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$58,100,000: Provided, That in addition to amounts pro-
vided herein, $16,900,000 shall be available from amounts 
under section 241 of the Public Health Service Act to 
carry out health information technology network develop-
ment. 
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, as amended, $39,813,000: Pro-
vided, That of such amount, necessary sums are available 
for providing protective services to the Secretary and in-
vestigating non-payment of child support cases for which 
non-payment is a Federal offense under 18 U.S.C. 228. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, $31,682,000, 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 
Hospital Insurance Trust Fund and the Supplemental 
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
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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 (10 U.S.C. ch. 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 
to ensure a year-round influenza vaccine production capac-
ity, the development and implementation of rapidly ex-
pandable influenza vaccine production technologies, and if 
determined necessary by the Secretary, the purchase of 
influenza 
vaccine, 
$183,589,000: 
Provided, 
That 
$120,000,000 of amounts available for influenza pre-
paredness shall remain available until expended: Provided 
further, That, in addition to the amount above, $8,589,000 
shall be transferred from amounts appropriated under the 
head ‘‘Disease Control, Research, and Training’’ for ac-
tivities authorized by section 319F–2(a) of the Public 
Health Service Act to be utilized consistent with section 
319F–2(c)(7)(B)(ii) of such Act.
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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. 
SEC. 202. The Secretary 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 International Development, the United 
Nations International Children’s Emergency Fund or the 
World Health Organization. 
SEC. 203. None of the funds appropriated under this 
Act may be used to implement section 399F(b) of the Pub-
lic Health Service Act or section 1503 of the National In-
stitutes of Health Revitalization Act of 1993, Public Law 
103–43. 
SEC. 204. 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. 205. 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. 206. 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 Secretary’s preparation and 
submission of a report to the Committee on Appropria-
tions of the Senate and of the House detailing the planned 
uses of such funds. 
SEC. 207. Notwithstanding section 241(a) of the 
Public Health Service Act, such portion as the Secretary 
shall determine, but not more than 1.3 percent, of any 
amounts appropriated for programs authorized under said 
Act shall be made available for the evaluation (directly, 
or by grants or contracts) of the implementation and effec-
tiveness of such programs. 
(TRANSFER OF FUNDS) 
SEC. 208. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985, as amended) 
which are appropriated for the current fiscal year for the
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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 percent 
by any such transfer: Provided, That an appropriation 
may be increased by up to an additional 2 percent subject 
to approval by the House and Senate Committees on Ap-
propriations: Provided further, 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 
Appropriations Committees of both Houses of Congress 
are notified at least 15 days in advance of any transfer. 
(TRANSFER OF FUNDS) 
SEC. 209. 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 Congress is 
promptly notified of the transfer. 
(TRANSFER OF FUNDS) 
SEC. 210. 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-
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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. 
SEC. 211. 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 that it encourages family 
participation in the decision of minors to seek family plan-
ning services and that it provides counseling to minors on 
how to resist attempts to coerce minors into engaging in 
sexual activities. 
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 denies participation in such program to an oth-
erwise eligible entity (including a Provider Sponsored Or-
ganization) 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 prospective adjustments to the capita-
tion payment to such an entity (based on an actuarially 
sound estimate of the expected costs of providing the serv-
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ice to such entity’s enrollees): Provided further, That noth-
ing in this section shall be construed to change the Medi-
care program’s coverage for such services and a Medicare 
Advantage organization described in this section shall be 
responsible for informing enrollees where to obtain infor-
mation about all Medicare covered services. 
SEC. 213. 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. 214. (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 
of Health and Human Services by May 1, 2006, 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
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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 2006 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 2005, 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 2005 State expenditures and all 
fiscal year 2006 obligations for tobacco prevention and 
compliance activities by program activity by July 31, 
2006. 
(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, 2006. 
(e) None of the funds appropriated by this Act may 
be used to withhold substance abuse funding pursuant to 
section 1926 from a territory that receives less than 
$1,000,000. 
SEC. 215. 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,
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chronic and environmental disease, and other health ac-
tivities abroad during fiscal year 2006, the Secretary of 
Health and Human Services— 
(1) 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 Health and 
Human Services shall consult with the Secretary of 
State and relevant Chief of Mission to ensure that 
the authority provided in this section is exercised in 
a manner consistent with section 207 of the Foreign 
Service Act of 1980 (22 U.S.C. 3927) and other ap-
plicable statutes administered by the Department of 
State, and 
(2) is authorized to provide such funds by ad-
vance or reimbursement to the Secretary of State as 
may be necessary to pay the costs of acquisition, 
lease, alteration, renovation, and management of fa-
cilities outside of the United States for the use of 
the Department of Health and Human Services. The 
Department of State shall cooperate fully with the 
Secretary 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, set-
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back, and other facilities requirements and serve the 
purposes 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. 216. The Division of Federal Occupational 
Health hereafter may utilize personal services contracting 
to employ professional management/administrative and oc-
cupational health professionals. 
SEC. 217. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of the National Insti-
tutes of Health may use funds available under section 
402(i) of the Public Health Service Act (42 U.S.C. 282(i)) 
to enter into transactions (other than contracts, coopera-
tive agreements, or grants) to carry out research in sup-
port of the NIH Roadmap for Medical Research.
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(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director of the National Insti-
tutes of Health may utilize such peer review procedures 
(including consultation with appropriate scientific experts) 
as the Director determines to be appropriate to obtain as-
sessments of scientific and technical merit. Such proce-
dures shall apply to such transactions in lieu of the peer 
review and advisory council review procedures 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 Public Health Service Act (42 U.S.C. 241, 
284(b)(1)(B), 284(b)(2), 284a(a)(3)(A), 289a, and 289c). 
SEC. 218. Funds which are available for Individual 
Learning Accounts for employees of the Centers for Dis-
ease Control and Prevention and the Agency for Toxic 
Substances and Disease Registry may be transferred to 
‘‘Disease Control, Research, and Training,’’ to be avail-
able only for Individual Learning Accounts: Provided, 
That such funds may be used for any individual full-time 
equivalent employee while such employee is employed ei-
ther by CDC or ATSDR. 
SEC. 219. $15,912,000 of the unobligated balance of 
the Health Professions Student Loan program authorized 
in subpart II, Federally-Supported Student Loan Funds, 
of title VII of the Public Health Service Act is rescinded.
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This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2006’’. 
TITLE III—DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I of the Elementary and Sec-
ondary Education Act of 1965 (‘‘ESEA’’) and section 
418A 
of 
the 
Higher 
Education 
Act 
of 
1965, 
$14,728,735,000, of which $7,144,426,000 shall become 
available on July 1, 2006, and shall remain available 
through 
September 
30, 
2007, 
and 
of 
which 
$7,383,301,000 shall become available on October 1, 
2006, and shall remain available through September 30, 
2007, for academic year 2006–2007: Provided, That 
$6,934,854,000 shall be available for basic grants under 
section 1124: Provided further, That up to $3,472,000 of 
these funds shall be available to the Secretary of Edu-
cation on October 1, 2005, to obtain annually updated 
educational-agency-level census poverty data from the Bu-
reau 
of 
the 
Census: 
Provided 
further, 
That 
$1,365,031,000 shall be available for concentration grants 
under 
section 
1124A: 
Provided 
further, 
That 
$2,269,843,000 shall be available for targeted grants 
under 
section 
1125: 
Provided 
further, 
That 
$2,269,843,000 shall be available for education finance in-
centive grants under section 1125A: Provided further,