IIB 
111TH CONGRESS 
1ST SESSION H. R. 3293 
IN THE SENATE OF THE UNITED STATES 
JULY 27, 2009 
Received; read twice and referred to the Committee on Appropriations 
AN ACT 
Making appropriations for the Departments of Labor, Health 
and Human Services, and Education, and related agen-
cies for the fiscal year ending September 30, 2010, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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That the following sums are appropriated, out of any 
money in the Treasury not otherwise appropriated, for the 
Departments of Labor, Health and Human Services, and 
Education, and related agencies for the fiscal year ending 
September 30, 2010, and for other purposes, namely: 
TITLE I—DEPARTMENT OF LABOR 
EMPLOYMENT AND TRAINING ADMINISTRATION 
TRAINING AND EMPLOYMENT SERVICES 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses of the Workforce Investment 
Act of 1998 (‘‘WIA’’), the Second Chance Act of 2007, 
and the Women in Apprenticeship and Non-Traditional 
Occupations Act of 1992, including the purchase and hire 
of passenger motor vehicles, the construction, alteration, 
and repair of buildings and other facilities, and the pur-
chase of real property for training centers as authorized 
by the WIA; $3,802,961,000, plus reimbursements, shall 
be available. Of the amounts provided: 
(1) for grants to States for adult employment 
and training activities, youth activities, and dis-
located worker employment and training activities, 
$2,969,449,000 as follows: 
(A) $861,540,000 for adult employment 
and training activities, of which $149,540,000 
shall be available for the period July 1, 2010, 
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through 
June 
30, 
2011, 
and 
of 
which 
$712,000,000 shall be available for the period 
October 1, 2010 through June 30, 2011; 
(B) $924,069,000 for youth activities, 
which shall be available for the period April 1, 
2010 through June 30, 2011; and 
(C) $1,183,840,000 for dislocated worker 
employment and training activities, of which 
$321,731,000 shall be available for the period 
July 1, 2010 through June 30, 2011, and of 
which $862,109,000 shall be available for the 
period October 1, 2010 through June 30, 2011: 
Provided, That notwithstanding the transfer limita-
tion under section 133(b)(4) of the WIA, up to 30 
percent of such funds may be transferred by a local 
board if approved by the Governor: Provided further, 
That a local board may award a contract to an insti-
tution of higher education or other eligible training 
provider if the local board determines that it would 
facilitate the training of multiple individuals in high- 
demand occupations, if such contract does not limit 
customer choice; 
(2) 
for 
federally 
administered 
programs, 
$453,429,000 as follows: 
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(A) $215,051,000 for the dislocated work-
ers assistance national reserve, of which 
$17,160,000 shall be available for the period 
July 1, 2010 through June 30, 2011, and of 
which $197,891,000 shall be available for the 
period October 1, 2010 through June 30, 2011: 
Provided, That funds provided to carry out sec-
tion 132(a)(2)(A) of the WIA may be used to 
provide assistance to a State for State-wide or 
local use in order to address cases where there 
have been worker dislocations across multiple 
sectors or across multiple local areas and such 
workers remain dislocated; coordinate the State 
workforce development plan with emerging eco-
nomic development needs; and train such eligi-
ble dislocated workers: Provided further, That 
funds provided to carry out section 171(d) of 
the WIA may be used for demonstration 
projects that provide assistance to new entrants 
in the workforce and incumbent workers; 
(B) $52,758,000 for Native American pro-
grams, which shall be available for the period 
July 1, 2010 through June 30, 2011; 
(C) $84,620,000 for migrant and seasonal 
farmworker programs under section 167 of the 
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WIA, including $78,610,000 for formula grants 
(of which not less than 70 percent shall be for 
employment and training services), $5,500,000 
for migrant and seasonal housing (of which not 
less than 70 percent shall be for permanent 
housing), and $510,000 for other discretionary 
purposes, which shall be available for the period 
July 1, 2010 through June 30, 2011: Provided, 
That notwithstanding any other provision of 
law or related regulation, the Department of 
Labor shall take no action limiting the number 
or proportion of eligible participants receiving 
related assistance services or discouraging 
grantees from providing such services; 
(D) $1,000,000 for carrying out the 
Women in Apprenticeship and Nontraditional 
Occupations Act, which shall be available for 
the period July 1, 2010 through June 30, 
2011; and 
(E) $100,000,000 for YouthBuild activities 
as described in section 173A of the WIA, which 
shall be available for the period April 1, 2010 
through June 30, 2011: Provided, That for pro-
gram year 2010 and each program year there-
after, the YouthBuild program may serve an in-
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dividual who has dropped out of high school 
and re-enrolled in an alternative school, if that 
re-enrollment is part of a sequential service 
strategy; 
(3) for national activities, $380,083,000, as fol-
lows: 
(A) $66,990,000 for Pilots, Demonstra-
tions, and Research, which shall be available for 
the period April 1, 2010 through June 30, 
2011, of which $35,000,000 shall be for Transi-
tional Jobs activities, and shall not be subject 
to the requirements of section 171(b)(2)(B) or 
171(c)(4)(D) of the WIA, and that a sufficient 
portion of these funds shall be for an evaluation 
of the program; and of which $5,500,000 shall 
be for competitive grants to address the em-
ployment and training needs of young parents, 
and shall not be subject to the requirements of 
section 171(b)(2)(B) or 171(c)(4)(D) of the 
WIA; and of which $24,490,000 shall be used 
for the projects, and in the amounts, specified 
under the heading ‘‘Training and Employment 
Services’’ in the report of the Committee on Ap-
propriations of the House of Representatives to 
accompany this Act: Provided, That funding 
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provided to carry out such projects shall not be 
subject 
to 
the 
requirements 
of 
sections 
171(b)(2)(B) and 171(c)(4)(D) of the WIA, the 
joint 
funding 
requirements 
of 
sections 
171(b)(2)(A) and 171(c)(4)(A) of the WIA, or 
any 
time 
limit 
requirements 
of 
sections 
171(b)(2)(C) and 171(c)(4)(B) of the WIA; 
(B) $108,493,000 for ex-offender activi-
ties, under the authority of section 171 of the 
WIA and section 212 of the Second Chance Act 
of 2007, which shall be available for the period 
July 1, 2010 through June 30, 2011, and 
which shall not be subject to the requirements 
of section 171(b)(2)(B) or 171(c)(4)(D) of the 
WIA: Provided, That not less than $34,000,000 
shall be available for adult ex-offender activi-
ties, of which $15,000,000 shall be for competi-
tive grants to provide Transitional Job activities 
for adult ex-offenders; 
(C) $9,600,000 for Evaluation, which shall 
be available for the period July 1, 2010 through 
June 30, 2011, and which may be transferred 
to any other account within the Department to 
carry out evaluation activities; 
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(D) $50,000,000 (reduced by $5,000,000) 
for activities that prepare workers for careers in 
energy efficiency and renewable energy as de-
scribed in section 171(e)(1)(B) of the WIA, 
under the authority of section 171 of the WIA, 
which shall be available for the period July 1, 
2010 through June 30, 2011, and which shall 
not be subject to the requirements of section 
171(b)(2)(B) or 171(c)(4)(D); 
(E) 
$130,000,000 
(increased 
by 
$5,000,000) for the Career Pathways Innova-
tion Fund, under the authority of section 171 
of the WIA, which shall be available for the pe-
riod July 1, 2010 through June 30, 2011, of 
which not less than $65,000,000 shall be dedi-
cated to activities that prepare workers for ca-
reers in the health care sector, and which shall 
not be subject to the requirements of section 
171(b)(2)(B) or 171(c)(4)(D); and 
(F) $15,000,000 for the Workforce Data 
Quality Initiative, under the authority of section 
171(c)(2) of the WIA, which shall be available 
for the period July 1, 2010 through June 30, 
2011, and which shall not be subject to the re-
quirements of section 171(c)(4)(D). 
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COMMUNITY SERVICE EMPLOYMENT FOR OLDER 
AMERICANS 
To carry out title V of the Older Americans Act of 
1965, $615,425,000, which shall be available for the pe-
riod July 1, 2010 through June 30, 2011: Provided, That 
funds made available under this heading in this Act may, 
in accordance with section 517(c) of the Older Americans 
Act of 1965, be recaptured and reobligated. 
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES 
For payments during fiscal year 2010 of trade ad-
justment benefit payments and allowances under part I 
of subchapter B of chapter 2 of title II of the Trade Act 
of 1974, and section 246 of that Act; and for training, 
employment and case management services, allowances for 
job search and relocation, and related State administrative 
expenses under part II of subchapter B of chapter 2 of 
title II of the Trade Act of 1974, including benefit pay-
ments, allowances, training, and related State administra-
tion provided pursuant to paragraphs (1) and (2) of sec-
tion 1891(b) of the Trade and Globalization Adjustment 
Assistance Act of 2009, $1,818,400,000, together with 
such amounts as may be necessary to be charged to the 
subsequent appropriation for payments for any period sub-
sequent to September 15, 2010. 
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STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT 
SERVICE OPERATIONS 
For 
authorized 
administrative 
expenses, 
$69,903,000, together with not to exceed $3,977,153,000 
which may be expended from the Employment Security 
Administration Account in the Unemployment Trust Fund 
(‘‘the Trust Fund’’), of which: 
(1) $3,195,645,000 from the Trust Fund is for 
grants to States for the administration of State un-
employment insurance laws as authorized under title 
III 
of 
the 
Social 
Security 
Act 
(including 
$10,000,000 to conduct in-person reemployment and 
eligibility assessments and unemployment insurance 
improper payment reviews), the administration of 
unemployment insurance for Federal employees and 
for ex-service members as authorized under 5 U.S.C. 
8501–8523, and the administration of trade read-
justment allowances, reemployment trade adjustment 
assistance, and alternative trade adjustment assist-
ance under the Trade Act of 1974 and under section 
1891(b) of the Trade and Globalization Adjustment 
Assistance Act of 2009, and shall be available for 
obligation by the States through December 31, 
2010, except that funds used for automation acquisi-
tions shall be available for obligation by the States 
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through September 30, 2012, and funds used for 
unemployment insurance workloads experienced by 
the States through September 30, 2010, shall be 
available for Federal obligation through December 
31, 2010; 
(2) $11,310,000 from the Trust Fund is for na-
tional activities necessary to support the administra-
tion of the Federal-State unemployment insurance 
system; 
(3) $680,893,000 from the Trust Fund, to-
gether with $22,683,000 from the General Fund of 
the Treasury, is for grants to States in accordance 
with section 6 of the Wagner-Peyser Act, and shall 
be available for Federal obligation for the period 
July 1, 2010 through June 30, 2011; 
(4) $20,869,000 from the Trust Fund is for na-
tional activities of the Employment Service, includ-
ing administration of the work opportunity tax cred-
it under section 51 of the Internal Revenue Code of 
1986, and the provision of technical assistance and 
staff training under the Wagner-Peyser Act, includ-
ing not to exceed $1,228,000 that may be used for 
amortization payments to States which had inde-
pendent retirement plans in their State employment 
service agencies prior to 1980; 
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(5) $68,436,000 from the Trust Fund is for the 
administration of foreign labor certifications and re-
lated activities under the Immigration and Nation-
ality Act and related laws, of which $53,307,000 
shall be available for the Federal administration of 
such activities, and $15,129,000 shall be available 
for grants to States for the administration of such 
activities; and 
(6) $47,220,000 from the General Fund is to 
provide workforce information, national electronic 
tools, and one-stop system building under the Wag-
ner-Peyser Act and section 171 (e)(2)(C) of the 
Workforce Investment Act of 1998 and shall be 
available for Federal obligation for the period July 
1, 2010 through June 30, 2011: 
Provided, That to the extent that the Average Weekly In-
sured Unemployment (‘‘AWIU’’) for fiscal year 2010 is 
projected by the Department of Labor to exceed 
5,059,000, an additional $28,600,000 from the Trust 
Fund shall be available for obligation for every 100,000 
increase in the AWIU level (including a pro rata amount 
for any increment less than 100,000) to carry out title 
III of the Social Security Act: Provided further, That 
funds appropriated in this Act that are allotted to a State 
to carry out activities under title III of the Social Security 
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Act may be used by such State to assist other States in 
carrying out activities under such title III if the other 
States include areas that have suffered a major disaster 
declared by the President under the Robert T. Stafford 
Disaster Relief and Emergency Act: Provided further, 
That the Secretary of Labor may use funds appropriated 
for grants to States under title III of the Social Security 
Act to make payments on behalf of States for the use of 
the National Directory of New Hires under section 
453(j)(8) of such Act: Provided further, That funds appro-
priated in this Act which are used to establish a national 
one-stop career center system, or which are used to sup-
port the national activities of the Federal-State unemploy-
ment insurance or immigration programs, may be obli-
gated in contracts, grants, or agreements with non-State 
entities: Provided further, That funds appropriated under 
this Act for activities authorized under title III of the So-
cial Security Act and the Wagner-Peyser Act may be used 
by States to fund integrated Unemployment Insurance 
and Employment Service automation efforts, notwith-
standing cost allocation principles prescribed under the 
Office of Management and Budget Circular A–87: Pro-
vided further, That the Secretary, at the request of a State 
participating in a consortium with other States, may 
reallot funds allotted to such State under title III of the 
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Social Security Act to other States participating in the 
consortium in order to carry out activities that benefit the 
administration of the unemployment compensation law of 
the State making the request. 
In addition, $50,000,000 from the Employment Se-
curity Administration Account of the Unemployment 
Trust Fund shall be available to conduct in-person reem-
ployment and eligibility assessments and unemployment 
insurance improper payment reviews. 
ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND 
OTHER FUNDS 
For repayable advances to the Unemployment Trust 
Fund as authorized by sections 905(d) and 1203 of the 
Social Security Act, and to the Black Lung Disability 
Trust Fund as authorized by section 9501(c)(1) of the In-
ternal Revenue Code of 1986; and for nonrepayable ad-
vances to the Unemployment Trust Fund as authorized 
by 5 U.S.C. 8509, and to the ‘‘Federal Unemployment 
Benefits and Allowances’’ account, such sums as may be 
necessary. 
PROGRAM ADMINISTRATION 
For expenses of administering employment and train-
ing programs, $96,266,000, together with not to exceed 
$50,140,000, which may be expended from the Employ-
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ment Security Administration Account in the Unemploy-
ment Trust Fund. 
EMPLOYEE BENEFITS SECURITY ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Employee Benefits 
Security Administration, $154,060,000. 
PENSION BENEFIT GUARANTY CORPORATION 
PENSION BENEFIT GUARANTY CORPORATION FUND 
The Pension Benefit Guaranty Corporation (‘‘Cor-
poration’’) is authorized to make such expenditures, in-
cluding financial assistance authorized by subtitle E of 
title IV of the Employee Retirement Income Security Act 
of 1974, within limits of funds and borrowing authority 
available to the Corporation, and in accord with law, and 
to make such contracts and commitments without regard 
to fiscal year limitations, as provided by 31 U.S.C. 9104, 
as may be necessary in carrying out the program, includ-
ing associated administrative expenses, through Sep-
tember 30, 2010, for the Corporation: Provided, That 
none of the funds available to the Corporation for fiscal 
year 2010 shall be available for obligations for administra-
tive expenses in excess of $464,067,000: Provided further, 
That to the extent that the number of new plan partici-
pants in plans terminated by the Corporation exceeds 
100,000 in fiscal year 2010, an amount not to exceed an 
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additional $9,200,000 shall be available through Sep-
tember 30, 2011 for obligation for administrative expenses 
for every 20,000 additional terminated participants: Pro-
vided further, That an additional $50,000 shall be made 
available through September 30, 2011, for obligation for 
investment management fees for every $25,000,000 in as-
sets received by the Corporation as a result of new plan 
terminations or asset growth, after approval by the Office 
of Management and Budget and notification of the Com-
mittees on Appropriations of the House of Representatives 
and the Senate: Provided further, That obligations in ex-
cess of the amounts provided in this paragraph may be 
incurred for unforeseen and extraordinary pretermination 
expenses after approval by the Office of Management and 
Budget and notification of the Committees on Appropria-
tions of the House of Representatives and the Senate. 
EMPLOYMENT STANDARDS ADMINISTRATION 
SALARIES AND EXPENSES 
(INCLUDING RESCISSION) 
For necessary expenses for the Employment Stand-
ards Administration, including reimbursement to State, 
Federal, and local agencies and their employees for inspec-
tion services rendered, $484,632,000, together with 
$2,124,000 which may be expended from the Special Fund 
in accordance with sections 39(c), 44(d), and 44(j) of the 
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Longshore and Harbor Workers’ Compensation Act: Pro-
vided, That the Secretary of Labor is authorized to estab-
lish and, in accordance with 31 U.S.C. 3302, collect and 
deposit in the Treasury fees for processing applications 
and issuing certificates under sections 11(d) and 14 of the 
Fair Labor Standards Act of 1938 and for processing ap-
plications and issuing registrations under title I of the Mi-
grant and Seasonal Agricultural Worker Protection Act. 
Of the unobligated funds collected pursuant to sec-
tion 286(v) of the Immigration and Nationality Act, 
$65,000,000 are rescinded as of September 30, 2010. 
SPECIAL BENEFITS 
(INCLUDING TRANSFER OF FUNDS) 
For the payment of compensation, benefits, and ex-
penses (except administrative expenses) accruing during 
the current or any prior fiscal year authorized by 5 U.S.C. 
81; continuation of benefits as provided for under the 
heading ‘‘Civilian War Benefits’’ in the Federal Security 
Agency Appropriation Act, 1947; the Employees’ Com-
pensation Commission Appropriation Act, 1944; sections 
4(c) and 5(f) of the War Claims Act of 1948; and 50 per-
cent of the additional compensation and benefits required 
by section 10(h) of the Longshore and Harbor Workers’ 
Compensation Act, $187,000,000, together with such 
amounts as may be necessary to be charged to the subse-
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quent year appropriation for the payment of compensation 
and other benefits for any period subsequent to August 
15 of the current year: Provided, That amounts appro-
priated may be used under 5 U.S.C. 8104, by the Sec-
retary of Labor to reimburse an employer, who is not the 
employer at the time of injury, for portions of the salary 
of a reemployed, disabled beneficiary: Provided further, 
That balances of reimbursements unobligated on Sep-
tember 30, 2009, shall remain available until expended for 
the payment of compensation, benefits, and expenses: Pro-
vided further, That in addition there shall be transferred 
to this appropriation from the Postal Service and from 
any other corporation or instrumentality required under 
5 U.S.C. 8147(c) to pay an amount for its fair share of 
the cost of administration, such sums as the Secretary de-
termines to be the cost of administration for employees 
of such fair share entities through September 30, 2010: 
Provided further, That of those funds transferred to this 
account from the fair share entities to pay the cost of ad-
ministration of the Federal Employees’ Compensation Act, 
$58,120,000 shall be made available to the Secretary as 
follows: 
(1) For enhancement and maintenance of auto-
mated data processing systems and telecommuni-
cations systems, $19,968,000. 
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(2) For automated workload processing oper-
ations, including document imaging, centralized mail 
intake, and medical bill processing, $23,323,000. 
(3) For periodic roll management and medical 
review, $14,829,000. 
(4) The remaining funds shall be paid into the 
Treasury as miscellaneous receipts: 
Provided further, That the Secretary may require that any 
person filing a notice of injury or a claim for benefits 
under 5 U.S.C. 81, or the Longshore and Harbor Work-
ers’ Compensation Act, provide as part of such notice and 
claim, such identifying information (including Social Secu-
rity account number) as such regulations may prescribe. 
SPECIAL BENEFITS FOR DISABLED COAL MINERS 
For carrying out title IV of the Federal Mine Safety 
and Health Act of 1977, as amended by Public Law 107– 
275, $169,180,000, to remain available until expended. 
For making after July 31 of the current fiscal year, 
benefit payments to individuals under title IV of such Act, 
for costs incurred in the current fiscal year, such amounts 
as may be necessary. 
For making benefit payments under title IV for the 
first quarter of fiscal year 2011, $45,000,000, to remain 
available until expended. 
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ADMINISTRATIVE EXPENSES, ENERGY EMPLOYEES 
OCCUPATIONAL ILLNESS COMPENSATION FUND 
For necessary expenses to administer the Energy 
Employees Occupational Illness Compensation Program 
Act, $51,197,000, to remain available until expended: Pro-
vided, That the Secretary of Labor may require that any 
person filing a claim for benefits under the Act provide 
as part of such claim, such identifying information (in-
cluding Social Security account number) as may be pre-
scribed. 
BLACK LUNG DISABILITY TRUST FUND 
(INCLUDING TRANSFER OF FUNDS) 
In fiscal year 2010, such sums as may be necessary 
from the Black Lung Disability Trust Fund (‘‘Fund’’), to 
remain available until expended, for payment of all bene-
fits authorized by section 9501(d)(1), (2), (4), and (7) of 
the Internal Revenue Code of 1986; and interest on ad-
vances, as authorized by section 9501(c)(2) of that Act. 
In addition, the following amounts may be expended from 
the Fund for fiscal year 2010 for expenses of operation 
and administration of the Black Lung Benefits program, 
as authorized by section 9501(d)(5): not to exceed 
$32,720,000 for transfer to the Employment Standards 
Administration ‘‘Salaries and Expenses’’; not to exceed 
$25,091,000 for transfer to Departmental Management, 
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‘‘Salaries and Expenses’’; not to exceed $327,000 for 
transfer to Departmental Management, ‘‘Office of Inspec-
tor General’’; and not to exceed $356,000 for payments 
into miscellaneous receipts for the expenses of the Depart-
ment of the Treasury. 
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Occupational Safety 
and Health Administration, $554,620,000, including not 
to exceed $103,393,000 which shall be the maximum 
amount available for grants to States under section 23(g) 
of the Occupational Safety and Health Act (‘‘Act’’), which 
grants shall be no less than 50 percent of the costs of 
State occupational safety and health programs required to 
be incurred under plans approved by the Secretary of 
Labor under section 18 of the Act; and, in addition, not-
withstanding 31 U.S.C. 3302, the Occupational Safety 
and Health Administration may retain up to $200,000 per 
fiscal year of training institute course tuition fees, other-
wise authorized by law to be collected, and may utilize 
such sums for occupational safety and health training and 
education: Provided, That, notwithstanding 31 U.S.C. 
3302, the Secretary is authorized, during the fiscal year 
ending September 30, 2010, to collect and retain fees for 
services provided to Nationally Recognized Testing Lab-
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oratories, and may utilize such sums, in accordance with 
the provisions of 29 U.S.C. 9a, to administer national and 
international laboratory recognition programs that ensure 
the safety of equipment and products used by workers in 
the workplace: Provided further, That none of the funds 
appropriated under this paragraph shall be obligated or 
expended to prescribe, issue, administer, or enforce any 
standard, rule, regulation, or order under the Act which 
is applicable to any person who is engaged in a farming 
operation which does not maintain a temporary labor 
camp and employs 10 or fewer employees: Provided fur-
ther, That no funds appropriated under this paragraph 
shall be obligated or expended to administer or enforce 
any standard, rule, regulation, or order under the Act with 
respect to any employer of 10 or fewer employees who is 
included within a category having a Days Away, Re-
stricted, or Transferred (DART) occupational injury and 
illness rate, at the most precise industrial classification 
code for which such data are published, less than the na-
tional average rate as such rates are most recently pub-
lished by the Secretary, acting through the Bureau of 
Labor Statistics, in accordance with section 24 of the Act, 
except— 
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(1) to provide, as authorized by the Act, con-
sultation, technical assistance, educational and train-
ing services, and to conduct surveys and studies; 
(2) to conduct an inspection or investigation in 
response to an employee complaint, to issue a cita-
tion for violations found during such inspection, and 
to assess a penalty for violations which are not cor-
rected within a reasonable abatement period and for 
any willful violations found; 
(3) to take any action authorized by the Act 
with respect to imminent dangers; 
(4) to take any action authorized by the Act 
with respect to health hazards; 
(5) to take any action authorized by the Act 
with respect to a report of an employment accident 
which is fatal to one or more employees or which re-
sults in hospitalization of two or more employees, 
and to take any action pursuant to such investiga-
tion authorized by the Act; and 
(6) to take any action authorized by the Act 
with respect to complaints of discrimination against 
employees for exercising rights under the Act: 
Provided further, That the foregoing proviso shall not 
apply to any person who is engaged in a farming operation 
which does not maintain a temporary labor camp and em-
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ploys 10 or fewer employees: Provided further, That 
$10,000,000 shall be available for Susan Harwood train-
ing grants. 
MINE SAFETY AND HEALTH ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Mine Safety and 
Health Administration, $353,193,000, including purchase 
and bestowal of certificates and trophies in connection 
with mine rescue and first-aid work, and the hire of pas-
senger motor vehicles, including up to $2,000,000 for 
mine rescue and recovery activities; in addition, not to ex-
ceed $750,000 may be collected by the National Mine 
Health and Safety Academy for room, board, tuition, and 
the sale of training materials, otherwise authorized by law 
to be collected, to be available for mine safety and health 
education and training activities, notwithstanding 31 
U.S.C. 3302; and, in addition, the Mine Safety and Health 
Administration may retain up to $1,000,000 from fees col-
lected for the approval and certification of equipment, ma-
terials, and explosives for use in mines, and may utilize 
such sums for such activities; the Secretary of Labor is 
authorized to accept lands, buildings, equipment, and 
other contributions from public and private sources and 
to prosecute projects in cooperation with other agencies, 
Federal, State, or private; the Mine Safety and Health Ad-
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ministration is authorized to promote health and safety 
education and training in the mining community through 
cooperative programs with States, industry, and safety as-
sociations; the Secretary is authorized, in fiscal year 2010 
and each fiscal year thereafter, to recognize the Joseph 
A. Holmes Safety Association as a principal safety asso-
ciation and, notwithstanding any other provision of law, 
may provide funds and, with or without reimbursement, 
personnel, including service of Mine Safety and Health 
Administration officials as officers in local chapters or in 
the national organization; and any funds available to the 
Department of Labor may be used, with the approval of 
the Secretary, to provide for the costs of mine rescue and 
survival operations in the event of a major disaster. 
BUREAU OF LABOR STATISTICS 
SALARIES AND EXPENSES 
For necessary expenses for the Bureau of Labor Sta-
tistics, including advances or reimbursements to State, 
Federal, and local agencies and their employees for serv-
ices rendered, $533,359,000, together with not to exceed 
$78,264,000, which may be expended from the Employ-
ment Security Administration Account in the Unemploy-
ment Trust Fund, of which $1,500,000 may be used to 
fund the mass layoff statistics program under section 15 
of the Wagner-Peyser Act: Provided, That the Current 
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Employment Survey shall maintain the content of the sur-
vey issued prior to June 2005 with respect to the collection 
of data for the women worker series. 
OFFICE OF DISABILITY EMPLOYMENT POLICY 
SALARIES AND EXPENSES 
For necessary expenses for the Office of Disability 
Employment Policy to provide leadership, develop policy 
and initiatives, and award grants furthering the objective 
of eliminating barriers to the training and employment of 
people with disabilities, $37,031,000. 
DEPARTMENTAL MANAGEMENT 
SALARIES AND EXPENSES 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for Departmental Manage-
ment, including the hire of three sedans, and including 
the management or operation, through contracts, grants 
or other arrangements of Departmental activities con-
ducted by or through the Bureau of International Labor 
Affairs, including bilateral and multilateral technical as-
sistance 
and 
other 
international 
labor 
activities, 
$350,827,000 
(reduced 
by 
$1,000,000), 
of 
which 
$91,419,000 is for the Bureau of International Labor Af-
fairs (including $6,500,000 to implement model programs 
to address worker rights issues through technical assist-
ance in countries with which the United States has trade 
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preference programs), and of which $19,892,000 is for the 
acquisition of Departmental information technology, archi-
tecture, infrastructure, equipment, software and related 
needs, which will be allocated by the Department’s Chief 
Information Officer in accordance with the Department’s 
capital investment management process to assure a sound 
investment strategy, and of which $5,000,000 is for Pro-
gram Evaluation, which may be transferred to any other 
appropriate account in the Department for such purpose; 
together with not to exceed $327,000, which may be ex-
pended from the Employment Security Administration Ac-
count in the Unemployment Trust Fund. 
OFFICE OF JOB CORPS 
To carry out subtitle C of title I of the Workforce 
Investment Act of 1998, including Federal administrative 
expenses, the purchase and hire of passenger motor vehi-
cles, the construction, alteration and repairs of buildings 
and other facilities, and the purchase of real property for 
training centers as authorized by the Workforce Invest-
ment Act; $1,705,320,000, plus reimbursements, as fol-
lows: 
(1) $1,576,130,000 for Job Corps Operations, 
of which $985,130,000 shall be available for obliga-
tion for the period July 1, 2010 through June 30, 
2011 and of which $591,000,000 shall be available 
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for obligation for the period October 1, 2010 
through June 30, 2011. 
(2) $100,000,000 for construction, rehabilita-
tion and acquisition of Job Corps Centers, which 
shall be available for the period October 1, 2010 
through June 30, 2013. 
(3) $29,190,000 for necessary expenses of the 
Office of Job Corps which shall be available for obli-
gation for the period October 1, 2009 through Sep-
tember 30, 2010: 
Provided, That the Office of Job Corps shall have con-
tracting authority: Provided further, That no funds from 
any other appropriation shall be used to provide meal serv-
ices at or for Job Corps centers. 
VETERANS EMPLOYMENT AND TRAINING 
Not to exceed $210,156,000 may be derived from the 
Employment Security Administration Account in the Un-
employment Trust Fund to carry out the provisions of 38 
U.S.C. 4100–4113, 4211–4215, and 4321–4327, and 
Public Law 103–353, and which shall be available for obli-
gation by the States through December 31, 2010, of which 
$2,449,000 is for the National Veterans’ Employment and 
Training Services Institute. 
In addition, to carry out the Department of Labor 
programs under section 5(a)(1) of the Homeless Veterans 
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Comprehensive Assistance Act of 2001 and the Veterans 
Workforce Investment Programs under section 168 of the 
Workforce Investment Act, $46,971,000, of which 
$9,641,000 shall be available for obligation for the period 
July 1, 2010 through June 30, 2011. 
OFFICE OF INSPECTOR GENERAL 
For salaries and expenses of the Office of Inspector 
General in carrying out the provisions of the Inspector 
General Act of 1978, $78,093,000, together with not to 
exceed $5,921,000, which may be expended from the Em-
ployment Security Administration Account in the Unem-
ployment Trust Fund. 
GENERAL PROVISIONS 
SEC. 101. None of the funds appropriated in this Act 
for the Job Corps shall be used to pay the salary of an 
individual, either as direct costs or any proration as an 
indirect cost, at a rate in excess of Executive Level I. 
(TRANSFER OF FUNDS) 
SEC. 102. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985) which are appro-
priated for the current fiscal year for the Department of 
Labor in this Act may be transferred between a program, 
project, or activity, but no such program, project, or activ-
ity shall be increased by more than 3 percent by any such 
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transfer: Provided, That the transfer authority granted by 
this section shall be available only to meet emergency 
needs and shall not be used to create any new program 
or to fund any project or activity for which no funds are 
provided in this Act: Provided further, That the Commit-
tees on Appropriations of the House of Representatives 
and the Senate are notified at least 15 days in advance 
of any transfer. 
SEC. 103. In accordance with Executive Order No. 
13126, none of the funds appropriated or otherwise made 
available pursuant to this Act shall be obligated or ex-
pended for the procurement of goods mined, produced, 
manufactured, or harvested or services rendered, whole or 
in part, by forced or indentured child labor in industries 
and host countries already identified by the United States 
Department of Labor prior to enactment of this Act. 
SEC. 104. None of the funds appropriated in this title 
for grants under section 171 of the Workforce Investment 
Act of 1998 may be obligated prior to the preparation and 
submission of a report by the Secretary of Labor to the 
Committees on Appropriations of the House of Represent-
atives and the Senate detailing the planned uses of such 
funds. 
SEC. 105. None of the funds made available to the 
Department of Labor for grants under section 414(c) of 
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the American Competitiveness and Workforce Improve-
ment Act of 1998 may be used for any purpose other than 
training in the occupations and industries for which em-
ployers are using H–1B visas to hire foreign workers, and 
the related activities necessary to support such training: 
Provided, That the preceding limitation shall not apply to 
multi-year grants awarded prior to June 30, 2007. 
SEC. 106. None of the funds available in this Act or 
available to the Secretary of Labor from other sources for 
Career Pathways Innovation Fund grants and grants au-
thorized under section 414(c) of the American Competi-
tiveness and Workforce Improvement Act of 1998 shall 
be obligated for a grant awarded on a non-competitive 
basis. 
SEC. 107. None of the funds appropriated in this Act 
under the heading ‘‘Employment and Training Adminis-
tration’’ shall be used by a recipient or subrecipient of 
such funds to pay the salary and bonuses of an individual, 
either as direct costs or indirect costs, at a rate in excess 
of Executive Level II. This limitation shall not apply to 
vendors providing goods and services as defined in Office 
of Management and Budget Circular A–133. Where 
States are recipients of such funds, States may establish 
a lower limit for salaries and bonuses of those receiving 
salaries and bonuses from subrecipients of such funds, 
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taking into account factors including the relative cost-of- 
living in the State, the compensation levels for comparable 
State or local government employees, and the size of the 
organizations that administer Federal programs involved 
including Employment and Training Administration pro-
grams. 
SEC. 108. The Secretary of Labor shall submit to the 
Committees on Appropriations of the House of Represent-
atives and the Senate a plan for the transfer of the admin-
istration of the Job Corps program authorized under title 
I–C of the Workforce Investment Act of 1998 from the 
Office of the Secretary to the Employment and Training 
Administration. As of the date that is 30 days after the 
date of submission of such plan, the Secretary may trans-
fer the administration and appropriated funds of the pro-
gram from the Office of the Secretary and the provisions 
of section 102 of Public Law 109–149 shall no longer be 
applicable. 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2010’’. 
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TITLE II—DEPARTMENT OF HEALTH AND 
HUMAN SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
HEALTH RESOURCES AND SERVICES 
For carrying out titles II, III, IV, VII, VIII, X, XI, 
XII, XIX, and XXVI of the Public Health Service Act 
(‘‘PHS Act’’), section 427(a) of the Federal Coal Mine 
Health and Safety Act, title V and sections 711, 1128E, 
and 1820 of the Social Security Act, the Health Care 
Quality Improvement Act of 1986, the Native Hawaiian 
Health Care Act of 1988, the Cardiac Arrest Survival Act 
of 2000, section 712 of the American Jobs Creation Act 
of 2004, and the Stem Cell Therapeutic and Research Act 
of 2005, $7,305,817,000 (increased by $1,000,000), of 
which $41,200,000 from general revenues, notwith-
standing section 1820(j) of the Social Security Act, shall 
be available for carrying out the Medicare rural hospital 
flexibility grants program under such section: Provided, 
That of the funds made available under this heading, 
$129,000 shall be available until expended for facilities 
renovations at the Gillis W. Long Hansen’s Disease Cen-
ter: Provided further, That $56,000,000 of the funding 
provided for community health centers shall be for base 
grant adjustments for existing health centers: Provided 
further, That in addition to fees authorized by section 
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427(b) of the Health Care Quality Improvement Act of 
1986, fees shall be collected for the full disclosure of infor-
mation under the Act sufficient to recover the full costs 
of operating the National Practitioner Data Bank, and 
shall remain available until expended to carry out that 
Act: Provided further, That fees collected for the full dis-
closure of information under the ‘‘Health Care Fraud and 
Abuse Data Collection Program’’, authorized by section 
1128E(d)(2) of the Social Security Act, shall be sufficient 
to recover the full costs of operating the program, and 
shall remain available until expended to carry out that 
Act: Provided further, That no more than $40,000 shall 
be available until expended for carrying out the provisions 
of section 224(o) of the PHS Act including associated ad-
ministrative expenses and relevant evaluations: Provided 
further, That no more than $44,055,000 shall be available 
until expended for carrying out the provisions of Public 
Law 104–73 and for expenses incurred by the Department 
of Health and Human Services (‘‘HHS’’) pertaining to ad-
ministrative claims made under such law: Provided further, 
That of the funds made available under this heading, 
$317,491,000 shall be for the program under title X of 
the PHS Act to provide for voluntary family planning 
projects: Provided further, That amounts provided to said 
projects under such title shall not be expended for abor-
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tions, that all pregnancy counseling shall be nondirective, 
and that such amounts shall not be expended for any ac-
tivity (including the publication or distribution of lit-
erature) that in any way tends to promote public support 
or opposition to any legislative proposal or candidate for 
public office: Provided further, That of the funds available 
under this heading, $1,932,865,000 shall remain available 
to the Secretary of HHS through September 30, 2012, 
for parts A and B of title XXVI of the PHS Act: Provided 
further, That within the amounts provided for part A of 
title XXVI of the PHS Act, $6,021,000 shall be available 
to the Secretary through September 30, 2012, and shall 
be available to qualifying jurisdictions, within 30 days of 
enactment, for increasing supplemental grants for fiscal 
year 2010 to metropolitan and transitional areas that re-
ceived grant funding in fiscal year 2009 under subparts 
I and II of part A of title XXVI of the PHS Act to ensure 
that an area’s total funding under subparts I and II of 
part A for fiscal year 2009, together with the amount of 
this additional funding, is not less than 92.4 percent of 
the amount of such area’s total funding under part A for 
fiscal year 2006: Provided further, That notwithstanding 
section 2603(c)(1) of the PHS Act, the additional funding 
to areas under the immediately preceding proviso, which 
may be used for costs incurred during fiscal year 2009, 
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shall be available to the area for obligation from the date 
of the award through the end of the grant year for the 
award: Provided further, That $835,000,000 shall be for 
State AIDS Drug Assistance Programs authorized by sec-
tion 2616 of the PHS Act: Provided further, That in addi-
tion to amounts provided herein, $25,000,000 shall be 
available from amounts available under section 241 of the 
PHS Act to carry out parts A, B, C, and D of title XXVI 
of the PHS Act to fund section 2691 Special Projects of 
National Significance: Provided further, That notwith-
standing section 703 of Public Law 109–415, authority 
to carry out title XXVI of the PHS Act shall continue 
in effect until October 1, 2010, unless prior to that date, 
authorization is enacted into law otherwise extending this 
authority: Provided further, That notwithstanding sections 
502(a)(1) and 502(b)(1) of the Social Security Act, not 
to exceed $92,649,000 shall be available for carrying out 
special projects of regional and national significance pur-
suant to section 501(a)(2) of such Act and $10,400,000 
shall be available for projects described in paragraphs (A) 
through (F) of section 501(a)(3) of such Act: Provided 
further, That notwithstanding section 747(e)(2) of the 
PHS Act, not less than $5,000,000 shall be for general 
dentistry programs, not less than $5,000,000 shall be for 
pediatric dentistry programs including faculty loan repay-
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ment, and not less than $29,025,000 shall be for family 
medicine programs: Provided further, That funds provided 
under section 846 and subpart 3 of part D of title III 
of the PHS Act may be used to make prior year adjust-
ments to awards made under these sections: Provided fur-
ther, That of the amount appropriated in this paragraph, 
$179,330,000 shall be used for the projects financing the 
construction and renovation (including equipment) of 
health care and other facilities and for other health-related 
activities, and in the amounts, specified under the heading 
‘‘Health Resources and Services’’ in the report of the 
Committee on Appropriations of the House of Representa-
tives to accompany this Act, and of which up to one per-
cent of the amount for each project may be used for re-
lated agency administrative expenses: Provided further, 
That notwithstanding section 338J(k) of the PHS Act, 
$9,700,000 shall be available for State Offices of Rural 
Health: Provided further, That of the funds provided, 
$15,000,000 shall be available for the Small Rural Hos-
pital Improvement Grant Program for quality improve-
ment and adoption of health information technology: Pro-
vided further, That $75,000,000 shall be available for 
State Health Access Grants to expand access to affordable 
health care coverage for the uninsured populations in such 
States. 
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HEALTH EDUCATION ASSISTANCE LOANS PROGRAM 
ACCOUNT 
Such sums as may be necessary to carry out the pur-
pose of the program, as authorized by title VII of the Pub-
lic Health Service Act (‘‘PHS Act’’). For administrative 
expenses to carry out the guaranteed loan program, in-
cluding section 709 of the PHS Act, $2,847,000. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund (‘‘Trust Fund’’), such sums as may 
be necessary for claims associated with vaccine-related in-
jury or death with respect to vaccines administered after 
September 30, 1988, pursuant to subtitle 2 of title XXI 
of the Public Health Service Act, to remain available until 
expended: Provided, That for necessary administrative ex-
penses, not to exceed $6,502,000 shall be available from 
the Trust Fund to the Secretary of Health and Human 
Services. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
DISEASE CONTROL, RESEARCH, AND TRAINING 
To carry out titles II, III, VII, XI, XV, XVII, XIX, 
XXI, and XXVI of the Public Health Service Act (‘‘PHS 
Act’’), sections 101, 102, 103, 201, 202, 203, 301, 501, 
and 514 of the Federal Mine Safety and Health Act of 
1977, section 13 of the Mine Improvement and New 
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Emergency Response Act of 2006, sections 20, 21, and 
22 of the Occupational Safety and Health Act of 1970, 
title IV of the Immigration and Nationality Act, section 
501 of the Refugee Education Assistance Act of 1980, and 
for expenses necessary to support activities related to 
countering potential biological, nuclear, radiological, and 
chemical threats to civilian populations; including pur-
chase and insurance of official motor vehicles in foreign 
countries; and purchase, hire, maintenance, and operation 
of aircraft, $6,313,032,000 (increased by $1,000,000), of 
which $30,000,000 shall remain available until expended 
for acquisition of real property, equipment, construction 
and renovation of facilities; of which $595,749,000 shall 
remain available until expended for the Strategic National 
Stockpile under section 319F–2 of the PHS Act; of which 
$13,455,000 shall be used for the projects, and in the 
amounts, specified under the heading ‘‘Disease Control, 
Research, and Training’’ in the report of the Committee 
on Appropriations of the House of Representatives to ac-
company this Act; of which $118,979,000 for international 
HIV/AIDS shall remain available through September 30, 
2011; and of which $70,723,000 shall be available until 
expended to provide screening and treatment for first re-
sponse emergency services personnel, residents, students, 
and others related to the September 11, 2001, terrorist 
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attacks on the World Trade Center: Provided, That in ad-
dition, such sums as may be derived from authorized user 
fees, which shall be credited to this account: Provided fur-
ther, That with respect to the previous proviso, authorized 
user fees from the Vessel Sanitation Program shall be 
available through September 30, 2011: Provided further, 
That in addition to amounts provided herein, the following 
amounts shall be available from amounts available under 
section 241 of the PHS Act: (1) $12,864,000 to carry out 
the National Immunization Surveys; (2) $138,683,000 
(increased by $1,000,000) to carry out the National Cen-
ter for Health Statistics surveys; (3) $47,386,000 (re-
duced by $1,000,000) for Public Health Informatics; (4) 
$47,036,000 for Health Marketing; (5) $31,170,000 to 
carry out Public Health Research; and (6) $91,724,000 
to carry out research activities within the National Occu-
pational Research Agenda: Provided further, That none of 
the funds made available for injury prevention and control 
at the Centers for Disease Control and Prevention may 
be used, in whole or in part, to advocate or promote gun 
control: Provided further, That of the funds made available 
under this heading, up to $1,000 per eligible employee of 
the Centers for Disease Control and Prevention shall be 
made available until expended for Individual Learning Ac-
counts: Provided further, That the Director may redirect 
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the total amount made available under authority of Public 
Law 101–502, section 3, dated November 3, 1990, to ac-
tivities the Director may so designate: Provided further, 
That the Committees on Appropriations of the House of 
Representatives and the Senate are to be notified promptly 
of any such redirection: Provided further, That not to ex-
ceed $20,573,000 may be available for making grants 
under section 1509 of the PHS Act to not less than 21 
States, tribes, or tribal organizations: Provided further, 
That of the funds appropriated, $10,000 shall be for offi-
cial reception and representation expenses when specifi-
cally approved by the Director of the Centers for Disease 
Control and Prevention: Provided further, That employees 
of the Centers for Disease Control and Prevention or the 
Public Health Service, both civilian and Commissioned Of-
ficers, detailed to States, municipalities, or other organiza-
tions under authority of section 214 of the PHS Act, or 
in overseas assignments, shall be treated as non-Federal 
employees for reporting purposes only and shall not be in-
cluded within any personnel ceiling applicable to the Agen-
cy, Service, or the Department of Health and Human 
Services during the period of detail or assignment: Pro-
vided further, That none of the funds appropriated may 
be used to implement section 2625 of the PHS Act. 
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In addition, for necessary expenses to administer the 
Energy Employees Occupational Illness Compensation 
Program Act, $55,358,000, to remain available until ex-
pended: Provided, That this amount shall be available con-
sistent with the provision regarding administrative ex-
penses in section 151(b) of division B, title I of Public 
Law 106–554. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic 
Health 
Service 
Act 
with 
respect 
to 
cancer, 
$5,150,170,000, of which up to $8,000,000 may be used 
for facilities repairs and improvements at the National 
Cancer Institute-Frederick Federally Funded Research 
and Development Center in Frederick, Maryland. 
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to cardiovascular, lung, 
and blood diseases, and blood and blood products, 
$3,123,403,000. 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 
RESEARCH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to dental disease, 
$417,032,000. 
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NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND 
KIDNEY DISEASES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to diabetes and diges-
tive and kidney disease, $1,824,251,000. 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS 
AND STROKE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to neurological dis-
orders and stroke, $1,650,253,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to allergy and infec-
tious diseases, $4,859,502,000, of which $500,000,000 
shall be derived by transfer from funds appropriated under 
the heading ‘‘Biodefense Countermeasures’’ in the Depart-
ment of Homeland Security Appropriations Act, 2004: 
Provided, That $300,000,000 may be made available to 
International Assistance Programs ‘‘Global Fund to Fight 
HIV/AIDS, Malaria, and Tuberculosis’’, to remain avail-
able until expended. 
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NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to general medical 
sciences, $2,069,156,000. 
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF 
CHILD HEALTH AND HUMAN DEVELOPMENT 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to child health and 
human development, $1,341,120,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to eye diseases and 
visual disorders, $713,072,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to environmental 
health sciences, $695,497,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Pub-
lic 
Health 
Service 
Act 
with 
respect 
to 
aging, 
$1,119,404,000. 
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NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to arthritis and mus-
culoskeletal and skin diseases, $543,621,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to deafness and other 
communication disorders, $422,308,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to nursing research, 
$146,945,000. 
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to alcohol abuse and 
alcoholism, $466,308,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to drug abuse, 
$1,069,583,000. 
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NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to mental health, 
$1,502,266,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to human genome re-
search, $520,311,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to biomedical imaging 
and bioengineering research, $319,217,000. 
NATIONAL CENTER FOR RESEARCH RESOURCES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to research resources 
and general research support grants, $1,280,031,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
ALTERNATIVE MEDICINE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to complementary and 
alternative medicine, $129,953,000. 
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NATIONAL CENTER ON MINORITY HEALTH AND HEALTH 
DISPARITIES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to minority health and 
health disparities research, $213,316,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of 
title IV of the Public Health Service Act), $70,780,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (‘‘PHS Act’’) with respect to health 
information communications, $342,585,000, of which 
$4,000,000 shall be available until expended for improve-
ment of information systems: Provided, That in fiscal year 
2010, the National Library of Medicine may enter into 
personal services contracts for the provision of services in 
facilities owned, operated, or constructed under the juris-
diction of the National Institutes of Health: Provided fur-
ther, That in addition to amounts provided herein, 
$8,200,000 shall be available from amounts available 
under section 241 of the PHS Act to carry out the pur-
poses of the National Information Center on Health Serv-
ices Research and Health Care Technology established 
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under section 478A of the PHS Act and related health 
services. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the Director, National Institutes of Health (‘‘NIH’’), 
$1,168,704,000, of which up to $25,000,000 shall be used 
to carry out section 214 of this Act: Provided, That fund-
ing shall be available for the purchase of not to exceed 
29 passenger motor vehicles for replacement only: Pro-
vided further, That the NIH is authorized to collect third 
party payments for the cost of clinical services that are 
incurred in NIH research facilities and that such pay-
ments shall be credited to the NIH Management Fund 
(‘‘Fund’’): Provided further, That all funds credited to the 
Fund shall remain available for one fiscal year after the 
fiscal year in which they are deposited: Provided further, 
That up to $194,400,000 shall be available for continu-
ation of the National Children’s Study: Provided further, 
That $534,066,000 shall be available for the Common 
Fund established under section 402A(c)(1) of the Public 
Health Service Act (‘‘PHS Act’’): Provided further, That 
of the funds provided $10,000 shall be for official recep-
tion and representation expenses when specifically ap-
proved by the Director of the NIH: Provided further, That 
the Office of AIDS Research within the Office of the Di-
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rector of the NIH may spend up to $8,000,000 to make 
grants for construction or renovation of facilities as pro-
vided for in section 2354(a)(5)(B) of the PHS Act. 
BUILDINGS AND FACILITIES 
For the study of, construction of, renovation of, and 
acquisition of equipment for, facilities of or used by the 
National Institutes of Health, including the acquisition of 
real property, $100,000,000, to remain available until ex-
pended. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
For carrying out titles III, V, and XIX of the Public 
Health Service Act (‘‘PHS Act’’) with respect to substance 
abuse and mental health services and the Protection and 
Advocacy for Individuals with Mental Illness Act, 
$3,419,438,000, of which $10,108,000 shall be used for 
the projects, and in the amounts, specified under the head-
ing ‘‘Substance Abuse and Mental Health Services’’ in the 
report of the Committee on Appropriations of the House 
of Representatives to accompany this Act: Provided, That 
notwithstanding section 520A(f)(2) of the PHS Act, no 
funds appropriated for carrying out section 520A are 
available for carrying out section 1971 of the PHS Act: 
Provided further, That $795,000 shall be available until 
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expended for reimbursing the General Services Adminis-
tration for environmental testing and remediation on the 
federally owned facilities at St. Elizabeths Hospital, in-
cluding but not limited to testing and remediation con-
ducted prior to fiscal year 2010: Provided further, That 
in addition to amounts provided herein, the following 
amounts shall be available under section 241 of the PHS 
Act: (1) $79,200,000 to carry out subpart II of part B 
of title XIX of the PHS Act to fund section 1935(b) tech-
nical assistance, national data, data collection and evalua-
tion activities, and further that the total available under 
this Act for section 1935(b) activities shall not exceed 5 
percent of the amounts appropriated for subpart II of part 
B of title XIX; (2) $21,039,000 to carry out subpart I 
of part B of title XIX of the PHS Act to fund section 
1920(b) technical assistance, national data, data collection 
and evaluation activities, and further that the total avail-
able under this Act for section 1920(b) activities shall not 
exceed 5 percent of the amounts appropriated for subpart 
I of part B of title XIX; (3) $22,750,000 to carry out 
national surveys on drug abuse and mental health; and 
(4) $8,596,000 to collect and analyze data and evaluate 
substance abuse treatment programs: Provided further, 
That section 520E(b)(2) of the PHS Act shall not apply 
to funds appropriated under this Act for fiscal year 2010. 
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AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the Public 
Health Service Act (‘‘PHS Act’’), part A of title XI of 
the Social Security Act, and section 1013 of the Medicare 
Prescription Drug, Improvement, and Modernization Act 
of 2003, amounts received from Freedom of Information 
Act fees, reimbursable and interagency agreements, and 
the sale of data shall be credited to this appropriation and 
shall remain available until expended: Provided, That the 
amount made available pursuant to section 937(c) of the 
PHS Act shall not exceed $372,053,000. 
CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $220,962,473,000, 
to remain available until expended. 
For making, after May 31, 2010, payments to States 
under title XIX of the Social Security Act for the last 
quarter of fiscal year 2010 for unanticipated costs, in-
curred for the current fiscal year, such sums as may be 
necessary. 
For making payments to States or in the case of sec-
tion 1928 on behalf of States under title XIX of the Social 
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Security Act for the first quarter of fiscal year 2011, 
$86,789,382,000, to remain available until expended. 
Payment under title XIX may be made for any quar-
ter with respect to a State plan or plan amendment in 
effect during such quarter, if submitted in or prior to such 
quarter and approved in that or any subsequent quarter. 
PAYMENTS TO HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as provided under sections 217(g), 
1844, and 1860D–16 of the Social Security Act, sections 
103(c) and 111(d) of the Social Security Amendments of 
1965, section 278(d) of Public Law 97–248, and for ad-
ministrative expenses incurred pursuant to section 201(g) 
of the Social Security Act, $207,296,070,000. 
In addition, for making matching payments under 
section 1844, and benefit payments under section 1860D– 
16 of the Social Security Act, not anticipated in budget 
estimates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the Public Health Service Act (‘‘PHS 
Act’’), and the Clinical Laboratory Improvement Amend-
ments of 1988, not to exceed $3,463,362,000, to be trans-
VerDate Nov 24 2008 
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ferred from the Federal Hospital Insurance Trust Fund 
and the Federal Supplementary Medical Insurance Trust 
Fund, as authorized by section 201(g) of the Social Secu-
rity Act; together with all funds collected in accordance 
with section 353 of the PHS Act and section 1857(e)(2) 
of the Social Security Act, funds retained by the Secretary 
of Health and Human Services pursuant to section 302 
of the Tax Relief and Health Care Act of 2006; and such 
sums as may be collected from authorized user fees and 
the sale of data, which shall be credited to this account 
and remain available until expended: Provided, That all 
funds derived in accordance with 31 U.S.C. 9701 from 
organizations established under title XIII of the PHS Act 
shall be credited to and available for carrying out the pur-
poses of this appropriation: Provided further, That 
$35,681,000, to remain available through September 30, 
2011, shall be for contract costs for the Healthcare Inte-
grated General Ledger Accounting System: Provided fur-
ther, That $65,600,000, to remain available through Sep-
tember 30, 2011, shall be for the Centers for Medicare 
and Medicaid Services (‘‘CMS’’) Medicare contracting re-
form activities: Provided further, That the Secretary is di-
rected to collect fees in fiscal year 2010 from Medicare 
Advantage organizations pursuant to section 1857(e)(2) 
of the Social Security Act and from eligible organizations 
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with risk-sharing contracts under section 1876 of that Act 
pursuant to section 1876(k)(4)(D) of that Act: Provided 
further, That $1,600,000 shall be used for the projects, 
and in the amounts, specified under the heading ‘‘Pro-
gram Management’’ in the report of the Committee on Ap-
propriations of the House of Representatives to accom-
pany this Act: Provided further, That $65,000,000 shall 
be available for the State high risk health insurance pool 
program as authorized by the State High Risk Pool Fund-
ing Extension Act of 2006. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $311,000,000, 
to remain available through September 30, 2011, to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund, as authorized by section 201(g) of the Social 
Security Act, of which $220,320,000 shall be for the Medi-
care Integrity Program at the Centers for Medicare and 
Medicaid Services, including administrative costs, to con-
duct oversight activities for Medicare Advantage and the 
Medicare Prescription Drug Program authorized in title 
XVIII of the Social Security Act and for activities listed 
in section 1893 of such Act; of which $29,790,000 shall 
be for the Department of Health and Human Services Of-
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fice of Inspector General to carry out fraud and abuse ac-
tivities authorized by section 1817(k)(3) of such Act; of 
which $31,100,000 shall be for the Medicaid and Chil-
dren’s Health Insurance Program (‘‘CHIP’’) program in-
tegrity activities; and of which $29,790,000 shall be for 
the Department of Justice to carry out fraud and abuse 
activities authorized by section 1817(k)(3) of such Act: 
Provided, That the report required by section 1817(k)(5) 
of the Social Security Act for fiscal year 2010 shall include 
measures of the operational efficiency and impact on 
fraud, waste, and abuse in the Medicare, Medicaid, and 
CHIP programs for the funds provided by this appropria-
tion. 
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, 
$3,571,509,000, to remain available until expended; and 
for such purposes for the first quarter of fiscal year 2011, 
$1,100,000,000, to remain available until expended. 
For making payments to each State for carrying out 
the program of Aid to Families with Dependent Children 
under title IV–A of the Social Security Act before the ef-
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fective date of the program of Temporary Assistance for 
Needy Families with respect to such State, such sums as 
may be necessary: Provided, That the sum of the amounts 
available to a State with respect to expenditures under 
such title IV–A in fiscal year 1997 under this appropria-
tion and under such title IV–A as amended by the Per-
sonal Responsibility 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, for the last 3 months 
of the current fiscal year for unanticipated costs, incurred 
for the current fiscal year, such sums as may be necessary. 
LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b), (d), and 
(e) of section 2602 of the Low Income Home Energy As-
sistance 
Act 
of 
1981, 
$5,100,000,000, 
of 
which 
$4,509,672,000 shall be for payments under subsections 
(b) and (d) of such section; and of which $590,328,000 
shall be for payments under subsection (e) of such section, 
to be made notwithstanding the designation requirements 
of such subsection: Provided, That all but $839,792,000 
of the amount provided in this Act for subsections (b) and 
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(d) shall be allocated as though the total appropriation 
for such payments for fiscal year 2010 was less than 
$1,975,000,000: Provided further, That notwithstanding 
section 2605(b)(2)(B)(ii) of such Act, a State may use any 
amount of an allotment from prior appropriations Acts 
that is available to that State for providing assistance in 
fiscal year 2010, and any allotment from funds appro-
priated in this Act or any other appropriations Act for 
fiscal year 2010, to provide assistance to households whose 
income does not exceed 75 percent of the State median 
income. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant as-
sistance activities authorized by section 414 of the Immi-
gration and Nationality Act and section 501 of the Ref-
ugee Education Assistance Act of 1980, for carrying out 
section 462 of the Homeland Security Act of 2002, section 
235 of the William Wilberforce Trafficking Victims Pro-
tection Reauthorization Act of 2008, and the Trafficking 
Victims Protection Act of 2000, for costs associated with 
the care and placement of unaccompanied alien children, 
and for carrying out the Torture Victims Relief Act of 
1998, $714,968,000, of which up to $9,814,000 shall be 
available to carry out the Trafficking Victims Protection 
Act of 2000: Provided, That funds appropriated under this 
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heading pursuant to section 414(a) of the Immigration 
and Nationality Act, section 462 of the Homeland Secu-
rity Act of 2002, section 235 of the William Wilberforce 
Trafficking Victims Protection Reauthorization Act of 
2008, and the Trafficking Victims Protection Act of 2000 
for fiscal year 2010 shall be available for the costs of as-
sistance provided and other activities to remain available 
through September 30, 2012. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block Grant Act of 1990, $2,127,081,000 shall be used 
to supplement, not supplant State general revenue funds 
for child care assistance for low-income families: Provided, 
That $18,960,000 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 hot-
line: Provided further, That, in addition to the amounts 
required to be reserved by the States under section 658G, 
$271,401,000 shall be reserved by the States for activities 
authorized under section 658G, of which $99,534,000 
shall be for activities that improve the quality of infant 
and toddler care: Provided further, That $9,910,000 shall 
be for use by the Secretary of Health and Human Services 
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for child care research, demonstration, and evaluation ac-
tivities. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 
2002 of the Social Security Act, $1,700,000,000: Pro-
vided, 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. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
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 Prevention and Treatment Act, 
sections 310 and 316 of the Family Violence Prevention 
and Services Act, the Native American Programs Act of 
1974, title II of the Child Abuse Prevention and Treat-
ment and Adoption Reform Act of 1978 (adoption oppor-
tunities), sections 330F and 330G of the Public Health 
Service Act (‘‘PHS Act’’), the Abandoned Infants Assist-
ance Act of 1988, sections 261 and 291 of the Help Amer-
ica Vote Act of 2002, part B–1 of title IV and sections 
413, 1110, and 1115 of the Social Security Act; for mak-
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ing payments under the Community Services Block Grant 
Act (‘‘CSBG Act’’), sections 439(i), 473B, and 477(i) of 
the Social Security Act, and the Assets for Independence 
Act; and for necessary administrative expenses to carry 
out such Acts and titles I, IV, V, X, XI, XIV, XVI, and 
XX of the Social Security Act, the Act of July 5, 1960, 
the Low Income Home Energy Assistance Act of 1981, 
title IV of the Immigration and Nationality Act, and sec-
tion 501 of the Refugee Education Assistance Act of 1980, 
$9,436,951,000, of which $39,500,000, to remain avail-
able through September 30, 2011, shall be for grants to 
States for adoption incentive payments, as authorized by 
section 473A of the Social Security Act and may be made 
for adoptions completed before September 30, 2010: Pro-
vided, That $7,234,783,000 shall be for making payments 
under the Head Start Act: Provided further, That of the 
funds appropriated in the American Recovery and Rein-
vestment Act of 2009 for Head Start and Early Head 
Start, only the amount provided to a Head Start grantee 
under section 640(a)(3)(A)(i)(I) of the Head Start Act as 
a cost of living adjustment may be considered to be part 
of the fiscal year 2009 base grant for such grantee for 
purposes of section 640(a)(2)(B)(i) through (v) of the 
Head Start Act: Provided further, That $746,000,000 
shall be for making payments under the CSBG Act: Pro-
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vided further, That not less than $10,000,000 shall be for 
section 680(a)(3)(B) of the CSBG Act: Provided further, 
That in addition to amounts provided herein, $5,762,000 
shall be available from amounts available under section 
241 of the PHS Act to carry out the provisions of section 
1110 of the Social Security Act: Provided further, That 
to the extent Community Services Block Grant funds are 
distributed as grant funds by a State to an eligible entity 
as provided under the CSBG Act, and have not been ex-
pended by such entity, they shall remain with such entity 
for carryover into the next fiscal year for expenditure by 
such entity consistent with program purposes: Provided 
further, That the Secretary of Health and Human Services 
shall establish procedures regarding the disposition of in-
tangible assets and program income that permit such as-
sets acquired with, and program income derived from, 
grant funds authorized under section 680 of the CSBG 
Act to become the sole property of such grantees after a 
period of not more than 12 years after the end of the 
grant period for any activity consistent with section 
680(a)(2)(A) of the CSBG Act: Provided further, That in-
tangible assets in the form of loans, equity investments 
and other debt instruments, and program income may be 
used by grantees for any eligible purpose consistent with 
section 680(a)(2)(A) of the CSBG Act: Provided further, 
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That these procedures shall apply to such grant funds 
made available after November 29, 1999: Provided further, 
That funds appropriated for section 680(a)(2) of the 
CSBG Act shall be available for financing construction 
and rehabilitation and loans or investments in private 
business enterprises owned by community development 
corporations: Provided further, That $17,410,000 shall be 
for activities authorized by the Help America Vote Act of 
2002, of which $12,154,000 shall be for payments to 
States to promote access for voters with disabilities, and 
of which $5,256,000 shall be for payments to States for 
protection and advocacy systems for voters with disabil-
ities: Provided further, That $110,000,000 shall be for 
making competitive contracts and grants to fund teenage 
pregnancy prevention programs and for the Federal costs 
of administering and evaluating such contracts and 
grants, of which not less than $75,000,000 shall be for 
programs that replicate the elements of one or more teen-
age pregnancy prevention programs that have been proven 
effective through rigorous evaluation to reduce teenage 
pregnancy or reduce behavioral risk factors underlying 
teenage pregnancy; of which not less than $25,000,000 
shall be available for research and demonstration grants 
to develop, replicate, refine, and test additional models and 
innovative strategies for preventing teenage pregnancy: 
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Provided further, that in addition to amounts provided 
herein for teenage pregnancy prevention, $4,455,000 shall 
be available from amounts under section 241 of the PHS 
Act to carry out evaluations (including longitudinal eval-
uations) of teenage pregnancy prevention approaches: Pro-
vided further, That $2,000,000 shall be for a human serv-
ices case management system for Federally-declared disas-
ters, to include a comprehensive national case manage-
ment contract and Federal costs of administering the sys-
tem: Provided further, That up to $2,000,000 shall be for 
improving the Public Assistance Reporting Information 
System, including grants to States to support data collec-
tion for a study of the system’s effectiveness: Provided fur-
ther, That of the funds appropriated under this heading, 
$1,000,000 shall be transferred to the National Commis-
sion on Children and Disasters to carry out title VI of 
division G of Public Law 110–161: Provided further, That 
$14,819,000 shall be used for the projects, and in the 
amounts, specified under the heading ‘‘Children and Fam-
ilies Services Programs’’ in the report of the Committee 
on Appropriations of the House of Representatives to ac-
company this Act. 
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PROMOTING SAFE AND STABLE FAMILIES 
For carrying out section 436 of the Social Security 
Act, $345,000,000 and section 437 of such Act, 
$63,311,000. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For making payments to States or other non-Federal 
entities under title IV–E of the Social Security Act, 
$5,532,000,000. 
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 2011, $1,850,000,000. 
For making, after May 31 of the current fiscal year, 
payments to States or other non-Federal entities under 
section 474 of title IV–E of the Social Security Act, for 
the last 3 months of the current fiscal year for unantici-
pated costs, incurred for the current fiscal year, such sums 
as may be necessary. 
ADMINISTRATION ON AGING 
AGING SERVICES PROGRAMS 
For carrying out, to the extent not otherwise pro-
vided, the Older Americans Act of 1965, section 398 and 
title XXIX of the Public Health Service Act, and section 
119 of the Medicare Improvements for Patients and Pro-
viders Act of 2008, $1,530,881,000, of which $5,500,000 
shall be available for activities regarding medication man-
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agement, screening, and education to prevent incorrect 
medication and adverse drug reactions: Provided, That 
$5,079,000 shall be used for the projects, and in the 
amounts, specified under the heading ‘‘Aging Services 
Programs’’ in the report of the Committee on Appropria-
tions of the House of Representatives to accompany this 
Act. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six 
sedans, and for carrying out titles III, IV, XVII, XX, and 
XXI of the Public Health Service Act (‘‘PHS Act’’), the 
United States-Mexico Border Health Commission Act, and 
research studies under section 1110 of the Social Security 
Act, $397,601,000 (reduced by $1,000,000), together with 
$5,851,000 to be transferred and expended as authorized 
by section 201(g)(1) of the Social Security Act from the 
Federal Hospital Insurance Trust Fund and the Federal 
Supplementary Medical Insurance Trust Fund, and 
$69,756,000 from the amounts available under section 
241 of the PHS Act to carry out national health or human 
services research and evaluation activities: Provided, That 
of this amount, $53,891,000 shall be for minority AIDS 
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prevention and treatment activities; $5,789,000 shall be 
to assist Afghanistan in the development of maternal and 
child health clinics, consistent with section 103(a)(4)(H) 
of the Afghanistan Freedom Support Act of 2002; and 
$1,000,000 shall be transferred, not later than 30 days 
after enactment of this Act, to the National Institute of 
Mental Health to administer the Interagency Autism Co-
ordinating Committee: Provided further, That of the funds 
made available under this heading for carrying out title 
XX of the PHS Act, $13,120,000 shall be for activities 
specified under section 2003(b)(2), of which $9,840,000 
shall be for programs that replicate the elements of one 
or more teenage pregnancy prevention programs that have 
been proven effective through rigorous evaluation to re-
duce teenage pregnancy or reduce behavioral risk factors 
underlying teenage pregnancy, and of which $3,280,000 
shall be for research and demonstration grants to develop, 
replicate, refine, and test additional models and innovative 
strategies for preventing teen pregnancy, without applica-
tion of the limitation of section 2010(c) of such title XX: 
Provided further, That funds provided in this Act for em-
bryo adoption activities may be used to provide, to individ-
uals adopting embryos, through grants and other mecha-
nisms, medical and administrative services deemed nec-
essary for such adoptions: Provided further, That such 
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services shall be provided consistent with 42 CFR 
59.5(a)(4): Provided further, That $700,000 shall be used 
for the projects, and in the amounts, specified under the 
heading ‘‘General Departmental Management’’ in the re-
port of the Committee on Appropriations of the House of 
Representatives to accompany this Act: Provided further, 
That specific information requests from the chairmen and 
ranking members of the Subcommittees on the Depart-
ments of Labor, Health and Human Services, and Edu-
cation, and Related Agencies, on scientific research or any 
other matter, shall be transmitted to the Committees on 
Appropriations of the House of Representatives and the 
Senate (‘‘Committees on Appropriations’’) in a prompt, 
professional manner and within the time frame specified 
in the request: Provided further, That scientific informa-
tion, including such information provided in congressional 
testimony, requested by the Committees on Appropriations 
and prepared by government researchers and scientists 
shall be transmitted to the Committees on Appropriations, 
uncensored and without delay. 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for administrative law judges 
responsible for hearing cases under title XVIII of the So-
cial Security Act (and related provisions of title XI of such 
Act), $71,147,000, to be transferred in appropriate part 
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from the Federal Hospital Insurance Trust Fund and the 
Federal Supplementary Medical Insurance Trust Fund. 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
For expenses necessary for the Office of the National 
Coordinator for Health Information Technology, including 
grants, contracts, and cooperative agreements for the de-
velopment and advancement of interoperable health infor-
mation technology, $61,342,000, which shall be available 
from amounts available under section 241 of the Public 
Health Service Act. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General, including the hire of passenger motor vehicles for 
investigations, in carrying out the provisions of the Inspec-
tor General Act of 1978, $50,279,000: Provided, That of 
such amount, necessary sums shall be available for pro-
viding protective services to the Secretary of Health and 
Human Services and investigating non-payment of child 
support cases for which non-payment is a Federal offense 
under 18 U.S.C. 228: Provided further, That at least forty 
percent of the funds provided in this Act for the Office 
of Inspector General shall be used only for investigations, 
audits, and evaluations pertaining to the discretionary 
programs funded in this Act. 
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OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, $37,785,000, together with not to exceed 
$3,314,000 to be transferred and expended as authorized 
by section 201(g)(1) of the Social Security Act from the 
Federal Hospital Insurance Trust Fund and the Federal 
Supplementary Medical Insurance Trust Fund. 
RETIREMENT PAY AND MEDICAL BENEFITS FOR 
COMMISSIONED OFFICERS 
For retirement pay and medical benefits of Public 
Health Service Commissioned Officers as authorized by 
law, for payments under the Retired Serviceman’s Family 
Protection Plan and Survivor Benefit Plan, and for med-
ical care of dependents and retired personnel under the 
Dependents’ Medical Care Act, such amounts as may be 
required during the current fiscal year. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY 
FUND 
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary to support activities related 
to countering potential biological, nuclear, radiological, 
chemical, and cybersecurity threats to civilian populations, 
and for other public health emergencies and to pay the 
costs described in section 319F–2(c)(7)(B) of the Public 
Health Service Act (‘‘PHS Act’’), $607,482,000; of which 
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$35,565,000 shall be to support preparedness and emer-
gency operations, of which $5,000,000 shall remain avail-
able through September 30, 2011; and of which 
$10,000,000, to remain available through September 30, 
2011, shall be to support the delivery of medical counter-
measures: Provided, That of the amount made available 
herein for the delivery of medical countermeasures, up to 
$8,000,000 may be transferred to the U.S. Postal Service 
to support delivery of medical countermeasures. 
For expenses necessary to support advanced research 
and development pursuant to section 319L of the PHS 
Act, $305,000,000, to be derived by transfer from funds 
appropriated under the heading ‘‘Biodefense Counter-
measures’’ in the Department of Homeland Security Ap-
propriations Act, 2004, to remain available through Sep-
tember 30, 2011. 
For expenses necessary to prepare for and respond 
to an influenza pandemic, $354,167,000, of which 
$276,000,000 shall be available until expended, for activi-
ties including the development and purchase of vaccine, 
antivirals, necessary medical supplies, diagnostics, and 
other surveillance tools: Provided, That products pur-
chased with these funds may, at the discretion of the Sec-
retary of Health and Human Services, be deposited in the 
Strategic National Stockpile under section 319F–2(a) of 
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the PHS Act: Provided further, That notwithstanding sec-
tion 496(b) of the PHS Act, funds may be used for the 
construction or renovation of privately owned facilities for 
the production of pandemic influenza vaccines and other 
biologics, if the Secretary finds such construction or ren-
ovation necessary to secure sufficient supplies of such vac-
cines or biologics: Provided further, That funds appro-
priated herein may be transferred to other appropriation 
accounts of the Department of Health and Human Serv-
ices, as determined by the Secretary to be appropriate, to 
be used for the purposes specified in this paragraph. 
All remaining balances from funds appropriated 
under the heading ‘‘Biodefense Countermeasures’’ in the 
Department of Homeland Security Appropriations Act, 
2004, shall be transferred to this account, and shall re-
main available for obligation through September 30, 2013, 
for the procurement of medical countermeasures pursuant 
to section 319F–2(c) of the PHS Act: Provided, That 
products purchased with these funds shall be deposited in 
the Strategic National Stockpile under section 319F–2(a) 
of the PHS Act. 
For expenses necessary for fit-out and other costs re-
lated to a competitive lease procurement to renovate or 
replace the existing headquarters building for Public 
Health Service agencies and other components of the De-
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partment of Health and Human Services, $70,000,000, to 
remain available until expended. 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be 
available for not to exceed $50,000 for official reception 
and representation expenses when specifically approved by 
the Secretary of Health and Human Services. 
SEC. 202. The Secretary of Health and Human Serv-
ices shall make available through assignment not more 
than 60 employees of the Public Health Service to assist 
in child survival activities and to work in AIDS programs 
through and with funds provided by the Agency for Inter-
national Development, the United Nations International 
Children’s Emergency Fund or the World Health Organi-
zation. 
SEC. 203. None of the funds appropriated in this Act 
for the National Institutes of Health, the Agency for 
Healthcare Research and Quality, and the Substance 
Abuse and Mental Health Services Administration shall 
be used to pay the salary of an individual, through a grant 
or other extramural mechanism, at a rate in excess of Ex-
ecutive Level I. 
SEC. 204. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the Public 
Health Service Act, except for funds specifically provided 
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for in this Act, or for other taps and assessments made 
by any office located in the Department of Health and 
Human Services, prior to the preparation and submission 
of a report by the Secretary of Health and Human Serv-
ices to the Committees on Appropriations of the House 
of Representatives and the Senate detailing the planned 
uses of such funds. 
SEC. 205. Notwithstanding section 241(a) of the 
Public Health Service Act, such portion as the Secretary 
of Health and Human Services shall determine, but not 
more than 2.4 percent, of any amounts appropriated for 
programs authorized under such Act shall be made avail-
able for the evaluation (directly, or by grants or contracts) 
of the implementation and effectiveness of such programs. 
(TRANSFER OF FUNDS) 
SEC. 206. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985) which are appro-
priated for the current fiscal year for the Department of 
Health and Human Services in this Act may be trans-
ferred between appropriations, but no such appropriation 
shall be increased by more than 3 percent by any such 
transfer: Provided, That the transfer authority granted by 
this section shall be available only to meet emergency 
needs and shall not be used to create any new program 
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or to fund any project or activity for which no funds are 
provided in this Act: Provided further, That the Commit-
tees on Appropriations of the House of Representatives 
and the Senate are notified at least 15 days in advance 
of any transfer. 
(TRANSFER OF FUNDS) 
SEC. 207. The Director of the National Institutes of 
Health, jointly with the Director of the Office of AIDS 
Research, may transfer up to 3 percent among institutes 
and centers from the total amounts identified by these two 
Directors as funding for research pertaining to the human 
immunodeficiency virus: Provided, That the Committees 
on Appropriations of the House of Representatives and the 
Senate are notified at least 15 days in advance of any 
transfer. 
(TRANSFER OF FUNDS) 
SEC. 208. Of the amounts made available in this Act 
for the National Institutes of Health, the amount for re-
search related to the human immunodeficiency virus, as 
jointly determined by the Director of the National Insti-
tutes of Health and the Director of the Office of AIDS 
Research, shall be made available to the ‘‘Office of AIDS 
Research’’ account. The Director of the Office of AIDS 
Research shall transfer from such account amounts nec-
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essary to carry out section 2353(d)(3) of the Public 
Health Service Act. 
SEC. 209. None of the funds appropriated in this Act 
may be made available to any entity under title X of the 
Public Health Service Act unless the applicant for the 
award certifies to the Secretary of Health and Human 
Services that it encourages family participation in the de-
cision of minors to seek family planning services and that 
it provides counseling to minors on how to resist attempts 
to coerce minors into engaging in sexual activities. 
SEC. 210. Notwithstanding any other provision of 
law, no provider of services under title X of the Public 
Health Service Act shall be exempt from any State law 
requiring notification or the reporting of child abuse, child 
molestation, sexual abuse, rape, or incest. 
SEC. 211. None of the funds appropriated by this Act 
(including funds appropriated to any trust fund) may be 
used to carry out the Medicare Advantage program if the 
Secretary of Health and Human Services denies participa-
tion in such program to an otherwise eligible entity (in-
cluding a Provider Sponsored Organization) because the 
entity informs the Secretary that it will not provide, pay 
for, provide coverage of, or provide referrals for abortions: 
Provided, That the Secretary shall make appropriate pro-
spective adjustments to the capitation payment to such an 
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entity (based on an actuarially sound estimate of the ex-
pected costs of providing the service to such entity’s enroll-
ees): Provided further, That nothing in this section shall 
be construed to change the Medicare program’s coverage 
for such services and a Medicare Advantage organization 
described in this section shall be responsible for informing 
enrollees where to obtain information about all Medicare 
covered services. 
SEC. 212. (a) Except as provided by subsection (e) 
none of the funds appropriated for fiscal year 2010 or any 
subsequent fiscal year by this or any subsequent appro-
priations Act may be used to withhold substance abuse 
funding from a State pursuant to section 1926 of the Pub-
lic Health Service Act (‘‘PHS Act’’) if such State certifies 
to the Secretary of Health and Human Services by May 
1 of the fiscal year for which the funds are appropriated 
that the State will commit additional State funds, in ac-
cordance with subsection (b), to ensure compliance with 
State laws prohibiting the sale of tobacco products to indi-
viduals under 18 years of age. 
(b) The amount of funds to be committed by a State 
under subsection (a) shall be equal to 1 percent of such 
State’s substance abuse block grant allocation for each 
percentage point by which the State misses the retailer 
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compliance rate goal established by the Secretary under 
section 1926 of such Act. 
(c) The State is to maintain State expenditures in 
such fiscal year for tobacco prevention programs and for 
compliance activities at a level that is not less than the 
level of such expenditures maintained by the State for the 
preceding fiscal year, and adding to that level the addi-
tional funds for tobacco compliance activities required 
under subsection (a). The State is to submit a report to 
the Secretary on all State obligations of funds for such 
fiscal year and all State expenditures for the preceding 
fiscal year for tobacco prevention and compliance activities 
by program activity by July 31 of such fiscal year. 
(d) The Secretary shall exercise discretion in enforc-
ing the timing of the State obligation of the additional 
funds required by the certification described in subsection 
(a) as late as July 31 of such fiscal year. 
(e) None of the funds appropriated by this or any 
subsequent appropriations Act may be used to withhold 
substance abuse funding pursuant to section 1926 of the 
PHS Act from a territory that receives less than 
$1,000,000. 
SEC. 213. In order for the Department of Health and 
Human Services to carry out international health activi-
ties, including HIV/AIDS and other infectious disease, 
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chronic and environmental disease, and other health ac-
tivities abroad during fiscal year 2010: 
(1) The Secretary of Health and Human Serv-
ices may exercise authority equivalent to that avail-
able to the Secretary of State in section 2(c) of the 
State Department Basic Authorities Act of 1956. 
The Secretary of Health and Human Services shall 
consult with the Secretary of State and relevant 
Chief of Mission to ensure that the authority pro-
vided in this section is exercised in a manner con-
sistent with section 207 of the Foreign Service Act 
of 1980 and other applicable statutes administered 
by the Department of State. 
(2) The Secretary of Health and Human Serv-
ices is authorized to provide such funds by advance 
or reimbursement to the Secretary of State as may 
be necessary to pay the costs of acquisition, lease, 
alteration, renovation, and management of facilities 
outside of the United States for the use of the De-
partment of Health and Human Services. The De-
partment of State shall cooperate fully with the Sec-
retary of Health and Human Services to ensure that 
the Department of Health and Human Services has 
secure, safe, functional facilities that comply with 
applicable regulation governing location, setback, 
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and other facilities requirements and serve the pur-
poses established by this Act. The Secretary of 
Health and Human Services is authorized, in con-
sultation with the Secretary of State, through grant 
or cooperative agreement, to make available to pub-
lic or nonprofit private institutions or agencies in 
participating foreign countries, funds to acquire, 
lease, alter, or renovate facilities in those countries 
as necessary to conduct programs of assistance for 
international health activities, including activities re-
lating to HIV/AIDS and other infectious diseases, 
chronic and environmental diseases, and other health 
activities abroad. 
SEC. 214. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of the National Insti-
tutes of Health (‘‘Director’’) may use funds available 
under section 402(b)(7) or 402(b)(12) of the Public 
Health Service Act (‘‘PHS Act’’) to enter into trans-
actions (other than contracts, cooperative agreements, or 
grants) to carry out research identified pursuant to such 
section 402(b)(7) (pertaining to the Common Fund) or re-
search and activities described in such section 402(b)(12). 
(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director may utilize such peer 
review procedures (including consultation with appropriate 
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scientific experts) as the Director determines to be appro-
priate 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 pro-
cedures 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 PHS Act. 
SEC. 215. Notwithstanding any other provisions of 
law, funds made available under this Act may be used to 
continue operating the Council on Graduate Medical Edu-
cation established by section 301 of Public Law 102–408. 
SEC. 216. Not to exceed $35,000,000 of funds appro-
priated by this Act to the institutes and centers of the 
National Institutes of Health may be used for alteration, 
repair, or improvement of facilities, as necessary for the 
proper and efficient conduct of the activities authorized 
herein, at not to exceed $2,500,000 per project. 
(TRANSFER OF FUNDS) 
SEC. 217. Of the amounts made available for the Na-
tional Institutes of Health, 1 percent of the amount made 
available 
for 
National 
Research 
Service 
Awards 
(‘‘NRSA’’) shall be made available to the Administrator 
of the Health Resources and Services Administration to 
make NRSA awards for research in primary medical care 
to individuals affiliated with entities who have received 
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STUDENT FINANCIAL ASSISTANCE 
(INCLUDING DEFERRAL OF FUNDS) 
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, $19,634,905,000, which shall remain available 
through September 30, 2011. 
The maximum Pell Grant for which a student shall 
be eligible during award year 2010–2011 shall be $4,860. 
Of 
the 
funds 
made 
available 
under 
section 
401A(e)(1)(D) of the Higher Education Act of 1965, 
$511,000,000 shall not be available until October 1, 2010. 
STUDENT AID ADMINISTRATION 
For Federal administrative expenses to carry out part 
D of title I, and subparts 1, 3, 4, and 9 of part A, and 
parts B, C, D, and E of title IV of the Higher Education 
Act of 1965, $870,402,000, which shall remain available 
until expended. 
HIGHER EDUCATION 
For carrying out, to the extent not otherwise pro-
vided, titles II, III, IV, V, VI, and VII of the Higher Edu-
cation Act of 1965 (‘‘HEA’’), section 1543 of the Higher 
Education Amendments of 1992, the Mutual Educational 
and Cultural Exchange Act of 1961, title VIII of the 
Higher Education Amendments of 1998, and section 117 
of the Carl D. Perkins Career and Technical Education 
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