IB 
108TH CONGRESS 
1ST SESSION H. R. 2660
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 10, 2003
Ordered to be printed with the amendment of the Senate 
[Strike out all after the enacting clause and insert the part printed in italic] 
AN ACT 
Making appropriations for the Departments of Labor, Health 
and Human Services, and Education, and related agen-
cies for the fiscal year ending September 30, 2004, and 
for other purposes.
Be it enacted by the Senate and House of Representa-
tives 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, 2004, and for other purposes, namely:
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TITLE I—DEPARTMENT OF LABOR 
EMPLOYMENT AND TRAINING ADMINISTRATION 
TRAINING AND EMPLOYMENT SERVICES 
For necessary expenses of the Workforce Investment 
Act of 1998, 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 such Act; 
$2,614,039,000
plus
reimbursements,
of
which 
$1,582,858,000 is available for obligation for the period 
July 1, 2004 through June 30, 2005, except that amounts 
determined by the Secretary of Labor to be necessary pur-
suant to sections 173(a)(4)(A) and 174(c) of such Act 
shall be available from October 1, 2003 until expended; 
of which $1,000,965,000 is available for obligation for the 
period April 1, 2004 through June 30, 2005; and of which 
$30,216,000 is available for the period July 1, 2004 
through June 30, 2007 for necessary expenses of construc-
tion, rehabilitation, and acquisition of Job Corps centers: 
Provided, That notwithstanding any other provision of 
law, of the funds provided herein under section 137(c) of 
such Act, $305,993,000 shall be for activities described 
in section 132(a)(2)(A) of such Act and $1,155,152,000 
shall be for activities described in section 132(a)(2)(B) of 
such Act: Provided further, That, notwithstanding any
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other provision of law or related regulation, $60,000,000 
shall be for carrying out section 167 of such Act, including 
$56,000,000 for formula grants and $3,600,000 for mi-
grant and seasonal housing, including permanent housing, 
and $400,000 for other discretionary purposes: Provided 
further, That funds appropriated under this heading in 
Public Law 108–7 for migrant and seasonal farmworkers 
housing shall be made available only under the terms and 
conditions in effect June 30, 2002, and shall include fund-
ing for permanent housing: Provided further, That not-
withstanding
the
transfer
limitation
under
section 
133(b)(4) of such Act, up to 30 percent of such funds 
may be transferred by a local board if approved by the 
Governor: Provided further, That funds provided to carry 
out section 171(d) of such Act may be used for demonstra-
tion projects that provide assistance to new entrants in 
the workforce and incumbent workers: Provided further, 
That no funds from any other appropriation shall be used 
to provide meal services at or for Job Corps centers: Pro-
vided further, That notwithstanding any other provision of 
law, funds awarded under a grant issued by the Depart-
ment of Labor pursuant to section 173 of such Act on 
June 30, 2001, to the San Diego Workforce Partnership 
may be used to provide services to spouses of military per-
sonnel.
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For necessary expenses of the Workforce Investment 
Act of 1998, 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 such Act; 
$2,463,000,000
plus
reimbursements,
of
which 
$2,363,000,000 is available for obligation for the period 
October 1, 2004 through June 30, 2005, and of which 
$100,000,000 is available for the period October 1, 2004 
through June 30, 2007, for necessary expenses of con-
struction, rehabilitation, and acquisition of Job Corps cen-
ters. 
COMMUNITY SERVICE EMPLOYMENT FOR OLDER 
AMERICANS 
To carry out title V of the Older Americans Act of 
1965, as amended, $440,200,000. 
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES 
For payments during the current fiscal year of trade 
adjustment benefit payments and allowances under part 
I; and for training, allowances for job search and reloca-
tion, and related State administrative expenses under part 
II, subchapters B and D, chapter 2, title II of the Trade 
Act of 1974 as amended (including the benefits and serv-
ices described under sections 123(c)(2) and 151 (b) and 
(c) of the Trade Adjustment Assistance Reform Act of 
2002, Public Law 107–210) $1,338,200,000, together
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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. 
STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT 
SERVICE OPERATIONS 
For
authorized
administrative
expenses, 
$142,520,000,
together
with
not
to
exceed 
$3,472,861,000 (including not to exceed $1,228,000 
which may be used for amortization payments to States 
which had independent retirement plans in their State em-
ployment service agencies prior to 1980), which may be 
expended from the Employment Security Administration 
Account in the Unemployment Trust Fund including the 
cost of administering section 51 of the Internal Revenue 
Code of 1986, as amended, section 7(d) of the Wagner-
Peyser Act, as amended, the Trade Act of 1974, as 
amended, the Immigration Act of 1990, and the Immigra-
tion and Nationality Act, as amended, 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 available 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, 2004, except that funds 
used for automation acquisitions shall be available for obli-
gation by the States through September 30, 2006; of
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which
$142,520,000,
together
with
not
to
exceed 
$768,257,000 of the amount which may be expended from 
said trust fund, shall be available for obligation for the 
period July 1, 2004 through June 30, 2005, to fund ac-
tivities under the Act of June 6, 1933, as amended, in-
cluding the cost of penalty mail authorized under 39 
U.S.C. 3202(a)(1)(E) made available to States in lieu of 
allotments for such purpose: Provided, That to the extent 
that the Average Weekly Insured Unemployment (AWIU) 
for fiscal year 2004 is projected by the Department of 
Labor to exceed 3,227,000, an additional $28,600,000 
shall be available for obligation for every 100,000 increase 
in the AWIU level (including a pro rata amount for any 
increment less than 100,000) from the Employment Secu-
rity Administration Account of the Unemployment Trust 
Fund: Provided further, That funds appropriated in this 
Act which are used to establish a national one-stop career 
center system, or which are used to support the national 
activities of the Federal-State unemployment insurance 
programs, may be obligated in contracts, grants or agree-
ments with non-State entities: Provided further, That 
funds appropriated under this Act for activities authorized 
under the Wagner-Peyser Act, as amended, and title III 
of the Social Security Act, may be used by the States to 
fund integrated Employment Service and Unemployment
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Insurance automation efforts, notwithstanding cost alloca-
tion principles prescribed under Office of Management 
and Budget Circular A–87. 
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 Unemployment Trust 
Fund as authorized by section 8509 of title 5, United 
States Code, and to the ‘‘Federal unemployment benefits 
and allowances’’ account, to remain available until Sep-
tember 30, 2005, $467,000,000.
In addition, for making repayable advances to the 
Black Lung Disability Trust Fund in the current fiscal 
year after September 15, 2004, for costs incurred by the 
Black Lung Disability Trust Fund in the current fiscal 
year, such sums as may be necessary. 
PROGRAM ADMINISTRATION 
For expenses of administering employment and train-
ing programs, $115,824,000, including $2,393,000 to ad-
minister welfare-to-work grants, together with not to ex-
ceed $56,503,000, which may be expended from the Em-
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ployment Security Administration Account in the Unem-
ployment Trust Fund. 
EMPLOYEE BENEFITS SECURITY ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Employee Benefits 
Security Administration $128,605,000. 
PENSION BENEFIT GUARANTY CORPORATION 
PENSION BENEFIT GUARANTY CORPORATION FUND 
The Pension Benefit Guaranty Corporation is author-
ized to make such expenditures, including financial assist-
ance 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 Govern-
ment Corporation Control Act, as amended (31 U.S.C. 
9104), as may be necessary in carrying out the program 
through September 30, 2004, for such Corporation: Pro-
vided, That none of the funds available to the Corporation 
for fiscal year 2004 shall be available for obligations for 
administrative expenses in excess of $228,772,000: Pro-
vided further, That obligations in excess of such amount 
may be incurred after approval by the Office of Manage-
ment and Budget and the Committees on Appropriations 
of the House and the Senate.
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EMPLOYMENT STANDARDS ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Employment Stand-
ards Administration, including reimbursement to State, 
Federal, and local agencies and their employees for inspec-
tion
services
rendered,
$395,697,000,
together
with 
$2,056,000 which may be expended from the Special Fund 
in accordance with sections 39(c), 44(d) and 44(j) of the 
Longshore and Harbor Workers’ Compensation Act: Pro-
vided, That $1,250,000 shall be for the development of 
an alternative system for the electronic submission of re-
ports required to be filed under the Labor-Management 
Reporting and Disclosure Act of 1959, as amended, and 
for a computer database of the information for each sub-
mission by whatever means, that is indexed and easily 
searchable by the public via the Internet: Provided further, 
That the Secretary of Labor is authorized to accept, re-
tain, and spend, until expended, in the name of the De-
partment 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): Provided fur-
ther, That the Secretary of Labor is authorized to estab-
lish and, in accordance with 31 U.S.C. 3302, collect and
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deposit in the Treasury fees for processing applications 
and issuing certificates under sections 11(d) and 14 of the 
Fair Labor Standards Act of 1938, as amended (29 
U.S.C. 211(d) and 214) and for processing applications 
and issuing registrations under title I of the Migrant and 
Seasonal Agricultural Worker Protection Act (29 U.S.C. 
1801 et seq.). 
SPECIAL BENEFITS 
(INCLUDING TRANSFER OF FUNDS) 
For the payment of compensation, benefits, and ex-
penses (except administrative expenses) accruing during 
the current or any prior fiscal year authorized by title 5, 
chapter 81 of the United States Code; continuation of ben-
efits as provided for under the heading ‘‘Civilian War Ben-
efits’’ in the Federal Security Agency Appropriation Act, 
1947; the Employees’ Compensation Commission Appro-
priation Act, 1944; sections 4(c) and 5(f) of the War 
Claims Act of 1948 (50 U.S.C. App. 2012); and 50 per-
cent of the additional compensation and benefits required 
by section 10(h) of the Longshore and Harbor Workers’ 
Compensation Act, as amended, $163,000,000, 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 subse-
quent to August 15 of the current year: Provided, That 
amounts appropriated may be used under section 8104 of
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title 5, United States Code, by the Secretary of Labor to 
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 re-
imbursements unobligated on September 30, 2002, shall 
remain available until expended for the payment of com-
pensation, benefits, and expenses: Provided further, That 
in addition there shall be transferred to this appropriation 
from the Postal Service and from any other corporation 
or instrumentality required under section 8147(c) of title 
5, United States Code, to pay an amount for its fair share 
of the cost of administration, such sums as the Secretary 
determines to be the cost of administration for employees 
of such fair share entities through September 30, 2004: 
Provided further, That of those funds transferred to this 
account from the fair share entities to pay the cost of ad-
ministration of the Federal Employees’ Compensation Act, 
$39,315,000 shall be made available to the Secretary as 
follows: (1) for enhancement and maintenance of auto-
mated data processing systems and telecommunications 
systems, $11,618,000; (2) for automated workload proc-
essing operations including document imaging, centralized 
mail intake and medical bill processing, $14,496,000; (3) 
for
periodic
roll
management
and
medical
review, 
$13,210,000; and (4) the remaining funds shall be paid
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into the Treasury as miscellaneous receipts: Provided fur-
ther, That the Secretary may require that any person fil-
ing a notice of injury or a claim for benefits under chapter 
81 of title 5, United States Code, or 33 U.S.C. 901 et 
seq., provide as part of such notice and claim, such identi-
fying information (including Social Security account num-
ber) as such regulations may prescribe. 
SPECIAL BENEFITS FOR DISABLED COAL MINERS 
For carrying out title IV of the Federal Mine Safety 
and Health Act of 1977, as amended by Public Law 107–
275 (the ‘‘Act’’), $300,000,000, to remain available until 
expended. 
For making, after July 31 of the current fiscal year, 
benefit payments to individuals under title IV of the Act, 
for costs incurred in the current fiscal year, such amounts 
as may be necessary. 
For making benefit payments under title IV of the 
first quarter of fiscal year 2005, $88,000,000, to remain 
available until expended.
ADMINISTRATIVE EXPENSES, ENERGY EMPLOYEES 
OCCUPATIONAL ILLNESS COMPENSATION FUND 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses to administer the Energy 
Employees
Occupational
Illness
Compensation
Act, 
$55,074,000 to remain available until expended: Provided, 
That the Secretary of Labor is authorized to transfer to
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any executive agency with authority under the Energy 
Employees Occupational Illness Compensation Act, includ-
ing within the Department of Labor, such sums as may 
be necessary in fiscal year 2004 to carry out those authori-
ties: Provided further, That the Secretary may require that 
any person filing a claim for benefits under the Act pro-
vide as part of such claim, such identifying information 
(including Social Security account number) as may be pre-
scribed. 
BLACK LUNG DISABILITY TRUST FUND 
(INCLUDING TRANSFER OF FUNDS) 
Beginning in fiscal year 2004 and thereafter, such 
sums as may be necessary from the Black Lung Disability 
Trust Fund, to remain available until expended, for pay-
ment of all benefits 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 sec-
tion 9501(c)(2) of that Act. In addition, the following 
amounts shall be available from the Fund for fiscal year 
2004 for expenses of operation and administration of the 
Black Lung Benefits program, as authorized by section 
9501(d)(5): $32,004,000 for transfer to the Employment 
Standards
Administration,
‘‘Salaries
and
Expenses’’; 
$23,401,000 for transfer to Departmental Management, 
‘‘Salaries and Expenses’’; $338,000 for transfer to De-
partmental Management, ‘‘Office of Inspector General’’;
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and $356,000 for payments into miscellaneous receipts for 
the expenses of the Department of the Treasury. 
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Occupational Safety 
and Health Administration, $450,008,000, including not 
to exceed $91,747,000 which shall be the maximum 
amount available for grants to States under section 23(g) 
of the Occupational Safety and Health Act (the ‘‘Act’’), 
which grants shall be no less than 50 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 Act; and, in addition, notwith-
standing 31 U.S.C. 3302, the Occupational Safety and 
Health Administration may retain up to $750,000 per fis-
cal year of training institute course tuition fees, otherwise 
authorized by law to be collected, and may utilize such 
sums for occupational safety and health training and edu-
cation grants: Provided, That, notwithstanding 31 U.S.C. 
3302, the Secretary of Labor is authorized, during the fis-
cal year ending September 30, 2004, to collect and retain 
fees for services provided to Nationally Recognized Test-
ing Laboratories, and may utilize such sums, in accord-
ance with the provisions of 29 U.S.C. 9a, to administer 
national and international laboratory recognition pro-
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grams 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 Act which is applicable to any person who is engaged 
in a farming operation which does not maintain a tem-
porary labor camp and employs 10 or fewer employees: 
Provided further, That no funds appropriated under this 
paragraph shall be obligated or expended to administer or 
enforce any standard, rule, regulation, or order under the 
Act with respect to any employer of 10 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
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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 
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: Pro-
vided further, That the foregoing proviso shall not 
apply to any person who is engaged in a farming op-
eration which does not maintain a temporary labor 
camp and employs 10 or fewer employees. 
MINE SAFETY AND HEALTH ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Mine Safety and 
Health Administration, $266,767,000, including purchase 
and bestowal of certificates and trophies in connection
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with mine rescue and first-aid work, and the hire of pas-
senger motor vehicles; including up to $1,000,000 for 
mine rescue and recovery activities, which shall be avail-
able only to the extent that fiscal year 2004 obligations 
for these activities exceed $1,000,000; in addition, 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; and, in addition, the Mine Safety and Health 
Administration may retain up to $1,000,000 from fees col-
lected for the approval and certification of equipment, ma-
terials, and explosives for use in mines, and may utilize 
such sums for such activities; the Secretary is authorized 
to accept lands, buildings, equipment, and other contribu-
tions from public and private sources and to prosecute 
projects in cooperation with other agencies, Federal, 
State, or private; the Mine Safety and Health Administra-
tion 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
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of mine rescue and survival operations in the event of a 
major disaster. 
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, $437,152,000, together with not to exceed 
$75,110,000, which may be expended from the Employ-
ment Security Administration Account in the Unemploy-
ment Trust Fund. 
OFFICE OF DISABILITY EMPLOYMENT POLICY 
SALARIES AND EXPENSES 
For necessary expenses for the Office of Disability 
Employment Policy to provide leadership, develop policy 
and initiatives, and award grants furthering the objective 
of eliminating barriers to the training and employment of 
people with disabilities, $47,333,000. 
DEPARTMENTAL MANAGEMENT 
SALARIES AND EXPENSES 
For necessary expenses for Departmental Manage-
ment, including the hire of three sedans; $48,565,000 for 
the acquisition of Departmental information technology, 
architecture, infrastructure, equipment, software and re-
lated needs which will be allocated by the Department’s
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Chief Information Officer in accordance with the Depart-
ment’s capital investment management process to assure 
a sound investment management process to assure a 
sound investment strategy; $252,701,000; together with 
not to exceed $317,000, which may be expended from the 
Employment Security Administration Account in the Un-
employment 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 Benefits 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 Shipbuilding, 
115 S. Ct. 1278 (1995), notwithstanding any provisions 
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 Secretary 
of Labor to review a decision under the Longshore 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 1
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year shall be considered affirmed by the Benefits Review 
Board on the 1-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.). 
VETERANS EMPLOYMENT AND TRAINING 
Not to exceed $193,443,000 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, 2004, of which 
$2,000,000 is for the National Veterans’ Employment and 
Training Services Institute. To carry out the Homeless 
Veterans Reintegration Programs (38 U.S.C. 2021) and 
the Veterans Workforce Investment Programs (29 U.S.C. 
2913), $26,550,000 of which $7,550,000 shall be available 
for obligation for the period July 1, 2004 through June 
30, 2005. 
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, $60,896,000, together
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with not to exceed $5,899,000, which may be expended 
from the Employment Security Administration Account in 
the Unemployment Trust Fund. 
WORKING CAPITAL FUND 
For the acquisition of a new core accounting system 
for the Department of Labor, including hardware and 
software infrastructure and the costs associated with im-
plementation thereof, $18,000,000. 
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 of 1985, as amended) 
which are appropriated for the current fiscal year for the 
Department of Labor in this Act may be transferred be-
tween appropriations, 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 15 days in ad-
vance of any transfer.
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This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2004’’. 
TITLE II—DEPARTMENT OF HEALTH AND 
HUMAN SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
HEALTH RESOURCES AND SERVICES 
For carrying out titles II, III, IV, 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 sections 1128E, 711 and 1820 of the Social 
Security Act, the Health Care Quality Improvement Act 
of 1986, as amended, the Native Hawaiian Health Care 
Act of 1988, as amended, the Cardiac Arrest Survival Act 
of 2000, and the Poison Control Center Enhancement and 
Awareness Act, $6,252,256,000, of which $39,740,000 
from general revenues, notwithstanding section 1820(j) of 
the Social Security Act, shall be available for carrying out 
the Medicare rural hospital flexibility grants program 
under section 1820 of such Act: Provided, That of the 
funds made available under this heading, $248,000 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
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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 fees collected for the full disclosure of 
information under the ‘‘Health Care Fraud and Abuse 
Data
Collection
Program’’,
authorized
by
section 
1128E(d)(2) of the Social Security Act, shall be sufficient 
to recover the full costs of operating the program, and 
shall remain available until expended to carry out that 
Act: Provided further, That no more than $45,000,000 is 
available for carrying out the provisions of Public Law 
104–73: Provided further, That of the funds made avail-
able under this heading, $273,350,000 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 counseling 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 promote public support or opposition to any 
legislative proposal or candidate for public office: Provided 
further, That $753,317,000 shall be for State AIDS Drug 
Assistance Programs authorized by section 2616 of the 
Public Health Service Act: Provided further, That notwith-
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standing section 502(a)(1) of the Social Security Act, not 
to exceed $117,831,000 is for carrying out special projects 
of regional and national significance pursuant to section 
501(l)(2): Provided further, That $65,000,000 is available 
for special projects of regional and national significance 
under section 501(a)(2) of the Social Security Act, which 
shall not be counted toward compliance with the allocation 
required in section 502(a)(1) of such Act, and which shall 
be used only for making competitive grants to provide ab-
stinence education (as defined in section 510(b)(2) of such 
Act) to adolescents and for evaluations (including longitu-
dinal evaluations) of activities under the grants and for 
Federal costs of administering the grants: Provided fur-
ther, That grants under the immediately preceding proviso 
shall be made only to public and private entities which 
agree that, with respect to an adolescent to whom the enti-
ties provide abstinence education under such grant, the 
entities will not provide to that adolescent any other edu-
cation regarding sexual conduct, except that, in the case 
of an entity expressly required by law to provide health 
information or services the adolescent shall not be pre-
cluded from seeking health information or services from 
the entity in a different setting than the setting in which 
the abstinence education was provided: Provided further,
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That the funds expended for such evaluations may not ex-
ceed 3.5 percent of such amount. 
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM 
ACCOUNT 
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, 
$3,389,000. 
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 $3,472,000 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, 
XXI, 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
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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 (purchase and) insurance of official motor vehi-
cles in foreign countries; and hire, maintenance, and oper-
ation of aircraft, $4,588,671,000, of which $206,000,000 
shall remain available until expended for equipment, and 
construction and renovation of facilities, and of which 
$242,569,000 for international HIV/AIDS shall remain 
available until September 30, 2005, including not less 
than $100,000,000, to remain available until expended, 
for the ‘‘International Mother and Child HIV Prevention 
Initiative’’, and in addition, such sums as may be derived 
from authorized user fees, which shall be credited to this 
account: Provided, That in addition to amounts provided 
herein, $13,226,000 shall be available from amounts avail-
able under section 241 of the Public Health Service Act 
to carry out the National Center for Health Statistics sur-
veys: Provided further, That none of the funds made avail-
able for injury prevention and control at the Centers for 
Disease Control and Prevention may be used, in whole or 
in part, to advocate or promote gun control: Provided fur-
ther, 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-
HR 2660 PP 
tor may so designate: Provided further, That the Congress 
is to be notified promptly of any such transfer: Provided 
further, That not to exceed $12,500,000 may be available 
for making grants under section 1509 of the Public 
Health Service Act to not more than 15 States: Provided 
further, That without regard to existing statute, funds ap-
propriated may be used to proceed, at the discretion of 
the Centers for Disease Control and Prevention, with 
property acquisition, including a long-term ground lease 
for construction on non-Federal land, to support the con-
struction of a replacement laboratory in the Fort Collins, 
Colorado area: Provided further, That notwithstanding any 
other provision of law, a single contract or related con-
tracts for development and construction of facilities may 
be employed which collectively include the full scope of the 
project: Provided further, That the solicitation and con-
tract shall contain the clause ‘‘availability of funds’’ found 
at 48 CFR 52.232–18. 
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, 
$4,770,519,000.
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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, 
$2,867,995,000. 
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, 
$382,396,000.
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, $1,670,007,000. 
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, $1,468,926,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to allergy and infec-
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tious
diseases,
$4,335,255,000:
Provided,
That 
$100,000,000 may be made available to International As-
sistance Programs, ‘‘Global Fund to Fight HIV/AIDS, 
Malaria, and Tuberculosis’’, to remain available until ex-
pended. 
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, $1,923,133,000. 
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, $1,245,371,000. 
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, $648,299,000. 
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, $630,774,000.
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NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Pub-
lic
Health
Service
Act
with
respect
to
aging, 
$994,411,000. 
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, $502,778,000. 
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, $380,377,000. 
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, 
$134,579,000. 
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, $430,121,000.
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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, 
$995,614,000. 
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, 
$1,382,114,000. 
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, $478,072,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to biomedical imaging 
and bioengineering research, $282,109,000. 
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, $1,053,926,000: 
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.
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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, $116,202,000. 
NATIONAL CENTER ON MINORITY HEALTH AND HEALTH 
DISPARITIES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to minority health and 
health disparities research, $192,724,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities at the John E. 
Fogarty International Center, $64,266,000. 
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, $316,040,000, of which $4,000,000 shall 
be available until expended for improvement of informa-
tion systems: Provided, That in fiscal year 2004, 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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OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out the responsibilities of the Office of 
the Director, National Institutes of Health, $317,983,000: 
Provided, That funding shall be available for the purchase 
of not to exceed 29 passenger motor vehicles for replace-
ment only: Provided further, That the Director may direct 
up to 1 percent of the total amount made available in this 
or any other Act to all National Institutes of Health ap-
propriations to activities the Director may so designate: 
Provided further, That no such appropriation shall be de-
creased by more than 1 percent by any such transfers and 
that the Congress is promptly notified of the transfer: Pro-
vided 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 Manage-
ment Fund: Provided further, That all funds credited to 
the National Institutes of Health Management Fund shall 
remain available for 1 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.
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BUILDINGS AND FACILITIES 
For the study of, construction of, renovation of, and 
acquisition of equipment for, facilities of or used by the 
National Institutes of Health, including the acquisition of 
real property, $80,000,000, to remain available until ex-
pended. 
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, $3,329,000,000: Provided further, That in 
addition to amounts provided herein, $16,000,000 shall be 
made available from amounts available under section 241 
of the Public Health Service Act to carry out national sur-
veys on drug abuse. 
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 Informa-
tion Act fees, reimbursable and interagency agreements,
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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 
$303,695,000: Provided, That, of the funds made avail-
able under this heading, $12,000,000 shall be for the con-
duct of research on the comparative effectiveness, cost-ef-
fectiveness, and safety of drugs, biological products, and 
devices under subparagraph (B) of section 912(b)(2) of 
the Public Health Service Act (42 U.S.C. 299b–1(b)(2)). 
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, $130,892,197,000, 
to remain available until expended. 
For making, after May 31, 2004, payments to States 
under title XIX of the Social Security Act for the last 
quarter of fiscal year 2004 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 2005, 
$58,416,275,000, to remain available until expended.
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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. 
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 of the Social Secu-
rity 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, 
$95,084,100,000. 
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 $2,698,025,000, 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 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
HR 2660 PP 
remain available until expended, and together with admin-
istrative fees collected relative to Medicare overpayment 
recovery activities, 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 cred-
ited to and available for carrying out the purposes of this 
appropriation: Provided further, That $65,000,000, to re-
main available until September 30, 2005, is for contract 
costs for CMS’ Systems Revitalization Plan: Provided fur-
ther, That $56,991,000, to remain available until Sep-
tember 30, 2005, is for contract costs for the Healthcare 
Integrated General Ledger Accounting System: Provided 
further, That $129,000,000 shall be for processing Medi-
care appeals: Provided further, That the Secretary of 
Health and Human Services is directed to collect fees in 
fiscal year 2004 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. 
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
HR 2660 PP 
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 
2004, 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), $3,292,970,000, to remain available until 
expended; and for such purposes for the first quarter of 
fiscal year 2005, $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 ef-
fective 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 ap-
propriation and under such title IV–A as amended by the 
Personal Responsibility and Work Opportunity Reconcili-
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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 
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 last 3 months of the current fiscal year for unantici-
pated 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, $1,700,000,000. 
For making payments under title XXVI of the Omni-
bus Budget Reconciliation Act of 1981, $100,000,000: 
Provided, That these funds are for the unanticipated home 
energy assistance needs of one or more States, as author-
ized by section 2604(e) of the Act, and notwithstanding 
the designation requirement of section 2602(e). 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant as-
sistance activities authorized by title IV of the Immigra-
tion and Nationality Act and section 501 of the Refugee 
Education Assistance Act of 1980 (Public Law 96–422), 
for carrying out section 462 of the Homeland Security Act 
of 2002 (Public Law 107–296), and for carrying out sec-
tion 5 of the Torture Victims Relief Act of 1998 (Public
HR 2660 PP 
Law
105–320),
$461,853,000,
of
which
up
to 
$10,000,000 shall be available to carry out the Trafficking 
Victims Protection Act of 2000 (Public Law 106–386; di-
vision A): Provided, That funds appropriated under this 
heading pursuant to section 414(a) of the Immigration 
and Nationality Act for fiscal year 2004 shall be available 
for the costs of assistance provided and other activities, 
to remain available through September 30, 2006. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out sections 658A through 658R of the 
Omnibus Budget Reconciliation Act of 1981 (The Child 
Care
and
Development
Block
Grant
Act
of
1990), 
$2,099,729,000 shall be used to supplement, not supplant 
state general revenue funds for child care assistance for 
low-income families: Provided, That $19,120,000 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 hotline: Provided further, 
That, in addition to the amounts required to be reserved 
by the States under section 658G, $272,672,000 shall be 
reserved by the States for activities authorized under sec-
tion 658G, of which $100,000,000 shall be for activities 
that improve the quality of infant and toddler care: Pro-
vided further, That $9,864,000 shall be for use by the Sec-
HR 2660 PP 
retary for child care research, demonstration, and evalua-
tion activities. 
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 5.5 
percent. 
DISABLED VOTER SERVICES 
For necessary expenses to carry out programs as au-
thorized
by
the
Help
America
Vote
Act
of
2002, 
$15,000,000, of which $13,000,000 shall be for payments 
to States to promote disabled voter access, and of which, 
$2,000,000 shall be for payments to States for disabled 
voters protection and advocacy systems. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
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, as amended, the Native American Pro-
grams Act of 1974, title II of Public Law 95–266 (adop-
tion opportunities), the Adoption and Safe Families Act
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of 1997 (Public Law 105–89), sections 1201 and 1211 
of the Children’s Health Act of 2000, the Abandoned In-
fants Assistance Act of 1988, part B(1) of title IV and 
sections 413, 429A, 1110, and 1115 of the Social Security 
Act, and sections 40155, 40211, and 40241 of Public Law 
103–322; for making payments under the Community 
Services Block Grant Act, sections 439(h), 473A, and 
477(i) of the Social Security Act, and title IV of Public 
Law 105–285, and for necessary administrative expenses 
to carry out said Acts and titles I, IV, X, XI, XIV, XVI, 
and XX of the Social Security Act, the Act of July 5, 1960 
(24 U.S.C. ch. 9), the Omnibus Budget Reconciliation Act 
of 1981, title IV of the Immigration and Nationality Act, 
section 501 of the Refugee Education Assistance Act of 
1980, section 5 of the Torture Victims Relief Act of 1998 
(Public Law 105–320), sections 40155, 40211, and 40241 
of Public Law 103–322, and section 126 and titles IV and 
V of Public Law 100–485, $8,599,670,000, of which 
$43,000,000, to remain available until September 30, 
2005, shall be for grants to States for adoption incentive 
payments, as authorized by section 473A of title IV of the 
Social Security Act (42 U.S.C. 670–679) and may be 
made for adoptions completed before September 30, 2004; 
of which $6,815,570,000 shall be for making payments 
under the Head Start Act, of which $1,400,000,000 shall
HR 2660 PP 
become available October 1, 2004 and remain available 
through September 30, 2005; and of which $577,562,000 
shall be for making payments under the Community Serv-
ices Block Grant Act: Provided, That not less than 
$7,250,000 shall be for section 680(3)(B) of the Commu-
nity Services Block Grant Act, as amended: Provided fur-
ther, That to the extent Community Services Block Grant 
funds are distributed as grant funds by a State to an eligi-
ble entity as provided under the Act, and have not been 
expended by such entity, they shall remain with such enti-
ty for carryover into the next fiscal year for expenditure 
by such entity consistent with program purposes: Provided 
further, That the Secretary shall establish procedures re-
garding the disposition of intangible property which per-
mits grant funds, or intangible assets acquired with funds 
authorized under section 680 of the Community Services 
Block Grant Act, as amended, to become the sole property 
of such grantees after a period of not more than 12 years 
after the end of the grant for purposes and uses consistent 
with the original grant: Provided further, That funds ap-
propriated for section 680(a)(2) of the Community Serv-
ices Block Grant Act, as amended, shall be available for 
financing construction and rehabilitation and loans or in-
vestments in private business enterprises owned by com-
munity development corporations: Provided further, That
HR 2660 PP 
$88,043,000 shall be for activities authorized by the Run-
away and Homeless Youth Act, notwithstanding the allo-
cation requirements of section 388(a) of such Act, of 
which $26,413,000 is for the transitional living program: 
Provided further, That $50,000,000 is for a compassion 
capital fund to provide grants to charitable organizations 
to emulate model social service programs and to encourage 
research on the best practices of social service organiza-
tions. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out section 436 of the Social Security 
Act, $305,000,000 and for section 437, $100,000,000. 
PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION 
ASSISTANCE 
For making payments to States or other non-Federal 
entities under title IV–E of the Social Security Act, 
$5,068,300,000. 
For making payments to States or other non-Federal 
entities under title IV–E of the Act, for the first quarter 
of fiscal year 2005, $1,767,700,000. 
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, 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.
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ADMINISTRATION ON AGING 
AGING SERVICES PROGRAMS 
For carrying out, to the extent not otherwise pro-
vided, the Older Americans Act of 1965, as amended, and 
section
398
of
the
Public
Health
Service
Act, 
$1,377,421,000, of which $5,000,000 shall be available for 
activities regarding medication management, screening, 
and education to prevent incorrect medication and adverse 
drug reactions; and of which $2,842,000 shall remain 
available until September 30, 2006 for the White House 
Conference on Aging. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six 
sedans, and for carrying out titles III, XVII, and XX of 
the Public Health Service Act, and the United States-Mex-
ico Border Health Commission Act, $343,284,000, to-
gether with $5,813,000 to be transferred and expended 
as authorized by section 201(g)(1) of the Social Security 
Act from the Hospital Insurance Trust Fund and the Sup-
plemental Medical Insurance Trust Fund: Provided, That 
of the funds made available under this heading for car-
rying out title XX of the Public Health Service Act, 
$11,185,000 shall be for activities specified under section
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2003(b)(2), of which $10,157,000 shall be for prevention 
service demonstration grants under section 510(b)(2) of 
title V of the Social Security Act, as amended, without 
application of the limitation of section 2010(c) of said title 
XX: Provided further, That of this amount, $49,675,000 
is for minority AIDS prevention and treatment activities; 
$18,400,000 is for an Information Technology Security 
and Innovation Fund for Department-wide activities in-
volving cybersecurity, information technology security, and 
related innovation projects, and $5,000,000 is to assist Af-
ghanistan in the development of maternal and child health 
clinics, consistent with section 103(a)(4)(H) of the Af-
ghanistan Freedom Support Act of 2002. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General in carrying out the provisions of the Inspector 
General Act of 1978, as amended, $39,497,000: Provided, 
That, of such amount, necessary sums are available for 
providing protective services to the Secretary and inves-
tigating non-payment of child support cases for which non-
payment is a Federal offense under 18 U.S.C. 228. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights,
$30,936,000,
together
with
not
to
exceed 
$3,314,000 to be transferred and expended as authorized 
by section 201(g)(1) of the Social Security Act from the
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Hospital Insurance Trust Fund and the Supplemental 
Medical Insurance Trust Fund. 
POLICY RESEARCH 
For carrying out, to the extent not otherwise pro-
vided, research studies under section 1110 of the Social 
Security Act and title III of the Public Health Service Act, 
$2,483,000: Provided, That in addition to amounts pro-
vided herein, $18,000,000 shall be available from amounts 
available under section 241 of the Public Health Service 
Act to carry out national health or human services re-
search and evaluation activities: Provided further, That the 
expenditure of any funds available under section 241 of 
the Public Health Service Act are subject to the require-
ments of section 205 of this Act. 
RETIREMENT PAY AND MEDICAL BENEFITS FOR 
COMMISSIONED OFFICERS 
For retirement pay and medical benefits of Public 
Health Service Commissioned Officers as authorized by 
law, for payments under the Retired Serviceman’s Family 
Protection Plan and Survivor Benefit Plan, for medical 
care of dependents and retired personnel under the De-
pendents’ Medical Care Act (10 U.S.C. ch. 55 and 56), 
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. The following 
are definitions for the medical benefits of the Public
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Health Service Commissioned Officers that apply to 10 
U.S.C. chapter 56, section 1116(c). The source of funds 
for the monthly accrual payments into the Department of 
Defense Medicare-Eligible Retiree Health Care Fund shall 
be the Retirement Pay and Medical Benefits for Commis-
sioned Officers account. For purposes of this Act, the term 
‘‘pay of members’’ shall be construed to be synonymous 
with retirement payments to United States Public Health 
Service officers who are retired for age, disability, or 
length of service; payments to survivors of deceased offi-
cers; medical care to active duty and retired members and 
dependents and beneficiaries; and for payments to the So-
cial Security Administration for military service credits; 
all of which payments are provided for by the Retirement 
Pay and Medical Benefits for Commissioned Officers ac-
count. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY 
FUND 
For expenses necessary to support activities related 
to countering potential biological, disease and chemical 
threats to civilian populations, $1,726,846,000: Provided, 
That this amount is distributed as follows: Centers for 
Disease Control and Prevention, $1,116,156,000; Office 
of the Secretary, $64,820,000; and Health Resources and 
Services Administration; $545,870,000: Provided further, 
That at the discretion of the Secretary of Health and
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Human Services, these amounts may be transferred be-
tween categories subject to normal reprogramming proce-
dures: Provided further, That employees of the Centers for 
Disease Control and Prevention or the Public Health Serv-
ice, both civilian and Commissioned Officers, detailed to 
States, municipalities, or other organizations under au-
thority of section 214 of the Public Health Service Act 
for purposes related to homeland security, shall be treated 
as non-Federal employees for reporting purposes only and 
shall not be included within any personnel ceiling applica-
ble to the Agency, Service, or the Department of Health 
and Human Services during the period of detail or assign-
ment. 
In addition, for activities to ensure a year-round in-
fluenza vaccine production capacity and the development 
and implementation of rapidly expandable influenza vac-
cine production technologies, $50,000,000, to remain 
available until expended. 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be 
available for not to exceed $50,000 for official reception 
and representation expenses when specifically approved by 
the Secretary. 
SEC. 202. The Secretary shall make available through 
assignment not more than 60 employees of the Public
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Health Service to assist in child survival activities and to 
work in AIDS programs through and with funds provided 
by the Agency for International Development, the United 
Nations International Children’s Emergency Fund or the 
World Health Organization. 
SEC. 203. None of the funds appropriated under this 
Act may be used to implement section 399F(b) of the Pub-
lic Health Service Act or section 1503 of the National In-
stitutes of Health Revitalization Act of 1993, Public Law 
103–43. 
SEC. 204. None of the funds appropriated in this Act 
for the National Institutes of Health, the Agency for 
Healthcare Research and Quality, and the Substance 
Abuse and Mental Health Services Administration shall 
be used to pay the salary of an individual, through a grant 
or other extramural mechanism, at a rate in excess of Ex-
ecutive Level I. 
SEC. 205. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the Public 
Health Service Act, except for funds specifically provided 
for in this Act, or for other taps and assessments made 
by any office located in the Department of Health and 
Human Services, prior to the Secretary’s preparation and 
submission of a report to the Committee on Appropria-
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tions of the Senate and of the House detailing the planned 
uses of such funds. 
SEC. 206. Notwithstanding section 241(a) of the 
Public Health Service Act, such portion as the Secretary 
shall determine, but not more than 1.25 percent, of any 
amounts appropriated for programs authorized under said 
Act shall be made available for the evaluation (directly, 
or by grants or contracts) of the implementation and effec-
tiveness of such programs. 
(TRANSFER OF FUNDS) 
SEC. 207. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985, as amended) 
which are appropriated for the current fiscal year for the 
Department of Health and Human Services in this Act 
may be transferred between appropriations, but no such 
appropriation shall be increased by more than 3 percent 
by any such transfer: Provided, That an appropriation 
may be increased by up to an additional 2 percent subject 
to approval by the House and Senate Committees on Ap-
propriations: Provided further, That the Appropriations 
Committees of both Houses of Congress are notified at 
least 15 days in advance of any transfer. 
SEC. 208. The Director of the National Institutes of 
Health, jointly with the Director of the Office of AIDS 
Research, may transfer up to 3 percent among institutes,
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centers, and divisions from the total amounts identified 
by these two Directors as funding for research pertaining 
to the human immunodeficiency virus: Provided, That the 
Congress is promptly notified of the transfer. 
SEC. 209. Of the amounts made available in this Act 
for the National Institutes of Health, the amount for re-
search related to the human immunodeficiency virus, as 
jointly determined by the Director of the National Insti-
tutes of Health and the Director of the Office of AIDS 
Research, shall be made available to the ‘‘Office of AIDS 
Research’’ account. The Director of the Office of AIDS 
Research shall transfer from such account amounts nec-
essary to carry out section 2353(d)(3) of the Public 
Health Service Act. 
SEC. 210. None of the funds appropriated in this Act 
may be made available to any entity under title X of the 
Public Health Service Act unless the applicant for the 
award certifies to the Secretary that it encourages family 
participation in the decision of minors to seek family plan-
ning services and that it provides counseling to minors on 
how to resist attempts to coerce minors into engaging in 
sexual activities. 
SEC. 211. None of the funds appropriated by this Act 
(including funds appropriated to any trust fund) may be 
used to carry out the Medicare+Choice program if the
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Secretary denies participation in such program to an oth-
erwise eligible entity (including a Provider Sponsored Or-
ganization) because the entity informs the Secretary that 
it will not provide, pay for, provide coverage of, or provide 
referrals for abortions: Provided, That the Secretary shall 
make appropriate prospective adjustments to the capita-
tion payment to such an entity (based on an actuarially 
sound estimate of the expected costs of providing the serv-
ice to such entity’s enrollees): Provided further, That noth-
ing in this section shall be construed to change the Medi-
care
program’s
coverage
for
such
services
and
a 
Medicare+Choice organization described in this section 
shall be responsible for informing enrollees where to obtain 
information about all Medicare covered services. 
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.
SEC. 213. (a) Except as provided by subsection (e) 
none of the funds appropriated by this Act may be used 
to withhold substance abuse funding from a State pursu-
ant to section 1926 of the Public Health Service Act (42 
U.S.C. 300x–26) if such State certifies to the Secretary 
of Health and Human Services by May 1, 2004 that the
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State will commit additional State funds, in accordance 
with subsection (b), to ensure compliance with State laws 
prohibiting the sale of tobacco products to individuals 
under 18 years of age. 
(b) The amount of funds to be committed by a State 
under subsection (a) shall be equal to 1 percent of such 
State’s substance abuse block grant allocation for each 
percentage point by which the State misses the retailer 
compliance rate goal established by the Secretary of 
Health and Human Services under section 1926 of such 
Act. 
(c) The State is to maintain State expenditures in 
fiscal year 2004 for tobacco prevention programs and for 
compliance activities at a level that is not less than the 
level of such expenditures maintained by the State for fis-
cal year 2002, and adding to that level the additional 
funds for tobacco compliance activities required under 
subsection (a). The State is to submit a report to the Sec-
retary on all fiscal year 2003 State expenditures and all 
fiscal year 2004 obligations for tobacco prevention and 
compliance activities by program activity by July 31, 
2004. 
(d) The Secretary shall exercise discretion in enforc-
ing the timing of the State obligation of the additional
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funds required by the certification described in subsection 
(a) as late as July 31, 2004. 
(e) None of the funds appropriated by this Act may 
be used to withhold substance abuse funding pursuant to 
section 1926 from a territory that receives less than 
$1,000,000. 
SEC. 214. In order for the Centers for Disease Con-
trol and Prevention to carry out international health ac-
tivities, including HIV/AIDS and other infectious disease, 
chronic and environmental disease, and other health ac-
tivities abroad during fiscal year 2004, the Secretary of 
Health and Human Services is authorized to provide such 
funds by advance or reimbursement to the Secretary of 
State as may be necessary to pay the costs of acquisition, 
lease, alteration, renovation, and management of facilities 
outside of the United States for the use of the Department 
of Health and Human Services. The Department of State 
shall cooperate fully with the Secretary of Health and 
Human Services to ensure that the Department of Health 
and Human Services has secure, safe, functional facilities 
that comply with applicable regulation governing location, 
setback, and other facilities requirements and serve the 
purposes established by this Act. The Secretary of Health 
and Human Services is authorized, in consultation with 
the Secretary of State, through grant or cooperative agree-
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ment, to make available to public or nonprofit private in-
stitutions or agencies in participating foreign countries, 
funds to acquire, lease, alter, or renovate facilities in those 
countries as necessary to conduct programs of assistance 
for international health activities, including activities re-
lating to HIV/AIDS and other infectious diseases, chronic 
and environmental diseases, and other health activities 
abroad. 
SEC. 215. (a) In addition to the authority provided 
in section 214, in order for the Centers for Disease Con-
trol and Prevention to carry out international health ac-
tivities, including HIV/AIDS and other infectious disease, 
chronic and environmental disease, and other health ac-
tivities abroad during fiscal year 2004, the Secretary of 
Health and Human Services may exercise authority equiv-
alent to that available to the Secretary of State in section 
2(c) of the State Department Basic Authorities Act of 
1956 (22 U.S.C. 2669(c)). 
(b) The Secretary of Health and Human Services 
shall consult with the Secretary of State and relevant 
Chief of Mission to ensure that the authority provided in 
this section is excercised in a manner consistent with sec-
tion 207 of the Foreign Service Act of 1980 (22 U.S.C. 
3927) and other applicable statutes administered by the 
Department of State.
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SEC. 216. The Division of Federal Occupational 
Health may utilize personal services contracting to employ 
professional management/administrative and occupational 
health professionals. 
SEC.
217.
CMS
PROGRAM
MANAGEMENT
AC-
COUNT.—The amount otherwise provided by this Act for 
‘‘Centers for Medicare and Medicaid Services—Program 
Management’’ is hereby reduced by $98,000,000. 
SEC. 218. The amount appropriated in this Act for 
‘‘Centers for Disease Control and Prevention—Disease 
Control, Research, and Training’’ is hereby reduced by 
$49,982,000, to be derived from the amounts made avail-
able for administrative and related information technology 
expenses: Provided, That the Director of the Centers for 
Disease Control and Prevention shall determine the alloca-
tion of the reduction among Agency activities, and shall 
submit to the Committees on Appropriations a report 
specifying the proposed allocation. 
TITLE III—DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I of the Elementary and Sec-
ondary Education Act of 1965 (‘‘ESEA’’) and section 
418A
of
the
Higher
Education
Act
of
1965, 
$14,507,000,000, of which $6,943,199,000 shall become 
available on July 1, 2004, and shall remain available
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through
September
30,
2005,
and
of
which 
$7,383,301,000 shall become available on October 1, 
2004, and shall remain available through September 30, 
2005, for academic year 2004–2005: Provided, That 
$7,172,971,000 shall be available for basic grants under 
section 1124: Provided further, That up to $3,500,000 of 
these funds shall be available to the Secretary of Edu-
cation on October 1, 2003, to obtain updated educational-
agency-level census poverty data from the Bureau of the 
Census: Provided further, That $1,365,031,000 shall be 
available for concentration grants under section 1124A: 
Provided further, That $3,018,499,000 shall be available 
for targeted grants under section 1125: Provided further, 
That $793,499,000 shall be available for education fi-
nance incentive grants under section 1125A: Provided fur-
ther, That $235,000,000 shall be available for comprehen-
sive school reform grants under part F of the ESEA: Pro-
vided further, That from the $9,500,000 available to carry 
out part E of title I, up to $1,000,000 shall be available 
to the Secretary of Education to provide technical assist-
ance to state and local educational agencies concerning 
part A of title I. 
IMPACT AID 
For carrying out programs of financial assistance to 
federally affected schools authorized by title VIII of the
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Elementary and Secondary Education Act of 1965, 
$1,238,324,000, of which $1,073,000,000 shall be for 
basic
support
payments
under
section
8003(b), 
$50,668,000 shall be for payments for children with dis-
abilities under section 8003(d), $44,708,000 shall be for 
construction under section 8007 and shall remain avail-
able through September 30, 2005, $62,000,000 shall be 
for Federal property payments under section 8002, and 
$7,948,000, to remain available until expended, shall be 
for facilities maintenance under section 8008. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities au-
thorized by titles II, part B of title IV, part A and subpart 
6 of part D of title V, parts A and B of title VI, and 
parts B and C of title VII of the Elementary and Sec-
ondary Education Act of 1965 (‘‘ESEA’’); the McKinney-
Vento Homeless Assistance Act; and the Civil Rights Act 
of 1964, $5,797,637,000, of which $4,296,772,000 shall 
become available on July 1, 2004, and remain available 
through
September
30,
2005,
and
of
which 
$1,435,000,000 shall become available on October 1, 
2004, and shall remain available through September 30, 
2005, for academic year 2004–2005: Provided, That 
$390,000,000 shall be for subpart l of part A of title VI 
of the ESEA: Provided further, That no funds appro-
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priated under this heading may be used to carry out sec-
tion 5494 under the Elementary and Secondary Education 
Act. 
INDIAN EDUCATION 
For expenses necessary to carry out, to the extent 
not otherwise provided, title VII, part A of the Elementary 
and Secondary Education Act of 1965, $121,573,000. 
INNOVATION AND IMPROVEMENT 
For carrying out activities authorized by part G of 
title I, parts A, C, and D of title II, parts B, C, and D 
of title V, and section 1504 of the Elementary and Sec-
ondary Education Act of 1965, $807,959,000: Provided, 
That $74,513,000 for continuing and new grants to dem-
onstrate effective approaches to comprehensive school re-
form shall become available on July 1, 2004, and remain 
available through September 30, 2005, and shall be allo-
cated and expended in the same manner as the funds pro-
vided under the Fund for the Improvement of Education 
for this purpose were allocated and expended in fiscal year 
2003: Provided further, That up to $1,500,000 of the 
funds provided under the Advanced Credentialling pro-
gram may be reserved by the Secretary to conduct an eval-
uation of the program.
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SAFE SCHOOLS AND CITIZENSHIP EDUCATION 
For carrying out activities authorized by subpart 3 
of part C of title II, part A of title IV, and subparts 2, 
3, and 10 of part D of title V of the Elementary and Sec-
ondary Education Act of 1965, $820,068,000 (increased 
by $5,000,000), of which $138,949,000 shall become 
available on July 1, 2004 and remain available through 
September 30, 2005, and of which $330,000,000 shall be-
come available on October 1, 2004 and shall remain avail-
able through September 30, 2005 for academic year 
2004–2005: Provided, That of the funds available to carry 
out subpart 3 of part C of title II, up to $12,000,000 
may be used to carry out section 2345: Provided further, 
That of the funds available for subpart 2 of part A of 
title IV, $4,968,000 (increased by $5,000,000), to remain 
available until expended, shall be for the Project School 
Emergency Response to Violence program to provide edu-
cation-related services to local educational agencies in 
which the learning environment has been disrupted due 
to a violent or traumatic crisis. 
ENGLISH LANGUAGE ACQUISITION 
For carrying out title III, part A of the ESEA, 
$685,515,000, of which $560,543,000 shall become avail-
able on July 1, 2004, and shall remain available through 
September 30, 2005.
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SPECIAL EDUCATION 
For carrying out the Individuals with Disabilities 
Education
Act,
$11,049,790,000,
of
which 
$5,690,762,000 shall become available for obligation on 
July 1, 2004, and shall remain available through Sep-
tember 30, 2005, and of which $5,072,000,000 shall be-
come available on October 1, 2004, and shall remain avail-
able through September 30, 2005, for academic year 
2004–2005: Provided, That $11,400,000 shall be for Re-
cording for the Blind and Dyslexic to support the develop-
ment, production, and circulation of recorded educational 
materials: Provided further, That the amount for section 
611(c) of the Act shall be equal to the amount available 
for that section during fiscal year 2003 increased by the 
amount of inflation as specified in section 611(f)(1)(B)(ii) 
of the Act. 
REHABILITATION SERVICES AND DISABILITY RESEARCH 
For carrying out, to the extent not otherwise pro-
vided, the Rehabilitation Act of 1973, the Assistive Tech-
nology Act of 1998, and the Helen Keller National Center 
Act, $2,999,165,000.
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SPECIAL INSTITUTIONS FOR PERSONS WITH 
DISABILITIES
AMERICAN PRINTING HOUSE FOR THE BLIND 
For carrying out the Act of March 3, 1879, as 
amended (20 U.S.C. 101 et seq.), $16,500,000. 
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF 
For the National Technical Institute for the Deaf 
under titles I and II of the Education of the Deaf Act 
of 1986 (20 U.S.C. 4301 et seq.), $53,867,000, of which 
$367,000 shall be for construction and shall remain avail-
able until expended: Provided, That from the total amount 
available, the Institute may at its discretion use funds for 
the endowment program as authorized under section 207. 
GALLAUDET UNIVERSITY 
For the Kendall Demonstration Elementary School, 
the Model Secondary School for the Deaf, and the partial 
support of Gallaudet University under titles I and II of 
the Education of the Deaf Act of 1986 (20 U.S.C. 4301 
et seq.), $100,600,000: Provided, That from the total 
amount available, the University may at its discretion use 
funds for the endowment program as authorized under 
section 207. 
VOCATIONAL AND ADULT EDUCATION 
For carrying out, to the extent not otherwise pro-
vided, the Carl D. Perkins Vocational and Applied Tech-
nology Education Act, and the Adult Education and Fam-
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ily Literacy Act, and subpart 4 of part D of title V of 
the Elementary and Secondary Education Act of 1965, as 
amended, $2,094,475,000, of which $1,294,725,000 shall 
become available on July 1, 2004 and shall remain avail-
able
through
September
30,
2005
and
of
which 
$791,000,000 shall become available on October 1, 2004 
and shall remain available through September 30, 2005: 
Provided, That of the amount provided for Adult Edu-
cation State Grants, $70,000,000 shall be made available 
for integrated English literacy and civics education serv-
ices to immigrants and other limited English proficient 
populations: Provided further, That of the amount re-
served for integrated English literacy and civics education, 
notwithstanding section 211 of the Adult Education and 
Family Literacy Act, 65 percent shall be allocated to 
States based on a State’s absolute need as determined by 
calculating each State’s share of a 10-year average of the 
Immigration and Naturalization Service data for immi-
grants admitted for legal permanent residence for the 10 
most recent years, and 35 percent allocated to States that 
experienced growth as measured by the average of the 3 
most recent years for which Immigration and Naturaliza-
tion Service data for immigrants admitted for legal perma-
nent residence are available, except that no State shall be 
allocated an amount less than $60,000: Provided further,
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That of the amounts made available for the Adult Edu-
cation and Family Literacy Act, $9,438,000 shall be for 
national leadership activities under section 243 and 
$6,517,000 shall be for the National Institute for Literacy 
under section 242: Provided further, That $175,000,000 
shall be available to support the activities authorized 
under subpart 4 of part D of title V of the ESEA, of which 
up to 5 percent shall become available October 1, 2003, 
for evaluation, technical assistance, school networking, 
peer review of applications, and program outreach activi-
ties and of which not less than 95 percent shall become 
available on July 1, 2004, and remain available through 
September 30, 2005, for grants to local educational agen-
cies: Provided further, That funds made available to local 
educational agencies under this subpart shall be used only 
for activities related to establishing smaller learning com-
munities in high schools. 
STUDENT FINANCIAL ASSISTANCE 
For carrying out subparts 1, 3 and 4 of part A, sec-
tion 428K, part C and part E of title IV of the Higher 
Education Act of 1965, as amended, $14,247,432,000, 
which shall remain available through September 30, 2005. 
The maximum Pell Grant for which a student shall 
be eligible during award year 2004–2005 shall be $4,050.
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STUDENT AID ADMINISTRATION 
For Federal administrative expenses (in addition to 
funds made available under section 458), to carry out part 
D of title I, and subparts 1, 3, and 4 of part A, and parts 
B, C, D and E of title IV of the Higher Education Act 
of 1965, as amended, $120,010,000. 
HIGHER EDUCATION 
For carrying out, to the extent not otherwise pro-
vided, section 121 and titles II, III, IV, V, VI, and VII 
of the Higher Education Act of 1965 (‘‘HEA’’), as amend-
ed, section 1543 of the Higher Education Amendments 
of 1992, title VIII of the Higher Education Amendments 
of 1998, section 117 of the Carl D. Perkins Vocational 
and Technical Education Act, and the Mutual Educational 
and Cultural Exchange Act of 1961, $1,985,991,000 (re-
duced by $5,000,000), of which $2,000,000 for interest 
subsidies authorized by section 121 of the HEA shall re-
main available until expended: Provided, That $9,935,000, 
to remain available through September 30, 2005, shall be 
available to fund fellowships for academic year 2005–2006 
under part A, subpart 1 of title VII of said Act, under 
the terms and conditions of part A, subpart 1: Provided 
further, That $994,000 is for data collection and evalua-
tion activities for programs under the HEA, including 
such activities needed to comply with the Government Per-
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formance and Results Act of 1993: Provided further, That 
notwithstanding any other provision of law, funds made 
available in this Act to carry out title VI of the HEA and 
section 102(b)(6) of the Mutual Educational and Cultural 
Exchange Act of 1961 may be used to support visits and 
study in foreign countries by individuals who are partici-
pating in advanced foreign language training and inter-
national studies in areas that are vital to United States 
national security and who plan to apply their language 
skills and knowledge of these countries in the fields of gov-
ernment, the professions, or international development: 
Provided further, That up to one percent of the funds re-
ferred to in the preceding proviso may be used for pro-
gram evaluation, national outreach, and information dis-
semination activities. 
HOWARD UNIVERSITY 
For partial support of Howard University (20 U.S.C. 
121 et seq.), $242,770,000, of which not less than 
$3,600,000 shall be for a matching endowment grant pur-
suant to the Howard University Endowment Act (Public 
Law 98–480) and shall remain available until expended. 
COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS 
PROGRAM
For
Federal
administrative
expenses
authorized 
under section 121 of the Higher Education Act of 1965,
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$774,000 to carry out activities related to existing facility 
loans entered into under the Higher Education Act of 
1965. 
HISTORICALLY BLACK COLLEGE AND UNIVERSITY 
CAPITAL FINANCING PROGRAM ACCOUNT 
The aggregate principal amount of outstanding bonds 
insured pursuant to section 344 of title III, part D of the 
Higher
Education
Act
of
1965,
shall
not
exceed 
$357,000,000, and the cost, as defined in section 502 of 
the Congressional Budget Act of 1974, of such bonds shall 
not exceed zero. 
For administrative expenses to carry out the Histori-
cally Black College and University Capital Financing Pro-
gram entered into pursuant to title III, part D of the 
Higher Education Act of 1965, as amended, $210,000. 
INSTITUTE OF EDUCATION SCIENCES 
For carrying out activities authorized by Public Law 
107–279, $500,599,000: Provided, That of the amount 
appropriated, $185,000,000 shall be available for obliga-
tion through September 30, 2005. 
DEPARTMENTAL MANAGEMENT 
PROGRAM ADMINISTRATION 
For carrying out, to the extent not otherwise pro-
vided, the Department of Education Organization Act, in-
cluding rental of conference rooms in the District of Co-
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lumbia and hire of three passenger motor vehicles, 
$434,494,000, of which $13,644,000, to remain available 
until expended, shall be for building alterations and re-
lated expenses for the relocation of Department staff to 
Potomac Center Plaza in Washington, D.C. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, as authorized by section 203 of the Department 
of Education Organization Act, $91,275,000. 
OFFICE OF THE INSPECTOR GENERAL 
For expenses necessary for the Office of the Inspector 
General, as authorized by section 212 of the Department 
of Education Organization Act, $48,137,000. 
GENERAL PROVISIONS 
SEC. 301. No funds appropriated in this Act may be 
used for the transportation of students or teachers (or for 
the purchase of equipment for such transportation) in 
order to overcome racial imbalance in any school or school 
system, or for the transportation of students or teachers 
(or for the purchase of equipment for such transportation) 
in order to carry out a plan of racial desegregation of any 
school or school system. 
SEC. 302. None of the funds contained in this Act 
shall be used to require, directly or indirectly, the trans-
portation of any student to a school other than the school
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which is nearest the student’s home, except for a student 
requiring special education, to the school offering such 
special education, in order to comply with title VI of the 
Civil Rights Act of 1964. For the purpose of this section 
an indirect requirement of transportation of students in-
cludes the transportation of students to carry out a plan 
involving the reorganization of the grade structure of 
schools, the pairing of schools, or the clustering of schools, 
or any combination of grade restructuring, pairing or clus-
tering. The prohibition described in this section does not 
include the establishment of magnet schools. 
SEC. 303. No funds appropriated under this Act may 
be used to prevent the implementation of programs of vol-
untary prayer and meditation in the public schools. 
(TRANSFER OF FUNDS) 
SEC. 304. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985, as amended) 
which are appropriated for the Department of Education 
in this Act may be transferred between appropriations, but 
no such appropriation shall be increased by more than 3 
percent by any such transfer: Provided, That the Appro-
priations Committees of both Houses of Congress are noti-
fied at least 15 days in advance of any transfer. 
This title may be cited as the ‘‘Department of Edu-
cation Appropriations Act, 2004’’.
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TITLE IV—RELATED AGENCIES 
ARMED FORCES RETIREMENT HOME 
For expenses necessary for the Armed Forces Retire-
ment Home to operate and maintain the Armed Forces 
Retirement Home—Washington and the Armed Forces 
Retirement Home—Gulfport, to be paid from funds avail-
able in the Armed Forces Retirement Home Trust Fund, 
$65,279,000, of which $1,983,000 shall remain available 
until expended for construction and renovation of the 
physical plants at the Armed Forces Retirement Home—
Washington and the Armed Forces Retirement Home—
Gulfport. 
CORPORATION FOR NATIONAL AND COMMUNITY SERVICE 
DOMESTIC VOLUNTEER SERVICE PROGRAMS, OPERATING 
EXPENSES 
For expenses necessary for the Corporation for Na-
tional and Community Service to carry out the provisions 
of the Domestic Volunteer Service Act of 1973, as amend-
ed, $352,836,000: Provided, That none of the funds made 
available to the Corporation for National and Community 
Service in this Act for activities authorized by section 122 
of part C of title I and part E of title II of the Domestic 
Volunteer Service Act of 1973 shall be used to provide 
stipends or other monetary incentives to volunteers or vol-
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unteer leaders whose incomes exceed 125 percent of the 
national poverty level. 
CORPORATION FOR PUBLIC BROADCASTING 
For payment to the Corporation for Public Broad-
casting, as authorized by the Communications Act of 
1934, an amount which shall be available within limita-
tions specified by that Act, for the fiscal year 2006, 
$330,000,000: Provided, That no funds made available to 
the Corporation for Public Broadcasting by this Act shall 
be used to pay for receptions, parties, or similar forms 
of entertainment for Government officials or employees: 
Provided further, That none of the funds contained in this 
paragraph shall be available or used to aid or support any 
program or activity from which any person is excluded, 
or is denied benefits, or is discriminated against, on the 
basis of race, color, national origin, religion, or sex. 
Of the amounts made available to the Corporation for 
Public Broadcasting for fiscal year 2004 by Public Law 
107–116, up to $80,000,000 is available for grants associ-
ated with the transition of public broadcasting to digital 
broadcasting, including costs related to transmission 
equipment and program production, development, and dis-
tribution, to be awarded as determinded by the Corpora-
tion in consultation with public radio and television licens-
ees or permittees, or their designated representatives; and
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up to $20,000,000 is available pursuant to section 
396(k)(10) of the Communications Act of 1934, as 
amended, for replacement and upgrade of the public tele-
vision interconnection system: Provided, That section 
396(k)(3) shall apply only to amounts remaining after al-
locations made herein. 
FEDERAL MEDIATION AND CONCILIATION SERVICE 
SALARIES AND EXPENSES 
For expenses necessary for the Federal Mediation 
and Conciliation Service to carry out the functions vested 
in it by the Labor Management Relations Act, 1947 (29 
U.S.C. 171–180, 182–183), including hire of passenger 
motor vehicles; for expenses necessary for the Labor-Man-
agement Cooperation Act of 1978 (29 U.S.C. 175a); and 
for expenses necessary for the Service to carry out the 
functions vested in it by the Civil Service Reform Act, 
Public Law 95–454 (5 U.S.C. ch. 71), $43,385,000, in-
cluding $1,500,000, to remain available through Sep-
tember 30, 2005, for activities authorized by the Labor-
Management Cooperation Act of 1978 (29 U.S.C. 175a): 
Provided, That notwithstanding 31 U.S.C. 3302, fees 
charged, up to full-cost recovery, for special training ac-
tivities and other conflict resolution services and technical 
assistance, including those provided to foreign govern-
ments and international organizations, and for arbitration
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services shall be credited to and merged with this account, 
and shall remain available until expended: Provided fur-
ther, That fees for arbitration services shall be available 
only for education, training, and professional development 
of the agency workforce: Provided further, That the Direc-
tor of the Service is authorized to accept and use on behalf 
of the United States gifts of services and real, personal, 
or other property in the aid of any projects or functions 
within the Director’s jurisdiction. 
FEDERAL MINE SAFETY AND HEALTH REVIEW 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary for the Federal Mine Safety 
and Health Review Commission (30 U.S.C. 801 et seq.), 
$7,774,000. 
INSTITUTE OF MUSEUM AND LIBRARY SERVICES 
For carrying out the Museum and Library Services 
Act of 1996, $238,126,000 to remain available until ex-
pended. 
MEDICARE PAYMENT ADVISORY COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary to carry out section 1805 of 
the Social Security Act, $9,000,000, to be transferred to 
this appropriation from the Federal Hospital Insurance
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and the Federal Supplementary Medical Insurance Trust 
Funds. 
NATIONAL COMMISSION ON LIBRARIES AND 
INFORMATION SCIENCE 
SALARIES AND EXPENSES 
For necessary expenses for the National Commission 
on Libraries and Information Science, established by the 
Act of July 20, 1970 (Public Law 91–345, as amended), 
$1,000,000. 
NATIONAL COUNCIL ON DISABILITY 
SALARIES AND EXPENSES 
For expenses necessary for the National Council on 
Disability as authorized by title IV of the Rehabilitation 
Act of 1973, as amended, $2,830,000. 
NATIONAL LABOR RELATIONS BOARD 
SALARIES AND EXPENSES 
For expenses necessary for the National Labor Rela-
tions Board to carry out the functions vested in it by the 
Labor-Management Relations Act, 1947, as amended (29 
U.S.C. 141–167), and other laws, $239,429,000: Pro-
vided, That no part of this appropriation shall be available 
to organize or assist in organizing agricultural laborers or 
used in connection with investigations, hearings, direc-
tives, or orders concerning bargaining units composed of 
agricultural laborers as referred to in section 2(3) of the
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Act of July 5, 1935 (29 U.S.C. 152), and as amended 
by the Labor-Management Relations Act, 1947, as amend-
ed, and as defined in section 3(f) of the Act of June 25, 
1938 (29 U.S.C. 203), and including in said definition em-
ployees engaged in the maintenance and operation of 
ditches, canals, reservoirs, and waterways when main-
tained or operated on a mutual, nonprofit basis and at 
least 95 percent of the water stored or supplied thereby 
is used for farming purposes. 
NATIONAL MEDIATION BOARD 
SALARIES AND EXPENSES 
For expenses necessary to carry out the provisions 
of the Railway Labor Act, as amended (45 U.S.C. 151–
188), including emergency boards appointed by the Presi-
dent, $11,421,000. 
OCCUPATIONAL SAFETY AND HEALTH REVIEW 
COMMISSION 
SALARIES AND EXPENSES 
For expenses necessary for the Occupational Safety 
and
Health
Review
Commission
(29
U.S.C.
661), 
$10,115,000.
RAILROAD RETIREMENT BOARD 
DUAL BENEFITS PAYMENTS ACCOUNT 
For payment to the Dual Benefits Payments Ac-
count, authorized under section 15(d) of the Railroad Re-
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tirement Act of 1974, $119,000,000, which shall include 
amounts becoming available in fiscal year 2004 pursuant 
to section 224(c)(1)(B) of Public Law 98–76; and in addi-
tion, an amount, not to exceed 2 percent of the amount 
provided herein, shall be available proportional to the 
amount by which the product of recipients and the average 
benefit received exceeds $119,000,000: Provided, That the 
total amount provided herein shall be credited in 12 ap-
proximately equal amounts on the first day of each month 
in the fiscal year. 
FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT 
ACCOUNTS 
For payment to the accounts established in the 
Treasury for the payment of benefits under the Railroad 
Retirement Act for interest earned on unnegotiated 
checks, $150,000, to remain available through September 
30, 2005, which shall be the maximum amount available 
for payment pursuant to section 417 of Public Law 98–
76. 
LIMITATION ON ADMINISTRATION 
For necessary expenses for the Railroad Retirement 
Board for administration of the Railroad Retirement Act 
and
the
Railroad
Unemployment
Insurance
Act, 
$101,300,000, to be derived in such amounts as deter-
mined by the Board from the railroad retirement accounts
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and from moneys credited to the railroad unemployment 
insurance administration fund. 
LIMITATION ON THE OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General for audit, investigatory and review activities, as 
authorized by the Inspector General Act of 1978, as 
amended, not more than $6,600,000, to be derived from 
the railroad retirement accounts and railroad unemploy-
ment insurance account: Provided, That none of the funds 
made available in any other paragraph of this Act may 
be transferred to the Office; used to carry out any such 
transfer; used to provide any office space, equipment, of-
fice supplies, communications facilities or services, mainte-
nance services, or administrative services for the Office; 
used to pay any salary, benefit, or award for any personnel 
of the Office; used to pay any other operating expense of 
the Office; or used to reimburse the Office for any service 
provided, or expense incurred, by the Office. 
SOCIAL SECURITY ADMINISTRATION 
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS 
For payment to the Federal Old-Age and Survivors 
Insurance and the Federal Disability Insurance trust 
funds, as provided under sections 201(m), 228(g), and 
1131(b)(2) of the Social Security Act, $21,658,000.
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SUPPLEMENTAL SECURITY INCOME PROGRAM 
For carrying out titles XI and XVI of the Social Se-
curity Act, section 401 of Public Law 92–603, section 212 
of Public Law 93–66, as amended, and section 405 of 
Public Law 95–216, including payment to the Social Secu-
rity trust funds for administrative expenses incurred pur-
suant to section 201(g)(1) of the Social Security Act, 
$26,221,300,000, to remain available until expended: Pro-
vided, That any portion of the funds provided to a State 
in the current fiscal year and not obligated by the State 
during that year shall be returned to the Treasury. 
For making, after June 15 of the current fiscal year, 
benefit payments to individuals under title XVI of the So-
cial Security Act, for unanticipated costs incurred for the 
current fiscal year, such sums as may be necessary. 
For making benefit payments under title XVI of the 
Social Security Act for the first quarter of fiscal year 
2005, $12,590,000,000, to remain available until ex-
pended. 
LIMITATION ON ADMINISTRATIVE EXPENSES 
For necessary expenses, including the hire of two pas-
senger motor vehicles, and not to exceed $15,000 for offi-
cial reception and representation expenses, not more than 
$8,241,800,000 may be expended, as authorized by sec-
tion 201(g)(1) of the Social Security Act, from any one 
or all of the trust funds referred to therein: Provided, That
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not less than $1,800,000 shall be for the Social Security 
Advisory Board: Provided further, That unobligated bal-
ances of funds provided under this paragraph at the end 
of fiscal year 2004 not needed for fiscal year 2004 shall 
remain available until expended to invest in the Social Se-
curity Administration information technology and tele-
communications hardware and software infrastructure, in-
cluding related equipment and non-payroll administrative 
expenses associated solely with this information technology 
and telecommunications infrastructure: Provided further, 
That reimbursement to the trust funds under this heading 
for expenditures for official time for employees of the So-
cial Security Administration pursuant to section 7131 of 
title 5, United States Code, and for facilities or support 
services for labor organizations pursuant to policies, regu-
lations, or procedures referred to in section 7135(b) of 
such title shall be made by the Secretary of the Treasury, 
with interest, from amounts in the general fund not other-
wise appropriated, as soon as possible after such expendi-
tures are made. 
In addition, $120,000,000 to be derived from admin-
istration fees in excess of $5.00 per supplementary pay-
ment collected pursuant to section 1616(d) of the Social 
Security Act or section 212(b)(3) of Public Law 93–66, 
which shall remain available until expended. To the extent
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that the amounts collected pursuant to such section 
1616(d)
or
212(b)(3)
in
fiscal
year
2004
exceed 
$120,000,000, the amounts shall be available in fiscal year 
2005 only to the extent provided in advance in appropria-
tions Acts. 
From funds previously appropriated for this purpose, 
any unobligated balances at the end of fiscal year 2003 
shall be available to continue Federal-State partnerships 
which will evaluate means to promote Medicare buy-in pro-
grams targeted to elderly and disabled individuals under 
titles XVIII and XIX of the Social Security Act. 
OFFICE OF INSPECTOR GENERAL
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary for the Office of Inspector 
General in carrying out the provisions of the Inspector 
General Act of 1978, as amended, $24,500,000, together 
with not to exceed $63,700,000, to be transferred and ex-
pended as authorized by section 201(g)(1) of the Social 
Security Act from the Federal Old-Age and Survivors In-
surance Trust Fund and the Federal Disability Insurance 
Trust Fund. 
In addition, an amount not to exceed 3 percent of 
the total provided in this appropriation may be transferred 
from the ‘‘Limitation on Administrative Expenses’’, Social 
Security Administration, to be merged with this account, 
to be available for the time and purposes for which this
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account is available: Provided, That notice of such trans-
fers shall be transmitted promptly to the Committees on 
Appropriations of the House and Senate. 
UNITED STATES INSTITUTE OF PEACE 
OPERATING EXPENSES 
For necessary expenses of the United States Institute 
of Peace as authorized in the United States Institute of 
Peace Act, $17,200,000. 
TITLE V—GENERAL PROVISIONS 
SEC. 501. The Secretaries of Labor, Health and 
Human Services, and Education are authorized to transfer 
unexpended balances of prior appropriations to accounts 
corresponding to current appropriations provided in this 
Act: Provided, That such transferred balances are used for 
the same purpose, and for the same periods of time, for 
which they were originally appropriated. 
SEC. 502. No part of any appropriation contained in 
this Act shall remain available for obligation beyond the 
current fiscal year unless expressly so provided herein. 
SEC. 503. (a) No part of any appropriation contained 
in this Act shall be used, other than for normal and recog-
nized executive-legislative relationships, for publicity or 
propaganda purposes, for the preparation, distribution, or 
use of any kit, pamphlet, booklet, publication, radio, tele-
vision, or video presentation designed to support or defeat
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legislation pending before the Congress or any State legis-
lature, except in presentation to the Congress or any State 
legislature itself. 
(b) No part of any appropriation contained in this 
Act shall be used to pay the salary or expenses of any 
grant or contract recipient, or agent acting for such recipi-
ent, related to any activity designed to influence legislation 
or appropriations pending before the Congress or any 
State legislature. 
SEC. 504. The Secretaries of Labor and Education 
are authorized to make available not to exceed $28,000 
and $20,000, respectively, from funds available for sala-
ries and expenses under titles I and III, respectively, for 
official reception and representation expenses; the Direc-
tor of the Federal Mediation and Conciliation Service is 
authorized to make available for official reception and rep-
resentation expenses not to exceed $5,000 from the funds 
available for ‘‘Salaries and expenses, Federal Mediation 
and Conciliation Service’’; and the Chairman of the Na-
tional Mediation Board is authorized to make available for 
official reception and representation expenses not to ex-
ceed $5,000 from funds available for ‘‘Salaries and ex-
penses, National Mediation Board’’. 
SEC. 505. Notwithstanding any other provision of 
this Act, no funds appropriated under this Act shall be
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used to carry out any program of distributing sterile nee-
dles or syringes for the hypodermic injection of any illegal 
drug. 
SEC. 506. (a) It is the sense of the Congress that, 
to the greatest extent practicable, all equipment and prod-
ucts purchased with funds made available in this Act 
should be American-made. 
(b) In providing financial assistance to, or entering 
into any contract with, any entity using funds made avail-
able in this Act, the head of each Federal agency, to the 
greatest extent practicable, shall provide to such entity a 
notice describing the statement made in subsection (a) by 
the Congress. 
(c) If it has been finally determined by a court or 
Federal agency that any person intentionally affixed a 
label bearing a ‘‘Made in America’’ inscription, or any in-
scription with the same meaning, to any product sold in 
or shipped to the United States that is not made in the 
United States, the person shall be ineligible to receive any 
contract or subcontract made with funds made available 
in this Act, pursuant to the debarment, suspension, and 
ineligibility procedures described in sections 9.400 through 
9.409 of title 48, Code of Federal Regulations. 
SEC. 507. When issuing statements, press releases, 
requests for proposals, bid solicitations and other docu-
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ments describing projects or programs funded in whole or 
in part with Federal money, all grantees receiving Federal 
funds included in this Act, including but not limited to 
State and local governments and recipients of Federal re-
search grants, shall clearly state: (1) the percentage of the 
total costs of the program or project which will be financed 
with Federal money; (2) the dollar amount of Federal 
funds for the project or program; and (3) percentage and 
dollar amount of the total costs of the project or program 
that will be financed by non-governmental sources. 
SEC. 508. (a) None of the funds appropriated under 
this Act, and none of the funds in any trust fund to which 
funds are appropriated under this Act, shall be expended 
for any abortion. 
(b) None of the funds appropriated under this Act, 
and none of the funds in any trust fund to which funds 
are appropriated under this Act, shall be expended for 
health benefits coverage that includes coverage of abor-
tion. 
(c) The term ‘‘health benefits coverage’’ means the 
package of services covered by a managed care provider 
or organization pursuant to a contract or other arrange-
ment. 
SEC. 509. (a) The limitations established in the pre-
ceding section shall not apply to an abortion—
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(1) if the pregnancy is the result of an act of 
rape or incest; or 
(2) in the case where a woman suffers from a 
physical disorder, physical injury, or physical illness, 
including
a
life-endangering
physical
condition 
caused by or arising from the pregnancy itself, that 
would, as certified by a physician, place the woman 
in danger of death unless an abortion is performed.
(b) Nothing in the preceding section shall be con-
strued as prohibiting the expenditure by a State, locality, 
entity, or private person of State, local, or private funds 
(other than a State’s or locality’s contribution of Medicaid 
matching funds). 
(c) Nothing in the preceding section shall be con-
strued as restricting the ability of any managed care pro-
vider from offering abortion coverage or the ability of a 
State or locality to contract separately with such a pro-
vider for such coverage with State funds (other than a 
State’s or locality’s contribution of Medicaid matching 
funds). 
SEC. 510. (a) None of the funds made available in 
this Act may be used for—
(1) the creation of a human embryo or embryos 
for research purposes; or
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(2) research in which a human embryo or em-
bryos are destroyed, discarded, or knowingly sub-
jected to risk of injury or death greater than that 
allowed for research on fetuses in utero under 45 
CFR 46.208(a)(2) and section 498(b) of the Public 
Health Service Act (42 U.S.C. 289g(b)). 
(b) For purposes of this section, the term ‘‘human 
embryo or embryos’’ includes any organism, not protected 
as a human subject under 45 CFR 46 as of the date of 
the enactment of this Act, that is derived by fertilization, 
parthenogenesis, cloning, or any other means from one or 
more human gametes or human diploid cells. 
SEC. 511. (a) None of the funds made available in 
this Act may be used for any activity that promotes the 
legalization of any drug or other substance included in 
schedule I of the schedules of controlled substances estab-
lished by section 202 of the Controlled Substances Act (21 
U.S.C. 812). 
(b) The limitation in subsection (a) shall not apply 
when there is significant medical evidence of a therapeutic 
advantage to the use of such drug or other substance or 
that federally sponsored clinical trials are being conducted 
to determine therapeutic advantage.
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SEC. 512. None of the funds made available in this 
Act may be obligated or expended to enter into or renew 
a contract with an entity if—
(1) such entity is otherwise a contractor with 
the United States and is subject to the requirement 
in section 4212(d) of title 38, United States Code, 
regarding submission of an annual report to the Sec-
retary of Labor concerning employment of certain 
veterans; and 
(2) such entity has not submitted a report as 
required by that section for the most recent year for 
which such requirement was applicable to such enti-
ty. 
SEC. 513. None of the funds made available in this 
Act may be used to promulgate or adopt any final stand-
ard under section 1173(b) of the Social Security Act (42 
U.S.C. 1320d–2(b)) providing for, or providing for the as-
signment of, a unique health identifier for an individual 
(except in an individual’s capacity as an employer or a 
health care provider), until legislation is enacted specifi-
cally approving the standard. 
SEC. 514. None of the funds made available in this 
Act may be transferred to any department, agency, or in-
strumentality of the United States Government, except
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pursuant to a transfer made by, or transfer authority pro-
vided in, this Act or any other appropriation Act. 
SEC. 515. (a) The matter under the heading ‘‘De-
partment of Education—Education for the Disadvan-
taged’’ in division G of Public Law 108–7 is amended—
(1) by striking ‘‘$4,651,199,000’’ and inserting 
‘‘$6,895,199,000’’; and 
(2) by striking ‘‘$9,027,301,000’’ and inserting 
‘‘$6,783,301,000’’. 
(b) The amendments made by subsection (a) shall 
take effect on the date of the enactment of this Act. 
SEC. 516. None of the funds made available by this 
Act to carry out the Library Services and Technology Act 
may be made available to any library covered by para-
graph (1) of section 224(f) of such Act (20 U.S.C. 
9134(f)), as amended by the Children’s Internet Protec-
tions Act, unless such library has made the certifications 
required by paragraph (4) of such section. 
SEC. 517. None of the funds made available by this 
Act to carry out part D of title II of the Elementary and 
Secondary Education Act of 1965 may be made available 
to any elementary or secondary school covered by para-
graph (1) of section 2441(a) of such Act (20 U.S.C. 
6777(a)), as amended by the Children’s Internet Protec-
tions Act and the No Child Left Behind Act, unless the
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local educational agency with responsibility for such cov-
ered school has made the certifications required by para-
graph (2) of such section. 
This Act may be cited as the ‘‘Departments of Labor, 
Health and Human Services, and Education, and Related 
Agencies Appropriations Act, 2004’’.
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, 2004, and for other purposes, namely: 
TITLE I—DEPARTMENT OF LABOR 
EMPLOYMENT AND TRAINING ADMINISTRATION 
TRAINING AND EMPLOYMENT SERVICES 
For necessary expenses of the Workforce Investment Act 
of 1998, including the purchase and hire of passenger motor 
vehicles, the construction, alteration, and repair of build-
ings and other facilities, and the purchase of real property 
for training centers as authorized by the Workforce Invest-
ment Act of 1998; $2,652,588,000 plus reimbursements, of 
which $1,631,407,000 is available for obligation for the pe-
riod July 1, 2004 through June 30, 2005; of which 
$1,000,965,000 is available for obligation for the period 
April 1, 2004 through June 30, 2005, to carry out chapter 
4 of the Workforce Investment Act of 1998; and of which
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$20,216,000 is available for the period July 1, 2004 through 
June 30, 2007 for necessary expenses of construction, reha-
bilitation, and acquisition of Job Corps centers: Provided, 
That notwithstanding any other provision of law, of the 
funds provided herein under section 137(c) of the Workforce 
Investment Act of 1998, $276,608,000 shall be for activities 
described in section 132(a)(2)(A) of such Act and 
$1,155,152,000 shall be for activities described in section 
132(a)(2)(B) of such Act: Provided further, That $9,039,000 
shall be for carrying out section 172 of the Workforce Invest-
ment Act of 1998: Provided further, That, notwithstanding 
any other provision of law or related regulation, 
$77,330,000 shall be for carrying out section 167 of the 
Workforce Investment Act of 1998, including $72,213,000 
for formula grants, $4,610,000 for migrant and seasonal 
housing, and $507,000 for other discretionary purposes: 
Provided further, That $4,609,840 appropriated under this 
heading in Public Law 108–7 for migrant and seasonal 
housing under section 167 of the Workforce Investment Act 
of 1998 and available for obligation for the period July 1, 
2003 through June 30, 2004 is hereby rescinded: Provided 
further, That $4,609,840 is available for obligation for the 
period July 1, 2003 through June 30, 2004, for farmworker 
housing organizations with grants expiring June 30, 2003 
to carry out migrant and seasonal housing activities, in-
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cluding permanent housing at the option of grantees, under 
section 167 of the Workforce Investment Act of 1998: Pro-
vided further, That funds provided to carry out section 
171(d) of the Workforce Investment Act of 1998 may be used 
for demonstration projects that provide assistance to new 
entrants in the workforce and incumbent workers: Provided 
further, That no funds from any other appropriation shall 
be used to provide meal services at or for Job Corps centers. 
For necessary expenses of the Workforce Investment Act 
of 1998, including the purchase and hire of passenger motor 
vehicles, the construction, alteration, and repair of build-
ings and other facilities, and the purchase of real property 
for training centers as authorized by the Workforce Invest-
ment Act of 1998; $2,463,000,000 plus reimbursements, of 
which $2,363,000,000 is available for obligation for the pe-
riod October 1, 2004 through June 30, 2005, and of which 
$100,000,000 is available for the period October 1, 2004 
through June 30, 2007, for necessary expenses of construc-
tion, rehabilitation, and acquisition of Job Corps centers. 
For necessary expenses of the Workforce Investment Act 
of 1998, including the purchase and hire of passenger motor 
vehicles, the construction, alteration, and repair of build-
ings and other facilities, and the purchase of real property 
for training centers as authorized by the Workforce Invest-
ment Act of 1998, $25,000,000 may be used to carry out
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activities described in section 132(a)(2)(B) of that Act (re-
lating to dislocated worker employment and training ac-
tivities and other activities for dislocated workers). 
COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS 
To carry out title V of the Older Americans Act of 
1965, as amended, $442,306,000. 
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES 
For payments during the current fiscal year of trade 
adjustment benefit payments and allowances under part I; 
and for training, allowances for job search and relocation, 
and related State administrative expenses under part II of 
chapter 2, title II of the Trade Act of 1974 (including the 
benefits and services described under sections 123(c)(2) and 
151(b) and (c) of the Trade Adjustment Assistance Reform 
Act of 2002, Public Law 107–210), $1,338,200,000, 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. 
STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT 
SERVICE OPERATIONS 
For authorized administrative expenses, $142,520,000, 
together with not to exceed $3,478,032,000 (including not 
to exceed $1,228,000 which may be used for amortization 
payments to States which had independent retirement plans 
in their State employment service agencies prior to 1980), 
which may be expended from the Employment Security Ad-
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ministration Account in the Unemployment Trust Fund in-
cluding the cost of administering section 51 of the Internal 
Revenue Code of 1986, as amended, section 7(d) of the Wag-
ner-Peyser Act, as amended, the Trade Act of 1974, as 
amended, the Immigration Act of 1990, and the Immigra-
tion and Nationality Act, as amended, 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 available in the allocation for nec-
essary administrative expenses for carrying out 5 U.S.C. 
8501–8523, shall be available for obligation by the States 
through December 31, 2004, except that funds used for auto-
mation acquisitions shall be available for obligation by the 
States through September 30, 2006; of which $142,520,000, 
together with not to exceed $768,257,000 of the amount 
which may be expended from said trust fund, shall be avail-
able for obligation for the period July 1, 2004 through June 
30, 2005, to fund activities under the Act of June 6, 1933, 
as amended, including the cost of penalty mail authorized 
under 39 U.S.C. 3202(a)(1)(E) made available to States in 
lieu of allotments for such purpose: Provided, That to the 
extent that the Average Weekly Insured Unemployment 
(AWIU) for fiscal year 2004 is projected by the Department 
of Labor to exceed 3,227,000, an additional $28,600,000 
shall be available for obligation for every 100,000 increase
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in the AWIU level (including a pro rata amount for any 
increment less than 100,000) from the Employment Secu-
rity Administration Account of the Unemployment Trust 
Fund: Provided further, That funds appropriated in this 
Act which are used to establish a national one-stop career 
center system, or which are used to support the national 
activities of the Federal-State unemployment insurance 
programs, may be obligated in contracts, grants or agree-
ments with non-State entities: Provided further, That funds 
appropriated under this Act for activities authorized under 
the Wagner-Peyser Act, as amended, and title III of the So-
cial Security Act, may be used by the States to fund inte-
grated Employment Service and Unemployment Insurance 
automation efforts, notwithstanding cost allocation prin-
ciples prescribed under Office of Management and Budget 
Circular A–87. 
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 So-
cial Security Act, as amended, and to the Black Lung Dis-
ability Trust Fund as authorized by section 9501(c)(1) of 
the Internal Revenue Code of 1954, as amended; and for 
nonrepayable advances to the Unemployment Trust Fund 
as authorized by section 8509 of title 5, United States Code, 
and to the ‘‘Federal unemployment benefits and allow-
HR 2660 PP 
ances’’ account, to remain available until September 30, 
2005, $467,000,000. 
In addition, for making repayable advances to the 
Black Lung Disability Trust Fund in the current fiscal 
year after September 15, 2004, for costs incurred by the 
Black Lung Disability Trust Fund in the current fiscal 
year, such sums as may be necessary. 
PROGRAM ADMINISTRATION 
For expenses of administering employment and train-
ing programs, $115,824,000, including $2,393,000 to ad-
minister welfare-to-work grants, together with not to exceed 
$63,137,000, which may be expended from the Employment 
Security Administration Account in the Unemployment 
Trust Fund. 
EMPLOYEE BENEFITS SECURITY ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Employee Benefits Secu-
rity Administration, $121,316,000. 
PENSION BENEFIT GUARANTY CORPORATION 
PENSION BENEFIT GUARANTY CORPORATION FUND 
The Pension Benefit Guaranty Corporation is author-
ized to make such expenditures, including financial assist-
ance authorized by section 104 of Public Law 96–364, with-
in 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
HR 2660 PP 
year limitations as provided by section 104 of the Govern-
ment Corporation Control Act, as amended (31 U.S.C. 
9104), as may be necessary in carrying out the program, 
including associated administrative expenses, through Sep-
tember 30, 2004 for such Corporation: Provided, That none 
of the funds available to the Corporation for fiscal year 
2004 shall be available for obligations for administrative 
expenses in excess of $228,772,000: Provided further, That 
obligations in excess of such amount may be incurred after 
approval by the Office of Management and Budget and the 
Committees on Appropriations of the House and Senate. 
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 serv-
ices rendered, $390,045,000, together with $2,016,000 which 
may be expended from the Special Fund in accordance with 
sections 39(c), 44(d) and 44(j) of the Longshore and Harbor 
Workers’ Compensation Act: Provided, That $2,000,000 
shall be for the development of an alternative system for 
the electronic submission of reports required to be filed 
under the Labor-Management Reporting and Disclosure Act 
of 1959, as amended, and for a computer database of the 
information for each submission by whatever means, that
HR 2660 PP 
is indexed and easily searchable by the public via the Inter-
net: Provided further, That the Secretary of Labor is au-
thorized to accept, retain, and spend, until expended, 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 Dis-
trict of the Northern Mariana Islands (May 21, 1992): Pro-
vided further, That the Secretary of Labor is authorized to 
establish and, in accordance with 31 U.S.C. 3302, collect 
and deposit in the Treasury fees for processing applications 
and issuing certificates under sections 11(d) and 14 of the 
Fair Labor Standards Act of 1938, as amended (29 U.S.C. 
211(d) and 214) and for processing applications and 
issuing registrations under title I of the Migrant and Sea-
sonal Agricultural Worker Protection Act (29 U.S.C. 1801 
et seq.). 
SPECIAL BENEFITS 
(INCLUDING TRANSFER OF FUNDS) 
For the payment of compensation, benefits, and ex-
penses (except administrative expenses) accruing during the 
current or any prior fiscal year authorized by title 5, chap-
ter 81 of the United States Code; continuation of benefits 
as provided for under the heading ‘‘Civilian War Benefits’’ 
in the Federal Security Agency Appropriation Act, 1947; 
the Employees’ Compensation Commission Appropriation
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Act, 1944; sections 4(c) and 5(f) of the War Claims Act 
of 1948 (50 U.S.C. App. 2012); and 50 percent of the addi-
tional compensation and benefits required by section 10(h) 
of the Longshore and Harbor Workers’ Compensation Act, 
as amended, $163,000,000, together with such amounts as 
may be necessary to be charged to the subsequent year ap-
propriation for the payment of compensation and other ben-
efits for any period subsequent to August 15 of the current 
year: Provided, That amounts appropriated may be used 
under section 8104 of title 5, United States Code, by the 
Secretary of Labor to 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 reimbursements unobligated on September 
30, 2003, shall remain available until expended for the pay-
ment of compensation, benefits, and expenses: Provided fur-
ther, That in addition there shall be transferred to this ap-
propriation from the Postal Service and from any other cor-
poration or instrumentality required under section 8147(c) 
of title 5, United States Code, to pay an amount for its 
fair share of the cost of administration, such sums as the 
Secretary determines to be the cost of administration for 
employees of such fair share entities through September 30, 
2004: Provided further, That of those funds transferred to 
this account from the fair share entities to pay the cost of
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administration of the Federal Employees’ Compensation 
Act, $39,315,000 shall be made available to the Secretary 
as follows: (1) for enhancement and maintenance of auto-
mated data processing systems and telecommunications sys-
tems, $11,618,000; (2) for automated workload processing 
operations, including document imaging, centralized mail 
intake and medical bill processing, $14,496,000; (3) for 
periodic roll management and medical review, $13,201,000; 
and (4) the remaining funds shall be paid into the Treasury 
as miscellaneous receipts: Provided further, That the Sec-
retary may require that any person filing a notice of injury 
or a claim for benefits under chapter 81 of title 5, United 
States Code, or 33 U.S.C. 901 et seq., provide as part of 
such notice and claim, such identifying information (in-
cluding Social Security account number) as such regula-
tions may prescribe. 
SPECIAL BENEFITS FOR DISABLED COAL MINERS 
For carrying out title IV of the Federal Mine Safety 
and Health Act of 1977, as amended by Public Law 107–
275, (the ‘‘Act’’), $300,000,000, to remain available until 
expended. 
For making after July 31 of the current fiscal year, 
benefit payment to individuals under title IV of the Act, 
for costs incurred in the current fiscal year, such amounts 
as may be necessary.
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For making benefit payments under title IV of the first 
quarter of fiscal year 2005, $88,000,000, to remain avail-
able until expended. 
ADMINISTRATIVE EXPENSES, ENERGY EMPLOYEES 
OCCUPATIONAL ILLNESS COMPENSATION FUND 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses to administer the Energy Em-
ployees 
Occupational 
Illness 
Compensation 
Act, 
$55,074,000, to remain available until expended: Provided, 
That the Secretary of Labor is authorized to transfer to any 
executive agency with authority under the Energy Employ-
ees Occupational Illness Compensation Act, including with-
in the Department of Labor, such sums as may be necessary 
in fiscal year 2004 to carry out those authorities: Provided 
further, That the Secretary may require that any person 
filing a claim for benefits under the Act provide as part 
of such claim, such identifying information (including So-
cial Security account number) as may be prescribed. 
BLACK LUNG DISABILITY TRUST FUND 
(INCLUDING TRANSFER OF FUNDS) 
Beginning in fiscal year 2004 and thereafter, such 
sums as may be necessary from the Black Lung Disability 
Trust Fund, to remain available until expended, for pay-
ment of all benefits 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
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9501(c)(2) of that Act. In addition, the following amounts 
shall be available from the Fund for fiscal year 2004 for 
expenses of operation and administration of the Black Lung 
Benefits program, as authorized by section 9501(d)(5): 
$32,004,000 for transfer to the Employment Standards Ad-
ministration, ‘‘Salaries and Expenses’’; $23,401,000 for 
transfer to Departmental Management, ‘‘Salaries and Ex-
penses’’; $338,000 for transfer to Departmental Manage-
ment, ‘‘Office of Inspector General’’; and $356,000 for pay-
ments into miscellaneous receipts for the expenses of the De-
partment of the Treasury. 
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Occupational Safety 
and Health Administration, $463,324,000, including not to 
exceed $93,263,000 which shall be the maximum amount 
available for grants to States under section 23(g) of the Oc-
cupational Safety and Health Act (the ‘‘Act’’), which grants 
shall be no less than 50 percent of the costs of State occupa-
tional safety and health programs required to be incurred 
under plans approved by the Secretary under section 18 
of the Act; 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 insti-
tute course tuition fees, otherwise authorized by law to be
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collected, 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, 
2004, to collect and retain fees for services provided to Na-
tionally Recognized Testing Laboratories, and may utilize 
such sums, in accordance with the provisions of 29 U.S.C. 
9a, to administer national and international laboratory 
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 Act which is applicable to any person who 
is engaged in a farming operation which does not maintain 
a temporary labor camp and employs 10 or fewer employ-
ees: Provided further, That no funds appropriated under 
this paragraph shall be obligated or expended to administer 
or enforce any standard, rule, regulation, or order under 
the Act with respect to any employer of 10 or fewer employ-
ees who is included within a category having an occupa-
tional injury lost workday case rate, at the most precise 
Standard 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, act-
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ing 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 citation 
for violations found during such inspection, and to 
assess a penalty for violations 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 re-
sults in hospitalization of two or more employees, and 
to take any action pursuant to such investigation au-
thorized 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:
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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 
10 or fewer employees: Provided further, That not less than 
$3,200,000 shall be used to extend funding for the Institu-
tional Competency Building training grants which com-
menced in September 2000, for program activities for the 
period of September 30, 2003 to September 30, 2004, pro-
vided that a grantee has demonstrated satisfactory perform-
ance. 
MINE SAFETY AND HEALTH ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Mine Safety and Health 
Administration, $270,711,000, including purchase and be-
stowal of certificates and trophies in connection with mine 
rescue and first-aid work, and the hire of passenger motor 
vehicles; including up to $2,000,000 for mine rescue and 
recovery activities; in addition, not to exceed $750,000 may 
be collected by the National Mine Health and Safety Acad-
emy for room, board, tuition, and the sale of training mate-
rials, 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; and, in addi-
tion, the Mine Safety and Health Administration may re-
tain up to $1,000,000 from fees collected for the approval
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and certification of equipment, materials, and explosives for 
use in mines, and may utilize such sums for such activities; 
the Secretary is authorized to accept lands, buildings, 
equipment, and other contributions 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 depart-
ment 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. 
BUREAU OF LABOR STATISTICS 
SALARIES AND EXPENSES 
For necessary expenses for the Bureau of Labor Statis-
tics, including advances or reimbursements to State, Fed-
eral, and local agencies and their employees for services ren-
dered, 
$445,113,000, 
together 
with 
not 
to 
exceed 
$75,110,000, which may be expended from the Employment 
Security Administration Account in the Unemployment 
Trust Fund, of which $5,000,000 may be used to fund the 
mass layoff statistics program under section 15 of the Wag-
ner-Peyser Act (29 U.S.C. 49l–2).
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OFFICE OF DISABILITY EMPLOYMENT POLICY 
SALARIES AND EXPENSES 
For necessary expenses for the Office of Disability Em-
ployment Policy to provide leadership, develop policy and 
initiatives, and award grants furthering the objective of 
eliminating barriers to the training and employment of 
people with disabilities, $47,333,000. 
DEPARTMENTAL MANAGEMENT 
SALARIES AND EXPENSES 
For necessary expenses for Departmental Management, 
including the hire of three sedans, and including the man-
agement or operation, through contracts, grants or other ar-
rangements of Departmental activities conducted by or 
through the Bureau of International Labor Affairs, includ-
ing bilateral and multilateral technical assistance and other 
international labor activities, and $48,565,000, for the ac-
quisition of Departmental information technology, architec-
ture, infrastructure, equipment, software and related needs 
which will be allocated by the Department’s Chief Informa-
tion Officer in accordance with the Department’s capital 
investment management process to assure a sound invest-
ment strategy; $351,295,000; together with not to exceed 
$314,000, which may be expended from the Employment 
Security Administration Account in the Unemployment 
Trust Fund: Provided, That no funds made available by
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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 Benefits 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 Direc-
tor, Office of Workers’ Compensation Programs v. Newport 
News Shipbuilding, 115 S. Ct. 1278 (1995), notwith-
standing any provisions 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 Secretary of Labor to review a decision under 
the Longshore 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 1 year shall be considered affirmed by the Benefits 
Review Board on the 1-year anniversary of the filing of 
the appeal, 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 provi-
sions shall not be applicable to the review or appeal of any 
decision issued under the Black Lung Benefits Act (30 
U.S.C. 901 et seq.): Provided further, That of this amount,
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sufficient funds shall be available for the Secretary of Labor, 
not later than 60 days after the last day of the fiscal year, 
may submit to Congress a report on the amount of acquisi-
tions made by the Department of Labor during such fiscal 
year of articles, materials, or supplies that were manufac-
tured outside the United States. Such report shall sepa-
rately indicate the dollar value of any articles, materials, 
or supplies purchased by the Department of Labor that were 
manufactured outside the United States, an itemized list 
of all waivers under the Buy American Act (41 U.S.C. 10a 
et seq.) that were granted with respect to such articles, ma-
terials, or supplies, and a summary of total procurement 
funds spent on goods manufactured in the United States 
versus funds spent on goods manufactured outside of the 
United States. The Secretary of Labor shall make the report 
publicly available by posting the report on an Internet 
website. 
VETERANS EMPLOYMENT AND TRAINING 
Not to exceed $193,443,000 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. 4100–4012, 4211–4215, and 4321–4327, and Public 
Law 103–353, and which shall be available for obligation 
by the States through December 31, 2004, of which 
$2,000,000 is for the National Veterans’ Employment and 
Training Services Institute. To carry out the Homeless Vet-
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erans Reintegration Programs (38 U.S.C. 2021) and the 
Veterans Workforce Investment Programs (29 U.S.C. 2913), 
$26,550,000, of which $7,550,000 shall be available for obli-
gation for the period July 1, 2004 through June 30, 2005. 
OFFICE OF INSPECTOR GENERAL 
For salaries and expenses of the Office of Inspector 
General in carrying out the provisions of the Inspector Gen-
eral Act of 1978, as amended, $59,291,000, together with 
not to exceed $5,561,000, which may be expended from the 
Employment Security Administration Account in the Un-
employment Trust Fund. 
WORKING CAPITAL FUND 
For the acquisition of a new core accounting system 
for the Department of Labor, including hardware and soft-
ware infrastructure and the costs associated with imple-
mentation thereof, $9,700,000. 
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 discretionary 
funds (pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985, as amended) which are appro-
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priated for the current fiscal year for the Department of 
Labor in this Act may be transferred between appropria-
tions, 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 15 days in advance of any transfer. 
SEC. 103. In accordance with Executive Order No. 
13126, none of the funds appropriated or otherwise made 
available pursuant to this Act shall be obligated or expended 
for the procurement of goods mined, produced, manufac-
tured, or harvested or services rendered, whole or in part, 
by forced or indentured child labor in industries and host 
countries already identified by the United States Depart-
ment of Labor prior to enactment of this Act. 
SEC. 104. There is authorized to be appropriated such 
sums as may be necessary to the Denali Commission 
through the Department of Labor to conduct job training 
of the local workforce where Denali Commission projects 
will be constructed. 
SEC. 105. Of the funds appropriated for fiscal year 
1999 under section 403(a)(5)(H)(i)(II) of the Social Secu-
rity Act (42 U.S.C. 603(a)(5)(H)(i)(II)) that were allotted 
as welfare to work formula grants to the States under sec-
tion 403(a)(5)(A) of such Act (42 U.S.C. 603(a)(5)(A)), 
$210,833,000 is hereby rescinded. In order to carry out this
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section, the Secretary of Labor shall recapture unexpended 
funds from the States that have received such allotments 
based on the relative amount of funds from such allotments 
that remain unexpended in each State as compared to the 
total amount of funds from such allotments that remain un-
expended in all States as of September 30, 2003. The Sec-
retary of Labor is authorized to establish such procedures 
as the Secretary determines are appropriate to carry out 
this section. 
SEC. 106. None of the funds provided under this Act 
shall be used to promulgate or implement any regulation 
that exempts from the requirements of section 7 of the Fair 
Labor Standards Act of 1938 (29 U.S.C. 207) any employee 
who is not otherwise exempted pursuant to regulations 
under section 13 of such Act (29 U.S.C. 213) that were in 
effect as of September 3, 2003. 
SEC. 107. The Department of Labor may cease the im-
plementation of closing procedures for the Department of 
Labor Employment and Training Administration regional 
office in New York City, New York, and the Employment 
and Training Administration affiliate offices in Seattle, 
Washington, Kansas City, Missouri, and Denver, Colorado 
until September 30, 2004. 
SEC. 108. (a) FINDINGS.—Congress finds that—
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(1) it is projected that the Department of Labor, 
in conjunction with labor, industry, and the National 
Institute for Occupational Safety and Health, will be 
undertaking several months of testing on Personal 
Dust Monitor production prototypes; and 
(2) the testing of Personal Dust Monitor proto-
types is set to begin (by late May or early June of 
2004) following the scheduled delivery of the Personal 
Dust Monitors in May 2004. 
(b) RE-PROPOSAL OF RULE.—Following the successful 
demonstration of Personal Dust Monitor technology, and if 
the Secretary of Labor makes a determination that Personal 
Dust Monitors can be effectively applied in a regulatory 
scheme, the Secretary of Labor shall re-propose a rule on 
respirable coal dust which incorporates the use of Personal 
Dust Monitors, and, if such rule is re-proposed, the Sec-
retary shall comply with the regular procedures applicable 
to Federal rulemaking. 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2004’’.
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TITLE II—DEPARTMENT OF HEALTH AND 
HUMAN SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
HEALTH RESOURCES AND SERVICES 
For carrying out titles II, III, IV, 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 (including section 510), and sections 1128E and 
1820 of the Social Security Act, the Health Care Quality 
Improvement Act of 1986, as amended, the Native Hawai-
ian Health Care Act of 1988, as amended, the Cardiac Ar-
rest Survival Act of 2000, and the Poison Control Center 
Enhancement and Awareness Act, $5,881,322,000, of which 
$39,740,000 from general revenues, notwithstanding section 
1820(j) of the Social Security Act, shall be available for 
carrying out the Medicare rural hospital flexibility grants 
program under section 1820 of such Act: Provided, 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 informa-
tion under the Act sufficient to recover the full costs of oper-
ating the National Practitioner Data Bank, and shall re-
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main available until expended to carry out that Act: Pro-
vided further, That fees collected for the full disclosure of 
information under the ‘‘Health Care Fraud and Abuse Data 
Collection Program’’, authorized by section 1128E(d)(2) of 
the Social Security Act, shall be sufficient to recover the 
full costs of operating the program, and shall remain avail-
able until expended to carry out that Act: Provided further, 
that no more than $10,000,000 is available for carrying out 
the provisions of U.S.C. Title 42 Section 233(o) including 
associated administrative expenses: Provided further, That 
$10,000,000 is to establish a National Cord Blood Stem Cell 
Bank Program: Provided further, That no more than 
$45,000,000 is available for carrying out the provisions of 
Public Law 104–73: Provided further, That of the funds 
made available under this heading, $283,350,000 shall be 
for the program under title X of the Public Health Service 
Act to provide for voluntary family planning projects: Pro-
vided further, That amounts provided to said projects under 
such title shall not be expended for abortions, that all preg-
nancy counseling 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 promote public support or opposition to any 
legislative proposal or candidate for public office: Provided 
further, That $739,000,000 shall be for State AIDS Drug
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Assistance Programs authorized by section 2616 of the Pub-
lic Health Service Act: Provided further, That in addition 
to amounts provided herein, $25,000,000 shall be available 
from amounts available under section 241 of the Public 
Health Service Act to carry out Parts A, B, C, and D of 
title XXVI of the Public Health Service Act to fund section 
2691 Special Projects of National Significance: Provided 
further, That notwithstanding section 502(a)(1) of the So-
cial Security Act, not to exceed $116,381,000 is available 
for carrying out special projects of regional and national 
significance pursuant to section 501(a)(2) of such Act: Pro-
vided further, That $73,044,000 is available for special 
projects of regional and national significance under section 
501(a)(2) of the Social Security Act, which shall not be 
counted toward compliance with the allocation required in 
section 502(a)(1) of such Act, and which shall be used only 
for making competitive grants to provide abstinence edu-
cation (as defined in section 510(b)(2) of such Act) to ado-
lescents and for evaluations (including longitudinal evalua-
tions) of activities under the grants and for Federal costs 
of administering the grants: Provided further, That grants 
under the immediately preceding proviso shall be made only 
to public and private entities which agree that, with respect 
to an adolescent to whom the entities provide abstinence 
education under such grant, the entities will not provide
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to that adolescent any other education regarding sexual con-
duct, except that, in the case of an entity expressly required 
by law to provide health information or services the adoles-
cent shall not be precluded from seeking health information 
or services from the entity in a different setting than the 
setting in which the abstinence education was provided: 
Provided further, That the funds expended for such evalua-
tions may not exceed 3.5 percent of such amount: Provided 
further, That up to $1,000,000 may be made available to 
carry out the rural emergency medical service training and 
equipment assistance program under section 330J of the 
Public Health Service Act (42 U.S.C. 254c–15). 
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM 
ACCOUNT 
Such sums as may be necessary to carry out the pur-
pose of the program, as authorized by title VII of the Public 
Health Service Act, as amended. For administrative ex-
penses to carry out the guaranteed loan program, including 
section 709 of the Public Health Service Act, $3,389,000. 
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,
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That for necessary administrative expenses, not to exceed 
$2,972,000 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, 
XXI, 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 section 501 
of the Refugee Education Assistance Act of 1980; including 
purchase and insurance of official motor vehicles in foreign 
countries; and purchase, hire, maintenance, and operation 
of aircraft, $4,432,496,000, of which $260,000,000 shall re-
main available until expended for equipment, and construc-
tion and renovation of facilities, and of which $232,569,000 
for international HIV/AIDS shall remain available until 
September 30, 2005, including up to $90,000,000, to re-
main available until expended for the ‘‘International Moth-
er and Child HIV Prevention Initiative.’’ In addition, such 
sums as may be derived from authorized user fees, which 
shall be credited to this account: Provided, That in addition 
to amounts provided herein, $14,000,000 shall be available 
from amounts available under section 241 of the Public
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Health Service Act to carry out the National Immunization 
Surveys: Provided further, That in addition to amounts 
provided herein, $127,634,000 shall be available from 
amounts available under section 241 of the Public Health 
Service Act to carry out the National Center for Health Sta-
tistics 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, 
in whole or in part, to advocate or promote gun control: 
Provided further, That in addition to amounts provided 
herein, $28,600,000 shall be available from amounts avail-
able under section 241 of the Public Health Service Act to 
carry out information systems standards development and 
architecture and applications-based research used at local 
public health levels: Provided further, That in addition to 
amounts provided herein, $41,900,000 shall be available 
from amounts available under section 241 of the Public 
Health Service Act to carry out Research Tools and Ap-
proaches activities within the National Occupational Re-
search Agenda: Provided further, That the Director may re-
direct the total amount made available under authority of 
Public Law 101–502, section 3, dated November 3, 1990, 
to activities the Director may so designate: Provided fur-
ther, That the Congress is to be notified promptly of any 
such transfer: Provided further, That not to exceed
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$12,500,000 may be available for making grants under sec-
tion 1509 of the Public Health Service Act to not more than 
15 States: Provided further, That without regard to existing 
statute, funds appropriated may be used to proceed, at the 
discretion of the Centers for Disease Control and Preven-
tion, with property acquisition, including a long-term 
ground lease for construction on non-Federal land, to sup-
port the construction of a replacement laboratory in the 
Fort Collins, Colorado area: Provided further, That not-
withstanding any other provision of law, a single contract 
or related contracts for development and construction of fa-
cilities may be employed which collectively include the full 
scope of the project: Provided further, That the solicitation 
and contract shall contain the clause ‘‘availability of funds’’ 
found at 48 CFR 52.232–18. 
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, $4,770,519,000. 
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to cardiovascular, lung, 
and blood diseases, and blood and blood products, 
$2,897,595,000.
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NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 
RESEARCH 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to dental disease, 
$386,396,000. 
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 disease, $1,683,007,000. 
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, $1,510,926,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to allergy and infectious 
diseases, $4,335,255,000: Provided, That $150,000,000 may 
be made available to International Assistance Programs, 
‘‘Global Fund to Fight HIV/AIDS, Malaria, and Tuber-
culosis’’, to remain available until expended.
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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, 
$1,917,033,000. 
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, $1,251,185,000. 
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, $657,199,000. 
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, $637,074,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to aging, $1,031,411,000. 
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 musculo-
skeletal and skin diseases, $505,000,000.
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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 com-
munication disorders, $384,577,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to nursing research, 
$135,579,000. 
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 alco-
holism, $431,521,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the Public 
Health 
Service 
Act 
with 
respect 
to 
drug 
abuse, 
$997,614,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the Public 
Health Service Act with respect to mental health, 
$1,391,114,000. 
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, 
$482,372,000.
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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, $289,300,000. 
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, $1,186,483,000: 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: Pro-
vided further, That $119,220,000 shall be for extramural 
facilities 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, $117,902,000. 
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, $192,824,000.
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JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities at the John E. Fogarty 
International Center, $65,900,000. 
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, $311,835,000, of which $4,000,000 shall be 
available until expended for improvement of information 
systems: Provided, That in fiscal year 2004, the Library 
may enter into personal services contracts for the provision 
of services in facilities owned, operated, or constructed 
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, $323,483,000: 
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 available in this or any
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other Act to all National Institutes of Health appropria-
tions to activities the Director may so designate: 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 fur-
ther, That the National Institutes of Health is authorized 
to collect third party payments for the cost of clinical serv-
ices that are incurred in National Institutes of Health re-
search facilities and that such payments shall be credited 
to the National Institutes of Health Management Fund: 
Provided further, That all funds credited to the National 
Institutes of Health Management Fund shall remain avail-
able for 1 fiscal year after the fiscal year in which they 
are deposited: Provided further, That up to $497,000 shall 
be available to carry out section 499 of the Public Health 
Service Act. 
BUILDINGS AND FACILITIES 
(INCLUDING TRANSFER OF FUNDS) 
For the study of, construction of, renovation of, and 
acquisition of equipment for, facilities of or used by the Na-
tional Institutes of Health, including the acquisition of real 
property, $89,500,000, 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
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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 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, 
$3,157,540,000: Provided, That in addition to amounts pro-
vided herein, $79,200,000 shall be available from amounts 
available under section 241 of the Public Health Service 
Act to carry out subpart II of title XIX of the Public Health 
Service Act to fund section 1935(b) technical assistance, na-
tional data, data collection and evaluation activities, and 
further that the total available under this Act for section 
1935(b) activities shall not exceed 5 percent of the amounts 
appropriated for subpart II of title XIX: Provided further, 
That in addition to the amounts provided herein, 
$21,850,000 shall be available from amounts available 
under Section 241 of the Public Health Service Act to carry 
out subpart I of Part B of title XIX of the Public Health
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Service Act to fund section 1920(b) technical assistance, 
data collection and program evaluation activities, and fur-
ther that the total available under 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: Provided 
further, That in addition to amounts provided herein, 
$16,000,000 shall be made available from amounts avail-
able under section 241 of the Public Health Service Act to 
carry out national surveys on drug abuse. 
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 $303,695,000. 
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, $124,892,197,000, 
to remain available until expended.
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For making, after May 31, 2004, payments to States 
under title XIX of the Social Security Act for the last quar-
ter of fiscal year 2004 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 2005, 
$58,416,275,000, 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 of the Social Secu-
rity 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 sec-
tion 201(g) of the Social Security Act, $95,084,100,000. 
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 $2,707,603,000, to be transferred from the Federal
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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, and together with administrative fees collected rel-
ative to Medicare overpayment recovery activities, which 
shall remain available until expended: Provided, That all 
funds derived in accordance with 31 U.S.C. 9701 from or-
ganizations established under title XIII of the Public Health 
Service Act shall be credited to and available for carrying 
out the purposes of this appropriation: Provided further, 
That $30,000,000, to remain available until September 30, 
2005, is for contract costs for CMS’s Systems Revitalization 
Plan: Provided further, That $56,991,000, to remain avail-
able until September 30, 2005, is for contract costs for the 
Healthcare Integrated General Ledger Accounting System: 
Provided further, That the Secretary of Health and Human 
Services is directed to collect fees in fiscal year 2004 from 
Medicare∂Choice 
organizations 
pursuant 
to 
section 
1857(e)(2) of the Social Security Act and from eligible orga-
nizations with risk-sharing contracts under section 1876 of 
that Act pursuant to section 1876(k)(4)(D) of that Act: Pro-
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vided further, that to the extent Medicare claims processing 
unit costs are projected by the Centers for Medicare & Med-
icaid Services to exceed $0.87 for Part A claims and/or 
$0.65 for Part B claims, up to an additional $18,000,000 
may be available for obligation for every $0.04 increase in 
Medicare claims processing unit costs from the Federal Hos-
pital Insurance and the Federal Supplementary Medical 
Insurance Trust Funds. The calculation of projected unit 
costs shall be derived in the same manner in which the esti-
mated unit costs were calculated for the Federal budget esti-
mate for the fiscal year 
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 
2004, 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
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Social Security Act and the Act of July 5, 1960 (24 U.S.C. 
ch. 9), $3,292,270,000, to remain available until expended; 
and for such purposes for the first quarter of fiscal year 
2005, $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 
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, $2,000,000,000.
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REFUGEE AND ENTRANT ASSISTANCE 
For making payments for refugee and entrant assist-
ance activities authorized by title IV of the Immigration 
and Nationality Act and section 501 of the Refugee Edu-
cation Assistance Act of 1980 (Public Law 96–422), 
$383,894,000: Provided, That funds appropriated pursuant 
to section 414(a) of the Immigration and Nationality Act 
for fiscal year 2004 shall be available for the costs of assist-
ance provided and other activities through September 30, 
2006: Provided further, That up to $9,935,000 is available 
to carry out the Trafficking Victims Protection Act of 2000. 
For carrying out section 5 of the Torture Victims Re-
lief Act of 1998 (Public Law 105–320), $9,935,000. For car-
rying out section 462 of the Homeland Security Act of 2002, 
(Public Law 107–296), $34,227,000. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out sections 658A through 658R of the 
Omnibus Budget Reconciliation Act of 1981 (The Child 
Care and Development Block Grant Act of 1990), 
$2,099,729,000 shall be used to supplement, not supplant 
State general revenue funds for child care assistance for 
low-income families: Provided, That $19,120,000 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 hotline: Provided further,
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That, in addition to the amounts required to be reserved 
by the States under section 658G, $272,672,000 shall be re-
served by the States for activities authorized under section 
658G, of which $100,000,000 shall be for activities that im-
prove the quality of infant and toddler care: Provided fur-
ther, That $10,000,000 shall be for use by the Secretary for 
child care research, demonstration, and evaluation activi-
ties. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 2002 
of the Social Security Act, $1,700,000,000. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Developmental Dis-
abilities Assistance and Bill of Rights Act, the Head Start 
Act, the Child Abuse Prevention and Treatment Act, sec-
tions 310 and 316 of the Family Violence Prevention and 
Services Act, as amended, the Native American Programs 
Act of 1974, title II of Public Law 95–266 (adoption oppor-
tunities), the Adoption and Safe Families Act of 1997 (Pub-
lic Law 105–89), sections 1201 and 1211 of the Children’s 
Health Act of 2000, the Abandoned Infants Assistance Act 
of 1988, sections 261 and 291 of the Help America Vote 
Act of 2002, the Early Learning Opportunities Act, part 
B(1) of title IV and sections 413, 429A, 1110, and 1115 
of the Social Security Act, and sections 40155, 40211, and
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40241 of Public Law 103–322; for making payments under 
the Community Services Block Grant Act, sections 439(h), 
473A, and 477(i) of the Social Security Act, and title IV 
of Public Law 105–285, and for necessary administrative 
expenses to carry out said Acts and titles I, IV, X, XI, XIV, 
XVI, and XX of the Social Security Act, the Act of July 
5, 1960 (24 U.S.C. ch. 9), the Omnibus Budget Reconcili-
ation Act of 1981, title IV of the Immigration and Nation-
ality Act, section 501 of the Refugee Education Assistance 
Act of 1980, section 5 of the Torture Victims Relief Act of 
1998 (Public Law 105–320), sections 40155, 40211, and 
40241 of Public Law 103–322, and section 126 and titles 
IV and V of Public Law 100–485, $8,780,002,000, of which 
$42,720,000, to remain available until September 30, 2005, 
shall be for grants to States for adoption incentive pay-
ments, as authorized by section 473A of title IV of the Social 
Security Act (42 U.S.C. 670–679) and may be made for 
adoptions completed before September 30, 2004; of which 
$6,815,570,000 shall be for making payments under the 
Head Start Act, of which $1,400,000,000 shall become 
available October 1, 2004 and remain available through 
September 30, 2005; and of which $717,620,000 shall be for 
making payments under the Community Services Block 
Grant Act: Provided, That not less than $7,203,000 shall 
be for section 680(3)(B) of the Community Services Block
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Grant Act, as amended: Provided further, That in addition 
to amounts provided herein, $6,000,000 shall be available 
from amounts available under section 241 of the Public 
Health Service 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 dis-
tributed as grant funds by a State to an eligible entity as 
provided under the Act, and have not been expended 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 Sec-
retary shall establish procedures regarding the disposition 
of intangible property which permits grant funds, or intan-
gible assets acquired with funds authorized under section 
680 of the Community Services Block Grant Act, as amend-
ed, to become the sole property of such grantees after a pe-
riod of not more than 12 years after the end of the grant 
for purposes and uses consistent with the original grant: 
Provided further, That funds appropriated for section 
680(a)(2) of the Community Services Block Grant Act, as 
amended, shall be available for financing construction and 
rehabilitation and loans or investments in private business 
enterprises owned by community development corporations: 
Provided further, That $89,978,000 shall be for activities 
authorized by the Runaway and Homeless Youth Act, not-
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withstanding the allocation requirements of section 388(a) 
of such Act, of which $40,505,000 is for the transitional 
living program: Provided further, That $34,772,000 is for 
a compassion capital fund to provide grants to charitable 
organizations to emulate model social service programs and 
to encourage research on the best practices of social service 
organizations: Provided further, That $15,000,000 shall be 
for activities authorized by the Help America Vote Act of 
2002, of which $10,000,000 shall be for payments to States 
to promote disabled voter access, and of which $5,000,000 
shall be for payments to States for disabled voters protection 
and advocacy systems. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out section 436 of the Social Security 
Act, $305,000,000 and for section 437, $99,350,000. 
PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION 
ASSISTANCE 
For making payments to States or other non-Federal 
entities under title IV–E of the Social Security Act, 
$5,068,300,000. 
For making payments to States or other non-Federal 
entities under title IV–E of the Act, for the first quarter 
of fiscal year 2005, $1,767,700,000. 
For making, after May 31 of the current fiscal year, 
payments to States or other non-Federal entities under sec-
tion 474 of title IV–E, for the last 3 months of the current
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fiscal year for unanticipated 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 provided, 
the Older Americans Act of 1965, as amended, and section 
398 of the Public Health Service Act, $1,360,193,000, of 
which $5,500,000 shall be available for activities regarding 
medication management, screening, and education to pre-
vent incorrect medication and adverse drug reactions; and 
of which $2,842,000 shall remain available until September 
30, 2006, for the White House Conference on Aging. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six se-
dans, and for carrying out titles III, XVII, and XX of the 
Public Health Service Act, and the United States-Mexico 
Border Health Commission Act, $342,808,000, together 
with $5,851,000 to be transferred and expended as author-
ized by section 201(g)(1) of the Social Security Act from 
the Hospital Insurance Trust Fund and the Supplemental 
Medical Insurance Trust Fund: Provided, That of the funds 
made available under this heading for carrying out title 
XX of the Public Health Service Act, $11,885,000 shall be
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for activities specified under section 2003(b)(2), of which 
$10,157,000 shall be for prevention service demonstration 
grants under section 510(b)(2) of title V of the Social Secu-
rity Act, as amended, without application of the limitation 
of section 2010(c) of said title XX: Provided further, That 
of this amount, $50,000,000 is for minority AIDS preven-
tion and treatment activities; and $15,000,000 shall be for 
an Information Technology Security and Innovation Fund 
for Department-wide activities involving cybersecurity, in-
formation technology security, and related innovation 
projects, and $5,000,000 is to assist Afghanistan in the de-
velopment of maternal and child health clinics, consistent 
with section 103(a)(4)(H) of the Afghanistan Freedom Sup-
port Act of 2002: Provided further, That of this amount, 
$3,000,000 shall be made available to carry out section 
340G of the Public Health Service Act (42 U.S.C. 256g) 
(in addition to other amounts appropriated under this title 
for such purpose): Provided further, That of this amount, 
sufficient funds shall be available for the Secretary of 
Health and Human Services, not later than 60 days after 
the last day of the fiscal year, to submit to Congress a report 
on the amount of acquisitions made by the Department of 
Health and Human Services during such fiscal year of arti-
cles, materials, or supplies that were manufactured outside 
the United States. Such report shall separately indicate the
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dollar value of any articles, materials, or supplies pur-
chased by the Department of Health and Human Services 
that were manufactured outside the United States, an 
itemized list of all waivers under the Buy American Act 
(41 U.S.C. 10a et seq.) that were granted with respect to 
such articles, materials, or supplies, and a summary of 
total procurement funds spent on goods manufactured in 
the United States versus funds spent on goods manufactured 
outside of the United States. The Secretary of Health and 
Human Services shall make the report publicly available 
by posting the report on an Internet website. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector Gen-
eral in carrying out the provisions of the Inspector General 
Act of 1978, as amended, $39,497,000: Provided, That, of 
such amount, necessary sums are available for providing 
protective services to the Secretary and investigating non-
payment of child support cases for which non-payment is 
a Federal offense under 18 U.S.C. 228. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil Rights, 
$30,936,000, together with not to exceed $3,314,000 to be 
transferred and expended as authorized by section 201(g)(1) 
of the Social Security Act from the Hospital Insurance 
Trust Fund and the Supplemental Medical Insurance Trust 
Fund.
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POLICY RESEARCH 
For carrying out, to the extent not otherwise provided, 
research studies under section 1110 of the Social Security 
Act and title III of the Public Health Service Act, 
$23,499,000, which shall be available from amounts avail-
able under section 241 of the Public Health Service Act to 
carry out national health or human services research and 
evaluation activities: Provided, That the expenditure of any 
funds available under section 241 of the Public Health Serv-
ice Act are subject to the requirements of section 205 of this 
Act. 
RETIREMENT PAY AND MEDICAL BENEFITS FOR 
COMMISSIONED OFFICERS 
For retirement pay and medical benefits of Public 
Health Service Commissioned Officers as authorized by law, 
for payments under the Retired Serviceman’s Family Pro-
tection Plan and Survivor Benefit Plan, for medical care 
of dependents and retired personnel under the Dependents’ 
Medical Care Act (10 U.S.C. ch. 55 and 56), and for pay-
ments pursuant to section 229(b) of the Social Security Act 
(42 U.S.C. 429(b)), such amounts as may be required dur-
ing the current fiscal year. The following are definitions 
for the medical benefits of the Public Health Service Com-
missioned Officers that apply to 10 U.S.C. chapter 56, sec-
tion 1116(c). The source of funds for the monthly accrual 
payments into the Department of Defense Medicare-Eligible
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Retiree Health Care Fund shall be the Retirement Pay and 
Medical Benefits for Commissioned Officers account. For 
purposes of this Act, the term ‘‘pay of members’’ shall be 
construed to be synonymous with retirement payments to 
United States Public Health Service officers who are retired 
for age, disability, or length of service; payments to sur-
vivors of deceased officers; medical care to active duty and 
retired members and dependents and beneficiaries; and for 
payments to the Social Security Administration for mili-
tary service credits; all of which payments are provided for 
by the Retirement Pay and Medical Benefits for Commis-
sioned Officers account. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND 
For expenses necessary to support activities related to 
countering potential biological, disease and chemical threats 
to civilian populations, $1,856,040,000: Provided, That this 
amount is distributed as follows: Centers for Disease Con-
trol and Prevention, $1,116,156,000; Office of the Secretary, 
$61,820,000; Health Resources and Services Administra-
tion, $578,064,000; and $100,000,000 shall be available 
until expended for activities to ensure a year-round influ-
enza vaccine production capacity and the development and 
implementation of rapidly expandable production tech-
nologies: Provided further, That at the discretion of the Sec-
retary, these amounts may be transferred between categories 
subject to normal reprogramming procedures: Provided fur-
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ther, That employees of the Centers for Disease Control and 
Prevention or the Public Health Service, both civilian and 
Commissioned Officers, detailed to States, municipalities or 
other organizations under authority of section 214 of the 
Public Health Service Act for purposes related to homeland 
security, shall be treated as non-Federal employees for re-
porting purposes only and shall not be included within any 
personnel ceiling applicable to the Agency, Service, or the 
Department of Health and Human Services during the pe-
riod of detail or assignment. 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be 
available for not to exceed $50,000 for official reception and 
representation expenses when specifically approved by the 
Secretary. 
SEC. 202. The Secretary shall make available through 
assignment not more than 60 employees of the Public 
Health Service to assist in child survival activities and to 
work in AIDS programs through and with funds provided 
by the Agency for International Development, the United 
Nations International Children’s Emergency Fund or the 
World Health Organization. 
SEC. 203. None of the funds appropriated under this 
Act may be used to implement section 399F(b) of the Public 
Health Service Act or section 1503 of the National Insti-
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tutes of Health Revitalization Act of 1993, Public Law 103–
43. 
SEC. 204. None of the funds appropriated in this Act 
for the National Institutes of Health, the Agency for 
Healthcare Research and Quality, and the Substance Abuse 
and Mental Health Services Administration shall be used 
to pay the salary of an individual, through a grant or other 
extramural mechanism, at a rate in excess of Executive 
Level I. 
SEC. 205. None of the funds appropriated in this Act 
may be expended pursuant to section 241 of the Public 
Health Service Act, except for funds specifically provided 
for in this Act, or for other taps and assessments made by 
any office located in the Department of Health and Human 
Services, prior to the Secretary’s preparation and submis-
sion of a report to the Committee on Appropriations of the 
Senate and of the House detailing the planned uses of such 
funds. 
SEC. 206. Notwithstanding section 241(a) of the Public 
Health Service Act, such portion as the Secretary shall de-
termine, but not more than 2.2 percent, of any amounts 
appropriated for programs authorized under said Act shall 
be made available for the evaluation (directly, or by grants 
or contracts) of the implementation and effectiveness of such 
programs.
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(TRANSFER OF FUNDS) 
SEC. 207. Not to exceed 1 percent of any discretionary 
funds (pursuant to the Balanced Budget and Emergency 
Deficit Control Act of 1985, as amended) which are appro-
priated for the current fiscal year for the Department of 
Health and Human Services in this or any other Act may 
be transferred between appropriations, but no such appro-
priation shall be increased by more than 3 percent by any 
such transfer: Provided, That an appropriation may be in-
creased by up to an additional 2 percent subject to approval 
by the House and Senate Committees on Appropriations: 
Provided further, That the Appropriations Committees of 
both Houses of Congress are notified at least 15 days in 
advance of any transfer. 
SEC. 208. The Director of the National Institutes of 
Health, jointly with the Director of the Office of AIDS Re-
search, may transfer up to 3 percent among institutes, cen-
ters, and divisions from the total amounts identified by 
these two Directors as funding for research pertaining to 
the human immunodeficiency virus: Provided, That the 
Congress is promptly notified of the transfer. 
SEC. 209. Of the amounts made available in this Act 
for the National Institutes of Health, the amount for re-
search related to the human immunodeficiency virus, as 
jointly determined by the Director of the National Institutes
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of Health and the Director of the Office of AIDS Research, 
shall be made available to the ‘‘Office of AIDS Research’’ 
account. The Director of the Office of AIDS Research shall 
transfer from such account amounts necessary to carry out 
section 2353(d)(3) of the Public Health Service Act. 
SEC. 210. None of the funds appropriated in this Act 
may be made available to any entity under title X of the 
Public Health Service Act unless the applicant for the 
award certifies to the Secretary that it encourages family 
participation in the decision of minors to seek family plan-
ning services and that it provides counseling to minors on 
how to resist attempts to coerce minors into engaging in 
sexual activities. 
SEC. 211. None of the funds appropriated by this Act 
(including funds appropriated to any trust fund) may be 
used to carry out the Medicare+Choice program if the Sec-
retary denies participation in such program to an other-
wise eligible entity (including a Provider Sponsored Orga-
nization) because the entity informs the Secretary that it 
will not provide, pay for, provide coverage of, or provide 
referrals for abortions: Provided, That the Secretary shall 
make appropriate prospective adjustments to the capitation 
payment to such an entity (based on an actuarially sound 
estimate of the expected costs of providing the service to such 
entity’s enrollees): Provided further, That nothing in this
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section shall be construed to change the Medicare program’s 
coverage for such services and a Medicare+Choice organiza-
tion described in this section shall be responsible for inform-
ing enrollees where to obtain information about all Medi-
care covered services. 
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 molesta-
tion, sexual abuse, rape, or incest. 
SEC. 213. The Foreign Operations, Export Financing, 
and Related Programs Appropriations Act, 1990 (Public 
Law 101–167) is amended—
(1) in section 599D (8 U.S.C. 1157 note)—
(A) in subsection (b)(3), by striking ‘‘1997, 
1998, 1999, 2000, 2001, 2002, and 2003’’ and 
inserting ‘‘1997, 1998, 1999, 2000, 2001, 2002, 
2003, and 2004’’; and 
(B) in subsection (e), by striking ‘‘October 
1, 2003’’ each place it appears and inserting 
‘‘October 1, 2004’’; 
(C) in subsection (b)(1)—
(i) in subparagraph (A), by striking 
‘‘and’’ at the end;
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(ii) in subparagraph (B), by striking 
the period and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(C) one or more categories of aliens who are or 
were nationals and residents of the Islamic Republic 
or Iran who, as members of a religious minority in 
Iran, share common characteristics that identify them 
as targets of persecution in that state on account of 
race, religion, nationality, membership in a par-
ticular social group, or political opinion.’’; and 
(2) in section 599E (8 U.S.C. 1255 note) in sub-
section (b)(2), by striking ‘‘September 30, 2003’’ and 
inserting ‘‘September 30, 2004’’. 
SEC. 214. (a) Except as provided by subsection (e) 
none of the funds appropriated by this Act may be used 
to withhold substance abuse funding from a State pursuant 
to section 1926 of the Public Health Service Act (42 U.S.C. 
300x–26) if such State certifies to the Secretary of Health 
and Human Services by May 1, 2004 that the State will 
commit additional State funds, in accordance with sub-
section (b), to ensure compliance with State laws prohib-
iting the sale of tobacco products to individuals under 18 
years of age.
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(b) The amount of funds to be committed by a State 
under subsection (a) shall be equal to 1 percent of such 
State’s substance abuse block grant allocation for each per-
centage point by which the State misses the retailer compli-
ance rate goal established by the Secretary of Health and 
Human Services under section 1926 of such Act. 
(c) The State is to maintain State expenditures in fis-
cal year 2004 for tobacco prevention programs and for com-
pliance activities at a level that is not less than the level 
of such expenditures maintained by the State for fiscal year 
2003, and adding to that level the additional funds for to-
bacco compliance activities required under subsection (a). 
The State is to submit a report to the Secretary on all fiscal 
year 2003 State expenditures and all fiscal year 2004 obli-
gations for tobacco prevention and compliance activities by 
program activity by July 31, 2004. 
(d) The Secretary shall exercise discretion in enforcing 
the timing of the State obligation of the additional funds 
required by the certification described in subsection (a) as 
late as July 31, 2004. 
(e) None of the funds appropriated by this Act may 
be used to withhold substance abuse funding pursuant to 
section 1926 from a territory that receives less than 
$1,000,000.
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SEC. 215. In order for the Centers for Disease Control 
and Prevention to carry out international health activities, 
including HIV/AIDS and other infectious disease, chronic 
and environmental disease, and other health activities 
abroad during fiscal year 2004, the Secretary of Health and 
Human Services—
(1) may exercise authority equivalent to that 
available to the Secretary of State in section 2(c) of 
the State Department Basic Authorities Act of 1956 
(22 U.S.C. 2669(c)). The Secretary of Health and 
Human Services shall consult with the Secretary of 
State and relevant Chief of Mission to ensure that the 
authority provided in this section is exercised in a 
manner consistent with section 207 of the Foreign 
Service Act of 1980 (22 U.S.C. 3927) and other appli-
cable statutes administered by the Department of 
State, and 
(2) is authorized to provide such funds by ad-
vance or reimbursement to the Secretary of State as 
may be necessary to pay the costs of acquisition, 
lease, alteration, renovation, and management of fa-
cilities outside of the United States for the use of the 
Department of Health and Human Services. The De-
partment of State shall cooperate fully with the Sec-
retary of Health and Human Services to ensure that
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the Department of Health and Human Services has 
secure, safe, functional facilities that comply with ap-
plicable regulation governing location, setback, and 
other facilities requirements and serve the purposes 
established by this Act. The Secretary of Health and 
Human Services is authorized, in consultation with 
the Secretary of State, through grant or cooperative 
agreement, to make available to public or nonprofit 
private institutions or agencies in participating for-
eign countries, funds to acquire, lease, alter, or ren-
ovate facilities in those countries as necessary to con-
duct programs of assistance for international health 
activities, including activities relating to HIV/AIDS 
and other infectious diseases, chronic and environ-
mental diseases, and other health activities abroad. 
SEC. 216. The Division of Federal Occupational 
Health may utilize personal services contracting to employ 
professional management/administrative and occupational 
health professionals. 
SEC. 217. Notwithstanding section 409B(c) of the Pub-
lic Health Service Act regarding a limitation on the num-
ber of such grants, funds appropriated in this Act may be 
expended by the Director of the National Institutes of 
Health to award Core Center Grants to encourage the devel-
opment of innovative multidisciplinary research and pro-