HR 3043 RH1S 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS 
AND STROKE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect 
to 
neurological 
disorders 
and 
stroke, 
$1,559,106,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to allergy and infectious diseases, $4,632,019,000: 
Provided, That $300,000,000 may be made available to 
International Assistance Programs ‘‘Global Fund to Fight 
HIV/AIDS, Malaria, and Tuberculosis’’, to remain avail-
able until expended: Provided further, That such sums ob-
ligated 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 Appropriations of the 
House of Representatives and the Senate. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to general medical sciences, $1,966,019,000. 
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HR 3043 RH1S 
NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN 
DEVELOPMENT 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to child health and human development, 
$1,273,863,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect 
to 
eye 
diseases 
and 
visual 
disorders, 
$677,039,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out sections 301 and 311 and title IV 
of the Public Health Service Act (42 U.S.C. 241, 243, 281 
et seq.) with respect to environmental health sciences, 
$652,303,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to aging, $1,062,833,000. 
NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
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HR 3043 RH1S 
respect to arthritis and musculoskeletal and skin diseases, 
$516,044,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to deafness and other communication disorders, 
$400,305,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to nursing research, $139,527,000. 
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to alcohol abuse and alcoholism, $442,870,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to drug abuse, $1,015,559,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to mental health, $1,425,531,000. 
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HR 3043 RH1S 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to human genome research, $493,996,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to biomedical imaging and bioengineering re-
search, $303,318,000. 
NATIONAL CENTER FOR RESEARCH RESOURCES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to research resources and general research support 
grants, $1,171,095,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
ALTERNATIVE MEDICINE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to complementary and alternative medicine, 
$123,380,000. 
NATIONAL CENTER ON MINORITY HEALTH AND HEALTH 
DISPARITIES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
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HR 3043 RH1S 
respect to minority health and health disparities research, 
$202,691,000. 
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 (42 U.S.C. 
287b)), $67,599,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect 
to 
health 
information 
communications, 
$325,484,000, of which $4,000,000 shall be available until 
expended for improvement of information systems: Pro-
vided, That in fiscal year 2008, the National Library of 
Medicine may enter into personal services contracts for the 
provision of services in facilities owned, operated, or con-
structed 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 (42 U.S.C. 238j) to carry out the purposes 
of the National Information Center on Health Services Re-
search and Health Care Technology established under sec-
tion 478A of the Public Health Service Act (42 U.S.C. 
286d) and related health services. 
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HR 3043 RH1S 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the 
Director, 
National 
Institutes 
of 
Health, 
$1,114,422,000, of which up to $14,000,000 shall be used 
to carry out section 214 of this Act, of which 
$110,900,000 shall be for continuation of the National 
Children’s Study, and of which $495,153,000 shall be 
available for the Common Fund established under section 
402A(c)(1) of the Public Health Service Act (42 U.S.C. 
282a): 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 In-
stitutes 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 Insti-
tutes of Health Management Fund: Provided further, That 
all funds credited to such Fund shall remain available for 
one fiscal year after the fiscal year in which they are de-
posited: Provided further, That no more than $500,000 
shall be available to carry out section 499 of the Public 
Health Service Act(42 U.S.C. 290b): Provided further, 
That amounts appropriated to the Common Fund shall 
be in addition to any amounts allocated to activities re-
lated to the Common Fund through the normal research 
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HR 3043 RH1S 
priority-setting process of individual institutes and cen-
ters: Provided further, That of the funds provided $10,000 
shall be for official reception and representation expenses 
when specifically approved by the Director 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 (42 U.S.C. 300cc–41(a)(5)(B)). 
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, $121,081,000, to remain available until ex-
pended. 
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 (42 U.S.C. 290aa et seq., 300w et 
seq.) (‘‘PHS Act’’) with respect to substance abuse and 
mental health services, the Protection and Advocacy for 
Individuals with Mental Illness Act (42 U.S.C. 10801 et 
seq.), and section 301 of the PHS Act (42 U.S.C. 241) 
with respect to program management, $3,272,928,000: 
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HR 3043 RH1S 
Provided, That notwithstanding section 520A(f)(2) of the 
PHS Act (42 U.S.C. 290bb–32(f)(2)), no funds appro-
priated for carrying out section 520A are available for car-
rying out section 1971 of such Act: Provided further, That 
in addition to amounts provided herein, the following 
amounts shall be available under section 241 of the PHS 
Act (42 U.S.C. 238j): (1) $79,200,000 to carry out sub-
part II of part B of title XIX of the PHS Act (42 U.S.C. 
300x–21 et seq.) to fund section 1935(b) of such Act (42 
U.S.C. 300x–35(b)) relating to technical assistance, na-
tional data, data collection, and evaluation activities, and 
further that the total available under this Act for activities 
under such section 1935(b) shall not exceed 5 percent of 
the amounts appropriated for subpart II of part B of title 
XIX of such Act; (2) $21,413,000 to carry out subpart 
I of part B of title XIX of the PHS Act (42 U.S.C. 300x– 
1 et seq.) to fund section 1920(b) of such Act (42 U.S.C. 
300x–9(b)) relating to technical assistance, national data, 
data collection, and evaluation activities, and further that 
the total available under this Act for activities under such 
section 1920(b) shall not exceed 5 percent of the amounts 
appropriated for subpart I of part B of title XIX of such 
Act; (3) $16,000,000 to carry out national surveys on 
drug abuse; and (4) $4,300,000 to evaluate substance 
abuse treatment programs. 
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HR 3043 RH1S 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the Public 
Health Service Act (42 U.S.C. 241 et seq., 299 et seq.), 
and part A of title XI of the Social Security Act (42 
U.S.C. 1301 et seq.), $329,564,000; and in addition, 
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 re-
main available until expended: Provided, That the amount 
made available pursuant to section 937(c) of the Public 
Health Service Act shall not exceed $47,064,000. 
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, $141,630,056,000, 
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 
quarter of fiscal year 2008, 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 of the Social Security Act (42 U.S.C. 1396s) 
on behalf of States under title XIX of the Social Security 
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HR 3043 RH1S 
Act for the first quarter of fiscal year 2009, 
$67,292,669,000, to remain available until expended. 
Payment under title XIX may be made for any quar-
ter 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. 
PAYMENTS TO HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance and 
the Federal Supplementary Medical Insurance Trust 
Funds, as provided under sections 1844 and 1860D–16 
of the Social Security Act (42 U.S.C. 1395w, 1395w–116), 
sections 103(c) and 111(d) of the Social Security Amend-
ments of 1965 (42 U.S.C. 426a(c), 1395i–1), section 
278(d) of the Tax Equity and Fiscal Responsibility Act 
of 1982 (42 U.S.C. 426 note), and for administrative ex-
penses incurred pursuant to section 201(g) of the Social 
Security Act (42 U.S.C. 401(g)), $188,828,000,000. 
In addition, for making matching payments under 
section 1844 of the Social Security Act (42 U.S.C. 
1395w), and benefit payments under 1860D–16 of such 
Act (42 U.S.C. 1395w–116), not anticipated in budget es-
timates, 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 
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HR 3043 RH1S 
the Clinical Laboratory Improvement Amendments of 
1988, not to exceed $3,230,163,000, to be transferred 
from the Federal Hospital Insurance and the Federal Sup-
plementary Medical Insurance Trust Funds, as authorized 
by section 201(g) of the Social Security Act (42 U.S.C. 
401(g)); together with all funds collected in accordance 
with section 353 of the Public Health Service Act (42 
U.S.C. 263a) and section 1857(e)(2) of the Social Security 
Act (42 U.S.C. 1395w–27(e)(2)), funds retained by the 
Secretary pursuant to section 1893(h)(1)(C) of the Social 
Security Act (42 U.S.C. 1395ddd(h)(1)(C)), and such 
sums as may be collected from authorized user fees and 
the sale of data, which shall remain available until ex-
pended: Provided, That all funds derived in accordance 
with section 9701 of title 31, United States Code, 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: Provided 
further, That $49,869,000, to remain available until Sep-
tember 30, 2009, is for contract costs for the Healthcare 
Integrated General Ledger Accounting System: Provided 
further, That $163,800,000, to remain available until Sep-
tember 30, 2009, is for Medicare contracting reform ac-
tivities of the Centers for Medicare and Medicaid Services: 
Provided further, That funds appropriated under this 
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HR 3043 RH1S 
heading are available for the Healthy Start, Grow Smart 
program under which the Centers for Medicare and Med-
icaid Services may, directly or through grants, contracts, 
or cooperative agreements, produce and distribute infor-
mational 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 
of Health and Human Services shall collect fees in fiscal 
year 2008 from Medicare Advantage organizations pursu-
ant to section 1857(e)(2) of the Social Security Act (42 
U.S.C. 1395s–27(e)(2)) and from eligible organizations 
with risk-sharing contracts under section 1876 of such Act 
(42 U.S.C. 1395mm) pursuant to section 1876(k)(4)(D) 
of such Act (42 U.S.C. 1395mm(k)(4)(D)). 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $383,000,000, 
to be transferred from the Federal Hospital Insurance and 
the Federal Supplementary Medical Insurance Trust 
Funds, as authorized by section 201(g) of the Social Secu-
rity Act (42 U.S.C. 401(g)), of which $288,480,000 is for 
the Medicare Integrity Program at the Centers for Medi-
care and Medicaid Services to conduct oversight of activi-
ties authorized in titles I and II of the Medicare Prescrip-
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