section 736 and at any time received a research 
endowment under paragraph (1).’’; and 
(4) by adding at the end the following: 
‘‘(k) FUNDING.— 
‘‘(1) FULL FUNDING BUDGET.— 
‘‘(A) IN GENERAL.—With respect to a fis-
cal year, the Director of the Institute shall pre-
pare and submit directly to the President, for 
review and transmittal to Congress, a budget 
estimate for carrying out the plan for the fiscal 
year, after reasonable opportunity for comment 
(but without change) by the Secretary, the Di-
rector of the National Institutes of Health, the 
directors of the other institutes and centers of 
the National Institutes of Health, and the advi-
sory council established pursuant to subsection 
(j). The budget estimate shall include an esti-
mate of the number and type of personnel 
needs for the Institute. 
‘‘(B) AMOUNTS NECESSARY.—The budget 
estimate submitted under subparagraph (A) 
shall estimate the amounts necessary for the in-
stitutes and centers of the National Institutes 
of Health to carry out all minority health and 
health disparities activities determined by the 
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Director of the Institute to be appropriate, 
without regard to the probability that such 
amounts will be appropriated. 
‘‘(2) ALTERNATE BUDGETS.— 
‘‘(A) IN GENERAL.—With respect to a fis-
cal year, the Director of the Institute shall pre-
pare and submit to the Secretary and the Di-
rector of the National Institutes of Health the 
budget estimates described in subparagraph (B) 
for carrying out the plan for the fiscal year. 
The Secretary and such Director shall consider 
each of such estimates in making recommenda-
tions to the President regarding a budget for 
the plan for such year. 
‘‘(B) DESCRIPTION.—With respect to the 
fiscal year involved, the budget estimates re-
ferred to in subparagraph (A) for the plan are 
as follows: 
‘‘(i) The budget estimate submitted 
under paragraph (1). 
‘‘(ii) A budget estimate developed on 
the assumption that the amounts appro-
priated will be sufficient only for— 
‘‘(I) continuing the conduct by 
the institutes and centers of the Na-
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tional Institutes of Health of existing 
minority health and health disparity 
activities (if approved for continu-
ation), and continuing the support of 
such activities by the institutes and 
centers in the case of projects or pro-
grams for which the institutes or cen-
ters have made a commitment of con-
tinued support; and 
‘‘(II) carrying out activities that 
are in addition to activities specified 
in subclause (I), only for which the 
Director determines there is the most 
substantial need. 
‘‘(iii) Such other budget estimates as 
the Director of the Institute determines to 
be appropriate. 
‘‘(l) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated $1,000,000,000 for fis-
cal year 2010 and such sums as may be necessary for each 
of fiscal years 2011 through 2014, to carry out this sec-
tion.’’. 
Æ 
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