H. R. 3043—23 
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, $130,000,000, 
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, $3,290,848,000, of which $19,644,000 shall be avail-
able for the projects and in the amounts specified in the statement 
of the managers on the conference report accompanying this 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 avail-
able under this Act for section 1935(b) activities shall not exceed 
5 percent of the amounts appropriated 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 assist-
ance, national data, data collection 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) $19,750,000 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.
H. R. 3043—24 
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 
sections 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, $188,828,000,000. 
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 
of the Public Health Service Act, and the Clinical Laboratory 
Improvement Amendments of 1988, not to exceed $3,276,502,000, 
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 $49,869,000, 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:
H. R. 3043—25 
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 $5,140,000 shall be available 
for the projects and in the amounts specified in the statement 
of the managers on the conference report accompanying this Act. 
HEALTH CARE FRAUD ABUSE AND CONTROL ACCOUNT 
In addition to amounts otherwise available for program integ-
rity and program management, $383,000,000, to be available until 
expended, to be transferred from the Federal Hospital Insurance 
and the Federal Supplementary Insurance Trust Funds, as author-
ized by section 201(g) of the Social Security Act, of which 
$249,620,000 is for the Centers for Medicare and Medicaid Services 
for carrying out program integrity activities with respect to title 
XVIII of such Act, including activities authorized under the Medi-
care Integrity Program under section 1893 of such Act; of which 
$35,000,000 is for the Centers for Medicare and Medicaid Services 
for carrying out Medicaid IPIA Compliance with respect to titles 
XIX and XXI of such Act; and of which, for carrying out fraud 
and abuse control activities authorized by section 1817(k)(3) of 
such Act, $36,690,000 is for the Department of Justice; $36,690,000 
is for the Department of Health and Human Services Office of 
the Inspector General; and $25,000,000 is for the Department of 
Health and Human Services: Provided, That the report required 
by section 1817(k)(5) of such Act for fiscal year 2008 shall include 
measures of the operational efficiency and impact on fraud, waste 
and abuse in the Medicare and Medicaid programs of the funds 
provided by this appropriation. 
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. 
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
H. R. 3043—26 
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 section 2604(a)–(d) of the Low- 
Income Home Energy Assistance Act of 1981 (42 U.S.C. 8623(a)– 
(d)), $1,980,000,000. 
For making payments under section 2604(e) of the Low-Income 
Home Energy Assistance Act of 1981 (42 U.S.C. 8623(e)), 
$431,585,000, notwithstanding the designation requirement of sec-
tion 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, for carrying out section 462 
of the Homeland Security Act of 2002, and for carrying out the 
Torture Victims Relief Act of 1998, $652,394,000, of which up to 
$9,814,000 shall be available to carry out the Trafficking Victims 
Protection Act of 2000: 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 2008 shall be available for the costs of 
assistance provided and other activities to remain available through 
September 30, 2010. 
PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT 
BLOCK GRANT 
For carrying out the Child Care and Development Block Grant 
Act of 1990, $2,094,581,000 shall be used to supplement, not sup-
plant State general revenue funds for child care assistance for 
low-income families: Provided, That $18,777,370 shall be available 
for child care resource and referral and school-aged child care 
activities, of which $982,080 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, 
$267,785,718 shall be reserved by the States for activities author-
ized under section 658G, of which $98,208,000 shall be for activities 
that improve the quality of infant and toddler care: Provided further, 
That $9,821,000 shall be for use by the Secretary for child care 
research, demonstration, and evaluation activities. 
In addition, $5,000,000, to remain available until September 
30, 2009, shall be for carrying out the small business child care 
grant program under section 8303 of the U.S. Troop Readiness, 
Veterans’ Care, Katrina Recovery, and Iraq Accountability Appro-
priations Act, 2007. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 2002 of the 
Social Security Act, $1,700,000,000: Provided, That notwithstanding 
subparagraph (B) of section 404(d)(2) of such Act, the applicable 
percent specified under such subparagraph for a State to carry