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substance or that federally sponsored clinical trials are
being conducted to determine therapeutic advantage.
SEC. 512. None of the funds made available in this
Act may be obligated or expended to enter into or renew
a contract with an entity if—
(1) such entity is otherwise a contractor with
the United States and is subject to the requirement
in section 4212(d) of title 38, United States Code,
regarding submission of an annual report to the Sec-
retary of Labor concerning employment of certain
veterans; and
(2) such entity has not submitted a report as
required by that section for the most recent year for
which such requirement was applicable to such enti-
ty.
SEC. 513. Except as otherwise specifically provided
by law, unobligated balances remaining available at the
end of fiscal year 2000 from appropriations made avail-
able for salaries and expenses for fiscal year 2000 in this
Act, shall remain available through December 31, 2000,
for each such account for the purposes authorized: Pro-
vided, That the House and Senate Committees on Appro-
priations shall be notified at least 15 days prior to the
obligation of such funds: Provided further, That the provi-
sions of this section shall not apply to any funds appro-
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priated to the Centers for Disease Control and Prevention
or to the Department of Education.
SEC. 514. Section 5527 of Public Law 105–33, The
Balanced Budget Act of 1997, is repealed.
SEC. 515. (a) DATES FOR EVALUATION.—Section
403(a)(5)(H)(iii) of the Social Security Act (42 U.S.C.
603(a)(5)(H)(iii)) is amended by striking ‘‘2001’’ and in-
serting ‘‘2005’’.
(b)
INTERIM
REPORT
REQUIRED.—Section
403(a)(5)(H) of such Act (42 U.S.C. 603(a)(5)(G)) is
amended by adding at the end the following:
‘‘(iv) INTERIM REPORT.—Not later
than January 1, 2002, the Secretary shall
submit to the Congress an interim report
on the evaluations referred to in clause
(i).’’.
SEC.
516.
Section
403(a)(3)(A)
(42
U.S.C.
603(a)(3)(A)) is amended—
(1) in clause (i), by striking ‘‘and’’ at the end;
(2) in clause (ii)—
(A) by striking ‘‘1999, 2000, and 2001’’
and inserting ‘‘1999 and 2000’’; and
(B) by striking the period at the end and
inserting ‘‘; and’’; and
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(3) by adding at the end the following new
clause:
‘‘(iii) for fiscal year 2001, a grant in
an amount equal to the amount of the
grant to the State under clause (i) for fis-
cal year 1998.’’.
SEC. 517. Section 410(b) of The Ticket to Work and
Work Incentives Improvement Act of 1999 (Public Law
106–170) is amended by striking ‘‘2009’’ each place it ap-
pears and inserting ‘‘2001’’.
SEC. 518. If the total level of discretionary advance
appropriations for fiscal year 2002 and subsequent fiscal
years provided in general appropriation Acts for fiscal year
2001 exceeds $23,500,000,000, there shall be rescinded
from the amount made available in this Act for fiscal year
2002 under the heading ‘‘ADMINISTRATION FOR CHIL-
DREN AND FAMILIES—PAYMENTS TO STATES FOR THE
CHILD
CARE
AND
DEVELOPMENT
BLOCK
GRANT’’ an
amount sufficient to reduce the total level of such discre-
tionary advance appropriations to $23,500,000,000: Pro-
vided, That the rescission shall not exceed an amount that
would cause the amount provided under such heading to
be less than the amount provided for fiscal year 2001 in
the Departments of Labor, Health and Human Services,
and Education, and Related Agencies Appropriations Act,
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2000 (as enacted into law by section 1000(a)(4) of Public
Law 106–113).
SEC. 519. None of the funds made available in this
Act may be used to promulgate or adopt any final stand-
ard under section 1173(b) of the Social Security Act (42
U.S.C. 1320d–2(b)).
SEC. 520. None of the funds made available in this
Act may be used to prohibit military recruiting at sec-
ondary schools.
SEC. 521. None of the funds made available in this
Act for the National Institutes of Health may be used to
grant an exclusive or partially exclusive license pursuant
to chapter 18 of title 35, United States Code, except in
accordance with section 209 of such title (relating to the
availability to the public of an invention and its benefits
on reasonable terms).
This Act may be cited as the ‘‘Departments of Labor,
Health and Human Services, and Education, and Related
Agencies Appropriations Act, 2001’’.
DIVISION A—DEPARTMENTS OF LABOR, HEALTH
AND HUMAN SERVICES, AND EDUCATION,
AND RELATED AGENCIES
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
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Education, and related agencies for the fiscal year ending
September 30, 2001, and for other purposes, namely:
TITLE I—DEPARTMENT OF LABOR
EMPLOYMENT AND TRAINING ADMINISTRATION
TRAINING AND EMPLOYMENT SERVICES
For necessary expenses of the Workforce Investment
Act, including the purchase and hire of passenger motor
vehicles, the construction, alteration, and repair of build-
ings and other facilities, and the purchase of real property
for training centers as authorized by the Workforce Invest-
ment Act and the National Skill Standards Act of 1994;
$2,990,141,000 
plus 
reimbursements, 
of 
which
$1,718,801,000 is available for obligation for the period
July 1, 2001 through June 30, 2002, of which
$1,250,965,000 is available for obligation for the period
April 1, 2001 through June 30, 2002, including
$1,000,965,000 to carry out chapter 4 of the Workforce In-
vestment Act and $250,000,000 to carry out section 169 of
such Act; and of which $20,375,000 is available for the pe-
riod July 1, 2001 through June 30, 2004 for necessary ex-
penses of construction, rehabilitation, and acquisition of
Job Corps centers: Provided, That $9,098,000 shall be for
carrying out section 172 of the Workforce Investment Act,
and $3,500,000 shall be for carrying out the National Skills
Standards Act of 1994: Provided further, That no funds
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from any other appropriation shall be used to provide meal
services at or for Job Corps centers: Provided further, That
funds provided to carry out section 171(d) of such Act may
be used for demonstration projects that provide assistance
to new entrants in the workforce and incumbent workers:
Provided further, That funding provided to carry out
projects under section 171 of the Workforce Investment Act
of 1998 that are identified in the Conference Agreement,
shall not be subject to the requirements of section
171(b)(2)(B) of such Act, the requirements of section
171(c)(4)(D) of such Act, or the joint funding requirements
of sections 171(b)(2)(A) and 171(c)(4)(A) of such Act: Pro-
vided further, That funding appropriated herein for Dis-
located Worker Employment and Training Activities under
section 132(a)(2)(A) of the Workforce Investment Act of
1998 may be distributed for Dislocated Worker Projects
under section 171(d) of the Act without regard to the 10
percent limitation contained in section 171(d) of the Act.
For necessary expenses of the Workforce Investment
Act, including the purchase and hire of passenger motor
vehicles, the construction, alteration, and repair of build-
ings and other facilities, and the purchase of real property
for training centers as authorized by the Workforce Invest-
ment Act; $2,463,000,000 plus reimbursements, of which
$2,363,000,000 is available for obligation for the period Oc-
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tober 1, 2001 through June 30, 2002, and of which
$100,000,000 is available for the period October 1, 2001
through June 30, 2004, for necessary expenses of construc-
tion, rehabilitation, and acquisition of Job Corps centers.
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,
or to carry out older worker activities as subsequently au-
thorized, $343,356,000.
To carry out the activities for grants to States under
paragraph (3) of section 506(a) of title V of the Older Amer-
icans Act of 1965, as amended, or to carry out older worker
activities as subsequently authorized, $96,844,000.
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES
For payments during the current fiscal year of trade
adjustment benefit payments and allowances under part I;
and for training, allowances for job search and relocation,
and related State administrative expenses under part II,
subchapters B and D, chapter 2, title II of the Trade Act
of 1974, as amended, $406,550,000, together with such
amounts as may be necessary to be charged to the subse-
quent appropriation for payments for any period subse-
quent to September 15 of the current year.
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STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT
SERVICE OPERATIONS
For authorized administrative expenses, $153,452,000,
together with not to exceed $3,095,978,000 (including not
to exceed $1,228,000 which may be used for amortization
payments to States which had independent retirement plans
in their State employment service agencies prior to 1980),
which may be expended from the Employment Security Ad-
ministration account in the Unemployment Trust Fund in-
cluding the cost of administering section 51 of the Internal
Revenue Code of 1986, as amended, section 7(d) of the Wag-
ner-Peyser Act, as amended, the Trade Act of 1974, as
amended, the Immigration Act of 1990, and the Immigra-
tion and Nationality Act, as amended, and of which the
sums available in the allocation for activities authorized by
title III of the Social Security Act, as amended (42 U.S.C.
502–504), and the sums available in the allocation for nec-
essary administrative expenses for carrying out 5 U.S.C.
8501–8523, shall be available for obligation by the States
through December 31, 2001, except that funds used for auto-
mation acquisitions shall be available for obligation by the
States through September 30, 2003; and of which
$153,452,000, together with not to exceed $763,283,000 of
the amount which may be expended from said trust fund,
shall be available for obligation for the period July 1, 2001
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through June 30, 2002, to fund activities under the Act of
June 6, 1933, as amended, including the cost of penalty
mail authorized under 39 U.S.C. 3202(a)(1)(E) made
available to States in lieu of allotments for such purpose:
Provided, That to the extent that the Average Weekly In-
sured Unemployment (AWIU) for fiscal year 2001 is pro-
jected by the Department of Labor to exceed 2,396,000, an
additional $28,600,000 shall be available for obligation for
every 100,000 increase in the AWIU level (including a pro
rata amount for any increment less than 100,000) from the
Employment Security Administration Account of the Un-
employment Trust Fund: Provided further, That funds ap-
propriated in this Act which are used to establish a na-
tional one-stop career center system, or which are used to
support the national activities of the Federal-State unem-
ployment insurance programs, may be obligated in con-
tracts, grants or agreements with non-State entities: Pro-
vided further, That funds appropriated under this Act for
activities authorized under the Wagner-Peyser Act, as
amended, and title III of the Social Security Act, may be
used by the States to fund integrated Employment Service
and Unemployment Insurance automation efforts, notwith-
standing cost allocation principles prescribed under Office
of Management and Budget Circular A–87.
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ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND
OTHER FUNDS
For repayable advances to the Unemployment Trust
Fund as authorized by sections 905(d) and 1203 of the So-
cial Security Act, as amended, and to the Black Lung Dis-
ability Trust Fund as authorized by section 9501(c)(1) of
the Internal Revenue Code of 1954, as amended; and for
nonrepayable advances to the Unemployment Trust Fund
as authorized by section 8509 of title 5, United States Code,
and to the ‘‘Federal unemployment benefits and allow-
ances’’ account, to remain available until September 30,
2002, $435,000,000.
In addition, for making repayable advances to the
Black Lung Disability Trust Fund in the current fiscal
year after September 15, 2001, for costs incurred by the
Black Lung Disability Trust Fund in the current fiscal
year, such sums as may be necessary.
PROGRAM ADMINISTRATION
For expenses of administering employment and train-
ing programs, $107,651,000, including $6,431,000 to sup-
port up to 75 full-time equivalent staff, the majority of
which will be term Federal appointments lasting no more
than 1 year, to administer welfare-to-work grants, together
with not to exceed $48,507,000, which may be expended
from the Employment Security Administration account in
the Unemployment Trust Fund.
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PENSION AND WELFARE BENEFITS ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Pension and Welfare
Benefits Administration, $103,342,000.
PENSION BENEFIT GUARANTY CORPORATION
PENSION BENEFIT GUARANTY CORPORATION FUND
The Pension Benefit Guaranty Corporation is author-
ized to make such expenditures, including financial assist-
ance authorized by section 104 of Public Law 96–364, with-
in limits of funds and borrowing authority available to
such Corporation, and in accord with law, and to make
such contracts and commitments without regard to fiscal
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, 2001, for such Corporation: Pro-
vided, That not to exceed $11,652,000 shall be available for
administrative expenses of the Corporation: Provided fur-
ther, That expenses of such Corporation in connection with
the termination of pension plans, for the acquisition, pro-
tection or management, and investment of trust assets, and
for benefits administration services shall be considered as
non-administrative expenses for the purposes hereof, and ex-
cluded from the above limitation.
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EMPLOYMENT STANDARDS ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Employment Standards
Administration, including reimbursement to State, Federal,
and local agencies and their employees for inspection serv-
ices rendered, $350,779,000, together with $1,985,000 which
may be expended from the Special Fund in accordance with
sections 39(c), 44(d) and 44(j) of the Longshore and Harbor
Workers’ Compensation Act: Provided, That $2,000,000
shall be for the development of an alternative system for
the electronic submission of reports required to be filed
under the Labor-Management Reporting and Disclosure Act
of 1959, as amended, and for a computer database of the
information for each submission by whatever means, that
is indexed and easily searchable by the public via the Inter-
net: Provided further, That the Secretary of Labor is au-
thorized to accept, retain, and spend, until expended, in
the name of the Department of Labor, all sums of money
ordered to be paid to the Secretary of Labor, in accordance
with the terms of the Consent Judgment in Civil Action
No. 91–0027 of the United States District Court for the Dis-
trict of the Northern Mariana Islands (May 21, 1992): Pro-
vided further, That the Secretary of Labor is authorized to
establish and, in accordance with 31 U.S.C. 3302, collect
and deposit in the Treasury fees for processing applications
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and issuing certificates under sections 11(d) and 14 of the
Fair Labor Standards Act of 1938, as amended (29 U.S.C.
211(d) and 214) and for processing applications and
issuing registrations under title I of the Migrant and Sea-
sonal Agricultural Worker Protection Act (29 U.S.C. 1801
et seq.).
SPECIAL BENEFITS
(INCLUDING TRANSFER OF FUNDS)
For the payment of compensation, benefits, and ex-
penses (except administrative expenses) accruing during the
current or any prior fiscal year authorized by title 5, chap-
ter 81 of the United States Code; continuation of benefits
as provided for under the heading ‘‘Civilian War Benefits’’
in the Federal Security Agency Appropriation Act, 1947;
the Employees’ Compensation Commission Appropriation
Act, 1944; sections 4(c) and 5(f) of the War Claims Act
of 1948 (50 U.S.C. App. 2012); and 50 percent of the addi-
tional compensation and benefits required by section 10(h)
of the Longshore and Harbor Workers’ Compensation Act,
as amended, $56,000,000 together with such amounts as
may be necessary to be charged to the subsequent year ap-
propriation for the payment of compensation and other ben-
efits for any period subsequent to August 15 of the current
year: Provided, That amounts appropriated may be used
under section 8104 of title 5, United States Code, by the
Secretary of Labor to reimburse an employer, who is not
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the employer at the time of injury, for portions of the salary
of a reemployed, disabled beneficiary: Provided further,
That balances of reimbursements unobligated on September
30, 2000, shall remain available until expended for the pay-
ment of compensation, benefits, and expenses: Provided fur-
ther, That in addition there shall be transferred to this ap-
propriation from the Postal Service and from any other cor-
poration or instrumentality required under section 8147(c)
of title 5, United States Code, to pay an amount for its
fair share of the cost of administration, such sums as the
Secretary determines to be the cost of administration for
employees of such fair share entities through September 30,
2001: Provided further, That of those funds transferred to
this account from the fair share entities to pay the cost of
administration, $30,510,000 shall be made available to the
Secretary as follows: (1) for the operation of and enhance-
ment to the automated data processing systems, including
document imaging, medical bill review, and periodic roll
management, in support of Federal Employees’ Compensa-
tion Act administration, $19,971,000; (2) for conversion to
a paperless office, $7,005,000; (3) for communications rede-
sign, $750,000; (4) for information technology maintenance
and support, $2,784,000; and (5) the remaining funds shall
be paid into the Treasury as miscellaneous receipts: Pro-
vided further, That the Secretary may require that any per-
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son filing a notice of injury or a claim for benefits under
chapter 81 of title 5, United States Code, or 33 U.S.C. 901
et seq., provide as part of such notice and claim, such iden-
tifying information (including Social Security account
number) as such regulations may prescribe.
BLACK LUNG DISABILITY TRUST FUND
(INCLUDING TRANSFER OF FUNDS)
Beginning in fiscal year 2001 and thereafter, such
sums as may be necessary from the Black Lung Disability
Trust Fund, to remain available until expended, for pay-
ment of all benefits authorized by section 9501(d)(1) (2) (4)
and (7) of the Internal Revenue Code of 1954, as amended;
and interest on advances as authorized by section
9501(c)(2) of that Act. In addition, the following amounts
shall be available from the Fund for fiscal year 2001 for
expenses of operation and administration of the Black Lung
Benefits program as authorized by section 9501(d)(5) of
that Act: $30,393,000 for transfer to the Employment
Standards Administration, ‘‘Salaries and Expenses’’;
$21,590,000 for transfer to Departmental Management,
‘‘Salaries and Expenses’’; $318,000 for transfer to Depart-
mental Management, ‘‘Office of Inspector General’’; and
$356,000 for payments into Miscellaneous Receipts for the
expenses of the Department of Treasury.
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OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Occupational Safety
and Health Administration, $425,983,000, including not to
exceed $88,493,000 which shall be the maximum amount
available for grants to States under section 23(g) of the Oc-
cupational Safety and Health Act, which grants shall be
no less than 50 percent of the costs of State occupational
safety and health programs required to be incurred under
plans approved by the Secretary under section 18 of the
Occupational Safety and Health Act of 1970; and, in addi-
tion, notwithstanding 31 U.S.C. 3302, the Occupational
Safety and Health Administration may retain up to
$750,000 per fiscal year of training institute course tuition
fees, otherwise authorized by law to be collected, and may
utilize such sums for occupational safety and health train-
ing and education grants: Provided, That of the amount
appropriated under this heading that is in excess of the
amount appropriated for such purposes for fiscal year 2000,
at least $22,200,000 shall be used to carry out education,
training, and consultation activities as described in sub-
sections (c) and (d) of section 21 of the Occupational Safety
and Health Act of 1970 (29 U.S.C. 670(c) and (d)): Pro-
vided further, That, notwithstanding 31 U.S.C. 3302, the
Secretary of Labor is authorized, during the fiscal year end-
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ing September 30, 2001, to collect and retain fees for serv-
ices provided to Nationally Recognized Testing Labora-
tories, and may utilize such sums, in accordance with the
provisions of 29 U.S.C. 9a, to administer national and
international laboratory recognition programs that ensure
the safety of equipment and products used by workers in
the workplace: Provided further, That none of the funds ap-
propriated under this paragraph shall be obligated or ex-
pended to prescribe, issue, administer, or enforce any stand-
ard, rule, regulation, or order under the Occupational Safe-
ty and Health Act of 1970 which is applicable to any per-
son who is engaged in a farming operation which does not
maintain a temporary labor camp and employs 10 or fewer
employees: Provided further, That no funds appropriated
under this paragraph shall be obligated or expended to ad-
minister or enforce any standard, rule, regulation, or order
under the Occupational Safety and Health Act of 1970 with
respect to any employer of 10 or fewer employees who is
included within a category having an occupational injury
lost workday case rate, at the most precise Standard Indus-
trial Classification Code for which such data are published,
less than the national average rate as such rates are most
recently published by the Secretary, acting through the Bu-
reau of Labor Statistics, in accordance with section 24 of
that Act (29 U.S.C. 673), except—
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(1) to provide, as authorized by such Act, con-
sultation, technical assistance, educational and train-
ing services, and to conduct surveys and studies;
(2) to conduct an inspection or investigation in
response to an employee complaint, to issue a citation
for violations found during such inspection, and to
assess a penalty for violations which are not corrected
within a reasonable abatement period and for any
willful violations found;
(3) to take any action authorized by such Act
with respect to imminent dangers;
(4) to take any action authorized by such Act
with respect to health hazards;
(5) to take any action authorized by such Act
with respect to a report of an employment accident
which is fatal to one or more employees or which re-
sults in hospitalization of two or more employees, and
to take any action pursuant to such investigation au-
thorized by such Act; and
(6) to take any action authorized by such Act
with respect to complaints of discrimination against
employees for exercising rights under such Act:
Provided further, That the foregoing proviso shall not apply
to any person who is engaged in a farming operation which
100
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does not maintain a temporary labor camp and employs
10 or fewer employees.
MINE SAFETY AND HEALTH ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Mine Safety and Health
Administration, $244,747,000, including purchase and be-
stowal of certificates and trophies in connection with mine
rescue and first-aid work, and the hire of passenger motor
vehicles; including up to $1,000,000 for mine rescue and
recovery activities, which shall be available only to the ex-
tent that fiscal year 2001 obligations for these activities ex-
ceed $1,000,000; in addition, not to exceed $750,000 may
be collected by the National Mine Health and Safety Acad-
emy for room, board, tuition, and the sale of training mate-
rials, otherwise authorized by law to be collected, to be
available for mine safety and health education and training
activities, notwithstanding 31 U.S.C. 3302; and, in addi-
tion, the Administration may retain up to $1,000,000 from
fees collected for the approval and certification of equip-
ment, materials, and explosives for use in mines, and may
utilize such sums for such activities; the Secretary is au-
thorized to accept lands, buildings, equipment, and other
contributions from public and private sources and to pros-
ecute projects in cooperation with other agencies, Federal,
State, or private; the Mine Safety and Health Administra-
101
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tion is authorized to promote health and safety education
and training in the mining community through cooperative
programs with States, industry, and safety associations;
and any funds available to the department may be used,
with the approval of the Secretary, to provide for the costs
of mine rescue and survival operations in the event of a
major disaster.
BUREAU OF LABOR STATISTICS
SALARIES AND EXPENSES
For necessary expenses for the Bureau of Labor Statis-
tics, including advances or reimbursements to State, Fed-
eral, and local agencies and their employees for services ren-
dered, 
$369,327,000, 
together 
with 
not 
to 
exceed
$67,257,000, which may be expended from the Employment
Security Administration account in the Unemployment
Trust Fund; and $10,000,000 which shall be available for
obligation for the period July 1, 2001 through June 30,
2002, for Occupational Employment Statistics.
DEPARTMENTAL MANAGEMENT
SALARIES AND EXPENSES
For necessary expenses for Departmental Management,
including the hire of three sedans, and including the man-
agement or operation, through contracts, grants or other ar-
rangements, of Departmental bilateral and multilateral for-
eign technical assistance, of which the funds designated to
102
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carry out bilateral assistance under the international child
labor initiative shall be available for obligation through
September 30, 2002, $30,000,000 for the acquisition of De-
partmental information technology, architecture, infra-
structure, equipment, software and related needs which will
be allocated by the Department’s Chief Information Officer
in accordance with the Department’s capital investment
management process to assure a sound investment strategy;
$337,964,000: Provided, That no funds made available by
this Act may be used by the Solicitor of Labor to participate
in a review in any United States court of appeals of any
decision made by the Benefits Review Board under section
21 of the Longshore and Harbor Workers’ Compensation Act
(33 U.S.C. 921) where such participation is precluded by
the decision of the United States Supreme Court in Direc-
tor, Office of Workers’ Compensation Programs v. Newport
News Shipbuilding, 115 S. Ct. 1278 (1995), notwith-
standing any provisions to the contrary contained in Rule
15 of the Federal Rules of Appellate Procedure: Provided
further, That no funds made available by this Act may be
used by the Secretary of Labor to review a decision under
the Longshore and Harbor Workers’ Compensation Act (33
U.S.C. 901 et seq.) that has been appealed and that has
been pending before the Benefits Review Board for more
than 12 months: Provided further, That any such decision
103
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pending a review by the Benefits Review Board for more
than 1 year shall be considered affirmed by the Benefits
Review Board on the 1-year anniversary of the filing of
the appeal, and shall be considered the final order of the
Board for purposes of obtaining a review in the United
States courts of appeals: Provided further, That these provi-
sions shall not be applicable to the review or appeal of any
decision issued under the Black Lung Benefits Act (30
U.S.C. 901 et seq.): Provided further, That beginning in
fiscal year 2001, there is established in the Department of
Labor an office of disability employment policy which shall,
under the overall direction of the Secretary, provide leader-
ship, develop policy and initiatives, and award grants fur-
thering the objective of eliminating barriers to the training
and employment of people with disabilities. Such office
shall be headed by an assistant secretary: Provided further,
That of amounts provided under this head, not more than
$23,002,000 is for this purpose.
VETERANS EMPLOYMENT AND TRAINING
Not to exceed $186,913,000 may be derived from the
Employment Security Administration account in the Un-
employment Trust Fund to carry out the provisions of 38
U.S.C. 4100–4110A, 4212, 4214, and 4321–4327, and Pub-
lic Law 103–353, and which shall be available for obliga-
tion by the States through December 31, 2001. To carry
out the Stewart B. McKinney Homeless Assistance Act and
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section 168 of the Workforce Investment Act of 1998,
$19,800,000, of which $7,300,000 shall be available for obli-
gation for the period July 1, 2001, through June 30, 2002.
OFFICE OF INSPECTOR GENERAL
For salaries and expenses of the Office of Inspector
General in carrying out the provisions of the Inspector Gen-
eral Act of 1978, as amended, $50,015,000, together with
not to exceed $4,770,000, which may be expended from the
Employment Security Administration account in the Un-
employment Trust Fund.
GENERAL PROVISIONS
SEC. 101. None of the funds appropriated in this title
for the Job Corps shall be used to pay the compensation
of an individual, either as direct costs or any proration
as an indirect cost, at a rate in excess of Executive Level
II.
(TRANSFER OF FUNDS)
SEC. 102. Not to exceed 1 percent of any discretionary
funds (pursuant to the Balanced Budget and Emergency
Deficit Control Act of 1985, as amended) which are appro-
priated for the current fiscal year for the Department of
Labor in this Act may be transferred between appropria-
tions, but no such appropriation shall be increased by more
than 3 percent by any such transfer: Provided, That the
Appropriations Committees of both Houses of Congress are
notified at least 15 days in advance of any transfer.
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SEC. 103. EXTENDED DEADLINE FOR EXPENDITURE.
Section 403(a)(5)(C)(viii) of the Social Security Act (42
U.S.C. 603(a)(5)(C)(viii)) (as amended by section 806(b)
of the Departments of Labor, Health and Human Services,
and Education, and Related Agencies Appropriations Act,
2000 (as enacted into law by section 1000(a)(4) of Public
Law 106–113)) is amended by striking ‘‘3 years’’ and in-
serting ‘‘5 years’’.
SEC. 104. ELIMINATION OF SET-ASIDE OF PORTION OF
WELFARE-TO-WORK FUNDS FOR PERFORMANCE BONUSES.
(a) IN GENERAL.—Section 403(a)(5) of the Social Security
Act (as amended by section 806(b) of the Departments of
Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2000 (as enacted into
law by section 1000(a)(4) of Public Law 106–113)) is
amended by striking subparagraph (E) and redesignating
subparagraphs (F) through (K) as subparagraphs (E)
through (J), respectively.
(b) CONFORMING AMENDMENTS.—The Social Security
Act (as amended by section 806(b) of the Departments of
Labor, Health and Human Services, and Education, and
Related Agencies Appropriations Act, 2000 (as enacted into
law by section 1000(a)(4) of Public Law 106–113)) is fur-
ther amended as follows:
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(1) 
Section 
403(a)(5)(A)(i) 
(42 
U.S.C.
603(a)(5)(A)(i)) is amended by striking ‘‘subpara-
graph (I)’’ and inserting ‘‘subparagraph (H)’’.
(2) Subclause (I) of each of subparagraphs
(A)(iv) and (B)(v) of section 403(a)(5) (42 U.S.C.
603(a)(5)(A)(iv)(I) and (B)(v)(I)) is amended—
(A) in item (aa)—
(i) by striking ‘‘(I)’’ and inserting
‘‘(H)’’; and
(ii) by striking ‘‘(G), and (H)’’ and
inserting ‘‘and (G)’’; and
(B) in item (bb), by striking ‘‘(F)’’ and in-
serting ‘‘(E)’’.
(3) 
Section 
403(a)(5)(B)(v) 
(42 
U.S.C.
603(a)(5)(B)(v)) is amended in the matter preceding
subclause (I) by striking ‘‘(I)’’ and inserting ‘‘(H)’’.
(4) Subparagraphs (E), (F), and (G)(i) of sec-
tion 403(a)(5) (42 U.S.C. 603(a)(5)), as so redesig-
nated by subsection (a) of this section, are each
amended by striking ‘‘(I)’’ and inserting ‘‘(H)’’.
(5) 
Section 
412(a)(3)(A) 
(42 
U.S.C.
612(a)(3)(A)) is amended by striking ‘‘403(a)(5)(I)’’
and inserting ‘‘403(a)(5)(H)’’.
(c) 
FUNDING
AMENDMENT.—Section
403(a)(5)(H)(i)(II) 
of 
such 
Act 
(42 
U.S.C.
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603(a)(5)(H)(i))(II) (as redesignated by subsection (a) of
this section and as amended by section 806(b) of the De-
partments of Labor, Health and Human Services, and Edu-
cation, and Related Agencies Appropriations Act, 2000 (as
enacted into law by section 1000(a)(4) of Public Law 106–
113)) is further amended by striking ‘‘$1,450,000,000’’ and
inserting ‘‘$1,400,000,000’’.
(d) EFFECTIVE DATE.—The amendments made by
subsections (a), (b), and (c) of this section shall take effect
on October 1, 2000.
SEC. 105. None of the funds made available in this
Act may be used by the Occupational Safety and Health
Administration to promulgate, issue, implement, admin-
ister, or enforce any proposed, temporary, or final standard
on ergonomic protection.
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,
and XXVI of the Public Health Service Act, section 427(a)
of the Federal Coal Mine Health and Safety Act, title V
and section 1820 of the Social Security Act, the Health Care
Quality Improvement Act of 1986, as amended, and the Na-
tive Hawaiian Health Care Act of 1988, as amended,
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$4,572,424,000, of which $150,000 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, of which $10,000,000 shall
be available for the construction and renovation of health
care and other facilities, of which $25,000,000 from general
revenues, notwithstanding section 1820(j) of the Social Se-
curity Act, shall be available for carrying out the Medicare
rural hospital flexibility grants program under section 1820
of such Act, and of which $4,000,000 shall be provided to
the Rural Health Outreach Office of the Health Resources
and Services Administration for the awarding of grants to
community partnerships in rural areas for the purchase of
automated external defibrillators and the training of indi-
viduals in basic cardiac life support: Provided, That the
Division of Federal Occupational Health may utilize per-
sonal services contracting to employ professional manage-
ment/administrative and occupational health professionals:
Provided further, That of the funds made available under
this heading, $250,000 shall be available until expended for
facilities renovations at the Gillis W. Long Hansen’s Dis-
ease Center: Provided further, That in addition to fees au-
thorized 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 recover
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the full costs of operating the National Practitioner Data
Bank, and shall remain available until expended to carry
out that Act: Provided further, That fees collected for the
full disclosure of information under the ‘‘Health Care
Fraud and Abuse Data Collection Program’’, authorized by
section 221 of the Health Insurance Portability and Ac-
countability Act of 1996, shall be sufficient to recover the
full costs of operating the Program, and shall remain avail-
able to carry out that Act until expended: Provided further,
That no more than $5,000,000 is available for carrying out
the provisions of Public Law 104–73: Provided further,
That of the funds made available under this heading,
$253,932,000 shall be for the program under title X of the
Public Health Service Act to provide for voluntary family
planning projects: Provided further, That amounts provided
to said projects under such title shall not be expended for
abortions, that all pregnancy counseling shall be nondirec-
tive, and that such amounts shall not be expended for any
activity (including the publication or distribution of lit-
erature) that in any way tends to promote public support
or opposition to any legislative proposal or candidate for
public office: Provided further, That $538,000,000 shall be
for State AIDS Drug Assistance Programs authorized by
section 2616 of the Public Health Service Act.
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RICKY RAY HEMOPHILIA RELIEF FUND PROGRAM
For payment to the Ricky Ray Hemophilia Relief
Fund, as provided by Public Law 105–369, $85,000,000,
of which $10,000,000 shall be for program management.
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM
ACCOUNT
Such sums as may be necessary to carry out the pur-
pose of the program, as authorized by title VII of the Public
Health Service Act, as amended. For administrative ex-
penses to carry out the guaranteed loan program, including
section 709 of the Public Health Service Act, $3,679,000.
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND
For payments from the Vaccine Injury Compensation
Program Trust Fund, such sums as may be necessary for
claims associated with vaccine-related injury or death with
respect to vaccines administered after September 30, 1988,
pursuant to subtitle 2 of title XXI of the Public Health
Service Act, to remain available until expended: Provided,
That for necessary administrative expenses, not to exceed
$2,992,000 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
and XXVI of the Public Health Service Act, sections 101,
102, 103, 201, 202, 203, 301, and 501 of the Federal Mine
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Safety and Health Act of 1977, sections 20, 21, and 22 of
the Occupational Safety and Health Act of 1970, title IV
of the Immigration and Nationality Act and section 501
of the Refugee Education Assistance Act of 1980; including
insurance of official motor vehicles in foreign countries; and
hire, 
maintenance, 
and 
operation 
of 
aircraft,
$3,204,496,000, of which $20,000,000 shall be made avail-
able to carry out children’s asthma programs and
$4,000,000 of such $20,000,000 shall be utilized to carry
out improved asthma surveillance and tracking systems and
the remainder shall be used to carry out diverse community-
based childhood asthma programs including both school-
and community-based grant programs, except that not to
exceed 5 percent of such funds may be used by the Centers
for Disease Control and Prevention for administrative costs
or reprogramming, and of which $175,000,000 shall remain
available until expended for the facilities master plan 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, and
of which $25,000,000 shall be made available through such
Centers for the establishment of partnerships between the
Federal Government and academic institutions and State
and local public health departments to carry out pilot pro-
grams for antimicrobial resistance detection, surveillance,
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education and prevention and to conduct research on resist-
ance mechanisms and new or more effective antimicrobial
compounds, and of which $10,000,000 shall remain avail-
able until expended to carry out the Fetal Alcohol Syn-
drome prevention and services program: Provided, That in
addition to amounts provided herein, up to $91,129,000
shall be available from amounts available under section 241
of the Public Health Service Act: Provided further, That
none of the funds made available for injury prevention and
control at the Centers for Disease Control and Prevention
may be used to advocate or promote gun control: Provided
further, That the Director may redirect the total amount
made available under authority of Public Law 101–502,
section 3, dated November 3, 1990, to activities the Director
may so designate: Provided further, That the Congress is
to be notified promptly of any such transfer: Provided fur-
ther, That not to exceed $10,000,000 may be available for
making grants under section 1509 of the Public Health
Service Act to not more than 15 States: Provided further,
That notwithstanding any other provision of law, a single
contract or related contracts for development and construc-
tion of facilities may be employed which collectively include
the full scope of the project: Provided further, That the solic-
itation and contract shall contain the clause ‘‘availability
of funds’’ found at 48 CFR 52.232–18: Provided further,
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That in addition to amounts made available under this
heading for the National Program of Cancer Registries, an
additional $15,000,000 shall be made available for such
Program and special emphasis in carrying out such Pro-
gram shall be given to States with the highest number of
the leading causes of cancer mortality: Provided further,
That amounts made available under this Act for the admin-
istrative and related expenses of the Centers for Disease
Control and Prevention shall be reduced by $15,000,000:
Provided further, That the funds made available under this
heading for section 317A of the Public Health Service Act
may be made available for programs operated in accordance
with a strategy (developed and implemented by the Director
for the Centers for Disease Control and Prevention) to iden-
tify and target resources for childhood lead poisoning pre-
vention to high-risk populations, including ensuring that
any individual or entity that receives a grant under that
section to carry out activities relating to childhood lead poi-
soning prevention may use a portion of the grant funds
awarded for the purpose of funding screening assessments
and referrals at sites of operation of the Early Head Start
programs under the Head Start Act.
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NATIONAL INSTITUTES OF HEALTH
NATIONAL CANCER INSTITUTE
For carrying out section 301 and title IV of the Public
Health Service Act with respect to cancer, $3,804,084,000.
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
For carrying out section 301 and title IV of the Public
Health Service Act with respect to cardiovascular, lung,
and blood diseases, and blood and blood products,
$2,328,102,000.
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL
RESEARCH
For carrying out section 301 and title IV of the Public
Health Service Act with respect to dental disease,
$309,923,000.
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND
KIDNEY DISEASES
For carrying out section 301 and title IV of the Public
Health Service Act with respect to diabetes and digestive
and kidney disease, $1,318,106,000.
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND
STROKE
For carrying out section 301 and title IV of the Public
Health Service Act with respect to neurological disorders
and stroke, $1,189,425,000.
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NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS
DISEASES
For carrying out section 301 and title IV of the Public
Health Service Act with respect to allergy and infectious
diseases, $2,066,526,000.
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES
For carrying out section 301 and title IV of the Public
Health Service Act with respect to general medical sciences,
$1,554,176,000.
NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN
DEVELOPMENT
For carrying out section 301 and title IV of the Public
Health Service Act with respect to child health and human
development, $986,069,000.
NATIONAL EYE INSTITUTE
For carrying out section 301 and title IV of the Public
Health Service Act with respect to eye diseases and visual
disorders, $516,605,000.
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, $508,263,000.
NATIONAL INSTITUTE ON AGING
For carrying out section 301 and title IV of the Public
Health Service Act with respect to aging, $794,625,000.
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NATIONAL INSTITUTE OF ARTHRITIS AND
MUSCULOSKELETAL AND SKIN DISEASES
For carrying out section 301 and title IV of the Public
Health Service Act with respect to arthritis and musculo-
skeletal and skin diseases, $401,161,000.
NATIONAL INSTITUTE ON DEAFNESS AND OTHER
COMMUNICATION DISORDERS
For carrying out section 301 and title IV of the Public
Health Service Act with respect to deafness and other com-
munication disorders, $303,541,000.
NATIONAL INSTITUTE OF NURSING RESEARCH
For carrying out section 301 and title IV of the Public
Health Service Act with respect to nursing research,
$106,848,000.
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND
ALCOHOLISM
For carrying out section 301 and title IV of the Public
Health Service Act with respect to alcohol abuse and alco-
holism, $336,848,000.
NATIONAL INSTITUTE ON DRUG ABUSE
For carrying out section 301 and title IV of the Public
Health 
Service 
Act 
with 
respect 
to 
drug 
abuse,
$790,038,000.
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NATIONAL INSTITUTE OF MENTAL HEALTH
For carrying out section 301 and title IV of the Public
Health Service Act with respect to mental health,
$1,117,928,000.
NATIONAL HUMAN GENOME RESEARCH INSTITUTE
For carrying out section 301 and title IV of the Public
Health Service Act with respect to human genome research,
$385,888,000.
NATIONAL CENTER FOR RESEARCH RESOURCES
For carrying out section 301 and title IV of the Public
Health Service Act with respect to research resources and
general research support grants, $775,212,000: Provided,
That none of these funds shall be used to pay recipients
of the general research support grants program any amount
for indirect expenses in connection with such grants: Pro-
vided further, That $75,000,000 shall be for extramural fa-
cilities construction grants.
NATIONAL CENTER FOR COMPLEMENTARY AND
ALTERNATIVE MEDICINE
For carrying out section 301 and title IV of the Public
Health Service Act with respect to complementary and al-
ternative medicine, $100,089,000.
JOHN E. FOGARTY INTERNATIONAL CENTER
For carrying out the activities at the John E. Fogarty
International Center, $61,260,000.
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NATIONAL LIBRARY OF MEDICINE
For carrying out section 301 and title IV of the Public
Health Service Act with respect to health information com-
munications, $256,953,000, of which $4,000,000 shall be
available until expended for improvement of information
systems: Provided, That in fiscal year 2001, the Library
may enter into personal services contracts for the provision
of services in facilities owned, operated, or constructed
under the jurisdiction of the National Institutes of Health.
OFFICE OF THE DIRECTOR
(INCLUDING TRANSFER OF FUNDS)
For carrying out the responsibilities of the Office of
the Director, National Institutes of Health, $352,165,000,
of which $48,271,000 shall be for the Office of AIDS Re-
search: Provided, That funding shall be available for the
purchase of not to exceed 20 passenger motor vehicles for
replacement only: Provided further, That the Director may
direct up to 1 percent of the total amount made available
in this or any other Act to all National Institutes of Health
appropriations to activities the Director may so designate:
Provided further, That no such appropriation shall be de-
creased by more than 1 percent by any such transfers and
that the Congress is promptly notified of the transfer: Pro-
vided further, That the National Institutes of Health is au-
thorized to collect third party payments for the cost of clin-
ical services that are incurred in National Institutes of
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Health research facilities and that such payments shall be
credited to the National Institutes of Health Management
Fund: Provided further, That all funds credited to the Na-
tional Institutes of Health Management Fund shall remain
available for one fiscal year after the fiscal year in which
they are deposited: Provided further, That up to $500,000
shall be available to carry out section 499 of the Public
Health Service Act: Provided further, That, notwith-
standing section 499(k)(10) of the Public Health Service
Act, funds from the Foundation for the National Institutes
of Health may be transferred to the National Institutes of
Health.
BUILDINGS AND FACILITIES
For the study of, construction of, and acquisition of
equipment for, facilities of or used by the National Insti-
tutes of Health, including the acquisition of real property,
$148,900,000, to remain available until expended, of which
$47,300,000 shall be for the neuroscience research center:
Provided, That notwithstanding any other provision of law,
a single contract or related contracts for the development
and construction of the first phase of the National Neuro-
science Research Center may be employed which collectively
include the full scope of the project: Provided further, That
the solicitation and contract shall contain the clause ‘‘avail-
ability of funds’’ found at 48 CFR 52.232–18.
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SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
ADMINISTRATION
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
For carrying out titles V and XIX of the Public Health
Service Act with respect to substance abuse and mental
health services, the Protection and Advocacy for Mentally
Ill Individuals Act of 1986, and section 301 of the Public
Health Service Act with respect to program management,
$2,730,757,000, of which $15,000,000 shall remain avail-
able until expended to carry out the Fetal Alcohol Syn-
drome prevention and services program, of which
$10,000,000 shall be used to provide grants to local non-
profit private and public entities to enable such entities to
develop and expand activities to provide substance abuse
services to homeless individuals: Provided, That in addition
to amounts provided herein, $12,000,000 shall be available
from amounts available under section 241 of the Public
Health Services Act, to carry out the National Household
Survey on Drug Abuse: Provided further, That within the
amounts provided herein, $3,000,000 shall be available for
the Center for Mental Health Services to support through
grants a certification program to improve and evaluate the
effectiveness and responsiveness of suicide hotlines and cri-
sis centers in the United States and to help support and
evaluate a national hotline and crisis center network.
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AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
HEALTHCARE RESEARCH AND QUALITY
For carrying out titles III and IX of the Public Health
Service Act, amounts received from Freedom of Information
Act fees, reimbursable and interagency agreements, and the
sale of data shall be credited to this appropriation and shall
remain available until expended: Provided, That the
amount made available pursuant to section 926(b) of the
Public Health Service Act shall not exceed $269,943,000.
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, $93,586,251,000,
to remain available until expended.
For making, after May 31, 2001, payments to States
under title XIX of the Social Security Act for the last quar-
ter of fiscal year 2001 for unanticipated costs, incurred for
the current fiscal year, such sums as may be necessary.
For making payments to States or in the case of sec-
tion 1928 on behalf of States under title XIX of the Social
Security Act for the first quarter of fiscal year 2002,
$36,207,551,000, to remain available until expended.
Payment under title XIX may be made for any quarter
with respect to a State plan or plan amendment in effect
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during such quarter, if submitted in or prior to such quar-
ter and approved in that or any subsequent quarter.
PAYMENTS TO HEALTH CARE TRUST FUNDS
For payment to the Federal Hospital Insurance and
the Federal Supplementary Medical Insurance Trust
Funds, as provided under 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 Public
Law 97–248, and for administrative expenses incurred pur-
suant to section 201(g) of the Social Security Act,
$70,381,600,000.
PROGRAM MANAGEMENT
For carrying out, except as otherwise provided, titles
XI, XVIII, XIX, and XXI of the Social Security Act, titles
XIII and XXVII of the Public Health Service Act, and the
Clinical Laboratory Improvement Amendments of 1988, not
to exceed $2,018,500,000, to be transferred from the Federal
Hospital Insurance and the Federal Supplementary Med-
ical Insurance Trust Funds, as authorized by section 201(g)
of the Social Security Act; together with all funds collected
in accordance with section 353 of the Public Health Service
Act and such sums as may be collected from authorized user
fees and the sale of data, which shall remain available until
expended, and together with administrative fees collected
relative to Medicare overpayment recovery activities, which
shall remain available until expended: Provided, That all
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funds derived in accordance with 31 U.S.C. 9701 from or-
ganizations established under title XIII of the Public Health
Service Act shall be credited to and available for carrying
out the purposes of this appropriation: Provided further,
That $18,000,000 appropriated under this heading for the
managed care system redesign shall remain available until
expended: Provided further, That $3,000,000 of the amount
available for research, demonstration, and evaluation ac-
tivities shall be available to continue carrying out dem-
onstration projects on Medicaid coverage of community-
based attendant care services for people with disabilities
which ensures maximum control by the consumer to select
and manage their attendant care services: Provided further,
That the Secretary of Health and Human Services is di-
rected to collect fees in fiscal year 2001 from Medi-
care∂Choice organizations pursuant to section 1857(e)(2)
of the Social Security Act and from eligible organizations
with risk-sharing contracts under section 1876 of that Act
pursuant to section 1876(k)(4)(D) of that Act: Provided fur-
ther, That administrative fees collected relative to Medicare
overpayment recovery activities shall be transferred to the
Health Care Fraud and Abuse Control (HCFAC) account,
to be used for Medicare Integrity Program (MIP) activities
in addition to the amounts already specified, and shall re-
main available until expended.
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ADMINISTRATION FOR CHILDREN AND FAMILIES
LOW INCOME HOME ENERGY ASSISTANCE
For making payments under title XXVI of the Omni-
bus Reconciliation Act of 1981, $300,000,000: Provided,
That these funds are hereby designated by the Congress to
be emergency requirements pursuant to section 251(b)(2)(A)
of the Balanced Budget and Emergency Deficit Control Act
of 1985: Provided further, That these funds shall be made
available only after submission to the Congress of a formal
budget request by the President that includes designation
of the entire amount of the request as an emergency require-
ment as defined in such Act.
REFUGEE AND ENTRANT ASSISTANCE
For making payments for refugee and entrant assist-
ance activities authorized by title IV of the Immigration
and Nationality Act and section 501 of the Refugee Edu-
cation Assistance Act of 1980 (Public Law 96–422),
$418,321,000, to remain available through September 30,
2003.
For carrying out section 5 of the Torture Victims Re-
lief Act of 1998 (Public Law 105–320), $7,265,000.
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.
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ch. 9), $2,473,880,000, to remain available until expended;
and for such purposes for the first quarter of fiscal year
2002, $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 before the effec-
tive date of the program of Temporary Assistance to Needy
Families (TANF) with respect to such State, such sums as
may be necessary: Provided, That the sum of the amounts
available to a State with respect to expenditures under such
title IV–A in fiscal year 1997 under this appropriation and
under such title IV–A as amended by the Personal Respon-
sibility and Work Opportunity Reconciliation Act of 1996
shall not exceed the limitations under section 116(b) of such
Act.
For making, after May 31 of the current fiscal year,
payments to States or other non-Federal entities under ti-
tles I, IV–D, X, XI, XIV, and XVI of the Social Security
Act and the Act of July 5, 1960 (24 U.S.C. ch. 9), for the
last 3 months of the current year for unanticipated costs,
incurred for the current fiscal year, such sums as may be
necessary.
PAYMENTS TO STATES FOR THE CHILD CARE AND
DEVELOPMENT BLOCK GRANT
For carrying out sections 658A through 658R of the
Omnibus Budget Reconciliation Act of 1981 (The Child
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Care and Development Block Grant Act of 1990), in addi-
tion to amounts already appropriated for fiscal year 2001,
$817,328,000: Provided, That of the funds appropriated for
fiscal year 2001, $19,120,000 shall be available for child
care resource and referral and school-aged child care activi-
ties: Provided further, That of the funds appropriated for
fiscal year 2001, in addition to the amounts required to
be reserved by the States under section 658G, $222,672,000
shall be reserved by the States for activities authorized
under section 658G, of which $100,000,000 shall be for ac-
tivities that improve the quality of infant and toddler child
care.
SOCIAL SERVICES BLOCK GRANT
For making grants to States pursuant to section 2002
of the Social Security Act, $600,000,000: Provided, That
notwithstanding section 2003(c) of such Act, as amended,
the amount specified for allocation under such section for
fiscal year 2001 shall be $600,000,000.
CHILDREN AND FAMILIES SERVICES PROGRAMS
(INCLUDING RESCISSIONS)
For carrying out, except as otherwise provided, the
Runaway and Homeless Youth Act, the Developmental Dis-
abilities Assistance and Bill of Rights Act, the Head Start
Act, the Child Abuse Prevention and Treatment Act, the Na-
tive American Programs Act of 1974, title II of Public Law
95–266 (adoption opportunities), the Adoption and Safe
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Families Act of 1997 (Public Law 105–89), the Abandoned
Infants Assistance Act of 1988, part B(1) of title IV and
sections 413, 429A, 1110, and 1115 of the Social Security
Act; for making payments under the Community Services
Block Grant Act, section 473A of the Social Security Act,
and title IV of Public Law 105–285; and for necessary ad-
ministrative expenses to carry out said Acts and titles I,
IV, X, XI, XIV, XVI, and XX of the Social Security Act,
the Act of July 5, 1960 (24 U.S.C. ch. 9), the Omnibus
Budget Reconciliation Act of 1981, title IV of the Immigra-
tion and Nationality Act, section 501 of the Refugee Edu-
cation Assistance Act of 1980, section 5 of the Torture Vic-
tims Relief Act of 1998 (Public Law 105–320), sections
40155, 40211, and 40241 of Public Law 103–322 and sec-
tion 126 and titles IV and V of Public Law 100–485,
$7,895,723,000, of which $5,000,000 shall be made available
to provide grants for early childhood learning for young
children, of which $55,928,000, to remain available until
September 30, 2002, shall be for grants to States for adop-
tion incentive payments, as authorized by section 473A of
title IV of the Social Security Act (42 U.S.C. 670–679);
of which $134,074,000, to remain available until expended,
shall be for activities authorized by sections 40155, 40211,
and 40241 of Public Law 103–322; of which $606,676,000
shall be for making payments under the Community Serv-
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ices Block Grant Act; and of which $6,267,000,000 shall be
for making payments under the Head Start Act, of which
$1,400,000,000 shall become available October 1, 2001 and
remain available through September 30, 2002: Provided,
That to the extent Community Services Block Grant funds
are distributed as grant funds by a State to an eligible enti-
ty 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 entity
consistent with program purposes: Provided further, That
the Secretary shall establish procedures regarding the dis-
position of intangible property which permits grant funds,
or intangible assets acquired with funds authorized under
section 680 of the Community Services Block Grant Act,
as amended, to become the sole property of such grantees
after a period of not more than 12 years after the end of
the grant for purposes and uses consistent with the original
grant: Provided further, That amounts made available
under this Act for the administrative and related expenses
of the Department of Health and Human Services, the De-
partment of Labor, and the Department of Education shall
be further reduced on a pro rata basis by $14,137,000.
Funds appropriated for fiscal year 2000 under section
429A(e), part B of title IV of the Social Security Act shall
be reduced by $6,000,000.
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Funds appropriated for fiscal year 2000 under section
413(h)(1) of the Social Security Act shall be reduced by
$15,000,000.
PROMOTING SAFE AND STABLE FAMILIES
For carrying out section 430 of the Social Security
Act, $305,000,000.
PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION
ASSISTANCE
For making payments to States or other non-Federal
entities under title IV–E of the Social Security Act,
$4,868,100,000.
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 2002, $1,735,900,000.
ADMINISTRATION ON AGING
AGING SERVICES PROGRAMS
For carrying out, to the extent not otherwise provided,
the Older Americans Act of 1965, as amended, and section
398 of the Public Health Service Act, $954,619,000, of
which $5,000,000 shall be available for activities regarding
medication management, screening, and education to pre-
vent incorrect medication and adverse drug reactions: Pro-
vided, That notwithstanding section 308(b)(1) of the Older
Americans Act of 1965, as amended, the amounts available
to each State for administration of the State plan under
title III of such Act shall be reduced not more than 5 percent
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below the amount that was available to such State for such
purpose for fiscal year 1995: Provided further, That in con-
sidering grant applications for nutrition services for elder
Indian recipients, the Assistant Secretary shall provide
maximum flexibility to applicants who seek to take into ac-
count subsistence, local customs, and other characteristics
that are appropriate to the unique cultural, regional, and
geographic needs of the American Indian, Alaska and Ha-
waiian Native communities to be served.
OFFICE OF THE SECRETARY
GENERAL DEPARTMENTAL MANAGEMENT
For necessary expenses, not otherwise provided, for
general departmental management, including hire of six se-
dans, and for carrying out titles III, XVII, and XX of the
Public Health Service Act, and the United States-Mexico
Border Health Commission Act, $206,766,000, together
with $5,851,000, to be transferred and expended as author-
ized by section 201(g)(1) of the Social Security Act from
the Hospital Insurance Trust Fund and the Supplemental
Medical Insurance Trust Fund: Provided further, That of
the funds made available under this heading for carrying
out title XX of the Public Health Service Act, $10,569,000
shall be for activities specified under section 2003(b)(2), of
which $9,131,000 shall be for prevention service demonstra-
tion grants under section 510(b)(2) of title V of the Social
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Security Act, as amended, without application of the limi-
tation of section 2010(c) of said title XX.
OFFICE OF INSPECTOR GENERAL
For expenses necessary for the Office of Inspector Gen-
eral in carrying out the provisions of the Inspector General
Act of 1978, as amended, $33,849,000.
OFFICE FOR CIVIL RIGHTS
For expenses necessary for the Office for Civil Rights,
$20,742,000, together with not to exceed $3,314,000, to be
transferred and expended as authorized by section 201(g)(1)
of the Social Security Act from the Hospital Insurance
Trust Fund and the Supplemental Medical Insurance Trust
Fund: Provided, That an additional $2,500,000 shall be
made available for the Office for Civil Rights: Provided fur-
ther, That amounts made available under this title for the
administrative and related expenses of the Department of
Health and Human Services shall be reduced by
$2,500,000’’.
POLICY RESEARCH
For carrying out, to the extent not otherwise provided,
research studies under section 1110 of the Social Security
Act, $16,738,000.
RETIREMENT PAY AND MEDICAL BENEFITS FOR
COMMISSIONED OFFICERS
For retirement pay and medical benefits of Public
Health Service Commissioned Officers as authorized by law,
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for payments under the Retired Serviceman’s Family Pro-
tection Plan and Survivor Benefit Plan, for medical care
of dependents and retired personnel under the Dependents’
Medical Care Act (10 U.S.C. ch. 55), and for payments pur-
suant to section 229(b) of the Social Security Act (42
U.S.C. 429(b)), such amounts as may be required during
the current fiscal year.
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY
FUND
For public health and social services, $264,600,000.
GENERAL PROVISIONS
SEC. 201. Funds appropriated in this title shall be
available for not to exceed $37,000 for official reception and
representation expenses when specifically approved by the
Secretary.
SEC. 202. The Secretary shall make available through
assignment not more than 60 employees of the Public
Health Service to assist in child survival activities and to
work in AIDS programs through and with funds provided
by the Agency for International Development, the United
Nations International Children’s Emergency Fund or the
World Health Organization.
SEC. 203. None of the funds appropriated under this
Act may be used to implement section 399L(b) of the Public
Health Service Act or section 1503 of the National Insti-
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tutes of Health Revitalization Act of 1993, Public Law 103–
43.
SEC. 204. None of the funds appropriated in this Act
for the National Institutes of Health 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 Exec-
utive Level II.
SEC. 205. Notwithstanding section 241(a) of the Public
Health Service Act, such portion as the Secretary shall de-
termine, but not more than 1.6 percent, of any amounts
appropriated for programs authorized under the PHS Act
shall be made available for the evaluation (directly or by
grants or contracts) of the implementation and effectiveness
of such programs.
(TRANSFER OF FUNDS)
SEC. 206. Not to exceed 1 percent of any discretionary
funds (pursuant to the Balanced Budget and Emergency
Deficit Control Act of 1985, as amended) which are appro-
priated for the current fiscal year for the Department of
Health and Human Services in this Act may be transferred
between appropriations, but no such appropriation shall be
increased by more than 3 percent by any such transfer: Pro-
vided, That the Appropriations Committees of both Houses
of Congress are notified at least 15 days in advance of any
transfer.
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SEC. 207. The Director of the National Institutes of
Health, jointly with the Director of the Office of AIDS Re-
search, may transfer up to 3 percent among institutes, cen-
ters, and divisions from the total amounts identified by
these two Directors as funding for research pertaining to
the human immunodeficiency virus: Provided, That the
Congress is promptly notified of the transfer.
SEC. 208. Of the amounts made available in this Act
for the National Institutes of Health, the amount for re-
search related to the human immunodeficiency virus, as
jointly determined by the Director of the National Institutes
of Health and the Director of the Office of AIDS Research,
shall be made available to the ‘‘Office of AIDS Research’’
account. The Director of the Office of AIDS Research shall
transfer from such account amounts necessary to carry out
section 2353(d)(3) of the Public Health Service Act.
SEC. 209. None of the funds appropriated in this Act
may be made available to any entity under title X of the
Public Health Service Act unless the applicant for the
award certifies to the Secretary that it encourages family
participation in the decision of minors to seek family plan-
ning services and that it provides counseling to minors on
how to resist attempts to coerce minors into engaging in
sexual activities.
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SEC. 210. None of the funds appropriated by this Act
(including funds appropriated to any trust fund) may be
used to carry out the Medicare+Choice program if the Sec-
retary denies participation in such program to an other-
wise eligible entity (including a Provider Sponsored Orga-
nization) because the entity informs the Secretary that it
will not provide, pay for, provide coverage of, or provide
referrals for abortions: Provided, That the Secretary shall
make appropriate prospective adjustments to the capitation
payment to such an entity (based on an actuarially sound
estimate of the expected costs of providing the service to such
entity’s enrollees): Provided further, That nothing in this
section shall be construed to change the Medicare program’s
coverage for such services and a Medicare+Choice organiza-
tion described in this section shall be responsible for inform-
ing enrollees where to obtain information about all Medi-
care covered services.
SEC. 211. (a) MENTAL HEALTH.—Section 1918(b) of
the Public Health Service Act (42 U.S.C. 300x–7(b)) is
amended to read as follows:
‘‘(b) MINIMUM
ALLOTMENTS
FOR
STATES.—Each
State’s allotment for fiscal year 2001 for programs under
this subpart shall not be less than such State’s allotment
for such programs for fiscal year 2000.’’.
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(b) SUBSTANCE ABUSE.—Section 1933(b) of the Public
Health Service Act (42 U.S.C. 300x–33(b)) is amended to
read as follows:
‘‘(b) MINIMUM
ALLOTMENTS
FOR
STATES.—Each
State’s allotment for fiscal year 2001 for programs under
this subpart shall not be less than such State’s allotment
for such programs for fiscal year 2000.’’.
SEC. 212. Notwithstanding any other provision of law,
no provider of services under title X of the Public Health
Service Act shall be exempt from any State law requiring
notification or the reporting of child abuse, child molesta-
tion, sexual abuse, rape, or incest.
SEC. 213. EXTENSION
OF CERTAIN ADJUDICATION
PROVISIONS.—The Foreign Operations, Export Financing,
and Related Programs Appropriations Act, 1990 (Public
Law 101–167) is amended—
(1) in section 599D (8 U.S.C. 1157 note)—
(A) in subsection (b)(3), by striking ‘‘1997,
1998, 1999, and 2000’’ and inserting ‘‘1997,
1998, 1999, 2000 and 2001’’; and
(B) in subsection (e), by striking ‘‘October
1, 2000’’ each place it appears and inserting
‘‘October 1, 2001’’; and
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(2) in section 599E (8 U.S.C. 1255 note) in sub-
section (b)(2), by striking ‘‘September 30, 2000’’ and
inserting ‘‘September 30, 2001’’.
SEC. 214. None of the funds provided in this Act or
in any other Act making appropriations for fiscal year
2001 may be used to administer or implement in Arizona
or in the Kansas City, Missouri or in the Kansas City,
Kansas area the Medicare Competitive Pricing Demonstra-
tion Project (operated by the Secretary of Health and
Human Services).
SEC. 215. WITHHOLDING
OF
SUBSTANCE
ABUSE
FUNDS. (a) IN GENERAL.—Except as provided by sub-
section (e) none of the funds appropriated by this Act may
be used to withhold substance abuse funding from a State
pursuant to section 1926 of the Public Health Service Act
(42 U.S.C. 300x–26) if such State certifies to the Secretary
of Health and Human Services by March 1, 2001 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) AMOUNT OF STATE FUNDS.—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
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State misses the retailer compliance rate goal established
by the Secretary of Health and Human Services under sec-
tion 1926 of such Act.
(c) ADDITIONAL STATE FUNDS.—The State is to main-
tain State expenditures in fiscal year 2001 for tobacco pre-
vention programs and for compliance activities at a level
that is not less than the level of such expenditures main-
tained by the State for fiscal year 2000, and adding to that
level the additional funds for tobacco compliance activities
required under subsection (a). The State is to submit a re-
port to the Secretary on all fiscal year 2000 State expendi-
tures and all fiscal year 2001 obligations for tobacco pre-
vention and compliance activities by program activity by
July 31, 2001.
(d) ENFORCEMENT
OF STATE OBLIGATIONS.—The
Secretary shall exercise discretion in enforcing the timing
of the State obligation of the additional funds required by
the certification described in subsection (a) as late as July
31, 2001.
(e) TERRITORIES.—None of the funds appropriated by
this Act may be used to withhold substance abuse funding
pursuant to section 1926 from a territory that receives less
than $1,000,000.
SEC. 216. Section 403(a)(3) of the Social Security Act
(42 U.S.C. 603(a)(3)) is amended—
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(1) in subparagraph (A)—
(A) in clause (i), by striking ‘‘and’’ at the
end;
(B) in clause (ii)—
(i) by striking ‘‘1999, 2000, and 2001’’
and inserting ‘‘1999 and 2000’’; and
(ii) by striking the period at the end
and inserting ‘‘; and’’; and
(C) by adding at the end the following new
clause:
‘‘(iii) for fiscal year 2001, a grant in
an amount equal to the amount of the grant
to the State under clause (i) for fiscal year
1998.’’ and
(2) in subparagraph (G), by inserting at the
end, ‘‘Upon enactment, the provisions of this Act that
would have been estimated by the Director of the Of-
fice of Management and Budget as changing direct
spending and receipts for fiscal year 2001 under sec-
tion 252 of the Balanced Budget and Emergency Def-
icit Control Act of 1985 (Public Law 99–177), to the
extent such changes would have been estimated to re-
sult in savings in fiscal year 2001 of $240,000,000 in
budget authority and $122,000,000 in outlays, shall
be treated as if enacted in an appropriations act pur-
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suant to Rule 3 of the Budget Scorekeeping Guide-
lines set forth in the Joint Explanatory Statement of
the Committee of Conference accompanying Con-
ference Report No. 105–217, thereby changing discre-
tionary spending under section 251 of that Act.’’.
SEC. 217. (a) Notwithstanding Section 2104(f) of the
Social Security Act (the Act), the Secretary of Health and
Human Services shall reduce the amounts allotted to a
State under subsection (b) of the Act for fiscal year 1998
by the applicable amount with respect to the State; and
(b) Notwithstanding Section 2104(a) of the Act, the
Secretary shall increase the amount otherwise payable to
each State under such subsection for fiscal year 2003 by
the amount of the reduction made under paragraph (a) of
this section. Funds made available under this subsection
shall remain available through September 30, 2004.
(c) APPLICABLE AMOUNT DEFINED.—In subsection
(a), with respect to a State, the term ‘‘applicable amount’’
means, with respect to a State, an amount bearing the same
proportion to $1,900,000,000 as the unexpended balance of
its fiscal year 1998 allotment as of September 30, 2000,
which would otherwise be redistributed to States in fiscal
year 2001 under Section 2104(f) of the Act, bears to the
sum of the unexpended balances of fiscal year 1998 allot-
ments for all States as of September 30, 2000: Provided,
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That, the applicable amount for a State shall not exceed
the unexpended balance of its fiscal year 1998 allotment
as of September 30, 2000.
SEC. 218. SENSE OF THE SENATE ON PREVENTION OF
NEEDLESTICK INJURIES. (a) FINDINGS.—The Senate finds
that—
(1) the Centers for Disease Control and Preven-
tion reports that American health care workers report
600,000 to 800,000 needlestick and sharps injuries
each year;
(2) the occurrence of needlestick injuries is be-
lieved to be widely under-reported;
(3) needlestick and sharps injuries result in at
least 1,000 new cases of health care workers with
HIV, hepatitis C or hepatitis B every year;
(4) more than 80 percent of needlestick injuries
can be prevented through the use of safer devices; and
(5) the Occupational Safety and Health Admin-
istration’s November 1999 Compliance Directive has
helped clarify the duty of employers to use safer nee-
dle devices to protect their workers. However, millions
of State and local government employees are not cov-
ered by OSHA’s bloodborne pathogen standards and
are not protected against the hazards of needlesticks.
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(b) SENSE OF THE SENATE.—It is the sense of the Sen-
ate that the Senate should pass legislation that would elimi-
nate or minimize the significant risk of needlestick injury
to health care workers.
SEC. 219. (a) IN GENERAL.—There is appropriated
$10,000,000 that may be used by the Director of the Na-
tional Institute for Occupational Safety and Health to—
(1) establish and maintain a national database
on existing needleless systems and sharps with engi-
neered sharps injury protections;
(2) develop a set of evaluation criteria for use by
employers, employees, and other persons when they
are evaluating and selecting needleless systems and
sharps with engineered sharps injury protections;
(3) develop a model training curriculum to train
employers, employees, and other persons on the proc-
ess of evaluating needleless systems and sharps with
engineered sharps injury protections and to the extent
feasible to provide technical assistance to persons who
request such assistance; and
(4) establish a national system to collect com-
prehensive data on needlestick injuries to health care
workers, including data on mechanisms to analyze
and evaluate prevention interventions in relation to
needlestick injury occurrence.
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(b) DEFINITIONS.—In this section:
(1) EMPLOYER.—The term ‘‘employer’’ means
each employer having an employee with occupational
exposure to human blood or other material potentially
containing bloodborne pathogens.
(2) ENGINEERED
SHARPS
INJURY
PROTEC-
TIONS.—The term ‘‘engineered sharps injury protec-
tions’’ means—
(A) a physical attribute built into a needle
device used for withdrawing body fluids, access-
ing a vein or artery, or administering medica-
tions or other fluids, that effectively reduces the
risk of an exposure incident by a mechanism
such as barrier creation, blunting, encapsulation,
withdrawal, retraction, destruction, or other ef-
fective mechanisms; or
(B) a physical attribute built into any other
type of needle device, or into a nonneedle sharp,
which effectively reduces the risk of an exposure
incident.
(3) NEEDLELESS SYSTEM.—The term ‘‘needleless
system’’ means a device that does not use needles
for—
(A) the withdrawal of body fluids after ini-
tial venous or arterial access is established;
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(B) the administration of medication or
fluids; and
(C) any other procedure involving the po-
tential for an exposure incident.
(4) SHARP.—The term ‘‘sharp’’ means any object
used or encountered in a health care setting that can
be reasonably anticipated to penetrate the skin or any
other part of the body, and to result in an exposure
incident, including, but not limited to, needle devices,
scalpels, lancets, broken glass, broken capillary tubes,
exposed ends of dental wires and dental knives, drills,
and burs.
(5) SHARPS INJURY.—The term ‘‘sharps injury’’
means any injury caused by a sharp, including cuts,
abrasions, or needlesticks.
(c) OFFSET.—Amounts made available under this Act
for the travel, consulting, and printing services for the De-
partment of Labor, the Department of Health and Human
Services, and the Department of Education shall be reduced
on a pro rata basis by $10,000,000.
SEC. 220. None of the funds made available under this
Act may be made available to any entity under the Public
Health Service Act after September 1, 2001, unless the Di-
rector of the National Institutes of Health has provided to
the Chairman and Ranking Member of the Senate Commit-
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tees on Appropriations, and Health, Education, Labor, and
Pensions a proposal to require a reasonable rate of return
on both intramural and extramural research by March 31,
2001.
SEC. 221. (a) STUDY.—The Secretary of Health and
Human Services shall conduct a study to examine—
(1) the experiences of hospitals in the United
States in obtaining reimbursement from foreign
health insurance companies whose enrollees receive
medical treatment in the United States;
(2) the identity of the foreign health insurance
companies that do not cooperate with or reimburse
(in whole or in part) United States health care pro-
viders for medical services rendered in the United
States to enrollees who are foreign nationals;
(3) the amount of unreimbursed services that
hospitals in the United States provide to foreign na-
tionals described in paragraph (2); and
(4) solutions to the problems identified in the
study.
(b) REPORT.—Not later than March 31, 2001, the Sec-
retary of Health and Human Services shall prepare and
submit to the Committee on Health, Education, Labor, and
Pensions of the Senate and the Committee on Appropria-
tions, a report concerning the results of the study conducted
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under subsection (a), including the recommendations de-
scribed in paragraph (4) of such subsection.
SEC. 222. NATIONAL INSTITUTE OF CHILD HEALTH
AND HUMAN DEVELOPMENT. Section 448 of the Public
Health Service Act (42 U.S.C. 285g) is amended by insert-
ing ‘‘gynecologic health,’’ after ‘‘with respect to’’.
SEC. 223. In addition to amounts otherwise appro-
priated under this title for the Centers for Disease Control
and Prevention, $37,500,000, to be utilized to provide
grants to States and political subdivisions of States under
section 317 of the Public Health Service Act to enable such
States and political subdivisions to carry out immuniza-
tion infrastructure and operations activities: Provided,
That of the total amount made available in this Act for
infrastructure funding for the Centers for Disease Control
and Prevention, not less than 10 percent shall be used for
immunization projects in areas with low or declining im-
munization rates or areas that are particularly susceptible
to disease outbreaks, and not more than 14 percent shall
be used to carry out the incentive bonus program: Provided
further, That amounts made available under this Act for
the administrative and related expenses of the Department
of Health and Human Services, the Department of Labor,
and the Department of Education shall be further reduced
on a pro rata basis by $37,500,000.
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SEC. 224. None of the funds appropriated under this
Act shall be expended by the National Institutes of Health
on a contract for the care of the 288 chimpanzees acquired
by the National Institutes of Health from the Coulston
Foundation, unless the contractor is accredited by the Asso-
ciation for the Assessment and Accreditation of Laboratory
Animal Care International or has a Public Health Services
assurance, and has not been charged multiple times with
egregious violations of the Animal Welfare Act.
SEC. 225. (a) In addition to amounts made available
under the heading ‘‘Health Resources and Services Admin-
istration-Health Resources and Services’’ for poison preven-
tion and poison control center activities, there shall be
available an additional $20,000,000 to provide assistance
for such activities and to stabilize the funding of regional
poison control centers as provided for pursuant to the Poi-
son Control Center Enhancement and Awareness Act (Pub-
lic Law 106–174).
(b) Amounts made available under this Act for the ad-
ministrative and related expenses of the Department of
Health and Human Services, the Department of Labor, and
the Department of Education shall be further reduced on
a pro rata basis by $20,000,000.
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SEC. 226. SENSE OF THE SENATE REGARDING THE
DELIVERY OF EMERGENCY MEDICAL SERVICES. (a) FIND-
INGS.—The Senate finds the following:
(1) Several States have developed and imple-
mented a unique 2-tiered emergency medical services
system that effectively provides services to the resi-
dents of those States.
(2) These 2-tiered systems include volunteer and
for-profit emergency medical technicians who provide
basic life support and hospital-based paramedics who
provide advanced life support.
(3) These 2-tiered systems have provided uni-
versal access for residents of those States to affordable
emergency services, while simultaneously ensuring
that those persons in need of the most advanced care
receive such care from the proper authorities.
(4) One State’s 2-tiered system currently has an
estimated 20,000 emergency medical technicians pro-
viding ambulance transportation for basic life sup-
port and advanced life support emergencies, over 80
percent of which are handled by volunteers who are
not reimbursed under the medicare program under
title XVIII of the Social Security Act.
(5) The hospital-based paramedics, also known
as mobile intensive care units, are reimbursed under
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the medicare program when they respond to advanced
life support emergencies.
(6) These 2-tiered State health systems save the
lives of thousands of residents of those States each
year, while saving the medicare program, in some in-
stances, as much as $39,000,000 in reimbursement
fees.
(7) When Congress requested that the Health
Care Financing Administration enact changes to the
emergency medical services fee schedule as a result of
the Balanced Budget Act of 1997, including a general
overhaul of reimbursement rates and administrative
costs, it was in the spirit of streamlining the agency,
controlling skyrocketing health care costs, and length-
ening the solvency of the medicare program.
(8) The Health Care Financing Administration
is considering implementing new emergency medical
services reimbursement guidelines that may desta-
bilize the 2-tier system that has developed in these
States.
(b) SENSE OF THE SENATE.—It is the sense of the Sen-
ate that the Health Care Financing Administration
should—
(1) consider the unique nature of 2-tiered emer-
gency medical services delivery systems when imple-
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menting new reimbursement guidelines for para-
medics and hospitals under the medicare program
under title XVIII of the Social Security Act; and
(2) promote innovative emergency medical serv-
ice systems enacted by States that reduce reimburse-
ment costs to the medicare program while ensuring
that all residents receive quick and appropriate emer-
gency care when needed.
SEC. 227. SENSE OF THE SENATE REGARDING IM-
PACTS OF THE BALANCED BUDGET ACT OF 1997. (a) FIND-
INGS.—The Senate makes the following findings:
(1) Since its passage in 1997, the Balanced
Budget Act of 1997 has drastically cut payments
under the medicare program under title XVIII of the
Social Security Act in the areas of hospital, home
health, and skilled nursing care, among others. While
Congress 
intended 
to 
cut 
approximately
$100,000,000,000 from the medicare program over 5
years, recent estimates put the actual cut at over
$200,000,000,000.
(2) A recent study on home health care found
that nearly 70 percent of hospital discharge planners
surveyed reported a greater difficulty obtaining home
health services for medicare beneficiaries as a result
of the Balanced Budget Act of 1997.
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(3) According to the Medicare Payment Advisory
Commission, rural hospitals were disproportionately
affected by the Balanced Budget Act of 1997, drop-
ping the inpatient margins of such hospitals over 4
percentage points in 1998.
(b) SENSE OF SENATE.—It is the sense of the Senate
that Congress and the President should act expeditiously
to alleviate the adverse impacts of the Balanced Budget Act
of 1997 on beneficiaries under the medicare program under
title XVIII of the Social Security Act and health care pro-
viders participating in such program.
TITLE III—DEPARTMENT OF EDUCATION
OFFICE OF ELEMENTARY AND SECONDARY EDUCATION
EDUCATION REFORM
For carrying out activities authorized by title IV of
the Goals 2000: Educate America Act as in effect prior to
September 30, 2000, and sections 3122, 3132, 3136, and
3141, parts B, C, and D of title III, and part I of title
X of the Elementary and Secondary Education Act of 1965,
$1,434,500,000, of which $40,000,000 shall be for the Goals
2000: Educate America Act, and of which $192,000,000
shall be for section 3122: Provided, That up to one-half of
1 percent of the amount available under section 3132 shall
be set aside for the outlying areas, to be distributed on the
basis of their relative need as determined by the Secretary
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in accordance with the purposes of the program: Provided
further, That if any State educational agency does not
apply for a grant under section 3132, that State’s allotment
under section 3131 shall be reserved by the Secretary for
grants to local educational agencies in that State that apply
directly to the Secretary according to the terms and condi-
tions published by the Secretary in the Federal Register:
Provided further, That, notwithstanding part I of title X
of the Elementary and Secondary Education Act of 1965
or any other provision of law, a community-based organiza-
tion that has experience in providing before- and after-
school services shall be eligible to receive a grant under that
part, on the same basis as a school or consortium described
in section 10904 of that Act, and the Secretary shall give
priority to any application for such a grant that is sub-
mitted jointly by such a community-based organization and
such a school or consortium.
EDUCATION FOR THE DISADVANTAGED
For carrying out title I of the Elementary and Sec-
ondary Education Act of 1965, and section 418A of the
Higher Education Act of 1965, $8,986,800,000, of which
$2,729,958,000 shall become available on July 1, 2001, and
shall remain available through September 30, 2002, and of
which $6,223,342,000 shall become available on October 1,
2001 and shall remain available through September 30,
2002, for academic year 2000–2001: Provided, That
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$7,113,403,000 shall be available for basic grants under sec-
tion 1124: Provided further, That up to $3,500,000 of these
funds shall be available to the Secretary on October 1, 2000,
to obtain updated local educational agency level census pov-
erty data from the Bureau of the Census: Provided further,
That $1,222,397,000 shall be available for concentration
grants under section 1124A: Provided further, That grant
awards under sections 1124 and 1124A of title I of the Ele-
mentary and Secondary Education Act of 1965 shall be
made to each State and local educational agency at no less
than 100 percent of the amount such State or local edu-
cational agency received under this authority for fiscal year
2000: Provided further, That notwithstanding any other
provision of law, grant awards under section 1124A of title
I of the Elementary and Secondary Education Act of 1965
shall be made to those local educational agencies that re-
ceived a Concentration Grant under the Department of
Education Appropriations Act, 2000, but are not eligible
to receive such a grant for fiscal year 2001: Provided fur-
ther, That each such local educational agency shall receive
an amount equal to the Concentration Grant the agency
received in fiscal year 2000, ratably reduced, if necessary,
to ensure that these local educational agencies receive no
greater share of their hold-harmless amounts than other
local educational agencies: Provided further, That notwith-
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standing any other provision of law, in calculating the
amount of Federal assistance awarded to a State or local
educational agency under any program under title I of the
Elementary and Secondary Education Act of 1965 (20
U.S.C. 6301 et seq.) on the basis of a formula described in
section 1124 or 1124A of such Act (20 U.S.C. 6333, 6334),
any funds appropriated for the program in excess of the
amount appropriated for the program for fiscal year 2000
shall be awarded according to the formula, except that, for
such purposes, the formula shall be applied only to States
or local educational agencies that experience a reduction
under the program for fiscal year 2001 as a result of the
application of the 100 percent hold harmless provisions
under the heading ‘‘Education for the Disadvantaged’’: Pro-
vided further, That the Secretary shall not take into account
the hold harmless provisions in this section in determining
State allocations under any other program administered by
the Secretary in any fiscal year.
IMPACT AID
For carrying out programs of financial assistance to
federally affected schools authorized by title VIII of the Ele-
mentary 
and 
Secondary 
Education 
Act 
of 
1965,
$1,030,000,000, of which $818,000,000 shall be for basic
support payments under section 8003(b), $50,000,000 shall
be for payments for children with disabilities under section
8003(d), $82,000,000, to remain available until expended,
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shall be for payments under section 8003(f), $35,000,000
shall be for construction under section 8007, $47,000,000
shall be for Federal property payments under section 8002
and $8,000,000 to remain available until expended shall
be for facilities maintenance under section 8008: Provided,
That amounts made available under this Act for the admin-
istrative and related expenses of the Department of Health
and Human Services, the Department of Labor, and the
Department of Education shall be further reduced on a pro
rata basis by $10,000,000.
SCHOOL IMPROVEMENT PROGRAMS
For carrying out school improvement activities author-
ized by titles II, IV, V–A and B, VI, IX, X, and XIII of
the Elementary and Secondary Education Act of 1965
(‘‘ESEA’’); the Stewart B. McKinney Homeless Assistance
Act; and the Civil Rights Act of 1964 and part B of title
VIII of the Higher Education Act of 1965; $4,672,534,000,
of which $1,100,200,000 shall become available on July 1,
2001, and remain available through September 30, 2002,
and of which $2,915,000,000 shall become available on Oc-
tober 1, 2001 and shall remain available through September
30, 2002 for academic year 2001–2002: Provided, That of
the amount appropriated, $435,000,000 shall be for Eisen-
hower professional development State grants under title II–
B and $3,100,000,000 shall be for title VI and up to
$750,000 shall be for an evaluation of comprehensive re-
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gional assistance centers under title XIII of ESEA: Pro-
vided further, That of the amount made available for Title
VI, $2,700,000,000 shall be available, notwithstanding any
other provision of law, for purposes consistent with title VI
to be determined by the local education agency as part of
a local strategy for improving academic achievement: Pro-
vided further, That these funds may also be used to address
the shortage of highly qualified teachers to reduce class size,
particularly in early grades, using highly qualified teachers
to improve educational achievement for regular and special
needs children; to support efforts to recruit, train and re-
train highly qualified teachers; to carry out part B of the
Individuals with Disabilities Education Act (20 U.S.C.
1411 et seq.); or for school construction and renovation of
facilities, at the sole discretion of the local educational agen-
cy: Provided further, That funds made available under this
heading to carry out section 6301(b) of the Elementary and
Secondary Education Act of 1965 shall be available for edu-
cation reform projects that provide same gender schools and
classrooms, consistent with applicable law: Provided fur-
ther, That of the amount made available under this heading
for activities carried out through the Fund for the Improve-
ment of Education under part A of title X, $10,000,000
shall be made available to enable the Secretary of Education
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to award grants to develop and implement school dropout
prevention programs.
READING EXCELLENCE
For necessary expenses to carry out the Reading Excel-
lence Act, $91,000,000, which shall become available on
July 1, 2001 and shall remain available through September
30, 2002 and $195,000,000 which shall become available on
October 1, 2001 and remain available through September
30, 2002.
INDIAN EDUCATION
For expenses necessary to carry out, to the extent not
otherwise provided, title IX, part A of the Elementary and
Secondary 
Education 
Act 
of 
1965, 
as 
amended,
$115,500,000.
OFFICE OF BILINGUAL EDUCATION AND MINORITY
LANGUAGES AFFAIRS
BILINGUAL AND IMMIGRANT EDUCATION
For carrying out, to the extent not otherwise provided,
bilingual, foreign language and immigrant education ac-
tivities authorized by parts A and C and section 7203 of
title VII of the Elementary and Secondary Education Act
of 1965, without regard to section 7103(b), $443,000,000:
Provided, That State educational agencies may use all, or
any part of, their part C allocation for competitive grants
to local educational agencies.
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OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE
SERVICES
SPECIAL EDUCATION
For carrying out the Individuals with Disabilities
Education Act, $7,352,341,000, of which $2,464,452,000
shall become available for obligation on July 1, 2001, and
shall remain available through September 30, 2002, and of
which $4,624,000,000 shall become available on October 1,
2001 and shall remain available through September 30,
2002, for academic year 2001–2002: Provided, That
$1,500,000 shall be for the recipient of funds provided by
Public Law 105–78 under section 687(b)(2)(G) of the Act
to provide information on diagnosis, intervention, and
teaching strategies for children with disabilities: Provided
further, That the amount for section 611(c) of the Act shall
be equal to the amount available for that section under Pub-
lic Law 106–113, increased by the rate of inflation as speci-
fied in section 611(f)(1)(B)(ii) of the Act.
REHABILITATION SERVICES AND DISABILITY RESEARCH
For carrying out, to the extent not otherwise provided,
the Rehabilitation Act of 1973, the Assistive Technology Act
of 1998, and the Helen Keller National Center Act,
$2,799,519,000: Provided, That notwithstanding section
105(b)(1) of the Assistive Technology Act of 1998 (‘‘the AT
Act’’), each State shall be provided $50,000 for activities
under section 102 of the AT Act: Provided further, That
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notwithstanding section 105(b)(1) and section 101(f)(2)
and (3) of the Assistive Technology Act of 1998, each State
shall be provided a minimum of $500,000 for activities
under section 101: Provided further, That $7,000,000 shall
be used to support grants for up to three years to states
under title III of the AT Act, of which the Federal share
shall not exceed 75 percent in the first year, 50 percent in
the second year, and 25 percent in the third year, and that
the requirements in section 301(c)(2) and section 302 of
that Act shall not apply to such grants.
SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES
AMERICAN PRINTING HOUSE FOR THE BLIND
For carrying out the Act of March 3, 1879, as amended
(20 U.S.C. 101 et seq.), $12,500,000.
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF
For the National Technical Institute for the Deaf
under titles I and II of the Education of the Deaf Act of
1986 (20 U.S.C. 4301 et seq.), $54,366,000, of which
$7,176,000 shall be for construction and shall remain avail-
able until expended: Provided, That from the total amount
available, the Institute may at its discretion use funds for
the endowment program as authorized under section 207.
GALLAUDET UNIVERSITY
For the Kendall Demonstration Elementary School,
the Model Secondary School for the Deaf, and the partial
support of Gallaudet University under titles I and II of
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the Education of the Deaf Act of 1986 (20 U.S.C. 4301 et
seq.), $87,650,000: Provided, That from the total amount
available, the University may at its discretion use funds
for the endowment program as authorized under section
207.
OFFICE OF VOCATIONAL AND ADULT EDUCATION
VOCATIONAL AND ADULT EDUCATION
For carrying out, to the extent not otherwise provided,
the Carl D. Perkins Vocational and Technical Education
Act, the Adult Education and Family Literacy Act, and
title VIII–D of the Higher Education Act of 1965, as
amended, and Public Law 102–73, $1,726,600,000, of which
$1,000,000 shall remain available until expended, and of
which $929,000,000 shall become available on July 1, 2001
and shall remain available through September 30, 2002 and
of which $791,000,000 shall become available on October 1,
2001 and shall remain available through September 30,
2002: Provided, That of the amounts made available for the
Carl D. Perkins Vocational and Technical Education Act,
$5,600,000 shall be for tribally controlled postsecondary vo-
cational and technical institutions under section 117: Pro-
vided further, That $9,000,000 shall be for carrying out sec-
tion 118 of such Act: Provided further, That up to 15 per-
cent of the funds provided may be used by the national enti-
ty designated under section 118(a) to cover the cost of au-
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thorized activities and operations, including Federal sala-
ries and expenses: Provided further, That the national enti-
ty is authorized, effective upon enactment, to charge fees
for publications, training, and technical assistance devel-
oped by that national entity: Provided further, That reve-
nues received from publications and delivery of technical
assistance and training, notwithstanding 31 U.S.C. 3302,
may be credited to the national entity’s account and shall
be available to the national entity, without fiscal year limi-
tation, so long as such revenues are used for authorized ac-
tivities and operations of the national entity: Provided fur-
ther, That of the funds made available to carry out section
204 of the Perkins Act, all funds that a State receives in
excess of its prior-year allocation shall be competitively
awarded: Provided further, That in making these awards,
each State shall give priority to consortia whose applica-
tions most effectively integrate all components under section
204(c): Provided further, That of the amounts made avail-
able for the Carl D. Perkins Vocational and Technical Edu-
cation Act, $5,000,000 shall be for demonstration activities
authorized by section 207: Provided further, That of the
amounts made available for the Adult Education and Fam-
ily Literacy Act, $14,000,000 shall be for national leader-
ship activities under section 243 and $6,500,000 shall be
for the National Institute for Literacy under section 242:
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Provided further, That $22,000,000 shall be for Youth Of-
fender Grants, of which $5,000,000 shall be used in accord-
ance with section 601 of Public Law 102–73 as that section
was in effect prior to the enactment of Public Law 105–
220: Provided further, That of the amounts made available
for title I of the Perkins Act, the Secretary may reserve up
to 0.54 percent for incentive grants under section 503 of
the Workforce Investment Act, without regard to section
111(a)(1)(C) of the Perkins Act: Provided further, That of
the amounts made available for the Adult Education and
Family Literacy Act, the Secretary may reserve up to 0.54
percent for incentive grants under section 503 of the Work-
force Investment Act, without regard to section 211(a)(3)
of the Adult Education and Family Literacy Act.
OFFICE OF STUDENT FINANCIAL ASSISTANCE
STUDENT FINANCIAL ASSISTANCE
For carrying out subparts 1, 3 and 4 of part A, part
C and part E of title IV of the Higher Education Act of
1965, as amended, $10,624,000,000, which shall remain
available through September 30, 2002.
The maximum Pell Grant for which a student shall
be eligible during award year 2001–2002 shall be $3,650:
Provided, That notwithstanding section 401(g) of the Act,
if the Secretary determines, prior to publication of the pay-
ment schedule for such award year, that the amount in-
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cluded within this appropriation for Pell Grant awards in
such award year, and any funds available from the fiscal
year 2000 appropriation for Pell Grant awards, are insuffi-
cient to satisfy fully all such awards for which students are
eligible, as calculated under section 401(b) of the Act, the
amount paid for each such award shall be reduced by either
a fixed or variable percentage, or by a fixed dollar amount,
as determined in accordance with a schedule of reductions
established by the Secretary for this purpose.
FEDERAL FAMILY EDUCATION LOAN PROGRAM ACCOUNT
For Federal administrative expenses to carry out
guaranteed student loans authorized by title IV, part B, of
the Higher Education Act of 1965, as amended,
$48,000,000.
OFFICE OF POSTSECONDARY EDUCATION
HIGHER EDUCATION
For carrying out, to the extent not otherwise provided,
section 121 and titles II, III, IV, V, VI, VII, and VIII of
the Higher Education Act of 1965, as amended, and the
Mutual Educational and Cultural Exchange Act of 1961;
$1,694,520,000, of which $10,000,000 for interest subsidies
authorized by section 121 of the Higher Education Act of
1965, shall remain available until expended: Provided, That
$11,000,000, to remain available through September 30,
2002, shall be available to fund fellowships under part A,
subpart 1 of title VII of said Act, of which up to $1,000,000
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shall be available to fund fellowships for academic year
2001–2002, and the remainder shall be available to fund
fellowships for academic year 2002–2003: Provided further,
That $3,000,000 is for data collection and evaluation ac-
tivities for programs under the Higher Education Act of
1965, including such activities needed to comply with the
Government Performance and Results Act of 1993: Provided
further, That section 404F(a) of the Higher Education
Amendments of 1998 is amended by striking out ‘‘using
funds appropriated under section 404H that do not exceed
$200,000’’ and inserting in lieu thereof ‘‘using not more
than 0.2 percent of the funds appropriated under section
404H’’.
HOWARD UNIVERSITY
For partial support of Howard University (20 U.S.C.
121 et seq.), $224,000,000, of which not less than $3,530,000
shall be for a matching endowment grant pursuant to the
Howard University Endowment Act (Public Law 98–480)
and shall remain available until expended.
COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS
PROGRAM
For Federal administrative expenses authorized under
section 121 of the Higher Education Act of 1965, $737,000
to carry out activities related to existing facility loans en-
tered into under the Higher Education Act of 1965.
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HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL
FINANCING PROGRAM ACCOUNT
The total amount of bonds insured pursuant to section
344 of title III, part D of the Higher Education Act of 1965
shall not exceed $357,000,000, and the cost, as defined in
section 502 of the Congressional Budget Act of 1974, of such
bonds shall not exceed zero.
For administrative expenses to carry out the Histori-
cally Black College and University Capital Financing Pro-
gram entered into pursuant to title III, part D of the High-
er Education Act of 1965, as amended, $208,000.
OFFICE OF EDUCATIONAL RESEARCH AND IMPROVEMENT
EDUCATION RESEARCH, STATISTICS, AND IMPROVEMENT
For carrying out activities authorized by the Edu-
cational Research, Development, Dissemination, and Im-
provement Act of 1994, including part E; the National
Education Statistics Act of 1994, including sections 411
and 412; section 2102 of title II, and parts A, B, and K
and section 10102, section 10105, and 10601 of title X, and
part C of title XIII of the Elementary and Secondary Edu-
cation Act of 1965, as amended, and title VI of Public Law
103–227, $506,519,000, of which $250,000 shall be for the
Web-Based Education Commission: Provided, That of the
funds appropriated under section 10601 of title X of the
Elementary and Secondary Education Act of 1965, as
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amended, $1,500,000 shall be used to conduct a violence pre-
vention demonstration program: Provided further, That of
the funds appropriated $5,000,000 shall be made available
for a high school State grant program to improve academic
performance 
and 
provide 
technical 
skills 
training,
$5,000,000 shall be made available to provide grants to en-
able elementary and secondary schools to provide physical
education and improve physical fitness: Provided further,
That $50,000,000 of the funds provided for the national
education research institutes shall be allocated notwith-
standing section 912(m)(1)(B–F) and subparagraphs (B)
and (C) of section 931(c)(2) of Public Law 103–227 and
$20,000,000 of that $50,000,000 shall be made available for
the Interagency Education Research Initiative: Provided
further, That the amounts made available under this Act
for the administrative and related expenses of the Depart-
ment of Health and Human Services, the Department of
Labor, and the Department of Education shall be further
reduced on a pro rata basis by $10,000,000: Provided fur-
ther, That of the funds available for section 10601 of title
X of the Elementary and Secondary Education Act of 1965,
as amended, $150,000 shall be awarded to the Center for
Educational Technologies to complete production and dis-
tribution of an effective CD–ROM product that would com-
plement the ‘‘We the People: The Citizen and the Constitu-
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tion’’ curriculum: Provided further, That, in addition to
the funds for title VI of Public Law 103–227 and notwith-
standing the provisions of section 601(c)(1)(C) of that Act,
$1,000,000 shall be available to the Center for Civic Edu-
cation to conduct a civic education program with Northern
Ireland and the Republic of Ireland and, consistent with
the civics and Government activities authorized in section
601(c)(3) of Public Law 103–227, to provide civic education
assistance to democracies in developing countries. The term
‘‘developing countries’’ shall have the same meaning as the
term ‘‘developing country’’ in the Education for the Deaf
Act: Provided further, That of the amount made available
under this heading for activities carried out through the
Fund for the Improvement of Education under part A of
title X, $50,000,000 shall be made available to enable the
Secretary of Education to award grants to develop, imple-
ment, and strengthen programs to teach American history
(not social studies) as a separate subject within school cur-
ricula.
DEPARTMENTAL MANAGEMENT
PROGRAM ADMINISTRATION
For carrying out, to the extent not otherwise provided,
the Department of Education Organization Act, including
rental of conference rooms in the District of Columbia and
hire of two passenger motor vehicles, $396,671,000.
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OFFICE FOR CIVIL RIGHTS
For expenses necessary for the Office for Civil Rights,
as authorized by section 203 of the Department of Edu-
cation Organization Act, $73,224,000.
OFFICE OF THE INSPECTOR GENERAL
For expenses necessary for the Office of Inspector Gen-
eral, as authorized by section 212 of the Department of
Education Organization Act, $35,456,000.
GENERAL PROVISIONS
SEC. 301. No funds appropriated in this Act may be
used for the transportation of students or teachers (or for
the purchase of equipment for such transportation) in order
to overcome racial imbalance in any school or school system,
or for the transportation of students or teachers (or for the
purchase of equipment for such transportation) in order to
carry out a plan of racial desegregation of any school or
school system.
SEC. 302. None of the funds contained in this Act shall
be used to require, directly or indirectly, the transportation
of any student to a school other than the school which is
nearest the student’s home, except for a student requiring
special education, to the school offering such special edu-
cation, in order to comply with title VI of the Civil Rights
Act of 1964. For the purpose of this section an indirect re-
quirement of transportation of students includes the trans-
portation of students to carry out a plan involving the reor-
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ganization of the grade structure of schools, the pairing of
schools, or the clustering of schools, or any combination of
grade restructuring, pairing or clustering. The prohibition
described in this section does not include the establishment
of magnet schools.
SEC. 303. No funds appropriated under this Act may
be used to prevent the implementation of programs of vol-
untary prayer and meditation in the public schools.
(TRANSFER OF FUNDS)
SEC. 304. Not to exceed 1 percent of any discretionary
funds (pursuant to the Balanced Budget and Emergency
Deficit Control Act of 1985, as amended) which are appro-
priated for the Department of Education in this Act may
be transferred between appropriations, but no such appro-
priation shall be increased by more than 3 percent by any
such transfer: Provided, That the Appropriations Commit-
tees of both Houses of Congress are notified at least 15 days
in advance of any transfer.
SEC. 305. IMPACT AID. Notwithstanding any other
provision of this Act—
(1) the total amount appropriated under this
title to carry out title VIII of the Elementary and
Secondary 
Education 
Act 
of 
1965 
shall 
be
$1,075,000,000;
(2) the total amount appropriated under this
title for basic support payments under section
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8003(b) of the Elementary and Secondary Education
Act of 1965 shall be $853,000,000; and
(3) amounts made available for the administra-
tive and related expenses of the Department of Labor,
Health and Human Services, and Education, shall be
further reduced on a pro rata basis by $35,000,000.
SEC. 306. (a) In addition to any amounts appro-
priated under this title for the loan forgiveness for child
care providers program under section 428K of the Higher
Education Act of 1965 (20 U.S.C. 1078–11), an additional
$10,000,000 is appropriated to carry out such program.
(b) Notwithstanding any other provision of this Act,
amounts made available under titles I and II, and this title,
for salaries and expenses at the Departments of Labor,
Health and Human Services, and Education, respectively,
shall be reduced on a pro rata basis by $10,000,000.
SEC. 307. TECHNOLOGY AND MEDIA SERVICES. Not-
withstanding any other provision of this Act—
(1) the total amount appropriated under this
title under the heading ‘‘OFFICE OF SPECIAL EDU-
CATION AND REHABILITATIVE SERVICES’’ under the
heading ‘‘SPECIAL EDUCATION’’ to carry out the Indi-
viduals with Disabilities Education Act shall be
$7,353,141,000, of which $35,323,000 shall be avail-
able for technology and media services; and
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(2) the total amount appropriated under this
title under the heading ‘‘DEPARTMENTAL MANAGE-
MENT’’ under the heading ‘‘PROGRAM
ADMINISTRA-
TION’’ shall be further reduced by $800,000.
SEC. 308. (a) In addition to any amounts appro-
priated under this title for the Perkin’s loan cancellation
program under section 465 of the Higher Education Act
of 1965 (20 U.S.C. 1087ee), an additional $15,000,000 is
appropriated to carry out such program.
(b) Notwithstanding any other provision of this Act,
amounts made available under titles I and II, and this title,
for salaries and expenses at the Departments of Labor,
Health and Human Services, and Education, respectively,
shall be further reduced on a pro rata basis by $15,000,000.
SEC. 309. The Comptroller General of the United
States shall evaluate the extent to which funds made avail-
able under part A of title I of the Elementary and Sec-
ondary Education Act of 1965 are allocated to schools and
local educational agencies with the greatest concentrations
of school-age children from low-income families, the extent
to which allocations of such funds adjust to shifts in con-
centrations of pupils from low-income families in different
regions, States, and substate areas, the extent to which the
allocation of such funds encourages the targeting of State
funds to areas with higher concentrations of children from
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low-income families, the implications of current distribu-
tion methods for such funds, and formula and other policy
recommendations to improve the targeting of such funds to
more effectively serve low-income children in both rural and
urban areas, and for preparing interim and final reports
based on the results of the study, to be submitted to Congress
not later than February 1, 2001, and April 1, 2001.
SEC. 310. The amount made available under this title
under the heading ‘‘OFFICE
OF POSTSECONDARY EDU-
CATION’’ under the heading ‘‘HIGHER EDUCATION’’ to carry
out section 316 of the Higher Education Act of 1965 is in-
creased by $5,000,000, which increase shall be used for con-
struction and renovation projects under such section; and
the amount made available under this title under the head-
ing ‘‘OFFICE OF POSTSECONDARY EDUCATION’’ under the
heading ‘‘HIGHER EDUCATION’’ to carry out part B of title
VII of the Higher Education Act of 1965 is decreased by
$5,000,000.
TITLE IV—RELATED AGENCIES
ARMED FORCES RETIREMENT HOME
ARMED FORCES RETIREMENT HOME
For expenses necessary for the Armed Forces Retire-
ment Home to operate and maintain the United States Sol-
diers’ and Airmen’s Home and the United States Naval
Home, to be paid from funds available in the Armed Forces
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(d) CONFORMING AMENDMENT.—Paragraph (4) of
such section is amended by striking ‘‘paragraph (5)(A)’’
and inserting ‘‘paragraph (7)(A)’’.
(e) SEPARABILITY.—If any provision of paragraph (5)
or (6) of section 254(h) of the Communications Act of 1934,
as amended by this section, or the application thereof to
any person or circumstance is held invalid, the remainder
of such paragraph and the application of such paragraph
to other persons or circumstances shall not be affected there-
by.
(f) REGULATIONS.—
(1) REQUIREMENT.—The Federal Communica-
tions Commission shall prescribe regulations for pur-
poses of administering the provisions of paragraphs
(5) and (6) of section 254(h) of the Communications
Act of 1934, as amended by this section.
(2) DEADLINE.—Notwithstanding any other pro-
vision of law, the requirements prescribed under
paragraph (1) shall take effect 120 days after the date
of the enactment of this Act.
(g) AVAILABILITY OF RATES.—Discounted rates under
section 254(h)(1)(B) of the Communications Act of 1934 (47
U.S.C. 254(h)(1)(B))—
(1) shall be available in amounts up to the an-
nual cap on Federal universal service support for
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an expedited determination on a denial of
a claim for benefits described in clause (i),
when a request for such an expedited deter-
mination is made by a participant or bene-
ficiary (or authorized representative) at any
time during the process for making a deter-
mination, and the treating health care pro-
fessional substantiates, with the request,
that a determination under the timeline de-
scribed in clause (i) would seriously jeop-
ardize the life or health of the participant
or beneficiary. Such determination shall be
made not later than 72 hours after the re-
ceipt of information under subsection (c)(2).
‘‘(iii) 
CONCURRENT
DETERMINA-
TION.—Notwithstanding clause (i), a review
described in such subclause shall be com-
pleted not later than 24 hours after the re-
ceipt of information under subsection (c)(2)
if the review involves a discontinuation of
inpatient care.
‘‘(B) RETROSPECTIVE
DETERMINATION.—
The independent medical reviewer (or reviewers)
shall complete a review in the case of a retrospec-
tive determination on an appeal of a denial of