H. R. 1105—241 
to the Secretary of Health and Human Services through September 
30, 2011, for parts A and B of title XXVI of the PHS Act: Provided 
further, That within the amounts provided for part A of title XXVI 
of the PHS Act, $10,853,000 is available to the Secretary of Health 
and Human Services through September 30, 2011, and shall be 
available to qualifying jurisdictions, within 30 days of enactment, 
for increasing supplemental grants for fiscal year 2009 to metropoli-
tan areas that received grant funding in fiscal year 2008 under 
subpart I of part A of title XXVI of the PHS Act to ensure that 
an area’s total funding under subpart I of part A for fiscal year 
2008, together with the amount of this additional funding, is not 
less than 93.7 percent of the amount of such area’s total funding 
under part A for fiscal year 2006, and to transitional areas that 
received grant funding in fiscal year 2008 under subpart II of 
part A of title XXVI of the PHS Act to ensure that an area’s 
total funding under subpart II of part A for fiscal year 2008, 
together with the amount of this additional funding, is not less 
than 88.7 percent of the amount of such area’s total funding under 
part A for fiscal year 2006: Provided further, That notwithstanding 
section 2603(c)(1) of the PHS Act, the additional funding to areas 
under the immediately preceding proviso, which may be used for 
costs incurred during fiscal year 2008, shall be available to the 
area for obligation from the date of the award through the end 
of the grant year for the award: Provided further, That $815,000,000 
shall be for State AIDS Drug Assistance Programs authorized by 
section 2616 of the PHS Act: Provided further, That in addition 
to amounts provided herein, $25,000,000 shall be available from 
amounts available under section 241 of the PHS Act to carry out 
parts A, B, C, and D of title XXVI of the PHS Act to fund section 
2691 Special Projects of National Significance: Provided further, 
That notwithstanding section 502(a)(1) and 502(b)(1) of the Social 
Security Act, not to exceed $92,551,000 is available for carrying 
out special projects of regional and national significance pursuant 
to section 501(a)(2) of such Act and $10,400,000 is available for 
projects described in paragraphs (A) through (F) of section 501(a)(3) 
of such Act: Provided further, That notwithstanding section 747(e)(2) 
of the PHS Act, not less than $5,000,000 shall be for general 
dentistry programs, not less than $5,000,000 shall be for pediatric 
dentistry programs including faculty loan repayment, and not less 
than $29,025,000 shall be for family medicine programs: Provided 
further, That of the funds provided, $19,642,000 shall be provided 
to the Denali Commission as a direct lump payment pursuant 
to Public Law 106–113: Provided further, That of the funds provided, 
$26,000,000 shall be provided for the Delta Health Initiative as 
authorized in section 219 of division G of Public Law 110–161 
and associated administrative expenses: Provided further, That 
funds provided under section 846 and subpart 3 of part D of title 
III of the PHS Act may be used to make prior year adjustments 
to awards made under these sections: Provided further, That of 
the amount appropriated in this paragraph, $310,470,000 shall 
be used for the projects financing the construction and renovation 
(including equipment) of health care and other facilities and for 
other health-related activities, and in the amounts, specified under 
the heading ‘‘Health Resources and Services’’ in the explanatory 
statement described in section 4 (in the matter preceding division 
A of this consolidated Act), and of which up to one percent of
H. R. 1105—242 
the amount for each project may be used for related agency adminis-
trative expenses: Provided further, That notwithstanding section 
338J(k) of the PHS Act, $9,201,000 is available for State Offices 
of Rural Health: Provided further, That of the funds provided, 
$15,000,000 is available for the Small Rural Hospital Improvement 
Grant Program for quality improvement and adoption of health 
information technology. 
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM ACCOUNT 
Such sums as may be necessary to carry out the purpose 
of the program, as authorized by title VII of the Public Health 
Service Act (‘‘PHS Act’’). For administrative expenses to carry out 
the guaranteed loan program, including section 709 of the PHS 
Act, $2,847,000. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation Program 
Trust Fund (‘‘Trust Fund’’), such sums as may be necessary for 
claims associated with vaccine-related injury or death with respect 
to vaccines administered after September 30, 1988, pursuant to 
subtitle 2 of title XXI of the Public Health Service Act, to remain 
available until expended: Provided, That for necessary administra-
tive expenses, not to exceed $5,404,000 shall be available from 
the Trust Fund to the Secretary of Health and Human Services. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
DISEASE CONTROL, RESEARCH, AND TRAINING 
To carry out titles II, III, VII, XI, XV, XVII, XIX, XXI, and 
XXVI of the Public Health Service Act (‘‘PHS Act’’), sections 101, 
102, 103, 201, 202, 203, 301, 501, and 514 of the Federal Mine 
Safety and Health Act of 1977, section 13 of the Mine Improvement 
and New Emergency Response Act of 2006, sections 20, 21, and 
22 of the Occupational Safety and Health Act of 1970, title IV 
of the Immigration and Nationality Act, section 501 of the Refugee 
Education Assistance Act of 1980, and for expenses necessary to 
support activities related to countering potential biological, nuclear, 
radiological, and chemical threats to civilian populations; including 
purchase and insurance of official motor vehicles in foreign coun-
tries; and purchase, hire, maintenance, and operation of aircraft, 
$6,283,350,000, of which $151,500,000 shall remain available until 
expended for acquisition of real property, equipment, construction 
and renovation of facilities; of which $570,307,000 shall remain 
available until expended for the Strategic National Stockpile under 
section 319F–2 of the PHS Act; of which $21,997,000 shall be 
used for the projects, and in the amounts, specified under the 
heading ‘‘Disease Control, Research, and Training’’ in the explana-
tory statement described in section 4 (in the matter preceding 
division A of this consolidated Act); of which $118,863,000 for inter-
national HIV/AIDS shall remain available through September 30, 
2010; and of which $70,000,000 shall be available until expended 
to provide screening and treatment for first response emergency 
services personnel, residents, students, and others related to the 
September 11, 2001 terrorist attacks on the World Trade Center: 
Provided, That in addition, such sums as may be derived from
H. R. 1105—243 
authorized user fees, which shall be credited to this account: Pro-
vided further, That in addition to amounts provided herein, the 
following amounts shall be available from amounts available under 
section 241 of the PHS Act: (1) $12,794,000 to carry out the National 
Immunization Surveys; (2) $124,701,000 to carry out the National 
Center for Health Statistics surveys; (3) $24,751,000 to carry out 
information systems standards development and architecture and 
applications-based research used at local public health levels; (4) 
$46,780,000 for Health Marketing; (5) $31,000,000 to carry out 
Public Health Research; and (6) $91,225,000 to carry out research 
activities within the National Occupational Research Agenda: Pro-
vided further, That none of the funds made available for injury 
prevention and control at the Centers for Disease Control and 
Prevention may be used, in whole or in part, to advocate or promote 
gun control: Provided further, That of the funds made available 
under this heading, up to $1,000 per eligible employee of the Centers 
for Disease Control and Prevention shall be made available until 
expended for Individual Learning Accounts: Provided further, That 
the Director may redirect the total amount made available under 
authority of Public Law 101–502, section 3, dated November 3, 
1990, to activities the Director may so designate: Provided further, 
That the Committees on Appropriations of the House of Representa-
tives and the Senate are to be notified promptly of any such redirec-
tion: Provided further, That not to exceed $19,528,000 may be 
available for making grants under section 1509 of the PHS Act 
to not less than 21 States, tribes, or tribal organizations: Provided 
further, That notwithstanding any other provision of law, the Cen-
ters for Disease Control and Prevention shall award a single con-
tract or related contracts for development and construction of the 
next building or facility designated in the Buildings and Facilities 
Master Plan 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: Pro-
vided further, That of the funds appropriated, $10,000 shall be 
for official reception and representation expenses when specifically 
approved by the Director of the Centers for Disease Control and 
Prevention: Provided further, That employees of the Centers for 
Disease Control and Prevention or the Public Health Service, both 
civilian and Commissioned Officers, detailed to States, municipali-
ties, or other organizations under authority of section 214 of the 
PHS Act, or in overseas assignments, shall be treated as non- 
Federal employees for reporting purposes only and shall not be 
included within any personnel ceiling applicable to the Agency, 
Service, or the Department of Health and Human Services during 
the period of detail or assignment: Provided further, That out of 
funds made available under this heading for domestic HIV/AIDS 
testing, up to $15,000,000 shall be for States newly eligible in 
fiscal year 2009 under section 2625 of the PHS Act as of December 
31, 2008 and shall be distributed by May 31, 2009 based on standard 
criteria relating to a State’s epidemiological profile, and of which 
not more than $1,000,000 may be made available to any one State, 
and amounts that have not been obligated by May 31, 2009 shall 
be made available to States and local public health departments 
for HIV testing activities: Provided further, That none of the funds 
made available in this Act to carry out part A of title XIX of 
the PHS Act may be used to provide more than 75 percent of 
any State’s allotment under section 1902 of the PHS Act until