HR 3010 RS 
For making, after May 31 of the current fiscal year, 
payments to States or other non-Federal entities under 
titles I, IV–D, X, XI, XIV, and XVI of the Social Security 
Act and the Act of July 5, 1960 (24 U.S.C. ch. 9), for 
the last 3 months of the current fiscal year for unantici-
pated costs, incurred for the current fiscal year, such sums 
as may be necessary. 
LOW-INCOME HOME ENERGY ASSISTANCE 
For making payments under title XXVI of the Omni-
bus Budget Reconciliation Act of 1981, $1,984,799,000 
(increased by $22,000,000). 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant as-
sistance activities and for costs associated with the care 
and placement of unaccompanied alien children authorized 
by title IV of the Immigration and Nationality Act and 
section 501 of the Refugee Education Assistance Act of 
1980 (Public Law 96–422), for carrying out section 462 
of the Homeland Security Act of 2002 (Public Law 107– 
296), and for carrying out the Torture Victims Relief Act 
of 2003 (Public Law 108–179), $560,919,000, of which 
up to $9,915,000 shall be available to carry out the Traf-
ficking Victims Protection Act of 2003 (Public Law 108– 
193): Provided, That funds appropriated under this head-
ing pursuant to section 414(a) of the Immigration and
HR 3010 RS 
Nationality Act and section 462 of the Homeland Security 
Act of 2002 for fiscal year 2006 shall be available for the 
costs of assistance provided and other activities to remain 
available through September 30, 2008. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out sections 658A through 658R of the 
Omnibus Budget Reconciliation Act of 1981 (The Child 
Care
and
Development
Block
Grant
Act
of
1990), 
$2,082,910,000 shall be used to supplement, not supplant 
State general revenue funds for child care assistance for 
low-income families: Provided, That $18,967,040 shall be 
available for child care resource and referral and school- 
aged child care activities, of which $992,000 shall be for 
the Child Care Aware toll-free hotline: Provided further, 
That, in addition to the amounts required to be reserved 
by the States under section 658G, $270,490,624 shall be 
reserved by the States for activities authorized under sec-
tion 658G, of which $99,200,000 shall be for activities 
that improve the quality of infant and toddler care: Pro-
vided further, That $9,920,000 shall be for use by the Sec-
retary for child care research, demonstration, and evalua-
tion activities.
HR 3010 RS 
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 
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, as amended, the Native American Pro-
grams Act of 1974, title II of Public Law 95–266 (adop-
tion opportunities), the Adoption and Safe Families Act 
of 1997 (Public Law 105–89), sections 1201 and 1211 
of the Children’s Health Act of 2000, the Abandoned In-
fants Assistance Act of 1988, sections 261 and 291 of the 
Help America Vote Act of 2002, part B(1) of title IV and 
sections 413, 429A, 1110, and 1115 of the Social Security 
Act, and sections 40155, 40211, and 40241 of Public Law 
103–322; for making payments under the Community 
Services Block Grant Act, sections 439(h), 473A, and
HR 3010 RS 
477(i) of the Social Security Act, and title IV of Public 
Law 105–285, and for necessary administrative expenses 
to carry out said Acts and titles I, IV, V, X, XI, XIV, 
XVI, and XX of the Social Security Act, the Act of July 
5, 1960 (24 U.S.C. ch. 9), the Omnibus Budget Reconcili-
ation Act of 1981, title IV of the Immigration and Nation-
ality Act, section 501 of the Refugee Education Assistance 
Act of 1980, sections 40155, 40211, and 40241 of Public 
Law 103–322, and section 126 and titles IV and V of 
Public
Law
100–485,
$8,688,707,000,
of
which 
$31,846,000, to remain available until September 30, 
2007, shall be for grants to States for adoption incentive 
payments, as authorized by section 473A of title IV of the 
Social Security Act (42 U.S.C. 670–679) and may be 
made for adoptions completed before September 30, 2006: 
Provided, That $6,899,000,000 shall be for making pay-
ments under the Head Start Act, of which $1,400,000,000 
shall become available October 1, 2006, and remain avail-
able through September 30, 2007: Provided further, That 
$384,672,000 shall be for making payments under the 
Community Services Block Grant Act: Provided further, 
That not less than $7,242,000 shall be for section 
680(3)(B) of the Community Services Block Grant Act: 
Provided further, That in addition to amounts provided 
herein, $8,000,000 shall be available from amounts avail-
HR 3010 RS 
able 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 Commu-
nity 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 expended 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 
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, as amended, 
to become the sole property of such grantees after a period 
of not more than 12 years after the end of the grant for 
purposes and uses consistent with the original grant: Pro-
vided
further,
That
funds
appropriated
for
section 
680(a)(2) of the Community Services Block Grant Act, 
as amended, shall be available for financing construction 
and rehabilitation and loans or investments in private 
business enterprises owned by community development 
corporations: Provided further, That $75,000,000 is for a 
compassion capital fund to provide grants to charitable or-
ganizations to emulate model social service programs and 
to encourage research on the best practices of social serv-
HR 3010 RS 
ice organizations: Provided further, That $14,879,000 
shall be for activities authorized by the Help America Vote 
Act of 2002, of which $9,919,000 shall be for payments 
to States to promote access for voters with disabilities, and 
of which $4,960,000 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 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 further, That grants under the imme-
diately preceding proviso shall be made only to public and 
private entities which agree that, with respect to an ado-
lescent to whom the entities provide abstinence education 
under such grant, the entities will not provide to that ado-
lescent any other education regarding sexual conduct, ex-
cept that, in the case of an entity expressly required by 
law to provide health information or services the adoles-
cent shall not be precluded from seeking health informa-
tion 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 cam-
paign: Provided further, That in addition to amounts pro-
HR 3010 RS 
vided herein for abstinence 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 (including longitudinal evaluations) 
of adolescent pregnancy prevention approaches: Provided 
further, That $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 effectiveness. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out section 436 of the Social Security 
Act, $305,000,000 and for section 437, $99,000,000. 
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, 
$4,852,800,000. 
For making payments to States or other non-Federal 
entities under title IV–E of the Act, for the first quarter 
of fiscal year 2007, $1,730,000,000. 
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, 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.
HR 3010 RS 
ADMINISTRATION ON AGING 
AGING SERVICES PROGRAMS 
For carrying out, to the extent not otherwise pro-
vided, the Older Americans Act of 1965, as amended, and 
section
398
of
the
Public
Health
Service
Act, 
$1,376,217,000, of which $5,500,000 shall be available for 
activities regarding medication management, screening, 
and education to prevent incorrect medication and adverse 
drug reactions. 
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 
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 
$338,695,000, together with $5,851,000 to be transferred 
and expended as authorized by section 201(g)(1) of the 
Social Security Act from the Hospital Insurance Trust 
Fund and the Supplemental Medical Insurance Trust 
Fund, and $39,552,000 from the amounts available under 
section 241 of the Public Health Service Act to carry out 
national health or human services research and evaluation 
activities: Provided, That of the funds made available
HR 3010 RS 
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 Security Act, as amend-
ed, without application of the limitation of section 2010(c) 
of said title XX: Provided further, That of this amount, 
$52,415,000 shall be for minority AIDS prevention and 
treatment activities; and $5,952,000 shall be to assist Af-
ghanistan in the development of maternal and child health 
clinics, consistent with section 103(a)(4)(H) of the Af-
ghanistan Freedom Support Act of 2002. 
MEDICARE 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), $60,000,000, to be transferred in appropriate part 
from the Federal Hospital Insurance and the Federal Sup-
plementary Medical Insurance Funds. 
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 
development and advancement of an interoperable national 
health information technology infrastructure, $58,100,000
HR 3010 RS 
(reduced by $12,000,000): Provided, That in addition to 
amounts provided herein, $16,900,000 (increased by 
$12,000,000) shall be available from amounts under sec-
tion 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 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
HR 3010 RS 
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.
HR 3010 RS 
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.
HR 3010 RS 
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
HR 3010 RS 
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-
HR 3010 RS 
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-
HR 3010 RS 
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
HR 3010 RS 
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,
HR 3010 RS 
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-