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to exceed $3,188,418,000, 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 
in accordance with section 353 of the Public Health Service 
Act and section 1857(e)(2) of the Social Security Act, 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 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 appro-
priation: Provided further, That $24,205,000, to remain 
available until September 30, 2007, is for contract costs for 
the Centers for Medicare and Medicaid Services Systems 
Revitalization Plan: Provided further, That $79,934,000, to 
remain available until September 30, 2007, is for contract 
costs for the Healthcare Integrated General Ledger Account-
ing System: 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
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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 is directed to collect fees 
in fiscal year 2006 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 to the ex-
tent Medicare claims volume is projected by the Centers for 
Medicare and Medicaid Services (CMS) to exceed 
200,000,000 Part A claims and/or 1,022,100,000 Part B 
claims, an additional $32,500,000 shall be available for ob-
ligation for every 50,000,000 increase in Medicare claims 
volume (including a pro rata amount for any increment 
less than 50,000,000) from the Federal Hospital Insurance 
and the Federal Supplementary Medical Insurance Trust 
Funds: Provided further, That the Secretary, by not later 
than January 1, 2006, shall produce and mail a corrected 
version of the annual notice required under section 1804(a) 
of the Social Security Act (42 U.S.C. 1395b–2(a)) to each 
beneficiary described in the second sentence of such section, 
together with an explanation of the error in the previous 
annual notice that was mailed to such beneficiaries.
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HEALTH MAINTENANCE ORGANIZATION LOAN AND LOAN 
GUARANTEE FUND 
For carrying out subsections (d) and (e) of section 
1308 of the Public Health Service Act, any amounts re-
ceived by the Secretary in connection with loans and loan 
guarantees under title XIII of the Public Health Service 
Act, to be available without fiscal year limitation for the 
payment of outstanding obligations. During fiscal year 
2006, no commitments for direct loans or loan guarantees 
shall be made. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $80,000,000, 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 Security Act, of 
which $75,000,000 is for the Medicare Integrity Program 
at the Centers for Medicare and Medicaid Services (‘‘CMS’’) 
to conduct oversight of activities authorized in Titles I and 
II of Public Law 108–173, with oversight activities includ-
ing those activities listed in 18 U.S.C. 1893(b), and of 
which $5,000,000 is for the Medicaid program integrity ac-
tivities, together with not less than $20,000,000 made avail-
able to the Secretary by section 1817(k)(3) of the Social Se-
curity Act: Provided, That the report required by 18 U.S.C. 
1817(k)(5) for fiscal year 2006 shall include measures of
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the operational efficiency and impact on fraud, waste and 
abuse in the Medicare and Medicaid programs for the funds 
provided by this appropriation. 
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. 
ch. 9), $2,121,643,000, to remain available until expended; 
and for such purposes for the first quarter of fiscal year 
2007, $1,200,000,000, 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 effec-
tive date of the program of Temporary Assistance for Needy 
Families (TANF) 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 Respon-
sibility and Work Opportunity Reconciliation Act of 1996 
shall not exceed the limitations under section 116(b) of such 
Act.
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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. ch. 9), 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 title XXVI of the Omni-
bus Budget Reconciliation Act of 1981, $1,883,000,000. 
For making payments under title XXVI of the Omni-
bus Budget Reconciliation Act of 1981, $300,000,000, to re-
main available until expended: Provided, That these funds 
are for the unanticipated home energy assistance needs of 
one or more States, as authorized by section 2604(e) of the 
Act: Provided further, That the entire amount is designated 
as an emergency requirement pursuant to section 402 of 
H. Con. Res. 95 (109th Congress), the concurrent resolution 
on the budget for fiscal year 2006. 
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 (Public 
Law 96–422), for carrying out section 462 of the Homeland
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Security Act of 2002 (Public Law 107–296), and for car-
rying out the Torture Victims Relief Act of 2003 (Public 
Law 108–179), $552,040,000, of which up to $9,915,000 
shall be available to carry out the Trafficking Victims Pro-
tection Act of 2003 (Public Law 108–193): 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 
2006 shall be available for the costs of assistance provided 
and other activities to remain available through September 
30, 2008. 
For an additional amount for the necessary expenses 
for refugee and entrant assistance activities and for costs 
associated with the care and placement of unaccompanied 
children authorized by title IV of the Immigration and Na-
tionality Act, section 501 of the Refugee Education Assist-
ance Act of 1980, and for carrying out section 462 of the 
Homeland Security Act of 2002, $19,100,000: Provided, 
That the entire amount is designated as an emergency re-
quirement pursuant to section 402 of H. Con. Res. 95 
(109th Congress), the concurrent resolution on the budget 
for fiscal year 2006. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out sections 658A through 658R of the 
Omnibus Budget Reconciliation Act of 1981 (The Child
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Care and Development Block Grant Act of 1990), 
$2,082,910,000 shall be used to supplement, not supplant 
State general revenue funds for child care assistance for 
low-income families: Provided, That $19,120,000 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, $272,672,000 shall be re-
served by the States for activities authorized under section 
658G, of which $100,000,000 shall be for activities that im-
prove the quality of infant and toddler care: Provided fur-
ther, That $10,000,000 shall be for use by the Secretary for 
child care research, demonstration, and evaluation activi-
ties. 
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
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Act, the Child Abuse Prevention and Treatment Act, sec-
tions 310 and 316 of the Family Violence Prevention and 
Services Act, as amended, the Native American Programs 
Act of 1974, title II of Public Law 95–266 (adoption oppor-
tunities), the Adoption and Safe Families Act of 1997 (Pub-
lic Law 105–89), sections 1201 and 1211 of the Children’s 
Health Act of 2000, 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, 429A, 
1110, 1115 of the Social Security Act, and sections 40155, 
40211, and 40241 of Public Law 103–322; for making pay-
ments under the Community Services Block Grant Act, sec-
tions 439(h), 473A, and 477(i) of the Social Security Act, 
and title IV of Public Law 105–285, and for necessary ad-
ministrative expenses to carry out said 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. ch. 9), the Omnibus 
Budget Reconciliation Act of 1981, title IV of the Immigra-
tion and Nationality Act, section 501 of the Refugee Edu-
cation Assistance Act of 1980, sections 40155, 40211, and 
40241 of Public Law 103–322, and section 126 and titles 
IV and V of Public Law 100–485, $9,000,832,000, of which 
$22,846,000, to remain available until September 30, 2007, 
shall be for grants to States for adoption incentive pay-
ments, as authorized by section 473A of title IV of the Social
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Security Act (42 U.S.C. 670–679) and may be made for 
adoptions completed before September 30, 2006: Provided, 
That $6,874,314,000 shall be for making payments under 
the Head Start Act, of which $1,388,800,000 shall become 
available October 1, 2006 and remain available through 
September 30, 2007: Provided further, That $708,895,000 
shall be for making payments under the Community Serv-
ices Block Grant Act: Provided further, That not less than 
$7,492,000 shall be for section 680(3)(B) of the Community 
Services Block Grant Act: Provided further, That within 
amounts provided herein for abstinence education for ado-
lescents, up to $10,000,000 may be available for a national 
abstinence education campaign: Provided further, That in 
addition to amounts provided herein, $6,000,000 shall be 
available from amounts available under section 241 of the 
Public Health Service 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 enti-
ty as provided under the Act, and have not been expended 
by such entity, they shall remain with such entity for carry-
over into the next fiscal year for expenditure by such entity 
consistent with program purposes: Provided further, That 
the Secretary shall establish procedures regarding the dis-
position of intangible property which permits grant funds,
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or intangible assets acquired with funds authorized under 
section 680 of the Community Services Block Grant Act, 
as amended, to become the sole property of such grantees 
after a period of not more than 12 years after the end of 
the grant for purposes and uses consistent with the original 
grant: Provided further, That funds appropriated for sec-
tion 680(a)(2) of the Community Services Block Grant Act, 
as amended, shall be available for financing construction 
and rehabilitation and loans or investments in private 
business enterprises owned by community development cor-
porations: Provided further, That $95,000,000 is for a com-
passion capital fund to provide grants to charitable organi-
zations to emulate model social service programs and to en-
courage research on the best practices of social service orga-
nizations: Provided further, That $14,879,000 shall be for 
activities authorized by the Help America Vote Act of 2002, 
of which $10,000,000 shall be for payments to States to pro-
mote access for voters with disabilities, and of which 
$4,879,000 shall be for payments to States for protection 
and advocacy systems for voters with disabilities: Provided 
further, That $101,000,000 shall be for making competitive 
grants to provide abstinence education (as defined by sec-
tion 510(b)(2) of the Social Security Act) to adolescents, 
and for Federal costs of administering the grant: Provided 
further, That grants under the immediately preceding pro-
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viso shall be made only to public and private entities which 
agree that, with respect to an adolescent to whom the enti-
ties provide abstinence education under such grant, the en-
tities will not provide to that adolescent any other edu-
cation regarding sexual conduct, except that, in the case of 
an entity expressly required by law to provide health infor-
mation 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 edu-
cation was provided: Provided further, That within 
amounts provided herein for abstinence education for ado-
lescents, up to $10,000,000 may be available for a national 
abstinence education campaign: Provided further, That in 
addition to amounts provided herein for abstinence edu-
cation for adolescents, $4,500,000 shall be available from 
amounts available under section 241 of the Public Health 
Services Act to carry out evaluations (including longitu-
dinal evaluations) of adolescent pregnancy prevention ap-
proaches: Provided further, That $2,000,000 shall be for im-
proving the Public Assistance Reporting Information Sys-
tem, including grants to States to support data collection 
for a study of the system’s effectiveness: Provided further, 
That the total amount made available under this heading 
shall be increased by $10,000,000, which shall be for car-
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rying out the National Youth Sports Program under the 
Community Services Block Grant Act. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out section 436 of the Social Security 
Act, $305,000,000 and for section 437, $90,000,000: Pro-
vided, That the Secretary shall undertake a family reunifi-
cation effort in concert with national non-profit organiza-
tions engaged in similar efforts. 
PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION 
ASSISTANCE 
For making payments to States or other non-Federal 
entities under title IV–E of the Social Security Act, 
$4,852,800,000. 
For making payments to States or other non-Federal 
entities under title IV–E of the Act, for the first quarter 
of fiscal year 2007, $1,730,000,000. 
For making, after May 31 of the current fiscal year, 
payments to States or other non-Federal entities under sec-
tion 474 of title IV–E, 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 provided, 
the Older Americans Act of 1965, as amended, and section 
398 of the Public Health Service Act, $1,391,699,000, of
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which $5,500,000 shall be available for activities regarding 
medication management, screening, and education to pre-
vent incorrect medication and adverse drug reactions. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six se-
dans, and for carrying out titles III, XVII, XX, and XXI 
of the Public Health Service Act, the United States-Mexico 
Border Health Commission Act, and research studies under 
section 1110 of the Social Security Act, $353,614,000, to-
gether with $5,851,000 to be transferred and expended as 
authorized by section 201(g)(1) of the Social Security Act 
from the Hospital Insurance Trust Fund and the Supple-
mental Medical Insurance Trust Fund, and $39,552,000 
from the amounts available under section 241 of the Public 
Health Service Act to carry out national health or human 
services research and evaluation activities: Provided, That 
of the funds made available under this heading for carrying 
out title XX of the Public Health Service Act, $13,120,000 
shall be for activities specified under section 2003(b)(2), all 
of which shall be for prevention service demonstration 
grants under section 510(b)(2) of title V of the Social Secu-
rity Act, as amended, without application of the limitation 
of section 2010(c) of said title XX: Provided further, That
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of this amount, $52,415,000 shall be for minority AIDS 
prevention and treatment activities; and $5,952,000 shall 
be to assist Afghanistan in the development of maternal and 
child health clinics, consistent with section 103(a)(4)(H) of 
the Afghanistan Freedom Support Act of 2002: Provided 
further, That specific information requests from the chair-
men and ranking members of the Subcommittees on Labor, 
Health and Human Services, and Education, and Related 
Agencies, on scientific research or any other matter, shall 
be transmitted to the Committees on Appropriations in a 
prompt professional manner and within the time frame 
specified in the request: Provided further, That scientific in-
formation requested by the Committees on Appropriations 
and prepared by government researchers and scientists shall 
be transmitted to the Committees on Appropriations, un-
censored and without delay. 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for administrative law judges 
responsible for hearing cases under title XVIII of the Social 
Security Act (and related provisions of title XI of such Act), 
$75,000,000, to be transferred in appropriate part from the 
Federal Hospital Insurance and the Federal Supple-
mentary Medical Insurance Trust Funds.
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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 devel-
opment and advancement of an interoperable national 
health information technology infrastructure, $32,800,000: 
Provided, That in addition to amounts provided herein, 
$12,350,000 shall be available from amounts available 
under section 241 of the Public Health Service Act to carry 
out health information technology network development. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector Gen-
eral, including the hire of passenger motor vehicles for in-
vestigations, in carrying out the provisions of the Inspector 
General Act of 1978, as amended, $39,813,000: Provided, 
That of such amount, necessary sums are available for pro-
viding protective services to the Secretary 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 funds transferred to this heading pursuant to section 
220 of the Department of Health and Human Services Ap-
propriations Act, 2005, shall remain available until Sep-
tember 30, 2006.
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OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil Rights, 
$31,682,000, together with not to exceed $3,314,000 to be 
transferred and expended as authorized by section 201(g)(1) 
of the Social Security Act from the Hospital Insurance 
Trust Fund and the Supplemental 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 Pro-
tection Plan and Survivor Benefit Plan, for medical care 
of dependents and retired personnel under the Dependents’ 
Medical Care Act (10 U.S.C. chapter 55), such amounts as 
may be required during the current fiscal year. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND 
For expenses necessary to support activities related to 
countering potential biological, disease, nuclear, radio-
logical and chemical threats to civilian populations, and 
to ensure a year-round influenza vaccine production capac-
ity, the development and implementation of rapidly ex-
pandable influenza vaccine production technologies, and if 
determined necessary by the Secretary, the purchase of in-
fluenza vaccine, $8,158,589,000: Provided, That these funds 
shall be distributed at the discretion of the President, after
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consultation with the Chairman and Ranking Members of 
the House and Senate Committees on Appropriations, the 
Chairman and Ranking Members of the House and Senate 
Subcommittees on Labor, Health and Human Services, and 
Education Appropriations, the Chairman and Ranking 
Member of the Senate Health, Education, Labor, and Pen-
sions Committee, and the Senate Majority and Minority 
Leaders: Provided further, That $8,095,000,000 of amounts 
available for influenza and other potential pandemics pre-
paredness is designated as an emergency requirement pur-
suant to section 402 of H. Con. Res. 95 (109th Congress), 
the concurrent resolution on the budget for fiscal year 2006 
and shall remain available until expended. 
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. 
SEC. 202. The Secretary shall make available through 
assignment not more 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 International Development, the United 
Nations International Children’s Emergency Fund or the 
World Health Organization.
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SEC. 203. None of the funds appropriated in this Act 
may be used to implement section 399F(b) of the Public 
Health Service Act or section 1503 of the National Insti-
tutes of Health Revitalization Act of 1993, Public Law 103– 
43. 
SEC. 204. None of the funds appropriated in this Act 
for the National Institutes of Health, the Agency for 
Healthcare Research and Quality, and the Substance Abuse 
and Mental Health Services Administration 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 I. 
SEC. 205. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the Public 
Health Service 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 Secretary’s preparation and submis-
sion of a report to the Committee on Appropriations of the 
Senate and of the House detailing the planned uses of such 
funds. 
SEC. 206. Notwithstanding section 241(a) of the Public 
Health Service Act, such portion as the Secretary shall de-
termine, but not more than 2.5 percent, of any amounts 
appropriated for programs authorized under said Act shall
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be made available for the evaluation (directly, or by grants 
or contracts) of the implementation and effectiveness of such 
programs. 
(TRANSFER OF FUNDS) 
SEC. 207. Not to exceed 1 percent of any discretionary 
funds (pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985, as amended) which are appro-
priated for the current fiscal year for the Department of 
Health and Human Services in this Act may be transferred 
between a program, project, or activity, but no such pro-
gram, project, or activity shall be increased by more than 
3 percent by any such transfer: Provided, That a program, 
project, or activity may be increased by up to an additional 
2 percent subject to approval by the House and Senate Com-
mittees on Appropriations: Provided further, 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 Appropriations Committees of both Houses of Con-
gress are notified at least 15 days in advance of any trans-
fer. 
(TRANSFER OF FUNDS) 
SEC. 208. The Director of the National Institutes of 
Health, jointly with the Director of the Office of AIDS Re-
search, may transfer up to 3 percent among institutes, cen-
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ters, and divisions from the total amounts identified by 
these two Directors as funding for research pertaining to 
the human immunodeficiency virus: Provided, That the 
Congress is promptly notified of the transfer. 
(TRANSFER OF FUNDS) 
SEC. 209. 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 Institutes 
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 necessary to carry out 
section 2353(d)(3) of the Public Health Service Act. 
SEC. 210. None of the funds appropriated in this Act 
may be made available to any entity under title X of the 
Public Health Service Act unless the applicant for the 
award certifies to the Secretary that it encourages family 
participation in the decision of minors to seek family plan-
ning services and that it provides counseling to minors on 
how to resist attempts to coerce minors into engaging in 
sexual activities. 
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 denies participation in such program to an other-
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wise eligible entity (including a Provider Sponsored Orga-
nization) 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 prospective adjustments to the capitation 
payment to such an entity (based on an actuarially sound 
estimate of the expected costs of providing the service to such 
entity’s enrollees): Provided further, That nothing in this 
section shall be construed to change the Medicare program’s 
coverage for such services and a Medicare Advantage orga-
nization described in this section shall be responsible for 
informing enrollees where to obtain information about all 
Medicare covered services. 
SEC. 212. Notwithstanding any other provision of law, 
no provider of services under title X of the Public Health 
Service Act shall be exempt from any State law requiring 
notification or the reporting of child abuse, child molesta-
tion, sexual abuse, rape, or incest. 
SEC. 213. (a) Except as provided by subsection (e) 
none of the funds appropriated by this Act may be used 
to withhold substance abuse funding from a State pursuant 
to section 1926 of the Public Health Service Act (42 U.S.C. 
300x–26) if such State certifies to the Secretary of Health 
and Human Services by May 1, 2006 that the State will 
commit additional State funds, in accordance with sub-
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section (b), to ensure compliance with State laws prohib-
iting the sale of tobacco products to individuals under 18 
years of age. 
(b) The amount of funds to be committed by a State 
under subsection (a) shall be equal to 1 percent of such 
State’s substance abuse block grant allocation for each per-
centage point by which the State misses the retailer compli-
ance rate goal established by the Secretary of Health and 
Human Services under section 1926 of such Act. 
(c) The State is to maintain State expenditures in fis-
cal year 2006 for tobacco prevention programs and for com-
pliance activities at a level that is not less than the level 
of such expenditures maintained by the State for fiscal year 
2005, and adding to that level the additional funds for to-
bacco compliance activities required under subsection (a). 
The State is to submit a report to the Secretary on all fiscal 
year 2005 State expenditures and all fiscal year 2006 obli-
gations for tobacco prevention and compliance activities by 
program activity by July 31, 2006. 
(d) The Secretary shall exercise discretion in enforcing 
the timing of the State obligation of the additional funds 
required by the certification described in subsection (a) as 
late as July 31, 2006. 
(e) None of the funds appropriated by this Act may 
be used to withhold substance abuse funding pursuant to
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section 1926 from a territory that receives less than 
$1,000,000. 
SEC. 214. In order for the Centers for Disease Control 
and Prevention to carry out international health activities, 
including HIV/AIDS and other infectious disease, chronic 
and environmental disease, and other health activities 
abroad during fiscal year 2006, the Secretary of Health and 
Human Services— 
(1) may exercise authority equivalent to that 
available to the Secretary of State in section 2(c) of 
the State Department Basic Authorities Act of 1956 
(22 U.S.C. 2669(c)). The Secretary of Health and 
Human Services shall consult with the Secretary of 
State and relevant Chief of Mission to ensure that the 
authority provided in this section is exercised in a 
manner consistent with section 207 of the Foreign 
Service Act of 1980 (22 U.S.C. 3927) and other appli-
cable statutes administered by the Department of 
State, and 
(2) is authorized to provide such funds by ad-
vance or reimbursement to the Secretary of State as 
may be necessary to pay the costs of acquisition, 
lease, alteration, renovation, and management of fa-
cilities outside of the United States for the use of the 
Department of Health and Human Services. The De-
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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 ap-
plicable regulation governing location, setback, and 
other facilities requirements and serve the purposes 
established by this Act. The Secretary of Health and 
Human Services is authorized, in consultation with 
the Secretary of State, through grant or cooperative 
agreement, to make available to public or nonprofit 
private institutions or agencies in participating for-
eign countries, funds to acquire, lease, alter, or ren-
ovate facilities in those countries as necessary to con-
duct programs of assistance for international health 
activities, including activities relating to HIV/AIDS 
and other infectious diseases, chronic and environ-
mental diseases, and other health activities abroad. 
SEC. 215. The Division of Federal Occupational 
Health hereafter may utilize personal services contracting 
to employ professional management/administrative and oc-
cupational health professionals. 
SEC. 216. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of the National Insti-
tutes of Health may use funds available under section 
402(i) of the Public Health Service Act (42 U.S.C. 282(i))
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to enter into transactions (other than contracts, cooperative 
agreements, or grants) to carry out research in support of 
the NIH Roadmap for Medical Research. 
(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director of the National Institutes 
of Health may utilize such peer review procedures (includ-
ing consultation with appropriate scientific experts) as the 
Director determines to be appropriate 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 procedures 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 Public Health Service 
Act (42 U.S.C. 241, 284(b)(1)(B), 284(b)(2), 284a(a)(3)(A), 
289a, and 289c). 
SEC. 217. Funds which are available for Individual 
Learning Accounts for employees of the Centers for Disease 
Control and Prevention and the Agency for Toxic Sub-
stances and Disease Registry may be transferred to ‘‘Dis-
ease Control, Research, and Training’’, to be available only 
for Individual Learning Accounts: Provided, That such 
funds may be used for any individual full-time equivalent 
employee while such employee is employed either by CDC 
or ATSDR.
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SEC. 218. Notwithstanding any other provisions of 
law, funds made available in this Act may be used to con-
tinue operating the Council on Graduate Medical Edu-
cation established by section 301 of Public Law 102–408. 
(RESCISSION OF FUNDS) 
SEC. 219. The unobligated balance in the amount of 
$10,000,000 appropriated by Public Law 108–11 under the 
heading ‘‘Public Health and Social Services Emergency 
Fund’’ are rescinded. 
(RESCISSION OF FUNDS) 
SEC. 220. $15,912,000 of the unobligated balance of 
the Health Professions Student Loan program authorized 
in subpart II, Federally-Supported Student Loan Funds, 
of title VII of the Public Health Service Act are rescinded. 
SEC. 221. Funds appropriated for State Pharma-
ceutical Assistance Programs in Public Law 108–173 for 
fiscal year 2005 shall remain available through fiscal year 
2006. 
SEC. 222. Not later than June 30, 2006, the Secretary 
of Health and Human Services shall prepare and submit 
to Congress a report outlining— 
(1) a detailed plan for expeditiously changing 
the numerical identifier used to identify medicare 
beneficiaries under the medicare program so that a 
beneficiary’s social security account number is no 
longer displayed on the identification card issued to
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the beneficiary under such program or on any expla-
nation of medicare benefits mailed to the beneficiary; 
and 
(2) the costs of implementing such plan. 
SEC. 223. (a) The Headquarters and Emergency Oper-
ations Center Building (Building 21) at the Centers for 
Disease Control and Prevention is hereby renamed as the 
Arlen Specter Headquarters and Emergency Operations 
Center. 
(b) The Global Communications Center Building 
(Building 19) at the Centers for Disease Control and Pre-
vention is hereby renamed as the Thomas R. Harkin Global 
Communications Center. 
SEC. 224. The Secretary of Health and Human Serv-
ices shall use amounts appropriated under title II for the 
purchase of not less than 1,000,000 rapid oral HIV tests. 
SEC. 225. (a) Notwithstanding any other provision of 
law, none of the funds made available under this Act may 
be used to implement or enforce the interim final rule pub-
lished in the Federal Register by the Centers for Medicare 
& Medicaid Services on August 26, 2005 (70 Fed. Reg. 
50940) or any corresponding similar regulation or ruling— 
(1) prior to April 1, 2006; and 
(2) on or after April 1, 2006, unless the Sec-
retary of Health and Human Services publishes—
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(A) by not later than January 1, 2006, a 
proposed rule with respect to motorized or pow-
ered wheelchairs, followed by a 45-day period to 
comment on the proposed rule; and 
(B) by not later than February 14, 2006, a 
final rule with respect to motorized or powered 
wheelchairs, followed by a 45-day transition pe-
riod for implementation of the final rule. 
(b)(1) Notwithstanding any other provision of law, 
with respect to a covered item consisting of a motorized or 
power wheelchair furnished during 2006, the Secretary of 
Health and Human Services shall reduce the payment 
amount otherwise applicable under section 1834 of the So-
cial Security Act (42 U.S.C. 1395m) for such item by 1.5 
percent. 
(2) The payment reduction provided under paragraph 
(1) for 2006— 
(A) shall not apply to a covered item consisting 
of a motorized or power wheelchair that is furnished 
after 2006; and 
(B) shall not be taken into account in calcu-
lating the payment amounts applicable for such a 
covered item furnished after 2006. 
SEC. 226. TELEHEALTH. (a) APPROPRIATION.—Of the 
amounts appropriated to the Health Resource and Services
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Administration, $10,000,000 shall be to carry out programs 
and activities under the Health Care Safety Net Amend-
ments of 2002 (Public Law 107–251) and the amendments 
made by such Act, and for other telehealth programs under 
section 330I of the Public Health Service Act (42 U.S.C. 
254c–14), of which— 
(1) $2,500,000 shall be for not less than 10 tele-
health resource centers that provide assistance with 
respect to technical, legal, and regulatory service de-
livery or other related barriers to the deployment of 
telehealth technologies, of which not less than 2 centers 
shall be located in a rural State with a population 
of less than 1,500,000 individuals; 
(2) $5,000,000 shall be for network grants and 
demonstration or pilot projects for telehomecare; and 
(3) $2,500,000 shall be for grants to carry out 
programs under which health licensing boards or var-
ious States cooperate to develop and implement poli-
cies that will reduce statutory and regulatory barriers 
to telehealth. 
SEC. 227. From amounts appropriated to the Health 
Resources and Services Administration, $5,000,000 shall be 
available to fund grants for innovative programs to address 
dental workforce needs under section 340G of the Public 
Health Service Act (42 U.S.C. 246g).
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SEC. 228. None of the funds made available in this 
Act may be used to provide abstinence education that in-
cludes information that is medically inaccurate. For pur-
poses of this section, the term ‘‘medically inaccurate’’ means 
information that is unsupported or contradicted by peer- 
reviewed research by leading medical, psychological, psy-
chiatric, and public health publications, organizations and 
agencies. 
SEC. 229. For carrying out the Low-Vision Rehabilita-
tion Services Demonstration Project by the Secretary of 
Health and Human Services, an additional $5,000,000. 
SEC. 230. (a) FINDINGS.—The Senate makes the fol-
lowing findings: 
(1) Hospitals cannot provide patient care with-
out physicians. 
(2) It is particularly difficult for hospitals to 
provide patient care to uninsured patients. 
(3) Medicaid disproportionate share hospital 
(DSH) payments provide payments to hospitals to 
provide care to uninsured patients. 
(4) Hospitals that provide a large volume of care 
to uninsured patients incur significant costs. 
(5) Since there is no other source of reimburse-
ment for hospitals related to these costs, some States
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have permitted reimbursement of these physician costs 
through Medicaid DSH. 
(6) The State of Virginia has approved the in-
clusion of physician services costs as hospital costs for 
Medicaid DSH purposes. 
(7) Fifty percent of all indigent care in the State 
of Virginia is provided by its 2 academic medical 
centers. 
(8) The financial viability of these academic 
medical centers is threatened if these costs cannot be 
included in Medicaid DSH reimbursement. 
(b) SENSE OF THE SENATE.—It is the sense of the Sen-
ate that the Senate is aware of an issue regarding the defi-
nition of ‘‘hospital costs’’ incurred by the State of Virginia 
for purposes of Medicaid reimbursement to that State and 
urges the Administrator of the Centers for Medicare & Med-
icaid Services to work with the State to resolve the pending 
issue. 
SEC. 231. In addition to amounts appropriated under 
this Act, out of any money in the Treasury not otherwise 
appropriated an additional $800,000 to carry out section 
312 of the Public Health Service Act (42 U.S.C. 244). 
SEC. 232. ADDITIONAL PUBLIC HEALTH FUNDING. (a) 
MINORITY PUBLIC HEALTH.—In addition to amounts oth-
erwise appropriated under this Act, there are appropriated,
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out of any money in the Treasury not otherwise appro-
priated, $10,000,000 for the Office of Minority Health. 
(b) SICKLE CELL DISEASE.—From amounts appro-
priated under the title for the Office of the Secretary of 
Health and Human Services, such Secretary shall make 
available and amount not to exceed $2,000,000 of such 
amounts to provide funding for grants under paragraph (1) 
of section 712(c) of Public Law 108–357 (42 U.S.C. 300b– 
1 note). 
(c) OFFSET.—Notwithstanding any other provision of 
this Act, amounts made available under this Act under the 
heading Program Management for the Centers for Medicare 
and Medicaid Services shall be reduced, on a pro rata basis, 
by an additional $12,000,000. 
SEC. 233. MOSQUITO ABATEMENT FOR SAFETY AND 
HEALTH ACT. From amounts appropriated under this Act 
for the Centers for Disease Control and Prevention for infec-
tious diseases-West Nile Virus, there shall be transferred 
$5,000,000 to carry out section 317S of the Public Health 
Service Act (relating to mosquito abatement for safety and 
health). 
SEC. 234. Amounts appropriated in this title for com-
munity health center programs under section 330 of the 
Public Health Service Act (42 U.S.C. 254b) shall be in-
creased by $50,000,000.
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SEC. 235. None of the funds made available in this 
Act may be used to implement any strategic plan under 
section 3 of Executive Order 13335 (regarding interoperable 
health information technology) that lacks a provision that 
requires the Department of Health and Human Services to 
give notice to any patient whose information maintained 
by the Department under the strategic plan is lost, stolen, 
or used for a purpose other than the purpose for which the 
information was collected. 
SEC. 236. LIMITATION ON TRAVEL AND CONFERENCES. 
The appropriations for travel, conference programs and re-
lated expenses for the Department of Health and Human 
Services are reduced by $15,000,000. 
SEC. 237. In addition to amounts otherwise appro-
priated under this Act, there are appropriated, out of any 
money in the Treasury not otherwise appropriated, 
$15,121,000 for activities authorized by the Help America 
Vote Act of 2002, of which $13,500,000 shall be for pay-
ments to States to promote access for voters with disabil-
ities, and of which $8,621,000 shall be for payments to 
States for protection and advocacy systems for voters with 
disabilities. 
SEC. 238. (a) Section 1310.12(a) of the Code of Federal 
Regulations shall not apply before June 30, 2006, to any 
agency or its designee that provides transportation services
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for children enrolled in a Head Start program or an Early 
Head Start program if such agency or designee places such 
children in child restraint systems (as defined in section 
571.213 of the Code of Federal Regulations). 
(b) Section 640(i) of the Head Start Act (42 U.S.C. 
9835(i)) is amended— 
(1) by striking ‘‘(i) The’’ and inserting the fol-
lowing: 
‘‘(i) TRANSPORTATION SAFETY.— 
‘‘(1) REGULATIONS.—The’’; and 
(2) by adding at the end the following: 
‘‘(2) WAIVER AUTHORITY.— 
‘‘(A) IN
GENERAL.—The Secretary may 
waive, for a period of up to one year, the re-
quirements of regulations promulgated under 
paragraph (1) of this subsection and section 
1310.12(a) of the Code of Federal Regulations for 
one or more vehicles used by the agency or its 
designee in transporting children enrolled in a 
Head Start program or an Early Head Start 
program if— 
‘‘(i) such requirements pertain to child 
restraint systems and bus monitors; 
‘‘(ii) the agency demonstrates that 
compliance with such requirements will re-
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sult in a significant disruption to the Head 
Start program or the Early Head Start 
program; and 
‘‘(iii) the waiver is in the best interest 
of the child. 
‘‘(B) RENEWAL.—The Secretary may renew 
a waiver under subparagraph (A).’’. 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2006’’. 
TITLE III—DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I of the Elementary and Sec-
ondary Education Act of 1965 (‘‘ESEA’’) and section 418A 
of the Higher Education Act of 1965, $14,525,135,000, of 
which $6,935,826,000 shall become available on July 1, 
2006, and shall remain available through September 30, 
2007, and of which $7,383,301,000 shall become available 
on October 1, 2006, and shall remain available through 
September 30, 2007 for academic year 2006–2007: Pro-
vided, That $6,934,854,000 shall be for basic grants under 
section 1124: Provided further, That up to $3,472,000 of 
these funds shall be available to the Secretary of Education 
on October 1, 2005, to obtain annually updated edu-
cational-agency-level census poverty data from the Bureau 
of the Census: Provided further, That $1,365,031,000 shall
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be for concentration grants under section 1124A: Provided 
further, That $2,269,843,000 shall be for targeted grants 
under section 1125: Provided further, That $2,269,843,000 
shall be for education finance incentive grants under section 
1125A: Provided further, That $9,424,000 shall be to carry 
out part E of title I. 
IMPACT AID 
For carrying out programs of financial assistance to 
federally affected schools authorized by title VIII of the Ele-
mentary 
and 
Secondary 
Education 
Act 
of 
1965, 
$1,240,862,000, of which $1,102,896,000 shall be for basic 
support payments under section 8003(b), $49,966,000 shall 
be for payments for children with disabilities under section 
8003(d), $18,000,000 shall be for construction under section 
8007 and shall remain available through September 30, 
2007, $65,000,000 shall be for Federal property payments 
under section 8002, and $5,000,000, to remain available 
until expended, shall be for facilities maintenance under 
section 8008: Provided, That for purposes of computing the 
amount of a payment for an eligible local educational agen-
cy under section 8003(a) of the Elementary and Secondary 
Education Act (20 U.S.C. 7703(a)) for school year 2005– 
2006, children enrolled in a school of such agency that 
would otherwise be eligible for payment under section 
8003(a)(1)(B) of such Act, but due to the deployment of both
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parents or legal guardians, or a parent or legal guardian 
having sole custody of such children, or due to the death 
of a military parent or legal guardian while on active duty 
(so long as such children reside on Federal property as de-
scribed in section 8003(a)(1)(B)), are no longer eligible 
under such section, shall be considered as eligible students 
under such section, provided such students remain in aver-
age daily attendance at a school in the same local edu-
cational agency they attended prior to their change in eligi-
bility status. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities author-
ized by title II, part B of title IV, part A and subparts 
6 and 9 of part D of title V, parts A and B of title VI, 
and parts B and C of title VII of the Elementary and Sec-
ondary Education Act of 1965 (‘‘ESEA’’); the McKinney- 
Vento Homeless Assistance Act; section 203 of the Edu-
cational Technical Assistance Act of 2002; the Compact of 
Free Association Amendments Act of 2003; and the Civil 
Rights 
Act 
of 
1964, 
$5,457,953,000, 
of 
which 
$3,821,042,000 shall become available on July 1, 2006, and 
remain available through September 30, 2007, and of which 
$1,435,000,000 shall become available on October 1, 2006, 
and shall remain available through September 30, 2007, for 
academic year 2006–2007: Provided, That funds made
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available to carry out part B of title VII of the ESEA may 
be used for construction, renovation and modernization of 
any elementary school, secondary school, or structure re-
lated to an elementary school or secondary school, run by 
the Department of Education of the State of Hawaii, that 
serves a predominantly Native Hawaiian student body: 
Provided further, That from the funds referred to in the pre-
ceding proviso, not less than $1,250,000 shall be for a grant 
to the Department of Education of the State of Hawaii for 
the activities described in such proviso, and $1,250,000 
shall be for a grant to the University of Hawaii School of 
Law for a Center of Excellence in Native Hawaiian law: 
Provided further, That funds made available to carry out 
part C of title VII of the ESEA may be used for construc-
tion: Provided further, That $411,680,000 shall be for State 
assessments and related activities authorized under sections 
6111 and 6112 of the ESEA: Provided further, That 
$56,825,000 shall be available to carry out section 203 of 
the Educational Technical Assistance Act of 2002: Provided 
further, That $36,022,000 shall be available to carry out 
part D of title V of the ESEA: Provided further, That no 
funds appropriated under this heading may be used to 
carry out section 5494 under the ESEA: Provided further, 
That $12,132,000 shall be available to carry out the Supple-
mental Education Grants program for the Federated States