H. R. 4818—324
not less than $79,000,000 shall be for processing Medicare appeals:
Provided further, That the Secretary of Health and Human Services
is directed to collect fees in fiscal year 2005 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: Provided further, That to the extent Medicare claims
processing unit costs are projected by the Centers for Medicare
and Medicaid Services to exceed $0.87 for Part A claims and/
or $0.63 for Part B claims, up to an additional $18,000,000 may
be available for obligation for every $0.04 increase in Medicare
claims processing unit costs from the Federal Hospital Insurance
and the Federal Supplementary Medical Insurance Trust Funds.
The calculation of projected unit costs shall be derived in the
same manner in which the estimated unit costs were calculated
for the Federal budget estimate for the fiscal year.
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 2005, 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), $2,873,802,000,
to remain available until expended; and for such purposes for the
first quarter of fiscal year 2006, $1,200,000,000, to remain available
until expended.
For making payments to each State for carrying out the pro-
gram of Aid to Families with Dependent Children under title IV–
A of the Social Security Act before the effective date of the program
of Temporary Assistance for Needy Families (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.
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
fiscal year for unanticipated costs, incurred for the current fiscal
year, such sums as may be necessary.
H. R. 4818—325
LOW-INCOME HOME ENERGY ASSISTANCE
For making payments under title XXVI of the Omnibus Budget
Reconciliation Act of 1981, $1,900,000,000.
For making payments under title XXVI of the Omnibus Budget
Reconciliation Act of 1981, $300,000,000, to remain 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 S. Con. Res. 95 (108th Congress) as made applicable
to the House of Representatives by H. Res. 649 (108th Congress)
and applicable to the Senate by section 14007 of Public Law 108–
287.
REFUGEE AND ENTRANT ASSISTANCE
For necessary expenses for refugee and entrant assistance
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 Security Act of 2002 (Public
Law 107–296), and for carrying out the Torture Victims Relief
Act of 2003 (Public Law 108–179), $488,336,000, of which up to
$10,000,000 shall be available to carry out the Trafficking Victims
Protection 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 2005 shall be available for
the costs of assistance provided and other activities to remain
available through September 30, 2007.
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), $2,099,729,000 shall be used to supple-
ment, 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 reserved by the States for activities
authorized under section 658G, of which $100,000,000 shall be
for activities that improve the quality of infant and toddler care:
Provided further, That $10,000,000 shall be for use by the Secretary
for child care research, demonstration, and evaluation activities.
SOCIAL SERVICES BLOCK GRANT
For making grants to States pursuant to section 2002 of the
Social Security Act, $1,700,000,000: Provided, That notwithstanding
subparagraph (B) of section 404(d)(2) of such Act, the applicable
percent specified under such subparagraph for a State to carry
out State programs pursuant to title XX of such Act shall be
10 percent.