769 
using H–1B visas to hire foreign workers, and the related 
activities necessary to support such training: Provided, 
That the preceding limitation shall not apply to multi-year 
grants awarded prior to June 30, 2007. 
SEC. 108. None of the funds available in this Act or 
available to the Secretary of Labor from other sources for 
Community-Based Job Training grants and grants author-
ized under section 414(c) of the American Competitiveness 
and Workforce Improvement Act of 1998 shall be obligated 
for a grant awarded on a non-competitive basis. 
SEC. 109. The Secretary of Labor shall take no action 
to amend, through regulatory or administration action, the 
definition established in 20 CFR 667.220 for functions and 
activities under title I of the Workforce Investment Act of 
1998, or to modify, through regulatory or administrative 
action, the procedure for redesignation of local areas as 
specified in subtitle B of title I of that Act (including ap-
plying the standards specified in section 116(a)(3)(B) of 
that Act, but notwithstanding the time limits specified in 
section 116(a)(3)(B) of that Act), until such time as legisla-
tion reauthorizing the Act is enacted. Nothing in the pre-
ceding sentence shall permit or require the Secretary of 
Labor to withdraw approval for such redesignation from 
a State that received the approval not later than October 
12, 2005, or to revise action taken or modify the redesigna-
770 
tion procedure being used by the Secretary in order to com-
plete such redesignation for a State that initiated the proc-
ess of such redesignation by submitting any request for such 
redesignation not later than October 26, 2005. 
SEC. 110. None of the funds made available in this 
or any other Act shall be available to finalize or implement 
any proposed regulation under the Workforce Investment 
Act of 1998, Wagner-Peyser Act of 1933, or the Trade Ad-
justment Assistance Reform Act of 2002 until such time as 
legislation reauthorizing the Workforce Investment Act of 
1998 and the Trade Adjustment Assistance Reform Act of 
2002 is enacted. 
SEC. 111. None of the funds available in this Act may 
be used to carry out a public-private competition or direct 
conversion under Office of Management and Budget Cir-
cular A–76 or any successor administrative regulation, di-
rective or policy until 60 days after the Government Ac-
countability Office provides a report to the Committees on 
Appropriations of the House of Representatives and the 
Senate on the use of competitive sourcing at the Department 
of Labor. 
SEC. 112. (a) Not later than June 20, 2008, the Sec-
retary of Labor shall propose regulations pursuant to sec-
tion 303(y) of the Federal Mine Safety and Health Act of 
1977, consistent with the recommendations of the Technical
771 
Study Panel established pursuant to section 11 of the Mine 
Improvement and New Emergency Response (MINER) Act 
(Public Law 109–236), to require that in any coal mine, 
regardless of the date on which it was opened, belt haulage 
entries not be used to ventilate active working places with-
out prior approval from the Assistant Secretary. Further, 
a mine ventilation plan incorporating the use of air coursed 
through belt haulage entries to ventilate active working 
places shall not be approved until the Assistant Secretary 
has reviewed the elements of the plan related to the use of 
belt air and determined that the plan at all times affords 
at least the same measure of protection where belt haulage 
entries are not used to ventilate working places. The Sec-
retary shall finalize the regulations not later than December 
31, 2008. 
(b) Not later than June 15, 2008, the Secretary of 
Labor shall propose regulations pursuant to section 315 of 
the Federal Coal Mine Health and Safety Act of 1969, con-
sistent with the recommendations of the National Institute 
for Occupational Safety and Health pursuant to section 13 
of the MINER Act (Public Law 109–236), requiring rescue 
chambers, or facilities that afford at least the same measure 
of protection, in underground coal mines. The Secretary 
shall finalize the regulations not later than December 31, 
2008.
772 
SEC. 113. None of the funds appropriated in this Act 
under the heading ‘‘Employment and Training Adminis-
tration’’ shall be used by a recipient or subrecipient of such 
funds to pay the salary and bonuses of an individual, either 
as direct costs or indirect costs, at a rate in excess of Execu-
tive Level II. This limitation shall not apply to vendors 
providing goods and services as defined in OMB Circular 
A–133. Where States are recipients of such funds, States 
may establish a lower limit for salaries and bonuses of those 
receiving salaries and bonuses from subrecipients of such 
funds, taking into account factors including the relative 
cost-of-living in the State, the compensation levels for com-
parable State or local government employees, and the size 
of the organizations that administer Federal programs in-
volved including Employment and Training Administra-
tion programs. 
SEC. 114. (a) In this section: 
(1) The term ‘‘covered funds’’ means funds pro-
vided under section 173 of the Workforce Investment 
Act of 1998 (29 U.S.C. 2918) to a State that submits 
an application under that section not earlier than 
May 4, 2007, for a national emergency grant to ad-
dress the effects of the May 4, 2007, Greensburg, Kan-
sas tornado.
773 
(2) The term ‘‘professional municipal services’’ 
means services that are necessary to facilitate the re-
covery of Greensburg, Kansas from that tornado, and 
necessary to plan for or provide basic management 
and administrative services, which may include— 
(A) the overall coordination of disaster re-
covery and humanitarian efforts, oversight, and 
enforcement of building code compliance, and co-
ordination of health and safety response units; or 
(B) the delivery of humanitarian assistance 
to individuals affected by that tornado. 
(b) Covered funds may be used to provide temporary 
public sector employment and services authorized under sec-
tion 173 of such Act to individuals affected by such tornado, 
including individuals who were unemployed on the date of 
the tornado, or who are without employment history, in ad-
dition to individuals who are eligible for disaster relief em-
ployment under section 173(d)(2) of such Act. 
(c) Covered funds may be used to provide professional 
municipal services for a period of not more than 24 months, 
by hiring or contracting with individuals or organizations 
(including individuals employed by contractors) that the 
State involved determines are necessary to provide profes-
sional municipal services.
774 
(d) Covered funds expended under this section may be 
spent on costs incurred not earlier than May 4, 2007. 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2008’’. 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
HEALTH RESOURCES AND SERVICES 
For carrying out titles II, III, IV, VII, VIII, X, XII, 
XIX, and XXVI of the Public Health Service Act, section 
427(a) of the Federal Coal Mine Health and Safety Act, 
title V and sections 1128E, and 711, and 1820 of the Social 
Security Act, the Health Care Quality Improvement Act of 
1986, the Native Hawaiian Health Care Act of 1988, the 
Cardiac Arrest Survival Act of 2000, and section 712 of 
the American Jobs Creation Act of 2004, $6,978,099,000, 
of which $309,889,000 shall be available for construction 
and renovation (including equipment) of health care and 
other facilities and other health-related activities specified 
in the explanatory statement described in section 4 (in the 
matter preceding division A of this consolidated Act), and 
of which $38,538,000 from general revenues, notwith-
standing section 1820(j) of the Social Security Act, shall 
be available for carrying out the Medicare rural hospital
775 
flexibility grants program under such section: Provided, 
That of the funds made available under this heading, 
$160,000 shall be available until expended for facilities ren-
ovations at the Gillis W. Long Hansen’s Disease Center: 
Provided further, That $40,000,000 of the funding provided 
for community health centers shall be for base grant adjust-
ments for existing health centers: Provided further, That in 
addition to fees authorized by section 427(b) of the Health 
Care Quality Improvement Act of 1986, fees shall be col-
lected for the full disclosure of information under the Act 
sufficient to recover the full costs of operating the National 
Practitioner Data Bank, and shall remain available until 
expended to carry out that Act: Provided further, That fees 
collected for the full disclosure of information under the 
‘‘Health Care Fraud and Abuse Data Collection Program’’, 
authorized by section 1128E(d)(2) of the Social Security 
Act, shall be sufficient to recover the full costs of operating 
the program, and shall remain available until expended to 
carry out that Act: Provided further, That no more than 
$40,000 is available until expended for carrying out the 
provisions of 42 U.S.C. 233(o) including associated admin-
istrative expenses and relevant evaluations: Provided fur-
ther, That no more than $44,055,000 is available until ex-
pended for carrying out the provisions of Public Law 104– 
73 and for expenses incurred by the Department of Health
776 
and Human Services pertaining to administrative claims 
made under such law: Provided further, That of the funds 
made available under this heading, $305,315,000 shall be 
for the program under title X of the Public Health Service 
Act to provide for voluntary family planning projects: Pro-
vided further, That amounts provided to said projects under 
such title shall not be expended for abortions, that all preg-
nancy counseling shall be nondirective, and that such 
amounts shall not be expended for any activity (including 
the publication or distribution of literature) that in any 
way tends to promote public support or opposition to any 
legislative proposal or candidate for public office: Provided 
further, That of the funds available under this heading, 
$1,854,800,000 shall remain available to the Secretary of 
Health and Human Services through September 30, 2010, 
for parts A and B of title XXVI of the Public Health Service 
Act: Provided further, That within the amounts provided 
for part A of title XXVI of the Public Health Service Act, 
funds shall be made available to qualifying jurisdictions, 
within 45 days of enactment, for increasing supplemental 
grants for fiscal year 2008 to metropolitan areas that re-
ceived grant funding in fiscal year 2007 under subparts 
I and II of part A of title XXVI of the Public Health Service 
Act to ensure that an area’s total funding under part A 
for fiscal year 2007, together with the amount of this addi-
777 
tional funding, is not less than 86.6 percent of the amount 
of such area’s total funding under part A for fiscal year 
2006: Provided further, That, notwithstanding section 
2603(c)(1) of the Public Health Service Act, the additional 
funding to areas under the immediately preceding proviso, 
which may be used for costs incurred during fiscal year 
2007, shall be available to the area for obligation from the 
date of the award through the end of the grant year for 
the award: Provided further, That $808,500,000 shall be for 
State AIDS Drug Assistance Programs authorized by sec-
tion 2616 of the Public Health Service Act: Provided fur-
ther, That in addition to amounts provided herein, 
$25,000,000 shall be available from amounts available 
under section 241 of the Public Health Service Act to carry 
out Parts A, B, C, and D of title XXVI of the Public Health 
Service Act to fund section 2691 Special Projects of Na-
tional Significance: Provided further, That, notwith-
standing section 502(a)(1) and 502(b)(1) of the Social Secu-
rity Act, not to exceed $100,937,000 is available for car-
rying out special projects of regional and national signifi-
cance pursuant to section 501(a)(2) of such Act and 
$10,586,000 is available for projects described in para-
graphs (A) through (F) of section 501(a)(3) of such Act: 
Provided further, That of the funds provided, $39,283,000 
shall be provided to the Denali Commission as a direct
778 
lump payment pursuant to Public Law 106–113: Provided 
further, That of the funds provided, $25,000,000 shall be 
provided for the Delta Health Initiative as authorized in 
section 219 of this Act and associated administrative ex-
penses: Provided further, That notwithstanding section 
747(e)(2) of the PHS Act, not less than $5,000,000 shall 
be for general dentistry programs, not less than $5,000,000 
shall be for pediatric dentistry programs and not less than 
$24,614,000 shall be for family medicine programs: Pro-
vided further, That of the funds available under this head-
ing, $9,000,000 shall be provided for the National Cord 
Blood Inventory pursuant to the Stem Cell Therapeutic and 
Research Act of 2005. 
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM 
ACCOUNT 
Such sums as may be necessary to carry out the pur-
pose of the program, as authorized by title VII of the Public 
Health Service Act. For administrative expenses to carry 
out the guaranteed loan program, including section 709 of 
the Public Health Service Act, $2,898,000. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund, such sums as may be necessary for 
claims associated with vaccine-related injury or death with 
respect to vaccines administered after September 30, 1988, 
pursuant to subtitle 2 of title XXI of the Public Health
779 
Service Act, to remain available until expended: Provided, 
That for necessary administrative expenses, not to exceed 
$5,500,000 shall be available from the Trust Fund to the 
Secretary of Health and Human Services. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
DISEASE CONTROL, RESEARCH, AND TRAINING 
To carry out titles II, III, VII, XI, XV, XVII, XIX, 
XXI, and XXVI of the Public Health Service Act, sections 
101, 102, 103, 201, 202, 203, 301, 501, and 514 of the Fed-
eral Mine Safety and Health Act of 1977, section 13 of the 
Mine Improvement and New Emergency Response Act of 
2006, sections 20, 21, and 22 of the Occupational Safety 
and Health Act of 1970, title IV of the Immigration and 
Nationality Act, section 501 of the Refugee Education As-
sistance Act of 1980, and for expenses necessary to support 
activities related to countering potential biological, disease, 
nuclear, radiological, and chemical threats to civilian popu-
lations; including purchase and insurance of official motor 
vehicles in foreign countries; and purchase, hire, mainte-
nance, and operation of aircraft, $6,156,541,000, of which 
$56,000,000 shall remain available until expended for 
equipment, construction and renovation of facilities; of 
which $568,803,000 shall remain available until expended 
for the Strategic National Stockpile; of which $27,215,000 
shall be available for public health improvement activities
780 
specified in the explanatory statement described in section 
4 (in the matter preceding division A of this consolidated 
Act); of which $121,541,000 for international HIV/AIDS 
shall remain available until September 30, 2009; and of 
which $109,000,000 shall be available until expended to 
provide screening and treatment for first response emer-
gency services personnel, residents, students, and others re-
lated to the September 11, 2001 terrorist attacks on the 
World Trade Center: Provided, That of this amount, 
$56,500,000 is designated as described in section 5 (in the 
matter preceding division A of this consolidated Act). 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 Sur-
veys; (2) $113,636,000 to carry out the National Center for 
Health Statistics surveys; (3) $24,751,000 to carry out in-
formation systems standards development and architecture 
and applications-based research used at local public health 
levels; 
(4) 
$48,523,000 
for 
Health 
Marketing; 
(5) 
$31,000,000 to carry out Public Health Research; and (6) 
$94,969,000 to carry out research activities within the Na-
tional Occupational Research Agenda: Provided further,
781 
That none of the funds made available for injury prevention 
and control at the Centers for Disease Control and Preven-
tion may be used, in whole or in part, to advocate or pro-
mote gun control: Provided further, That up to $31,800,000 
shall be made available until expended for Individual 
Learning Accounts for full-time equivalent employees of the 
Centers for Disease Control and Prevention: Provided fur-
ther, 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 Committees on Ap-
propriations of the House of Representatives and the Senate 
are to be notified promptly of any such transfer: Provided 
further, That not to exceed $18,929,000 may be available 
for making grants under section 1509 of the Public Health 
Service Act to not less than 15 States, tribes, or tribal orga-
nizations: Provided further, That notwithstanding any 
other provision of law, the Centers for Disease Control and 
Prevention shall award a single contract or related con-
tracts for development and construction of the next building 
or facility designated in the Buildings and Facilities Mas-
ter Plan that 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 appro-
782 
priated, $10,000 is for official reception and representation 
expenses when specifically approved by the Director of the 
Centers for Disease Control and Prevention: 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, municipalities, 
or other organizations under authority of section 214 of the 
Public Health Service Act, or in overseas 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 out of funds made 
available under this heading for domestic HIV/AIDS test-
ing, up to $30,000,000 shall be for States eligible under sec-
tion 2625 of the Public Health Service Act as of December 
31, 2007 and shall be distributed by May 31, 2008 based 
on standard criteria relating to a State’s epidemiological 
profile, and of which not more than $1,000,000 may be 
made available to any one State, and any amounts that 
have not been obligated by May 31, 2008 shall be used to 
make grants authorized by other provisions of the Public 
Health Service Act to States and local public health depart-
ments for HIV prevention activities.
783 
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, $4,890,525,000, 
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, 
$2,974,900,000. 
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, 
$396,632,000. 
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, $1,736,199,000.
784 
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, $1,571,353,000. 
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, $4,641,746,000: 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 
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, 
$1,970,228,000.
785 
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, $1,277,017,000. 
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, $678,978,000. 
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, $653,673,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to aging, $1,065,881,000. 
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, $517,629,000.
786 
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, $401,146,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to nursing research, 
$139,920,000. 
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, $444,016,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the Public 
Health 
Service 
Act 
with 
respect 
to 
drug 
abuse, 
$1,018,493,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to mental health, 
$1,429,466,000. 
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, 
$495,434,000.
787 
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, $303,955,000. 
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, $1,169,884,000. 
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, $123,739,000. 
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, $203,117,000. 
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 Public Health Service Act), $67,741,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to health information com-
788 
munications, $326,669,000, of which $4,000,000 shall be 
available until expended for improvement of information 
systems: Provided, That in fiscal year 2008, the National 
Library of Medicine may enter into personal services con-
tracts for the provision of services in facilities owned, oper-
ated, 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 Public Health 
Service Act to carry out the purposes of the National Infor-
mation Center on Health Services Research and Health 
Care Technology established under section 478A of the Pub-
lic Health Service Act and related health services. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the Director, National Institutes of Health, $1,128,819,000, 
of which up to $25,000,000 shall be used to carry out section 
215 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 such Fund shall remain available for one
789 
fiscal year after the fiscal year in which they are deposited: 
Provided further, That $112,872,000 shall be available for 
continuation of the National Children’s Study: Provided 
further, That $504,420,000 shall be available for the Com-
mon Fund established under section 402A(c)(1) of the Pub-
lic Health Service Act: Provided further, That of the funds 
provided $10,000 shall be for official reception and rep-
resentation expenses when specifically approved by the Di-
rector of the National Institutes of Health: Provided further, 
That the Office of AIDS Research within the Office of the 
Director of the National Institutes of Health 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
790 
PHS 
Act 
with 
respect 
to 
program 
management, 
$3,291,543,000, of which $19,120,000 shall be available for 
the projects and in the amounts specified in the explanatory 
statement described in section 4 (in the matter preceding 
division A of this consolidated Act): Provided, That not-
withstanding 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 fur-
ther, That in addition to amounts provided herein, the fol-
lowing 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) tech-
nical assistance, national data, data collection and evalua-
tion activities, and further that the total available under 
this Act for section 1935(b) activities shall not exceed 5 per-
cent of the amounts appropriated for subpart II of part B 
of title XIX; (2) $21,413,000 to carry out subpart I of part 
B of title XIX of the PHS Act to fund section 1920(b) tech-
nical assistance, national data, data collection and evalua-
tion activities, and further that the total available under 
this Act for section 1920(b) activities shall not exceed 5 per-
cent of the amounts appropriated for subpart I of part B 
of title XIX; (3) $17,750,000 to carry out national surveys 
on drug abuse; and (4) $4,300,000 to evaluate substance 
abuse treatment programs: Provided further, That section
791 
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 
Act, 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 
Public Health Service Act shall not exceed $334,564,000. 
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, $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.
792 
Payment under 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 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, $188,445,000,000. 
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 $3,207,690,000, 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
793 
in accordance with section 353 of the Public Health Service 
Act and section 1857(e)(2) of the Social Security Act, funds 
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 $45,000,000, to remain available until 
September 30, 2009, is for contract costs for the Healthcare 
Integrated General Ledger Accounting System: Provided 
further, That $193,000,000, 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
794 
of Health and Human Services is directed to collect fees 
in fiscal year 2008 from Medicare Advantage organizations 
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 
$5,007,000 shall be available for the projects and in the 
amounts specified in the explanatory statement described 
in section 4 (in the matter preceding division A of this con-
solidated Act). 
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. 
chapter 9), $2,949,713,000, to remain available until ex-
pended; and for such purposes for the first quarter of fiscal 
year 2009, $1,000,000,000, to remain available until ex-
pended. 
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
795 
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. chapter 9), for 
the last 3 months of the current fiscal year for unantici-
pated 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)), $2,015,206,000. 
For making payments under section 2604(e) of the 
Low-Income Home Energy Assistance Act of 1981 (42 
U.S.C. 8623(e)), $596,379,000, notwithstanding the des-
ignation requirement of section 2602(e) of such Act: Pro-
vided, That of the amount provided by this paragraph, 
$250,000,000 is designated as described in section 5 (in the 
matter preceding division A of this consolidated Act).
796 
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, $667,288,000, of which up to $9,988,000 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, $2,098,746,000 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 
$982,080 shall be for the Child Care Aware toll-free hotline: 
Provided further, That, in addition to the amounts required
797 
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 tod-
dler 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: Provided, That 
notwithstanding subparagraph (B) of section 404(d)(2) of 
such Act, the applicable percent specified under such sub-
paragraph for a State to carry out State programs pursu-
ant to title XX of such Act shall be 10 percent. 
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
798 
title IV and sections 413, 1110, and 1115 of the Social Secu-
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. chapter 9), the Low-Income Home Energy Assist-
ance Act of 1981, title IV of the Immigration and Nation-
ality Act, section 501 of the Refugee Education Assistance 
Act of 1980, and section 505 of the Family Support Act 
of 1988, $9,129,990,000, of which $4,400,000, 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: Pro-
vided, That $7,000,270,000 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 
$705,451,000 shall be for making payments under the Com-
munity Services 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 addition to amounts provided herein, $6,000,000