(d) shall be allocated as though the total appropriation 
for such payments for fiscal year 2010 was less than 
$1,975,000,000: Provided further, That notwithstanding 
section 2605(b)(2)(B)(ii) of such Act, a State may use any 
amount of an allotment from prior appropriations Acts 
that is available to that State for providing assistance in 
fiscal year 2010, and any allotment from funds appro-
priated in this Act or any other appropriations Act for 
fiscal year 2010, to provide assistance to households whose 
income does not exceed 75 percent of the State median 
income. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant as-
sistance activities authorized by section 414 of the Immi-
gration and Nationality Act and section 501 of the Ref-
ugee Education Assistance Act of 1980, for carrying out 
section 462 of the Homeland Security Act of 2002, section 
235 of the William Wilberforce Trafficking Victims Pro-
tection Reauthorization Act of 2008, and the Trafficking 
Victims Protection Act of 2000, for costs associated with 
the care and placement of unaccompanied alien children, 
and for carrying out the Torture Victims Relief Act of 
1998, $714,968,000, 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 
VerDate Nov 24 2008 
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heading pursuant to section 414(a) of the Immigration 
and Nationality Act, section 462 of the Homeland Secu-
rity Act of 2002, section 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 as-
sistance 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 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 toddler care: Provided further, That $9,910,000 shall 
be for use by the Secretary of Health and Human Services 
VerDate Nov 24 2008 
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for child care research, demonstration, and evaluation ac-
tivities. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 
2002 of the Social Security Act, $1,700,000,000: Pro-
vided, That notwithstanding subparagraph (B) of section 
404(d)(2) of such Act, the applicable percent specified 
under such subparagraph for a State to carry out State 
programs pursuant 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 
Disabilities Assistance and Bill of Rights Act, the Head 
Start Act, the Child Abuse Prevention and Treatment Act, 
sections 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 Treat-
ment and Adoption Reform Act of 1978 (adoption oppor-
tunities), sections 330F and 330G of the Public Health 
Service Act (‘‘PHS Act’’), the Abandoned Infants Assist-
ance Act of 1988, sections 261 and 291 of the Help Amer-
ica Vote Act of 2002, part B–1 of title IV and sections 
413, 1110, and 1115 of the Social Security Act; for mak-
VerDate Nov 24 2008 
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ing payments under the Community Services Block Grant 
Act (‘‘CSBG Act’’), sections 439(i), 473B, and 477(i) of 
the Social Security Act, and the Assets for Independence 
Act; and for necessary administrative expenses to carry 
out such Acts and titles I, IV, V, X, XI, XIV, XVI, and 
XX of the Social Security Act, the Act of July 5, 1960, 
the Low Income Home Energy Assistance Act of 1981, 
title IV of the Immigration and Nationality Act, and sec-
tion 501 of the Refugee Education Assistance Act of 1980, 
$9,436,951,000, of which $39,500,000, to remain avail-
able through September 30, 2011, shall be for grants to 
States for adoption incentive payments, as authorized by 
section 473A of the Social Security Act and may be made 
for adoptions completed before September 30, 2010: Pro-
vided, That $7,234,783,000 shall be for making payments 
under the Head Start Act: Provided further, That of the 
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: Pro-
VerDate Nov 24 2008 
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vided further, That not less than $10,000,000 shall be for 
section 680(a)(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 ex-
pended by such entity, they shall remain with such entity 
for carryover into the next fiscal year for expenditure by 
such entity consistent with program purposes: Provided 
further, That the Secretary of Health and Human Services 
shall establish procedures regarding the disposition of in-
tangible assets and program income that permit such as-
sets acquired with, and program income derived 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, 
VerDate Nov 24 2008 
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That these procedures shall apply to such grant funds 
made available after November 29, 1999: Provided further, 
That funds appropriated 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 disabil-
ities: Provided further, That $110,000,000 shall be for 
making competitive contracts and grants to fund teenage 
pregnancy prevention programs and for the Federal costs 
of administering and evaluating such contracts and 
grants, of which not less than $75,000,000 shall be for 
programs that replicate the elements of one or more teen-
age pregnancy prevention programs that have been proven 
effective through rigorous evaluation to reduce teenage 
pregnancy or reduce behavioral risk factors underlying 
teenage pregnancy; of which not less than $25,000,000 
shall be available for research and demonstration grants 
to develop, replicate, refine, and test additional models and 
innovative strategies for preventing teenage pregnancy: 
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Provided further, that in addition to amounts provided 
herein for teenage pregnancy prevention, $4,455,000 shall 
be available from amounts under section 241 of the PHS 
Act to carry out evaluations (including longitudinal eval-
uations) of teenage pregnancy prevention approaches: Pro-
vided further, That $2,000,000 shall be for a human serv-
ices case management system for Federally-declared disas-
ters, to include a comprehensive national case manage-
ment contract and Federal costs of administering the sys-
tem: Provided further, That up to $2,000,000 shall be for 
improving the Public Assistance Reporting Information 
System, including grants to States to support data collec-
tion for a study of the system’s effectiveness: Provided fur-
ther, That of the funds appropriated under this heading, 
$1,000,000 shall be transferred to the National Commis-
sion on Children and Disasters to carry out title VI of 
division G of Public Law 110-161: Provided further, That 
$14,819,000 shall be used for the projects, and in the 
amounts, specified under the heading ‘‘Children and Fam-
ilies Services Programs’’ in the report of the Committee 
on Appropriations of the House of Representatives to ac-
company this Act. 
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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 
section 474 of title IV–E of the Social Security Act, for 
the last 3 months of the current fiscal year for unantici-
pated 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 pro-
vided, 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 Pro-
viders Act of 2008, $1,530,881,000, of which $5,500,000 
shall be available for activities regarding medication man-
VerDate Nov 24 2008 
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agement, screening, and education to prevent incorrect 
medication and adverse drug reactions: Provided, That 
$5,079,000 shall be used for the projects, and in the 
amounts, specified under the heading ‘‘Aging Services 
Programs’’ in the report of the Committee on Appropria-
tions of the House of Representatives to accompany 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 
sedans, 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 re-
search studies under section 1110 of the Social Security 
Act, $397,601,000, together with $5,851,000 to be trans-
ferred and expended as authorized by section 201(g)(1) 
of the Social Security Act from the Federal Hospital In-
surance Trust Fund and the Federal Supplementary Med-
ical Insurance Trust Fund, and $69,756,000 from the 
amounts available under section 241 of the PHS Act to 
carry out national health or human services research and 
evaluation activities: Provided, That of this amount, 
$53,891,000 shall be for minority AIDS prevention and 
VerDate Nov 24 2008 
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treatment activities; $5,789,000 shall be to assist Afghani-
stan in the development of maternal and child health clin-
ics, consistent with section 103(a)(4)(H) of the Afghani-
stan 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 Institute of Mental Health to 
administer the Interagency Autism Coordinating Com-
mittee: Provided further, That of the funds made available 
under this heading for carrying out title XX of the PHS 
Act, $13,120,000 shall be for activities specified under 
section 2003(b)(2), of which $9,840,000 shall be for pro-
grams that replicate the elements of one or more teenage 
pregnancy prevention programs that have been proven ef-
fective through rigorous evaluation to reduce teenage 
pregnancy or reduce behavioral risk factors underlying 
teenage pregnancy, and of which $3,280,000 shall be for 
research and demonstration grants to develop, replicate, 
refine, and test additional models and innovative strate-
gies for preventing teen pregnancy, without application of 
the limitation of section 2010(c) of such title XX: Provided 
further, That funds provided in this Act for embryo adop-
tion activities may be used to provide, to individuals adopt-
ing embryos, through grants and other mechanisms, med-
ical and administrative services deemed necessary for such 
adoptions: Provided further, That such services shall be 
VerDate Nov 24 2008 
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provided consistent with 42 CFR 59.5(a)(4): Provided fur-
ther, That $700,000 shall be used for the projects, and 
in the amounts, specified under the heading ‘‘General De-
partmental Management’’ in the report of the Committee 
on Appropriations of the House of Representatives to ac-
company this Act: Provided further, That specific informa-
tion requests from the chairmen and ranking members of 
the Subcommittees on the Departments of Labor, Health 
and Human Services, and Education, and Related Agen-
cies, on scientific research or any other matter, shall be 
transmitted to the Committees on Appropriations of the 
House of Representatives and the Senate (‘‘Committees 
on Appropriations’’) in a prompt, professional manner and 
within the time frame specified in the request: Provided 
further, That scientific information, including such infor-
mation provided in congressional testimony, requested by 
the Committees on Appropriations and prepared by gov-
ernment researchers and scientists shall be transmitted to 
the Committees on Appropriations, uncensored and with-
out delay. 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for administrative law judges 
responsible for hearing cases under title XVIII of the So-
cial Security Act (and related provisions of title XI of such 
Act), $71,147,000, to be transferred in appropriate part 
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