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OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for administrative law judges 
responsible for hearing cases under title XVIII of the Social 
Security Act (and related provisions of title XI of such Act), 
$71,147,000, to be transferred in appropriate part from the 
Federal Hospital Insurance Trust Fund and the Federal 
Supplementary Medical Insurance Trust Fund. 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
For expenses necessary for the Office of the National 
Coordinator for Health Information Technology, including 
grants, contracts, and cooperative agreements for the devel-
opment and advancement of interoperable health informa-
tion technology, $42,331,000: Provided, That in addition 
to amounts provided herein, $19,011,000 shall be available 
from amounts available under section 241 of the Public 
Health Service Act. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector Gen-
eral, including the hire of passenger motor vehicles for in-
vestigations, in carrying out the provisions of the Inspector 
General Act of 1978, $50,279,000: Provided, That of such 
amount, necessary sums shall be available for providing 
protective services to the Secretary of Health and Human 
Services and investigating non-payment of child support
201 
cases for which non-payment is a Federal offense under 18 
U.S.C. 228: Provided further, That at least forty percent 
of the funds provided in this Act for the Office of Inspector 
General shall be used only for investigations, audits, and 
evaluations pertaining to the discretionary programs fund-
ed in this Act. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil Rights, 
$37,785,000, together with not to exceed $3,314,000 to be 
transferred and expended as authorized by section 201(g)(1) 
of the Social Security Act from the Federal Hospital Insur-
ance Trust Fund and the Federal Supplementary Medical 
Insurance Trust Fund. 
RETIREMENT PAY AND MEDICAL BENEFITS FOR 
COMMISSIONED OFFICERS 
For retirement pay and medical benefits of Public 
Health Service Commissioned Officers as authorized by law, 
for payments under the Retired Serviceman’s Family Pro-
tection Plan and Survivor Benefit Plan, and for medical 
care of dependents and retired personnel under the Depend-
ents’ Medical Care Act, such amounts as may be required 
during the current fiscal year.
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PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND 
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary to support activities related to 
countering potential biological, nuclear, radiological, chem-
ical, and cybersecurity threats to civilian populations, and 
for other public health emergencies, and to pay the costs 
described in section 319F–2(c)(7)(B) of the Public Health 
Service Act (‘‘PHS Act’’), $628,402,000; of which 
$43,412,000 shall be to support operations, preparedness 
and emergency operations, of which $5,000,000 shall re-
main available through September 30, 2011; and of which 
$10,000,000, to remain available through September 30, 
2011, shall be to support the delivery of medical counter-
measures: Provided, That of the amount made available 
herein for the delivery of medical countermeasures, up to 
$8,000,000 may be transferred to the U.S. Postal Service 
to support the delivery of medical countermeasures. 
For expenses necessary to support advanced research 
and development pursuant to section 319L of the PHS Act, 
$305,000,000, to be derived by transfer from funds appro-
priated under the heading ‘‘Biodefense Countermeasures’’ in 
the Department of Homeland Security Appropriations Act, 
2004, to remain available through September 30, 2011. 
All remaining balances from funds appropriated under 
the heading ‘‘Biodefense Countermeasures’’ in the Depart-
203 
ment of Homeland Security Appropriations Act, 2004, shall 
be transferred to this account, and shall remain available 
for obligation through September 30, 2013, for the procure-
ment of medical countermeasures pursuant to section 319F– 
2(c) of the PHS Act: Provided, That products purchased 
with these funds shall be deposited in the Strategic National 
Stockpile under section 319F–2(a) of the PHS Act. 
For expenses necessary to prepare for and respond to 
an 
influenza 
pandemic, 
$354,167,000, 
of 
which 
$276,000,000 shall be available until expended, for activi-
ties including the development and purchase of vaccine, 
antivirals, necessary medical supplies, diagnostics, and 
other surveillance tools: Provided, That products purchased 
with these funds may, at the discretion of the Secretary of 
Health and Human Services, be deposited in the Strategic 
National Stockpile under section 319F–2(a) of the PHS 
Act: Provided further, That notwithstanding section 496(b) 
of the PHS Act, funds may be used for the construction 
or renovation of privately owned facilities for the produc-
tion of pandemic influenza vaccines and other biologics, if 
the Secretary finds such construction or renovation nec-
essary to secure sufficient supplies of such vaccines or bio-
logics: Provided further, That funds appropriated herein 
may be transferred to other appropriation accounts of the 
Department of Health and Human Services, as determined
204 
by the Secretary to be appropriate, to be used for the pur-
poses specified in this paragraph. 
For expenses necessary to lease and replace or renovate 
a headquarters building for Public Health Service agencies 
and other components of the Department of Health and 
Human Services, including relocation and fit-out costs, 
$69,585,000, to remain available until expended. 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be 
available for not to exceed $50,000 for official reception and 
representation expenses when specifically approved by the 
Secretary of Health and Human Services. 
SEC. 202. The Secretary of Health and Human Serv-
ices shall make available through assignment not more than 
60 employees of the Public Health Service to assist in child 
survival activities and to work in AIDS programs through 
and with funds provided by the Agency for International 
Development, the United Nations International Children’s 
Emergency Fund or the World Health Organization. 
SEC. 203. None of the funds appropriated in this Act 
for the National Institutes of Health, the Agency for 
Healthcare Research and Quality, and the Substance Abuse 
and Mental Health Services Administration shall be used 
to pay the salary of an individual, through a grant or other
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extramural mechanism, at a rate in excess of Executive 
Level I. 
SEC. 204. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the Public 
Health Service Act, except for funds specifically provided 
for in this Act, or for other taps and assessments made by 
any office located in the Department of Health and Human 
Services, prior to the preparation and submission of a re-
port by the Secretary of Health and Human Services to 
the Committees on Appropriations of the House of Rep-
resentatives and the Senate detailing the planned uses of 
such funds. 
SEC. 205. Notwithstanding section 241(a) of the Public 
Health Service Act, such portion as the Secretary of Health 
and Human Services shall determine, but not more than 
2.4 percent, of any amounts appropriated for programs au-
thorized under such Act shall be made available for the eval-
uation (directly, or by grants or contracts) of the implemen-
tation and effectiveness of such programs. 
(TRANSFER OF FUNDS) 
SEC. 206. Not to exceed 1 percent of any discretionary 
funds (pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985) which are appropriated for the 
current fiscal year for the Department of Health and 
Human Services in this Act may be transferred between a