HR 3010 RS 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to general medical 
sciences, $1,955,170,000. 
NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN 
DEVELOPMENT 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to child health and 
human development, $1,277,544,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to eye diseases and 
visual disorders, $673,491,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out sections 301 and 311 and title IV 
of the Public Health Service Act with respect to environ-
mental health sciences, $647,608,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Pub-
lic
Health
Service
Act
with
respect
to
aging, 
$1,057,203,000.
HR 3010 RS 
NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to arthritis and mus-
culoskeletal and skin diseases, $513,063,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to deafness and other 
communication disorders, $397,432,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to nursing research, 
$138,729,000. 
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to alcohol abuse and 
alcoholism, $440,333,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to drug abuse, 
$1,010,130,000.
HR 3010 RS 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to mental health, 
$1,417,692,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to human genome re-
search, $490,959,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to biomedical imaging 
and bioengineering research, $299,808,000. 
NATIONAL CENTER FOR RESEARCH RESOURCES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to research resources 
and general research support grants, $1,100,203,000: 
Provided, That none of these funds shall be used to pay 
recipients of the general research support grants program 
any amount for indirect expenses in connection with such 
grants.
HR 3010 RS 
NATIONAL CENTER FOR COMPLEMENTARY AND 
ALTERNATIVE MEDICINE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to complementary and 
alternative medicine, $122,692,000. 
NATIONAL CENTER ON MINORITY HEALTH AND HEALTH 
DISPARITIES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to minority health and 
health disparities research, $197,379,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities at the John E. 
Fogarty International Center, $67,048,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to health information 
communications, $318,091,000, of which $4,000,000 shall 
be available until expended for improvement of informa-
tion systems: Provided, That in fiscal year 2006, the Li-
brary may enter into personal services contracts for the 
provision of services in facilities owned, operated, or con-
structed under the jurisdiction of the National Institutes 
of Health: Provided further, That in addition to amounts 
provided herein, $8,200,000 shall be available from 
amounts available under section 241 of the Public Health
HR 3010 RS 
Service Act to carry out National Information Center on 
Health Services Research and Health Care Technology 
and related health services. 
OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out the responsibilities of the Office of 
the Director, National Institutes of Health, $482,216,000, 
of which up to $10,000,000 shall be used to carry out sec-
tion 217 of this Act: Provided, That funding shall be avail-
able for the purchase of not to exceed 29 passenger motor 
vehicles for replacement only: Provided further, That the 
Director may direct up to 1 percent of the total amount 
made available in this or any other Act to all National 
Institutes of Health appropriations to activities the Direc-
tor may so designate: Provided further, That no such ap-
propriation shall be decreased by more than 1 percent by 
any such transfers and that the Congress is promptly noti-
fied of the transfer: Provided further, That the National 
Institutes of Health is authorized to collect third party 
payments for the cost of clinical services that are incurred 
in National Institutes of Health research facilities and 
that such payments shall be credited to the National Insti-
tutes of Health Management Fund: Provided further, That 
all funds credited to the National Institutes of Health 
Management Fund shall remain available for 1 fiscal year
HR 3010 RS 
after the fiscal year in which they are deposited: Provided 
further, That up to $500,000 shall be available to carry 
out section 499 of the Public Health Service Act: Provided 
further, That in addition to the transfer authority provided 
above, a uniform percentage of the amounts appropriated 
in this Act to each Institute and Center may be trans-
ferred and utilized for the National Institutes of Health 
Roadmap for Medical Research: Provided further, That the 
amount utilized under the preceding proviso shall not ex-
ceed $250,000,000 without prior notification to the Com-
mittees on Appropriations of the House of Representatives 
and the Senate: Provided further, That amounts trans-
ferred and utilized under the preceding two provisos shall 
be in addition to amounts made available for the Roadmap 
for Medical Research from the Director’s Discretionary 
Fund and to any amounts allocated to activities related 
to the Roadmap through the normal research priority-set-
ting process of individual Institutes and Centers: Provided 
further, That of the funds provided $10,000 shall be for 
official reception and representation expenses when spe-
cifically approved by the Director of NIH. 
BUILDINGS AND FACILITIES 
For the study of, construction of, renovation of, and 
acquisition of equipment for, facilities of or used by the 
National Institutes of Health, including the acquisition of
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real property, $81,900,000, to remain available until ex-
pended. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
For carrying out titles V and XIX of the Public 
Health Service Act (‘‘PHS Act’’) with respect to substance 
abuse and mental health services, the Protection and Ad-
vocacy for Individuals with Mental Illness Act, and section 
301 of the PHS Act with respect to program management, 
$3,230,744,000: Provided, That notwithstanding section 
520A(f)(2) of the PHS Act, no funds appropriated for car-
rying out section 520A are available for carrying out sec-
tion 1971 of the PHS Act: Provided further, That in addi-
tion to amounts provided herein, the following amounts 
shall be available under section 241 of the PHS Act: 
(1) $79,200,000 to carry out subpart II of part 
B of title XIX of the PHS Act to fund section 
1935(b) technical assistance, national data, data col-
lection and evaluation activities, and further that the 
total available under this Act for section 1935(b) ac-
tivities shall not exceed 5 percent of the amounts ap-
propriated for subpart II of part B of title XIX; 
(2) $21,803,000 to carry out subpart I of part 
B of title XIX of the PHS Act to fund section
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1920(b) technical assistance, national data, data col-
lection and evaluation activities, and further that the 
total available under this Act for section 1920(b) ac-
tivities shall not exceed 5 percent of the amounts ap-
propriated for subpart I of part B of title XIX; 
(3) $16,000,000 to carry out national surveys 
on drug abuse; and 
(4) $4,300,000 to evaluate substance abuse 
treatment programs. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the Public 
Health Service Act, and part A of title XI of the Social 
Security Act, $318,695,000; and in addition, amounts re-
ceived from Freedom of Information Act fees, reimburs-
able and interagency agreements, and the sale of data 
shall be credited to this appropriation and shall remain 
available until expended: Provided, That no amount shall 
be made available pursuant to section 927(c) of the Public 
Health Service Act for fiscal year 2006. 
CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles 
XI and XIX of the Social Security Act, $156,954,419,000, 
to remain available until expended.
HR 3010 RS 
For making, after May 31, 2006, payments to States 
under title XIX of the Social Security Act for the last 
quarter of fiscal year 2006 for unanticipated costs, in-
curred for the current fiscal year, such sums as may be 
necessary. 
For making payments to States or in the case of sec-
tion 1928 on behalf of States under title XIX of the Social 
Security Act for the first quarter of fiscal year 2007, 
$62,783,825,000, to remain available until expended. 
Payment under title XIX may be made for any quar-
ter with respect to a State plan or plan amendment in 
effect during such quarter, if submitted in or prior to such 
quarter and approved in that or any subsequent quarter. 
PAYMENTS TO HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance and 
the Federal Supplementary Medical Insurance Trust 
Funds, as provided under section 1844, 1860D–16, and 
1860D–31 of the Social Security Act, sections 103(c) and 
111(d) of the Social Security Amendments of 1965, sec-
tion 278(d) of Public Law 97–248, and for administrative 
expenses incurred pursuant to section 201(g) of the Social 
Security Act, $177,742,200,000. 
In addition, for making matching payments under 
section 1844, and benefit payments under 1860D–16 and
HR 3010 RS 
1860D–31 of the Social Security Act, not anticipated in 
budget estimates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the Public Health Service Act, and 
the Clinical Laboratory Improvement Amendments of 
1988, not to exceed $3,180,284,000, to be transferred 
from the Federal Hospital Insurance and the Federal Sup-
plementary Medical Insurance Trust Funds, as authorized 
by section 201(g) of the Social Security Act; together with 
all funds collected in accordance with section 353 of the 
Public Health Service Act and section 1857(e)(2) of the 
Social Security Act, and such sums as may be collected 
from authorized user fees and the sale of data, which shall 
remain available until expended: Provided, That all funds 
derived in accordance with 31 U.S.C. 9701 from organiza-
tions established under title XIII of the Public Health 
Service Act shall be credited to and available for carrying 
out the purposes of this appropriation: Provided further, 
That $24,205,000, to remain available until September 
30, 2007, is for contract costs for CMS’s Systems Revital-
ization Plan: Provided further, That $79,934,000, to re-
main available until September 30, 2007, is for contract 
costs for the Healthcare Integrated General Ledger Ac-
HR 3010 RS 
counting System: Provided further, That funds appro-
priated under this heading are available for the Healthy 
Start, Grow Smart program under which the Centers for 
Medicare and Medicaid Services may, directly or through 
grants, contracts, or cooperative agreements, produce and 
distribute informational materials including, but not lim-
ited to, pamphlets and brochures on infant and toddler 
health care to expectant parents enrolled in the Medicaid 
program and to parents and guardians enrolled in such 
program with infants and children: Provided further, That 
the Secretary of Health and Human Services is directed 
to collect fees in fiscal year 2006 from Medicare Advan-
tage organizations pursuant to section 1857(e)(2) of the 
Social Security Act and from eligible organizations with 
risk-sharing contracts under section 1876 of that Act pur-
suant to section 1876(k)(4)(D) of that Act. 
HEALTH MAINTENANCE ORGANIZATION LOAN AND LOAN 
GUARANTEE FUND 
For carrying out subsections (d) and (e) of section 
1308 of the Public Health Service Act, any amounts re-
ceived by the Secretary in connection with loans and loan 
guarantees under title XIII of the Public Health Service 
Act, to be available without fiscal year limitation for the 
payment of outstanding obligations. During fiscal year
HR 3010 RS 
2006, no commitments for direct loans or loan guarantees 
shall be made. 
ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR CHILD SUPPORT 
ENFORCEMENT AND FAMILY SUPPORT PROGRAMS 
For making 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), $2,121,643,000, to remain available until 
expended; and for such purposes for the first quarter of 
fiscal year 2007, $1,200,000,000, to remain available until 
expended. 
For making payments to each State for carrying out 
the program of Aid to Families with Dependent Children 
under title IV–A of the Social Security Act before the ef-
fective date of the program of Temporary Assistance for 
Needy Families (TANF) with respect to such State, such 
sums as may be necessary: Provided, That the sum of the 
amounts available to a State with respect to expenditures 
under such title IV–A in fiscal year 1997 under this ap-
propriation and under such title IV–A as amended by the 
Personal Responsibility and Work Opportunity Reconcili-
ation Act of 1996 shall not exceed the limitations under 
section 116(b) of such Act.