592 
struction or renovation of facilities as provided for in sec-
tion 2354(a)(5)(B) of the PHS Act. 
BUILDINGS AND FACILITIES 
For the study of, construction of, renovation of, and 
acquisition of equipment for, facilities of or used by the 
National Institutes of Health, including the acquisition of 
real property, $125,581,000, to remain available until ex-
pended. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
For carrying out titles III, V, and XIX of the Public 
Health Service Act (‘‘PHS Act’’) with respect to substance 
abuse and mental health services and the Protection and 
Advocacy for Individuals with Mental Illness Act, 
$3,334,906,000, of which $15,666,000 shall be used for 
the projects, and in the amounts, specified under the head-
ing ‘‘Substance Abuse and Mental Health Services’’ in the 
explanatory statement described in section 4 (in the mat-
ter preceding division A of this consolidated Act): Pro-
vided, That notwithstanding section 520A(f)(2) of the 
PHS Act, no funds appropriated for carrying out section 
520A are available for carrying out section 1971 of the 
PHS Act: Provided further, That $2,000,000 shall be 
available to establish State-administered controlled sub-
stance monitoring systems as authorized by Public Law 
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593 
109–60: Provided further, That $772,000 shall be for re-
imbursing the General Services Administration for envi-
ronmental testing and remediation on the federally owned 
facilities at St. Elizabeths Hospital, including but not lim-
ited to testing and remediation conducted prior to fiscal 
year 2009: Provided further, That in addition to amounts 
provided herein, the following amounts shall be available 
under section 241 of the PHS Act: (1) $79,200,000 to 
carry out subpart 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 available under this Act for section 1935(b) 
activities shall not exceed 5 percent of the amounts appro-
priated for subpart II of part B of title XIX; (2) 
$21,039,000 to carry out subpart I of part B of title XIX 
of the PHS Act to fund section 1920(b) technical assist-
ance, national data, data collection and evaluation activi-
ties, and further that the total available 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) $22,750,000 to carry out national surveys 
on drug abuse and mental health; and (4) $8,596,000 to 
collect and analyze data and evaluate substance abuse 
treatment programs: Provided further, That section 
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594 
520E(b)(2) of the PHS Act shall not apply to funds ap-
propriated under this Act for fiscal year 2009. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the Public 
Health Service Act (‘‘PHS Act’’), part A of title XI of 
the Social Security Act, and section 1013 of the Medicare 
Prescription Drug, Improvement, and Modernization Act 
of 2003, amounts received from Freedom of Information 
Act fees, reimbursable and interagency agreements, and 
the sale of data shall be credited to this appropriation and 
shall remain available until expended: Provided, That the 
amount made available pursuant to section 937(c) of the 
PHS Act shall not exceed $372,053,000. 
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, $149,335,031,000, 
to remain available until expended. 
For making, after May 31, 2009, payments to States 
under title XIX of the Social Security Act for the last 
quarter of fiscal year 2009 for unanticipated costs, in-
curred for the current fiscal year, such sums as may be 
necessary. 
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