IB
103D CONGRESS
1ST SESSION
H. R. 2518
IN THE HOUSE OF REPRESENTATIVES
SEPTEMBER 29, 1993
Ordered to be printed with the amendments of the Senate numbered
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, 1994,
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, 1994, and for other purposes, namely:
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TITLE I—DEPARTMENT OF LABOR
EMPLOYMENT AND TRAINING ADMINISTRATION
PROGRAM ADMINISTRATION
For expenses of administering employment and train-
ing programs and for carrying out section 908 of the So-
cial Security Act, $92,406,000, together with not to ex-
ceed $46,655,000, which may be expended from the Em-
ployment Security Administration account in the Unem-
ployment Trust Fund.
TRAINING AND EMPLOYMENT SERVICES
For expenses necessary to carry into effect the Job
Training Partnership Act, as amended, including the pur-
chase and hire of passenger motor vehicles, the construc-
tion, alteration, and repair of buildings and other facili-
ties, and the purchase of real property for training centers
as authorized by the Job Training Partnership Act,
Ω1æ$4,943,181,000 $4,588,536,000 plus reimbursements,
to be available for obligation for the period July 1, 1994,
through June 30, 1995, of which Ω2æ$61,871,000
$65,000,000 shall be for carrying out section 401,
Ω3æ$78,303,000 $88,000,000 shall be for carrying out sec-
tion 402, $8,957,000 shall be for carrying out section 441,
$1,473,000 shall be for the National Commission for Em-
ployment Policy, Ω4æ$5,357,000 $5,800,000 shall be for
all activities conducted by and through the National Occu-
pational Information Coordinating Committee under the
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Job Training Partnership Act, and Ω5æ$3,831,000
$3,861,000 shall be for service delivery areas under section
101(a)(4)(A)(iii) of the Job Training Partnership Act in
addition to amounts otherwise provided under sections
202, 252 and 262 of the Act; and, in addition,
$126,556,000 is appropriated for necessary expenses of
construction, rehabilitation, and acquisition of Job Corps
centers, including $20,000,000 for new centers, as author-
ized by the Job Training Partnership Act, in addition to
amounts otherwise provided herein for the Job Corps, to
be available for obligation for the period July 1, 1994
through June 30, 1997; and, in addition, Ω6æ$178,000,000
is appropriated for carrying out part B of title II of the
Job Training Partnership Act to be available for obligation
for the period October 1, 1993 through June 30, 1994; and,
in addition, $50,000,000 is appropriated for carrying out
part D of title IV of the Job Training Partnership Act to
be available for obligation for the period October 1, 1993
through June 30, 1995; and, in addition, $744,000 is ap-
propriated for the Glass Ceiling Commission authorized
by title II of the Civil Rights Act of 1991; and, in addition,
Ω7æ$744,000 $1,500,000 is appropriated for the National
Center for the Workplace authorized by title XV, part A,
of Public Law 102–325; and, in addition, $12,537,000 is
appropriated for activities authorized by title VII, subtitle
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C of the Stewart B. McKinney Homeless Assistance Act
Ω8æand, in addition, $750,000 is appropriated for the
Women in Apprenticeship and Nontraditional Occupations
Act (Public Law 102–530): Provided, That no funds from
any other appropriation shall be used to provide meal serv-
ices at or for Job Corps centersΩ9æ:–Provided further,
That $300,000,000 for carrying out part B of title II of
the Job Training Partnership Act shall be available for
obligation for the period October 1, 1993 through June
30, 1994: Provided further, That appropriations in this
paragraph are available to carry out the Women in Ap-
prenticeship and Nontraditional Occupations Act (Public
Law 102–530) for the period beginning October 1, 1993.
COMMUNITY SERVICE EMPLOYMENT FOR OLDER
AMERICANS
To carry out the activities for national grants or con-
tracts with public agencies and public or private nonprofit
organizations under paragraph (1)(A) of section 506(a)
of title V of the Older Americans Act of 1965, as amended,
$320,190,000.
To carry out the activities for grants to States under
paragraph (3) of section 506(a) of title V of the Older
Americans Act of 1965, as amended, $90,310,000.
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES
For payments during the current fiscal year of bene-
fits and payments as authorized by title II of Public Law
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95–250, as amended, and of trade adjustment benefit pay-
ments and allowances under part I, and for training, for
allowances for job search and relocation, and for related
State administrative expenses under part II, subchapter
B, chapter 2, title II of the Trade Act of 1974, as amend-
ed, $190,000,000 together with such amounts as may be
necessary to be charged to the subsequent appropriation
for payments for any period subsequent to September 15
of the current year: Provided, That amounts received or
recovered pursuant to section 208(e) of Public Law 95–
250 shall be available for payments.
STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT
SERVICE OPERATIONS
For activities authorized by the Act of June 6, 1933,
as 
amended 
(29 
U.S.C. 
49–49l–1; 
U.S.C.
3202(a)(1)(E)); title III of the Social Security Act, as
amended (42 U.S.C. 502–504); necessary administrative
expenses for carrying out 5 U.S.C. 8501–8523, and sec-
tions 225, 231–235 and 243–244, title II of the Trade
Act of 1974, as amended; as authorized by section 7c of
the Act of June 6, 1933, as amended, necessary adminis-
trative 
expenses 
under 
sections 
101(a)(15)(H),
212(a)(5)(A), (m) (2) and (3), (n)(1), and 218(g) (1), (2),
and (3), and 258(c) of the Immigration and Nationality
Act, as amended (8 U.S.C. 1101 et seq.); necessary ad-
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ministrative expenses to carry out the Targeted Jobs Tax
Credit Program under section 51 of the Internal Revenue
Code of 1986, and section 221(a) of the Immigration Act
of 1990, Ω10æ$69,542,000 $77,042,000 together with not
to exceed Ω11æ$3,327,707,000 $3,338,389,000 (including
not to exceed $2,098,000 which may be used for amortiza-
tion payments to States which had independent retirement
plans in their State employment service agencies prior to
1980, and including not to exceed $1,000,000 which may
be obligated in contracts with non-State entities for activi-
ties such as occupational and test research activities which
benefit the Federal-State Employment Service System),
which may be expended from the Employment Security
Administration account in the Unemployment Trust
Fund, and of which the sums available in the allocation
for activities authorized by title III of the Social Security
Act, as amended (42 U.S.C. 502–504), and the sums
available in the allocation for necessary administrative ex-
penses for carrying out 5 U.S.C. 8501–8523, shall be
available for obligation by the States through December
31, 1994, except that funds used for automation acquisi-
tions shall be available for obligation by States through
September 30, 1996; and of which Ω12æ$67,486,000
$74,986,000 together with not to exceed $807,870,000 of
the amount which may be expended from said trust fund
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shall be available for obligation for the period July 1,
1994, through June 30, 1995, to fund activities under the
Act of June 6, 1933, as amended, including the cost of
penalty mail made available to States in lieu of allotments
for such purpose, and of which $347,272,000 shall be
available only to the extent necessary for additional State
allocations to administer unemployment compensation
laws to finance increases in the number of unemployment
insurance claims filed and claims paid or changes in a
State law: Provided, That to the extent that the Average
Weekly Insured Unemployment (AWIU) for fiscal year
1994 is projected by the Department of Labor to exceed
Ω13æ3.28 3.427 million, an additional $27,000,000 shall
be available for obligation for every 100,000 increase in
the AWIU level (including a pro rata amount for any in-
crement less than 100,000) from the Employment Secu-
rity Administration Account of the Unemployment Trust
Fund.
ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND
OTHER FUNDS
For repayable advances to the Unemployment Trust
Fund as authorized by sections 905(d) and 1203 of the
Social Security Act, as amended, and to the Black Lung
Disability Trust Fund as authorized by section 9501(c)(1)
of the Internal Revenue Code of 1954, as amended; and
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for nonrepayable advances to the Unemployment Trust
Fund as authorized by section 8509 of title 5, United
States Code, and section 104(d) of Public Law 102–164,
and section 5 of Public Law 103–6, and to the ‘‘Federal
unemployment benefits and allowances’’ account, to re-
main available until September 30, 1995, $2,556,000,000.
In addition, for making repayable advances to the
Black Lung Disability Trust Fund in the current fiscal
year after September 15, 1994, for costs incurred by the
Black Lung Disability Trust Fund in the current fiscal
year, such sums as may be necessary.
LABOR-MANAGEMENT STANDARDS
SALARIES AND EXPENSES
For necessary expenses for Labor-Management
Standards, $27,309,000.
PENSION AND WELFARE BENEFITS ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for Pension and Welfare Ben-
efits Administration, Ω14æ$64,408,000 $64,058,000.
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
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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, 1994, for such Corporation: Pro-
vided, That not to exceed $34,194,000 shall be available
for administrative expenses of the Corporation: Provided
further, That expenses of such Corporation in connection
with the termination of pension plans, for the acquisition,
protection or management, and investment of trust assets,
and for benefits administration services shall be consid-
ered as non-administrative expenses for the purposes here-
of, and excluded from the above limitation.
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, $237,176,000 together with
$989,000 which may be expended from the Special Fund
in accordance with sections 39(c) and 44(j) of the
Longshore and Harbor Workers’ Compensation ActΩ15æ:
Provided, That, notwithstanding 31 U.S.C. 3302, or any
provision of Public Law 102–170, Public Law 102–394,
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this Act, or any subsequent Appropriations Act, the Sec-
retary of Labor is authorized to accept, retain and spend
in the name of the Department of Labor all sums of money
ordered to be paid to the Secretary of Labor, in accordance
with the terms of the Consent Judgment in Civil Action
No. 91–0027 of the United States District Court for the Dis-
trict of the Northern Mariana Islands (May 21, 1992)
SEC. 
100. 
CONGRESSIONAL
COVERAGE
UNDER
HEALTH CARE LEGISLATION.—
(a) FINDINGS.—Congress finds:
(1) Congress is expected to consider health care
reform legislation in the near future that would offer
a standard benefit package with several different op-
tions for the delivery of those benefits.
(2) The standard benefits offered under all plans
will be the same. Quality standards will apply to all
plans.
(3) Consumers will have the ability to choose a
plan on an annual basis, and will have access to full
information about all plans so that they may make
their choice based on the quality of plans and
consumer satisfaction of plans.
(4) Members of Congress should be treated the
same and afforded the same choices as every Amer-
ican in the health care system.
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(b) SENSE OF THE CONGRESS.—It is the sense of the
Congress that any legislation appproved by Congress should
provide health care plans of comparable high quality and
that Members of Congress participate on an equal basis
with all other Americans in the health care system that re-
sults from health care reform legislation.
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 head ‘‘Civilian War Bene-
fits’’ in the Federal Security Agency Appropriation Act,
1947; the Employees’ Compensation Commission Appro-
priation Act, 1944; and sections 4(c) and 5(f) of the War
Claims Act of 1948 (50 U.S.C. App. 2012); and 50 per
centum of the additional compensation and benefits re-
quired by section 10(h) of the Longshore and Harbor
Workers’ Compensation Act, as amended, $279,000,000
together with such amounts as may be necessary to be
charged to the subsequent year appropriation for the pay-
ment of compensation and other benefits for any period
subsequent to August 15 of the current year: Provided,
That such sums as are necessary may be used for a dem-
onstration project under section 8104 of title 5, United
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States Code, in which the Secretary may reimburse an em-
ployer, who is not the employer at the time of injury, for
portions of the salary of a reemployed, disabled bene-
ficiary: Provided further, That balances of reimbursements
from Federal Government agencies unobligated on Sep-
tember 30, 1993, shall remain available until expended for
the payment of compensation, benefits, and expenses: Pro-
vided further, That in addition there shall be transferred
from the Postal Service fund to this appropriation such
sums as the Secretary of Labor determines to be the cost
of administration for Postal Service employees through
September 30, 1994: Provided further, That the Secretary
may require that any person filing a notice of injury or
a claim for benefits under Subchapter 5, U.S.C., Chapter
81, or under Subchapter 33, U.S.C. 901, et seq. (the
Longshore and Harbor Workers’ Compensation Act, as
amended), provide as part of such notice and claim, such
identifying information (including Social Security account
number) as such regulations may prescribe.
BLACK LUNG DISABILITY TRUST FUND
(INCLUDING TRANSFER OF FUNDS)
For payments from the Black Lung Disability Trust
Fund, Ω16æ$1,001,575,000
$1,002,175,000, of which
$947,967,000, shall be available until September 30,
1995, for payment of all benefits as authorized by section
9501(d) (1), (2), (4), and (7), of the Internal Revenue
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Code of 1954, as amended, and interest on advances as
authorized by section 9501(c)(2) of that Act, and of which
Ω17æ$28,929,000 $29,529,000 shall be available for trans-
fer to Employment Standards Administration, Salaries
and Expenses, and $24,384,000 for transfer to Depart-
mental Management, 
Salaries 
and 
Expenses, 
and
$295,000 for transfer to Departmental Management, Of-
fice of Inspector General, for expenses of operation and
administration of the Black Lung Benefits program as au-
thorized by section 9501(d)(5)(A) of that Act: Provided,
That in addition, such amounts as may be necessary may
be charged to the subsequent year appropriation for the
payment of compensation, interest, or other benefits for
any period subsequent to June 15 of the current year: Pro-
vided further, That in addition such amounts shall be paid
from this fund into miscellaneous receipts as the Secretary
of the Treasury determines to be the administrative ex-
penses of the Department of the Treasury for administer-
ing the fund during the current fiscal year, as authorized
by section 9501(d)(5)(B) of that Act.
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Occupational Safety
and 
Health 
Administration, 
Ω18æ$294,640,000
$297,244,000, including not to exceed $68,630,000, which
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shall be the maximum amount available for grants to
States under section 23(g) of the Occupational Safety and
Health Act, which grants shall be no less than fifty per-
cent of the costs of State occupational safety and health
programs required to be incurred under plans approved
by the Secretary under section 18 of the Occupational
Safety and Health Act of 1970: Provided, That none of
the funds appropriated under this paragraph shall be obli-
gated or expended to prescribe, issue, administer, or en-
force any standard, rule, regulation, or order under the
Occupational Safety and Health Act of 1970 which is ap-
plicable to any person who is engaged in a farming oper-
ation which does not maintain a temporary labor camp
and employs ten or fewer employees: Provided further,
That no funds appropriated under this paragraph shall be
obligated or expended to administer or enforce any stand-
ard, rule, regulation, or order under the Occupational
Safety and Health Act of 1970 with respect to any em-
ployer of ten or fewer employees who is included within
a category having an occupational injury lost workday case
rate, at the most precise Standard Industrial Classifica-
tion Code for which such data are published, less than the
national average rate as such rates are most recently pub-
lished by the Secretary, acting through the Bureau of
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Labor Statistics, in accordance with section 24 of that Act
(29 U.S.C. 673), except—
(1) to provide, as authorized by such Act, con-
sultation, technical assistance, educational and train-
ing services, and to conduct surveys and studies;
(2) to conduct an inspection or investigation in
response to an employee complaint, to issue a cita-
tion for violations found during such inspection, and
to assess a penalty for violations which are not cor-
rected within a reasonable abatement period and for
any willful violations found;
(3) to take any action authorized by such Act
with respect to imminent dangers;
(4) to take any action authorized by such Act
with respect to health hazards;
(5) to take any action authorized by such Act
with respect to a report of an employment accident
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:
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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 em-
ploys ten or fewer employees.
MINE SAFETY AND HEALTH ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Mine Safety and
Health Administration, Ω19æ$193,858,000 $195,002,000,
of which $5,740,000 shall be for the State Grants Pro-
gram, including purchase and bestowal of certificates and
trophies in connection with mine rescue and first-aid work,
and the hire of passenger motor vehicles; the Secretary
is authorized to accept lands, buildings, equipment, and
other contributions from public and private sources and
to prosecute projects in cooperation with other agencies,
Federal, State, or private; the Mine Safety and Health Ad-
ministration is authorized to promote health and safety
education and training in the mining community through
cooperative programs with States, industry, and safety as-
sociations; and any funds available to the Department may
be used, with the approval of the Secretary, to provide
for the costs of mine rescue and survival operations in the
event of a major disaster: Provided, That none of the
funds appropriated under this paragraph shall be obli-
gated or expended to carry out section 115 of the Federal
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Mine Safety and Health Act of 1977 or to carry out that
portion of section 104(g)(1) of such Act relating to the
enforcement of any training requirements, with respect to
shell dredging, or with respect to any sand, gravel, surface
stone, surface clay, colloidal phosphate, or surface lime-
stone mine.
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, Ω20æ$281,768,000 $282,018,000, together
with not to exceed Ω21æ$51,927,000 $51,227,000, which
may be expended from the Employment Security Adminis-
tration account in the Unemployment Trust Fund.
DEPARTMENTAL MANAGEMENT
SALARIES AND EXPENSES
For necessary expenses for Departmental Manage-
ment, including the hire of five sedans, and including up
to $4,320,000 for the President’s Committee on Employ-
ment of People With Disabilities, Ω22æ$142,242,000
$143,127,000, together with not to exceed $332,000, which
may be expended from the Employment Security Adminis-
tration account in the Unemployment Trust Fund.
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WORKING CAPITAL FUND
Ω23æHereafter, funds received for services rendered
to any entity or person for use of Departmental facilities,
including associated utilities and security services, shall be
credited to and merged with this fund.
For expenses necessary for the maintenance and oper-
ation of a comprehensive program of centralized services
which the Secretary of Labor may prescribe and deem ap-
propriate and advantageous to provide on a reimbursable
basis under the provisions of the Economy Act (subject to
prior notice to OMB) in the national office and field: Pro-
vided, That such fund shall be reimbursed in advance from
funds available to agencies, bureaus, and offices for which
such centralized services are performed at rates which will
return in full cost of operations including services obtained
through cooperative administrative services units under the
Economy Act, including reserves for accrued annual leave,
worker’s compensation, depreciation of capitalized equip-
ment, and amortization of ADP software and systems (ei-
ther acquired or donated): Provided further, That funds re-
ceived for services rendered to any entity or person for use
of Departmental facilities, including associated utilities
and security services, shall be credited to and merged with
this fund.
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ASSISTANT SECRETARY FOR VETERANS EMPLOYMENT
AND TRAINING
Not to exceed $186,648,000 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. 2001–10 and 2021–26.
OFFICE OF INSPECTOR GENERAL
For salaries and expenses of the Office of Inspector
General in carrying out the provisions of the Inspector
General Act of 1978, as amended, $47,215,000, together
with not to exceed $3,990,000, which may be expended
from the Employment Security Administration account in
the Unemployment Trust Fund.
GENERAL PROVISION
SEC. 101. The Secretary of Labor is authorized to
accept, in the name of the Department of Labor, and em-
ploy or dispose of in furtherance of authorized activities
of the Department of Labor, any money or property, real,
personal, or mixed, tangible or intangible, received by gift,
devise, bequest, or otherwise.
Ω24æSEC. 102. Section 8102 of title 5, United States
Code (‘‘the Act’’) is amended to redesignate subsection (b)
of subsection (c) and to add the following new subsection
(b):
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‘‘(b) An individual convicted of a violation of 18
U.S.C. 1920, or of any felony fraud related to the applica-
tion for or receipt of benefits under subchapter I or III or
chapter 81 of title 5, shall (in addition to any other pen-
alties provided by this subchapter) as of the date of the con-
viction, forfeit all entitlement to any prospective benefits
provided by subchapter I or III for any injury occurring
on or before the date of the conviction.’’.
Ω25æSEC. 103. None of the funds appropriated under
this Act shall be expended by the Secretary of Labor to im-
plement or administer either the final or proposed regula-
tions referred to in section 303 of Public Law 102–27.
This title may be cited as the ‘‘Department of Labor
Appropriations Act, 1994’’.
TITLE II—DEPARTMENT OF HEALTH AND
HUMAN SERVICES
HEALTH RESOURCES AND SERVICES ADMINISTRATION
HEALTH RESOURCES AND SERVICES
For carrying out titles II, III, VII, VIII, X, XII, XIX,
Ω26æand XXVI XXVI, and XXVII of the Public Health
Service Act, section 427(a) of the Federal Coal Mine
Health and Safety Act, title V of the Social Security Act,
the Health Care Quality Improvement Act of 1986, as
amended, Public Law 101–527, and the Native Hawaiian
Health 
Care 
Act 
of 
1988, 
as 
amended,
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Ω27æ$2,833,588,000 $2,954,341,000, of which $415,000
shall remain available until expended for interest subsidies
on loan guarantees made prior to fiscal year 1981 under
part B of title VII of the Public Health Service Act: Pro-
vided, That when the Department of Health and Human
Services administers or operates an employee health pro-
gram for any Federal department or agency, payment for
the full estimated cost shall be made by way of reimburse-
ment or in advance to this appropriation: Provided further,
That of the funds made available under this heading,
$942,000 shall be available until expended for facilities
renovations at the Gillis W. Long Hansen’s Disease Cen-
terΩ28æ: Provided further, That no more than $5,000,000
is available for carrying out the provisions of Public Law
102–501: Provided further, That in addition to fees author-
ized by section 427(b) of the Health Care Quality Im-
provement Act of 1986, fees shall be collected for the full
disclosure of information under the Act sufficient to re-
cover the full costs of operating the National Practitioner
Data Bank, and shall remain available until expended to
carry out that Act.
MEDICAL FACILITIES GUARANTEE AND LOAN FUND
FEDERAL INTEREST SUBSIDIES FOR MEDICAL FACILITIES
For carrying out subsections (d) and (e) of section
1602 of the Public Health Service Act, $9,000,000, to-
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gether with any amounts received by the Secretary in con-
nection with loans and loan guarantees under title VI of
the Public Health Service Act, to be available without fis-
cal year limitation for the payment of interest subsidies.
During the fiscal year, no commitments for direct loans
or loan guarantees shall be made.
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM
For the cost of guaranteed loans, such sums as may
be necessary to carry out the purpose of the program, as
authorized by title VII of the Public Health Service Act,
as amended: Provided, That such costs, including the cost
of modifying such loans, shall be as defined in section 502
of the Congressional Budget Act of 1974: Provided fur-
ther, That these funds are available to subsidize gross obli-
gations for the total loan principal any part of which is
to be guaranteed at not to exceed $375,000,000. In addi-
tion, for administrative expenses to carry out the guaran-
teed loan program, $2,946,000.
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND
For payments from the Vaccine Injury Compensation
Program Trust Fund, such sums as may be necessary for
claims associated with vaccine-related injury or death with
respect to vaccines administered after September 30,
1988, pursuant to subtitle 2 of title XXI of the Public
Health Service Act, to remain available until expended:
Provided, That for necessary administrative expenses, not
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to exceed Ω29æ$2,500,000 $3,000,000 shall be available
from the Trust Fund to the Secretary of Health and
Human Services.
VACCINE INJURY COMPENSATION
For payment of claims resolved by the United States
Court of Federal Claims related to the administration of
vaccines before October 1, 1988, Ω30æ$80,000,000
$110,000,000, to remain available until expended.
CENTERS FOR DISEASE CONTROL AND PREVENTION
DISEASE CONTROL, RESEARCH, AND TRAINING
To carry out titles II, III, VII, XI, XV, XVII,
Ω31æand XIX XIX, and XXVII of the Public Health Serv-
ice Act, sections 101, 102, 103, 201, 202, and 203 of the
Federal Mine Safety and Health Act of 1977, and sections
20, 21, and 22 of the Occupational Safety and Health Act
of 1970; including insurance of official motor vehicles in
foreign countries; and hire, maintenance, and operation of
aircraft, Ω32æ$1,910,182,000 $2,088,781,000, of which
$16,648,000 shall remain available until expended for
equipment and construction and renovation of facilities,
and in addition, such sums as may be derived from author-
ized user fees, which shall be credited to this account: Pro-
vided, That training of private persons shall be made sub-
ject to reimbursement or advances to this appropriation
for not in excess of the full cost of such training: Provided
further, That funds appropriated under this heading shall
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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,
$2,082,267,000.
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
For carrying out sections 301 and 1105 and title IV
of the Public Health Service Act with respect to cardio-
vascular, lung, and blood diseases, and blood and blood
products, $1,277,880,000.
NATIONAL INSTITUTE OF DENTAL RESEARCH
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to dental disease,
$169,520,000.
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 diseases, $716,054,000.
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, $630,650,000.
HR 2518 PP
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS
DISEASES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to allergy and infec-
tious diseases, $1,065,583,000.
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to general medical
sciences, $875,511,000.
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, $555,195,000.
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, $290,260,000.
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH
SCIENCES
For carrying out sections 301 and 311, and title IV
of the Public Health Service Act with respect to environ-
mental health sciences, $264,249,000.
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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,
$420,303,000.
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, $223,280,000.
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, $162,823,000.
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,
$51,018,000.
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, $185,617,000.
HR 2518 PP
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,
$425,201,000.
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,
$613,444,000.
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, Ω33æ$328,915,000
$332,915,000: Provided, That none of these funds shall be
used to pay recipients of the general research support
grants program any amount for indirect expenses in con-
nection with such grantsΩ34æ: Provided further, That
$8,000,000 shall be for extramural facilities construction
grants to be awarded on a competitive basis and in accord-
ance with the criteria of section 481A(c)(2) of subpart 1
of part E of title IV.
NATIONAL CENTER FOR HUMAN GENOME RESEARCH
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to human genome re-
search, Ω35æ$119,030,000 $131,925,000.
HR 2518 PP
JOHN E. FOGARTY INTERNATIONAL CENTER
For carrying out the activities at the John E.
Fogarty 
International 
Center, 
Ω36æ$22,240,000
$19,988,000.
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, Ω37æ$118,481,000 $120,481,000.
OFFICE OF THE DIRECTOR
(INCLUDING TRANSFER OF FUNDS)
For carrying out the responsibilities of the Office of
the 
Director, 
National 
Institutes 
of 
Health,
Ω38æ$224,746,000 $241,225,000: Provided, That funding
shall be available for the purchase of not to exceed five
passenger motor vehicles for replacement onlyΩ39æ: Pro-
vided further, That of the funds made available under this
heading, $15,000,000 shall be made available for the Direc-
tor’s Discretionary Fund, of which $12,000,000 shall be al-
located to the relevant Institutes, Centers and Divisions to
support the activities of the Decade of the Brain Program:
Provided further, That the Director may direct up to 1
percent of the total amount made available in this Act to
all National Institutes of Health appropriations to emer-
gency activities the Director may so designate: Provided
further, That no such appropriation shall be increased or
HR 2518 PP
decreased by more than 1 percent by any such transfers
and that the Congress is promptly notified of the transfer.
BUILDINGS AND FACILITIES
For construction of, and acquisition of equipment
for, facilities of or used by the National Institutes of
Health, including the acquisition of real property,
Ω40æ$114,385,000 $101,000,000, to remain available until
expended.
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
ADMINISTRATION
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
For carrying out the Public Health Service Act with
respect to substance abuse and mental health services, sec-
tion 612 of Public Law 100–77, as amended, and the Pro-
tection and Advocacy for Mentally Ill Individuals Act of
1986, Ω41æ$2,057,167,000
$2,119,205,000, of which
$952,000, together with unobligated balances for facilities
renovation, shall be available for maintenance and repair
of Federally-owned facilities at Saint Elizabeths Hospital
and shall remain available until expended: Provided, That
no portion of amounts appropriated for the programs of
the Department of Health and Human Services shall be
available for obligation pursuant to section 571 of the
Public Health Service Act, other than an amount of
Ω42æ$4,000,000 $3,000,000 from amounts appropriated to
carry out section 510 of that Act.
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ASSISTANT SECRETARY FOR HEALTH
OFFICE OF THE ASSISTANT SECRETARY FOR HEALTH
For the expenses necessary for the Office of the As-
sistant Secretary for Health and for carrying out titles
III, XVII, XX, and XXI of the Public Health Service Act,
Ω43æ$68,758,000 $71,167,000, and, in addition, amounts
received by the Public Health Service from Freedom of
Information Act fees, reimbursable and interagency agree-
ments and the sale of data tapes shall be credited to this
appropriation and shall remain available until expended.
RETIREMENT PAY AND MEDICAL BENEFITS FOR
COMMISSIONED OFFICERS
For retirement pay and medical benefits of Public
Health Service Commissioned Officers as authorized by
law, and for payments under the Retired Serviceman’s
Family Protection Plan and Survivor Benefit Plan and for
medical care of dependents and retired personnel under
the Dependents’ Medical Care Act (10 U.S.C. ch. 55), and
for payments pursuant to section 229(b) of the Social Se-
curity Act (42 U.S.C. 429(b)), such amounts as may be
required during the current fiscal year.
AGENCY FOR HEALTH CARE POLICY AND RESEARCH
HEALTH CARE POLICY AND RESEARCH
For carrying out titles III and IX of the Public
Health Service Act, and part A of title XI of the Social
Security Act, Ω44æ$129,051,000 $139,305,000, together
HR 2518 PP
with not to exceed $4,792,000 to be transferred from the
Federal Hospital Insurance and the Federal Supple-
mentary Medical Insurance Trust Funds, as authorized by
section 1142 of the Social Security Act and not to exceed
$994,000 to be transferred from the Federal Hospital In-
surance and the Federal Supplementary Medical Insur-
ance Trust Funds, as authorized by section 201(g) of the
Social Security Act; and, in addition, amounts received
from Freedom of Information Act fees, reimbursable and
interagency agreements, and the sale of data tapes shall
be credited to this appropriation and shall remain avail-
able until expended: Provided, That the amount made
available pursuant to section 926(b) of the Public Health
Service Act shall not exceed $13,204,000.
HEALTH CARE FINANCING ADMINISTRATION
GRANTS TO STATES FOR MEDICAID
For carrying out, except as otherwise provided, titles
XI and XIX of the Social Security Act, $64,477,413,000,
to remain available until expended.
For making, after May 31, 1994, payments to States
under title XIX of the Social Security Act for the last
quarter of fiscal year 1994 for unanticipated costs, in-
curred for the current fiscal year, such sums as may be
necessary.
HR 2518 PP
Ω45æFor making payments to States under title XIX
of the Social Security Act for the first quarter of fiscal year
1995, $26,600,000,000 to remain available until expended.
Payment under title XIX may be made for any 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 sections 217(g) and 1844 of the
Social Security Act, sections 103(c) and 111(d) of the So-
cial Security Amendments of 1965, section 278(d) of Pub-
lic Law 97–248, and for administrative expenses incurred
pursuant to section 201(g) of the Social Security Act,
$45,731,440,000.
PROGRAM MANAGEMENT
For carrying out, except as otherwise provided, titles
XI, XVIII, and XIX of the Social Security Act, title XIII
of the Public Health Service Act, the Clinical Laboratory
Improvement Amendments of 1988, section 4360 of Pub-
lic Law 101–508, and section 4005(e) of Public Law 100–
203, not to exceed Ω46æ$2,172,598,000 $2,192,414,000,
together with all funds collected in accordance with section
353 of the Public Health Service Act, the latter funds to
remain available until expended; the Ω47æ$2,172,598,000
HR 2518 PP
$2,192,414,000 to be transferred to this appropriation as
authorized by section 201(g) of the Social Security Act,
from the Federal Hospital Insurance and the Federal Sup-
plementary Medical Insurance Trust Funds: Provided,
That all funds derived in accordance with 31 U.S.C. 9701
from organizations established under title XIII of the Pub-
lic Health Service Act are to be credited to this appropria-
tion.
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, $28,178,000.
SPECIAL BENEFITS FOR DISABLED COAL MINERS
For carrying out title IV of the Federal Mine Safety
and Health Act of 1977, $575,181,000, to remain avail-
able until expended.
For making, after July 31 of the current fiscal year,
benefit payments to individuals under title IV of the Fed-
eral Mine Safety and Health Act of 1977, for costs in-
curred in the current fiscal year, such amounts as may
be necessary.
Ω48æFor making benefit payments under title IV of
the Federal Mine Safety and Health Act of 1977 for the
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first quarter of fiscal year 1995, $190,000,000, to remain
available until expended.
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,
Ω49æ$20,181,775,000 $20,172,775,000, to remain avail-
able until expended: Provided, 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 re-
turned to the Treasury.
For making, after Ω50æJuly 31 June 15 of the cur-
rent fiscal year benefit payments to individuals under title
XVI of the Social Security Act for unanticipated costs in-
curred for the current fiscal year, such sums as may be
necessary.
Ω51æFor carrying out title XVI of the Social Security
Act for the first quarter of fiscal year 1995, $6,770,000,000,
to remain available until expended.
LIMITATION ON ADMINISTRATIVE EXPENSES
For 
necessary 
expenses, 
not 
more 
than
Ω52æ$4,874,285,000 $4,876,085,000 may be expended, as