NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect 
to 
eye 
diseases 
and 
visual 
disorders, 
$677,039,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out sections 301 and 311 and title IV 
of the Public Health Service Act (42 U.S.C. 241, 243, 281 
et seq.) with respect to environmental health sciences, 
$652,303,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to aging, $1,062,833,000. 
NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to arthritis and musculoskeletal and skin diseases, 
$516,044,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with
respect to deafness and other communication disorders, 
$400,305,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to nursing research, $139,527,000. 
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to alcohol abuse and alcoholism, $442,870,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to drug abuse, $1,015,559,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to mental health, $1,425,531,000. 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to human genome research, $493,996,000.
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to biomedical imaging and bioengineering re-
search, $303,318,000. 
NATIONAL CENTER FOR RESEARCH RESOURCES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to research resources and general research support 
grants, $1,171,095,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
ALTERNATIVE MEDICINE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to complementary and alternative medicine, 
$123,380,000. 
NATIONAL CENTER ON MINORITY HEALTH AND HEALTH 
DISPARITIES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect to minority health and health disparities research, 
$202,691,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of
title IV of the Public Health Service Act (42 U.S.C. 
287b)), $67,599,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (42 U.S.C. 241, 281 et seq.) with 
respect 
to 
health 
information 
communications, 
$325,484,000, of which $4,000,000 shall be available until 
expended for improvement of information systems: Pro-
vided, That in fiscal year 2008, the National Library of 
Medicine 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: Provided further, That in addition to amounts 
provided herein, $8,200,000 shall be available from 
amounts available under section 241 of the Public Health 
Service Act (42 U.S.C. 238j) to carry out the purposes 
of the National Information Center on Health Services Re-
search and Health Care Technology established under sec-
tion 478A of the Public Health Service Act (42 U.S.C. 
286d) and related health services. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the 
Director, 
National 
Institutes 
of 
Health, 
$1,114,422,000, of which up to $14,000,000 shall be used 
to carry out section 214 of this Act, of which 
$110,900,000 shall be for continuation of the National
Children’s Study, and of which $495,153,000 shall be 
available for the Common Fund established under section 
402A(c)(1) of the Public Health Service Act (42 U.S.C. 
282a): Provided, That funding shall be available for the 
purchase of not to exceed 29 passenger motor vehicles for 
replacement only: Provided further, That the National In-
stitutes of Health is authorized to collect third party pay-
ments 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 Insti-
tutes of Health Management Fund: Provided further, That 
all funds credited to such Fund shall remain available for 
one fiscal year after the fiscal year in which they are de-
posited: Provided further, That no more than $500,000 
shall be available to carry out section 499 of the Public 
Health Service Act(42 U.S.C. 290b): Provided further, 
That amounts appropriated to the Common Fund shall 
be in addition to any amounts allocated to activities re-
lated to the Common Fund through the normal research 
priority-setting process of individual institutes and cen-
ters: Provided further, That of the funds provided $10,000 
shall be for official reception and representation expenses 
when specifically approved by the Director of the National 
Institutes of Health: Provided further, That the Office of 
AIDS Research within the Office of the Director of the
National Institutes of Health may spend up to $4,000,000 
to make grants for construction or renovation of facilities 
as provided for in section 2354(a)(5)(B) of the Public 
Health Service Act (42 U.S.C. 300cc–41(a)(5)(B)). 
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, $121,081,000, 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 (42 U.S.C. 290aa et seq., 300w et 
seq.) (‘‘PHS Act’’) with respect to substance abuse and 
mental health services, the Protection and Advocacy for 
Individuals with Mental Illness Act (42 U.S.C. 10801 et 
seq.), and section 301 of the PHS Act (42 U.S.C. 241) 
with respect to program management, $3,272,928,000: 
Provided, That notwithstanding section 520A(f)(2) of the 
PHS Act (42 U.S.C. 290bb–32(f)(2)), no funds appro-
priated for carrying out section 520A are available for car-
rying out section 1971 of such Act: Provided further, That 
in addition to amounts provided herein, the following 
amounts shall be available under section 241 of the PHS
Act (42 U.S.C. 238j): (1) $79,200,000 to carry out sub-
part II of part B of title XIX of the PHS Act (42 U.S.C. 
300x–21 et seq.) to fund section 1935(b) of such Act (42 
U.S.C. 300x–35(b)) relating to technical assistance, na-
tional data, data collection, and evaluation activities, and 
further that the total available under this Act for activities 
under such section 1935(b) shall not exceed 5 percent of 
the amounts appropriated for subpart II of part B of title 
XIX of such Act; (2) $21,413,000 to carry out subpart 
I of part B of title XIX of the PHS Act (42 U.S.C. 300x– 
1 et seq.) to fund section 1920(b) of such Act (42 U.S.C. 
300x–9(b)) relating to technical assistance, national data, 
data collection, and evaluation activities, and further that 
the total available under this Act for activities under such 
section 1920(b) shall not exceed 5 percent of the amounts 
appropriated for subpart I of part B of title XIX of such 
Act; (3) $16,000,000 to carry out national surveys on 
drug abuse; and (4) $4,300,000 to evaluate substance 
abuse treatment programs. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the Public 
Health Service Act (42 U.S.C. 241 et seq., 299 et seq.), 
and part A of title XI of the Social Security Act (42 
U.S.C. 1301 et seq.), $329,564,000; and in addition,
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 re-
main available until expended: Provided, That the amount 
made available pursuant to section 937(c) of the Public 
Health Service Act shall not exceed $47,064,000. 
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, $141,630,056,000, 
to remain available until expended. 
For making, after May 31, 2008, payments to States 
under title XIX of the Social Security Act for the last 
quarter of fiscal year 2008, 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 of the Social Security Act (42 U.S.C. 1396s) 
on behalf of States under title XIX of the Social Security 
Act for the first quarter of fiscal year 2009, 
$67,292,669,000, 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 1844 and 1860D–16 
of the Social Security Act (42 U.S.C. 1395w, 1395w–116), 
sections 103(c) and 111(d) of the Social Security Amend-
ments of 1965 (42 U.S.C. 426a(c), 1395i–1), section 
278(d) of the Tax Equity and Fiscal Responsibility Act 
of 1982 (42 U.S.C. 426 note), and for administrative ex-
penses incurred pursuant to section 201(g) of the Social 
Security Act (42 U.S.C. 401(g)), $188,828,000,000. 
In addition, for making matching payments under 
section 1844 of the Social Security Act (42 U.S.C. 
1395w), and benefit payments under 1860D–16 of such 
Act (42 U.S.C. 1395w–116), not anticipated in budget es-
timates, such sums as may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles 
XI, XVIII, XIX, and XXI of the Social Security Act, titles 
XIII and XXVII of the Public Health Service Act, and 
the Clinical Laboratory Improvement Amendments of 
1988, not to exceed $3,230,163,000, 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 (42 U.S.C. 
401(g)); together with all funds collected in accordance
with section 353 of the Public Health Service Act (42 
U.S.C. 263a) and section 1857(e)(2) of the Social Security 
Act (42 U.S.C. 1395w–27(e)(2)), funds retained by the 
Secretary pursuant to section 1893(h)(1)(C) of the Social 
Security Act (42 U.S.C. 1395ddd(h)(1)(C)), and such 
sums as may be collected from authorized user fees and 
the sale of data, which shall remain available until ex-
pended: Provided, That all funds derived in accordance 
with section 9701 of title 31, United States Code, from 
organizations established under title XIII of the Public 
Health Service Act shall be credited to and available for 
carrying out the purposes of this appropriation: Provided 
further, That $49,869,000, to remain available until Sep-
tember 30, 2009, is for contract costs for the Healthcare 
Integrated General Ledger Accounting System: Provided 
further, That $163,800,000, to remain available until Sep-
tember 30, 2009, is for Medicare contracting reform ac-
tivities of the Centers for Medicare and Medicaid Services: 
Provided further, That funds appropriated under this 
heading are available for the Healthy Start, Grow Smart 
program under which the Centers for Medicare and Med-
icaid Services may, directly or through grants, contracts, 
or cooperative agreements, produce and distribute infor-
mational materials including, but not limited to, pam-
phlets and brochures on infant and toddler health care to
expectant parents enrolled in the Medicaid program and 
to parents and guardians enrolled in such program with 
infants and children: Provided further, That the Secretary 
of Health and Human Services shall collect fees in fiscal 
year 2008 from Medicare Advantage organizations pursu-
ant to section 1857(e)(2) of the Social Security Act (42 
U.S.C. 1395s–27(e)(2)) and from eligible organizations 
with risk-sharing contracts under section 1876 of such Act 
(42 U.S.C. 1395mm) pursuant to section 1876(k)(4)(D) 
of such Act (42 U.S.C. 1395mm(k)(4)(D)). 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $383,000,000, 
to be transferred from the Federal Hospital Insurance and 
the Federal Supplementary Medical Insurance Trust 
Funds, as authorized by section 201(g) of the Social Secu-
rity Act (42 U.S.C. 401(g)), of which $288,480,000 is for 
the Medicare Integrity Program at the Centers for Medi-
care and Medicaid Services to conduct oversight of activi-
ties authorized in titles I and II of the Medicare Prescrip-
tion Drug, Improvement, and Modernization Act of 2003 
(Public Law 108–173), with oversight activities including 
those activities listed in section 1893(b) of the Social Se-
curity Act (42 U.S.C. 1395www(b)); of which $36,690,000 
is for the Department of Health and Human Services Of-
fice of Inspector General; of which $21,140,000 is for the
Medicaid program integrity activities; and of which 
$36,690,000 is for the Department of Justice: Provided, 
That the report required by section 1817(k)(5) of the So-
cial Security Act (42 U.S.C. 1395i(k)(5)) for fiscal year 
2008 shall include measures of the operational efficiency 
and impact on fraud, waste and abuse in the Medicare 
and Medicaid programs for the funds provided by this ap-
propriation. 
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. chapter 9), $2,949,713,000, to remain available 
until expended; and for such purposes for the first quarter 
of fiscal year 2009, $1,000,000,000, 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 as in effect 
before the effective date of the program of Temporary As-
sistance 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 Responsibility and Work Oppor-
tunity Reconciliation Act of 1996 shall not exceed the limi-
tations 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. chapter 9), 
for the last three 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 section 2604(a)–(d) of 
the Low-Income Home Energy Assistance Act of 1981 (42 
U.S.C. 8623(a)–(d)), $1,980,000,000. 
For making payments under section 2604(e) of the 
Low-Income Home Energy Assistance Act of 1981 (42 
U.S.C. 8623(e)), $682,000,000, notwithstanding the des-
ignation requirement of section 2602(e) of such Act. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant as-
sistance activities and for costs associated with the care 
and placement of unaccompanied alien children authorized 
by title IV of the Immigration and Nationality Act (8 
U.S.C. 1521–1524) and section 501 of the Refugee Edu-
cation Assistance Act of 1980 (8 U.S.C. 1522 note), for 
carrying out section 462 of the Homeland Security Act 
of 2002 (6 U.S.C. 279), and for carrying out the Torture 
Victims Relief Act of 1998 (22 U.S.C. 2152 note) 
$650,630,000, of which up to $9,814,000 shall be avail-
able to carry out the Trafficking Victims Protection Act 
of 2000 (22 U.S.C. 7101 et seq.): Provided, That funds 
appropriated under this heading pursuant to section 
414(a) of the Immigration and Nationality Act and sec-
tion 462 of the Homeland Security Act of 2002 for fiscal 
year 2008 shall be available for the costs of assistance pro-
vided and other activities to remain available through Sep-
tember 30, 2010. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block Grant Act of 1990 (42 U.S.C. 9858 et seq.), 
$2,137,081,000 shall be used to supplement, not supplant, 
State general revenue funds for child care assistance for 
low-income families: Provided, That $18,777,370 shall be 
available for child care resource and referral and school- 
aged child care activities, of which $982,080 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, $267,785,718 shall be 
reserved by the States for activities authorized under sec-
tion 658G, of which $98,208,000 shall be for activities 
that improve the quality of infant and toddler care: Pro-
vided further, That $9,821,000 shall be for use by the Sec-
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 (42 U.S.C. 1397a), 
$1,700,000,000. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act (42 U.S.C. 5711 et 
seq.), the Developmental Disabilities Assistance and Bill 
of Rights Act of 2000 (42 U.S.C. 15001 et seq.), the Head 
Start Act (42 U.S.C. 9831 et seq.), the Child Abuse Pre-
vention and Treatment Act (42 U.S.C. 5101 et seq.), sec-
tions 310 and 316 of the Family Violence Prevention and 
Services Act (42 U.S.C. 10409, 10416), the Native Amer-
ican Programs Act of 1974 (42 U.S.C. 2991a et seq.), 
title II of the Child Abuse Prevention and Treatment and 
Adoption Reform Act of 1978 (42 U.S.C. 5111 et seq.) 
(adoption opportunities), sections 330F and 330G of the 
Public Health Service Act (42 U.S.C. 254c–6, 254c–7), 
the Abandoned Infants Assistance Act of 1988 (42 U.S.C. 
670 note), sections 261 and 291 of the Help America Vote 
Act of 2002 (42 U.S.C. 15421, 15461), subpart 1 of part
B of title IV and sections 413, 1110, and 1115 of the 
Social Security Act, for making payments under the Com-
munity Services Block Grant Act (42 U.S.C. 9901 et 
seq.), sections 439, 473B, and 477 of the Social Security 
Act, and the Assets for Independence Act (42 U.S.C. 604 
note), 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 
(24 U.S.C. chapter 9), the Low-Income Home Energy As-
sistance Act of 1981, title IV of the Immigration and Na-
tionality Act, section 501 of the Refugee Education Assist-
ance Act of 1980, and section 505 of the Family Support 
Act of 1988 (42 U.S.C. 9926), $9,125,940,000 (increased 
by $21,000,000), of which $9,500,000, to remain available 
until September 30, 2009, shall be for grants to States 
for adoption incentive payments, as authorized by section 
473A of the Social Security Act (42 U.S.C. 673b) and 
may be made for adoptions completed before September 
30, 2008: Provided, That $6,963,571,000 shall be for 
making payments under the Head Start Act, of which 
$1,388,800,000 shall become available October 1, 2008, 
and remain available through September 30, 2009: Pro-
vided further, That $701,125,000 shall be for making pay-
ments under the Community Services Block Grant Act: 
Provided further, That not less than $8,000,000 shall be
for section 680(3)(B) of the Community Services Block 
Grant Act: 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 distrib-
uted 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 carry-
over into the next fiscal year for expenditure by such enti-
ty consistent with program purposes: Provided further, 
That the Secretary of Health and Human Services shall 
establish procedures regarding the disposition of intan-
gible property which permits grant funds, or intangible as-
sets acquired with funds authorized under section 680 of 
the Community Services Block Grant Act, 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 appropriated for section 680(a)(2) of the Com-
munity Services Block Grant Act shall be available for fi-
nancing construction and rehabilitation and loans or in-
vestments in private business enterprises owned by com-
munity development corporations: Provided further, That
$64,350,000 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 $15,720,000 (increased by $21,000,000) shall be for 
activities authorized by the Help America Vote Act of 
2002, of which $10,890,000 (increased by $15,000,000) 
shall be for payments to States to promote access for vot-
ers with disabilities, and of which $4,830,000 (increased 
by $6,000,000) shall be for payments to States for protec-
tion and advocacy systems for voters with disabilities: Pro-
vided further, That $136,664,000 shall be for making 
competitive grants to provide abstinence education (as de-
fined by section 510(b)(2) of the Social Security Act) to 
adolescents, and for Federal costs of administering the 
grant: Provided further, That grants under the imme-
diately preceding proviso shall be made only to public and 
private entities which agree that, with respect to an ado-
lescent to whom the entities provide abstinence education 
under such grant, the entities will not provide to that ado-
lescent any other education regarding sexual conduct, ex-
cept 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 informa-
tion or services from the entity in a different setting than
the setting in which abstinence education was provided: 
Provided further, That within amounts provided herein for 
abstinence education for adolescents, up to $10,000,000 
may be available for a national abstinence education cam-
paign: Provided further, That in addition to amounts pro-
vided herein for abstinence education for adolescents, 
$4,500,000 shall be available from amounts available 
under section 241 of the Public Health Service Act to 
carry out evaluations (including longitudinal evaluations) 
of adolescent pregnancy prevention approaches: Provided 
further, That up to $2,000,000 shall be for improving the 
Public Assistance Reporting Information System, includ-
ing grants to States to support data collection for a study 
of the system’s effectiveness. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out section 436 of the Social Security 
Act (42 U.S.C. 629f), $345,000,000 and for section 437 
of such Act (42 U.S.C. 629g), $89,100,000. 
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, 
$5,082,000,000. 
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 2009, $1,776,000,000.
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 of the Social Security Act, for 
the last three months of the current fiscal year for unan-
ticipated 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 (42 U.S.C. 3011 
et seq.) and section 398 of the Public Health Service Act 
(42 U.S.C. 280c–3), $1,417,189,000. 
DEPARTMENTAL MANAGEMENT 
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, XX, and XXI 
of the Public Health Service Act, the United States-Mex-
ico Border Health Commission Act, and research studies 
under section 1110 of the Social Security Act, 
$363,224,000 (reduced by $21,000,000) (reduced by 
$10,000,000) (increased by $10,000,000), together with 
$5,851,000 to be transferred and expended as authorized 
by section 201(g)(1) of the Social Security Act from the 
Federal Hospital Insurance Trust Fund and the Federal
Supplementary Medical Insurance Trust Fund, and 
$46,756,000 from the amounts available under section 
241 of the Public Health Service Act to carry out national 
health or human services research and evaluation activi-
ties: Provided, That of the funds made available under this 
heading for carrying out title XX of the Public Health 
Service Act, $13,120,000 shall be for activities specified 
under section 2003(b)(2), all of which shall be for preven-
tion service demonstration grants under section 510(b)(2) 
of title V of the Social Security Act without application 
of the limitation of section 2010(c) of such title XX: Pro-
vided further, That of this amount, $51,891,000 shall be 
for minority AIDS prevention and treatment activities; 
and $5,941,000 shall be to assist Afghanistan in the devel-
opment of maternal and child health clinics, consistent 
with section 103(a)(4)(H) of the Afghanistan Freedom 
Support Act of 2002. 
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), $65,000,000, to be transferred in appropriate part 
from the Federal Hospital Insurance and the Federal Sup-
plementary Medical Insurance Trust Funds.
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-
velopment and advancement of an interoperable national 
health 
information 
technology 
infrastructure, 
$13,302,000: Provided, That in addition to amounts pro-
vided herein, $48,000,000 shall be available from amounts 
available under section 241 of the Public Health Service 
Act to carry out health information technology network 
development. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of the Inspector 
General, including the hire of passenger motor vehicles for 
investigations, in carrying out the provisions of the Inspec-
tor General Act of 1978, $44,687,000: 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 section 228 of title 18, United 
States Code. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil 
Rights, $33,748,000, 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 
Federal Hospital Insurance Trust Fund and the Federal 
Supplementary Medical Insurance Trust Fund. 
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. chapter 55), 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, disease, nuclear, radio-
logical and chemical threats to civilian populations, and 
for other public health emergencies, $757,291,000, of 
which not to exceed $22,363,000, to remain available until 
September 30, 2009, is to pay the costs described in sec-
tion 319F–2(c)(7)(B) of the Public Health Service Act (42 
U.S.C. 247d–6b(c)(7)(B)). 
For expenses necessary to prepare for and respond 
to an influenza pandemic, $948,091,000, of which 
$870,000,000 shall be available until expended, for activi-
ties including the development and purchase of vaccine, 
antivirals, necessary medical supplies, diagnostics, and 
other surveillance tools: Provided, That products pur-
chased with these funds may, at the discretion of the Sec-
retary of Health and Human Services, be deposited in the 
Strategic National Stockpile: Provided further, That not-
withstanding section 496(b) of the Public Health Service 
Act, funds may be used for the construction or renovation 
of privately owned facilities for the production of pandemic 
vaccine and other biologicals, where the Secretary finds 
such a contract necessary to secure sufficient supplies of 
such vaccines or biologicals: Provided further, That funds 
appropriated herein may be transferred to other appro-
priation accounts of the Department of Health and 
Human Services, as determined by the Secretary to be ap-
propriate, to be used for the purposes specified in this sen-
tence. 
COVERED COUNTERMEASURE PROCESS FUND 
For carrying out section 319F–4 of the Public Health 
Service Act (42 U.S.C. 247d–6e) to compensate individ-
uals for injuries caused by H5N1 vaccine, in accordance 
with the declaration regarding avian influenza viruses 
issued by the Secretary of Health and Human Services 
on January 26, 2007, pursuant to section 319F–3(b) of 
such Act (42 U.S.C. 247d–6d(b)), $5,000,000, 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 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 United States 
Agency for International Development, the United Na-
tions International Children’s Emergency Fund, or the 
World Health Organization. 
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 
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 title 
for Head Start 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.
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 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. 206. 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 2.4 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. 
(INCLUDING 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 (2 U.S.C. 900 et 
seq.)) 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 per-
cent by any such transfer: Provided, That an appropria-
tion may be increased by up to an additional 2 percent 
subject to approval by the Committees on Appropriations 
of the House of Representatives and the Senate: Provided 
further, That the transfer authority granted by this section 
shall be available only to meet unanticipated needs and 
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 are notified at least 15 days in advance of any trans-
fer. 
(INCLUDING TRANSFER OF FUNDS) 
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 
and centers from the total amounts identified by these two 
Directors as funding for research pertaining to the human 
immunodeficiency virus: Provided, That the Committees 
on Appropriations of the House of Representatives and the 
Senate are promptly notified of the transfer. 
(INCLUDING TRANSFER OF FUNDS) 
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 (42 U.S.C. 300cc–40b(d)(3)). 
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 (42 U.S.C. 1001 et seq.) unless 
the applicant for the award certifies to the Secretary of 
Health and Human Services that it encourages family par-
ticipation in the decision of minors to seek family planning 
services and that it provides counseling to minors on how 
to resist attempts to coerce minors into engaging in sexual 
activities. 
SEC. 211. Notwithstanding any other provision of 
law, no provider of services under title X of the Public 
Health Service Act (42 U.S.C. 1001 et seq.) shall be ex-
empt from any State law requiring notification or the re-
porting of child abuse, child molestation, sexual abuse, 
rape, or incest. 
SEC. 212. None of the funds appropriated by this Act 
(including funds appropriated to any trust fund) may be 
used to carry out the Medicare Advantage program if the 
Secretary of Health and Human Services denies participa-
tion in such program to an otherwise eligible entity (in-
cluding a Provider Sponsored Organization) 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 pro-
spective adjustments to the capitation payment to such an 
entity (based on an actuarially sound estimate of the ex-
pected costs of providing the service to such entity’s enroll-
ees): Provided further, That nothing in this section shall 
be construed to change the Medicare program’s coverage 
for such services and a Medicare Advantage organization 
described in this section shall be responsible for informing 
enrollees where to obtain information about all Medicare 
covered services. 
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, 2008, that the 
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 2008 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 2007, 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 2007 State expenditures and all 
fiscal year 2008 obligations for tobacco prevention and 
compliance activities by program activity by July 31, 
2008. 
(d) The Secretary shall exercise discretion in enforc-
ing the timing of the State obligation of the additional 
funds required by the certification described in subsection 
(a) as late as July 31, 2008. 
(e) None of the funds appropriated by this Act may 
be used to withhold substance abuse funding pursuant to 
section 1926 of the Public Health Service Act from a terri-
tory 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 2008: 
(1) The Secretary of Health and Human Serv-
ices (in this section referred to as the ‘‘Secretary of 
HHS’’) 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 HHS shall 
consult with the Secretary of State and relevant 
Chief of Mission to ensure that the authority pro-
vided in this section is exercised in a manner con-
sistent with section 207 of the Foreign Service Act 
of 1980 (22 U.S.C. 3927) and other applicable stat-
utes administered by the Department of State. 
(2) The Secretary of HHS is authorized to pro-
vide 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 co-
operate fully with the Secretary of HHS to ensure
that the Department of Health and Human Services 
has secure, safe, functional facilities that comply 
with applicable regulation governing location, set-
back, and other facilities requirements and serve the 
purposes established by this Act. The Secretary of 
HHS is authorized, in consultation with the Sec-
retary of State, through grant or cooperative agree-
ment, to make available to public or nonprofit pri-
vate institutions 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 ac-
tivities, including activities relating to HIV/AIDS 
and other infectious diseases, chronic and environ-
mental diseases, and other health activities abroad. 
SEC. 215. (a) AUTHORITY.—Notwithstanding any 
other provision of law, the Director of the National Insti-
tutes of Health (in this section referred to as the ‘‘Direc-
tor of NIH’’) may use funds available under section 
402(b)(7) or 402(b)(12) of the Public Health Service Act 
(42 U.S.C. 282(b)(7), 282(b)(12)) to enter into trans-
actions (other than contracts, cooperative agreements, or 
grants) to carry out research identified pursuant to such 
section 402(b)(7) (pertaining to the Common Fund) or re-
search and activities described in such section 402(b)(12).
(b) PEER REVIEW.—In entering into transactions 
under subsection (a), the Director of the NIH may utilize 
such peer review procedures (including consultation with 
appropriate scientific experts) as the Director determines 
to be appropriate to obtain assessments of scientific and 
technical merit. Such procedures shall apply to such trans-
actions in lieu of the peer review and advisory council re-
view procedures that would otherwise be required under 
sections 
301(a)(3), 
405(b)(1)(B), 
405(b)(2), 
406(a)(3)(A), 492, and 494 of the Public Health Service 
Act (42 U.S.C. 241(a)(3), 284(b)(1)(B), 284(b)(2), 
284a(a)(3)(A), 289a, and 289c). 
SEC. 216. Funds which are available for Individual 
Learning Accounts for employees of the Centers for Dis-
ease Control and Prevention (‘‘CDC’’) and the Agency for 
Toxic Substances and Disease Registry (‘‘ATSDR)’’ may 
be transferred to ‘‘Disease Control, Research, and Train-
ing’’, to be available only for Individual Learning Ac-
counts: Provided, That such funds may be used for any 
individual full-time equivalent employee while such em-
ployee is employed either by CDC or ATSDR. 
SEC. 217. The Director of the National Institutes of 
Health shall require that all investigators funded by the 
NIH submit or have submitted for them to the National 
Library of Medicine’s PubMed Central an electronic
version of their final, peer-reviewed manuscripts upon ac-
ceptance for publication, to be made publicly available no 
later than 12 months after the official date of publication: 
Provided, That the NIH shall implement the public access 
policy in a manner consistent with copyright law. 
SEC. 218. Not to exceed $35,000,000 of funds appro-
priated by this Act to the institutes and centers of the 
National Institutes of Health may be used for alteration, 
repair, or improvement of facilities, as necessary for the 
proper and efficient conduct of the activities authorized 
herein, at not to exceed $2,500,000 per project. 
SEC. 219. None of the funds appropriated in this Act 
may be used to administer to any child under 3 years of 
age an influenza vaccine during the 2008–2009 influenza 
season for which thimerosal is listed on the labeling as 
an ingredient. 
This title may be cited as the ‘‘Department of Health 
and Human Services Appropriations Act, 2008’’. 
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’’) (20 U.S.C. 
6301 et seq.) and section 418A of the Higher Education 
Act of 1965 (20 U.S.C. 1070d–2), $16,016,318,000 (re-
duced by $46,500,000), of which $7,698,807,000 (reduced
by $46,500,000) shall become available on July 1, 2008, 
and shall remain available through September 30, 2009, 
and of which $8,136,218,000 shall become available on 
October 1, 2008, and shall remain available through Sep-
tember 30, 2009 for academic year 2008–2009: Provided, 
That $6,808,971,000 shall be for basic grants under sec-
tion 1124 of ESEA (20 U.S.C. 6333): Provided further, 
That up to $4,000,000 of these funds shall be available 
to the Secretary of Education on October 1, 2007, to ob-
tain annually updated local educational-agency-level cen-
sus poverty data from the Bureau of the Census: Provided 
further, That $1,365,031,000 shall be for concentration 
grants under section 1124A of ESEA (20 U.S.C. 6334): 
Provided further, That $3,094,562,000 shall be for tar-
geted grants under section 1125 of ESEA (20 U.S.C. 
6335): Provided further, That $3,094,260,000 shall be for 
education finance incentive grants under section 1125A of 
ESEA (20 U.S.C. 6337): Provided further, That 
$9,330,000 shall be to carry out sections 1501 and 1503 
of ESEA (20 U.S.C. 6491, 6493): Provided further, That 
$1,634,000 shall be available for a comprehensive school 
reform clearinghouse. 
IMPACT AID 
For carrying out programs of financial assistance to 
federally affected schools authorized by title VIII of the
Elementary and Secondary Education Act of 1965 (20 
U.S.C. 
7701 
et 
seq.), 
$1,278,453,000, 
of 
which 
$1,140,517,000 shall be for basic support payments under 
section 8003(b) of such Act (20 U.S.C. 7703(b)), 
$49,466,000 shall be for payments for children with dis-
abilities under section 8003(d) of such Act (20 U.S.C. 
7703(d)), $17,820,000 shall be for construction under sec-
tion 8007(a) of such Act (20 U.S.C. 7707(a)), 
$65,700,000 shall be for Federal property payments under 
section 8002 of such Act (20 U.S.C. 7702), and 
$4,950,000, to remain available until expended, shall be 
for facilities maintenance under section 8008 of such Act 
(20 U.S.C. 7708): Provided, That for purposes of com-
puting the amount of a payment for an eligible local edu-
cational agency under section 8003(a) of such Act (20 
U.S.C. 7703(a)) for school year 2007–2008, children en-
rolled in a school of such agency that would otherwise be 
eligible for payment under section 8003(a)(1)(B) of such 
Act, but due to the deployment of both parents or legal 
guardians, or a parent or legal guardian having sole cus-
tody of such children, or due to the death of a military 
parent or legal guardian while on active duty (so long as 
such children reside on Federal property as described in 
section 8003(a)(1)(B) of such Act), are no longer eligible 
under such section, shall be considered as eligible students
under such section, provided such students remain in aver-
age daily attendance at a school in the same local edu-
cational agency they attended prior to their change in eli-
gibility status. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities au-
thorized by title II (20 U.S.C. 6601 et seq.), part B of 
title IV (20 U.S.C. 7171 et seq.), part A of title V (20 
U.S.C. 7201 et seq.) and subparts 6 and 9 of part D of 
title V (20 U.S.C. 7253 et seq., 20 U.S.C. 7259 et seq.), 
part A of title VI (20 U.S.C. 7301 et seq.) and part B 
of title VI (20 U.S.C. 7341 et seq.), and part B of title 
VII (20 U.S.C. 7511 et seq.) and part C of title VII (20 
U.S.C. 7541 et seq.) of the Elementary and Secondary 
Education Act of 1965 (‘‘ESEA’’); the McKinney-Vento 
Homeless Assistance Act (42 U.S.C. 11301 et seq.); sec-
tion 203 of the Educational Technical Assistance Act of 
2002 (20 U.S.C. 9602); the Compact of Free Association 
Amendments Act of 2003 (48 U.S.C. 1921 et seq.); and 
the Civil Rights Act of 1964 (42 U.S.C. 2000a et seq.), 
$5,678,002,000, of which $4,059,441,000 shall become 
available on July 1, 2008, and remain available through 
September 30, 2009, and of which $1,435,000,000 shall 
become available on October 1, 2008, and shall remain 
available through September 30, 2009, for academic year
2008–2009: Provided, That $411,630,000 shall be for 
State assessments and related activities authorized under 
sections 6111 and 6112 of ESEA (20 U.S.C. 7301, 
7301a): Provided further, That up to 100 percent of the 
funds available to a State educational agency under part 
D of title II of the ESEA (20 U.S.C. 6751 et seq.) may 
be used for subgrants described in section 2412(a)(2)(B) 
of such Act (20 U.S.C. 6762(a)(2)(B)): Provided further, 
That $56,257,000 shall be available to carry out section 
203 of the Educational Technical Assistance Act of 2002: 
Provided further, That $34,376,000 shall be available to 
carry out part D of title V of ESEA: Provided further, 
That no funds appropriated under this heading may be 
used to carry out section 5494 under ESEA (20 U.S.C. 
7259c): Provided further, That $18,001,000 shall be avail-
able to carry out the Supplemental Education Grants pro-
gram for the Federated States of Micronesia and for the 
Republic of the Marshall Islands: Provided further, That 
up to 5 percent of these amounts may be reserved by the 
Federated States of Micronesia and the Republic of the 
Marshall Islands to administer the Supplemental Edu-
cation Grants programs and to obtain technical assistance, 
oversight, and consultancy services in the administration 
of these grants and to reimburse the United States De-
partments of Labor, Health and Human Services, and