H. R. 2764—326 
(1) The term ‘‘covered funds’’ means funds provided under 
section 173 of the Workforce Investment Act of 1998 (29 U.S.C. 
2918) to a State that submits an application under that section 
not earlier than May 4, 2007, for a national emergency grant 
to address the effects of the May 4, 2007, Greensburg, Kansas, 
tornado. 
(2) The term ‘‘professional municipal services’’ means serv-
ices that are necessary to facilitate the recovery of Greensburg, 
Kansas, from that tornado, and necessary to plan for or provide 
basic management and administrative services, which may 
include— 
(A) the overall coordination of disaster recovery and 
humanitarian efforts, oversight, and enforcement of 
building code compliance, and coordination of health and 
safety response units; or 
(B) the delivery of humanitarian assistance to individ-
uals affected by that tornado. 
(b) Covered funds may be used to provide temporary public 
sector employment and services authorized under section 173 of 
such Act to individuals affected by such tornado, including individ-
uals who were unemployed on the date of the tornado, or who 
are without employment history, in addition to individuals who 
are eligible for disaster relief employment under section 173(d)(2) 
of such Act. 
(c) Covered funds may be used to provide professional municipal 
services for a period of not more than 24 months, by hiring or 
contracting with individuals or organizations (including individuals 
employed by contractors) that the State involved determines are 
necessary to provide professional municipal services. 
(d) Covered funds expended under this section may be spent 
on costs incurred not earlier than May 4, 2007. 
This title may be cited as the ‘‘Department of Labor Appropria-
tions Act, 2008’’. 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
HEALTH RESOURCES AND SERVICES 
For carrying out titles II, III, IV, VII, VIII, X, XII, XIX, and 
XXVI of the Public Health Service Act, section 427(a) of the Federal 
Coal Mine Health and Safety Act, title V and sections 1128E, 
and 711, and 1820 of the Social Security Act, the Health Care 
Quality Improvement Act of 1986, the Native Hawaiian Health 
Care Act of 1988, the Cardiac Arrest Survival Act of 2000, and 
section 712 of the American Jobs Creation Act of 2004, 
$6,978,099,000, of which $309,889,000 shall be available for 
construction and renovation (including equipment) of health care 
and other facilities and other health-related activities specified in 
the explanatory statement described in section 4 (in the matter 
preceding division A of this consolidated Act), and of which 
$38,538,000 from general revenues, notwithstanding section 1820(j) 
of the Social Security Act, shall be available for carrying out the 
Medicare rural hospital flexibility grants program under such sec-
tion: Provided, That of the funds made available under this heading,
H. R. 2764—327 
$160,000 shall be available until expended for facilities renovations 
at the Gillis W. Long Hansen’s Disease Center: Provided further, 
That $40,000,000 of the funding provided for community health 
centers shall be for base grant adjustments for existing health 
centers: Provided further, That in addition to fees authorized by 
section 427(b) of the Health Care Quality Improvement Act of 
1986, fees shall be collected for the full disclosure of information 
under the Act sufficient to recover the full costs of operating the 
National Practitioner Data Bank, and shall remain available until 
expended to carry out that Act: Provided further, That fees collected 
for the full disclosure of information under the ‘‘Health Care Fraud 
and Abuse Data Collection Program’’, authorized by section 
1128E(d)(2) of the Social Security Act, shall be sufficient to recover 
the full costs of operating the program, and shall remain available 
until expended to carry out that Act: Provided further, That no 
more than $40,000 is available until expended for carrying out 
the provisions of 42 U.S.C. 233(o) including associated administra-
tive expenses and relevant evaluations: Provided further, That no 
more than $44,055,000 is available until expended for carrying 
out the provisions of Public Law 104–73 and for expenses incurred 
by the Department of Health and Human Services pertaining to 
administrative claims made under such law: Provided further, That 
of the funds made available under this heading, $305,315,000 shall 
be for the program under title X of the Public Health Service 
Act to provide for voluntary family planning projects: Provided 
further, That amounts provided to said projects under such title 
shall not be expended for abortions, that all pregnancy counseling 
shall be nondirective, and that such amounts shall not be expended 
for any activity (including the publication or distribution of lit-
erature) that in any way tends to promote public support or opposi-
tion to any legislative proposal or candidate for public office: Pro-
vided further, That of the funds available under this heading, 
$1,854,800,000 shall remain available to the Secretary of Health 
and Human Services through September 30, 2010, for parts A 
and B of title XXVI of the Public Health Service Act: Provided 
further, That within the amounts provided for part A of title XXVI 
of the Public Health Service Act, funds shall be made available 
to qualifying jurisdictions, within 45 days of enactment, for 
increasing supplemental grants for fiscal year 2008 to metropolitan 
areas that received grant funding in fiscal year 2007 under subparts 
I and II of part A of title XXVI of the Public Health Service 
Act to ensure that an area’s total funding under part A for fiscal 
year 2007, together with the amount of this additional funding, 
is not less than 86.6 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 Public Health Service 
Act, the additional funding to areas under the immediately pre-
ceding proviso, which may be used for costs incurred during fiscal 
year 2007, 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 $808,500,000 shall be for State AIDS Drug 
Assistance Programs authorized by section 2616 of the Public 
Health Service Act: Provided further, That in addition to amounts 
provided herein, $25,000,000 shall be available from amounts avail-
able under section 241 of the Public Health Service Act to carry 
out parts A, B, C, and D of title XXVI of the Public Health Service 
Act to fund section 2691 Special Projects of National Significance:
H. R. 2764—328 
Provided further, That, notwithstanding section 502(a)(1) and 
502(b)(1) of the Social Security Act, not to exceed $100,937,000 
is available for carrying out special projects of regional and national 
significance pursuant to section 501(a)(2) of such Act and 
$10,586,000 is available for projects described in paragraphs (A) 
through (F) of section 501(a)(3) of such Act: Provided further, That 
of the funds provided, $39,283,000 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, $25,000,000 
shall be provided for the Delta Health Initiative as authorized 
in section 219 of this Act and associated administrative expenses: 
Provided further, That notwithstanding section 747(e)(2) of the PHS 
Act, not less than $5,000,000 shall be for general dentistry pro-
grams, not less than $5,000,000 shall be for pediatric dentistry 
programs and not less than $24,614,000 shall be for family medicine 
programs: Provided further, That of the funds available under this 
heading, $9,000,000 shall be provided for the National Cord Blood 
Inventory pursuant to the Stem Cell Therapeutic and Research 
Act of 2005. 
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. For administrative expenses to carry out the guaran-
teed loan program, including section 709 of the Public Health 
Service Act, $2,898,000. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation Program 
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 administrative 
expenses, not to exceed $5,500,000 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, 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 Immigra-
tion 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, disease, 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, 
$6,156,541,000, of which $56,000,000 shall remain available until 
expended for equipment, construction and renovation of facilities; 
of which $568,803,000 shall remain available until expended for
H. R. 2764—329 
the Strategic National Stockpile; of which $27,215,000 shall be 
available for public health improvement activities specified in the 
explanatory statement described in section 4 (in the matter pre-
ceding division A of this consolidated Act); of which $121,541,000 
for international HIV/AIDS shall remain available until September 
30, 2009; and of which $109,000,000 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 of this amount, $56,500,000 is des-
ignated as described in section 5 (in the matter preceding division 
A of this consolidated Act). In addition, such sums as may be 
derived from authorized user fees, which shall be credited to this 
account: Provided, That in addition to amounts provided herein, 
the following amounts shall be available from amounts available 
under section 241 of the Public Health Service Act: (1) $12,794,000 
to carry out the National Immunization Surveys; (2) $113,636,000 
to carry out the National Center for Health Statistics surveys; 
(3) $24,751,000 to carry out information systems standards develop-
ment and architecture and applications-based research used at local 
public health levels; (4) $48,523,000 for Health Marketing; (5) 
$31,000,000 to carry out Public Health Research; and (6) 
$94,969,000 to carry out research activities within the National 
Occupational Research Agenda: Provided further, That none of the 
funds made available for injury prevention and control at the Cen-
ters for Disease Control and Prevention may be used, in whole 
or in part, to advocate or promote gun control: Provided further, 
That up to $31,800,000 shall be made available until expended 
for Individual Learning Accounts for full-time equivalent employees 
of the Centers for Disease Control and Prevention: 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 fur-
ther, That the Committees on Appropriations of the House of Rep-
resentatives and the Senate are to be notified promptly of any 
such transfer: Provided further, That not to exceed $18,929,000 
may be available for making grants under section 1509 of the 
Public Health Service Act to not less than 15 States, tribes, or 
tribal organizations: Provided further, That notwithstanding any 
other provision of law, the Centers for Disease Control and Preven-
tion shall award a single contract or related contracts for develop-
ment 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: Provided further, That of the funds appro-
priated, $10,000 is for official reception and representation expenses 
when specifically approved by the Director of the Centers for Dis-
ease 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, municipalities, or other organizations under authority 
of section 214 of the Public Health Service Act, or in overseas 
assignments, shall be treated as non-Federal employees for 
reporting purposes only and shall not be included within any per-
sonnel ceiling applicable to the Agency, Service, or the Department
H. R. 2764—330 
of Health and Human Services during the period of detail or assign-
ment: Provided further, That out of funds made available under 
this heading for domestic HIV/AIDS testing, up to $30,000,000 
shall be for States eligible under section 2625 of the Public Health 
Service Act as of December 31, 2007 and shall be distributed by 
May 31, 2008 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 any amounts that 
have not been obligated by May 31, 2008 shall be used to make 
grants authorized by other provisions of the Public Health Service 
Act to States and local public health departments for HIV preven-
tion activities. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to cancer, $4,890,525,000, of which up 
to $8,000,000 may be used for facilities repairs and improvements 
at the NCI-Frederick Federally Funded Research and Development 
Center in Frederick, Maryland. 
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to cardiovascular, lung, and blood diseases, 
and blood and blood products, $2,974,900,000. 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to dental disease, $396,632,000. 
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY 
DISEASES 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to diabetes and digestive and kidney dis-
ease, $1,736,199,000. 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to neurological disorders and stroke, 
$1,571,353,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to allergy and infectious diseases, 
$4,641,746,000: Provided, That $300,000,000 may be made available 
to International Assistance Programs ‘‘Global Fund to Fight HIV/ 
AIDS, Malaria, and Tuberculosis’’, to remain available until 
expended: Provided further, That such sums obligated in fiscal 
years 2003 through 2007 for extramural facilities construction 
projects are to remain available until expended for disbursement,
H. R. 2764—331 
with prior notification of such projects to the Committees on Appro-
priations of the House of Representatives and the Senate. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to general medical sciences, $1,970,228,000. 
NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to child health and human development, 
$1,277,017,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to eye diseases and visual disorders, 
$678,978,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES 
For carrying out sections 301 and 311 and title IV of the 
Public Health Service Act with respect to environmental health 
sciences, $653,673,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to aging, $1,065,881,000. 
NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN 
DISEASES 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to arthritis and musculoskeletal and skin 
diseases, $517,629,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION 
DISORDERS 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to deafness and other communication dis-
orders, $401,146,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to nursing research, $139,920,000. 
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to alcohol abuse and alcoholism, 
$444,016,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to drug abuse, $1,018,493,000.
H. R. 2764—332 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to mental health, $1,429,466,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to human genome research, $495,434,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to biomedical imaging and bioengineering 
research, $303,955,000. 
NATIONAL CENTER FOR RESEARCH RESOURCES 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to research resources and general research 
support grants, $1,169,884,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE 
MEDICINE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to complementary and alternative medi-
cine, $123,739,000. 
NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to minority health and health disparities 
research, $203,117,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty Inter-
national Center (described in subpart 2 of part E of title IV of 
the Public Health Service Act), $67,741,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to health information communications, 
$326,669,000, of which $4,000,000 shall be available until expended 
for improvement of information systems: Provided, That in fiscal 
year 2008, the National Library of Medicine may enter into personal 
services contracts for the provision of services in facilities owned, 
operated, or constructed under the jurisdiction of the National 
Institutes of Health: Provided further, That in addition to amounts 
provided herein, $8,200,000 shall be available from amounts avail-
able under section 241 of the Public Health Service Act to carry 
out the purposes of the National Information Center on Health 
Services Research and Health Care Technology established under 
section 478A of the Public Health Service Act and related health 
services.
H. R. 2764—333 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of the Director, 
National Institutes of Health, $1,128,819,000, of which up to 
$25,000,000 shall be used to carry out section 215 of this Act: 
Provided, That funding shall be available for the purchase of not 
to exceed 29 passenger motor vehicles for replacement only: Pro-
vided further, That the National Institutes of Health is authorized 
to collect third party payments for the cost of clinical services 
that are incurred in National Institutes of Health research facilities 
and that such payments shall be credited to the National Institutes 
of Health Management Fund: Provided further, That all funds cred-
ited to such Fund shall remain available for one fiscal year after 
the fiscal year in which they are deposited: Provided further, That 
$112,872,000 shall be available for continuation of the National 
Children’s Study: Provided further, That $504,420,000 shall be 
available for the Common Fund established under section 402A(c)(1) 
of the Public Health Service Act: Provided further, That of the 
funds provided $10,000 shall be for official reception and representa-
tion expenses when specifically approved by the Director of the 
National Institutes of Health: Provided further, That the Office 
of AIDS Research within the Office of the Director of the National 
Institutes of Health 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. 
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, $121,081,000, 
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, $3,291,543,000, of which $19,120,000 shall be avail-
able for the projects and in the amounts specified in the explanatory 
statement described in section 4 (in the matter preceding division 
A of this consolidated Act): Provided, That notwithstanding section 
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) $21,413,000 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
H. R. 2764—334 
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) $17,750,000 to carry out national surveys on drug 
abuse; and (4) $4,300,000 to evaluate substance abuse treatment 
programs: Provided further, That section 520E(b)(2) of the Public 
Health Service Act shall not apply to funds appropriated under 
this Act for fiscal year 2008. 
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 
937(c) of the Public Health Service Act shall not exceed 
$334,564,000. 
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, $141,628,056,000, to remain avail-
able until expended. 
For making, after May 31, 2008, payments to States under 
title XIX of the Social Security Act for the last quarter of fiscal 
year 2008 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 2009, $67,292,669,000, 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 and 1860D–16 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, $188,445,000,000. 
In addition, for making matching payments under section 1844, 
and benefit payments under section 1860D–16 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
H. R. 2764—335 
of the Public Health Service Act, and the Clinical Laboratory 
Improvement Amendments of 1988, not to exceed $3,207,690,000, 
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 
all funds collected in accordance with section 353 of the Public 
Health Service Act and section 1857(e)(2) of the Social Security 
Act, funds retained by the Secretary pursuant to section 302 of 
the Tax Relief and Health Care Act of 2006; 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 $45,000,000, to remain avail-
able until September 30, 2009, is for contract costs for the 
Healthcare Integrated General Ledger Accounting System: Provided 
further, That $193,000,000, to remain available until September 
30, 2009, is for CMS Medicare contracting reform activities: Pro-
vided further, That funds appropriated under this heading are 
available for the Healthy Start, Grow Smart program under which 
the Centers for Medicare and Medicaid Services may, directly or 
through grants, contracts, or cooperative agreements, 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 2008 from Medicare Advan-
tage organizations pursuant to section 1857(e)(2) of the Social Secu-
rity 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 $5,007,000 shall be available 
for the projects and in the amounts specified in the explanatory 
statement described in section 4 (in the matter preceding division 
A of this consolidated Act). 
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), 
$2,949,713,000, 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. 
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.