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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, $452,271,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the Public 
Health 
Service 
Act 
with 
respect 
to 
drug 
abuse, 
$1,035,167,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to mental health, 
$1,460,393,000. 
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, 
$502,804,000. 
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, $309,091,000. 
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, $1,188,079,000: Provided,
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That none of these funds shall be used to pay recipients 
of the general research support grants program any amount 
for indirect expenses in connection with such grants: Pro-
vided further, That $30,000,000 shall be for extramural fa-
cilities construction grants. 
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, $126,978,000. 
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, $203,367,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities at the John E. Fogarty 
International Center, $68,745,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to health information com-
munications, $327,222,000, of which $4,000,000 shall be 
available until expended for improvement of information 
systems: Provided, That in fiscal year 2006, the Library 
may enter into personal services contracts for the provision 
of services in facilities owned, operated, or constructed
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under the jurisdiction of the National Institutes of Health: 
Provided further, That in addition to amounts provided 
herein, $8,200,000 shall be available from amounts avail-
able under section 241 of the Public Health Service Act to 
carry out National Information Center on Health Services 
Research and Health Care Technology and related health 
services. 
OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out the responsibilities of the Office of 
the Director, National Institutes of Health, $487,434,000, 
of which up to $10,000,000 shall be used to carry out section 
216 of this Act: Provided, That funding shall be available 
for the purchase of not to exceed 29 passenger motor vehicles 
for replacement only: Provided further, That the Director 
may direct up to 1 percent of the total amount made avail-
able in this or any other Act to all National Institutes of 
Health appropriations to activities the Director may so des-
ignate: Provided further, That no such appropriation shall 
be decreased by more than 1 percent by any such transfers 
and that the Congress is promptly notified of the transfer: 
Provided further, That the National Institutes of Health is 
authorized 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 
credited to the National Institutes of Health Management
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HR 3010 RS 
Fund: Provided further, That all funds credited to the Na-
tional Institutes of Health Management Fund shall remain 
available for one fiscal 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 in addition to 
the transfer authority provided above, a uniform percentage 
of the amounts appropriated in this Act to each Institute 
and Center may be transferred and utilized for the National 
Institutes of Health Roadmap for Medical Research: Pro-
vided further, That the amount utilized under the preceding 
proviso shall not exceed $250,000,000 without prior notifi-
cation to the Committees on Appropriations of the House 
of Representatives and the Senate: Provided further, That 
amounts transferred and utilized under the preceding two 
provisos shall be in addition to amounts made available 
for the Roadmap for Medical Research from the Director’s 
Discretionary Fund and to any amounts allocated to activi-
ties related to the Roadmap through the normal research 
priority-setting process of individual Institutes and Cen-
ters: Provided further, That of the funds provided $10,000 
shall be for official reception and representation expenses 
when specifically approved by the Director of NIH. 
BUILDINGS AND FACILITIES 
For the study of, construction of, renovation of, and 
acquisition of equipment for, facilities of or used by the Na-
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tional Institutes of Health, including the acquisition of real 
property, $113,626,000, to remain available until expended: 
Provided, That notwithstanding any other provision of law, 
single contracts or related contracts, which collectively in-
clude the full scope of the project, may be employed for the 
development and construction of the first and second phases 
of the John Edward Porter Neuroscience Research Center: 
Provided further, That the solicitations and contracts shall 
contain the clause ‘‘availability of funds’’ found at 48 CFR 
52.232–18. 
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 (‘‘PHS Act’’) with respect to substance abuse 
and mental health services, the Protection and Advocacy for 
Individuals with Mental Illness Act, and section 301 of the 
PHS 
Act 
with 
respect 
to 
program 
management, 
$3,261,783,000: Provided, That in addition to amounts pro-
vided herein, the following amounts shall be available from 
amounts 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 in this Act for section
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1935(b) activities shall not exceed 5 percent of the amounts 
appropriated for subpart II of part B of title XIX; (2) 
$21,803,000 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 in this Act for section 
1920(b) activities shall not exceed 5 percent of the amounts 
appropriated for subpart I of Part B of title XIX; (3) 
$16,000,000 to carry out national surveys on drug abuse; 
(4) $2,000,000 for mental health data collection; and (5) 
$4,300,000 to evaluate substance abuse treatment programs. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the Public Health 
Service Act, and part A of title XI of the Social Security 
Act, amounts received from Freedom of Information Act 
fees, reimbursable and interagency agreements, and the sale 
of data shall be credited to this appropriation and shall 
remain available until expended: Provided, That the 
amount made available pursuant to section 927(c) of the 
Public Health Service Act shall not exceed $323,695,000: 
Provided further, That not more than $50,000,000 of these 
funds shall be for the development of scientific evidence that 
supports the implementation and evaluation of health care 
information technology systems.
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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, $156,954,419,000, 
to remain available until expended. 
For making, after May 31, 2006, payments to States 
under title XIX of the Social Security Act for the last quar-
ter of fiscal year 2006 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 2007, 
$62,783,825,000, 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. 
PAYMENTS TO HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance and 
the Federal Supplementary Medical Insurance Trust 
Funds, as provided under section 1844, 1860D–16, and 
1860D–31 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, $177,822,200,000.
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HR 3010 RS 
In addition, for making matching payments under sec-
tion 1844, and benefit payments under 1860D–16 and 
1860D–31, of the Social Security Act, not anticipated in 
budget estimates, 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, and the 
Clinical Laboratory Improvement Amendments of 1988, not 
to exceed $3,203,418,000, to be transferred from the Federal 
Hospital Insurance and the Federal Supplementary Med-
ical 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 section 1857(e)(2) of the Social Security Act, and 
such sums as may be collected from authorized user fees and 
the sale of data, which shall remain available until ex-
pended: Provided, That all funds derived in accordance 
with 31 U.S.C. 9701 from organizations established under 
title XIII of the Public Health Service Act shall be credited 
to and available for carrying out the purposes of this appro-
priation: Provided further, That $24,205,000, to remain 
available until September 30, 2007, is for contract costs for 
the Centers for Medicare and Medicaid Services Systems 
Revitalization Plan: Provided further, That $79,934,000, to 
remain available until September 30, 2007, is for contract
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HR 3010 RS 
costs for the Healthcare Integrated General Ledger Account-
ing System: Provided further, That funds appropriated 
under this heading are available for the Healthy Start, 
Grow Smart program under which the Centers for Medicare 
and Medicaid Services may, directly or through grants, con-
tracts, or cooperative agreements, produce and distribute 
informational materials including, but not limited to, pam-
phlets and brochures on infant and toddler health care to 
expectant parents enrolled in the Medicaid program and 
to parents and guardians enrolled in such program with 
infants and children: Provided further, That the Secretary 
of Health and Human Services is directed to collect fees 
in fiscal year 2006 from Medicare Advantage 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 to the ex-
tent Medicare claims volume is projected by the Centers for 
Medicare and Medicaid Services (CMS) to exceed 
200,000,000 Part A claims and/or 1,022,100,000 Part B 
claims, an additional $32,500,000 shall be available for ob-
ligation for every 50,000,000 increase in Medicare claims 
volume (including a pro rata amount for any increment 
less than 50,000,000) from the Federal Hospital Insurance
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and the Federal Supplementary Medical Insurance Trust 
Funds. 
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 
payment of outstanding obligations. During fiscal year 
2006, no commitments for direct loans or loan guarantees 
shall be made. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $80,000,000, to 
be transferred from the Federal Hospital Insurance and the 
Federal Supplementary Medical Insurance Trust Funds, as 
authorized by section 201(g) of the Social Security Act, of 
which $75,000,000 is for the Medicare Integrity Program 
at the Centers for Medicare and Medicaid Services (‘‘CMS’’) 
to conduct oversight of activities authorized in Titles I and 
II of Public Law 108–173, with oversight activities includ-
ing those activities listed in 18 U.S.C. 1893(b), and of 
which $5,000,000 is for the Medicaid program integrity ac-
tivities, together with not less than $20,000,000 made avail-
able to the Secretary by section 1817(k)(3) of the Social Se-
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curity Act: Provided, That the report required by 18 U.S.C. 
1817(k)(5) for fiscal year 2006 shall include measures of 
the operational efficiency and impact on fraud, waste and 
abuse in the Medicare and Medicaid 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 (24 U.S.C. 
ch. 9), $2,121,643,000, to remain available until expended; 
and for such purposes for the first quarter of fiscal year 
2007, $1,200,000,000, 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-
tive date of the program of Temporary Assistance for 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 appropriation and 
under such title IV–A as amended by the Personal Respon-
sibility and Work Opportunity Reconciliation Act of 1996
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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 (24 U.S.C. ch. 9), 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 title XXVI of the Omni-
bus Budget Reconciliation Act of 1981, $1,883,000,000. 
For making payments under title XXVI of the Omni-
bus Budget Reconciliation Act of 1981, $300,000,000, to re-
main available until expended: Provided, That these funds 
are for the unanticipated home energy assistance needs of 
one or more States, as authorized by section 2604(e) of the 
Act: Provided further, That the entire amount is designated 
as an emergency requirement pursuant to section 402 of 
H. Con. Res. 95 (109th Congress), the concurrent resolution 
on the budget for fiscal year 2006. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant assist-
ance activities and for costs associated with the care and 
placement of unaccompanied alien children authorized by 
title IV of the Immigration and Nationality Act and section