998 
•AMDT. NO. 4805 
For an additional amount to carry out the activities 
listed, and in the amounts specified, under the heading 
‘‘Prevention and Public Health Fund’’ in the explanatory 
statement described in section 4 (in the matter preceding 
division A of this consolidated Act), $88,000,000, to be 
derived by transfer from funds appropriated under section 
4002 of the Patient Protection and Affordable Care Act: 
Provided, That such funds shall not be available for fur-
ther transfer under authority granted in this or any other 
Act: Provided further, That the amounts shall be trans-
ferred within 45 days of enactment of this Act. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out titles III and IX of the Public 
Health Service Act (‘‘PHS Act’’), part A of title XI of 
the Social Security Act, and section 1013 of the Medicare 
Prescription Drug, Improvement, and Modernization Act 
of 2003, 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 947(c) of the 
PHS Act shall not exceed $403,700,000. 
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•AMDT. NO. 4805 
For an additional amount to carry out the activities 
listed, and in the amounts specified, under the heading 
‘‘Prevention and Public Health Fund’’ in the explanatory 
statement described in section 4 (in the matter preceding 
division A of this consolidated Act), $12,000,000, to be 
derived by transfer from funds appropriated under section 
4002 of the Patient Protection and Affordable Care Act: 
Provided, That such funds shall not be available for fur-
ther transfer under authority granted in this or any other 
Act: Provided further, That the amounts shall be trans-
ferred within 45 days of enactment of this Act. 
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, $173,143,799,000, 
to remain available until expended. 
For making, after May 31, 2011, payments to States 
or in the case of section 1928 on behalf of States under 
title XIX of the Social Security Act for the last quarter 
of fiscal year 2011 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 2012, 
$86,445,289,000, to remain available until expended. 
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•AMDT. NO. 4805 
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 HEALTHCARE TRUST FUNDS 
For payment to the Federal Hospital Insurance 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as provided under sections 217(g), 
1844, and 1860D–16 of the Social Security Act, sections 
103(c) and 111(d) of the Social Security Amendments of 
1965, section 278(d) of Public Law 97–248, and for ad-
ministrative expenses incurred pursuant to section 201(g) 
of the Social Security Act, $229,624,000,000. 
In addition, for making matching payments under 
section 1844, and benefit payments under section 1860D– 
16 of the Social Security Act, not anticipated in budget 
estimates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the Public Health Service Act (‘‘PHS 
Act’’), the Clinical Laboratory Improvement Amendments 
of 1988, the Patient Protection and Affordable Care Act, 
and the Health Care and Education Reconciliation Act of 
2010, not to exceed $3,646,147,000, to be transferred 
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1001 
•AMDT. NO. 4805 
from the Federal Hospital Insurance Trust Fund and the 
Federal Supplementary Medical Insurance Trust Fund, as 
authorized by section 201(g) of the Social Security Act; 
together with all funds collected in accordance with section 
353 of the PHS Act and section 1857(e)(2) of the Social 
Security Act, funds retained by the Secretary of Health 
and Human Services pursuant to section 302 of the Tax 
Relief and Health Care Act of 2006; and such sums as 
may be collected from authorized user fees and the sale 
of data, which shall be credited to this account and remain 
available until expended: Provided, That all funds derived 
in accordance with 31 U.S.C. 9701 from organizations es-
tablished under title XIII of the PHS Act shall be credited 
to and available for carrying out the purposes of this ap-
propriation: Provided further, That $37,687,000, to re-
main available through September 30, 2012, shall be for 
contract costs for the Healthcare Integrated General 
Ledger Accounting System: Provided further, That 
$9,120,000, to remain available through September 30, 
2012, shall be for the Centers for Medicare and Medicaid 
Services (‘‘CMS’’) Medicare contracting reform activities: 
Provided further, That $50,000,000 shall be available for 
the State high risk health insurance pool program as au-
thorized by the State High Risk Pool Funding Extension 
Act of 2006: Provided further, That the Secretary is di-
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•AMDT. NO. 4805 
rected to collect fees in fiscal year 2011 from Medicare 
Advantage organizations pursuant to section 1857(e)(2) 
of the Social Security Act and from eligible organizations 
with risk-sharing contracts under section 1876 of that Act 
pursuant to section 1876(k)(4)(D) of that Act: Provided 
further, That $4,415,000 shall be used for the projects, 
and in the amounts, specified under the heading ‘‘Pro-
gram Management’’ in the explanatory statement de-
scribed in section 4 (in the matter preceding division A 
of this consolidated Act). 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $471,000,000, 
to remain available through September 30, 2012, to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund, as authorized by section 201(g) of the Social 
Security Act, of which $280,640,000 shall be for the Medi-
care Integrity Program at the Centers for Medicare and 
Medicaid Services, including administrative costs, to con-
duct oversight activities for Medicare Advantage and the 
Medicare Prescription Drug Program authorized in title 
XVIII of the Social Security Act and for activities listed 
in section 1893 of such Act; of which $79,657,000 shall 
be for the Department of Health and Human Services Of-
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•AMDT. NO. 4805 
fice of Inspector General to carry out fraud and abuse ac-
tivities authorized by section 1817(k)(3) of such Act; of 
which $35,100,000 shall be for the Medicaid and Chil-
dren’s Health Insurance Program (‘‘CHIP’’) program in-
tegrity activities; and of which $75,603,000 shall be for 
the Department of Justice to carry out fraud and abuse 
activities authorized by section 1817(k)(3) of such Act: 
Provided, That the report required by section 1817(k)(5) 
of the Social Security Act for fiscal year 2011 shall include 
measures of the operational efficiency and impact on 
fraud, waste, and abuse in the Medicare, Medicaid, and 
CHIP programs for the funds provided by this appropria-
tion. 
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, 
$2,482,814,000, to remain available until expended; and 
for such purposes for the first quarter of fiscal year 2012, 
$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-
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1004 
•AMDT. NO. 4805 
fective date of the program of Temporary Assistance for 
Needy Families 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 appropria-
tion and under such title IV–A as amended by the Per-
sonal Responsibility 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 
titles I, IV–D, X, XI, XIV, and XVI of the Social Security 
Act and the Act of July 5, 1960, 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 subsections (b), (d), and 
(e) of section 2602 of the Low Income Home Energy As-
sistance 
Act 
of 
1981, 
$5,000,000,000, 
of 
which 
$4,509,672,000 shall be for payments under subsections 
(b) and (d) of such section; and of which $490,328,000 
shall be for payments under subsection (e) of such section, 
to be made notwithstanding the designation requirements 
of such subsection: Provided, That all but $839,792,000 
of the amount provided in this Act for subsections (b) and 
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•AMDT. NO. 4805 
(d) shall be allocated as though the total appropriation 
for such payments for fiscal year 2011 was less than 
$1,975,000,000: Provided further, That notwithstanding 
section 2605(b)(2)(B)(ii) of such Act, a State may use any 
amount of an allotment from prior appropriations Acts 
that is available to that State for providing assistance in 
fiscal year 2011, and any allotment from funds appro-
priated in this Act or any other appropriations Act for 
fiscal year 2011, to provide assistance to households whose 
income does not exceed 75 percent of the State median 
income: Provided further, That notwithstanding section 
2609(A)(a), of the amounts appropriated under section 
2602(b), not more than $5,000,000 of such amounts may 
be reserved by the Secretary of Health and Human Serv-
ices for technical assistance, training, and monitoring of 
program activities for compliance with internal controls, 
policies, and procedures. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant as-
sistance activities authorized by section 414 of the Immi-
gration and Nationality Act and section 501 of the Ref-
ugee Education Assistance Act of 1980, for carrying out 
section 462 of the Homeland Security Act of 2002, section 
235 of the William Wilberforce Trafficking Victims Pro-
tection Reauthorization Act of 2008, and the Trafficking 
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•AMDT. NO. 4805 
Victims Protection Act of 2000, for costs associated with 
the care and placement of unaccompanied alien children, 
and for carrying out the Torture Victims Relief Act of 
1998, $767,102,000, of which up to $10,814,000 shall be 
available to carry out the Trafficking Victims Protection 
Act of 2000: Provided, That funds appropriated under this 
heading pursuant to section 414(a) of the Immigration 
and Nationality Act, section 462 of the Homeland Secu-
rity Act of 2002, section 235 of the William Wilberforce 
Trafficking Victims Protection Reauthorization Act of 
2008, and the Trafficking Victims Protection Act of 2000 
for fiscal year 2011 shall be available for the costs of as-
sistance provided and other activities to remain available 
through September 30, 2013: Provided further, That 
amounts available herein for refugee school impact grants 
under title IV of the Immigration and Nationality Act 
shall also be available for grants by the Secretary of 
Health and Human Services to States for the purpose of 
assisting school districts serving significant numbers of 
children who entered the United States from Haiti during 
the period January 12, 2010 through May 31, 2010 and 
who are United States citizens or Haitian nationals, to 
meet the educational and related needs of such children. 
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•AMDT. NO. 4805 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block Grant Act of 1990, $2,808,080,000 shall be used 
to supplement, not supplant State general revenue funds 
for child care assistance for low-income families: Provided, 
That $23,224,000 shall be available for child care resource 
and referral and school-aged child care activities, of which 
$1,000,000 shall be for the Child Care Aware toll-free hot-
line: Provided further, That, in addition to the amounts 
required to be reserved by the States under section 658G, 
$358,292,000 shall be reserved by the States for activities 
authorized under section 658G, of which $131,400,000 
shall be for activities that improve the quality of infant 
and toddler care: Provided further, That $9,910,000 shall 
be for use by the Secretary of Health and Human Services 
for child care research, demonstration, and evaluation ac-
tivities. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 
2002 of the Social Security Act, $1,700,000,000: Pro-
vided, That notwithstanding subparagraph (B) of section 
404(d)(2) of such Act, the applicable percent specified 
under such subparagraph for a State to carry out State 
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•AMDT. NO. 4805 
programs pursuant to title XX of such Act shall be 10 
percent. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Developmental 
Disabilities Assistance and Bill of Rights Act, the Head 
Start Act, the Child Abuse Prevention and Treatment Act, 
sections 310 and 316 of the Family Violence Prevention 
and Services Act, the Native American Programs Act of 
1974, title II of the Child Abuse Prevention and Treat-
ment and Adoption Reform Act of 1978 (adoption oppor-
tunities), the Abandoned Infants Assistance Act of 1988, 
sections 261 and 291 of the Help America Vote Act of 
2002, part B–1 of title IV and sections 413, 1110, and 
1115 of the Social Security Act; for making payments 
under the Community Services Block Grant Act (‘‘CSBG 
Act’’), sections 439(i), 473B, and 477(i) of the Social Se-
curity Act, and the Assets for Independence Act; and for 
necessary administrative expenses to carry out such Acts 
and titles I, IV, V, X, XI, XIV, XVI, and XX of the Social 
Security Act, the Act of July 5, 1960, the Low Income 
Home Energy Assistance Act of 1981, title IV of the Im-
migration and Nationality Act, section 501 of the Refugee 
Education Assistance Act of 1980, and section 505 of the 
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•AMDT. NO. 4805 
Family Support Act of 1988, $10,301,491,000, of which 
$42,000,000, to remain available through September 30, 
2012, shall be for grants to States for adoption incentive 
payments, as authorized by section 473A of the Social Se-
curity Act and may be made for adoptions completed be-
fore September 30, 2011: Provided, That $8,074,783,000 
shall be for making payments under the Head Start Act: 
Provided further, That for purposes of allocating funds de-
scribed by the immediately preceding proviso, the following 
provisions shall apply: (1) the term ‘‘base grant’’ as used 
in section 640(a)(7)(A) of such Act with respect to fund-
ing provided to a Head Start agency (including Early 
Head Start) for fiscal year 2010 shall be deemed to in-
clude funds appropriated in the American Recovery and 
Reinvestment Act of 2009 (‘‘ARRA’’) and provided to 
such agency for carrying out expansion of Head Start pro-
grams, as that phrase is used in subsection (a)(4)(D) of 
such section 640, and provided to such agency as the on-
going funding level for operations in the 12 month budget 
period beginning in fiscal year 2010; (2) in subparagraph 
(C) of subsection (a)(2) of such section, the phrase ‘‘not 
less than 2.5 percent’’ shall be deemed to read ‘‘not less 
than 2.661 percent’’; (3) the amount reserved under sub-
paragraph (C) of subsection (a)(2) of such section shall 
be less than the amount that would be reserved under such 
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•AMDT. NO. 4805 
subparagraph absent this proviso by a sum of $5,131,935; 
(4) the amount reserved under subparagraph (E) of sub-
section (a)(2) of such section shall be more than the 
amount that would be reserved under such subparagraph 
absent this proviso by a sum of $15,000,000; (5) of all 
amounts reserved under subparagraph (E) of subsection 
(a)(2) of such section, the Secretary of Health and Human 
Services shall use an amount of not less than $15,000,000 
for the purpose of reducing fraud and abuse in the Head 
Start (including Early Head Start) program; (6) sub-
section (a)(3) of such section shall be deemed to read as 
follows: ‘‘From any amount remaining for a fiscal year 
after the Secretary carries out paragraph (2), the Sec-
retary shall provide $10,000,000 for Indian Head Start 
programs (including Early Head Start programs), and 
$10,000,000 for migrant and seasonal Head Start pro-
grams, to increase enrollment in the programs involved’’; 
and (7) the text of paragraph (4)(B)(i) of such section 
shall be deemed to read as follows: ‘‘Under the cir-
cumstances described in clause (ii), from the balance, the 
Secretary shall reserve remaining amounts, to be allotted 
to each Head Start agency (including Early Head Start) 
in an amount that bears the same ratio to such remaining 
amounts as the funds appropriated in ARRA and provided 
to such agency for carrying out quality improvement ac-
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•AMDT. NO. 4805 
tivities of Head Start programs, as that phrase is used 
in paragraph (5) of this subsection (which funds shall be 
referred to in this proviso as such agency’s ‘ARRA quality 
improvement funds’) bear to the total of all such agencies’ 
ARRA quality improvement funds, to carry out such qual-
ity improvement activities’’: Provided further, That 
$850,000,000 shall be for making payments under the 
CSBG Act, of which $55,000,000 shall be for section 
680(a)(2) of the CSBG Act: Provided further, That not 
less than $10,000,000 shall be for section 680(a)(3)(B) 
of the CSBG Act: Provided further, That in addition to 
amounts provided herein, $5,762,000 shall be available 
from amounts available under section 241 of the 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 
distributed as grant funds by a State to an eligible entity 
as provided under the CSBG Act, and have not been ex-
pended by such entity, they shall remain with such entity 
for carryover into the next fiscal year for expenditure by 
such entity consistent with program purposes: Provided 
further, That the Secretary of Health and Human Services 
shall establish procedures regarding the disposition of in-
tangible assets and program income that permit such as-
sets acquired with, and program income derived from, 
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•AMDT. NO. 4805 
grant funds authorized under section 680 of the CSBG 
Act to become the sole property of such grantees after a 
period of not more than 12 years after the end of the 
grant period for any activity consistent with section 
680(a)(2)(A) of the CSBG Act: Provided further, That in-
tangible assets in the form of loans, equity investments 
and other debt instruments, and program income may be 
used by grantees for any eligible purpose consistent with 
section 680(a)(2)(A) of the CSBG Act: Provided further, 
That these procedures shall apply to such grant funds 
made available after November 29, 1999: Provided further, 
That funds appropriated for section 680(a)(2) of the 
CSBG Act shall be available for financing construction 
and rehabilitation and loans or investments in private 
business enterprises owned by community development 
corporations: Provided further, That $17,410,000 shall be 
for activities authorized by the Help America Vote Act of 
2002, of which $12,154,000 shall be for payments to 
States to promote access for voters with disabilities, and 
of which $5,256,000 shall be for payments to States for 
protection and advocacy systems for voters with disabil-
ities: Provided further, That $2,000,000 shall be for a 
human services case management system for federally de-
clared disasters, to include a comprehensive national case 
management contract and Federal costs of administering 
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•AMDT. NO. 4805 
the system: Provided further, That up to $2,000,000 shall 
be for improving the Public Assistance Reporting Informa-
tion System, including grants to States to support data 
collection for a study of the system’s effectiveness: Pro-
vided further, That of the funds appropriated under this 
heading, $1,500,000 shall be transferred to the National 
Commission on Children and Disasters to carry out title 
VI of division G of Public Law 110–161, and notwith-
standing section 611(d)(1) of such title, the National 
Commission on Children and Disasters shall terminate on 
October 1, 2011: Provided further, That $22,627,000 shall 
be used for the projects, and in the amounts, as specified 
in the explanatory statement described in section 4 (in the 
matter preceding division A of this consolidated Act). 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out section 436 of the Social Security 
Act, $365,000,000 and section 437 of such Act, 
$63,311,000. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For making payments to States or other non-Federal 
entities under title IV–E of the Social Security Act, 
$5,366,000,000. 
For making payments to States or other non-Federal 
entities under title IV–E of the Social Security Act, for 
the first quarter of fiscal year 2012, $1,850,000,000. 
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•AMDT. NO. 4805 
For making, after May 31 of the current fiscal year, 
payments to States or other non-Federal entities under 
section 474 of title IV–E of the Social Security Act, for 
the last 3 months of the current fiscal year for unantici-
pated costs, incurred for the current fiscal year, such sums 
as may be necessary. 
ADMINISTRATION ON AGING 
AGING SERVICES PROGRAMS 
For carrying out, to the extent not otherwise pro-
vided, the Older Americans Act of 1965 (‘‘OAA’’), section 
398 and title XXIX of the Public Health Service Act 
(‘‘PHS Act’’), and section 119 of the Medicare Improve-
ments for Patients and Providers Act of 2008 and for nec-
essary administrative expenses to carry out title XVII of 
the PHS Act, $1,633,078,000: Provided, That $3,500,000 
shall be used for the projects, and in the amounts, as spec-
ified in the explanatory statement described in section 4 
(in the matter preceding division A of this consolidated 
Act): Provided further, That amounts under this heading 
shall be available for grants to States under section 361 
of the OAA only for disease prevention and health pro-
motion programs and activities which have been dem-
onstrated to the satisfaction of the Secretary of Health 
and Human Services to be evidence-based and effective: 
Provided further, That the total amount available for fiscal 
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•AMDT. NO. 4805 
year 2011 under this and any other Act, to carry out ac-
tivities relating to Aging and Disability Resource Centers 
under subsections (a)(20)(B)(iii) and (b)(8) of section 202 
of the OAA, shall not exceed the amount obligated for 
such purposes for fiscal year 2010 from funds available 
under Public Law 111–117. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses, not otherwise provided, for 
general departmental management, including hire of six 
sedans, and for carrying out titles III, IV, XVII, XX, XXI, 
and XXVII of the Public Health Service Act (‘‘PHS 
Act’’), the United States-Mexico Border Health Commis-
sion Act, and research studies under section 1110 of the 
Social Security Act, $574,149,000; of which $53,891,000 
shall be for minority AIDS prevention and treatment ac-
tivities: Provided, That in addition to amounts provided 
herein, $65,211,000 shall be available from amounts avail-
able under section 241 of the PHS Act to carry out na-
tional health or human services research and evaluation 
activities, of which $4,455,000 shall be available to carry 
out evaluations (including longitudinal evaluations) of 
teenage pregnancy prevention approaches: Provided fur-
ther, That none of the funds made available under this 
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•AMDT. NO. 4805 
heading shall be available for carrying out activities speci-
fied under section 2003(b)(2) or (3) of title XX of the 
PHS Act: Provided further, That of the funds made avail-
able under this heading, $110,000,000 shall be for making 
competitive contracts and grants to public and private en-
tities to fund medically accurate and age appropriate pro-
grams that reduce teen pregnancy and for the Federal 
costs associated with administering and evaluating such 
contracts and grants, of which not less than $75,000,000 
shall be for replicating programs that have been proven 
effective through rigorous evaluation to reduce teenage 
pregnancy, behavioral risk factors underlying teenage 
pregnancy, or other associated risk factors, of which not 
less than $25,000,000 shall be available for research and 
demonstration grants to develop, replicate, refine, and test 
additional models and innovative strategies for preventing 
teenage pregnancy, and of which any remaining amounts 
shall be available for training and technical assistance, 
evaluation, outreach, and additional program support ac-
tivities: Provided further, That of the funds made available 
under this heading, $7,000,000 shall be available only to 
increase the Department’s acquisition workforce capacity 
and capabilities, and may be transferred by the Secretary 
of Health and Human Services for that purpose to any 
other account in the Department (in addition to any other 
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1017 
•AMDT. NO. 4805 
transfer authority provided in this Act): Provided further, 
That funds available under the previous proviso shall be 
used only to supplement and not to supplant existing ac-
quisition workforce activities and may be used for train-
ing, recruitment, retention, and hiring additional members 
of the acquisition workforce (as defined by the Office of 
Federal Procurement Policy Act), for information tech-
nology in support of acquisition workforce effectiveness, 
or for activities to improve acquisition management: Pro-
vided further, That $3,165,000 shall be used for the 
projects, and in the amounts, specified in the explanatory 
statement described in section 4 (in the matter preceding 
division A of this consolidated Act). 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for administrative law judges 
responsible for hearing cases under title XVIII of the So-
cial Security Act (and related provisions of title XI of such 
Act), $77,798,000, to be transferred in appropriate part 
from the Federal Hospital Insurance Trust Fund and the 
Federal Supplementary Medical Insurance Trust Fund. 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
For expenses necessary for the Office of the National 
Coordinator for Health Information Technology, including 
grants, contracts, and cooperative agreements for the de-
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1018 
•AMDT. NO. 4805 
velopment and advancement of interoperable health infor-
mation technology, $38,734,000: Provided, That in addi-
tion to amounts provided herein, $31,108,000 shall be 
available from amounts available under section 241 of the 
Public Health Service Act. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector 
General, including the hire of passenger motor vehicles for 
investigations, in carrying out the provisions of the Inspec-
tor General Act of 1978, $60,754,000: Provided, That of 
such amount, necessary sums shall be available for pro-
viding protective services to the Secretary of Health and 
Human Services and investigating non-payment of child 
support cases for which non-payment is a Federal offense 
under 18 U.S.C. 228: Provided further, That at least 40 
percent of the funds provided in this Act for the Office 
of Inspector General shall be used only for investigations, 
audits, and evaluations pertaining to the discretionary 
programs funded in this Act. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, $44,382,000. 
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•AMDT. NO. 4805 
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, and for med-
ical care of dependents and retired personnel under the 
Dependents’ Medical Care Act, such amounts as may be 
required during the current fiscal year. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY 
FUND 
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary to support activities related 
to countering potential biological, nuclear, radiological, 
chemical, and cybersecurity threats to civilian populations, 
and for other public health emergencies, $595,578,000; of 
which $33,065,000 shall be to support preparedness and 
emergency operations; of which $5,000,000, to support ex-
penses due to response efforts, shall remain available until 
expended; and of which $10,000,000, to remain available 
through September 30, 2012, shall be to support the deliv-
ery of medical countermeasures: Provided, That of the 
amount made available herein for the delivery of medical 
countermeasures, up to $8,000,000 may be transferred to 
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1020 
•AMDT. NO. 4805 
the U.S. Postal Service to support delivery of medical 
countermeasures. 
From funds transferred to this account pursuant to 
the fourth paragraph under this heading in Public Law 
111–117, up to $476,194,000 shall be available for ex-
penses necessary to support advanced research and devel-
opment pursuant to section 319L of the Public Health 
Service Act, and other administrative expenses of the Bio-
medical Advanced Research and Development Authority. 
For expenses necessary to prepare for and respond 
to an influenza pandemic, $65,000,000. 
For expenses necessary for fit-out and other costs re-
lated to a competitive lease procurement to renovate or 
replace the existing headquarters building for Public 
Health Service agencies and other components of the De-
partment of Health and Human Services, $35,000,000, to 
remain available until expended. 
From funds provided under this heading in Public 
Laws 111–8 and 111–117 and available for expenses nec-
essary to prepare for and respond to an influenza pan-
demic, $170,000,000 may also be used (1) to plan, con-
duct, and support research to advance regulatory science 
to improve the ability to determine safety, effectiveness, 
quality, and performance of medical countermeasure prod-
ucts against chemical, biological, radiological, and nuclear 
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1021 
•AMDT. NO. 4805 
agents including influenza virus, and (2) to analyze, con-
duct, and improve regulatory review and compliance proc-
esses for such products. 
From funds provided without fiscal year limitation 
under this heading in Public Law 111–32, $1,259,000,000 
are rescinded, to be derived only from those amounts 
which have not yet been designated by the President as 
emergency funds. 
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 of Health and Human Services. 
SEC. 202. The Secretary of Health and Human Serv-
ices 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 Inter-
national Development, the United Nations International 
Children’s Emergency Fund or the World Health Organi-
zation. 
SEC. 203. 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 
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•AMDT. NO. 4805 
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. 204. 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 preparation and submission 
of a report by the Secretary of Health and Human Serv-
ices to the Committees on Appropriations of the House 
of Representatives and the Senate detailing the planned 
uses of such funds. 
SEC. 205. Notwithstanding section 241(a) of the 
Public Health Service Act, such portion as the Secretary 
of Health and Human Services shall determine, but not 
more than 2.5 percent, of any amounts appropriated for 
programs authorized under such Act shall be made avail-
able for the evaluation (directly, or by grants or contracts) 
of the implementation and effectiveness of such programs. 
(TRANSFER OF FUNDS) 
SEC. 206. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985) which are appro-
priated for the current fiscal year for the Department of 
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1023 
•AMDT. NO. 4805 
Health and Human Services in this Act may be trans-
ferred between appropriations, but no such appropriation 
shall be increased by more than 3 percent by any such 
transfer: Provided, That with respect to appropriations in 
this Act for ‘‘Health Resources and Services’’, ‘‘Disease 
Control, Research, and Training’’, and ‘‘Substance Abuse 
and Mental Health Services’’, no transfer of funds under 
this section may decrease any individual program, project, 
or activity by more than 1 percent or increase any pro-
gram, project, or activity by more than 3 percent: Provided 
further, That the transfer authority granted by this section 
shall not be used to create any new program or to fund 
any project or activity for which no funds are provided 
in this Act: Provided further, That the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate shall be notified not less than 15 days in advance of 
any transfer under this section, with such notification to 
include an explanation of the effects of the proposed trans-
fer by program, project, and activity. 
(TRANSFER OF FUNDS) 
SEC. 207. 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 
and centers from the total amounts identified by these two 
Directors as funding for research pertaining to the human 
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