974 
•AMDT. NO. 4805 
available pursuant to this Act shall be obligated or ex-
pended for the procurement of goods mined, produced, 
manufactured, or harvested or services rendered, whole or 
in part, by forced or indentured child labor in industries 
and host countries already identified by the United States 
Department of Labor prior to enactment of this Act. 
SEC. 104. None of the funds made available to the 
Department of Labor for grants under section 414(c) of 
the American Competitiveness and Workforce Improve-
ment Act of 1998 may be used for any purpose other than 
training in the occupations and industries for which em-
ployers are using H–1B visas to hire foreign workers, and 
the related activities necessary to support such training. 
SEC. 105. None of the funds available to the Sec-
retary of Labor for grants authorized under section 414(c) 
of the American Competitiveness and Workforce Improve-
ment Act of 1998 shall be obligated for a grant awarded 
on a non-competitive basis. 
SEC. 106. None of the funds appropriated in this Act 
under the heading ‘‘Employment and Training Adminis-
tration’’ shall be used by a recipient or subrecipient of 
such funds to pay the salary and bonuses of an individual, 
either as direct costs or indirect costs, at a rate in excess 
of Executive Level II. This limitation shall not apply to 
vendors providing goods and services as defined in Office 
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975 
•AMDT. NO. 4805 
of Management and Budget Circular A–133. Where 
States are recipients of such funds, States may establish 
a lower limit for salaries and bonuses of those receiving 
salaries and bonuses from subrecipients of such funds, 
taking into account factors including the relative cost-of- 
living in the State, the compensation levels for comparable 
State or local government employees, and the size of the 
organizations that administer Federal programs involved 
including Employment and Training Administration pro-
grams. Notwithstanding this section, the limitation on sal-
aries for the Job Corps shall continue to be governed by 
Section 101 of this Act. 
SEC. 107. The Secretary of Labor shall take no ac-
tion to amend, through regulatory or administration ac-
tion, the definition established in section 667.220 of title 
20 of the Code of Federal Regulations for functions and 
activities under title I of the Workforce Investment Act 
of 1998, or to modify, through regulatory or administra-
tive action, the procedure for redesignation of local areas 
as specified in subtitle B of title I of that Act (including 
applying the standards specified in section 116(a)(3)(B) 
of that Act, but notwithstanding the time limits specified 
in section 116(a)(3)(B) of that Act), until such time as 
legislation reauthorizing the Act is enacted. Nothing in the 
preceding sentence shall permit or require the Secretary 
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•AMDT. NO. 4805 
to withdraw approval for such redesignation from a State 
that received the approval not later than October 12, 
2005, or to revise action taken or modify the redesignation 
procedure being used by the Secretary in order to complete 
such redesignation for a State that initiated the process 
of such redesignation by submitting any request for such 
redesignation not later than October 26, 2005. 
(INCLUDING RESCISSION OF FUNDS) 
SEC. 108. (a) Of the unobligated balances available 
in ‘‘Department of Labor—Working Capital Fund’’, 
$3,900,000 are permanently rescinded, to be derived solely 
from amounts available for the Investment in Reinvention 
Fund (other than amounts that were designated by the 
Congress as an emergency requirement pursuant to a con-
current resolution on the budget or the Balanced Budget 
and Emergency Deficit Control Act of 1985). 
(b) Public Law 85–67 is amended by striking the 
third proviso under the heading ‘‘Working Capital Fund’’ 
(as added by Public Law 104–134 and relating to estab-
lishment of an Investment in Reinvestment Fund). 
(INCLUDING TRANSFER OF FUNDS) 
SEC. 109. Funds available to the Employment and 
Training Administration, either directly or through a set- 
aside, for technical assistance services to grantees may be 
transferred to ‘‘Program Administration’’ when it is deter-
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•AMDT. NO. 4805 
mined that those services will be more efficiently per-
formed by Federal staff. 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2011’’. 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
HEALTH RESOURCES AND SERVICES 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out titles II, III, IV, VII, VIII, X, XI, 
XII, XIX, XX, XXVI, and XXVIII of the Public Health 
Service Act (‘‘PHS Act’’), section 427(a) of the Federal 
Coal Mine Health and Safety Act, title V and sections 
711, 1128E, 1820, and 1886 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, section 712 of the American 
Jobs Creation Act of 2004, the Stem Cell Therapeutic and 
Research Act of 2005, the Medicare Prescription Drug 
Improvement and Modernization Act of 2003, and the Pa-
tient Protection and Affordable Care Act, $7,715,892,000, 
of which $41,200,000 from general revenues, notwith-
standing section 1820(j) of the Social Security Act, shall 
be available for carrying out the Medicare rural hospital 
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978 
•AMDT. NO. 4805 
flexibility grants program under such section: Provided, 
That sections 340G–1(d)(1) and (d)(2), 747(c)(2), 
751(j)(2), and the proportional funding amounts in para-
graphs (1) through (4) of section 756(e) of the PHS Act 
shall not apply to funds made available in this paragraph: 
Provided further, That of the funds made available under 
this heading for Medicare rural hospital flexibility grants, 
$1,000,000 shall be to carry out section 1820(g)(6) of the 
Social Security Act, with funds provided for such grants 
available for the purchase and implementation of tele-
health services, including pilots and demonstrations on the 
use of electronic health records to coordinate rural vet-
erans care between rural providers and the Department 
of Veterans Affairs through the use of the VISTA-Elec-
tronic Health Record: Provided further, That of the funds 
made available under this heading, $129,000 shall be 
available until expended for facilities renovations at the 
Gillis W. Long Hansen’s Disease Center: 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 oper-
ating the National Practitioner Data Bank, and shall re-
main available until expended to carry out that Act: Pro-
vided further, That fees collected for the full disclosure of 
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