H. R. 2518
One Hundred Third Congress
of the
United States of America
AT THE FIRST SESSION
Begun and held at the City of Washington on Tuesday,
the fifth day of January, one thousand nine hundred and ninety-three
An Act
Making appropriations for the Departments of Labor, Health and Human Services,
and Education, and related agencies, for the fiscal year ending September 30,
1994, and for other purposes.
Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled, That the
following sums are appropriated, out of any money in the Treasury
not otherwise appropriated, for the Departments of Labor, Health
and Human Services, and Education, and related agencies for the
fiscal year ending September 30, 1994, and for other purposes,
namely:
TITLE I—DEPARTMENT OF LABOR
EMPLOYMENT AND TRAINING ADMINISTRATION
PROGRAM ADMINISTRATION
For expenses of administering employment and training pro-
grams and for carrying out section 908 of the Social Security Act,
$92,406,000, together with not to exceed $46,655,000, which may
be expended from the Employment Security Administration account
in the Unemployment Trust Fund.
TRAINING AND EMPLOYMENT SERVICES
For expenses necessary to carry into effect the Job Training
Partnership Act, as amended, including the purchase and hire
of passenger motor vehicles, the construction, alteration, and repair
of buildings and other facilities, and the purchase of real property
for training centers as authorized by the Job Training Partnership
Act, $4,615,801,000 plus reimbursements, to be available for obliga-
tion for the period July 1, 1994, through June 30, 1995, of which
$64,218,000 shall be for carrying out section 401, $85,576,000 shall
be for carrying out section 402, $8,957,000 shall be for carrying
out section 441, $1,473,000 shall be for the National Commission
for Employment Policy, $5,579,000 shall be for all activities con-
ducted by and through the National Occupational Information
Coordinating Committee under the Job Training Partnership Act,
and $3,861,000 shall be for service delivery areas under section
101(a)(4)(A)(iii) of the Job Training Partnership Act in addition
to amounts otherwise provided under sections 202, 252 and 262
of the Act; and, in addition, $126,556,000 is appropriated for nec-
essary expenses of construction, rehabilitation, and acquisition of
Job Corps centers, including $20,000,000 for new centers, as author-
ized by the Job Training Partnership Act, in addition to amounts
H. R. 2518—2
otherwise provided herein for the Job Corps, to be available for
obligation for the period July 1, 1994 through June 30, 1997;
and, in addition, $206,000,000 is appropriated for carrying out
part B of title II of the Job Training Partnership Act to be available
for obligation for the period October 1, 1993 through June 30,
1994; and, in addition, $50,000,000 is appropriated for carrying
out part D of title IV of the Job Training Partnership Act to
be available for obligation for the period October 1, 1993 through
June 30, 1995; and, in addition, $744,000 is appropriated for the
Glass Ceiling Commission authorized by title II of the Civil Rights
Act of 1991; and, in addition, $1,122,000 is appropriated for the
National Center for the Workplace authorized by title XV, part
A, of Public Law 102–325; and, in addition, $12,537,000 is appro-
priated for activities authorized by title VII, subtitle C of the
Stewart B. McKinney Homeless Assistance Act and, in addition,
$750,000 is appropriated for the Women in Apprenticeship and
Nontraditional Occupations Act (Public Law 102–530): Provided,
That no funds from any other appropriation shall be used to provide
meal services at or for Job Corps centers.
COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS
To carry out the activities for national grants or contracts
with public agencies and public or private nonprofit organizations
under paragraph (1)(A) of section 506(a) of title V of the Older
Americans Act of 1965, as amended, $320,190,000.
To carry out the activities for grants to States under paragraph
(3) of section 506(a) of title V of the Older Americans Act of
1965, as amended, $90,310,000.
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES
For payments during the current fiscal year of benefits and
payments as authorized by title II of Public Law 95–250, as
amended, and of trade adjustment benefit payments and allowances
under part I, and for training, for allowances for job search and
relocation, and for related State administrative expenses under
part II, subchapter B, chapter 2, title II of the Trade Act of 1974,
as amended, $190,000,000 together with such amounts as may
be necessary to be charged to the subsequent appropriation for
payments for any period subsequent to September 15 of the current
year: Provided, That amounts received or recovered pursuant to
section 208(e) of Public Law 95–250 shall be available for payments.
STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE
OPERATIONS
For activities authorized by the Act of June 6, 1933, as amended
(29 U.S.C. 49–49l–1; 39 U.S.C. 3202(a)(1)(E)); title III of the Social
Security Act, as amended (42 U.S.C. 502–504); necessary adminis-
trative expenses for carrying out 5 U.S.C. 8501–8523, and sections
225, 231–235 and 243–244, title II of the Trade Act of 1974, as
amended; as authorized by section 7c of the Act of June 6, 1933,
as amended, necessary administrative expenses under sections
101(a)(15)(H), 212(a)(5)(A), (m) (2) and (3), (n)(1), and 218(g) (1),
(2), and (3), and 258(c) of the Immigration and Nationality Act,
as amended (8 U.S.C. 1101 et seq.); necessary administrative
expenses to carry out the Targeted Jobs Tax Credit Program under
H. R. 2518—3
section 51 of the Internal Revenue Code of 1986, and section 221(a)
of the Immigration Act of 1990, $77,042,000 together with not
to exceed $3,376,617,000 (including not to exceed $2,098,000 which
may be used for amortization payments to States which had
independent retirement plans in their State employment service
agencies prior to 1980, and including not to exceed $1,000,000
which may be obligated in contracts with non-State entities for
activities such as occupational and test research activities which
benefit the Federal-State Employment Service System), which may
be expended from the Employment Security Administration account
in the Unemployment Trust Fund, and of which the sums available
in the allocation for activities authorized by title III of the Social
Security Act, as amended (42 U.S.C. 502–504), and the sums avail-
able in the allocation for necessary administrative expenses for
carrying out 5 U.S.C. 8501–8523, shall be available for obligation
by the States through December 31, 1994, except that funds used
for automation acquisitions shall be available for obligation by
States through September 30, 1996; and of which $74,986,000
together with not to exceed $807,870,000 of the amount which
may be expended from said trust fund shall be available for obliga-
tion for the period July 1, 1994, through June 30, 1995, to fund
activities under the Act of June 6, 1933, as amended, including
the cost of penalty mail made available to States in lieu of allot-
ments for such purpose, and of which $347,272,000 shall be avail-
able only to the extent necessary for additional State allocations
to administer unemployment compensation laws to finance
increases in the number of unemployment insurance claims filed
and claims paid or changes in a State law: Provided, That to
the extent that the Average Weekly Insured Unemployment (AWIU)
for fiscal year 1994 is projected by the Department of Labor to
exceed 3.28 million, an additional $27,000,000 shall be available
for obligation for every 100,000 increase in the AWIU level (includ-
ing a pro rata amount for any increment less than 100,000) from
the Employment Security Administration Account of the Unemploy-
ment Trust Fund.
ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS
For repayable advances to the Unemployment Trust Fund as
authorized by sections 905(d) and 1203 of the Social Security Act,
as amended, and to the Black Lung Disability Trust Fund as
authorized by section 9501(c)(1) of the Internal Revenue Code of
1954, as amended; and for nonrepayable advances to the Unemploy-
ment Trust Fund as authorized by section 8509 of title 5, United
States Code, and section 104(d) of Public Law 102–164, and section
5 of Public Law 103–6, and to the ‘‘Federal unemployment benefits
and allowances’’ account, to remain available until September 30,
1995, $2,556,000,000.
In addition, for making repayable advances to the Black Lung
Disability Trust Fund in the current fiscal year after September
15, 1994, for costs incurred by the Black Lung Disability Trust
Fund in the current fiscal year, such sums as may be necessary.
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LABOR-MANAGEMENT STANDARDS
SALARIES AND EXPENSES
For necessary expenses for Labor-Management Standards,
$27,309,000.
PENSION AND WELFARE BENEFITS ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for Pension and Welfare Benefits
Administration, $64,058,000.
PENSION BENEFIT GUARANTY CORPORATION
PENSION BENEFIT GUARANTY CORPORATION FUND
The Pension Benefit Guaranty Corporation is authorized to
make such expenditures, including financial assistance authorized
by section 104 of Public Law 96–364, within limits of funds and
borrowing authority available to such Corporation, and in accord
with law, and to make such contracts and commitments without
regard to fiscal year limitations as provided by section 104 of
the Government Corporation Control Act, as amended (31 U.S.C.
9104), as may be necessary in carrying out the program through
September 30, 1994, for such Corporation: Provided, That not to
exceed $34,194,000 shall be available for administrative expenses
of the Corporation: Provided further, That expenses of such Corpora-
tion in connection with the termination of pension plans, for the
acquisition, protection or management, and investment of trust
assets, and for benefits administration services shall be considered
as non-administrative expenses for the purposes hereof, and
excluded from the above limitation.
EMPLOYMENT STANDARDS ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Employment Standards
Administration, including reimbursement to State, Federal, and
local agencies and their employees for inspection services rendered,
$237,176,000 together with $989,000 which may be expended from
the Special Fund in accordance with sections 39(c) and 44(j) of
the Longshore and Harbor Workers’ Compensation Act: Provided,
That the Secretary of Labor is authorized to accept, retain and
spend in the name of the Department of Labor all sums of money
ordered to be paid to the Secretary of Labor, in accordance with
the terms of the Consent Judgment in Civil Action No. 91–0027
of the United States District Court for the District of the Northern
Mariana Islands (May 21, 1992).
SPECIAL BENEFITS
(INCLUDING TRANSFER OF FUNDS)
For the payment of compensation, benefits, and expenses
(except administrative expenses) accruing during the current or
any prior fiscal year authorized by title 5, chapter 81 of the United
H. R. 2518—5
States Code; continuation of benefits as provided for under the
head ‘‘Civilian War Benefits’’ in the Federal Security Agency Appro-
priation Act, 1947; the Employees’ Compensation Commission
Appropriation Act, 1944; and sections 4(c) and 5(f) of the War
Claims Act of 1948 (50 U.S.C. App. 2012); and 50 per centum
of the additional compensation and benefits required by section
10(h) of the Longshore and Harbor Workers’ Compensation Act,
as amended, $279,000,000 together with such amounts as may
be necessary to be charged to the subsequent year appropriation
for the payment of compensation and other benefits for any period
subsequent to August 15 of the current year: Provided, That such
sums as are necessary may be used for a demonstration project
under section 8104 of title 5, United States Code, in which the
Secretary may reimburse an employer, who is not the employer
at the time of injury, for portions of the salary of a reemployed,
disabled beneficiary: Provided further, That balances of reimburse-
ments from Federal Government agencies unobligated on September
30, 1993, shall remain available until expended for the payment
of compensation, benefits, and expenses: Provided further, That
in addition there shall be transferred from the Postal Service fund
to this appropriation such sums as the Secretary of Labor deter-
mines to be the cost of administration for Postal Service employees
through September 30, 1994: Provided further, That the Secretary
may require that any person filing a notice of injury or a claim
for benefits under Subchapter 5, U.S.C., Chapter 81, or under
Subchapter 33, U.S.C. 901, et seq. (the Longshore and Harbor
Workers’ Compensation Act, as amended), provide as part of such
notice and claim, such identifying information (including Social
Security account number) as such regulations may prescribe.
BLACK LUNG DISABILITY TRUST FUND
(INCLUDING TRANSFER OF FUNDS)
For payments from the Black Lung Disability Trust Fund,
$1,002,175,000, of which $947,967,000, shall be available until
September 30, 1995, for payment of all benefits as authorized
by section 9501(d) (1), (2), (4), and (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 $29,529,000 shall
be available for transfer to Employment Standards Administration,
Salaries and Expenses, and $24,384,000 for transfer to Depart-
mental Management, Salaries and Expenses, and $295,000 for
transfer to Departmental Management, Office of Inspector General,
for expenses of operation and administration of the Black Lung
Benefits program as authorized by section 9501(d)(5)(A) of that
Act: Provided, That in addition, such amounts as may be necessary
may be charged to the subsequent year appropriation for the pay-
ment of compensation, interest, or other benefits for any period
subsequent to June 15 of the current year: Provided further, That
in addition such amounts shall be paid from this fund into mis-
cellaneous receipts as the Secretary of the Treasury determines
to be the administrative expenses of the Department of the Treasury
for administering the fund during the current fiscal year, as author-
ized by section 9501(d)(5)(B) of that Act.
H. R. 2518—6
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Occupational Safety and Health
Administration, $297,244,000, including not to exceed $68,630,000,
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 fifty percent of the costs of
State occupational safety and health programs required to be
incurred under plans approved by the Secretary under section 18
of the Occupational Safety and Health Act of 1970: Provided, That
none of the funds appropriated under this paragraph shall be obli-
gated 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 employees: Pro-
vided further, That no funds appropriated under this paragraph
shall be obligated or expended to administer or enforce any stand-
ard, 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 Standard Indus-
trial 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, consultation,
technical assistance, educational and training services, and to
conduct surveys and studies;
(2) to conduct an inspection or investigation in response
to an employee complaint, to issue a citation for violations
found during such inspection, and to assess a penalty for viola-
tions which are not corrected 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 which is fatal to one
or more employees or which results in hospitalization of two
or more employees, and to take any action pursuant to such
investigation 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 employs ten or fewer
employees.
H. R. 2518—7
MINE SAFETY AND HEALTH ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Mine Safety and Health
Administration, $195,002,000, of which $5,740,000 shall be for the
State Grants Program, including purchase and bestowal of certifi-
cates and trophies in connection with mine rescue and first-aid
work, and the hire of passenger motor vehicles; the Secretary is
authorized to accept lands, buildings, equipment, and other con-
tributions from public and private 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 community
through cooperative programs with States, industry, and safety
associations; and any funds available to the Department may be
used, with the approval of the Secretary, to provide for the costs
of mine rescue and survival operations 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 respect to shell
dredging, or with respect to any sand, gravel, surface stone, surface
clay, colloidal phosphate, or surface limestone mine.
BUREAU OF LABOR STATISTICS
SALARIES AND EXPENSES
For necessary expenses for the Bureau of Labor Statistics,
including advances or reimbursements to State, Federal, and local
agencies and their employees for services rendered, $282,018,000,
together with not to exceed $51,927,000, 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 Management, includ-
ing the hire of five sedans, and including up to $4,320,000 for
the President’s Committee on Employment of People With Disabil-
ities, $143,127,000, together with not to exceed $332,000, which
may be expended from the Employment Security Administration
account in the Unemployment Trust Fund.
WORKING CAPITAL FUND
For expenses necessary during the fiscal year ending September
30, 1994, and each fiscal year thereafter, for the maintenance
and operation of a comprehensive program of centralized services
which the Secretary of Labor may prescribe and deem appropriate
and advantageous to provide on a reimbursable basis under the
provisions of the Economy Act (subject to prior notice to OMB)
in the national office and field: Provided, That such fund shall
be reimbursed in advance from funds available to agencies, bureaus,
H. R. 2518—8
and offices for which such centralized services are performed at
rates which will return in full cost of operations including services
obtained through cooperative administrative services units under
the Economy Act, including reserves for accrued annual leave, work-
er’s compensation, depreciation of capitalized equipment, and
amortization of ADP software and systems (either acquired or
donated): Provided further, That funds received for services ren-
dered to any entity or person for use of Departmental facilities,
including associated utilities and security services, shall be credited
to and merged with this fund.
ASSISTANT SECRETARY FOR VETERANS EMPLOYMENT AND TRAINING
Not to exceed $186,648,000 may be derived from the Employ-
ment Security Administration account in the Unemployment Trust
Fund to carry out the provisions of 38 U.S.C. 2001–10 and
2021–26.
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, $47,215,000, together with not to exceed
$3,990,000, which may be expended from the Employment Security
Administration account in the Unemployment Trust Fund.
GENERAL PROVISIONS
SEC. 101. The Secretary of Labor is authorized to accept, in
the name of the Department of Labor, and employ or dispose
of in furtherance of authorized activities of the Department of
Labor, any money or property, real, personal, or mixed, tangible
or intangible, received by gift, devise, bequest, or otherwise.
SEC. 102. None of the funds in the Employees’ Compensation
Fund under 5 U.S.C. 8147 shall be expended for payment of com-
pensation, benefits, and expenses to any individual convicted of
a violation of 18 U.S.C. 1920, or of any felony fraud related to
the application for or receipt of benefits under subchapters I or
III of chapter 81 of title 5, United States Code.
SEC. 103. None of the funds appropriated under this Act shall
be expended by the Secretary of Labor to implement or administer
either the final or proposed regulations referred to in section 303
of Public Law 102–27.
This title may be cited as the ‘‘Department of Labor Appropria-
tions Act, 1994’’.
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 of the Social Security
Act, the Health Care Quality Improvement Act of 1986, as amended,
Public Law 101–527, and the Native Hawaiian Health Care Act
of 1988, as amended, $2,926,381,000, of which $415,000 shall
H. R. 2518—9
remain 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: Provided, That when the
Department of Health and Human Services administers or operates
an employee health program for any Federal department or agency,
payment for the full estimated cost shall be made by way of
reimbursement or in advance to this appropriation: Provided fur-
ther, That of the funds made available under this heading, $942,000
shall be available until expended for facilities renovations at the
Gillis W. Long Hansen’s Disease Center: Provided further, That
no more than $5,000,000 is available for carrying out the provisions
of Public Law 102–501: Provided further, That in addition to fees
authorized by section 427(b) of the Health Care Quality Improve-
ment Act of 1986, fees shall be collected for the full disclosure
of information under the Act sufficient to recover the full costs
of operating the National Practitioner Data Bank, and shall remain
available until expended to carry out that 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, $9,000,000, together with any
amounts received by the Secretary in connection with loans and
loan guarantees under title VI of the Public Health Service Act,
to be available without fiscal 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
For the cost of guaranteed loans, such sums as may be nec-
essary to carry out the purpose of the program, as authorized
by title VII of the Public Health Service Act, as amended: Provided,
That such costs, including the cost of modifying such loans, shall
be as defined in section 502 of the Congressional Budget Act of
1974: Provided further, That these funds are available to subsidize
gross obligations for the total loan principal any part of which
is to be guaranteed at not to exceed $375,000,000. In addition,
for administrative expenses to carry out the guaranteed loan pro-
gram, $2,946,000.
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.
VACCINE INJURY COMPENSATION
For payment of claims resolved by the United States Court
of Federal Claims related to the administration of vaccines before
October 1, 1988, $110,000,000, to remain available until expended.
H. R. 2518—10
CENTERS FOR DISEASE CONTROL AND PREVENTION
DISEASE CONTROL, RESEARCH, AND TRAINING
To carry out titles II, III, VII, XI, XV, XVII, and XIX of the
Public Health Service Act, sections 101, 102, 103, 201, 202, and
203 of the Federal Mine Safety and Health Act of 1977, and sections
20, 21, and 22 of the Occupational Safety and Health Act of 1970;
including insurance of official motor vehicles in foreign countries;
and hire, maintenance, and operation of aircraft, $2,051,132,000,
of which $16,648,000 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 be credited to this account: Provided, That training
of private persons shall be made subject to reimbursement or
advances to this appropriation for not in excess of the full cost
of such training: Provided further, That funds appropriated under
this heading shall be available for payment of the costs of medical
care, related expenses, and burial expenses hereafter incurred by
or on behalf of any person who had participated in the study
of untreated syphilis initiated in Tuskegee, Alabama, in 1932, in
such amounts and subject to such terms and conditions as pre-
scribed by the Secretary of Health and Human Services and for
payment, in such amounts and subject to such terms and conditions,
of such costs and expenses hereafter incurred by or on behalf
of such person’s wife or offspring determined by the Secretary
to have suffered injury or disease from syphilis contracted from
such person: Provided further, That amounts received by the
National Center for Health Statistics from reimbursements and
interagency agreements and the sale of data tapes may be credited
to this appropriation and shall remain available until expended:
Provided further, That in addition to amounts provided herein,
up to $28,873,000 shall be available from amounts available under
section 241 of the Public Health Service Act, to carry out the
National Center for Health Statistics surveys.
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, $2,082,267,000.
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
For carrying out sections 301 and 1105 and title IV of the
Public Health Service Act with respect to cardiovascular, lung,
and blood diseases, and blood and blood products, $1,277,880,000.
NATIONAL INSTITUTE OF DENTAL RESEARCH
For carrying out section 301 and title IV of the Public Health
Service Act with respect to dental disease, $169,520,000.
H. R. 2518—11
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 dis-
eases, $716,054,000.
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,
$630,650,000.
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES
For carrying out section 301 and title IV of the Public Health
Service Act with respect to allergy and infectious diseases,
$1,065,583,000.
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, $875,511,000.
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,
$555,195,000.
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,
$290,260,000.
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 environmental health
sciences, $264,249,000.
NATIONAL INSTITUTE ON AGING
For carrying out section 301 and title IV of the Public Health
Service Act with respect to aging, $420,303,000.
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 musculoskeletal and skin
diseases, $223,280,000.
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 communication dis-
orders, $162,823,000.
H. R. 2518—12
NATIONAL INSTITUTE OF NURSING RESEARCH
For carrying out section 301 and title IV of the Public Health
Service Act with respect to nursing research, $51,018,000.
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 alcoholism,
$185,617,000.
NATIONAL INSTITUTE ON DRUG ABUSE
For carrying out section 301 and title IV of the Public Health
Service Act with respect to drug abuse, $425,201,000.
NATIONAL INSTITUTE OF MENTAL HEALTH
For carrying out section 301 and title IV of the Public Health
Service Act with respect to mental health, $613,444,000.
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, $331,915,000: Provided, 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: Provided further, That $7,000,000 shall be for
extramural facilities construction grants to be awarded on a
competitive basis and in accordance with the criteria of section
481A(c)(2) of subpart 1 of part E of title IV.
NATIONAL CENTER FOR HUMAN GENOME RESEARCH
For carrying out section 301 and title IV of the Public Health
Service Act with respect to human genome research, $128,701,000.
JOHN E. FOGARTY INTERNATIONAL CENTER
For carrying out the activities at the John E. Fogarty Inter-
national Center, $21,677,000.
NATIONAL LIBRARY OF MEDICINE
For carrying out section 301 and title IV of the Public Health
Service Act with respect to health information communications,
$119,981,000.
OFFICE OF THE DIRECTOR
(INCLUDING TRANSFER OF FUNDS)
For carrying out the responsibilities of the Office of the Director,
National Institutes of Health, $233,605,000: Provided, That funding
shall be available for the purchase of not to exceed five passenger
motor vehicles for replacement only: Provided further, That the
Director may direct up to 1 percent of the total amount made
available in this Act to all National Institutes of Health appropria-
tions to emergency activities the Director may so designate: Pro-
vided further, That no such appropriation shall be increased or
H. R. 2518—13
decreased by more than 1 percent by any such transfers and that
the Congress is promptly notified of the transfer.
BUILDINGS AND FACILITIES
For construction of, and acquisition of equipment for, facilities
of or used by the National Institutes of Health, including the
acquisition of real property, $111,039,000, to remain available until
expended.
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
For carrying out the Public Health Service Act with respect
to substance abuse and mental health services, section 612 of Public
Law 100–77, as amended, and the Protection and Advocacy for
Mentally Ill Individuals Act of 1986, $2,125,178,000, of which
$952,000, together with unobligated balances for facilities renova-
tion, shall be available for maintenance and repair of Federally-
owned facilities at Saint Elizabeths Hospital and shall remain avail-
able until expended: Provided, That no portion of amounts appro-
priated for the programs of the Department of Health and Human
Services shall be available for obligation pursuant to section 571
of the Public Health Service Act, other than an amount of
$3,750,000 from amounts appropriated to carry out section 510
of that Act.
ASSISTANT SECRETARY FOR HEALTH
OFFICE OF THE ASSISTANT SECRETARY FOR HEALTH
For the expenses necessary for the Office of the Assistant
Secretary for Health and for carrying out titles III, XVII, XX,
and XXI of the Public Health Service Act, $69,917,000, and, in
addition, amounts received by the Public Health Service from Free-
dom of Information Act fees, reimbursable and interagency agree-
ments and the sale of data tapes shall be credited to this appropria-
tion and shall remain available until expended.
RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED
OFFICERS
For retirement pay and medical benefits of Public Health Serv-
ice Commissioned Officers as authorized by law, and for payments
under the Retired Serviceman’s Family Protection Plan and Survi-
vor Benefit Plan and for medical care of dependents and retired
personnel under the Dependents’ Medical Care Act (10 U.S.C. ch.
55), and for payments pursuant to section 229(b) of the Social
Security Act (42 U.S.C. 429(b)), such amounts as may be required
during the current fiscal year.
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, $135,409,000,
together with not to exceed $4,792,000 to be transferred from the
Federal Hospital Insurance and the Federal Supplementary Medical
H. R. 2518—14
Insurance Trust Funds, as authorized by section 1142 of the Social
Security Act and not to exceed $994,000 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; and, in addition, amounts received 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 available until expended: Provided,
That the amount made available pursuant to section 926(b) of
the Public Health Service Act shall not exceed $13,204,000.
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, $64,477,413,000, to remain available
until expended.
For making, after May 31, 1994, payments to States under
title XIX of the Social Security Act for the last quarter of fiscal
year 1994 for unanticipated costs, incurred for the current fiscal
year, such sums as may be necessary.
For making payments to States under title XIX of the Social
Security Act for the first quarter of fiscal year 1995, $26,600,000,000
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 quarter 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
sections 217(g) and 1844 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 expenses
incurred pursuant to section 201(g) of the Social Security Act,
$45,731,440,000.
PROGRAM MANAGEMENT
For carrying out, except as otherwise provided, titles XI, XVIII,
and XIX of the Social Security Act, title XIII of the Public Health
Service Act, the Clinical Laboratory Improvement Amendments of
1988, section 4360 of Public Law 101–508, and section 4005(e)
of Public Law 100–203, not to exceed $2,189,960,000, together with
all funds collected in accordance with section 353 of the Public
Health Service Act, the latter funds to remain available until
expended; the $2,189,960,000 to be transferred to this appropriation
as authorized by section 201(g) of the Social Security Act, from
the Federal Hospital Insurance and the Federal Supplementary
Medical Insurance Trust Funds: 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 are to be credited
to this appropriation.