HEALTH STATISTICS 
For carrying out titles II and III of the PHS Act 
with respect to health statistics, $136,683,000 shall be 
available from amounts available under section 241 of the 
PHS Act. 
CROSS-CUTTING ACTIVITIES AND PROGRAM SUPPORT 
For carrying out titles II, III, VII, XVII and XIX, 
and section 2821 of the PHS Act and for cross-cutting 
activities and program support that supplement activities 
funded under the headings ‘‘Immunization and Res-
piratory Diseases’’, ‘‘HIV/AIDS, Viral Hepatitis, Sexually 
Transmitted Diseases, and Tuberculosis Prevention’’, 
‘‘Emerging and Zoonotic Infectious Diseases’’, ‘‘Chronic 
Disease Prevention and Health Promotion’’, ‘‘Birth De-
fects, 
Developmental 
Disabilities, 
Disabilities 
and 
Health’’, ‘‘Environmental Health’’, ‘‘Injury Prevention 
and Control’’, ‘‘Occupational Safety and Health’’, ‘‘Em-
ployees Occupational Illness Compensation Program Act’’, 
‘‘Global Health’’, ‘‘Public Health Preparedness and Re-
sponse’’, ‘‘Buildings and Facilities’’, and ‘‘Health Statis-
tics’’, $688,940,000, of which $100,000,000 shall be for 
the Preventive Health and Health Services Block Grant 
Program: Provided, That paragraphs (1) through (3) of 
subsection (b) of section 2821 of the PHS Act shall not 
apply to funds appropriated under this heading and in all 
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other accounts of the Centers for Disease Control and Pre-
vention: Provided further, That in addition to amounts 
provided herein, $109,086,000 shall be available from 
amounts available under section 241 of the PHS Act to 
carry out Public Health Scientific Services: Provided fur-
ther, That employees of the Centers for Disease Control 
and Prevention or the Public Health Service, both civilian 
and commissioned officers, detailed to States, municipali-
ties, or other organizations under authority of section 214 
of the PHS Act, or in overseas assignments, shall be treat-
ed as non-Federal employees for reporting purposes only 
and shall not be included within any personnel ceiling ap-
plicable to the Agency, Service, or the Department of 
Health and Human Services during the period of detail 
or assignment: Provided further, That the Centers for Dis-
ease Control and Prevention may use up to $10,000 from 
amounts appropriated to the Centers for Disease Control 
and Prevention in this Act for official reception and rep-
resentation expenses when specifically approved by the Di-
rector of the Centers for Disease Control and Prevention: 
Provided further, That funds made available under ‘‘Im-
munization and Respiratory Diseases’’, ‘‘HIV/AIDS, Viral 
Hepatitis, Sexually Transmitted Diseases, and Tuber-
culosis Prevention’’, ‘‘Emerging and Zoonotic Infectious 
Diseases’’, ‘‘Chronic Disease Prevention and Health Pro-
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motion’’, ‘‘Birth Defects, Developmental Disabilities, Dis-
abilities and Health’’, ‘‘Environmental Health’’, and ‘‘In-
jury Prevention and Control’’ may be used for inter-
national public health activities only after an operating 
plan for these activities has been submitted to the Com-
mittees on Appropriations of the House of Representatives 
and the Senate, and such Committees issue an approval, 
or absent a response, a period of 45 days has elapsed: 
Provided further, That such sums as may be derived from 
authorized user fees, which shall be credited to the appro-
priation charged with the cost thereof: Provided further, 
That with respect to the previous proviso, authorized user 
fees from the Vessel Sanitation Program shall be available 
through September 30, 2013. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cancer, $5,196,136,000, of which up 
to $8,000,000 may be used for facilities repairs and im-
provements at the National Cancer Institute-Frederick 
Federally Funded Research and Development Center in 
Frederick, Maryland. 
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NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to cardiovascular, lung, and blood dis-
eases, and blood and blood products, $3,147,992,000. 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 
RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to dental disease, $420,369,000. 
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND 
KIDNEY DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to diabetes and digestive and kidney dis-
eases, $1,837,957,000. 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS 
AND STROKE 
For carrying out section 301 and title IV of the PHS 
Act with respect to neurological disorders and stroke, 
$1,664,253,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to allergy and infectious diseases, 
$4,915,970,000. 
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NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
general 
medical 
sciences, 
$2,102,300,000. 
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF 
CHILD HEALTH AND HUMAN DEVELOPMENT 
For carrying out section 301 and title IV of the PHS 
Act with respect to child health and human development, 
$1,352,189,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act with respect to eye diseases and visual disorders, 
$719,059,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to environmental health sciences, 
$700,537,000, of which none of the funds may be used 
for travel by the Office of the Director. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the PHS 
Act with respect to aging, $1,129,987,000. 
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NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the PHS 
Act with respect to arthritis and musculoskeletal and skin 
diseases, $547,891,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the PHS 
Act with respect to deafness and other communication dis-
orders, $426,043,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the PHS 
Act with respect to nursing research, $148,114,000. 
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the PHS 
Act with respect to alcohol abuse and alcoholism, 
$469,197,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the PHS 
Act with respect to drug abuse, $1,080,018,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the PHS 
Act with respect to mental health, $1,517,006,000. 
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NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the PHS 
Act 
with 
respect 
to 
human 
genome 
research, 
$524,807,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the PHS 
Act with respect to biomedical imaging and bioengineering 
research, $322,106,000. 
NATIONAL CENTER FOR RESEARCH RESOURCES 
For carrying out section 301 and title IV of the PHS 
Act with respect to research resources and general re-
search support grants, $1,397,900,000: Provided, That 
not less than $330,598,000 is provided for the Institu-
tional Development Awards program. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
ALTERNATIVE MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to complementary and alternative medi-
cine, $131,002,000. 
NATIONAL INSTITUTE ON MINORITY HEALTH AND 
HEALTH DISPARITIES 
For carrying out section 301 and title IV of the PHS 
Act with respect to minority health and health disparities 
research, $214,608,000. 
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JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of 
title IV of the PHS Act), $71,328,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS 
Act with respect to health information communications, 
$387,153,000: Provided, That in fiscal year 2012, the Na-
tional Library of Medicine may enter into personal serv-
ices 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 available under section 241 of 
the PHS Act to carry out the purposes of the National 
Information Center on Health Services Research and 
Health Care Technology established under section 478A 
of the PHS Act and related health services. 
OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out the responsibilities of the Office of 
the Director, National Institutes of Health (‘‘NIH’’), 
$1,198,412,000, of which up to $25,000,000 shall be used 
to carry out section 213 of this Act: Provided, That fund-
ing shall be available for the purchase of not to exceed 
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29 passenger motor vehicles for replacement only: Pro-
vided further, That the NIH shall collect third-party pay-
ments for the cost of clinical services that are incurred 
in NIH research facilities and that such payments shall 
be credited to the NIH Management Fund: Provided fur-
ther, That all funds credited to the NIH Management 
Fund shall remain available for one fiscal year after the 
fiscal year in which they are deposited: Provided further, 
That $193,880,000 shall be available for continuation of 
the National Children’s Study: Provided further, That 
$556,890,000 shall be available for the Common Fund es-
tablished under section 402A(c)(1) of the PHS Act: Pro-
vided further, That none of the funds provided for the 
Common Fund may be used to fund any Common Fund- 
supported initiatives for a period of more than 10 fiscal 
years: Provided further, That up to $10,000,000 shall be 
available for the Director’s Discretionary Fund, of which 
up to $2,000,000 may be used to establish the Cures Ac-
celeration Board within the Office of the Director’s Divi-
sion of Program Coordination, Planning, and Strategic 
Initiatives to develop a plan with prioritized recommenda-
tions related to the Cures Acceleration Network for con-
sideration in future appropriations: Provided further, That 
up to $10,000 shall be for official reception and represen-
tation expenses when specifically approved by the Director 
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of the NIH: Provided further, That the Office of AIDS 
Research within the Office of the Director of the NIH may 
spend up to $8,000,000 to make grants for construction 
or renovation of facilities as provided for in section 
2354(a)(5)(B) of the PHS Act: Provided further, That the 
Director of the NIH shall ensure that at least 9,150 new 
and competing research project grants are awarded in fis-
cal year 2012 from all Institute, Center, and Office of the 
Director accounts within the ‘‘Department of Health and 
Human Services, National Institutes of Health’’: Provided 
further, That the Director of the NIH shall, with respect 
to the aggregate amount of funds appropriated to the NIH 
by this Act, maintain an allocation of 90 percent to extra-
mural activities and 10 percent for intramural activities: 
Provided further, That the Director of the NIH shall en-
sure that, of all funds made available to Institute, Center, 
and Office of the Director accounts within ‘‘Department 
of Health and Human Services, National Institutes of 
Health’’, at least $487,767,000 is provided to the Clinical 
& Translational Sciences Awards program: Provided fur-
ther, That the Director of the NIH may request to direct 
up to 1 percent of the total amount made available in this 
Act to all National Institutes of Health appropriations to 
activities the Director may so designate: Provided further, 
That no such appropriations shall be decreased by more 
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than 1 percent by any such transfer and that the Commit-
tees on Appropriations of the House of Representatives 
and the Senate are notified at least 15 days in advance 
of any transfer and approve such transfer. 
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 
September 30, 2016. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
MENTAL HEALTH 
For carrying out titles III, V, and XIX of the PHS 
Act with respect to mental health, and the Protection and 
Advocacy for Individuals with Mental Illness Act, 
$765,438,000: Provided, That notwithstanding section 
520A(f)(2) of the PHS Act, no funds appropriated for car-
rying out section 520A shall be available for carrying out 
section 1971 of the PHS Act: Provided further, That in 
addition to amounts provided herein, $20,997,000 shall be 
available under section 241 of the PHS Act to carry out 
subpart 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 
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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: Provided further, That 
section 520E(b)(2) of the PHS Act shall not apply to 
funds appropriated under this Act for fiscal year 2012. 
SUBSTANCE ABUSE 
For carrying out titles III, V, and XIX of the PHS 
Act with respect to substance abuse, $2,199,360,000 : 
Provided, 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 under section 1935(b) of such 
Act, and further that the total available 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; and (2) $2,000,000 to evaluate substance abuse 
treatment programs: Provided further, That no funds shall 
be available for the National All Schedules Prescription 
Reporting system. 
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 
For program support in the Substance Abuse and 
Mental Health Services Administration, $122,116,000: 
Provided, That in addition to amounts provided herein, 
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$29,346,000 shall be available under section 241 of the 
PHS Act to supplement funds available to carry out na-
tional surveys on drug abuse and mental health, to collect 
and analyze program data, and to conduct public aware-
ness and technical assistance activities: Provided further, 
That funds made available under this heading may be 
used to supplement program support funding provided 
under the headings ‘‘Substance Abuse’’, ‘‘Mental Health’’, 
and ‘‘Cross-Cutting Activities’’. 
CROSS-CUTTING ACTIVITIES 
For cross-cutting activities that supplement activities 
funded under the headings ‘‘Substance Abuse’’ and ‘‘Men-
tal Health’’ in carrying out title V of the PHS Act, 
$10,000,000. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the 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 inter-
agency agreements, and the sale of data shall be credited 
to this appropriation and shall remain available until Sep-
tember 30, 2013: Provided, That the amount made avail-
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able pursuant to section 937(c) of the PHS Act shall not 
exceed $324,294,000. 
CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
Except as otherwise provided, for carrying out titles 
XI and XIX of the Social Security Act, $184,623,203,000, 
to remain available until expended. 
For making, after May 31, 2012, payments to States 
or in the case of section 1928 on behalf of States under 
title XIX of the Social Security Act (or in the case of sec-
tion 1928 of such title, on behalf of states) for the last 
quarter of fiscal year 2012 for unanticipated costs in-
curred 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 (or in the case of section 1928 of such title, 
on behalf of states) of Section for the first quarter of fiscal 
year 2013, $90,614,082,000, to remain available until ex-
pended. 
Payment under such title XIX may be made for any 
quarter with respect to a State plan or plan amendment 
in effect during such quarter, if submitted in or prior to 
such quarter and approved in that or any subsequent 
quarter. 
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PAYMENTS TO HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as provided under sections 217(g), 
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)(3) of Public Law 97–248, and for 
administrative expenses incurred pursuant to section 
201(g) of the Social Security Act, $231,012,000,000. 
In addition, for making matching payments under 
section 1844 and benefit payments under section 1860D– 
16 of the Social Security Act that were not anticipated 
in budget estimates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
Except as otherwise provided, for carrying out titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the PHS Act, and the Clinical Labora-
tory Improvement Amendments of 1988, not to exceed 
$3,173,005,000, to be transferred from the Federal Hos-
pital Insurance Trust Fund and the Federal Supple-
mentary Medical Insurance Trust Fund, as authorized by 
section 201(g) of the Social Security Act; together with 
all funds collected in accordance with section 353 of the 
PHS Act and section 1857(e)(2) of the Social Security 
Act, funds retained by the Secretary of Health and 
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Human Services 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 be credited to this account and remain avail-
able until September 30, 2013: Provided, That no funds 
shall be provided to the Research, Demonstration, and 
Evaluation program: Provided further, That the level for 
Medical Operations shall be $2,103,266,000: Provided fur-
ther, That the level for the Federal Administration Pro-
gram shall be $675,263,000: Provided further, That all 
funds derived in accordance with section 9701 of Title 31, 
United States Code from organizations established under 
title XIII of the PHS Act shall be credited to and available 
for carrying out the purposes of this appropriation: Pro-
vided further, That $34,000,000, to remain available 
through September 30, 2013, shall be for contract costs 
for the Healthcare Integrated General Ledger Accounting 
System: Provided further, That none of the funds provided 
shall be used to support the Center for Consumer Infor-
mation and Insurance Oversight or activities developed, 
administered, or implemented by this Center: Provided 
further, That the Secretary is directed to collect fees in 
fiscal year 2012 from Medicare Advantage organizations 
pursuant to section 1857(e)(2) of the Social Security Act 
and from eligible organizations with risk-sharing contracts 
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under section 1876 of that Act pursuant to section 
1876(k)(4)(D) of that Act: Provided further, That 
$44,000,000 shall be available for the State high-risk 
health insurance pool program as authorized by the State 
High Risk Pool Funding Extension Act of 2006. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $581,000,000, 
to remain available through September 30, 2013, to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund, as authorized by section 201(g) of the Social 
Security Act, of which $332,301,000 shall be for the Medi-
care Integrity Program at the Centers for Medicare and 
Medicaid Services, including administrative costs, to con-
duct oversight activities for Medicare Advantage under 
Part C and the Medicare Prescription Drug Program 
under Part D of the Social Security Act and for activities 
described in section 1893(b) of such Act; of which 
$97,556,000 shall be for the Department of Health and 
Human Services Office of Inspector General to carry out 
fraud and abuse activities authorized by section 
1817(k)(3) of such Act; of which $58,058,000 shall be for 
the Medicaid and Children’s Health Insurance Program 
(‘‘CHIP’’) program integrity activities; and of which 
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$93,085,000 shall be for the Department of Justice to 
carry out fraud and abuse activities authorized by section 
1817(k)(3) of such Act: Provided, That the report re-
quired by section 1817(k)(5) of the Social Security Act 
for fiscal year 2012 shall include measures of the oper-
ational efficiency and impact on fraud, waste, and abuse 
in the Medicare, Medicaid, and CHIP programs from the 
funds provided by this appropriation: Provided further, 
That the Secretary of Health and Human Services shall 
support the full cost of the Senior Medicare Patrol pro-
gram to combat health care fraud and abuse from the 
funds provided to this account. 
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, 
$2,305,035,000, to remain available until expended; and 
for such purposes for the first quarter of fiscal year 2013, 
$1,100,000,000, to remain available until expended. 
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 ef-
fective date of the program of Temporary Assistance for 
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Needy Families 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 appropria-
tion and under such title IV–A as amended by the Per-
sonal Responsibility 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 
titles I, IV–D, X, XI, XIV, and XVI of the Social Security 
Act and the Act of July 5, 1960, 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 subsections (b) and (d) 
of section 2602 of the Low Income Home Energy Assist-
ance Act of 1981, $3,391,973,000: Provided, That not-
withstanding section 2609A(a), of the amounts appro-
priated under section 2602(b), not more than $2,000,000 
of such amounts may be reserved by the Secretary of 
Health and Human Services for monitoring program ac-
tivities for compliance with internal controls, policies, and 
procedures. 
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REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant as-
sistance activities authorized by section 414 of the Immi-
gration and Nationality Act and section 501 of the Ref-
ugee Education Assistance Act of 1980, for carrying out 
section 462 of the Homeland Security Act of 2002, section 
235 of the William Wilberforce Trafficking Victims Pro-
tection Reauthorization Act of 2008, and the Trafficking 
Victims Protection Act of 2000, for costs associated with 
the care and placement of unaccompanied alien children, 
and for carrying out the Torture Victims Relief Act of 
1998, $729,466,000, of which up to $9,794,000 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, section 462 of the Homeland Secu-
rity Act of 2002, section 235 of the William Wilberforce 
Trafficking Victims Protection Reauthorization Act of 
2008, and the Trafficking Victims Protection Act of 2000 
for fiscal year 2012 shall be available for the costs of as-
sistance provided and other activities to remain available 
through September 30, 2014. 
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PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block Grant Act of 1990, $2,222,628,000 shall be used 
to supplement, not supplant, State general revenue funds 
for child care assistance for low-income families: Provided, 
That $18,922,000 shall be available for child care resource 
and referral and school-aged child care activities. Provided 
further, That, in addition to the amounts required to be 
reserved by the States under section 658G, $283,592,000 
shall be reserved by the States for activities authorized 
under section 658G, of which $104,005,000 shall be for 
activities that improve the quality of infant and toddler 
care: Provided further, That $9,890,000 shall be for use 
by the Secretary of Health and Human Services 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: Pro-
vided, That notwithstanding subparagraph (B) of section 
404(d)(2) of such Act, the applicable percent specified 
under such subparagraph for a State to carry out State 
programs pursuant to title XX of such Act shall be 10 
percent. 
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CHILDREN AND FAMILIES SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Developmental 
Disabilities Assistance and Bill of Rights Act of 2000, the 
Head Start Act, the Child Abuse Prevention and Treat-
ment Act, sections 303 and 313 of the Family Violence 
Prevention and Services Act, the Native American Pro-
grams Act of 1974, title II of the Child Abuse Prevention 
and Treatment and Adoption Reform Act of 1978 (adop-
tion opportunities), the Abandoned Infants Assistance Act 
of 1988, part B–1 of title IV and sections 413, 1110, and 
1115 of the Social Security Act; for making payments 
under the Community Services Block Grant Act (‘‘CSBG 
Act’’), sections 439(i), 473B, and 477(i) of the Social Se-
curity 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, the Low Income 
Home Energy Assistance Act of 1981, title IV of the Im-
migration and Nationality Act, and section 501 of the Ref-
ugee Education Assistance Act of 1980, $9,989,073,000, 
of which $39,421,000, to remain available through Sep-
tember 30, 2013, shall be for grants to States for adoption 
incentive payments, as authorized by section 473A of the 
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Social Security Act and may be made for adoptions com-
pleted before September 30, 2012: Provided, That 
$8,099,783,000 shall be for making payments under the 
Head Start Act: Provided further, That for purposes of 
allocating funds described by the immediately preceding 
proviso, the term ‘‘base grant’’ as used in subsection 
(a)(7)(A) of section 640 of such Act with respect to fund-
ing provided to a Head Start agency (including each Early 
Head Start agency) for fiscal year 2011 shall be calculated 
as described in such subsection and to such amount shall 
be added 50 percent of the amount of funds appropriated 
under the heading ‘‘Department of Health and Human 
Services, Administration for Children and Families, Chil-
dren and Families Services Programs’’ in Public Law 
111–5 and provided to such agency for carrying out ex-
pansion of Head Start programs, as that phrase is used 
in subsection (a)(4)(D) of such section 640, and provided 
to such agency as the ongoing funding level for operations 
in the 12-month period beginning in fiscal year 2011: Pro-
vided further, That of the amounts available for payments 
under the Head Start Act under this heading, notwith-
standing subsections (a)(2)(C)(i) and (a)(3)(A)(ii)(II) of 
such section 640, not to exceed $20,000,000 shall be avail-
able for carrying out expansion of the Head Start pro-
grams described in subsection (a)(3)(A)(ii)(II)(bb) of such 
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section 640: Provided further, That $703,630,000 shall be 
for making payments under the CSBG Act, of which 
$25,340,000 shall be for sections 680 and 678E(b)(2), of 
which not less than $20,000,000 shall be for section 
680(a)(2), and of which $4,990,000 shall be for section 
680(a)(3)(B) of such Act: Provided further, That in addi-
tion to amounts provided herein, $5,762,000 shall be 
available from amounts available under section 241 of the 
PHS Act to carry out the provisions of section 1110 of 
the Social Security Act: Provided further, That to the ex-
tent Community Services Block Grant funds are distrib-
uted as grant funds by a State to an eligible entity, as 
provided under the CSBG Act, and have not been ex-
pended 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 Secretary of Health and Human Services 
shall establish procedures regarding the disposition of in-
tangible assets and program income that permit such as-
sets acquired with, and program income derived from, 
grant funds authorized under section 680 of the CSBG 
Act to become the sole property of such grantees after a 
period of not more than 12 years after the end of the 
grant period for any activity consistent with section 
680(a)(2)(A) of the CSBG Act: Provided further, That in-
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tangible assets in the form of loans, equity investments 
and other debt instruments, and program income may be 
used by grantees for any eligible purpose consistent with 
section 680(a)(2)(A) of the CSBG Act: Provided further, 
That these procedures shall apply to grant funds provided 
under the CSBG Act made available after November 29, 
1999: Provided further, That funds appropriated for sec-
tion 680(a)(2) of the CSBG Act shall be available for fi-
nancing construction and rehabilitation and loans or in-
vestments in private business enterprises owned by com-
munity development corporations: Provided further, That 
$1,996,000 shall be for a human services case manage-
ment system for federally declared disasters, to include a 
comprehensive national case management contract and 
Federal costs of administering the system: Provided fur-
ther, That up to $2,000,000 shall be for improving the 
Public Assistance Reporting Information System, includ-
ing grants to States to support data collection for a study 
of the system’s effectiveness. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out section 436 of the Social Security 
Act, $365,000,000 and section 437 of such Act, 
$63,184,000 . 
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PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For making payments to States or other non-Federal 
entities under title IV–E of the Social Security Act, 
$5,153,000,000. 
For making payments to States or other non-Federal 
entities under title IV–E of the Social Security Act, for 
the first quarter of fiscal year 2013, $2,100,000,000. 
For making, after May 31 of the current fiscal year, 
payments to States or other non-Federal entities under 
section 474 of the Social Security Act, 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 pro-
vided, the Older Americans Act of 1965, section 398 and 
title XXIX of the PHS Act, and section 119 of the Medi-
care Improvements for Patients and Providers Act of 
2008, $1,471,324,000, of which up to $5,500,000 shall 
be available for activities regarding medication manage-
ment, screening, and education to prevent incorrect medi-
cation and adverse drug reactions: Provided, That 
$819,353,000 shall be for grants to States for nutrition 
program activities: Provided further, That $410,434,000 
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shall be for grants to States for home and community 
based services, preventive health, and protection of older 
Americans activities: Provided further, That $160,288,000 
shall be for grants to States for caregivers program activi-
ties: Provided further, That none of the funds provided 
shall be used to carry out sections 1701 and 1703 of the 
PHS Act (with respect to chronic disease self-management 
activity grants), except that such funds may be used for 
necessary expenses associated with administering any such 
grants awarded prior to the date of the enactment of this 
Act: Provided further, That none of the funds provided 
may be used to support Program Innovation activities. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six 
passenger motor vehicles, and for carrying out titles III, 
XVII, and XXI of the PHS Act, the United States-Mexico 
Border Health Commission Act, and research studies 
under section 1110 of the Social Security Act, 
$343,280,000, and $55,394,000 from the amounts avail-
able under section 241 of the PHS Act to carry out na-
tional health or human services research and evaluation 
activities: Provided, That of the amounts available under 
section 241 of the PHS Act, $53,891,000 shall be for mi-
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nority AIDS prevention and treatment activities: Provided 
further, That of the funds made available under this head-
ing, $40,000,000 shall be for making competitive con-
tracts and grants to public and private entities to fund 
age appropriate programs that reduce teen pregnancy and 
for the Federal costs associated with administering and 
evaluating 
such 
contracts 
and 
grants, 
of 
which 
$20,000,000 shall be for making competitive grants to 
provide abstinence education (as defined by section 
510(b)(2)(A)-(H) of the Social Security Act) to adoles-
cents, and for Federal costs of administering the grant: 
Provided further, That grants made under the authority 
of section 510(b)(2)(A)-(H) of the Social Security Act 
shall be made only to public and private entities that agree 
that, with respect to an adolescent to whom the entities 
provide abstinence education under such grant, the enti-
ties will not provide to that adolescent any other education 
regarding sexual conduct, except that, in the case of an 
entity expressly required by law to provide health informa-
tion or services the adolescent shall not be precluded from 
seeking health information or services from the entity in 
a different setting than the setting in which abstinence 
education was provided: Provided further, That funds pro-
vided in this Act for embryo adoption activities may be 
used to provide to individuals adopting embryos, through 
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grants and other mechanisms, medical and administrative 
services deemed necessary for such adoptions: Provided 
further, That such services shall be provided consistent 
with 42 CFR 59.5(a)(4). 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for administrative law judges 
responsible for hearing cases under title XVIII of the So-
cial Security Act (and related provisions of title XI of such 
Act), $71,147,000, to be transferred in appropriate part 
from the Federal Hospital Insurance Trust Fund and the 
Federal Supplementary Medical Insurance Trust Fund. 
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 de-
velopment and advancement of interoperable health infor-
mation technology, $28,051,000, which shall be available 
from amounts available under section 241 of the Public 
Health Service Act. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General, including the hire of passenger motor vehicles for 
investigations, in carrying out the provisions of the Inspec-
tor General Act of 1978, $50,178,000: Provided, That of 
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such amount, necessary sums shall be available for pro-
viding protective services to the Secretary of Health and 
Human Services and investigating non-payment of child 
support cases for which non-payment is a Federal offense 
under 18 U.S.C. 228: Provided further, That at least 40 
percent of the funds provided in this Act for the Office 
of Inspector General shall be used only for investigations, 
audits, and evaluations pertaining to the discretionary 
programs funded in this Act. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, $37,709,000, together with not to exceed 
$3,307,000 to be transferred and expended as authorized 
by section 201(g)(1) of the Social Security Act from the 
Federal Hospital Insurance Trust Fund and the Federal 
Supplementary 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 
Protection Plan and Survivor Benefit Plan, and for med-
ical care of dependents and retired personnel under the 
Dependents’ Medical Care Act, such amounts as may be 
required during the current fiscal year. 
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PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY 
FUND 
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary to support activities related 
to countering potential biological, nuclear, radiological, 
chemical, and cybersecurity threats to civilian populations, 
and for other public health emergencies and to pay the 
costs described in section 319F–2(c)(7)(B) of the PHS 
Act, $543,114,000, of which $29,647,000 shall be to sup-
port preparedness and emergency operations. 
From funds transferred to this account pursuant to 
the fourth paragraph under this heading in Public Law 
111–117, up to $415,000,000 shall be available for ex-
penses necessary to support advanced research and devel-
opment pursuant to section 319L of the PHS Act, and 
other administrative expenses of the Biomedical Advanced 
Research and Development Authority to support addi-
tional advanced research and development. 
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 of Health and Human Services. 
SEC. 202. The Secretary of Health and Human Serv-
ices shall make available through assignment not more 
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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 Inter-
national Development, the United Nations International 
Children’s Emergency Fund, or the World Health Organi-
zation. 
SEC. 203. None of the funds appropriated in this title 
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 III. 
SEC. 204. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the PHS 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 preparation and submission of a report by the Sec-
retary of Health and Human Services to the Committees 
on Appropriations of the House of Representatives and the 
Senate detailing the planned uses of such funds. 
SEC. 205. Notwithstanding section 241(a) of the 
PHS Act, such portion as the Secretary of Health and 
Human Services shall determine, but not more than 2.4 
percent, of any amounts appropriated for programs au-
thorized under such Act shall be made available for the 
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evaluation (directly, or by grants or contracts) of the im-
plementation and effectiveness of such programs. 
(TRANSFER OF FUNDS) 
SEC. 206. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985) which are appro-
priated for the current fiscal year for the Department of 
Health and Human Services in this Act may be trans-
ferred between appropriations, but no such appropriation 
shall be increased by more than 3 percent by any such 
transfer: Provided, 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 Commit-
tees on Appropriations of the House of Representatives 
and the Senate are notified at least 15 days in advance 
of any transfer and approve such transfer. 
(TRANSFER OF FUNDS) 
SEC. 207. The Director of the National Institutes of 
Health, jointly with the Director of the Office of AIDS 
Research, may transfer up to 3 percent among institutes 
and centers from the total amounts identified by these two 
Directors as funding for research pertaining to the human 
immunodeficiency virus: Provided, That the Committees 
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on Appropriations of the House of Representatives and the 
Senate are notified at least 15 days in advance of any 
transfer and approve such transfer. 
(TRANSFER OF FUNDS) 
SEC. 208. 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 
jointly determined by the Director of the National Insti-
tutes 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 nec-
essary to carry out section 2353(d)(3) of the PHS Act. 
SEC. 209. None of the funds appropriated in this Act 
may be made available to any entity under title X of the 
PHS Act unless the applicant for the award certifies to 
the Secretary of Health and Human Services that it en-
courages family participation in the decision of minors to 
seek family planning services and that it provides coun-
seling to minors on how to resist attempts to coerce mi-
nors into engaging in sexual activities. 
SEC. 210. Notwithstanding any other provision of 
law, no provider of services under title X of the PHS Act 
shall be exempt from any State law requiring notification 
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or the reporting of child abuse, child molestation, sexual 
abuse, rape, or incest. 
SEC. 211. 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 of Health and Human Services denies participa-
tion in such program to an otherwise eligible entity (in-
cluding a Provider Sponsored Organization) 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 pro-
spective adjustments to the capitation payment to such an 
entity (based on an actuarially sound estimate of the ex-
pected costs of providing the service to such entity’s enroll-
ees): Provided further, That nothing in this section shall 
be construed to change the Medicare program’s coverage 
for such services and a Medicare Advantage organization 
described in this section shall be responsible for informing 
enrollees where to obtain information about all Medicare 
covered services. 
SEC. 212. In order for the Department of Health and 
Human Services to carry out international health activi-
ties, including HIV/AIDS, other infectious diseases, and 
chronic and environmental diseases, and other health ac-
tivities abroad during fiscal year 2012: 
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(1) The Secretary of Health and Human Serv-
ices may exercise authority equivalent to that avail-
able to the Secretary of State in section 2(c) of the 
State Department Basic Authorities Act of 1956. 
The Secretary of Health and Human Services shall 
consult with the Secretary of State and relevant 
Chief of Mission to ensure that the authority pro-
vided in this section is exercised in a manner con-
sistent with section 207 of the Foreign Service Act 
of 1980 and other applicable statutes administered 
by the Department of State. 
(2) The Secretary of Health and Human Serv-
ices is authorized to provide such funds by advance 
or reimbursement to the Secretary of State as may 
be necessary to pay the costs of acquisition, lease, 
alteration, renovation, and management of facilities 
outside of the United States for the use of the De-
partment 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 
applicable regulations governing location, setback, 
and other facilities requirements and serve the pur-
poses established by this Act. The Secretary of 
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Health and Human Services is authorized, in con-
sultation with the Secretary of State, through grant 
or cooperative agreement, to make available to pub-
lic or nonprofit private institutions or agencies in 
participating foreign countries, funds to acquire, 
lease, alter, or renovate facilities in those countries 
as necessary to conduct programs of assistance for 
international health activities, including activities re-
lating to HIV/AIDS, other infectious diseases, and 
chronic and environmental diseases, and other health 
activities abroad. 
(3) The Secretary of Health and Human Serv-
ices is authorized to provide to personnel appointed 
or assigned by the Secretary to serve abroad, allow-
ances and benefits similar to those provided under 
chapter 9 of title I of the Foreign Service Act of 
1980, and subject to such regulations prescribed by 
the Secretary. The Secretary is further authorized to 
provide locality-based comparability payments (stat-
ed as a percentage) up to the amount of the locality- 
based comparability payment (stated as a percent-
age) that would be payable to such personnel under 
section 5304 of title 5, United States Code, if such 
personnel’s official duty station were in the District 
of Columbia. Leaves of absence for personnel under 
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this subsection shall be on the same basis as that 
provided under subchapter I of chapter 63 of title 5, 
United States Code, or section 903 of the Foreign 
Service Act of 1980, to individuals serving in the 
Foreign Service. 
SEC. 213. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of the National Insti-
tutes of Health (‘‘Director’’) may use funds available 
under section 402(b)(7) or 402(b)(12) of the PHS Act to 
enter into transactions (other than contracts, cooperative 
agreements, or grants) to carry out research identified 
pursuant to such section 402(b)(7) (pertaining to the 
Common Fund) or research and activities described in 
such section 402(b)(12). 
(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director may utilize such peer 
review procedures (including consultation with appropriate 
scientific experts) as the Director determines to be appro-
priate 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 pro-
cedures 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 PHS Act. 
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SEC. 214. Notwithstanding any other provision of 
law, discretionary funds made available under this Act 
may be used to operate the Council on Graduate Medical 
Education established by section 301 of Public Law 102– 
408. 
SEC. 215. Not to exceed $45,000,000 of funds appro-
priated by this Act to the institutes and centers of the 
National Institutes of Health may be used for alteration, 
repair, or improvement of facilities, as necessary for the 
proper and efficient conduct of the activities authorized 
herein, at not to exceed $3,500,000 per project. 
SEC. 216. None of the funds appropriated by this Act 
may be made available for sections 4001, 4004, and 4201 
of Public Law 111–148. 
(TRANSFER OF FUNDS) 
SEC. 217. Of the amounts made available for the Na-
tional Institutes of Health, 1 percent of the amount made 
available 
for 
National 
Research 
Service 
Awards 
(‘‘NRSA’’) shall be made available to the Administrator 
of the Health Resources and Services Administration to 
make NRSA awards for research in primary medical care 
to individuals affiliated with entities who have received 
grants or contracts under section 747 of the PHS Act, 
and 1 percent of the amount made available for NRSA 
shall be made available to the Director of the Agency for 
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Healthcare Research and Quality to make NRSA awards 
for health service research. 
SEC. 218. Notwithstanding any other provision of 
law, none of the discretionary funds appropriated by this 
Act may be used to support any patient-centered outcomes 
research. 
SEC. 219. None of the funds made available in this 
title may be used, in whole or in part, to advocate or pro-
mote gun control. 
SEC. 220. Notwithstanding any other provision of 
law, not more than one percent of all title 42 employees 
may receive a salary that exceeds Executive Level III. 
SEC. 221. None of the funds appropriated or other-
wise made available in this Act may be expended to further 
creation of a Federally Funded Research and Develop-
ment Center (‘‘FFRDC’’) at the Centers for Medicare and 
Medicaid Services or create an FFRDC within the Depart-
ment of Health and Human Services, prior to submission 
of a specific request by the Secretary of Health and 
Human Services to the Committees on Appropriations of 
the House of Representatives and the Senate detailing the 
planned uses of the proposed FFRDC and the Committees 
provide written approval. 
SEC. 222. None of the funds appropriated in this Act 
may be used to carry-out title X of the PHS Act. 
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SEC. 223. None of the funds appropriated in this Act 
may be used for the Healthy Foods Financing Initiative. 
SEC. 224. None of the funds made available in this 
Act may be used to promulgate, implement, or enforce any 
expansion of liability or fines under the Emergency Med-
ical Treatment and Labor Act (Sections 1866(a)(1)(I), 
1866(a)(1)(N), and 1867 of the Social Security Act). 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2012’’. 
TITLE III—DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I of the Elementary and Sec-
ondary Education Act of 1965 (referred to in this Act as 
the ‘‘ESEA’’) and section 418A of the Higher Education 
Act of 1965, $15,949,319,000, of which $2,624,555,000 
shall become available on July 1, 2012, and shall remain 
available through September 30, 2013, and of which 
$13,279,177,000 shall become available on October 1, 
2012, and shall remain available through September 30, 
2013, for academic year 2012–2013: Provided, That 
$6,584,750,000 shall be for basic grants under section 
1124 of the ESEA: Provided further, That up to 
$4,000,000 of these funds shall be available to the Sec-
retary of Education on October 1, 2011, to obtain annu-
ally updated local educational-agency-level census poverty 
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