

the need to raise awareness of the availability of the National Primate Research Centers’ [NPRCs] nonhuman primate resources 

amongst Institute and Center Directors and within the NIH-funded 

research community. The NPRCs provide access to resources such 

as: nonhuman primates for NIH-funded experiments; nonhuman 

cells, fluids, tissues, organs, proteins, cell lines, and nucleic acid 

samples; immunological reagents for nonhuman primate research; 

comprehensive genetic and genomic information for nonhuman primates; and venues for the assessment of nonhuman primate behav-
166 

ior and cognition. These unique resources and expertise contribute 

to the overall effectiveness of the Federal investment in biomedical 

research. 

Obesity Research Task Force.—The Committee commends the 

NIH for creation of an Obesity Research Task Force and for NIH’s 

recognition of the need to prevent and treat obesity beginning in 

childhood. However, the Committee strongly urges the Task Force 

to explicitly include, across the six proposed trans-NIH obesity initiatives, investigations into the genetic causes of obesity beginning 

with study of Prader-Willi syndrome. Furthermore, the Committee 

urges the Director of NIH to conduct outreach to the Prader-Willi 

Syndrome community to participate in research at the proposed 

‘‘Obesity Clinical Research Center.’’ The NIH should be prepared to 

report on the progress made by the Obesity Research Task Force, 

and the trans-NIH research efforts to appropriately incorporate 

both children and genetics into the overall obesity research agenda 

during the fiscal year 2007 appropriations hearings. 

Parkinson’s Disease.—The Committee is aware that Parkinson’s 

disease research would benefit from targeted and measured investment of resources by NIH which would result in significant dividends in terms of reduction in human suffering and economic costs 

to society. Accordingly, the Committee continues to encourage the 

NIH to develop a strategic plan for future investments in Parkinson’s 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 the NIH convened a 

conference in June 2005 and instructed NIH to report back to Congress the conclusions and recommended research plan for the next 

3 years of Parkinson’s research. The Committee is discouraged that 

the report was not transmitted to the Committee as requested. 

The Committee further encourages the NIH to submit an implementation plan with a research budget that outlines progress already made and specific results of investments outlined in that 

plan by July 1, 2007. 

Peer Review of Patient-Focused Research.—The Committee remains extremely concerned about analyses by the Center for Scientific Review confirming that grant applications focused on patient-oriented research are less likely to receive funding than laboratory research grant proposals. The Committee encourages the 

Director to take steps to eliminate this disparity. The Committee 

is pleased that the NIH Roadmap is focused on efforts to improve 

the training of clinical investigators. However, these efforts can 

only partially succeed if these researchers are at a disadvantage in 

the peer review process. In addition, the Committee is concerned 

that the peer review system may be failing to recognize the merit 

of applications that could lead to medical breakthroughs. The Committee encourages the Director to appoint a committee of clinical 

investigators with experience as NIH grant reviewers to recommend specific steps that should be taken to eliminate the disparity in the review of laboratory and clinical research applications. The Committee requests a report by March 1, 2007, on steps 
167 

that are being taken to address problems highlighted in a 2002 

General Accounting Office report including the lack of reliable 

methods for identifying and tracking patient-oriented research applications or reviewers. 

Prader-Willi Syndrome.—The Committee recognizes the commitment to establish a Rare Diseases Clinical Research Center as part 

of the Rare Diseases Clinical Research Network for the study of 

Prader-Willi syndrome and other rare disorders. The Committee 

strongly encourages that the RDCRC program be expanded to increase the level of research being conducted. 

Psoriasis.—The Committee urges the Director to expand and coordinate research and related activities with respect to psoriasis 

and psoriatic arthritis across all relevant institutes, centers and offices, particularly at NIAMS and NIAID, to help foster new, safe, 

and effective treatments for these diseases and move toward a 

cure. 

Rehabilitation Research.—The Committee is pleased with the 

continuing effort of the National Center for Medical Rehabilitation 

Research to coordinate rehabilitation research initiatives among 

the several relevant institutes, including NICHD, NINDS, NIA, 

and NIMH. The Committee is concerned, however, that the contribution of rehabilitation sciences to the fullest possible recovery 

of individuals who experience functional limitations or have chronic 

disabilities does not meet its potential. Therefore, the Committee 

urges the NIH to provide a report to Congress by April 1, 2007, to 

address the following: efforts to increase awareness of rehabilitation research and coordination among all related institutes at NIH 

and inclusion in trans-NIH initiatives; the appropriateness of rehabilitation and disability research as a priority under the Office of 

Portfolio Analysis and Strategic Initiatives [OPASI]; and efforts to 

better track the NIH investment in rehabilitation and disability research. 

Research Training.—The Committee commends the NIH Director 

for his efforts to improve training for young investigators through 

the new Pathway to Independence program. The Committee encourages the NIH to maintain its commitment to training future 

biomedical and behavioral scientists, including women and minority researchers, who are instrumental in understanding health disparities. Given the importance of reducing health disparities in diseases such as cancer, diabetes, heart disease, as well as mental disorders, it is crucial that NIH increase the coordination of data collection and the development of objectives and long-term outcome 

measures across institutes and centers and review whether current 

reductions in training are having disproportionate impacts on minority investigators. 

Review of Grant Applications.—The Committee is concerned that 

review time for proposals submitted to the Institute at NIH continues to average about 18 months from the submission of the 

grant proposal to the awarding of the grant. The Committee 

strongly urges the Director to speed up the grant process and 

award grants on an expedited basis. 

Small Business Research.—Innovative ideas from small businesses have the potential to be rapidly translated into patient monitoring devices or treatments. The Committee urges all Institutes 
168 

and Centers to take advantage of the Small Business Innovation 

Research [SBIR] and Small Business Technology Transfer [STTR] 

programs to speed research on new technologies that can lead to 

improvements in the prevention, diagnosis, and cure of diabetes 

and its complications. 

Spinal Muscular Atrophy.—The Committee strongly urges the 

Director to ensure the success of the SMA Project by providing active and ongoing support from the Office of the Director as well as 

from other related Institute Directors. The Committee is aware 

that the current SMA Project is scheduled to conclude in 2007 and 

requests the OD 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. 

Support of Clinical Investigators.—The Committee believes that 

NIH should give the highest priority to programs and policies that 

support the work of clinical investigators who translate laboratory 

findings to improved patient care. While the Committee supports 

the goals of the Clinical and Translational Science Awards [CTSA], 

the initiative appears focused largely on the training of new clinical 

investigators and may result in a diminution of resources currently 

available to active clinical researchers. The Committee is concerned, for example, about whether the clinical services currently 

provided by General Clinical Research Centers will remain available to funded clinical investigators, particularly those in institutions that do not compete successfully for a CTSA. The Committee 

encourages the Director to monitor this closely and take steps to 

assure that the necessary clinical research infrastructure support 

is maintained for NIH-funded clinical investigators. 

The Committee is particularly supportive of the component of the 

CTSA award that will make support available to researchers for 

pilot studies to collect preliminary data and offer researchers the 

opportunity to progress to research project grant support. The 

Committee requests a report by March 1, 2007, on the extent to 

which CTSA award funding or other NIH roadmap grants are 

being dedicated to this type of support for investigators. 

Temporomandibular Joint [TMJ] Disorders.—While much work 

remains, the Committee is encouraged by actions taken over the 

last year by NIH to expand research on TMJ disorders. The Committee commends the Directors of NIDCR, NINDS and ORWH for 

their efforts to increase research on genetic and environmental factors that may increase risk for the onset and progression of these 

disorders and attract new investigators to the field. The need for 

safe and effective prostheses for TMJ patients who have lost jaw 

tissue due to disease or disease treatments remains a critical issue, 

and the Committee applauds NIDCR for giving high priority to advancing tissue replacement technology. In cooperation with NIBIB, 

recommendations from the third scientific meeting of The TMJ Association provide bioengineering approaches that can be implemented which will improve diagnostics as well as treatments for 

TMJ problems. Complex disease research calls for team efforts involving engineers, computer scientists and medical scientists to 

study the jaw anatomy, physiology and the complex nervous, endocrine and immune system interactions that orchestrate jaw function. The Committee calls on the Director to invigorate such col-
169 

laborative efforts in these areas over the coming fiscal year and to 

coordinate the work of all relevant ICs and give priority to collaborative, cross-cutting research. The Committee also strongly urges 

the NIH to take concrete steps to develop informational materials 

directed to medical, dental and allied health professionals (e.g., 

nurses, dental hygienists) to improve understanding of TMJ diseases and disorders and their frequent co-morbidities. Such an effort should be directed and coordinated by OWRH in collaboration 

with other ICs, including NIDCR, NIAMS, NINDS, NIBIB and 

NHLBI. 

Translational Research.—The Committee is very supportive of 

translational research and strongly encourages the NIH to integrate such research as a permanent component of the research 

portfolio of each institute and center. The Committee urges NIH to 

begin discussions to determine how best to facilitate progress in 

translating existing research findings and to disseminate and integrate these findings at the practice level. Translational research 

should also include the discovery and application of knowledge 

within the practice setting using such laboratories as practicebased research networks. This research spans biological systems, 

patients, and communities, and arises from questions of importance 

to patients and their physicians, particularly those practicing primary care. The Committee strongly encourages all of the NIH Institutes and Centers to support translational research in the behavioral and social sciences to address how basic behavioral processes 

inform the diagnosis, prevention, treatment, and delivery of services. The Committee requests the Director of NIH to include a 

progress update in next year’s budget Justification. 

Tuberous Sclerosis Complex [TSC].—The Committee urges the 

Office to work with all institutes involved in TSC research to revise 

the 10-year TSC Research Plan into a comprehensive TSC Research Strategy for a Cure. The Committee also encourages the 

continuation of the Program Announcement on Understanding and 

Treating Tuberous Sclerosis Complex. 

OFFICE OF AIDS RESEARCH

The Committee recommendation does not include a direct appropriation for the Office of AIDS Research [OAR]. Instead, funding 

for AIDS research is included within the appropriation for each Institute, Center, and Division of the NIH. The recommendation also 

includes a general provision which directs that the funding for 

AIDS research, as determined by the Director of the National Institutes of Health and the OAR, be allocated directly to the OAR for 

distribution to the Institutes consistent with the AIDS research 

plan. The recommendation also includes a general provision permitting the Director of the NIH and the OAR to shift up to 3 percent of AIDS research funding among Institutes and Centers 

throughout the year if needs change or unanticipated opportunities 

arise. The Committee requests that the Director provide notification to the Committee in the event the Directors exercise the 3 percent transfer authority. 

The NIH Office of AIDS Research [OAR] coordinates the scientific, budgetary, legislative, and policy elements of the NIH AIDS 

research program. Congress provided new authorities to the OAR 
170 

to fulfill these responsibilities in the NIH Revitalization Act 

Amendments of 1993. The law mandates the OAR to develop an 

annual comprehensive plan and budget for all NIH AIDS research 

and to prepare a Presidential bypass budget. 

BUILDINGS AND FACILITIES

Appropriations, 2006 ............................................................................. $81,025,000 

Budget estimate, 2007 ........................................................................... 81,081,000 

House allowance .................................................................................... 81,081,000 

Committee recommendation ................................................................. 81,081,000 

The Committee recommends an appropriation of $81,081,000 for buildings and facilities [B&F]. The budget requested $81,081,000 

and the fiscal year 2006 appropriation was $81,025,000. 

Building Improvements.—The Committee is aware that in the 

conduct of research in buildings of the type and age of those operated and owned by the NIH, it will sometimes be necessary to conduct improvements, including renovations and alterations, and/or 

repairs to meet program objectives; and that the needs for such activities often cannot be anticipated in budgets prepared a year or 

more in advance. The Committee, therefore, has included a provision to clarify that consistent with long-standing NIH practice, 

funds appropriated to the Institutes and Centers may be used for 

improvements (renovation/alterations) and repairs provided that (1) 

the funds are not already included in the buildings and facilities 

appropriation, (2) the improvements and repairs funded are principally for the benefit of the program from which the funds are 

drawn, and (3) such activities are conducted under and subject to 

the administrative policies and procedures of the NIH Office of the 

Director. The Committee has included a limitation on the size of 

projects to be funded directly by the Institutes and Centers. 

The Committee has included full-scope bill language within this 

appropriation to give flexibility to the NIH to continue work on the 

John E. Porter Neuroscience Research Center. 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

Appropriations, 2006 ............................................................................. $3,324,536,000 

Budget estimate, 2007 ........................................................................... 3,260,001,000 

House allowance .................................................................................... 3,343,135,000 

Committee recommendation ................................................................. 3,337,312,000 

The Committee recommends $3,337,312,000 for the Substance 

Abuse and Mental Health Services Administration [SAMHSA] for 

fiscal year 2007. This amount is $12,776,000 above the comparable 

fiscal year 2006 level and $77,311,000 above the administration request. The recommendation includes $126,129,000 in transfers 

available under section 241 of the Public Health Service Act. 

SAMHSA is responsible for supporting mental health programs 

and alcohol and other drug abuse prevention and treatment services throughout the country, primarily through categorical grants 

and block grants to States. 

The Committee has provided funding for programs of regional 

and national significance under each of the three SAMHSA centers: 

mental health services, substance abuse treatment, and substance 

abuse prevention. Separate funding is available for the children’s 

mental health services program, projects for assistance in transi-
171 

tion from homelessness, the protection and advocacy program, data 

collection activities undertaken by the Office of Applied Studies 

and the two block grant programs: the community mental health 

services block grant and the substance abuse prevention and treatment block grant. 

The Committee remains concerned by the disproportionate presence of substance abuse in rural and native communities, particularly for American Indian, Alaska Native, and Native Hawaiian 

communities. The Committee reiterates its belief that funds for 

prevention and treatment programs should be targeted to those 

persons and communities most in need of service. Therefore, the 

Committee has provided sufficient funds to fund projects to increase knowledge about effective ways to deliver services to rural 

and native communities. 

In developing its fiscal year 2008 budget request, the Committee 

urges SAMHSA to revise the format for its congressional justification in ways that will make it more readable and easily understood. In particular, the Committee would appreciate more descriptive information for existing and proposed programs of regional and 

national significance, including a brief description of the program, 

a justification of changing funding levels, a 5-year funding history 

and output measures. As an example, the Committee urges 

SAMHSA to examine the format and level of detail contained in 

the Department of Education congressional justification. 

CENTER FOR MENTAL HEALTH SERVICES

Appropriations, 2006 ............................................................................. $883,673,000 

Budget estimate, 2007 ........................................................................... 848,912,000 

House allowance .................................................................................... 890,114,000 

Committee recommendation ................................................................. 911,805,000 

The Committee recommends $911,805,000 for mental health 

services. This amount is $28,132,000 above the comparable level for 

fiscal year 2006 and $62,893,000 above the administration request. 

The recommendation includes $21,629,000 in transfers available 

under section 241 of the Public Health Service Act. Included in the 

recommendation is funding for programs of regional and national 

significance, the mental health performance partnership block 

grant to the States, children’s mental health services, projects for 

assistance in transition from homelessness, and protection and advocacy services for individuals with mental illnesses. 

Programs of Regional and National Significance 

The Committee recommends $290,994,000 for programs of regional and national significance. This amount is $27,914,000 above 

the comparable level for fiscal year 2006 and $62,893,000 above the 

administration request. Programs of regional and national significance address priority mental health needs through developing and 

applying best practices, offering training and technical assistance, 

providing targeted capacity expansion grants, and changing the delivery system through family, client-oriented and consumer-run activities. 

The Committee remains deeply concerned that suicide is the 

third leading cause of death among adolescents. Beginning in fiscal 

year 2005, the Committee has provided funding for grants to States 
172 

and tribes to develop youth suicide prevention and early intervention programs. The Committee recommendation includes 

$30,000,000 for these grants, $12,180,000 above last year’s level 

and the administration request. In addition, the Committee has 

provided $5,000,000 for campus-based programs that address youth 

suicide prevention. This is an increase of $50,000 above the comparable level for fiscal year 2006 and the administration request. 

The Committee also provides $5,000,000 for the Suicide Prevention 

Hotline program, which is $1,979,000 more than the fiscal year 

2006 comparable level and the administration request. 

The Committee intends that no less than last year’s level of 

funding be used for preventing youth violence. This initiative includes the Safe Schools/Healthy Students interdepartmental program. The administration proposed cutting this program by 

$17,588,000. The Committee believes that enhanced school and 

community-based services can strengthen healthy child development, thus reducing violent behavior and substance use. Since 

1999, over 180 communities have received and benefited from these 

grants. It is again expected that SAMHSA will collaborate with the 

Departments of Education and Justice to continue a coordinated 

approach. The Committee recommendation provides $25,740,000 for the 

State Incentive Grants for Transformation program, which is the 

same as the comparable level for fiscal year 2006 and $5,944,000 

above the administration’s request. The Committee has not included bill language, as requested by the administration, allowing 

States to redirect a portion of the Community Mental Health Services Block Grant for transformation activities. Instead, the Committee recommends that the administration continue funding 

transformation planning and implementation activities through the 

State Incentive Grants for Transformation program. In furtherance 

of achieving its goals for transformation, the Committee also urges 

SAMHSA to prioritize within its Programs of Regional and National Significance [PRNS] initiatives that augment the role of consumers. To that end, the Committee urges SAMHSA to provide a 

mechanism within its program of State Incentives Grants for 

Transformation to ensure that modest funding is made available to 

support full and active participation by community-based organizations representing consumers in all facets of transformation planning and implementation. 

In support of the idea that transformation should be consumerand family-driven, the Committee recommendation provides funding at last year’s level for Statewide Consumer Network Grants 

and Statewide Family Network Grants. The Committee also provides funding at last year’s level for the consumer and consumersupporter national technical assistance centers. The Committee directs CMHS to support multi-year grants to five such national 

technical assistance centers. 

The Committee has provided $30,000,000 to continue the important work of the National Child Traumatic Stress Network 

[NCTSN]. The Committee strongly urges SAMHSA to build the 

strongest possible network of centers by setting criteria that award 

competitive grants based upon expertise and experience in the field 

of child traumatic stress. The Committee asks SAMHSA to review 
173 

whether previously funded centers, not currently in the network, 

should be awarded grants to rejoin the network, if their expertise 

would benefit the network. The Committee also urges SAMHSA to 

give high priority to grants for centers that work with children and 

families affected by devastating hurricanes along the Gulf Coast as 

well as those centers that work with children and families of active, guard and reserve personnel deployed in Iraq and Afghanistan. 

The Committee has included $15,000,000 for grants to fund men- tal health services to the homeless. This is $5,440,000 above the 

comparable level for fiscal year 2006 and $10,561,000 above the administration request. The Committee understands that the administration request will fund all current grantees that need continuation funds. It is the Committee’s intention that the funding provided above that level shall be used to fund services in permanent 

supportive housing to help end chronic homelessness. The Committee directs CMHS, in consultation with CSAT, to award these 

grants to applicants that operate permanent supportive housing 

funded by HUD’s Homeless Assistance Programs or comparable 

programs, including those that were funded through the Interagency Collaborative Initiative to Reduce Chronic Homelessness. 

The Committee recommendation includes funding at last year’s 

level for the Elderly Treatment and Outreach Program. The Committee notes that 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. This grant program, which 

helps local communities establish the infrastructure necessary to 

better serve the mental health needs of older adults, has been 

funded at approximately $5,000,000 for fiscal years 2002–2006. The 

Committee urges SAMHSA to expand this program so that it can 

provide evidence-based mental health outreach and treatment services to the growing population of older adults in this country. 

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, the Committee urges SAMHSA to produce a comprehensive study regarding 

the technical assistance furnished to Community Mental Health 

Centers over the last 5 years on such issues as personnel preparation, evidenced based practices, quality improvement, integrated 

treatment, and individualized care. 

The Committee recognizes the significant impact that natural 

and human-made disasters can have on mental and behavioral 

health. In particular, such events can lead to negative mental and 

behavioral health consequences for vulnerable populations, including older adults, children, individuals with disabilities, and ethnic 

minorities. The Committee acknowledges the role of the Emergency 

Mental Health and Traumatic Stress Services Branch in supporting the emotional recovery of those impacted by trauma and 
174 

disasters. The Committee encourages this branch, in collaboration 

with FEMA, to increase attention to the mental and behavioral 

health needs of vulnerable populations during and in the aftermath 

of a disaster. 

The Committee remains concerned about the need to improve the 

representation of minorities among behavioral health professionals 

providing services in the public sector. For this reason, the Committee is providing funding for the Minority Fellowship Program 

[MFP] at last year’s level so that SAMHSA can continue this program, which has been successful in addressing this issue. The Committee does urge SAMHSA, however, to consider the inclusion in 

the MFP program of other professions like marriage and family 

therapists in so far as they provide services in the public sector. 

Both the President’s New Freedom Commission on Mental 

Health and the Surgeon General of the United States have called 

for greater involvement of consumers in the mental health care delivery system. The Surgeon General noted that consumers ‘‘in the 

role of peer-specialists integrated into case management teams led 

to improved patient outcomes.’’ Peer-specialists, by providing a 

level of care not available from medical professionals, help to improve treatment outcomes, including reduced hospitalization and 

use of other services. The Committee encourages SAMHSA to include peer-support and peer-specialists in the development and application of best mental health practices. 

The Committee recommendation also includes language requiring 

that funds be provided to the following organizations in the 

amounts specified: 

Amount 

Access Community Health Network, Chicago, IL, to integrate behavioral health services in a community 

health setting ................................................................................................................................................ $450,000 

Alaska Dept of Health and Social Services and Catholic Community Services in Anchorage, AK to provide 

mental health and substance abuse treatment for seniors and their caregivers ...................................... 300,000 

Aliquippa Community Hospital, Aliquippa, PA, for the conduct of an Outpatient Mental Health—Partial 

Hospitalization program ................................................................................................................................ 200,000 

Arc of Lackawanna County, Scranton, PA for mental health programs ........................................................... 100,000 

BJC Behavioral Health, Farmington, MO to develop a pilot project to serve children in need of mental 

health services in rural areas ....................................................................................................................... 250,000 

Centerstone, Nashville, TN, to develop improved ways of managing care of individuals with schizophrenia ........................................................................................................................................................... 500,000 

Community Counseling Center, Portland, ME to provide expanded trauma assistance for the Greater Portland Trauma Assistance Network .................................................................................................................. 100,000 

Corporate Alliance for Drug Education (CADE), Philadelphia, PA, for violence prevention programs in 

schools ........................................................................................................................................................... 100,000 

Family Service Partners, New Cumberland, PA, for mental health services .................................................... 100,000 

Foundation for Glade Run Lutheran Services, Zelienople, PA to develop and assess mental health treatment programs .............................................................................................................................................. 100,000 

Horizon House, Inc., Philadelphia, PA, for mental health treatment services .................................................. 100,000 

Institute for Behavior Change, Coatesville, PA to further use of the Home Facilitator Support Program ...... 100,000 

Northeast Kingdom Human Services, Inc. of Newport, VT, to expand access to mental health services ....... 300,000 

Spurwink, Portland, ME for Best Practices Models for Residential Treatment and Data Collection ............... 135,000 

State of New Mexico to help transform its public behavioral healthcare system ........................................... 300,000

Tanana Chiefs Conference, in partnership with Fairbanks Native Association and the University of Alaska/ 

Fairbanks in Fairbanks, AK to treat behavioral problems of children through the Ch’eghutsen (that 

Children are Precious) program .................................................................................................................... 500,000 

The Samaritans, Inc., Providence, RI to complete an evaluation of the state’s suicide prevention hotline .. 150,000 

United Way of Anchorage, AK for its 211 Project to develop an integrated system of resources for people 

with substance abuse, mental illness and homelessness ........................................................................... 600,000 

Wisconsin Department of Agriculture, Transportation and Consumer Protection, Madison, WI, to provide 

mental health services for farmers and their families throughout Wisconsin ............................................ 100,000 
175 

Community Mental Health Services Block Grant 

The Committee recommends $428,472,000 for the community 

mental health services block grant, which is $108,000 above the 

comparable fiscal year 2006 amount and is the same as the administration request. The recommendation includes $21,629,000 in 

transfers available under section 241 of the Public Health Service 

Act. 

The Committee has not included bill language requested by the 

administration that would redirect a portion of each State’s block 

grant funding toward transformation planning and implementation 

activities. Instead, the Committee directs that SAMHSA continue 

to preserve the funding flexibility that has marked the Community 

Mental Health Services Block Grant. The Committee further recommends that SAMHSA continue to work with States and the 

planning and advisory councils to integrate the principles of transformation with a State’s service-delivery system, including the 

block grant. The Committee recommends that the administration 

continue funding transformation planning and implementation activities through the State Incentives Grants for Transformation. 

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 SERVICES

The Committee recommends $104,078,000 for the children’s mental health services program. This amount is $72,000 above the comparable fiscal year 2006 level and the same as the administration 

request. This program provides grants and technical assistance to 

support community-based services for children and adolescents 

with serious emotional, behavioral or mental disorders. Grantees 

must provide matching funds, and services must involve the educational, juvenile justice, and health systems. 

PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS

[PATH]

The Committee recommends $54,261,000 for the PATH Program. 

This amount is $38,000 above the comparable fiscal year 2006 level 

and the same as the administration request. 

PATH provides outreach, mental health, and case management 

services and other community support services to individuals with 

serious mental illness who are homeless or at risk of becoming 

homeless. The PATH program makes a significant difference in the 

lives of homeless persons with mental illnesses. PATH services 

eliminate the revolving door of episodic inpatient and outpatient 

hospital care. Multidisciplinary teams address client needs within 
176 

a continuum of services, providing needed stabilization so that 

mental illnesses and co-occurring substance abuse and medical 

issues can be addressed. Assistance is provided to enhance access 

to housing, rehabilitation and training, and other needed supports, 

assisting homeless people in returning to secure and stable lives. 

Protection and Advocacy 

The Committee recommends $34,000,000 for the protection and 

advocacy program, which is the same as the comparable fiscal year 

2006 level and the administration request. This program helps ensure that the rights of mentally ill individuals are protected while 

they are patients in treatment facilities, or while they are living in 

the community, including their own homes. Funds are allocated to 

States according to a formula based on population and relative per 

capita incomes. 

CENTER FOR SUBSTANCE ABUSE TREATMENT

Appropriations, 2006 ............................................................................. $2,156,100,000 

Budget estimate, 2007 ........................................................................... 2,133,970,000 

House allowance .................................................................................... 2,160,695,000 

Committee recommendation ................................................................. 2,131,257,000 

The Committee recommends $2,131,257,000 for substance abuse 

treatment programs. This amount is $24,843,000 below the comparable fiscal year 2006 funding level and $2,713,000 below the administration request. The recommendation includes $83,500,000 in 

transfers available under section 241 of the Public Health Service 

Act. This amount funds substance abuse treatment programs of regional and national significance and the substance abuse prevention and treatment block grant to the States. 

The Committee commends the Center for Substance Abuse 

Treatment [CSAT] for its continued collaboration with the National 

Institute on Drug Abuse [NIDA] and State substance abuse directors, also known as Single State Authorities [SSAs] for Substance 

Abuse, to improve the manner in which evidence-based practices 

are used in our publicly funded system. The Committee encourages 

CSAT to continue its Blending Initiative with NIDA and the SSAs 

to ensure that research findings are relevant and adaptable by 

State substance abuse systems. 

Programs of Regional and National Significance 

The Committee recommends $342,666,000 for programs of regional and national significance [PRNS]. The recommendation includes $4,300,000 in transfers available under section 241 of the 

Public Health Service Act. The recommendation is $56,009,000 

below the comparable fiscal year 2006 level and $32,713,000 below 

the administration request. 

Programs of regional and national significance include three primary activities: best practice programs are used to develop more 

information on how best to serve those most in need; training and 

technical assistance supports dissemination of information through 

knowledge development; and targeted capacity expansion programs 

enable the agency to respond to service needs in local communities. 

The Committee has not included funding for the administration’s 

proposed Access to Recovery voucher incentive program. The ad-
177 

ministration requested $70,488,000 for this program, which would 

give priority to States that use a portion of their Substance Abuse 

Prevention and Treatment [SAPT] block grant to deliver services 

through the use of vouchers. The Committee is aware that State 

addiction systems currently employ a broad range of purchasing 

mechanisms to ensure successful outcomes. At the same time, the 

Committee continues to strongly support the SAPT block grant program. Therefore, the Committee is re-directing a portion of the proposed funding for the voucher incentive program to the SAPT block 

grant to ensure that all States and territories are afforded adequate resources for addiction treatment and prevention. 

Since fiscal year 2004 the Committee has funded, through the 

President’s original Access to Recovery program, 14 States and one 

tribal entity for the purpose of piloting programs to purchase treatment and recovery support services through the use of vouchers. 

The first 3-year grant cycle ends September 30, 2006. The Committee supports SAMHSA’s proposal to evaluate the extent to 

which the ATR programs were successful and urges SAMHSA, as 

part of the ATR evaluation, to review and report on the extent to 

which the use of vouchers impacts clinical outcomes compared to 

the use of other purchasing strategies. 

The Committee is aware that the administration has proposed $24,750,000 for a methamphetamine treatment initiative that 

would require successful applicants to purchase methamphetamine 

treatment services through the use of vouchers. The Committee appreciates and supports efforts to help expand access to clinically 

appropriate methamphetamine treatment. While the perception exists that methamphetamine addicts do not respond well to treatment, studies indicate that over 60 percent of methamphetamine 

users remain abstinent 6 months after being discharged from treatment. However, the Committee believes that States and local communities are currently achieving effective outcomes for the treatment of methamphetamine addiction by tailoring their strategies, 

including how services are delivered, in ways that best address 

local needs. Therefore, the Committee has provided $25,000,000 for 

methamphetamine treatment services within the targeted capacity 

expansion program with no requirements as to how grantees 

choose to provide services. 

The Committee continues to be concerned about the incidence of 

drug addiction among pregnant and parenting women. The unavailability of family-based treatment is manifested in the overrepresentation of substance-abusing mothers in the child welfare 

system. Up to 80 percent of the families who come to the attention 

of child welfare agencies are substance abusing. The Committee believes that increased capacity for family-based treatment programs 

is imperative. Within the funds appropriated for CSAT, the Committee recommends $15,000,000 for treatment programs for pregnant, postpartum, and residential women and their children. This 

amount is $4,116,000 above the comparable level for fiscal year 

2006 and $11,068,000 above the administration request. Moreover, 

since women and children are disproportionately affected by the 

meth epidemic, the Committee directs SAMHSA to explore ways to 

increase family treatment capacity within the methamphetamine 

treatment program. 
178 

The Committee recommendation includes $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 nondependent drug users 

and is designed to avert the progression of patients from chronic 

substance abuse problems. The SBIRT program works in primary 

and general care settings to identify patients in need of treatment 

and to provide them with appropriate intervention and treatment 

options. 

The Committee remains concerned about substance abuse among 

American Indian and Alaskan Native populations. It notes that the 

rate of current illicit drug use as reported by the 2004 National 

Survey on Drug Use and Health was 12.3 percent among American 

Indians and Alaska Natives, nearly 50 percent higher than among 

whites, blacks, or Hispanics. It also notes that among youth aged 

12 to 17, the rate of current illicit drug use was highest among 

American Indians or Alaskan Natives at 26 percent, which is more 

than twice the rate among all youth. Thus the Committee has included $5,000,000 for grants to American Indian and Alaskan Native tribes or tribal organizations to address substance abuse problems. 

The Committee commends SAMHSA for encouraging substance 

abuse prevention and treatment grantees to make prevention of 

hepatitis a part of their comprehensive prevention and treatment 

program and for encouraging them to use other resources to fund 

treatment or for providing vaccines where appropriate. In particular, the Committee commends CSAT for taking a leadership 

role in hepatitis prevention through the implementation of the 

Adult Hepatitis Vaccine Demonstration Project, and encourages the 

continuation and evaluation of this program. 

The Committee recommendation also includes language requiring 

that funds be provided to the following organizations in the 

amounts specified: 

Amount 

Akeela, Inc., in Anchorage, AK to continue its Re-Entry Program for newly released prisoners with substance abuse problems ................................................................................................................................. $450,000 

City and County of San Francisco Department of Human Services, CA, for mental health and substance 

abuse services for the homeless .................................................................................................................. 400,000 

County of Alameda Health Care Services Agency, CA, for the Detoxification and Recovery Services Center .................................................................................................................................................................. 150,000 

Doe Fund, Inc, Philadelphia, PA, to provide substance abuse treatment services .......................................... 100,000

Fairbanks Memorial Hospital, in Fairbanks, AK for the Fairbanks Community Initiative for Chronic Inebriates ............................................................................................................................................................ 500,000 

Gateway Rehabilitation Center, Aliquippa, PA, for expanded treatment services ............................................ 100,000 

Maniilaq Association, in Kotzebue, AK for the Maniilaq Family Recovery Program ......................................... 500,000 

Municipality of Anchorage, with the Dept. of Health and Social Services and Cook Inlet Tribal Council, Anchorage, AK for the Anchorage Downtown Partnership Pathways to Sobriety Project ................................. 400,000 

Potter County Human Services, Roulette, PA to expand drug and alcohol treatment services ....................... 100,000 

Salvation Army of Clark County, Las Vegas, NV, for an adult rehabilitation program ................................... 500,000 

Starting Place, Hollywood, FL, for substance abuse treatment for adolescents .............................................. 100,000 

Teen Challenge of Illinois, Decatur, IL, for drug abuse treatment services for girls and women .................. 250,000 

Will County Health Department, Joliet, IL, for substance abuse programs for the mentally ill ...................... 500,000 

Substance Abuse Prevention and Treatment Block Grant 

The Committee recommends $1,788,591,000 for the substance 

abuse prevention and treatment block grant. The recommendation 
179 

includes $79,200,000 in transfers available under section 241 of the 

Public Health Service Act. The recommendation is $31,166,000 

above the comparable level for fiscal year 2006 and $30,000,000 

above the administration request. The block grant provides funds 

to States to support alcohol and drug abuse prevention, treatment, 

and rehabilitation services. Funds are allocated to the States according to formula. State plans must be submitted and approved 

annually. 

The Committee is aware that the Substance Abuse Prevention 

and Treatment [SAPT] block grant is the backbone of our Nation’s 

publicly funded treatment and prevention system in every State 

and territory in the country. The SAPT block grant funds over 

10,500 community-based organizations and serves our Nation’s 

most vulnerable citizens, including pregnant and parenting women, 

those with HIV/AIDS and others. The Committee is also aware 

that the data demonstrate the efficiency and effectiveness of services funded by the SAPT block grant. In particular, programs funded by the SAPT block grant help people remain abstinent from alcohol and other drug use; find employment; find stable housing; 

stay away from criminal activity; and live productive lives in recovery. As a result, the Committee continues to express its strong support for the SAPT block grant. 

CENTER FOR SUBSTANCE ABUSE PREVENTION

Appropriations, 2006 ............................................................................. $192,767,000 

Budget estimate, 2007 ........................................................................... 180,598,000 

House allowance .................................................................................... 195,805,000 

Committee recommendation ................................................................. 196,729,000 

The Committee recommends $196,729,000 for programs to prevent substance abuse, which is $3,962,000 above the comparable 

fiscal year 2006 level and $16,131,000 above the administration request. 

Programs of Regional and National Significance 

The Committee has provided $196,729,000 for programs of regional and national significance [PRNS]. The recommendation is 

$3,962,000 above the comparable fiscal year 2006 level and 

$16,131,000 above the administration request. The Center for Substance Abuse Prevention [CSAP] is the sole Federal organization 

with responsibility for improving accessibility and quality of substance abuse prevention services. Through the PRNS, CSAP supports: development of new practice knowledge on substance abuse 

prevention; identification of proven effective models; dissemination 

of science-based intervention information; State and community capacity-building for implementation of proven effective substance 

abuse prevention programs; and programs addressing new needs in 

the prevention system. 

The Committee recognizes the important role played by the 20 

percent prevention services set-aside within the Substance Abuse 

Prevention and Treatment [SAPT] block grant. This vital substance 

abuse prevention program helped contribute to the fact that 

600,000 fewer teens used drugs in 2004 compared to 2001, according to the Monitoring the Future Survey. 
180 

The Committee has provided $16,131,000 above the President’s 

request for CSAP in recognition of its role as the lead Federal 

agency for preventing substance use among youth. The Committee 

is concerned by the overall level of funding requested by the administration for prevention activities. According to the President’s National Drug Control Strategy, the amount of Federal funding requested for prevention across all agencies in fiscal year 2007 represents a decline of over $474,000,000, or 24 percent, from fiscal 

year 2005 levels. Furthermore, only 35 percent of the Federal drug 

control budget was requested for demand reduction activities, compared to 65 percent for supply reduction. While the Committee is 

supportive of efforts to disrupt the flow of illicit drugs into this 

country, the growing emphasis on these activities suggests a belief 

by the administration that they are more effective than demand reduction programs, and prevention programs in particular. The 

Committee strongly disagrees with this approach and believes that 

a successful drug control strategy must provide sufficient funding 

to prevention and treatment programs in addition to market disruptions activities. 

The Committee expects CSAP to focus its efforts on reducing 

youth drug and alcohol use through the Strategic Prevention 

Framework State Incentive Grant [SPFSIG] program. The Committee’s recommendations include $106,650,000 for the SPFSIG program, which is the same as the comparable level for fiscal year 

2006 level. Given the scarce resources available for substance use 

prevention, the Committee expects CSAP to work with the State 

SPFSIG recipients to focus their funds on environmental and population-based strategies, due to the cost effectiveness of these approaches; and to ensure that community anti-drug coalitions, funded under the Drug Free Communities program, are utilized, to the 

maximum extent possible, as SPFSIG sub-recipients, in order to 

maximize Federal investments in prevention. 

The SPFSIG program is designed to promote, bolster, and sustain prevention infrastructure for every State in the country. The 

Committee recognizes that a linchpin of this program is State flexibility so that each State may tailor initiatives and direct resources 

in ways that are most appropriate for its own jurisdiction. The 

Committee encourages SAMHSA to promote maximum flexibility in 

managing the SPFSIG program and the 20 percent prevention setaside within the SAPT block grant so that each State may employ 

a range of effective strategies to meet its unique needs and local 

circumstances. 

The Committee recommendation includes $850,000 for the continuation of the Ad Council’s parent-oriented media campaign to 

combat underage drinking. The Committee believes this campaign 

represents a critical component of the Nation’s commitment to combating underage drinking by providing the first-ever visible, consistent federally backed message challenging parental complacency 

about the risks of underage drinking. The Committee considers the 

continuity of this program a top priority, and provides a fourth 

year of funding for this essential public health message. 

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 evidence-based strategies 
181 

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. While it provides a good description 

of the scope of the problem and existing Federal activities in this 

area, the Committee is disappointed by the plan’s lack of vision. 

The plan sets three performance targets for 2009: reducing the 

prevalence of past month alcohol use by those aged 12–20 by 10 

percent; reducing the prevalence of those aged 12–20 reporting 

binge alcohol use in the past 30 days by 10 percent; and increasing 

the average age of first use from 15.6 to 16.5. These are modest 

goals, and they expire in just 3 years. It is well recognized, however, that reducing underage drinking will take a concerted effort 

over many years—certainly more than 3—and no one should be 

satisfied with 10 percent reductions. The Committee strongly urges 

ICCPUD to set more ambitious, longer-term targets in its next annual report. 

The Committee is pleased that the ICCPUD plan includes a ‘‘Call 

to Action’’ by the Surgeon General on underage drinking prevention. The Committee directs the ICCPUD to ensure that the ‘‘Call 

to Action’’ is vigorously promoted and disseminated to policymakers 

and the public. Finally, the Committee requests that the ICCPUD 

work with the National Institute on Drug Abuse [NIDA] to ensure 

that NIDA’s Monitoring the Future Survey, which tracks youth 

substance use, separately and prominently highlights underage 

drinking findings and trends. 

The Committee recommendation also includes language requiring 

that funds be provided to the following organizations in the 

amounts specified: 

Amount 

Community Health Center on the Big Island of Hawaii, for youth anti-drug program ................................... $200,000 

Dakota County, Hastings, MN, for the All Children Excel program .................................................................. 300,000 

Institute for Research, Education & Training in Addictions (IRETA), Pittsburgh, PA, for substance abuse 

prevention programs ...................................................................................................................................... 100,000 

Maine Lighthouse Corporation, Bar Harbor, ME to combat community substance abuse ............................... 100,000 

Ramsey County, Saint Paul, MN, for the All Children Excel program .............................................................. 200,000 

Seton Hill University, Westmoreland County, PA, to provide individual and family therapy to juveniles referred from the court system ........................................................................................................................ 100,000 

Valley Prevention Services, Williamsport, PA to utilize a community-based approach to enhance alcohol 

and other drug prevention efforts in Clinton County ................................................................................... 100,000 

PROGRAM MANAGEMENT

The Committee recommends $97,521,000 for program management activities of the agency. The recommendation includes 

$21,000,000 in transfers available under section 241 of the Public 

Health Service Act. The recommendation is $5,521,000 above the 

comparable level for fiscal year 2006 and $1,000,000 above the 

budget request. 

The program management activity includes resources for coordinating, directing, and managing the agency’s programs. Program 

management funds support salaries, benefits, space, supplies, 

equipment, travel, and departmental overhead required to plan, supervise, and administer SAMHSA’s programs. 
182 

The Committee recommendation includes $1,000,000 to continue 

the collaborative effort by SAMHSA and CDC to establish a population-based source of data on the mental and behavioral health 

needs in this country. 

The Committee is aware of collaborative work by State substance 

abuse directors, also known as Single State Authorities [SSAs] for 

Substance Abuse, and SAMHSA to improve the quality and utility 

of substance abuse prevention and treatment data through the use 

of a core set of National Outcome Measures [NOMS] across all 

SAMHSA funding mechanisms, including services funded by the 

SAPT block grant. The Committee commends the States and 

SAMHSA for working to streamline data reporting, reduce administrative burden, and improve accountability. The Committee 

strongly encourages SAMHSA to work with State substance abuse 

directors on all aspects of NOMs and State Outcomes Measurement 

and Management System [SOMMS] implementation and evaluation—including work to examine and promote effective nonproprietary data management tools. This partnership will further support 

the infrastructure for substance abuse data reporting at the State 

and national levels. 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

Appropriations, 2006 ............................................................................. $318,695,000 

Budget estimate, 2007 ........................................................................... 318,695,000 

House allowance .................................................................................... 318,695,000 

Committee recommendation ................................................................. 318,695,000 

The Committee recommends $318,695,000 for the Agency for 

Healthcare Research and Quality [AHRQ]. This amount is the 

same as both the comparable funding level for fiscal year 2006 and 

the administration request. The Committee has funded AHRQ 

through budget authority rather than through transfers available 

under section 241 of the Public Health Service Act. 

The Agency for Healthcare Research and Quality was established 

in 1990 to promote improvements in clinical practice and patient 

outcomes, promote improvements in the financing, organization, 

and delivery of health care services, and increase access to quality 

care. AHRQ is the Federal agency charged to produce and disseminate scientific and policy-relevant information about the cost, quality, access, and medical effectiveness of health care. AHRQ provides policymakers, health care professionals, and the public with 

the information necessary to improve cost effectiveness and appropriateness of health care and to reduce the costs of health care. 

HEALTH COSTS, QUALITY, AND OUTCOMES

The Committee provides $260,695,000 for research on health 

costs, quality and outcomes [HCQO]. This amount is the same as 

both the comparable amount for fiscal year 2006 and the administration request. HCQO research activity is focused upon improving 

clinical practice, improving the health care system’s capacity to deliver quality care, and tracking progress toward health goals 

through monitoring and evaluation. 

Of the total amount provided for HCQO the Committee has included $84,000,000 to determine ways to reduce medical errors. Of 

this amount, $50,000,000 will support the Department’s initiative 
183 

to promote the development, adoption, and diffusion of information 

technology in health care. The Committee recommendation includes $15,000,000 for research authorized under section 1013 of the Medicare Prescription 

Drug, Improvement and Modernization Act of 2003. The Committee’s recommendation is the same as the amount provided last 

year. 

Autoimmune Disease.—In order to support continued HHS-wide 

implementation of the HHS Autoimmune Diseases Research Plan, 

the Committee encourages AHRQ to estimate the annual treatment 

and societal costs of autoimmune diseases in the United States, in 

order to project their future impact and burden on the healthcare 

system. 

Duchenne and Becker Muscular Dystrophy.—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 DBMD patients, and encourages both agencies to complete this work by February 1, 2007. 

Medication Errors.—The Committee is pleased with AHRQ’s continued emphasis on efforts to address bedside medication errors, 

which frequently lead to patient harm, and encourages AHRQ to 

give particular attention to comprehensive medication delivery systems, especially those that ensure connectivity from patient to 

pharmacy. The Committee understands that pilot projects are underway to demonstrate the usefulness of such integrated medication delivery systems and encourages AHRQ to continue to make 

these systems, which show tremendous promise in preventing bedside medication delivery errors, a strong component of its health information technology grants. 

Mental Illness.—The Committee is seriously 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. 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 evidencebased reports to physicians and other health care professionals. 

Nurse-Managed Health Centers.—The Committee encourages 

AHRQ to include nurse managed health centers and advanced 

practice nurses in research and demonstration projects conducted 

by the agency. 

MEDICAL EXPENDITURES PANEL SURVEYS

The Committee provides $55,300,000 for health insurance and 

medical expenditures panel surveys [MEPS], which is the same as 

the comparable fiscal year 2006 level and the administration request. MEPS is intended to obtain timely national estimates of 

health care use and expenditures, private and public health insurance coverage, and the availability, costs and scope of private 

health insurance benefits. It also develops cost and savings esti-
184 

mates of proposed changes in policy and identifies impact of policy 

changes on payers, providers, and patients. 

PROGRAM SUPPORT

The Committee recommends $2,700,000 for program support. 

This amount is the same as the comparable fiscal year 2006 level 

and the administration request. This activity supports the overall 

management of the agency. 

CENTERS FOR MEDICARE AND MEDICAID SERVICES

GRANTS TO STATES FOR MEDICAID

Appropriations, 2006 .............................................................................$156,954,419,000 

Budget estimate, 2007 ........................................................................... 138,072,248,000 

House allowance .................................................................................... 138,072,248,000 

Committee recommendation ................................................................. 138,072,248,000 

The Committee recommends $138,072,248,000 for Grants to 

States for Medicaid. This amount is $18,882,171,000 below than 

the fiscal year 2006 appropriation and the same as the administration’s request and House allowance. This amount excludes 

$62,783,825,000 in fiscal year 2006 advance appropriations for fiscal year 2007. In addition, $65,257,617,000 is provided for the first 

quarter of fiscal year 2008, as requested by the administration. The 

Federal share of Medicaid outlays is estimated to be 

$199,800,000,000 in fiscal year 2007, an increase of 3.7 percent 

over the estimated gross outlays of $192,700,000,000 for fiscal year 

2006. 

The President’s budget proposes to restrict the ability of schools 

to claim reimbursement for administrative and transportation services for Medicaid enrolled children with disabilities who receive 

early intervention, special education and related services through 

the Individuals with Disabilities Education Act. The Committee is 

very concerned that this proposal will reduce the availability of and 

access to needed health and developmental services for students 

with disabilities and other low-income children with special needs. 

For these children, school is their primary site for healthcare delivery. The Committee directs the Centers for Medicare and Medicaid 

Services to submit a report to the Appropriations Committee no 

later than March 1, 2007, examining the impact of the proposed 

policy change on the availability of services for students with disabilities and other health care needs, participation rates of States 

and school districts in school-based Medicaid claiming and the general impact on the health of children with special needs in rural 

and urban areas. The Committee expects CMS to take no additional action on the proposal until the Committee has received and 

reviewed the report. The Secretary should be prepared to testify on 

this issue at a fiscal year 2008 appropriations hearing. 

The Medicaid program provides medical care for eligible low-income individuals and families. It is administered by each of the 50 

States, the District of Columbia, Puerto Rico, and the territories. 

Federal funds for medical assistance are made available to the 

States according to a formula, which determines the appropriate 

Federal matching rate for State program costs. This matching rate 

is based upon the State’s average per capita income relative to the 
185 

national average, and shall be no less than 50 percent and no more 

than 83 percent. 

PAYMENTS TO HEALTH CARE TRUST FUNDS

Appropriations, 2006 .............................................................................$178,647,200,000 

Budget estimate, 2007 ........................................................................... 197,135,795,000 

House allowance .................................................................................... 197,017,391,000 

Committee recommendation ................................................................. 197,017,931,000 

The Committee recommends $197,017,391,000 for Federal pay- ments to health care trust funds. This amount is $118,404,000 less 

than the administration’s request the same as the House allowance, and is an increase of $18,370,191,000 from the fiscal year 

2006 appropriation. This entitlement account includes the general 

fund subsidy to the Federal Supplementary Medical Insurance 

Trust Fund for Medicare part B benefits and for Medicare part D 

drug benefits and administration, plus other reimbursements to the 

Federal Hospital Insurance Trust Fund for part A benefits and related administrative costs that have not been financed by payroll 

taxes or premium contributions. The Committee has provided 

$139,351,000,000 for the Federal payment to the Supplementary 

Medical Insurance Trust Fund. This payment provides matching 

funds for premiums paid by Medicare part B enrollees. This 

amount is the same as the administration’s request and is 

$10,431,000 more than the fiscal year 2006 amount. The Committee further provides $56,574,000,000 for the general fund share 

of benefits paid under Public Law 108–173, the Medicare Prescription Drug, Improvement and Modernization Act of 2003. The Committee includes bill language requested by the administration providing indefinite authority for paying the General Revenue portion 

of the part B premium match and provides resources for the part 

D drug benefit program in the event that the annual appropriation 

is insufficient. The recommendation also includes $239,000,000 for 

hospital insurance for the uninsured. This amount is the same as 

the administration’s request and is $37,000,000 more than the fiscal year 2006 amount. The Committee also recommends 

$229,000,000 for Federal uninsured benefit payment. This payment 

reimburses the Hospital Insurance Trust Fund for the cost of benefits provided to Federal annuitants who are eligible for Medicare. 

This amount is the same as the administration’s request and an increase of $23,000,000 over the fiscal year 2006 level, reflecting an 

increase on the number of covered individuals who are currently 

enrolled. The Committee recommendation includes $153,000,000 to 

be transferred to the Hospital Insurance Trust Fund as the general 

fund share of CMS Program Management administrative expenses. 

This amount is the same as the administration’s request and is 

$11,000,000 less than the fiscal year 2006 amount. The Committee 

recommendation also includes $453,319,000 to be transferred to the 

Supplementary Insurance Trust Fund as the general fund share of 

part D administrative expenses. This amount is the same as the 

administration’s request. The recommendation also provides 

$18,000,000 for State low-income determination activities through 

the prescription drug account. This amount is the same as the administration’s request and is $81,100,000 less than the 2006 

amount. The Committee recommendations does not include reim-
186 

bursement to the Health Care Fraud and Abuse Control [HCFAC] 

fund, since the Committee did not fund this new account, for which 

$118,404,000 was requested; the House likewise did not fund this 

account. 

PROGRAM MANAGEMENT

Appropriations, 2006 ............................................................................. $3,119,818,000 

Budget estimate, 2007 ........................................................................... 3,148,402,000 

House allowance .................................................................................... 3,153,547,000 

Committee recommendation ................................................................. 3,149,250,000 

The Committee recommends $3,149,250,000 for CMS program 

management, which is $848,000 more than the amount requested 

by the administration, $4,297,000 less than the House allowance, 

and $29,432,000 more than the fiscal year 2006 enacted level. 

Research, Demonstrations, and Evaluations 

The Committee recommends $57,376,000 for research, demonstrations, and evaluation activities. This amount is $15,848,000 

more than the budget request, and $44,000 less than the 2006 

level. 

CMS research and demonstration activities facilitate informed, 

rational Medicare and Medicaid policy choices and decision making. 

These studies and evaluations include projects to measure the impact of Medicare and Medicaid policy analysis and decision making, 

projects to measure the impact of Medicare and Medicaid on health 

care costs, projects to measure patient outcomes in a variety of 

treatment settings, and projects to develop alternative strategies 

for reimbursement, coverage, and program management. 

The Committee has included $10,000,000 for Real Choice Systems Change Grants for Community Living to States to fund initiatives that establish enduring and systemic improvements in longterm services and supports. 

The Committee appreciates the efforts of the Centers for Medicare and Medicaid Services in supporting a rural health interdisciplinary training demonstration project in Hilo, Hawaii. This 

project avails the opportunity to reduce health disparities and improve access to culturally appropriate health care for Native Hawaiians and underserved populations. 

The Committee requests the Centers for Medicare and Medicaid 

Services consider waivers for rural and/or isolated area demonstration projects when calculating such requirements as population 

density in Hawaii. 

The Committee urges the Centers for Medicare and Medicaid 

Services to avail reimbursement for services delivered in federally 

qualified health centers to Native Hawaiians in the same manner 

as it does for American Indians and Alaskan Natives. 

The Committee is aware that senior citizens constitute a larger 

proportion of the United States rural resident population and in 

such rural areas, the availability of primary health care professionals and specialized services for seniors are more austere. The 

Committee recommends that the Centers for Medicare and Medicaid Services consider funding projects with a focus on rural 

healthcare, specifically those serving the elderly and minority pop-
187 

ulations such as Native Hawaiians, Native Alaskans, and Native 

Americans. 

The Committee commends CMS for expanding the Quality of Life 

Demonstration project to include oral chemotherapy regimens in its 

data collection on this project. The inclusion of oral chemotherapy 

regimes 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 reduction for fatigue. CMS’ action to expand the demonstrations project will provide important data on all anti-cancer 

regimens and its impact on patients’ quality of life. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Amount 

Allied Services, Clarks Summit, PA for stabilizing the workforce for patient care .......................................... $291,000 

Berwick Hospital Center, Berwick, PA for stabilizing the workforce for patient care ...................................... 177,000 

Bloomsburg Hospital, Bloomsburg, PA for stabilizing the workforce for patient care ..................................... 115,000 

Community Medical Center, Scranton, PA for stabilizing the workforce for patient care ............................... 530,000 

Divine Providence Hospital, Williamsport, PA for stabilizing the workforce for patient care .......................... 144,000 

Geisinger Wilkes-Barre, Wilkes-Barre, PA for stabilizing the workforce for patient care ................................ 296,000 

Geisinger Wyoming Valley Medical Center, Wilkes-Barre, PA for stabilizing the workforce for patient care .. 246,000 

Hazleton General Hospital, Hazleton, PA for stabilizing the workforce for patient care .................................. 170,000

Inglis Foundation, Philadelphia, PA, for healthcare and social services for low-income adults with severe 

physical disabilities in an effort to promote independent living ................................................................. 100,000 

Marian Community Hospital, Carbondale, PA for stabilizing the workforce for patient care .......................... 140,000 

Memorial Hospital of Rhode Island, Pawtucket, RI Study of Mercury Exposure Among Newborns .................. 100,000 

Mercy Hospital, Scranton, PA for stabilizing the workforce for patient care ................................................... 450,000 

Mosaic, Des Moines, IA, for the Iowa Community Integration Project .............................................................. 350,000 

Moses Taylor Hospital, Scranton, PA for stabilizing the workforce for patient care ........................................ 400,000 

Patient Advocacy Foundation, Newport News, VA, to provide financial assistance to qualified insured patients .............................................................................................................................................................. 200,000 

Patient Services, Incorporated, Midlothian, VA, to administer a patient premium assistance and case 

management demonstration for Medicare and Medicaid eligible individuals with chronic diseases ........ 200,000 

Saint Joseph Medical Center, Hazleton, PA for stabilizing the workforce for patient care ............................. 172,000 

State Health Insurance Program through the Utah Division of Aging and Adult Services, Salt Lake City, UT 

to supplement funding for SHIP training to assist seniors with Medicare part D choices ........................ 100,000 

Tyler Memorial Hospital, Tunkhannock, PA for stabilizing the workforce for patient care .............................. 100,000 

University of Mississippi, Oxford, MS, Medication Use and Outcomes Research Group .................................. 500,000 

Williamsport Hospital & Medical Center, Williamsport, PA for stabilizing the workforce for patient care ..... 481,000 

Wyoming Valley Health Care System, Wilkes-Barre, PA for stabilizing the workforce for patient care ........... 586,000 

Medicare Operations 

The Committee recommends $2,130,208,000 for Medicare operations, which is $15,000,000 less than the House allowance and the 

amount requested by the administration, and $13,034,000 less then 

fiscal year 2006 enacted level. This $15,000,000 reduction, due to 

tight budget constraints should not be taken from the already reduced request for Medicare contractor fee-for-service operations. 

The Medicare operations line item covers a broad range of activities including claims processing and program safeguard activities 

performed by Medicare contractors. These contractors also provide 

information, guidance, and technical support to both providers and 

beneficiaries. In addition, this line item includes a variety of 

projects that extend beyond the traditional fee-for-service arena. 
188 

The Committee recommends that not less than $30,000,000 be 

made available for the State Health Insurance Counseling Program. SHIPs provide one-on-one counseling to beneficiaries on complex Medicare-related topics, including Medicare entitlement and 

enrollment, health plan options, prescription drug benefits, 

Medigap and long-term care insurance, and Medicaid. 

The Committee recommends that $48,960,000 be made available 

for obligation over a 2-year period ending September 30, 2007, for 

contract costs pursuant to the development of the Healthcare Integrated General Ledger Accounting System [HIGLAS]. 

The Committee recommendation retains bill language providing 

authority to obligate additional funds for increases in claims volumes above budgeted values; neither the budget request nor House 

allowance recommended continuing this proviso, carried in last 

year’s bill. 

The Committee recognizes that CMS has initiated some commendable community-based activities for an education and outreach program directed towards dual-eligible persons with mental 

impairments, and encourages that additional efforts be directed to 

one-on-one pharmaceutical benefits counseling through communitybased organizations and safety net community mental health centers to help with part D enrollment. 

State Survey and Certification 

The Committee recommends $283,524,000, the budget estimate 

and House allowance, for Medicare State survey and certification 

activities, which is $25,396,000 more than the fiscal year 2006 

level. 

Survey and certification activities ensure that institutions and 

agencies providing care to Medicare and Medicaid beneficiaries 

meet Federal health, safety, and program standards. On-site surveys are conducted by State survey agencies, with a pool of Federal 

surveyors performing random monitoring surveys. 

Federal Administration 

The Committee recommends $655,377,000 for Federal administration costs, which is the same as the budget request and House 

allowance and an increase of $18,312,000 over the fiscal year 2006 

level. This funding level allows for fixed cost increases associated 

with the requested staffing level of 4,531 full-time equivalent positions, 29 fewer than the fiscal year 2006 level. 

The Committee recommends continuing the Healthy Start, Grow 

Smart program, which disseminates informational brochures to 

new Medicaid-eligible mothers. These brochures are distributed at 

the time of birth, then monthly over the first year of each child’s 

life. Each publication focuses on activities that stimulate infant 

brain development and build the skills these children need to be 

successful in school. In addition to these educational suggestions, 

Healthy Start pamphlets include vital health and safety information for new parents. 

The Committee is very pleased with the demonstration project at 

participating sites licensed by the Program for Reversing Heart 

Disease and encourages its continuation. The Committee further 
189 

urges CMS to continue with the demonstration project being conducted at the Mind Body Institute of Boston, Massachusetts. 

The Committee urges the Centers for Medicare and Medicaid 

Services to consider waivers for rural or isolated area demonstration projects when calculating such requirements as population 

density in the State of Hawaii. 

The Committee urges CMS to provide for reimbursement for 

services rendered to Native Hawaiians in federally qualified health 

centers in the same manner that it currently does for American Indians and Alaskan Natives. Further, the Committee requests a report on this matter by next year’s budget hearings. 

The Committee recognizes that rural residents account for 25 

percent of the general population in the United States with a disproportionate number of them being seniors. Additionally, 67 percent of the country’s primary care health professional shortage 

areas are located in rural areas and access to specialized care is 

limited for seniors. The Committee urges CMS to consider funding 

projects with a focus on rural healthcare, specifically those serving 

minority populations such as Native Hawaiians, Native Alaskans, 

and Native Americans. 

The Committee recognizes that the Centers for Medicare and 

Medicaid Services has denied requests by community hospitals to 

be designated as Sole Community Hospitals on the basis that they 

are within 25 miles of the nearest like hospital. CMS has measured 

these distances by determining the absolute shortest distance between these hospitals even if the routes may be obscure, unknown, 

and unused by emergency vehicles. As such, the Committee recommends that when making SCH eligibility determinations, CMS 

calculate the distance between hospitals using improved roads 

which (1) are maintained by a local, State or Federal Government 

entity for use by the general public and (2) represent the most expeditious and accessible routes between hospitals as designated by 

State Departments of Transportation in accordance with the Manual on Uniform Traffic Control Devices for Streets and Highways 

[MUTCD] as published by the Federal Highway Administration. 

The Committee expects CMS to review a pending report prepared 

by HRSA on the healthcare workforce as well as other relevant research, in order to develop recommendations 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 concerned that patients suffering from endstage renal disease [ESRD] are offered the proper modality for the 

best medical outcome and the highest quality of life. The U.S. 

Renal Data System [USRDS] reports that hemodialysis is dominant 

across the country, while the use of peritoneal dialysis is growing, 

but in a minority of regions. In addition, USDRS reports that prevalent rates of transplantation have grown more in some areas of 

the country than others. The Committee is particularly concerned 

about factors which may be influencing the choice of modality and 

the availability of services to ESRD patients. Given that Medicare 

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 
190 

these patterns and requests CMS to provide the Committee with 

recommendations to ensure public health policies, in the form of reimbursement rates, public health services, research or other activities related to ESRD, give priority to positive medical outcomes and 

quality of life for ESRD patients. 

The Committee urges CMS to consider a new Medicare benefit 

category for advanced interactive balancing mobility systems and 

to issue a National Coverage Determination to provide for Medicare 

reimbursement for such interactive balancing mobility systems. 

This type of technology allows individuals with disabilities to 

achieve extensive function and mobility in order to live independently. 

The Committee understands that only 40 percent of Medicaid 

Managed Care Organizations [MCO] allow nurse practitioners to 

act as primary care providers. The Committee encourages CMS to 

closely monitor those MCOs that do not utilize these providers and 

actively enforce existing regulations which prohibit discrimination 

against a particular class of healthcare provider. 

The Committee is aware that legislation authorizing direct Medicare reimbursement to nurse practitioners providing reimbursable 

Medicare Services, was passed by Congress and signed into law, effective January 1, 1998. Since that time, nurse practitioners have 

been providing reimbursable care to patients as part B Providers. 

Despite their ability to provide and bill for services rendered in all 

of these areas, they are still unable to refer patients to home 

health or hospice care. The apparent reason is that an expanded 

interpretation of the word ‘‘physician’’ is needed in part A, section 

1814, of the Medicare law in order for home health agencies and 

hospice centers to accept these referrals. The Committee is very 

aware that nurse practitioners have demonstrated the ability to 

provide safe and responsible care to the patients they serve. They 

have expert knowledge that allows them to provide high level assessments of patients needs and recognize when additional care, 

such as home health and hospice care is needed or not needed by 

their patients. The Committee urges CMS to reinterpret the statute that will authorize home health agencies and hospices to accept 

orders from nurse practitioners. 

The Committee is aware of the barriers faced by Asian and Pacific Islander seniors accessing programs such as those contained 

in the Medicare Prescription Drug, Improvement, and Modernization Act and other similar health and social services programs. The 

Committee urges additional focus upon this population, utilizing 

the expertise of organizations such as the National Asian Pacific 

Center on Aging. 

The Committee is concerned about ongoing fraud and abuse in 

the power mobility device/power wheel chair program. CMS has not 

moved quickly enough to adopt accreditation and quality standards 

for suppliers. The Committee believes that these standards will 

help eliminate fraud and abuse by limiting the ability of fraudulent 

suppliers to get provider numbers. The Committee instructs CMS 

to issue accreditation and quality standards at the earliest possible 

date. 

The Committee encourages CMS to conduct a demonstration 

project to identify effective Medication Therapy Management Pro-
191 

gram [MTMP] models for low-income Medicare part D enrollees living with HIV/AIDS. The demonstration project should emphasize 

evidence-based prescribing, prospective medication management, 

technological innovation and outcome reporting. The Committee 

also encourage CMS to work with the States to establish this demonstration project for HIV/AIDS patients. 

The Committee is concerned that the agency has not yet issued 

regulations to implement the Integrated Rural Training Track program as authorized in section 407 (c)(1)(iv) of the Balanced Budget 

Refinement Act of 1999, Public Law 106–113, for graduate physician training in rural areas. Without implementation of the IRTT, 

programs to train family physicians to practice in rural and frontier communities will continue to be unable to meet the requirements for GME programs developed for urban and suburban areas. 

The Committee urges the agency to develop such regulations and 

directs the agency to report back to the Committee on Appropriations on its progress by April 1, 2007. 

Revitalization Plan 

The Committee recommends the budget request and House allowance of $22,765,000 in 2-year budget authority, as the fourthyear investment in CMS’s efforts to make significant improvements 

to key aspects of managing the agency and the Medicare program. 

Funding will target system-related improvements, and continue addressing long-term information technology issues, including Medicare claims processing redesign activities. The Committee urges 

CMS to augment information technology activities utilizing resources available under the Quality Improvement Organization 

program. 

ADMINISTRATION FOR CHILDREN AND FAMILIES

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND

FAMILY SUPPORT PROGRAMS

Appropriations, 2006 ............................................................................. $2,121,643,000 

Budget estimate, 2007 ........................................................................... 2,759,997,000 

House allowance .................................................................................... 2,752,697,000 

Committee recommendation ................................................................. 2,752,697,000 

The Committee recommends $2,752,697,000 be made available in 

fiscal year 2007 for payments to States for child support enforcement and family support programs. The comparable funding level 

for fiscal year 2006 is $2,817,384,700 and the budget request includes $2,759,997,000 for this program. The Committee recommendation provides the full amount requested under current 

law, and an additional $300,000 for repatriation as proposed by the 

administration. The budget request includes a net increase of 

$7,300,000 based on proposed legislation. 

These payments support the States’ efforts to promote the selfsufficiency and economic security of low-income families. These 

funds also support efforts to locate non-custodial parents, determine paternity when necessary, and establish and enforce orders of 

support. The appropriation, when combined with the 

$1,200,000,000 in advance funding provided in last year’s bill, an 

estimated $7,000,000 from offsetting collections, and an estimated 
192 

carryover of $155,465,000, supports a program level of 

$4,115,462,000. 

The Committee also has provided $1,000,000,000 in advance 

funding for the first quarter of fiscal year 2008 for the child support enforcement program, the same as the budget request. 

LOW–INCOME HOME ENERGY ASSISTANCE PROGRAM

Appropriations, 2006 ............................................................................. $2,159,685,000 

Budget estimate, 2007 ........................................................................... 1,782,000,000 

House allowance .................................................................................... 2,111,170,000 

Committee recommendation ................................................................. 2,161,170,000 

The Committee recommends $2,161,170,000 for fiscal year 2007 

for LIHEAP. The comparable funding level for fiscal year 2006 is 

$2,159,685,000, and the budget request includes $1,782,000,000 for 

this program. LIHEAP is made up of two components: the State 

grant program and a contingency fund. The Deficit Reduction Act 

of 2005 (as amended by Public Law 109–204) provided an additional $500,000,000 for the State grant program, and $500,000,000 

for the contingency fund for fiscal year 2006. The Committee recommendation includes $1,980,000,000 for fiscal year 2007 for the State grant program. The comparable funding 

level for fiscal year 2006 is $1,979,725,000 and the budget request 

includes $1,782,000,000 for this program. LIHEAP grants are 

awarded to States, territories, Indian tribes, and tribal organizations to assist low-income households in meeting the costs of home 

energy. States receive great flexibility in how they provide assistance, including direct payments to individuals and vendors and direct provision of fuel. These resources are distributed by formula 

to these entities as defined by statute, based in part on each State’s 

share of home energy expenditures by low-income households. The Committee recommends $181,170,000 for fiscal year 2007 for 

the contingency fund. The comparable funding level for fiscal year 

2006 is $179,960,000 and the budget request did not include any 

regular year funding for this program. The contingency fund may 

be used to provide assistance to one or more States adversely affected by extreme heat or cold, significant price increases, or other 

causes of energy-related emergencies. 

The Committee intends that up to $27,225,000 of the amount 

recommended for LIHEAP for fiscal year 2007 be used for the 

leveraging incentive fund. The fund will provide a percentage 

match to States for private or non-Federal public resources allocated to low-income home energy benefits. 

REFUGEE AND ENTRANT ASSISTANCE

Appropriations, 2006 ............................................................................. $569,432,000 

Budget estimate, 2007 ........................................................................... 614,935,000 

House allowance .................................................................................... 604,329,000 

Committee recommendation ................................................................. 599,935,000 

The Committee recommends $599,935,000 for fiscal year 2007 for 

refugee and entrant assistance. The comparable funding level for 

fiscal year 2006 is $569,432,000 and the budget request includes 

$614,935,000 for this program. 

The Refugee and Entrant Assistance Program is designed to assist States in their efforts to assimilate refugees, asylees, Cuban 
193 

and Haitian entrants, and adults and minors who are trafficking 

victims, into American society as quickly and effectively as possible. The program funds State-administered transitional and medical assistance, the voluntary agency matching grant program, programs for victims of trafficking and torture, employment and social 

services, targeted assistance, and preventive health. Based on an 

estimated refugee admission ceiling of 70,000, this appropriation 

enables States to provide at least 8 months of cash and medical assistance to eligible refugees and entrants, a variety of social and 

educational services, as well as foster care for refugee and entrant 

unaccompanied minors. 

In order to carry out the refugee and entrant assistance program, the Committee recommends $282,333,000 for transitional and medical assistance including State administration and the voluntary 

agency program; $9,816,000 for victims of trafficking; $149,610,000 

for social services; $4,748,000 for preventive health; and 

$48,590,000 for targeted assistance. 

The Committee encourages the efforts of the Department to assist child trafficking victims from remaining trapped in life-threatening situations. However, there is concern that the victims may 

fear being interrogated by law enforcement authorities. The Committee supports efforts made within the jurisdiction of the Department, under the Trafficking Victim Protection Act of 2000, to certify child victims of trafficking as eligible for emergency benefits or 

services, and encourages the Department to facilitate the provision 

of guardians ad litem for child trafficking victims to help ensure 

their access to these. The Committee encourages the Department 

to work with the Department of Justice and/or the Department of 

Homeland Security to ensure that needs of the victims are served 

in the best and most appropriate manner. Funds were not provided 

for a newly authorized trafficking program which would focus on 

domestic victims. 

For unaccompanied children, pursuant to section 462 of the 

Homeland Security Act of 2002, the Committee recommends 

$95,022,000. Funds are provided for the care and placement of unaccompanied alien minors in the Office of Refugee Resettlement. In 

fiscal year 2007 there will be an estimated 11,500 placements for 

unaccompanied alien children apprehended in the United States by 

INS/Homeland Security agents, Border Patrol officers, or other law 

enforcement agencies. This would be an increase of 19.8 percent 

over fiscal year 2006 estimates. Therefore, additional funds have 

been provided for shelter needs, care, hiring of further field staff 

in areas of high apprehension, and to address the increased medical services and administrative costs associated with the sharp 

rise in UAC placements. These children are taken into care pending resolution of their claims for relief under U.S. immigration law 

and released to an adult family member or a responsible adult 

guardian. The Committee did not include additional funds for expanded background checks. 

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 a pro bono representation program as well as a pilot program using child advocates for 

unaccompanied children. For this purpose, the Committee encour-
194 

ages ORR to continue successful pilot programs, and to develop 

programs on a national level including a national list of pro bono 

representatives available to unaccompanied children in Federal 

custody. However, the Committee cautions the Department to ensure that funding priority goes first and foremost to serving the 

primary mission of the program and that no unaccompanied alien 

child’s basic needs are unmet. 

The Committee also recommends $9,816,000 to treat and assist 

victims of torture. These funds may also be used to provide training to healthcare providers to enable them to treat the physical and 

psychological effects of torture. 

Section 412(a)(7) of title IV of the Immigration and Nationality 

Act authorizes the use of funds appropriated under this account to 

be used to carry out monitoring, evaluation, and data collection activities to determine the effectiveness of funded programs and to 

monitor the performance of States and other grantees. 

CHILD CARE AND DEVELOPMENT BLOCK GRANT

Appropriations, 2006 ............................................................................. $2,060,664,000 

Budget estimate, 2007 ........................................................................... 2,062,081,000 

House allowance .................................................................................... 2,062,081,000 

Committee recommendation ................................................................. 2,062,081,000 

The Committee recommends $2,062,081,000 for fiscal year 2007 

for the child care and development block grant. The comparable 

funding level for fiscal year 2006 is $2,060,664,000 and the budget 

request includes $2,062,081,000 for this program. 

The child care and development block grant supports grants to 

States to provide low-income families with financial assistance for 

child care; for improving the quality and availability of child care; 

and for establishing or expanding child development programs. The 

funds are used to both expand the services provided to individuals 

who need child care in order to work, or attend job training or education, and to allow States to continue funding the activities previously provided under the consolidated programs. 

The Committee recommendation continues specific earmarks in 

appropriations language, also included in the budget request, that 

provide targeted resources to specific policy priorities including 

$18,777,370 for the purposes of supporting before and afterschool 

services, as well as resource and referral programs. This represents 

the Federal commitment to the activities previously funded under 

the dependent care block grant. The Committee expects that these 

funds will not supplant current funding dedicated to resource and 

referral and school age activities provided by the child care and development block grant. The Committee strongly encourages States 

to continue to address the matters of before and afterschool care 

and the establishment of resource and referral programs with the 

funds provided in this program. 

The Committee recommendation includes an additional 

$267,785,718 for child care quality activities, and sets aside 

$98,208,000 specifically for an infant care quality initiative. These 

funds are recommended in addition to the 4 percent quality earmark established in the authorizing legislation. The Committee has 

provided these additional quality funds because of the considerable 

research that demonstrates the importance of serving children in 
195 

high quality child care settings which include nurturing providers 

who are educated in child development and adequately compensated. While considerable progress has been made, the Committee believes States should continue to invest in education and 

training linked to compensation of the child care workforce in order 

to improve the overall quality of child care. 

The Committee recommendation also provides $9,821,000 for 

child care research, demonstration and evaluation activities. 

The Committee recommendation for resource and referral activities also includes $982,080 to continue support for the National Association of Child Care Resource and Referral Agencies’ information service, Child Care Aware, and the national toll-free information hotline which links families to local child care services and 

programs. 

SOCIAL SERVICES BLOCK GRANT

Appropriations, 2006 1 ........................................................................... $1,700,000,000 

Budget estimate, 2007 ........................................................................... 1,700,000,000 

House allowance .................................................................................... 1,700,000,000 

Committee recommendation ................................................................. 1,700,000,000 

1 Excludes $550,000,000 in emergency supplemental appropriations pursuant to Public Law 

109–324. 

The Committee recommends $1,700,000,000 for fiscal year 2007 

for the social services block grant. The comparable funding level for 

fiscal year 2006 is $1,700,000,000 and the budget request includes 

$1,700,000,000 for this program. The Committee rejects the administration’s proposed bill language to lower the authorized funding 

level stipulated in section 2003(c) of the Social Security Act to 

$1,200,000,000. 

CHILDREN AND FAMILIES SERVICES PROGRAMS

Appropriations, 2006 1 ........................................................................... $8,841,756,000 

Budget estimate, 2007 ........................................................................... 8,238,602,000 

House allowance .................................................................................... 8,652,666,000 

Committee recommendation ................................................................. 8,856,185,000 

1 Excludes $90,000,000 in emergency supplemental appropriations pursuant to Public Law 

109–234. 

The Committee recommends $8,856,185,000 for fiscal year 2007 

for children and families services programs. The comparable funding level for fiscal year 2006 is $8,841,756,000 and the budget request includes $8,238,602,000 for this program. In addition, 

$10,500,000 in transfers are available under section 241 of the 

Public Health Service Act. 

This appropriation provides funding for programs for children, 

youth, and families, the developmentally disabled, and Native 

Americans, as well as Federal administrative costs. 

Head Start 

The Committee recommends $6,788,571,000 for fiscal year 2007 

for Head Start. The comparable funding level for fiscal year 2006 

is $6,784,862,000 and the budget request includes $6,785,771,000 

for this program. The Committee recommendation includes 

$1,388,800,000 in advance funding that will become available on 

October 1, 2007. 
196 

Head Start provides comprehensive development services for lowincome children and families, emphasizing cognitive and language 

development, socioemotional development, physical and mental 

health, and parent involvement to enable each child to develop and 

function at his or her highest potential. At least 10 percent of enrollment opportunities in each State are made available to children 

with disabilities. 

The Committee understands the serious need for additional and 

expanded Head Start facilities among Native American populations 

and in rural areas. The Committee believes that the Department 

could help serve these needy communities by providing minor construction funding, as authorized, in remote Native American communities. 

The Committee is concerned that the funds available pursuant to 

section 640(a)(2) might not be achieving their full potential to serve 

American Indian/Alaska Native Head Start. These funds are used 

for Indian Head Start programs; Migrant and Seasonal Head Start 

programs and services for children with disabilities; funding programs in several Trust Territories; training and technical assistance activities; discretionary payments by the Secretary; and research, demonstration and evaluation activities. The Committee requests that the Secretary of Health and Human Services shall include in the annual congressional budget justification, detailed information on the proposed and actual use of these funds. 

The Committee is aware that in May 2005, the Secretary made 

$35,000,000 in additional fiscal year 2005 funds available to Migrant and Seasonal Head Start programs and that these funds, 

which will be awarded on competitive basis, will allow for at least 

4,000 additional children to access Migrant and Seasonal Head 

Start. The Committee is concerned that while $35,000,000 in fiscal 

year 2005 expansion funds were made available to Migrant and 

Seasonal Head Start Programs to serve additional migrant children, those funds were not released until July 2006 despite the fact 

that funding applications were submitted in July 2005. The Committee is troubled by this delay. 

The Committee requests that ACF brief the Committee, not later 

than 60 days after the enactment of this act, on plans for ensuring 

that a greater percentage of eligible migrant and seasonal children 

have access to Migrant and Seasonal Head Start and for providing 

any future funds to Migrant and Seasonal Head Start grantees in 

a timely manner. The Committee continues to point to the 2001 

study published by the U.S. Department of Health and Human 

Services which documented that only 19 percent of eligible children 

were able to access Migrant and Seasonal Head Start. Funding for 

Migrant and Seasonal Head Start as a percentage of the overall 

Head Start budget has not increased since this study was released 

in 2001. The Committee encourages ACF to consider the fiscal year 

2005 funds part of the baseline to the extent that there is a demonstrated need. 

The Head Start Bureau shall continue to provide the Committee 

with the number and cost of buses purchased, by region with Head 

Start in the annual congressional budget justification. 
197 

Consolidated Runaway and Homeless Youth Program 

The Committee recommends $87,837,000 for fiscal year 2007 for 

the consolidated runaway and homeless youth program. The comparable funding level for fiscal year 2006 is $87,777,000 and the 

budget request includes $87,837,000 for this program. This program was reauthorized under the Runaway, Homeless, and Missing Children Protection Act of 2003. In this reauthorization a statutory formula was established to distribute funds between the 

Basic Center Program and the Transitional Living Program. 

This program addresses the crisis needs of runaway and homeless youth and their families through support to local and State 

governments and private agencies. Basic centers and transitional 

living programs help address the needs of some of the estimated 

1.3 to 2.8 million runaway and homeless youth, many of whom are 

running away from unsafe or unhealthy living environments. These 

programs have been proven effective at supporting positive youth 

development, securing stable and safe living arrangements and 

providing the skills required to engage in positive relationships 

with caring adults and contribute to society. 

The Committee is discouraged by the administration’s proposed 

voucher system for pregnant and parenting youth. This use of 

funds is not specifically authorized, and there are no demonstrated 

cases of youth being refused services due to their condition. Rather 

than dividing funds for this important subpopulation of homeless 

youth, the Committee directs the Secretary to continue to monitor 

and ensure that current and future TLP grantees will continue to 

provide transitional living opportunities and support to pregnant 

and parenting homeless youth, as is their current practice. 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. 

Runaway Youth Prevention Program 

The Committee recommends $15,027,000 for fiscal year 2007 for 

the runaway youth prevention program. The comparable funding 

level for fiscal year 2006 is $15,017,000 and the budget request includes $15,027,000 for this program. This is a discretionary grant 

program open to private nonprofit agencies for the provision of 

services to runaway, homeless, and street youth. Funds may be 

used for street-based outreach and education, including treatment, 

counseling, provision of information, and referrals for these youths, 

many of whom have been subjected to, or are at risk of being subjected to, sexual abuse. The goal of this program is to help young 

people leave the streets. 

Child Abuse Programs 

The Committee recommends $96,967,000 for fiscal year 2007 for 

child abuse programs. The comparable funding level for fiscal year 

2006 is $95,151,000 and the budget request includes $95,217,000 

for this program. The recommendation includes $27,007,000 for 
198 

State grants, $27,530,000 for discretionary activities, and 

$42,430,000 for community-based child abuse prevention. 

These programs seek to improve and increase activities at all levels of government which identify, prevent, and treat child abuse 

and neglect through State grants, technical assistance, research, 

demonstration, and service improvement. 

Within the funds provided for child abuse discretionary activities, 

the Committee includes funding for the following items: 

Amount 

Boys and Girls Town of Missouri, St. James, MO to expand services to children suffering from abuse and 

neglect ........................................................................................................................................................... $500,000 

Catholic Community Services of Juneau, AK to continue operations at its Family Resource Center for child 

abuse prevention and treatment ................................................................................................................... 400,000 

Family Communications, Inc., Pittsburgh, PA, for child abuse prevention programs ...................................... 100,000 

Family Resource Center, St. Louis, Missouri for a child abuse recovery initiative .......................................... 150,000 

Northampton County, Easton, PA, for child abuse treatment programs .......................................................... 100,000 

State of Alaska Department of Health and Social Services, Office of Children’s Services, statewide, to 

continue its Healthy Families Alaska home visitation program ................................................................... 500,000 

Abandoned Infants Assistance 

The Committee recommends $11,835,000 for fiscal year 2007 for 

abandoned infants assistance. The comparable funding level for fiscal year 2006 is $11,827,000 and the budget request includes 

$11,835,000 for this program. 

This program provides grants to public and private nonprofit 

agencies, State and county child welfare agencies, universities, and 

community-based organizations to develop, implement, and operate 

demonstration projects that will prevent the abandonment of infants and young children, especially those impacted by substance 

abuse and HIV and who are at-risk of being or are currently abandoned. By providing respite care for families and care givers and 

assisting abandoned infants and children to reside with their natural families or in foster care. 

Child Welfare Services 

The Committee recommends $286,753,000 for fiscal year 2007 for 

child welfare services. The comparable funding level for fiscal year 

2006 is $286,556,000 and the budget request includes $286,753,000 

for this program. 

This program helps State public welfare agencies improve their 

child welfare services with the goal of keeping families together. 

State services include: preventive intervention, so that, if possible, 

children will not have to be removed from their homes; reunification so that children can return home; and development of alternative placements like foster care or adoption if children cannot remain at home. These services are provided without regard to income. 

Child Welfare Training 

The Committee recommends $7,335,000 for fiscal year 2007 for 

child welfare training. The comparable funding level for fiscal year 

2006 is $7,330,000 and the budget request includes $7,335,000 for 

this program. 
199 

Under section 426, title IV–B of the Social Security Act, discretionary grants are awarded to public and private nonprofit institutions of higher learning to develop and improve education/training 

programs and resources for child welfare service providers. These 

grants upgrade the skills and qualifications of child welfare workers. 

Adoption Opportunities 

The Committee recommends $26,848,000 for fiscal year 2007 for 

adoption opportunities. The comparable funding level for fiscal year 

2006 is $26,830,000 and the budget request includes $26,848,000 

for this program. 

This program eliminates barriers to adoption and helps find permanent homes for children who would benefit by adoption, particularly children with special needs. 

Adoption Incentives 

The Committee recommends $29,654,000 for fiscal year 2007 for 

adoption incentives. The comparable funding level for fiscal year 

2006 is $17,808,000 and the budget request includes $29,654,000 

for this program. 

The purpose of this program is to provide incentive funds to 

States to encourage an increase in the number of adoptions of children from the public foster care system. These funds are used to 

pay States bonuses for increasing their number of adoptions. The 

appropriation allows incentive payments to be made for adoptions 

completed prior to September 30, 2007. 

Adoption Awareness 

The Committee recommends $12,674,000 for fiscal year 2007 for 

adoption awareness. The comparable funding level for fiscal year 

2006 is $12,665,000 and the budget request includes $12,674,000 

for this program. 

This program was authorized in the Children’s Health Act of 

2000. The program consists of two activities: the Infant Adoption 

Awareness Training Program and the Special Needs Awareness 

Campaign. The Infant Adoption Awareness Training Program provides grants to support adoption organizations in the training of 

designated health staff, in eligible health centers that provide 

health services to pregnant women, to inform them about adoption 

and make referrals on request on an equal basis with all other 

courses of action. Within the Committee recommendation, 

$9,728,000 is available for this purpose. 

The Special Needs Adoption Campaign supports grants to carry 

out a national campaign to inform the public about the adoption of 

children with special needs. The Committee recommendation includes $2,946,000 to continue this important activity. 

Compassion Capital Fund 

The Committee recommends $54,549,000 for fiscal year 2007 for 

the compassion capital fund. The comparable funding level for fiscal year 2006 is $64,306,000 and the budget request includes 

$100,000,000 for this program. 
200 

The Committee expects funds made available through this program to supplement and not supplant private resources and continues to encourage the Secretary to require private resources to 

match grant funding provided to public/private partnerships. 

The goal of this program is to help faith-based and community 

organizations maximize their social impact as they provide services 

to those most in need. To accomplish this goal the Compassion 

Capital Fund administers three discretionary grant programs: a 

demonstration program which provides funding to intermediary organizations to provide training and technical assistance in capacity 

building and to provide financial support; a program to fund capacity-building activities; and a capacity-building program for the 

Helping America’s Youth Imitative which focuses on connecting atrisk youth with family, school and their community, with specific 

emphasis on organizations that serve areas with significant gang 

activity. 

Social Services Research 

The Committee recommends $22,123,000 for fiscal year 2007 for 

social services research. The comparable funding level for fiscal 

year 2006 is $11,864,000 and the budget request includes 

$6,000,000. 

The Committee has funded $6,000,000 of this program through 

transfers available under section 241 of the Public Health Service 

Act. These funds support cutting-edge research and evaluation 

projects in areas of critical national interest. Research includes determining services that are more cost effective and alternative 

ways to increase the economic independence of American families. 

The Committee notes ACF’s efforts to assist States with meeting 

the extensive recordkeeping, reporting and tracking requirements 

of the TANF program. Working through the State Information 

Technology Consortium, ACF has successfully provided States with 

the tools necessary to strengthen and improve the complex IT systems required to support TANF. The recently enacted TANF reauthorization, however, requires States to put in place new systems 

and processes to more closely monitor and verify work participation 

rates, track and verify hours of work, and determine who is a 

work-eligible individual. The Committee recommends that ACF 

continue this successful partnership, and has provided $2,000,000 

to develop, in collaboration with the States, a performance measurement capability, along with the required new processes and 

technologies necessary for States to comply with the new TANF requirements. Similarly, while the Child Support Enforcement program continues to make gains in enforcing child support orders, 

child support collections reached $23,000,000,000 in 2005 while 

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 Government 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 
201 

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 efforts continue, and has provided $3,000,000 for this purpose. 

The Committee is aware that interstate collection of child support is often difficult and notes that a disproportionate amount of 

the uncollected support dollars are associated with these cases. The 

Committee urges ACF to utilize its authority under section 1115 

and section 452(j) of the Social Security Act to expand current demonstration projects involving the co-location of State staffs to address this issue. 

Within the funds provided for child abuse discretionary activities, 

the Committee includes funding for the following items: 

Amount 

A∂ For Abstinence, Waynesboro, PA for abstinence education and related services .................................... $100,000 

Alaska Children’s Services, in Anchorage Alaska, for a program to serve low income youth ........................ 250,000 

Alaska Statewide Independent Living Council, Inc. to continue and expand its Personal Care Attendant 

Program and to expand outreach efforts to the disabled living in rural Alaska ........................................ 300,000 

Allegheny County of Human Services, Pittsburgh, PA, for anti-gang programs targeting at-risk youth ........ 100,000 

Anchorage’s Promise of Anchorage, AK to implement America’s Promise child mentoring and support program in Anchorage ........................................................................................................................................ 100,000 

Anna Maria College, Paxton, MA, for program development at the Molly Bish Center for the Protection of 

Children and the Elderly ............................................................................................................................... 100,000 

Best Friends Foundation, Washington, DC, to expand a national network of school-based programs which 

reduce risk behavior and increase physical and emotional well-being of adolescents to Erie and Pittsburgh ............................................................................................................................................................. 200,000 

Big Brothers/Big Sisters, statewide, in partnership with AK Dept. of Education, the Boys and Girls Club 

and Cook Inlet Tribal Council for a comprehensive mentoring program for at-risk children through 

Alaska schools and communities .................................................................................................................. 300,000 

Boston Medical Center, Boston, MA, for the continued development and operation of the Children’s AIDS 

project in Mattapan, MA ............................................................................................................................... 210,000 

Catholic Family Center, Rochester, NY, for the Kinship Caregiver Resource Network ..................................... 250,000 

Catholic Social Services, Wilkesbarre, PA for abstinence education and related services .............................. 100,000 

Child Care Resource and Referral Network, Tacoma, WA, for a child care quality initiative ......................... 750,000 

Children’s Home Society of Idaho, for the Bridge—Homes for Children Project to place Idaho children in 

care in loving foster families ........................................................................................................................ 250,000 

City of Chester, Bureau of Health, Chester, PA for abstinence education and related services .................... 100,000 

Crozer Chester Medical Center, Upland, PA for abstinence education and related services .......................... 100,000 

Darkness to Light, Charleston, SC to develop an online training and certification program to prevent child 

sexual abuse .................................................................................................................................................. 500,000 

Dauphin County Social Services for Children & Youth, Harrisburg, PA to expand Family Group Conferencing program for children in Dauphin County .......................................................................................... 200,000 

Esperanza USA, Philadelphia, PA to increase the social infrastructure in Pennsylvania’s Hispanic communities by awarding competitively bid sub-grants to Pennsylvania Hispanic faith- and community-based 

agencies for service delivery and capacity building .................................................................................... 200,000 

Fathers and Families Center, Indianapolis, IN, for supportive services for fathers ........................................ 100,000 

Fathers’ Support Center, St. Louis, Missouri to provide noncustodial fathers with personal development, 

communication and relationship building skills .......................................................................................... 200,000 

Friends Association for Care and Protection of Children, North Church, PA for programs to provide safe, 

secure housing for children through an emergency shelter for families, transitional housing, specialized foster care and adoption programs ...................................................................................................... 200,000 

George Washington Carver Community Center, Norristown, PA for abstinence education and related services ................................................................................................................................................................ 100,000 

Greater Calvary Community Development Corporation, Erie, PA to develop program to support children of 

families trying to reconnect after prison and/or addiction .......................................................................... 100,000 

Guidance Center, Ridgeway, PA for abstinence education and related services ............................................. 100,000

Heart Beat, Millerstown, PA for abstinence education and related services ................................................... 100,000 

Hope Village for Children, Meridian, MS to expand the existing program that provides shelter and therapeutic group care for foster children ............................................................................................................ 150,000 
202 

Amount 

Horizons for Homeless Children, Boston, MA, for mentoring, educational, and social development programs for homeless youth ............................................................................................................................. 170,000 

Hudson Perinatal Consortium, Jersey City, NJ, for a motherhood initiative in the Puerto Rican population, 

including prenatal care, support for healthy birth outcomes throughout pregnancy and for six weeks 

postpartum .................................................................................................................................................... 100,000 

Human Resources Center, Inc., Honesdale, PA and Friendship House, Scranton, PA to expand job training 

programs and expand mental/behavioral health services for underserved children and families ............. 100,000 

Keystone Central School District, Mill Hall, PA for abstinence education and related services ..................... 100,000 

Keystone Economic Development Corporation, Johnstown, PA for abstinence education and related services 100,000 

La Comunidad Hispana, Kennett Square, PA for a gang-reduction program aimed at providing high-risk 

youth with academic, vocational and social skills ...................................................................................... 100,000 

Lackawanna Trail School District, Factoryville, PA for abstinence education and related services ................ 100,000 

LaSalle University, Philadelphia, PA for abstinence education and related services ...................................... 110,000

Mercy Hospital of Pittsburgh, Pittsburgh, PA for abstinence education and related services ........................ 110,000 

My Choice Inc., Athens, PA for abstinence education and related services .................................................... 100,000 

National Center for Adoption Law and Policy (NCALP) at Capital University Law School, Columbus, OH, for 

the Ohio Adoption Preservation Initiative ..................................................................................................... 255,000 

National Fatherhood Initiative, Gaithersburg, MD to improve the well being of children by increasing the 

proportion who grow up with involved, responsible, and committed fathers .............................................. 100,000 

Neighborhood United Against Drugs, Philadelphia, PA for abstinence education and related services ......... 135,000 

New Brighton School District, New Brighton, PA for abstinence education and related services ................... 100,000 

Northeast Guidance Center, Detroit, MI, for the Family Life Center project .................................................... 125,000 

Nueva Esperanza, Philadelphia, PA for abstinence education and related services ....................................... 100,000 

Partners for Healthier Tomorrows, Ephrata, PA for abstinence education and related services ..................... 100,000 

Potter County Education Council, Coudersport, PA to assist single parents, teen parents and homemakers 

in acquiring skills needed to enter the workforce ........................................................................................ 100,000 

Preble Street Resource Center, Portland, ME to support and expand the Home for Good project to assist 

chronically homeless individuals achieve permanent housing and stability ............................................... 200,000 

Rape & Victim Assistance Center of Schuylkill County, Pottsville, PA for abstinence education and related 

services .......................................................................................................................................................... 100,000 

Real Alternatives, Harrisburg, Pennsylvania to expand crisis pregnancy and parenting support services in 

Pennsylvania .................................................................................................................................................. 150,000 

Real Commitment, Gettysburg, PA for abstinence education and related services ......................................... 100,000 

School District of Lancaster, Lancaster, PA for abstinence education and related services .......................... 100,000 

School District of Philadelphia, Philadelphia, PA for abstinence education and related services .................. 100,000 

Shepherd’s Maternity House, Inc, Stroudsburg, PA for abstinence education and related services ............... 100,000 

Southeast Alaska Independent Living, in South East Alaska, to continue programs to assist disabled 

Alaskans who live independently .................................................................................................................. 200,000 

Southwest Council of Governments, Silver City, NM, to develop a nontraditional child care program in 

Grant County .................................................................................................................................................. 200,000 

To Our Children’s Future with Health, Inc, Philadelphia, PA for abstinence education and related services 110,000 

Together as Adoptive Parents, Inc. (TAP), Harleysville, PA to provide support to adoptive, foster and kinship families .................................................................................................................................................. 100,000 

Tuscarora Intermediate Unit, McVeytown, PA for abstinence education and related services ........................ 100,000 

Union-Snyder Community Action Agency, Selinsgrove, PA to provide learning tools for families to achieve 

economic self-sufficiency .............................................................................................................................. 100,000 

United Christian Ministries Inc., Osceola, PA to provide supportive services for homeless families ............. 100,000 

Urban Family Council, Philadelphia, PA for abstinence education and related services ................................ 360,000 

Victim Resource Center, Franklin, PA for abstinence education and related services .................................... 100,000 

Washington Hospital Teen Outreach, Washington, PA for abstinence education and related services .......... 135,000 

Washington Hospital, Washington, PA, for a mentoring program for at risk boys .......................................... 100,000 

Women’s Opportunities Resource Center, Philadelphia, PA to fund economic education programs for 

women ............................................................................................................................................................ 100,000 

Women’s Care Center, Erie County, Abstinence Advantage, Erie, PA for abstinence education and related 

services .......................................................................................................................................................... 135,000 

York County Human Life Services, York, PA for abstinence education and related services .......................... 100,000 

YWCA of Central New Jersey, for Services to Indigent Women and Families ................................................... 200,000 

Developmental Disabilities 

The Committee recommends $172,623,000 for fiscal year 2007 for 

programs administered by the Administration on Developmental 

Disabilities. The comparable funding level for fiscal year 2006 is 

$170,718,000 and the budget request includes $170,835,000 for 

these programs. Within the funds provided, $156,903,000 is for car-
203 

rying out the Developmental Disability Act, and $15,720,000 is for 

carrying out the Help America Vote Act of 2002. 

The Administration on Developmental Disabilities supports community-based delivery of services which promote the rights of persons of all ages with developmental disabilities. Developmental disability is defined as severe, chronic disability attributed to mental 

or physical impairments manifested before age 22, which causes 

substantial limitations in major life activities. The ADD also administers monies for election assistance for individuals with disabilities. This program is for individuals with any type of disability. Of the funds provided, the Committee recommends $71,771,000 

for State councils. These councils assist each State in promoting 

the development of a comprehensive, statewide, consumer and family-centered system which provides a coordinated array of culturally competent services, and other assistance for individuals 

with development disabilities. State councils undertake a range of 

activities including demonstration of new approaches, program and 

policy analysis, interagency collaboration and coordination, outreach and training. The Committee recommends $38,718,000 for protection and advocacy grants. This formula grant program provides funds to States 

to establish protection and advocacy systems to protect the legal 

and human rights of persons with developmental disabilities who 

are receiving treatment, services, or rehabilitation within the 

State. 

The Committee recommends $15,720,000 for disabled voter services. Of these funds, $11,000,000 is to promote disabled voter access, and the remaining $4,720,000 is for disabled voters protection 

and advocacy systems. The election assistance for individuals with 

disabilities program was authorized in the Help America Vote Act 

of 2002. The program enables an applicant to establish, expand, 

and improve access to, and participation by, any individual with a 

disability in the election process. 

The Committee recommends $11,414,000 for projects of national 

significance to assist persons with developmental disabilities. This 

program funds grants and contracts providing nationwide impact 

by developing new technologies and applying and demonstrating innovative methods to support the independence, productivity, and 

integration into the community of persons with developmental disabilities. The Committee recognizes the potential benefits that assistive technology can have for individuals with developmental disabilities. Of these funds, $5,000,000 is available to expand activities of the Family Support program. The Committee’s placement of 

funds for family support within the Projects of National Significance account does not provide ACF with discretion on this definition of family support as defined in title II of the Developmental 

Disability Act. The Committee makes a crucial distinction between 

support services designed for families of children with disabilities 

and support services designed for an individual with a disability. 

The Committee intends that these funds be used for the support 

and assistance of families of children with disabilities, in accordance with the statute. 

The Committee recommends $35,000,000 for the University Centers for Excellence in Developmental Disabilities [UCEDDs] which 
204 

is a network of 64 centers that are interdisciplinary education, research and public service units of a university system or are public 

or nonprofit entities associated with universities. UCEDDs conduct 

research, develop evidence-based practices and teach thousands of 

parents, professionals, students and people with disabilities about 

critical disability areas such as early intervention, healthcare, community-based services, inclusive and meaningful education, transition from school to work, employment, housing, assistive technology, aging with a disability and transportation. The Centers 

serve as the major vehicle to translate disability-related research 

into community practice and service systems and to train the next 

cohort of future professionals who will provide services and supports to an increasingly diverse population of people with disabilities. 

Native American Programs 

The Committee recommends $44,332,000 for fiscal year 2007 for 

Native American programs. The comparable funding level for fiscal 

year 2006 is $44,302,000 and the budget request includes 

$44,332,000 for this program. 

The Administration for Native Americans [ANA] assists Indian 

tribes and Native American organizations in planning and implementing long-term strategies for social and economic development 

through the funding of direct grants for individual projects, training and technical assistance, and research and demonstration programs. 

Community Services 

The Committee recommends $694,648,000 for fiscal year 2007 for 

the community services programs. The comparable funding level 

for fiscal year 2006 is $694,097,000 and the budget request includes $24,452,000 for this program. 

Within the funds provided, the Committee recommends 

$630,425,000 for the community services block grant [CSBG]. 

These funds are used to make formula grants to States and Indian 

tribes to provide a wide range of services and activities to alleviate 

causes of poverty in communities and to assist low-income individuals in becoming self-sufficient. 

The Committee continues to reject the administration’s recommendation to eliminate the community services block grant 

funding. Although a restrictive Committee allocation prevented 

CSBG funding from being increased, the Committee continues to 

recognize the importance of CSBG and the Community Action 

Agencies it funds in helping meet the extraordinary challenges facing low-income communities. 

The Nation’s Community Action Agency network relies on CSBG 

funding to help initiate and administer programs designed to alleviate poverty. The universal characteristic of these CSBG-funded 

programs is that they provide people with the resources and the 

tools to become self-sufficient. 

In addition, the Committee continues to expect the Office of Community Services to inform the State CSBG grantees of any policy 

changes affecting carryover CSBG funds within a reasonable time 

after the beginning of the Federal fiscal year. 
205 

Several other discretionary programs are funded from this account. Funding for these programs is recommended at the following 

levels for fiscal year 2007: community economic development, 

$32,404,000; individual development accounts, $24,452,000; and 

rural community facilities, $7,367,000. The Committee did not provide funds for the national youth sports or community food and nutrition programs. 

The Committee continues to support strongly the Community 

Economic Development program because of the substantial record 

of achievement that Community Development Corporations have 

compiled in working in distressed urban and rural communities. 

The Committee, in particular, notes that Federal funds leverage 

substantial non-Federal resources in meeting the objectives of this 

program. Therefore, it is the Committee’s intent that appropriated 

funds should be allocated to the maximum extent possible in the 

form of grants to qualified Community Development Corporations 

in order to maximize the leveraging power of the Federal investment and the number and amount of set-asides should be reduced 

to the most minimal levels. These grants are made to private, nonprofit community development corporations, which in turn provide 

technical and financial assistance to business and economic development projects that target job and business opportunities for lowincome citizens. The Committee has included bill language clarifying that Federal funds made available through this program may 

be used for financing construction and rehabilitation, and loans or 

investments in private business enterprises owned by Community 

Development Corporations. 

The Job Opportunities for Low-Income Individuals [JOLI] Program is authorized under the Family Support Act to target community development activities to create jobs for people on public assistance. This demonstration program provides grants on a competitive basis to nonprofit organizations to create new employment 

and business opportunities for TANF recipients and other low-income individuals. Funding also supports technical and financial assistance for private employers that will result in the creation of 

full-time permanent jobs for eligible individuals. The Committee 

recognizes that continued funding of this program would provide 

opportunities for more low-income individuals. The Committee expects that experienced community development corporations be 

given appropriate consideration for grants under this program. 

The Committee has included bill language allocating funding to 

the Office of Community Services for Rural Community Facilities 

Technical Assistance as authorized under section 680(3)(B) of the 

Community Services Block Grant Act. In providing this funding, 

the Committee expects that it be used solely for the purpose of improving water and wastewater facilities in poor, rural communities. 

The Committee is concerned that many small and very small 

community water and wastewater treatment systems might be 

most vulnerable to terrorist attack, and yet least prepared to deal 

with the issue. The Committee urges OCS to continue to support 

RCAP Small Community Infrastructure Safety and Security Training and Technical Assistance project, which provides State, regional and national infrastructure safety and security training 

workshops and on-site technical assistance targeted to small and 
206 

very small community water and wastewater treatment systems. 

The goal of the project is to improve the capacity of small systems 

to better prepare for emergencies, develop emergency preparedness 

training manuals for small water systems, identify appropriate 

technologies to secure such systems, and provide technical assistance to small communities struggling to deal with these issues. 

Domestic Violence Hotline 

The Committee recommends $2,970,000 for fiscal year 2007 for 

the national domestic violence hotline. The comparable funding 

level for fiscal year 2006 is $2,968,000 and the budget request includes $2,970,000 for this program. 

This is a cooperative agreement which funds the operation of a 

national, toll-free, 24-hours-a-day telephone hotline to provide information and assistance to victims of domestic violence. 

Battered Women’s Shelters 

The Committee recommends $124,731,000 for fiscal year 2007 for 

battered women’s shelters program. The comparable funding level 

for fiscal year 2006 is $124,645,000 and the budget request includes $124,731,000 for this program. 

This is a formula grant program to support community-based 

projects which operate shelters and provide related assistance for 

victims of domestic violence and their dependents. Emphasis is 

given to projects which provide counseling, advocacy, and self-help 

services to victims and their children. 

Mentoring Children of Prisoners 

The Committee recommends $40,000,000 for fiscal year 2007 for 

mentoring children of prisoners. The comparable funding level for 

fiscal year 2006 is $49,459,000 and the budget request includes 

$40,000,000 for this program. 

The mentoring children of prisoners program was authorized in 

2001 under section 439 of the Social Security Act. The purpose of 

this program is to help children while their parents are imprisoned 

and includes activities that keep children connected to a parent in 

prison in order to increase the chances that the family will come 

together successfully when the parent is released. As a group, children of prisoners are less likely than their peers to succeed in 

school and more likely to become engaged in delinquent behavior. 

Independent Living Training Vouchers 

The Committee recommends $46,157,000 for fiscal year 2007 for 

independent living training vouchers. The comparable funding level 

for fiscal year 2006 is $46,125,000 and the budget request includes 

$46,157,000 for this program. 

These funds will support vouchers of up to $5,000 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 

and contribute productively to society. Studies have shown that 

25,000 youths leave foster care each year at age 18 and just 50 percent will have graduated from high school, 52 percent will be unemployed and 25 percent will be homeless for one or more nights. 
207 

Abstinence Education 

The Committee recommends $113,400,000 for fiscal year 2007 for 

community-based abstinence education. The comparable funding 

level for fiscal year 2006 is $113,325,000 and the budget request 

includes $141,165,000 for this program. Within the Committee recommendation, $108,900,000 is provided for community-based abstinence education, $4,500,000 is provided through an evaluation setaside, as requested by the administration. In addition, $50,000,000 

is available from pre-appropriated mandatory funds. 

This program provides support for the development and implementation of abstinence education programs for adolescents, ages 

12 through 18. These programs are unique in that their entire 

focus is to education young people and create an environment within communities that supports teen decisions to postpone sexual activity until marriage. Of the funds provided up to $10,000,000 may be available for a 

national abstinence media campaign. The Committee understands 

that a portion of fiscal year 2007 funds will be used for evaluation 

purposes. The Committee intends that ACF use available funds to 

continue support for an independent group to conduct a thorough 

and rigorous evaluation of this campaign. 

Faith-Based Center 

The Committee recommends $1,386,000 for fiscal year 2007 for 

the operation of the Department’s Center for Faith-Based and Community Initiatives. The comparable funding level for fiscal year 

2006 is $1,385,000 and the budget request includes $1,386,000 for 

this program. 

Program Administration 

The Committee recommends $186,265,000 for fiscal year 2007 for 

program administration. The comparable funding level for fiscal 

year 2006 is $183,239,000 and the budget request includes 

$188,123,000 for this program. 

The Committee continues its interest in the Department’s Child 

and Family Services reviews. These reviews are an effective method for monitoring the progress States are making in assuring the 

safety, health, and permanency for children in child welfare and 

foster care as required in the Adoption and Safe Families Act. The 

Committee encourages the Department to make available sufficient 

resources to ensure full implementation of the new collaborative 

monitoring system. The Committee directs ACF to continue to provide information on the progress of the reviews in the annual congressional justification. 

PROMOTING SAFE AND STABLE FAMILIES

Appropriations, 2006 ............................................................................. $394,039,000 

Budget estimate, 2007 ........................................................................... 434,100,000 

House allowance .................................................................................... 434,100,000 

Committee recommendation ................................................................. 420,000,000 

The Committee recommends $420,000,000 for fiscal year 2007 for 

promoting safe and stable families. The comparable funding level 

for fiscal year 2006 is $394,039,000 and the budget request includes $434,100,000 for this program. 
208 

Funding available provides grants to States in support of: (1) 

family preservation services; (2) time-limited family reunification 

services; (3) community-based family support services; and (4) 

adoption promotion and support services. The Committee notes 

that most of the Federal funding related to child welfare is provided for the removal and placement of children outside of their 

own homes. Funds available through the Promoting Safe and Stable Families program are focused on supporting those activities 

that can prevent family crises from emerging which might require 

the temporary or permanent removal of a child from his or her own 

home. 

The Promoting Safe and Stable Families program is comprised of 

$345,000,000 in capped entitlement funds authorized by the Social 

Security Act and $75,000,000 in discretionary appropriations. 

PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION ASSISTANCE

Appropriations, 2006 ............................................................................. $4,940,800,000 

Budget estimate, 2007 ........................................................................... 5,211,000,000 

House allowance .................................................................................... 5,211,000,000 

Committee recommendation ................................................................. 5,211,000,000 

The Committee recommends $5,211,000,000 for fiscal year 2007 

for payments to States for foster care and adoption assistance. The 

comparable funding level for fiscal year 2006 is $4,940,800,000 and 

the budget request includes $5,211,000,000 for this program. In addition, the Committee recommendation provides $1,810,000,000 for 

an advance appropriation for the first quarter of fiscal year 2008. 

The Committee recommendation provides the full amount requested under current law. The budget request includes a net increase of $32,000,000 based on proposed legislation for fiscal year 

2007, and a net increase of $30,000,000 for the fiscal year 2008 advance appropriation. 

The Foster Care Program provides Federal reimbursement to 

States for: Maintenance payments to families and institutions caring for eligible foster children, matched at the Federal medical assistance percentage [FMAP] rate for each State; and administration 

and training costs to pay for the efficient administration of the Foster Care Program, and for training of foster care workers and parents. 

The Adoption Assistance Program provides funds to States for 

maintenance costs and the nonrecurring costs of adoption for children with special needs. The goal of this program is to facilitate the 

placement of hard-to-place children in permanent adoptive homes, 

and thus prevent long, inappropriate stays in foster care. As in the 

Foster Care Program, State administrative and training costs are 

reimbursed under this program. 

The Independent Living Program provides services to foster children under 18 and foster youth ages 18–21 to help them make the 

transition to independent living by engaging in a variety of services 

including educational assistance, life skills training, health services 

and room and board. States are awarded grants from the annual 

appropriation proportionate to their share of the number of children in foster care, subject to a matching requirement. 
209 

ADMINISTRATION ON AGING

Appropriations, 2006 ............................................................................. $1,361,923,000 

Budget estimate, 2007 ........................................................................... 1,334,835,000 

House allowance .................................................................................... 1,390,306,000 

Committee recommendation ................................................................. 1,380,516,000 

The Committee recommends an appropriation of $1,380,516,000 for aging programs. This amount is $18,593,000 above the comparable fiscal year 2006 level and $45,681,000 above the administration request. 

Supportive Services and Senior Centers 

The Committee recommends an appropriation of $350,595,000 for supportive services and senior centers, which is $241,000 above the 

comparable fiscal year 2006 level and is the same as the administration request. This State formula grant program funds a wide 

range of social services for the elderly, including multipurpose senior centers, adult day care, and ombudsman activities. State agencies on aging award funds to designated area agencies on aging 

who in turn make awards to local services providers. All individuals age 60 and over are eligible for services, although, by law, priority is given to serving those who are in the greatest economic and 

social need, with particular attention to low-income minority older 

individuals and those residing in rural areas. Under the basic law, 

States have the option to transfer up to 30 percent of funds appropriated between the senior centers program and the nutrition programs, which allows the State to determine where the resources 

are most needed. 

Preventive Health Services 

The Committee recommends $21,400,000 for preventive health services, which is $15,000 above the comparable fiscal year 2006 

level. The administration did not request funds for this activity. 

Funds appropriated for this program are part of the comprehensive 

and coordinated service systems targeted to those elderly most in 

need. Preventive health services include nutritional counseling and 

education, exercise programs, health screening and assessments, 

and prevention of depression. 

Protection of Vulnerable Older Americans 

The Committee recommends $21,156,000 for grants to States for protection of vulnerable older Americans. This is $1,014,000 above 

the comparable fiscal year 2006 level and $1,990,000 above the administration request. Within the Committee recommendation, 

$16,010,000 is for the ombudsman services program and $5,146,000 

is for the prevention of elder abuse program. Both programs provide formula grants to States to prevent the abuse, neglect, and exploitation of older individuals. The ombudsman program focuses on 

the needs of residents of nursing homes and board and care facilities, while elder abuse prevention targets its message to the elderly 

community at large. 

National Family Caregiver Support Program 

The Committee recommends $156,167,000 for the national family 

caregiver support program, which is $107,000 above the com-
210 

parable fiscal year 2006 level and $1,980,000 above the administration request. Funds appropriated for this activity established a 

multifaceted support system in each State for family caregivers. All 

States are expected to implement the following five components 

into their program: individualized referral information services; assistance to caregivers in locating services from a variety of private 

and voluntary agencies; caregiver counseling, training and peer 

support; respite care provided in the home, an adult day care center or other residential setting located in an assisted living facility; 

and limited supplemental services that fill remaining service gaps. 

The Committee recognizes the essential role of family caregivers 

who provide a significant proportion of our Nation’s health and 

long-term care for the chronically ill and aging. While caring for a 

loved one can be rewarding, it may also put caregivers at risk for 

negative physical and mental health consequences. The Committee 

acknowledges the efforts of the AoA to provide vital support services for family caregivers through the National Family Caregiver 

Support Program. The Committee encourages increased support of 

services that may prevent or reduce the health burdens of 

caregiving, including individual counseling, support groups, respite 

care, and caregiver training. 

Native American Caregiver Support Program 

The Committee recommendation includes $6,241,000 to carry out the Native American Caregiver Support Program, which is $4,000 

above the comparable fiscal year 2006 level and the same as the 

administration request. The program will assist tribes in providing 

multifaceted systems of support services for family caregivers and 

for grandparents or older individuals who are relative caregivers. 

Congregate and Home-delivered Nutrition Services 

For congregate nutrition services, the Committee recommends an appropriation of $385,319,000 which is $265,000 above the comparable fiscal year 2006 level and $1,918,000 above the administration request. For home-delivered meals, the Committee recommends $181,905,000, which is $124,000 above the comparable 

fiscal year 2006 level and $907,000 above the administration request. These programs address the nutritional need of older individuals. Projects funded must make home-delivered and congregate 

meals available at least once a day, 5 days a week, and each meal 

must meet one-third of the minimum daily dietary requirements. 

While States receive separate allotments of funds for congregate 

and home-delivered nutrition services and support services, they 

are permitted to transfer up to 40 percent of funds between these 

programs. 

The Committee encourages the Administration on Aging to test 

enhancing the diets of Elderly Nutrition Program [ENP] meal participants by providing a daily multivitamin/multi-mineral supplement to enhance nutritional status and thus reduce the occurrence 

of chronic disease. 

Nutrition Services Incentives Program 

The Committee recommendation includes $147,846,000 for the 

nutrition services incentives program [NSIP], $102,000 above the 
211 

comparable fiscal year 2006 funding level and $736,000 above the 

administration request. This program augments funding for congregate and home-delivered meals provided to older adults. Funds 

provided under this program are dedicated exclusively to the provision of meals. NSIP rewards effective performance by States and 

Tribal organizations in the efficient delivery of nutritious meals to 

older individuals through the use of cash or commodities. 

Aging Grants to Indian Tribes and Native Hawaiian Organizations 

The Committee recommends $26,134,000 for grants to Native 

Americans, which is $18,000 above the comparable fiscal year 2006 

funding level and is the same as the administration request. Under 

this program awards are made to tribal and Alaskan Native organizations and to public or nonprofit private organizations serving 

native Hawaiians which represent at least 50 percent Indians or 

Alaskan Natives 60 years of age or older to provide a broad range 

of supportive services and assure that nutrition services and information and assistance are available. 

Training, Research, and Discretionary Projects 

The Committee recommends $40,235,000 for training, research, 

and discretionary projects, which is $15,657,000 above the comparable fiscal year 2006 level and $4,750,000 above the administration request. These funds support activities designed to expand 

public understanding of aging and the aging process, apply social 

research and analysis to improve access to and delivery of services 

for older individuals, test innovative ideas and programs to serve 

older individuals, and provide technical assistance to agencies that 

administer the Older Americans Act. 

The Committee recommendation fully funds the administration 

request for the ‘‘Choices for Independence’’ initiative. This initiative, funded at $28,000,000, seeks to promote consumer-directed 

and community-based long term care options. It will build on recent AoA initiatives such as the Aging and Disability Resource 

Centers, the Cash & Counseling Demonstration Program and the 

Evidence-Based Disease Prevention program. Choices for Independence will integrate the best practices from these initiatives into a 

strategy focusing on: empowering individuals to make informed decisions about long-term support options; providing more choices for 

individuals at high-risk of nursing home placement, and enabling 

older people to make behavioral changes that will reduce the risk 

of disease, disability and injury. 

Since the landmark 1999 Supreme Court Olmstead decision, this 

Committee has been dedicating resources toward States to move individuals out of institutions and into community-based care. These 

grants, known as the Real Choice Systems Change grants, are 

funded out of the Centers for Medicare and Medicaid Services 

[CMS]. The Committee believes that the significant infrastructure 

built by the Systems Change grants should be enhanced rather 

than recreated by the new Choices for Independence program. 

Therefore, the Committee has once again funded the Systems 

Change grants at $10,000,000 in CMS and urges AoA to collaborate 

with this program at the Federal level. In addition, AoA should 
212 

give priority to States whose applications promote collaboration at 

the State and local level. 

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. 

The Committee continues to support funding at no less than last 

year’s level for national programs scheduled to be refunded in fiscal 

year 2007 that address a variety of issues, including elder abuse, 

Native American issues, and legal services. 

The Committee continues to support strengthening the capacity 

of those community-based organizations dedicated to improving 

health care access and health care outcomes for minority elder populations. The recommendation includes continuation of current 

level funding for the National Minority Aging Organizations including Asian-Pacific American, Native American, and Hispanic and African-American Aging Centers. 

The Committee is aware of innovative program models aimed at 

mobilizing older Americans, particularly the 77 million baby 

boomers, to serve their communities. The Committee encourages 

partnerships with organizations that enable older Americans to 

help meet critical social needs effectively. 

The Committee is concerned that AoA’s current regulations governing the expenditure of funds for services to the aging community do not properly consider the unique challenges of providing 

those services in frontier communities. The Committee directs AoA 

to assess the challenges facing frontier communities in the provision of services to the aging population and report back to the 

Committee no later than March 31, 2007 on the findings of such 

an assessment. 

The Committee includes the following projects and activities and 

the following amounts for fiscal year 2007: 

Amount 

City of Henderson, Henderson, NV, to expand senior programs at the Henderson Senior Center ................... $250,000 

Coalition of Wisconsin Aging Groups, Madison, WI, to conduct outreach and education on financial elder 

abuse ............................................................................................................................................................. 200,000 

Disability Rights Wisconsin, Milwaukee, WI, for nursing home support services ............................................ 185,000 

Institute of Medical Humanism, Inc of Bennington, VT, for an end-of-life care initiative ............................. 200,000 

Jewish Community Services of South Florida, for Home Care Support ............................................................ 100,000 

Jewish Family Service of Salt Lake City, UT for a Naturally Occurring Retirement Communities (NORC) 

demonstration project .................................................................................................................................... 100,000 

Jewish Family Services of New Mexico for a Naturally Occurring Retirement Communities (NORC) demonstration project .......................................................................................................................................... 530,000 

Jewish Federation of Greater Indianapolis, IN for a Naturally Occurring Retirement Communities (NORC) 

demonstration project .................................................................................................................................... 750,000 

Jewish Federation of Las Vegas, NV, for the Las Vegas Senior Lifeline program ........................................... 300,000

Jewish Federation of St. Louis, Missouri for a Naturally Occurring Retirement Communities (NORC) demonstration project .......................................................................................................................................... 250,000 

Madlyn and Leonard Abramson Center for Jewish Life, North Whales, PA for an innovative end-stage palliative care program ...................................................................................................................................... 200,000 

Systems Unlimited, Inc., Iowa City, IA, for a home health visit demonstration program ............................... 300,000 

United Jewish Communities of MetroWest NJ, Whippany NJ, for NORCs Aging in Place Demonstration ........ 385,000 
213 

Aging Network Support Activities 

The Committee recommends $13,133,000 for aging network support activities, $9,000 above the comparable amount for fiscal year 

2006 and the same as the administration request. The Committee 

recommendation includes funding at the administration request 

level for the Eldercare Locator and for the Pension Information and 

Counseling Program. 

The Eldercare Locator, a toll-free, nationwide directory assistance service for older Americans and their caregivers, is operated 

by the National Association of Area Agencies on Aging. Since 1991, 

the service has linked more than 700,000 callers to an extensive 

network of resources for aging Americans and their caregivers. 

Pension counseling projects provide information, advice, and assistance to workers and retirees about pension plans, benefits, and 

how to pursue claims when pension problems arise. The information dissemination and outreach activities of the pension counseling 

projects have served over 30,000 people and has helped obtain 

more than $60,000,000 in retirement benefits for older individuals. 

The Committee has provided funding at the administration request level for the National Long Term Care Ombudsman Resource 

Center, the National Center on Elder Abuse and the Health Care 

Anti-Fraud, Waste and Abuse Program. 

Alzheimer’s Disease Demonstration Grants to States 

The Committee recommends a funding level of $12,000,000 for 

Alzheimer’s disease demonstration grants to States, which is 

$340,000 above the comparable fiscal year 2006 funding level. The 

administration did not request funds for this activity. 

An estimated 70 percent of Americans with Alzheimer’s disease 

live at home, where family members provide the preponderance of 

care. The Alzheimer’s disease demonstration grant program currently supports matching grants to 38 States to help stimulate and 

coordinate services to assist families caring for Alzheimer patients, 

particularly those living in underserved rural communities and minorities. This program is designed to address the unique demands 

Alzheimer’s disease places on families, and emphasizes systems 

change to meet those demands. In the absence of any meaningful 

alternative for Alzheimer families, the Committee rejects the notion that this program should be terminated, and has provided 

funds for its continuation. 

Program Administration 

The Committee recommends $18,385,000 for program administration, which is $697,000 above the comparable fiscal year 2006 

funding level and the same as the administration request. These 

funds support salaries and related expenses for program management and oversight activities. 
214 

OFFICE OF THE SECRETARY

GENERAL DEPARTMENTAL MANAGEMENT

Appropriations, 2006 ............................................................................. $357,650,000 

Budget estimate, 2007 ........................................................................... 368,419,000 

House allowance .................................................................................... 363,592,000 

Committee recommendation ................................................................. 381,575,000 

The Committee recommends $381,575,000 for general depart- mental management [GDM]. This amount is $23,925,000 above the 

comparable level for fiscal year 2006 and $13,156,000 above the administration request. The Committee recommendation includes the 

transfer of $5,851,000 from Medicare trust funds, which is the 

same as the administration request. In addition, for policy evaluation activities the Committee recommends $39,552,000 in transfers 

available under section 241 of the Public Health Service Act. 

The Committee directs that specific information requests from 

the chairman and ranking member of the Subcommittee on Labor, 

Health and Human Services, and Education, and Related Agencies, 

on scientific research or any other matter, shall be transmitted to 

the Committee on Appropriations in a prompt professional manner 

and within the time frame specified in the request. The Committee 

further directs that scientific information requested by the Committees on Appropriations and prepared by Government researchers 

and scientists be transmitted to the Committee on Appropriations, 

uncensored and without delay. 

This appropriation supports those activities that are associated 

with the Secretary’s role as policy officer and general manager of 

the Department. It supports certain health activities performed by 

the Office of Public Health and Science, including the Office of the 

Surgeon General. GDM funds also support the Department’s centralized services carried out by several Office of the Secretary staff 

divisions, including personnel management, administrative and 

management services, information resources management, intergovernmental relations, legal services, planning and evaluation, finance and accounting, and external affairs. 

The Office of the Surgeon General, in addition to its other responsibilities, provides leadership and management oversight for 

the PHS Commissioned Corps, including the involvement of the 

Corps in departmental emergency preparedness and response activities. 

The Committee recommendation does not include funding for Department-wide training on the Working for America Act, the administration’s pay for performance management proposal. The 

Committee will reconsider funding for this activity should the proposal become enacted into law. 

The Committee has included $15,000,000 above last year’s level 

for the transformation of the Commissioned Corps. The Committee 

has provided funding since fiscal year 2003 to improve the ability 

of the Corps to respond more quickly and effectively to public 

health emergencies. The Committee understands that the administration will shortly submit to Congress an amended budget request 

that incorporates the findings of The Federal Response to Hurricane 

Katrina: Lessons Learned report of February 2006. The Committee 

recommendation reflects the amended request for additional fund-
215 

ing for the Commissioned Corps to create and equip dedicated 

health and medical response teams, consistent with the findings of 

the report. The Committee recommendation provides $500,000 for the Secretary, in collaboration with the Centers for Disease Control and 

Prevention, to fund a study by the Institute of Medicine of the National Academy of Sciences that will examine and make recommendations regarding various means that could be employed to 

reduce dietary sodium intake to levels recommended by the Dietary 

Guidelines for Americans. These should include, but not be limited 

to, actions by food manufacturers, such as new product development and food reformulation, and governmental approaches, such 

as regulatory, legislative approaches, and public and professional 

information and education. The Secretary is also directed to request a report from the Surgeon General on what HHS is doing to 

examine the health issues related to salt. 

Chronic Fatigue.—The Committee appreciates the work of the 

Department’s Chronic Fatigue Syndrome Advisory Committee 

[CFSAC]. However, the Committee is concerned that it took the 

Department almost one year to appoint new members to replace in 

March 2006 the five CFSAC appointees whose terms expired in 

September 2005. The Committee directs the Department to ensure 

a timely nomination and appointment process to replace the remaining CFSAC members whose terms will expire in 2006, and to 

ensure that the appointment process does not disrupt the committee’s schedule of meetings. 

Food Allergies.—Approximately 2,000,000 school-aged children in 

the United States suffer from food allergy, for which there is no 

cure. Allergic reactions in children often occur in the school setting 

and can develop into severe anaphylactic shock that can kill within 

minutes unless epinephrine is administered. It is estimated that 94 

percent of the Nation’s schools have students with food allergy, and 

the incidence is increasing. The Committee encourages the Department to work with the Department of Education and knowledgeable private sector organizations on the development of guidelines 

for the management of children with food allergy as well as a plan 

to disseminate and publicize these guidelines to local educational 

agencies and youth organizations. 

Food Study.—The Committee requests that the Secretary, in conjunction with the Secretary of Agriculture, submit a report to the 

Committees on Appropriations of the House and the Senate and 

the Committee on Health, Education, Labor, and Pensions of the 

Senate and the Committee on Education and Workforce in the 

House. The report could address the progress of HHS and the Department of Agriculture relating to the presence of naturally occurring and human made substances in food that may be carcinogenic 

or cause other toxic effects. The Committee expects the report by 

March 1, 2007. 

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 
216 

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. 

Health Disparities.—The Committee is committed to ensuring 

the overall improved health of the American people, and strongly 

urges the Secretary to continue to intensify its efforts in implementing recommendations developed by the Institute of Medicine’s 

Unequal Treatment: Confronting Racial and Ethnic Disparities in 

Health Care study. The recommendations offer significant guidelines and opportunities for eliminating health disparities and improving health across all populations. The Committee expects the 

Secretary to report on the progress of this action during next year’s 

appropriations hearings. 

HIV Rapid Testing Initiative.—The Committee commends the 

Secretary for the HHS initiative on increased rapid HIV testing for 

HIV/AIDS. The Committee is aware that wide-scale bulk deployment of new oral fluid rapid HIV testing for HIV is a significant 

step towards helping citizens throughout the United States, to 

know their HIV status. The Committee urges the Secretary to significantly increase the use of bulk purchasing and wide-scale deployment of FDA-approved oral fluid HIV rapid tests for all domestic HIV prevention initiatives. 

Methamphetamine.—The Committee recognizes that methamphetamine abuse in the United States has been on the rise over 

the past few years and that this abuse is having a devastating effect on our communities. The Committee requests that the Secretary study this issue and provide a report to Congress within 6 

months that outlines actions that should be taken to help combat 

this epidemic. 

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 an update regarding progress made on this initiative. 

Tobacco Harm Reduction.—According to a report published by 

the Institute of Medicine, even with the most intensive applications 

of the most effective know programs for prevention and cessation, 

approximately 15 percent of the adults in the United States are expected to continue to be regular smokers. Among this group are 

many who cannot or will not stop smoking, and it is to this group 

that effective programs and products of tobacco harm reduction 

should be directed. The Committee urges the Department to continue its review and discussion of products that could significantly 

reduce risk to individual smokers. 

The Committee includes the following projects and activities and 

in the following amounts for fiscal year 2007: 
217 

Amount 

Community Transportation Association of America for technical assistance to human services transportation providers on ADA requirements .......................................................................................................... $1,000,000 

Palmer College on Chiropractice, Consortial Center for Chiropractic Research in Davenport, IA, and the 

Policy Institute for Integrative Medicine in Philadelphia, PA for a best practices initiative on lower back 

pain ................................................................................................................................................................ 400,000 

Adolescent Family Life 

The Committee has provided $30,277,000 for the Adolescent Family Life Program [AFL], which is $21,000 above the comparable 

fiscal year 2006 level and $95,000 below the administration request. 

AFL is the only Federal program focused directly on the issue of 

adolescent sexuality, pregnancy, and parenting. Through demonstration grants and contracts, AFL focuses on a comprehensive 

range of health, educational, and social services needed to improve 

the health of adolescents, including the complex issues of early adolescent sexuality, pregnancy, and parenting. 

Minority Health 

The Committee recommends $57,325,000 for the Office of Minority Health, which is $870,000 above the comparable level for fiscal 

year 2006 and $10,550,000 above the administration request. 

The Office of Minority Health [OMH] focuses on strategies designed to decrease the disparities and to improve the health status 

of racial and ethnic minority populations in the United States. 

OMH establishes goals, and coordinates all departmental activity 

related to improving health outcomes for disadvantaged and minority individuals. OMH supports several demonstration projects, including the Minority Community Health Coalition, the Bilingual/ 

Bicultural Service, the Center for Linguistic and Cultural Competency in Health Care, and the Family and Community Violence 

Prevention Program. 

The Committee has included $10,000,000 for specific programs 

focused on the following initiatives designed to impact medically 

underserved communities and build capacity for the training of minorities in health professions careers: (1) OMH-sponsored programs 

to assist medically underserved communities with the greatest 

need in solving health disparities and attracting and retaining 

health professionals; (2) assistance to minority institutions in acquiring real property to expand their campuses to increase the capacity to train minorities for medical careers; (3) support of conferences for high school and undergraduate students to pursue 

health professions careers; (4) support for cooperative agreements 

with minority institutions for the purpose of strengthening their 

capacity to train more minorities in the health professions. 

Health Disparities.—The Committee expects the OMH and the 

National Center for Minority Health and Health Disparities at NIH 

to play a joint role in coordinating and monitoring the implementation of the Department’s elimination of health disparities initiatives and strategic plans. The Committee expects the Secretary to 

report to Congress on the progress and implementation of the strategic plans in general and as related to the IOM’s assessment and 

recommendations regarding the strategic plan during next year’s 
218 

appropriations hearings, and to include a progress update in the 

Department’s Budget Justification. 

Historically Black Medical Schools.—The Committee continues to 

be concerned about the diminished partnership between OMH and 

our Nation’s historically black medical schools. Consistent with the 

fiscal year 2006 conference report, the Committee encourages OMH 

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 an update on the status 

of these activities in the Department’s Budget Justification. 

Minority Male Consortium.—The Committee continues to recognize the importance of the educational and preventive health work 

being undertaken and implemented in campus and communitybased projects by the five historically black colleges and universities in the New Minority Males Consortium, Inc. The Committee 

encourages the OMH to increase the resources necessary to expand 

the number of participating institutions, as well as to enhance the 

resources received by each of the institutions to increase their activities and to conduct the national comparative study of the incidence of certain health conditions and diseases among minority 

males. 

The Committee includes the following projects and activities and 

in the following amounts for fiscal year 2007: 

Amount 

Nazareth Hospital, Philadelphia, PA, for stroke prevention programs targeting the African-American community ............................................................................................................................................................ $250,000 

Winston Salem State University in Winston-Salem, NC for an initiative targeting health awareness and 

healthcare disparities in medically underserved communities .................................................................... 300,000 

Office on Women’s Health 

The Committee recommends $28,869,000 for the Office on Women’s Health. This is $624,000 above the comparable level for fiscal 

year 2006 and $500,000 above the administration request. 

The PHS Office on Women’s Health [OWH] develops, stimulates, 

and coordinates women’s health research, health care services, and 

public and health professional education and training across HHS 

agencies. It advances important crosscutting initiatives and develops public-private partnerships, providing leadership and policy direction, and initiating and synthesizing program activities to redress the disparities in women’s health. 

The Committee includes the following projects and activities and 

in the following amounts for fiscal year 2007: 

Amount 

Saint Michael’s Hospital, Newark, NJ for St. Michael’s Hospital Women’s Cardiovascular Disease Education Initiative ............................................................................................................................................. $500,000 
219 

HIV/AIDS in Minority Communities 

To address high-priority HIV prevention and treatment needs of 

minority communities heavily impacted by HIV/AIDS, the Committee recommends $51,891,000. This amount is $36,000 above the 

comparable fiscal year 2006 level and is the same as the administration request. These funds are available to key operating divisions of the Department with capability and expertise in HIV/AIDS 

services to assist minority communities with education, community 

linkages, and technical assistance. 

Afghanistan 

The Committee recommendation includes $6,016,000 for the Secretary’s Afghanistan health initiative. This amount is $128,000 

above the comparable fiscal year 2006 funding level and is the 

same as the administration request. Funds will be used in partnership with the Department of Defense for medical training activities 

at the Rabia Balkhi Women’s Hospital in Kabul, and for support 

of maternal and child health throughout Afghanistan. 

Embryo Adoption 

The Committee continues to believe that increasing public awareness of embryo donation and adoption remains an important goal. 

The Committee has provided $2,000,000 for the Department’s embryo adoption awareness campaign, which is $21,000 more than 

the comparable fiscal year 2006 funding level and $20,000 over the 

administration request. 

OFFICE OF MEDICARE HEARINGS AND APPEALS

Appropriations, 2006 ............................................................................. $59,359,000 

Budget estimate, 2007 ........................................................................... 74,250,000 

House allowance .................................................................................... 70,000,000 

Committee recommendation ................................................................. 70,000,000 

The Committee provides $70,000,000 for the Office of Medicare Hearings and Appeals, which is $10,641,000 above the comparable 

fiscal year 2006 level and $4,250,000 below the administration request. 

The Office of Medicare Hearings and Appeals is responsible for 

hearing Medicare appeals at the administrative law judge level, 

which is the third level of Medicare claims appeals. Since fiscal 

year 1995 these appeals have been processed by the Social Security 

Administration under an interagency agreement with the Centers 

for Medicare and Medicaid Services. This function was transferred 

to the Office of the Secretary by the Medicare Prescription Drug, 

Improvement and Modernization Act of 2003. 

OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION

TECHNOLOGY

Appropriations, 2006 ............................................................................. $61,243,000 

Budget estimate, 2007 ........................................................................... 115,872,000 

House allowance .................................................................................... 98,000,000 

Committee recommendation ................................................................. 63,243,000 

The Committee provides $63,243,000 to the Office of the National 

Coordinator for Health Information Technology [ONC]. This 

amount is $2,000,000 above the comparable fiscal year 2006 level 
220 

and $52,629,000 below the administration request. The Committee 

recommendation includes $11,930,000 in transfers available under 

section 241 of the Public Health Service Act. In addition, the Committee has provided $50,000,000 for health information technology 

to the Agency for Healthcare Research and Quality. 

The Committee understands that the administration will shortly 

submit to Congress an amended budget request that incorporates 

the findings of The Federal Response to Hurricane Katrina: Lessons 

Learned report of February 2006. The Committee recommendation 

reflects the amended request and includes $2,000,000 above last 

year’s level for development and testing of a medical disaster response Electronic Health Record. 

The Office of The National Coordinator for Health Information 

Technology is responsible for promoting the use of electronic health 

records in clinical practice, coordinating Federal health information 

systems and collaborating with the private sector to develop standards for a nationwide interoperable health information technology 

infrastructure. 

Disease Management Technology.—The Committee urges ONC to 

conduct outreach activities to all public and private sector organizations which have demonstrated capabilities in disease management technology as it relates to saving health care dollars, and improving care for chronically ill individuals and the workforce. 

OFFICE OF INSPECTOR GENERAL

Appropriations, 2006 ............................................................................. $39,388,000 

Budget estimate, 2007 ........................................................................... 43,760,000 

House allowance .................................................................................... 41,415,000 

Committee recommendation ................................................................. 43,760,000 

The Committee recommends an appropriation of $43,760,000 for 

the Office of Inspector General [OIG], which is $4,372,000 above 

the fiscal year 2006 comparable level and the same as the administration request. In addition to discretionary funds provided in this 

act, the Health Insurance Portability and Accountability Act of 

1996 and the Deficit Reduction Act of 2005 both contain permanent 

appropriations for the Office of Inspector General. The total funds 

provided to the OIG from this bill and other permanent appropriations is $228,760,000 in fiscal year 2007. 

The Office of Inspector General conducts audits, investigations, 

inspections, and evaluations of the operating divisions within the 

Department of Health and Human Services. The OIG functions 

with the goal of reducing the incidence of waste, abuse, and fraud. 

It also pursues examples of mismanagement toward the goal of promoting economy and efficiency throughout the Department. 

OFFICE FOR CIVIL RIGHTS

Appropriations, 2006 ............................................................................. $34,622,000 

Budget estimate, 2007 ........................................................................... 36,283,000 

House allowance .................................................................................... 36,283,000 

Committee recommendation ................................................................. 36,283,000 

The Committee recommends $36,283,000 for the Office for Civil 

Rights [OCR]. This is $1,661,000 above the comparable level for fiscal year 2006 and the same as the administration request. The rec-
221 

ommendation includes the transfer of $3,314,000 from the Medicare trust funds. 

The Office for Civil Rights is responsible for enforcing civil 

rights-related statutes in health care and human services programs. To enforce these statutes, OCR investigates complaints of 

discrimination, conducts program reviews to correct discriminatory 

practices, and implements programs to generate voluntary compliance among providers and constituency groups of health and 

human services. 

Health Disparities.—The Institute of Medicine and the U.S. Commission on Civil Rights have highlighted the need to strengthen 

OCR’s ability to implement and enforce civil rights laws to reduce 

disparities in health care access, financing, research and treatment. The Committee strongly urges OCR to intensify its efforts towards the elimination of health disparities. As the primary defender of the public’s right to nondiscriminatory access to health 

and human services, the Committee urges OCR to ensure that civil 

rights challenges are met in the complex and ever-changing health 

and human services setting. The funds provided will allow OCR to 

address the marked increase in responsibilities due to additional 

statutory obligations and court decisions. 

RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED

OFFICERS

Appropriations, 2006 ............................................................................. $328,552,000 

Budget estimate, 2007 ........................................................................... 341,694,000 

House allowance .................................................................................... 341,694,000 

Committee recommendation ................................................................. 341,694,000 

The Committee provides an estimated $341,694,000 for retirement pay and medical benefits for commissioned officers of the U.S. 

Public Health Service, the same as the administration request. 

This amount is $13,142,000 above the comparable level for fiscal 

year 2006. 

This account provides for: retirement payments to U.S. Public 

Health Service officers who are retired for age, disability, or length 

of service; payments to survivors of deceased officers; medical care 

to active duty and retired members and dependents and beneficiaries; and for payments to the Social Security Administration 

for military service credits. 

PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

Appropriations, 2006 1 ........................................................................... $59,984,000 

Budget estimate, 2007 ........................................................................... 160,475,000 

House allowance .................................................................................... 160,475,000 

Committee recommendation ................................................................. 166,907,000 

1 Excludes $3,082,000,000 in emergency supplemental appropriations pursuant to Public Law 109–148 and $2,300,000,000 in emergency supplemental appropriations pursuant to Public Law 

109–234. 

The Committee provides $166,907,000 to the Public Health and 

Social Services Emergency Fund. This is $106,923,000 above the 

comparable fiscal year 2006 level and $6,432,000 above the administration request. The Committee’s recommendation for fiscal year 

2007 includes $88,027,000 for bioterrorism preparedness within the 

Office of the Secretary and $78,880,000 for pandemic flu activities. 
222 

The Committee understands that the administration will shortly 

submit to Congress an amended budget request that incorporates 

the findings of The Federal Response to Hurricane Katrina: Lessons 

Learned report of February 2006. The Committee recommendation 

for the Office of the Secretary reflects this amended request and includes the following increases over last year’s level: $11,000,000 for 

Project Bioshield; $10,000,000 for management of emergency response; and $2,000,000 for development of electronic benefits transfer capability. 

The Committee encourages the Department to consider accelerating the development of approaches, such as monoclonal and 

polyclonal antibodies for the protection of young infants, health 

care workers, immunocompromised individuals, and the treatment 

of other patients exposed to potential pandemic viruses. The Committee requests that the Department prepare and submit a report 

by June 15, 2007 on the feasibility of developing such approaches. 

The Committee requests that the report also address the utility 

and feasibility of creating a library of monoclonal antibodies associated with known strains of influenza viruses and other epidemic 

and bioterrorist infectious disease vectors as a jump-start for production should one of those strains or a similar strain threaten the 

population. 

GENERAL PROVISIONS, DEPARTMENT OF HEALTH AND HUMAN

SERVICES

The Committee recommendation continues a provision placing a 

$50,000 ceiling on official representation expenses (sec. 201). 

The Committee recommendation continues a provision which limits the assignment of certain public health personnel (sec. 202). 

The Committee recommendation retains language regarding setasides in the authorizing statute of the National Institutes of 

Health (sec. 203). 

The Committee recommendation continues a provision limiting 

the use of grant funds to pay individuals no more than an annual 

rate of executive level I (sec. 204). 

The Committee recommendation includes a provision limited the 

use of funds for Head Start to pay compensation of an individual 

in excess of executive level II (sec. 205). 

The Committee recommendation continues a provision restricting 

the Secretary’s use of taps for program evaluation activities unless 

a report is submitted to the Appropriations Committees on the proposed use of funds (sec. 206). 

The Committee recommendation modifies a provision authorizing 

the transfer of up to 2.4 percent of Public Health Service funds for 

evaluation activities (sec. 207). 

The Committee recommendation continues a provision restricting 

transfers of appropriated funds and requires a 15 day notification 

to both the House and Senate Appropriations Committees (sec. 

208). 

The Committee recommendation continues a provision permitting 

the transfer of up to 3 percent of AIDS funds among institutes and 

centers by the Director of NIH and the Director of the Office of 

AIDS Research at NIH (sec. 209). 
223 

The Committee recommendation retains language which requires 

that the use of AIDS research funds be determined jointly by the 

Director of the National Institutes of Health and the Director of the 

Office of AIDS Research and that those funds be allocated directly 

to the Office of AIDS Research for distribution to the institutes and 

centers consistent with the AIDS research plan (sec. 210). 

The Committee recommendation continues a provision regarding 

requirements for family planning applicants (sec. 211). 

The Committee recommendation retains language which restricts 

the use of funds to carry out the Medicare Advantage Program if 

the Secretary denies participation to an otherwise eligible entity 

(sec. 212). 

The Committee recommendation retains language which states 

that no provider services under title X of the PHS Act may be exempt from State laws regarding child abuse (sec. 213). 

The Committee recommendation retains language which prohibits the Secretary from withholding substance abuse treatment 

funds (sec. 214). 

The Committee recommendation continues a provision which facilitates the expenditure of funds for international AIDS activities 

(sec. 215). 

The Committee recommendation includes a provision allowing 

the Division of Federal Occupational Health to use personal services contracting to employ professional, administrative, and occupational health professionals (sec. 216). 

The Committee recommendation modifies a provision authorizing 

the Director of the National Institutes of Health to enter into certain transactions to carry out research in support of the NIH Common Fund (sec. 217). 

The Committee includes a provision that permits the Centers for 

Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry to transfer funds that are available 

for Individual Learning Accounts to ‘‘Disease Control, Research, 

and Training’’ (sec. 218). 

The Committee recommendation includes bill language allowing 

use of funds to continue operating the Council on Graduate Medical 

Education (sec. 219). 

The Committee recommendation retains language pertaining to 

Head Start waivers for the transportation of children (sec. 220). 

The Committee recommendation modifies language pertaining to 

use of the Centers for Disease Control aircraft (sec. 221). 

The Committee recommendation includes a new provision permitting the National Institutes of Health to use up to $2,500,000 

of per project for improvements and repairs of facilities (sec. 222). 

The Committee includes a new provision which authorizes funding for the Delta Health Alliance (sec. 223). 

The Committee includes a new provision which grants waivers to 

under title XXVI of the Public Health Service Act for Louisiana, 

Mississippi, Alabama, and Texas (sec. 224). 
(224) 

TITLE III 

DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED

Appropriations, 2006 ............................................................................. $14,481,161,000 

Budget estimate, 2007 ........................................................................... 16,469,541,000 

House allowance .................................................................................... 14,652,541,000 

Committee recommendation ................................................................. 14,447,189,000 

The Committee recommends an appropriation of $14,447,189,000 

for education for the disadvantaged. The comparable funding level 

for fiscal year 2006 is $14,481,161,000 and the budget request includes $16,469,541,000 for this account. 

The programs in the Education for the Disadvantaged account 

help ensure that poor and low-achieving children are not left behind in the Nation’s effort to raise the academic performance of all 

children and youth. That goal is more pressing than ever since the 

passage of the No Child Left Behind Act, which incorporates numerous accountability measures into title I programs, especially 

part A grants to local educational agencies—the largest Federal elementary and secondary education program. 

In particular, the law strengthens title I accountability by requiring States to implement statewide accountability systems covering 

all public schools and students. These systems must be based on 

challenging State standards in reading and mathematics, annual 

statewide progress objectives ensuring that all groups of students 

reach proficiency in reading and math by the end of the 2013–2014 

school year, and annual testing for all students in grades 3–8. 

State progress objectives and assessment results must be broken 

out by poverty, race and ethnicity, disability, and limited English 

proficiency. States, school districts, and schools must report annually on their progress toward statewide proficiency goals. Districts 

and schools that fail to make adequate yearly progress [AYP] toward these goals are, over time, subject to increasingly rigorous improvement, corrective action, and restructuring measures aimed at 

getting them back on course to meet State standards. Students attending schools that fail to meet annual State AYP objectives for 

2 consecutive years are permitted to transfer to a better public 

school or, if the school continues to fail to meet AYP for 3 years 

or more, to use title I funds to obtain supplemental educational 

services from a public- or private-sector provider selected by their 

parents. 

Funds appropriated in this account primarily support activities 

in the 2007–2008 school year. 

Grants to Local Educational Agencies 

Title I Grants to Local Educational Agencies [LEAs] provide supplemental education funding, especially in high-poverty areas, for 
225 

local programs that provide extra academic support to help raise 

the achievement of eligible students or, in the case of schoolwide 

programs, help all students in high-poverty schools to meet challenging State academic standards. The program serves more than 

16 million students in nearly all school districts and more than half 

of all public schools—including two-thirds of the Nation’s elementary schools. 

Title I schools help students reach challenging State standards 

through one of two models: ‘‘targeted assistance’’ that supplements 

the regular education program of individual children deemed most 

in need of special assistance, or a ‘‘schoolwide’’ approach that allows schools to use title I funds—in combination with other Federal, State, and local funds—to improve the overall instructional 

program for all children in a school. 

States are required to reserve 4 percent of their allocation under 

this program for school improvement activities, unless such action 

would require a State to reduce the grant award of a local educational agency to an amount below the preceding year. At the 

funding level recommended by the Committee for fiscal year 2007, 

this set-aside would generate up to $499,000,000 for this purpose. 

States must distribute 95 percent of these reserved funds to local 

educational agencies for schools identified for improvement, corrective action, or restructuring. 

The budget request proposes bill language to allow States to generate the 4 percent school improvement set aside authorized in the 

No Child Left Act, even if it means reducing a school district’s title 

I award. The Committee bill does not include the requested language, despite its continued concern about how this requirement of 

law is working. 

The Committee intends for States to utilize these funds along 

with those available under the School Improvement Grants program to make competitive awards to school districts that are of sufficient size and scope, and of a multi-year duration, so that schools 

may undertake sustainable, scientifically based research reform activities that have a positive impact on improving instructional practices in the classroom. 

The Committee strongly urges the Secretary to ensure that the 

funds available under the school improvement set-aside authorized 

by section 1003(a) of the No Child Left Behind Act and the appropriation for the School Improvement Grants program authorized by 

section 1003(g) of such act are used consistent with the intent expressed in this section and in the section under the School Improvement Grants program. 

The Committee is concerned that, so far, the Department has 

been able to provide very little information about the ways in 

which States have used their set-aside funding to help improve the 

performance of schools identified for improvement. The Committee 

directs the Department to provide, not later than 60 days after enactment of this act, a report, based on its monitoring and other relevant sources of information, of specific scientifically based research strategies identified and implemented by school districts 

using the 4 percent set-aside for school improvement and other 

Federal funds. The Committee expects this report to contain, at a 

minimum, a full and complete accounting of the average per stu-
226 

dent grant amount, and the duration and number of grants made 

to local education agencies; the criteria used to distribute grant 

funds; the types of activities supported with such funds and the 

evidence of effectiveness justifying their use; and the number of 

schools receiving assistance that have been removed from State 

watch lists or are now making adequate yearly progress. 

The appropriation for title I grants to LEAs primarily supports 

activities associated with the 2007–2008 academic year. Of the 

funds available for this program, up to $3,472,000 shall be available on October 1, 2006, not less than $5,326,352,000 will become 

available on July 1, 2007, and $7,383,301,000 will become available 

on October 1, 2007. The funds that become available on July 1, 

2007 and October 1, 2007 will remain available for obligation until 

September 30, 2008. 

Title I grants are distributed through four formulas: basic, concentration, targeted, and education finance incentive grant [EFIG]. For title I basic grants, including up to $3,472,000 transferred to 

the Census Bureau for poverty updates, the Committee recommends an appropriation of $6,808,408,000. The comparable 

funding level for fiscal year 2006 and the budget request are both 

$6,808,408,000 for the basic grants funding stream. Basic grants 

are awarded to school districts with at least 10 poor children who 

make up more than 2 percent of enrollment. 

For concentration grants, the Committee recommends an appro- priation of $1,365,031,000. The comparable funding level for fiscal 

year 2006 and the budget request are both $1,365,031,000. Funds 

under this program are distributed according to the basic grants 

formula, except that they go only to LEAs where the number of 

poor children exceeds 6,500 or 15 percent of the total school-aged 

population. 

The targeted grants formula weights child counts to make higher 

payments to school districts with high numbers or percentages of 

poor students. For these grants, the Committee recommends an appropriation of $2,269,843,000. The comparable funding level for fiscal year 2006 and the budget request both are $2,269,843,000 for 

this funding stream. 

The Committee recommends an appropriation of $2,269,843,000 

for education finance incentive grants [EFIG]. The comparable 

funding level for fiscal year 2006 and the budget request both are 

$2,269,843,000 for the EFIG funding stream. The EFIG funding 

stream is allocated using State-level equity and effort factors to 

make allocations to States that are intended to encourage States to 

improve the equity of State education funding systems. 

William F. Goodling Even Start Family Literacy Program 

The Committee does not recommend any funds for the Even 

Start program. The comparable funding level for fiscal year 2006 

is $99,000,000 and the budget request does not include any funds 

for this program. 

The Even Start program provides grants for family literacy programs that serve disadvantaged families with children under 8 

years of age and adults eligible for services under the Adult Education and Family Literacy Act. Programs combine early childhood 

education, adult literacy, and parenting education. Funding is pro-
227 

vided to States based on their relative share of title I, part A funds 

and States use these resources to make competitive subgrants to 

partnerships comprised of local educational agencies and other organizations serving families in high-poverty areas. 

School Improvement Grants 

The Committee recommendation includes $100,000,000 for the 

School Improvement Grants program. The President’s budget requested $200,000,000 for this program, which has not been funded 

previously. The School Improvement Grants program was authorized as part of the No Child Left Behind Act to support a formula 

grant program to States that will enable them to provide assistance 

to schools not making adequate yearly progress for at least 2 years. 

Under the authorized program, States are required to allocate not 

less than 95 percent of their awards to schools to enable them to, 

among other things, develop and implement their school improvement plans (which may include research-based activities such as 

comprehensive school reform, professional development for teachers 

and staff, and extended learning opportunities.) 

When subgranting these funds to LEAs, the Committee strongly 

urges the Secretary to inform States that they are required to 

make awards of sufficient size and scope to undertake activities required by sections 1116 and 1117 of NCLB, integrate these grant 

funds with other resources awarded by the States under this act 

(particularly, the 4 percent school improvement set-aside), and give 

priority to those LEAs with the lowest-achieving schools that demonstrate the greatest need for school improvement funding and the 

strongest commitment to ensuring that such funds are used to provide adequate resources to enable the lowest-performing schools to 

meet the goals identified in improvement plans, correction action, 

and restructuring plans under section 1116 of NCLB. The Committee intends for States to utilize these funds along with those 

available under the 4 percent school improvement set-aside to 

make competitive awards to school districts that are of sufficient 

size and scope, and of a multi-year duration, so that schools may 

undertake sustainable activities grounded in scientifically based research that have a positive impact on improving instructional practices in the classroom. The Committee also directs the Department 

to inform State and local educational agencies that they must consider the products and services of the regional educational laboratories, comprehensive centers, What Works Clearinghouse, Comprehensive School Reform Quality Center and other findings of federally funded reviews of research to provide products and services 

that will help States and school districts utilize the school improvement funds available in this account to support school improvement activities that are supported by scientifically based research. 

The Committee requests that the Department brief the Committee 

on its planned implementation actions not later than 14 days prior 

to the announcement of funding available under this program. 

The Committee requests that the 2008 congressional justification 

include specific information about the actions taken to support the 

Committee’s intention in providing resources for this program and 

other school improvement activities and steps the Department will 
228 

take to collect evidence on the outcomes achieved with school improvement funds. 

The budget request proposes bill language that would override 

the requirement in NCLB for States to distribute 95 percent of 

their grant awards to school districts. The Committee bill does not 

include this requested language. 

Reading First State Grants 

The Committee recommends $1,000,000,000 for the Reading 

First State Grants program. The comparable funding level for fiscal 

year 2006 and the budget request are both $1,029,234,000. 

Reading First is a comprehensive effort to provide States and 

LEAs with funds to implement comprehensive reading instruction 

for children in grades K–3. The purpose of the program is to help 

ensure that every child can read by the end of third grade. LEAs 

and schools that receive funds under this program should use the 

money to provide professional development in reading instruction 

for teachers and administrators, adopt and use reading diagnostics 

for students in grades K–3 to determine where they need help, implement reading curricula that are based on scientific research, and 

provide reading interventions for children who are not reading at 

grade level. 

The Committee reiterates its intention for funds available under 

the Reading First program to encourage and support the use of 

reading programs with the strongest possible scientific evidence of 

effectiveness. 

Early Reading First 

The Committee recommends $100,000,000 for the Early Reading 

First program. The comparable funding level for fiscal year 2006 

and the budget request both are $103,118,000. 

Early Reading First complements Reading First State Grants by 

providing competitive grants to school districts and nonprofit 

groups to support activities in existing preschool programs that are 

designed to enhance the verbal skills, phonological awareness, letter knowledge, pre-reading skills, and early language development 

of children ages 3 through 5. Funds are targeted to communities 

with high numbers of low-income families. 

The Committee supports the intent of this program, which is to 

prepare young children to enter kindergarten with the necessary 

language, cognitive, and early reading skills to prevent reading difficulties and ensure school success. The Committee believes the 

Early Reading First program should continue to encourage and 

support State and local programs to provide research-based early 

literacy screening as well as providing skill building activities to 

enhance and build preschoolers’ early reading skills, especially for 

students who struggle and may be at risk for learing disabilities. 

Striving Readers 

The Committee recommends $35,000,000 for the Striving Readers initiative. The comparable fiscal year 2006 funding level is 

$29,700,000 and the budget request includes $100,000,000 for the 

Striving Readers program. This program supports grants to develop, implement, and evaluate reading interventions for middle or 
229 

high school students reading significantly below grade level. Under 

this program, awards are made to local educational agencies eligible to receive funds under part A of title I with one or more high 

schools or middle schools serving a significant number of students 

reading below grade level. Awards also may be made to partnerships including institutions of higher education and eligible nonprofit or for-profit organizations. The Committee intends that funds 

provided in this bill continue to be utilized in accordance with the 

priorities established in the statement of the managers accompanying the Fiscal Year 2005 Appropriations Act that relate to a 

rigorous evaluation requirement and parity in funding for middle 

schools and high schools. 

Math Now for Elementary School Students 

The Committee recommendation does not include any funding for 

the new Math Now for Elementary School Students initiative. The 

budget proposes $125,000,000 for this new initiative. Under this 

program, the Department would make grants to institutions of 

higher education, eligible nonprofit organizations, and local educational agencies with one or more elementary or middle schools 

with significant numbers of students whose math scores are below 

grade level or partnerships of these entities. Grant funds would be 

used to implement instructional practices, programs and materials 

identified by the National Mathematics Advisory Panel as effective 

in improving mathematics learning. 

Math Now for Middle School Students 

The Committee recommendation does not include any funding for 

the new Math Now for Middle School Students initiative. The 

budget proposes $125,000,000 for this new initiative. Under this 

program, the Department would make grants to partnerships to 

improve mathematics instruction for middle-school students whose 

achievement is significantly below grade level. Awards would be 

made to institutions of higher education, eligible nonprofit organizations, and local educational agencies with one or more middle 

schools with significant numbers of students whose math scores are 

below grade level or partnerships of these entities. Grant funds 

would be used to diagnose the deficiencies of students who are not 

proficient in mathematics on State tests at the 6th and 7th grade 

level, implement scientifically based research interventions that involve intensive and systemic instruction and provide professional 

development for teachers, principals and district leaders. 

Improving Literacy Through School Libraries 

The Committee recommends $19,486,000 for the Improving Literacy Through School Libraries program, the same amount as the 

comparable funding level for fiscal year 2006 and the budget request. 

This program provides funds for urgently needed, up-to-date 

school library books and training for school library media specialists in order to support the scientifically based reading programs 

authorized by the Reading First initiative. LEAs with a child-poverty rate of at least 20 percent are eligible for the competitive 

awards. Funds may be used to acquire school library media re-
230 

sources, including books and advanced technology; facilitate resource-sharing networks among schools and school libraries; provide professional development for school library media specialists; 

and provide students with access to school libraries during nonschool hours. 

High School Reform 

The Committee recommendation does not include any funding for 

the new High School Reform initiative. The budget proposed 

$1,475,000,000 for this new initiative. Under this proposal, funds 

would be used to develop, implement, and evaluate interventions 

that increase the achievement of all high school students, particularly those at risk of failing to meet challenging State academic 

content standards, and annual assessments that would help educators in developing strategies to meet the needs of at-risk high 

school students. The proposed initiative would provide funds to 

States based on a formula and SEAs would then make competitive 

grants to LEAs using 95 percent of appropriated funds, with the 

balance of funds available for use by States to develop, implement, 

and administer two additional assessments in reading and math, 

and for administration, evaluation, and technical assistance. 

The budget request proposes bill language that would allow a 

portion of the requested funds to be used for continuation costs for 

certain Higher Education Act programs; to authorize this new high 

school initiative, including the requirement for States receiving 

funds under the title I grant funds to develop and implement the 

new assessments in reading and math; and to require each State 

to participate in 12th grade State National Assessment of Educational Progress reading and math assessments. The Committee 

bill does not include the requested language. 

America’s Opportunity Scholarships for Kids 

The Committee recommendation does not include any funding for 

the proposed America’s Opportunity Scholarships for Kids program. 

The budget request proposed $100,000,000 for this new program. 

Under this proposed program, the Department would make competitive grant awards to States, local educational agencies, and 

nonprofit organizations to enable such entities to provide school 

choice or intensive tutoring opportunities to students from low-income households who attend a school identified for restructuring 

under NCLB. The Department proposed to provide a priority to applications from school districts with a large number or proportion 

of schools identified for restructuring. 

Migrant Education Program 

The Committee recommends $386,524,000 for the Migrant Education program, the same amount as the comparable fiscal year 

2006 funding level and the budget request. 

The title I Migrant Education program authorizes grants to State 

educational agencies for programs to meet the special educational 

needs of the children of migrant agricultural workers and fishermen. Funds are allocated to the States through a statutory formula 

based on each State’s average per-pupil expenditure for education 

and actual counts of migratory children ages 3 through 21 residing 
231 

within the States in the previous year. Only migratory children 

who have moved within the last 3 years are generally eligible to 

be counted and served by the program. 

This appropriation also supports activities to improve interstate 

and intrastate coordination of migrant education programs, as well 

as identifying and improving services to the migrant student population. 

Neglected and Delinquent 

The Committee recommends $49,797,000 for the title I neglected 

and delinquent program, the same amount as the comparable funding level for fiscal year 2006 and the budget request. 

This program provides financial assistance to State educational 

agencies for education services to neglected and delinquent children and youth in State-run institutions and for juveniles in adult 

correctional institutions. Funds are allocated to individual States 

through a formula based on the number of children in State-operated institutions and per-pupil education expenditures for the 

State. 

States are authorized to set aside at least 15 percent, but not 

more than 30 percent, of their neglected and delinquent funds to 

help students in State-operated institutions make the transition 

into locally operated programs and to support the successful reentry of youth offenders, who are age 20 or younger and have received a secondary school diploma or its recognized equivalent. Reentry activities may include strategies designed to expose the youth 

to, and prepare the youth for, postsecondary education, or vocational and technical training programs. 

Under the No Child Left Behind Act, the Congress provided the 

Secretary with the authority to reserve up to 2.5 percent of the appropriation for national activities. The Committee continues to urge 

the Secretary to fully utilize this authority to support capacity 

building in and dissemination of best practices to State agency programs and to develop a uniform model for evaluating State performance under this program. 

Evaluation 

The Committee recommends $9,330,000 for evaluation of title I 

programs, the same amount as the comparable funding level for fiscal year 2006 and the budget request. 

Evaluation funds are used to support large-scale national surveys that examine how the title I program is contributing to student academic achievement. Funds also are used to evaluate State 

assessment and accountability systems and analyze the effectiveness of educational programs supported with title I funds. 

Comprehensive School Reform Demonstration 

The Committee does not recommend additional funds for the 

comprehensive school reform demonstration program. The comparable funding level for fiscal year 2006 is $7,920,000 and the 

budget request did not include any funds for the comprehensive 

school reform program. 

As authorized under NCLB, this program provided schools with 

funding to develop or adopt, and implement, comprehensive school 
232 

reforms that will enable children in participating schools to meet 

State standards. In the fiscal year 2006 bill, Congress provided 

funding only for the continuation of the Comprehensive School Reform Clearinghouse and Quality Initiatives grants. 

High School Equivalency Program 

The Committee recommends $18,550,000 for the high school 

equivalency program [HEP], the same amount as the comparable 

funding level for fiscal year 2006 and the budget request. 

This program provides 5-year grants to institutions of higher 

education and other nonprofit organizations to recruit migrant students ages 16 and over and provide the academic and support services needed to help them obtain a high school equivalency certificate and subsequently gain employment, win admission to a postsecondary institution or a job-training program, or join the military. Projects provide counseling, health services, stipends, and 

placement assistance. At the funding level recommended by the 

Committee, HEP will serve roughly 7,000 migrants. 

College Assistance Migrant Program 

For the College Assistance Migrant Program [CAMP], the Com- mittee recommends $15,377,000, the same amount as the comparable funding level for fiscal year 2006 and the budget request. 

Funds provide 5-year grants to institutions of higher education 

and nonprofit organizations for projects that provide tutoring, counseling, and financial assistance to migrant students during their 

first year of postsecondary education. Projects also may use up to 

10 percent of their grants for follow-up services after students have 

completed their first year of college, including assistance in obtaining student financial aid. 

IMPACT AID

Appropriations, 2006 ............................................................................. $1,228,453,000 

Budget estimate, 2007 ........................................................................... 1,228,453,000 

House allowance .................................................................................... 1,228,453,000 

Committee recommendation ................................................................. 1,228,453,000 

The Committee recommends an appropriation of $1,228,453,000 

for impact aid for the Department of Education. This is the same 

as the comparable funding level for fiscal year 2006 and the budget 

request. 

Impact aid provides financial assistance to school districts for the 

costs of educating children when enrollments and the availability 

of revenues from local sources have been adversely affected by the 

presence of Federal activities. Children who reside on Federal or 

Indian lands generally constitute a financial burden on local school 

systems because these lands do not generate property taxes—a 

major revenue source for elementary and secondary education in 

most communities. In addition, realignments of U.S. military forces 

at bases across the country often lead to influxes of children into 

school districts without producing the new revenues required to 

maintain an appropriate level of education. 

The Committee bill includes language that provides for continued 

eligibility for students affected by the deployment or death of their 

military parent, as long as these children still attend the same 
233 

school district. This language was included in the budget request 

and last year’s appropriation bill. 

Basic Support Payments.—The Committee recommends 

$1,091,867,000 for basic support payments. The comparable funding level for fiscal year 2006 and the budget request both are 

$1,091,867,000. Under this statutory formula, payments are made 

on behalf of all categories of federally connected children, with a 

priority placed on making payments first to heavily impacted 

school districts and providing any remaining funds for regular 

basic support payments. 

Payments for Children with Disabilities.—The Committee bill includes $49,466,000 for this purpose, the same amount as the comparable funding level for fiscal year 2006 and the budget request. 

Under this program, additional payments are made for certain federally connected children eligible for services under the Individuals 

with Disabilities Education Act. 

Facilities Maintenance.—The Committee recommends $4,950,000 

for facilities maintenance. The comparable funding level for fiscal 

year 2006 and the budget request both are $4,950,000 for this purpose. This activity provides funding for emergency repairs and comprehensive capital improvements to certain school facilities owned 

by the Department of Education and used by local educational 

agencies to serve federally connected military dependent students. 

Funds appropriated for this purpose are available until expended. 

Construction.—The Committee recommends $17,820,000 for this 

program. The comparable fiscal year 2006 funding level and the 

budget request both are $17,820,000 for this purpose. Formula and 

competitive grants are authorized to be awarded to eligible LEAs 

for emergency repairs and modernization of school facilities. Funds 

appropriated for the construction activity are available for obligation for a period of 2 years. 

The fiscal year 2006 appropriation for this activity stipulated 

that funds were to be used only on formula construction grants to 

eligible school districts. The budget request proposes bill language 

this year to provide construction funds on a competitive basis only. 

The Committee has provided this requested authority. 

Payments for Federal Property.—The Committee recommends 

$64,350,000 for this activity. The comparable funding level for fiscal year 2006 and the budget request both are $64,350,000 for this 

program. These payments compensate local educational agencies in 

part for revenue lost due to the removal of Federal property from 

local tax rolls. Payments are made to LEAs that have a loss of tax 

base of at least 10 percent of assessed value due to the acquisition 

since 1938 of real property by the U.S. Government. 

SCHOOL IMPROVEMENT PROGRAMS

Appropriations, 2006 ............................................................................. $5,255,477,000 

Budget estimate, 2007 ........................................................................... 4,973,158,000 

House allowance .................................................................................... 4,764,559,000 

Committee recommendation ................................................................. 5,029,943,000 

The Committee recommends an appropriation of $5,029,943,000 

for school improvement programs. The comparable funding level in 

fiscal year 2006 for this account is $5,255,477,000 and the budget 

request includes $4,973,158,000. 
234 

State Grants for Improving Teacher Quality 

The Committee recommends $2,747,439,000 for State grants for 

improving teacher quality. The comparable funding level for fiscal 

year 2006 and the budget request both are $2,887,439,000 for this 

program. 

The appropriation for this program primarily supports activities 

associated with the 2007–2008 academic year. Of the funds provided, $1,312,439,000 will become available on July 1, 2007, and 

$1,435,000,000 will become available on October 1, 2007. These 

funds will remain available for obligation until September 30, 2008. 

The No Child Left Behind Act requires States to ensure that all 

teachers teaching in core academic subjects are ‘‘highly qualified’’ 

by the end of the 2005–2006 school year. However, the Committee 

is aware that the Secretary of Education has notified States of her 

intention not to withhold Federal funds as provided under NCLB, 

if States did not reach the 100 percent goal by the end of the 2005– 

2006 school year but were making a good-faith effort to reach the 

goal as soon as possible. 

States and LEAs may use the funds for a range of activities related to the certification, recruitment, professional development, 

and support of teachers and administrators. Activities may include 

reforming teacher certification and licensure requirements, addressing alternative routes to State certification of teachers, recruiting teachers and principals, and implementing teacher mentoring systems, teacher testing, merit pay, and merit-based performance systems. These funds may also be used by districts to 

hire teachers to reduce class sizes. 

Early Childhood Educator Professional Development 

The Committee recommends $14,549,000 to support professional 

development activities for early childhood educators and caregivers 

in high-poverty communities. The comparable funding level for fiscal year 2006 and the budget request are both $14,549,000 for this 

program. From this appropriation, the Secretary makes competitive 

grants to partnerships of early childhood and family literacy caregivers and educators in order to provide high quality, sustained 

and intensive professional development for early childhood educators to help them provide developmentally appropriate schoolreadiness services for preschool-age children. 

Mathematics and Science Partnerships 

The Committee recommends $195,000,000 for the mathematics 

and science partnerships program. The comparable funding level 

for fiscal year 2006 and the budget request both are $182,160,000 

for this purpose. These funds will be used to improve the performance of students in the areas of math and science by bringing math 

and science teachers in elementary and secondary schools together 

with scientists, mathematicians, and engineers to increase the 

teachers’ subject-matter knowledge and improve their teaching 

skills. When the appropriation for this program is $100,000,000 or 

greater, the Secretary is authorized to award grants to States by 

a formula which includes consideration of the number of children 

aged 5 to 17 below the poverty line. States then are required to 

make grants competitively to eligible partnerships to enable the en-
235 

tities to pay the Federal share of the costs of developing or redesigning more rigorous mathematics and science curricula that are 

aligned with State and local standards; creating opportunities for 

enhanced professional development that improves the subject-matter knowledge of math and science teachers; recruiting math and 

science majors; and improving and expanding training of math and 

science teachers, including the effective integration of technology 

into curricula and instruction. 

Innovative Education Program Strategies State Grants 

The Committee does not recommend any funding for innovative 

education program strategies State grants. The comparable funding 

level for fiscal year 2006 and the budget request both are 

$99,000,000 for this purpose. 

The innovative education program is a flexible source of Federal 

funds that provides support to States and LEAs for developing education reform initiatives that will improve the performance of students, schools, and teachers. 

Educational Technology State Grants 

The Committee recommends $272,250,000 for educational technology State grants. The comparable funding level for fiscal year 

2006 is $272,250,000 and the budget request did not include any 

funds for this program. 

The educational technology State grants program supports efforts 

to integrate technology into curricula to improve student learning. 

Funds flow by formula to States and may be used for the purchase 

of hardware and software, teacher training on integrating technology into the curriculum, and efforts to use technology to improve 

communication with parents, among other related purposes. An 

LEA must use at least 25 percent of its formula allocation for professional development in the integration of technology into the curricula unless it can demonstrate that it already provides such highquality professional development. 

Under the No Child Left Behind Act, States may use up to 5 percent of their award for technical assistance and administrative expenses and then must distribute 50 percent of remaining funds 

based on a formula and 50 percent based on a grant competition. 

However, the fiscal year 2006 appropriations act included language 

allowing States to award up to 100 percent of their funds competitively. The Committee bill continues this legislative authority. 

Supplemental Education Grants 

The Committee recommendation includes $18,824,000 for the 

supplemental education grants program. The comparable funding 

level for fiscal year 2006 and the budget request both are 

$18,001,000 for this program. This grant program was authorized 

by the Compact of Free Association Amendments Act of 2003. The 

act discontinued the eligibility of Republic of Marshall Islands 

[RMI] and the Federated States of Micronesia [FSM] for funding 

available from Adult, Dislocated Worker and Youth Workforce Investment Act programs, Head Start, Title I Grants to LEAs, Adult 

and Vocational Education State Grants, Federal Work-Study and 

Federal Supplemental Educational Opportunities Grants. In place 
236 

of funding from these sources, the act provided a separate supplemental education grant program that provides these entities with 

a more flexible source of funds that can be tailored to local needs. 

These funds will be transferred from the Department of Education 

to the Secretary of the Interior for grants to these entities. The 

Committee bill includes language, contained in the fiscal year 2006 

appropriations act and budget request, that allows up to 5 percent 

to be used by the FSM and RMI to purchase oversight and technical assistance, which may include reimbursement of the Departments of Labor, Health and Human Services and Education for 

such services. 

21st Century Community Learning Centers 

The Committee recommends an appropriation of $981,166,000 for 

the 21st Century Community Learning Centers program, the same 

as both the comparable level for fiscal year 2006 and the budget 

request. 

Funds are allocated to States by formula, which in turn, award 

at least 95 percent of their allocations to local educational agencies, 

community-based organizations and other public and private entities. Grantees use these resources to establish or expand community learning centers that provide activities offering significant extended learning opportunities, such as before-and after-school programs, recreational activities, drug and violence prevention and 

family literacy programs for students and related services to their 

families. Centers must target their services on students who attend 

schools that are eligible to operate a schoolwide program under 

title I of the Elementary and Secondary Education Act or serve 

high percentages of students from low-income families. 

State Assessments and Enhanced Assessment Instruments 

The Committee recommends $407,563,000 for State assessments, 

the same as both the comparable funding level for fiscal year 2006 

and the budget request. 

A key accountability measure in the No Child Left Behind Act 

requires annual State assessments in reading and mathematics for 

all students in grades 3–8 beginning in the 2005–2006 school year. 

The new assessments will be used to determine whether States, 

LEAs, and schools are making adequate yearly progress toward the 

goal of helping all students attain proficiency within 12 years of 

the 2001–2002 school year. 

This program has two components. The first provides formula 

grants to States to pay the cost of developing standards and assessments required by the new law. The statute includes funding ‘‘trigger amounts’’ for fiscal years 2002–2007; States may defer the new 

assessments for each year the appropriation falls below the trigger 

level. The trigger for fiscal year 2007 is $400,000,000. The Committee recommendation includes $400,000,000 for this purpose. 

Under the second component of State assessments—Grants for 

Enhanced Assessment Instruments—appropriations in excess of 

the trigger level are used for a competitive grant program designed 

to support efforts by States to improve the quality and fairness of 

their assessment systems. The Committee recommendation for the 
237 

second component is $7,563,000, the same as both the comparable 

funding level for fiscal year 2006 and the budget request. 

The Committee continues to be concerned that many schools are 

unable to properly assess the performance of limited-English proficient students and students with disabilitites and is pleased that 

the Department has established a competitive preference for applications addressing the assessment of such students. The Committee urges the Department to continue to place a high priority 

on grant applications that aim to improve the quality of State assessments for students with disabilities and students with limited 

English proficiency, and to ensure the most accurate means of 

measuring their performance on these assessments. 

Javits Gifted and Talented Education 

The Committee recommends $5,025,000 for the Javits Gifted and 

Talented Students Education Program, the fiscal year 2006 funding 

level was $9,596,000. The President’s budget proposes to eliminate 

funding for this program. Funds are used for awards to state and 

local educational agencies, institutions of higher education, and 

other public and private agencies for research, demonstration, and 

training activities designed to enhance the capability of elementary 

and secondary schools to meet the special educational needs of gifted and talented students. The Committee recommendation will 

fund fully all current State and local educational agencies grants, 

and research and development activities. 

Foreign Language Assistance 

The Committee recommends $26,152,000 for the foreign language 

assistance program. The comparable funding level for fiscal year 

2006 is $21,780,000 and the budget request proposes $23,780,000 

for foreign language assistance activities. 

The Committee intends for funding available under this program 

to promote the goal of well-articulated, long-sequence language programs that lead to demonstrable results for all students. The Committee directs the Department not to make grants to schools that 

are replacing current traditional language programs with critical 

needs language instruction. The Committee is aware of the considerable research base demonstrating that second language acquisition leads to easier additional language learning, because the skills 

for language learning are transferable. The Committee believes it 

is more appropriate for the Department to build on the foundation 

of Federal support for traditional foreign language instruction in 

addressing critical needs languages and has provided funding for 

a grant competition in fiscal year 2007 to follow the framework of 

principles outlined in this paragraph. 

Funds from this program support competitive grants to increase 

the quality and quantity of foreign language instruction. At least 

75 percent of the appropriation must be used to expand foreign language education in the elementary grades. The Committee has included bill language that prohibits Foreign Language Assistance 

program funds from being used for the Foreign Language Incentive 

program. 

The Committee is concerned that this program, which is the only 

Federal program designed to help schools meet the need for foreign 
238 

language instruction, is unavailable to the poorest schools because 

grant recipients must provide a 50 percent match from non-Federal 

sources. The Committee, therefore, strongly urges the Secretary to 

use her ability to waive the matching requirement for qualifying 

schools and to increase awareness of this accommodation among 

the affected school population. 

Education for Homeless Children and Youth 

For carrying out education activities authorized by title VII, subtitle B of the Stewart B. McKinney Homeless Assistance Act, the 

Committee recommends $61,871,000. The comparable fiscal year 

2006 funding level and the budget request both are $61,871,000. 

This program provides assistance to each State to support an office of the coordinator of education for homeless children and 

youth, to develop and implement State plans for educating homeless children, and to make subgrants to LEAs to support the education of those children. Grants are made to States based on the 

total that each State receives in title I grants to LEAs. 

Under the McKinney-Vento Homeless Children and Youths Program, State educational agencies must ensure that homeless children and youth have equal access to the same free public education, including a public preschool education, as is provided to 

other children and youth. States must review and undertake steps 

to revise any laws, regulations, practices, or policies that may act 

as barriers to the enrollment, attendance, or success in school of 

homeless children and youth. 

Training and Advisory Services 

For training and advisory services authorized by title IV of the 

Civil Rights Act, the Committee recommends $7,113,000. The comparable fiscal year 2006 funding level and the budget request both 

are $7,113,000 for these services. 

The funds provided will support awards to operate the 10 regional equity assistance centers [EACs]. Each EAC provides services to school districts upon request. Activities include disseminating information on successful practices and legal requirements 

related to nondiscrimination on the basis of race, color, sex, or national origin in education programs. 

Education for Native Hawaiians 

For programs for the education of Native Hawaiians, the Committee recommends $33,908,000. The comparable fiscal year 2006 

funding level is $33,907,000 and the budget request includes 

$31,433,000 for these programs. 

The Committee bill includes language allowing $1,250,000 of the 

funds recommended to be used for construction and renovation of 

Native Hawaiian educational facilities. 

Native Hawaiian Law School Center of Excellence.——The Committee appreciates the Department’s continued support of the Native Hawaiian Law School Center of Excellence. This repository 

houses a compilation of historical and cultural documents which facilitates preservation and examination of laws of great significance 

to Native Hawaiians. The Committee bill includes language stipu-
239 

lating that $1,250,000 shall be used for a grant to the Center of 

Excellence at the University of Hawaii School of Law. 

The Henry Kuualoha Giugni Kupuna Memorial.—The Committee 

recommends support of projects that support the development of 

academic curricula or instructional materials that are based on archives of oral histories of Native Hawaiian history and culture. Activities supported with project funds may include the development 

of archives for collectable media significant to the State of Hawaii 

in memory of former Senate Sergeant at Arms Henry Kuualoha 

Giugni. The Henry Kuualoha Giugni Kupuna Archives will facilitate the acquisition of historical records and stories unique to the 

culture of Native Hawaiians. The establishment of this archival collection is critical for recording, cataloguing, and digitalization of 

oral histories, both new and old, and securing their availability for 

development of innovative educational programs to assist Native 

Hawaiian students. 

Alaska Native Educational Equity 

The Committee recommends $33,908,000 for the Alaska Native 

educational equity assistance program. The comparable fiscal year 

2006 funding level is $33,907,000 and the budget request is 

$33,908,000 for this purpose. 

These funds address the severe educational handicaps of Alaska 

Native schoolchildren. Funds are used for the development of supplemental educational programs to benefit Alaska Natives. The 

Committee bill includes language which allows funding provided by 

this program to be used for construction. This language is included 

from last year’s appropriations act. The Committee expects the Department to use some of these funds to address the construction 

needs of rural schools. 

Rural Education 

The Committee recommends $168,918,000 for rural education 

programs, the same as both the comparable fiscal year 2006 funding level and the budget request. 

The Committee strongly supports the continued use of Federal 

funding specifically for rural education. Rural schools face difficult 

challenges in meeting the mandates in the No Child Left Behind 

Act, particularly in the areas of attracting highly qualified teachers 

and adapting to new assessment requirements and reporting expectations. The rural education programs are intended to help level 

the playing field for small and high-poverty rural school systems 

that typically receive less Federal formula funding than their 

urban and suburban counterparts, and are frequently unable to 

compete for competitive grants. In addition to providing more total 

funding for such districts, the program also allows these districts 

to combine funds from four categorical programs and use the 

money to address their highest priorities, such as recruiting teachers, purchasing technology, or upgrading curricula. 

The Committee expects that rural education funding will be 

equally divided between the Small, Rural Schools Achievement 

Program, which provides funds to LEAs that serve a small number 

of students, and the Rural and Low-Income Schools Program, 
240 

which provides funds to LEAs that serve concentrations of poor 

students, regardless of the number of students served. 

Comprehensive Centers 

The Committee recommends $56,257,000 for the comprehensive 

centers program, the same as both the comparable fiscal year 2006 

funding level and the budget request. 

These funds will provide continued support to a network of 21 

comprehensive centers, at least one of which will operate in each 

of the 10 regions of the United States. The centers are operated by 

research organizations, agencies, institutions of higher education or 

partnerships thereof, provide training and technical assistance on 

various issues to States, LEAs, and schools as identified through 

needs assessments undertaken in each region. Grantees have developed 5-year plans for undertaking authorized activities that address the needs of States in a region and established advisory 

boards to advise the centers on allocation of resources, maintaining 

a high standard of quality in services delivery and ensuring that 

activities promote progress toward improving student achievement. 

The National Center for Education Evaluation and Regional Assistance will provide for ongoing independent evaluation of each center 

to assess whether each is meeting its objectives. 

The Committee notes that one of the primary missions of the 16 

regional comprehensive centers is to provide intensive technical assistance to State Educational Agencies to increase their capacity to 

assist local educational agencies and schools with meeting the goals 

of No Child Left Behind. This assistance is based in large part on 

the work of the five content centers, which are organized by topic 

area so these centers can develop the information, materials and 

resources that the regional centers need to fulfill their mission. The 

Committee directs the Department to inform the centers that the 

assistance provided by these centers must be based on scientifically 

based research and used, among other activities, to help States, 

school districts and schools better utilize the school improvement 

funds available under the 4 percent school improvement set aside 

and $100,000,000 school improvement grant program available 

under the education for the disadvantaged account, so that schools 

identified as in need of improvement can undertake the fundamental changes in instructional practices and the learning environment that scientifically based research demonstrates will lead to 

improved student achievement. 

The Committee is aware that the Department is developing a 

Promising Practices Initiative that is intended to share practices 

that show promise of improving student achievement based on the 

best available evidence. This Committee understands that this initiative will be led by the Office of Planning, Evaluation, and Policy 

Development. The Committee requests a report on how this initiative will be integrated and coordinated with the work of the Institute of Education Sciences What Work Clearinghouse, the Regional 

Educational Laboratories and other technical assistance providers 

funded by the Department of Education. The Committee requests 

a briefing on this issue not later than 30 days before the launch 

of this initiative and a report not later than 30 days after enactment of this act. 
241 

INDIAN EDUCATION

Appropriations, 2006 ............................................................................. $118,690,000 

Budget estimate, 2007 ........................................................................... 118,690,000 

House allowance .................................................................................... 118,690,000 

Committee recommendation ................................................................. 118,690,000 

The Committee recommends $118,690,000 for Indian Education 

programs. The comparable fiscal year 2006 funding level and the 

budget request both are $118,690,000 for such activities. 

Grants to Local Education Agencies 

For grants to local educational agencies, the Committee recommends $95,331,000. The comparable fiscal year 2006 funding 

level and the budget request both are $95,331,000 for authorized 

activities. 

These funds provide financial support to elementary and secondary school programs that serve Indian students, including preschool children. Funds are awarded on a formula basis to local educational agencies, schools supported and operated by the Bureau of 

Indian Affairs, and in some cases directly to Indian Tribes. 

Special Programs for Indian Children 

The Committee recommends $19,399,000 for special programs for 

Indian children, the same as the comparable fiscal year 2006 funding level and the budget request. 

Funds are used for demonstration grants to improve Indian student achievement through early childhood education and college 

preparation programs, and for professional development grants for 

training Indians who are preparing to begin careers in teaching 

and school administration. 

National Activities 

The Committee recommends $3,960,000 for national activities. 

The comparable fiscal year 2006 amount and the budget request 

both are $3,960,000 for authorized activities. Funds will be used to 

expand efforts to improve research, evaluation, and data collection 

on the status and effectiveness of Indian education programs. 

INNOVATION AND IMPROVEMENT

Appropriations, 2006 ............................................................................. $936,486,000 

Budget estimate, 2007 ........................................................................... 850,966,000 

House allowance .................................................................................... 911,413,000 

Committee recommendation ................................................................. 989,942,000 

The Committee recommends an appropriation of $989,942,000 for 

programs within the innovation and improvement account. The 

comparable fiscal year 2006 funding level for these programs is 

$936,486,000 and the budget request includes $850,966,000 for this 

account. 

Troops-to-Teachers 

The Committee recommends an appropriation of $14,645,000 for 

the Troops-to-Teachers program, the same as both the comparable 

funding level for fiscal year 2006 and the budget request. 
242 

This program supports the Defense Department’s Troops to 

Teachers program, which helps recruit and prepare retiring and 

former military personnel to become highly qualified teachers serving in high-poverty school districts. The Secretary of Education 

transfers program funds to the Department of Defense for the Defense Activity for Non-Traditional Education Support to provide assistance, including stipends of up to $5,000 and/or bonuses of up 

to $10,000 to eligible members of the Armed Forces so that they 

can obtain teacher certification or licensing. In addition, the program helps these individuals find employment in a school. 

Transition to Teaching 

The Committee recommends $44,484,000 for the transition to 

teaching program, the same as both the comparable fiscal year 

2006 funding level and the budget request. 

This program provides grants to help support efforts to recruit, 

train, and place nontraditional teaching candidates into teaching 

positions and to support them during their first years in the classroom. In particular, this program is intended to attract mid-career 

professionals and recent college graduates. Program participants 

are placed in high-need schools in high-need LEAs. 

National Writing Project 

The Committee recommends $25,000,000 for the National Writing Project. The comparable funding level for fiscal year 2006 is 

$21,532,000 and the budget request proposes to eliminate Federal 

funding for this program. 

These funds are awarded to the National Writing Project, a nonprofit organization that supports and promotes K–16 teacher training programs in the effective teaching of writing. 

Teaching of Traditional American History 

The Committee recommends $121,000,000 for the teaching of traditional American history program. The comparable fiscal year 

2006 funding level is $119,790,000 and the budget request is 

$50,000,000 for this activity. This program supports competitive 

grants to LEAs, and funds may be used only to undertake activities 

that are related to American history, and cannot be used for social 

studies coursework. Grant awards are designed to augment the 

quality of American history instruction and to provide professional 

development activities and teacher education in the area of American history. The Committee directs the Department to continue its 

current policy of awarding 3-year grants. 

The budget request proposes to continue language included in 

the fiscal year 2006 appropriations act that allows the Department 

to reserve up to 3 percent of funds appropriated for this program 

for national activities. The Committee bill includes the requested 

language. The Committee directs the Department to prepare and 

submit an operating plan to the House and Senate Committees on 

Appropriations, within 30 days of enactment of this act, on how 

these reserved funds will be used to support the intent of this program. 
243 

School Leadership 

The Committee recommends $14,731,000 for the school leadership program. The comparable fiscal year 2006 funding level is 

$14,731,000 and the budget request proposes to eliminate funding 

for this program. This program provides competitive grants to assist high-need LEAs to recruit and train principals and assistant 

principals through activities such as professional development and 

training programs. The Committee continues to recognize the critical role that principals and assistant principals play in creating an 

environment that fosters effective teaching and high academic 

achievement for students. 

Advanced Credentialing 

The Committee recommends $18,695,000 for the advanced 

credentialing program. The comparable fiscal year 2006 funding 

level is $16,695,000 and the budget request includes $8,000,000 for 

one component of the authorized program. The Committee recommendation includes $10,695,000 for the National Board for Professional Teaching Standards [NBPTS]. The 

comparable fiscal year 2006 funding level is $9,821,000 and the 

budget request proposes to eliminate funding for the National 

Board. Funds available assist the Board’s work in providing financial support to States for teachers applying for certification, increasing the number of minority teachers seeking certification and 

developing outreach programs about the advanced certification program. The fiscal year 2007 appropriation also supports $8,000,000 for 

the fifth and final year of a grant for the American Board for the 

Certification of Teacher Excellence. These funds support the development and implementation of two levels of teacher certification. 

Passport for Teaching is a certification for teachers entering the 

profession, while the Master Teacher certification is for experienced 

teachers. 

Charter Schools Grants 

The Committee recommends $214,782,000 for the support of 

charter schools. The comparable fiscal year 2006 funding level and 

the budget request both are $214,782,000 for this program. 

This appropriation supports the planning, development, and initial implementation of charter schools, which are public schools 

that receive exemption from many statutory and regulatory requirements in exchange for promising to meet agreed-upon accountability measures. State educational agencies that have the authority under State law to approve charter schools are eligible to 

compete for grants. If an eligible SEA does not participate, charter 

schools from the State may apply directly to the Secretary. The authorizing statute requires that amounts appropriated in excess of 

$200,000,000 and less than $300,000,000 be used for 5-year competitive grants to States that operate per-pupil facilities aid programs for charters schools. Federal funds are used to match State 

funded programs in order to provide charter schools with additional 

resources for charter school facilities financing. At the Committee 

recommendation $14,782,000 will be available to continue support 

for per-pupil facilities aid grants. 
244 

The Committee notes that the Department plans to use $8,000,000 in appropriated funds for national activities, which will 

include support for a rigorous evaluation of charter schools, technical assistance and dissemination of model charters and charter 

school laws. The Committee encourages the Department to continue to support such efforts and expects that additional information on these activities will be included in the fiscal year 2008 congressional budget justification. 

Credit Enhancement for Charter School Facilities 

The Committee does not recommend any funding for this program. The comparable funding level for fiscal year 2006 and the 

budget request both are $36,611,000 for this purpose. The Committee notes that the authorization for this program expired in fiscal year 2005 and, due to limited resources, does not fund this unauthorized activity. The budget request includes bill language that 

would continue to authorize this activity in fiscal year 2007. 

This program provides assistance to help charter schools meet 

their facility needs. Funds are provided on a competitive basis to 

public and non-profit entitities, to leverage non-Federal funds that 

help charter schools obtain school facilities through purchase, 

lease, renovation and construction. 

Voluntary Public School Choice 

The Committee recommends $26,278,000 for the voluntary public 

school choice program, the same as both the comparable funding 

level for fiscal year 2006 and the budget request. 

This program supports efforts by States and school districts to 

establish or expand State- or district-wide public school choice programs, especially for parents whose children attend low-performing 

public schools. 

Magnet Schools Assistance 

The Committee recommends $106,693,000 for the magnet schools 

assistance program, the same as both the comparable fiscal year 

2006 funding level and the budget request. 

This program supports grants to local educational agencies to establish and operate magnet schools that are part of a court-ordered 

or federally approved voluntary desegregation plan. Magnet schools 

are designed to attract substantial numbers of students from different social, economic, ethnic, and racial backgrounds. Grantees 

may use funds for planning and promotional materials, teacher salaries, purchase of computers, and other educational materials and 

equipment. 

Fund for the Improvement of Education 

The Committee recommends an appropriation of $238,879,000 for 

the Fund for the Improvement of Education [FIE]. The comparable 

funding level for fiscal year 2006 is $158,510,000 and the budget 

request includes $104,043,000 for comparable activities. 

For programs of national significance authorized under section 

5411 of the Elementary and Secondary Education Act [ESEA], the 

Committee recommendation includes $700,000 for the National Institute of Building Sciences to continue operation of the National 
245 

Clearinghouse for Educational Facilities, the Nation’s sole source 

for comprehensive information about school planning, design, financing, construction, and maintenance. The Committee recommends an additional $300,000 for this purpose within Safe and 

Drug-Free Schools and Communities National Programs to address 

issues related to school safety and healthy school buildings. 

The Committee recommendation also includes resources for the 

following activities: National Mathematics Panel; Teach for America; Reach Out and Read; evaluation and data quality initiatives 

designed to improve the quality of data collected from, and evaluations conducted by, grantees under elementary and secondary education programs; peer review and other grant activities authorized 

under section 5411 of the ESEA. 

The Committee commends the Music Educators National Conference for their work on the National Anthem Project and for 

highlighting the important role music teachers play in teaching our 

musical heritage. The Committee encourages the Department to 

work with the National Anthem Project to further their goal of 

teaching Americans the National Anthem. 

The budget request also proposed funding the Language Teacher 

Corps, Teacher to Teacher initiative, Math and Science evaluation, 

and State Scholars activity under this authority. Due to limited resources, the Committee recommendation does not include funding 

for these activities. The Committee notes that the Teacher to 

Teacher initiative and State Scholars activity have been funded 

previously, though no funding was provided explicitly for these 

items. 

Within the total amount for FIE, the Committee recommendation 

also includes funding for separately authorized programs as described in the paragraphs below. The Committee recommends $25,043,000 to award a contract to 

Reading Is Fundamental, Inc. [RIF] to provide reading-motivation 

activities. The comparable funding level for fiscal year 2006 and 

the budget request both are $25,043,000 for this purpose. RIF, a 

private nonprofit organization, helps prepare young children and 

motivate older children to read, through activities including the 

distribution of books. Federal funds provide up to 75 percent of the 

costs of books, except for migrant and seasonal farmworker programs which may receive up to 100 percent of the costs of books. 

The administration recommended eliminating funding for activities listed below. 

The Committee recommends $10,000,000 for the Star Schools 

program. The comparable funding level for fiscal year 2006 is 

$14,850,000. The Star Schools program is designed to improve instruction in math, science, foreign languages, and other areas such 

as vocational education, to underserved populations by means of 

telecommunications technologies. 

The Committee recommends $10,000,000 for the Ready to Teach 

program. The comparable funding level for fiscal year 2006 is 

$10,890,000. Ready to Teach encompasses funding for PBS 

TeacherLine and one or more nonprofit entities, for the purpose of 

continuing to develop telecommunications-based programs to improve teacher quality in core areas. It also includes digital educational programming grants, which encourage community partner-
246 

ships among local public television stations, State and local educational agencies, and other institutions to develop and distribute 

digital instructional content based on State and local standards. 

The Committee recommendation includes $9,500,000 for the Education through Cultural and Historical Organizations [ECHO] Act 

of 2001, as authorized by the No Child Left Behind Act. The comparable funding level for fiscal year 2006 is $8,910,000. Programs 

authorized under ECHO provide a broad range of educational, cultural, and job training opportunities for students from communities 

across the Nation, including Alaska, Hawaii, Massachusetts and 

Mississippi. 

The Committee has included $36,500,000 for arts in education. 

The comparable funding level for fiscal year 2006 is $35,277,000. 

Within the total, $6,369,000 is for the John F. Kennedy Center for 

the Performing Arts; $7,440,000 is for VSA arts; $13,755,000 is for 

the competitive art education model grant program for the development of model projects that effectively strengthen and integrate 

arts and cultural partnerships into the core curriculum; $7,936,000 

is for grants for professional development for music, dance, drama, 

and visual arts educators to be administered by the U.S. Department of Education; and $1,000,000 is to continue the evaluation 

and national dissemination of information regarding model programs and professional development projects funded through the 

Arts in Education section, including dissemination promising practices from funded projects and technical assistance for self-evaluation. Within the amount for evaluation, funds provided above the 

fiscal year 2006 level shall be used to support the National Center 

for Education Statistics Fast Response Survey System to collect 

data for the report of Arts Education in Public Elementary and 

Secondary Schools during the 2007–2008 school year. The Committee expects this survey and reporting to have the comprehensive 

quality of the 2002 report and to include national samples of elementary and secondary school principals, as well as surveys of elementary and secondary classroom teachers and arts specialists. 

The Committee recommends $39,600,000 for Parental Information and Resource Centers, which provide training, information, 

and support to parents, State and local education agencies, and 

other organizations that carry out parent education and family involvement programs. The comparable funding level for fiscal year 

2006 is $39,600,000. 

The Committee notes that the No Child Left Behind Act requires 

grantees to use at least 30 percent of their awards to establish, expand, or operate Parents as Teachers, Home Instruction Program 

for Preschool Youngsters, or other early childhood parent education 

programs. 

The Committee recommends $5,000,000 to continue support for 

the Mental Health Integration in Schools program. The comparable 

funding level for fiscal year 2006 is $4,910,000. This program supports grants to or contracts with State educational agencies, local 

educational agencies or Indian tribes to increase student access to 

mental health care by linking schools with their local mental 

health systems. The Committee expects this program to continue to 

be carried out by the Office of Safe and Drug-Free Schools. 
247 

The Committee includes $2,926,000 for the women’s educational 

equity program. The comparable funding level for fiscal year 2006 

is $2,926,000. This program supports projects that assist in the 

local implementation of gender equity policies and practices. The Committee recommendation includes $1,500,000 for activities authorized by the Excellence in Economics Education Act. The 

comparable fiscal year 2006 funding is $1,473,000. These funds will 

support a grant to a nonprofit educational organization to promote 

economic and financial literacy among kindergarten through 12th 

grade students. The Committee recommendation includes $2,436,000 to carry out 

the American History and Civics Education Act of 2004. The comparable funding level for fiscal year 2006 is $1,980,000. From the 

amount available, the Department will make grants to support 

Presidential Academies for Teaching of American History and 

Civics and Congressional Academies for Students of American History and Civics. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Amount 

32nd Degree Masonic Learning Centers, Lexington, MA, for a public school initiative program in New 

Hampshire ...................................................................................................................................................... $100,000 

Adams County 12 Five Star Schools, Thornton, CO, for modern language labs .............................................. 100,000 

Alamosa School District RE 11J, Alamosa, CO, for afterschool programs ....................................................... 100,000 

Alaska Educational Services, Anchorage, AK, for its after school alternatives program ................................. 400,000 

Alaska SeaLife Center in Seward, AK, for a Marine Ecosystems Education Program ...................................... 250,000 

American Foundation for Negro Affairs National Education and Research Fund, Philadelphia, PA, to raise 

the achievement level of minority students and increase minority access to higher education ................ 200,000 

Avante Garde Learning Associates, Anchorage, AK, for following the leaders program in Alaska ................. 1,000,000 

Bass Lake Joint Union Elementary School District, Oakhurst, CA, for music and art education programs ... 200,000 

Beaver County, PA, to implement educational programming for K–12 students, including safe and appropriate use of the Internet .............................................................................................................................. 100,000 

Best Buddies International, Inc., Miami, FL, to enhance the lives of people with mental retardation by 

providing opportunities for one-to-one friendships and integrated employment ........................................ 250,000 

Best Buddies Virginia, McLean, VA, for program expansion ............................................................................ 100,000 

Best Buddies, Miami, FL, for establishment of a Best Buddies program in New Hampshire ........................ 250,000 

Best Buddies, Miami, FL, to develop a Nevada site ......................................................................................... 500,000 

Boys & Girls Club of Mount Vernon, Mount Vernon, NY, to support character and leadership development 

programs ........................................................................................................................................................ 150,000 

Boys and Girls Harbor, New York, NY, for arts education programs at the Harbor Conservatory for Performing Arts ................................................................................................................................................... 100,000 

Bridgerland Community Ice Arena, North Logan, UT, for educational outreach and programming that meet 

the Utah core curriculum requirements in physical education .................................................................... 100,000 

Brigham City Corporation, Brigham City, UT, to support a distance learning initiative ................................. 100,000 

Brigham Young University of Provo, UT, for the Comprehensive Literacy Program to improve the literacy 

performance of low achieving students ........................................................................................................ 400,000 

Brooklyn Public Library, Brooklyn, NY, for the Learning Centers ...................................................................... 500,000 

Calcasieu Parish School Board, Westlake, LA, for technology enhancements ................................................. 100,000 

California Academy of Sciences, San Francisco, CA, for science education programs ................................... 400,000 

Carnegie Hall, NY, NY, for the National Music Education Programs ............................................................... 250,000 

Cedar Rapids School District, IA, for technology to monitor student progress and supplement teaching ..... 350,000 

Celeste Foundation, Mt. Doro, FL, to provide technical assistance to parents and caregivers of autistic 

children on early intervention therapies ....................................................................................................... 1,400,000 

Center for Advancing Partnerships in Education, Allentown, PA, for distance learning programs and technology upgrades ............................................................................................................................................ 100,000 

Challenger Learning Center of Maine, Bangor, ME, for a school improvement initiative ............................... 115,000 

Chamber Education Foundation, Warwick, RI, for a mentoring program ......................................................... 200,000 

Charter School Development Foundation, Las Vegas, NV, for technology upgrades ........................................ 500,000 

Charter School Institute, Philadelphia, PA, for the Shipyard Industrial Charter School Project ...................... 200,000 

Chester County Intermediate Unit, Downingtown, PA, for a vocational-technical education program ............ 100,000 
248 

Amount 

Child and Family Network Centers, Alexandria, VA, for education services to at-risk children ...................... 150,000 

Children Uniting Nations, Los Angeles, CA, for the Los Angeles Mentoring Model ......................................... 200,000 

Children’s Literacy Initiative, Philadelphia, PA, to improve the reading readiness and early literacy of children in high-poverty communities by providing professional development to teachers and principals .... 100,000 

Christ Lutheran Community Outreach Corp., Upper Darby, PA, in partnership with the Upper Darby School 

District, for education programs ................................................................................................................... 100,000 

City of Compton, CA, for educational programs at Tomorrow’s Aeronautical Museum ................................... 200,000 

City of Fresno, CA, for the Teacher Housing Program Pilot .............................................................................. 300,000 

City of Indianapolis, IN, for the Indianapolis Center for Education Innovation ............................................... 400,000 

City of Ogden, Ogden, UT, for historical education programming, including curriculum development and 

materials, at Fort Buenaventura in Ogden, UT ............................................................................................ 100,000 

City of Springfield, Springfield, MO, for program development, expansion, equipment and technology for 

the Ready to Learn Program ......................................................................................................................... 500,000 

City of Warwick, RI, for after school programming .......................................................................................... 250,000 

City of West Valley, West Valley City, UT, for a community education partnership ........................................ 140,000

City Year New Hampshire, Stratham, NH, for expansion of the Young Heroes program ................................. 200,000 

City Year, Inc., Philadelphia, PA, to reduce truancy and drop out rates in Philadelphia high schools ......... 200,000 

Clark County School District, Las Vegas, NV, to expand the Newcomer Academy .......................................... 350,000 

Clay County School system, WV, for the continuation of Following the Leaders programs in Clay and 

Roane counties .............................................................................................................................................. 100,000 

Clemens Center for the Performing Arts, Elmira, NY, for their classical literature program at schools ........ 250,000 

Communities in Schools, Richmond, VA, to continue providing assistance to at-risk students ..................... 100,000 

Coppin State University, Baltimore, MD, for the urban education corridor program ....................................... 300,000 

COSI Toledo, Toledo, OH, for a science education initiative ............................................................................. 250,000 

Creative Visions in Des Moines, IA for outreach to at-risk youth .................................................................... 150,000 

Cristo Rey High School, Chicago, IL, for its Library and Technology Center ................................................... 300,000 

Cuyahoga County Board of County Commissioners, Cleveland, OH, for the Invest in Children early learning 

program ......................................................................................................................................................... 150,000 

Da Vinci Discovery Center of Science and Technology, Bethlehem, PA to support science education initiatives ............................................................................................................................................................... 100,000 

Delta State University, Cleveland, MS, for the Delta Education Initiative ....................................................... 1,000,000 

Des Moines Community School District and Urban Dreams, Des Moines, IA, to continue a demonstration 

on full service community schools ................................................................................................................ 350,000 

Des Moines Community School District to expand pre-kindergarten programs ............................................... 750,000 

Detroit Area Pre-College Engineering Program, Detroit, MI, for program expansion efforts and curriculum 

development ................................................................................................................................................... 175,000 

East Penn School District, Emmaus, PA, for a leadership training program .................................................. 100,000 

East Saint Louis High School, East Saint Louis, IL, to upgrade the school’s technology and sciences programs ............................................................................................................................................................. 300,000 

Educating Young Minds, Los Angeles, CA, for educational programs ............................................................. 100,000 

Educational Service District 101, Spokane WA, for afterschool programs ....................................................... 150,000 

Eisenhower Foundation for replication of the Delaney Street project in Iowa ................................................. 700,000 

Esmeralda County School District, NV, for an accelerated reading and math program ................................. 100,000 

Fairbanks North Star Borough School District in Fairbanks, AK for the 4 R Children’s program ................... 200,000 

Fairbanks North Star Borough School District in Fairbanks, AK to expand the PLATO Learning initiative ..... 250,000 

Fairbanks North Star Borough School District, Fairbanks, AK, for educational programs ............................... 1,500,000 

First Book, Washington, DC, for the expansion of programs in West Virginia ................................................ 220,000 

First Book, Washington, DC, for the Maine Rural Outreach Initiative .............................................................. 100,000 

First Tee, Saint Augustine, FL, for the Life Skills Initiative ............................................................................. 500,000 

Galena School District in Galena, AK, for a boarding school for low performing Native students from remote villages across Western Alaska ........................................................................................................... 500,000 

George C. Marshall Foundation, Lexington, VA to expand educational programs ............................................ 100,000 

Granite School District, Salt Lake City, UT, for the Granite Digital Student Achievement Management System ................................................................................................................................................................. 100,000 

Guardian Angel Community Services, Joliet, IL for before and after school programs ................................... 100,000 

Harford County Board of Education, Aberdeen, MD, for the Math and Science Academy at Aberdeen High 

School in partnership with the Army’s Aberdeen Proving Ground ............................................................... 300,000 

Harrisburg School District, Harrisburg, PA, for school reform and technology initiative ................................. 100,000

Hartford Public Schools, Hartford, CT, to expand the English as a Second Language program .................... 100,000 

Homer-Center School District, Homer City, PA, for development and implementation of a science curriculum ........................................................................................................................................................... 100,000 

Internet Keep Safe Coalition, Salt Lake City, UT, for an internet education safety program .......................... 600,000 

Iowa Association of School Boards, Des Moines, IA for the Lighthouse for School Reform project ................ 500,000 

Iowa City Community School District, IA, to implement a literacy program .................................................... 500,000 

Iowa Department of Education to continue the Harkin grant program ............................................................ 8,090,000 

Iowa School Boards Association to expand the Following the Leaders project in Iowa .................................. 3,000,000 
249 

Amount 

Jamestown 400th Commemoration Commission, Williamsburg, VA for curriculum development .................... 150,000 

Jazz at Lincoln Center, NY, NY, for education programs .................................................................................. 250,000 

Jeremiah Cromwell Disabilities Center, Portland, ME, to support an elementary school disabilities awareness program ................................................................................................................................................. 100,000 

Johns Hopkins University, Baltimore, MD, for the Center for Talented Youth .................................................. 150,000 

Jumpstart, Boston, MA, to expand the One Child at a Time project in Rhode Island .................................... 125,000 

Jumpstart, Boston, MA, to expand the One Child at a Time project in the state of Washington .................. 250,000 

Kanawha County School System, WV, for the continuation of Following the Leaders program ...................... 900,000 

Kanawha County School System, WV, to implement the Project GRAD program ............................................. 1,000,000 

Kansas Learning Center for Health, Halstead, KS, for health education programs ........................................ 100,000 

Kauai Economic Development Board, HI, for math and science education ..................................................... 100,000 

Kenai Borough School District, Soldotna, AK, for the after the bell tutoring program .................................... 100,000

KICKSTART, Houston, TX, for a character development program ...................................................................... 200,000 

Kids Voting—USA, Tempe, Arizona, for the Kids Vote for Their Future—Illinois Initiative ............................. 120,000 

KIPP Foundation, San Francisco, CA, to subgrant to KIPP schools in the State of Tennessee, to support 

student programs .......................................................................................................................................... 200,000 

KIPP Foundation, San Francisco, CA, for curriculum development and teacher training for California 

schools, including subgrants ........................................................................................................................ 200,000 

KIPP Foundation, San Francisco, CA, to subgrant to KIPP Philadelphia Charter School for educational programs ............................................................................................................................................................. 100,000 

Klingberg Family Centers, New Britain, Connecticut, for the special education enhancement initiative ....... 600,000 

La Causa Charter School, Milwaukee, WI, for science and robotics curriculum and equipment .................... 100,000 

Liberty Science Center, Jersey City, NJ, for the Hudson Harbor and Estuary Ecological Learning Initiative ... 100,000 

Lincoln Parish School Board, Ruston, LA, for technology enhancements ......................................................... 100,000 

LISC Rhode Island Child Care Facilities Fund, Providence, RI, for training and technical assistance designed to improve the quality of early care and education ......................................................................... 250,000 

Livingston Parish School Board, Walker, LA, for technology enhancements .................................................... 100,000 

Loess Hills Area Education Agency in Iowa for a demonstration in early childhood education ...................... 750,000 

Logan City School District, Logan, UT, for the 6th Grade Reading Assistance Project ................................... 100,000 

Lower Pioneer Valley Educational Collaborative, West Springfield, MA, for the procurement of educational 

equipment and development of academic programs ................................................................................... 200,000 

Maine Alliance for the Arts Education, Augusta, ME to provide access to high-quality arts education ........ 100,000 

Marketplace of Ideas/Marketplace for Kids, Inc., Mandan, ND, for a statewide program focused on entrepreneurship education ................................................................................................................................... 250,000 

Maui Economic Development Board, HI, for the girls into science program ................................................... 300,000 

McKelvey Foundation, New Wilmington, PA, to support McKelvey entrepreneurial college scholarships for 

rural, low-income Pennsylvania high school graduates ............................................................................... 100,000 

Meeting Street School, Providence, RI, for a school readiness initiative ......................................................... 250,000 

Metropolitan Wilmington Urban League, Wilmington, DE, for Achievement Matters! ...................................... 150,000 

Milwaukee Public Schools, Milwaukee, WI, for afterschool programs .............................................................. 1,300,000 

Milwaukee SCORES, Milwaukee, WI, for afterschool programs ......................................................................... 100,000 

Mississippi State University, Mississippi State, MS, for the Center for Economic Education ......................... 100,000 

Monterey Bay Aquarium, Monterey, CA, for ocean science education for students learning English ............. 200,000 

National American Indian, Alaskan, and Hawaiian Educational Development Center, Sheridan, WY, to expand its training of staff serving Native students in an early literacy learning and math framework .... 400,000 

National History Day for a history competition in Iowa .................................................................................... 100,000 

Negro Leagues Baseball Museum, Kansas City, MO, for curriculum development .......................................... 250,000 

New Mexico State University, Las Cruces, NM, for the Southern New Mexico Science, Engineering, Mathematics and Aerospace Academy ................................................................................................................... 139,000 

New Orleans Outreach, New Orleans, LA, to coordinate volunteer efforts at charter schools ......................... 300,000 

New School University, New York, NY, for the Institute for Urban Education .................................................. 950,000 

New York Hall of Science, Queens, NY, for science exhibits and educational programming .......................... 600,000 

Nome Public Schools, Nome, AK, to support vocational training provided by the Northwestern Alaska Career and Technical Center ............................................................................................................................. 250,000 

North Country Education Services Agency, Gorham, NH, for educational opportunities through the North 

Country Gear Up College Prep Initiative ....................................................................................................... 300,000 

North Slope Borough School District, Barrow, AK, for an Early Childhood Education Program ....................... 300,000 

Oakland School of the Arts, CA, for educational programs .............................................................................. 300,000 

Ogden City School District, Ogden, UT, for the Ogden Telepresence-Enabled Academic Mentoring program .............................................................................................................................................................. 100,000 

Ohio Council of Urban Leagues, Elyria, OH, for a mentoring initiative ........................................................... 500,000 

Pacific Islands Center for Educational Development in American Samoa, for a mentoring program aimed 

at college prep .............................................................................................................................................. 400,000 

PE4life Foundation, Kansas City, MO, for expansion and assessment of PE4life programs across Iowa ...... 600,000 

Pennsylvania Department of Education, Harrisburg, PA, for development of an instructional model for improving instruction and student outcomes ................................................................................................... 200,000 
250 

Amount 

People for People, Inc., Philadelphia, PA, to expand an after school program ............................................... 300,000 

Philadelphia Martin Luther King, Jr. Association for Nonviolence Inc., Philadelphia, PA, for its College for 

Teens program ............................................................................................................................................... 100,000 

Philadelphia School District, Philadelphia, PA for a summer school initiative ............................................... 1,000,000 

Plaquemines Parish School Board, Harvey, LA, for technology enhancements ................................................ 100,000

Portfolio Gallery and Educational Center, St. Louis, MO, to develop an after school art program for underserved students ............................................................................................................................................. 100,000 

Project GRAD Knoxville, TN, for school reform activities .................................................................................. 200,000 

Project HOME, Philadelphia, PA, for an after school program ......................................................................... 100,000 

Project Rainbow, Philadelphia, PA, for early childhood services and after-school programs ......................... 100,000 

Providence Community Action Program, Inc, Providence, RI, for the Providence Interim Middle School 

Intervention Center ........................................................................................................................................ 100,000 

Providence School Department, Providence, RI, for an extended learning pilot program ................................ 200,000 

Provo Community Arts Center, Provo, UT, for a community arts program ....................................................... 100,000 

Public/Private Ventures, Philadelphia, PA, for Youth Net programs, in partnership with the School District 

of Philadelphia .............................................................................................................................................. 100,000 

Putnam County Educational Service Center, Ottawa, OH, for a structured reading mentoring project primarily for children with disabilities .............................................................................................................. 300,000 

Rapides Parish School Board, Alexandria, LA, for technology enhancements .................................................. 100,000 

Ready Readers, St. Louis, MO, to serve additional students through the after school reading program ...... 100,000 

Re-Inventing Schools Coalition, Anchorage, AK to expand statewide its Alaska Quality Schools Model ........ 500,000 

Rhode Island MicroEnterprise Association, North Kingstown, RI, for the Rhode Island Youth Entrepreneurship Program ................................................................................................................................................. 100,000 

Riverside School District, Taylor, PA, for curriculum and equipment for a physical education program ....... 100,000 

Roberto Clemente Charter School, Allentown, PA, to enable bi-lingual, economically disadvantaged high 

school students to prepare for careers in nursing and other healthcare professions ................................ 100,000 

Rodale Institute, Kutztown, PA, for educational programming ......................................................................... 100,000 

Rose Brooks Center, Kansas City, MO, for a school based anti-violence education project ........................... 250,000 

Rutgers University-Camden Campus, Center For Strategic Urban Community Leadership, Camden, for the 

LEAP Early Child Research Learning Academy ............................................................................................. 965,000 

Saint Bernard Parish School Board, Chalmette, LA, for technology enhancements ........................................ 100,000 

Saint Joseph Institute for the Deaf, Chesterfield, MO, for special education services to the hearing impaired ............................................................................................................................................................. 250,000 

Saint Joseph’s University, Philadelphia, PA, to develop a Public Education Partnership to provide professional development for area principals and teachers .................................................................................. 100,000 

Saint Louis SCORES, Saint Louis, MO, for an after school education pilot project ........................................ 200,000

San Bernardino Boys and Girls Club, San Bernardino, CA, to serve at-risk youth ......................................... 1,000,000 

San Juan School District, Blanding, UT, for the PUSH program ...................................................................... 110,000 

San Miguel School, Providence, RI, for curriculum development, community education and operating 

costs .............................................................................................................................................................. 100,000 

Save the Children, Westport, CT, for early childhood, after school, summer, or in-school literacy programs 

in rural or Gulf Coast areas in Mississippi, which may be carried out through subgrants to local partners ................................................................................................................................................................ 500,000 

Save the Children, Westport, CT, to implement literacy programs in rural schools in Nevada ...................... 500,000 

Scholars’ Academy, St. Louis, MO, for curriculum development ...................................................................... 100,000 

Scranton School District, Scranton, PA, for curriculum development and training to teachers in foreign 

language, arts and humanities instruction .................................................................................................. 100,000 

Sevier School District, Richfield, UT, for math and literacy interventions ....................................................... 100,000 

Slater Mill, Pawtucket, RI, for curriculum-based museum education programming ....................................... 150,000 

Sophia Academy, Providence, RI, to improve education for girls from socio-economically disadvantaged 

backgrounds .................................................................................................................................................. 100,000 

SouthCoastConnected, New Bedford, MA, for implementation of the Drop the Drop-Out Rate Initiative ....... 100,000 

Southeast Island School District, Thorne Bay, AK, to develop two-way interactive video conferencing to 

provide special education services at isolated school sites in Southeast Alaska ...................................... 100,000 

Southern Methodist University, Dallas, TX, for the Dallas Kids Program ......................................................... 300,000 

State of Alaska Department of Education and Early Development, Anchorage, AK, for a statewide teacher 

mentoring and retention initiative ................................................................................................................ 2,950,000 

Susquehanna Valley House of Hope, Selinsgrove, PA, for education programs for at-risk youth ................... 100,000 

Teach for America, Las Vegas, NV, to expand Teach for America’s operations in Clark County, Nevada ...... 250,000 

Technological Research and Development Authority, Titusville, FL, for Endeavor Academy Titusville, FL ...... 100,000 

The Bushnell Center for Performing Arts, Hartford, CT, for the Arts Education Community Engagement 

Program ......................................................................................................................................................... 250,000 

Thelonious Monk Institute of Jazz, Washington, DC, for jazz education programs in Alaska schools ............ 250,000 

Town of Barnstable, MA, for the development of programs and procurement of educational equipment at 

youth and community center ......................................................................................................................... 250,000 

Tri-County Community Action Partnership, Bridgeton, NJ, for the Literacy Program ....................................... 250,000 
251 

Amount 

United Inner City Services, Kansas City, MO, to enhance and expand early learning programs .................... 750,000 

University of Maine, Orono, ME, for Sports Done Right for defining, shaping and maintaining healthy 

interscholastic and youth sports programs .................................................................................................. 140,000 

University of Northern Iowa to continue the 2∂2 teacher education demonstration program ...................... 500,000 

University of Northern Iowa, Cedar Falls, IA, for an early childhood science and math program .................. 100,000 

University of Pennsylvania, Philadelphia, PA, to support a global languages and culture program to serve 

area K–12 students ....................................................................................................................................... 500,000 

University of Southern Mississippi, Hattiesburg, MS, for the Center for Literacy and Assessment ................ 1,000,000 

University of Southern Mississippi, Hattiesburg, MS, for the Frances A. Karnes Center for Gifted Studies ... 300,000 

University of Vermont, Burlington, VT, to establish the Educational Excellence program ............................... 3,000,000 

University of Wisconsin-Platteville, Platteville, WI, to establish an English as a Second Language teacher 

certification program ..................................................................................................................................... 150,000 

University of Wisconsin-Whitewater, Whitewater, WI, to establish a certification program for science 

teachers ......................................................................................................................................................... 150,000 

Urban Family Council in partnership with the School District of Philadelphia, Philadelphia, PA, for the 

Saturday Morning Alternative Reach and Teach program ............................................................................ 200,000 

Utah State Office of Education, Salt Lake City, UT, for a teacher mentoring program .................................. 1,000,000 

Vermillion Parish School Board, Abbeville, LA, for technology enhancements ................................................. 100,000 

W.E.B. DuBois Learning Center in Kansas City, MO, for an after school tutoring program ............................ 100,000 

Waldo County Preschool & Family Service, Belfast, ME, to increase reading and learning success for 

Maine children ............................................................................................................................................... 100,000 

Washington County School District, St. George, UT, for the Family Focus Project .......................................... 100,000 

Washington Education Foundation, Issaquah WA, for the Leadership 1000 Scholarship Program ................. 1,000,000 

Washington Jesuit Academy, Washington, DC, for a mentoring and achievement program ........................... 400,000 

Washoe County School District, Reno, NV, to expand the Classroom on Wheels program .............................. 350,000 

Whitaker Center for Science and the Arts, Harrisburg, PA, for science instruction through the arts ............ 100,000 

Wilkes University, Wilkes-Barre, PA, for curriculum development and equipment acquisition ........................ 100,000 

YMCA of Greater St. Louis, St. Louis, MO, to expand after school programming at the Monsanto Family 

YMCA .............................................................................................................................................................. 250,000 

York School District, York, PA, for technology and equipment ......................................................................... 100,000 

Youth Advocate Programs, Inc., Harrisburg, PA, for alternative school services ............................................. 300,000 

Teacher Incentive Fund 

The Committee recommendation includes $99,000,000 for the 

teacher incentive fund program. The comparable funding level for 

fiscal year 2006 and the budget request both are $99,000,000 for 

this purpose. 

The appropriation supports a pilot program to develop and implement innovative ways to provide financial incentives for teachers 

and principals who raise student achievement and close the 

achievement gap in some of our Nation’s highest-need schools. 

Under this program, the Secretary shall use not less than 95 percent of these funds to award competitive grants to local educational 

agencies [LEAs], including charter schools that are LEAs, States, 

or partnerships of (1) a local educational agency, a State, or both 

and (2) at least one non-profit organization to design and implement fair, differentiated compensation systems for public school 

teachers and principals based primarily on measures of gains in 

student achievement, in addition to other factors, for teachers and 

principals in high-need schools. Performance-based compensation 

systems must consider gains in student achievement as well as 

classroom evaluations conducted multiple times during each school 

year and provide educators with incentives to take on additional responsibilities and leadership roles. Each applicant for funding must 

demonstrate a significant investment in, and ensure the sustainability of, its project by committing to pay for an increasing share 

of the total cost of the project, for each year of the grant, with 

State, local, or other non-Federal funds. In addition, the Secretary 
252 

gives a priority to applications that demonstrate the majority support of educators for such compensation systems. 

Not more than 5 percent of the appropriation may be used by the 

Secretary to provide schools with assistance in implementing this 

program through one or more grants to an organization or organizations with expertise in providing research-based expert advice to 

support schools initiating and implementing differentiated compensation systems, training school personnel, disseminating information on effective teacher compensation systems, and providing 

program outreach through a clearinghouse of best practices. This 

set aside also will support the design and implementation of an appropriate, long-term and rigorous evaluation of this program which 

will be used to inform Congress on the results achieved under this 

program. 

The budget request, and Committee bill, continue language included in last year’s appropriations act authorizing this program. 

Ready to Learn Television 

The Committee recommends an appropriation of $24,255,000 for 

the Ready to Learn Television program. The comparable funding 

level for fiscal year 2006 and the budget request both are 

$24,255,000 for this purpose. 

Ready to Learn Television supports the development and distribution of educational television programming designed to improve the readiness of preschool children to enter kindergarten and 

elementary school. The program also supports the development, 

production, and dissemination of educational materials designed to 

help parents, children, and caregivers obtain the maximum advantage from educational programming. 

The Committee directs the Department to utilize funds provided 

for fiscal year 2007 in the same proportions as fiscal year 2006 program resources. In the statement of the managers accompanying 

the fiscal year 2006 appropriations act, the conferees indicated that 

funds provided above the fiscal year 2005 level were to be used for 

the outreach cooperative agreement to expand successful models of 

public television station-based outreach activities that incorporate 

local adult training workshops. The Committee intends for outreach funds to be used in fiscal years 2006 and 2007 for this purpose. 

Dropout Prevention 

The Committee does not recommend any funding for the dropout 

prevention program. The comparable funding level for fiscal year 

2006 is $4,851,000 and the budget request did not include any 

funding for the dropout prevention program. These funds have 

been used to help schools implement school dropout prevention and 

re-entry programs. 

Close Up Fellowships 

The Committee recommendation includes $1,500,000 for Close 

Up Fellowships. The comparable funding level for fiscal year 2006 

is $1,454,000 and the budget request did not include any funds for 

this purpose. The Close Up Fellowships, formerly called Ellender 

Fellowships, which is administered by the Close Up Foundation of 
253 

Washington, DC, provides fellowships to students from low-income 

families and their teachers to enable them to spend 1 week in 

Washington attending seminars and meeting with representatives 

of the three branches of the Federal Government. 

Advanced Placement Program 

The Committee recommends $40,000,000 for advanced placement. The comparable funding level for fiscal year 2006 is 

$32,175,000 and the budget request includes $122,175,000 for this 

purpose. 

The first priority of the program is to subsidize test fees for lowincome students who are enrolled in an advanced placement class 

and plan to take an advanced placement test. The balance of the 

funds are allocated for advanced placement Incentive Program 

grants, which are used to expand access for low-income individuals 

to advanced placement programs. Eligible activities include teacher 

training and participation in online advanced placement courses, 

among other related purposes. 

The budget request proposes bill language to require grant recipients to offer incentives to teachers to become qualified to teach 

advanced placement courses in math, sciences and critical foreign 

languages, and to teachers whose students pass tests in those subjects. The budget request also proposes bill language to require 

grantees to provide a match of $2 in non-Federal funds for each $1 

in Federal funds received under this program. 

The Committee bill does not include the requested language, but 

the Committee notes that the No Child Left Behind Act establishes 

clear priorities for the Department to utilize in conducting grant 

competitions under the advanced placement incentive program. The 

Committee intends for funds to be used for these priorities to increase the availability of such programs in the highest poverty 

school districts. 

SAFE SCHOOLS AND CITIZENSHIP EDUCATION

Appropriations, 2006 ............................................................................. $729,518,000 

Budget estimate, 2007 ........................................................................... 266,627,000 

House allowance .................................................................................... 623,627,000 

Committee recommendation ................................................................. 653,204,000 

Safe and Drug-Free Schools and Communities 

The Committee recommends a total of $653,204,000 for activities 

to promote Safe Schools and Citizenship Education. The comparable fiscal year 2006 funding level is $729,518,000 and the 

budget request includes $266,627,000 for these activities. 

State Grant Program.—The Committee recommends 

$310,000,000 for the safe and drug-free schools and communities 

State grant program. The comparable fiscal year 2006 funding level 

is $346,500,000 and the budget request did not include any funds 

for this purpose. The State grant program is the backbone of youth 

drug prevention efforts in the United States. This formula-based 

State grant program provides resources to Governors, State educational agencies, and local educational agencies for developing and 

implementing activities that help create and maintain safe and 

drug-free learning environments in and around schools. 
254 

National Programs.—The Committee has included $131,112,000 

for the national programs portion of the safe and drug-free schools 

and communities program. The comparable funding level for fiscal 

year 2006 is $141,112,000 and the budget request includes 

$196,992,000 for these programs. The Committee recommendation 

includes $4,000,000 for Project SERV (School Emergency Response 

to Violence), which provides education-related services to LEAs in 

which the learning environment has been disrupted due to a violent or traumatic crisis. These funds are available until expended. 

The Committee continues to be concerned about the increasing 

problem of alcohol and drug abuse on college campuses. The Committee has included bill language requiring the Department to 

spend $850,000 on a program under the guidelines in section 120(f) 

of Public Law 105–244. This program identifies and provides models of alcohol and drug abuse prevention and education programs 

in higher education. The Committee includes these funds within 

the requested $6,584,000 for post-secondary alcohol prevention efforts proposed in the budget request. 

The Committee expects that the Department will provide 

$300,000 for the continued operation of the National Clearinghouse 

for Educational Facilities. These funds will be used to address 

issues related to school safety and healthy school buildings. The 

Committee has included additional funds for the Clearinghouse 

through the Fund for the Improvement of Education. 

The Committee recommendation does not include $52,500,000 as 

requested by the Department for a new grant program for local 

educational agencies. This program was proposed to replace the 

State grant program, a proposal rejected by the Committee. 

The Committee recommendation includes $27,000,000 to continue and expand the school safety initiative. The Committee believes that this initiative should be broadened to include grants for 

non-profit organizations to support technical assistance that helps 

early care and education programs undertake crisis response planning that will better prepare early care and education providers for 

necessary actions that will need to be taken in the event of an 

emergency. The Committee is aware that such programs were not 

prepared adequately for the Gulf hurricanes and are not being integrated into crisis response planning that is being undertaken. The 

Committee encourages the Department to coordinate with the Administration for Children and Families of the Department of 

Health and Human Services on this initiative. 

The Committee recommendation includes $11,000,000 for schoolbased drug testing programs for students. The comparable fiscal 

year 2006 funding level is $10,380,000 and the budget request includes $15,000,000. Within this amount, the Committee has included $1,900,000 for the ongoing rigorous evaluation of the student drug testing grants. 

The Committee recommendation also includes $3,036,000 to continue data management improvement grants and related technical 

assistance; $72,792,000 for Safe Schools Healthy Students; 

$1,400,000 for the required impact evaluation; and $5,000,000 for 

other activities. 
255 

Alcohol Abuse Reduction 

The Committee recommends $32,409,000 for grants to LEAs to 

develop and implement programs to reduce underage drinking in 

secondary schools. The comparable funding level for fiscal year 

2006 is $32,409,000 and the budget request did not include any 

funds for this purpose. The Committee directs the Department and 

the Substance Abuse and Mental Health Services Administration 

[SAMHSA] in the Department of Health and Human Services to 

continue to work together on this effort. 

Mentoring 

The Committee recommends $19,000,000 to support mentoring 

programs and activities for children who are at risk of failing academically, dropping out of school, getting involved in criminal or 

delinquent activities, or who lack strong positive role models. The 

comparable fiscal year 2006 funding level is $48,814,000 and the 

budget request is $19,000,000 for this purpose. 

Character Education 

The Committee recommends $24,248,000 to provide support for 

the design and implementation of character education programs. 

The comparable funding level for fiscal year 2006 and the budget 

request both are $24,248,000 for this purpose. 

Elementary and Secondary School Counseling 

The Committee recommends $34,650,000 to establish or expand 

counseling programs in elementary schools. The comparable fiscal 

year 2006 funding level is $34,650,000 and President’s budget proposes to eliminate funding for this program. As authorized by the 

No Child Left Behind Act, all amounts appropriated up to 

$40,000,000 are used only for elementary school counseling programs. 

Carol M. White Physical Education for Progress Program 

The Committee recommends $72,674,000 to help LEAs and community-based organizations initiate, expand and improve physical 

education programs for students in grades K–12, as authorized by 

Public Law 107–110. The comparable funding level for fiscal year 

2006 is $72,674,000 and the budget request includes $26,387,000 

for this program. Provision of this funding will help schools and 

communities nationwide improve their structured physical education programs for students and help children develop healthy 

lifestyles to combat the epidemic of obesity in the Nation. 

Civic Education 

The Committee recommends $29,111,000 for grants to improve 

the quality of civics and government education, to foster civic competence and responsibility, and to improve the quality of civic and 

economic education through exchange programs with emerging democracies. The comparable fiscal year 2006 funding level is 

$29,111,000 and the budget request proposed to eliminate funding 

for this purpose. 

Civic Education program funds support both the We the People 

programs and the Cooperative Education Exchange. The Com-
256 

mittee recommends $17,039,000 for the nonprofit Center for Civic 

Education to support the We the People programs. We the People 

has two primary components: the Citizen and the Constitution program, which provides teacher training, curriculum materials, and 

classroom instruction for upper elementary, middle, and high 

school students; and Project Citizen, a program for middle school 

students that focuses on the role of State and local governments in 

the American Federal system. 

Within the amount for the We the People program, the Committee recommends the following: that $2,995,000 be reserved to 

continue the comprehensive program to improve public knowledge, 

understanding, and support of American democratic institutions 

which is a cooperative project among the Center for Civic Education, the Center on Congress at Indiana University, and the 

Trust for Representative Democracy at the National Conference of 

State Legislatures; and that $1,498,000 be used for continuation 

and expansion of the school violence prevention demonstration program including the Native American program. 

The Committee recommends $12,072,000 for the Cooperative 

Education Exchange program. Within this amount, the Committee 

has included $4,527,000 for the Center for Civic Education and 

$4,527,000 for the National Council on Economic Education. The 

remaining $3,018,000 should be used for a competitive grant program for civics and government education, and for economic education. 

ENGLISH LANGUAGE ACQUISITION

Appropriations, 2006 ............................................................................. $669,008,000 

Budget estimate, 2007 ........................................................................... 669,007,000 

House allowance .................................................................................... 669,007,000 

Committee recommendation ................................................................. 669,007,000 

The Committee recommends an appropriation of $669,007,000 for 

English language acquisition. The comparable funding level for fiscal year 2006 is $669,008,000 and the budget request is 

$669,007,000 for authorized activities. 

The Department makes formula grants to States based on each 

State’s share of the Nation’s limited-English-proficient and recent 

immigrant student population. The program is designed to increase 

the capacity of States and school districts to address the needs of 

these students. The No Child Left Behind Act also requires that 6.5 

percent of the appropriation, an amount equal to $43,485,000 at 

the Committee recommendation funding level, be used to support 

national activities, which include professional development activities designed to increase the number of highly qualified teachers 

serving limited English proficient students; a National Clearinghouse for English Language Acquisition and Language Instructional Programs; and evaluation activities. The budget request includes language that would allow national activities funds to be 

available for 2 years. The Committee bill includes the requested 

language. 
257 

SPECIAL EDUCATION

Appropriations, 2006 ............................................................................. $11,653,013,000 

Budget estimate, 2007 ........................................................................... 11,697,502,000 

House allowance .................................................................................... 11,753,013,000 

Committee recommendation ................................................................. 11,610,367,000 

The Committee recommends $11,610,367,000 for special education programs authorized by the Individuals with Disabilities 

Education Act [IDEA]. The comparable fiscal year 2006 funding 

level is $11,653,013,000 and the budget request includes 

$11,697,502,000 for such programs. 

No Child Left Behind [NCLB] and the Individuals with Disabilities Education Act [IDEA 04].—The Committee is aware of the effort made on behalf of students with disabilities as changes in 

NCLB policy have directly impacted these students as States have 

been given flexibility in assessment options with the Interim Two 

Percent Policy and Draft Two Percent Rule. The Committee believes the Office of Special Education and Rehabilitation Services 

should strengthen and increase its role in recommending guidance 

to States and LEAs that will define how students are identified for 

the Two Percent Rule and ensure eligible students have every possible opportunity for full and consistent participation in the general 

education curriculum and be on track to graduate with a regular 

diploma. 

Specific Learning Disabilities [SLD].—The Committee commends 

the Office of Special Education Programs [OSEP] for its consistent 

efforts to support and conduct work on behalf of individuals with 

specific learning disabilities. The Committee believes OSEP should 

assist States and LEAs in identifying the criteria for determining 

an SLD and ensuring the consistency and integrity of the classification system across the States, and provide guidance and technical 

assistance systems for the improvement of SLD identification and 

eligibility. OSEP should disseminate to and assist both States and 

LEAs with replicable models that produce measurable positive improvements in student learning, including reliable and valid information on Responsiveness/Response to Intervention [RTI]. OSEP 

should provide positive, proactive guidance, based on the well established RTI models in the country, on the appropriate use of RTI 

in the eligibility process. OSEP should seek counsel from practitioner leaders as well as university researchers to accomplish this 

function. The Committee encourages OSEP to coordinate with the 

Parent Training and Information Centers, National Dissemination 

Center for Children with Disabilities and other national partners 

to disseminate information about accurate identification of SLDs to 

parents, including information on RTI, so parents will have a firm 

understanding of what the process may look like in their school 

and how to be informed and be an active partner in the process. 

The Committee also encourages OSEP to coordinate efforts within 

the Department of Education, National Institutes of Health, National Science Foundation and other Federal agencies working on 

related activities. 

No Child Left Behind [NCLB] and the Individuals with Disabilities Education Act [IDEA 04].—The Committee urges OSEP to improve and increase its activities to educate parents of students with 

learning disabilities with the critical information they need to un-
258 

derstand the impact of the Individualized Education Program 

Team decisions related to options for statewide assessments required by NCLB and how to improve the academic achievement of 

students through School Choice, Supplemental Education Services 

and other provisions of NCLB. The Committee encourages OSEP to 

develop a Toolkit for Parents of Students with Disabilities to accompany and reflect the information made available to parents of 

required NCLB subgroups through the Office of Communications 

and Outreach. The Committee notes that parents of students with 

disabilities need essential information on NCLB to ensure their 

student has every possible opportunity for full and consistent participation in the general education curriculum and to be on track 

to graduate with a regular diploma. 

Grants to States 

The Committee recommends $10,582,961,000 for special education grants to States, as authorized under part B of the IDEA. 

The comparable fiscal year 2006 funding level is $10,582,961,000 

and the budget request includes $10,682,961,000. This program 

provides formula grants to assist States, Outlying Areas, and other 

entities in meeting the costs of providing special education and related services for children with disabilities. States pass along most 

of these funds to local educational agencies, but may reserve some 

for program monitoring, enforcement, technical assistance, and 

other activities. 

The appropriation for this program primarily supports activities 

associated with the 2007–2008 academic year. Of the funds available for this program, $5,158,761,000 will become available on July 

1, 2007 and $5,424,200,000 will become available on October 1, 

2007. These funds will remain available for obligation until September 30, 2008. 

The budget request includes language capping the Department of 

Interior set-aside at the prior year level, adjusted by the lower of 

the increase in inflation or the increase in the appropriation for 

grants to States. The Committee bill includes this language. 

Preschool Grants 

The Committee recommends $380,751,000 for preschool grants. 

The comparable fiscal year 2006 funding level and the budget request both are $380,751,000. The preschool grants program provides formula grants to States to assist them in making available 

special education and related services for children with disabilities 

aged 3 through 5. States distribute a significant share of the funds 

to local educational agencies, if they serve all eligible children with 

disabilities aged 3 through 5 and have an approved application 

under the Individuals with Disabilities Education Act. 

Grants for Infants and Families 

The Committee recommends $436,400,000 for grants for the infants and families program under part C of the IDEA. The comparable fiscal year 2006 funding level and the budget request both 

are $436,400,000. This program provides formula grants to States, 

Outlying Areas and other entities to implement statewide systems 

of coordinated, comprehensive, multidisciplinary interagency pro-
259 

grams to make available early intervention services to all children 

with disabilities, ages 2 and under, and their families. 

State Personnel Development 

The Committee recommendation does not include a fiscal year 

2007 appropriation for the State personnel development program. 

The comparable fiscal year 2006 funding level is $50,146,000 and 

the budget request does not include any funds for this program. 

The program formerly was known as the State improvement grant 

program, until it was changed by the Individuals with Disabilities 

Education Improvement Act of 2004. Under the reauthorization, 

this program focuses on the professional development needs in 

States by requiring that 90 percent of funds be used for professional development activities. The program supports grants to 

State educational agencies to help them reform and improve their 

personnel preparation and professional development related to 

early intervention, educational and transition services that improve 

outcomes for students with disabilities. 

The Committee understands that the fiscal year 2006 appropriation is available still for use to cover the costs associated with fiscal 

year 2007 awards, so it has concurred with the budget request to 

not provide any funds under this authority in fiscal year 2007. 

Transition Initiative 

The Committee recommendation includes $2,000,000 for this initiative, which is intended to support State efforts to develop and 

use data to improve post-school outcomes for students with disabilities. The budget request includes $2,000,000 for this new initiative. Funds would be used to help States improve high school graduation rates; identify effective interventions such as counseling, 

personnel training and transition services; establish better data 

collection systems; and analyze and use student information 

through research-based practices. Grants would be made to State 

educational agencies on a competitive basis. 

The Committee recommendation also includes $3,827,000 under 

the demonstration and training program in the Rehabilitation 

Services and Disability Research account to support this initiative. 

Technical Assistance and Dissemination 

The Committee recommends $48,903,000 for technical assistance 

and dissemination. The comparable fiscal year 2006 funding level 

and the budget request both are $48,903,000 for these activities. 

This program supports awards for technical assistance, model demonstration projects, the dissemination of useful information and 

other activities. Funding supports activities that are designed to 

improve the services provided under IDEA. 

Personnel Preparation 

The Committee recommends $89,720,000 for the personnel preparation program. The comparable fiscal year 2006 funding level 

and the budget request both are $89,720,000 for this program. 

Funds support competitive awards to help address State-identified 

needs for personnel who are qualified to work with children with 

disabilities, including special education teachers and related serv-
260 

ices personnel. The reauthorization of IDEA also establishes requirements to fund several other broad areas including training for 

leadership personnel and personnel who work with children with 

low incidence disabilities, and providing enhanced support for beginning special educators. 

Parent Information Centers 

The Committee recommends $25,704,000 for parent information 

centers. The comparable fiscal year 2006 funding level and the 

budget request both are $25,704,000 for authorized activities. This 

program makes awards to parent organizations to support parent 

training and information centers, including community parent resource centers. These centers provide training and information to 

meet the needs of parents of children with disabilities living in the 

areas served by the centers, particularly underserved parents, and 

parents of children who may be inappropriately identified. 

Technology and Media Services 

The Committee recommends $38,428,000 for technology and 

media services. The comparable fiscal year 2006 funding level is 

$38,428,000 and the budget request includes $31,063,000 for such 

activities. This program makes competitive awards to support the 

development, demonstration, and use of technology, and educational media activities of value to children with disabilities. 

The Committee recommendation includes $11,880,000 for Recording for the Blind and Dyslexic, Inc. [RFB&D]. These funds support 

the continued development, production, and circulation of recorded 

textbooks, increased outreach activities to print-disabled students 

and their teachers, and accelerated use of digital technology. The 

administration proposed eliminating the earmark for RFB&D for 

these activities. 

The Committee also recommends $1,485,000 to continue support 

of the Reading Rockets program, administered by the Greater 

Washington Educational Television Association. Last year, this program received $1,448,000. The administration proposed eliminating 

support for this program. 

Special Olympics Education Programs 

The Committee recommendation includes $5,500,000 for Special 

Olympics education programs. This is a new program in fiscal year 

2007 and the budget request did not include any funds for this purpose. Under the Special Olympics Sport and Empowerment Act of 

2004, the Secretary is authorized to provide financial assistance to 

Special Olympics for activities that promote the expansion of Special Olympics and for the design and implementation of education 

programs that can be integrated into classroom instruction and are 

consistent with academic content standards. 

REHABILITATION SERVICES AND DISABILITY RESEARCH

Appropriations, 2006 ............................................................................. $3,125,544,000 

Budget estimate, 2007 ........................................................................... 3,180,414,000 

House allowance .................................................................................... 3,244,247,000 

Committee recommendation ................................................................. 3,248,312,000 
261 

The Committee recommends $3,248,312,000 for rehabilitation 

services and disability research. The comparable fiscal year 2006 

funding level is $3,125,544,000 and the budget request includes 

$3,180,414,000 for programs in this account. 

The authorizing statute for programs funded in this account, except for those authorized under the Assistive Technology Act, expired September 30, 2004. The program descriptions provided 

below assume the continuation of current law. 

Vocational Rehabilitation State Grants 

The Committee provides $2,837,160,000 for vocational rehabilitation grants to States. The Committee recommendation provides the 

full amount authorized by the Rehabilitation Act of 1973. The comparable funding level for fiscal year 2006 is $2,720,192,000 and the 

budget request includes $2,837,160,000 for this program. 

Basic State grant funds assist States in providing a range of 

services to help persons with physical and mental disabilities prepare for and engage in meaningful employment. Authorizing legislation requires States to give priority to persons with the most significant disabilities. Funds are allotted to States based on a formula that takes into account population and per capita income. 

States must provide a 21.3 percent match of Federal funds, except 

the State’s share is 50 percent for the cost of construction of a facility for community rehabilitation program purposes. 

The Rehabilitation Act requires that no less than 1 percent and 

not more than 1.5 percent of the appropriation in fiscal year 2007 

for vocational rehabilitation State grants be set aside for grants for 

Indians. Service grants are awarded to Indian tribes on a competitive basis to help tribes develop the capacity to provide vocational 

rehabilitation services to American Indians with disabilities living 

on or near reservations. 

Client Assistance 

The Committee recommends $11,782,000 for the client assistance 

program. The comparable fiscal year 2006 funding level and the 

budget request both are $11,782,000 for authorized activities. 

The client assistance program funds State formula grants to assist vocational rehabilitation clients or client applicants in understanding the benefits available to them and in their relationships 

with service providers. Funds are distributed to States according to 

a population-based formula, except that increases in minimum 

grants are guaranteed to each of the 50 States, the District of Columbia, and Puerto Rico, and guaranteed to each of the outlying 

areas, by a percentage not to exceed the percentage increase in the 

appropriation. States must operate client assistance programs in 

order to receive vocational rehabilitation State grant funds. 

Training 

The Committee recommends $38,438,000 for training rehabilitation personnel. The comparable fiscal year 2006 funding level and 

the budget request both are $38,438,000 for training activities. 

The purpose of this program is to ensure that skilled personnel 

are available to serve the rehabilitation needs of individuals with 

disabilities. It supports training, traineeships, and related activities 
262 

designed to increase the numbers of qualified personnel providing 

rehabilitation services. The program awards grants and contracts 

to States and public or nonprofit agencies and organizations, including institutions of higher education, to pay all or part of the 

cost of conducting training programs. Long-term, in-service, shortterm, experimental and innovative, and continuing education programs are funded, as well as special training programs and programs to train interpreters for persons who are deaf, hard of hearing and deaf-blind. 

Demonstration and Training Programs 

The Committee bill includes $12,603,000 for demonstration and 

training programs for persons with disabilities. The comparable fiscal year 2006 funding level and budget request both are $6,511,000 

for authorized activities. This program awards grants to States and 

nonprofit agencies and organizations to develop innovative methods 

and comprehensive services to help individuals with disabilities 

achieve satisfactory vocational outcomes. Demonstration programs 

support projects for individuals with a wide array of disabilities. Within the Committee recommendation, $3,827,000 is available 

to support the Office of Special Education and Rehabilitative Services’ Special Education—Vocational Rehabilitation Transition Initiative. Together with the $2,000,000 provided under the Special 

Education account, these funds will be used to assist States with 

improving high school graduation rates and post-school outcomes 

for students with disabilities. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Amount 

Alaska Center for the Blind and Visually Impaired, in partnership with the Lions Club, statewide, to expand services to low-vision Alaskans ........................................................................................................... $250,000 

American Academy of Orthotists and Prosthetists, Alexandria, VA, for continued support of Project Quantum Leap ....................................................................................................................................................... 500,000 

Cleveland Sight Center, Cleveland, OH, for the development of Braille technology ........................................ 300,000

Deaf Blind Service Center, Seattle, WA, for the National Support Service Provider pilot project ................... 300,000 

Enable America, Inc., Tampa, Florida, for civic/citizenship demonstration project for disabled adults ......... 500,000 

Groden Center, Providence, RI, for the Arts and Business Training Center ..................................................... 100,000 

Helen Keller National Center for Deaf-Blind Youths and Adults, Sands Point, NY for program support ........ 2,000,000 

Kenai Peninsula Independent Living Center, Homer, AK, for the Total Recreation and Independent Living 

Services Project ............................................................................................................................................. 200,000 

National Ability Center, Park City, UT, to provide ADA accessible transportation for individuals with cognitive and physical disabilities ..................................................................................................................... 250,000 

National Sports Center for the Disabled, Denver, CO, for adaptive equipment, sports program expansion 

and research .................................................................................................................................................. 500,000 

Pennsylvania Association for the Blind, Enola, PA, for specialized services for the blind or visually impaired ............................................................................................................................................................. 100,000 

Rainbow Center for Communicative Disorders, Blue Springs, MO, to expand day habilitation programming 

available to individuals with severe disabilities .......................................................................................... 300,000 

Southeast Alaska Independent Living, Juneau, AK, to continue a joint recreation and employment project 

with the Tlingit and Haida Tribe of Alaska in Southeast Alaska ................................................................ 200,000 

Vocational Guidance Services, Cleveland, OH, for equipment acquisition which will help automate sewing 

operations and improve employment opportunities for individuals with disabilities .................................. 300,000 

Migrant and Seasonal Farmworkers 

The Committee recommends $2,279,000 for migrant and seasonal 

farmworkers, the same amount as the comparable fiscal year 2006 
263 

funding level. The administration proposes eliminating separate 

funding for this program. 

This program provides grants limited to 90 percent of the costs 

of the projects providing comprehensive rehabilitation services to 

migrant and seasonal farm workers with disabilities and their families. Projects also develop innovative methods for reaching and 

serving this population. The program emphasizes outreach, specialized bilingual rehabilitation counseling, and coordination of vocational rehabilitation services with services from other sources. 

Recreational Programs 

The Committee provides $2,518,000 for recreational programs, 

the same amount as the comparable fiscal year 2006 funding level. 

The budget request does not include funding for this program. 

Recreational programs help finance activities such as sports, 

music, dancing, handicrafts, and art to aid in the employment, mobility, and socialization of individuals with disabilities. Grants are 

awarded to States, public agencies, and nonprofit private organizations, including institutions of higher education. Grants are awarded for a 3-year period with the Federal share at 100 percent for the 

first year, 75 percent for the second year, and 50 percent for the 

third year. Programs must maintain the same level of services over 

the 3-year period. 

Protection and Advocacy of Individual Rights 

The Committee recommends $16,489,000 for protection and advocacy of individual rights. The comparable fiscal year 2006 funding 

level and the budget request both are $16,489,000. 

This program provides grants to agencies to protect and advocate 

for the legal and human rights of persons with disabilities who are 

not eligible for protection and advocacy services available through 

the Developmental Disabilities Assistance and Bill of Rights Act or 

the Protection and Advocacy for Individuals with Mental Illness 

Act. 

Projects with Industry 

The Committee recommends $19,246,000 for projects with industry. The comparable fiscal year 2006 funding level is $19,538,000 

and the administration proposes eliminating separate funding for 

this program. 

The projects with industry [PWI] program promotes greater participation of business and industry in the rehabilitation process. 

PWI provides training and experience in realistic work settings to 

prepare individuals with disabilities for employment in the competitive job market. Postemployment support services are also provided. The program supports grants to a variety of agencies and organizations, including corporations, community rehabilitation programs, labor and trade associations, and foundations. 

Supported Employment State Grants 

The Committee’s bill includes $29,700,000 for the supported employment State grant program. The comparable fiscal year 2006 

funding level is $29,700,000 and the administration proposes eliminating separate funding for this program. 
264 

This program assists the most severely disabled individuals by 

providing the ongoing support needed to obtain competitive employment. Short-term vocational rehabilitation services are augmented 

with extended services provided by State and local organizations. 

Federal funds are distributed on the basis of population. 

Independent Living State Grants 

The Committee recommends $22,588,000 for independent living 

State grants. The comparable funding level for fiscal year 2006 and 

the budget request both are $22,588,000 for authorized activities. 

The independent living State formula grants program provides 

funding to improve independent living services, support the operation of centers for independent living, conduct studies and analysis, and provide training and outreach. 

Independent Living Centers 

The Committee recommends $74,638,000 for independent living 

centers. The comparable fiscal year 2006 funding level and the 

budget request both are $74,638,000 for the centers. 

These funds support consumer-controlled, cross-disability, nonresidential, community-based centers that are designed and operated within local communities by individuals with disabilities. 

These centers provide an array of independent living services. 

Independent Living Services for Older Blind Individuals 

The Committee provides $32,895,000 for independent living services to older blind individuals. The comparable fiscal year 2006 

funding level and the budget request both are $32,895,000 for these 

activities. Through this program, assistance is provided to persons 

aged 55 or older to adjust to their blindness, continue living independently and avoid societal costs associated with dependent care. 

Services may include the provision of eyeglasses and other visual 

aids, mobility training, braille instruction and other communication 

services, community integration, and information and referral. 

These services help older individuals age with dignity, continue to 

live independently and avoid significant societal costs associated 

with dependent care. The services most commonly provided by this 

program are daily living skills training, counseling, the provision of 

low-vision devices community integration, information and referral, 

communication devices, and low-vision screening. 

Program Improvement Activities 

The Committee recommends $835,000 for program improvement 

activities. The comparable fiscal year 2006 funding level and the 

budget request both are $835,000 for authorized activities. In fiscal 

year 2007, funds for these activities will continue to support technical assistance efforts to improve the efficiency and effectiveness 

of the vocational rehabilitation program and improve accountability 

efforts. The funds provided are sufficient to support technical assistance and other ongoing program improvement activities, such 

as improved program performance measurement. 
265 

Evaluation 

The Committee recommends $1,473,000 for evaluation activities. 

The comparable fiscal year 2006 funding level and the budget request both are $1,473,000 for such activities. 

These funds support evaluations of the impact and effectiveness 

of programs authorized by the Rehabilitation Act. The Committee 

recommendation continues to support a new multi-year study of 

the State Vocational Rehabilitation Services program. The Department awards competitive contracts for studies to be conducted by 

persons not directly involved with the administration of Rehabilitation Act programs. 

Helen Keller National Center 

The Committee recommends $8,511,000 for the Helen Keller National Center for Deaf-Blind Youth and Adults. The comparable fiscal year 2006 funding level and budget request both are $8,511,000 

for this purpose. 

The Helen Keller National Center consists of a national headquarters in Sands Point, New York, with a residential training and 

rehabilitation facility where deaf-blind persons receive intensive 

specialized services; a network of 10 regional field offices which 

provide referral and counseling assistance to deaf-blind persons; 

and an affiliate network of agencies. At the recommended level, the 

center would serve more than 110 persons with deaf-blindness at 

its headquarters facility and provide field services to approximately 

2,400 individuals and families and approximately 1,100 organizations. 

National Institute on Disability and Rehabilitation Research 

The Committee recommends $106,705,000 for the National Institute on Disability and Rehabilitation Research [NIDRR]. The comparable fiscal year 2006 funding level and the budget request both 

are $106,705,000 for authorized activities. 

NIDRR develops and implements a comprehensive and coordinated approach to the conduct of research, demonstration projects, 

and related activities that enable persons with disabilities to better 

function at work and in the community, including the training of 

persons who provide rehabilitation services or who conduct rehabilitation research. The Institute awards competitive grants to support research in federally designated priority areas, including rehabilitation research and training centers, rehabilitation engineering 

research centers, research and demonstration projects, and dissemination and utilization projects. NIDRR also supports field-initiated research projects, research training, and fellowships. 

The Committee commends NIDRR for recognizing Chronic Fatigue Syndrome [CFS] as an unmet area of research. The Committee encourages NIDRR to continue to pursue CFS-related research proposals through its investigator-initiated and other grants 

programs. 

Assistive Technology 

The Committee recommends $30,452,000 for assistive technology. 

The comparable fiscal year 2006 funding level is $30,452,000 and 
266 

the budget request includes $22,389,000 for some of the activities 

authorized by the Assistive Technology Act of 1998. 

The Assistive Technology program is designed to improve occupational and educational opportunities and the quality of life for people of all ages with disabilities through increased access to assistive 

technology services and devices. The program support various activities that help States to develop comprehensive, consumer-responsive statewide programs that increase access to, and the availability of, assistive technology devices and services. Under the recent reauthorization, the administration of this program was 

moved to the Rehabilitation Services Administration from the National Institute on Disability and Rehabilitation Research. The reauthorization also requires that an annual report be submitted to 

Congress by December 31 of each year. 

The Committee recommendation includes $24,425,000 for State 

grant activities authorized under section 4, $4,975,000 for protection and advocacy systems authorized by section 5, and $1,052,000 

for technical assistance activities authorized under section 6. 

The Committee encourages States to use the additional funds 

provided for State grant activities authorized under section 4 for 

State-level alternative financing programs. The Committee is concerned that funds are not be utilized as intended to expand access 

to assistive technology devices and services directly through State 

programs or based on coordination and collaboration with other alternative financing programs operated in a State. The Committee 

looks forward to reviewing the Department’s mandated report on 

State implementation of this program, particularly the activities related to State financing and coordination and collaboration. 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES

AMERICAN PRINTING HOUSE FOR THE BLIND

Appropriations, 2006 ............................................................................. $17,572,000 

Budget estimate, 2007 ........................................................................... 17,573,000 

House allowance .................................................................................... 18,000,000 

Committee recommendation ................................................................. 20,000,000 

The Committee recommends $20,000,000 for the American Printing House for the Blind [APH]. The comparable fiscal year 2006 

funding level is $17,572,000 and the budget request includes 

$17,573,000 for this purpose. 

This appropriation helps support the American Printing House 

for the Blind, which provides educational materials to students who 

are legally blind and enrolled in programs below the college level. 

The Federal subsidy provides more than 60 percent of APH’s total 

sales income. Materials are distributed free of charge to schools 

and States through per capita allotments based on the total number of students who are blind. Materials provided include textbooks 

and other educational aids in braille, large type, and recorded form 

and computer applications. Appropriated funds may be used for 

staff salaries and expenses, as well as equipment purchases and 

other acquisitions consistent with the purpose of the Act to Promote the Education of the Blind. 

In addition to its ongoing activities, the Individuals with Disabilities Education Improvement Act assigned to the American Print-
267 

ing House for the Blind the responsibility of establishing and maintaining a National Instructional Materials Access Center. The Center will serve as a national clearinghouse, maintaining a repository 

of textbook files provided in the National Instructional Materials 

Accessibility Standard format by textbook publishers. The Center 

will manage the transfer of these files to State and local education 

agencies for production in media that are readily accessible to the 

blind, visually impaired, and print disabled. 

NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

Appropriations, 2006 ............................................................................. $56,141,000 

Budget estimate, 2007 ........................................................................... 55,349,000 

House allowance .................................................................................... 57,000,000 

Committee recommendation ................................................................. 57,500,000 

The Committee recommends $57,500,000 for the National Technical Institute for the Deaf [NTID]. The comparable fiscal year 

2006 funding level is $56,141,000 and the budget request includes 

$55,349,000 for this purpose. 

The Institute, located on the campus of the Rochester Institute 

of Technology, was created by Congress in 1965 to provide a residential facility for postsecondary technical training and education 

for persons who are deaf. NTID also provides support services for 

students who are deaf, trains professionals in the field of deafness, 

and conducts applied research. At the discretion of the Institute, 

funds may be used for the Endowment Grant program. 

GALLAUDET UNIVERSITY

Appropriations, 2006 ............................................................................. $106,998,000 

Budget estimate, 2007 ........................................................................... 107,598,000 

House allowance .................................................................................... 110,500,000 

Committee recommendation ................................................................. 110,500,000 

The Committee recommends $110,500,000 for Gallaudet University. The comparable fiscal year 2006 funding level is $106,998,000 

and the budget request includes $107,598,000 for the university. 

Gallaudet University is a private, nonprofit institution offering 

undergraduate, and continuing education programs for students 

who are deaf, as well as graduate programs in fields related to 

deafness for students who are hearing and deaf. The University 

conducts basic and applied research related to hearing impairments and provides public service programs for the deaf community. 

The Model Secondary School for the Deaf serves as a laboratory 

for educational experimentation and development, disseminates 

curricula, materials, and models of instruction for students who are 

deaf, and prepares adolescents who are deaf for postsecondary academic or vocational education or the workplace. The Kendall Demonstration Elementary School develops and provides instruction for 

children from infancy through age 15. 

The budget request includes $600,000 earmarked in bill language 

to conduct evaluation activities related to the education programs 

and administrative operations of the University and the Department’s findings during the Program Assessment Rating Tool 

[PART] process. The Committee understands the Department is 

now updating its PART for the University, so the Committee rec-
268 

ommendation does not include the requested funding nor the earmark language. 

VOCATIONAL AND ADULT EDUCATION

Appropriations, 2006 ............................................................................. $1,992,159,000 

Budget estimate, 2007 ........................................................................... 579,552,000 

House allowance .................................................................................... 1,925,858,000 

Committee recommendation ................................................................. 1,899,858,000 

The Committee recommendation includes a total of 

$1,899,858,000 for vocational and adult education, consisting of 

$1,296,306,000 for vocational education, $579,552,000 for adult 

education and $24,000,000 for other activities. The comparable 

funding level in fiscal year 2006 is $1,992,159,000 and the budget 

request includes $579,552,000 for this account. 

The authorizing statute for vocational and adult education programs and the State grants for incarcerated youth offenders program funded in this account expired September 30, 2004. Descriptions for these programs provided below assume the continuation 

of current law. 

Vocational Education 

The Committee recommends $1,296,306,000 for vocational education. The comparable fiscal year 2006 funding level is 

$1,296,306,000 and the budget request does not include any funds 

for these activities. The administration proposed to redirect the 

funds currently allocated for vocational education to a new High 

School initiative. 

Basic Grants.—The Committee recommends $1,182,388,000 for 

basic grants, the same amount as the comparable fiscal year 2006 

funding level. The budget request does not include any funds for 

this purpose. Funds provided under the State grant program assist 

States, localities, and outlying areas to expand and improve their 

programs of vocational education and provide equal access to vocational education for populations with special needs. Persons assisted range from secondary students in prevocational courses 

through adults who need retraining to adapt to changing technological and labor market conditions. Funds are distributed according to a formula based on State population and State per capita income. 

Under the Indian and Hawaiian Natives programs, competitive 

grants are awarded to federally recognized Indian tribes or tribal 

organizations and to organizations primarily serving and representing Hawaiian Natives for services that are in addition to 

services such groups are eligible to receive under other provisions 

of the Perkins Act. 

Of the funds available for this program, $391,388,000 will be- come available on July 1, 2007 and $791,000,000 will become available on October 1, 2007. These funds will remain available for obligation until September 30, 2008. 

Tech-Prep Education.—The Committee recommends $104,754,000 

for tech-prep programs. The comparable fiscal year 2006 funding 

level is $104,754,000 and the budget request proposes to eliminate 

funding for this program. This program is designed to link academic and vocational learning and to provide a structured link be-
269 

tween secondary schools and postsecondary education institutions. 

Funds are distributed to the States through the same formula as 

the basic State grant program. States then make planning and 

demonstration grants to consortia of local educational agencies and 

postsecondary institutions to develop and operate model 4-year programs that begin in high school and provide students with the 

mathematical, science, communication, and technological skills 

needed to earn a 2-year associate degree or 2-year certificate in a 

given occupational field. 

National Programs, Research.—The Committee recommends 

$9,164,000 for national research programs and other national activities. The comparable fiscal year 2006 funding level is 

$9,164,000 and the budget request proposes to eliminate separate 

funding for this program. 

Funds provided under this program support research, development, dissemination, evaluation and assessment designed to improve the quality and effectiveness of vocational and technical education. Funds have been provided to the National Research Center 

for Career and Technical Education and the National Dissemination Center for Career and Technical Education to conduct research 

and provide technical assistance to vocational educators. The results of the applied research done by these Centers inform technical assistance to reform and improve vocational education instruction in schools and colleges. Resources made available through 

this program also are used to support a variety of activities to identify and promote effective research-based programs and practice in 

vocational education. 

ADULT EDUCATION

The Committee recommends $579,552,000 for adult education, 

the same amount as the comparable fiscal year 2006 funding level. 

The budget request includes $579,552,000 for this purpose. 

Adult Education State Programs.—For adult education State programs, the Committee recommends $563,975,000, the same amount 

as the comparable fiscal year 2006 funding level. The budget request includes $563,975,000 for authorized activities. These funds 

are used by States for programs to enable economically disadvantaged adults to acquire basic literacy skills, to enable those who so 

desire to complete a secondary education, and to make available to 

adults the means to become more employable, productive, and responsible citizens. 

The Committee recommendation continues the English literacy 

and civics education State grants set aside within the Adult Education State grant appropriation. Within the total, $67,896,000 is 

available to help States or localities affected significantly by immigration and large limited-English populations to implement programs that help immigrants acquire English literacy skills, gain 

knowledge about the rights and responsibilities of citizenship and 

develop skills that will enable them to navigate key institutions of 

American life. 

National Activities.—The Committee recommends $9,005,000 for 

national leadership activities. The comparable funding level for fiscal year 2006 and the budget request both are $9,005,000 for this 

purpose. Under this program, the Department supports applied re-
270 

search, development, dissemination, evaluation and program improvement activities to assist States in their efforts to improve the 

quality of adult education programs. 

National Institute for Literacy.—The Committee recommends 

$6,572,000 for the National Institute for Literacy, authorized under 

section 242 of the Adult Education and Family Literacy Act. The 

comparable fiscal year 2006 funding level and the budget request 

both are $6,572,000 for this purpose. The Institute provides leadership and coordination for national literacy efforts by conducting research and demonstrations on literacy, establishing and maintaining a national center for adult literacy and learning disabilities, 

and awarding fellowships to outstanding individuals in the field to 

conduct research activities under the auspices of the Institute. 

Smaller Learning Communities 

The Committee does not recommend additional funds for this 

program. The comparable fiscal year 2006 funding level is 

$93,531,000 and the budget request does not include any funds for 

this purpose. This program has supported competitive grants to 

local educational agencies to enable them to create smaller learning 

communities in large schools. Funds have been used to study, research, develop and implement strategies for creating smaller 

learning communities, as well as professional development for staff. 

Two types of grants were made under this program: 1-year planning grants, which help LEAs plan smaller learning communities 

and 3-year implementation grants, which help create or expand 

such learning environments. 

State Grants for Incarcerated Youth Offenders 

The Committee has included $24,000,000 for education and 

training for incarcerated youth offenders. The comparable funding 

level for fiscal year 2006 is $22,770,000. The administration proposes to eliminate funding for these activities. This program provides grants to State correctional education agencies to assist and 

encourage incarcerated youth to acquire functional literacy, life and 

job skills, through the pursuit of a postsecondary education certificate or an associate of arts or bachelor’s degree. Grants also assist 

correction agencies in providing employment counseling and other 

related services that start during incarceration and continue 

through prerelease and while on parole. Under current law, each 

student is eligible for a grant of not more than $1,500 annually for 

tuition, books, and essential materials, and not more than $300 annually for related services such as career development, substance 

abuse counseling, parenting skills training, and health education. 

In order to participate in a program, a student must be no more 

than 25 years of age and be eligible to be released from prison 

within 5 years. Youth offender grants are for a period not to exceed 

5 years, 1 year of which may be devoted to study in remedial or 

graduate education. 
271 

STUDENT FINANCIAL ASSISTANCE

Appropriations, 2006 ............................................................................. $14,926,975,000 

Budget estimate, 2007 ........................................................................... 13,747,000,000 

House allowance .................................................................................... 14,890,745,000 

Committee recommendation ................................................................. 14,488,458,000 

The Committee recommends an appropriation of $14,488,458,000 

for student financial assistance. The comparable fiscal year 2006 

funding level is $14,926,975,000 and the budget request includes 

$13,747,000,000 for this purpose. 

Programs in this account are authorized currently through September 30, 2006, under the terms of the Second Higher Education 

Extension Act of 2006. Program authorities and descriptions assume the continuation of current law. 

Federal Pell Grant Program 

For Pell grant awards in the 2007–2008 academic year, the Com- mittee recommends $12,606,713,000 to maintain the record maximum Pell Grant award level of $4,050. The appropriation provided 

in this bill, plus the estimated $271,000,000 available from the fiscal year 2006 appropriation, will maintain the current grant level 

without creating a shortfall in the program. 

Pell grants provide need-based financial assistance that helps 

low-and middle-income undergraduate students and their families 

defray a portion of the costs of postsecondary education and vocational training. Awards are determined according to a statutory 

need analysis formula that takes into account a student’s family income and assets, household size, and the number of family members, excluding parents, attending postsecondary institutions. Pell 

grants are considered the foundation of Federal postsecondary student aid. 

The budget request assumes the enactment of three legislative 

proposals related to the Pell Grant program. The Committee recommendation assumes this program will operate under current 

law. 

Federal Supplemental Educational Opportunity Grants 

The Committee recommends $770,933,000 for Federal supplemental educational opportunity grants [SEOG]. The comparable fiscal year 2006 funding level and the budget request both are 

$770,933,000 for this purpose. This program provides funds to postsecondary institutions for need-based grants to undergraduate students. Institutions must contribute 25 percent towards SEOG 

awards, which are subject to a maximum grant level of $4,000. 

School financial aid officers have flexibility to determine student 

awards, though they must give priority to Pell grant recipients 

with exceptional need. 

Federal Work-Study Programs 

The Committee bill provides $980,354,000 for the Federal workstudy program, the same amount as both the comparable fiscal 

year 2006 funding level and the budget request. 

This program provides grants to more than 3,300 institutions to 

help an estimated 810,000 undergraduate, graduate, and professional students meet the costs of postsecondary education through 
272 

part-time employment. Work-study jobs must pay at least the Federal minimum wage and institutions must provide at least 25 percent of student earnings. Institutions also must use at least 7 percent of their grants for community-service jobs. 

The Committee continues to strongly support and encourage the 

Work College program authorized in section 448 of the Higher Education Act. Alice Lloyd College and Berea College in Kentucky, 

Blackburn College in Illinois, the College of the Ozarks in Missouri, 

Sterling College in Vermont, and Warren Wilson College in North 

Carolina not only provide a high quality education for their students, but also ensure access for thousands of students from families of modest means to a college education—while avoiding overwhelming these students and their families with large student loan 

debts. The Committee encourages the Work Colleges to find new 

ways to familiarize the broader higher education community with 

the work college philosophy and practice, and bring new institutions into the work college family. The Committee directs the Department to provide $6,000,000 for the Work Colleges from the regular Federal Work Study appropriation. 

Federal Perkins Loans 

The Committee bill does not include any funds for Federal Perkins loans capital contributions. The comparable fiscal year 2006 

funding level did not include such funds and the budget request 

does not provide any funds for this purpose. 

The Federal Perkins loan program supports student loan revolving funds built up with capital contributions to nearly 1,900 participating institutions. Institutions use these revolving funds, 

which also include Federal capital contributions [FCC], institutional contributions equal to one-third of the FCC, and student repayments, to provide low-interest (5 percent) loans that help financially needy students pay the costs of postsecondary education. The Committee recommends $65,471,000 for loan cancellations, 

the same amount as the comparable funding level for fiscal year 

2006. The budget request did not include any funds for this purpose. These funds reimburse institutional revolving funds on behalf 

of borrowers whose loans are cancelled in exchange for statutorily 

specified types of public or military service, such as teaching in a 

qualified low-income school, working in a Head Start Program, 

serving in the Peace Corps or VISTA, or nurses and medical technicians providing health care services. 

The Committee recommendation does not include language proposed in the budget request to recall the Federal portion of loan repayments made during fiscal year 2007 to the revolving funds held 

by participating institutions. 

The Committee recommendation will maintain a robust loan program that will support more than $1,100,000,000 in loans to more 

than 500,000 individuals. 

The Committee recognizes the importance of the Perkins Loan 

Forgiveness Program for professionals in all eligible fields of study, 

including social work. The Committee requests that the Department of Education implement measures to better publicize that 

this loan forgiveness program is available to individuals in multiple 

fields identified in the Higher Education Act. 
273 

Leveraging Educational Assistance Partnership Program 

For the leveraging educational assistance partnership [LEAP] 

program, the Committee recommends $64,987,000, the same 

amount as the comparable funding level for fiscal year 2006. The 

budget proposes to eliminate funding for this program. 

The leveraging educational assistance partnership program provides a Federal match to States as an incentive for providing needbased grant and work-study assistance to eligible postsecondary 

students. When the appropriation exceeds $30,000,000, amounts 

above this threshold must be matched by States on a 2:1 basis. federally supported grants and job earnings are limited to $5,000 per 

award year for full-time students, but States may also make 

awards to part-time students. 

STUDENT AID ADMINISTRATION

Appropriations, 2006 ............................................................................. $118,800,000 

Budget estimate, 2007 ........................................................................... 733,720,000 

House allowance .................................................................................... 713,720,000 

Committee recommendation ................................................................. 713,720,000 

The Committee recommends $713,720,000 for the Student Aid 

Administration account. The comparable fiscal year 2006 discretionary funding level is $118,800,000 and the budget request includes $733,720,000 for activities funded under this account, as reauthorized by the Higher Education Reconciliation Act of 2005. 

These funds are available until expended. That act reclassified 

most of the administrative costs of the Student Aid Account that 

were classified as mandatory spending through fiscal year 2006. In 

fiscal year 2006, the comparable amount of mandatory funding provided under the Higher Education Reconciliation Act was 

$600,000,000. 

Funds appropriated for the Student Aid Administration Account 

will support the Department’s student aid management expenses. 

The Office of Federal Student Aid and Office of Postsecondary Education have primary responsibility for administering Federal student financial assistance programs. 

HIGHER EDUCATION

Appropriations, 2006 ............................................................................. $1,951,053,000 

Budget estimate, 2007 ........................................................................... 1,108,711,000 

House allowance .................................................................................... 1,964,203,000 

Committee recommendation ................................................................. 2,003,192,000 

The Committee recommends an appropriation of $2,003,192,000 

for higher education programs. The comparable fiscal year 2006 

funding level is $1,951,053,000 and the budget request includes 

$1,108,711,000 for such activities. 

Except for the activities authorized by the Mutual Educational 

and Cultural Exchange Act of 1961 and Carl D. Perkins Vocational 

and Technical Education Act, funded programs in this account are 

authorized through September 30, 2006 under the Second Higher 

Education Extension Act of 2006. All program authorities and descriptions assume the continuation of current law. 
274 

Aid for Institutional Development 

The Committee recommends $505,814,000 for aid for institutional development authorized by titles III and V of the Higher 

Education Act. The comparable funding level for fiscal year 2006 

is $505,814,000 and the budget request includes $503,229,000 for 

authorized activities. 

Strengthening Institutions.—The Committee bill includes 

$79,535,000 for the part A strengthening institutions program. The 

comparable fiscal year 2006 funding level and the budget request 

both are $79,535,000 for this activity. The part A program supports 

competitive, 1-year planning and 5-year development grants for institutions with a significant percentage of financially needy students and low educational and general expenditures per student in 

comparison with similar institutions. Applicants may use part A 

funds to develop faculty, strengthen academic programs, improve 

institutional management, and expand student services. Institutions awarded funding under this program are not eligible to receive grants under other sections of part A or part B. 

Hispanic-Serving Institutions [HSI].—The Committee recommends $94,914,000 for institutions at which Hispanic students 

make up at least 25 percent of enrollment. The comparable fiscal 

year 2006 funding level and the budget request both are 

$94,914,000 for these institutions. Institutions applying for title V 

funds must meet the regular part A requirements and show that 

at least one-half of their Hispanic students are low-income college 

students. Funds may be used for acquisition, rental or lease of scientific or laboratory equipment, renovation of instructional facilities, development of faculty, support for academic programs, institutional management, and purchase of educational materials. Title 

V recipients are not eligible for other awards provided under title 

III, parts A and B. 

Strengthening Historically Black Colleges and Universities.—The 

Committee recommends $238,095,000 for part B grants. The comparable fiscal year 2006 funding level and the budget request both 

are $238,095,000 for authorized activities. The part B strengthening historically black colleges and universities [HBCU] program 

makes formula grants to HBCUs that may be used to purchase 

equipment, construct and renovate facilities, develop faculty, support academic programs, strengthen institutional management, enhance fundraising activities, provide tutoring and counseling services to students, and conduct outreach to elementary and secondary 

school students. The minimum allotment is $500,000 for each eligible institution. Part B recipients are not eligible for awards under 

part A. 

Strengthening Historically Black Graduate Institutions.—The 

Committee recommends $57,915,000 for the part B, section 326 

program. The comparable fiscal year 2006 funding level and the 

budget request both are $57,915,000 for such activities. The section 

326 program provides 5-year grants to strengthen historically black 

graduate institutions [HBGIs]. The Higher Education Amendments 

of 1998 increased the number of recipients to 18 named institutions, but reserved the first $26,600,000 appropriated each year to 

the 16 institutions included in the previous authorization. Grants 
275 

may be used for any part B purpose and to establish an endowment. 

Strengthening Alaska Native and Native Hawaiian-Serving Institutions.—The Committee recommends $11,785,000 for this program, the same amount as last year. The budget request includes 

$9,200,000 for authorized activities. The purpose of this program is 

to improve and expand the capacity of institutions serving Alaska 

Native and Native Hawaiian students. Funds may be used to plan, 

develop, and implement activities that encourage: faculty and curriculum development; better fund and administrative management; 

renovation and improvement of educational facilities; student services; and the purchase of library and other educational materials. 

As initial funding cycles expire, the Committee encourages the Department to use simplified application forms to permit participating institutions to obtain continuation funding for successful 

programs funded under this authority. 

Strengthening Tribally Controlled Colleges and Universities.— The Committee recommends $23,570,000 for strengthening tribal 

colleges and universities [TCUs]. The comparable funding level for 

fiscal year 2006 and the budget request both are $23,570,000 for 

this program. Tribal colleges and universities rely on a portion of 

the funds provided to address developmental needs, including faculty development, curriculum and student services. 

In past years, the Committee has supported a competitive grant 

program to assist institutions in addressing long overdue and highpriority infrastructure and facilities requirements. The Committee 

intends for the funds provided to be used to support continuation 

of existing basic grants and new planning or implementation grant 

awards. The remaining funds shall be available for grants for renovation and construction of facilities to continue to address urgently needed facilities repair and expansion. 

International Education and Foreign Language Studies 

The bill includes a total of $105,751,000 for international education and foreign language programs. The comparable fiscal year 

2006 funding level is $105,751,000 and the budget request includes 

$106,751,000 for such activities. 

The Committee bill includes language allowing funds to be used 

to support visits and study in foreign countries by individuals who 

plan to utilize their language skills in world areas vital to the 

United States national security in the fields of government, international development and the professions. Bill language also allows 

up to 1 percent of the funds provided to be used for program evaluation, national outreach and information dissemination activities. 

This language is continued from last year’s bill and was proposed 

in the budget request. 

Domestic Programs.—The Committee recommends $91,541,000 

for domestic program activities related to international education 

and foreign language studies, including international business education, under title VI of the HEA. The comparable fiscal year 2006 

funding level is $91,541,000 and the budget request includes 

$92,541,000 for authorized activities. Domestic programs include 

national resource centers, undergraduate international studies and 

foreign language programs, international research and studies 
276 

projects, international business education projects and centers, 

American overseas research centers, language resource centers, foreign language and area studies fellowships, and technological innovation and cooperation for foreign information access. 

Overseas Programs.—The bill includes $12,610,000 for overseas 

programs authorized under the Mutual Educational and Cultural 

Exchange Act of 1961, popularly known as the Fulbright-Hays Act. 

The comparable fiscal year 2006 funding level and the budget request both are $12,610,000 for these programs. Under these overseas programs, grants are provided for group and faculty research 

projects abroad, doctoral dissertation research abroad, and special 

bilateral projects. Unlike other programs authorized by the Fulbright-Hays Act and administered by the Department of State, 

these Department of Education programs focus on training American instructors and students in order to improve foreign language 

and area studies education in the United States. 

Institute for International Public Policy.—The Committee bill recommends $1,600,000 for the Institute for International Public Policy. The comparable funding level for fiscal year 2006 and the 

budget request both are $1,600,000 for authorized activities. This 

program is designed to increase the number of minority individuals 

in foreign service and related careers by providing a grant to a consortium of institutions for undergraduate and graduate level foreign language and international studies. An institutional match of 

50 percent is required. 

Fund for the Improvement of Postsecondary Education 

The Committee recommends $80,529,000 for the Fund for the 

Improvement of Postsecondary Education [FIPSE]. The comparable 

fiscal year 2006 funding level and the budget request both are 

$21,989,000 for this purpose. FIPSE stimulates improvements in 

education beyond high school by supporting exemplary, locally developed projects that have potential for addressing problems and 

recommending improvements in postsecondary education. The 

Fund is administered by the Department with advice from an independent board and provides small, competitive grants and contracts to a variety of postsecondary institutions and agencies, including 2- and 4-year colleges and universities, State education 

agencies, community-based organizations, and other non-profit institutions and organizations concerned with education beyond high 

school. 

The Committee recommendation includes $17,030,000, the full 

amount requested for the comprehensive program, as well as funds 

for international consortia programs. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Amount 

AIB College of Business, Des Moines, IA, for scholarships in captioning and court reporting ....................... $500,000 

Albertson College of Idaho, for a library technology infrastructure upgrade ................................................... 600,000 

Alpena Community College, MI, for its Rural Homeland Security Preparedness Education and Training Initiative ............................................................................................................................................................. 200,000 

American Prosthodontic Society Foundation, Osceola Mills, PA, for scholarships and program costs related 

to prosthetic dentistry and clinical prosthodontics ...................................................................................... 150,000 
277 

Amount 

Arkansas State University, Jonesboro, AR, to collaborate with the University of Memphis, and the University of Mississippi, for the Delta Bridge Education Project to provide professional development for 

teachers ......................................................................................................................................................... 100,000 

Assumption College, Worcester, MA for the procurement of technology infrastructure and educational program development ......................................................................................................................................... 150,000 

Baptist Bible College and Seminary, Clarks Summit, PA, for equipment and technology acquisition ........... 100,000 

Benjamin Franklin Institute of Technology, Boston, MA, for educational equipment and curriculum development to support medical technology professional training programs ..................................................... 250,000

Blue Mountain Community College, Pandleton, OR to expand and enhance distance education infrastructure ................................................................................................................................................................ 300,000 

Bristol Community College, Fall River, MA, to expand adult literacy and career development academic 

programs ........................................................................................................................................................ 200,000 

Cabrini College, Radnor, PA, for equipment and educational programming for the Center for Science, Education and Technology ................................................................................................................................... 100,000 

California University of Pennsylvania, California, PA, for a Math and Science Institute ................................ 100,000 

Cedar Crest College, Allentown, PA, for a nursing education program ........................................................... 100,000 

Clarion University of Pennsylvania, Clarion, PA, for equipment acquisition for mathematics and science 

laboratories .................................................................................................................................................... 100,000 

Clinton School of Public Service, Little Rock, AR, for endowment scholarships and curriculum development ............................................................................................................................................................... 1,000,000 

College Misericordia, Dallas, PA, for technology upgrades and infrastructure ................................................ 100,000 

Community College of Beaver County, Monaca, PA, for technology training courses and technological infrastructure upgrades .................................................................................................................................... 100,000 

Community College of Philadelphia, Philadelphia, PA, for a distance learning initiative ............................... 100,000 

Community College of Southern Nevada, Las Vegas, NV, to expand and improve Internet-based course offerings, including equipment purchase ........................................................................................................ 750,000 

Connecticut State University, New Haven, Connecticut, for the Statewide Teacher Training Initiative .......... 500,000 

Dakota Wesleyan University, Mitchell, SD, for archiving of former Senator George McGovern’s papers ......... 170,000 

Dartmouth College, Hanover, NH, for an interdisciplinary initiative on engineering and medicine ................ 1,000,000 

Deaf West Theatre, North Hollywood, CA, for cultural experiences for the deaf .............................................. 600,000 

Dean College, Franklin, MA, to develop programs and procure equipment for the Learning Center .............. 235,000 

East Stroudsburg University, East Stroudsburg, PA, for science, math and technology training programs ... 100,000 

Eastern Iowa Community College, Davenport, IA, for the creation of a center on sustainable energy, including equipment ......................................................................................................................................... 350,000 

Eastern New Mexico University, Portales, NM, for computer and telecommunications equipment for a foreign language instruction laboratory ............................................................................................................ 885,000 

Eastern University, St. Davids, PA, for laboratory equipment and technological infrastructure improvements ............................................................................................................................................................. 100,000 

Edinboro University of Pennsylvania, Edinboro, PA, to support a computer forensics training program at 

the Western Pennsylvania High Tech Crime Training Center ....................................................................... 100,000 

Elizabethtown College, Elizabethtown, PA, for support of science and math programs and increase academic research opportunities for students ................................................................................................... 200,000 

Emerson College, Boston, MA, for educational equipment and program development ................................... 400,000 

Emmanuel College, Boston, MA, for the procurement of educational equipment and program development ............................................................................................................................................................... 220,000 

Florida Memorial University, Miami, FL, for equipment for the Library Enhancement Initiative ..................... 100,000 

George Meany Center for Labor Studies- the National Labor College for curriculum development ................ 900,000 

Golden Apple Foundation, Chicago, IL, for a math and science teacher training initiative ........................... 350,000 

Greenville Technical College, Greenville, SC, for curriculum development for the Greenville Technical Middle College program ...................................................................................................................................... 100,000 

Harrisburg Area Community College, Harrisburg, PA, for laboratory and equipment upgrades in support of 

programs at the Community Center for Technology and the Arts ............................................................... 100,000 

Henry Kuualoha Giugni Archives at the University of Hawaii at Manoa, to establish an archival facility of 

historical Native Hawaiian records and stories ............................................................................................ 100,000 

Hepatitis B Foundation, Doylestown, PA, for education programs to prepare post-secondary students for 

careers in biomedical research, public health and biotechnology ............................................................... 100,000 

Holyoke Community College, Holyoke, MA, for educational equipment and information technology ............... 200,000 

Houston Community College, Houston, TX, for the Accelerated Nursing Proficiency Center ............................ 150,000 

Hudson Valley Community College, Troy, NY, to expand the nursing program ................................................ 500,000

Huntington Junior College, Huntington, WV, for the expansion of the captioning program ............................ 1,200,000 

Immaculata University, Immaculata, PA, for technology acquisition and infrastructure improvements ......... 100,000 

Indiana University of Pennsylvania, Indiana, PA, for equipment acquisition and program support related 

to a mine safety and mapping initiative ..................................................................................................... 100,000 

James B. Edwards College of Dental Medicine, Charleston, SC, for equipment acquisition and program 

support ........................................................................................................................................................... 200,000 

Johnson and Wales University, Providence, RI for special education teacher training ................................... 200,000 
278 

Amount 

Keystone College, LaPlume, PA, for classroom and laboratory equipment ....................................................... 100,000 

King’s College, Wilkes-Barre, PA, for support of the Center for Community Engagement and Learning ....... 100,000 

La Salle University, Philadelphia, PA, for the University Science and Technology Center to support math 

and science instruction for teachers, including tuition support .................................................................. 100,000 

Lehigh Carbon Community College, Schnecksville, PA, to support an Academy of Arts, Sciences and Advanced Technologies ...................................................................................................................................... 100,000 

Lesley University, Cambridge, MA in partnership with Lesley University Education Center, Las Vegas, NV, 

to develop an online special education teacher certification program ....................................................... 100,000 

Lesley University, Cambridge, MA, for educational and research equipment to support new science instruction laboratories .................................................................................................................................... 250,000 

Lewis-Clark State College, Lewiston, ID, to continue and expand the American Indian Students in the 

Leadership of Education Program ................................................................................................................. 450,000 

Lincoln University, Lincoln University, PA, for campus-wide technology upgrades and wiring ....................... 100,000 

Lock Haven University of Pennsylvania, Lock Haven, PA for program support and equipment related to a 

distance education initiative ......................................................................................................................... 100,000 

Lock Haven University, Lock Haven, PA for professional development partnerships and related services ..... 400,000 

Luzerne County Community College, Nanticoke, PA, for support of the Regional Public Safety Training Institute ............................................................................................................................................................ 100,000 

Maryland Association of Community Colleges, Annapolis, MD, to expand and improve nursing programs at 

Maryland’s sixteen community colleges ........................................................................................................ 1,250,000 

Messiah College, Grantham, PA, for wireless technology and technology infrastructure improvements ........ 100,000 

MidAmerica Nazarine University, Olathe, KS for the Distance Education Initiative in Western Kansas ......... 200,000 

Mid-State Technical College, Wisconsin Rapids, WI, for training and certification programs in renewable 

energy technologies ....................................................................................................................................... 115,000 

Miles Community College, Miles City, MT, for curriculum development and equipment for the Pathways to 

Careers in Health project .............................................................................................................................. 500,000 

Millersville University of Pennsylvania, Millersville, PA, for teacher preparation programs in math and 

science ........................................................................................................................................................... 100,000 

Mississippi Immigrants Community Development Corporation, Jackson, MS, an English language pilot program .............................................................................................................................................................. 500,000 

Mississippi State University, Mississippi State, MS for the National Center on Rural Early Childhood 

Learning Initiatives ........................................................................................................................................ 1,200,000 

Mississippi State University, Starkville, MS for acquisition of digital technology and studio production 

systems .......................................................................................................................................................... 2,000,000 

Mississippi State University, Starkville, MS, for support of a teacher preparation and enhancement initiative ................................................................................................................................................................. 300,000 

Mississippi Valley State University, Itta Bena, MS, for foreign language and international studies curriculum development and program support ................................................................................................. 500,000 

Missouri State University, Springfield, MO, for program development and equipment and technology for 

the Distance Learning Project on the West Plains Campus ........................................................................ 1,000,000 

Montana State University—Billings for program development in the College of Technology ......................... 500,000 

Montana State University—Billings, Billings, MT, to develop health care-related degree and professional 

development education programs ................................................................................................................. 500,000 

Montgomery County Community College, Blue Bell, PA, for curriculum development and equipment acquisition .............................................................................................................................................................. 200,000 

Moravian College, Bethlehem, PA, for equipment, technology, and curriculum development for a science 

initiative ......................................................................................................................................................... 100,000 

National Association for Equal Opportunity in Higher Education, Silver Spring, MD, for the Undergraduate 

Credit Discipline Education and Mentoring Program at Wilberforce University and Central State University in Ohio .................................................................................................................................................... 400,000 

National Student Partnerships, Washington, DC, for student volunteer training activities to improve and 

evaluate methods of expansion for national training programs .................................................................. 100,000 

Nevada State College, Henderson, NV, to create a partnership with the Community College of Southern 

Nevada and Clark County School District to increase the number of math and science teachers in 

Clark County .................................................................................................................................................. 375,000 

New Hampshire Community Technical College System, Concord, NH, for technology and telecommunications systems linking the community college campuses ......................................................................... 500,000 

New Mexico State University, New Mexico, to establish a new bridge program in manufacturing technology ............................................................................................................................................................. 200,000 

North Dakota State College of Science, Wahpeton, ND, to train students in nanoscience and other advanced technologies ...................................................................................................................................... 400,000 

Northeast Community College, Nebraska, for the development of a new college center ................................ 700,000 

Northern Kentucky University in Highland Heights, KY, for technology, equipment, curriculum development 

and program development for the Infrastructure Management Institute .................................................... 1,500,000 

Pacific University, Hillsboro, OR, for equipment for the health professions campus ...................................... 400,000

Penn State Worthington Scranton, Dunmore, PA, for support of the Corporate Community Center ................ 150,000 
279 

Amount 

Philadelphia University, PA, for technology upgrades and to develop an instructional delivery system 

which will focus on the integration of technology into coursework ............................................................. 100,000 

Pierce College, Lakewood WA, for the Center of Excellence for Homeland Security ........................................ 150,000 

Pittsburgh Tissue Engineering Initiative, Pittsburgh, PA, for program development ....................................... 100,000

Plymouth State University, Plymouth, New Hampshire, for a collaborative research institute for sustainable rural economics ..................................................................................................................................... 500,000 

Portland State University, Portland, OR, for the Science Research and Teaching Center ............................... 300,000 

Regis University, Henderson, NV, to design and adapt an online teacher education course ......................... 250,000 

Rhodes College, Memphis, TN to support the Rhodes College Learning Corridor and expand educational 

programs ........................................................................................................................................................ 250,000 

Rice University, Houston, TX, for equipment for the Earth Sciences Laboratory at Weiss School of Natural 

Sciences ......................................................................................................................................................... 750,000 

Robert Morris University, Moon Township, PA, for equipment and support of nursing and allied health programs ............................................................................................................................................................. 100,000 

Rochester Area Colleges, Rochester, NY, for a Center for Excellence in Math and Science ........................... 800,000 

Salish Kootenai College, Pablo, MT, for faculty, student recruitment and retention, and support of the 

nursing program ............................................................................................................................................ 500,000 

San Juan College, New Mexico, to expand training and academic programs in the School of Energy .......... 1,000,000 

Security On Campus, Inc., King of Prussia, PA, to develop and conduct regional training sessions on compliance with the Clery Act and the technical assistance handbook ........................................................... 100,000 

Shippensburg University, Shippensburg, PA, for technology and infrastructure upgrades .............................. 100,000 

Southwestern Indian Polytechnic Institute, NM, to expand training programs including equipment purchase ............................................................................................................................................................. 400,000 

Southwestern University, Georgetown, TX, for curriculum development and equipment for the Center for 

Hispanic Studies ............................................................................................................................................ 250,000 

Stonehill College, Easton, MA, to procure equipment and develop programs for the Center for Non-Profit 

Management .................................................................................................................................................. 200,000 

Sweetwater Education Foundation, Chula Vista, CA, for administration of the Compact for Success program .............................................................................................................................................................. 100,000 

Syracuse University, NY, to create the Global Justice Center ........................................................................... 250,000 

Temple University, Philadelphia, PA, for support of the Fox School of Business and Management Center 

for Competitive Government .......................................................................................................................... 100,000 

Texas A&M University System Health Science Center, College Station, TX, for curriculum development and 

program support ............................................................................................................................................ 100,000 

Texas Southern University, Houston, TX, for equipment for the Center for Human and Material Science 

Performance ................................................................................................................................................... 200,000 

Texas Women’s University, Denton, TX, for equipment and technology acquisition for the Institute of 

Health Sciences Dallas Center ...................................................................................................................... 250,000 

Thaddeus Stevens College of Technology, Lancaster, PA, for support of technical education programs ....... 250,000 

Thiel College, Greenville, PA, for campus-wide technology infrastructure upgrades ....................................... 100,000

Touro University School of Nursing, Henderson, NV, to recruit, train and place rural students in post-graduate nursing education ................................................................................................................................. 500,000 

Tuscarora Intermediate Unit 11, McVeytown, PA, for a distance education initiative ..................................... 100,000 

University of Alaska, Anchorage for the Alaska Native Students in Engineering program ............................. 1,000,000 

University of Alaska/Southeast for the Alaska Distance Education Technology Consortium ........................... 2,500,000 

University of Arkansas for Medical Sciences, Little Rock, AR, for curriculum and infrastructure development enabling UAMS to participate and administer development of a multi-state master’s degree program in genetic counseling and continuing education cou ......................................................................... 380,000 

University of Central Arkansas, Conway, AR, to provide faculty with appropriate instructional technology, 

software, and curriculum development support ........................................................................................... 500,000 

University of Dubuque in Dubuque, Iowa for the establishment of a nursing education program ................ 500,000 

University of Hawaii at Hilo for an Applied Rural Science program and a Clinical Pharmacy Training Program .............................................................................................................................................................. 750,000 

University of Hawaii School of Law, for a health policy center and cultural education programs ................. 150,000 

University of Idaho, Moscow, ID, for support of the Gateway to Math Program, a statewide, Internet-based 

outreach program for pre-college math students ........................................................................................ 500,000 

University of Maryland, College Park, to develop a Maryland Center for Public Service ................................. 3,000,000

University of Mississippi Research Foundation, Oxford, MS ............................................................................. 500,000 

University of Mississippi, Oxford, MS, for program and curriculum development in public policy leadership ................................................................................................................................................................ 3,000,000 

University of Nevada-Reno, Reno, NV, for the Center for Student Cultural Diversity ...................................... 100,000

University of Pittsburgh, Pittsburgh, PA to support the Dick Thornburgh Legacy Project ............................... 200,000 

University of Rhode Island, Kingston, RI, for an infants and toddlers care professional development program .............................................................................................................................................................. 200,000 

University of San Francisco, San Francisco, CA, for science center equipment .............................................. 200,000 
280 

Amount 

University of Scranton, Scranton, PA, to promote health education through the Center for Global Health, 

Education, and Rehabilitation ....................................................................................................................... 100,000 

University of Southern Mississippi, Hattiesburg, MS, for the Integrated Learning Initiative .......................... 300,000 

University of the Sciences in Philadelphia, Philadelphia, PA, for a Science Education Partnership .............. 100,000 

University of Tulsa, Tulsa, OK, for an information technology initiative .......................................................... 160,000 

University of Vermont of Burlington, VT, to establish advanced practice graduate nursing program in psychiatric-mental health nursing ..................................................................................................................... 300,000 

University of Washington Bothell, Bothell, WA, for the Nursing Faculty Consortium ....................................... 300,000

University of Wisconsin-Eau Claire, Eau Claire, WI, for equipment for nanotechnology education programs ............................................................................................................................................................. 200,000 

Urban College of Boston, Boston, MA, to support higher education programs serving low-income and minority students ............................................................................................................................................... 750,000 

Utah Valley State College, Orem, UT, for equipment and software for the Digital Learning Center .............. 100,000 

Villa Julie College, Stevenson, MD, to expand the Nursing Distance Learning Program ................................. 500,000 

Virginia Military Institute, Lexington, VA, for curriculum development and program support ........................ 100,000 

Washington & Jefferson College, Washington, PA, for a foreign language distance instruction initiative ..... 100,000 

Washington & Jefferson College, Washington, PA, for support of foreign language instruction ..................... 100,000 

Washington Center for Internships and Academic Seminars, Washington, DC, for support of an internship 

program for minority college students and recent graduates ..................................................................... 100,000 

Washington State University, to expand and enhance science education for women ..................................... 500,000 

Weber State University, Ogden, UT, to improve access for and graduation rates of nursing students ......... 750,000 

West Chester University, West Chester, PA, for technology infrastructure upgrades ....................................... 100,000

Western Iowa Tech Community College, Sioux City, IA, for equipment ............................................................ 100,000 

Western Kentucky University, Bowling Green, KY, for technology and equipment for the Kentucky Academy 

of Mathematics and Science ......................................................................................................................... 1,500,000 

Westminster College, Salt Lake City, UT, for development of distance learning technology and curriculum ............................................................................................................................................................. 100,000 

Westmoreland County Community College, Waynesburg, PA, for classroom equipment and technology associated with programs at EverGreene Technology Park .............................................................................. 100,000 

Wheaton College, Norton, MA, to procure educational equipment and information technology to support 

science center expansion .............................................................................................................................. 200,000 

Wheelock College, Boston, MA, for educational equipment and curriculum development for the K–9 

science teachers program ............................................................................................................................. 250,000 

William Paterson University, for the Center for the Study of Critical Languages ........................................... 200,000 

Wilson College, Chambersburg, PA, for support of the Institute for Women and Girls in Science, Mathematics and Technology .................................................................................................................................. 100,000 

Wisconsin Association of Independent Colleges and Universities, Madison, WI, to coordinate administrative 

support ........................................................................................................................................................... 200,000 

Minority Science and Engineering Improvement 

The Committee recommends $8,730,000 for the Minority Science 

and Engineering Improvement program [MSEIP]. The comparable 

fiscal year 2006 funding level and the budget request both are 

$8,730,000 for this program. Funds are used to provide discretionary grants to institutions with minority enrollments greater 

than 50 percent to purchase equipment, develop curricula, and support advanced faculty training. Grants are intended to improve 

science and engineering education programs and increase the number of minority students in the fields of science, mathematics, and 

engineering. 

Tribally Controlled Postsecondary Vocational Institutions 

The Committee recommends $7,366,000 for tribally controlled 

postsecondary vocational institutions. The comparable fiscal year 

2006 funding level and the budget request both are $7,366,000 for 

this purpose. This program provides grants for the operation and 

improvement of two tribally controlled postsecondary vocational institutions to ensure continued and expanding opportunities for Indian students: United Tribes Technical College in Bismarck, North 
281 

Dakota, and Crownpoint Institute of Technology in Crownpoint, 

New Mexico. 

The Committee bill includes language carried over from last 

year’s bill and proposed in the budget request that allows grantees 

to charge the regular indirect cost rate to their grants. 

Federal TRIO Programs 

The Committee recommends $828,178,000 for Federal TRIO Programs. The comparable fiscal year 2006 funding level is 

$828,178,000 and the budget request includes $380,100,000 for this 

program. The budget request redirects the savings from the reduction proposed for TRIO programs to provide support for a proposed 

High School Reform initiative. 

TRIO programs provide a variety of services to improve postsecondary education opportunities for low-income individuals and 

first-generation college students: Upward Bound offers disadvantaged high school students academic services to develop the skills 

and motivation needed to continue their education; Student Support Services provides remedial instruction, counseling, summer 

programs and grant aid to disadvantaged college students to help 

them complete their postsecondary education; Talent Search identifies and counsels individuals between ages 11 and 27 regarding opportunities for completing high school and enrolling in postsecondary education; Educational Opportunity Centers provide information and counseling on available financial and academic assistance to low-income adults who are first-generation college students; 

and the Ronald E. McNair Postbaccalaureate Achievement Program supports research internships, seminars, tutoring, and other 

activities to encourage disadvantaged college students to enroll in 

graduate programs. 

The Committee is concerned about the potential impact of the Invitational Priority for the Upward Bound program published in the 

Federal Register on July 3, 2006 and its potential impact on services to eligible students. The Committee encourages the Department to consider fully comments on this proposed priority. The 

Committee requests a briefing by the Department on this issue, 

prior to the announcement of the competition for the Upward 

Bound program. 

Gaining Early Awareness and Readiness for Undergraduate Programs [GEARUP] 

The Committee recommends $303,423,000 for GEARUP. The 

comparable fiscal year 2006 funding level is $303,423,000 and the 

budget request does not include any funds for this purpose. The 

budget proposes to redirect these funds to provide support for a 

proposed High School Reform initiative. 

Under this program funds are used by States and partnerships 

of colleges, middle and high schools, and community organizations 

to assist middle and high schools serving a high percentage of lowincome students. Services provided help students prepare for and 

pursue a postsecondary education. 
282 

Byrd Honors Scholarships 

The Committee recommends $41,000,000 for the Byrd honors 

scholarship program. The comparable fiscal year 2006 funding level 

is $40,590,000 and the budget request does not include any funds 

for this program. 

The Byrd honors scholarship program is designed to promote student excellence and achievement and to recognize exceptionally 

able students who show promise of continued excellence. Funds are 

allocated to State education agencies based on each State’s schoolaged population. The State education agencies select the recipients 

of the scholarships in consultation with school administrators, 

teachers, counselors, and parents. The funds provided will support 

a new cohort of first-year students in 2007, and continue support 

for the 2004, 2005, and 2006 cohorts of students in their fourth, 

third and second years of study, respectively. The amount recommended will provide scholarships of $1,500 to 27,333 students. 

Javits Fellowships 

The Committee recommends $9,699,000 for the Javits Fellowships program. The comparable fiscal year 2006 funding level and 

the budget request both are $9,699,000 for this program. 

The Javits Fellowships program provides fellowships of up to 4 

years to students of superior ability who are pursuing doctoral degrees in the arts, humanities, and social sciences at any institution 

of their choice. Each fellowship consists of a student stipend to 

cover living costs, and an institutional payment to cover each fellow’s tuition and other expenses. The Committee bill includes language proposed in the budget that stipulates that funds provided 

in the fiscal year 2007 appropriation support fellowships for the 

2008–2009 academic year. 

Graduate Assistance in Areas of National Need [GAANN] 

The Committee recommends $30,067,000 for graduate assistance 

in areas of national need. The comparable fiscal year 2006 funding 

level and the budget request both are $30,067,000 for GAANN. 

This program awards competitive grants to graduate academic departments and programs for fellowship support in areas of national 

need as determined by the Secretary. In fiscal year 2005, the Secretary designated the following areas of national need: biology, 

chemistry, computer and information sciences, engineering, geological and related sciences, mathematics, physics, and nursing. Recipients must demonstrate financial need and academic excellence, and 

seek the highest degree in their fields. 

The Committee is especially pleased that the Secretary included 

nursing as an area of national need in its fiscal year 2006 program 

announcement. Given the magnitude of the nursing shortage, the 

Committee was pleased to see the Secretary take this step in establishing a priority for a nursing program that focuses on the preparation of nurse scholars at the PhD level for educational leadership 

roles. 

The Committee believes that the GAANN program can make a 

difference in helping our Nation prepare for the projected need for 

1.2 million new and replacement nurses by 2014 as identified by 

the U.S. Bureau of Labor Statistics. The Committee encourages the 
283 

Secretary to include nursing as an area of national need in future 

years until our Nation develops an adequate supply of nurses and 

ends this projected shortage. 

Teacher Quality Enhancement Grants 

The Committee recommends $57,000,000 for the teacher quality 

enhancement grants program. The comparable fiscal year 2006 

funding level is $59,895,000 and the budget request proposes to 

eliminate funding for this program. 

The program was established to support initiatives that best 

meet specific teacher preparation and recruitment needs. Further, 

the Higher Education Act provides and designates funding for the 

program in three focus areas: 45 percent of resources support a 

State grant program, 45 percent of funds are used for a partnership program, and 10 percent are designated for a recruitment 

grant program. 

The Committee bill includes language that would allow the Department to fund awards under the three program areas at the discretion of the Department, instead of as mandated by the Higher 

Education Act. The Committee continues this language from last 

year’s bill in order to prevent funds available under this program 

from going unused. 

Under the State grant program, funds may be used for a variety 

of State-level reforms, including more rigorous teacher certification 

and licensure requirements; provision of high-quality alternative 

routes to certification; development of systems to reward high-performing teachers and principals; and development of efforts to reduce the shortage of qualified teachers in high-poverty areas. 

Teacher training partnership grants, which are awarded to local 

partnerships comprised of at least one school of arts and science, 

one school or program of education, a local education agency, and 

a K–12 school, may be used for a variety of activities designed to 

improve teacher preparation and performance, including efforts to 

provide increased academic study in a proposed teaching specialty 

area; to prepare teachers to use technology effectively in the classroom; to provide preservice clinical experiences; and to integrate reliable research-based teaching methods into the curriculum. Partnerships may work with other entities, with those involving businesses receiving priority consideration. Partnerships are eligible to 

receive a one-time-only grant to encourage reform and improvement at the local level. 

The recruitment grant program supports efforts to reduce shortages of qualified teachers in high-need school districts as well as 

provide assistance for high-quality teacher preparation and induction programs to meet the specific educational needs of the local 

area. 

Child Care Access Means Parents in Schools 

The Committee recommends an appropriation of $15,810,000 for 

the Child Care Access Means Parents in School [CCAMPIS] program. The comparable fiscal year 2006 funding level and the budget request both are $15,810,000 for this program. CCAMPIS was 

established in the Higher Education Amendments of 1998 to support the efforts of a growing number of non-traditional students 
284 

who are struggling to complete their college degrees at the same 

time that they take care of their children. Discretionary grants of 

up to 4 years are made to institutions of higher education to support or establish a campus-based childcare program primarily serving the needs of low-income students enrolled at the institution. 

Advancing America through Foreign Language Partnerships 

The Committee recommendation does not include funding for this new program. The budget request proposes $24,000,000 for a new 

program of grants to increase the number of Americans with professional levels of competency in languages critical to national security. Under this new program grants would be awarded to institutions of higher education for partnerships with school districts to 

create programs of study in kindergarten through 16th grade in 

critical needs languages. The budget proposes bill language to create this new program. 

Demonstration Projects to Ensure Quality Higher Education for 

Students With Disabilities 

The Committee recommends $6,875,000 for this program, the 

same amount as the comparable fiscal year 2006 funding level. The 

budget proposes no funding for this program. This program’s purpose is to ensure that students with disabilities receive a highquality postsecondary education. Grants are made to support model 

demonstration projects that provide technical assistance and professional development activities for faculty and administrators in 

institutions of higher education. 

The Committee urges the Department to utilize resources available under the GPRA/data collection program to support a rigorous 

evaluation of outcomes achieved by grantees funded under this program and to identify the impact that these funds are having on improving opportunities for students with disabilities at institutions 

of higher education throughout the United States. 

Underground Railroad Program 

The Committee recommendation includes $1,980,000 for the Underground Railroad program, the same amount as the comparable 

fiscal year 2006 funding level. The budget request does not include 

any funds for this activity. The program was authorized by the 

Higher Education Amendments of 1998 and was funded for the 

first time in fiscal year 1999. Grants are provided to research, display, interpret, and collect artifacts relating to the history of the 

underground railroad. Educational organizations receiving funds 

must demonstrate substantial private support through a public-private partnership, create an endowment fund that provides for ongoing operation of the facility, and establish a network of satellite 

centers throughout the United States to share information and 

teach people about the significance of the Underground Railroad in 

American history. 

GPRA/Higher Education Act Program Evaluation 

The Committee recommends $970,000 for data collection associated with the Government Performance and Results Act data collection and to evaluate programs authorized by the Higher Edu-
285 

cation Act. The comparable fiscal year 2006 funding level and the 

budget request both are $970,000 for these activities. These funds 

are used to comply with the Government Performance and Results 

Act, which requires the collection of data and evaluation of Higher 

Education programs and the performance of recipients of Higher 

Education funds. 

B.J. Stupak Olympic Scholarships 

The Committee recommendation does not include funding for this program. The comparable fiscal year 2006 funding level is $970,000 

and the budget request did not include funds for this activity. 

Funds appropriated in fiscal year 2006 will be used to provide financial assistance to athletes who are training at the United 

States Olympic Education Center or one of the United States 

Olympic Training Centers and who are pursuing a postsecondary 

education at an institution of higher education. Unlike most other 

Federal student aid programs, scholarships are provided without 

consideration of expected family contributions. 

Thurgood Marshall Legal Educational Opportunity Program 

The Committee recommendation does not include any funds for 

the Thurgood Marshall Legal Educational Opportunity Program. 

The comparable funding level for fiscal year 2006 is $2,946,000 and 

the budget request does not include any funds for this purpose. 

Under this program, funds help low-income, minority or disadvantaged college students with the information, preparation and 

financial assistance to enter and complete law school study. The 

Higher Education Act stipulates that the Secretary make an award 

to or contract with the Council on Legal Education Opportunity to 

carry out authorized activities. 

HOWARD UNIVERSITY

Appropriations, 2006 ............................................................................. $237,391,000 

Budget estimate, 2007 ........................................................................... 237,392,000 

House allowance .................................................................................... 237,392,000 

Committee recommendation ................................................................. 237,392,000 

The Committee recommends an appropriation of $237,392,000 for 

Howard University. The comparable fiscal year 2006 funding level 

is $237,391,000 and the budget request includes $237,392,000 for 

this purpose. Howard University is located in the District of Columbia and offers undergraduate, graduate, and professional degrees through 12 schools and colleges. The university also administers the Howard University Hospital, which provides both inpatient and outpatient care, as well as training in the health professions. Federal funds from this account support more than 50 percent of the university’s projected educational and general expenditures, excluding the hospital. The Committee recommends, within 

the funds provided, not less than $3,600,000 shall be for the endowment program. 

Howard University Hospital.—Within the funds provided, the 

Committee recommends $29,461,000 for the Howard University 

Hospital. The comparable fiscal year 2006 funding level and the 

budget request both are $29,461,000 for this purpose. The hospital 

serves as a major acute and ambulatory care center for the District 
286 

of Columbia and functions as a major teaching facility attached to 

the university. The Federal appropriation provides partial funding 

for the hospital’s operations. 

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS

Appropriations, 2006 ............................................................................. $567,000 

Budget estimate, 2007 ........................................................................... 486,000 

House allowance .................................................................................... 486,000 

Committee recommendation ................................................................. 486,000 

Federal Administration.—The Committee bill includes $486,000 

for Federal administration of the CHAFL program. The comparable 

fiscal year 2006 funding level is $567,000 and the budget request 

includes $486,000 for such expenses. 

These funds will be used to reimburse the Department for expenses incurred in managing the existing CHAFL loan portfolio 

during fiscal year 2007. These expenses include salaries and benefits, travel, printing, contracts (including contracted loan servicing 

activities), and other expenses directly related to the administration of the CHAFL program. 

HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL

FINANCING PROGRAM

Appropriations, 2006 ............................................................................. $208,000 

Budget estimate, 2007 ........................................................................... 190,000 

House allowance .................................................................................... 190,000 

Committee recommendation ................................................................. 190,000 

Federal Administration.—The Committee recommends $190,000 

for Federal administration of the Historically Black College and 

University [HBCU] Capital Financing Program. The comparable 

fiscal year 2006 funding level is $208,000 and the budget request 

includes $190,000 for this activity. 

The HBCU Capital Financing Program makes capital available 

to HBCUs for construction, renovation, and repair of academic facilities by providing a Federal guarantee for private sector construction bonds. Construction loans will be made from the proceeds 

of the sale of the bonds. 

INSTITUTE OF EDUCATION SCIENCE

Appropriations, 2006 ............................................................................. $517,468,000 

Budget estimate, 2007 ........................................................................... 554,468,000 

House allowance .................................................................................... 534,916,000 

Committee recommendation ................................................................. 535,916,000 

The bill includes $535,916,000 for the Institute of Education 

Sciences. The comparable fiscal year 2006 funding level is 

$517,468,000 and the budget request includes $554,468,000 for 

comparable activities. This account supports education research, 

data collection and analysis activities, and the assessment of student progress. 

Research, Development and Dissemination 

The Committee recommends $162,552,000 for education research, 

development and national dissemination activities. The comparable 

fiscal year 2006 amount and the budget request both are 
287 

$162,552,000 for these activities. Funds are available for obligation 

for 2 fiscal years. These funds support research, development, and 

dissemination activities that are aimed at expanding fundamental 

knowledge of education and promoting the use of research and development findings in the design of efforts to improve education. 

The Committee strongly supports the Department’s efforts to 

carry out congressionally authorized evaluations of Federal education programs using rigorous methodologies, particularly random 

assignment, that are capable of producing scientifically valid 

knowledge regarding which program activities are effective. To ensure that authorized evaluations are conducted in a rigorous manner that is independent of the program office and includes scientific 

peer review, the Committee believes that the Institute of Education 

Sciences should be the lead agency for the design and implementation of these evaluations. The Committee believes further that it is 

essential for program offices to work collaboratively with the Institute to include a priority or requirement in program solicitations 

for grantee participation in such evaluations, including random assignment, to the extent the Institute deems appropriate and where 

not specifically prohibited by law. The Committee notes that program offices and the Institute have already collaborated in this 

manner to advance rigorous evaluations in programs such as Student Drug Testing, Smaller Learning Communities, Student Mentoring, and Striving Readers. 

The Committee is pleased with the framework identified by the 

Institute in June 2, 2006 correspondence from the Director that 

outlines concrete steps the Institute is taking to implement the national research and development centers program in fiscal year 

2006, consistent with the intent of the Committee. This correspondence stated that the Institute would spend $18,000,000 in fiscal 

year 2006 funds for base grants for nine research and development 

centers, with the balance of funds available for supplemental funding of centers that have been in operation for at least 1 year. The 

correspondence further stated that supplemental funding requests 

would be considered for research and related activities relevant to 

and aligned with the original objectives of center awards, even if 

such proposals overlapped 2007 competitions announced by the Institute. The Committee intends that fiscal year 2007 funds available to the Institute will be utilized in the same manner and 

amounts. 

The Committee is pleased that the Institute conducted a round 

of field-initiated research this year. The Committee recognizes the 

critical role the Institute plays in achieving the important goals set 

by the No Child Left Behind Act and encourages the Institute to 

continue its progress in translating scientifically based research 

findings into classroom practice. The Committee supports the implementation of programs that bring advances in cognitive, developmental, educational science and neuroscience into the classroom 

by informing curriculum development in schools and in graduate 

schools of education. 

The Committee encourages the Institute to establish a research 

priority in the area of identifying and serving gifted students from 

culturally diverse, disabled, economically disadvantaged and other 

populations traditionally underselected for gifted and talented edu-
288 

cation programs. The Committee is aware that a research and development center will be awarded in this area during fiscal year 

2006, but believes that there is great potential for additional research opportunities at institutions with a long history of producing 

and disseminating high-quality work in this area. 

Statistics 

The Committee recommends $91,022,000 for data gathering and 

statistical analysis activities of the National Center for Education 

Statistics [NCES]. The comparable fiscal year 2006 funding level is 

$90,022,000 and the budget request includes $93,022,000 for this 

purpose. 

The NCES collects, analyzes, and reports statistics on education 

in the United States. Activities are carried out directly and through 

grants and contracts. The Center collects data on educational institutions at all levels, longitudinal data on student progress, and 

data relevant to public policy. The NCES also provides technical 

assistance to State and local education agencies and postsecondary 

institutions. 

The Committee has included funds above the fiscal year 2006 

level under the arts in education evaluation activity and within 

this program for the National Center for Education Statistics to 

utilize its Fast Response Survey System to collect data for the report of Arts Education in Public Elementary and Secondary Schools 

during the 2007–2008 school year. The Committee expects this survey to be co-requested by the Office of Innovation and Improvement 

and the National Endowment for the Arts, and administered by the 

Institute for Education Sciences. The Committee believes the survey must have the comprehensive quality of the 2002 report and 

should include national samples of elementary and secondary 

school principals, as well as surveys of elementary and secondary 

classroom teachers and arts specialists. 

Regional Educational Laboratories 

The Committee recommends $65,470,000 to continue support for 

the regional educational laboratories. The comparable fiscal year 

2006 funding level and the budget request both are $65,470,000 for 

this purpose. Program funds support a network of 10 laboratories 

that are responsible for promoting the use of broad-based systemic 

strategies to improve student achievement. 

The Committee is pleased that the research, development, dissemination, and technical assistance activities carried out by the 

regional educational laboratories will be consistent with the standards for scientifically based research prescribed in the Education 

Sciences Reform Act of 2002. The Committee believes that the laboratories, working collaboratively with the comprehensive centers 

and Department-supported technical assistance providers, have an 

important role to play in helping parents, States, and school districts improve student achievement as called for in No Child Left 

Behind. In particular, the Committee intends for the laboratories 

and their technical assistance provider partners to provide products 

and services that will help States and school districts utilize the 

school improvement funds available in the Education for the Disadvantaged account to support school improvement activities that 
289 

are supported by scientifically based research. The Committee requests that the 2008 congressional justification include specific information about the actions taken to support the Committee’s intention in providing resources for this program, other technical assistance providers and school improvement activities. 

Research and Innovation in Special Education 

The Committee recommends $71,840,000 for research and innovation in special education. The comparable funding level for fiscal 

year 2006 and the budget request both are $71,840,000 for this 

purpose. The reauthorization of the Individuals with Disabilities 

Education Act created a new National Center for Special Education 

Research. This new center will address gaps in scientific knowledge 

in order to improve special education and early intervention services and outcomes for infants, toddlers, and children with disabilities. Funds provided to the center will be available for obligation 

for 2 fiscal years. 

The Committee commends the Institute for its efforts to transform education into an evidence-based field in which decisionmakers routinely seek out the best available research and data before adopting programs or practices that will affect significant 

numbers of students. The Committee encourages the Institute to 

coordinate with the Head Start Bureau, the Office of Special Education Programs, the National Institutes of Health and other Federal agencies conducting research in the field of early learning, 

early identification, early intervention and scientific, researchbased reading instruction to ensure collaboration wherever possible 

on the research initiatives that directly affect students with specific 

learning disabilities and those most at risk for specific learning disabilities. 

Special Education Studies and Evaluations 

The Committee recommends $9,900,000 for special education 

studies and evaluations. Funding for this activity was made available previously as a set-aside from the Special Education State 

Grants program until this new authority was created by the Individuals with Disabilities Education Improvement Act of 2004. The 

comparable funding level for fiscal year 2006 and the budget request both are $9,900,000 for this purpose. 

This program will support competitive grants, contracts, and cooperative agreements to assess the implementation of the Individuals with Disabilities Education Act. Funds also will be used to 

evaluate the effectiveness of State and local efforts to deliver special education services and early intervention programs. Funds are 

available for obligation for 2 fiscal years. 

Statewide Data Systems 

The Committee recommendation includes $38,000,000 for Statewide Data Systems. The comparable funding level for fiscal year 

2006 is $24,552,000 and the budget request includes $54,552,000. 

This program supports competitive grants to State educational 

agencies to enable such agencies to design, develop, and implement 

statewide, longitudinal data systems to manage, analyze, 

disaggregate, and use individual student data. Funds are available 
290 

for obligation for 2 fiscal years. The Committee believes these 

funds are necessary to help States measure individual student performance, particularly as it relates to adequate yearly progress 

goals, more efficiently and accurately. 

The Committee commends the Institute for its work in establishing an expert team to design the program and plan the 2005 

grant competition. These actions are the first steps toward fulfilling 

the goals established in the Educational Technical Assistance Act 

and the statement of the managers accompanying the fiscal year 

2005 Department of Education appropriations act. The Committee 

supports the progress of the Institute of Education Sciences in implementing the Statewide Longitudinal Data Systems program 

through the 14 grant awards made to States to date. The goals of 

these grants are to enhance the ability of States to use education 

data from individual student records to make data-driven decisions 

to improve student learning, to facilitate research to increase student achievement and close achievement gaps, and to comply with 

requirements under the Elementary and Secondary Education Act 

of 1965 and other reporting requirements. The Committee intends 

for the Institute to continue to administer this program in a manner that addresses all of these goals. 

Assessment 

The Committee recommends $97,132,000 for assessment. The 

comparable fiscal year 2006 funding level is $93,132,000 and the 

budget request includes $97,132,000 for authorized activities. 

These funds provide support for the National Assessment of Educational Progress [NAEP], a congressionally mandated assessment 

created to measure the educational achievement of American students. The primary goal of NAEP is to determine and report the 

status and trends over time in educational achievement, subject by 

subject. Beginning in 2002, the Department began paying for State 

participation in biennial reading and mathematics assessments in 

grades 4 and 8. 

The budget request includes an increase of $4,000,000 to support 

essential activities for implementing in 2009 State-level assessments in the 12th grade. The Committee recommendation includes 

these requested funds. 

The Committee expects the Department to administer the National Assessment of Educational Progress in the Arts in 2008, as 

is indicated in the 2007 congressional justification, which states 

that the fiscal year 2007 appropriation will be used in part to prepare for this assessment. 

Within the funds appropriated, the Committee recommends 

$5,037,000 for the National Assessment Governing Board [NAGB], 

which is responsible for formulating policy for NAEP. The comparable fiscal year 2006 amount and the budget request both are 

$5,037,000 for NAGB. 
291 

DEPARTMENTAL MANAGEMENT

PROGRAM ADMINISTRATION

Appropriations, 2006 ............................................................................. $411,150,000 

Budget estimate, 2007 ........................................................................... 425,966,000 

House allowance .................................................................................... 423,916,000 

Committee recommendation ................................................................. 423,916,000 

The Committee recommends $423,916,000, for program administration. The comparable fiscal year 2006 funding level is 

$411,150,000 and the budget request includes $425,966,000 for this 

purpose. 

Funds support personnel compensation and benefits, travel, rent, 

communications, utilities, printing, equipment and supplies, automated data processing, and other services required to award, administer, and monitor approximately 180 Federal education programs. Support for program evaluation and studies and advisory 

councils is also provided under this activity. The budget request includes $4,550,000 for building renovations 

and related expenses associated with the upgrade of the Mary E. 

Switzer building. The Committee recommendation includes 

$2,500,000 for this purpose and makes the funds available until expended, as proposed in the budget request. 

The Committee is aware that several leading professional societies and lay organizations have recognized the importance of managing life-threatening food allergies in the school setting. It is estimated that 94 percent of the Nation’s schools have students with 

food allergy, and the incidence is increasing. The Committee encourages the Department to work with the Department of Health 

and Human Services and knowledgeable private sector organizations on the development of guidelines for the management of children with food allergy as well as a plan to disseminate these guidelines to State and local educational agencies. 

OFFICE FOR CIVIL RIGHTS

Appropriations, 2006 ............................................................................. $90,611,000 

Budget estimate, 2007 ........................................................................... 92,866,000 

House allowance .................................................................................... 92,866,000 

Committee recommendation ................................................................. 92,866,000 

The Committee bill includes $92,866,000 for the Office for Civil 

Rights [OCR]. The comparable fiscal year 2006 amount was 

$90,611,000 and the budget request is $92,866,000 for this purpose. 

The Office for Civil Rights is responsible for the enforcement of 

laws that prohibit discrimination on the basis of race, color, national origin, sex, disability, and age in all programs and institutions funded by the Department of Education. To carry out this responsibility, OCR investigates and resolves discrimination complaints, monitors desegregation and equal educational opportunity 

plans, reviews possible discriminatory practices by recipients of 

Federal education funds, and provides technical assistance to recipients of funds to help them meet civil rights requirements. 

In last year’s Senate report (109–103), the Committee expressed 

concern over the Department’s ‘‘Additional Clarification of Intercollegiate Athletics Policy: Three-Part Test—Part Three’’ issued in 

March 2005 and asked the Department to prepare a report ad-
292 

dressing the other sources of information besides surveys institutions consider to assess student interest under the third prong of 

the three-part test. The Committee is aware that the Secretary has 

reassured the Congress through several exchanges of correspondence, and in its report, that the Additional Clarification does not 

establish any new legal standards, but rather is intended to provide institutions with additional guidance on compliance with the 

third part of the three-part test. Accordingly, the Committee understands that the 2005 Additional Clarification does not change the 

legal standards for compliance with prong three set forth in the 

1996 Policy Clarification, and that a presumption of compliance 

with prong three may not be achieved solely through reliance on 

a survey. Rather, the Committee understands that the Additional 

Clarification is intended to provide recipients with a model survey 

that they may use as one tool in the process of evaluating their 

compliance with prong three and any such survey may only be used 

in conjunction with the other methods for assessing interest that 

the 1996 Clarification requires recipients to evaluate (such as 

interviews with students and coaches and participation rates in 

area high school, club, intramural and community sports). The 

Committee also understands that any nonresponse to the Model 

Survey will be considered a nonresponse, rather than an expression 

of lack of interest, unless the institution takes appropriate and effective measures to follow up with each nonrespondent to obtain a 

valid response to each survey question. To eliminate confusion regarding the use of interest surveys to demonstrate compliance with 

prong three, the Committee urges the Department to provide public 

notice of the understanding of the Additional Clarification expressed in the preceding sentences to all entities covered under 

title IX, including by posting such notice on the Department’s 

website. The Committee requests that the Department take this action no later than 60 days after enactment of this act. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2006 ............................................................................. $48,510,000 

Budget estimate, 2007 ........................................................................... 53,145,000 

House allowance .................................................................................... 51,000,000 

Committee recommendation ................................................................. 51,000,000 

The Committee recommends $51,000,0000 for the Office of the 

Inspector General. The comparable fiscal year 2006 amount is 

$48,510,000 and the budget request includes $53,145,000 for authorized activities. 

The Office of the Inspector General has the authority to investigate all departmental programs and administrative activities, including those under contract or grant, to prevent and detect fraud 

and abuse, and to ensure the quality and integrity of those programs. The Office investigates alleged misuse of Federal funds, and 

conducts audits to determine compliance with laws and regulations, efficiency of operations, and effectiveness in achieving program goals. 

GENERAL PROVISIONS

The Committee bill contains language which has been included 

in the bill since 1974, prohibiting the use of funds for the transpor-
293 

tation of students or teachers in order to overcome racial imbalance 

(sec. 301). 

The Committee bill contains language included in the bill since 

1977, prohibiting the involuntary transportation of students other 

than to the school nearest to the student’s home (sec. 302). 

The Committee bill contains language which has been included 

in the bill since 1980, prohibiting the use of funds to prevent the 

implementation of programs of voluntary prayer and meditation in 

public schools (sec. 303). 

The Committee bill includes a provision giving the Secretary of 

Education authority to transfer up to 1 percent of any discretionary 

funds between appropriations (sec. 304). 

The Committee bill includes a provision related to eligibility and 

the computation of payments for the Impact Aid program (sec. 

305). 
(294) 

TITLE IV 

RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR

SEVERELY DISABLED

Appropriations, 2006 ............................................................................. $4,622,000 

Budget estimate, 2007 ........................................................................... 4,995,000 

House allowance .................................................................................... 4,995,000 

Committee recommendation ................................................................. 4,995,000 

The Committee recommends $4,995,000 for fiscal year 2007 for 

Committee for Purchase From People Who Are Blind or Severely 

Disabled. The comparable funding level for fiscal year 2006 is 

$4,622,000 and the budget request includes $4,995,000 for this program. 

The Committee for Purchase From People Who Are Blind or Severely Disabled was established by the Javits-Wagner-O’Day Act of 

1938 as amended. Its primary objective is to increase the employment opportunities for people who are blind or have other severe 

disabilities and, whenever possible, to prepare them to engage in 

competitive employment. 

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE

Appropriations, 2006 1 ........................................................................... $899,960,000 

Budget estimate, 2007 ........................................................................... 851,462,000 

House allocation ..................................................................................... 822,940,000 

Committee recommendation ................................................................. 876,537,000 

1 Excludes $10,000,000 in emergency supplemental appropriations pursuant to Public Law 

109–234. 

The Committee recommends $876,537,000 for the Corporation for 

National and Community Service, a decrease of $33,423,000 below 

the comparable level for fiscal year 2006 and $25,075,000 above the 

budget request. 

The Corporation for National and Community Service, a Corporation owned by the Federal Government, was established by the National and Community Service Trust Act of 1993 (Public Law 103– 

82) to enhance opportunities for national and community service 

and provide national service education awards. The Corporation 

makes grants to States, institutions of higher education, public and 

private nonprofit organizations, and others to create service opportunities for students, out-of-school youth, and adults. 

DOMESTIC VOLUNTEER SERVICE PROGRAMS

The Committee recommends $313,058,000 for fiscal year 2007 for 

the domestic volunteer service programs of the Corporation for National and Community Service. This amount is the same as the administration request. The comparable funding level for fiscal year 
295 

2006 is $313,050,000. Programs authorized under the Domestic 

Volunteer Service Act include: the Volunteers in Service to America 

Program [VISTA]; the Foster Grandparent Program; the Senior 

Companion Program; and the Retired and Senior Volunteer Program. 

VISTA 

The Committee recommends $95,466,000 for the Volunteers in 

Service to America [VISTA] Program. This amount is $2,000 above 

the comparable funding level for fiscal year 2006 and is the same 

as the budget request. 

VISTA, created in 1964 under the Economic Opportunity Act, 

provides capacity building for small community-based organizations. VISTA volunteers raise resources for local projects, recruit 

and organize volunteers, and establish and expand local community-based programs in housing, employment, health, and economic 

development activities. 

National Senior Volunteer Corps 

The Committee recommends $217,592,000 for the National Senior Volunteer Corps programs, which is $6,000 above the comparable funding level for fiscal year 2006 and the same as the 

budget request. 

The maximum total dollars which may be used in fiscal year 

2007 for Grants.gov/eGrants support, Training and Technical Assistance, and Recruitment and Retention activities shall not exceed 

the amount enacted for these activities in fiscal year 2006. 

Further, funds appropriated for fiscal year 2007 may not be used 

to implement or support service collaboration agreements or any 

other changes in the administration and/or governance of national 

service programs prior to passage of a bill by the authorizing committee of jurisdiction specifying such changes. 

The CNCS shall comply with the directive that use of funds appropriated for FGP, RSVP, SCP, and VISTA shall not be used to 

fund demonstration activities. The Committee has not included 

funding for senior demonstration activities. 

Foster Grandparent Program 

The Committee recommends $110,943,000 for fiscal year 2007 for 

the Foster Grandparent Program, which is $6,000 above the comparable funding level for fiscal year 2006 and the same as the 

budget request. This program provides volunteer opportunities to 

low-income seniors age 60 and over who serve at-risk youth. This 

program not only involves seniors in their communities, but also 

provides a host of services to children. 

Senior Companion Program 

The Committee recommends $46,964,000 for fiscal year 2007 for 

the Senior Companion Program. This amount is the same as both 

the comparable funding level for fiscal year 2006 and the budget 

request. 

This program enables senior citizens to provide personal assistance and companionship to adults with physical, mental, or emotional difficulties. Senior companions provide vital in-home services 
296 

to elderly Americans who would otherwise have to enter nursing 

homes. The volunteers also provide respite care to relieve care 

givers. 

Retired and Senior Volunteer Program 

The Committee recommends $59,685,000 for the Retired and 

Senior Volunteer Program. This amount is the same as both the 

comparable funding level for fiscal year 2006 and the budget request. 

This program involves persons age 55 and over in volunteer opportunities in their communities such as tutoring youth, responding to natural disasters, teaching parenting skills to teen parents, 

and mentoring troubled youth. 

NATIONAL AND COMMUNITY SERVICE PROGRAMS

(INCLUDING TRANSFER OF FUNDS)

The Committee recommends $488,214,000 for the programs authorized under the National Community Service Act of 1990, a decrease of $26,673,000 below the comparable fiscal year 2006 level 

and $25,075,000 above the budget request. 

The National and Community Service Programs of the Corporation for National and Community Service include: the AmeriCorps 

program (including AmeriCorps State and National and the National Civilian Community Corps); Learn and Serve America, Innovation, Demonstration, Assistance and Evaluation activities; State 

Commission Administration grants; and the National Service 

Trust. 

The Committee recommendation includes $271,475,000 for 

AmeriCorps State and National operating grants (including 

$12,516,000 for State administrative expenses); $124,720,000 for 

the National Service Trust; $12,324,000 for subtitle H fund activities; $26,730,000 for AmeriCorps NCCC; $34,155,000 for Learn and 

Serve; $3,960,000 for audits and evaluations; $9,900,000 for the 

Points of Light Foundation; and $4,950,000 for America’s Promise. 

AmeriCorps Grants Program (not including NCCC] 

Within the amount provided for AmeriCorps grants, the Committee is providing $55,695,000 for national direct grantees. 

The Committee requests that the Corporation continue providing 

monthly reports to the Committee on Appropriations and the Corporation’s Inspector General on the actual and projected year-end 

level of AmeriCorps membership enrollment, usage, and earnings, 

and the financial status of the Trust fund (revenue, expenses, outstanding liabilities, reserve, etc.). 

The Committee recognizes that the Corporation has improved its 

management of AmeriCorps grant funds. Over the past 5 years, the 

Corporation has reduced the cost per AmeriCorps member service 

year, reduced average carryover balances even as funding has 

grown, and taken action to increase the rate at which grantees expend awarded funds. 

However, the Committee still has concerns about the Corporation’s carryover balances. In fiscal year 2006 the Corporation 

‘‘recoded’’ unexpended balances in order to award disaster aug-
297 

mentation grants. While this has helped to reduce carryover funds, 

the Committee does not believe that this approach is a fiscally responsible long-term solution to the carryover problem. Instead, the 

Committee encourages the Corporation to take further steps to 

maximize AmeriCorps grant fund utilization while maintaining 

sound fiscal management practices. These steps should include giving grantees more flexibility to refill vacated member positions and 

to move positions among subgrantees or program sites to ensure 

that they are filled. The Committee notes that States, tribes, and 

territories frequently do not request all of the funds alloted to 

them. The Committee encourages the Corporation to identify and 

recapture unexpended funds while they are still available for redistribution to States that can use more than their base allocation. 

The Committee recognizes that, even with these improvements, 

a small lapse is to be expected in AmeriCorps grants due to member turnover. Therefore, the Committee has included bill language 

allowing the Corporation to transfer any funds deobligated from 

closed out AmeriCorps grants to the National Service Trust, offsetting the need for new budget authority in that account in the future. 

Innovation, Assistance and Other Activities 

Within the amount recommended for innovation, demonstration, 

and assistance activities, the Committee recommends $1,300,000 

for next generation grants; $500,000 for Martin Luther King Jr. 

Day grants; $725,000 for Service Learning Clearinghouse and Exchange; $2,250,000 for training and technical assistance; 

$3,999,000 for disability programs; $400,000 for Presidential Freedom Scholarships; $125,000 for Faith-Based and Community Initiatives; $302,000 for the Presidential Council on Service and Presidential Volunteer Service Award; $5,000 for the National Volunteer 

Hotline; and $1,980,000 for Communities in Schools, Inc. The Committee has not provided any funding in this account for Teach for 

America; these funds were requested by the administration within 

the Department of Education. 

AmeriCorps National Civilian Community Corps 

Within the amount provided for the NCCC, the Committee has included $5,000,000 to prepare two NCCC sites for relocation in fiscal year 2007. The possible location of these sites will be identified 

in the report requested by the Committee in last year’s conference 

report. The Committee expects the results of this report to be released by September 1, 2006. 

SALARIES AND EXPENSES

The Committee recommends an appropriation of $70,315,000 for 

the Corporation’s salaries and expenses. This amount is $4,233,000 

above the comparable level to fiscal year 2006 and is the same as 

the budget request. The Committee reiterates the directive under 

the program account that the Corporation must fund all staffing 

needs from the salaries and expenses account. 

The salaries and expenses appropriation provides funds for staff 

salaries, benefits, travel, training, rent, advisory and assistance 

services, communications and utilities expenses, supplies, equip-
298 

ment, and other operating expenses necessary for management of 

the Corporation’s activities under the National and Community 

Service Act of 1990 and the Domestic Volunteer Service Act of 

1973. 

OFFICE OF INSPECTOR GENERAL

The Committee recommends an appropriation of $4,950,000 for the Office of Inspector General [OIG]. This amount is $990,000 

below the comparable level for fiscal year 2006 and is the same as 

the budget request. 

The goals of the Office of Inspector General are to increase organizational efficiency and effectiveness and to prevent fraud, waste, 

and abuse. The Office of Inspector General within the Corporation 

for National and Community Service was transferred to the Corporation from the former ACTION agency when ACTION was abolished and merged into the Corporation in April 1994. 

The Committee continues to direct the OIG to review the Corporation’s management of the National Service Trust fund. The 

Committee directs the OIG to continue reviewing the monthly 

Trust reports and to notify the Committees on Appropriations on 

the accuracy of the reports. 

ADMINISTRATIVE PROVISIONS

The Committee has included four administrative provisions carried in prior year appropriations acts as follows: language regarding: qualified student loans eligible for education awards; the availability of funds for the placement of volunteers with disabilities; 

the Inspector General to levy sanctions in accordance with standard Inspector General audit resolutions procedures; and language 

regarding the Corporation to make significant changes to program 

requirements or policy through public rulemaking and public notice 

and grant selection process. 

CORPORATION FOR PUBLIC BROADCASTING

Appropriations, 2007 ............................................................................. $400,000,000 

Appropriations, 2008 ............................................................................. 400,000,000 

Budget estimate, 2009 ........................................................................... ........................... 

House allowance .................................................................................... ........................... 

Committee recommendation ................................................................. $400,000,000 

The Committee recommends $400,000,000 be made available for 

the Corporation for Public Broadcasting [CPB], as an advance appropriation for fiscal year 2009. The comparable funding level provided last year was $400,000,000 for fiscal year 2008. The budget 

request does not include advance funds for this program. 

In addition, the Committee recommends $29,700,000 be made 

available in fiscal year 2007 for the conversion to digital broadcasting, the same as the comparable funding level for fiscal year 

2006. The budget request included authority to permit CPB to 

spend up to $38,000,000 in previously appropriated fiscal year 2007 

funds for digital conversion activities, the House provided the same 

authority. In addition, the Committee recommends $36,000,000 be made 

available in fiscal year 2007 for the final stage in the replacement 

project of the interconnection system. In fiscal year 2006, 
299 

$34,650,000 was appropriated for this purpose. The House included 

authority to permit CPB to spend up to $36,000,000 in previously 

appropriated fiscal year 2007 funds for the Satellite Interconnection system. 

The current interconnection system is entirely satellite based. 

This satellite is currently nearing the end of its useful life, and 

while satellite technology is currently the most cost-effective method for distribution in a point-to-multipoint system, terrestrial technology is far more economical when data is distributed between 

single points. The Next Generation Interconnection System will utilize a combination of satellite and terrestrial technologies for a 

more flexible system. In addition, a portion of the provided funds 

will be used to upgrade existing ground station and transmit/receive equipment to be compatible with the new system. 

The Committee recognizes the importance of the partnership 

CPB has with the National Minority Public Broadcasting Consortia, which helps develop, acquire, and distribute public television programming to serve the needs of African American, Asian 

American, Latino, Native American, Pacific Islander, and many 

other viewers. As many communities in the Nation welcome increased numbers of citizens of diverse ethnic backgrounds, the local 

public television stations should strive to meet these viewers’ 

needs. With an increased focus on programming to meet local community needs, the Committee encourages CPB to continue to support and expand this critical partnership. 

The Committee is aware that public radio stations are taking advantage of experimental authority to develop their digital operations including multicasting. We encourage the corporation to 

work with the Federal Communications Commission to enable public radio and television stations to utilize the full range of digital 

broadcasting technology as soon as possible, including the use of 

multicasting for public radio stations. 

FEDERAL MEDIATION AND CONCILIATION SERVICE

Appropriations, 2006 ............................................................................. $42,601,000 

Budget estimate, 2007 ........................................................................... 42,842,000 

House allowance .................................................................................... 42,842,000 

Committee recommendation ................................................................. 42,842,000 

The Committee recommends $42,842,000 for fiscal year 2007 for 

the Federal Mediation and Conciliation Service [FMCS]. The comparable funding level for fiscal year 2006 is $42,601,000 and the 

budget request includes $42,842,000 for this program. 

The FMCS was established by Congress in 1947 to provide mediation, conciliation, and arbitration services to labor and management. FMCS is authorized to provide dispute resolution consultation and training to all Federal agencies. 

Within the funds provided, $400,000 is for the Labor-Management Cooperation grant program. The Committee continues to reject the administration’s proposal to eliminate this program. The 

1978 Labor-Management Cooperation Act authorized FMCS to encourage and support joint labor-management committees. This program awards grants to encourage these committees to develop innovative joint approaches to solve workplace problems. It has demonstrated success in improving workplace relationships and in in-
300 

stilling effective and efficient conflict resolution. The Committee 

strongly supports an approach to bridge labor-management relations prior to conflict. 

The Committee continues to support the FMCS program to prevent youth violence and is especially pleased with the initiative to 

train educators in conflict resolution. The Committee commends 

FMCS for their innovative look at youth violence conflict resolution 

and their development of a CD–ROM that will address this issue 

among preschool and elementary age children. Funding was not 

provided to continue this program, but the Committee encourages 

FMCS to work with other agencies and organizations to ensure full 

use of the substantial research and progress that has been made 

in the area of school mediation. 

FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION

Appropriations, 2006 ............................................................................. $7,731,000 

Budget estimate, 2007 ........................................................................... 7,576,000 

House allowance .................................................................................... 7,731,000 

Committee recommendation ................................................................. 7,731,000 

The Committee recommends $7,731,000 for fiscal year 2007 for 

the Federal Mine Safety and Health Review Commission. The comparable funding level for fiscal year 2006 is $7,731,000 and the 

budget request includes $7,576,000 for this program. 

The Federal Mine Safety and Health Review Commission provides administrative trial and appellate review of legal disputes 

under the Federal Mine Safety and Health Act of 1977. The fivemember Commission provides review of the Commission’s administrative law judge decisions. 

INSTITUTE OF MUSEUM AND LIBRARY SERVICES

Appropriations, 2006 ............................................................................. $247,143,000 

Budget estimate, 2007 ........................................................................... 262,240,000 

House allowance .................................................................................... 280,415,000 

Committee recommendation ................................................................. 260,075,000 

The Committee recommends $260,075,000 for fiscal year 2007 for 

the Institute of Museum and Library Services. The comparable 

funding level for fiscal year 2006 is $247,144,000 and the budget 

request includes $262,240,000 for this program. 

Office of Museum Services Operations Grants 

The Committee recommends $17,152,000 for operations grants. 

These funds support grants to museums for building increased public access, expanding educational services, reaching families and 

children, and using technology more effectively in support of these 

goals. In addition, non-competitive grants are awarded for technical 

assistance in four types of assessments: Institutional, Collections 

Management, Public Dimension, and Governance. In addition to 

the total recommended, $982,000 has been provided for the 21st 

Century Museum Professionals program, $442,000 for museum assessment, $970,000 for Native American Museum service grants, 

and $900,000 for Museum Grants for African American History 

and Culture. 
301 

Museum Conservation Programs 

The Committee recommends $3,579,000 for Conservation programs. These funds support grants to allow museums to survey collections, perform training, research, treatment, and environmental 

improvements. In addition, grantees may receive additional funds 

to develop an education component that relates to their conservation project. In addition, non-competitive grants are awarded for 

technical assistance in conservation efforts. 

Museum National Leadership Projects 

The Committee recommends $7,920,000 for National Leadership 

projects. The National Leadership Grants encourage innovation in 

meeting community needs, widespread and creative use of new 

technologies, greater public access to museum collections, and an 

extended impact of Federal dollars through collaborative projects. 

Office of Library Services State Grants 

The Committee recommends $165,000,000 for State grants. 

Funds are provided to States by formula to carry out 5-year State 

plans. These plans must set goals and priorities for the State consistent with the purpose of the act, describe activities to meet the 

goals and priorities and describe the methods by which progress toward the goals and priorities and the success of activities will be 

evaluated. States may apportion their funds between two activities, 

technology and targeted services. For technology, States may use 

funds for electronic linkages among libraries, linkages to educational, social and information services, accessing information 

through electronic networks, or link different types of libraries or 

share resources among libraries. For targeted services, States may 

direct library and information services to persons having difficulty 

using a library, underserved urban and rural communities, and 

children from low income families. In addition to the total recommended, $3,759,000 has been provided for library services to 

Native Americans and Native Hawaiians. The Committee is aware 

that many traditional healers are aging and the world may soon 

lose the knowledge that they possess. For that reason, the Committee encourages IMLS to work for the preservation and documentation of Native Hawaiian traditional cultural healing practices. It is essential that these practices be documented in creative 

media formats due to the variety and complexity of the practices 

and the healers. 

Library National Leadership Projects 

The Committee recommends $22,575,000 for national leadership 

projects. These funds support activities of national significance to 

enhance the quality of library services nationwide and to provide 

coordination between libraries and museums. Activities are carried 

out through grants and contracts awarded on a competitive basis 

to libraries, agencies, institutions of higher education and museums. Priority is given to projects that focus on education and training of library personnel, research and development for the improvement of libraries, preservation, digitization of library materials, 

partnerships between libraries and museums and other activities 

that enhance the quality of library services nationwide. In addition 
302 

to the total recommended, $25,000,000 has been provided for the 

Laura Bush 21st Century Librarian program. 

Museum and Library Services Administration 

The Committee recommends $11,797,000 for program administration, the same as the budget request. Funds support personnel 

compensation and benefits, travel, rent, communications, utilities, 

printing, equipment and supplies, automated data processing, and 

other services. 

The Committee recommendation also includes bill language requiring that funds be provided to the following organizations in the 

amounts specified: 

Amount 

Academy of Natural Sciences, Philadelphia PA to promote natural science research .................................... $100,000 

African American Cultural Center, Pittsburgh, PA for exhibit design and development ................................. 100,000 

Alaska Native Heritage Center, Anchorage, AK in conjunction with Koahnic Broadcasting Corporation for 

an Elders Oral History Project ....................................................................................................................... 250,000 

Autry National Center of the American West, Los Angeles, CA, for the Native American Learning Lab ......... 300,000 

Bangor Public Library Association, Bangor, PA for educational programming and outreach ......................... 150,000 

Bishop Museum in Honolulu, HI, to enhance library services .......................................................................... 150,000 

Boston Children’s Museum, Boston, MA, for the development of exhibitions .................................................. 200,000 

Carnegie Museum of Natural History, Pittsburgh, PA to upgrade environmental conditions of collection 

and exhibit development ............................................................................................................................... 200,000 

Cedar Rapids Symphony Orchestra, Cedar Rapids, IA, to support the Residency program ............................ 400,000 

Children’s Museum of Richmond, Richmond, VA for exhibit design and development ................................... 100,000 

City of Dallas, TX, to the expand outreach and programming efforts of the Women’s Museum .................... 250,000 

City of Portsmouth Department of Museums, Portsmouth, VA for exhibit and program upgrades ................. 100,000 

County of Amador, CA, for the Library Literacy Project .................................................................................... 150,000 

Currier Museum of Art, Manchester, New Hampshire, for expansion of cultural and educational facilities .. 500,000 

Delaware Art Museum, Wilmington, DE, for outreach to schools ..................................................................... 250,000 

Des Moines Art Center, IA, for exhibits ............................................................................................................. 350,000 

Figge Foundation, Davenport, Iowa, exhibits, education programs, community outreach, and/or operations ............................................................................................................................................................... 400,000 

Fredericksburg Area Museum and Cultural Center, Fredericksburg, VA to support exhibit design and expansion .......................................................................................................................................................... 100,000 

Free Library of Philadelphia, Philadelphia, PA, for technology upgrades and care and preservation of collection ............................................................................................................................................................ 100,000 

High Desert Museum, Bend, Oregon for exhibit design and development ....................................................... 100,000 

Holbrook Public Library, Holbrook, MA, for the development of exhibits .......................................................... 150,000 

Iowa Radio Reading Information Service (IRRIS), to expand services ............................................................. 250,000 

Knoxville Zoo, Knoxville, TN for technology upgrades and educational outreach ............................................. 200,000 

Lakeview Museum, Peoria, Illinois, for exhibits, equipment and technology for the museum outreach program .............................................................................................................................................................. 250,000 

Mercer University, Macon, GA for technology upgrades and care and preservation of their collection .......... 100,000 

Municipality of Penn Hills, Penn Hills, PA for the Penn Hills Public Library for care and preservation of 

their collection ............................................................................................................................................... 250,000 

Museum of Afro-American History, Boston, MA, for the development of youth educational programs ........... 250,000 

Museum of Utah Art & History, Salt Lake City, UT for exhibit development and technology upgrades ......... 500,000 

New York Botanical Garden, Bronx, NY, for the Virtual Herbarium .................................................................. 500,000 

Orem City Public Library, Orem, Utah for technology upgrades and care of their collection ......................... 600,000 

Putnam Museum of History and Natural Science, Davenport, IA, for exhibits and community outreach ....... 400,000 

Rhode Island Historical Society, Providence; for cataloguing and on-line public access project ................... 175,000 

Saint Vincent College, Latrobe, PA to preserve materials at the Fred Rogers Center ..................................... 100,000 

Salem Public Library, Hamlin, PA, for technology upgrades and equipment ................................................... 50,000 

Skirball Cultural Center, Los Angeles, CA develop educational outreach programs ........................................ 300,000 

State of Vermont Department of Libraries, Montpelier, VT, to support a mobile library literacy program in 

Vermont .......................................................................................................................................................... 250,000 

Texas Historical Commission, Austin, TX, for educational programming, outreach, and exhibit development ............................................................................................................................................................... 250,000 

University of Alaska Fairbanks for the continuation of the Alaska Digital Archives project ........................... 250,000 

University of Vermont of Burlington, VT to undertake digitization project for the preservation of Vermont 

cultural heritage materials ........................................................................................................................... 500,000 
303 

Amount 

Virginia Aquarium & Marine Science Center Foundation, Inc., Virginia Beach, VA to expand educational 

programs ........................................................................................................................................................ 100,000 

Virginia Holocaust Museum, Richmond, VA for exhibit development, technology upgrades, educational outreach, and care of collection ........................................................................................................................ 100,000 

Virginia Living Museum, Newport News, VA to expand educational programs ................................................ 100,000 

Western Folklife Center, Elko, NV, to develop exhibits and conduct outreach to education programs ........... 200,000 

MEDICARE PAYMENT ADVISORY COMMISSION

Appropriations, 2006 ............................................................................. $10,066,000 

Budget estimate, 2007 ........................................................................... 10,457,000 

House allowance .................................................................................... 10,457,000 

Committee recommendation ................................................................. 10,457,000 

The Committee recommends $10,457,000 for fiscal year 2007 for 

the Medicare Payment Advisory Commission [MedPAC]. The comparable funding level for fiscal year 2006 is $10,066,000 and the 

budget request includes $10,457,000 for this program. The Deficit 

Reduction Act of 2005 provided an additional $550,000 for two 

studies to be conducted by MedPAC in fiscal year 2006. 

The Medicare Payment Advisory Commission was established by 

Congress as part of the Balanced Budget Act of 1997 (Public Law 

105–33). Congress merged the Physician Payment Review Commission with the Prospective Payment Assessment Commission to create MedPAC. 

NATIONAL COMMISSION ON LIBRARIES AND INFORMATION SCIENCE

Appropriations, 2006 ............................................................................. $983,000 

Budget estimate, 2007 ........................................................................... 983,000 

House allowance .................................................................................... 983,000 

Committee recommendation ................................................................. 983,000 

The Committee recommends $983,000 for fiscal year 2007 for the 

National Commission on Libraries and Information Science. The 

comparable funding level for fiscal year 2006 is $983,000 and the 

budget request includes $983,000 for this program. 

The Commission determines the need for, and makes recommendations on, library and information services, and advises the 

President and Congress on the development and implementation of 

national policy in library and information sciences. 

NATIONAL COUNCIL ON DISABILITY

Appropriations, 2006 ............................................................................. $3,113,000 

Budget estimate, 2007 ........................................................................... 2,772,000 

House allowance .................................................................................... 3,180,000 

Committee recommendation ................................................................. 3,180,000 

The Committee recommends $3,180,000 for fiscal year 2007 for 

the National Council on Disability. The comparable funding level 

for fiscal year 2006 is $3,113,000 and the budget request includes 

$2,772,000 for this program. 

The Council is mandated to make recommendations to the President, the Congress, the Rehabilitation Services Administration, and 

the National Institute on Disability and Rehabilitation Research, 

on the public issues of concern to individuals with disabilities. The 

Council gathers information on the implementation, effectiveness, 

and impact of the Americans with Disabilities Act and looks at 
304 

emerging policy issues as they affect persons with disabilities and 

their ability to enter or reenter the Nation’s work force and to live 

independently. 

NATIONAL LABOR RELATIONS BOARD

Appropriations, 2006 ............................................................................. $249,745,000 

Budget estimate, 2007 ........................................................................... 249,789,000 

House allowance .................................................................................... 249,789,000 

Committee recommendation ................................................................. 249,789,000 

The Committee recommends $249,789,000 for fiscal year 2007 for 

the National Labor Relations Board [NLRB]. The comparable funding level for fiscal year 2006 is $249,745,000 and the budget request includes $249,789,000 for this program. 

The NLRB is a law enforcement agency which adjudicates disputes under the National Labor Relations Act. 

The Committee is aware that the mission of the NLRB is to carry 

out the statutory responsibilities of the National Labor Relations 

Act as efficiently as possible and in a manner that gives full effect 

to the rights afforded to employees, unions, and employers under 

the act. The Committee strongly supports this mission and understands that the caseload fluctuates based on economic conditions 

and changes in labor regulations. The Committee continues to be 

disappointed that the administration has repeatedly underestimated the funding necessary to process the increase in case intakes, but stands firm in its commitment to ensure that all cases 

are heard and given due process. The Committee strongly encourages the NLRB to work to address the backlog of cases. 

NATIONAL MEDIATION BOARD

Appropriations, 2006 ............................................................................. $11,512,000 

Budget estimate, 2007 ........................................................................... 11,749,000 

House allowance .................................................................................... 11,749,000 

Committee recommendation ................................................................. 12,500,000 

The Committee recommends $12,500,000 for fiscal year 2007 for 

the National Mediation Board [NMB]. The comparable funding 

level for fiscal year 2006 is $11,512,000 and the budget request includes $11,749,000 for this program. 

The National Mediation Board protects interstate commerce as it 

mediates labor-management relations in the railroad and airline 

industries under the Railway Labor Act. The Board mediates collective bargaining disputes, determines the choice of employee bargaining representatives through elections, and administers arbitration of employee grievances. 

The Committee is deeply concerned that it takes the NMB arbiters 30 months on average to resolve a case. The Committee finds 

it equally distressing that it funding for arbitration cases routinely 

runs out several months before the end of the fiscal year. The Committee concludes that the administration has repeatedly underestimated the funding necessary to fulfill the arbitration portion of the 

NMB’s mission. Therefore, within the funds provided, $750,000 is 

to specifically address the backlog of cases held by the NMB. The 

Committee directs the NMB to provide detailed information as to 

how these funds are used and their impact on the backlog in the 

fiscal year 2008 budget justification. 
305 

OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION

Appropriations, 2006 ............................................................................. $10,405,000 

Budget estimate, 2007 ........................................................................... 10,346,000 

House allowance .................................................................................... 10,510,000 

Committee recommendation ................................................................. 10,346,000 

The Committee recommends $10,346,000 for fiscal year 2007 for 

the Occupational Safety and Health Review Commission. The comparable funding level for fiscal year 2006 is $10,405,000 and the 

budget request includes $10,346,000 for this program. 

The Commission serves as a court to justly and expeditiously resolve disputes between the Occupational Safety and Health Administration [OSHA] and employers charged with violations of health 

and safety standards enforced by OSHA. 

RAILROAD RETIREMENT BOARD

DUAL BENEFITS PAYMENTS ACCOUNT

Appropriations, 2006 ............................................................................. $96,030,000 

Budget estimate, 2007 ........................................................................... 88,000,000 

House allowance .................................................................................... 88,000,000 

Committee recommendation ................................................................. 88,000,000 

The Committee recommends $88,000,000 for fiscal year 2007 for 

the Dual Benefits Payments Account, of these funds $6,000,000 is 

from income taxes on vested dual benefits. The comparable funding 

level for fiscal year 2006 is $96,030,000 and the budget request includes $88,000,000 for this program. 

This appropriation provides for vested dual benefit payments authorized by the Railroad Retirement Act of 1974, as amended by 

the Omnibus Reconciliation Act of 1981. This separate account, established for the payment of dual benefits, is funded by general 

fund appropriations and income tax receipts of vested dual benefits. 

FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT ACCOUNT

Appropriations, 2006 ............................................................................. $150,000 

Budget estimate, 2007 ........................................................................... 150,000 

House allowance .................................................................................... 150,000 

Committee recommendation ................................................................. 150,000 

The Committee recommends $150,000 for fiscal year 2007 for interest earned on non-negotiated checks. The comparable funding 

level for fiscal year 2006 is $150,000 and the budget request includes $150,000 for this program. 

LIMITATION ON ADMINISTRATION

Appropriations, 2006 ............................................................................. $101,518,000 

Budget estimate, 2007 ........................................................................... 103,518,000 

House allowance .................................................................................... 103,518,000 

Committee recommendation ................................................................. 103,518,000 

The Committee recommends $103,518,000 for fiscal year 2007 for 

the administration of railroad retirement/survivor benefit programs. The comparable funding level for fiscal year 2006 is 

$101,518,000 and the budget request includes $103,518,000 for this 

program. 
306 

The Board administers comprehensive retirement-survivor and 

unemployment-sickness insurance benefit programs for the Nation’s railroad workers and their families. This account limits the 

amount of funds in the railroad retirement and railroad unemployment insurance trust funds which may be used by the Board for 

administrative expenses. 

The Committee has included language to prohibit funds from the 

railroad retirement trust fund from being spent on any charges 

over and above the actual cost of administering the trust fund, including commercial rental rates. 

LIMITATION ON THE OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2006 ............................................................................. $7,124,000 

Budget estimate, 2007 ........................................................................... 7,606,000 

House allowance .................................................................................... 7,606,000 

Committee recommendation ................................................................. 7,606,000 

The Committee recommends $7,606,000 for fiscal year 2007 for 

the Office of the Inspector General. The comparable funding level 

for fiscal year 2006 is $7,124,000 and the budget request includes 

$7,606,000 for this program. 

The Committee has included bill language to allow the Office of 

the Inspector General to use funds to conduct audits, investigations, and reviews of the Medicare program. The Committee finds 

that as long as the RRB has the authority to negotiate and administer the separate Medicare contract, the RRB Inspector General 

should not be prohibited from using funds to review, audit, or investigate the Railroad Retirement Board’s separate Medicare contract. 

The Committee continues to be concerned about a proposal to 

consolidate the financial statements and audit of the National Railroad Retirement Investment Trust with that of the Railroad Retirement Board in the context of the preparation of the Railroad Retirement Board’s Statement of Social Insurance. The conferees note 

that the Railroad Retirement and Survivors’ Improvement Act of 

2001 mandates that the Trust functions independently from the 

Railroad Retirement Board, and 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. 

SOCIAL SECURITY ADMINISTRATION

PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

Appropriations, 2006 ............................................................................. $20,470,000 

Budget estimate, 2007 ........................................................................... 27,756,000 

House allowance .................................................................................... 27,756,000 

Committee recommendation ................................................................. 27,756,000 

The Committee recommends an appropriation of $27,756,000 for 

payments to Social Security trust funds. The comparable fiscal year 

2006 funding level is $20,470,000 and the budget request includes 

$27,756,000 for this purpose. This amount reimburses the old age 

and survivors and disability insurance trust funds for special payments to certain uninsured persons, costs incurred administering 

pension reform activities, and the value of the interest for benefit 
307 

checks issued but not negotiated. This appropriation restores the 

trust funds to the same financial position they would have been in 

had they not borne these costs, properly charged to the general 

funds. 

SUPPLEMENTAL SECURITY INCOME

Appropriations, 2006 ............................................................................. $29,369,174,000 

Budget estimate, 2007 ........................................................................... 29,125,000,000 

House allowance .................................................................................... 29,065,000,000 

Committee recommendation ................................................................. 29,023,000,000 

The Committee recommends an appropriation of $29,023,000,000 

for supplemental security income. This is in addition to the 

$11,110,000,000 appropriated last year as an advance for the first 

quarter of fiscal year 2007. The comparable fiscal year 2006 funding level is $29,369,174,000 and the budget request includes 

$29,125,000,000. The Committee also recommends an advance appropriation of $16,810,000,000 for the first quarter of fiscal year 

2008 to ensure uninterrupted benefits payments. The program 

level supported by the Committee recommendation is 

$40,133,000,000, compared to the total program level requested in 

the budget of $40,235,000,000. 

These funds are used to pay benefits under the SSI Program, 

which was established to ensure a Federal minimum monthly benefit for aged, blind, and disabled individuals, enabling them to 

meet basic needs. It is estimated that approximately 7 million persons will receive SSI benefits each month during fiscal year 2006. 

In many cases, SSI benefits supplement income from other sources, 

including Social Security benefits. The funds are also used to reimburse the Social Security trust funds for the administrative costs 

for the program with a final settlement by the end of the subsequent fiscal year as required by law, to reimburse vocational rehabilitation agencies for costs incurred in successfully rehabilitating 

SSI recipients and for research and demonstration projects. 

Beneficiary Services 

The Committee recommendation does not include a fiscal year 

2007 appropriation for beneficiary services. The comparable funding level in fiscal year 2006 is $52,000,000 and the budget request 

does not include any funding for these services. This amount is 

available for payments to Employment Networks for successful outcomes or milestone payments under the Ticket to Work program 

and for reimbursement of State vocational rehabilitation agencies 

and alternate public or private providers. Carryover budget authority of more than $150,000,000 is available for a portion of the obligations made during fiscal year 2006 and all of the obligations 

made in fiscal year 2007. 

Research and Demonstration Projects 

The Committee recommendation includes $27,000,000 for research and demonstration projects conducted under sections 1110 

and 1115 of the Social Security Act. The comparable fiscal year 

2006 funding level and the budget request both are $27,000,000 for 

authorized activities. 
308 

This amount will support SSA’s efforts to strengthen its policy 

evaluation capability and focus on research of: program issues, the 

impact of demographic changes on future workloads and effective 

return-to-work strategies for disabled beneficiaries. 

Administration 

The Committee recommendation includes $2,902,000,000 for payment to the Social Security trust funds for the SSI Program’s share 

of SSA’s base administrative expenses. The comparable fiscal year 

2006 amount is $2,733,000,000 and the budget request includes 

$3,004,000,000 for such activities. 

LIMITATION ON ADMINISTRATIVE EXPENSES

Appropriations, 2006 1 ........................................................................... $9,108,606,000 

Budget estimate, 2007 ........................................................................... 9,494,000,000 

House allowance .................................................................................... 9,293,000,000 

Committee recommendation ................................................................. 9,093,000,000 

1 Excludes $38,000,000 in emergency supplemental appropriations enacted pursuant to Public 

Law 109–234. 

The Committee recommends a program funding level of 

$9,093,000,000 for the limitation on administrative expenses. The 

comparable fiscal year 2006 funding level is $9,108,606,000 and the 

budget request includes $9,494,000,000 for this purpose. 

This account provides resources from the Social Security trust 

funds to administer the Social Security retirement and survivors 

and disability insurance programs, and certain Social Security 

health insurance functions. As authorized by law, it also provides 

resources from the trust funds for certain nontrust fund administrative costs, which are reimbursed from the general funds. These 

include administration of the supplemental security income program for the aged, blind, and disabled; work associated with the 

Pension Reform Act of 1984; and the portion of the annual wage 

reporting work done by the Social Security Administration for the 

benefit of the Internal Revenue Service. The dollars provided also 

support automated data processing activities and fund the State 

disability determination services which make initial and continuing 

disability determinations on behalf of the Social Security Administration. Additionally, the limitation provides funding for computer 

support, and other administrative costs. 

The Committee recommendation includes $8,975,000,000 for routine operating expenses of the agency, as well as the resources derived from the user fees which are discussed below. 

The budget request includes bill language earmarking not less 

than $289,000,000 of funds available within this account for continuing disability reviews under Social Security’s disability programs and an additional $201,000,000 earmark for continuing disability reviews. The Committee bill language does not include the 

requested language. Despite the proven cost effectiveness of SSA’s 

program integrity workloads, including continuing disability reviews which have a demonstrated return of $10 in mandatory program savings for every $1 in discretionary administrative expenses, 

the Committee is unable to provide the requested funding level for 

continuing disability reviews because of budgetary constraints. 
309 

The Committee encourages SSA officials to educate adjudicators 

at all levels about the functional impact of CFS and the application 

of the April 1999 CFS ruling (99–2p) to ensure that adjudicators 

remain up to date on the evaluation of disability that results from 

this condition. The Committee encourages SSA to examine obstacles to benefits for persons with CFS and to keep medical information updated throughout all levels of the application and review 

process. 

Social Security Advisory Board 

The Committee has included not less than $2,000,000 within the 

limitation on administrative expenses account for the Social Security Advisory Board for fiscal year 2007. 

User Fees 

In addition to other amounts provided, the Committee rec- ommends $118,000,000 for administrative activities funded from 

user fees. Of this amount, $117,000,000 is derived from fees paid 

to SSA by States that request SSA to administer State SSI supplementary payments. The remaining $1,000,000 will be generated 

from a fee payment process for non-attorney representatives of 

claimants. 

OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2006 ............................................................................. $91,476,000 

Budget estimate, 2007 ........................................................................... 96,000,000 

House allowance .................................................................................... 94,411,000 

Committee recommendation ................................................................. 91,476,000 

The Committee recommends $91,476,000 for activities for the Office of the Inspector General. The comparable fiscal year 2006 funding level is $91,476,000 and the budget request includes 

$96,000,000 for this office. This includes a general fund appropriation of $25,740,000 together with an obligation limitation of 

$65,736,000 from the Federal old-age and survivors insurance trust 

fund and the Federal disability insurance trust fund. 
(310) 

TITLE V—GENERAL PROVISIONS 

The Committee recommendation includes provisions which: authorize transfers of unexpended balances (sec. 501); limit funding 

to 1 year availability unless otherwise specified (sec. 502); limit lobbying and related activities (sec. 503); limit official representation 

expenses (sec. 504); prohibit funding of any program to carry out 

distribution of sterile needles for the hypodermic injection of any 

illegal drug (sec. 505); clarify Federal funding as a component of 

State and local grant funds (sec. 506); limit use of funds for abortion (sec. 507 and sec. 508); restrict human embryo research (sec. 

509); limit the use of funds for promotion of legalization of controlled substances included last year (sec. 510); prohibits the use of 

funds to promulgate regulations regarding the individual health 

identifier (sec. 511); limits use of funds to enter into or review contracts with entities subject to the requirement in section 4212(d) of 

title 38, United States Code, if the report required by that section 

has not been submitted (sec. 512); prohibits transfer of funds made 

available in this Act to any department, agency, or instrumentality 

of the U.S. Government, except as otherwise provided by this or 

any other act (sec. 513); prohibits Federal funding in this act for 

libraries and elementary and secondary schools unless they are in 

compliance with the Children’s Internet Protection Act (sec. 514 

and sec. 515); prohibits funds for the Railroad Retirement Board 

from being used for a non-governmental disbursing agent (sec. 

516); maintains a provision clarifying procedures for reprogramming of funds (sec. 517). 
311 

BUDGETARY IMPACT OF BILL 

PREPARED IN CONSULTATION WITH THE CONGRESSIONAL BUDGET OFFICE PURSUANT TO SEC. 

308(a), PUBLIC LAW 93–344, AS AMENDED 

[In millions of dollars] 

Budget authority Outlays 

Committee 

allocation 

Amount 

of bill 

Committee 

allocation 

Amount 

of bill 

Comparison of amounts in the bill with Committee allocations 

to its subcommittees of budget totals for 2007: Subcommittee on Labor, HHS, Education: 

Mandatory ............................................................................ 447,571 447,571 NA 1 447,445 

Discretionary ........................................................................ 142,800 142,800 NA 1 145,088 

Projection of outlays associated with the recommendation: 

2007 ..................................................................................... .................... .................... .................... 2 592,533 

2008 ..................................................................................... .................... .................... .................... 61,718 

2009 ..................................................................................... .................... .................... .................... 14,547 

2010 ..................................................................................... .................... .................... .................... 3,001 

2011 and future years ........................................................ .................... .................... .................... 562 

Financial assistance to State and local governments for 

2007 ......................................................................................... NA 267,927 NA 229,803 

1 Includes outlays from prior-year budget authority. 

2 Excludes outlays from prior-year budget authority. 

NA: Not applicable. 

COMPLIANCE WITH PARAGRAPH 7, RULE XVI, OF THE 

STANDING RULES OF THE SENATE 

Paragraph 7 of rule XVI requires that Committee report on general appropriations bills identify each Committee amendment to 

the House bill ‘‘which proposes an item of appropriation which is 

not made to carry out the provisions of an existing law, a treaty 

stipulation, or an act or resolution previously passed by the Senate 

during that session.’’ 

The following items are identified pursuant to this requirement: 

Workforce Investment Act; Older Americans Act; Homeless Veterans Reintegration program; Title VII of the Public Health Services Act; National Cord Blood Stem Cell Bank Program; Universal 

Newborn Hearing Screening; Organ Transplantation; Rural Hospital Flexibility Grants; Denali Commission; Family Planning; 

State Offices of Rural Health; Rural and Community Access to 

Emergency Devices; Trauma/EMS; Health Centers; National 

Health Service Corps; Children’s Hospital Graduate Medical Education; Healthy Start; Ryan White AIDS programs; Telehealth; 

Substance Abuse and Mental Health Services Programs; Agency for 

Healthcare Research and Quality; Infectious Diseases; Health Promotion; Health Information and Services; Environmental Health 

and Injury; Occupational Safety and Health; Global Health; Public 

Health Research; Public Health Improvement and Leadership; Preventive Health and Health Services Block Grant; CDC Business 

Services; Title V of the Public Health Services Act; Adolescent 

Family Life; Office of Minority Health; Office of Disease Prevention 

and Health Promotion; Low-Income Home Energy Assistance Program; Refugee and Entrant Assistance; Child Care and Development Block Grant; Head Start; Abstinence Education; Native 

American Programs; Community Services; Alzheimer’s Disease 
312 

Demonstration Grants to States; Rehabilitation Services and Disability Research, except sections 4, 5 and 6 of the Assistive Technology Program; National Technical Institute for the Deaf; Gallaudet University; Vocational Education; Adult Education; Corporation for National and Community Service; and National Council on 

Disability. 

COMPLIANCE WITH PARAGRAPH 7(C), RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Pursuant to paragraph 7(c) of rule XXVI, on July 20, 2006, the 

Committee ordered reported, en bloc: H.R. 5631, making appropriations for the Department of Defense for the fiscal year ending September 30, 2007, and for other purposes, with an amendment in 

the nature of a substitute; S. 3708, an original bill making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending 

September 30, 2007, and for other purposes; H.R. 5576, making appropriations for the Departments of Transportation, Treasury, and 

Housing and Urban Development, the Judiciary, District of Columbia, and independent agencies for the fiscal year ending September 

30, 2007, and for other purposes, with an amendment in the nature 

of a substitute; and H.R. 5385, making appropriations for Military 

Construction and Veterans Affairs, and related agencies for the fiscal year ending September 30, 2007, and for other purposes, with 

an amendment in the nature of a substitute and an amendment to 

the title; with each bill subject to further amendment and each 

subject to the budget allocation, by a recorded vote of 28–0, a 

quorum being present. The vote was as follows: 

Yeas Nays 

Chairman Cochran 

Mr. Stevens 

Mr. Specter 

Mr. Domenici 

Mr. Bond 

Mr. McConnell 

Mr. Burns 

Mr. Shelby 

Mr. Gregg 

Mr. Bennett 

Mr. Craig 

Mrs. Hutchison 

Mr. DeWine 

Mr. Brownback 

Mr. Allard 

Mr. Byrd 

Mr. Inouye 

Mr. Leahy 

Mr. Harkin 

Ms. Mikulski 

Mr. Reid 

Mr. Kohl 

Mrs. Murray 

Mr. Dorgan 
313 

Mrs. Feinstein 

Mr. Durbin 

Mr. Johnson 

Ms. Landrieu 

COMPLIANCE WITH PARAGRAPH 12, RULE XXVI OF THE 

STANDING RULES OF THE SENATE 

Paragraph 12 of rule XXVI requires that Committee reports on 

a bill or a joint resolution repealing or amending any statute include ‘‘(a) the text of the statute or part thereof which is proposed 

to be repealed; and (b) a comparative print of that part of the bill 

or joint resolution making the amendment and of the statute or 

part thereof proposed to be amended, showing by stricken through 

type and italics, parallel columns, or other appropriate typographical devices the omissions and insertions which would be 

made by the bill or joint resolution if enacted in the form recommended by the committee.’’ 

The Committee bill as recommended contains no such provisions. 
314 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

TITLE I—DEPARTMENT OF LABOR 

EMPLOYMENT AND TRAINING ADMINISTRATION 

TRAINING AND EMPLOYMENT SERVICES 

Grants to States: 

Adult Training, current year ............................................................ 152,199 ............................ 142,000 88,000 ¥64,199 ∂88,000 ¥54,000 

Advance from prior year ........................................................ (704,880 ) (712,000 ) (712,000 ) (712,000 ) (∂7,120 ) ............................ ............................Fiscal Year 2008 .................................................................... 712,000 712,000 712,000 712,000 ............................ ............................ ............................

Adult Training .................................................................... 864,199 712,000 854,000 800,000 ¥64,199 ∂88,000 ¥54,000 

Youth Training ................................................................................. 940,500 840,500 935,500 935,500 ¥5,000 ∂95,000 ............................Dislocated Worker Assistance, current year ................................... 341,811 27,266 345,264 345,264 ∂3,453 ∂317,998 ............................

Advance from prior year ........................................................ (839,520 ) (848,000 ) (848,000 ) (848,000 ) (∂8,480 ) ............................ ............................Fiscal Year 2008 .................................................................... 848,000 848,000 848,000 848,000 ............................ ............................ ............................

Dislocated Worker Assistance ............................................ 1,189,811 875,266 1,193,264 1,193,264 ∂3,453 ∂317,998 ............................

Federally Administered Programs: 

Dislocated Worker Assistance National Reserve: 

Current year ........................................................................... 70,092 27,316 70,800 70,800 ∂708 ∂43,484 ............................Supplemental (Public Law 109–148) (emergency) ............... 125,000 ............................ ............................ ............................ ¥125,000 ............................ ............................Advance from prior year 1 ...................................................... (86,130 ) (212,000 ) (212,000 ) (212,000 ) (∂125,870 ) ............................ ............................Fiscal Year 2008 .................................................................... 212,000 212,000 212,000 212,000 ............................ ............................ ............................

Dislocated Worker Assistance Nat’l Reserve ..................... 407,092 239,316 282,800 282,800 ¥124,292 ∂43,484 ............................

Less funding reserved for Community College Initiative 

(NA) .................................................................................... (¥125,000 ) ............................ (¥125,000 ) (¥125,000 ) ............................ (¥125,000 ) ............................

Dislocated Worker Assistance Nat’l Reserve ................ 282,092 239,316 157,800 157,800 ¥124,292 ¥81,516 ............................Total, Dislocated Worker Assistance ............................. 1,596,903 1,114,582 1,476,064 1,476,064 ¥120,839 ∂361,482 ............................
315 

Native Americans ............................................................................ 53,696 51,458 50,000 50,000 ¥3,696 ¥1,458 ............................Migrant and Seasonal Farmworkers ............................................... 79,252 ............................ 80,053 80,053 ∂801 ∂80,053 ............................National Activities: 

Pilots, Demonstrations and Research .................................... 29,700 17,700 43,361 44,815 ∂15,115 ∂27,115 ∂1,454 Responsible Reintegration of Youthful Offender ................... 49,104 ............................ ............................ 60,000 ∂10,896 ∂60,000 ∂60,000 Evaluation .............................................................................. 7,857 4,921 4,921 4,921 ¥2,936 ............................ ............................Prisoner Re-entry .................................................................... 19,642 19,642 ............................ ............................ ¥19,642 ¥19,642 ............................Community College initiative ................................................. ............................ 150,000 ............................ ............................ ............................ ¥150,000 ............................

Community College initiative (NA) 1 ............................. (125,000 ) ............................ (125,000 ) (125,000 ) ............................ (∂125,000 ) ............................

Subtotal, CC initiative, program level ..................... 125,000 150,000 125,000 125,000 ............................ ¥25,000 ............................

Denali Commission ................................................................ 6,875 ............................ ............................ 6,875 ............................ ∂6,875 ∂6,875 Other ....................................................................................... 1,980 ............................ ............................ 1,604 ¥376 ∂1,604 ∂1,604 

Subtotal, National activities .............................................. 115,158 192,263 48,282 118,215 ∂3,057 ¥74,048 ∂69,933 Subtotal, Federal activities ............................................... 655,198 483,037 461,135 531,068 ¥124,130 ∂48,031 ∂69,933 

Current Year ............................................................. (443,198 ) (271,037 ) (249,135 ) (319,068 ) (¥124,130 ) (∂48,031 ) (∂69,933 ) Fiscal Year 2008 ...................................................... (212,000 ) (212,000 ) (212,000 ) (212,000 ) ............................ ............................ ............................

Total, Training and Employment Services ......................... 3,649,708 2,910,803 3,443,899 3,459,832 ¥189,876 ∂549,029 ∂15,933 

Current Year ............................................................. (1,877,708 ) (1,138,803 ) (1,671,899 ) (1,687,832 ) (¥189,876 ) (∂549,029 ) (∂15,933 ) 

Emergency appropriations ............................... (125,000 ) ............................ ............................ ............................ (¥125,000 ) ............................ ............................

Fiscal Year 2008 ...................................................... (1,772,000 ) (1,772,000 ) (1,772,000 ) (1,772,000 ) ............................ ............................ ............................

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS ................ 432,311 432,311 420,000 432,311 ............................ ............................ ∂12,311 FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES ......................... 966,400 938,600 938,600 938,600 ¥27,800 ............................ ............................

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE 

OPERATIONS 

Unemployment Compensation: 

State Operations ............................................................................. 2,497,770 2,650,175 2,640,175 2,536,775 ∂39,005 ¥113,400 ¥103,400 National Activities ........................................................................... 9,900 ............................ 9,900 9,900 ............................ ∂9,900 ............................

Subtotal, Unemployment Compensation ..................................... 2,507,670 2,650,175 2,650,075 2,546,675 ∂39,005 ¥103,500 ¥103,400 

Employment Service: 

Allotments to States: 

Federal Funds ......................................................................... 22,883 22,016 22,016 22,016 ¥867 ............................ ............................
316 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

Trust Funds ............................................................................ 693,000 666,753 666,753 666,753 ¥26,247 ............................ ............................

Subtotal, allotments to States .......................................... 715,883 688,769 688,769 688,769 ¥27,114 ............................ ............................

ES National Activities ..................................................................... 33,428 32,918 32,918 32,918 ¥510 ............................ ............................

Subtotal, Employment Service .................................................... 749,311 721,687 721,687 721,687 ¥27,624 ............................ ............................

Federal Funds .................................................................... 22,883 22,016 22,016 22,016 ¥867 ............................ ............................Trust Funds ........................................................................ 726,428 699,671 699,671 699,671 ¥26,757 ............................ ............................

One-Stop Career Centers/Labor Market Information ............................... 81,662 63,855 40,000 63,000 ¥18,662 ¥855 ∂23,000 Work Incentives Grants ............................................................................ 19,514 ............................ ............................ 19,514 ............................ ∂19,514 ∂19,514 

Total, State Unemployment and Employment Srvcs .................. 3,358,157 3,435,717 3,411,762 3,350,876 ¥7,281 ¥84,841 ¥60,886 

Federal Funds .................................................................... 124,059 85,871 62,016 104,530 ¥19,529 ∂18,659 ∂42,514 Trust Funds ........................................................................ (3,234,098 ) (3,349,846 ) (3,349,746 ) (3,246,346 ) (∂12,248 ) (¥103,500 ) (¥103,400 ) 

ADVANCES TO THE UI AND OTHER TRUST FUNDS 2 ................................. 465,000 452,000 452,000 452,000 ¥13,000 ............................ ............................NEW YORK STATE UNINSURED EMPLOYERS FUND: Supplemental (Public Law 109–148) (emergency) ........................................................... 50,000 ............................ ............................ ............................ ¥50,000 ............................ ............................

PROGRAM ADMINISTRATION 

Adult Employment and Training .............................................................. 43,195 44,788 44,788 44,788 ∂1,593 ............................ ............................

Trust Funds ..................................................................................... 7,846 8,134 8,134 8,134 ∂288 ............................ ............................

Youth Employment and Training ............................................................. 10,630 39,975 39,975 11,397 ∂767 ¥28,578 ¥28,578 Employment Security ................................................................................ 5,979 6,426 6,426 6,426 ∂447 ............................ ............................

Trust Funds ..................................................................................... 72,113 82,801 82,801 84,801 ∂12,688 ∂2,000 ∂2,000 

Apprenticeship Services ........................................................................... 21,438 21,415 21,415 21,415 ¥23 ............................ ............................Executive Direction ................................................................................... 6,132 6,156 6,156 6,156 ∂24 ............................ ............................

Trust Funds ..................................................................................... 2,090 1,859 1,859 1,859 ¥231 ............................ ............................

Total, Program Administration ................................................... 169,423 211,554 211,554 184,976 ∂15,553 ¥26,578 ¥26,578 
317 

Federal Funds .................................................................... 87,374 118,760 118,760 90,182 ∂2,808 ¥28,578 ¥28,578 Trust Funds ........................................................................ 82,049 92,794 92,794 94,794 ∂12,745 ∂2,000 ∂2,000 

Total, Employment and Training Administration ....................... 9,090,999 8,380,985 8,877,815 8,818,595 ¥272,404 ∂437,610 ¥59,220 

Federal Funds .................................................................... 5,774,852 4,938,345 5,435,275 5,477,455 ¥297,397 ∂539,110 ∂42,180 

Current Year ............................................................. (4,002,852 ) (3,166,345 ) (3,663,275 ) (3,705,455 ) (¥297,397 ) (∂539,110 ) (∂42,180 ) 

Emergency appropriations ............................... (175,000 ) ............................ ............................ ............................ (¥175,000 ) ............................ ............................

Fiscal Year 2008 ...................................................... (1,772,000 ) (1,772,000 ) (1,772,000 ) (1,772,000 ) ............................ ............................ ............................

Trust Funds ........................................................................ 3,316,147 3,442,640 3,442,540 3,341,140 ∂24,993 ¥101,500 ¥101,400 

EMPLOYEE BENEFITS SECURITY ADMINISTRATION 

SALARIES AND EXPENSES 

Enforcement and Participant Assistance ................................................ 111,238 120,300 120,300 120,300 ∂9,062 ............................ ............................Policy and Compliance Assistance .......................................................... 17,283 18,000 18,000 18,000 ∂717 ............................ ............................Executive Leadership, Program Oversight and Admin ............................ 5,029 5,273 5,273 5,273 ∂244 ............................ ............................

Total, EBSA ................................................................................. 133,550 143,573 143,573 143,573 ∂10,023 ............................ ............................

PENSION BENEFIT GUARANTY CORPORATION 

Pension insurance activities .................................................................... (42,122 ) (78,614 ) (78,614 ) (78,614 ) (∂36,492 ) ............................ ............................Pension plan termination ......................................................................... (161,117 ) (193,450 ) (193,450 ) (193,450 ) (∂32,333 ) ............................ ............................Operational support ................................................................................. (93,739 ) (125,580 ) (125,580 ) (125,580 ) (∂31,841 ) ............................ ............................

Total, PBGC (Program level) ....................................................... (296,978 ) (397,644 ) (397,644 ) (397,644 ) (∂100,666 ) ............................ ............................

EMPLOYMENT STANDARDS ADMINISTRATION 

SALARIES AND EXPENSES 

Enforcement of Wage and Hour Standards ............................................. 165,685 177,578 167,359 177,578 ∂11,893 ............................ ∂10,219 Office of Labor-Management Standards ................................................. 45,737 52,406 52,406 47,886 ∂2,149 ¥4,520 ¥4,520 Federal Contractor EEO Standards Enforcement ..................................... 81,285 83,657 80,000 84,657 ∂3,372 ∂1,000 ∂4,657 Federal Programs for Workers’ Compensation ......................................... 99,128 104,174 99,128 104,174 ∂5,046 ............................ ∂5,046 

Trust Funds ..................................................................................... 2,028 2,076 2,076 2,076 ∂48 ............................ ............................

Program Direction and Support ............................................................... 17,201 17,526 17,526 19,000 ∂1,799 ∂1,474 ∂1,474 

Total, ESA salaries and expenses .............................................. 411,064 437,417 418,495 435,371 ∂24,307 ¥2,046 ∂16,876 

Federal Funds .................................................................... 409,036 435,341 416,419 433,295 ∂24,259 ¥2,046 ∂16,876 Trust Funds ........................................................................ 2,028 2,076 2,076 2,076 ∂48 ............................ ............................
318 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

SPECIAL BENEFITS 

Federal employees compensation benefits .............................................. 234,000 227,000 227,000 227,000 ¥7,000 ............................ ............................Longshore and harbor workers’ benefits ................................................. 3,000 3,000 3,000 3,000 ............................ ............................ ............................

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

SPECIAL BENEFITS FOR DISABLED COAL MINERS 

Benefit payments ..................................................................................... 308,000 298,000 298,000 298,000 ¥10,000 ............................ ............................Administration .......................................................................................... 5,250 5,373 5,373 5,373 ∂123 ............................ ............................

Subtotal, fiscal year 2007 program level .................................. 313,250 303,373 303,373 303,373 ¥9,877 ............................ ............................

Less funds advanced in prior year ................................... ¥81,000 ¥74,000 ¥74,000 ¥74,000 ∂7,000 ............................ ............................

Total, Current Year, fiscal year 2007 ........................................ 232,250 229,373 229,373 229,373 ¥2,877 ............................ ............................

New advances, 1st quarter fiscal year 2008 ................... 74,000 68,000 68,000 68,000 ¥6,000 ............................ ............................

Total, Special Benefits for Disabled Coal Miners ...................... 306,250 297,373 297,373 297,373 ¥8,877 ............................ ............................

ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION FUND, 

Part B Administrative Expenses .......................................................... 96,081 102,307 102,307 102,307 ∂6,226 ............................ ............................

BLACK LUNG DISABILITY TRUST FUND 

Benefit payments and interest on advances .......................................... 1,010,011 1,011,465 1,011,465 1,011,465 ∂1,454 ............................ ............................Employment Standards Admin., Salaries and expenses ......................... 33,050 33,578 33,578 33,578 ∂528 ............................ ............................Departmental Management, Salaries and expenses ............................... 24,239 25,255 25,255 25,255 ∂1,016 ............................ ............................Departmental Management, Inspector General ....................................... 344 346 346 346 ∂2 ............................ ............................

Subtotal, Black Lung Disability .................................................. 1,067,644 1,070,644 1,070,644 1,070,644 ∂3,000 ............................ ............................

Treasury Department Administrative Costs ............................................. 356 356 356 356 ............................ ............................ ............................
319 

Total, Black Lung Disability Trust Fund .................................... 1,068,000 1,071,000 1,071,000 1,071,000 ∂3,000 ............................ ............................Total, Employment Standards Administration ............................ 2,118,395 2,138,097 2,119,175 2,136,051 ∂17,656 ¥2,046 ∂16,876 

Federal Funds .................................................................... 2,116,367 2,136,021 2,117,099 2,133,975 ∂17,608 ¥2,046 ∂16,876 

Current year .............................................................. (2,042,367 ) (2,068,021 ) (2,049,099 ) (2,065,975 ) (∂23,608 ) (¥2,046 ) (∂16,876 ) Fiscal year 2008 ....................................................... (74,000 ) (68,000 ) (68,000 ) (68,000 ) (¥6,000 ) ............................ ............................

Trust Funds ........................................................................ 2,028 2,076 2,076 2,076 ∂48 ............................ ............................

OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION 

SALARIES AND EXPENSES 

Safety and Health Standards .................................................................. 16,462 16,892 16,892 16,892 ∂430 ............................ ............................Federal Enforcement ................................................................................ 172,575 179,933 179,933 179,933 ∂7,358 ............................ ............................State Programs ........................................................................................ 91,093 91,093 91,093 91,093 ............................ ............................ ............................Technical Support .................................................................................... 21,435 22,392 22,392 22,392 ∂957 ............................ ............................Compliance Assistance: 

Federal Assistance .......................................................................... 72,545 76,557 73,941 73,941 ∂1,396 ¥2,616 ............................State Consultation Grants .............................................................. 53,357 53,357 53,357 53,357 ............................ ............................ ............................Training Grants ............................................................................... 10,116 ............................ 5,000 10,116 ............................ ∂10,116 ∂5,116 

Subtotal, Compliance Assistance ............................................... 136,018 129,914 132,298 137,414 ∂1,396 ∂7,500 ∂5,116 

Safety and Health Statistics .................................................................... 24,253 32,274 32,274 32,274 ∂8,021 ............................ ............................Executive Direction and Administration ................................................... 10,591 11,169 11,169 11,169 ∂578 ............................ ............................

Total, OSHA ................................................................................. 472,427 483,667 486,051 491,167 ∂18,740 ∂7,500 ∂5,116 

MINE SAFETY AND HEALTH ADMINISTRATION 

SALARIES AND EXPENSES 

Coal Enforcement ..................................................................................... 117,152 120,395 118,335 133,395 ∂16,243 ∂13,000 ∂15,060 

Supplemental (Public Law 109–234) (emergency) ........................ 25,600 ............................ ............................ ............................ ¥25,600 ............................ ............................

Metal/Non-Metal Enforcement .................................................................. 68,062 70,106 68,062 70,106 ∂2,044 ............................ ∂2,044 Standards Development ........................................................................... 2,481 2,658 2,481 2,658 ∂177 ............................ ∂177 Assessments ............................................................................................. 5,391 5,566 5,391 5,566 ∂175 ............................ ∂175 Educational Policy and Development ....................................................... 31,701 32,926 31,701 32,926 ∂1,225 ............................ ∂1,225 Technical Support .................................................................................... 25,479 27,413 25,479 27,413 ∂1,934 ............................ ∂1,934 Program evaluation and information resources (PEIR) ........................... 15,514 15,735 15,514 15,735 ∂221 ............................ ∂221 Program Administration ........................................................................... 11,906 13,037 11,906 14,637 ∂2,731 ∂1,600 ∂2,731 

Total, Mine Safety and Health Administration ........................... 303,286 287,836 278,869 302,436 ¥850 ∂14,600 ∂23,567 
320 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

BUREAU OF LABOR STATISTICS 

SALARIES AND EXPENSES 

Employment and Unemployment Statistics ............................................. 165,377 171,056 173,056 171,056 ∂5,679 ............................ ¥2,000 Labor Market Information ........................................................................ 77,067 79,026 79,026 79,026 ∂1,959 ............................ ............................Prices and Cost of Living ........................................................................ 173,031 187,081 187,081 187,081 ∂14,050 ............................ ............................Compensation and Working Conditions ................................................... 80,717 83,860 83,860 83,860 ∂3,143 ............................ ............................Productivity and Technology .................................................................... 10,739 11,118 11,118 11,118 ∂379 ............................ ............................Executive Direction and Staff Services .................................................... 30,168 31,147 31,147 31,147 ∂979 ............................ ............................

Total, Bureau of Labor Statistics ............................................... 537,099 563,288 565,288 563,288 ∂26,189 ............................ ¥2,000 

Federal Funds .................................................................... 460,032 484,262 486,262 484,262 ∂24,230 ............................ ¥2,000 Trust Funds ........................................................................ 77,067 79,026 79,026 79,026 ∂1,959 ............................ ............................

OFFICE OF DISABILITY EMPLOYMENT POLICY 

Salaries and expenses ............................................................................. 27,655 20,319 20,319 27,655 ............................ ∂7,336 ∂7,336 

DEPARTMENTAL MANAGEMENT 

SALARIES AND EXPENSES 

Executive Direction ................................................................................... 25,534 29,795 29,795 25,534 ............................ ¥4,261 ¥4,261 Departmental IT Crosscut ........................................................................ 29,462 29,405 28,000 27,651 ¥1,811 ¥1,754 ¥349 Departmental Management Crosscut ...................................................... 1,683 1,108 ............................ ............................ ¥1,683 ¥1,108 ............................Legal Services .......................................................................................... 80,143 84,866 84,866 84,866 ∂4,723 ............................ ............................

Trust Funds ..................................................................................... 308 322 322 322 ∂14 ............................ ............................

International Labor Affairs ....................................................................... 72,516 12,363 12,363 72,516 ............................ ∂60,153 ∂60,153 Administration and Management ............................................................ 32,865 31,746 31,746 31,746 ¥1,119 ............................ ............................Frances Perkins building security enhancements ................................... 6,875 1,893 1,893 1,893 ¥4,982 ............................ ............................Adjudication ............................................................................................. 26,855 28,931 27,126 26,855 ............................ ¥2,076 ¥271 Women’s Bureau ...................................................................................... 9,666 9,348 9,000 10,000 ∂334 ∂652 ∂1,000 Civil Rights Activities .............................................................................. 6,386 6,735 6,386 6,735 ∂349 ............................ ∂349 
321 

Chief Financial Officer ............................................................................. 5,287 5,579 5,287 5,287 ............................ ¥292 ............................

Total, Salaries and expenses ..................................................... 297,580 242,091 236,784 293,405 ¥4,175 ∂51,314 ∂56,621 

Federal Funds .................................................................... 297,272 241,769 236,462 293,083 ¥4,189 ∂51,314 ∂56,621 

Current Year ............................................................. (297,272 ) (241,769 ) (236,462 ) (293,083 ) (¥4,189 ) (∂51,314 ) (∂56,621 ) 

Trust Funds ........................................................................ 308 322 322 322 ∂14 ............................ ............................

OFFICE OF JOB CORPS 2

Job Corps: 

Administration 3 ............................................................................... 28,578 ............................ ............................ 28,578 ............................ ∂28,578 ∂28,578 Operations ....................................................................................... 865,260 810,602 874,000 900,210 ∂34,950 ∂89,608 ∂26,210 

Advance from prior year ........................................................ (585,090 ) (591,000 ) (591,000 ) (591,000 ) (∂5,910 ) ............................ ............................

Supplemental (Public Law 109–234) (emergency) ...... 16,000 ............................ ............................ ............................ ¥16,000 ............................ ............................

Fiscal Year 2008 .................................................................... 591,000 591,000 591,000 591,000 ............................ ............................ ............................

Construction and Renovation .......................................................... 7,920 ............................ 8,000 10,000 ∂2,080 ∂10,000 ∂2,000 

Advance from prior year ........................................................ (99,000 ) (100,000 ) (100,000 ) (100,000 ) (∂1,000 ) ............................ ............................Fiscal Year 2008 .................................................................... 100,000 100,000 50,000 100,000 ............................ ............................ ∂50,000 

Total, Job Corps ................................................................. 1,608,758 1,501,602 1,523,000 1,629,788 ∂21,030 ∂128,186 ∂106,788 

VETERANS EMPLOYMENT AND TRAINING 

State administration, Grants ................................................................... 160,791 161,218 160,791 161,218 ∂427 ............................ ∂427 Federal Administration ............................................................................. 30,131 32,417 32,417 32,417 ∂2,286 ............................ ............................National Veterans’ Training Institute ...................................................... 1,964 1,969 1,969 1,969 ∂5 ............................ ............................Homeless Veterans Program .................................................................... 21,780 21,838 21,838 21,838 ∂58 ............................ ............................Veterans Workforce Investment Programs ............................................... 7,425 7,445 7,425 7,425 ............................ ¥20 ............................

Total, Veterans Employment and Training ................................. 222,091 224,887 224,440 224,867 ∂2,776 ¥20 ∂427 

Federal Funds .................................................................... 29,205 29,283 29,263 29,263 ∂58 ¥20 ............................Trust Funds ........................................................................ 192,886 195,604 195,177 195,604 ∂2,718 ............................ ∂427 

OFFICE OF INSPECTOR GENERAL 

Program Activities .................................................................................... 65,549 68,073 68,073 70,073 ∂4,524 ∂2,000 ∂2,000 

Trust Funds ..................................................................................... 5,552 5,688 5,688 5,688 ∂136 ............................ ............................

Total, Office of Inspector General .............................................. 71,101 73,761 73,761 75,761 ∂4,660 ∂2,000 ∂2,000 

Federal funds ..................................................................... 65,549 68,073 68,073 70,073 ∂4,524 ∂2,000 ∂2,000 Trust funds ........................................................................ 5,552 5,688 5,688 5,688 ∂136 ............................ ............................

Total, Departmental Management .............................................. 2,199,530 2,042,341 2,057,985 2,223,821 ∂24,291 ∂181,480 ∂165,836 
322 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

Federal Funds .................................................................... 2,000,784 1,840,727 1,856,798 2,022,207 ∂21,423 ∂181,480 ∂165,409 Trust Funds ........................................................................ 198,746 201,614 201,187 201,614 ∂2,868 ............................ ∂427 

WORKING CAPITAL FUND 

Working capital fund ............................................................................... 6,168 13,954 ............................ ............................ ¥6,168 ¥13,954 ............................

Total, Title I, Department of Labor ............................................ 14,889,109 14,074,060 14,549,075 14,706,586 ¥182,523 ∂632,526 ∂157,511 

Federal Funds .................................................................... 11,295,121 10,348,704 10,824,246 11,082,730 ¥212,391 ∂734,026 ∂258,484 

Current Year ............................................................. (8,758,121 ) (7,817,704 ) (8,343,246 ) (8,551,730 ) (¥206,391 ) (∂734,026 ) (∂208,484 ) 

Emergency appropriations ............................... (216,600 ) ............................ ............................ ............................ (¥216,600 ) ............................ ............................

Fiscal Year 2008 ...................................................... (2,537,000 ) (2,531,000 ) (2,481,000 ) (2,531,000 ) (¥6,000 ) ............................ (∂50,000 ) 

Trust Funds ........................................................................ 3,593,988 3,725,356 3,724,829 3,623,856 ∂29,868 ¥101,500 ¥100,973 

TITLE II—DEPARTMENT OF HEALTH AND HUMAN SERVICES 

HEALTH RESOURCES AND SERVICES ADMINISTRATION 

HEALTH RESOURCES AND SERVICES BUREAU OF PRIMARY HEALTH CARE 

Community health centers ....................................................................... 1,781,076 1,962,861 1,988,000 1,926,076 ∂145,000 ¥36,785 ¥61,924 

Supplemental (Public Law 109–234) (emergency) ........................ 4,000 ............................ ............................ ............................ ¥4,000 ............................ ............................

Free Clinics Medical Malpractice ............................................................. 40 ............................ 10 10 ¥30 ∂10 ............................Radiation Exposure Compensation Act .................................................... 1,916 1,917 1,917 1,917 ∂1 ............................ ............................National Hansen’s Disease Services ........................................................ 15,894 15,905 15,905 16,705 ∂811 ∂800 ∂800 

Buildings and Facilities .................................................................. 220 220 220 220 ............................ ............................ ............................

Payment to Hawaii, treatment of Hansen’s ............................................ 1,995 1,996 1,996 1,996 ∂1 ............................ ............................Black lung clinics .................................................................................... 5,887 5,891 5,891 6,000 ∂113 ∂109 ∂109 

Subtotal, Bureau of Primary Health Care .................................. 1,811,028 1,988,790 2,013,939 1,952,924 ∂141,896 ¥35,866 ¥61,015 
323 

BUREAU OF HEALTH PROFESSIONS 

National Health Service Corps: 

Field placements ............................................................................. 40,270 40,298 42,218 40,298 ∂28 ............................ ¥1,920 Recruitment ..................................................................................... 85,171 85,230 89,310 85,230 ∂59 ............................ ¥4,080 

Subtotal, National Health Service Corps .................................... 125,441 125,528 131,528 125,528 ∂87 ............................ ¥6,000 

Health Professions 

Training for Diversity: 

Centers of excellence ...................................................................... 11,872 ............................ 11,880 11,872 ............................ ∂11,872 ¥8 Health careers opportunity program ............................................... 3,957 ............................ ............................ 3,957 ............................ ∂3,957 ∂3,957 Faculty loan repayment ................................................................... 1,288 ............................ ............................ 1,288 ............................ ∂1,288 ∂1,288 Scholarships for disadvantaged students ...................................... 46,625 9,733 46,657 46,625 ............................ ∂36,892 ¥32 

Subtotal, Training for Diversity .................................................. 63,742 9,733 58,537 63,742 ............................ ∂54,009 ∂5,205 

Training in Primary Care Medicine and Dentistry ................................... 40,823 ............................ 40,851 50,000 ∂9,177 ∂50,000 ∂9,149 Interdisciplinary Community-Based Linkages: 

Area health education centers ........................................................ 28,661 ............................ 28,681 28,661 ............................ ∂28,661 ¥20 Allied health and other disciplines ................................................ 3,957 ............................ 3,960 4,000 ∂43 ∂4,000 ∂40 Geriatric programs .......................................................................... ............................ ............................ 31,548 ............................ ............................ ............................ ¥31,548 

Subtotal, Interdisciplinary Comm. Linkages .............................. 32,618 ............................ 64,189 32,661 ∂43 ∂32,661 ¥31,528 

Public health, preventive med. and dental programs ............................ 7,915 ............................ ............................ 8,000 ∂85 ∂8,000 ∂8,000 Nursing Programs: 

Advanced Education Nursing .......................................................... 57,021 57,061 57,061 57,061 ∂40 ............................ ............................Nurse education, practice, and retention ....................................... 37,265 37,291 37,291 37,291 ∂26 ............................ ............................Nursing workforce diversity ............................................................. 16,096 16,107 16,107 16,107 ∂11 ............................ ............................Loan repayment and scholarship program ..................................... 31,034 31,055 31,055 31,055 ∂21 ............................ ............................Comprehensive geriatric education ................................................ 3,390 3,392 3,392 3,392 ∂2 ............................ ............................Nursing faculty loan program ......................................................... 4,770 4,773 4,773 4,773 ∂3 ............................ ............................

Subtotal, Nursing programs ....................................................... 149,576 149,679 149,679 149,679 ∂103 ............................ ............................Subtotal, Health Professions ...................................................... 294,674 159,412 313,256 304,082 ∂9,408 ∂144,670 ¥9,174 

Patient Navigator ..................................................................................... ............................ ............................ ............................ 5,000 ∂5,000 ∂5,000 ∂5,000 Children’s Hospitals Graduate Medical Education .................................. 296,795 99,000 300,000 200,000 ¥96,795 ∂101,000 ¥100,000 National Practitioner Data Bank .............................................................. 15,700 15,700 15,700 15,700 ............................ ............................ ............................
324 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

User Fees ......................................................................................... ¥15,700 ¥15,700 ¥15,700 ¥15,700 ............................ ............................ ............................

Health Care Integrity and Protection Data Bank .................................... 4,000 4,000 4,000 4,000 ............................ ............................ ............................

User Fees ......................................................................................... ¥4,000 ¥4,000 ¥4,000 ¥4,000 ............................ ............................ ............................

Subtotal, Bureau of Health Professions ..................................... 716,910 383,940 744,784 634,610 ¥82,300 ∂250,670 ¥110,174 

MATERNAL AND CHILD HEALTH BUREAU 

Maternal and Child Health Block Grant .................................................. 692,521 693,000 700,000 693,000 ∂479 ............................ ¥7,000 Sickle cell anemia demonstration program ............................................. 2,176 2,178 2,178 3,000 ∂824 ∂822 ∂822 Traumatic Brain Injury ............................................................................. 8,904 ............................ 8,910 8,910 ∂6 ∂8,910 ............................Healthy Start ............................................................................................ 101,448 101,518 101,518 101,518 ∂70 ............................ ............................Universal Newborn Hearing ...................................................................... 9,794 ............................ 10,000 10,000 ∂206 ∂10,000 ............................Emergency medical services for children ................................................ 19,786 ............................ 19,800 20,000 ∂214 ∂20,000 ∂200 

Subtotal, Maternal and Child Health Bureau ............................ 834,629 796,696 842,406 836,428 ∂1,799 ∂39,732 ¥5,978 

HIV/AIDS BUREAU 

Ryan White AIDS Programs: 

Emergency Assistance ..................................................................... 603,576 603,993 603,993 605,993 ∂2,417 ∂2,000 ∂2,000 Comprehensive Care Programs ....................................................... 1,119,744 1,190,518 1,190,518 1,190,518 ∂70,774 ............................ ............................

AIDS Drug Assistance Program (ADAP) (NA) ......................... (789,005 ) (789,546 ) (789,546 ) (844,546 ) (∂55,541 ) (∂55,000 ) (∂55,000 ) 

Early Intervention Program ............................................................. 193,488 218,622 193,622 195,488 ∂2,000 ¥23,134 ∂1,866 Children, Youth, Women, and Families .......................................... 71,744 71,794 71,794 73,294 ∂1,550 ∂1,500 ∂1,500 AIDS Dental Services ....................................................................... 13,077 13,086 13,086 13,598 ∂521 ∂512 ∂512 Education and Training Centers ..................................................... 34,676 34,700 34,700 35,200 ∂524 ∂500 ∂500 

Subtotal, Ryan White AIDS programs ......................................... 2,036,305 2,132,713 2,107,713 2,114,091 ∂77,786 ¥18,622 ∂6,378 

Evaluation Tap Funding (NA) .......................................................... (25,000 ) (25,000 ) (25,000 ) (25,000 ) ............................ ............................ ............................

Subtotal, Ryan White AIDs program level .................................. (2,061,305 ) (2,157,713 ) (2,132,713 ) (2,139,091 ) (∂77,786 ) (¥18,622 ) (∂6,378 ) 
325 

Subtotal, HIV/AIDS Bureau ......................................................... 2,036,305 2,132,713 2,107,713 2,114,091 ∂77,786 ¥18,622 ∂6,378 

HEALTHCARE SYSTEMS BUREAU 

Organ Transplantation ............................................................................. 23,033 23,049 23,049 25,049 ∂2,016 ∂2,000 ∂2,000 National Cord Blood Inventory ................................................................. 3,957 ............................ ............................ 3,960 ∂3 ∂3,960 ∂3,960 Bone Marrow Program .............................................................................. 25,145 22,687 25,162 22,687 ¥2,458 ............................ ¥2,475 Office of Pharmacy Affairs ...................................................................... ............................ 2,970 2,970 2,970 ∂2,970 ............................ ............................Trauma Care ............................................................................................ ............................ ............................ ............................ 1,000 ∂1,000 ∂1,000 ∂1,000 Poison control ........................................................................................... 23,052 13,168 23,068 23,068 ∂16 ∂9,900 ............................

Subtotal, Healthcare systems bureau ........................................ 75,187 61,874 74,249 78,734 ∂3,547 ∂16,860 ∂4,485 

RURAL HEALTH PROGRAMS 

Rural outreach grants .............................................................................. 38,858 10,365 40,000 38,885 ∂27 ∂28,520 ¥1,115 Rural Health Research ............................................................................. 8,731 8,737 9,000 8,737 ∂6 ............................ ¥263 Rural Hospital Flexibility Grants .............................................................. 63,494 ............................ 40,000 38,538 ¥24,956 ∂38,538 ¥1,462 Delta Health Initiative .............................................................................. ............................ ............................ ............................ 35,000 ∂35,000 ∂35,000 ∂35,000 Rural and community access to emergency devices .............................. 1,484 ............................ 1,500 1,500 ∂16 ∂1,500 ............................State Offices of Rural Health .................................................................. 8,135 8,141 8,400 8,141 ∂6 ............................ ¥259 Denali Commission .................................................................................. 39,283 ............................ ............................ 39,283 ............................ ∂39,283 ∂39,283 

Subtotal, Rural health programs ............................................... 159,985 27,243 98,900 170,084 ∂10,099 ∂142,841 ∂71,184 

Family Planning ....................................................................................... 282,907 283,103 283,103 283,103 ∂196 ............................ ............................Health Care-related Facilities and activities .......................................... ............................ ............................ 248,146 260,028 ∂260,028 ∂260,028 ∂11,882 Bioterrorism hospital grants to States 5 .................................................. 494,658 486,606 486,606 486,606 ¥8,052 ............................ ............................Telehealth ................................................................................................. 6,814 6,819 10,000 6,819 ∂5 ............................ ¥3,181 Program Management .............................................................................. 144,432 141,071 141,071 144,432 ............................ ∂3,361 ∂3,361 

Total, Health resources and services ......................................... 6,562,855 6,308,855 7,050,917 6,967,859 ∂405,004 ∂659,004 ¥83,058 Total, Health resources and services program level ................. (6,587,855 ) (6,333,855 ) (7,075,917 ) (6,992,859 ) (∂405,004 ) (∂659,004 ) (¥83,058 ) 

Evaluation tap funding ..................................................... (25,000 ) (25,000 ) (25,000 ) (25,000 ) ............................ ............................ ............................

HEALTH EDUCATION ASSISTANCE LOANS (HEAL) PROGRAM: 

Liquidating account ........................................................................ (4,000 ) (1,000 ) (1,000 ) (1,000 ) (¥3,000 ) ............................ ............................Program management ..................................................................... 2,885 2,887 2,887 2,887 ∂2 ............................ ............................

Total, HEAL ................................................................................. 2,885 2,887 2,887 2,887 ∂2 ............................ ............................

VACCINE INJURY COMPENSATION PROGRAM TRUST FUND: 

Post-fiscal year 1988 claims .......................................................... 60,972 62,802 62,802 62,802 ∂1,830 ............................ ............................
326 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

HRSA administration ....................................................................... 3,562 3,564 3,564 3,564 ∂2 ............................ ............................

Total, Vaccine Injury Compensation Trust Fund ........................ 64,534 66,366 66,366 66,366 ∂1,832 ............................ ............................Total, Health Resources and Services Admin ............................ 6,630,274 6,378,108 7,120,170 7,037,112 ∂406,838 ∂659,004 ¥83,058 Total, HRSA program level ......................................................... (6,659,274 ) (6,404,108 ) (7,146,170 ) (7,063,112 ) (∂403,838 ) (∂659,004 ) (¥83,058 ) 

CENTERS FOR DISEASE CONTROL AND PREVENTION 

Infectious Diseases .................................................................................. 1,671,261 1,772,890 1,828,843 1,713,443 ∂42,182 ¥59,447 ¥115,400 

Supplemental (Public law 109–234) (emergency) ......................... 8,000 ............................ ............................ ............................ ¥8,000 ............................ ............................Evaluation Tap Funding .................................................................. (12,794 ) (12,794 ) (12,794 ) (12,794 ) ............................ ............................ ............................

Subtotal, Program level .............................................................. (1,692,055 ) (1,785,684 ) (1,841,637 ) (1,726,237 ) (∂34,182 ) (¥59,447 ) (¥115,400 ) 

Health Promotion ...................................................................................... 958,025 929,208 964,466 967,671 ∂9,646 ∂38,463 ∂3,205 Health Information and Service ............................................................... 87,770 127,439 226,400 246,280 ∂158,510 ∂118,841 ∂19,880 

Evaluation Tap Funding .................................................................. (134,235 ) (134,235 ) ............................ ............................ (¥134,235 ) (¥134,235 ) ............................

Subtotal, Program level .............................................................. (222,005 ) (261,674 ) (226,400 ) (246,280 ) (∂24,275 ) (¥15,394 ) (∂19,880 ) 

Environmental health and injury ............................................................. 287,474 279,309 278,000 276,658 ¥10,816 ¥2,651 ¥1,342 Occupational safety and health 6 ............................................................ 165,812 163,123 163,929 170,810 ∂4,998 ∂7,687 ∂6,881 

Supplemental (Public Law 109–13) (emergency) .......................... 10,000 ............................ ............................ ............................ ¥10,000 ............................ ............................Evaluation Tap Funding .................................................................. (87,071 ) (87,071 ) (87,071 ) (87,071 ) ............................ ............................ ............................

Subtotal, Program level 6 ............................................................ (262,883 ) (250,194 ) (251,000 ) (257,881 ) (¥5,002 ) (∂7,687 ) (∂6,881 ) 

Global health ............................................................................................ 311,624 381,103 312,000 368,892 ∂57,268 ¥12,211 ∂56,892 

Supplemental (Public Law 109–148) (emergency) ........................ 68,000 ............................ ............................ ............................ ¥68,000 ............................ ............................

Subtotal, Global health .............................................................. (379,624 ) (381,103 ) (312,000 ) (368,892 ) (¥10,732 ) (¥12,211 ) (∂56,892 ) 

Terrorism preparedness and response 5 .................................................. 1,576,173 1,657,161 1,605,000 1,578,260 ∂2,087 ¥78,901 ¥26,740 
327 

Supplemental (Public Law 109–148) (emergency) ........................ 55,000 ............................ ............................ ............................ ¥55,000 ............................ ............................

Subtotal, Terrorism preparedness and response 5 ..................... 1,631,173 1,657,161 1,605,000 1,578,260 ¥52,913 ¥78,901 ¥26,740 

Public Health research: 

Federal Funds .................................................................................. ............................ ............................ 31,000 31,000 ∂31,000 ∂31,000 ............................Evaluation Tap Funding .................................................................. (31,000 ) (31,000 ) ............................ ............................ (¥31,000 ) (¥31,000 ) ............................

Subtotal, Program level .............................................................. (31,000 ) (31,000 ) (31,000 ) (31,000 ) ............................ ............................ ............................

Public health improvement and leadership ............................................ 189,106 190,165 207,165 219,828 ∂30,722 ∂29,663 ∂12,663 

Supplemental (Public Law 109–13) (emergency) .......................... 75,000 ............................ ............................ ............................ ¥75,000 ............................ ............................

Preventive health and health services block grant ................................ 98,932 ............................ 100,000 100,000 ∂1,068 ∂100,000 ............................Pandemic Influenza One-Time Supplemental Funding Supplemental 

(Public Law 109–13) (emergency) ...................................................... 77,000 ............................ ............................ ............................ ¥77,000 ............................ ............................

Buildings and Facilities ........................................................................... 158,291 29,700 29,700 100,000 ¥58,291 ∂70,300 ∂70,300 Business services ..................................................................................... 317,615 303,854 327,000 323,058 ∂5,443 ∂19,204 ¥3,942 

Total, Centers for Disease Control ............................................. 6,115,083 5,833,952 6,073,503 6,095,900 ¥19,183 ∂261,948 ∂22,397 

Emergency appropriations ................................................. (293,000 ) ............................ ............................ ............................ (¥293,000 ) ............................ ............................Evaluation Tap Funding (NA) ............................................ (265,100 ) (265,100 ) (99,865 ) (99,865 ) (¥165,235 ) (¥165,235 ) ............................

Total, Centers for Disease Control program level ...................... (6,380,183 ) (6,099,052 ) (6,173,368 ) (6,195,765 ) (¥184,418 ) (∂96,713 ) (∂22,397 ) 

NATIONAL INSTITUTES OF HEALTH 

National Cancer Institute ......................................................................... 4,790,063 4,753,609 4,753,609 4,799,063 ∂9,000 ∂45,454 ∂45,454 National Heart, Lung, and Blood Institute .............................................. 2,919,750 2,901,012 2,901,012 2,924,299 ∂4,549 ∂23,287 ∂23,287 National Institute of Dental and Craniofacial Research ......................... 389,069 386,095 386,095 389,669 ∂600 ∂3,574 ∂3,574 National Institute of Diabetes and Digestive and Kidney Diseases ....... 1,703,753 1,694,298 1,694,298 1,707,753 ∂4,000 ∂13,455 ∂13,455 

Juvenile diabetes (mandatory) ........................................................ (150,000 ) (150,000 ) (150,000 ) (150,000 ) ............................ ............................ ............................

Subtotal, NIDDK .......................................................................... (1,853,753 ) (1,844,298 ) (1,844,298 ) (1,857,753 ) (∂4,000 ) (∂13,455 ) (∂13,455 ) 

National Institute of Neurological Disorders and Stroke ......................... 1,533,703 1,524,750 1,524,750 1,537,703 ∂4,000 ∂12,953 ∂12,953 National Institute of Allergy and Infectious Diseases ............................. 4,263,268 4,295,496 4,270,496 4,295,496 ∂32,228 ............................ ∂25,000 

Supplemental (Public Law 109–148) (emergency) ........................ 18,000 ............................ ............................ ............................ ¥18,000 ............................ ............................Global HIV/AIDS Fund Transfer ....................................................... 99,000 100,000 ............................ 100,000 ∂1,000 ............................ ∂100,000 

Subtotal, NIAID ........................................................................... 4,380,268 4,395,496 4,270,496 4,395,496 ∂15,228 ............................ ∂125,000 

National Institute of General Medical Sciences ...................................... 1,934,288 1,923,481 1,923,481 1,934,888 ∂600 ∂11,407 ∂11,407 National Institute of Child Health and Human Development ................. 1,263,900 1,257,418 1,257,418 1,264,500 ∂600 ∂7,082 ∂7,082 
328 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

National Eye Institute .............................................................................. 666,298 661,358 661,358 666,898 ∂600 ∂5,540 ∂5,540 National Institute of Environmental Health Sciences ............................. 640,692 637,323 637,323 641,292 ∂600 ∂3,969 ∂3,969 National Institute on Aging ..................................................................... 1,045,912 1,039,828 1,039,828 1,048,912 ∂3,000 ∂9,084 ∂9,084 National Institute of Arthritis and Musculoskeletal and Skin Diseases ....................................................................................................... 507,583 504,533 504,533 508,583 ∂1,000 ∂4,050 ∂4,050 National Institute on Deafness and Other Communication Disorders .... 393,188 391,556 391,556 395,188 ∂2,000 ∂3,632 ∂3,632 National Institute of Nursing Research ................................................... 137,248 136,550 136,550 137,848 ∂600 ∂1,298 ∂1,298 National Institute on Alcohol Abuse and Alcoholism .............................. 435,630 433,318 433,318 436,630 ∂1,000 ∂3,312 ∂3,312 National Institute on Drug Abuse ............................................................ 999,342 994,829 994,829 1,000,342 ∂1,000 ∂5,513 ∂5,513 National Institute of Mental Health ......................................................... 1,402,551 1,394,806 1,394,806 1,403,551 ∂1,000 ∂8,745 ∂8,745 National Human Genome Research Institute .......................................... 485,715 482,942 482,942 486,315 ∂600 ∂3,373 ∂3,373 National Institute of Biomedical Imaging and Bioengineering ............... 296,606 294,850 294,850 297,606 ∂1,000 ∂2,756 ∂2,756 National Center for Research Resources ................................................. 1,098,346 1,098,242 1,123,242 1,104,346 ∂6,000 ∂6,104 ¥18,896 National Center for Complementary and Alternative Medicine ............... 121,382 120,554 120,554 121,982 ∂600 ∂1,428 ∂1,428 National Center on Minority Health and Health Disparities ................... 195,271 194,299 194,299 196,771 ∂1,500 ∂2,472 ∂2,472 John E. Fogarty International Center ....................................................... 66,332 66,681 66,681 66,832 ∂500 ∂151 ∂151 National Library of Medicine .................................................................... 314,694 313,269 313,269 315,294 ∂600 ∂2,025 ∂2,025 

Evaluation Tap Funding .................................................................. (8,200 ) (8,200 ) (8,200 ) (8,200 ) ............................ ............................ ............................

Subtotal, NLM ............................................................................. 322,894 321,469 321,469 323,494 ∂600 ∂2,025 ∂2,025 

Office of the Director 5 ............................................................................. 527,238 667,825 667,825 687,825 ∂160,587 ∂20,000 ∂20,000 

Biodefense countermeasures 5 ........................................................ (96,030 ) (96,030 ) (96,030 ) (96,030 ) ............................ ............................ ............................

Buildings and Facilities ........................................................................... 81,025 81,081 81,081 81,081 ∂56 ............................ ............................

Total, National Institutes of Health (NIH) .................................. 28,329,847 28,350,003 28,250,003 28,550,667 ∂220,820 ∂200,664 ∂300,664 

Emergency appropriations ................................................. (18,000 ) ............................ ............................ ............................ (¥18,000 ) ............................ ............................Global HIV/AIDS Fund Transfer .......................................... ¥99,000 ¥100,000 ............................ ¥100,000 ¥1,000 ............................ ¥100,000 Evaluation Tap Funding .................................................... (8,200 ) (8,200 ) (8,200 ) (8,200 ) ............................ ............................ ............................

Total, NIH, Program Level ........................................................... (28,239,047 ) (28,258,203 ) (28,258,203 ) (28,458,867 ) (∂219,820 ) (∂200,664 ) (∂200,664 ) 
329 

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION 

(SAMHSA) 

Mental Health: 

Programs of Regional and National Significance .......................... 263,080 228,101 269,303 290,994 ∂27,914 ∂62,893 ∂21,691 Mental Health block grant .............................................................. 406,561 406,843 406,843 406,843 ∂282 ............................ ............................

Evaluation Tap Funding ......................................................... (21,803 ) (21,629 ) (21,629 ) (21,629 ) (¥174 ) ............................ ............................

Subtotal, Program level ..................................................... (428,364 ) (428,472 ) (428,472 ) (428,472 ) (∂108 ) ............................ ............................

Children’s Mental Health ................................................................ 104,006 104,078 104,078 104,078 ∂72 ............................ ............................Grants to States for the Homeless (PATH) ..................................... 54,223 54,261 54,261 54,261 ∂38 ............................ ............................Protection and Advocacy ................................................................. 34,000 34,000 34,000 34,000 ............................ ............................ ............................

Subtotal, Mental Health ............................................................. 861,870 827,283 868,485 890,176 ∂28,306 ∂62,893 ∂21,691 Subtotal, Program level .............................................................. (883,673 ) (848,912 ) (890,114 ) (911,805 ) (∂28,132 ) (∂62,893 ) (∂21,691 ) 

Substance Abuse Treatment: 

Programs of Regional and National Significance .......................... 394,375 371,079 322,395 338,366 ¥56,009 ¥32,713 ∂15,971 

Evaluation Tap Funding ......................................................... (4,300 ) (4,300 ) (4,300 ) (4,300 ) ............................ ............................ ............................

Subtotal, Program level ..................................................... (398,675 ) (375,379 ) (326,695 ) (342,666 ) (¥56,009 ) (¥32,713 ) (∂15,971 ) 

Substance Abuse block grant ................................................ 1,678,225 1,679,391 1,754,800 1,709,391 ∂31,166 ∂30,000 ¥45,409 Evaluation Tap Funding ......................................................... (79,200 ) (79,200 ) (79,200 ) (79,200 ) ............................ ............................ ............................

Subtotal, Program level ..................................................... (1,757,425 ) (1,758,591 ) (1,834,000 ) (1,788,591 ) (∂31,166 ) (∂30,000 ) (¥45,409 ) Subtotal, Substance Abuse Treatment .............................. 2,072,600 2,050,470 2,077,195 2,047,757 ¥24,843 ¥2,713 ¥29,438 Subtotal, Program level ..................................................... (2,156,100 ) (2,133,970 ) (2,160,695 ) (2,131,257 ) (¥24,843 ) (¥2,713 ) (¥29,438 ) 

Substance Abuse Prevention: Programs of Regional and National Significance .............................................................................................. 192,767 180,598 195,805 196,729 ∂3,962 ∂16,131 ∂924 Program Management .............................................................................. 75,996 75,521 75,521 76,521 ∂525 ∂1,000 ∂1,000 

Evaluation Tap funding (NA) .......................................................... (16,000 ) (21,000 ) (21,000 ) (21,000 ) (∂5,000 ) ............................ ............................

Subtotal, Program level .............................................................. 91,996 96,521 96,521 97,521 ∂5,525 ∂1,000 ∂1,000 Total, SAMHSA ............................................................................ 3,203,233 3,133,872 3,217,006 3,211,183 ∂7,950 ∂77,311 ¥5,823 

Evaluation Tap funding ..................................................... (121,303 ) (126,129 ) (126,129 ) (126,129 ) (∂4,826 ) ............................ ............................
330 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

Total, SAMHSA program level ..................................................... (3,324,536 ) (3,260,001 ) (3,343,135 ) (3,337,312 ) (∂12,776 ) (∂77,311 ) (¥5,823 ) 

AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 

Research on Health Costs, Quality, and Outcomes: 

Federal Funds .................................................................................. ............................ ............................ 260,695 260,695 ∂260,695 ∂260,695 ............................Evaluation Tap funding (NA) .......................................................... (260,695 ) (260,695 ) ............................ ............................ (¥260,695 ) (¥260,695 ) ............................

Clinical effectiveness research (NA) ...................................... (15,000 ) (15,000 ) (15,000 ) (15,000 ) ............................ ............................ ............................Reducing medical errors (NA) ................................................ (84,000 ) (84,000 ) (84,000 ) (84,000 ) ............................ ............................ ............................

Subtotal, Program level ..................................................... (260,695 ) (260,695 ) (260,695 ) (260,695 ) ............................ ............................ ............................

Medical Expenditures Panel Surveys: 

Federal Funds .................................................................................. ............................ ............................ 55,300 55,300 ∂55,300 ∂55,300 ............................Evaluation Tap funding (NA) .......................................................... (55,300 ) (55,300 ) ............................ ............................ (¥55,300 ) (¥55,300 ) ............................

Program Support: 

Federal Funds .................................................................................. ............................ ............................ 2,700 2,700 ∂2,700 ∂2,700 ............................Evaluation Tap funding (NA) .......................................................... (2,700 ) (2,700 ) ............................ ............................ (¥2,700 ) (¥2,700 ) ............................

Total, AHRQ ................................................................................. ............................ ............................ 318,695 318,695 ∂318,695 ∂318,695 ............................

Evaluation Tap funding (NA) ............................................. (318,695 ) (318,695 ) ............................ ............................ (¥318,695 ) (¥318,695 ) ............................

Total, AHRQ program level ......................................................... (318,695 ) (318,695 ) (318,695 ) (318,695 ) ............................ ............................ ............................Total, Public Health Service appropriation ................................ 44,278,437 43,695,935 44,979,377 45,213,557 ∂935,120 ∂1,517,622 ∂234,180 Total, Public Health Service program level ................................ (44,921,735 ) (44,340,059 ) (45,239,571 ) (45,373,751 ) (∂452,016 ) (∂1,033,692 ) (∂134,180 ) 

CENTERS FOR MEDICARE AND MEDICAID SERVICES 

GRANTS TO STATES FOR MEDICAID 

Medicaid current law benefits ................................................................. 204,166,276 189,499,928 189,499,928 189,499,928 ¥14,666,348 ............................ ............................State and local administration ................................................................ 9,803,100 9,349,700 9,349,700 9,349,700 ¥453,400 ............................ ............................
331 

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

Subtotal, Medicaid program level .............................................. 215,471,709 200,856,073 200,856,073 200,856,073 ¥14,615,636 ............................ ............................

Less funds advanced in prior year ................................... ¥58,517,290 ¥62,783,825 ¥62,783,825 ¥62,783,825 ¥4,266,535 ............................ ............................

Total, Grants to States for medicaid ......................................... 156,954,419 138,072,248 138,072,248 138,072,248 ¥18,882,171 ............................ ............................

New advance, 1st quarter ................................................. 62,783,825 65,257,617 65,257,617 65,257,617 ∂2,473,792 ............................ ............................

PAYMENTS TO HEALTH CARE TRUST FUNDS 

Supplemental medical insurance ............................................................ 128,920,000 139,351,000 139,351,000 139,351,000 ∂10,431,000 ............................ ............................Hospital insurance for the uninsured ...................................................... 202,000 239,000 239,000 239,000 ∂37,000 ............................ ............................Federal uninsured payment ..................................................................... 206,000 229,000 229,000 229,000 ∂23,000 ............................ ............................Program management .............................................................................. 164,000 153,000 153,000 153,000 ¥11,000 ............................ ............................General revenue for Part D benefit ......................................................... 53,596,000 56,574,000 56,574,000 56,574,000 ∂2,978,000 ............................ ............................General revenue for Part D administration ............................................. 677,000 453,391 453,391 453,391 ¥223,609 ............................ ............................HCFAC reimbursement ............................................................................. ............................ 118,404 ............................ ............................ ............................ ¥118,404 ............................Prescription drug eligibility determinations ............................................ 99,100 18,000 18,000 18,000 ¥81,100 ............................ ............................

Subtotal, Payments to Trust Funds, current law ....................... 183,864,100 197,135,795 197,017,391 197,017,391 ∂13,153,291 ¥118,404 ............................

Less funds advanced in prior year ................................... ¥5,216,900 ............................ ............................ ............................ ∂5,216,900 ............................ ............................New Advance Fiscal Year 2008 ......................................... ............................ ............................ ............................ ............................ ............................ ............................ ............................

Total, Payments to Trust Funds, current law ............................ 178,647,200 197,135,795 197,017,391 197,017,391 ∂18,370,191 ¥118,404 ............................

PROGRAM MANAGEMENT 7

Research, Demonstration, Evaluation ...................................................... 57,420 41,528 46,673 57,376 ¥44 ∂15,848 ∂10,703 Medicare Operations 8 .............................................................................. 2,143,242 2,145,208 2,145,208 2,130,208 ¥13,034 ¥15,000 ¥15,000 Revitalization plan ................................................................................... 23,963 22,765 22,765 22,765 ¥1,198 ............................ ............................State Survey and Certification ................................................................. 258,128 283,524 283,524 283,524 ∂25,396 ............................ ............................Federal Administration 8 ........................................................................... 637,065 655,377 655,377 655,377 ∂18,312 ............................ ............................

Total, Program management, Limitation on new BA ................. 3,119,818 3,148,402 3,153,547 3,149,250 ∂29,432 ∂848 ¥4,297 

Survey and Certification user fee (leg prop) .................... ............................ (¥35,000 ) (¥35,000 ) (¥35,000 ) (¥35,000 ) ............................ ............................

Total, Program management, program level ............................. (3,119,818 ) (3,113,402 ) (3,118,547 ) (3,114,250 ) (¥5,568 ) (∂848 ) (¥4,297 ) 

HEALTH CARE FRAUD AND ABUSE CONTROL 

Part D drug benefit/medicare advantage (MIP) ...................................... ............................ 85,634 ............................ ............................ ............................ ¥85,634 ............................HHS Office of Inspector General .............................................................. ............................ 11,336 ............................ ............................ ............................ ¥11,336 ............................Department of Justice .............................................................................. ............................ 11,336 ............................ ............................ ............................ ¥11,336 ............................
332 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

Medicaid and SCHIP financial management ........................................... ............................ 10,098 ............................ ............................ ............................ ¥10,098 ............................

Total, Health Care Fraud and Abuse Control ............................. ............................ 118,404 ............................ ............................ ............................ ¥118,404 ............................Total, Center for Medicare and Medicaid Services .................... 401,505,262 403,732,466 403,500,803 403,496,506 ∂1,991,244 ¥235,960 ¥4,297 

Federal funds ..................................................................... 398,385,444 400,465,660 400,347,256 400,347,256 ∂1,961,812 ¥118,404 ............................

Current year .............................................................. (335,601,619 ) (335,208,043 ) (335,089,639 ) (335,089,639 ) (¥511,980 ) (¥118,404 ) ............................New advance, fiscal year 2008 ................................ (62,783,825 ) (65,257,617 ) (65,257,617 ) (65,257,617 ) (∂2,473,792 ) ............................ ............................

Trust Funds ........................................................................ 3,119,818 3,266,806 3,153,547 3,149,250 ∂29,432 ¥117,556 ¥4,297 

ADMINISTRATION FOR CHILDREN AND FAMILIES 

FAMILY SUPPORT PAYMENTS TO STATES 

Payments to territories ............................................................................. 38,000 38,000 38,000 38,000 ............................ ............................ ............................Repatriation .............................................................................................. 1,000 1,000 1,000 1,300 ∂300 ∂300 ∂300 

Subtotal, Welfare payments ....................................................... 39,000 39,000 39,000 39,300 ∂300 ∂300 ∂300 

Child Support Enforcement: 

State and local administration ....................................................... 3,611,494 3,595,162 3,595,162 3,595,162 ¥16,332 ............................ ............................Federal incentive payments ............................................................ 458,000 471,000 471,000 471,000 ∂13,000 ............................ ............................Access and visitation ...................................................................... 10,000 10,000 10,000 10,000 ............................ ............................ ............................

Subtotal, Child Support Enforcement ......................................... 4,079,494 4,076,162 4,076,162 4,076,162 ¥3,332 ............................ ............................Total, Family support payments program level ......................... 4,118,494 4,115,162 4,115,162 4,115,462 ¥3,032 ∂300 ∂300 

Less funds advanced in previous years ........................... ¥1,200,000 ¥1,200,000 ¥1,200,000 ¥1,200,000 ............................ ............................ ............................

Total, Family support payments, current year ........................... 2,918,494 2,915,162 2,915,162 2,915,462 ¥3,032 ∂300 ∂300 

New advance, 1st quarter, fiscal year 2008 .................... 1,200,000 1,000,000 1,000,000 1,000,000 ¥200,000 ............................ ............................
333 

LOW INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP) 

Formula grants ......................................................................................... 1,979,725 1,782,000 1,930,000 1,980,000 ∂275 ∂198,000 ∂50,000 

Deficit Reduction Act (Public Law 109–171) (NA) ......................... (500,000 ) ............................ ............................ ............................ (¥500,000 ) ............................ ............................

Subtotal, Formula grants ........................................................... 2,479,725 1,782,000 1,930,000 1,980,000 ¥499,725 ∂198,000 ∂50,000 

Contingency fund ..................................................................................... 179,960 ............................ 181,170 181,170 ∂1,210 ∂181,170 ............................

Deficit Reduction Act (Public Law 109–171) (NA) ......................... (500,000 ) ............................ ............................ ............................ (¥500,000 ) ............................ ............................

Subtotal, Contingency fund ................................................... 679,960 ............................ 181,170 181,170 ¥498,790 ∂181,170 ............................

Emergency allocation ............................................................................... ............................ ............................ ............................ ............................ ............................ ............................ ............................

Total, LIHEAP .............................................................................. 2,159,685 1,782,000 2,111,170 2,161,170 ∂1,485 ∂379,170 ∂50,000 Total, LIHEAP, program level ...................................................... 3,159,685 1,782,000 2,111,170 2,161,170 ¥998,515 ∂379,170 ∂50,000 

REFUGEE AND ENTRANT ASSISTANCE 

Transitional and Medical Services ........................................................... 265,365 282,333 282,333 282,333 ∂16,968 ............................ ............................Victims of Trafficking .............................................................................. 9,809 14,816 9,816 9,816 ∂7 ¥5,000 ............................Social Services ......................................................................................... 153,898 149,610 154,004 149,610 ¥4,288 ............................ ¥4,394 Preventive Health ..................................................................................... 4,745 4,748 4,748 4,748 ∂3 ............................ ............................Targeted Assistance ................................................................................. 48,557 48,590 48,590 48,590 ∂33 ............................ ............................Unaccompanied minors ............................................................................ 77,249 105,022 95,022 95,022 ∂17,773 ¥10,000 ............................Victims of Torture .................................................................................... 9,809 9,816 9,816 9,816 ∂7 ............................ ............................

Total, Refugee and entrant assistance ...................................... 569,432 614,935 604,329 599,935 ∂30,503 ¥15,000 ¥4,394 

CHILD CARE AND DEVELOPMENT BLOCK GRANT ..................................... 2,060,664 2,062,081 2,062,081 2,062,081 ∂1,417 ............................ ............................SOCIAL SERVICES BLOCK GRANT (TITLE XX) ........................................... 1,700,000 1,700,000 1,700,000 1,700,000 ............................ ............................ ............................

Supplemental (Public Law 109–148) (emergency) ........................ 550,000 ............................ ............................ ............................ ¥550,000 ............................ ............................

Total, Social services block grant .............................................. 2,250,000 1,700,000 1,700,000 1,700,000 ¥550,000 ............................ ............................

CHILDREN AND FAMILIES SERVICES PROGRAMS 

Programs for Children, Youth and Families: 

Head Start, current funded ............................................................. 5,396,062 5,396,971 5,399,771 5,399,771 ∂3,709 ∂2,800 ............................

Supplemental (Public Law 109–148) (emergency) ............... 90,000 ............................ ............................ ............................ ¥90,000 ............................ ............................Advance from prior year ........................................................ (1,386,000 ) (1,388,800 ) (1,388,800 ) (1,388,800 ) (∂2,800 ) ............................ ............................Fiscal Year 2008 .................................................................... 1,388,800 1,388,800 1,388,800 1,388,800 ............................ ............................ ............................
334 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

Subtotal, Head Start, program level ................................. 6,874,862 6,785,771 6,788,571 6,788,571 ¥86,291 ∂2,800 ............................

Consolidated Runaway, Homeless Youth Program ......................... 87,777 87,837 87,837 87,837 ∂60 ............................ ............................Prevention grants to reduce abuse of runaway youth ................... 15,017 15,027 15,027 15,027 ∂10 ............................ ............................Child Abuse State Grants ............................................................... 26,988 27,007 27,007 27,007 ∂19 ............................ ............................Child Abuse Discretionary Activities ............................................... 25,762 25,780 26,130 27,530 ∂1,768 ∂1,750 ∂1,400 Community based child abuse prevention ..................................... 42,401 42,430 42,430 42,430 ∂29 ............................ ............................Abandoned Infants Assistance ....................................................... 11,827 11,835 11,835 11,835 ∂8 ............................ ............................Child Welfare Services .................................................................... 286,556 286,753 286,753 286,753 ∂197 ............................ ............................Child Welfare Training .................................................................... 7,330 7,335 7,335 7,335 ∂5 ............................ ............................Adoption Opportunities .................................................................... 26,830 26,848 26,848 26,848 ∂18 ............................ ............................Adoption Incentive (no cap adjustment) ........................................ 17,808 29,654 17,820 29,654 ∂11,846 ............................ ∂11,834 Adoption Awareness ........................................................................ 12,665 12,674 12,674 12,674 ∂9 ............................ ............................Compassion Capital Fund ............................................................... 64,306 100,000 54,549 54,549 ¥9,757 ¥45,451 ............................

Social Services and Income Maintenance Research ............................... 5,864 ............................ 14,395 16,123 ∂10,259 ∂16,123 ∂1,728 

Evaluation tap funding ................................................................... (6,000 ) (6,000 ) (6,000 ) (6,000 ) ............................ ............................ ............................

Subtotal, Program level .............................................................. (11,864 ) (6,000 ) (20,395 ) (22,123 ) (∂10,259 ) (∂16,123 ) (∂1,728 ) 

Developmental Disabilities Programs: 

State Councils ................................................................................. 71,771 71,771 71,771 71,771 ............................ ............................ ............................Protection and Advocacy ................................................................. 38,691 38,718 38,718 38,718 ∂27 ............................ ............................Voting access for individuals with disabilities .............................. 15,709 15,720 15,720 15,720 ∂11 ............................ ............................Developmental Disabilities Projects of National Significance ....... 11,357 11,414 11,414 11,414 ∂57 ............................ ............................University Centers for Excellence in Developmental Disabilities ... 33,190 33,212 33,213 35,000 ∂1,810 ∂1,788 ∂1,787 

Subtotal, Developmental disabilities programs ......................... 170,718 170,835 170,836 172,623 ∂1,905 ∂1,788 ∂1,787 

Native American Programs ...................................................................... 44,302 44,332 44,332 44,332 ∂30 ............................ ............................Community Services: 

Grants to States for Community Services ...................................... 629,992 ............................ 449,037 630,425 ∂433 ∂630,425 ∂181,388 
335 

Community Initiative Program: 

Economic Development .......................................................... 32,382 ............................ 27,022 32,404 ∂22 ∂32,404 ∂5,382 Individual Development Account Initiative ............................ 24,435 24,452 24,452 24,452 ∂17 ............................ ............................Rural Community Facilities .................................................... 7,288 ............................ 7,367 7,367 ∂79 ∂7,367 ............................

Subtotal, Community Initiative Program ........................... 64,105 24,452 58,841 64,223 ∂118 ∂39,771 ∂5,382 Subtotal, Community Services ........................................... 694,097 24,452 507,878 694,648 ∂551 ∂670,196 ∂186,770 

Domestic Violence Hotline ........................................................................ 2,968 2,970 2,970 2,970 ∂2 ............................ ............................Family Violence/Battered Women’s Shelters ............................................ 124,645 124,731 124,731 124,731 ∂86 ............................ ............................Mentoring Children of Prisoners .............................................................. 49,459 40,000 40,000 40,000 ¥9,459 ............................ ............................Independent Living Training Vouchers .................................................... 46,125 46,157 46,157 46,157 ∂32 ............................ ............................Abstinence Education ............................................................................... 108,825 136,665 108,900 108,900 ∂75 ¥27,765 ............................

Evaluation Tap Funding .................................................................. (4,500 ) (4,500 ) (4,500 ) (4,500 ) ............................ ............................ ............................

Subtotal, Program level .............................................................. (113,325 ) (141,165 ) (113,400 ) (113,400 ) (∂75 ) (¥27,765 ) ............................

Faith-Based Center .................................................................................. 1,385 1,386 1,386 1,386 ∂1 ............................ ............................Program Direction .................................................................................... 183,239 188,123 186,265 186,265 ∂3,026 ¥1,858 ............................

Total, Children and Families Services Programs ....................... 8,931,756 8,238,602 8,652,666 8,856,185 ¥75,571 ∂617,583 ∂203,519 

Current Year ...................................................................... (7,542,956 ) (6,849,802 ) (7,263,866 ) (7,467,385 ) (¥75,571 ) (∂617,583 ) (∂203,519 ) 

Emergency appropriations ........................................ (90,000 ) ............................ ............................ ............................ (¥90,000 ) ............................ ............................

Fiscal Year 2008 ............................................................... (1,388,800 ) (1,388,800 ) (1,388,800 ) (1,388,800 ) ............................ ............................ ............................Evaluation Tap funding ..................................................... (10,500 ) (10,500 ) (10,500 ) (10,500 ) ............................ ............................ ............................

Total, Program level ................................................................... 8,942,256 8,249,102 8,663,166 8,866,685 ¥75,571 ∂617,583 ∂203,519 

PROMOTING SAFE AND STABLE FAMILIES 9 .............................................. 305,000 345,000 345,000 345,000 ∂40,000 ............................ ............................

Discretionary Funds ......................................................................... 89,039 89,100 89,100 75,000 ¥14,039 ¥14,100 ¥14,100 

PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION 

Foster Care ............................................................................................... 4,685,000 4,757,000 4,757,000 4,757,000 ∂72,000 ............................ ............................Adoption Assistance ................................................................................. 1,883,000 2,044,000 2,044,000 2,044,000 ∂161,000 ............................ ............................Independent living ................................................................................... 140,000 140,000 140,000 140,000 ............................ ............................ ............................

Total, Payments to States .......................................................... 6,708,000 6,941,000 6,941,000 6,941,000 ∂233,000 ............................ ............................

Less Advances from Prior Year ......................................... ¥1,767,200 ¥1,730,000 ¥1,730,000 ¥1,730,000 ∂37,200 ............................ ............................

Total, payments, current year .................................................... 4,940,800 5,211,000 5,211,000 5,211,000 ∂270,200 ............................ ............................
336 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

New Advance, 1st quarter ................................................. 1,730,000 1,810,000 1,810,000 1,810,000 ∂80,000 ............................ ............................

Total, Administration for Children and Families ....................... 27,154,870 25,767,880 26,500,508 26,735,833 ¥419,037 ∂967,953 ∂235,325 

Current year ....................................................................... (22,836,070 ) (21,569,080 ) (22,301,708 ) (22,537,033 ) (¥299,037 ) (∂967,953 ) (∂235,325 ) 

Emergency appropriations ........................................ (640,000 ) ............................ ............................ ............................ (¥640,000 ) ............................ ............................

Fiscal Year 2008 ............................................................... (4,318,800 ) (4,198,800 ) (4,198,800 ) (4,198,800 ) (¥120,000 ) ............................ ............................Evaluation Tap funding ..................................................... (10,500 ) (10,500 ) (10,500 ) (10,500 ) ............................ ............................ ............................

Total, Administration for Children and Families ....................... 27,165,370 25,778,380 26,511,008 26,746,333 ¥419,037 ∂967,953 ∂235,325 

ADMINISTRATION ON AGING 

Grants to States: 

Supportive Services and Centers .................................................... 350,354 350,595 350,595 350,595 ∂241 ............................ ............................Preventive Health ............................................................................ 21,385 ............................ 21,400 21,400 ∂15 ∂21,400 ............................Protection of Vulnerable Older Americans—Title VII ..................... 20,142 19,166 20,156 21,156 ∂1,014 ∂1,990 ∂1,000 Family Caregivers ............................................................................ 156,060 154,187 156,167 156,167 ∂107 ∂1,980 ............................Native American Caregivers Support .............................................. 6,237 6,241 6,241 6,241 ∂4 ............................ ............................

Subtotal, Caregivers ................................................................... 162,297 160,428 162,408 162,408 ∂111 ∂1,980 ............................

Nutrition: 

Congregate Meals .................................................................. 385,054 383,401 389,211 385,319 ∂265 ∂1,918 ¥3,892 Home Delivered Meals ............................................................ 181,781 180,998 183,742 181,905 ∂124 ∂907 ¥1,837 Nutrition Services Incentive Program .................................... 147,744 147,110 149,339 147,846 ∂102 ∂736 ¥1,493 

Subtotal, Nutrition ............................................................. 714,579 711,509 722,292 715,070 ∂491 ∂3,561 ¥7,222 Subtotal, Grants to States ................................................ 1,268,757 1,241,698 1,276,851 1,270,629 ∂1,872 ∂28,931 ¥6,222 

Grants for Native Americans ................................................................... 26,116 26,134 26,134 26,134 ∂18 ............................ ............................Program Innovations ................................................................................ 24,578 35,485 44,135 40,235 ∂15,657 ∂4,750 ¥3,900 Aging Network Support Activities ............................................................ 13,124 13,133 13,133 13,133 ∂9 ............................ ............................
337 

Alzheimer’s Disease Demonstrations ....................................................... 11,660 ............................ 11,668 12,000 ∂340 ∂12,000 ∂332 Program Administration ........................................................................... 17,688 18,385 18,385 18,385 ∂697 ............................ ............................

Total, Administration on Aging .................................................. 1,361,923 1,334,835 1,390,306 1,380,516 ∂18,593 ∂45,681 ¥9,790 

OFFICE OF THE SECRETARY 

GENERAL DEPARTMENTAL MANAGEMENT: 

Federal Funds .................................................................................. 177,180 197,165 194,700 199,346 ∂22,166 ∂2,181 ∂4,646 Trust Funds ..................................................................................... 5,792 5,851 5,792 5,851 ∂59 ............................ ∂59 

Subtotal ...................................................................................... 182,972 203,016 200,492 205,197 ∂22,225 ∂2,181 ∂4,705 

Adolescent Family Life (Title XX) .................................................... 30,256 30,372 30,277 30,277 ∂21 ¥95 ............................Minority health ................................................................................ 56,455 46,775 46,775 57,325 ∂870 ∂10,550 ∂10,550 Office of Women’s Health ............................................................... 28,245 28,369 28,265 28,869 ∂624 ∂500 ∂604 Minority HIV/AIDS ............................................................................ 51,855 51,891 51,891 51,891 ∂36 ............................ ............................Afghanistan ..................................................................................... 5,888 6,016 5,892 6,016 ∂128 ............................ ∂124 Embryo adoption awareness campaign .......................................... 1,979 1,980 ............................ 2,000 ∂21 ∂20 ∂2,000 Evaluation tap funding (ASPE) (NA) ............................................... (39,552 ) (39,552 ) (39,552 ) (39,552 ) ............................ ............................ ............................

Total, General Departmental Management ................................ 357,650 368,419 363,592 381,575 ∂23,925 ∂13,156 ∂17,983 

Federal Funds .................................................................... 351,858 362,568 357,800 375,724 ∂23,866 ∂13,156 ∂17,924 Trust Funds ........................................................................ 5,792 5,851 5,792 5,851 ∂59 ............................ ∂59 Evaluation tap funding ..................................................... (39,552 ) (39,552 ) (39,552 ) (39,552 ) ............................ ............................ ............................

OFFICE OF MEDICARE HEARINGS AND APPEALS ...................................... 59,359 74,250 70,000 70,000 ∂10,641 ¥4,250 ............................OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION 

TECHNOLOGY 10 .................................................................................... 42,343 87,872 86,070 51,313 ∂8,970 ¥36,559 ¥34,757 

Evaluation tap funding ................................................................... (18,900 ) (28,000 ) (11,930 ) (11,930 ) (¥6,970 ) (¥16,070 ) ............................

Total, Health Information Tech. program level .......................... (61,243 ) (115,872 ) (98,000 ) (63,243 ) (∂2,000 ) (¥52,629 ) (¥34,757 ) 

OFFICE OF THE INSPECTOR GENERAL: 

Federal Funds .................................................................................. 39,388 43,760 41,415 43,760 ∂4,372 ............................ ∂2,345 

HIPAA funding (NA) ................................................................ (160,000 ) (160,000 ) (160,000 ) (160,000 ) ............................ ............................ ............................

Medicaid integrity program: Deficit Reduction Act (Public Law 109– 

171) (NA) ............................................................................................. (25,000 ) (25,000 ) (25,000 ) (25,000 ) ............................ ............................ ............................

Total, Inspector General program level ...................................... (224,388 ) (228,760 ) (226,415 ) (228,760 ) (∂4,372 ) ............................ (∂2,345 ) 
338 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

OFFICE FOR CIVIL RIGHTS: 

Federal Funds .................................................................................. 31,341 32,969 32,969 32,969 ∂1,628 ............................ ............................Trust Funds ..................................................................................... 3,281 3,314 3,314 3,314 ∂33 ............................ ............................

Total, Office for Civil Rights ...................................................... 34,622 36,283 36,283 36,283 ∂1,661 ............................ ............................

MEDICAL BENEFITS FOR COMMISSIONED OFFICERS: 

Retirement payments ...................................................................... 256,193 266,441 266,441 266,441 ∂10,248 ............................ ............................Survivors benefits ........................................................................... 15,600 16,224 16,224 16,224 ∂624 ............................ ............................Dependents’ medical care .............................................................. 56,759 59,029 59,029 59,029 ∂2,270 ............................ ............................

Total,Medical benefits for Commissioned Officers .................... 328,552 341,694 341,694 341,694 ∂13,142 ............................ ............................

PUBLIC HEALTH AND SOCIAL SERVICE EMERGENCY FUND 

HRSA homeland security activities 5 ........................................................ ............................ ............................ ............................ ............................ ............................ ............................ ............................CDC homeland security activities 5 ......................................................... ............................ ............................ ............................ ............................ ............................ ............................ ............................NIH homeland security activities 5 ........................................................... ............................ ............................ ............................ ............................ ............................ ............................ ............................Office of the Secretary homeland security activities .............................. 59,984 81,595 81,595 88,027 ∂28,043 ∂6,432 ∂6,432 Other PHSSEF homeland security activities ............................................ ............................ ............................ ............................ ............................ ............................ ............................ ............................Pandemic influenza preparedness ........................................................... ............................ 78,880 78,880 78,880 ∂78,880 ............................ ............................

Supplemental (Public Law 109–148) (emergency) ........................ 3,082,000 ............................ ............................ ............................ ¥3,082,000 ............................ ............................Supplemental (Public Law 109–234) (emergency) ........................ 2,300,000 ............................ ............................ ............................ ¥2,300,000 ............................ ............................

Total, PHSSEF ............................................................................. 5,441,984 160,475 160,475 166,907 ¥5,275,077 ∂6,432 ∂6,432 Total, Office of the Secretary ..................................................... 6,303,898 1,112,753 1,099,529 1,091,532 ¥5,212,366 ¥21,221 ¥7,997 

Federal Funds .................................................................... 6,235,466 1,029,338 1,020,423 1,012,367 ¥5,223,099 ¥16,971 ¥8,056 

Emergency appropriations ........................................ 5,382,000 ............................ ............................ ............................ ¥5,382,000 ............................ ............................

Trust Funds ........................................................................ 68,432 83,415 79,106 79,165 ∂10,733 ¥4,250 ∂59 

Total, Title II, Dept of Health and Human Services .................. 480,604,390 475,643,869 477,470,523 477,917,944 ¥2,686,446 ∂2,274,075 ∂447,421 

Federal Funds .................................................................... 477,416,140 472,293,648 474,237,870 474,689,529 ¥2,726,611 ∂2,395,881 ∂451,659 
339 

Current year .............................................................. (410,313,515 ) (402,837,231 ) (404,781,453 ) (405,233,112 ) (¥5,080,403 ) (∂2,395,881 ) (∂451,659 ) 

Emergency appropriations ............................... (6,337,000 ) ............................ ............................ ............................ (¥6,337,000 ) ............................ ............................

Fiscal Year 2008 ...................................................... (67,102,625 ) (69,456,417 ) (69,456,417 ) (69,456,417 ) (∂2,353,792 ) ............................ ............................

Trust Funds ........................................................................ 3,188,250 3,350,221 3,232,653 3,228,415 ∂40,165 ¥121,806 ¥4,238 

TITLE III—DEPARTMENT OF EDUCATION 

EDUCATION FOR THE DISADVANTAGED 

Grants to Local Educational Agencies (LEAs): 

Basic Grants: 

Advance from prior year ........................................................ (1,383,584 ) (1,478,584 ) (1,478,584 ) (1,478,584 ) (∂95,000 ) ............................ ............................Forward funded ...................................................................... 5,326,387 5,326,352 5,326,352 5,326,352 ¥35 ............................ ............................Current funded ....................................................................... 3,437 3,472 3,472 3,472 ∂35 ............................ ............................

Subtotal, Basic grants current year approp ..................... 5,329,824 5,329,824 5,329,824 5,329,824 ............................ ............................ ............................Subtotal, Basic grants total funds available ................... (6,713,408 ) (6,808,408 ) (6,808,408 ) (6,808,408 ) (∂95,000 ) ............................ ............................

Basic Grants Fiscal Year 2008 Advance ........................................ 1,478,584 1,478,584 1,478,584 1,478,584 ............................ ............................ ............................

Subtotal, Basic grants, program level ....................................... 6,808,408 6,808,408 6,808,408 6,808,408 ............................ ............................ ............................

Concentration Grants: 

Advance from prior year ........................................................ (1,365,031 ) (1,365,031 ) (1,365,031 ) (1,365,031 ) ............................ ............................ ............................Fiscal Year 2008 Advance ..................................................... 1,365,031 1,365,031 1,365,031 1,365,031 ............................ ............................ ............................

Subtotal, Concentration Grants program level .......................... 1,365,031 1,365,031 1,365,031 1,365,031 ............................ ............................ ............................

Targeted Grants: 

Advance from prior year ........................................................ (2,219,843 ) (2,269,843 ) (2,269,843 ) (2,269,843 ) (∂50,000 ) ............................ ............................Fiscal Year 2008 Advance ..................................................... 2,269,843 2,269,843 2,269,843 2,269,843 ............................ ............................ ............................

Subtotal, Targeted Grants program level .......................... 2,269,843 2,269,843 2,269,843 2,269,843 ............................ ............................ ............................

Education Finance Incentive Grants: 

Advance from prior year ........................................................ (2,219,843 ) (2,269,843 ) (2,269,843 ) (2,269,843 ) (∂50,000 ) ............................ ............................Fiscal Year 2008 Advance ..................................................... 2,269,843 2,269,843 2,269,843 2,269,843 ............................ ............................ ............................

Subtotal, Education Finance Incentive Grants .................. 2,269,843 2,269,843 2,269,843 2,269,843 ............................ ............................ ............................Subtotal, Grants to LEAs, program level .......................... 12,713,125 12,713,125 12,713,125 12,713,125 ............................ ............................ ............................

Even Start ................................................................................................ 99,000 ............................ 70,000 ............................ ¥99,000 ............................ ¥70,000 School improvement grants ..................................................................... ............................ 200,000 200,000 100,000 ∂100,000 ¥100,000 ¥100,000 
340 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

Reading First: 

State Grants (forward funded) ....................................................... 1,029,234 1,029,234 1,029,234 1,000,000 ¥29,234 ¥29,234 ¥29,234 Advance from prior year ................................................................. (195,000 ) ............................ ............................ ............................ (¥195,000 ) ............................ ............................

Subtotal, Reading First State Grants ......................................... 1,029,234 1,029,234 1,029,234 1,000,000 ¥29,234 ¥29,234 ¥29,234 

Early Reading First .................................................................................. 103,118 103,118 103,118 100,000 ¥3,118 ¥3,118 ¥3,118 Striving readers ........................................................................................ 29,700 100,000 35,000 35,000 ∂5,300 ¥65,000 ............................Math Now for elementary school students .............................................. ............................ 125,000 ............................ ............................ ............................ ¥125,000 ............................Math Now for middle school students .................................................... ............................ 125,000 ............................ ............................ ............................ ¥125,000 ............................Literacy through School Libraries ............................................................ 19,486 19,486 19,486 19,486 ............................ ............................ ............................High School reform .................................................................................. ............................ 1,475,000 ............................ ............................ ............................ ¥1,475,000 ............................America’s opportunity scholarships for kids ........................................... ............................ 100,000 ............................ ............................ ............................ ¥100,000 ............................State Agency Programs: 

Migrant ............................................................................................ 386,524 386,524 386,524 386,524 ............................ ............................ ............................Neglected and Delinquent/High Risk Youth ................................... 49,797 49,797 49,797 49,797 ............................ ............................ ............................

Subtotal, State Agency programs ............................................... 436,321 436,321 436,321 436,321 ............................ ............................ ............................

Evaluation ................................................................................................ 9,330 9,330 9,330 9,330 ............................ ............................ ............................Comprehensive School Reform Demonstration ........................................ 7,920 ............................ 3,000 ............................ ¥7,920 ............................ ¥3,000 Migrant Education:.

High School Equivalency Program .................................................. 18,550 18,550 18,550 18,550 ............................ ............................ ............................College Assistance Migrant Program .............................................. 15,377 15,377 15,377 15,377 ............................ ............................ ............................

Subtotal, Migrant Education ...................................................... 33,927 33,927 33,927 33,927 ............................ ............................ ............................Total, Education for the disadvantaged .................................... 14,481,161 16,469,541 14,652,541 14,447,189 ¥33,972 ¥2,022,352 ¥205,352 

Current Year ...................................................................... (7,097,860 ) (9,086,240 ) (7,269,240 ) (7,063,888 ) (¥33,972 ) (¥2,022,352 ) (¥205,352 ) Fiscal Year 2008 ............................................................... (7,383,301 ) (7,383,301 ) (7,383,301 ) (7,383,301 ) ............................ ............................ ............................

Subtotal, forward funded ........................................................... (6,928,562 ) (8,566,907 ) (7,099,907 ) (6,897,673 ) (¥30,889 ) (¥1,669,234 ) (¥202,234 ) 
341 

IMPACT AID 

Basic Support Payments .......................................................................... 1,091,867 1,091,867 1,091,867 1,091,867 ............................ ............................ ............................Payments for Children with Disabilities .................................................. 49,466 49,466 49,466 49,466 ............................ ............................ ............................Facilities Maintenance (Sec. 8008) ......................................................... 4,950 4,950 4,950 4,950 ............................ ............................ ............................Construction (Sec. 8007) ......................................................................... 17,820 17,820 17,820 17,820 ............................ ............................ ............................Payments for Federal Property (Sec. 8002) ............................................. 64,350 64,350 64,350 64,350 ............................ ............................ ............................

Total, Impact aid ........................................................................ 1,228,453 1,228,453 1,228,453 1,228,453 ............................ ............................ ............................

SCHOOL IMPROVEMENT PROGRAMS 

State Grants for Improving Teacher Quality ............................................ 1,452,439 1,452,439 1,302,000 1,312,439 ¥140,000 ¥140,000 ∂10,439 

Advance from prior year ................................................................. (1,435,000 ) (1,435,000 ) (1,435,000 ) (1,435,000 ) ............................ ............................ ............................Fiscal Year 2008 ............................................................................. 1,435,000 1,435,000 1,285,000 1,435,000 ............................ ............................ ∂150,000 

Subtotal, State Grants for Improving Teacher Quality, program 

level ........................................................................................ (2,887,439 ) (2,887,439 ) (2,587,000 ) (2,747,439 ) (¥140,000 ) (¥140,000 ) (∂160,439 ) 

Early Childhood Educator Professional Development .............................. 14,549 14,549 14,549 14,549 ............................ ............................ ............................Mathematics and Science Partnerships .................................................. 182,160 182,160 225,000 195,000 ∂12,840 ∂12,840 ¥30,000 State Grants for Innovative Education (Education Block Grant) ............ 99,000 99,000 150,000 ............................ ¥99,000 ¥99,000 ¥150,000 Educational Technology State Grants ...................................................... 272,250 ............................ ............................ 272,250 ............................ ∂272,250 ∂272,250 Supplemental Education Grants .............................................................. 18,001 18,001 18,001 18,824 ∂823 ∂823 ∂823 21st Century Community Learning Centers ............................................. 981,166 981,166 981,166 981,166 ............................ ............................ ............................State Assessments/Enhanced Assessment Instruments ......................... 407,563 407,563 407,563 407,563 ............................ ............................ ............................Javits gifted and talented education ...................................................... 9,596 ............................ ............................ 5,025 ¥4,571 ∂5,025 ∂5,025 Foreign language assistance ................................................................... 21,780 23,780 21,780 26,152 ∂4,372 ∂2,372 ∂4,372 Education for Homeless Children and Youth .......................................... 61,871 61,871 61,871 61,871 ............................ ............................ ............................Training and Advisory Services (Civil Rights) ......................................... 7,113 7,113 7,113 7,113 ............................ ............................ ............................Education for Native Hawaiians .............................................................. 33,907 31,433 31,433 33,908 ∂1 ∂2,475 ∂2,475 Alaska Native Education Equity ............................................................... 33,907 33,908 33,908 33,908 ∂1 ............................ ............................Rural Education ....................................................................................... 168,918 168,918 168,918 168,918 ............................ ............................ ............................Comprehensive Centers ............................................................................ 56,257 56,257 56,257 56,257 ............................ ............................ ............................

Total, School improvement programs ......................................... 5,255,477 4,973,158 4,764,559 5,029,943 ¥225,534 ∂56,785 ∂265,384 

Current Year ...................................................................... (3,820,477 ) (3,538,158 ) (3,479,559 ) (3,594,943 ) (¥225,534 ) (∂56,785 ) (∂115,384 ) Fiscal Year 2008 ............................................................... (1,435,000 ) (1,435,000 ) (1,285,000 ) (1,435,000 ) ............................ ............................ (∂150,000 ) 

Subtotal, forward funded ........................................................... (3,625,367 ) (3,353,117 ) (3,296,518 ) (3,399,207 ) (¥226,160 ) (∂46,090 ) (∂102,689 ) 

INDIAN EDUCATION 

Grants to Local Educational Agencies ..................................................... 95,331 95,331 95,331 95,331 ............................ ............................ ............................
342 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

Federal Programs: 

Special Programs for Indian Children ............................................ 19,399 19,399 19,399 19,399 ............................ ............................ ............................National Activities ........................................................................... 3,960 3,960 3,960 3,960 ............................ ............................ ............................

Subtotal, Federal Programs ........................................................ 23,359 23,359 23,359 23,359 ............................ ............................ ............................Total, Indian Education .............................................................. 118,690 118,690 118,690 118,690 ............................ ............................ ............................

INNOVATION AND IMPROVEMENT 

Troops-to-Teachers ................................................................................... 14,645 14,645 14,645 14,645 ............................ ............................ ............................Transition to Teaching ............................................................................. 44,484 44,484 44,484 44,484 ............................ ............................ ............................National Writing Project ........................................................................... 21,532 ............................ 21,532 25,000 ∂3,468 ∂25,000 ∂3,468 Teaching of Traditional American History ............................................... 119,790 50,000 50,000 121,000 ∂1,210 ∂71,000 ∂71,000 School Leadership .................................................................................... 14,731 ............................ 14,731 14,731 ............................ ∂14,731 ............................Advanced Credentialing ........................................................................... 16,695 8,000 18,695 18,695 ∂2,000 ∂10,695 ............................Charter Schools Grants ............................................................................ 214,782 214,782 214,782 214,782 ............................ ............................ ............................Credit Enhancement for Charter School Facilities .................................. 36,611 36,611 36,611 ............................ ¥36,611 ¥36,611 ¥36,611 Voluntary Public School Choice ............................................................... 26,278 26,278 26,278 26,278 ............................ ............................ ............................Magnet Schools Assistance ..................................................................... 106,693 106,693 106,693 106,693 ............................ ............................ ............................Fund for the Improvement of Education (FIE) ......................................... 158,510 104,043 183,962 238,879 ∂80,369 ∂134,836 ∂54,917 Teacher Incentive Fund, Current funded ................................................. 4,950 4,950 4,950 4,950 ............................ ............................ ............................Teacher Incentive Fund, Forward funded ................................................ 94,050 94,050 94,050 94,050 ............................ ............................ ............................Ready-to-Learn television ........................................................................ 24,255 24,255 ............................ 24,255 ............................ ............................ ∂24,255 Dropout Prevention Programs .................................................................. 4,851 ............................ ............................ ............................ ¥4,851 ............................ ............................Close Up Fellowships ............................................................................... 1,454 ............................ ............................ 1,500 ∂46 ∂1,500 ∂1,500 Advanced Placement ................................................................................ 32,175 122,175 80,000 40,000 ∂7,825 ¥82,175 ¥40,000 

Total, Innovation and Improvement ........................................... 936,486 850,966 911,413 989,942 ∂53,456 ∂138,976 ∂78,529 Subtotal, Forward funded ........................................................... (94,050 ) (94,050 ) (94,050 ) (94,050 ) ............................ ............................ ............................
343 

SAFE SCHOOLS AND CITIZENSHIP EDUCATION 

Safe and Drug Free Schools and Communities: State Grants, forward 

funded .................................................................................................. 346,500 ............................ 310,000 310,000 ¥36,500 ∂310,000 ............................

National Programs ................................................................................... 141,112 196,992 196,992 131,112 ¥10,000 ¥65,880 ¥65,880 Alcohol Abuse Reduction .......................................................................... 32,409 ............................ ............................ 32,409 ............................ ∂32,409 ∂32,409 Mentoring Programs ................................................................................. 48,814 19,000 19,000 19,000 ¥29,814 ............................ ............................Character education ................................................................................. 24,248 24,248 24,248 24,248 ............................ ............................ ............................Elementary and Secondary School Counseling ........................................ 34,650 ............................ 22,000 34,650 ............................ ∂34,650 ∂12,650 Carol M. White Physical Education Program ........................................... 72,674 26,387 26,387 72,674 ............................ ∂46,287 ∂46,287 Civic Education ........................................................................................ 29,111 ............................ 25,000 29,111 ............................ ∂29,111 ∂4,111 

Total, Safe Schools and Citizenship Education ......................... 729,518 266,627 623,627 653,204 ¥76,314 ∂386,577 ∂29,577 

Current Year ...................................................................... (729,518 ) (266,627 ) (623,627 ) (653,204 ) (¥76,314 ) (∂386,577 ) (∂29,577 ) 

Subtotal, Forward funded ........................................................... (346,500 ) ............................ (310,000 ) (310,000 ) (¥36,500 ) (∂310,000 ) ............................

ENGLISH LANGUAGE ACQUISITION 

Current funded ......................................................................................... 43,486 43,485 43,485 43,485 ¥1 ............................ ............................Forward funded ........................................................................................ 625,522 625,522 625,522 625,522 ............................ ............................ ............................

Total, English Language Acquisition .......................................... 669,008 669,007 669,007 669,007 ¥1 ............................ ............................

SPECIAL EDUCATION 

State Grants: 

Grants to States Part B current year ............................................. 5,158,761 4,467,761 4,708,907 5,158,761 ............................ ∂691,000 ∂449,854 

Part B advance from prior year ............................................. (5,413,000 ) (5,424,200 ) (5,424,200 ) (5,424,200 ) (∂11,200 ) ............................ ............................

Grants to States Part B (Fiscal Year 2008) ................................... 5,424,200 6,215,200 6,024,200 5,424,200 ............................ ¥791,000 ¥600,000 

Subtotal, Grants to States, program level ................................. 10,582,961 10,682,961 10,733,107 10,582,961 ............................ ¥100,000 ¥150,146 

Preschool Grants ............................................................................. 380,751 380,751 380,751 380,751 ............................ ............................ ............................Grants for Infants and Families ..................................................... 436,400 436,400 436,400 436,400 ............................ ............................ ............................

Subtotal, State grants, program level ....................................... 11,400,112 11,500,112 11,550,258 11,400,112 ............................ ¥100,000 ¥150,146 

IDEA National Activities (current funded): 

State Personnel Development ......................................................... 50,146 ............................ ............................ ............................ ¥50,146 ............................ ............................Special Education-Voc Rehab transition initiative ......................... ............................ 2,000 ............................ 2,000 ∂2,000 ............................ ∂2,000 Technical Assistance and Dissemination ....................................... 48,903 48,903 48,903 48,903 ............................ ............................ ............................Personnel Preparation ..................................................................... 89,720 89,720 89,720 89,720 ............................ ............................ ............................Parent Information Centers ............................................................. 25,704 25,704 25,704 25,704 ............................ ............................ ............................
344 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

Technology and Media Services ...................................................... 38,428 31,063 38,428 38,428 ............................ ∂7,365 ............................

Subtotal, IDEA special programs ............................................... 252,901 197,390 202,755 204,755 ¥48,146 ∂7,365 ∂2,000 

Special Olympics Education programs .................................................... ............................ ............................ ............................ 5,500 ∂5,500 ∂5,500 ∂5,500 

Total, Special education ............................................................. 11,653,013 11,697,502 11,753,013 11,610,367 ¥42,646 ¥87,135 ¥142,646 

Current Year ...................................................................... (6,228,813 ) (5,482,302 ) (5,728,813 ) (6,186,167 ) (¥42,646 ) (∂703,865 ) (∂457,354 ) Fiscal Year 2008 ............................................................... (5,424,200 ) (6,215,200 ) (6,024,200 ) (5,424,200 ) ............................ (¥791,000 ) (¥600,000 ) 

Subtotal, Forward funded ........................................................... (6,026,058 ) (5,284,912 ) (5,526,058 ) (5,975,912 ) (¥50,146 ) (∂691,000 ) (∂449,854 ) 

REHABILITATION SERVICES AND DISABILITY RESEARCH 

Vocational Rehabilitation State Grants ................................................... 2,720,192 2,837,160 2,837,160 2,837,160 ∂116,968 ............................ ............................Client Assistance State grants ................................................................ 11,782 11,782 11,782 11,782 ............................ ............................ ............................Training .................................................................................................... 38,438 38,438 38,438 38,438 ............................ ............................ ............................Demonstration and training programs .................................................... 6,511 6,511 8,246 12,603 ∂6,092 ∂6,092 ∂4,357 Migrant and seasonal farmworkers ......................................................... 2,279 ............................ 2,279 2,279 ............................ ∂2,279 ............................Recreational programs ............................................................................. 2,518 ............................ 2,518 2,518 ............................ ∂2,518 ............................Protection and advocacy of individual rights (PAIR) .............................. 16,489 16,489 16,489 16,489 ............................ ............................ ............................Projects with industry .............................................................................. 19,538 ............................ 19,538 19,246 ¥292 ∂19,246 ¥292 Supported employment State grants ....................................................... 29,700 ............................ 29,700 29,700 ............................ ∂29,700 ............................Independent living: 

State grants .................................................................................... 22,588 22,588 22,588 22,588 ............................ ............................ ............................Centers ............................................................................................ 74,638 74,638 74,638 74,638 ............................ ............................ ............................Services for older blind individuals ................................................ 32,895 32,895 32,895 32,895 ............................ ............................ ............................

Subtotal, Independent living ...................................................... 130,121 130,121 130,121 130,121 ............................ ............................ ............................

Program Improvement .............................................................................. 835 835 835 835 ............................ ............................ ............................Evaluation ................................................................................................ 1,473 1,473 1,473 1,473 ............................ ............................ ............................Helen Keller National Center for Deaf/Blind Youth and Adults .............. 8,511 8,511 8,511 8,511 ............................ ............................ ............................National Inst. Disability and Rehab. Research (NIDRR) ......................... 106,705 106,705 106,705 106,705 ............................ ............................ ............................
345 

Assistive Technology ................................................................................ 30,452 22,389 30,452 30,452 ............................ ∂8,063 ............................

Subtotal, discretionary programs ............................................... 405,352 343,254 407,087 411,152 ∂5,800 ∂67,898 ∂4,065 Total, Rehabilitation services ..................................................... 3,125,544 3,180,414 3,244,247 3,248,312 ∂122,768 ∂67,898 ∂4,065 

SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES 

AMERICAN PRINTING HOUSE FOR THE BLIND .......................................... 17,572 17,573 18,000 20,000 ∂2,428 ∂2,427 ∂2,000 NATIONAL TECHNICAL INSTITUTE FOR THE DEAF (NTID): 

Operations ....................................................................................... 55,349 55,349 57,000 57,500 ∂2,151 ∂2,151 ∂500 Construction .................................................................................... 792 ............................ ............................ ............................ ¥792 ............................ ............................

Total, NTID .................................................................................. 56,141 55,349 57,000 57,500 ∂1,359 ∂2,151 ∂500 

GALLAUDET UNIVERSITY: 

Operations ....................................................................................... 106,998 106,998 110,500 110,500 ∂3,502 ∂3,502 ............................Evaluation ....................................................................................... ............................ 600 ............................ ............................ ............................ ¥600 ............................

Total, Gallaudet .......................................................................... 106,998 107,598 110,500 110,500 ∂3,502 ∂2,902 ............................Total, Special Institutions for Persons with Disabilities ........... 180,711 180,520 185,500 188,000 ∂7,289 ∂7,480 ∂2,500 

VOCATIONAL AND ADULT EDUCATION 

Vocational Education: 

Basic State Grants/Secondary and Technical Education: 

State Grants, current funded ................................................. 391,388 ............................ 391,388 391,388 ............................ ∂391,388 ............................Advance from prior year ........................................................ (791,000 ) (791,000 ) (791,000 ) (791,000 ) ............................ ............................ ............................Fiscal Year 2008 .................................................................... 791,000 ............................ 791,000 791,000 ............................ ∂791,000 ............................

Subtotal, Basic State Grants, program level .................... 1,182,388 ............................ 1,182,388 1,182,388 ............................ ∂1,182,388 ............................

Tech-Prep Education State Grants ................................................. 104,754 ............................ 104,754 104,754 ............................ ∂104,754 ............................National Programs .......................................................................... 9,164 ............................ 9,164 9,164 ............................ ∂9,164 ............................

Subtotal, Vocational Education .................................................. 1,296,306 ............................ 1,296,306 1,296,306 ............................ ∂1,296,306 ............................

Adult Education: 

State Grants/Adult basic and literacy education: State Grants, 

current funded ............................................................................ 563,975 563,975 563,975 563,975 ............................ ............................ ............................

National Programs: 

National Leadership Activities ............................................... 9,005 9,005 9,005 9,005 ............................ ............................ ............................
346 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

National Institute for Literacy ................................................ 6,572 6,572 6,572 6,572 ............................ ............................ ............................

Subtotal, National programs ............................................. 15,577 15,577 15,577 15,577 ............................ ............................ ............................Subtotal, Adult education .................................................. 579,552 579,552 579,552 579,552 ............................ ............................ ............................

Smaller Learning Communities, current funded ..................................... 4,677 ............................ 2,500 ............................ ¥4,677 ............................ ¥2,500 Smaller Learning Communities, forward funded ..................................... 88,854 ............................ 47,500 ............................ ¥88,854 ............................ ¥47,500 State Grants for Incarcerated Youth Offenders ....................................... 22,770 ............................ ............................ 24,000 ∂1,230 ∂24,000 ∂24,000 

Total, Vocational and adult education ....................................... 1,992,159 579,552 1,925,858 1,899,858 ¥92,301 ∂1,320,306 ¥26,000 

Current Year ...................................................................... (1,201,159 ) (579,552 ) (1,134,858 ) (1,108,858 ) (¥92,301 ) (∂529,306 ) (¥26,000 ) Fiscal Year 2008 ............................................................... (791,000 ) ............................ (791,000 ) (791,000 ) ............................ (∂791,000 ) ............................

Subtotal, forward funded ........................................................... (1,196,482 ) (579,552 ) (1,132,358 ) (1,108,858 ) (¥87,624 ) (∂529,306 ) (¥23,500 ) 

STUDENT FINANCIAL ASSISTANCE 

Pell Grants maximum grant (NA) ............................................................ (4,050 ) (4,050 ) (4,150 ) (4,050 ) ............................ ............................ (¥100 ) Pell Grants ............................................................................................... 13,045,230 12,659,713 13,009,000 12,606,713 ¥438,517 ¥53,000 ¥402,287 Federal Supplemental Educational Opportunity Grants .......................... 770,933 770,933 770,933 770,933 ............................ ............................ ............................Federal Work Study .................................................................................. 980,354 980,354 980,354 980,354 ............................ ............................ ............................Federal Perkins loan cancellations .......................................................... 65,471 ............................ 65,471 65,471 ............................ ∂65,471 ............................Perkins Loan Assets Recall 11 .................................................................. ............................ ¥664,000 ............................ ............................ ............................ ∂664,000 ............................LEAP program ........................................................................................... 64,987 ............................ 64,987 64,987 ............................ ∂64,987 ............................

Total, Student Financial Assistance ........................................... 14,926,975 13,747,000 14,890,745 14,488,458 ¥438,517 ∂741,458 ¥402,287 

STUDENT AID ADMINISTRATION: Student aid administration 12 .............. 118,800 733,720 713,720 713,720 ∂594,920 ¥20,000 ............................

HIGHER EDUCATION 

Aid for Institutional Development:.

Strengthening Institutions .............................................................. 79,535 79,535 79,535 79,535 ............................ ............................ ............................Hispanic Serving Institutions .......................................................... 94,914 94,914 94,914 94,914 ............................ ............................ ............................
347 

Strengthening Historically Black Colleges (HBCUs) ....................... 238,095 238,095 238,095 238,095 ............................ ............................ ............................Strengthening Historically Black Graduate Institutions ................. 57,915 57,915 57,915 57,915 ............................ ............................ ............................Strengthening Alaska Native and Native Hawaiian-Serving Institutions ......................................................................................... 11,785 9,200 9,200 11,785 ............................ ∂2,585 ∂2,585 Strengthening Tribal Colleges ......................................................... 23,570 23,570 23,570 23,570 ............................ ............................ ............................

Subtotal, Aid for Institutional development ............................... 505,814 503,229 503,229 505,814 ............................ ∂2,585 ∂2,585 

International Education and Foreign Language: 

Domestic Programs ......................................................................... 91,541 92,541 91,541 91,541 ............................ ¥1,000 ............................Overseas Programs ......................................................................... 12,610 12,610 12,610 12,610 ............................ ............................ ............................Institute for International Public Policy .......................................... 1,600 1,600 1,600 1,600 ............................ ............................ ............................

Subtotal, International Education and Foreign Lang ................. 105,751 106,751 105,751 105,751 ............................ ¥1,000 ............................

Fund for the Improvement of Postsec. Ed. (FIPSE) ................................. 21,989 21,989 90,115 80,529 ∂58,540 ∂58,540 ¥9,586 Minority Science and Engineering Improvement ..................................... 8,730 8,730 8,730 8,730 ............................ ............................ ............................Tribally Controlled Postsec Voc/Tech Institutions .................................... 7,366 7,366 7,366 7,366 ............................ ............................ ............................Federal TRIO Programs ............................................................................ 828,178 380,100 828,178 828,178 ............................ ∂448,078 ............................GEAR UP ................................................................................................... 303,423 ............................ 303,423 303,423 ............................ ∂303,423 ............................Byrd Honors Scholarships ........................................................................ 40,590 ............................ ............................ 41,000 ∂410 ∂41,000 ∂41,000 Javits Fellowships .................................................................................... 9,699 9,699 9,699 9,699 ............................ ............................ ............................Graduate Assistance in Areas of National Need ..................................... 30,067 30,067 30,067 30,067 ............................ ............................ ............................Teacher Quality Enhancement Grants ..................................................... 59,895 ............................ 59,895 57,000 ¥2,895 ∂57,000 ¥2,895 Child Care Access Means Parents in School .......................................... 15,810 15,810 15,810 15,810 ............................ ............................ ............................Advancing America thru foreign language partnerships ........................ ............................ 24,000 ............................ ............................ ............................ ¥24,000 ............................Demonstration in Disabilities/Higher Education ...................................... 6,875 ............................ ............................ 6,875 ............................ ∂6,875 ∂6,875 Underground Railroad Program ............................................................... 1,980 ............................ ............................ 1,980 ............................ ∂1,980 ∂1,980 GPRA data/HEA program evaluation ........................................................ 970 970 970 970 ............................ ............................ ............................B.J. Stupak Olympic Scholarships ........................................................... 970 ............................ 970 ............................ ¥970 ............................ ¥970 Thurgood Marshall legal education opportunity program ....................... 2,946 ............................ ............................ ............................ ¥2,946 ............................ ............................

Total, Higher education .............................................................. 1,951,053 1,108,711 1,964,203 2,003,192 ∂52,139 ∂894,481 ∂38,989 

HOWARD UNIVERSITY 

Academic Program ................................................................................... 204,404 204,331 204,331 204,331 ¥73 ............................ ............................Endowment Program ................................................................................ 3,526 3,600 3,600 3,600 ∂74 ............................ ............................Howard University Hospital ...................................................................... 29,461 29,461 29,461 29,461 ............................ ............................ ............................

Total, Howard University ............................................................. 237,391 237,392 237,392 237,392 ∂1 ............................ ............................

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS(CHAFL) ............... 567 486 486 486 ¥81 ............................ ............................
348 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

HBCU CAPITAL FINANCING PROGRAM—Federal Adm .............................. 208 190 190 190 ¥18 ............................ ............................

Supplemental (Public Law 109–234) (emergency) ........................ 15,000 ............................ ............................ ............................ ¥15,000 ............................ ............................

INSTITUTE OF EDUCATION SCIENCES 

Research, development and dissemination ............................................. 162,552 162,552 162,552 162,552 ............................ ............................ ............................Statistics .................................................................................................. 90,022 93,022 93,022 91,022 ∂1,000 ¥2,000 ¥2,000 Regional Educational Laboratories .......................................................... 65,470 65,470 65,470 65,470 ............................ ............................ ............................Research in special education ................................................................ 71,840 71,840 71,840 71,840 ............................ ............................ ............................Special education studies and evaluations ............................................ 9,900 9,900 9,900 9,900 ............................ ............................ ............................Statewide data systems ........................................................................... 24,552 54,552 35,000 38,000 ∂13,448 ¥16,552 ∂3,000 Assessment:.

National Assessment ....................................................................... 88,095 92,095 92,095 92,095 ∂4,000 ............................ ............................National Assessment Governing Board ........................................... 5,037 5,037 5,037 5,037 ............................ ............................ ............................

Subtotal, Assessment ............................................................. 93,132 97,132 97,132 97,132 ∂4,000 ............................ ............................Total, IES ................................................................................ 517,468 554,468 534,916 535,916 ∂18,448 ¥18,552 ∂1,000 

DEPARTMENTAL MANAGEMENT 

PROGRAM ADMINISTRATION: 

Salaries and Expenses .................................................................... 411,150 421,416 421,416 421,416 ∂10,266 ............................ ............................Building Modernization ................................................................... ............................ 4,550 2,500 2,500 ∂2,500 ¥2,050 ............................

Total, Program administration ............................................... 411,150 425,966 423,916 423,916 ∂12,766 ¥2,050 ............................

OFFICE FOR CIVIL RIGHTS ........................................................................ 90,611 92,866 92,866 92,866 ∂2,255 ............................ ............................OFFICE OF THE INSPECTOR GENERAL ...................................................... 48,510 53,145 51,000 51,000 ∂2,490 ¥2,145 ............................

Total, Departmental management .............................................. 550,271 571,977 567,782 567,782 ∂17,511 ¥4,195 ............................
349 

HURRICANE EDUCATION RECOVERY 

Aid for Elementary and Secondary Education, Supplemental (Public 

Law 109–148) (emergency): 

Programs to restart school operations ........................................... 750,000 ............................ ............................ ............................ ¥750,000 ............................ ............................Assistance for homeless children and youth ................................. 5,000 ............................ ............................ ............................ ¥5,000 ............................ ............................Temporary emergency impact aid for displaced students ............. 645,000 ............................ ............................ ............................ ¥645,000 ............................ ............................

Supplemental (Public Law 109–234) (emergency) ............... 50,000 ............................ ............................ ............................ ¥50,000 ............................ ............................

Subtotal, Elementary and Secondary Education ............... 1,450,000 ............................ ............................ ............................ ¥1,450,000 ............................ ............................

Aid for Institutions of Higher Education, Supplemental (Public Law 

109–148) (emergency) ........................................................................ 200,000 ............................ ............................ ............................ ¥200,000 ............................ ............................

Supplemental (Public Law 109–234) (emergency) ........................ 235,000 ............................ ............................ ............................ ¥235,000 ............................ ............................

Total, Hurricane Education Recovery ..................................... 1,885,000 ............................ ............................ ............................ ¥1,885,000 ............................ ............................

TITLE III GENERAL PROVISIONS 

Pell grant shortfall payoff ....................................................................... 4,300,000 ............................ ............................ ............................ ¥4,300,000 ............................ ............................

Total, Title III, Department of Education ................................... 64,872,953 57,168,374 58,986,342 58,630,101 ¥6,242,852 ∂1,461,727 ¥356,241 

Current Year ...................................................................... (49,839,452 ) (42,134,873 ) (43,502,841 ) (43,596,600 ) (¥6,242,852 ) (∂1,461,727 ) (∂93,759 ) 

Emergency appropriations ........................................ (1,900,000 ) ............................ ............................ ............................ (¥1,900,000 ) ............................ ............................

Fiscal Year 2008 ............................................................... (15,033,501 ) (15,033,501 ) (15,483,501 ) (15,033,501 ) ............................ ............................ (¥450,000 ) 

TITLE IV—RELATED AGENCIES 

COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED ................................................................................ 4,622 4,995 4,995 4,995 ∂373 ............................ ............................

CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 

DOMESTIC VOLUNTEER SERVICE PROGRAMS 

Volunteers in Service to America (VISTA) ................................................ 95,464 95,466 95,464 95,466 ∂2 ............................ ∂2 National Senior Volunteer Corps: 

Foster Grandparents Program ......................................................... 110,937 110,943 110,937 110,943 ∂6 ............................ ∂6 Senior Companion Program ............................................................ 46,964 46,964 46,964 46,964 ............................ ............................ ............................Retired Senior Volunteer Program ................................................... 59,685 59,685 59,685 59,685 ............................ ............................ ............................

Subtotal, Senior Volunteers ........................................................ 217,586 217,592 217,586 217,592 ∂6 ............................ ∂6 Total, Domestic Volunteer Service Programs ............................. 313,050 313,058 313,050 313,058 ∂8 ............................ ∂8 
350 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

National and Community Service Programs: 

National service trust ..................................................................... 138,600 124,720 124,720 124,720 ¥13,880 ............................ ............................AmeriCorps grants .......................................................................... 264,825 258,959 218,060 258,959 ¥5,866 ............................ ∂40,899 Innovation, assistance, and other activities .................................. 16,281 9,029 3,966 12,324 ¥3,957 ∂3,295 ∂8,358 Evaluation ....................................................................................... 3,960 3,960 2,460 3,960 ............................ ............................ ∂1,500 National Civilian Community Corps ................................................ 26,730 4,950 26,730 26,730 ............................ ∂21,780 ............................

Supplemental (Public Law 109–234) (emergency) ............... 10,000 ............................ ............................ ............................ ¥10,000 ............................ ............................

Learn and Serve America: K–12 and Higher Ed ............................ 37,125 34,155 34,155 34,155 ¥2,970 ............................ ............................State Commission Administrative Grants ....................................... 12,516 12,516 12,516 12,516 ............................ ............................ ............................Points of Light Foundation ............................................................. 9,900 9,900 9,900 9,900 ............................ ............................ ............................America’s Promise ........................................................................... 4,950 4,950 4,950 4,950 ............................ ............................ ............................

Subtotal, National and Community Service Programs ............... 524,887 463,139 437,457 488,214 ¥36,673 ∂25,075 ∂50,757 

National and Community Service, Salaries and expenses 13 .................. 66,083 70,315 67,483 70,315 ∂4,232 ............................ ∂2,832 Office of Inspector General ...................................................................... 5,940 4,950 4,950 4,950 ¥990 ............................ ............................

Total, Corp. for National and Community Service ..................... 909,960 851,462 822,940 876,537 ¥33,423 ∂25,075 ∂53,597 

CORPORATION FOR PUBLIC BROADCASTING: 

Fiscal year 2009 (current) with fiscal year 2008 comparable ...... 400,000 ............................ ............................ 400,000 ............................ ∂400,000 ∂400,000 Fiscal year 2008 advance with fiscal year 2007 comparable 

(NA) ............................................................................................. (400,000 ) (400,000 ) (400,000 ) (400,000 ) ............................ ............................ ............................

Rescission of fiscal year 2008 funds (NA) ........................... ............................ (¥50,000 ) ............................ ............................ ............................ (∂50,000 ) ............................

Subtotal, fiscal year 2008 program level ......................... ............................ ............................ ............................ ............................ ............................ ............................ ............................

Fiscal year 2007 advance with fiscal year 2006 comparable 

(NA) ............................................................................................. (396,000 ) (400,000 ) (400,000 ) (400,000 ) (∂4,000 ) ............................ ............................

Rescission of fiscal year 2007 funds (NA) ........................... ............................ (¥53,500 ) ............................ ............................ ............................ (∂53,500 ) ............................

Subtotal, fiscal year 2007 program level ......................... 396,000 346,500 400,000 400,000 ∂4,000 ∂53,500 ............................
351 

Digitalization program, current funded .......................................... 29,700 ............................ ............................ 29,700 ............................ ∂29,700 ∂29,700 

Previous appropriated funds (NA) 14 ...................................... ............................ (38,000 ) (38,000 ) ............................ ............................ (¥38,000 ) (¥38,000 ) 

Interconnection, current funded ...................................................... 34,650 ............................ ............................ 36,000 ∂1,350 ∂36,000 ∂36,000 

Previous appropriated funds (NA) 14 ...................................... ............................ (36,000 ) (36,000 ) (36,000 ) (∂36,000 ) ............................ ............................

Subtotal, fiscal year 2007 appropriation .......................... 64,350 ............................ ............................ 65,700 ∂1,350 ∂65,700 ∂65,700 

FEDERAL MEDIATION AND CONCILIATION SERVICE .................................. 42,601 42,842 42,842 42,842 ∂241 ............................ ............................FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION .................... 7,731 7,576 7,731 7,731 ............................ ∂155 ............................INSTITUTE OF MUSEUM AND LIBRARY SERVICES .................................... 247,143 262,240 280,415 260,075 ∂12,932 ¥2,165 ¥20,340 MEDICARE PAYMENT ADVISORY COMMISSION ......................................... 10,066 10,457 10,457 10,457 ∂391 ............................ ............................NATIONAL COMMISSION ON LIBRARIES AND INFO SCIENCE .................... 983 983 983 983 ............................ ............................ ............................NATIONAL COUNCIL ON DISABILITY .......................................................... 3,113 2,772 3,180 3,180 ∂67 ∂408 ............................NATIONAL LABOR RELATIONS BOARD ....................................................... 249,745 249,789 249,789 249,789 ∂44 ............................ ............................NATIONAL MEDIATION BOARD ................................................................... 11,512 11,749 11,749 12,500 ∂988 ∂751 ∂751 OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION ................... 10,405 10,346 10,510 10,346 ¥59 ............................ ¥164 

RAILROAD RETIREMENT BOARD 

Dual Benefits Payments Account ............................................................. 96,030 88,000 88,000 88,000 ¥8,030 ............................ ............................Less Income Tax Receipts on Dual Benefits ........................................... ¥6,930 ¥6,000 ¥6,000 ¥6,000 ∂930 ............................ ............................

Subtotal, Dual Benefits .............................................................. 89,100 82,000 82,000 82,000 ¥7,100 ............................ ............................

Federal Payment to the RR Retirement Account ..................................... 150 150 150 150 ............................ ............................ ............................Limitation on Administration ................................................................... 101,518 103,518 103,518 103,518 ∂2,000 ............................ ............................

Inspector General ............................................................................ 7,124 7,606 7,606 7,606 ∂482 ............................ ............................

SOCIAL SECURITY ADMINISTRATION 

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

SUPPLEMENTAL SECURITY INCOME 

Federal benefit payments ........................................................................ 37,487,174 37,204,000 37,204,000 37,204,000 ¥283,174 ............................ ............................Beneficiary services ................................................................................. 52,000 ............................ ............................ ............................ ¥52,000 ............................ ............................Research and demonstration ................................................................... 27,000 27,000 27,000 27,000 ............................ ............................ ............................Administration .......................................................................................... 2,733,000 3,004,000 2,944,000 2,902,000 ∂169,000 ¥102,000 ¥42,000 

Subtotal, SSI program level ....................................................... 40,299,174 40,235,000 40,175,000 40,133,000 ¥166,174 ¥102,000 ¥42,000 

Less funds advanced in prior year ................................... ¥10,930,000 ¥11,110,000 ¥11,110,000 ¥11,110,000 ¥180,000 ............................ ............................

Subtotal, regular SSI current year ............................................. 29,369,174 29,125,000 29,065,000 29,023,000 ¥346,174 ¥102,000 ¥42,000 
352 

COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2006 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL 

FOR FISCAL YEAR 2007—Continued 

[In thousands of dollars] 

Item 2006 comparable Budget estimate House allowance Committee rec- ommendation Senate Committee recommendation compared with (∂ or ¥) 2006 comparable Budget estimate House allowance 

Total, SSI, current request ......................................................... 29,369,174 29,125,000 29,065,000 29,023,000 ¥346,174 ¥102,000 ¥42,000 

New advance, 1st quarter, fiscal year 2008 .................... 11,110,000 16,810,000 16,810,000 16,810,000 ∂5,700,000 ............................ ............................

Total, SSI program ...................................................................... 40,479,174 45,935,000 45,875,000 45,833,000 ∂5,353,826 ¥102,000 ¥42,000 

LIMITATION ON ADMINISTRATIVE EXPENSES 

OASDI Trust Funds ................................................................................... 4,573,993 4,587,000 4,587,000 4,429,000 ¥144,993 ¥158,000 ¥158,000 HI/SMI Trust Funds .................................................................................. 1,679,613 1,642,000 1,642,000 1,642,000 ¥37,613 ............................ ............................Social Security Advisory Board ................................................................ 2,000 2,000 2,000 2,000 ............................ ............................ ............................SSI ............................................................................................................ 2,733,000 2,944,000 2,944,000 2,902,000 ∂169,000 ¥42,000 ¥42,000 

Subtotal, regular LAE ................................................................. 8,988,606 9,175,000 9,175,000 8,975,000 ¥13,606 ¥200,000 ¥200,000 

Additional CDR Funding: 

OASDI Trust Funds .......................................................................... ............................ 141,000 ............................ ............................ ............................ ¥141,000 ............................SSI ................................................................................................... ............................ 60,000 ............................ ............................ ............................ ¥60,000 ............................

Subtotal, additional CDR funding .............................................. ............................ 201,000 ............................ ............................ ............................ ¥201,000 ............................

User Fees: 

SSI User Fee activities .................................................................... 119,000 117,000 117,000 117,000 ¥2,000 ............................ ............................SSPA User Fee Activities ................................................................. 1,000 1,000 1,000 1,000 ............................ ............................ ............................

Subtotal, User fees ..................................................................... 120,000 118,000 118,000 118,000 ¥2,000 ............................ ............................

Supplemental (Public Law 109–234) (emergency) 15 ....... 38,000 ............................ ............................ ............................ ¥38,000 ............................ ............................

Total, Limitation on Administrative Expenses ............................ 9,146,606 9,494,000 9,293,000 9,093,000 ¥53,606 ¥401,000 ¥200,000 

MEDICARE REFORM FUNDING 

Medicare reform funding 16 ...................................................................... (100,842 ) ............................ ............................ ............................ (¥100,842 ) ............................ ............................
353 

OFFICE OF INSPECTOR GENERAL 

Federal Funds ........................................................................................... 25,740 27,000 26,435 25,740 ............................ ¥1,260 ¥695 Trust Funds .............................................................................................. 65,736 69,000 67,976 65,736 ............................ ¥3,264 ¥2,240 

Total, Office of Inspector General .............................................. 91,476 96,000 94,411 91,476 ............................ ¥4,524 ¥2,935 

Adjustment: Trust fund transfers from general revenues ....................... ¥2,733,000 ¥3,004,000 ¥2,944,000 ¥2,902,000 ¥169,000 ∂102,000 ∂42,000 

Total, Social Security Administration ......................................... 47,004,726 52,548,756 52,346,167 52,143,232 ∂5,138,506 ¥405,524 ¥202,935 

Federal funds ..................................................................... 40,683,384 46,107,756 46,047,191 46,004,496 ∂5,321,112 ¥103,260 ¥42,695 

Current year .............................................................. (29,573,384 ) (29,297,756 ) (29,237,191 ) (29,194,496 ) (¥378,888 ) (¥103,260 ) (¥42,695 ) New advances, 1st quarter ...................................... (11,110,000 ) (16,810,000 ) (16,810,000 ) (16,810,000 ) (∂5,700,000 ) ............................ ............................

Trust funds ........................................................................ 6,321,342 6,441,000 6,298,976 6,138,736 ¥182,606 ¥302,264 ¥160,240 

Total, Title IV, Related Agencies ................................................ 49,164,849 54,197,241 53,985,032 54,281,641 ∂5,116,792 ∂84,400 ∂296,609 

Federal Funds .................................................................... 42,724,799 47,634,660 47,564,475 48,021,324 ∂5,296,525 ∂386,664 ∂456,849 

Current Year ............................................................. (31,214,799 ) (30,824,660 ) (30,754,475 ) (30,811,324 ) (¥403,475 ) (¥13,336 ) (∂56,849 ) Fiscal Year 2008 Advance ........................................ (11,110,000 ) (16,810,000 ) (16,810,000 ) (16,810,000 ) (∂5,700,000 ) ............................ ............................Fiscal Year 2009 Advance ........................................ (400,000 ) ............................ ............................ (400,000 ) ............................ (∂400,000 ) (∂400,000 ) 

Trust Funds ........................................................................ 6,440,050 6,562,581 6,420,557 6,260,317 ¥179,733 ¥302,264 ¥160,240 

SUMMARY 

Federal Funds ........................................................................................... 596,309,013 587,445,386 591,612,933 592,423,684 ¥3,885,329 ∂4,978,298 ∂810,751 

Current year .................................................................................... (500,125,887 ) (483,614,468 ) (487,382,015 ) (488,192,766 ) (¥11,933,121 ) (∂4,578,298 ) (∂810,751 ) 2008 advance ................................................................................. (95,783,126 ) (103,830,918 ) (104,230,918 ) (103,830,918 ) (∂8,047,792 ) ............................ (¥400,000 ) 2009 advance ................................................................................. (400,000 ) ............................ ............................ (400,000 ) ............................ (∂400,000 ) (∂400,000 ) 

Trust Funds .............................................................................................. 13,222,288 13,638,158 13,378,039 13,112,588 ¥109,700 ¥525,570 ¥265,451 

Grand Total ................................................................................. 609,531,301 601,083,544 604,990,972 605,536,272 ¥3,995,029 ∂4,452,728 ∂545,300 

1 Includes rescission of $125 million for Community College Initiative. 2 Two year availability. 3 Job Corps transferred in fiscal year 2006 Act from ETA to Depart. Management but requested in ETA for fiscal year 2007. 4 Includes Administration for Job Corps funding that transferred from ETA to DM in fiscal year 2006 Act. 5 Funds provided for biodefense activities are reflected within HRSA, CDC, and NIH respectively. 6 Includes Mine Safety and Health. 7 The Deficit Reduction Act of 2005 provided $74 million for CMS Program Management. 8 Fiscal Year 2006 Appropriations Act included a $60 million program administrative reduction. 9 The Deficit Reduction Act of 2005 provided $20 million for the Promoting Safe and Stable Entitlement Program. 10 An additional $50 million for Health IT within AHRQ. 11 The President’s budget did not included this offset proposal within this account. However this display reflects the programmatic impact of the proposal. 12 In fiscal year 2006, $600 million was included as mandatory funding. 13 Current funded. 
354 

14 Requested funds for these activities are from previously appropriated funds. 15 Funds are transferred from funds appropriated to FEMA. 16 Carryover funding available from Public Law 108–173. 

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