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(7) of the Internal Revenue Code of 1954, as amended,
and interest on advances as authorized by section
9501(c)(2) of that Act, and of which $28,676,000 shall
be available for transfer to Employment Standards Ad-
ministration, Salaries and Expenses, $20,422,000 for
transfer to Departmental Management, Salaries and Ex-
penses, $306,000 for transfer to Departmental Manage-
ment, Office of Inspector General, and $356,000 for pay-
ment into miscellaneous receipts for the expenses of the
Department of Treasury, for expenses of operation and
administration of the Black Lung Benefits program as au-
thorized by section 9501(d)(5) of that Act: Provided,
That, in addition, such amounts as may be necessary may
be charged to the subsequent year appropriation for the
payment of compensation, interest, or other benefits for
any period subsequent to August 15 of the current year.
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Occupational Safety
and Health Administration, $337,408,000, including not
to exceed $76,080,000 which shall be the maximum
amount available for grants to States under section 23(g)
of the Occupational Safety and Health Act, which grants
shall be no less than 50 percent of the costs of State occu-
pational safety and health programs required to be in-
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curred under plans approved by the Secretary under sec-
tion 18 of the Occupational Safety and Health Act of
1970; and, in addition, notwithstanding 31 U.S.C. 3302,
the Occupational Safety and Health Administration may
retain up to $750,000 per fiscal year of training institute
course tuition fees, otherwise authorized by law to be col-
lected, and may utilize such sums for occupational safety
and health training and education grants: Provided, That,
notwithstanding 31 U.S.C. 3302, the Secretary of Labor
is authorized, during the fiscal year ending September 30,
2000, to collect and retain fees for services provided to
Nationally Recognized Testing Laboratories, and may uti-
lize such sums, in accordance with the provisions of 29
U.S.C. 9a, to administer national and international lab-
oratory recognition programs that ensure the safety of
equipment and products used by workers in the workplace:
Provided further, That none of the funds appropriated
under this paragraph shall be obligated or expended to
prescribe, issue, administer, or enforce any standard, rule,
regulation, or order under the Occupational Safety and
Health Act of 1970 which is applicable to any person who
is engaged in a farming operation which does not maintain
a temporary labor camp and employs ten or fewer employ-
ees: Provided further, That no funds appropriated under
this paragraph shall be obligated or expended to admin-
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ister or enforce any standard, rule, regulation, or order
under the Occupational Safety and Health Act of 1970
with respect to any employer of ten or fewer employees
who is included within a category having an occupational
injury lost workday case rate, at the most precise Stand-
ard Industrial Classification Code for which such data are
published, less than the national average rate as such
rates are most recently published by the Secretary, acting
through the Bureau of Labor Statistics, in accordance
with section 24 of that Act (29 U.S.C. 673), except—
(1) to provide, as authorized by such Act, con-
sultation, technical assistance, educational and train-
ing services, and to conduct surveys and studies;
(2) to conduct an inspection or investigation in
response to an employee complaint, to issue a cita-
tion for violations found during such inspection, and
to assess a penalty for violations which are not cor-
rected within a reasonable abatement period and for
any willful violations found;
(3) to take any action authorized by such Act
with respect to imminent dangers;
(4) to take any action authorized by such Act
with respect to health hazards;
(5) to take any action authorized by such Act
with respect to a report of an employment accident
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which is fatal to one or more employees or which re-
sults in hospitalization of two or more employees,
and to take any action pursuant to such investiga-
tion authorized by such Act; and
(6) to take any action authorized by such Act
with respect to complaints of discrimination against
employees for exercising rights under such Act:
Provided further, That the foregoing proviso shall not
apply to any person who is engaged in a farming operation
which does not maintain a temporary labor camp and em-
ploys ten or fewer employees.
MINE SAFETY AND HEALTH ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Mine Safety and
Health Administration, $211,165,000, including purchase
and bestowal of certificates and trophies in connection
with mine rescue and first-aid work, and the hire of pas-
senger motor vehicles; including not to exceed $750,000
may be collected by the National Mine Health and Safety
Academy for room, board, tuition, and the sale of training
materials, otherwise authorized by law to be collected, to
be available for mine safety and health education and
training activities, notwithstanding 31 U.S.C. 3302; the
Secretary is authorized to accept lands, buildings, equip-
ment, and other contributions from public and private
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sources and to prosecute projects in cooperation with other
agencies, Federal, State, or private; the Mine Safety and
Health Administration is authorized to promote health
and safety education and training in the mining commu-
nity through cooperative programs with States, industry,
and safety associations; and any funds available to the De-
partment may be used, with the approval of the Secretary,
to provide for the costs of mine rescue and survival oper-
ations in the event of a major disaster: Provided, That
none of the funds appropriated under this paragraph shall
be obligated or expended to carry out section 115 of the
Federal Mine Safety and Health Act of 1977 or to carry
out that portion of section 104(g)(1) of such Act relating
to the enforcement of any training requirements, with re-
spect to shell dredging, or with respect to any sand, gravel,
surface stone, surface clay, colloidal phosphate, or surface
limestone mine prior to June 1, 2000.
BUREAU OF LABOR STATISTICS
SALARIES AND EXPENSES
For necessary expenses for the Bureau of Labor Sta-
tistics, including advances or reimbursements to State,
Federal, and local agencies and their employees for serv-
ices rendered, $340,551,000, of which $6,986,000 shall be
for expenses of revising the Consumer Price Index and
shall remain available until September 30, 2001, together
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with not to exceed $54,146,000, which may be expended
from the Employment Security Administration account in
the Unemployment Trust Fund.
DEPARTMENTAL MANAGEMENT
SALARIES AND EXPENSES
For necessary expenses for Departmental Manage-
ment, including the hire of three sedans, and including
up to $6,750,000 for the President’s Committee on Em-
ployment of People with Disabilities, $190,832,000; to-
gether with not to exceed $299,000, which may be ex-
pended from the Employment Security Administration ac-
count in the Unemployment Trust Fund: Provided, That
no funds made available by this Act may be used by the
Solicitor of Labor to participate in a review in any United
States court of appeals of any decision made by the Bene-
fits Review Board under section 21 of the Longshore and
Harbor Workers’ Compensation Act (33 U.S.C. 921)
where such participation is precluded by the decision of
the United States Supreme Court in Director, Office of
Workers’ Compensation Programs v. Newport News Ship-
building, 115 S. Ct.1278 (1995), notwithstanding any pro-
visions to the contrary contained in Rule 15 of the Federal
Rules of Appellate Procedure: Provided further, That no
funds made available by this Act may be used by the Sec-
retary of Labor to review a decision under the Longshore
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and Harbor Workers’ Compensation Act (33 U.S.C. 901
et seq.) that has been appealed and that has been pending
before the Benefits Review Board for more than 12
months: Provided further, That any such decision pending
a review by the Benefits Review Board for more than one
year shall be considered affirmed by the Benefits Review
Board on the one-year anniversary of the filing of the ap-
peal, and shall be considered the final order of the Board
for purposes of obtaining a review in the United States
courts of appeals: Provided further, That these provisions
shall not be applicable to the review or appeal of any deci-
sion issued under the Black Lung Benefits Act (30 U.S.C.
901 et seq.).
ASSISTANT SECRETARY FOR VETERANS EMPLOYMENT
AND TRAINING
Not to exceed $182,719,000 may be derived from the
Employment Security Administration account in the Un-
employment Trust Fund to carry out the provisions of 38
U.S.C. 4100–4110A, 4212, 4214, and 4321–4327, and
Public Law 103–353, and which shall be available for obli-
gation by the States through December 31, 2000.
OFFICE OF INSPECTOR GENERAL
For salaries and expenses of the Office of Inspector
General in carrying out the provisions of the Inspector
General Act of 1978, as amended, $43,852,000, together
with not to exceed $3,648,000, which may be expended
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from the Employment Security Administration account in
the Unemployment Trust Fund.
GENERAL PROVISIONS
SEC. 101. None of the funds appropriated in this title
for the Job Corps shall be used to pay the compensation
of an individual, either as direct costs or any proration
as an indirect cost, at a rate in excess of Executive Level
II.
(TRANSFER OF FUNDS)
SEC. 102. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and
Emergency Deficit Control Act, as amended) which are
appropriated for the current fiscal year for the Depart-
ment of Labor in this Act may be transferred between ap-
propriations, but no such appropriation shall be increased
by more than 3 percent by any such transfer: Provided,
That the Appropriations Committees of both Houses of
Congress are notified at least fifteen days in advance of
any transfer.
SEC. 103. None of the funds made available in this
title may be used to implement, administer, or enforce the
rule entitled ‘‘Procedures for Predetermination of Wage
Rates’’ published by the Wage and Hour Division, Em-
ployment Standards Administration, Department of Labor
on April 9, 1999 (64 Fed. Reg. 17441 et seq.).
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SEC. 104. None of the funds made available in this
Act may be used to implement, administer, or enforce the
rules revising 29 CFR parts 2520 and 2560 published by
the Pension and Welfare Benefits Administration on Sep-
tember 9, 1998, in Volume 63, No. 174 of the Federal
Register.
This title may be cited as the ‘‘Department of Labor
Appropriations Act, 2000’’.
TITLE II—DEPARTMENT OF HEALTH AND
HUMAN SERVICES
HEALTH RESOURCES AND SERVICES ADMINISTRATION
HEALTH RESOURCES AND SERVICES
For carrying out titles II, III, VII, VIII, X, XII, XIX,
and XXVI of the Public Health Service Act, section
427(a) of the Federal Coal Mine Health and Safety Act,
title V and section 1820 of the Social Security Act, the
Health Care Quality Improvement Act of 1986, as amend-
ed, and the Native Hawaiian Health Care Act of 1988,
as amended, $4,204,395,000, of which $150,000 shall re-
main available until expended for interest subsidies on
loan guarantees made prior to fiscal year 1981 under part
B of title VII of the Public Health Service Act, and of
which $25,000,000 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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flexibility grants program under section 1820 of such Act:
Provided, That the Division of Federal Occupational
Health may utilize personal services contracting to employ
professional management/administrative and occupational
health professionals: Provided further, That of the funds
made available under this heading, $250,000 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 no more than $5,000,000 is available
for carrying out the provisions of Public Law 104–73: Pro-
vided further, That of the funds made available under this
heading, $215,000,000 shall be for the program under
title X of the Public Health Service Act to provide for
voluntary family planning projects: Provided further, That
amounts provided to said projects under such title shall
not be expended for abortions, that all pregnancy coun-
seling shall be nondirective, and that such amounts shall
not be expended for any activity (including the publication
or distribution of literature) that in any way tends to pro-
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mote public support or opposition to any legislative pro-
posal or candidate for public office: Provided further, That
$500,000,000 shall be for State AIDS Drug Assistance
Programs authorized by section 2616 of the Public Health
Service Act: Provided further, That, notwithstanding sec-
tion 502(a)(1) of the Social Security Act, not to exceed
$198,742,000 is available for carrying out special projects
of regional and national significance pursuant to section
501(a)(2) of such Act.
MEDICAL FACILITIES GUARANTEE AND LOAN FUND
FEDERAL INTEREST SUBSIDIES FOR MEDICAL FACILITIES
For carrying out subsections (d) and (e) of section
1602 of the Public Health Service Act, $1,000,000, to-
gether with any amounts received by the Secretary in con-
nection with loans and loan guarantees under title VI of
the Public Health Service Act, to be available without fis-
cal year limitation for the payment of interest subsidies.
During the fiscal year, no commitments for direct loans
or loan guarantees shall be made.
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM
Such sums as may be necessary to carry out the pur-
pose of the program, as authorized by title VII of the Pub-
lic Health Service Act, as amended. For administrative ex-
penses to carry out the guaranteed loan program, includ-
ing section 709 of the Public Health Service Act,
$3,688,000.
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VACCINE INJURY COMPENSATION PROGRAM TRUST FUND
For payments from the Vaccine Injury Compensation
Program Trust Fund, such sums as may be necessary for
claims associated with vaccine-related injury 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 expenses, not
to exceed $3,000,000 shall be available from the Trust
Fund to the Secretary of Health and Human Services.
CENTERS FOR DISEASE CONTROL AND PREVENTION
DISEASE CONTROL, RESEARCH, AND TRAINING
To carry out titles II, III, VII, XI, XV, XVII, XIX,
and XXVI of the Public Health Service Act, sections 101,
102, 103, 201, 202, 203, 301, and 501 of the Federal
Mine Safety and Health Act of 1977, sections 20, 21, and
22 of the Occupational Safety and Health Act of 1970,
title IV of the Immigration and Nationality Act and sec-
tion 501 of the Refugee Education Assistance Act of 1980;
including insurance of official motor vehicles in foreign
countries; and hire, maintenance, and operation of air-
craft, $2,621,476,000, of which $40,000,000 shall remain
available until expended for equipment and construction
and renovation of facilities, and in addition, such sums
as may be derived from authorized user fees, which shall
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be credited to this account: Provided, That in addition to
amounts provided herein, up to $71,793,000 shall be
available from amounts available under section 241 of the
Public Health Service Act, to carry out the National Cen-
ter for Health Statistics surveys: Provided further, That
none of the funds made available for injury prevention and
control at the Centers for Disease Control and Prevention
may be used to advocate or promote gun control: 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 activities the Direc-
tor may so designate: Provided further, That the Congress
is to be notified promptly of any such transfer.
In addition, $51,000,000, to be derived from the Vio-
lent Crime Reduction Trust Fund, for carrying out sec-
tions 40151 and 40261 of Public Law 103–322.
NATIONAL INSTITUTES OF HEALTH
NATIONAL CANCER INSTITUTE
For carrying out section 301 and title IV of the Pub-
lic 
Health 
Service 
Act 
with 
respect 
to 
cancer,
$3,163,417,000.
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to cardiovascular, lung,
and blood diseases, and blood and blood products,
$1,937,404,000.
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NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL
RESEARCH
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to dental disease,
$256,022,000.
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND
KIDNEY DISEASES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to diabetes and diges-
tive and kidney disease, $1,087,455,000.
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS
AND STROKE
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to neurological dis-
orders and stroke, $979,281,000.
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS
DISEASES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to allergy and infec-
tious diseases, $1,694,019,000.
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to general medical
sciences, $1,298,551,000.
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NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN
DEVELOPMENT
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to child health and
human development, $815,970,000.
NATIONAL EYE INSTITUTE
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to eye diseases and
visual disorders, $428,594,000.
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH
SCIENCES
For carrying out sections 301 and 311 and title IV
of the Public Health Service Act with respect to environ-
mental health sciences, $419,009,000.
NATIONAL INSTITUTE ON AGING
For carrying out section 301 and title IV of the Pub-
lic 
Health 
Service 
Act 
with 
respect 
to 
aging,
$651,665,000.
NATIONAL INSTITUTE OF ARTHRITIS AND
MUSCULOSKELETAL AND SKIN DISEASES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to arthritis and mus-
culoskeletal and skin diseases, $333,378,000.
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NATIONAL INSTITUTE ON DEAFNESS AND OTHER
COMMUNICATION DISORDERS
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to deafness and other
communication disorders, $251,218,000.
NATIONAL INSTITUTE OF NURSING RESEARCH
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to nursing research,
$76,204,000.
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND
ALCOHOLISM
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to alcohol abuse and
alcoholism, $279,901,000.
NATIONAL INSTITUTE ON DRUG ABUSE
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to drug abuse,
$656,551,000.
NATIONAL INSTITUTE OF MENTAL HEALTH
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to mental health,
$930,436,000.
NATIONAL HUMAN GENOME RESEARCH INSTITUTE
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to human genome re-
search, $308,012,000.
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NATIONAL CENTER FOR RESEARCH RESOURCES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to research resources
and general research support grants, $639,251,000: Pro-
vided, That none of these funds shall be used to pay recipi-
ents of the general research support grants program any
amount for indirect expenses in connection with such
grants: Provided further, That $30,000,000 shall be for
extramural facilities construction grants.
JOHN E. FOGARTY INTERNATIONAL CENTER
For carrying out the activities at the John E.
Fogarty International Center, $40,190,000.
NATIONAL LIBRARY OF MEDICINE
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to health information
communications, $202,027,000, of which $4,000,000 shall
be available until expended for improvement of informa-
tion systems: Provided, That in fiscal year 2000, the Li-
brary may enter into personal services contracts for the
provision of services in facilities owned, operated, or con-
structed under the jurisdiction of the National Institutes
of Health.
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NATIONAL CENTER FOR COMPLEMENTARY AND
ALTERNATIVE MEDICINE
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to complementary and
alternative medicine, $68,000,000.
OFFICE OF THE DIRECTOR
(INCLUDING TRANSFER OF FUNDS)
For carrying out the responsibilities of the Office of
the Director, National Institutes of Health, $270,383,000,
of which $44,953,000 shall be for the Office of AIDS Re-
search: Provided, That funding shall be available for the
purchase of not to exceed twenty-nine passenger motor ve-
hicles for replacement only: Provided further, That the Di-
rector may direct up to 1 percent of the total amount
made available in this or any other Act to all National
Institutes of Health appropriations to activities the Direc-
tor may so designate: Provided further, That no such ap-
propriation shall be decreased by more than 1 percent by
any such transfers and that the Congress is promptly noti-
fied of the transfer: Provided further, That NIH is author-
ized to collect third party payments for the cost of clinical
services that are incurred in National Institutes of Health
research facilities and that such payments shall be cred-
ited to the National Institutes of Health Management
Fund: Provided further, That all funds credited to the
NIH Management Fund shall remain available for one fis-
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cal year after the fiscal year in which they are deposited:
Provided further, That up to $500,000 shall be available
to carry out section 499 of the Public Health Service Act:
Provided 
further, 
That, 
notwithstanding 
section
499(k)(10) of the Public Health Service Act, funds from
the Foundation for the National Institutes of Health may
be transferred to the National Institutes of Health.
BUILDINGS AND FACILITIES
For the study of, construction of, and acquisition of
equipment for, facilities of or used by the National Insti-
tutes of Health, including the acquisition of real property,
$108,376,000, to remain available until expended.
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
ADMINISTRATION
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
For carrying out titles V and XIX of the Public
Health Service Act with respect to substance abuse and
mental health services, the Protection and Advocacy for
Mentally Ill Individuals Act of 1986, and section 301 of
the Public Health Service Act with respect to program
management, $2,413,731,000.
AGENCY FOR HEALTH CARE POLICY AND RESEARCH
HEALTH CARE POLICY AND RESEARCH
For carrying out titles III and IX of the Public
Health Service Act, and part A of title XI of the Social
Security Act, $104,403,000; in addition, amounts received
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from Freedom of Information Act fees, reimbursable and
interagency agreements, and the sale of data tapes shall
be credited to this appropriation and shall remain avail-
able until expended: Provided, That the amount made
available pursuant to section 926(b) of the Public Health
Service Act shall not exceed $70,647,000.
HEALTH CARE FINANCING ADMINISTRATION
GRANTS TO STATES FOR MEDICAID
For carrying out, except as otherwise provided, titles
XI and XIX of the Social Security Act, $86,087,393,000,
to remain available until expended.
For making, after May 31, 2000, payments to States
under title XIX of the Social Security Act for the last
quarter of fiscal year 2000 for unanticipated costs, in-
curred 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 2001,
$30,589,003,000, to remain available until expended.
Payment under title XIX may be made for any quar-
ter 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.
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PAYMENTS TO HEALTH CARE TRUST FUNDS
For payment to the Federal Hospital Insurance and
the Federal Supplementary Medical Insurance Trust
Funds, as provided under sections 217(g) and 1844 of the
Social Security Act, sections 103(c) and 111(d) of the So-
cial Security Amendments of 1965, section 278(d) of Pub-
lic Law 97–248, and for administrative expenses incurred
pursuant to section 201(g) of the Social Security Act,
$69,289,100,000.
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, and
the Clinical Laboratory Improvement Amendments of
1988, not to exceed $1,752,050,000 to be transferred
from the Federal Hospital Insurance and the Federal Sup-
plementary Medical Insurance Trust Funds, as authorized
by section 201(g) of the Social Security Act; together with
all funds collected in accordance with section 353 of the
Public Health Service Act and such sums as may be col-
lected from authorized user fees and the sale of data,
which shall remain available until expended, and together
with administrative fees collected relative to Medicare
overpayment recovery activities, which shall remain avail-
able until expended: Provided, That all funds derived in
accordance with 31 U.S.C. 9701 from organizations estab-
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lished under title XIII of the Public Health Service Act
shall be credited to and available for carrying out the pur-
poses of this appropriation: Provided further, That
$18,000,000 appropriated under this heading for the man-
aged care system redesign shall remain available until ex-
pended: Provided further, That the Secretary of Health
and Human Services is directed to collect, in aggregate,
$15,000,000 
in 
fees 
in 
fiscal 
year 
2000 
from
Medicare+Choice organizations pursuant to section
1857(e)(2) of the Social Security Act and from eligible
organizations with risk-sharing contracts under section
1876 of that Act pursuant to section 1876(k)(4)(D) of
that Act: Provided further, That, for the current fiscal
year, not more than $560,000,000 may be made available
under section 1817(k)(4) of the Social Security Act (42
U.S.C. 1395i(k)(4)) from the Health Care Fraud and
Abuse Control Account of the Federal Hospital Insurance
Trust Fund to carry out the Medicare Integrity Program
under section 1893 of such Act.
HEALTH MAINTENANCE ORGANIZATION LOAN AND LOAN
GUARANTEE FUND
For carrying out subsections (d) and (e) of section
1308 of the Public Health Service Act, any amounts re-
ceived by the Secretary in connection with loans and loan
guarantees under title XIII of the Public Health Service
Act, to be available without fiscal year limitation for the
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payment of outstanding obligations. During fiscal year
2000, no commitments for direct loans or loan guarantees
shall be made.
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 (24
U.S.C. ch. 9), for the first quarter of fiscal year 2001,
$650,000,000.
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 ef-
fective date of the program of Temporary Assistance to
Needy Families (TANF) 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 ap-
propriation and under such title IV–A as amended by the
Personal Responsibility and Work Opportunity Reconcili-
ation 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
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Medicare+Choice organization described in this section
shall be responsible for informing enrollees where to obtain
information about all Medicare covered services.
SEC. 211. (a) MENTAL HEALTH.—Section 1918(b)
of the Public Health Service Act (42 U.S.C. 300x–7(b))
is amended to read as follows:
‘‘(b) MINIMUM ALLOTMENTS FOR STATES.—With re-
spect to fiscal year 2000, the amount of the allotment of
a State under section 1911 shall not be less than the
amount the State received under section 1911 for fiscal
year 1998.’’.
(b) SUBSTANCE ABUSE.—Section 1933(b) of the
Public Health Service Act (42 U.S.C. 300x–33(b)) is
amended to read as follows:
‘‘(b) MINIMUM ALLOTMENTS
FOR STATES.—Each
State’s allotment for fiscal year 2000 for programs under
this subpart shall be equal to such State’s allotment for
such programs for fiscal year 1999.’’.
SEC. 212. Notwithstanding any other provision of
law, no provider of services under title X of the Public
Health Service Act shall be exempt from any State law
requiring notification or the reporting of child abuse, child
molestation, sexual abuse, rape, or incest.
This title may be cited as the ‘‘Department of Health
and Human Services Appropriations Act, 2000’’.