H. R. 4606—16
ASSISTANT SECRETARY FOR HEALTH
OFFICE OF THE ASSISTANT SECRETARY FOR HEALTH
(INCLUDING TRANSFER OF FUNDS)
For the expenses necessary for the Office of Assistant Secretary
for Health and for carrying out titles III, XVII, XX and XXI of
the Public Health Service Act, $65,267,000, together with
$1,500,000 which shall be only for employee buyouts, terminal
leave, severance pay, and other costs related to the reduction of
the number of employees in the Office of the Assistant Secretary
for Health, and, in addition, amounts received from Freedom of
Information Act fees and reimbursable and interagency agreements
shall be credited to this appropriation and shall remain available
until expended.
RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED
OFFICERS
For retirement pay and medical benefits of Public Health Serv-
ice Commissioned Officers as authorized by law, and for payments
under the Retired Serviceman’s Family Protection Plan and Survi-
vor Benefit Plan and for medical care of dependents and retired
personnel under the Dependents’ Medical Care Act (10 U.S.C. ch.
55), and for payments pursuant to section 229(b) of the Social
Security Act (42 U.S.C. 429(b)), such amounts as may be required
during the current fiscal year.
AGENCY FOR HEALTH CARE POLICY AND RESEARCH
HEALTH CARE POLICY AND RESEARCH
For carrying out titles III and IX of the Public Health Service
Act, and part A of title XI of the Social Security Act, $138,642,000,
together with not to exceed $5,796,000 to be transferred from the
Federal Hospital Insurance and the Federal Supplementary Medical
Insurance Trust Funds, as authorized by sections 1142 and 201(g)
of the Social Security Act; in addition, amounts received from
Freedom of Information Act fees, reimbursable and interagency
agreements, and the sale of data tapes shall be credited to this
appropriation and shall remain available until expended: Provided,
That the amount made available pursuant to section 926(b) of
the Public Health Service Act shall not exceed $18,300,000.
HEALTH CARE FINANCING ADMINISTRATION
GRANTS TO STATES FOR MEDICAID
For carrying out, except as otherwise provided, titles XI and
XIX of the Social Security Act, $62,640,775,000, to remain available
until expended.
For making, after May 31, 1995, payments to States under
title XIX of the Social Security Act for the last quarter of fiscal
year 1995 for unanticipated costs, incurred for the current fiscal
year, such sums as may be necessary.
For making payments to States under title XIX of the Social
Security 
Act 
for 
the 
first 
quarter 
of 
fiscal 
year 
1996,
$27,047,717,000, to remain available until expended.
H. R. 4606—17
Payment under title XIX may be made for any quarter 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
sections 217(g) and 1844 of the Social Security Act, sections 103(c)
and 111(d) of the Social Security Amendments of 1965, section
278(d) of Public Law 97–248, and for administrative expenses
incurred pursuant to section 201(g) of the Social Security Act,
$37,546,758,000.
PROGRAM MANAGEMENT
For carrying out, except as otherwise provided, titles XI, XVIII,
and XIX of the Social Security Act, and title XIII of the Public
Health Service Act, the Clinical Laboratory Improvement Amend-
ments of 1988, section 4360 of Public Law 101–508, and section
4005(e) of Public Law 100–203, not to exceed $2,207,135,000,
together with all funds collected in accordance with section 353
of the Public Health Service Act, the latter funds to remain available
until expended; the $2,207,135,000 to be transferred to this appro-
priation as authorized by section 201(g) of the Social Security Act,
from the Federal Hospital Insurance and the Federal Supple-
mentary Medical Insurance Trust Funds: Provided, That all funds
derived in accordance with 31 U.S.C. 9701 from organizations estab-
lished under title XIII of the Public Health Service Act are to
be credited to this appropriation.
HEALTH MAINTENANCE ORGANIZATION LOAN AND LOAN GUARANTEE
FUND
For carrying out subsections (d) and (e) of section 1308 of
the Public Health Service Act, $15,000,000 together with any
amounts received 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 1995, no commitments
for direct loans or loan guarantees shall be made.
SOCIAL SECURITY ADMINISTRATION
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS
For payment to the Federal Old-Age and Survivors Insurance
and the Federal Disability Insurance Trust Funds, as provided
under sections 201(m), 228(g), and 1131(b)(2) of the Social Security
Act, $25,094,000.
SPECIAL BENEFITS FOR DISABLED COAL MINERS
For carrying out title IV of the Federal Mine Safety and Health
Act of 1977, $527,874,000, to remain available until expended.
For making, after July 31 of the current fiscal year, benefit
payments to individuals under title IV of the Federal Mine Safety
and Health Act of 1977, for costs incurred in the current fiscal
year, such amounts as may be necessary.
H. R. 4606—18
For making benefit payments under title IV of the Federal
Mine Safety and Health Act of 1977 for the first quarter of fiscal
year 1996, $180,000,000, to remain available until expended.
SUPPLEMENTAL SECURITY INCOME PROGRAM
For carrying out titles XI and XVI of the Social Security Act,
section 401 of Public Law 92–603, section 212 of Public Law 93–
66, as amended, and section 405 of Public Law 95–216, including
payment to the Social Security trust funds for administrative
expenses incurred pursuant to section 201(g)(1) of the Social Secu-
rity Act, $21,225,101,000, to remain available until expended: Pro-
vided, That any portion of the funds provided to a State in the
current fiscal year and not obligated by the State during that
year shall be returned to the Treasury.
For making, after June 15 of the current fiscal year, benefit
payments to individuals under title XVI of the Social Security
Act, for unanticipated costs incurred for the current fiscal year,
such sums as may be necessary.
For carrying out title XVI of the Social Security Act for the
first quarter of fiscal year 1996, $7,060,000,000, to remain available
until expended.
LIMITATION ON ADMINISTRATIVE EXPENSES
For necessary expenses, not more than $5,159,785,000 may
be expended, as authorized by section 201(g)(1) of the Social Secu-
rity Act or as necessary to carry out sections 9704 and 9706 of
the Internal Revenue Code of 1986 as such sections were in effect
on January 1, 1993, from any one or all of the trust funds referred
to therein: Provided, That reimbursement to the Trust Funds under
this heading for administrative expenses to carry out sections 9704
and 9706 of the Internal Revenue Code of 1986 shall be made,
with interest, not later than September 30, 1996.
In addition to funding already available under this heading,
and subject to the same terms and conditions, $320,000,000, for
disability caseload processing.
In addition to funding already available under this heading,
and subject to the same terms and conditions, $97,000,000, which
shall remain available until expended, to invest in a state-of-the-
art computing network, including related equipment and adminis-
trative expenses associated solely with this network, for the Social
Security Administration and the State Disability Determination
Services, may be expended from any or all of the trust funds
as authorized by section 201(g)(1) of the Social Security Act.
ADMINISTRATION FOR CHILDREN AND FAMILIES
FAMILY SUPPORT PAYMENTS TO STATES
For making payments to States or other non-Federal entities,
except as otherwise provided, under titles I, IV–A (other than
section 402(g)(6)) and D, X, XI, XIV, and XVI of the Social Security
Act, and the Act of July 5, 1960 (24 U.S.C. ch. 9), $12,761,788,000,
to remain available until expended.
For making, after May 31 of the current fiscal year, payments
to States or other non-Federal entities under titles I, IV–A and
D, X, XI, XIV, and XVI of the Social Security Act, for the last
H. R. 4606—19
three months of the current year for unanticipated costs, incurred
for the current fiscal year, such sums as may be necessary.
For making payments to States or other non-Federal entities
under titles I, IV–A (other than section 402(g)(6)) and 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 first quarter of fiscal year 1996,
$4,400,000,000, to remain available until expended.
The Secretary shall provide payments under titles IV–A and
XIX of the Social Security Act to carry out a demonstration project
for a qualified program in accordance with this section which shall
take effect on January 1, 1995. For each calendar quarter in which
there is a qualified program as defined below, the Secretary shall
pay to the State for the purpose of transmittal to the operator
of the qualified program, for no more than 20 calendar quarters,
an amount equal to the aggregate amount that would otherwise
have been payable to the State with respect to the participants
in the program for such a calendar quarter, in the absence of
the program, for cash assistance and child care under part A of
title IV of the Social Security Act, for medical assistance under
title XIX of such Act, and for administrative expenses related to
such assistance. The term ‘‘qualified program’’ means a program
operated by the New Hope Project, Inc., which assists low-income
residents of Milwaukee, Wisconsin, move from welfare to work,
in accordance with an application to be prepared by the operator
to the qualified program, transmitted by the State to the Secretary,
and defined by and approved by the Secretary. The application
shall provide for evaluation of the demonstration project; funds
provided herein may not be used for said evaluation.
JOB OPPORTUNITIES AND BASIC SKILLS
For carrying out aid to families with dependent children work
programs, as authorized by part F of title IV of the Social Security
Act, $1,300,000,000.
LOW INCOME HOME ENERGY ASSISTANCE
(INCLUDING RESCISSION)
Of the funds made available beginning on October 1, 1994
under this heading in Public Law 103–112, $155,796,000 are hereby
rescinded.
The funds remaining after said rescission shall be available
for obligation through September 30, 1995.
For making payments under title XXVI of the Omnibus Budget
Reconciliation Act of 1981, $1,319,204,000, to be available for obliga-
tion in the period October 1, 1995 through September 30, 1996.
For making payments under title XXVI of the Omnibus Budget
Reconciliation Act of 1981, an additional $600,000,000: Provided,
That all of the funds available under this paragraph are hereby
designated by Congress to be emergency requirements pursuant
to section 251(b)(2)(D) of the Balanced Budget and Emergency
Deficit Control Act of 1985: Provided further, That these funds
shall be made available only after submission to Congress of a
formal budget request by the President that includes designation
of the entire amount of the request as an emergency requirement
as defined in the Balanced Budget and Emergency Deficit Control
Act of 1985.
H. R. 4606—20
REFUGEE AND ENTRANT ASSISTANCE
For making payments for refugee and entrant assistance activi-
ties authorized by title IV of the Immigration and Nationality
Act and section 501 of the Refugee Education Assistance Act of
1980 (Public Law 96–422), $399,779,000: Provided, That funds
appropriated pursuant to section 414(a) of the Immigration and
Nationality Act under Public Law 102–394 for fiscal year 1993
shall be available for the costs of assistance provided and other
activities conducted in such year and in fiscal years 1994 and
1995.
STATE LEGALIZATION IMPACT-ASSISTANCE GRANTS
(INCLUDING RESCISSION)
Funds not obligated by the States by June 29, 1995, under
section 204(b)(4) of the Immigration Reform and Control Act of
1986 are hereby rescinded.
For Federal administration and allotments of funds to the
States made by the Secretary of Health and Human Services for
the purpose of making payments to public and private nonprofit
organizations for public information and outreach activities; and
English language and civics instruction provided to any adult
eligible legalized alien who has not met the requirements of section
312 of the Immigration and Nationality Act for purposes of becoming
naturalized as a citizen of the United States, $6,000,000: Provided,
That the Secretary of Health and Human Services shall allocate
such amount among the States not later than August 15, 1995:
Provided further, That each State’s share of these funds shall be
equal to that State’s percentage share of the total costs of admin-
istering and providing educational services to eligible legalized
aliens in all States through fiscal year 1994, as determined by
the Secretary: Provided further, That the definition of ‘‘eligible
legalized alien’’ contained in section 204(j)(4) of the Immigration
Reform and Control Act of 1986 is amended by inserting before
the period at the end ‘‘, except that the five-year limitation shall
not apply for the purposes of making payments from funds appro-
priated under the fiscal year 1995 Labor, Health and Human Serv-
ices, and Education, and Related Agencies Appropriations Act for
providing public information and outreach activities regarding natu-
ralization and citizenship; and English language and civics instruc-
tion to any adult eligible legalized alien who has not met the
requirements of section 312 of the Immigration and Nationality
Act for purposes of becoming naturalized as a citizen of the United
States’’: Provided further, That each State may designate the appro-
priate agency or agencies to administer funds under this heading:
Provided further, That section 204(b)(4) of the Immigration Reform
and Control Act of 1986 is amended by striking the fourth sentence
and inserting the following: ‘‘Funds made available to a State
pursuant to the preceding sentence of this paragraph shall be
utilized by the State to reimburse all allowable costs within 90
days after a State has received a reallocation of funds from the
Secretary, but in no event later than July 31, 1995.’’.
COMMUNITY SERVICES BLOCK GRANT
For making payments under the Community Services Block
Grant Act, section 408 of Public Law 99–425, and the Stewart
H. R. 4606—21
B. McKinney Homeless Assistance Act, $472,920,000, of which
$12,000,000 shall be for carrying out the National Youth Sports
Program: Provided, That payments from such amount to the grantee
and subgrantees administering the National Youth Sports Program
may not exceed the aggregate amount contributed in cash or in
kind by the grantee and subgrantee: Provided further, That amounts
in excess of $9,400,000 of such amount may not be made available
to the grantee and subgrantees administering the National Youth
Sports Program unless the grantee agrees to provide contributions
in cash to such program in an amount that equals 29 percent
of such excess amount.
CHILD CARE AND DEVELOPMENT BLOCK GRANT
For carrying out sections 658A through 658R of the Omnibus
Budget Reconciliation Act of 1981 (The Child Care and Development
Block Grant Act of 1990), $934,656,000, which shall be available
for obligation under the same statutory terms and conditions
applicable in the prior fiscal year.
SOCIAL SERVICES BLOCK GRANT
For making grants to States pursuant to section 2002 of the
Social Security Act, $2,800,000,000.
CHILDREN AND FAMILIES SERVICES PROGRAMS
For carrying out, except as otherwise provided, the Runaway
and Homeless Youth Act, the Developmental Disabilities Assistance
and Bill of Rights Act, the State Dependent Care Development
Grants Act, the Head Start Act, the Child Development Associate
Scholarship Assistance Act of 1985, the Child Abuse Prevention
and Treatment Act, chapters 1 and 2 of subtitle B of title III
of the Anti-Drug Abuse Act of 1988, the Family Violence Prevention
and Services Act, the Native American Programs Act of 1974,
title II of Public Law 95–266 (adoption opportunities), the Tem-
porary Child Care for Children with Disabilities and Crisis Nurs-
eries Act of 1986, the Abandoned Infants Assistance Act of 1988,
subtitle F of title VII of the Stewart B. McKinney Homeless Assist-
ance Act, and part B of title IV and section 1110 of the Social
Security Act, and for necessary administrative expenses to carry
out said Acts and titles I, IV, X, XI, XIV, XVI, and XX of the
Social Security Act, the Act of July 5, 1960 (24 U.S.C. ch. 9),
the Omnibus Budget Reconciliation Act of 1981, section 204 of
the Immigration Reform and Control Act of 1986, title IV of the
Immigration and Nationality Act, section 501 of the Refugee Edu-
cation Assistance Act of 1980, Public Law 100–77, and section
126 and titles IV and V of Public Law 100–485, $4,419,888,000.
FAMILY PRESERVATION AND SUPPORT
For carrying out section 430 of the Social Security Act,
$150,000,000.
PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION ASSISTANCE
For making payments to States or other non-Federal entities,
under title IV–E of the Social Security Act, $3,597,371,000.
H. R. 4606—22
ADMINISTRATION ON AGING
AGING SERVICES PROGRAMS
For carrying out, to the extent not otherwise provided, the
Older Americans Act of 1965, as amended, and section 10404 of
Public Law 101–239 (volunteer senior aides demonstration),
$877,223,000.
OFFICE OF THE SECRETARY
GENERAL DEPARTMENTAL MANAGEMENT
For necessary expenses, not otherwise provided, for general
departmental management, including hire of six medium sedans,
$91,247,000, together with $31,008,000, to be transferred and
expended as authorized by section 201(g)(1) of the Social Security
Act from any one or all of the trust funds referred to therein.
OFFICE OF INSPECTOR GENERAL
For expenses necessary for the Office of Inspector General
in carrying out the provisions of the Inspector General Act of
1978, as amended, $63,585,000, together with not to exceed
$37,060,000, to be transferred and expended as authorized by sec-
tion 201(g)(1) of the Social Security Act from any one or all of
the trust funds referred to therein, together with any funds, to
remain available until expended, that represent the equitable share
from the forfeiture of property in investigations in which the Office
of Inspector General participated and which are transferred to
the Office of the Inspector General by the Department of Justice
or the Department of the Treasury.
OFFICE FOR CIVIL RIGHTS
For expenses necessary for the Office for Civil Rights,
$18,409,000 together with not to exceed $3,874,000, to be trans-
ferred and expended as authorized by section 201(g)(1) of the Social
Security Act from any one or all of the trust funds referred to
therein.
POLICY RESEARCH
For carrying out, to the extent not otherwise provided, research
studies under section 1110 of the Social Security Act, $13,659,000.
GENERAL PROVISIONS
SEC. 201. Funds appropriated in this title shall be available
for not to exceed $37,000 for official reception and representation
expenses when specifically approved by the Secretary.
SEC. 202. The Secretary shall make available through assign-
ment not more than 60 employees of the Public Health Service
to assist in child survival activities and to work in AIDS programs
through and with funds provided by the Agency for International
Development, the United Nations International Children’s Emer-
gency Fund or the World Health Organization.
SEC. 203. None of the funds appropriated under this Act may
be used to implement section 399L(b) of the Public Health Service
Act or section 1911(d) and section 1503 of the National Institutes
of Health Revitalization Act of 1993, Public Law 103–43.
H. R. 4606—23
SEC. 204. None of the funds made available by this Act may
be used to withhold payment to any State under the Child Abuse
Prevention and Treatment Act by reason of a determination that
the State is not in compliance with section 1340.2(d)(2)(ii) of title
45 of the Code of Federal Regulations. This provision expires upon
the date of enactment of the reauthorization of the Child Abuse
Prevention and Treatment Act or upon September 30, 1995, which-
ever occurs first.
SEC. 205. (a) Of the budgetary resources available to the
Department of Health and Human Services (excluding the Food
and Drug Administration and the Indian Health Service) during
fiscal year 1995, $37,125,000 are permanently canceled.
(b) The Secretary of Health and Human Services shall allocate
the amount of budgetary resources canceled among the Depart-
ment’s accounts (excluding the Food and Drug Administration and
the Indian Health Service) available for procurement and procure-
ment-related expenses. Amounts available for procurement and
procurement-related expenses in each such account shall be reduced
by the amount allocated to such account.
(c) For the purposes of this section, the definition of ‘‘procure-
ment’’ includes all stages of the process of acquiring property or
services, beginning with the process of determining a need for
a product or services and ending with contract completion and
closeout, as specified in 41 U.S.C. 403(2).
SEC. 206. None of the funds appropriated in this title for
the National Institutes of Health and the Substance Abuse and
Mental Health Services Administration shall be used to pay the
salary of an individual, through a grant or other extramural mecha-
nism, at a rate in excess of $125,000 per year.
SEC. 207. (a) Of the budgetary resources available to the
Department of Health and Human Services for space rental charges
(excluding Food and Drug Administration and the Indian Health
Service) during fiscal year 1995, $4,505,000 are permanently
canceled.
(b) The Secretary of Health and Human Services shall allocate
the amount of budgetary resources canceled among the Depart-
ment’s accounts (excluding the Food and Drug Administration and
the Indian Health Service) available for space rental charges.
Amounts available for space rental charges in each such account
shall be reduced by the amount allocated to such account.
SEC. 208. Taps and other assessments made by any office
located in the Department of Health and Human Services shall
be treated as a reprogramming of funds except that this provision
shall not apply to assessments required by authorizing legislation,
or related to working capital funds or other fee-for-service activities.
SEC. 209. Of the funds appropriated or otherwise made avail-
able for the Department of Health and Human Services, General
Departmental Management, for fiscal year 1995, the Secretary of
Health and Human Services shall transfer to the Office of the
Inspector General such sums as may be necessary for any expenses
with respect to the provision of security protection for the Secretary
of Health and Human Services.
SEC. 210. Of the funds made available under this title, under
the heading Low Income Home Energy Assistance, for fiscal year
1996, the Secretary shall receive assurances from States that funds
will assist low-income households with their home energy needs,