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vide training concerning Parkinson’s disease. Each center 
funded under such grants shall be designated as a Morris 
K. Udall Center for Research on Parkinson’s Disease. 
SEC. 218. None of the funds appropriated in this or 
any other Act may be used to carry out or administer the 
Department of Health and Human Services Human Re-
sources Consolidation plan. 
SEC. 219. GAO STUDY AND REPORT ON THE PROPAGA-
TION OF CONCIERGE CARE. (a) STUDY.—
(1) IN GENERAL.—The Comptroller General of 
the United States shall conduct a study on concierge 
care (as defined in paragraph (2)) to determine the 
extent to which such care—
(A) is used by medicare beneficiaries (as de-
fined in section 1802(b)(5)(A) of the Social Secu-
rity Act (42 U.S.C. 1395a(b)(5)(A))); and 
(B) has impacted upon the access of medi-
care beneficiaries (as so defined) to items and 
services for which reimbursement is provided 
under the medicare program under title XVIII of 
the Social Security Act (42 U.S.C. 1395 et seq.). 
(2) CONCIERGE CARE.—In this section, the term 
‘‘concierge care’’ means an arrangement under which, 
as a prerequisite for the provision of a health care 
item or service to an individual, a physician, practi-
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tioner (as described in section 1842(b)(18)(C) of the 
Social Security Act (42 U.S.C. 1395u(b)(18)(C))), or 
other individual—
(A) charges a membership fee or another in-
cidental fee to an individual desiring to receive 
the health care item or service from such physi-
cian, practitioner, or other individual; or 
(B) requires the individual desiring to re-
ceive the health care item or service from such 
physician, practitioner, or other individual to 
purchase an item or service. 
(b) REPORT.—Not later than the date that is 18 
months after the date of enactment of this Act, the Comp-
troller General of the United States shall submit to Congress 
a report on the study conducted under subsection (a)(1) to-
gether with such recommendations for legislative or admin-
istrative action as the Comptroller General determines to 
be appropriate. 
SEC. 220. To demonstrate the appreciation that the 
Senate has for, and to further encourage, the efforts of the 
Director of the National Institutes of Health in imple-
menting the Pediatric Research Initiative under section 
409D of the Public Health Service Act, it is the sense of 
the Senate that—
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(1) the Director should continue the Initiative 
and emphasize the importance of pediatric research, 
particularly translational research; and 
(2) not later than January of 2004, the Director 
should continue to report to the Committee on Health, 
Education, Labor, and Pensions of the Senate, the 
Committee on Energy and Commerce of the House of 
Representatives, the Senate Committee on Appropria-
tions and the House Committee on Appropriations on 
the status of the Pediatric Research Initiative, includ-
ing—
(A) the extent of the total funds obligated to 
conduct or support pediatric research across the 
National Institutes of Health, including the spe-
cific support and research awards allocated by 
the Office of the Director through the Initiative; 
(B) the activities of the cross-institute com-
mittee on pediatric research in assisting the Di-
rector in considering requests for new or ex-
panded pediatric research to be funded through 
the Initiative; 
(C) how the Director plans to budget dollars 
toward the Initiative for fiscal year 2004;
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(D) the amount the Director has expended 
to implement the Initiative since the enactment 
of the Initiative; 
(E) the status of any research conducted as 
a result of the Initiative; 
(F) whether that research is translational 
research or clinical research; 
(G) how the Initiative interfaces with the 
Off-Patent research fund of the National Insti-
tutes of Health; and 
(H) any recommended modifications that 
Congress should consider in the authority or 
structure of the Initiative within the National 
Institutes of Health for the optimal operation 
and success of the Initiative. 
SEC. 221. To provide funding for poison control cen-
ters under the Poison Control Enhancement and Awareness 
Act (42 U.S.C. 14801 et seq.), there are appropriated a total 
of $23,854,000, including amounts otherwise made avail-
able in this Act for such centers. 
SEC. 222. In addition to any amounts otherwise ap-
propriated under this Act under the heading of ADMINIS-
TRATION ON AGING, there are appropriated an additional 
$1,000,000: Provided, That in addition to the amounts al-
ready made available to carry out the ombudsman program
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under chapter 2 of title VII of the Older Americans Act 
of 1965 (42 U.S.C. 3058 et seq.), there are made available 
an additional $1,000,000. 
SEC. 223. In addition to any amounts otherwise ap-
propriated under this Act for programs and activities under 
the Nurse Reinvestment Act (Public Law 107–205) and for 
other nursing workforce development programs under title 
VIII of the Public Health Service Act (42 U.S.C. 296 et 
seq.), there are appropriated an additional $50,000,000 for 
such programs and activities. 
SEC. 224. Not later than 90 days after the date of en-
actment of this Act, the Director of the National Institutes 
of Health shall submit to the appropriate committees of 
Congress a report that shall —
(1) contain the recommendations of the Director 
concerning the role of the National Institutes of 
Health in promoting the affordability of inventions 
and products developed with Federal funds; and 
(2) specify whether any circumstances exist to 
prevent the Director from promoting the affordability 
of inventions and products developed with Federal 
funds. 
SEC. 225. STUDIES
CONCERNING
MAMMOGRAPHY 
STANDARDS. (a) STUDY BY GAO.—
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(1) IN GENERAL.—The Comptroller General of 
the United States shall conduct a study of the pro-
gram established under the Mammography Quality 
Standards Act of 1992 (section 354 of the Public 
Health Service Act (42 U.S.C. 263b)) (referred to in 
this section as the ‘‘MQSA’’) to—
(A) evaluate the demonstration program re-
garding frequency of inspections authorized 
under section 354(g) of the Public Health Service 
Act (42 U.S.C. 263b(g)), including the effect of 
the program on compliance with the MQSA; 
(B) evaluate the factors that contributed to 
the closing of the approximately 700 mammog-
raphy facilities nationwide since 2001, whether 
those closings were due to consolidation or were 
a true reduction in mammography availability, 
explore the relationship between certified units 
and facility capacity, and evaluate capacity 
issues, and determine the effect these and other 
closings have had on the accessibility of mam-
mography services, including for underserved 
populations, since the April 2002 General Ac-
counting Office report on access to mammog-
raphy; and
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(C) evaluate the role of States in acting as 
accreditation bodies or certification bodies, or 
both, in addition to inspection agents under the 
MQSA, and in acting as accreditation bodies for 
facilities in other States and determine whether 
and how these roles affect the system of checks 
and balances within the MQSA. 
(2) REPORT.—Not later than 16 months after the 
date of enactment of this Act, the Comptroller General 
of the United States shall submit to the Committee on 
Health, Education, Labor, and Pensions and the 
Committee on Appropriations of the Senate and the 
Committee on Energy and Commerce and the Com-
mittee on Appropriations of the House of Representa-
tives a report on the study described in paragraph 
(1). 
(b) STUDY BY THE INSTITUTE OF MEDICINE.—
(1) IN GENERAL.—Not later than 30 days after 
the date of enactment of this Act, the Secretary of 
Health and Human Services shall enter into an 
agreement with the Institute of Medicine of the Na-
tional Academy of Sciences for the conduct of a study 
and the making of recommendations regarding the 
following:
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(A) Ways to improve physicians’ interpre-
tations of mammograms, including approaches 
that could be taken under the MQSA without 
negatively impacting access to quality mammog-
raphy. 
(B) What changes could be made in the 
MQSA to improve mammography quality, in-
cluding additional regulatory requirements that 
would improve quality, as well as the reduction 
or modification of regulatory requirements that 
do not contribute to quality mammography, or 
are no longer necessary to ensure quality mam-
mography. Such reduction or modification of 
regulatory requirements and improvements in 
the efficiency of the program are important to 
help eliminate disincentives to enter or remain 
in the field of mammography. 
(C) Ways, including incentives, to ensure 
that sufficient numbers of adequately trained 
personnel at all levels are recruited and retained 
to provide quality mammography services. 
(D)(i) How data currently collected under 
the MQSA could be used to improve the quality, 
interpretation of, and access to mammography.
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(ii) Identification of new data points that 
could be collected to aid in the monitoring and 
assessment of mammography quality and access. 
(E) Other approaches that would improve 
the quality of and access to mammography serv-
ices, including approaches to improving provi-
sions under the MQSA. 
(F) Steps that should be taken to help make 
available safe and effective new screening and di-
agnostic devices and tests for breast cancer. 
(2) REPORT.—Not later than 15 months after the 
date on which the agreement is entered into under 
paragraph (1), the Institute of Medicine shall com-
plete the study described under such subsection and 
submit a report to the Secretary of Health and 
Human Services, the Committee on Health, Edu-
cation, Labor, and Pensions and the Committee on 
Appropriations of the Senate, and the Committee on 
Energy and Commerce and the Committee on Appro-
priations of the House of Representatives. 
(3) FUNDING.—Of the amounts appropriated 
under this title to the Office of the Secretary of 
Health and Human Services for general departmental 
management, $500,000 shall be made available to 
carry out the study under this subsection.
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SEC. 226. (a) FINDINGS.—The Senate finds that—
(1) Native American populations have seen an 
alarming increase in sexually transmitted disease 
prevalence in recent years; and 
(2) a screening, treatment, and education pro-
gram, administered by tribal health organizations or 
local health care providers, on Native American res-
ervations with high rates of sexually transmitted dis-
eases will help prevent a corresponding increase in 
the prevalence of HIV. 
(b) GRANT PROGRAM.—From amounts appropriated 
under this title for the Centers for Disease Control and Pre-
vention, there may be made available up to $1,000,000 to 
enable the Director of the Centers for Disease Control and 
Prevention to carry out competitive grant program to 
strengthen local capacity on Native American reservations 
to screen for and treat sexually transmitted diseases and 
to educate local populations about such diseases, the con-
sequences thereof, and how the transmission of such diseases 
can be prevented. 
SEC. 227. In addition to any amounts otherwise ap-
propriated under this Act for the support of the improved 
newborn and child screening for heritable disorders pro-
gram authorized under section 1109 of the Public Health
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Service Act (42 U.S.C. 300b–8), there may be appropriated 
up to an additional $2,000,000 to carry out such program. 
SEC. 228. SUMMER HEALTH CAREER INTRODUCTORY 
PROGRAMS. (a) FINDINGS.—Congress finds that—
(1) the success of the health care system is de-
pendent on qualified personnel; 
(2) hospitals and health facilities across the 
United States have been deeply impacted by declines 
among nurses, pharmacists, radiology and laboratory 
technicians, and other workers; 
(3) the health care workforce shortage is not a 
short term problem and such workforce shortages can 
be expected for many years; and 
(4) most States are looking for ways to address 
such shortages. 
(b) GRANTS.—The Secretary of Health and Human 
Services, acting through the Bureau of Health Professions 
of the Health Resources and Services Administration, may 
award not to exceed 5 grants for the establishment of sum-
mer health career introductory programs for middle and 
high school students. 
(c) ELIGIBILITY.—To be eligible to receive a grant 
under subsection (b) an entity shall—
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(1) be an institution of higher education (as de-
fined in section 101(a) of the Higher Education Act 
of 1965 (20 U.S.C. 1001(a)); and 
(2) prepare and submit to the Secretary of 
Health and Human Services an application at such 
time, in such manner, and containing such informa-
tion as the Secretary may require. 
(d) DURATION.—The term of a grant under subsection 
(b) shall not exceed 4 years. 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section, such 
sums as may be necessary for each of fiscal years 2004 
through 2007. 
SEC. 229. Not later than 120 days after the date of 
enactment of this Act, the Director of the Centers for Disease 
Control and Prevention shall prepare a plan to comprehen-
sively address blood safety and injection safety in Africa 
under the Global AIDS Program. 
SEC. 230. Not later than May 1, 2004, the Secretary 
of Health and Human Services shall submit to the appro-
priate committees of Congress a report concerning the man-
ner in which the Department of Health and Human Serv-
ices expends Federal funds for research, patient care, and 
other activities relating to Hansen’s Disease. The report 
shall include—
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(1) the amounts provided for each research 
project; 
(2) the amounts provided to each of the 12 treat-
ment centers for each of research, patient care, and 
other activities; 
(3) the per patient expenditure of patient care 
funds at each of the 12 treatment centers; and 
(4) the mortality rates at each of the 12 treat-
ment centers. 
SEC. 231. In addition to any amounts otherwise ap-
propriated under this Act to carry out activities under the 
Child Abuse Prevention and Treatment Act (42 U.S.C. 5101 
et seq.), there are appropriated—
(1) up to an additional $143,000 may be used 
to carry out activities under title I of such Act (child 
abuse State grants); 
(2) up to an additional $212,000 may be used 
to carry out activities under title II of such Act (com-
munity-based resource centers); and 
(3) up to an additional $2,100,000 may be used 
for child abuse discretionary grants under such Act. 
SEC. 232. (a) FINDINGS.—The Senate finds that—
(1) a recent Aberdeen Area Indian Health Serv-
ice infant mortality study identified protective and
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risk factors associated with Sudden Infant Death 
Syndrome (referred to in this section as ‘‘SIDS’’); 
(2) several conclusions from the study suggest 
courses of action to reduce the incidence of SIDS 
among Native American and other high-incidence 
populations; 
(3) the study noted that alcohol consumption by 
women of childbearing age (especially during preg-
nancy), maternal and environmental tobacco exposure 
during pregnancy, and pregnancy by women under 
the age of 20 increase the risk for SIDS; 
(4) in 2000, for infants of African American 
mothers, the SIDS death rate was 2.4 times that for 
non-Hispanic white mothers; 
(5) nationwide, SIDS rates for infants of Native 
American mothers were 2.6 times those of non-His-
panic white mothers; and 
(6) the Office of Minority Health of the Depart-
ment of Health and Human Services has the expertise 
to coordinate SIDS disparity reduction efforts across 
the Department of Health and Human Services. 
(b) INCREASE
IN FUNDING.—In addition to any 
amounts otherwise appropriate in this Act to carry out ac-
tivities to reduce Sudden Infant Death Syndrome disparity 
rates, there may be appropriated up to an additional
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$2,000,000 to enable the Director of the Office of Minority 
Health of the Department of Health and Human Services 
to carry out a demonstration project, in coordination with 
the Administrator of the Health Resources and Services Ad-
ministration, the Director of the National Institutes of 
Health, the Director of the Indian Health Services, the Ad-
ministrator of the Center for Medicare & Medicaid Services, 
the Director of the Centers for Disease Control and Preven-
tion, and the heads of other agencies within the Department 
of Health and Human Services (as appropriate), to reduce 
Sudden Infant Death Syndrome disparity rates, and to 
provide risk reduction education to African American and 
Native American populations in the United States, includ-
ing efforts to reduce alcohol use by pregnant women, sup-
port for smoking cessation (maternal and secondhand) pro-
grams, and education of teenagers on the risk factors for 
Sudden Infant Death Syndrome associated with teenage 
pregnancy within African American and Native American 
communities. 
(c) SENSE OF THE SENATE.—It is the sense of the Sen-
ate that in carrying out the demonstration project under 
subsection (b), the Director of the Office of Minority Health 
is encouraged to—
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(1) expand upon the similar pilot program for 
Native Americans that was funded by the Office of 
Minority Health; and 
(2) coordinate with the Administrator of the 
Health Resources and Services Administration, the 
Director of the Centers for Disease Control and Pre-
vention, the Director of the National Institutes of 
Health, the Director of the Indian Health Services, 
the Administrator of the Center for Medicare & Med-
icaid Services, and the heads of other agencies within 
the Department of Health and Human Services (as 
appropriate) to support activities to reduce alcohol 
use by pregnant women, support smoking cessation 
(maternal and secondhand), and educate teenagers on 
the risk factors for SIDS associated with teenage 
pregnancy within the African American and Native 
American communities. 
SEC. 233. There may be appropriated, up to 
$2,000,000 to fund programs on community automatic ex-
ternal defibrillators under section 312 of the Public Health 
Service Act (42 U.S.C. 244). 
SEC. 234. From the amounts appropriated under the 
heading ‘‘OFFICE OF THE SECRETARY, GENERAL DEPART-
MENTAL MANAGEMENT’’ there may be made available an 
additional $2,000,000 to the Health Resources and Services
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Administration for the purchase of automatic external 
defibrilators and the training of individuals in cardiac life 
support in rural areas. 
SEC. 235. Notwithstanding any other provisions of 
law, funds made available under this heading may be used 
to continue operating the Council on Graduate Medical 
Education established by section 301 of Public Law 102–
408. 
SEC. 236. DESIGNATION
OF
SENATOR
PAUL
D. 
WELLSTONE NIH MDCRC PROGRAM. (a) FINDINGS.—Con-
gress finds the following: 
(1) On December 18, 2001, Public Law 107–84, 
otherwise known as the Muscular Dystrophy Commu-
nity Assistance, Research and Education Amend-
ments of 2001, or the MD CARE Act, was signed into 
law to provide for research and education with re-
spect to various forms of muscular dystrophy, includ-
ing Dechenne, Becker, limb girdle, congenital, 
facioscapulohumeral, myotonic, oculopharyngeal, dis-
tal, and EmeryDreifuss muscular dystrophies. 
(2) In response to the MD CARE Act of 2001, 
in September 2002, the National Institutes of Health 
(NIH) announced its intention to direct $22,500,000 
over five years to its newly created Muscular Dys-
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trophy Cooperative Research Centers (MDCRC) pro-
gram. 
(3) Senator Paul D. Wellstone was a driving 
force behind enactment of the MD CARE Act, which 
led to the establishment of the MDCRC program. 
(b) DESIGNATION.—The NIH Muscular Dystrophy Co-
operative Research Centers (MDCRC) program shall be 
known and designated as the ‘‘Senator Paul D. Wellstone 
Muscular Dystrophy Cooperative Research Centers’’, in 
honor of Senator Paul D. Wellstone who was deceased on 
October 25, 2002. 
(c) REFERENCES.—Any reference in a law, regulation, 
document, paper, or other record of the United States to 
the NIH program of Muscular Dystrophy Cooperative Re-
search Centers shall be deemed to be a reference to the ‘‘Sen-
ator Paul D. Wellstone Muscular Dystrophy Cooperative 
Research Centers. 
SEC. 237. (a) MOTHER-TO-CHILD HIV TRANSMISSION 
PREVENTION.—In addition to any amounts otherwise made 
available under this Act to carry out mother-to-child HIV 
transmission prevention activities, there shall be made 
available an additional $60,000,000 to carry out such ac-
tivities and $1,000,000 for Non-Mother-to-Child activities. 
(b) REDUCTION IN AMOUNTS.—Amounts made avail-
able under this Act for the administrative and related ex-
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penses for departmental management for the Department 
of Labor, the Department of Health and Human Services, 
the Department of Education, shall be reduced on a pro 
rata basis by $61,000,000. 
SEC. 238. (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)) 
to enter into transactions (other than contracts, cooperative 
agreements, or grants) to carry out research in support of 
the NIH Roadmap Initiative of the Director. 
(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). 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2004’’.
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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, $14,103,356,000, of 
which $6,582,294,000 shall become available on July 1, 
2004, and shall remain available through September 30, 
2005, and of which $7,383,301,000 shall become available 
on October 1, 2004, and shall remain available through 
September 30, 2005, for academic year 2004–2005: Pro-
vided, That $7,107,282,000 shall be available for basic 
grants under section 1124: Provided further, That up to 
$3,500,000 of these funds shall be available to the Secretary 
of Education on October 1, 2003, to obtain annually up-
dated educational-agency-level census poverty data from the 
Bureau 
of 
the 
Census: 
Provided 
further, 
That 
$1,365,031,000 shall be available for concentration grants 
under section 1124A: Provided further, That $1,670,239,000 
shall be available for targeted grants under section 1125: 
Provided further, That $2,207,448,000 shall be available for 
education finance incentive grants under section 1125A: 
Provided further, That, notwithstanding any other provi-
sion of law, the Secretary shall use data described in sec-
tions 1124(a)(1)(B) and 1124(c)(1) of the ESEA that are 
available on July 1, 2003, to calculate grants for fiscal year
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2004 under part A of title I of that Act: Provided further, 
That from the $8,842,000 available to carry out part E of 
title I, up to $1,000,000 shall be available to the Secretary 
of Education to provide technical assistance to State and 
local educational agencies concerning part A 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, 
$1,193,226,000, of which $1,030,292,000 shall be for basic 
support payments under section 8003(b), $50,668,000 shall 
be for payments for children with disabilities under section 
8003(d), $44,708,000 shall be for construction under section 
8007 and shall remain available through September 30, 
2005, $59,610,000 shall be for Federal property payments 
under section 8002, and $7,948,000, to remain available 
until expended, shall be for facilities maintenance under 
section 8008. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities author-
ized by titles II, part B of title IV, part A and subparts 
6 and 9 of part D of title V, subpart 1 of part A and part 
B of title VI, and parts B and C of title VII of the Elemen-
tary and Secondary Education Act of 1965 (‘‘ESEA’’); the 
McKinney-Vento Homeless Assistance Act; and the Civil 
Rights 
Act 
of 
1964, 
$5,731,453,000, 
of 
which
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$4,173,944,000 shall become available on July 1, 2004, and 
remain available through September 30, 2005, and of which 
$1,435,000,000 shall become available on October 1, 2004, 
and shall remain available through September 30, 2005, for 
academic year 2004–2005: Provided, That funds made 
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 funds made available to carry out 
part C of title VII of the ESEA may be used for construc-
tion: Provided further, That $390,000,000 shall be for sub-
part 1 of part A of title VI of the ESEA: Provided further, 
That no funds appropriated under this heading may be 
used to carry out section 5494 under the ESEA. 
INDIAN EDUCATION 
For expenses necessary to carry out, to the extent not 
otherwise provided, title VII, part A of the Elementary and 
Secondary Education Act of 1965, $121,573,000. 
INNOVATION AND IMPROVEMENT 
For carrying out activities authorized by part G of 
Title I, subpart 5 of part A and parts C and D of title 
II, and Parts B, C, and D of title V of the Elementary 
and Secondary Education Act of 1965 (‘‘ESEA’’),
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$774,133,000: Provided, That $9,935,000 shall be provided 
to the National Board for Professional Teaching Standards 
to carry out section 2151(c) of the ESEA: Provided further, 
That $165,877,000 shall be available to carry out part D 
of title V of the ESEA. 
SAFE SCHOOLS AND CITIZENSHIP EDUCATION 
For carrying out subpart 3 of part C of title II, part 
A of title IV, and subparts 2, 3 and 10 of part D of title 
V of the Elementary and Secondary Education Act of 1965 
(‘‘ESEA’’), title VIII–D of the Higher Education Act of 
1965, as amended, and Public Law 102–73, $818,547,000, 
of which $447,017,000 shall become available on July 1, 
2004 and remain available through September 30, 2005: 
Provided, That of the amount available for subpart 2 of 
part A of title IV of the ESEA, $850,000 shall be used to 
continue the National Recognition Awards program under 
the same guidelines outlined by section 120(f) of Public Law 
105–244: Provided further, That $422,017,000 shall be 
available for subpart 1 of part A of title IV and 
$213,880,000 shall be available for subpart 2 of part A of 
title IV: Provided further, That of the funds available to 
carry out subpart 3 of part C of title II, up to $11,922,000 
may be used to carry out section 2345 and $2,980,000 shall 
be used by the Center for Civic Education to implement 
a comprehensive program to improve public knowledge, un-
derstanding, and support of the Congress and the state leg-
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islatures: Provided further, That $25,000,000 shall be for 
Youth Offender Grants, of which $5,000,000 shall be used 
in accordance with section 601 of Public Law 102–73 as 
that section was in effect prior to enactment of Public Law 
105–220. 
ENGLISH LANGUAGE ACQUISITION 
For carrying out part A of title III of the ESEA, 
$665,000,000, of which $541,259,000 shall become available 
on July 1, 2004, and shall remain available through Sep-
tember 30, 2005. 
SPECIAL EDUCATION 
For carrying out parts B, C, and D of the Individuals 
with Disabilities Education Act, $11,027,464,000, of which 
$5,337,533,000 shall become available for obligation on 
July 1, 2004, and shall remain available through September 
30, 2005, and of which $5,402,000,000 shall become avail-
able on October 1, 2004, and shall remain available through 
September 30, 2005, for academic year 2004–2005: Pro-
vided, That $11,400,000 shall be for Recording for the Blind 
and Dyslexic to support the development, production, and 
circulation of recorded educational materials: Provided fur-
ther, That $1,500,000 shall be for the recipient of funds pro-
vided by Public Law 105–78 under section 687(b)(2)(G) of 
the Act to provide information on diagnosis, intervention, 
and teaching strategies for children with disabilities: Pro-
vided further, That the amount for section 611(c) of the Act
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shall be equal to the amount available for that section dur-
ing fiscal year 2003, increased by the amount of inflation 
as specified in section 611(f)(1)(B)(ii) of the Act. 
REHABILITATION SERVICES AND DISABILITY RESEARCH 
For carrying out, to the extent not otherwise provided, 
the Rehabilitation Act of 1973, the Assistive Technology Act 
of 1998, and the Helen Keller National Center Act, 
$3,004,360,000, of which $1,000,000 shall be used to im-
prove the quality of applied orthotic and prosthetic research 
and help meet the demand for provider services: Provided, 
That the funds provided for title I of the Assistive Tech-
nology Act of 1998 (‘‘the AT Act’’) shall be allocated not-
withstanding section 105(b)(1) of the AT Act: Provided fur-
ther, That section 101(f) of the AT Act shall not limit the 
award of an extension grant to three years: Provided fur-
ther, That no State or outlying area awarded funds under 
section 101 shall receive less than the amount received in 
fiscal year 2003. 
AMERICAN PRINTING HOUSE FOR THE BLIND 
For carrying out the Act of March 3, 1879, as amended 
(20 U.S.C. 101 et seq.) including the acquisition of equip-
ment, $16,500,000. 
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF 
For the National Technical Institute for the Deaf 
under titles I and II of the Education of the Deaf Act of 
1986 (20 U.S.C. 4301 et seq.), $53,800,000, of which
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$367,000 shall be for construction and shall remain avail-
able until expended: Provided, That from the total amount 
available, the Institute may at its discretion use funds for 
the endowment program as authorized under section 207. 
GALLAUDET UNIVERSITY 
For the Kendall Demonstration Elementary School, 
the Model Secondary School for the Deaf, and the partial 
support of Gallaudet University under titles I and II of 
the Education of the Deaf Act of 1986 (20 U.S.C. 4301 et 
seq.), $100,800,000: Provided, That from the total amount 
available, the University may at its discretion use funds 
for the endowment program as authorized under section 
207. 
VOCATIONAL AND ADULT EDUCATION 
For carrying out, to the extent not otherwise provided, 
the Carl D. Perkins Vocational and Technical Education 
Act of 1998, subparts 4 and 11 of part D of title V of the 
Elementary and Secondary Education Act of 1965, and the 
Adult Education and Family Literacy Act, $2,093,990,000, 
of which $1,274,943,000 shall become available on July 1, 
2004 and shall remain available through September 30, 
2005 and of which $791,000,000 shall become available on 
October 1, 2004 and shall remain available through Sep-
tember 30, 2005: Provided, That of the amount provided 
for Adult Education State Grants, $69,545,000 shall be 
made available for integrated English literacy and civics
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education services to immigrants and other limited English 
proficient populations: Provided further, That of the 
amount reserved for integrated English literacy and civics 
education, notwithstanding section 211 of the Adult Edu-
cation and Family Literacy Act, 65 percent shall be allo-
cated to States based on a State’s absolute need as deter-
mined by calculating each State’s share of a 10-year aver-
age of the Immigration and Naturalization Service data for 
immigrants admitted for legal permanent residence for the 
10 most recent years, and 35 percent allocated to States 
that experienced growth as measured by the average of the 
3 most recent years for which Immigration and Naturaliza-
tion Service data for immigrants admitted for legal perma-
nent residence are available, except that no State shall be 
allocated an amount less than $60,000: Provided further, 
That of the amounts made available for the Adult Edu-
cation and Family Literacy Act, $9,223,000 shall be for 
national leadership activities under section 243 and 
$6,732,000 shall be for the National Institute for Literacy 
under section 242: Provided further, That $160,047,000 
shall be available to support the activities authorized under 
subpart 4 of part D of title V of the Elementary and Sec-
ondary Education Act of 1965, of which up to 5 percent 
shall become available October 1, 2003, for evaluation, tech-
nical assistance, school networking, peer review of applica-
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tions, and program outreach activities and of which not less 
than 95 percent shall become available on July 1, 2004, 
and remain available through September 30, 2005, for 
grants to local educational agencies: Provided further, That 
funds made available to local education agencies under this 
subpart shall be used only for activities related to estab-
lishing smaller learning communities in high schools. 
STUDENT FINANCIAL ASSISTANCE 
For carrying out subparts 1, 3 and 4 of part A, part 
C and part E of title IV of the Higher Education Act of 
1965, as amended, $14,174,115,000, which shall remain 
available through September 30, 2005. 
The maximum Pell Grant for which a student shall 
be eligible during award year 2004–2005 shall be $4,050. 
STUDENT AID ADMINISTRATION 
For Federal administrative expenses (in addition to 
funds made available under Section 458), to carry out part 
D of title I; subparts 1, 3, and 4 of part A; and parts B, 
C, D, and E of title IV of the Higher Education Act of 
1965, as amended, $104,703,000. 
HIGHER EDUCATION 
For carrying out, to the extent not otherwise provided, 
section 121 and titles II, III, IV, V, VI, and VII of the 
Higher Education Act of 1965 (‘‘HEA’’), as amended, sec-
tion 117 of the Carl D. Perkins Vocational and Technical 
Education Act of 1998, and the Mutual Educational and
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Cultural Exchange Act of 1961, $1,974,247,000, of which 
$2,000,000 for interest subsidies authorized by section 121 
of the HEA shall remain available until expended: Pro-
vided, That notwithstanding any other provision of law or 
any regulation, the Secretary of Education shall not require 
the use of a restricted indirect cost rate for grants issued 
pursuant to section 117 of the Carl D. Perkins Vocational 
and Technical Education Act of 1998: Provided further, 
That $9,935,000, to remain available through September 
30, 2005, shall be available to fund fellowships for academic 
year 2005–2006 under part A, subpart 1 of title VII of said 
Act, under the terms and conditions of part A, subpart 1: 
Provided further, That $994,000 is for data collection and 
evaluation activities for programs under the HEA, includ-
ing such activities needed to comply with the Government 
Performance and Results Act of 1993: Provided further, 
That notwithstanding any other provision of law, funds 
made available in this Act to carry out title VI of the HEA 
and section 102(b)(6) of the Mutual Educational and Cul-
tural Exchange Act of 1961 may be used to support visits 
and study in foreign countries by individuals who are par-
ticipating in advanced foreign language training and inter-
national studies in areas that are vital to United States 
national security and who plan to apply their language 
skills and knowledge of these countries in the fields of gov-
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ernment, the professions, or international development: Pro-
vided further, That up to 1 percent of the funds referred 
to in the preceding proviso may be used for program evalua-
tion, national outreach, and information dissemination ac-
tivities. 
HOWARD UNIVERSITY 
For partial support of Howard University (20 U.S.C. 
121 et seq.), $238,440,000, of which not less than $3,573,000 
shall be for a matching endowment grant pursuant to the 
Howard University Endowment Act (Public Law 98–480) 
and shall remain available until expended. 
COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS 
PROGRAM 
For Federal administrative expenses authorized under 
section 121 of the Higher Education Act of 1965, $774,000 
to carry out activities related to existing facility loans en-
tered into under the Higher Education Act of 1965. 
HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL 
FINANCING PROGRAM ACCOUNT 
The aggregate principal amount of outstanding bonds 
insured pursuant to section 344 of title III, part D of the 
Higher 
Education 
Act 
of 
1965 
shall 
not 
exceed 
$355,000,000, and the cost, as defined in section 502 of the 
Congressional Budget Act of 1974, of such bonds shall not 
exceed zero.
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For administrative expenses to carry out the Histori-
cally Black College and University Capital Financing Pro-
gram entered into pursuant to title III, part D of the High-
er Education Act of 1965, as amended, $210,000. 
INSTITUTE OF EDUCATION SCIENCES 
For carrying out activities authorized by Public Law 
107–279, $452,956,000: Provided, That, of the amount ap-
propriated, $144,090,000 shall be available for obligation 
through September 30, 2005: Provided further, That of the 
amount provided to carry out title I, parts B and D of 
Public Law 107–279, $24,362,000 shall be for the national 
research and development centers authorized under section 
133(c): Provided further, That $4,968,000 shall be available 
to extend for one additional year the contract for the Eisen-
hower National Clearinghouse for Mathematics and Science 
Education authorized under section 2102(a)(2) of the Ele-
mentary and Secondary Education Act of 1965, prior to 
its amendment by the No Child Left Behind Act of 2001, 
Public Law 107–110. 
PROGRAM ADMINISTRATION 
For carrying out, to the extent not otherwise provided, 
the Department of Education Organization Act, including 
rental of conference rooms in the District of Columbia and 
hire of three passenger motor vehicles, $409,863,000, of 
which $13,644,000, to remain available until expended, 
shall be for building alterations and related expenses for
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the relocation of Department staff to Potomac Center Plaza 
in Washington, D.C.: Provided, That of this amount, suffi-
cient funds shall be available for the Secretary of Edu-
cation, not later than 60 days after the last day of the fiscal 
year, to submit to Congress a report on the amount of ac-
quisitions made by the Department of Education during 
such fiscal year of articles, materials, or supplies that were 
manufactured outside the United States. Such report shall 
separately indicate the dollar value of any articles, mate-
rials, or supplies purchased by the Department of Edu-
cation that were manufactured outside the United States, 
an itemized list of all waivers under the Buy American Act 
(41 U.S.C. 10a et seq.) that were granted with respect to 
such articles, materials, or supplies, and a summary of 
total procurement funds spent on goods manufactured in 
the United States versus funds spent on goods manufactured 
outside of the United States. The Secretary of Education 
shall make the report publicly available by posting the re-
port on an Internet website. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil Rights, 
as authorized by section 203 of the Department of Edu-
cation Organization Act, $91,275,000.
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OFFICE OF THE INSPECTOR GENERAL 
For expenses necessary for the Office of the Inspector 
General, as authorized by section 212 of the Department 
of Education Organization Act, $44,137,000. 
GENERAL PROVISIONS 
SEC. 301. No funds appropriated in this Act may be 
used for the transportation of students or teachers (or for 
the purchase of equipment for such transportation) in order 
to overcome racial imbalance in any school or school system, 
or for the transportation of students or teachers (or for the 
purchase of equipment for such transportation) in order to 
carry out a plan of racial desegregation of any school or 
school system. 
SEC. 302. None of the funds contained in this Act shall 
be used to require, directly or indirectly, the transportation 
of any student to a school other than the school which is 
nearest the student’s home, except for a student requiring 
special education, to the school offering such special edu-
cation, in order to comply with title VI of the Civil Rights 
Act of 1964. For the purpose of this section an indirect re-
quirement of transportation of students includes the trans-
portation of students to carry out a plan involving the reor-
ganization of the grade structure of schools, the pairing of 
schools, or the clustering of schools, or any combination of 
grade restructuring, pairing or clustering. The prohibition
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described in this section does not include the establishment 
of magnet schools. 
SEC. 303. No funds appropriated under this Act may 
be used to prevent the implementation of programs of vol-
untary prayer and meditation in the public schools. 
(TRANSFER OF FUNDS) 
SEC. 304. 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 Department of Education in this Act may 
be transferred between appropriations, but no such appro-
priation shall be increased by more than 3 percent by any 
such transfer: Provided, That the Appropriations Commit-
tees of both Houses of Congress are notified at least 15 days 
in advance of any transfer. 
SEC. 305. (a) The matter under the heading ‘‘Title 
III—Department of Education, Education for the Dis-
advantaged’’, in Public Law 108–7 (117 Stat. 326) is 
amended—
(1) by striking ‘‘$4,651,199,000’’ and inserting 
‘‘$6,895,199,000’’; and 
(2) by striking ‘‘$9,027,301,000’’ and inserting 
‘‘$6,783,301,000’’. 
(b) The additional fiscal year 2003 budget authority 
provided under subsection (a) shall not be subject to the re-
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scission required by Division N, section 601, of Public Law 
108–7. 
(c) Subsections (a) and (b) shall become effective im-
mediately upon enactment of this Act. 
SEC. 306. None of the funds provided under this Act 
shall be used to implement or enforce the annual updates 
to the allowance for State and other taxes in the tables used 
in the Federal Needs Analysis Methodology to determine a 
student’s expected family contribution for the award year 
2004-2005 under part F of title IV of the Higher Education 
Act of 1965 (20 U.S.C. 1087kk et seq.) published in the Fed-
eral Register on Friday, May 30, 2003 (68 Fed. Reg. 
32473), to the extent that such implementation or enforce-
ment of the updates will reduce the amount of Federal stu-
dent financial assistance for which a student is eligible: 
Provided, That of the funds appropriated in this Act for 
the National Institutes of Health, $200,000,000 shall not 
be available for obligation until September 30, 2004. 
SEC. 307. (a) ADDITIONAL FUNDING.—In addition to 
any amounts otherwise appropriated under this Act for 
grants to States under part B of the Individuals with Dis-
abilities Education Act (20 U.S.C. 1411 et seq.), there are 
appropriated an additional $1,200,000,000 for such grants. 
(b) CUSTOMS USER FEES.—Section 13031(j)(3) of the 
Consolidated Omnibus Budget Reconciliation Act of 1985
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(19 U.S.C. 58c(j)(3)) is amended by striking ‘‘September 
30, 2003’’ and inserting ‘‘September 30, 2004’’. 
SEC. 308. In addition to any amounts that may be 
made available under this Act to carry out the Excellence 
in Economic Education Act of 2001 under subpart 13 of 
part D of title V of the Elementary and Secondary Edu-
cation Act of 1965, there are appropriated, out of any 
money in the Treasury not otherwise appropriated, 
$2,000,000 to carry out the Excellence in Economic Edu-
cation Act of 2001. 
SEC. 309. For necessary expenses for the Underground 
Railroad Education and Cultural Program, there are ap-
propriated $2,235,000. 
SEC. 310. There are appropriated, out of any money 
in the Treasury not otherwise appropriated, to carry out 
section 208 of the Education Sciences Reform Act of 2002, 
$80,000,000. All amounts in this Act for management and 
administration at the Department of Education are reduced 
on a pro rata basis by an amount required to offset the 
$80,000,000 appropriation made by this section. 
SEC. 311. For activities authorized by part H of title 
I of the Elementary and Secondary Education Act, there 
are hereby appropriated up to $5,000,000, which may be 
used to carry out such activities. 
DANIEL PATRICK MOYNIHAN GLOBAL AFFAIRS INSTITUTE 
SEC. 312. (a) DEFINITIONS.—In this section:
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(1) ENDOWMENT FUND.—The term ‘‘endowment 
fund’’ means a fund established by the Maxwell 
School of Citizenship and Public Affairs of the Syra-
cuse University in Syracuse, New York, for the pur-
pose of generating income for the support of the 
School and other purposes as described in subsection 
(d). 
(2) SCHOOL.—The term ‘‘School’’ means the 
Maxwell School of Citizenship and Public Affairs of 
the Syracuse University in Syracuse, New York. 
(3) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Education. 
(4) UNIVERSITY.—The term ‘‘University’’ means 
the Syracuse University in Syracuse, New York. 
(b) DANIEL PATRICK MOYNIHAN GLOBAL AFFAIRS IN-
STITUTE.—
(1) REDESIGNATION.—To be eligible for a grant 
under subsection (c), the University shall designate 
the global affairs institute within the Maxwell School 
of Citizenship and Public Affairs of the University as 
the ‘‘Daniel Patrick Moynihan Global Affairs Insti-
tute’’. 
(2) REFERENCES.—Any reference in a law, map, 
regulation, paper, or other record to the global affairs 
institute within the Maxwell School of Citizenship
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and Public Affairs of the University, shall be deemed 
to be a reference to the Daniel Patrick Moynihan 
Global Affairs Institute. 
(c) GRANT FOR ENDOWMENT FUND.—From amounts 
appropriated under subsection (f), the Secretary may 
award a grant to the University for the establishment of 
an endowment fund to support the Daniel Patrick Moy-
nihan Global Affairs Institute. 
(d) DUTIES.—Amounts received under a grant under 
subsection (c), shall be used to—
(1) carry on the public and intellectual tradition 
of Senator Daniel Patrick Moynihan; 
(2) sustain all of the core activities of the School; 
(3) fund the residencies of visiting scholars and 
international leaders; 
(4) support scholarship, training, and practice 
in countries that are often the most impoverished eco-
nomically, institutionally, and civically; 
(5) support partnerships with governments and 
other relevant entities around the world to train gov-
ernment officials both at the School and in their home 
countries; and 
(6) expand the facilities of the School. 
(e) MISCELLANEOUS PROVISIONS RELATING TO THE 
ENDOWMENT FUND.—
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(1) MANAGEMENT.—The endowment fund estab-
lished under subsection (c) shall be managed in ac-
cordance with the standard endowment policies estab-
lished by the University. 
(2) USE
OF
INTEREST
AND
INVESTMENT
IN-
COME.—Interest and other investment income earned 
from the endowment fund may be used to carry out 
the duties under subsection (d). 
(3) DISTRIBUTION
OF
INTEREST
AND
INVEST-
MENT INCOME.—Funds derived from the interest and 
other investment income earned from the endowment 
fund shall be available for expenditure by the Univer-
sity for purposes consistent with subsection (d). 
(f) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section, 
$10,000,000 to remain available until expended. 
SEC. 313. In addition to any amounts otherwise ap-
propriated under this Act, there may be appropriated, out 
of any money in the Treasury not otherwise appropriated—
(1) an additional $4,000,000 to carry out title 
III of the Elementary and Secondary Education Act 
of 1965 (language instruction); 
(2) up to $1,000,000 to carry out part A of title 
V of the Higher Education Act of 1965 (Hispanic-
serving institutions);
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(3) up to $500,000 to carry out part C of title 
I of the Elementary and Secondary Education Act of 
1965 (migrant education); 
(4) up to an additional $3,000,000 to carry out 
high school equivalency program activities under sec-
tion 418A of the Higher Education Act of 1965 
(HEP); 
(5) up to an additional $500,000 to carry out 
college assistance migrant program activities under 
section 418A of the Higher Education Act of 1965 
(CAMP); and 
(6) up to an additional $1,000,000 to carry out 
subpart 16 of part D of title V of the Elementary and 
Secondary Education Act of 1965 (parental assist-
ance and local family information centers). 
This title may be cited as the ‘‘Department of Edu-
cation Appropriations Act, 2004’’. 
TITLE IV—RELATED AGENCIES 
ARMED FORCES RETIREMENT HOME 
For expenses necessary for the Armed Forces Retire-
ment Home to operate and maintain the Armed Forces Re-
tirement Home—Washington and the Armed Forces Retire-
ment Home—Gulfport, to be paid from funds available in 
the Armed Forces Retirement Home Trust Fund, 
$65,279,000, of which $1,983,000 shall remain available
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until expended for construction and renovation of the phys-
ical plants at the Armed Forces Retirement Home—Wash-
ington and the Armed Forces Retirement Home—Gulfport. 
CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 
DOMESTIC VOLUNTEER SERVICE PROGRAMS, OPERATING 
EXPENSES 
For expenses necessary for the Corporation for Na-
tional and Community Service to carry out the provisions 
of the Domestic Volunteer Service Act of 1973, as amended, 
$350,187,000: Provided, That none of the funds made avail-
able to the Corporation for National and Community Serv-
ice in this Act for activities authorized by section 122 of 
Part C of Title I and Part E of Title II of the Domestic 
Volunteer Service Act of 1973 shall be used to provide sti-
pends or other monetary incentives to volunteers or volun-
teer leaders whose incomes exceed 125 percent of the na-
tional poverty level. 
CORPORATION FOR PUBLIC BROADCASTING 
For payment to the Corporation for Public Broad-
casting, as authorized by the Communications Act of 1934, 
an amount which shall be available within limitations spec-
ified by that Act, for the fiscal year 2006, $400,000,000: 
Provided, That no funds made available to the Corporation 
for Public Broadcasting by this Act shall be used to pay 
for receptions, parties, or similar forms of entertainment
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for Government officials or employees: Provided further, 
That none of the funds contained in this paragraph shall 
be available or used to aid or support any program or activ-
ity from which any person is excluded, or is denied benefits, 
or is discriminated against, on the basis of race, color, na-
tional origin, religion, or sex: Provided further, That for 
fiscal year 2004, in addition to the amounts provided above, 
$55,000,000 shall be for costs related to digital program 
production, development, and distribution, associated with 
the transition of public broadcasting to digital broad-
casting, to be awarded as determined by the Corporation 
in consultation with public radio and television licensees 
or permittees, or their designated representatives: Provided 
further, That for fiscal year 2004, in addition to the 
amounts provided above, $10,000,000 shall be for the costs 
associated with implementing the first phase of the next 
generation interconnection system. 
FEDERAL MEDIATION AND CONCILIATION SERVICE 
SALARIES AND EXPENSES 
For expenses necessary for the Federal Mediation and 
Conciliation Service to carry out the functions vested in 
it by the Labor Management Relations Act, 1947 (29 U.S.C. 
171–180, 182–183), including hire of passenger motor vehi-
cles; for expenses necessary for the Labor-Management Co-
operation Act of 1978 (29 U.S.C. 175a); and for expenses
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necessary for the Service to carry out the functions vested 
in it by the Civil Service Reform Act, Public Law 95–454 
(5 U.S.C. ch. 71), $43,385,000, including $1,500,000, to re-
main available through September 30, 2005, for activities 
authorized by the Labor-Management Cooperation Act of 
1978 (29 U.S.C. 175a): Provided, That notwithstanding 31 
U.S.C. 3302, fees charged, up to full-cost recovery, for spe-
cial training activities and other conflict resolution services 
and technical assistance, including those provided to foreign 
governments and international organizations, and for arbi-
tration services shall be credited to and merged with this 
account, and shall remain available until expended: Pro-
vided further, That fees for arbitration services shall be 
available only for education, training, and professional de-
velopment of the agency workforce: Provided further, That 
the Director of the Service is authorized to accept and use 
on behalf of the United States gifts of services and real, per-
sonal, or other property in the aid of any projects or func-
tions within the Director’s jurisdiction. 
FEDERAL MINE SAFETY AND HEALTH REVIEW 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary for the Federal Mine Safety 
and Health Review Commission (30 U.S.C. 801 et seq.), 
$7,774,000.
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INSTITUTE OF MUSEUM AND LIBRARY SERVICES 
For carrying out the Museum and Library Services 
Act of 1996, $243,889,000, to remain available until ex-
pended. 
MEDICARE PAYMENT ADVISORY COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary to carry out section 1805 of the 
Social Security Act, $9,000,000, to be transferred to this 
appropriation from the Federal Hospital Insurance and the 
Federal Supplementary Medical Insurance Trust Funds. 
NATIONAL COMMISSION ON LIBRARIES AND INFORMATION 
SCIENCE 
SALARIES AND EXPENSES 
For necessary expenses for the National Commission 
on Libraries and Information Science, established by the 
Act of July 20, 1970 (Public Law 91–345, as amended), 
$1,000,000. 
NATIONAL COUNCIL ON DISABILITY 
SALARIES AND EXPENSES 
For expenses necessary for the National Council on 
Disability as authorized by title IV of the Rehabilitation 
Act of 1973, as amended, $3,339,000.
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NATIONAL LABOR RELATIONS BOARD 
SALARIES AND EXPENSES 
For expenses necessary for the National Labor Rela-
tions Board to carry out the functions vested in it by the 
Labor-Management Relations Act, 1947, as amended (29 
U.S.C. 141–167), and other laws, $246,073,000: Provided, 
That no part of this appropriation shall be available to or-
ganize or assist in organizing agricultural laborers or used 
in connection with investigations, hearings, directives, or 
orders concerning bargaining units composed of agricul-
tural laborers as referred to in section 2(3) of the Act of 
July 5, 1935 (29 U.S.C. 152), and as amended by the 
Labor-Management Relations Act, 1947, as amended, and 
as defined in section 3(f) of the Act of June 25, 1938 (29 
U.S.C. 203), and including in said definition employees en-
gaged in the maintenance and operation of ditches, canals, 
reservoirs, and waterways when maintained or operated on 
a mutual, nonprofit basis and at least 95 percent of the 
water stored or supplied thereby is used for farming pur-
poses. 
NATIONAL MEDIATION BOARD 
SALARIES AND EXPENSES 
For expenses necessary to carry out the provisions of 
the Railway Labor Act, as amended (45 U.S.C. 151–188),
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including emergency boards appointed by the President, 
$11,421,000. 
OCCUPATIONAL SAFETY AND HEALTH REVIEW 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary for the Occupational Safety 
and Health Review Commission (29 U.S.C. 661), 
$9,610,000. 
RAILROAD RETIREMENT BOARD 
DUAL BENEFITS PAYMENTS ACCOUNT 
For payment to the Dual Benefits Payments Account, 
authorized under section 15(d) of the Railroad Retirement 
Act of 1974, $119,000,000, which shall include amounts be-
coming available in fiscal year 2004 pursuant to section 
224(c)(1)(B) of Public Law 98–76; and in addition, an 
amount, not to exceed 2 percent of the amount provided 
herein, shall be available proportional to the amount by 
which the product of recipients and the average benefit re-
ceived exceeds $119,000,000: Provided, That the total 
amount provided herein shall be credited in 12 approxi-
mately equal amounts on the first day of each month in 
the fiscal year. 
FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT 
ACCOUNTS 
For payment to the accounts established in the Treas-
ury for the payment of benefits under the Railroad Retire-
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ment Act for interest earned on unnegotiated checks, 
$150,000, to remain available through September 30, 2005, 
which shall be the maximum amount available for payment 
pursuant to section 417 of Public Law 98–76. 
LIMITATION ON ADMINISTRATION 
For necessary expenses for the Railroad Retirement 
Board for administration of the Railroad Retirement Act 
and 
the 
Railroad 
Unemployment 
Insurance 
Act, 
$99,350,000, to be derived in such amounts as determined 
by the Board from the railroad retirement accounts and 
from moneys credited to the railroad unemployment insur-
ance administration fund. 
LIMITATION ON THE OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector Gen-
eral for audit, investigatory and review activities, as au-
thorized by the Inspector General Act of 1978, as amended, 
not more than $6,322,000, to be derived from the railroad 
retirement accounts and railroad unemployment insurance 
account: Provided, That none of the funds made available 
in any other paragraph of this Act may be transferred to 
the Office; used to carry out any such transfer; used to pro-
vide any office space, equipment, office supplies, commu-
nications facilities or services, maintenance services, or ad-
ministrative services for the Office; used to pay any salary, 
benefit, or award for any personnel of the Office; used to 
pay any other operating expense of the Office; or used to
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reimburse the Office for any service provided, or expense 
incurred, by the Office: Provided further, That funds made 
available under the heading in this Act, or subsequent De-
partments of Labor, Health and Human Services, and Edu-
cation, and Related Agencies Appropriations Acts, may be 
used for any audit, investigation, or review of the Medicare 
program. 
SOCIAL SECURITY ADMINISTRATION 
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS 
For payment to the Federal Old-Age and Survivors In-
surance and the Federal Disability Insurance trust funds, 
as provided under sections 201(m), 228(g), and 1131(b)(2) 
of the Social Security Act, $21,658,000. 
SUPPLEMENTAL SECURITY INCOME PROGRAM 
For carrying out titles XI and XVI of the Social Secu-
rity Act, section 401 of Public Law 92–603, section 212 
of Public Law 93–66, as amended, and section 405 of Public 
Law 95–216, including payment to the Social Security 
trust funds for administrative expenses incurred pursuant 
to 
section 
201(g)(1) 
of 
the 
Social 
Security 
Act, 
$26,290,000,000, to remain available until expended: Pro-
vided, That any portion of the funds provided to a State 
in the current fiscal year and not obligated by the State 
during that year shall be returned to the Treasury. 
For making, after June 15 of the current fiscal year, 
benefit payments to individuals under title XVI of the So-
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cial Security Act, for unanticipated costs incurred for the 
current fiscal year, such sums as may be necessary. 
For making benefit payments under title XVI of the 
Social Security Act for the first quarter of fiscal year 2005, 
$12,590,000,000, to remain available until expended. 
LIMITATION ON ADMINISTRATIVE EXPENSES 
For necessary expenses, including the hire of two pas-
senger motor vehicles, and not to exceed $20,000 for official 
reception and representation expenses, not more than 
$8,410,000,000 may be expended, as authorized by section 
201(g)(1) of the Social Security Act, from any one or all 
of the trust funds referred to therein: Provided, That not 
less than $1,800,000 shall be for the Social Security Advi-
sory Board: Provided further, That unobligated balances of 
funds provided under this paragraph at the end of fiscal 
year 2004 not needed for fiscal year 2004 shall remain 
available until expended to invest in the Social Security 
Administration information technology and telecommuni-
cations hardware and software infrastructure, including re-
lated equipment and non-payroll administrative expenses 
associated solely with this information technology and tele-
communications infrastructure: Provided further, That re-
imbursement to the trust funds under this heading for ex-
penditures for official time for employees of the Social Secu-
rity Administration pursuant to section 7131 of title 5, 
United States Code, and for facilities or support services
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for labor organizations pursuant to policies, regulations, or 
procedures referred to in section 7135(b) of such title shall 
be made by the Secretary of the Treasury, with interest, 
from amounts in the general fund not otherwise appro-
priated, as soon as possible after such expenditures are 
made: Provided further, That $107,000,000 shall not be 
available for obligation until September 30, 2004. 
In addition, $120,000,000 to be derived from adminis-
tration fees in excess of $5.00 per supplementary payment 
collected pursuant to section 1616(d) of the Social Security 
Act or section 212(b)(3) of Public Law 93–66, which shall 
remain available until expended. To the extent that the 
amounts collected pursuant to such section 1616(d) or 
212(b)(3) in fiscal year 2004 exceed $120,000,000, the 
amounts shall be available in fiscal year 2005 only to the 
extent provided in advance in appropriations Acts. 
From funds previously appropriated for this purpose, 
any unobligated balances at the end of fiscal year 2003 shall 
be available to continue Federal-State partnerships which 
will evaluate means to promote Medicare buy-in programs 
targeted to elderly and disabled individuals under titles 
XVIII and XIX of the Social Security Act. 
OFFICE OF INSPECTOR GENERAL 
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary for the Office of Inspector Gen-
eral in carrying out the provisions of the Inspector General
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Act of 1978, as amended, $20,863,000, together with not to 
exceed $61,597,000, to be transferred and expended as au-
thorized by section 201(g)(1) of the Social Security Act from 
the Federal Old-Age and Survivors Insurance Trust Fund 
and the Federal Disability Insurance Trust Fund. 
In addition, an amount not to exceed 3 percent of the 
total provided in this appropriation may be transferred 
from the ‘‘Limitation on Administrative Expenses’’, Social 
Security Administration, to be merged with this account, 
to be available for the time and purposes for which this 
account is available: Provided, That notice of such transfers 
shall be transmitted promptly to the Committees on Appro-
priations of the House and Senate. 
UNITED STATES INSTITUTE OF PEACE 
OPERATING EXPENSES 
For necessary expenses of the United States Institute 
of Peace as authorized in the United States Institute of 
Peace Act, $17,200,000. 
TITLE V—GENERAL PROVISIONS 
SEC. 501. The Secretaries of Labor, Health and 
Human Services, and Education are authorized to transfer 
unexpended balances of prior appropriations to accounts 
corresponding to current appropriations provided in this 
Act: Provided, That such transferred balances are used for
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the same purpose, and for the same periods of time, for 
which they were originally appropriated. 
SEC. 502. No part of any appropriation contained in 
this Act shall remain available for obligation beyond the 
current fiscal year unless expressly so provided herein. 
SEC. 503. (a) No part of any appropriation contained 
in this Act shall be used, other than for normal and recog-
nized executive-legislative relationships, for publicity or 
propaganda purposes, for the preparation, distribution, or 
use of any kit, pamphlet, booklet, publication, radio, tele-
vision, or video presentation designed to support or defeat 
legislation pending before the Congress or any State legisla-
ture, except in presentation to the Congress or any State 
legislature itself. 
(b) No part of any appropriation contained in this 
Act shall be used to pay the salary or expenses of any grant 
or contract recipient, or agent acting for such recipient, re-
lated to any activity designed to influence legislation or ap-
propriations pending before the Congress or any State legis-
lature. 
SEC. 504. The Secretaries of Labor and Education are 
authorized to make available not to exceed $28,000 and 
$20,000, respectively, from funds available for salaries and 
expenses under titles I and III, respectively, for official re-
ception and representation expenses; the Director of the
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Federal Mediation and Conciliation Service is authorized 
to make available for official reception and representation 
expenses not to exceed $5,000 from the funds available for 
‘‘Salaries and expenses, Federal Mediation and Concilia-
tion Service’’; and the Chairman of the National Mediation 
Board is authorized to make available for official reception 
and representation expenses not to exceed $5,000 from funds 
available for ‘‘Salaries and expenses, National Mediation 
Board’’. 
SEC. 505. Notwithstanding any other provision of this 
Act, no funds appropriated under this Act shall be used to 
carry out any program of distributing sterile needles or sy-
ringes for the hypodermic injection of any illegal drug. 
SEC. 506. (a) It is the sense of the Congress that, to 
the greatest extent practicable, all equipment and products 
purchased with funds made available in this Act should be 
American-made. 
(b) In providing financial assistance to, or entering 
into any contract with, any entity using funds made avail-
able in this Act, the head of each Federal agency, to the 
greatest extent practicable, shall provide to such entity a 
notice describing the statement made in subsection (a) by 
the Congress. 
(c) If it has been finally determined by a court or Fed-
eral agency that any person intentionally affixed a label
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bearing a ‘‘Made in America’’ inscription, or any inscrip-
tion with the same meaning, to any product sold in or 
shipped to the United States that is not made in the United 
States, the person shall be ineligible to receive any contract 
or subcontract made with funds made available in this Act, 
pursuant to the debarment, suspension, and ineligibility 
procedures described in sections 9.400 through 9.409 of title 
48, Code of Federal Regulations. 
SEC. 507. When issuing statements, press releases, re-
quests for proposals, bid solicitations and other documents 
describing projects or programs funded in whole or in part 
with Federal money, all grantees receiving Federal funds 
included in this Act, including but not limited to State and 
local governments and recipients of Federal research grants, 
shall clearly state: (1) the percentage of the total costs of 
the program or project which will be financed with Federal 
money; (2) the dollar amount of Federal funds for the 
project or program; and (3) percentage and dollar amount 
of the total costs of the project or program that will be fi-
nanced by non-governmental sources. 
SEC. 508. (a) None of the funds appropriated under 
this Act, and none of the funds in any trust fund to which 
funds are appropriated under this Act, shall be expended 
for any abortion.
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(b) None of the funds appropriated under this Act, and 
none of the funds in any trust fund to which funds are 
appropriated under this Act, shall be expended for health 
benefits coverage that includes coverage of abortion. 
(c) The term ‘‘health benefits coverage’’ means the 
package of services covered by a managed care provider or 
organization pursuant to a contract or other arrangement. 
SEC. 509. (a) The limitations established in the pre-
ceding section shall not apply to an abortion—
(1) if the pregnancy is the result of an act of 
rape or incest; or 
(2) in the case where a woman suffers from a 
physical disorder, physical injury, or physical illness, 
including a life-endangering physical condition 
caused by or arising from the pregnancy itself, that 
would, as certified by a physician, place the woman 
in danger of death unless an abortion is performed. 
(b) Nothing in the preceding section shall be construed 
as prohibiting the expenditure by a State, locality, entity, 
or private person of State, local, or private funds (other 
than a State’s or locality’s contribution of Medicaid match-
ing funds). 
(c) Nothing in the preceding section shall be construed 
as restricting the ability of any managed care provider 
from offering abortion coverage or the ability of a State or
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locality to contract separately with such a provider for such 
coverage with State funds (other than a State’s or locality’s 
contribution of Medicaid matching funds). 
SEC. 510. (a) None of the funds made available in this 
Act may be used for—
(1) the creation of a human embryo or embryos 
for research purposes; or 
(2) research in which a human embryo or em-
bryos are destroyed, discarded, or knowingly subjected 
to risk of injury or death greater than that allowed 
for research on fetuses in utero under 45 CFR 
46.208(a)(2) and section 498(b) of the Public Health 
Service Act (42 U.S.C. 289g(b)). 
(b) For purposes of this section, the term ‘‘human em-
bryo or embryos’’ includes any organism, not protected as 
a human subject under 45 CFR 46 as of the date of the 
enactment of this Act, that is derived by fertilization, par-
thenogenesis, cloning, or any other means from one or more 
human gametes or human diploid cells. 
SEC. 511. (a) None of the funds made available in this 
Act may be used for any activity that promotes the legaliza-
tion of any drug or other substance included in schedule 
I of the schedules of controlled substances established by sec-
tion 202 of the Controlled Substances Act (21 U.S.C. 812).
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(b) The limitation in subsection (a) shall not apply 
when there is significant medical evidence of a therapeutic 
advantage to the use of such drug or other substance or that 
federally sponsored clinical trials are being conducted to de-
termine therapeutic advantage. 
SEC. 512. None of the funds made available in this 
Act may be obligated or expended to enter into or renew 
a contract with an entity if—
(1) such entity is otherwise a contractor with the 
United States and is subject to the requirement in 
section 4212(d) of title 38, United States Code, re-
garding submission of an annual report to the Sec-
retary of Labor concerning employment of certain vet-
erans; and 
(2) such entity has not submitted a report as re-
quired by that section for the most recent year for 
which such requirement was applicable to such entity. 
SEC. 513. None of the funds made available in this 
Act may be used to promulgate or adopt any final standard 
under section 1173(b) of the Social Security Act (42 U.S.C. 
1320d–2(b)) providing for, or providing for the assignment 
of, a unique health identifier for an individual (except in 
an individual’s capacity as an employer or a health care 
provider), until legislation is enacted specifically approving 
the standard.
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SEC. 514. None of the funds made available in this 
Act may be transferred to any department, agency, or in-
strumentality of the United States Government, except pur-
suant to a transfer made by, or transfer authority provided 
in, this Act or any other appropriation Act. 
SEC. 515. (a) IN GENERAL.—Amounts made available 
under this Act for the administrative and related expenses 
for departmental management for the Department of Labor, 
the Department of Health and Human Services, and the 
Department of Education shall be reduced on a pro rata 
basis by $52,190,000. 
(b) LIMITATION.—The reduction required by sub-
section (a) shall not apply to the Food and Drug Adminis-
tration and the Indian Health Service. 
SEC. 516. In addition to any amounts otherwise ap-
propriated under this Act for the Special Volunteers for 
Homeland Security program, there may be appropriated 
an additional $5,000,000 for such program.
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This Act may be cited as the ‘‘Departments of Labor, 
Health and Human Services, and Education, and Related 
Agencies Appropriations Act, 2004’’.
Passed the House of Representatives July 10, 2003. 
Attest: 
JEFF TRANDAHL, 
Clerk.
Passed the Senate September 10, 2003. 
Attest: 
EMILY J. REYNOLDS, 
Secretary.