H. R. 3010—18
in this Act to each Institute and Center may be transferred and 
utilized for the National Institutes of Health Roadmap for Medical 
Research: Provided further, That the amount utilized under the 
preceding proviso shall not exceed $250,000,000 without prior 
notification to the Committees on Appropriations of the House 
of Representatives and the Senate: Provided further, That amounts 
transferred 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-setting process of individual Institutes 
and Centers: Provided further, That of the funds provided $10,000 
shall be for official reception and representation expenses when 
specifically approved by the Director of NIH: Provided further, 
That the Office of AIDS Research within the Office of the Director, 
NIH may spend up to $4,000,000 to make grants for construction 
or renovation of facilities as provided for in section 2354(a)(5)(B) 
of the Public Health Service Act: Provided further, That of the 
funds provided $97,000,000 shall be for expenses necessary to sup-
port activities related to countering potential nuclear, radiological 
and chemical threats to civilian populations. 
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 real property, $81,900,000, 
to remain available until expended. 
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 Advocacy for Individuals with Mental 
Illness Act, and section 301 of the PHS Act with respect to program 
management, $3,237,813,000: Provided, That notwithstanding sec-
tion 520A(f)(2) of the PHS Act, no funds appropriated for carrying 
out section 520A are available for carrying out section 1971 of 
the PHS Act: Provided further, That in addition 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 collection and evaluation activities, 
and further that the total available under this Act for section 
1935(b) activities shall not exceed 5 percent of the amounts appro-
priated 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 1920(b) technical assistance, national data, data collec-
tion and evaluation activities, and further that the total available 
under this Act for section 1920(b) activities shall not exceed 5 
percent of the amounts appropriated 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.
H. R. 3010—19
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, amounts 
received from Freedom of Information Act fees, reimbursable and 
interagency agreements, and the sale of data shall be credited 
to this appropriation and shall remain available until expended: 
Provided, That the amount made available pursuant to section 
927(c) of the Public Health Service Act shall not exceed 
$318,695,000: Provided further, That not more than $50,000,000 
of these funds shall be for the development of scientific evidence 
that supports the implementation and evaluation of health care 
information technology systems. 
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 avail-
able until expended. 
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, incurred for the current fiscal 
year, such sums as may be necessary. 
For making payments to States or in the case of section 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 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 
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, section 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 sections 1860D–16 and 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 $3,170,927,000, 
to be transferred from the Federal Hospital Insurance and the 
Federal Supplementary Medical Insurance Trust Funds, as author-
ized by section 201(g) of the Social Security Act; together with
H. R. 3010—20
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 organizations 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 the Centers for Medicare and Medicaid 
Services Systems Revitalization Plan: Provided further, That 
$79,934,000, to remain available until September 30, 2007, is for 
contract costs for the Healthcare Integrated General Ledger 
Accounting System: Provided further, That funds appropriated 
under this heading are available for the Healthy Start, Grow Smart 
program under which the Centers for Medicare and Medicaid Serv-
ices may, directly or through grants, contracts, or cooperative agree-
ments, produce and distribute informational materials including, 
but not limited 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 Advantage 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 pursuant 
to section 1876(k)(4)(D) of that Act: Provided further, That to the 
extent Medicare claims volume is projected by the Centers for 
Medicare and Medicaid Services (CMS) to exceed 200,000,000 Part 
A claims and/or 1,022,100,000 Part B claims, an additional 
$32,500,000 shall be available for obligation for every 50,000,000 
increase in Medicare claims volume (including a pro rata amount 
for any increment less than 50,000,000) from the Federal Hospital 
Insurance and the Federal Supplementary Medical Insurance Trust 
Funds. 
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 received by the Sec-
retary 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 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. chapter 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.
H. R. 3010—21
For making payments to each State for carrying out the pro-
gram of Aid to Families with Dependent Children under title IV–
A of the Social Security Act before the effective 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 expendi-
tures under such title IV–A in fiscal year 1997 under this appropria-
tion and under such title IV–A as amended by the Personal Respon-
sibility and Work Opportunity Reconciliation Act of 1996 shall 
not exceed the limitations 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. chapter 9), for the last 3 months of the current 
fiscal year for unanticipated costs, incurred for the current fiscal 
year, such sums as may be necessary. 
LOW-INCOME HOME ENERGY ASSISTANCE 
For making payments under title XXVI of the Omnibus Budget 
Reconciliation Act of 1981, $2,000,000,000. 
For making payments under title XXVI of the Omnibus Budget 
Reconciliation Act of 1981, $183,000,000, to remain available until 
September 30, 2006: Provided, That these funds are for the unantici-
pated home energy assistance needs of one or more States, as 
authorized by section 2604(e) of such Act, and notwithstanding 
the designation requirement of section 2602(e) of such Act. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant assistance 
activities and for costs associated with the care and placement 
of unaccompanied alien children 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), for carrying 
out section 462 of the Homeland Security Act of 2002 (Public 
Law 107–296), and for carrying out the Torture Victims Relief 
Act of 2003 (Public Law 108–179), $575,579,000, of which up to 
$9,915,000 shall be available to carry out the Trafficking Victims 
Protection Act of 2003 (Public Law 108–193): Provided, That funds 
appropriated under this heading pursuant to section 414(a) of the 
Immigration and Nationality Act and section 462 of the Homeland 
Security Act of 2002 for fiscal year 2006 shall be available for 
the costs of assistance provided and other activities to remain 
available through September 30, 2008. 
PAYMENTS TO STATES FOR THE 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), $2,082,910,000 shall be used to supple-
ment, not supplant State general revenue funds for child care 
assistance for low-income families: Provided, That $18,967,040 shall 
be available for child care resource and referral and school-aged 
child care activities, of which $992,000 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,