H. R. 3288—215 
Laboratory Improvement Amendments of 1988, not to exceed 
$3,470,242,000, to be transferred from the Federal Hospital Insur-
ance Trust Fund and the Federal Supplementary 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 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 available until expended: Provided, That all funds 
derived in accordance with 31 U.S.C. 9701 from organizations estab-
lished 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 $35,681,000, to remain available through Sep-
tember 30, 2011, shall be for contract costs for the Healthcare 
Integrated General Ledger Accounting System: Provided further, 
That $65,600,000, to remain available through September 30, 2011, 
shall be for the Centers for Medicare and Medicaid Services (‘‘CMS’’) 
Medicare contracting reform activities: Provided further, That 
$55,000,000 shall be available for the State high risk health insur-
ance pool program as authorized by the State High Risk Pool 
Funding Extension Act of 2006: Provided further, That the Secretary 
is directed to collect fees in fiscal year 2010 from Medicare Advan-
tage organizations pursuant to section 1857(e)(2) of the Social Secu-
rity 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 $3,100,000 shall be used for 
the projects, and in the amounts, specified under the heading ‘‘Pro-
gram Management’’ in the statement of the managers on the con-
ference report accompanying this Act. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for program integ-
rity and program management, $311,000,000, to remain available 
through September 30, 2011, 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 $220,320,000 shall be for the 
Medicare Integrity Program at the Centers for Medicare and Med-
icaid Services, including administrative costs, to conduct oversight 
activities for Medicare Advantage and the Medicare Prescription 
Drug Program authorized in title XVIII of the Social Security Act 
and for activities listed in section 1893 of such Act; of which 
$29,790,000 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 
$31,100,000 shall be for the Medicaid and Children’s Health Insur-
ance Program (‘‘CHIP’’) program integrity activities; and of which 
$29,790,000 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 required by section 1817(k)(5) of 
the Social Security Act for fiscal year 2010 shall include measures 
of the operational efficiency and impact on fraud, waste, and abuse 
in the Medicare, Medicaid, and CHIP programs for the funds pro-
vided by this appropriation.
H. R. 3288—216 
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, $3,571,509,000, to remain available 
until expended; and for such purposes for the first quarter of 
fiscal year 2011, $1,100,000,000, to remain available until expended. 
For making payments to each State for carrying out the pro-
gram of Aid to Families with Dependent Children under title IV– 
A of the Social Security Act before the effective date of the program 
of Temporary Assistance for 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 appropriation 
and under such title IV–A as amended by the Personal Responsi-
bility 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 unantici-
pated costs, incurred for the current fiscal year, such sums as 
may be necessary. 
LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b), (d), and (e) of 
section 2602 of the Low Income Home Energy Assistance Act of 
1981, $5,100,000,000, of which $4,509,672,000 shall be for payments 
under subsections (b) and (d) of such section; and of which 
$590,328,000 shall be for payments under subsection (e) of such 
section, to be made notwithstanding the designation requirements 
of such subsection: Provided, That all but $839,792,000 of the 
amount provided in this Act for subsections (b) and (d) shall be 
allocated as though the total appropriation for such payments for 
fiscal year 2010 was less than $1,975,000,000: Provided further, 
That notwithstanding section 2605(b)(2)(B)(ii) of such Act, a State 
may use any amount of an allotment from prior appropriations 
Acts that is available to that State for providing assistance in 
fiscal year 2010, and any allotment from funds appropriated in 
this Act or any other appropriations Act for fiscal year 2010, to 
provide assistance to households whose income does not exceed 
75 percent of the State median income. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant assistance 
activities authorized by section 414 of the Immigration and Nation-
ality Act and section 501 of the Refugee 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 Protection 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, $730,928,000, of which
H. R. 3288—217 
up to $9,814,000 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 Security 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 2010 shall be available for 
the costs of assistance provided and other activities to remain 
available through September 30, 2012. 
PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT 
BLOCK GRANT 
For carrying out the Child Care and Development Block Grant 
Act of 1990, $2,127,081,000 shall be used to supplement, not sup-
plant State general revenue funds for child care assistance for 
low-income families: Provided, That $18,960,000 shall be available 
for child care resource and referral and school-aged child care 
activities, of which $1,000,000 shall be for the Child Care Aware 
toll-free hotline: Provided further, That, in addition to the amounts 
required to be reserved by the States under section 658G, 
$271,401,000 shall be reserved by the States for activities author-
ized under section 658G, of which $99,534,000 shall be for activities 
that improve the quality of infant and toddler care: Provided further, 
That $9,910,000 shall be for use by the Secretary of Health and 
Human Services for child care research, demonstration, and evalua-
tion 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 subparagraph for a State to carry 
out State programs pursuant to title XX of such Act shall be 
10 percent. 
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, the Head Start Act, the Child Abuse Preven-
tion and Treatment Act, sections 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), sections 
330F and 330G of the Public Health Service Act (‘‘PHS Act’’), 
the Abandoned Infants Assistance Act of 1988, sections 261 and 
291 of the Help America Vote Act of 2002, part B–1 of title IV 
and sections 413, 1110, and 1115 of the Social Security Act; for 
making payments under the Community Services Block Grant Act 
(‘‘CSBG 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, the Low Income Home Energy Assistance Act
H. R. 3288—218 
of 1981, title IV of the Immigration and Nationality Act, section 
501 of the Refugee Education Assistance Act of 1980, and section 
505 of the Family Support Act of 1988, $9,314,532,000, of which 
$39,500,000, to remain available through September 30, 2011, shall 
be for grants to States for adoption incentive payments, as author-
ized by section 473A of the Social Security Act and may be made 
for adoptions completed before September 30, 2010: Provided, That 
$7,234,783,000 shall be for making payments under the Head Start 
Act: Provided further, That of funds appropriated in the American 
Recovery and Reinvestment Act of 2009 for Head Start and Early 
Head Start, only the amount provided to a Head Start grantee 
under section 640(a)(3)(A)(i)(I) of the Head Start Act as a cost 
of living adjustment may be considered to be part of the fiscal 
year 2009 base grant for such grantee for purposes of section 
640(a)(2)(B)(i) through (v) of the Head Start Act: Provided further, 
That $746,000,000 shall be for making payments under the CSBG 
Act: Provided further, That not less than $10,000,000 shall be 
for section 680(a)(3)(B) of the CSBG Act: Provided further, That 
in addition to amounts provided herein, $5,762,000 shall be avail-
able 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 extent Community Services Block 
Grant funds are distributed as grant funds by a State to an eligible 
entity as provided under the CSBG Act, and have not been expended 
by such entity, they shall remain with such entity for carryover 
into the next fiscal year for expenditure by such entity consistent 
with program purposes: Provided further, That the Secretary of 
Health and Human Services shall establish procedures regarding 
the disposition of intangible assets and program income that permit 
such assets 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 intangible assets in the form of loans, equity invest-
ments 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 proce-
dures shall apply to such grant funds made available after 
November 29, 1999: Provided further, That funds appropriated for 
section 680(a)(2) of the CSBG Act shall be available for financing 
construction and rehabilitation and loans or investments in private 
business enterprises owned by community development corpora-
tions: Provided further, That $17,410,000 shall be for activities 
authorized by the Help America Vote Act of 2002, of which 
$12,154,000 shall be for payments to States to promote access 
for voters with disabilities, and of which $5,256,000 shall be for 
payments to States for protection and advocacy systems for voters 
with disabilities: Provided further, That $2,000,000 shall be for 
a human services case management system for federally declared 
disasters, to include a comprehensive national case management 
contract and Federal costs of administering the system: Provided 
further, That up to $2,000,000 shall be for improving the Public 
Assistance Reporting Information System, including grants to 
States to support data collection for a study of the system’s effective-
ness: Provided further, That of the funds appropriated under this