167 
HR 3043 PP 
operation 
of 
aircraft, 
$6,157,169,000, 
of 
which 
$220,000,000 shall remain available until expended for 
equipment, construction and renovation of facilities; of 
which $581,335,000 shall remain available until expended 
for the Strategic National Stockpile; and of which 
$122,769,000 for international HIV/AIDS shall remain 
available until September 30, 2009. In addition, such sums 
as may be derived from authorized user fees, which shall 
be credited to this account: Provided, That in addition to 
amounts provided herein, the following amounts shall be 
available from amounts available under section 241 of the 
Public Health Service Act: (1) $12,794,000 to carry out the 
National Immunization Surveys; (2) $108,585,000 to carry 
out the National Center for Health Statistics surveys; (3) 
$24,751,000 to carry out information systems standards de-
velopment and architecture and applications-based research 
used at local public health levels; (4) $463,000 for Health 
Marketing evaluations; (5) $31,000,000 to carry out Public 
Health Research; and (6) $92,071,000 to carry out research 
activities within the National Occupational Research Agen-
da: Provided further, That none of the funds made available 
for injury prevention and control at the Centers for Disease 
Control and Prevention may be used, in whole or in part, 
to advocate or promote gun control: Provided further, That 
up to $31,800,000 shall be made available until expended 
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for Individual Learning Accounts for full-time equivalent 
employees of the Centers for Disease Control and Preven-
tion: Provided further, That the Director may redirect the 
total amount made available under authority of Public Law 
101–502, section 3, dated November 3, 1990, to activities 
the Director may so designate: Provided further, That the 
Congress is to be notified promptly of any such transfer: 
Provided further, That not to exceed $19,035,000 may be 
available for making grants under section 1509 of the Pub-
lic Health Service Act to not less than 15 States, tribes, 
or tribal organizations: Provided further, That notwith-
standing any other provision of law, a single contract or 
related contracts for development and construction of facili-
ties may be employed which collectively include the full 
scope of the project: Provided further, That the solicitation 
and contract shall contain the clause ‘‘availability of funds’’ 
found at 48 CFR 52.232–18: Provided further, That of the 
funds appropriated, $10,000 is for official reception and 
representation expenses when specifically approved by the 
Director of the Centers for Disease Control and Prevention: 
Provided further, That employees of the Centers for Disease 
Control and Prevention or the Public Health Service, both 
civilian and Commissioned Officers, detailed to States, mu-
nicipalities, or other organizations under authority of sec-
tion 214 of the Public Health Service Act, or in overseas 
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assignments, shall be treated as non-Federal employees for 
reporting purposes only and shall not be included within 
any personnel ceiling applicable to the Agency, Service, or 
the Department of Health and Human Services during the 
period of detail or assignment: Provided further, That if 
States are eligible, up to $30,000,000 shall be used to imple-
ment section 2625 of the Public Health Service Act (42 
U.S.C. 300ff–33; relating to the Ryan White early diagnosis 
grant program): Provided further, That $16,890,000 shall 
be available for the projects and in the amounts specified 
in the committee report of the Senate accompanying this 
Act. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to cancer, $4,910,160,000, 
of which up to $8,000,000 may be used for facilities repairs 
and improvements at the NCI-Frederick Federally Funded 
Research and Development Center in Frederick, Maryland. 
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to cardiovascular, lung, 
and blood diseases, and blood and blood products, 
$2,992,197,000. 
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NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 
RESEARCH 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to dental disease, 
$398,602,000. 
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND 
KIDNEY DISEASES 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to diabetes and digestive 
and kidney disease, $1,747,784,000. 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND 
STROKE 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to neurological disorders 
and stroke, $1,573,268,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to allergy and infectious 
diseases, $4,668,472,000: Provided, That $300,000,000 may 
be made available to International Assistance Programs 
‘‘Global Fund to Fight HIV/AIDS, Malaria, and Tuber-
culosis’’, to remain available until expended: Provided fur-
ther, That such sums obligated in fiscal years 2003 through 
2007 for extramural facilities construction projects are to 
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remain available until expended for disbursement, with 
prior notification of such projects to the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to general medical sciences, 
$1,978,601,000. 
NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN 
DEVELOPMENT 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to child health and human 
development, $1,282,231,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to eye diseases and visual 
disorders, $681,962,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out sections 301 and 311 and title IV 
of the Public Health Service Act with respect to environ-
mental health sciences, $656,176,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to aging, $1,073,048,000. 
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NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to arthritis and musculo-
skeletal and skin diseases, $519,810,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to deafness and other com-
munication disorders, $402,680,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to nursing research, 
$140,456,000. 
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to alcohol abuse and alco-
holism, $445,702,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the Public 
Health 
Service 
Act 
with 
respect 
to 
drug 
abuse, 
$1,022,594,000. 
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NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to mental health, 
$1,436,001,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to human genome research, 
$497,031,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to biomedical imaging and 
bioengineering research, $304,319,000. 
NATIONAL CENTER FOR RESEARCH RESOURCES 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to research resources and 
general research support grants, $1,177,997,000: Provided, 
That none of these funds shall be used to pay recipients 
of the general research support grants program any amount 
for indirect expenses in connection with such grants. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
ALTERNATIVE MEDICINE 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to complementary and al-
ternative medicine, $124,213,000. 
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NATIONAL CENTER ON MINORITY HEALTH AND HEALTH 
DISPARITIES 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to minority health and 
health disparities research, $203,895,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities at the John E. Fogarty 
International Center, $68,000,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to health information com-
munications, $327,817,000, of which $4,000,000 shall be 
available until expended for improvement of information 
systems: Provided, That in fiscal year 2008, the Library 
may enter into personal services contracts for the provision 
of services in facilities owned, operated, or constructed 
under the jurisdiction of the National Institutes of Health: 
Provided further, That in addition to amounts provided 
herein, $8,200,000 shall be available from amounts avail-
able under section 241 of the Public Health Service Act to 
carry out National Information Center on Health Services 
Research and Health Care Technology and related health 
services. 
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OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out the responsibilities of the Office of 
the Director, National Institutes of Health, $1,145,790,000, 
of which up to $25,000,000 shall be used to carry out section 
217 of this Act: Provided, That funding shall be available 
for the purchase of not to exceed 29 passenger motor vehicles 
for replacement only: Provided further, That the National 
Institutes of Health is authorized to collect third party pay-
ments for the cost of clinical services that are incurred in 
National Institutes of Health research facilities and that 
such payments shall be credited to the National Institutes 
of Health Management Fund: Provided further, That all 
funds credited to the National Institutes of Health Manage-
ment Fund shall remain available for one fiscal year after 
the fiscal year in which they are deposited: Provided fur-
ther, That up to $500,000 shall be available to carry out 
section 499 of the Public Health Service Act: Provided fur-
ther, That $110,900,000 shall be available to carry out the 
National 
Children’s 
Study: 
Provided 
further, 
That 
$531,300,000 shall be available for the Common Fund es-
tablished under section 402A(c)(1) of the Public Health 
Service Act: Provided further, That of the funds provided 
$10,000 shall be for official reception and representation 
expenses when specifically approved by the Director of NIH: 
Provided further, That the Office of AIDS Research within 
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the Office of the Director, NIH may spend up to $4,000,000 
to make grants for construction or renovation of facilities 
as provided for in section 2354(a)(5)(B) of the Public 
Health Service Act. 
BUILDINGS AND FACILITIES 
For the study of, construction of, renovation of, and 
acquisition of equipment for, facilities of or used by the Na-
tional Institutes of Health, including the acquisition of real 
property, $121,081,000, to remain available until expended. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
For carrying out titles V and XIX of the Public Health 
Service Act (‘‘PHS Act’’) with respect to substance abuse 
and mental health services, the Protection and Advocacy for 
Individuals with Mental Illness Act, and section 301 of the 
PHS 
Act 
with 
respect 
to 
program 
management, 
$3,278,135,000, of which $10,335,000 shall be available for 
projects and in the amounts specified in the committee re-
port accompanying this Act: Provided, That notwith-
standing section 520A(f)(2) of the PHS Act, no funds ap-
propriated for carrying out section 520A are available for 
carrying out section 1971 of the PHS Act: Provided further, 
That of the funds provided to the Child Trauma Stress Net-
work Initiative, priority shall be given to those centers, that 
previously received grants, that provide mental health serv-
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ices to children affected by Hurricane Katrina and/or Rita: 
Provided further, That in addition to amounts provided 
herein, the following amounts shall be available under sec-
tion 241 of the PHS Act: (1) $79,200,000 to carry out sub-
part II of part B of title XIX of the PHS Act to fund section 
1935(b) technical assistance, national data, data collection 
and evaluation activities, and further that the total avail-
able under this Act for section 1935(b) activities shall not 
exceed 5 percent of the amounts appropriated for subpart 
II of part B of title XIX; (2) $21,413,000 to carry out sub-
part I of part B of title XIX of the PHS Act to fund section 
1920(b) technical assistance, national data, data collection 
and evaluation activities, and further that the total avail-
able under this Act for section 1920(b) activities shall not 
exceed 5 percent of the amounts appropriated for subpart 
I of part B of title XIX; (3) $21,750,000 to carry out na-
tional surveys on drug abuse; and (4) $4,300,000 to evalu-
ate substance abuse treatment programs: Provided further, 
That section 520E(b)(2) of the Public Health Service Act 
shall not apply to funds appropriated under this Act for 
fiscal year 2008. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the Public Health 
Service Act, and part A of title XI of the Social Security 
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Act, $329,564,000; and in addition, amounts received from 
Freedom of Information Act fees, reimbursable and inter-
agency agreements, and the sale of data shall be credited 
to this appropriation and shall remain available until ex-
pended: Provided, That no amount shall be made available 
pursuant to section 927(c) of the Public Health Service Act 
for fiscal year 2008: Provided further, That $5,000,000 shall 
be for activities to reduce infections from methicillin-resist-
ant staphylococcus aureus (MRSA) and related infections. 
CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $141,628,056,000, 
to remain available until expended. 
For making, after May 31, 2008, payments to States 
under title XIX of the Social Security Act for the last quar-
ter of fiscal year 2008 for unanticipated costs, incurred for 
the current fiscal year, such sums as may be necessary. 
For making payments to States or in the case of sec-
tion 1928 on behalf of States under title XIX of the Social 
Security Act for the first quarter of fiscal year 2009, 
$67,292,669,000, to remain available until expended. 
Payment under title XIX may be made for any quarter 
with respect to a State plan or plan amendment in effect 
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during such quarter, if submitted in or prior to such quar-
ter and approved in that or any subsequent quarter. 
PAYMENTS TO HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance and 
the Federal Supplementary Medical Insurance Trust 
Funds, as provided under section 1844 and 1860D–16 of 
the Social Security Act, sections 103(c) and 111(d) of the 
Social Security Amendments of 1965, section 278(d) of 
Public Law 97–248, and for administrative expenses in-
curred pursuant to section 201(g) of the Social Security 
Act, $188,828,000,000. 
In addition, for making matching payments under sec-
tion 1844, and benefit payments under section 1860D–16 
of the Social Security Act, not anticipated in budget esti-
mates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the Public Health Service Act, and the 
Clinical Laboratory Improvement Amendments of 1988, not 
to exceed $3,248,088,000, to be transferred from the Federal 
Hospital Insurance and the Federal Supplementary Med-
ical Insurance Trust Funds, as authorized by section 201(g) 
of the Social Security Act; together with all funds collected 
in accordance with section 353 of the Public Health Service 
Act and section 1857(e)(2) of the Social Security Act, funds 
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retained by the Secretary pursuant to section 302 of the 
Tax Relief and Health Care Act of 2006; and such sums 
as may be collected from authorized user fees and the sale 
of data, which shall remain available until expended: Pro-
vided, That all funds derived in accordance with 31 U.S.C. 
9701 from organizations established under title XIII of the 
Public Health Service Act shall be credited to and available 
for carrying out the purposes of this appropriation: Pro-
vided further, That $49,869,000, to remain available until 
September 30, 2009, is for contract costs for the Healthcare 
Integrated General Ledger Accounting System: Provided 
further, That $253,775,000, to remain available until Sep-
tember 30, 2009, is for CMS Medicare contracting reform 
activities: Provided further, That funds appropriated under 
this heading are available for the Healthy Start, Grow 
Smart program under which the Centers for Medicare and 
Medicaid Services may, directly or through grants, con-
tracts, or cooperative agreements, produce and distribute 
informational materials including, but not limited to, pam-
phlets and brochures on infant and toddler health care to 
expectant parents enrolled in the Medicaid program and 
to parents and guardians enrolled in such program with 
infants and children: Provided further, That the Secretary 
of Health and Human Services is directed to collect fees 
in fiscal year 2008 from Medicare Advantage organizations 
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pursuant to section 1857(e)(2) of the Social Security Act 
and from eligible organizations with risk-sharing contracts 
under section 1876 of that Act pursuant to section 
1876(k)(4)(D) of that Act: Provided further, That in addi-
tion, the Secretary may charge a fee for conducting revisit 
surveys on health care facilities cited for deficiencies during 
initial certification, recertification, or substantiated com-
plaints surveys: Provided further, That such fees, in an 
amount not to exceed $35,000,000, shall be credited to this 
account as offsetting collections, to remain available until 
expended for the purpose of conducting such revisit surveys: 
Provided further, That amounts transferred to this account 
from the Federal Health Insurance and Federal Supple-
mentary Medical Insurance Trust Funds for fiscal year 
2008 shall be reduced by the amount credited to this account 
under this paragraph: Provided further, That $1,625,000 
shall be available for the projects and in the amounts speci-
fied in the committee report of the Senate accompanying 
this Act. 
HEALTH CARE FRAUD ABUSE AND CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $383,000,000, to 
be available until expended, to be transferred from the Fed-
eral Hospital Insurance and the Federal Supplementary 
Medical Insurance Trust Funds, as authorized by section 
201(g) of the Social Security Act, of which $288,480,000 
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is for the Medicare Integrity Program at the Centers for 
Medicare and Medicaid Services to conduct oversight of ac-
tivities authorized in title 18 of the Social Security Act, 
with oversight activities including those activities listed in 
18 U.S.C. 1893(b); of which $36,690,000 is for the Depart-
ment of Health and Human Services Office of Inspector 
General; of which $21,140,000 is for the Department of 
Health and Human Services for program integrity activi-
ties in title 18, title 19 and title 21 of the Social Security 
Act; and of which $36,690,000 is for the Department of Jus-
tice: Provided, That the report required by 18 U.S.C. 
1817(k)(5) for fiscal year 2008 shall include measures of 
the operational efficiency and impact on fraud, waste and 
abuse in the Medicare and Medicaid programs for the funds 
provided by this appropriation. 
ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT 
AND FAMILY SUPPORT PROGRAMS 
For making payments to States or other non-Federal 
entities under titles I, IV–D, X, XI, XIV, and XVI of the 
Social Security Act and the Act of July 5, 1960 (24 U.S.C. 
ch. 9), $2,949,713,000, to remain available until expended; 
and for such purposes for the first quarter of fiscal year 
2009, $1,000,000,000, to remain available until expended. 
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For making payments to each State for carrying out 
the program of Aid to Families with Dependent Children 
under title IV–A of the Social Security Act before the effec-
tive date of the program of Temporary Assistance for Needy 
Families (TANF) with respect to such State, such sums as 
may be necessary: Provided, That the sum of the amounts 
available to a State with respect to expenditures under such 
title IV–A in fiscal year 1997 under this appropriation and 
under such title IV–A as amended by the Personal Respon-
sibility and Work Opportunity Reconciliation Act of 1996 
shall not exceed the limitations under section 116(b) of such 
Act. 
For making, after May 31 of the current fiscal year, 
payments to States or other non-Federal entities under ti-
tles I, IV–D, X, XI, XIV, and XVI of the Social Security 
Act and the Act of July 5, 1960 (24 U.S.C. ch. 9), for the 
last 3 months of the current fiscal year for unanticipated 
costs, incurred for the current fiscal year, such sums as may 
be necessary. 
LOW-INCOME HOME ENERGY ASSISTANCE 
For making payments under section 2604(a)–(d) of the 
Low Income Home Energy Assistance Act of 1981 (42 
U.S.C. 8623(a)–(d)), $1,980,000,000. 
For making payments under section 2604(e) of the 
Low Income Home Energy Assistance Act of 1981 (42 
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U.S.C. 8623(e)), $181,170,000, notwithstanding the des-
ignation requirement of section 2602(e) of such Act. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant assist-
ance activities and for costs associated with the care and 
placement of unaccompanied alien children authorized by 
title IV of the Immigration and Nationality Act and section 
501 of the Refugee Education Assistance Act of 1980, for 
carrying out section 462 of the Homeland Security Act of 
2002, and for carrying out the Torture Victims Relief Act 
of 1998, $654,166,000, of which up to $9,823,000 shall be 
available to carry out the Trafficking Victims Protection 
Act of 2000: Provided, That funds appropriated under this 
heading pursuant to section 414(a) of the Immigration and 
Nationality Act and section 462 of the Homeland Security 
Act of 2002 for fiscal year 2008 shall be available for the 
costs of assistance provided and other activities to remain 
available through September 30, 2010. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block Grant Act of 1990, $2,062,081,000 shall be used to 
supplement, not supplant State general revenue funds for 
child care assistance for low-income families: Provided, 
That $18,777,370 shall be available for child care resource 
and referral and school-aged child care activities, of which 
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$982,080 shall be available to the Secretary for discre-
tionary activities to support comprehensive consumer edu-
cation or parental choice: Provided further, That, in addi-
tion to the amounts required to be reserved by the States 
under section 658G, $267,785,718 shall be reserved by the 
States for activities authorized under section 658G, of which 
$98,208,000 shall be for activities that improve the quality 
of infant and toddler care: Provided further, That 
$9,821,000 shall be for use by the Secretary for child care 
research, demonstration, and evaluation activities. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 2002 
of the Social Security Act, $1,700,000,000. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Developmental Dis-
abilities Assistance and Bill of Rights Act, the Head Start 
Act, the Child Abuse Prevention and Treatment Act, sec-
tions 310 and 316 of the Family Violence Prevention and 
Services Act, the Native American Programs Act of 1974, 
title II of the Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 (adoption opportunities), sec-
tions 330F and 330G of the Public Health Service Act, the 
Abandoned Infants Assistance Act of 1988, sections 261 and 
291 of the Help America Vote Act of 2002, part B(1) of 
title IV and sections 413, 1110, and 1115 of the Social Secu-
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rity Act; for making payments under the Community Serv-
ices Block Grant Act, sections 439(i), 473B, and 477(i) of 
the Social Security Act, and the Assets for Independence 
Act, and for necessary administrative expenses to carry out 
such Acts and titles I, IV, V, X, XI, XIV, XVI, and XX 
of the Social Security Act, the Act of July 5, 1960 (24 
U.S.C. ch. 9), the Low Income Home Energy Assistance Act 
of 1981, title IV of the Immigration and Nationality Act, 
section 501 of the Refugee Education Assistance Act of 1980, 
and section 505 of the Family Support Act of 1988, 
$9,213,332,000, of which $9,500,000, to remain available 
until September 30, 2009, shall be for grants to States for 
adoption incentive payments, as authorized by section 473A 
of the Social Security Act and may be made for adoptions 
completed before September 30, 2008: Provided, That 
$7,088,571,000 shall be for making payments under the 
Head Start Act, of which $1,388,800,000 shall become 
available October 1, 2008, and remain available through 
September 30, 2009: Provided further, That $735,281,000 
shall be for making payments under the Community Serv-
ices Block Grant Act: Provided further, That not less than 
$8,000,000 shall be for section 680(3)(B) of the Community 
Services Block Grant Act: Provided further, That in addi-
tion to amounts provided herein, $6,000,000 shall be avail-
able from amounts available under section 241 of the Public 
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Health Service Act to carry out the provisions of section 
1110 of the Social Security Act: Provided further, That to 
the extent Community Services Block Grant funds are dis-
tributed as grant funds by a State to an eligible entity as 
provided under the Act, and have not been expended by such 
entity, they shall remain with such entity for carryover into 
the next fiscal year for expenditure by such entity consistent 
with program purposes: Provided further, That the Sec-
retary shall establish procedures regarding the disposition 
of intangible property which permits grant funds, or intan-
gible assets acquired with funds authorized under section 
680 of the Community Services Block Grant Act, as amend-
ed, to become the sole property of such grantees after a pe-
riod of not more than 12 years after the end of the grant 
for purposes and uses consistent with the original grant: 
Provided further, That funds appropriated for section 
680(a)(2) of the Community Services Block Grant Act, as 
amended, shall be available for financing construction and 
rehabilitation and loans or investments in private business 
enterprises owned by community development corporations: 
Provided further, That $53,625,000 is for a compassion 
capital fund to provide grants to charitable organizations 
to emulate model social service programs and to encourage 
research on the best practices of social service organizations: 
Provided further, That $16,720,000 shall be for activities 
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authorized by the Help America Vote Act of 2002, of which 
$11,390,000 shall be for payments to States to promote ac-
cess for voters with disabilities, and of which $5,330,000 
shall be for payments to States for protection and advocacy 
systems for voters with disabilities: Provided further, That 
$80,416,000 shall be for making competitive grants to pro-
vide abstinence education to adolescents, and for Federal 
costs of administering the grant: Provided further, That in-
formation provided through grants under the immediately 
preceding proviso shall be scientifically accurate and shall 
comply with section 317P(c)(2) of the Public Health Service 
Act: Provided further, That in addition to amounts pro-
vided herein for abstinence education for adolescents, 
$4,500,000 shall be available from amounts available under 
section 241 of the Public Health Service Act to carry out 
evaluations (including longitudinal evaluations) of adoles-
cent pregnancy prevention approaches: Provided further, 
That up to $2,000,000 shall be for improving the Public 
Assistance Reporting Information System, including grants 
to States to support data collection for a study of the sys-
tem’s effectiveness: Provided further, That $7,425,000 shall 
be available for the projects and in the amounts specified 
in the committee report of the Senate accompanying this 
Act. 
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PROMOTING SAFE AND STABLE FAMILIES 
For carrying out section 436 of the Social Security 
Act, $345,000,000 and section 437, $89,100,000. 
PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION 
ASSISTANCE 
For making payments to States or other non-Federal 
entities under title IV–E of the Social Security Act, 
$5,067,000,000. 
For making payments to States or other non-Federal 
entities under title IV–E of the Act, for the first quarter 
of fiscal year 2009, $1,776,000,000. 
For making, after May 31 of the current fiscal year, 
payments to States or other non-Federal entities under sec-
tion 474 of title IV–E, for the last 3 months of the current 
fiscal year for unanticipated costs, incurred for the current 
fiscal year, such sums as may be necessary. 
ADMINISTRATION ON AGING 
AGING SERVICES PROGRAMS 
For carrying out, to the extent not otherwise provided, 
the Older Americans Act of 1965, as amended, and section 
398 of the Public Health Service Act, $1,441,585,000, of 
which $5,500,000 shall be available for activities regarding 
medication management, screening, and education to pre-
vent incorrect medication and adverse drug reactions: Pro-
vided, That $2,935,000 shall be available for the projects 
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and in the amounts specified in the committee report of 
the Senate accompanying this Act. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six se-
dans, and for carrying out titles III, XVII, XX, and XXI 
of the Public Health Service Act, the United States-Mexico 
Border Health Commission Act, and research studies under 
section 1110 of the Social Security Act, $399,386,000, to-
gether with $5,851,000 to be transferred and expended as 
authorized by section 201(g)(1) of the Social Security Act 
from the Hospital Insurance Trust Fund and the Supple-
mental Medical Insurance Trust Fund, and $46,756,000 
from the amounts available under section 241 of the Public 
Health Service Act to carry out national health or human 
services research and evaluation activities: Provided, That 
of the funds made available under this heading for carrying 
out title XX of the Public Health Service Act, $13,120,000 
shall be for activities specified under section 2003(b)(2), all 
of which shall be for prevention service demonstration 
grants under section 510(b)(2) of title V of the Social Secu-
rity Act, as amended, without application of the limitation 
of section 2010(c) of said title XX: Provided further, That 
of this amount, $51,891,000 shall be for minority AIDS 
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prevention and treatment activities; and $5,941,000 shall 
be to assist Afghanistan in the development of maternal and 
child health clinics, consistent with section 103(a)(4)(H) of 
the Afghanistan Freedom Support Act of 2002; up to 
$4,000,000 shall be for the Secretary’s discretionary fund 
and may be used to carry out activities authorized under 
the Department’s statutory authorities; and $9,500,000 
shall be for a Health Diplomacy Initiative and may be used 
to carry out health diplomacy activities such as health 
training, services, education, and program evaluation, pro-
vided directly, through grants, or through contracts: Pro-
vided further, That specific information requests from the 
chairmen and ranking members of the Subcommittees on 
Labor, Health and Human Services, and Education, and 
Related Agencies, on scientific research or any other matter, 
shall be transmitted to the Committees on Appropriations 
in a prompt professional manner and within the time 
frame specified in the request: Provided further, That sci-
entific information requested by the Committees on Appro-
priations and prepared by government researchers and sci-
entists shall be transmitted to the Committees on Appro-
priations, uncensored and without delay: Provided further, 
That funds provided in this Act for embryo adoption activi-
ties may be used to provide, to individuals adopting em-
bryos, through grants and other mechanisms, medical and 
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administrative services deemed necessary for such adop-
tions: Provided further, That such services shall be provided 
consistent with 42 CFR 59.5(a)(4): Provided further, That 
$2,100,000 shall be available for the projects and in the 
amounts specified in the committee report of the Senate ac-
companying this Act: Provided further, That $500,000 shall 
be available to complete a feasibility study for a National 
Registry of Substantiated Cases of Child Abuse or Neglect, 
as described in section 633(g) of the Adam Walsh Child Pro-
tection and Safety Act of 2006 (Public Law 109–248), and 
the Secretary of Health and Human Services shall submit 
the report described in section 633(g)(2) of such Act not 
later than 1 year after date of enactment of this Act: Pro-
vided further, That $2,000,000 of the amounts appropriated 
under this heading shall be made available to carry out den-
tal workforce programs under section 340G of the Public 
Health Service Act (42 U.S.C. 256g). 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for administrative law judges 
responsible for hearing cases under title XVIII of the Social 
Security Act (and related provisions of title XI of such Act), 
$70,000,000, to be transferred in appropriate part from the 
Federal Hospital Insurance and the Federal Supple-
mentary Medical Insurance Trust Funds. 
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OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
For expenses necessary for the Office of the National 
Coordinator for Health Information Technology, including 
grants, contracts and cooperative agreements for the devel-
opment and advancement of an interoperable national 
health information technology infrastructure, $43,000,000: 
Provided, That in addition to amounts provided herein, 
$28,000,000 shall be available from amounts available 
under section 241 of the Public Health Service Act to carry 
out health information technology network development. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector Gen-
eral, including the hire of passenger motor vehicles for in-
vestigations, in carrying out the provisions of the Inspector 
General Act of 1978, as amended, $45,687,000: Provided, 
That of such amount, necessary sums are available for pro-
viding protective services to the Secretary and investigating 
non-payment of child support cases for which non-payment 
is a Federal offense under 18 U.S.C. 228. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil Rights, 
$33,748,000, together with not to exceed $3,314,000 to be 
transferred and expended as authorized by section 201(g)(1) 
of the Social Security Act from the Hospital Insurance 
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Trust Fund and the Supplemental Medical Insurance Trust 
Fund. 
RETIREMENT PAY AND MEDICAL BENEFITS FOR 
COMMISSIONED OFFICERS 
For retirement pay and medical benefits of Public 
Health Service Commissioned Officers as authorized by law, 
for payments under the Retired Serviceman’s Family Pro-
tection Plan and Survivor Benefit Plan, for medical care 
of dependents and retired personnel under the Dependents’ 
Medical Care Act (10 U.S.C. ch. 55), such amounts as may 
be required during the current fiscal year. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND 
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary to support activities related to 
countering potential biological, disease, nuclear, radio-
logical and chemical threats to civilian populations, and 
for other public health emergencies, $786,556,000, of which 
not to exceed $22,338,000, to remain available until Sep-
tember 30, 2009, is to pay the costs described in section 
319F–2(c)(7)(B) of the Public Health Service Act, and of 
which $189,000,000 shall be used to support advanced re-
search and development of medical countermeasures, con-
sistent with section 319L of the Public Health Service Act. 
For expenses necessary to prepare for and respond to 
an 
influenza 
pandemic, 
$888,000,000, 
of 
which 
$652,000,000 shall be available until expended, for activi-
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ties including the development and purchase of vaccine, 
antivirals, necessary medical supplies, diagnostics, and 
other surveillance tools: Provided, That products purchased 
with these funds may, at the discretion of the Secretary, 
be deposited in the Strategic National Stockpile: Provided 
further, That notwithstanding section 496(b) of the Public 
Health Service Act, funds may be used for the construction 
or renovation of privately owned facilities for the produc-
tion of pandemic influenza vaccines and other biologicals, 
where the Secretary finds such a contract necessary to se-
cure sufficient supplies of such vaccines or biologicals: Pro-
vided further, That $158,000,000 shall be transferred within 
30 days of enactment to the Centers for Disease Control and 
Prevention for pandemic preparedness activities: Provided 
further, That funds appropriated herein and not specifi-
cally designated under this heading may be transferred to 
other appropriation accounts of the Department of Health 
and Human Services, as determined by the Secretary to 
be appropriate, to be used for the purposes specified in this 
sentence. 
For expenses to provide screening and treatment for 
first response emergency services personnel, residents, stu-
dents, and others related to the September 11, 2001, ter-
rorist attacks on the World Trade Center, $55,000,000 to 
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be transferred to Centers for Disease Control and Preven-
tion, Disease Control, Research, and Training. 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be 
available for not to exceed $50,000 for official reception and 
representation expenses when specifically approved by the 
Secretary. 
SEC. 202. The Secretary shall make available through 
assignment not more than 60 employees of the Public 
Health Service to assist in child survival activities and to 
work in AIDS programs through and with funds provided 
by the Agency for International Development, the United 
Nations International Children’s Emergency Fund or the 
World Health Organization. 
SEC. 203. None of the funds appropriated in this Act 
may be used to implement section 1503 of the National In-
stitutes of Health Revitalization Act of 1993, Public Law 
103–43. 
SEC. 204. None of the funds appropriated in this Act 
for the National Institutes of Health, the Agency for 
Healthcare Research and Quality, and the Substance Abuse 
and Mental Health Services Administration shall be used 
to pay the salary of an individual, through a grant or other 
extramural mechanism, at a rate in excess of Executive 
Level I. 
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SEC. 205. None of the funds appropriated in this title 
for Head Start shall be used to pay the compensation of 
an individual, either as direct costs or any proration as 
an indirect cost, at a rate in excess of Executive Level II. 
SEC. 206. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the Public 
Health Service Act, except for funds specifically provided 
for in this Act, or for other taps and assessments made by 
any office located in the Department of Health and Human 
Services, prior to the Secretary’s preparation and submis-
sion of a report to the Committee on Appropriations of the 
Senate and of the House detailing the planned uses of such 
funds. 
SEC. 207. Notwithstanding section 241(a) of the Public 
Health Service Act, such portion as the Secretary shall de-
termine, but not more than 2.4 percent, of any amounts 
appropriated for programs authorized under said Act shall 
be made available for the evaluation (directly, or by grants 
or contracts) of the implementation and effectiveness of such 
programs. 
(TRANSFER OF FUNDS) 
SEC. 208. Not to exceed 1 percent of any discretionary 
funds (pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985, as amended) which are appro-
priated for the current fiscal year for the Department of 
Health and Human Services in this Act may be transferred 
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between a program, project, or activity, but no such pro-
gram, project, or activity shall be increased by more than 
3 percent by any such transfer: Provided, That a program, 
project, or activity may be increased by up to an additional 
2 percent subject to approval by the House and Senate Com-
mittees on Appropriations: Provided further, That the 
transfer authority granted by this section shall be available 
only to meet emergency needs and shall not be used to create 
any new program or to fund any project or activity for 
which no funds are provided in this Act: Provided further, 
That the Appropriations Committees of both Houses of Con-
gress are notified at least 15 days in advance of any trans-
fer. 
(TRANSFER OF FUNDS) 
SEC. 209. The Director of the National Institutes of 
Health, jointly with the Director of the Office of AIDS Re-
search, may transfer up to 3 percent among institutes and 
centers from the total amounts identified by these two Di-
rectors as funding for research pertaining to the human im-
munodeficiency virus: Provided, That the Appropriations 
Committees of both Houses of Congress are promptly noti-
fied of the transfer. 
(TRANSFER OF FUNDS) 
SEC. 210. Of the amounts made available in this Act 
for the National Institutes of Health, the amount for re-
search related to the human immunodeficiency virus, as 
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jointly determined by the Director of the National Institutes 
of Health and the Director of the Office of AIDS Research, 
shall be made available to the ‘‘Office of AIDS Research’’ 
account. The Director of the Office of AIDS Research shall 
transfer from such account amounts necessary to carry out 
section 2353(d)(3) of the Public Health Service Act. 
SEC. 211. None of the funds appropriated in this Act 
may be made available to any entity under title X of the 
Public Health Service Act unless the applicant for the 
award certifies to the Secretary that it encourages family 
participation in the decision of minors to seek family plan-
ning services and that it provides counseling to minors on 
how to resist attempts to coerce minors into engaging in 
sexual activities. 
SEC. 212. None of the funds appropriated by this Act 
(including funds appropriated to any trust fund) may be 
used to carry out the Medicare Advantage program if the 
Secretary denies participation in such program to an other-
wise eligible entity (including a Provider Sponsored Orga-
nization) because the entity informs the Secretary that it 
will not provide, pay for, provide coverage of, or provide 
referrals for abortions: Provided, That the Secretary shall 
make appropriate prospective adjustments to the capitation 
payment to such an entity (based on an actuarially sound 
estimate of the expected costs of providing the service to such 
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entity’s enrollees): Provided further, That nothing in this 
section shall be construed to change the Medicare program’s 
coverage for such services and a Medicare Advantage orga-
nization described in this section shall be responsible for 
informing enrollees where to obtain information about all 
Medicare covered services. 
SEC. 213. Notwithstanding any other provision of law, 
no provider of services under title X of the Public Health 
Service Act shall be exempt from any State law requiring 
notification or the reporting of child abuse, child molesta-
tion, sexual abuse, rape, or incest. 
SEC. 214. (a) Except as provided by subsection (e) 
none of the funds appropriated by this Act may be used 
to withhold substance abuse funding from a State pursuant 
to section 1926 of the Public Health Service Act (42 U.S.C. 
300x–26) if such State certifies to the Secretary of Health 
and Human Services by May 1, 2008, that the State will 
commit additional State funds, in accordance with sub-
section (b), to ensure compliance with State laws prohib-
iting the sale of tobacco products to individuals under 18 
years of age. 
(b) The amount of funds to be committed by a State 
under subsection (a) shall be equal to 1 percent of such 
State’s substance abuse block grant allocation for each per-
centage point by which the State misses the retailer compli-
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ance rate goal established by the Secretary of Health and 
Human Services under section 1926 of such Act. 
(c) The State is to maintain State expenditures in fis-
cal year 2008 for tobacco prevention programs and for com-
pliance activities at a level that is not less than the level 
of such expenditures maintained by the State for fiscal year 
2007, and adding to that level the additional funds for to-
bacco compliance activities required under subsection (a). 
The State is to submit a report to the Secretary on all fiscal 
year 2007 State expenditures and all fiscal year 2008 obli-
gations for tobacco prevention and compliance activities by 
program activity by July 31, 2008. 
(d) The Secretary shall exercise discretion in enforcing 
the timing of the State obligation of the additional funds 
required by the certification described in subsection (a) as 
late as July 31, 2008. 
(e) None of the funds appropriated by this Act may 
be used to withhold substance abuse funding pursuant to 
section 1926 from a territory that receives less than 
$1,000,000. 
SEC. 215. In order for the Department of Health and 
Human Services to carry out international health activi-
ties, including HIV/AIDS and other infectious diseases, 
chronic and environmental diseases, and other health ac-
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tivities abroad during fiscal year 2008, the Secretary of 
Health and Human Services— 
(1) may exercise authority equivalent to that 
available to the Secretary of State in section 2(c) of 
the State Department Basic Authorities Act of 1956 
(22 U.S.C. 2669(c)). The Secretary of Health and 
Human Services shall consult with the Secretary of 
State and relevant Chief of Mission to ensure that the 
authority provided in this section is exercised in a 
manner consistent with section 207 of the Foreign 
Service Act of 1980 (22 U.S.C. 3927) and other appli-
cable statutes administered by the Department of 
State; and 
(2) is authorized to provide such funds by ad-
vance or reimbursement to the Secretary of State as 
may be necessary to pay the costs of acquisition, 
lease, alteration, renovation, and management of fa-
cilities outside of the United States for the use of the 
Department of Health and Human Services. The De-
partment of State shall cooperate fully with the Sec-
retary of Health and Human Services to ensure that 
the Department of Health and Human Services has 
secure, safe, functional facilities that comply with ap-
plicable regulation governing location, setback, and 
other facilities requirements and serve the purposes 
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established by this Act. The Secretary of Health and 
Human Services is authorized, in consultation with 
the Secretary of State, through grant or cooperative 
agreement, to make available to public or nonprofit 
private institutions or agencies in participating for-
eign countries, funds to acquire, lease, alter, or ren-
ovate facilities in those countries as necessary to con-
duct programs of assistance for international health 
activities, including activities relating to HIV/AIDS 
and other infectious diseases, chronic and environ-
mental diseases, and other health activities abroad. 
SEC. 216. The Division of Federal Occupational 
Health hereafter may utilize personal services contracting 
to employ professional management/administrative and oc-
cupational health professionals. 
SEC. 217. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of the National Insti-
tutes of Health may use funds available under sections 
402(b)(7) and 402(b)(12) of the Public Health Service Act 
(42 U.S.C. 282(i)) to enter into transactions (other than 
contracts, cooperative agreements, or grants) to carry out 
research in support of the NIH Common Fund. 
(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director of the National Institutes 
of Health may utilize such peer review procedures (includ-
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ing consultation with appropriate scientific experts) as the 
Director determines to be appropriate to obtain assessments 
of scientific and technical merit. Such procedures shall 
apply to such transactions in lieu of the peer review and 
advisory council review procedures that would otherwise be 
required under sections 301(a)(3), 405(b)(1)(B), 405(b)(2), 
406(a)(3)(A), 492, and 494 of the Public Health Service 
Act (42 U.S.C. 241, 284(b)(1)(B), 284(b)(2), 284a(a)(3)(A), 
289a, and 289c). 
SEC. 218. Funds which are available for Individual 
Learning Accounts for employees of the Centers for Disease 
Control and Prevention and the Agency for Toxic Sub-
stances and Disease Registry may be transferred to ‘‘Dis-
ease Control, Research, and Training’’, to be available only 
for Individual Learning Accounts: Provided, That such 
funds may be used for any individual full-time equivalent 
employee while such employee is employed either by CDC 
or ATSDR. 
SEC. 219. Notwithstanding any other provisions of 
law, funds made available in this Act may be used to con-
tinue operating the Council on Graduate Medical Edu-
cation established by section 301 of Public Law 102–408. 
SEC. 220. In addition to any other amounts available 
for such travel, and notwithstanding any other provision 
of law, amounts available from this or any other appropria-
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tion for the purchase, hire, maintenance, or operation of 
aircraft by the Centers for Disease Control and Prevention 
shall be available for travel by the Secretary of Health and 
Human Services, the Director of the Centers for Disease 
Control and Prevention, and employees of the Department 
of Health and Human Services accompanying the Sec-
retary or the Director during such travel. 
SEC. 221. The Director of the National Institutes of 
Health shall require that all investigators funded by the 
NIH submit or have submitted for them to the National 
Library of Medicine’s PubMed Central an electronic version 
of their final, peer-reviewed manuscripts upon acceptance 
for publication to be made publicly available no later than 
12 months after the official date of publication: Provided, 
That the NIH shall implement the public access policy in 
a manner consistent with copyright law. 
SEC. 222. (a) The Secretary of Health and Human 
Services is authorized to award a grant to the Delta Health 
Alliance, a nonprofit alliance of academic institutions in 
the Mississippi Delta region that has as its primary pur-
poses addressing longstanding, unmet health needs and 
catalyzing economic development in the Mississippi Delta. 
(b) To be eligible to receive a grant under subsection 
(a), the Delta Health Alliance shall solicit and fund pro-
posals from local governments, hospitals, health care clinics, 
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academic institutions, and rural public health-related enti-
ties and organizations for research development, edu-
cational programs, health care services, job training, and 
planning, construction, and equipment of public health-re-
lated facilities in the Mississippi Delta region. 
(c) With respect to the use of grant funds under this 
section for construction or major alteration of property, the 
Federal interest in the property involved shall last for a 
period of 1 year following the completion of the project or 
until such time that the Federal Government is com-
pensated 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 such 
period, the Notice of Federal Interest in such property shall 
be removed. 
(d) There are authorized to be appropriated such sums 
as may be necessary to carry out this section in fiscal year 
2008 and in each of the five succeeding fiscal years. 
SEC. 223. Not to exceed $35,000,000 of funds appro-
priated by this Act to the Institutes and Centers of the Na-
tional Institutes of Health may be used for alteration, re-
pair, or improvement of facilities, as necessary for the prop-
er and efficient conduct of the activities authorized herein, 
at not to exceed $2,500,000 per project. 
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(TRANSFER OF FUNDS) 
SEC. 224. Of the amounts made available in this Act 
for the National Institutes of Health, 1 percent of the 
amount made available for National Research Service 
Awards (NRSA) shall be made available to the Adminis-
trator of the Health Resources and Services Administration 
to make NRSA awards for research in primary medical 
care to individuals affiliated with entities who have re-
ceived grants or contracts under section 747 of the Public 
Health Service Act, and 1 percent of the amount made 
available for NRSA shall be made available to the Director 
of the Agency for Healthcare Research and Quality to make 
NRSA awards for health service research. 
SEC. 225. Nothing in this Act shall be construed to 
effect or otherwise modify provisions of current Federal law 
with respect to the funding of abortion. 
SEC. 226. Of the funds made available in this Act for 
subtitle B of title IV of the Cardiac Arrest Survival Act 
of 2000 (Public Law 106–505), $200,000 shall be used to 
carry out section 312(c)(6) of the Public Health Service Act. 
SEC. 227. (a) In addition to any amounts appro-
priated or otherwise made available under this Act to the 
Health Resources and Services Administration to carry out 
programs and activities under the Health Care Safety Net 
Amendments of 2002 (Public Law 107–251) and the 
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amendments made by such Act, and for other telehealth pro-
grams under section 330I of the Public Health Service Act 
(42 U.S.C. 254c–14), there shall be made available an addi-
tional $6,800,000, to (1) expand support for existing and 
new telehealth resource centers, including at least 1 resource 
center focusing on telehomecare; (2) support telehealth net-
work grants, telehealth demonstrations, and telehomecare 
pilot projects; and (3) provide grants to carry out programs 
under which health licensing boards or various States co-
operate to develop and implement policies that will reduce 
statutory and regulatory barriers to telehealth. 
(b) Notwithstanding any other provision of this Act, 
amounts appropriated or otherwise made available under 
this Act for the administrative and related expenses for de-
partmental management for the Department of Labor, the 
Department of Health and Human Services, and the De-
partment of Education, shall be reduced on a pro rata basis 
by $6,800,000. 
SEC. 228. (a) Not later than November 30, 2008, the 
Comptroller General of the United States shall submit to 
Congress a report concerning State health care reform ini-
tiatives. 
(b) The report required under subsection (a) shall in-
clude the following: 
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(1) An assessment of State efforts to reexamine 
health care delivery and health insurance systems and 
to expand the access of residents to health insurance 
and health care services, including the following: 
(A) An overview of State approaches to re-
examining health care delivery and insurance. 
(B) A description of whether and to what 
extent State health care initiatives have resulted 
in improved access to health care and insurance. 
(C) A description of the extent to which 
public and private cooperation has occurred in 
State health care initiatives. 
(D) A description of the outcomes of State 
insurance coverage mandates. 
(E) A description of the effects of increased 
health care costs on State fiscal choices. 
(F) A description of the effects of Federal 
law and funding on State health care initiatives 
and fiscal choices. 
(G) A description of outcomes of State ef-
forts to increase health care quality and control 
costs. 
(2) Recommendations regarding the potential 
role of Congress in supporting State-based reform ef-
forts, including the following: 
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(A) Enacting changes in Federal law that 
would facilitate State-based health reform and 
expansion efforts. 
(B) Creating new or realigning existing 
Federal funding mechanisms to support State- 
based reform and expansion efforts. 
(C) Expanding existing Federal health in-
surance programs and increasing other sources of 
Federal health care funding to support State- 
based health reform and expansion efforts. 
SEC. 229. None of the funds made available in this 
Act may be used— 
(1) for the Ombudsman Program of the Centers 
for Disease Control and Prevention; and 
(2) by the Centers for Disease Control and Pre-
vention to provide additional rotating pastel lights, 
zero-gravity chairs, or dry-heat saunas for its fitness 
center. 
SEC. 230. (a) In addition to amounts otherwise appro-
priated under this Act, there is appropriated, out of any 
money in the Treasury not otherwise appropriated, an ad-
ditional $3,000,000 for the Centers for Disease Control and 
Prevention to make grants under the State Heart Disease 
and Stroke Prevention Program. 
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(b) Amounts made available under this Act for con-
sulting services for the Department of Labor, the Depart-
ment of Health and Human Services, and the Department 
of Education shall be further reduced on a pro rata basis 
by the percentage necessary to decrease the overall amount 
of such spending by $3,000,000. 
SEC. 231. Notwithstanding any other provision of this 
Act, amounts appropriated in this Act for the administra-
tion and related expenses for the departmental management 
of the Department of Labor, the Department of Health and 
Human Services, and the Department of Education shall 
be reduced by a pro rata percentage required to reduce the 
total amount appropriated in this Act by $30,000,000. 
SEC. 232. (a) In addition to any other amounts appro-
priated or otherwise made available under this Act, 
$8,000,000 shall be available to carry out activities under 
the Patient Navigator Outreach and Chronic Disease Pre-
vention Act of 2005 (Public Law 109–18). 
(b) Amounts made available under this Act for con-
sulting services for the Department of Labor, the Depart-
ment of Health and Human Services, and the Department 
of Education shall be further reduced on a pro rata basis 
by the percentage necessary to decrease the overall amount 
of such spending by $8,000,000. 
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SEC. 233. (a) In addition to other amounts made 
available in this title, $3,000,000 shall be made available 
for trauma care activities. 
(b) Amounts made available under this Act for con-
sulting services for the Department of Labor, the Depart-
ment of Health and Human Services, and the Department 
of Education shall be reduced on a pro rata basis by the 
percentage necessary to decrease the overall amount of such 
spending by $6,000,000. 
SEC. 234. (a) In addition to other amounts appro-
priated in this title to carry out title VII of the Public 
Health Service Act, $2,000,000 shall be made available to 
carry out allied health professional programs under section 
755 of such title VII, other than the Chiropractic-Medical 
School Demonstration Grant program, Graduate Psy-
chology training programs, and podiatric physicians pro-
grams. 
(b) Amounts made available under this Act for con-
sulting services for the Department of Labor, the Depart-
ment of Health and Human Services, and the Department 
of Education shall be reduced further on a pro rata basis 
by the percentage necessary to decrease the overall amount 
of such spending by $2,000,000. 
SEC. 235. It is the sense of the Senate that a portion 
of the funds appropriated under this title be used for fre-
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