H. R. 3547—367 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING 
For carrying out section 301 and title IV of the PHS Act 
with respect to biomedical imaging and bioengineering research, 
$329,172,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE 
MEDICINE 
For carrying out section 301 and title IV of the PHS Act 
with 
respect 
to 
complementary 
and 
alternative 
medicine, 
$124,296,000. 
NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES 
For carrying out section 301 and title IV of the PHS Act 
with respect to minority health and health disparities research, 
$268,322,000. 
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 PHS Act), $67,577,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the PHS Act 
with respect to health information communications, $327,723,000, 
of which $4,000,000 shall be available until September 30, 2015, 
for improvement of information systems: Provided, That in fiscal 
year 2014, 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 (referred to in this title as ‘‘NIH’’): Provided 
further, That in addition to amounts provided herein, $8,200,000 
shall be available from amounts available under section 241 of 
the PHS 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 PHS Act and related health 
information services. 
NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES 
For carrying out section 301 and title IV of the PHS Act 
with respect to translational sciences, $633,267,000: Provided, That 
up to $9,835,000 shall be available to implement section 480 of 
the PHS Act, relating to the Cures Acceleration Network: Provided 
further, That at least $474,746,000 is provided to the Clinical and 
Translational Sciences Awards program. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of the Director, 
NIH, $1,400,134,000, of which up to $25,000,000 shall be used 
to carry out section 213 of this Act: Provided, That funding shall 
be available for the purchase of not to exceed 29 passenger motor 
vehicles for replacement only: Provided further, That NIH is author-
ized to collect third-party payments for the cost of clinical services
H. R. 3547—368 
that are incurred in NIH research facilities and that such payments 
shall be credited to the NIH Management Fund: Provided further, 
That all funds credited to the NIH Management Fund shall remain 
available for one fiscal year after the fiscal year in which they 
are deposited: Provided further, That $165,000,000 shall be for 
the National Children’s Study (‘‘NCS’’), except that not later than 
July 15, 2014, the Director shall estimate the amount needed for 
the NCS during fiscal year 2014, and any funds in excess of the 
estimated need shall be transferred to and merged with the accounts 
for the various Institutes and Centers in proportion to their shares 
of total NIH appropriations made by this Act: Provided further, 
That $533,039,000 shall be available for the Common Fund estab-
lished under section 402A(c)(1) of the PHS Act: Provided further, 
That of the funds provided $10,000 shall be for official reception 
and representation expenses when specifically approved by the 
Director of the NIH: Provided further, That the Office of AIDS 
Research within the Office of the Director of the NIH may spend 
up to $8,000,000 to make grants for construction or renovation 
of facilities as provided for in section 2354(a)(5)(B) of the PHS 
Act. 
BUILDINGS AND FACILITIES 
For the study of, construction or demolition of, renovation of, 
and acquisition of equipment for, facilities of or used by NIH, 
including the acquisition of real property, $128,663,000, to remain 
available until September 30, 2018, of which up to $7,000,000 
may be used for demolition. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION 
MENTAL HEALTH 
For carrying out titles III, V, and XIX of the PHS Act with 
respect to mental health, and the Protection and Advocacy for 
Individuals with Mental Illness Act, $1,055,347,000: Provided, That 
notwithstanding section 520A(f)(2) of the PHS Act, no funds appro-
priated for carrying out section 520A shall be available for carrying 
out section 1971 of the PHS Act: Provided further, That in addition 
to amounts provided herein, $21,039,000 shall be available under 
section 241 of the PHS Act 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: Provided further, That section 
520E(b)(2) of the PHS Act shall not apply to funds appropriated 
under this Act for fiscal year 2014: Provided further, That of the 
amount appropriated under this heading, $46,000,000 shall be for 
the National Child Traumatic Stress Initiative as described in sec-
tion 582 of the PHS Act: Provided further, That States shall expend 
at least 5 percent of the amount each receives for carrying out 
section 1911 of the PHS Act to support evidence-based programs 
that address the needs of individuals with early serious mental 
illness, including psychotic disorders, regardless of the age of the 
individual at onset: Provided further, That none of the funds pro-
vided for section 1911 of the PHS Act shall be subject to section 
241 of such Act.
H. R. 3547—369 
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, 
$2,052,661,000: 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, $175,631,000. 
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, 
$151,296,000: Provided, That in addition to amounts provided 
herein, $30,428,000 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 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, $364,008,000 shall be available from amounts available 
under section 241 of the PHS Act, notwithstanding subsection 947(c) 
of such Act: Provided, That in addition, amounts received from 
Freedom of Information Act fees, reimbursable and interagency 
agreements, and the sale of data shall be credited to this appropria-
tion and shall remain available until September 30, 2015.
H. R. 3547—370 
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, $177,872,985,000, to remain avail-
able until expended. 
For making, after May 31, 2014, 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 2014 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 2015, $103,472,323,000, 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, $255,185,000,000. 
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, 
2019: 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 
of this appropriation: Provided further, That the Secretary is 
directed to collect fees in fiscal year 2014 from Medicare Advantage 
organizations pursuant to section 1857(e)(2) of the Social Security 
Act and from eligible organizations with risk-sharing contracts