HR 3043 RH1S 
tion Drug, Improvement, and Modernization Act of 2003 
(Public Law 108–173), with oversight activities including 
those activities listed in section 1893(b) of the Social Se-
curity Act (42 U.S.C. 1395www(b)); of which $36,690,000 
is for the Department of Health and Human Services Of-
fice of Inspector General; of which $21,140,000 is for the 
Medicaid program integrity activities; and of which 
$36,690,000 is for the Department of Justice: Provided, 
That the report required by section 1817(k)(5) of the So-
cial Security Act (42 U.S.C. 1395i(k)(5)) for fiscal year 
2008 shall include measures of the operational efficiency 
and impact on fraud, waste and abuse in the Medicare 
and Medicaid programs for the funds provided by this ap-
propriation. 
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), $2,949,713,000, to remain available until 
expended; and for such purposes for the first quarter of 
fiscal year 2009, $1,000,000,000, to remain available until 
expended. 
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HR 3043 RH1S 
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 as in effect 
before the effective date of the program of Temporary As-
sistance 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 appropriation and under such title IV–A as 
amended by the Personal Responsibility and Work Oppor-
tunity Reconciliation Act of 1996 shall not exceed the limi-
tations under section 116(b) of such Act. 
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 three months of the current fiscal year for unan-
ticipated costs, incurred for the current fiscal year, such 
sums as may be necessary. 
LOW-INCOME HOME ENERGY ASSISTANCE 
For making payments under section 2604(a)–(d) of 
the Low-Income Home Energy Assistance Act of 1981 (42 
U.S.C. 8623(a)–(d)), $1,980,000,000. 
For making payments under section 2604(e) of the 
Low-Income Home Energy Assistance Act of 1981 (42 
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HR 3043 RH1S 
U.S.C. 8623(e)), $682,000,000, notwithstanding the des-
ignation requirement of section 2602(e) of such Act. 
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 (8 
U.S.C. 1521–1524) and section 501 of the Refugee Edu-
cation Assistance Act of 1980 (8 U.S.C. 1522 note), for 
carrying out section 462 of the Homeland Security Act 
of 2002 (6 U.S.C. 279), and for carrying out the Torture 
Victims Relief Act of 1998 (22 U.S.C. 2152 note) 
$650,630,000, of which up to $9,814,000 shall be avail-
able to carry out the Trafficking Victims Protection Act 
of 2000 (22 U.S.C. 7101 et seq.): Provided, That funds 
appropriated under this heading pursuant to section 
414(a) of the Immigration and Nationality Act and sec-
tion 462 of the Homeland Security Act of 2002 for fiscal 
year 2008 shall be available for the costs of assistance pro-
vided and other activities to remain available through Sep-
tember 30, 2010. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block Grant Act of 1990 (42 U.S.C. 9858 et seq.), 
$2,137,081,000 shall be used to supplement, not supplant, 
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State general revenue funds for child care assistance for 
low-income families: Provided, That $18,777,370 shall be 
available for child care resource and referral and school- 
aged child care activities, of which $982,080 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, $267,785,718 shall be 
reserved by the States for activities authorized under sec-
tion 658G, of which $98,208,000 shall be for activities 
that improve the quality of infant and toddler care: Pro-
vided further, That $9,821,000 shall be for use by the Sec-
retary for child care research, demonstration, and evalua-
tion activities. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 
2002 of the Social Security Act (42 U.S.C. 1397a), 
$1,700,000,000. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act (42 U.S.C. 5711 et 
seq.), the Developmental Disabilities Assistance and Bill 
of Rights Act of 2000 (42 U.S.C. 15001 et seq.), the Head 
Start Act (42 U.S.C. 9831 et seq.), the Child Abuse Pre-
vention and Treatment Act (42 U.S.C. 5101 et seq.), sec-
tions 310 and 316 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10409, 10416), the Native Amer-
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ican Programs Act of 1974 (42 U.S.C. 2991a et seq.), 
title II of the Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 (42 U.S.C. 5111 et seq.) 
(adoption opportunities), sections 330F and 330G of the 
Public Health Service Act (42 U.S.C. 254c–6, 254c–7), 
the Abandoned Infants Assistance Act of 1988 (42 U.S.C. 
670 note), sections 261 and 291 of the Help America Vote 
Act of 2002 (42 U.S.C. 15421, 15461), subpart 1 of part 
B of title IV and sections 413, 1110, and 1115 of the 
Social Security Act, for making payments under the Com-
munity Services Block Grant Act (42 U.S.C. 9901 et 
seq.), sections 439, 473B, and 477 of the Social Security 
Act, and the Assets for Independence Act (42 U.S.C. 604 
note), and for necessary administrative expenses to carry 
out such 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 Low-Income Home Energy Assist-
ance Act of 1981, title IV of the Immigration and Nation-
ality Act, section 501 of the Refugee Education Assistance 
Act of 1980, and section 505 of the Family Support Act 
of 1988 (42 U.S.C. 9926), $9,125,940,000, of which 
$9,500,000, to remain available until September 30, 2009, 
shall be for grants to States for adoption incentive pay-
ments, as authorized by section 473A of the Social Secu-
rity Act (42 U.S.C. 673b) and may be made for adoptions 
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