H. R. 83—347 
SUBSTANCE ABUSE TREATMENT 
For carrying out titles III, V, and XIX of the PHS Act with 
respect to substance abuse treatment and section 1922(a) of the 
PHS 
Act 
with 
respect 
to 
substance 
abuse 
prevention, 
$2,102,658,000: Provided, 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; and (2) $2,000,000 
to evaluate substance abuse treatment programs: Provided further, 
That none of the funds provided for section 1921 of the PHS 
Act shall be subject to section 241 of such Act. 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act with respect 
to substance abuse prevention, $175,219,000. 
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 
For program support and cross-cutting activities that supple-
ment activities funded under the headings ‘‘Mental Health’’, ‘‘Sub-
stance Abuse Treatment’’, and ‘‘Substance Abuse Prevention’’ in 
carrying out titles III, V, and XIX of the PHS Act and the Protection 
and Advocacy for Individuals with Mental Illness Act in the Sub-
stance 
Abuse 
and 
Mental 
Health 
Services 
Administration, 
$150,232,000: Provided, That in addition to amounts provided 
herein, $31,428,000 shall be available under section 241 of the 
PHS Act to supplement funds available to carry out national surveys 
on drug abuse and mental health, to collect and analyze program 
data, and to conduct public awareness and technical assistance 
activities: Provided further, That, in addition, fees may be collected 
for the costs of publications, data, data tabulations, and data anal-
ysis completed under title V of the PHS Act and provided to a 
public or private entity upon request, which shall be credited to 
this appropriation and shall remain available until expended for 
such purposes: Provided further, That amounts made available in 
this Act for carrying out section 501(m) of the PHS Act shall 
remain available through September 30, 2016: Provided further, 
That funds made available under this heading may be used to 
supplement program support funding provided under the headings 
‘‘Mental Health’’, ‘‘Substance Abuse Treatment’’, and ‘‘Substance 
Abuse Prevention’’. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the PHS Act, part A 
of title XI of the Social Security Act, and section 1013 of the 
Medicare Prescription Drug, Improvement, and Modernization Act 
of 2003, $363,698,000: Provided, That section 947(c) of the PHS 
Act shall not apply in fiscal year 2015: Provided further, That 
in addition, amounts received from Freedom of Information Act
H. R. 83—348 
fees, reimbursable and interagency agreements, and the sale of 
data shall be credited to this appropriation and shall remain avail-
able until September 30, 2016. 
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, $234,608,916,000, to remain avail-
able until expended. 
For making, after May 31, 2015, payments to States under 
title XIX or in the case of section 1928 on behalf of States under 
title XIX of the Social Security Act for the last quarter of fiscal 
year 2015 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 2016, $113,272,140,000, to remain 
available until expended. 
Payment under such 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 Trust Fund 
and the Federal Supplementary Medical Insurance Trust Fund, 
as provided under sections 217(g), 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)(3) of Public Law 97–248, and 
for administrative expenses incurred pursuant to section 201(g) 
of the Social Security Act, $259,212,000,000. 
In addition, for making matching payments under section 1844 
and benefit payments under section 1860D–16 of the Social Security 
Act that were 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 PHS Act, the Clinical Laboratory Improvement Amendments 
of 1988, and other responsibilities of the Centers for Medicare 
and Medicaid Services, not to exceed $3,669,744,000, to be trans-
ferred from the Federal Hospital Insurance Trust Fund and the 
Federal Supplementary Medical Insurance Trust Fund, as author-
ized by section 201(g) of the Social Security Act; together with 
all funds collected in accordance with section 353 of the PHS 
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 be 
credited to this account and remain available until September 30, 
2020: Provided, That all funds derived in accordance with 31 U.S.C. 
9701 from organizations established under title XIII of the PHS 
Act shall be credited to and available for carrying out the purposes
H. R. 83—349 
of this appropriation: Provided further, That the Secretary is 
directed to collect fees in fiscal year 2015 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. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for program integ-
rity and program management, $672,000,000, to remain available 
through September 30, 2016, to be transferred from the Federal 
Hospital Insurance Trust Fund and the Federal Supplementary 
Medical Insurance Trust Fund, as authorized by section 201(g) 
of the Social Security Act, of which $477,120,000 shall be for the 
Medicare Integrity Program at the Centers for Medicare and Med-
icaid Services, including administrative costs, to conduct oversight 
activities for Medicare Advantage under Part C and the Medicare 
Prescription Drug Program under Part D of the Social Security 
Act and for activities described in section 1893(b) of such Act, 
of which $67,200,000 shall be for the Department of Health and 
Human Services Office of Inspector General to carry out fraud 
and abuse activities authorized by section 1817(k)(3) of such Act, 
of which $67,200,000 shall be for the Medicaid and Children’s 
Health Insurance Program (‘‘CHIP’’) program integrity activities, 
and of which $60,480,000 shall be for the Department of Justice 
to carry out fraud and abuse activities authorized by section 
1817(k)(3) of such Act: Provided, That the report required by section 
1817(k)(5) of the Social Security Act for fiscal year 2015 shall 
include measures of the operational efficiency and impact on fraud, 
waste, and abuse in the Medicare, Medicaid, and CHIP programs 
for the funds provided by this appropriation: Provided further, 
That of the amount provided under this heading, $311,000,000 
is provided to meet the terms of section 251(b)(2)(C)(ii) of the 
Balanced Budget and Emergency Deficit Control Act of 1985, as 
amended, and $361,000,000 is additional new budget authority 
specified for purposes of section 251(b)(2)(C) of such Act. 
ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND 
FAMILY SUPPORT PROGRAMS 
For carrying out, except as otherwise provided, titles I, IV– 
D, X, XI, XIV, and XVI of the Social Security Act and the Act 
of July 5, 1960, $2,438,523,000, to remain available until expended; 
and for such purposes for the first quarter of fiscal year 2016, 
$1,160,000,000, to remain available until expended. 
For carrying out, after May 31 of the current fiscal year, except 
as otherwise provided, titles I, IV–D, X, XI, XIV, and XVI of the 
Social Security Act and the Act of July 5, 1960, 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 subsections (b) and (d) of section 
2602 of the Low Income Home Energy Assistance Act of 1981,
H. R. 83—350 
$3,390,304,000: Provided, That all but $491,000,000 of this amount 
shall be allocated as though the total appropriation for such pay-
ments for fiscal year 2015 was less than $1,975,000,000: Provided 
further, That notwithstanding section 2609A(a), of the amounts 
appropriated under section 2602(b), not more than $2,988,000 of 
such amounts may be reserved by the Secretary for technical assist-
ance, training, and monitoring of program activities for compliance 
with internal controls, policies and procedures and may, in addition 
to the authorities provided in section 2609A(a)(1), use such funds 
through contracts with private entities that do not qualify as non-
profit organizations. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant assistance 
activities authorized by section 414 of the Immigration and Nation-
ality Act and section 501 of the Refugee Education Assistance 
Act of 1980, and for carrying out section 462 of the Homeland 
Security Act of 2002, section 235 of the William Wilberforce Traf-
ficking Victims Protection Reauthorization Act of 2008, the Traf-
ficking Victims Protection Act of 2000 (‘‘TVPA’’), section 203 of 
the Trafficking Victims Protection Reauthorization Act of 2005, 
and the Torture Victims Relief Act of 1998, $1,559,884,000, of 
which $1,533,394,000 shall remain available through September 
30, 2017 for carrying out such sections 414, 501, 462, and 235: 
Provided, That amounts available under this heading to carry out 
such section 203 and the TVPA shall also be available for research 
and evaluation with respect to activities under those authorities: 
Provided further, That the limitation in section 206 of this Act 
regarding transfers increasing any appropriation shall apply to 
transfers to appropriations under this heading by substituting ‘‘10 
percent’’ for ‘‘3 percent’’. 
PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT 
BLOCK GRANT 
For carrying out the Child Care and Development Block Grant 
Act of 1990 (‘‘CCDBG Act’’), $2,435,000,000 shall be used to supple-
ment, not supplant State general revenue funds for child care 
assistance for low-income families: Provided, That $19,357,000 shall 
be available for child care resource and referral and school-aged 
child care activities, of which $996,000 shall be available to the 
Secretary for a competitive grant for the operation of a national 
toll free referral line and Web site to develop and disseminate 
child care consumer education information for parents and help 
parents access child care in their local community: Provided further, 
That, in addition to the amounts required to be reserved by the 
States under section 658G of the CCDBG Act, $305,906,000 shall 
be reserved by the States for activities authorized under section 
658G, of which $112,187,000 shall be for activities that improve 
the quality of infant and toddler care: Provided further, That 
$9,851,000 shall be for use by the Secretary for child care research, 
demonstration, and evaluation activities: Provided further, That 
technical assistance under section 658I(a)(3) of such Act may be 
provided directly, or through the use of contracts, grants, coopera-
tive agreements, or interagency agreements.