H. R. 3064—50
be available to continue carrying out demonstration projects on
Medicaid coverage of community-based attendant care services for
people with disabilities which ensures maximum control by the
consumer to select and manage their attendant care services: Pro-
vided further, That $3,000,000 of the amount available for research,
demonstration, and evaluation activities shall be awarded to an
application from the University of Pennsylvania Medical Center,
the University of Louisville Sciences Center, and St. Vincent’s Hos-
pital in Montana to conduct a demonstration to reduce hospitaliza-
tions among high-risk patients with congestive heart failure: Pro-
vided further, That $2,000,000 of the amount available for research,
demonstration, and evaluation activities shall be awarded to the
AIDS Healthcare Foundation in Los Angeles: Provided further, That
$100,000 of the amount available for research, demonstration, and
evaluation activities shall be awarded to Littleton Regional Hospital
in New Hampshire, to assist in the development of rural emergency
medical services: Provided further, That $250,000 of the amount
available for research, demonstration, and evaluation activities shall
be awarded to the University of Missouri-Kansas City to test
behavorial interventions of nursing home residents with moderate
to severe dementia: Provided further, That the Secretary of Health
and Human Services is directed to collect, in aggregate, $95,000,000
in fees in fiscal year 2000 from Medicare∂Choice 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.
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 received by the Sec-
retary 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 2000, no commitments for direct loans or loan
guarantees shall be made.
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), for the first
quarter of fiscal year 2001, $650,000,000.
For making payments to each State for carrying out the pro-
gram of Aid to Families with Dependent Children under title IV–
A of the Social Security Act before the effective date of the program
of Temporary Assistance to 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 expendi-
tures under such title IV–A in fiscal year 1997 under this appropria-
tion 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.
H. R. 3064—51
For making, after May 31 of the current fiscal year, payments
to States or other non-Federal entities under titles I, IV–D, X,
XI, XIV, and XVI of the Social Security Act and the Act of July
5, 1960 (24 U.S.C. ch. 9), for the last 3 months of the current
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 Omnibus Budget
Reconciliation Act of 1981, $1,100,000,000, to be available for obliga-
tion in the period October 1, 2000 through September 30, 2001.
For making payments under title XXVI of such Act,
$300,000,000: Provided, That these funds are hereby designated
by Congress to be emergency requirements pursuant to section
251(b)(2)(A) of the Balanced Budget and Emergency Deficit Control
Act of 1985: Provided further, That these funds shall be made
available only after submission to Congress of a formal budget
request by the President that includes designation of the entire
amount of the request as an emergency requirement as defined
in the Balanced Budget and Emergency Deficit Control Act of
1985.
The $1,100,000,000 provided in the first paragraph under this
heading in the Departments of Labor, Health and Human Services,
and Education, and Related Agencies Appropriations Act, 1999 (as
contained in section 101(f ) of division A of Public Law 105–277)
is hereby designated by the Congress as an emergency requirement
pursuant to section 251(b)(2)(A) of the Balanced Budget and Emer-
gency Deficit Control Act of 1985: Provided, That such funds shall
be available only if the President submits to the Congress one
official budget request for $1,100,000,000 that includes designation
of the entire amount as an emergency requirement pursuant to
such section: Provided further, That such funds shall be distributed
in accordance with section 2604 of the Omnibus Budget Reconcili-
ation Act of 1981 (42 U.S.C. 8623), other than subsection (e) of
such section.
REFUGEE AND ENTRANT ASSISTANCE
For making payments for refugee and entrant assistance activi-
ties 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), $419,005,000: Provided, That funds
appropriated pursuant to section 414(a) of the Immigration and
Nationality Act under Public Law 105–78 for fiscal year 1998 and
under Public Law 105–277 for fiscal year 1999 shall be available
for the costs of assistance provided and other activities through
September 30, 2001.
For carrying out section 5 of the Torture Victims Relief Act
of 1998 (Public Law 105–320), $7,500,000.
The $426,505,000 provided under this heading is hereby des-
ignated by the Congress as an emergency requirement pursuant
to section 251(b)(2)(A) of the Balanced Budget and Emergency Def-
icit Control Act of 1985: Provided, That such funds shall be available
only if the President submits to the Congress one official budget
request for $426,505,000 that includes designation of the entire
amount as an emergency requirement pursuant to such section.
H. R. 3064—52
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 Care and Development
Block Grant Act of 1990), to become available on October 1, 2000
and remain available through September 30, 2001, $1,182,672,000:
Provided, That $19,120,000 shall be available for child care resource
and referral and school-aged child care activities.
SOCIAL SERVICES BLOCK GRANT
For making grants to States pursuant to section 2002 of the
Social Security Act, $1,700,000,000: Provided, That: (1) notwith-
standing section 2003(c) of such Act, as amended, the amount
specified for allocation under such section for fiscal year 2000 shall
be $1,700,000,000; and (2) notwithstanding subparagraph (B) of
section 404(d)(2) of such Act, the applicable percent specified under
such subparagraph for a State to carry out State programs pursuant
to title XX of such Act for fiscal year 2000 shall be 4.25 percent.
CHILDREN AND FAMILIES SERVICES PROGRAMS
(INCLUDING RESCISSIONS)
For carrying out, except as otherwise provided, the Runaway
and Homeless Youth Act, the Developmental Disabilities Assistance
and Bill of Rights Act, the Head Start Act, the Child Abuse Preven-
tion and Treatment Act, the Native American Programs Act of
1974, title II of Public Law 95–266 (adoption opportunities), the
Adoption and Safe Families Act of 1997 (Public Law 105–89), the
Abandoned Infants Assistance Act of 1988, part B(1) of title IV
and sections 413, 429A, 1110, and 1115 of the Social Security
Act; for making payments under the Community Services Block
Grant Act, section 473A of the Social Security Act, and title IV
of Public Law 105–285; and for necessary administrative expenses
to carry out said Acts and titles I, IV, 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 Immigration and Nationality Act, section 501 of the Refugee
Education Assistance Act of 1980, section 5 of the Torture Victims
Relief Act of 1998 (Public Law 105–320), sections 40155, 40211,
and 40241 of Public Law 103–322 and section 126 and titles IV
and V of Public Law 100–485, $6,708,733,000, of which $43,000,000,
to remain available until September 30, 2001, shall be for grants
to States for adoption incentive payments, as authorized by section
473A of title IV of the Social Security Act (42 U.S.C. 670–679);
of which $567,065,000 shall be for making payments under the
Community Services Block Grant Act; and of which $5,267,000,000
shall be for making payments under the Head Start Act, of which
$1,400,000,000 shall become available October 1, 2000 and remain
available through September 30, 2001: Provided, That to the extent
Community Services Block Grant funds are distributed as grant
funds by a State to an eligible entity as provided under the Act,
and have not been expended by such entity, they shall remain
with such entity for carryover into the next fiscal year for expendi-
ture by such entity consistent with program purposes: Provided
further, That the Secretary shall establish procedures regarding
H. R. 3064—53
the disposition of intangible property which permits grant funds,
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.
In addition, $101,000,000, to be derived from the Violent Crime
Reduction Trust Fund for carrying out sections 40155, 40211, and
40241 of Public Law 103–322.
Funds appropriated for fiscal year 2000 under section 429A(e),
part B of title IV of the Social Security Act shall be reduced
by $6,000,000.
Funds appropriated for fiscal year 2000 under section 413(h)(1)
of the Social Security Act shall be reduced by $15,000,000.
PROMOTING SAFE AND STABLE FAMILIES
For carrying out section 430 of the Social Security Act,
$295,000,000.
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, $4,307,300,000.
For making payments to States or other non-Federal entities
under title IV–E of the Social Security Act, for the first quarter
of fiscal year 2001, $1,538,000,000.
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, $930,225,000: Provided, That not-
withstanding section 308(b)(1) of the Older Americans Act of 1965,
as amended, the amounts available to each State for administration
of the State plan under title III of such Act shall be reduced
not more than 5 percent below the amount that was available
to such State for such purpose for fiscal year 1995: Provided further,
That in considering grant applications for nutrition services for
elder Indian recipients, the Assistant Secretary shall provide max-
imum flexibility to applicants who seek to take into account subsist-
ence, local customs, and other characteristics that are appropriate
to the unique cultural, regional, and geographic needs of the Amer-
ican Indian, Alaska and Hawaiian Native communities to be served.
OFFICE OF THE SECRETARY
GENERAL DEPARTMENTAL MANAGEMENT
For necessary expenses, not otherwise provided, for general
departmental management, including hire of six sedans, and for
carrying out titles III, XVII, and XX of the Public Health Service
Act, and the United States-Mexico Border Health Commission Act,
$209,701,000, of which $20,000,000 shall become available on
October 1, 2000, and shall remain available until September 30,
2001, together with $5,851,000, to be transferred and expended
as authorized by section 201(g)(1) of the Social Security Act from