170 
shall be for pediatric dentistry programs including faculty 
loan repayments for service as a full-time faculty member 
in dentistry: Provided further, That dentistry faculty loan 
repayments shall be made using the same terms and condi-
tions as the Nursing Faculty Loan Repayment program au-
thorized under section 738 of the PHS Act: Provided fur-
ther, That of the funds provided, $10,000,000 shall be pro-
vided to the Denali Commission as a direct lump payment 
pursuant to Public Law 106–113: Provided further, That 
of the funds provided, $40,000,000 shall be provided for the 
Delta Health Initiative as authorized in section 219 of divi-
sion G of Public Law 110–161 and associated administra-
tive expenses: Provided further, That funds provided under 
section 846 and subpart 3 of part D of title III of the PHS 
Act may be used to make prior year adjustments to awards 
made under these sections: Provided further, That of the 
amount appropriated in this paragraph, $157,092,000 shall 
be used for the projects financing the construction and ren-
ovation (including equipment) of health care and other fa-
cilities and for other health-related activities, and in the 
amounts, specified under the heading ‘‘Health Resources 
and Services’’ in the committee report of the Senate accom-
panying this Act, and of which up to one percent of the 
amount for each project may be used for related agency ad-
ministrative expenses: Provided further, That notwith-
171 
standing section 338J(k) of the PHS Act, $10,450,000 is 
available for State Offices of Rural Health: Provided fur-
ther, That of the funds provided, $15,000,000 is available 
for the Small Rural Hospital Improvement Grant Program 
for quality improvement and adoption of health informa-
tion technology: Provided further, That $75,000,000 is for 
the State Health Access Grants program to expand access 
to affordable health care coverage for the uninsured popu-
lations in such States. 
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM 
ACCOUNT 
Such sums as may be necessary to carry out the pur-
pose of the program, as authorized by title VII of the Public 
Health Service Act (‘‘PHS Act’’). For administrative ex-
penses to carry out the guaranteed loan program, including 
section 709 of the PHS Act, $2,847,000. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund (‘‘Trust Fund’’), such sums as may 
be necessary for claims associated with vaccine-related in-
jury 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 ex-
penses, not to exceed $6,502,000 shall be available from the
172 
Trust Fund to the Secretary of Health and Human Serv-
ices. 
COVERED COUNTERMEASURE PROCESS FUND 
For carrying out section 319F–4 of the Public Health 
Service Act, $5,000,000, to remain available until expended: 
Provided, That amounts appropriated to this account shall 
also be available for related administrative expenses and 
costs under the Smallpox Emergency Personal Protection 
Act of 2003. 
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 (‘‘PHS 
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 Occupa-
tional Safety and Health Act of 1970, title IV of the Immi-
gration and Nationality Act, section 501 of the Refugee 
Education Assistance Act of 1980, and for expenses nec-
essary to support activities related to countering potential 
biological, nuclear, radiological, and chemical threats to ci-
vilian populations; including purchase and insurance of of-
ficial motor vehicles in foreign countries; and purchase, 
hire, 
maintenance, 
and 
operation 
of 
aircraft,
173 
$6,733,377,000, of which $108,300,000 shall remain avail-
able until expended for acquisition of real property, equip-
ment, construction and renovation of facilities; of which 
$595,749,000 shall remain available until expended for the 
Strategic National Stockpile under section 319F–2 of the 
PHS Act; of which $9,115,000 shall be used for the projects, 
and in the amounts, specified under the heading ‘‘Disease 
Control, Research, and Training’’ in the committee report 
of the Senate accompanying this Act; of which $118,979,000 
for international HIV/AIDS shall remain available through 
September 30, 2011; and of which $70,723,000 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 ter-
rorist attacks on the World Trade Center: Provided, That 
in addition, such sums as may be derived from authorized 
user fees, which shall be credited to this account: Provided 
further, That with respect to the previous proviso, author-
ized user fees from the Vessel Sanitation Program shall be 
available until September 30, 2011: Provided further, That 
in addition to amounts provided herein, the following 
amounts shall be available from amounts available under 
section 241 of the PHS Act: (1) $8,905,000 to carry out 
the National Immunization Surveys; and (2) $31,170,000 
to carry out Public Health Research: Provided further, That
174 
none of the funds made available for injury prevention and 
control at the Centers for Disease Control and Prevention 
may be used, in whole or in part, to advocate or promote 
gun control: Provided further, That of the funds made avail-
able under this heading, up to $1,000 per eligible employee 
of the Centers for Disease Control and Prevention shall be 
made available until expended for Individual Learning Ac-
counts: 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 activi-
ties the Director may so designate: Provided further, That 
the Committees on Appropriations of the House of Rep-
resentatives and the Senate are to be notified promptly of 
any such redirection: Provided further, That not to exceed 
$21,000,000 may be available for making grants under sec-
tion 1509 of the PHS Act to not less than 21 States, tribes, 
or tribal organizations: Provided further, That notwith-
standing any other provision of law, the Centers for Disease 
Control and Prevention shall award a single contract or 
related contracts for development 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
175 
funds appropriated, $10,000 shall be for official reception 
and representation expenses when specifically approved by 
the Director of the Centers for Disease Control and Preven-
tion: Provided further, That employees of the Centers for 
Disease Control and Prevention or the Public Health Serv-
ice, both civilian and Commissioned Officers, detailed to 
States, municipalities, or other organizations under author-
ity of section 214 of the PHS Act, or in overseas assign-
ments, shall be treated as non-Federal employees for report-
ing purposes only and shall not be included within any 
personnel ceiling applicable to the Agency, Service, or the 
Department of Health and Human Services during the pe-
riod of detail or assignment: Provided further, That out of 
funds made available under this heading for domestic HIV/ 
AIDS testing, up to $15,000,000 shall be for States newly 
eligible in fiscal year 2010 under section 2625 of the PHS 
Act as of December 31, 2009 and shall be distributed by 
May 31, 2010 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 
amounts that have not been obligated by May 31, 2010 shall 
be made available to States and local public health depart-
ments for HIV testing activities. 
In addition, for necessary expenses to administer the 
Energy Employees Occupational Illness Compensation Pro-
176 
gram Act, $55,358,000, to remain available until expended, 
of which $4,500,000 shall be for use by or in support of 
the Advisory Board on Radiation and Worker Health (‘‘the 
Board’’) to carry out its statutory responsibilities, includ-
ing obtaining audits, technical assistance, and other sup-
port from the Board’s audit contractor with regard to radi-
ation dose estimation and reconstruction efforts, site pro-
files, procedures, and review of Special Exposure Cohort pe-
titions and evaluation reports: Provided, That this amount 
shall be available consistent with the provision regarding 
administrative expenses in section 151(b) of division B, 
title I of Public Law 106–554. 
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, $5,054,099,000, 
of which up to $8,000,000 may be used for facilities repairs 
and improvements at the National Cancer Institute-Fred-
erick 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, 
$3,066,827,000.
177 
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, 
$409,241,000. 
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 disease, $1,790,518,000. 
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, $1,620,494,000. 
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, $4,777,457,000: Provided, That $300,000,000 may 
be made available to International Assistance Programs 
‘‘Global Fund to Fight HIV/AIDS, Malaria, and Tuber-
culosis’’, to remain available until expended.
178 
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, 
$2,031,886,000. 
EUNICE KENNEDY SHRIVER 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, $1,316,822,000. 
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, $700,158,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to environmental health 
sciences, $683,149,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to aging, $1,099,409,000.
179 
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 musculo-
skeletal and skin diseases, $533,831,000. 
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 com-
munication disorders, $414,755,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to nursing research, 
$144,262,000. 
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 alco-
holism, $457,887,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the Public 
Health 
Service 
Act 
with 
respect 
to 
drug 
abuse, 
$1,050,091,000.
180 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to mental health, 
$1,475,190,000. 
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, 
$511,007,000. 
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, $313,496,000. 
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, $1,256,926,000. 
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 al-
ternative medicine, $127,591,000.
181 
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, $209,508,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of 
title IV of the Public Health Service Act), $69,409,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the Public 
Health Service Act (‘‘PHS Act’’) with respect to health in-
formation 
communications, 
$336,417,000, 
of 
which 
$4,000,000 shall be available until expended for improve-
ment of information systems: Provided, That in fiscal year 
2010, the National Library of Medicine may enter into per-
sonal services contracts for the provision of services in fa-
cilities owned, operated, or constructed under the jurisdic-
tion of the National Institutes of Health: 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 services.
182 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the Director, National Institutes of Health (‘‘NIH’’), 
$1,182,777,000, of which up to $25,000,000 shall be used 
to carry out section 214 of this Act: Provided, That funding 
shall be available for the purchase of not to exceed 29 pas-
senger motor vehicles for replacement only: Provided fur-
ther, That the NIH is authorized to collect third party pay-
ments for the cost of clinical services 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 such Fund shall remain available 
for one fiscal year after the fiscal year in which they are 
deposited: Provided further, That $549,066,000 shall be 
available for the Common Fund established under section 
402A(c)(1) of the Public Health Service Act (‘‘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.
183 
BUILDINGS AND FACILITIES 
For the study of, construction of, renovation of, and 
acquisition of equipment for, facilities of or used by the Na-
tional Institutes of Health, including the acquisition of real 
property, $125,581,000, to remain available until expended. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
For carrying out titles III, V, and XIX of the Public 
Health Service Act (‘‘PHS Act’’) with respect to substance 
abuse and mental health services and the Protection and 
Advocacy for Individuals with Mental Illness Act, 
$3,429,782,000, of which $4,900,000 shall be used for the 
projects, and in the amounts, specified under the heading 
‘‘Substance Abuse and Mental Health Services’’ in the com-
mittee report of the Senate accompanying this Act: Pro-
vided, 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 $795,000 shall be available until ex-
pended for reimbursing the General Services Administra-
tion for environmental testing and remediation on the fed-
erally owned facilities at St. Elizabeths Hospital, including 
but not limited to testing and remediation conducted prior 
to fiscal year 2010: Provided further, That in addition to
184 
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) 
$21,039,000 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 collection and evaluation activities, 
and further that the total available under this Act for sec-
tion 1920(b) activities shall not exceed 5 percent of the 
amounts appropriated for subpart I of part B of title XIX; 
(3) $22,750,000 to carry out national surveys on drug abuse 
and mental health; and (4) $8,596,000 to collect and ana-
lyze data and evaluate substance abuse treatment programs: 
Provided further, That section 520E(b)(2) of the PHS Act 
shall not apply to funds appropriated under this Act for 
fiscal year 2010. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the Public Health 
Service Act (‘‘PHS Act’’), part A of title XI of the Social 
Security Act, and section 1013 of the Medicare Prescription
185 
Drug, Improvement, and Modernization Act of 2003, 
amounts received from Freedom of Information Act fees, re-
imbursable and interagency agreements, and the sale of 
data shall be credited to this appropriation and shall re-
main available until expended: Provided, That the amount 
made available pursuant to section 937(c) of the PHS Act 
shall not exceed $372,053,000. 
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, $220,962,473,000, 
to remain available until expended. 
For making, after May 31, 2010, payments to States 
under title XIX of the Social Security Act for the last quar-
ter of fiscal year 2010 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 sec-
tion 1928 on behalf of States under title XIX of the Social 
Security Act for the first quarter of fiscal year 2011, 
$86,789,382,000, 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 quar-
ter and approved in that or any subsequent quarter.
186 
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) of Public Law 97–248, and for administrative ex-
penses incurred pursuant to section 201(g) of the Social Se-
curity Act, $207,231,070,000. 
In addition, for making matching payments under sec-
tion 1844, and benefit payments under section 1860D–16 
of the Social Security Act, not anticipated in budget esti-
mates, 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 (‘‘PHS 
Act’’), and the Clinical Laboratory Improvement Amend-
ments of 1988, not to exceed $3,431,500,000, to be trans-
ferred 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; 
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 of Health and
187 
Human Services 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 expended: Provided, That all funds derived in accord-
ance 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 appropria-
tion: Provided further, That $35,681,000, to remain avail-
able through September 30, 2011, shall be for contract costs 
for the Healthcare Integrated General Ledger Accounting 
System: Provided further, That $65,600,000, to remain 
available through September 30, 2011, shall be for the Cen-
ters for Medicare and Medicaid Services (‘‘CMS’’) Medicare 
contracting reform activities: Provided further, That 
$81,600,000 shall remain available through September 30, 
2011 for purposes of carrying out provisions of the Medicare 
Improvements for Patients and Providers Act of 2008: Pro-
vided further, That funds appropriated under this heading 
shall be available for the Healthy Start, Grow Smart pro-
gram under which the CMS may, directly or through 
grants, contracts, or cooperative agreements, produce and 
distribute informational materials including, but not lim-
ited to, pamphlets and brochures on infant and toddler 
health care to expectant parents enrolled in the Medicaid
188 
program and to parents and guardians enrolled in such 
program with infants and children: Provided further, That 
the Secretary is directed to collect fees in fiscal year 2010 
from Medicare Advantage organizations pursuant to section 
1857(e)(2) of the Social Security Act and from eligible orga-
nizations with risk-sharing contracts under section 1876 of 
that Act pursuant to section 1876(k)(4)(D) of that Act: Pro-
vided further, That $2,000,000 shall be used for the projects, 
and in the amounts, specified under the heading ‘‘Program 
Management’’ in the committee report of the Senate accom-
panying this Act. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $311,000,000, to 
remain available through September 30, 2011, to be trans-
ferred 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 $220,320,000 shall be for the Medicare Integrity 
Program at the Centers for Medicare and Medicaid Serv-
ices, including administrative costs, to conduct oversight ac-
tivities for Medicare Advantage and the Medicare Prescrip-
tion Drug Program authorized in title XVIII of the Social 
Security Act and for activities listed in section 1893 of such 
Act; of which $29,790,000 shall be for the Department of
189 
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 $31,100,000 shall be for 
the Medicaid and Children’s Health Insurance Program 
(‘‘CHIP’’) program integrity activities; and of which 
$29,790,000 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 2010 shall include measures of the operational effi-
ciency and impact on fraud, waste, and abuse in the Medi-
care, Medicaid, and CHIP programs for 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, 
$3,571,509,000, to remain available until expended; and for 
such purposes for the first quarter of fiscal year 2011, 
$1,100,000,000, to remain available until expended. 
For making payments to each State for carrying out 
the program of Aid to Families with Dependent Children 
under title IV–A of the Social Security Act before the effec-
190 
tive date of the program of Temporary Assistance for Needy 
Families 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 expenditures under such title IV– 
A in fiscal year 1997 under this appropriation and under 
such title IV–A as amended by the Personal Responsibility 
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 ti-
tles 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, $4,509,672,000, of which all but $839,792,000 
shall be allocated as though the total appropriation for such 
payments was less than $1,975,000,000; and, in addition 
$590,328,000 is for payments under subsection (e) of such 
section, to be made notwithstanding the designation re-
quirements of subsection (e).
191 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant assist-
ance activities authorized by section 414 of the Immigration 
and Nationality Act and section 501 of the Refugee Edu-
cation Assistance Act of 1980, for carrying out section 462 
of the Homeland Security Act of 2002, section 235 of the 
William Wilberforce Trafficking Victims Protection Reau-
thorization Act of 2008, and the Trafficking Victims Protec-
tion Act of 2000, for costs associated with the care and 
placement of unaccompanied alien children, and for car-
rying out the Torture Victims Relief Act of 1998, 
$730,657,000, 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 pur-
suant to section 414(a) of the Immigration and Nationality 
Act, section 462 of the Homeland Security Act of 2002, sec-
tion 235 of the William Wilberforce Trafficking Victims 
Protection Reauthorization Act of 2008, and the Trafficking 
Victims Protection Act of 2000, for fiscal year 2010 shall 
be available for the costs of assistance provided and other 
activities to remain available through September 30, 2012. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block Grant Act of 1990, $2,127,081,000 shall be used to
192 
supplement, not supplant State general revenue funds for 
child care assistance for low-income families: Provided, 
That $18,960,000 shall be available for child care resource 
and referral and school-aged child care activities, of which 
$1,000,000 shall be for the Child Care Aware toll-free hot-
line: Provided further, That, in addition to the amounts 
required to be reserved by the States under section 658G, 
$271,401,000 shall be reserved by the States for activities 
authorized under section 658G, of which $99,534,000 shall 
be for activities that improve the quality of infant and tod-
dler care: Provided further, That $9,910,000 shall be for use 
by the Secretary of Health and Human Services for child 
care research, demonstration, and evaluation activities. 
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 sub-
paragraph for a State to carry out State programs pursu-
ant to title XX of such Act shall be 10 percent. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Developmental Dis-
abilities Assistance and Bill of Rights Act, the Head Start
193 
Act, the Child Abuse Prevention and Treatment Act, sec-
tions 310 and 316 of the Family Violence Prevention and 
Services Act, the Native American Programs Act of 1974, 
title II of the Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 (adoption opportunities), sec-
tions 330F and 330G of the Public Health Service Act 
(‘‘PHS Act’’), the Abandoned Infants Assistance Act of 
1988, sections 261 and 291 of the Help America Vote Act 
of 2002, part B–1 of title IV and sections 413, 1110, and 
1115 of the Social Security Act; for making payments 
under the Community Services Block Grant Act (‘‘CSBG 
Act’’), sections 439(i), 473B, and 477(i) of the Social Secu-
rity Act, and the Assets for Independence Act; and for nec-
essary administrative expenses to carry out such Acts and 
titles I, IV, V, X, XI, XIV, XVI, and XX of the Social Secu-
rity Act, the Act of July 5, 1960, the Low Income Home 
Energy Assistance Act of 1981, title IV of the Immigration 
and Nationality Act, section 501 of the Refugee Education 
Assistance Act of 1980, and section 505 of the Family Sup-
port Act of 1988, $9,310,465,000, of which $39,500,000, to 
remain available through September 30, 2011, shall be for 
grants to States for adoption incentive payments, as au-
thorized by section 473A of the Social Security Act and 
may be made for adoptions completed before September 30, 
2010: Provided, That $7,234,783,000 shall be for making
194 
payments under the Head Start Act: Provided further, That 
of funds appropriated in the American Recovery and Rein-
vestment Act of 2009 for Head Start and Early Head Start, 
only the amount provided to a Head Start grantee under 
section 640(a)(3)(A)(i)(I) of the Head Start Act as a cost 
of living adjustment may be considered to be part of the 
fiscal year 2009 base grant for such grantee for purposes 
of section 640(a)(2)(B)(i) through (v) of the Head Start Act: 
Provided further, That $746,000,000 shall be for making 
payments under the CSBG Act: Provided further, That not 
less than $10,000,000 shall be for section 680(3)(B) of the 
CSBG Act: Provided further, That in addition to amounts 
provided herein, $5,762,000 shall be available from amounts 
available under section 241 of the PHS Act to carry out 
the provisions of section 1110 of the Social Security Act: 
Provided further, That to the extent Community Services 
Block Grant funds are distributed as grant funds by a State 
to an eligible entity as provided under the CSBG Act, and 
have not been expended by such entity, they shall remain 
with such entity for carryover into the next fiscal year for 
expenditure by such entity consistent with program pur-
poses: Provided further, That the Secretary of Health and 
Human Services shall establish procedures regarding the 
disposition of intangible assets and program income that 
permit such assets acquired with, and program income de-
195 
rived from, grant funds authorized under section 680 of the 
CSBG Act to become the sole property of such grantees after 
a period of not more than 12 years after the end of the 
grant period for any activity consistent with section 
680(a)(2)(A) of the CSBG Act: Provided further, That in-
tangible assets in the form of loans, equity investments and 
other debt instruments, and program income may be used 
by grantees for any eligible purpose consistent with section 
680(a)(2)(A) of the CSBG Act: Provided further, That these 
procedures shall apply to such grant funds made available 
after November 29, 1999: Provided further, That funds ap-
propriated for section 680(a)(2) of the CSBG Act shall be 
available for financing construction and rehabilitation and 
loans or investments in private business enterprises owned 
by community development corporations: Provided further, 
That $17,410,000 shall be for activities authorized by the 
Help America Vote Act of 2002, of which $12,154,000 shall 
be for payments to States to promote access for voters with 
disabilities, and of which $5,256,000 shall be for payments 
to States for protection and advocacy systems for voters 
with disabilities: Provided further, That $2,000,000 shall 
be for a human services case management system for feder-
ally declared disasters, to include a comprehensive national 
case management contract and Federal costs of admin-
istering the system: Provided further, That up to $2,000,000
196 
shall be for improving the Public Assistance Reporting In-
formation System, including grants to States to support 
data collection for a study of the system’s effectiveness: Pro-
vided further, That of the funds appropriated under this 
heading, $1,000,000 shall be transferred to the National 
Commission on Children and Disasters to carry out title 
VI of division G of Public Law 110–161: Provided further, 
That $5,600,000 shall be used for the projects, and in the 
amounts, specified under the heading ‘‘Children and Fami-
lies Services Programs’’ in the committee report of the Sen-
ate accompanying this Act. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out section 436 of the Social Security 
Act, $345,000,000 and section 437 of such Act, $63,311,000. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For making payments to States or other non-Federal 
entities under title IV–E of the Social Security Act, 
$5,532,000,000. 
For making payments to States or other non-Federal 
entities under title IV–E of the Social Security Act, for the 
first quarter of fiscal year 2011, $1,850,000,000. 
For making, after May 31 of the current fiscal year, 
payments to States or other non-Federal entities under sec-
tion 474 of title IV–E of the Social Security Act, for the 
last 3 months of the current fiscal year for unanticipated
197 
costs, incurred for the current fiscal year, such sums as may 
be necessary. 
ADMINISTRATION ON AGING 
AGING SERVICES PROGRAMS 
For carrying out, to the extent not otherwise provided, 
the Older Americans Act of 1965, section 398 and title 
XXIX of the Public Health Service Act, and section 119 
of the Medicare Improvements for Patients and Providers 
Act of 2008, $1,495,038,000, of which $5,500,000 shall be 
available for activities regarding medication management, 
screening, and education to prevent incorrect medication 
and adverse drug reactions: Provided, That $1,195,000 shall 
be used for the projects, and in the amounts, specified under 
the heading ‘‘Aging Services Programs’’ in the committee 
report of the Senate accompanying this Act. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six se-
dans, and for carrying out titles III, XVII, XX, and XXI 
of the Public Health Service Act (‘‘PHS Act’’), the United 
States-Mexico Border Health Commission Act, and research 
studies under section 1110 of the Social Security Act, 
$477,928,000, together with $5,851,000 to be transferred
198 
and expended as authorized by section 201(g)(1) of the So-
cial Security Act from the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical Insur-
ance Trust Fund, and $64,211,000 from the amounts avail-
able under section 241 of the PHS Act to carry out national 
health or human services research and evaluation activities: 
Provided, That of this amount, $51,891,000 shall be for mi-
nority 
AIDS 
prevention 
and 
treatment 
activities; 
$5,789,000 shall be to assist Afghanistan in the development 
of maternal and child health clinics, consistent with section 
103(a)(4)(H) of the Afghanistan Freedom Support Act of 
2002; and $1,000,000 shall be transferred, not later than 
30 days after enactment of this Act, to the National Insti-
tute of Mental Health to administer the Interagency Autism 
Coordinating Committee: Provided further, That all of the 
funds made available under this heading for carrying out 
title XX of the PHS Act shall be for activities specified 
under section 2003(b)(1) of such title XX: Provided further, 
That of the funds made available under this heading, 
$100,000,000 shall be for making contracts and competitive 
grants to public and private entities to fund medically ac-
curate and age appropriate programs that reduce teen preg-
nancy and for the Federal costs associated with admin-
istering and evaluating such contracts and grants, of which 
not less than $75,000,000 shall be for replicating programs
199 
that have been proven through rigorous evaluation to delay 
sexual activity, increase contraceptive use (without increas-
ing sexual activity), reduce the transmission of sexually 
transmitted infections or reduce teenage pregnancy; and of 
which not less than $25,000,000 shall be available for re-
search and demonstration grants to develop, replicate, re-
fine and test additional models and innovative strategies 
for preventing teen pregnancy or sexually transmitted infec-
tions: Provided further, That of the amounts provided under 
this heading from amounts available under section 241 of 
the PHS Act, $4,455,000 shall be available to carry out 
evaluations (including longitudinal evaluations) of teen 
pregnancy prevention approaches: Provided further, That 
funds provided in this Act for embryo adoption activities 
may be used to provide, to individuals adopting embryos, 
through grants and other mechanisms, medical and admin-
istrative services deemed necessary for such adoptions: Pro-
vided further, That such services shall be provided con-
sistent with 42 CFR 59.5(a)(4): Provided further, That 
$950,000 shall be used for the projects, and in the amounts, 
specified under the heading ‘‘General Departmental Man-
agement’’ in the committee report of the Senate accom-
panying this Act: Provided further, That not more than 
$3,200,000 and 26 full time equivalents shall be available 
for the Office of the Assistant Secretary for Legislation.