HR 2264 RDS
in section 101(f) of division A of Public Law 104–
208), except that, for purposes of this subparagraph,
subsection (b) of such section 663 does not apply.
(C) During calendar year 1998, such section
663 applies with respect to payments under subpara-
graph (A) to the same extent and in the same man-
ner as such section applied with respect to the pay-
ments during fiscal year 1997, and for purposes of
this subparagraph, the reference in subsection
(c)(2)(D) of such section 663 to December 31, 1997,
is deemed to be a reference to December 31, 1998.
(f) The following provisions apply if under subsection
(a) the Secretary makes the decision to relocate the Cen-
ter:
(1) The site to which the Center is relocated
shall be in the vicinity of Baton Rouge, in the State
of Louisiana.
(2) The facility involved shall continue to be
designated as the Gillis W. Long Hansen’s Disease
Center.
(3) The Secretary shall make reasonable efforts
to inform the patients of the Center with respect to
the planning and carrying out of the relocation.
(4) In the case of each individual who as of Oc-
tober 1, 1996, was a patient of the Center and is
HR 2264 RDS
considered by the Director of the Center to be a
long-term-care patient (referred to in this subsection
as an ‘‘eligible patient’’), the Secretary shall con-
tinue to provide for the long-term care of the eligible
patient, without charge, for the remainder of the life
of the patient.
(5)(A) For purposes of paragraph (4), an eligi-
ble patient who is legally competent has the follow-
ing options with respect to support and maintenance
and other nonmedical expenses:
(i) For the remainder of his or her life, the
patient may reside at the Center.
(ii) For the remainder of his or her life,
the patient may receive payments each year at
an annual rate of $33,000 (adjusted in accord-
ance with subparagraphs (C) and (D)), and
may not reside at the Center. Payments under
this clause are in complete discharge of the ob-
ligation of the Federal Government under para-
graph (4) for support and maintenance and
other nonmedical expenses of the patient.
(B) The choice by an eligible patient of the op-
tion under clause (i) of subparagraph (A) may at
any time be revoked by the patient, and the patient
may instead choose the option under clause (ii) of
HR 2264 RDS
such subparagraph. The choice by an eligible patient
of the option under such clause (ii) is irrevocable.
(C) Payments under subparagraph (A)(ii) shall
be made on a monthly basis, and shall be pro rated
as applicable. In 1999 and each subsequent year, the
monthly amount of such payments shall be increased
by a percentage equal to any percentage increase
taking effect under section 215(i) of the Social Secu-
rity Act (relating to a cost-of-living increase) for
benefits under title II of such Act (relating to Fed-
eral old-age, survivors, and disability insurance bene-
fits). Any such percentage increase in monthly pay-
ments under subparagraph (A)(ii) shall take effect
in the same month as the percentage increase under
such section 215(i) takes effect.
(D) With respect to the provision of outpatient
and inpatient medical care for Hansen’s disease and
related complications to an eligible patient:
(i) The choice the patient makes under
subparagraph (A) does not affect the respon-
sibility of the Secretary for providing to the pa-
tient such care at or through the Center.
(ii) If the patient chooses the option under
subparagraph (A)(ii) and receives inpatient care
at or through the Center, the Secretary may re-
HR 2264 RDS
duce the amount of payments under such sub-
paragraph, except to the extent that reimburse-
ment for the expenses of such care is available
to the provider of the care through the program
under title XVIII of the Social Security Act or
the program under title XIX of such Act. Any
such reduction shall be made on the basis of the
number of days for which the patient received
the inpatient care.
(6) The Secretary shall provide to each eligible
patient such information and time as may be nec-
essary for the patient to make an informed decision
regarding the options under paragraph (5)(A).
(7) After the date of the enactment of this Act,
the Center may not provide long-term care for any
individual who as of such date was not receiving
such care as a patient of the Center.
(8) If upon completion of the projects referred
to in subsection (d)(4)(A) there are unobligated bal-
ances of amounts appropriated for the projects, such
balances are available to the Secretary for expenses
relating to the relocation of the Center, except that,
if the sum of such balances is in excess of $100,000,
such excess is available to the State in accordance
with subsection (d)(4)(B). The amounts available to
HR 2264 RDS
the Secretary pursuant to the preceding sentence are
available until expended.
(g) For purposes of this section:
(1) The term ‘‘Center’’ means the Gillis W.
Long Hansen’s Disease Center.
(2) The term ‘‘Secretary’’ means the Secretary
of Health and Human Services.
(3) The term ‘‘State’’ means the State of Lou-
isiana.
(h) Section 320 of the Public Health Service Act (42
U.S.C. 247e) is amended by striking the section designa-
tion and all that follows and inserting the following:
‘‘SEC. 320. (a)(1) At or through the Gillis W. Long
Hansen’s Disease Center (located in the State of Louisi-
ana), the Secretary shall without charge provide short-
term care and treatment, including outpatient care, for
Hansen’s disease and related complications to any person
determined by the Secretary to be in need of such care
and treatment. The Secretary may not at or through such
Center provide long-term care for any such disease or
complication.
‘‘(2) The Center referred to in paragraph (1) shall
conduct training in the diagnosis and management of
Hansen’s disease and related complications, and shall con-
duct and promote the coordination of research (including
HR 2264 RDS
clinical research), investigations, demonstrations, and
studies relating to the causes, diagnosis, treatment, con-
trol, and prevention of Hansen’s disease and other
mycobacterial diseases and complications related to such
diseases.
‘‘(3) Paragraph (1) is subject to section 211 of the
Department of Health and Humans Services Appropria-
tions Act, 1998.
‘‘(b) In addition to the Center referred to in sub-
section (a), the Secretary may establish sites regarding
persons with Hansen’s disease. Each such site shall pro-
vide for the outpatient care and treatment for Hansen’s
disease and related complications to any person deter-
mined by the Secretary to be in need of such care and
treatment.
‘‘(c) The Secretary shall carry out subsections (a)
and (b) acting through an agency of the Service. For pur-
poses of the preceding sentence, the agency designated by
the Secretary shall carry out both activities relating to the
provision of health services and activities relating to the
conduct of research.
‘‘(d) The Secretary shall make payments to the
Board of Health of the State of Hawaii for the care and
treatment (including outpatient care) in its facilities of
persons suffering from Hansen’s disease at a rate deter-
HR 2264 RDS
mined by the Secretary. The rate shall be approximately
equal to the operating cost per patient of such facilities,
except that the rate may not exceed the comparable costs
per patient with Hansen’s disease for care and treatment
provided by the Center referred to in subsection (a). Pay-
ments under this subsection are subject to the availability
of appropriations for such purpose.’’.
SEC. 212. None of the funds appropriated in the Act
may be made available to any entity under title X of the
Public Health Service Act unless the applicant for the
award certifies to the Secretary that it encourages family
participation in the decision of minors to seek family plan-
ning services and that it provides counseling to minors on
resisting attempts to coerce minors into engaging in sexual
activities.
SEC. 213. None of the funds appropriated in the Act
may be made available to any entity under title X of the
Public Health Service Act unless the applicant for the
award certifies to the Secretary that it encourages family
participation in the decision of minors to seek family plan-
ning services and that it provides counseling to minors on
how to resist attempts to coerce minors into engaging in
sexual activities.
This title may be cited as the ‘‘Department of Health
and Human Services Appropriations Act, 1998’’.
HR 2264 RDS
TITLE III—DEPARTMENT OF EDUCATION
EDUCATION REFORM
For carrying out activities authorized by titles III
and IV of the Goals 2000: Educate America Act, the
School-to-Work Opportunities Act, and section 3132 of
the Elementary and Secondary Education Act of 1965,
$1,135,000,000 (reduced by $12,835,000) (reduced by
$20,000,000) (reduced by $25,000,000) (reduced by
$55,000,000), of which $458,500,000 (reduced by
$12,835,000) (reduced by $20,000,000) (reduced by
$55,000,000) for the Goals 2000: Educate America Act
and $200,000,000 for the School-to-Work Opportunities
Act shall become available on July 1, 1998, and remain
available through September 30, 1999: Provided, That
none of the funds appropriated under this heading shall
be obligated or expended to carry out section 304(a)(2)(A)
of the Goals 2000: Educate America Act, except that no
more than $1,500,000 may be used to carry out activities
under section 314(a)(2) of that Act: Provided further,
That section 315(a)(2) of the Goals 2000 Act shall not
apply: Provided further, That up to one-half of one percent
of the amount available under section 3132 shall be set
aside for the outlying areas, to be distributed on the basis
of their relative need as determined by the Secretary in
accordance with the purposes of the program: Provided
HR 2264 RDS
further, That if any State educational agency does not
apply for a grant under section 3132, that State’s allot-
ment under section 3131 shall be reserved by the Sec-
retary for grants to local educational agencies in that
State that apply directly to the Secretary according to the
terms and conditions published by the Secretary in the
Federal Register.
EDUCATION FOR THE DISADVANTAGED
For carrying out title I of the Elementary and Sec-
ondary Education Act of 1965, and section 418A of the
Higher 
Education 
Act, 
$8,204,217,000, 
of 
which
$6,882,616,000 shall become available on July 1, 1998,
and shall remain available through September 30, 1999,
and of which $1,298,386,000 shall become available on
October 1, 1998 and shall remain available through Sep-
tember 30, 1999, for academic year 1998–1999: Provided,
That $6,191,350,000 shall be available for basic grants
under section 1124: Provided further, That up to
$3,500,000 of these funds shall be available to the Sec-
retary on October 1, 1997, to obtain updated local-edu-
cational-agency-level census poverty data from the Bureau
of the Census: Provided further, That $949,249,000 shall
be available for concentration grants under section 1124A,
$400,000,000 shall be available for targeted grants under
section 1125, $150,000,000 shall be available under sec-
tion 1002(g)(2) to demonstrate effective approaches to
HR 2264 RDS
comprehensive school reform: Provided, That such ap-
proaches show the most promise of enabling children
served by title I to meet challenging State content stand-
ards and challenging State student performance standards
which shall include an emphasis on basic academics and
parental involvement based on proven research and prac-
tices, $10,000,000 shall be available for evaluations under
section 1501 and not more than $7,500,000 shall be re-
served for section 1308, of which not more than
$3,000,000 shall be reserved for section 1308(d).
IMPACT AID
For carrying out programs of financial assistance to
federally affected schools authorized by title VIII of the
Elementary and Secondary Education Act of 1965,
$796,000,000, of which $667,000,000 shall be for basic
support payments under section 8003(b), $40,000,000
shall be for payments for children with disabilities under
section 8003(d), $62,000,000, to remain available until
expended, shall be for payments under section 8003(f),
$7,000,000 shall be for construction under section 8007,
and $20,000,000 shall be for Federal property payments
under section 8002.
SCHOOL IMPROVEMENT PROGRAMS
For carrying out school improvement activities au-
thorized by titles II, IV–A–1 and 2, V–A and B, VI, X
and XIII of the Elementary and Secondary Education Act
HR 2264 RDS
of 1965; the Stewart B. McKinney Homeless Assistance
Act; and the Civil Rights Act of 1964; $1,480,888,000 (in-
creased by $25,000,000) (increased by $1,500,000), of
which $1,219,500,000 (increased by $1,500,000) shall be-
come available on July 1, 1998, and remain available
through September 30, 1999: Provided, That of the
amount appropriated, $310,000,000 shall be for Eisen-
hower professional development State grants under title
II–B of the Elementary and Secondary Education Act,
$350,000,000 shall be for innovative education program
strategies State grants under title VI–A of said Act and
$750,000 shall be for an evaluation of comprehensive re-
gional assistance centers under title XIII of said Act.
LITERACY
(INCLUDING TRANSFER OF FUNDS)
For carrying out a literacy initiative, $260,000,000,
which shall become available on October 1, 1998 and shall
remain available through September 30, 1999 only if spe-
cifically authorized by subsequent legislation enacted by
April 1, 1998: Provided, That, if the initiative is not au-
thorized by such date, the funds shall be transferred to
‘‘Special Education’’ to be merged with that account and
to be available for the same purposes for which that ac-
count is available: Provided further, That the transferred
funds shall become available for obligation on July 1,
HR 2264 RDS
1999, and shall remain available through September 30,
2000 for academic year 1999–2000.
INDIAN EDUCATION
For expenses necessary to carry out, to the extent
not otherwise provided, title IX, part A of the Elementary
and Secondary Education Act of 1965, as amended, and
section 215 of the Department of Education Organization
Act, $62,600,000.
BILINGUAL AND IMMIGRANT EDUCATION
For carrying out, to the extent not otherwise pro-
vided, bilingual, foreign language and immigrant edu-
cation activities authorized by parts A and C and section
7203 of title VII of the Elementary and Secondary Edu-
cation 
Act, 
without 
regard 
to 
section 
7103(b),
$354,000,000: Provided, That State educational agencies
may use all, or any part of, their part C allocation for
competitive grants to local educational agencies: Provided
further, That the Department of Education should only
support instructional programs which ensure that students
completely master English in a timely fashion (a period
of three to five years) while meeting rigorous achievement
standards in the academic content areas.
SPECIAL EDUCATION
For carrying out the Individuals with Disabilities
Education 
Act, 
$4,348,647,000 
(increased 
by
$25,000,000) (increased by $55,000,000), of which
HR 2264 RDS
$4,117,186,000 (increased by $25,000,000) (increased by
$55,000,000) shall become available for obligation on July
1, 1998, and shall remain available through September 30,
1999.
REHABILITATION SERVICES AND DISABILITY RESEARCH
For carrying out, to the extent not otherwise pro-
vided, the Rehabilitation Act of 1973, the Technology-Re-
lated Assistance for Individuals with Disabilities Act, and
the Helen Keller National Center Act, as amended,
$2,589,176,000.
SPECIAL INSTITUTIONS FOR PERSONS WITH
DISABILITIES
AMERICAN PRINTING HOUSE FOR THE BLIND
For carrying out the Act of March 3, 1879, as
amended (20 U.S.C. 101 et seq.), $8,186,000.
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF
For the National Technical Institute for the Deaf
under titles I and II of the Education of the Deaf Act
of 1986 (20 U.S.C. 4301 et seq.), $43,841,000: Provided,
That from the amount available, the Institute may at its
discretion use funds for the endowment program as au-
thorized under section 207.
GALLAUDET UNIVERSITY
For the Kendall Demonstration Elementary School,
the Model Secondary School for the Deaf, and the partial
support of Gallaudet University under titles I and II of
HR 2264 RDS
the Education of the Deaf Act of 1986 (20 U.S.C. 4301
et seq.), $80,682,000: Provided, That from the amount
available, the University may at its discretion use funds
for the endowment program as authorized under section
207.
VOCATIONAL AND ADULT EDUCATION
For carrying out, to the extent not otherwise pro-
vided, the Carl D. Perkins Vocational and Applied Tech-
nology Education Act and the Adult Education Act,
$1,486,975,000 (increased by $20,000,000), of which
$1,483,875,000 (increased by $20,000,000) shall become
available on July 1, 1998 and shall remain available
through September 30, 1999; and of which $4,491,000
from amounts available under the Adult Education Act
shall be for the National Institute for Literacy under sec-
tion 384(c): Provided, That, of the amounts made avail-
able for title II of the Carl D. Perkins Vocational and Ap-
plied Technology Education Act, $13,497,000 shall be
used by the Secretary for national programs under title
IV, without regard to section 451: Provided further, That
the Secretary may reserve up to $4,998,000 under section
313(d) of the Adult Education Act for activities carried
out under section 383 of that Act: Provided further, That
no funds shall be awarded to a State Council under section
112(f) of the Carl D. Perkins Vocational and Applied