SEC. 110. (a) On or before November 30, 2007, the 
Secretary of Labor shall, pursuant to section 6 of the Oc-
cupational Safety and Health Act of 1970 (29 U.S.C. 
655), promulgate a final occupational safety and health 
standard concerning employer payment for personal pro-
tective equipment. The final standard shall provide no less 
protection to employees and shall have no further excep-
tions from the employer payment requirement than the 
proposed rule published in the Federal Register on March 
31, 1999 (64 Fed. Reg. 15402). 
(b) In the event that such standard is not promul-
gated by the date required, the proposed standard on em-
ployer payment for personal protective equipment pub-
lished in the Federal Register on March 31, 1999 (64 Fed. 
Reg. 15402) shall become effective as if such standard had 
been promulgated as a final standard by the Secretary of 
Labor. 
SEC. 111. None of the funds appropriated in this title 
may be used to carry out a public-private competition or 
direct conversion under OMB Circular A–76 or any suc-
cessor administrative regulation, directive, or policy until 
60 days after the Government Accountability Office pro-
vides a report to the Committees on Appropriations of the 
House of Representatives and the Senate on the use of 
competitive sourcing at the Department of Labor.
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2008’’. 
TITLE II—DEPARTMENT OF HEALTH AND 
HUMAN SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
HEALTH RESOURCES AND SERVICES 
For carrying out titles II, III, IV, VII, VIII, X, XII, 
XVI, XIX, and XXVI of the Public Health Service Act, 
section 427(a) of the Federal Coal Mine Health and Safe-
ty Act, title V and sections 1128E, 711, and 1820 of the 
Social Security Act (42 U.S.C. 1320a–7e, 912, and 1395i– 
4), the Health Care Quality Improvement Act of 1986, 
the Native Hawaiian Health Care Act of 1988, the Car-
diac Arrest Survival Act of 2000, construction and renova-
tion (including equipment) of health care and other facili-
ties, and section 712(c) of the American Jobs Creation 
Act of 2004 (42 U.S.C. 300b–1 note), $7,055,709,000 (in-
creased by $2,500,000) (increased by $3,500,000), of 
which $63,538,000 from general revenues, notwith-
standing subsection (j) of section 1820 of the Social Secu-
rity Act, shall be available for carrying out the Medicare 
rural hospital flexibility grants program under such sec-
tion: Provided, That of the funds made available under 
this heading, $100,000 shall be available until expended 
for facilities renovations at the National Hansen’s Disease
Programs Center (as described in section 320 of the Pub-
lic Health Service Act (42 U.S.C. 247e)): Provided further, 
That in addition to fees authorized by section 427(b)(4) 
of the Health Care Quality Improvement Act of 1986 (42 
U.S.C. 11137(b)(4)), 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 authorized under such Act, and shall remain 
available until expended to carry out such Act: Provided 
further, That fees authorized under subsection (d)(2) of 
section 1128E of the Social Security Act (42 U.S.C. 
1320a–7e) to be collected for the full disclosure of infor-
mation under the national health care fraud and abuse 
data collection program established under such section, 
shall be sufficient to recover the full costs of operating 
the program, and shall remain available until expended to 
carry 
out 
that 
program: 
Provided 
further, 
That 
$35,000,000 of the funding provided for community 
health centers shall be used for base grant adjustments 
for existing centers: Provided further, That no more than 
$40,000 is available until expended for carrying out the 
provisions of section 224(o)(6) of the Public Health Serv-
ice Act (42 U.S.C. 233(o)(6)) including associated admin-
istrative expenses: Provided further, That $3,963,000 
(incresed by $11,037,000) is available until expended for
the National Cord Blood Stem Cell Program: Provided 
further, That no more than $45,000,000 is available until 
expended for carrying out the amendments to section 224 
of the Public Health Service Act (42 U.S.C. 233) made 
by the Federally Supported Health Centers Assistance Act 
of 1995 and for expenses incurred by the Department of 
Health and Human Services pertaining to administrative 
claims made pursuant to such amendments: Provided fur-
ther, That of the funds made available under this heading, 
$310,910,000 shall be for the program under title X of 
the Public Health Service Act to provide for voluntary 
family planning projects: Provided further, That amounts 
provided to such projects under such title shall not be ex-
pended for abortions, that all pregnancy counseling shall 
be nondirective, and that such amounts shall not be ex-
pended for any activity (including the publication or dis-
tribution of literature) that in any way tends to promote 
public support or opposition to any legislative proposal or 
candidate for public office: Provided further, That of the 
funds available under this heading, $1,865,800,000 shall 
remain available to the Secretary of Health and Human 
Services through September 30, 2010, for parts A and B 
of title XXVI of the Public Health Service Act: Provided 
further, That within the amounts provided for part A of 
title XXVI of the Public Health Service Act (42 U.S.C.
300ff–11 et seq.), funds are included to ensure that the 
amount of any funding provided under such part to a met-
ropolitan area for the program year beginning in 2007 is 
not reduced by an amount that is more than 8.4 percent, 
and the amount of any funding provided under subpart 
II of such part to a transitional area is not reduced by 
an amount that is more than 13.4 percent, relative to the 
amount of the total funding provided under such part to 
the metropolitan area or transitional area, respectively, for 
the program year beginning in fiscal year 2006: Provided 
further, That $830,593,000 shall be for State AIDS Drug 
Assistance Programs authorized under section 2616 of 
such Act (42 U.S.C. 300ff–26): Provided further, That in 
addition to amounts provided herein, $25,000,000 shall be 
available from amounts available under section 241 of the 
Public Health Service Act (42 U.S.C. 238j) to carry out 
parts A, B, C, and D of title XXVI of such Act to fund 
the special projects of national significance under section 
2691 of the Public Health Service Act (42 U.S.C. 300ff– 
101): Provided further, That, notwithstanding section 
502(a)(1) of the Social Security Act (42 U.S.C. 
702(a)(1)), not to exceed $170,991,000 is available for 
carrying out special projects of regional and national sig-
nificance pursuant to section 501(a)(2) of such Act (42 
U.S.C. 701(a)(2)).
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM 
ACCOUNT 
Such sums as may be necessary to carry out subpart 
1 of part A of title VII of the Public Health Service Act. 
For administrative expenses to carry out the guaranteed 
loan program under such subpart, including section 709 
of such Act, $2,906,000. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Trust Fund, such sums as may be necessary for claims 
associated with vaccine-related injury or death with re-
spect to vaccines administered after September 30, 1988, 
pursuant to subtitle 2 of title XXI of the Public Health 
Service Act, to remain available until expended: Provided, 
That for necessary administrative expenses, not to exceed 
$3,528,000 shall be available from the Trust Fund to the 
Secretary of Health and Human Services. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
DISEASE CONTROL, RESEARCH, AND TRAINING 
To carry out titles II, III, VII, XI, XV, XVII, XIX, 
XXI, and XXVI of the Public Health Service Act (42 
U.S.C. 201 et seq.) (‘‘PHS Act’’), sections 101, 102, 103, 
201, 202, 203, 301, and 501 of the Federal Mine Safety 
and Health Act of 1977 (30 U.S.C. 811, 812, 813, 841, 
842, 843, 861, and 951), sections 20, 21, and 22 of the 
Occupational Safety and Health Act of 1970 (29 U.S.C.