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DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
HEALTH RESOURCES AND SERVICES 
For an additional amount for ‘‘Health Resources and 
Services’’, $1,958,000,000, which shall remain available 
through September 30, 2010, of which $88,000,000 shall be 
for necessary expenses related to leasing and renovating a 
headquarters building for Public Health Service agencies 
and other components of the Department of Health and 
Human Services, including renovation and fit-out costs, 
and of which $1,870,000,000 shall be for grants for con-
struction, renovation and equipment for health centers re-
ceiving operating grants under section 330 of the Public 
Health Service Act, notwithstanding the limitation in sec-
tion 330(e)(3). 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
DISEASE CONTROL, RESEARCH, AND TRAINING 
For an additional amount for ‘‘Disease Control, Re-
search, and Training’’ for acquisition of real property, 
equipment, construction, and renovation of facilities, in-
cluding necessary repairs and improvements to leased lab-
oratories, $412,000,000, which shall remain available 
through September 30, 2010: Provided, That notwith-
standing any other provision of law, the Centers for Disease
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Control and Prevention may award a single contract or re-
lated contracts for development and construction of facili-
ties that collectively include the full scope of the project: 
Provided further, That the solicitation and contract shall 
contain the clause ‘‘availability of funds’’ found at 48 CFR 
52.232–18. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CENTER FOR RESEARCH RESOURCES 
For an additional amount for ‘‘National Center for 
Research Resources’’, $300,000,000, which shall be available 
through September 30, 2010, for shared instrumentation 
and other capital research equipment. 
OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Office of the Director’’, 
$2,700,000,000, which shall be available through September 
30, 2010: Provided, That $1,350,000,000 shall be trans-
ferred to the Institutes and Centers of the National Insti-
tutes of Health and to the Common Fund established under 
section 402A(c)(1) of the Public Health Service Act in pro-
portion to the appropriations otherwise made to such Insti-
tutes, Centers, and Common Fund for fiscal year 2009: Pro-
vided further, That these funds shall be used to support ad-
ditional scientific research and shall be merged with and 
be available for the same purposes as the appropriation or
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fund to which transferred: Provided further, That this 
transfer authority is in addition to any other transfer au-
thority available to the National Institutes of Health: Pro-
vided further, That none of these funds may be transferred 
to ‘‘National Institutes of Health—Buildings and Facili-
ties’’, the Center for Scientific Review, the Center for Infor-
mation Technology, the Clinical Center, the Global Fund 
for HIV/AIDS, Tuberculosis and Malaria, or the Office of 
the Director (except for the transfer to the Common Fund). 
The additional amount available for ‘Office of the Di-
rector’ in the previous sentence shall be increased by 
$6,500,000,000: Provided, That a total of $7,850,000,000 
shall be transferred pursuant to such sentence: Provided fur-
ther, That any amounts in this sentence shall be designated 
as an emergency requirement and necessary to meet emer-
gency needs pursuant to section 204(a) of S. Con. Res. 21 
(110th Congress) and section 301(b)(2) of S. Con. Res. 70 
(110th Congress), the concurrent resolutions on the budget 
for fiscal years 2008 and 2009. 
BUILDINGS AND FACILITIES 
For an additional amount for ‘‘Buildings and Facili-
ties’’, $500,000,000, which shall be available through Sep-
tember 30, 2010, to fund high-priority repair, construction 
and improvement projects for National Institutes of Health
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facilities on the Bethesda, Maryland campus and other 
agency locations. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Healthcare Research 
and Quality’’ to carry out titles III and IX of the Public 
Health Service 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, 
$700,000,000 for comparative clinical effectiveness research, 
which shall remain available through September 30, 2010: 
Provided, That of the amount appropriated in this para-
graph, $400,000,000 shall be transferred to the Office of the 
Director of the National Institutes of Health (‘‘Office of the 
Director’’) to conduct or support comparative clinical effec-
tiveness research under section 301 and title IV of the Pub-
lic Health Service Act: Provided further, That funds trans-
ferred to the Office of the Director may be transferred to 
the Institutes and Centers of the National Institutes of 
Health and to the Common Fund established under section 
402A(c)(1) of the Public Health Service Act: Provided fur-
ther, That this transfer authority is in addition to any 
other transfer authority available to the National Institutes 
of Health: Provided further, That within the amount avail-
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able in this paragraph for the Agency for Healthcare Re-
search and Quality, not more than 1 percent shall be made 
available for additional full-time equivalents. 
In addition, $400,000,000 shall be available for com-
parative clinical effectiveness research to be allocated at the 
discretion of the Secretary of Health and Human Services 
(‘‘Secretary’’) and shall remain available through Sep-
tember 30, 2010: Provided, That the funding appropriated 
in this paragraph shall be used to accelerate the develop-
ment and dissemination of research assessing the compara-
tive clinical effectiveness of health care treatments and 
strategies, including through efforts that: (1) conduct, sup-
port, or synthesize research that compares the clinical out-
comes, effectiveness, and appropriateness of items, services, 
and procedures that are used to prevent, diagnose, or treat 
diseases, disorders, and other health conditions and (2) en-
courage the development and use of clinical registries, clin-
ical data networks, and other forms of electronic health data 
that can be used to generate or obtain outcomes data: Pro-
vided further, That the Secretary shall enter into a contract 
with the Institute of Medicine, for which no more than 
$1,500,000 shall be made available from funds provided in 
this paragraph, to produce and submit a report to the Con-
gress and the Secretary by not later than June 30, 2009 
that includes recommendations on the national priorities
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for comparative clinical effectiveness research to be con-
ducted or supported with the funds provided in this para-
graph and that considers input from stakeholders: Provided 
further, That the Secretary shall consider any recommenda-
tions of the Federal Coordinating Council for Comparative 
Clinical Effectiveness Research established by section 802 
of this Act and any recommendations included in the Insti-
tute of Medicine report pursuant to the preceding proviso 
in designating activities to receive funds provided in this 
paragraph and may make grants and contracts with appro-
priate entities, which may include agencies within the De-
partment of Health and Human Services and other govern-
mental agencies, as well as private sector entities, that have 
demonstrated experience and capacity to achieve the goals 
of comparative clinical effectiveness research: Provided fur-
ther, That the Secretary shall publish information on grants 
and contracts awarded with the funds provided under this 
heading within a reasonable time of the obligation of funds 
for such grants and contracts and shall disseminate re-
search findings from such grants and contracts to clini-
cians, patients, and the general public, as appropriate: Pro-
vided further, That, to the extent feasible, the Secretary 
shall ensure that the recipients of the funds provided by this 
paragraph offer an opportunity for public comment on the 
research: Provided further, That the Secretary shall provide
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the Committees on Appropriations of the House of Rep-
resentatives and the Senate, the Committee on Energy and 
Commerce and the Committee on Ways and Means of the 
House of Representatives, and the Committee on Health, 
Education, Labor, and Pensions and the Committee on Fi-
nance of the Senate with an annual report on the research 
conducted or supported through the funds provided under 
this heading. 
ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For an additional amount for ‘‘Payments to States for 
the Child Care and Development Block Grant’’ for carrying 
out the Child Care and Development Block Grant Act of 
1990, $2,000,000,000, which shall remain available through 
September 30, 2010: Provided, That funds provided under 
this heading shall be used to supplement, not supplant State 
general revenue funds for child care assistance for low-in-
come families: Provided further, That, in addition to the 
amounts required to be reserved by the States under section 
658G of such Act, $255,186,000 shall be reserved by the 
States for activities authorized under section 658G, of which 
$93,587,000 shall be for activities that improve the quality 
of infant and toddler care.
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SOCIAL SERVICES BLOCK GRANT 
For an additional amount for ‘‘Social Services Block 
Grant,’’ $400,000,000: Provided, That notwithstanding sec-
tion 2003 of the Social Security Act, funds shall be allocated 
to States on the basis of unemployment: Provided further, 
That these funds shall be obligated to States within 60 cal-
endar days from the date they become available for obliga-
tion. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For an additional amount for ‘‘Children and Families 
Services Programs’’ for carrying out activities under the 
Head Start Act, $500,000,000, which shall remain available 
through September 30, 2010. In addition, $550,000,000, 
which shall remain available through September 30, 2010, 
is hereby appropriated for expansion of Early Head Start 
programs, as described in section 645A of such Act: Pro-
vided, That of the funds provided in this sentence, up to 
10 percent shall be available for the provision of training 
and technical assistance to such programs consistent with 
section 645A(g)(2) of such Act, and up to 3 percent shall 
be available for monitoring the operation of such programs 
consistent with section 641A of such Act. 
For an additional amount for ‘‘Children and Families 
Services Programs’’ for carrying out activities under sec-
tions 674 through 679 of the Community Services Block
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Grant Act, $200,000,000, which shall remain available 
through September 30, 2010: Provided, That of the funds 
provided under this paragraph, no part shall be subject to 
paragraph (3) of section 674(b) of such Act: Provided fur-
ther, That not less than 5 percent of the funds allotted to 
a State from the appropriation under this paragraph shall 
be used under section 675C(b)(1) for benefits enrollment co-
ordination activities relating to the identification and en-
rollment of eligible individuals and families in Federal, 
State and local benefit programs. 
ADMINISTRATION ON AGING 
AGING SERVICES PROGRAMS 
For an additional amount for ‘‘Aging Services Pro-
grams,’’ $100,000,000, of which $67,000,000 shall be for 
Congregate Nutrition Services and $33,000,000 shall be for 
Home-Delivered Nutrition Services: Provided, That these 
funds shall remain available through September 30, 2010. 
OFFICE OF THE SECRETARY 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Office of the National 
Coordinator 
for 
Health 
Information 
Technology’’, 
$3,000,000,000, to carry out title XIII of this Act which 
shall be available until expended: Provided, That of this
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amount, the Secretary of Health and Human Services shall 
transfer $20,000,000 to the Director of the National Insti-
tute of Standards and Technology in the Department of 
Commerce for continued work on advancing health care in-
formation enterprise integration through activities such as 
technical standards analysis and establishment of conform-
ance testing infrastructure so long as such activities are co-
ordinated with the Office of the National Coordinator for 
Health Information Technology: Provided further, That 
funds available under this heading shall become available 
for obligation only upon submission of an annual operating 
plan by the Secretary to the Committees on Appropriations 
of the House of Representatives and the Senate: Provided 
further, That the Secretary shall provide to the Committees 
on Appropriations of the House of Representatives and the 
Senate a report on the actual obligations, expenditures, and 
unobligated balances for each major set of activities not 
later than November 1, 2009 and every 6 months thereafter 
as long as funding under this heading is available for obli-
gation or expenditure. 
OFFICE OF THE INSPECTOR GENERAL 
For an additional amount for the Office of the Inspec-
tor General, $4,000,000 which shall remain available until 
September 30, 2012, and an additional $15,000,000 for
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such purposes, to remain available until September 30, 
2012. 
DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For an additional amount for carrying out title I of 
the Elementary and Secondary Education Act of 1965, 
$12,400,000,000, which shall be available through Sep-
tember 30, 2010: Provided, That $5,500,000,000 shall be for 
targeted grants under section 1125, $5,500,000,000 shall be 
for education finance incentive grants under section 1125A, 
and $1,400,000,000 shall be for school improvement grants 
under section 1003(g): Provided further, That each local 
educational agency receiving funds available under this 
paragraph for sections 1125 and 1125A shall use not less 
than 15 percent of such funds for activities serving children 
who are eligible pursuant to section 1115(b)(1)(A)(ii) and 
programs in section 1112(b)(1)(K): Provided further, That 
each local educational agency receiving funds available 
under this paragraph shall be required to file with the State 
educational agency, no later than December 1, 2009, a 
school-by-school listing of per-pupil educational expendi-
tures from State and local sources during the 2008–2009 
academic year.
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SCHOOL IMPROVEMENT PROGRAMS 
For an additional amount for ‘‘School Improvement 
Programs,’’ $1,070,000,000, which shall be available 
through September 30, 2010, for carrying out activities au-
thorized by part D of title II of the Elementary and Sec-
ondary Education Act of 1965, and subtitle B of title VII 
of the McKinney-Vento Homeless Assistance Act (‘‘McKin-
ney-Vento’’): Provided, That the Secretary shall allot 
$70,000,000 for grants under McKinney-Vento to each State 
in proportion to the number of homeless students identified 
by the State during the 2007–2008 school year relative to 
the number of such children identified nationally during 
that school year: Provided further, That State educational 
agencies shall subgrant the McKinney-Vento funds to local 
educational agencies on a competitive basis or according 
to a formula based on the number of homeless students iden-
tified by the local educational agencies in the State: Pro-
vided further, That the Secretary shall distribute the 
McKinney-Vento funds to the States not later than 60 days 
after the date of the enactment of this Act: Provided further, 
That each State shall subgrant the McKinney-Vento funds 
to local educational agencies not later than 120 days after 
receiving its grant from the Secretary.
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SPECIAL EDUCATION 
For an additional amount for ‘‘Special Education’’ for 
carrying out parts B and C of the Individuals with Disabil-
ities Education Act (‘‘IDEA’’), $13,500,000,000, which 
shall remain available through September 30, 2010: Pro-
vided, That if every State, as defined by section 602(31) 
of the IDEA, reaches its maximum allocation under section 
611(d)(3)(B)(iii) of the IDEA, and there are remaining 
funds, such funds shall be proportionally allocated to each 
State subject to the maximum amounts contained in section 
611(a)(2) of the IDEA: Provided further, That by July 1, 
2009, the Secretary of Education shall reserve the amount 
needed for grants under section 643(e) of the IDEA, with 
any remaining funds to be allocated in accordance with sec-
tion 643(c) of the IDEA: Provided further, That the amount 
for section 611(b)(2) of the IDEA shall be equal to the lesser 
of the amount available for that activity during fiscal year 
2008, increased by the amount of inflation as specified in 
section 619(d)(2)(B), or the percentage increase in the funds 
appropriated under section 611(i): Provided further, That 
each local educational agency receiving funds available 
under this paragraph for part B shall use not less than 
15 percent for special education and related services to chil-
dren described in section 619(a) of the IDEA.
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REHABILITATION SERVICES AND DISABILITY RESEARCH 
For an additional amount for ‘‘Rehabilitation Services 
and Disability Research’’ for providing grants to States to 
carry out the Vocational Rehabilitation Services program 
under part B of title I and parts B and C of chapter 1 
and chapter 2 of title VII of the Rehabilitation Act of 1973, 
$610,000,000, which shall remain available through Sep-
tember 30, 2010: Provided, That $500,000,000 shall be 
available for part B of title I of the Rehabilitation Act: Pro-
vided further, That funds provided herein shall not be con-
sidered in determining the amount required to be appro-
priated under section 100(b)(1) of the Rehabilitation Act 
of 1973 in any fiscal year: Provided further, That, notwith-
standing section 7(14)(A), the Federal share of the costs of 
vocational rehabilitation services provided with the funds 
provided herein shall be 100 percent. 
STUDENT FINANCIAL ASSISTANCE 
For an additional amount for ‘‘Student Financial As-
sistance’’ to carry out subpart 1 of part A of title IV of 
the Higher Education Act of 1965, $13,869,000,000: Pro-
vided, That such funds shall be used to increase the max-
imum Pell Grant by $281 for award year 2009–2010, to 
increase the maximum Pell Grant by $400 for the award 
year 2010–2011, and to reduce or eliminate the Pell Grant
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shortfall: Provided further, That these funds shall remain 
available through September 30, 2011. 
For an additional amount for ‘‘Student Financial As-
sistance’’ to carry out part E of title IV of the Higher Edu-
cation Act of 1965, $61,000,000: Provided, That these funds 
shall remain available through September 30, 2010. 
HIGHER EDUCATION 
For an additional amount for ‘‘Higher Education’’ for 
carrying out activities under part A of title II of the Higher 
Education Act of 1965, $50,000,000: Provided, That these 
funds shall remain available through September 30, 2010. 
DEPARTMENTAL MANAGEMENT 
OFFICE OF THE INSPECTOR GENERAL 
For an additional amount for the ‘‘Office of the Inspec-
tor General’’, $4,000,000, which shall remain available 
through September 30, 2012, for salaries and expenses nec-
essary for oversight and audit of programs, grants, and 
projects funded in this Act and administered by the Depart-
ment of Education and an additional $10,000,000 for such 
purposes, to remain available until September 30, 2012.
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RELATED AGENCIES 
CORPORATION FOR NATIONAL AND COMMUNITY 
SERVICE 
OPERATING EXPENSES 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Operating Expenses’’ 
to carry out the Domestic Volunteer Service Act of 1973 
(‘‘1973 Act’’) and the National and Community Service Act 
of 1990 (‘‘1990 Act’’), $160,000,000, to remain available 
through September 30, 2010: Provided, That funds made 
available in this paragraph may be used to provide adjust-
ments to awards under subtitle C of title I of the 1990 Act 
made prior to September 30, 2010 for which the Chief Exec-
utive Officer of the Corporation for National and Commu-
nity Service (‘‘CEO’’) determines that a waiver of the Fed-
eral share limitation is warranted under section 2521.70 
of title 45 of the Code of Federal Regulations: Provided fur-
ther, That of the amount made available in this paragraph, 
not less than $6,000,000 shall be transferred to ‘‘Salaries 
and Expenses’’ for necessary expenses relating to informa-
tion technology upgrades: Provided further, That of the 
amount provided in this paragraph, $10,000,000 shall be 
available for additional members in the Civilian Commu-
nity Corps authorized under subtitle E of title I of the 1990 
Act: Provided further, That of the amount provided in this
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paragraph, $1,000,000 shall be made available for a one- 
time supplement grant to State commissions on national 
and community service under section 126(a) of the 1990 
Act without regard to the limitation on Federal share under 
section 126(a)(2) of the 1990 Act: Provided further, That 
of the amount made available in this paragraph, not less 
than $13,000,000 shall be for research activities authorized 
under subtitle H of title I of the 1990 Act: Provided further, 
That of the amount made available in this paragraph, not 
less than $65,000,000 shall be for programs under title I, 
part A of the 1973 Act: Provided further, That funds pro-
vided in the previous proviso shall not be made available 
in connection with cost-share agreements authorized under 
section 192A(g)(10) of the 1990 Act: Provided further, That 
of the funds available under this heading, up to 20 percent 
of funds allocated to grants authorized under section 124(b) 
of title I, subtitle C of the 1990 Act may be used to admin-
ister, reimburse, or support any national service program 
under section 129(d)(2) of the 1990 Act: Provided further, 
That, except as provided herein and in addition to require-
ments identified herein, funds provided in this paragraph 
shall be subject to the terms and conditions under which 
funds were appropriated in fiscal year 2008: Provided fur-
ther, That the CEO shall provide the Committees on Appro-
priations of the House of Representatives and the Senate
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a fiscal year 2009 operating plan for the funds appro-
priated in this paragraph prior to making any Federal ob-
ligations of such funds in fiscal year 2009, but not later 
than 90 days after the date of enactment of this Act, and 
a fiscal year 2010 operating plan for such funds prior to 
making any Federal obligations of such funds in fiscal year 
2010, but not later than November 1, 2009, that detail the 
allocation of resources and the increased number of members 
supported by the AmeriCorps programs: Provided further, 
That the CEO shall provide to the Committees on Appro-
priations of the House of Representatives and the Senate 
a report on the actual obligations, expenditures, and unobli-
gated balances for each activity funded under this heading 
not later than November 1, 2009, and every 6 months there-
after as long as funding provided under this heading is 
available for obligation or expenditure. 
OFFICE OF THE INSPECTOR GENERAL 
For an additional amount for the Office of the Inspec-
tor General, $1,000,000, which shall remain available until 
September 30, 2011. 
NATIONAL SERVICE TRUST 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘National Service 
Trust’’ established under subtitle D of title I of the National 
and Community Service Act of 1990 (‘‘1990 Act’’),
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$40,000,000, which shall remain available until expended: 
Provided, That the Corporation for National and Commu-
nity Service may transfer additional funds from the 
amount provided within ‘‘Operating Expenses’’ for grants 
made under subtitle C of title I of the 1990 Act to this ap-
propriation upon determination that such transfer is nec-
essary to support the activities of national service partici-
pants and after notice is transmitted to the Committees on 
Appropriations of the House of Representatives and the 
Senate: Provided further, the amount appropriated for or 
transferred to the National Service Trust may be invested 
under section 145(b) of the 1990 Act without regard to the 
requirement to apportion funds under 31 U.S.C. 1513(b). 
SOCIAL SECURITY ADMINISTRATION 
LIMITATION ON ADMINISTRATIVE EXPENSES 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Limitation on Admin-
istrative Expenses’’, $890,000,000 shall be available as fol-
lows: 
(1) $750,000,000 shall remain available until ex-
pended for necessary expenses of the replacement of 
the National Computer Center and the information 
technology costs associated with such Center: Pro-
vided, That the Commissioner of Social Security shall 
notify the Committees on Appropriations of the House
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of Representatives and the Senate not later than 10 
days prior to each public notice soliciting bids related 
to site selection and construction: Provided further, 
That unobligated balances of funds not needed for this 
purpose may be used as described in subparagraph 
(2); and 
(2) $140,000,000 shall be available through Sep-
tember 30, 2010 for information technology acquisi-
tions and research, which may include research and 
activities to facilitate the adoption of electronic med-
ical records in disability claims and the transfer of 
funds to ‘‘Supplemental Security Income’’ to carry 
out activities under section 1110 of the Social Secu-
rity Act: Provided further, That not later than 10 
days prior to the obligation of such funds, the Com-
missioner shall provide to the Committees on Appro-
priations of the House of Representatives and the 
Senate an operating plan describing the planned uses 
of such funds. 
OFFICE OF INSPECTOR GENERAL 
For an additional amount for the ‘‘Office of Inspector 
General’’, $3,000,000, which shall remain available through 
September 30, 2012, for salaries and expenses necessary for 
oversight and audit of programs, projects, and activities
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funded in this Act and administered by the Social Security 
Administration. 
GENERAL PROVISIONS—THIS TITLE 
SEC. 801. REPORT ON THE IMPACT OF PAST AND FU-
TURE MINIMUM WAGE INCREASES. (a) IN GENERAL.—Sec-
tion 8104 of the U.S. Troop Readiness, Veterans’ Care, 
Katrina Recovery, and Iraq Accountability Appropriations 
Act, 2007 (Public Law 110–28; 121 Stat. 189) is amended 
to read as follows: 
‘‘SEC. 8104. REPORT ON THE IMPACT OF PAST AND FUTURE 
MINIMUM WAGE INCREASES. 
‘‘(a) STUDY.—Beginning on the date that is 60 days 
after the date of enactment of this Act, and every year there-
after until the minimum wage in the respective territory 
is $7.25 per hour, the Government Accountability Office 
shall conduct a study to— 
‘‘(1) assess the impact of the minimum wage in-
creases that occurred in American Samoa and the 
Commonwealth of the Northern Mariana Islands in 
2007 and 2008, as required under Public Law 110– 
28, on the rates of employment and the living stand-
ards of workers, with full consideration of the other 
factors that impact rates of employment and the liv-
ing standards of workers such as inflation in the cost 
of food, energy, and other commodities; and
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‘‘(2) estimate the impact of any further wage in-
creases on rates of employment and the living stand-
ards of workers in American Samoa and the Com-
monwealth of the Northern Mariana Islands, with full 
consideration of the other factors that may impact the 
rates of employment and the living standards of 
workers, including assessing how the profitability of 
major private sector firms may be impacted by wage 
increases in comparison to other factors such as en-
ergy costs and the value of tax benefits. 
‘‘(b) REPORT.—No earlier than March 15, 2009, and 
not later than April 15, 2009, the Government Account-
ability Office shall transmit its first report to Congress con-
cerning the findings of the study required under subsection 
(a). The Government Accountability Office shall transmit 
any subsequent reports to Congress concerning the findings 
of a study required by subsection (a) between March 15 and 
April 15 of each year. 
‘‘(c) ECONOMIC INFORMATION.—To provide sufficient 
economic data for the conduct of the study under subsection 
(a)— 
‘‘(1) the Department of Labor shall include and 
separately report on American Samoa and the Com-
monwealth of the Northern Mariana Islands in its 
household surveys and establishment surveys;
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‘‘(2) the Bureau of Economic Analysis of the De-
partment of Commerce shall include and separately 
report on American Samoa and the Commonwealth of 
the Northern Mariana Islands in its gross domestic 
product data; and 
‘‘(3) the Bureau of the Census of the Department 
of Commerce shall include and separately report on 
American Samoa and the Commonwealth of the 
Northern Mariana Islands in its population estimates 
and demographic profiles from the American Commu-
nity Survey, 
with the same regularity and to the same extent as the De-
partment or each Bureau collects and reports such data for 
the 50 States. In the event that the inclusion of American 
Samoa and the Commonwealth of the Northern Mariana 
Islands in such surveys and data compilations requires 
time to structure and implement, the Department of Labor, 
the Bureau of Economic Analysis, and the Bureau of the 
Census (as the case may be) shall in the interim annually 
report the best available data that can feasibly be secured 
with respect to such territories. Such interim reports shall 
describe the steps the Department or the respective Bureau 
will take to improve future data collection in the territories 
to achieve comparability with the data collected in the 
United States. The Department of Labor, the Bureau of
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Economic Analysis, and the Bureau of the Census, together 
with the Department of the Interior, shall coordinate their 
efforts to achieve such improvements.’’. 
(b) EFFECTIVE DATE.—The amendment made by this 
section shall take effect on the date of enactment of this Act. 
SEC. 802. FEDERAL COORDINATING COUNCIL
FOR 
COMPARATIVE CLINICAL EFFECTIVENESS RESEARCH. (a) 
ESTABLISHMENT.—There is hereby established a Federal 
Coordinating Council for Comparative Clinical Effective-
ness Research (in this section referred to as the ‘‘Council’’). 
(b) PURPOSE; DUTIES.—The Council shall— 
(1) assist the offices and agencies of the Federal 
Government, including the Departments of Health 
and Human Services, Veterans Affairs, and Defense, 
and other Federal departments or agencies, to coordi-
nate the conduct or support of comparative clinical 
effectiveness and related health services research; and 
(2) advise the President and Congress on— 
(A) strategies with respect to the infrastruc-
ture needs of comparative clinical effectiveness 
research within the Federal Government; 
(B) appropriate organizational expendi-
tures for comparative clinical effectiveness re-
search by relevant Federal departments and 
agencies; and
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(C) opportunities to assure optimum coordi-
nation of comparative clinical effectiveness and 
related health services research conducted or sup-
ported by relevant Federal departments and 
agencies, with the goal of reducing duplicative ef-
forts and encouraging coordinated and com-
plementary use of resources. 
(c) MEMBERSHIP.— 
(1) NUMBER AND APPOINTMENT.—The Council 
shall be composed of not more than 15 members, all 
of whom are senior Federal officers or employees with 
responsibility for health-related programs, appointed 
by the President, acting through the Secretary of 
Health and Human Services (in this section referred 
to as the ‘‘Secretary’’). Members shall first be ap-
pointed to the Council not later than 30 days after 
the date of the enactment of this Act. 
(2) MEMBERS.— 
(A) IN
GENERAL.—The members of the 
Council shall include one senior officer or em-
ployee from each of the following agencies: 
(i) The Agency for Healthcare Research 
and Quality. 
(ii) The Centers for Medicare and Med-
icaid Services.
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(iii) The National Institutes of Health. 
(iv) The Office of the National Coordi-
nator for Health Information Technology. 
(v) The Food and Drug Administra-
tion. 
(vi) The Veterans Health Administra-
tion within the Department of Veterans Af-
fairs. 
(vii) The office within the Department 
of Defense responsible for management of 
the Department of Defense Military Health 
Care System. 
(B) QUALIFICATIONS.—At least half of the 
members of the Council shall be physicians or 
other experts with clinical expertise. 
(3) CHAIRMAN; VICE CHAIRMAN.—The Secretary 
shall serve as Chairman of the Council and shall des-
ignate a member to serve as Vice Chairman. 
(d) REPORTS.— 
(1) INITIAL REPORT.—Not later than June 30, 
2009, the Council shall submit to the President and 
the Congress a report containing information describ-
ing Federal activities on comparative clinical effec-
tiveness research and recommendations for additional 
investments in such research conducted or supported
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partment of Labor in this title; oversee and evaluate the 
use of such funds; and enforce applicable laws and regula-
tions governing worker rights and protections associated 
with the funds made available in this Act. 
(b) Not later than 10 days prior to obligating any 
funds proposed to be transferred under subsection (a), the 
Secretary shall provide to the Committees on Appropria-
tions of the House of Representatives and the Senate an 
operating plan describing the planned uses of each amount 
proposed to be transferred. 
(c) Funds transferred under this section may be avail-
able for obligation through September 30, 2010. 
SEC. 804. ELIGIBLE
EMPLOYEES
IN
THE
REC-
REATIONAL MARINE INDUSTRY. Section 2(3)(F) of the 
Longshore and Harbor Workers’ Compensation Act (33 
U.S.C. 902(3)(F)) is amended— 
(1) by striking ‘‘, repair or dismantle’’; and 
(2) by striking the semicolon and inserting ‘‘, or 
individuals employed to repair any recreational ves-
sel, or to dismantle any part of a recreational vessel 
in connection with the repair of such vessel;’’.
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TITLE IX—LEGISLATIVE BRANCH 
GOVERNMENT ACCOUNTABILITY OFFICE 
SALARIES AND EXPENSES 
For an additional amount for ‘‘Salaries and Ex-
penses’’ 
of 
the 
Government 
Accountability 
Office, 
$20,000,000, to remain available until September 30, 2010. 
GENERAL PROVISIONS—THIS TITLE 
SEC. 901. GOVERNMENT ACCOUNTABILITY OFFICE RE-
VIEWS AND REPORTS. (a) REVIEWS AND REPORTS.— 
(1) IN
GENERAL.—The Comptroller General 
shall conduct bimonthly reviews and prepare reports 
on such reviews on the use by selected State and local-
ities of funds made available in this Act. Such re-
ports, along with any audits conducted by the Comp-
troller General of such funds, shall be posted on the 
Internet and linked to the website established under 
this Act by the Recovery Accountability and Trans-
parency Board. 
(2) REDACTIONS.—Any portion of a report or 
audit under this subsection may be redacted when 
made publicly available, if that portion would dis-
close information that is not subject to disclosure 
under section 552 of title 5, United States Code (com-
monly known as the Freedom of Information Act).
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(b) EXAMINATION
OF RECORDS.—The Comptroller 
General may examine any records related to obligations of 
funds made available in this Act. 
SEC. 902. ACCESS OF GOVERNMENT ACCOUNTABILITY 
OFFICE. Each contract awarded using funds made available 
in this Act shall provide that the Comptroller General and 
his representatives are authorized— 
(1) to examine any records of the contractor or 
any of its subcontractors, or any State or local agency 
administering such contract, that directly pertain to, 
and involve transactions relating to, the contract or 
subcontract; and 
(2) to interview any current employee regarding 
such transactions. 
TITLE X—MILITARY CONSTRUCTION AND 
VETERANS AFFAIRS, AND RELATED AGENCIES 
DEPARTMENT OF DEFENSE 
MILITARY CONSTRUCTION, ARMY 
For an additional amount for ‘‘Military Construction, 
Army’’, $637,875,000, to remain available until September 
30, 2013, of which $84,100,000 shall be for child develop-
ment centers; $481,000,000 shall be for warrior transition 
complexes; and $42,400,000 shall be for health and dental 
clinics (including acquisition, construction, installation, 
and equipment): Provided, That notwithstanding any other
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provision of law, such funds may be obligated and expended 
to carry out planning and design and military construction 
projects in the United States not otherwise authorized by 
law: Provided further, That of the funds provided under this 
heading, not to exceed $30,375,000 shall be available for 
study, planning, design, and architect and engineer serv-
ices: Provided further, That within 30 days of enactment 
of this Act the Secretary of the Army shall submit to the 
Committees on Appropriations of both Houses of Congress 
an expenditure plan for funds provided under this heading 
prior to obligation. 
MILITARY CONSTRUCTION, NAVY AND MARINE CORPS 
For an additional amount for ‘‘Military Construction, 
Navy and Marine Corps’’, $990,092,000, to remain avail-
able until September 30, 2013, of which $172,820,000 shall 
be for child development centers; $174,304,000 shall be for 
barracks; $125,000,000 shall be for health clinic replace-
ment, and $494,362,000 shall be for energy conservation 
and alternative energy projects (including acquisition, con-
struction, installation, and equipment): Provided, That not-
withstanding any other provision of law, such funds may 
be obligated and expended to carry out planning and design 
and military construction projects in the United States not 
otherwise authorized by law: Provided further, That of the 
funds provided under this heading, not to exceed
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$23,606,000 shall be available for study, planning, design, 
and architect and engineer services: Provided further, That 
within 30 days of enactment of this Act the Secretary of 
the Navy shall submit to the Committees on Appropriations 
of both Houses of Congress an expenditure plan for funds 
provided under this heading prior to obligation. 
MILITARY CONSTRUCTION, AIR FORCE 
For an additional amount for ‘‘Military Construction, 
Air Force’’, $871,332,000, to remain available until Sep-
tember 30, 2013, of which $80,100,000 shall be for child 
development centers; $612,246,000 shall be for dormitories; 
and $138,100,000 shall be for health clinics (including ac-
quisition, construction, installation, and equipment): Pro-
vided, That notwithstanding any other provision of law, 
such funds may be obligated and expended to carry out 
planning and design and military construction projects in 
the United States not otherwise authorized by law: Provided 
further, That of the funds provided under this heading, not 
to exceed $40,886,000 shall be available for study, planning, 
design, and architect and engineer services: Provided fur-
ther, That within 30 days of enactment of this Act the Sec-
retary of the Air Force shall submit to the Committees on 
Appropriations of both Houses of Congress an expenditure 
plan for funds provided under this heading prior to obliga-
tion.
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MILITARY CONSTRUCTION, DEFENSE-WIDE 
For an additional amount for ‘‘Military Construction, 
Defense-Wide’’, $118,560,000 for the Energy Conservation 
Investment Program, to remain available until September 
30, 2010: Provided, That notwithstanding any other provi-
sion of law, such funds may be obligated and expended to 
carry out planning and design and military construction 
projects in the United States not otherwise authorized by 
law: Provided further, That within 30 days of enactment 
of this Act the Secretary of Defense shall submit to the Com-
mittees on Appropriations of both Houses of Congress an 
expenditure plan for funds provided under this heading 
prior to obligation. 
MILITARY CONSTRUCTION, ARMY NATIONAL GUARD 
For an additional amount for ‘‘Military Construction, 
Army National Guard’’, $150,000,000 for readiness centers 
(including construction, acquisition, expansion, rehabilita-
tion, and conversion), to remain available until September 
30, 2013: Provided, That notwithstanding any other provi-
sion of law, such funds may be obligated and expended to 
carry out planning and design and military construction 
projects in the United States not otherwise authorized by 
law: Provided further, That within 30 days of enactment 
of this Act the Director of the Army National Guard shall 
submit to the Committees on Appropriations of both Houses
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of Congress an expenditure plan for funds provided under 
this heading prior to obligation. 
MILITARY CONSTRUCTION, AIR NATIONAL GUARD 
For an additional amount for ‘‘Military Construction, 
Air National Guard’’, $110,000,000, to remain available 
until September 30, 2013: Provided, That notwithstanding 
any other provision of law, such funds may be obligated 
and expended to carry out planning and design and mili-
tary construction projects in the United States not other-
wise authorized by law: Provided further, That within 30 
days of enactment of this Act the Director of the Air Na-
tional Guard shall submit to the Committees on Appropria-
tions of both Houses of Congress an expenditure plan for 
funds provided under this heading prior to obligation. 
FAMILY HOUSING CONSTRUCTION, ARMY 
For an additional amount for ‘‘Family Housing Con-
struction, Army’’, $34,570,000, to remain available until 
September 30, 2013: Provided, That notwithstanding any 
other provision of law, such funds may be obligated and 
expended to carry out planning and design and military 
construction projects in the United States not otherwise au-
thorized by law: Provided further, That within 30 days of 
enactment of this Act the Secretary of the Army shall sub-
mit to the Committees on Appropriations of both Houses
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of Congress an expenditure plan for funds provided under 
this heading prior to obligation. 
FAMILY HOUSING OPERATION AND MAINTENANCE, ARMY 
For an additional amount for ‘‘Family Housing Oper-
ation and Maintenance, Army’’, $3,932,000: Provided, That 
notwithstanding any other provision of law, such funds 
may be obligated and expended for operation and mainte-
nance and minor construction projects in the United States 
not otherwise authorized by law. 
FAMILY HOUSING CONSTRUCTION, AIR FORCE 
For an additional amount for ‘‘Family Housing Con-
struction, Air Force’’, $80,100,000, to remain available 
until September 30, 2013: Provided, That notwithstanding 
any other provision of law, such funds may be obligated 
and expended to carry out planning and design and mili-
tary construction projects in the United States not other-
wise authorized by law: Provided further, That within 30 
days of enactment of this Act the Secretary of the Air Force 
shall submit to the Committees on Appropriations of both 
Houses of Congress an expenditure plan for funds provided 
under this heading prior to obligation. 
FAMILY HOUSING OPERATION AND MAINTENANCE, AIR 
FORCE 
For an additional amount for ‘‘Family Housing Oper-
ation and Maintenance, Air Force’’, $16,461,000: Provided,
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That notwithstanding any other provision of law, such 
funds may be obligated and expended for operation and 
maintenance and minor construction projects in the United 
States not otherwise authorized by law. 
HOMEOWNERS ASSISTANCE FUND 
For an additional amount for ‘‘Homeowners Assist-
ance Fund’’, established by section 1013 of the Demonstra-
tion Cities and Metropolitan Development Act of 1966, as 
amended (42 U.S.C. 3374), $410,973,000, to remain avail-
able until expended. 
ADMINISTRATIVE PROVISION 
SEC. 1001. (a) TEMPORARY EXPANSION OF HOME-
OWNERS ASSISTANCE PLAN TO RESPOND TO MORTGAGE 
FORECLOSURE AND CREDIT CRISIS. Section 1013 of the 
Demonstration Cities and Metropolitan Development Act of 
1966 (42 U.S.C. 3374) is amended— 
(1) in subsection (a)— 
(A) by redesignating paragraphs (1), (2), 
and (3) as clauses (i), (ii), and (iii), respec-
tively, and indenting such subparagraphs, as so 
redesignated, 6 ems from the left margin; 
(B) by striking ‘‘Notwithstanding any other 
provision of law’’ and inserting the following: 
‘‘(1) ACQUISITION OF PROPERTY AT OR NEAR 
MILITARY INSTALLATIONS THAT HAVE BEEN ORDERED
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TO BE CLOSED.—Notwithstanding any other provi-
sion of law’’; 
(C) by striking ‘‘if he determines’’ and in-
serting ‘‘if— 
‘‘(A) the Secretary determines—’’; 
(D) in clause (iii), as redesignated by sub-
paragraph (A), by striking the period at the end 
and inserting ‘‘; or’’; and 
(E) by adding at the end the following: 
‘‘(B) the Secretary determines— 
‘‘(i) that the conditions in clauses (i) 
and (ii) of subparagraph (A) have been met; 
‘‘(ii) that the closing or realignment of 
the base or installation resulted from a re-
alignment or closure carried out under the 
2005 round of defense base closure and re-
alignment under the Defense Base Closure 
and Realignment Act of 1990 (part XXIX 
of Public Law 101–510; 10 U.S.C. 2687 
note); 
‘‘(iii) that the property was purchased 
by the owner before July 1, 2006; 
‘‘(iv) that the property was sold by the 
owner between July 1, 2006, and September
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30, 2012, or an earlier end date designated 
by the Secretary; 
‘‘(v) that the property is the primary 
residence of the owner; and 
‘‘(vi) that the owner has not previously 
received benefit payments authorized under 
this subsection. 
‘‘(2) HOMEOWNER
ASSISTANCE
FOR
WOUNDED 
MEMBERS OF THE ARMED FORCES, DEPARTMENT OF 
DEFENSE AND UNITED STATES COAST GUARD CIVILIAN 
EMPLOYEES, AND THEIR SPOUSES.—Notwithstanding 
any other provision of law, the Secretary of Defense 
is authorized to acquire title to, hold, manage, and 
dispose of, or, in lieu thereof, to reimburse for certain 
losses upon private sale of, or foreclosure against, any 
property improved with a one- or two-family dwelling 
which was at the time of the relevant wound, injury, 
or illness, the primary residence of— 
‘‘(A) any member of the Armed Forces in 
medical transition who— 
‘‘(i) incurred a wound, injury, or ill-
ness in the line of duty during a deploy-
ment in support of the Armed Forces; 
‘‘(ii) is disabled to a degree of 30 per-
cent or more as a result of such wound, in-
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jury, or illness, as determined by the Sec-
retary of Defense or the Secretary of Vet-
erans Affairs; and 
‘‘(iii) is reassigned in furtherance of 
medical treatment or rehabilitation, or due 
to medical retirement in connection with 
such disability; 
‘‘(B) any civilian employee of the Depart-
ment of Defense or the United States Coast 
Guard who— 
‘‘(i) was wounded, injured, or became 
ill in the line of duty during a forward de-
ployment in support of the Armed Forces; 
and 
‘‘(ii) is reassigned in furtherance of 
medical treatment, rehabilitation, or due to 
medical retirement resulting from the sus-
tained disability; or 
‘‘(C) the spouse of a member of the Armed 
Forces or a civilian employee of the Department 
of Defense or the United States Coast Guard if— 
‘‘(i) the member or employee was killed 
in the line of duty during a deployment in 
support of the Armed Forces or died from a
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wound, injury, or illness incurred in the 
line of duty during such a deployment; and 
‘‘(ii) the spouse relocates from such res-
idence within 2 years after the death of such 
member or employee. 
‘‘(3) TEMPORARY HOMEOWNER ASSISTANCE FOR 
MEMBERS OF THE ARMED FORCES PERMANENTLY RE-
ASSIGNED
DURING
SPECIFIED
MORTGAGE
CRISIS.— 
Notwithstanding any other provision of law, the Sec-
retary of Defense is authorized to acquire title to, 
hold, manage, and dispose of, or, in lieu thereof, to 
reimburse for certain losses upon private sale of, or 
foreclosure against, any property improved with a 
one- or two-family dwelling situated at or near a 
military base or installation, if the Secretary deter-
mines— 
‘‘(A) that the owner is a member of the 
Armed Forces serving on permanent assignment; 
‘‘(B) that the owner is permanently reas-
signed by order of the United States Government 
to a duty station or home port outside a 50-mile 
radius of the base or installation; 
‘‘(C) that the reassignment was ordered be-
tween February 1, 2006, and September 30,
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2012, or an earlier end date designated by the 
Secretary; 
‘‘(D) that the property was purchased by 
the owner before July 1, 2006; 
‘‘(E) that the property was sold by the 
owner between July 1, 2006, and September 30, 
2012, or an earlier end date designated by the 
Secretary; 
‘‘(F) that the property is the primary resi-
dence of the owner; and 
‘‘(G) that the owner has not previously re-
ceived benefit payments authorized under this 
subsection.’’; 
(2) in subsection (b), by striking ‘‘this section’’ 
each place it appears and inserting ‘‘subsection 
(a)(1)’’; 
(3) in subsection (c)— 
(A) by striking ‘‘Such persons’’ and insert-
ing the following: 
‘‘(1) HOMEOWNER
ASSISTANCE
RELATED
TO 
CLOSED MILITARY INSTALLATIONS.— 
‘‘(A) IN GENERAL.—Such persons’’; 
(B) by striking ‘‘set forth above shall elect 
either (1) to receive’’ and inserting the following: 
‘‘set forth in subsection (a)(1) shall elect either—
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‘‘(i) to receive’’; 
(C) by striking ‘‘difference between (A) 95 
per centum’’ and all that follows through ‘‘(B) 
the fair market value’’ and inserting the fol-
lowing: ‘‘difference between— 
‘‘(I) 95 per centum of the fair 
market value of their property (as such 
value is determined by the Secretary of 
Defense) prior to public announcement 
of intention to close all or part of the 
military base or installation; and 
‘‘(II) the fair market value’’; 
(D) by striking ‘‘time of the sale, or (2) to 
receive’’ and inserting the following: ‘‘time of the 
sale; or 
‘‘(ii) to receive’’; 
(E) by striking ‘‘outstanding mortgages. 
The Secretary may also pay a person who elects 
to receive a cash payment under clause (1) of the 
preceding sentence an amount’’ and inserting 
‘‘outstanding mortgages. 
‘‘(B) REIMBURSEMENT OF EXPENSES.—The 
Secretary may also pay a person who elects to 
receive a cash payment under subparagraph (A) 
an amount’’; and
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(F) by striking ‘‘best interest of the Federal 
Government. Cash payment’’ and inserting the 
following: ‘‘best interest of the United States. 
‘‘(2) HOMEOWNER
ASSISTANCE
FOR
WOUNDED 
INDIVIDUALS AND THEIR SPOUSES.— 
‘‘(A) IN GENERAL.—Persons eligible under 
the criteria set forth in subsection (a)(2) may 
elect either— 
‘‘(i) to receive a cash payment as com-
pensation for losses which may be or have 
been sustained in a private sale, in an 
amount not to exceed the difference be-
tween— 
‘‘(I) 95 per centum of prior fair 
market value of their property (as such 
value is determined by the Secretary of 
Defense); and 
‘‘(II) the fair market value of such 
property (as such value is so deter-
mined) at the time of the wound, in-
jury, or illness qualifying the indi-
vidual for benefits under subsection 
(a)(2); or 
‘‘(ii) to receive, as purchase price for 
their property an amount not to exceed 90
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per centum of prior fair market value as 
such value is determined by the Secretary of 
Defense, or the amount of the outstanding 
mortgages. 
‘‘(B) DETERMINATION OF BENEFITS.—The 
Secretary may also pay a person who elects to 
receive a cash payment under subparagraph (A) 
an amount that the Secretary determines appro-
priate to reimburse the person for the costs in-
curred by the person in the sale of the property 
if the Secretary determines that such payment 
will benefit the person and is in the best interest 
of the United States. 
‘‘(3) HOMEOWNER
ASSISTANCE
FOR
PERMA-
NENTLY REASSIGNED INDIVIDUALS.— 
‘‘(A) IN GENERAL.—Persons eligible under 
the criteria set forth in subsection (a)(3) may 
elect either— 
‘‘(i) to receive a cash payment as com-
pensation for losses which may be or have 
been sustained in a private sale, in an 
amount not to exceed the difference be-
tween— 
‘‘(I) 95 per centum of prior fair 
market value of their property (as such
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value is determined by the Secretary of 
Defense); and 
‘‘(II) the fair market value of such 
property (as such value is so deter-
mined) at the time the person received 
change of permanent station orders; or 
‘‘(ii) to receive, as purchase price for 
their property an amount not to exceed 90 
per centum of prior fair market value as 
such value is determined by the Secretary of 
Defense, or the amount of the outstanding 
mortgages. 
‘‘(B) DETERMINATION OF BENEFITS.—The 
Secretary may also pay a person who elects to 
receive a cash payment under subparagraph (A) 
an amount that the Secretary determines appro-
priate to reimburse the person for the costs in-
curred by the person in the sale of the property 
if the Secretary determines that such payment 
will benefit the person and is in the best interest 
of the United States. 
‘‘(4) COMPENSATION AND LIMITATIONS RELATED 
TO FORECLOSURES AND ENCUMBRANCES.—Cash pay-
ment’’; 
(4) by striking subsection (g);
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HR 1 EAS 
(5) in subsection (l), by striking ‘‘(a)(2)’’ and in-
serting ‘‘(a)(1)(A)(ii)’’; 
(6) in subsection (m), by striking ‘‘this section’’ 
and inserting ‘‘subsection (a)(1)’’; 
(7) in subsection (n)— 
(A) in paragraph (1), by striking ‘‘this sec-
tion’’ and inserting ‘‘subsection (a)(1)’’; and 
(B) in paragraph (2), by striking ‘‘this sec-
tion’’ and inserting ‘‘subsection (a)(1)’’; 
(8) in subsection (o)— 
(A) in paragraph (1), by striking ‘‘this sec-
tion’’ and inserting ‘‘subsection (a)(1)’’; 
(B) in paragraph (2), by striking ‘‘this sec-
tion’’ and inserting ‘‘subsection (a)(1)’’; and 
(C) by striking paragraph (4); and 
(9) by adding at the end the following new sub-
section: 
‘‘(p) DEFINITIONS.—In this section: 
‘‘(1) the term ‘Armed Forces’ has the meaning 
given the term ‘armed forces’ in section 101(a) of title 
10, United States Code; 
‘‘(2) the term ‘civilian employee’ has the mean-
ing given the term ‘employee’ in section 2105(a) of 
title 5, United States Code;
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HR 1 EAS 
‘‘(3) the term ‘medical transition’, in the case of 
a member of the Armed Forces, means a member 
who— 
‘‘(A) is in Medical Holdover status; 
‘‘(B) is in Active Duty Medical Extension 
status; 
‘‘(C) is in Medical Hold status; 
‘‘(D) is in a status pending an evaluation 
by a medical evaluation board; 
‘‘(E) has a complex medical need requiring 
six or more months of medical treatment; or 
‘‘(F) is assigned or attached to an Army 
Warrior Transition Unit, an Air Force Patient 
Squadron, a Navy Patient Multidisciplinary 
Care Team, or a Marine Patient Affairs Team/ 
Wounded Warrior Regiment; and 
‘‘(4) the term ‘nonappropriated fund instrumen-
tality employee’ means a civilian employee who— 
‘‘(A) is a citizen of the United States; and 
‘‘(B) is paid from nonappropriated funds of 
Army and Air Force Exchange Service, Navy 
Resale and Services Support Office, Marine 
Corps exchanges, or any other instrumentality of 
the United States under the jurisdiction of the 
Armed Forces which is conducted for the comfort,
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pleasure, contentment, or physical or mental im-
provement of members of the Armed Forces.’’. 
(b) CLERICAL AMENDMENT.—Such section is further 
amended in the section heading by inserting ‘‘and certain 
property owned by members of the armed forces, department 
of defense and united states coast guard civilian employees, 
and surviving spouses’’ after ‘‘ordered to be closed’’. 
(c) AUTHORITY TO USE APPROPRIATED FUNDS.—Not-
withstanding subsection (i) of such section, amounts appro-
priated or otherwise made available by this title under the 
heading ‘‘Homeowners Assistance Fund’’ may be used for 
the Homeowners Assistance Fund established under such 
section. 
DEPARTMENT OF VETERANS AFFAIRS 
VETERANS HEALTH ADMINISTRATION 
MEDICAL SUPPORT AND COMPLIANCE 
For an additional amount for ‘‘Medical Support and 
Compliance’’, $5,000,000, to remain available until Sep-
tember 30, 2010, to support contract administration and 
energy initiative execution at the Veterans Health Adminis-
tration. 
MEDICAL FACILITIES 
For an additional amount for ‘‘Medical Facilities’’, 
$1,370,459,000, to remain available until September 30, 
2010, of which $1,047,313,000 shall be for facility condition
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assessment deficiencies and non-recurring maintenance at 
existing medical facilities; and $323,146,000 shall be for en-
ergy efficiency initiatives. 
NATIONAL CEMETERY ADMINISTRATION 
For an additional amount for ‘‘National Cemetery Ad-
ministration’’, $64,961,000, to remain available until Sep-
tember 30, 2010, of which $59,476,000 shall be for capital 
infrastructure and memorial and monument repairs; and 
$5,485,000 shall be for energy efficiency initiatives. 
DEPARTMENTAL ADMINISTRATION 
GENERAL OPERATING EXPENSES 
For an additional amount for ‘‘General Operating Ex-
penses’’, $1,125,000, to remain available until September 
30, 2010, for additional Full Time Equivalent salary and 
expenses for major construction project administration and 
execution and energy initiative execution. 
INFORMATION TECHNOLOGY SYSTEMS 
For an additional amount for ‘‘Information Tech-
nology Systems’’, $195,000,000, to remain available until 
September 30, 2010, of which $145,000,000 shall be for the 
Veterans 
Benefits 
Administration’s 
development 
of 
paperless claims processing; and $50,000,000 shall be for 
the development of systems required to implement chapter 
33 of title 38, United States Code.
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OFFICE OF INSPECTOR GENERAL 
For an additional amount for ‘‘Office of Inspector 
General’’, $4,400,000, to remain available until September 
30, 2011, for oversight and audit of programs, grants and 
projects funded under this title. 
CONSTRUCTION, MAJOR PROJECTS 
For an additional amount for ‘‘Construction, Major 
Projects’’, $1,105,333,000, to remain available until Sep-
tember 30, 2013, which shall be for acceleration and con-
struction of ongoing and planned construction, including 
physical security construction, of major medical facilities 
and National Cemeteries consistent with the Department of 
Veterans Affairs’ Five Year Capital Plan: Provided, That 
notwithstanding any other provision of law, such funds 
may be obligated and expended to carry out planning and 
design and major medical facility construction not other-
wise authorized by law: Provided further, That within 30 
days of enactment of this Act the Secretary of Veterans Af-
fairs shall submit to the Committees on Appropriations of 
both Houses of Congress an expenditure plan for funds pro-
vided under this heading prior to obligation. 
CONSTRUCTION, MINOR PROJECTS 
For an additional amount for ‘‘Construction, Minor 
Projects’’, $939,836,000, to remain available until Sep-
tember 30, 2010, of which $860,742,000 shall be for Vet-
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erans 
Health 
Administration 
minor 
construction; 
$20,300,000 shall be for Veterans Benefits Administration 
minor construction, including $300,000 for energy effi-
ciency initiatives; and $29,012,000 shall be for National 
Cemetery Administration minor construction. 
GRANTS FOR CONSTRUCTION OF STATE EXTENDED CARE 
FACILITIES 
For an additional amount for ‘‘Grants for Construc-
tion of State Extended Care Facilities’’, $257,986,000, to 
remain available until September 30, 2010, for grants to 
assist States to acquire or construct State nursing home and 
domiciliary facilities and to remodel, modify, or alter exist-
ing hospital, nursing home, and domiciliary facilities in 
State homes, for furnishing care to veterans as authorized 
by sections 8131 through 8137 of title 38, United States 
Code. 
ADMINISTRATIVE PROVISION 
SEC. 1002. PAYMENTS TO ELIGIBLE PERSONS WHO 
SERVED IN THE UNITED STATES ARMED FORCES IN THE 
FAR EAST DURING WORLD WAR II. (a) FINDINGS.—Con-
gress makes the following findings: 
(1) The Philippine islands became a United 
States possession in 1898 when they were ceded from 
Spain following the Spanish-American War.
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HR 1 EAS 
which to base the competition for any grants awarded under 
this heading not later than 75 days after enactment of this 
Act: Provided further, That the Secretary shall require ap-
plications for funding provided under this heading to be 
submitted not later than 180 days after enactment of this 
Act, and announce all projects selected to be funded from 
such funds not later than 1 year after enactment of this 
Act: Provided further, That the Secretary shall require all 
additional applications to be submitted not later than 1 
year after enactment of this Act, and announce not later 
than 180 days following such 1-year period all additional 
projects selected to be funded with funds withdrawn from 
States and grantees and transferred from ‘‘Supplemental 
Grants for Highway Investments’’ and ‘‘Supplemental 
Grants for Public Transit Investment’’: Provided further, 
That projects conducted using funds provided under this 
heading must comply with the requirements of subchapter 
IV of chapter 31 of title 40, United States Code: Provided 
further, That the Secretary may retain up to $5,000,000 
of the funds provided under this heading, and may transfer 
portions of those funds to the Administrators of the Federal 
Highway Administration, the Federal Transit Administra-
tion, the Federal Railroad Administration and the Mari-
time Administration, to fund the award and oversight of 
grants made under this heading.