HR 3043 RH1S 
completed before September 30, 2008: Provided, That 
$6,963,571,000 shall be for making payments under the 
Head Start Act, of which $1,388,800,000 shall become 
available October 1, 2008, and remain available through 
September 30, 2009: Provided further, That $701,125,000 
shall be for making payments under the Community Serv-
ices Block Grant Act: Provided further, That not less than 
$8,000,000 shall be for section 680(3)(B) of the Commu-
nity Services Block Grant Act: Provided further, That in 
addition to amounts provided herein, $6,000,000 shall be 
available from amounts available under section 241 of the 
Public Health Service 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 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 property which permits grant funds, or intangible 
assets acquired with funds authorized under section 680 
of the Community Services Block Grant Act, to become 
the sole property of such grantees after a period of not 
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more than 12 years after the end of the grant for purposes 
and uses consistent with the original grant: Provided fur-
ther, That funds appropriated for section 680(a)(2) of the 
Community Services Block Grant Act shall be available 
for financing construction and rehabilitation and loans or 
investments in private business enterprises owned by com-
munity development corporations: Provided further, That 
$64,350,000 is for a compassion capital fund to provide 
grants to charitable organizations to emulate model social 
service programs and to encourage research on the best 
practices of social service organizations: Provided further, 
That $15,720,000 shall be for activities authorized by the 
Help America Vote Act of 2002, of which $10,890,000 
shall be for payments to States to promote access for vot-
ers with disabilities, and of which $4,830,000 shall be for 
payments to States for protection and advocacy systems 
for voters with disabilities: Provided further, That 
$136,664,000 shall be for making competitive grants to 
provide abstinence education (as defined by section 
510(b)(2) of the Social Security Act) to adolescents, and 
for Federal costs of administering the grant: Provided fur-
ther, That grants under the immediately preceding proviso 
shall be made only to public and private entities which 
agree that, with respect to an adolescent to whom the enti-
ties provide abstinence education under such grant, the 
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entities will not provide to that adolescent any other edu-
cation regarding sexual conduct, except that, in the case 
of an entity expressly required by law to provide health 
information or services the adolescent shall not be pre-
cluded from seeking health information or services from 
the entity in a different setting than the setting in which 
abstinence education was provided: Provided further, That 
within amounts provided herein for abstinence education 
for adolescents, up to $10,000,000 may be available for 
a national abstinence education campaign: Provided fur-
ther, That in addition to amounts provided herein for ab-
stinence education for adolescents, $4,500,000 shall be 
available from amounts available under section 241 of the 
Public Health Service Act to carry out evaluations (includ-
ing longitudinal evaluations) of adolescent pregnancy pre-
vention approaches: 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 collection for a study of the system’s effec-
tiveness. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out section 436 of the Social Security 
Act (42 U.S.C. 629f), $345,000,000 and for section 437 
of such Act (42 U.S.C. 629g), $89,100,000. 
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PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION 
ASSISTANCE 
For making payments to States or other non-Federal 
entities under title IV–E of the Social Security Act, 
$5,082,000,000. 
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 2009, $1,776,000,000. 
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 three months of the current fiscal year for unan-
ticipated 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 (42 U.S.C. 3011 
et seq.) and section 398 of the Public Health Service Act 
(42 U.S.C. 280c–3), $1,417,189,000. 
DEPARTMENTAL MANAGEMENT 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six 
sedans, and for carrying out titles III, XVII, XX, and XXI 
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of the Public Health Service Act, the United States-Mex-
ico Border Health Commission Act, and research studies 
under section 1110 of the Social Security Act, 
$363,224,000, 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 In-
surance Trust Fund, and $46,756,000 from the amounts 
available under section 241 of the Public Health Service 
Act to carry out national health or human services re-
search and evaluation activities: Provided, That of the 
funds made available under this heading for carrying out 
title XX of the Public Health Service Act, $13,120,000 
shall be for activities specified under section 2003(b)(2), 
all of which shall be for prevention service demonstration 
grants under section 510(b)(2) of title V of the Social Se-
curity Act without application of the limitation of section 
2010(c) of such title XX: Provided further, That of this 
amount, $51,891,000 shall be for minority AIDS preven-
tion and treatment activities; and $5,941,000 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. 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for administrative law judges 
responsible for hearing cases under title XVIII of the So-
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cial Security Act (and related provisions of title XI of such 
Act), $65,000,000, to be transferred in appropriate part 
from the Federal Hospital Insurance and the Federal Sup-
plementary Medical Insurance Trust Funds. 
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 an interoperable national 
health 
information 
technology 
infrastructure, 
$13,302,000: Provided, That in addition to amounts pro-
vided herein, $48,000,000 shall be available from amounts 
available under section 241 of the Public Health Service 
Act to carry out health information technology network 
development. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of the Inspector 
General, including the hire of passenger motor vehicles for 
investigations, in carrying out the provisions of the Inspec-
tor General Act of 1978, $44,687,000: Provided, That of 
such amount, necessary sums are available for providing 
protective services to the Secretary and investigating non- 
payment of child support cases for which non-payment is 
a Federal offense under section 228 of title 18, United 
States Code. 
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OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, $33,748,000, 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, for medical 
care of dependents and retired personnel under the De-
pendents’ Medical Care Act (10 U.S.C. chapter 55), 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, disease, nuclear, radio-
logical and chemical threats to civilian populations, and 
for other public health emergencies, $757,291,000, of 
which not to exceed $22,363,000, to remain available until 
September 30, 2009, is to pay the costs described in sec-
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tion 319F–2(c)(7)(B) of the Public Health Service Act (42 
U.S.C. 247d–6b(c)(7)(B)). 
For expenses necessary to prepare for and respond 
to an influenza pandemic, $948,091,000, of which 
$870,000,000 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: Provided further, That not-
withstanding section 496(b) of the Public Health Service 
Act, funds may be used for the construction or renovation 
of privately owned facilities for the production of pandemic 
vaccine and other biologicals, where the Secretary finds 
such a contract necessary to secure sufficient supplies of 
such vaccines or biologicals: Provided further, That funds 
appropriated herein may be transferred to other appro-
priation accounts of the Department of Health and 
Human Services, as determined by the Secretary to be ap-
propriate, to be used for the purposes specified in this sen-
tence. 
COVERED COUNTERMEASURE PROCESS FUND 
For carrying out section 319F–4 of the Public Health 
Service Act (42 U.S.C. 247d–6e) to compensate individ-
uals for injuries caused by H5N1 vaccine, in accordance 
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with the declaration regarding avian influenza viruses 
issued by the Secretary of Health and Human Services 
on January 26, 2007, pursuant to section 319F–3(b) of 
such Act (42 U.S.C. 247d–6d(b)), $5,000,000, 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 United States 
Agency for International Development, the United Na-
tions International Children’s Emergency Fund, or the 
World Health Organization. 
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. 
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SEC. 204. None of the funds appropriated in this title 
for Head Start shall be used to pay the compensation of 
an individual, either as direct costs or any proration as 
an indirect cost, at a rate in excess of Executive Level 
II. 
SEC. 205. 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 
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. 206. 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. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 207. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985 (2 U.S.C. 900 et 
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seq.)) which are appropriated for the current fiscal year 
for the Department of Health and Human Services in this 
Act may be transferred between appropriations, but no 
such appropriation shall be increased by more than 3 per-
cent by any such transfer: Provided, That an appropria-
tion may be increased by up to an additional 2 percent 
subject to approval by the Committees on Appropriations 
of the House of Representatives and the Senate: Provided 
further, That the transfer authority granted by this section 
shall be available only to meet unanticipated 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 Committees on Ap-
propriations of the House of Representatives and the Sen-
ate are notified at least 15 days in advance of any trans-
fer. 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 208. 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 promptly notified of the transfer. 
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(INCLUDING TRANSFER OF FUNDS) 
SEC. 209. 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-
essary to carry out section 2353(d)(3) of the Public 
Health Service Act (42 U.S.C. 300cc–40b(d)(3)). 
SEC. 210. None of the funds appropriated in this Act 
may be made available to any entity under title X of the 
Public Health Service Act (42 U.S.C. 1001 et seq.) unless 
the applicant for the award certifies to the Secretary of 
Health and Human Services that it encourages family par-
ticipation in the decision 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. 211. Notwithstanding any other provision of 
law, no provider of services under title X of the Public 
Health Service Act (42 U.S.C. 1001 et seq.) shall be ex-
empt from any State law requiring notification or the re-
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porting of child abuse, child molestation, sexual abuse, 
rape, or incest. 
SEC. 212. 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 
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. 213. (a) Except as provided by subsection (e) 
none of the funds appropriated by this Act may be used 
to withhold substance abuse funding from a State pursu-
ant to section 1926 of the Public Health Service Act (42 
U.S.C. 300x–26) if such State certifies to the Secretary 
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of Health and Human Services by May 1, 2008, that the 
State will commit additional State funds, in accordance 
with subsection (b), to ensure compliance with State laws 
prohibiting the sale of tobacco products to individuals 
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 
compliance rate goal established by the Secretary of 
Health and Human Services under section 1926 of such 
Act. 
(c) The State is to maintain State expenditures in 
fiscal year 2008 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 fis-
cal year 2007, and adding to that level the additional 
funds for tobacco compliance activities required under 
subsection (a). The State is to submit a report to the Sec-
retary on all fiscal year 2007 State expenditures and all 
fiscal year 2008 obligations for tobacco prevention and 
compliance activities by program activity by July 31, 
2008. 
(d) The Secretary shall exercise discretion in enforc-
ing the timing of the State obligation of the additional 
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funds required by the certification described in subsection 
(a) as late as July 31, 2008. 
(e) None of the funds appropriated by this Act may 
be used to withhold substance abuse funding pursuant to 
section 1926 of the Public Health Service Act from a terri-
tory that receives less than $1,000,000. 
SEC. 214. In order for the Centers for Disease Con-
trol and Prevention to carry out international health ac-
tivities, including HIV/AIDS and other infectious disease, 
chronic and environmental disease, and other health ac-
tivities abroad during fiscal year 2008: 
(1) The Secretary of Health and Human Serv-
ices (in this section referred to as the ‘‘Secretary of 
HHS’’) may exercise authority equivalent to that 
available to the Secretary of State in section 2(c) of 
the State Department Basic Authorities Act of 1956 
(22 U.S.C. 2669(c)). The Secretary of HHS 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 (22 U.S.C. 3927) and other applicable stat-
utes administered by the Department of State. 
(2) The Secretary of HHS is authorized to pro-
vide such funds by advance or reimbursement to the 
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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 Department of Health and 
Human Services. The Department of State shall co-
operate fully with the Secretary of HHS to ensure 
that the Department of Health and Human Services 
has secure, safe, functional facilities that comply 
with applicable regulation governing location, set-
back, and other facilities requirements and serve the 
purposes established by this Act. The Secretary of 
HHS is authorized, in consultation with the Sec-
retary of State, through grant or cooperative agree-
ment, to make available to public or nonprofit pri-
vate 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 ac-
tivities, including activities relating to HIV/AIDS 
and other infectious diseases, chronic and environ-
mental diseases, and other health activities abroad. 
SEC. 215. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of the National Insti-
tutes of Health (in this section referred to as the ‘‘Direc-
tor of NIH’’) may use funds available under section 
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