In the Senate of the United States,
September 29 (legislative day, September 27), 1993.
Resolved, That the bill from the House of Representa-
tives (H.R. 2518) entitled ‘‘An Act making appropriations for
the Departments of Labor, Health and Human Services, and
Education, and related agencies, for the fiscal year ending
September 30, 1994, and for other purposes’’, do pass with
the following
AMENDMENTS:
Ω1æPage 2, line 17, strike out ø$4,943,181,000¿ and in-
sert: $4,588,536,000
Ω2æPage 2, line 19, strike out ø$61,871,000¿ and insert:
$65,000,000
Ω3æPage 2, line 20, strike out ø$78,303,000¿ and insert:
$88,000,000
Ω4æPage 2, line 23, strike out ø$5,357,000¿ and insert:
$5,800,000
Ω5æPage 2, line 26, strike out ø$3,831,000¿ and insert:
$3,861,000
Ω6æPage 
3, 
line 
10, 
after 
‘‘addition,’’ 
insert:
$178,000,000 is appropriated for carrying out part B of
HR 2518 EAS
title II of the Job Training Partnership Act to be available
for obligation for the period October 1, 1993 through June
30, 1994; and, in addition, $50,000,000 is appropriated for
carrying out part D of title IV of the Job Training Partner-
ship Act to be available for obligation for the period October
1, 1993 through June 30, 1995; and, in addition,
Ω7æPage 3, line 13, strike out ø$744,000¿ and insert:
$1,500,000
Ω8æPage 3, line 18, after ‘‘Act’’ insert: and, in addition,
$750,000 is appropriated for the Women in Apprenticeship
and Nontraditional Occupations Act (Public Law 102–530)
Ω9æPage 3, line 20, strike all after ‘‘centers’’ over to and
including ‘‘1993’’ in line 2 on page 4
Ω10æPage 5, line 18, strike out ø$69,542,000¿ and in-
sert: $77,042,000
Ω11æPage 5, line 19, strike out ø$3,327,707,000¿ and
insert: $3,338,389,000
Ω12æPage 6, line 12, strike out ø$67,486,000¿ and in-
sert: $74,986,000
Ω13æPage 7, line 1, strike out ø3.28¿ and insert: 3.427
Ω14æPage 8, line 8, strike out ø$64,408,000¿ and insert:
$64,058,000
HR 2518 EAS
Ω15æPage 9, line 12, after ‘‘Act’’ insert: : Provided, That,
notwithstanding 31 U.S.C. 3302, or any provision of Public
Law 102–170, Public Law 102–394, this Act, or any subse-
quent Appropriations Act, the Secretary of Labor is author-
ized to accept, retain and spend in the name of the Depart-
ment of Labor all sums of money ordered to be paid to the
Secretary of Labor, in accordance with the terms of the Con-
sent Judgment in Civil Action No. 91–0027 of the United
States District Court for the District of the Northern Mari-
ana Islands (May 21, 1992)
SEC. 
100. 
CONGRESSIONAL
COVERAGE
UNDER
HEALTH CARE LEGISLATION.—
(a) FINDINGS.—Congress finds:
(1) Congress is expected to consider health care
reform legislation in the near future that would offer
a standard benefit package with several different op-
tions for the delivery of those benefits.
(2) The standard benefits offered under all plans
will be the same. Quality standards will apply to all
plans.
(3) Consumers will have the ability to choose a
plan on an annual basis, and will have access to full
information about all plans so that they may make
their choice based on the quality of plans and
consumer satisfaction of plans.
HR 2518 EAS
(4) Members of Congress should be treated the
same and afforded the same choices as every Amer-
ican in the health care system.
(b) SENSE OF THE CONGRESS.—It is the sense of the
Congress that any legislation appproved by Congress should
provide health care plans of comparable high quality and
that Members of Congress participate on an equal basis
with all other Americans in the health care system that re-
sults from health care reform legislation.
Ω16æPage 11, line 4, strike out ø$1,001,575,000¿ and
insert: $1,002,175,000
Ω17æPage 11, line 9, strike out ø$28,929,000¿ and in-
sert: $29,529,000
Ω18æPage 12, line 4, strike out ø$294,640,000¿ and in-
sert: $297,244,000
Ω19æPage 14, line 11, strike out ø$193,858,000¿ and
insert: $195,002,000
Ω20æPage 15, line 15, strike out ø$281,768,000¿ and
insert: $282,018,000
Ω21æPage 15, line 16, strike out ø$51,927,000¿ and in-
sert: $51,227,000
HR 2518 EAS
Ω22æPage 15, line 24, strike out ø$142,242,000¿ and
insert: $143,127,000
Ω23æPage 16, strike out lines 4 to 7 and insert:
For expenses necessary for the maintenance and oper-
ation of a comprehensive program of centralized services
which the Secretary of Labor may prescribe and deem ap-
propriate and advantageous to provide on a reimbursable
basis under the provisions of the Economy Act (subject to
prior notice to OMB) in the national office and field: Pro-
vided, That such fund shall be reimbursed in advance from
funds available to agencies, bureaus, and offices for which
such centralized services are performed at rates which will
return in full cost of operations including services obtained
through cooperative administrative services units under the
Economy Act, including reserves for accrued annual leave,
worker’s compensation, depreciation of capitalized equip-
ment, and amortization of ADP software and systems (ei-
ther acquired or donated): Provided further, That funds re-
ceived for services rendered to any entity or person for use
of Departmental facilities, including associated utilities
and security services, shall be credited to and merged with
this fund.
Ω24æPage 17, after line 2, insert:
HR 2518 EAS
SEC. 102. Section 8102 of title 5, United States Code
(‘‘the Act’’) is amended to redesignate subsection (b) of sub-
section (c) and to add the following new subsection (b):
‘‘(b) An individual convicted of a violation of 18
U.S.C. 1920, or of any felony fraud related to the applica-
tion for or receipt of benefits under subchapter I or III or
chapter 81 of title 5, shall (in addition to any other pen-
alties provided by this subchapter) as of the date of the con-
viction, forfeit all entitlement to any prospective benefits
provided by subchapter I or III for any injury occurring
on or before the date of the conviction.’’.
Ω25æPage 17, after line 2, insert:
SEC. 103. None of the funds appropriated under this
Act shall be expended by the Secretary of Labor to imple-
ment or administer either the final or proposed regulations
referred to in section 303 of Public Law 102–27.
Ω26æPage 17, line 10, strike out øand XXVI¿ and in-
sert: XXVI, and XXVII
Ω27æPage 17, line 15, strike out ø$2,833,588,000¿ and
insert: $2,954,341,000
Ω28æPage 18, line 1, after ‘‘Center’’ insert: : Provided
further, That no more than $5,000,000 is available for car-
rying out the provisions of Public Law 102–501
HR 2518 EAS
Ω29æPage 19, line 14, strike out ø$2,500,000¿ and in-
sert: $3,000,000
Ω30æPage 19, line 19, strike out ø$80,000,000¿ and in-
sert: $110,000,000
Ω31æPage 19, lines 23 and 24, strike out øand XIX¿
and insert: XIX, and XXVII
Ω32æPage 20, line 4, strike out ø$1,910,182,000¿ and
insert: $2,088,781,000
Ω33æPage 24, line 17, strike out ø$328,915,000¿ and
insert: $332,915,000
Ω34æPage 24, line 21, after ‘‘grants’’ insert: : Provided
further, That $8,000,000 shall be for extramural facilities
construction grants to be awarded on a competitive basis
and in accordance with the criteria of section 481A(c)(2)
of subpart 1 of part E of title IV
Ω35æPage 24, line 25, strike out ø$119,030,000¿ and
insert: $131,925,000
Ω36æPage 25, line 3, strike out ø$22,240,000¿ and in-
sert: $19,988,000
Ω37æPage 25, line 7, strike out ø$118,481,000¿ and in-
sert: $120,481,000
HR 2518 EAS
Ω38æPage 25, line 11, strike out ø$224,746,000¿ and
insert: $241,225,000
Ω39æPage 25, line 14, after ‘‘only’’ insert: : Provided fur-
ther, That of the funds made available under this heading,
$15,000,000 shall be made available for the Director’s Dis-
cretionary Fund, of which $12,000,000 shall be allocated
to the relevant Institutes, Centers and Divisions to support
the activities of the Decade of the Brain Program
Ω40æPage 25, line 25, strike out ø$114,385,000¿ and
insert: $101,000,000
Ω41æPage 26, line 8, strike out ø$2,057,167,000¿ and
insert: $2,119,205,000
Ω42æPage 26, line 16, strike out ø$4,000,000¿ and in-
sert: $3,000,000
Ω43æPage 26, line 23, strike out ø$68,758,000¿ and in-
sert: $71,167,000
Ω44æPage 27, line 18, strike out ø$129,051,000¿ and
insert: $139,305,000
Ω45æPage 28, after line 16, insert:
For making payments to States under title XIX of the
Social Security Act for the first quarter of fiscal year 1995,
$26,600,000,000 to remain available until expended.
HR 2518 EAS
Ω46æPage 29, line 10, strike out ø$2,172,598,000¿ and
insert: $2,192,414,000
Ω47æPage 29, line 13, strike out ø$2,172,598,000¿ and
insert: $2,192,414,000
Ω48æPage 30, after line 11, insert:
For making benefit payments under title IV of the Fed-
eral Mine Safety and Health Act of 1977 for the first quar-
ter of fiscal year 1995, $190,000,000, to remain available
until expended.
Ω49æPage 30, line 19, strike out ø$20,181,775,000¿ and
insert: $20,172,775,000
Ω50æPage 30, line 23, strike out øJuly 31¿ and insert:
June 15
Ω51æPage 31, after line 2, insert:
For carrying out title XVI of the Social Security Act
for the first quarter of fiscal year 1995, $6,770,000,000, to
remain available until expended.
Ω52æPage 31, line 5, strike out ø$4,874,285,000¿ and
insert: $4,876,085,000
Ω53æPage 31, line 6, after ‘‘Act’’ insert: or as necessary
to carry out sections 9704 and 9706 of the Internal Revenue
HR 2518 EAS
Code of 1986 as such sections were in effect on January
1, 1993
Ω54æPage 31, line 7, after ‘‘therein’’ insert: : Provided,
That no more than $542,398,000 shall be derived from the
Federal Hospital Insurance and the Federal Supple-
mentary Medical Insurance Trust Funds: Provided further,
That reimbursement to the Trust Funds under this heading
for administrative expenses to carry out sections 9704 and
9706 of the Internal Revenue Code of 1986 shall be made,
with interest, not later than September 30, 1996: Provided
further, That not more than $1,800,000 is available for ex-
penses necessary for the Commission on the Social Security
‘‘Notch’’ Issue, established by section 635 of Public Law
102–393 as amended
Ω55æPage 31, line 15, strike out ø$330,000,000¿ and
insert: $220,000,000
Ω56æPage 32, after line 14, insert:
For making payments to States or other non-Federal
entities under titles I, IV–A (other than section 402(g)(6))
and 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 first
quarter of fiscal year 1995, $4,200,000,000 to remain avail-
able until expended.
Ω57æPage 32, after line 18, insert:
HR 2518 EAS
LOW INCOME HOME ENERGY ASSISTANCE
For making payments under title XXVI of the Omni-
bus Budget Reconciliation Act of 1981, $1,507,408,000 to
be available for obligation in the period October 1, 1994
through June 30, 1995, of which $100,000,000 shall be
available for reimbursing States for costs incurred during
the period October 1, 1993 through September 30, 1994.
For making payments under title XXVI of the Omni-
bus Budget Reconciliation Act of 1981, an additional
$600,000,000: Provided, That all funds available under this
paragraph are hereby designated by Congress to be emer-
gency requirements pursuant to section 251(b)(2)(D) of the
Balanced Budget and Emergency Deficit Control Act of
1985: Provided further, That these funds shall be made
available only after submission to Congress of a formal
budget request by the President that includes designation
of the entire amount of the request as an emergency require-
ment as defined in the Balanced Budget and Emergency
Deficit Control Act of 1985.
Ω58æPage 33, line 5, strike out ø$447,643,000¿ and in-
sert: $472,649,000, including $12,000,000 which shall be
for carrying out the National Youth Sports Program: Pro-
vided, That payments from such amount to the grantee and
subgrantee administering the National Youth Sports Pro-
gram may not exceed the aggregate amount contributed in
HR 2518 EAS
cash or in kind by the grantee and subgrantee: Provided
further, That amounts in excess of $9,400,000 of such
amount may not be made available to the grantee and
subgrantees administering the National Youth Sports Pro-
gram unless the grantee agrees to provide contributions in
cash over and above the preceding years cash contribution
to such program in an amount that equals 50 percent of
such excess amount: Provided further, That notwithstand-
ing any other provision of this Act, no department, agency,
or instrumentality of the United States Government receiv-
ing appropriated funds under this Act for fiscal year 1994
shall, during fiscal year 1994, obligate and expend funds
for consulting services in excess of an amount equal to 96.48
percent of the amount estimated to be obligated and ex-
pended by such department, agency, or instrumentality for
such services during fiscal year 1994: Provided further,
That notwithstanding any other provision of this Act, the
aggregate amount of funds appropriated by this Act to any
such department, agency, or instrumentality for fiscal year
1994 is reduced by an amount equal to 3.52 percent of the
amount expected to be expended by such department, agency
or instrumentality during fiscal year 1994 for consulting
services. As used in the preceding two provisos, the term
‘consulting services’ includes any services within the defini-
tion of sub-object class 25.1 as described in the Office of
HR 2518 EAS
Management and Budget Circular A–11, dated August 4,
1993
Ω59æPage 33, line 9, after ‘‘$892,711,000’’ insert: ,
which shall be available for obligation under the same statu-
tory terms and conditions applicable in the prior fiscal year
Ω60æPage 33, strike out lines 11 and 12 and insert:
For making grants to States pursuant to section 2002
of the Social Security Act, $2,800,000,000. For carrying out
section 2007 of the Social Security Act, an additional
$1,000,000,000, which shall remain available until ex-
pended.
Ω61æPage 34, line 13, after ‘‘100–77,’’ insert: the Com-
mission on Child and Family Welfare established under
Public Law 102–521,
Ω62æPage 34, line 14, strike out ø$4,169,806,000¿ and
insert: $4,296,796,000
Ω63æPage 34, after line 14, insert:
FAMILY SUPPORT AND PRESERVATION
For carrying out section 430 of the Social Security
Act, $60,000,000.
Ω64æPage 34, line 25, strike out ø$841,875,000¿ and
insert: $881,863,000
HR 2518 EAS
Ω65æPage 35, line 5, strike out ø$94,149,000¿ and in-
sert: $92,793,000
Ω66æPage 35, line 12, strike out ø$62,379,000¿ and in-
sert: $64,800,000
Ω67æPage 37, strike out lines 3 to 9
Ω68æPage 37, line 14, strike out ø1911(d)¿ and insert:
1503
Ω69æPage 37, after line 15, insert:
SEC. 207. For the purpose of carrying out subparts
II and III part B of title XIX of the Public Health Service
Act (42 U.S.C. 300x–21 et seq.) for fiscal years 1993 and
1994, the Secretary of Health and Human Services shall
obligate $7,532,065 from the amounts made available pur-
suant to section 1935(b) of such Act for fiscal year 1994,
of which $673,706 shall be available to Arkansas, $40,702
shall be available to Georgia, $144,331 shall be available
to Hawaii, $488,178 shall be available to Idaho, $223,109
shall be available to Indiana, $820,641 shall be available
to Iowa, $729,745 shall be available to Kansas, $609,672
shall be available to Kentucky, $69,682 shall be available
to Louisiana, $34,514 shall be available to Maine, $349,997
shall be available to Minnesota, $8,626 shall be available
to the Red Lake Indian Tribe, $500,441 shall be available
to Mississippi, $184,176 shall be available to Montana,
HR 2518 EAS
$231,450 shall be available to Nebraska, $8,896 shall be
available to North Carolina, $97,530 shall be available to
North Dakota, $66,083 shall be available to Ohio, $578,520
shall be available to Oklahoma, $557,924 shall be available
to Oregon, $167,753 shall be available to South Carolina,
$319,674 shall be available to Tennessee, $196,426 shall be
available to West Virginia, $195,834 shall be available to
Wisconsin, and $234,455 shall be available to Wyoming.
Ω70æPage 37, after line 15, insert:
SEC. 208. Not to exceed $190,400,000 may be obligated
in fiscal year 1994 for contracts with Utilization and Qual-
ity Control Peer Review Organizations pursuant to part
B of title XI of the Social Security Act.
Ω71æPage 37, after line 15, insert:
SEC. 209. None of the funds appropriated under this
Act for the Medicaid Disproportionate Share Hospital pay-
ment program may be disbursed to a State until the Gov-
ernor of such State certifies to the Secretary of Health and
Human Services that such funds shall be expended solely
for providing medical assistance under Medicaid: Provided,
That it is the sense of the Senate that any health care re-
form legislation enacted by Congress should modify or
eliminate the Medicaid Disproportionate Share Hospital
payment program, because States are currently abusing the
HR 2518 EAS
program by spending Federal matching funds for purposes
unrelated to Medicaid.
Ω72æPage 37, after line 15, insert:
SEC. 210. RESTRICTION ON PAYMENT OF BENEFITS TO IN-
DIVIDUALS CONFINED BY COURT ORDER TO
PUBLIC INSTITUTIONS PURSUANT TO VER-
DICTS OF NOT GUILTY BY REASON OF INSAN-
ITY OR OTHER MENTAL DISORDER.
(a) IN GENERAL.—Section 202(x)(1) of the Social Se-
curity Act (42 U.S.C. 402(x)(1)) is amended—
(1) by inserting ‘‘(A)’’ after ‘‘(1)’’, and
(2) by adding at the end the following new sub-
paragraph:
‘‘(B) Notwithstanding any other provision
of this title, no monthly benefits shall be paid
under this section or under section 223 to any
individual for any month during which such in-
dividual is confined in any public institution by
a court order pursuant to a verdict that the indi-
vidual is guilty, but insane or not guilty of an
offense by reason of insanity (or by reason of a
similar finding, such as a mental disease, a
mental defect, or mental incompetence).’’.
(b) CONFORMING AMENDENTS.—
HR 2518 EAS
(1) The heading for section 202(x) of such Act is
amended by inserting ‘‘and Certain Other Inmates of
Public Institutions’’ after ‘‘Prisoners’’.
(2) section 202(x)(3), is amended by striking
‘‘any individual’’ and all that follows and inserting
‘‘any individual confined as described in paragraph
(1) if the jail, prison, penal institution, correctional
facility, or other public institution to which such in-
dividual is so confined is under the jurisdiction of
such agency and the Secretary requires such informa-
tion to carry out the provisions of this section.’’.
(c) EFFECTIVE DATE.—
(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by this section shall
apply with respect to benefits for months commencing
90 days after the date of the enactment of this Act.
(2) SPECIAL RULE REGARDING PAYMENTS TO IN-
STITUTIONS.—The amendment made by subsection (a)
shall not apply to any payment with respect to any
individual, if, as of the date of the enactment of this
Act, such payment is made directly to the public in-
stitution to compensate such institution for the ex-
pense of institutionalizing such individual.
Ω73æPage 37, after line 19, insert:
HR 2518 EAS
(INCLUDING TRANSFER OF FUNDS)
Ω74æPage 37, strike out all after line 19 over to and
including line 5 on page 38 and insert:
For carrying out education reform activities author-
ized in law, including activities authorized by the Carl D.
Perkins Vocational and Applied Technology Education Act,
$166,000,000, of which $5,000,000, under section 402 of the
Perkins Act, shall be used by the Secretary for activities,
including peer review of applications, related to school-to-
work transition, and not less than $45,000,000 shall be used
under section 420A of the Perkins Act for State grants and
subgrants to initiate activities in States and localities relat-
ed 
to 
school-to-work 
transition: 
Provided, 
That
$116,000,000 of the funds provided shall be for carrying
out activities authorized by the Goals 2000: Educate Amer-
ica Act, or similar legislation, if enacted into law by April
1, 1994 of which $5,000,000 shall be used for ‘‘State Plan-
ning for Improving Student Achievement Through Integra-
tion of Technology Into the Curriculum’’; and that if such
legislation is not enacted by that date, this amount shall
be used for alleviation of the funding shortfall in the Pell
Grant program under subpart 1 of Part A of title IV of
the Higher Education Act of 1965: Provided further, That
any funds appropriated in this account may be transferred
as necessary to other Department of Education accounts.
HR 2518 EAS
Ω75æPage 38, line 10, strike out ø$6,871,147,000¿ and
insert: $6,971,620,000
Ω76æPage 38, line 11, strike out ø$6,844,682,000¿ and
insert: $6,943,175,000
Ω77æPage 38, line 13, strike out ø$5,597,000,000¿ and
insert: $5,687,000,000
Ω78æPage 38, line 14, strike out øexcluding subsection
(a)(3)¿
Ω79æPage 38, line 16, strike out ø$39,734,000¿ and in-
sert: $42,000,000
Ω80æPage 38, line 17, strike out ø$89,123,000¿ and in-
sert: $92,123,000
Ω81æPage 38, line 19, strike out ø$302,773,000¿ and
insert: $306,000,000
Ω82æPage 38, line 26, strike out ø$2,980,000¿ and in-
sert: $4,960,000
Ω83æPage 39, line 12, strike out ø$813,074,000¿ and
insert: $748,368,000
Ω84æPage 39, line 13, strike out ø$630,000,000¿ and
insert: $563,780,000
HR 2518 EAS
Ω85æPage 39, line 14, strike out ø$123,629,000¿ and
insert: $121,629,000
Ω86æPage 39, line 15, strike out ø$29,462,000¿ and in-
sert: $34,762,000
Ω87æPage 39, line 18, strike out ø$1,786,000 shall be
for payments under section 3(e),¿
Ω88æPage 41, line 13, strike out ø$1,339,178,000¿ and
insert: $1,393,893,000
Ω89æPage 41, line 13, strike out ø$1,014,709,000¿ and
insert: $1,065,101,000
Ω90æPage 41, line 16, strike out ø$24,925,000¿ and in-
sert: $25,196,000
Ω91æPage 41, line 17, strike out ø$246,016,000¿ and
insert: $252,658,000
Ω92æPage 41, line 20, after ‘‘1965’’ insert: : Provided
further, That of the amount provided for the State and local
programs under part B of title V of the Elementary and
Secondary Education Act, up to $32,838,000 may be used
for Department of Education activities authorized under
the Safe Schools Act, or similar legislation, if such legisla-
tion is enacted by April 1, 1994; and any funds used for
HR 2518 EAS
after-school activities, mentoring for students at risk,
programs for gifted students, and replacing sub-
standard buildings will require substantial Federal
assistance; and
(7) the Federal contribution to education is less
than 2 percent of the total Federal budget, and in
order to make education a national priority, the total
percentage of Federal education funding should be in-
creased by 1 percent each year over the next 8 years
to reach 10 percent of the total Federal budget.
(b) It is the sense of the Congress that the total share
of the Federal spending on education should increase by at
least 1 percent each year until such share reaches 10 percent
of the total Federal budget.
Ω127æPage 52, after line 17, insert:
SEC. 306. (a) The Congress finds that—
(1) according to the recent National Performance
Review, there are currently 230 distinct programs in
the Department of Education, 160 of which award
grants through 245 national competitions each year;
(2) many of these programs overlap in purpose
and orientation, differing only in the administrative
requirements such programs impose on applicants
and the Department of Education;