H. R. 2055—288 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of the Director, 
NIH, $1,461,880,000, of which up to $25,000,000 shall be used 
to carry out section 213 of this Act: Provided, That funding shall 
be available for the purchase of not to exceed 29 passenger motor 
vehicles for replacement only: Provided further, That NIH is author-
ized to collect third-party payments for the cost of clinical services 
that are incurred in NIH research facilities and that such payments 
shall be credited to the NIH Management Fund: Provided further, 
That all funds credited to the NIH Management Fund shall remain 
available for one fiscal year after the fiscal year in which they 
are deposited: Provided further, That $193,880,000 shall be avail-
able for continuation of the National Children’s Study: Provided 
further, That $545,962,000 shall be available for the Common Fund 
established under section 402A(c)(1) of the PHS Act: Provided fur-
ther, That of the funds provided $10,000 shall be for official recep-
tion and representation expenses when specifically approved by 
the Director of the NIH: Provided further, That the Office of AIDS 
Research within the Office of the Director of the NIH may spend 
up to $8,000,000 to make grants for construction or renovation 
of facilities as provided for in section 2354(a)(5)(B) of the PHS 
Act. 
BUILDINGS AND FACILITIES 
For the study of, construction of, renovation of, and acquisition 
of equipment for, facilities of or used by NIH, including the acquisi-
tion of real property, $125,581,000, to remain available until Sep-
tember 30, 2016. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION 
MENTAL HEALTH 
For carrying out titles III, V, and XIX of the PHS Act with 
respect to mental health, and the Protection and Advocacy for 
Individuals with Mental Illness Act, $934,853,000: Provided, That 
notwithstanding section 520A(f)(2) of the PHS Act, no funds appro-
priated for carrying out section 520A shall be available for carrying 
out section 1971 of the PHS Act: Provided further, That in addition 
to amounts provided herein, $21,039,000 shall be available under 
section 241 of the PHS Act to carry out subpart I of part B 
of title XIX of the PHS Act to fund section 1920(b) technical assist-
ance, national data, data collection and evaluation activities, and 
further that the total available under this Act for section 1920(b) 
activities shall not exceed 5 percent of the amounts appropriated 
for subpart I of part B of title XIX: Provided further, That section 
520E(b)(2) of the PHS Act shall not apply to funds appropriated 
under this Act for fiscal year 2012: Provided further, That of the 
amount appropriated under this heading, $45,800,000 shall be for 
the National Child Traumatic Stress Initiative as described in sec-
tion 582 of the PHS Act. 
SUBSTANCE ABUSE TREATMENT 
For carrying out titles III, V, and XIX of the PHS Act with 
respect to substance abuse treatment and section 1922(a) of the
H. R. 2055—289 
PHS 
Act 
with 
respect 
to 
substance 
abuse 
prevention, 
$2,123,993,000: Provided, That in addition to amounts provided 
herein, the following amounts shall be available under section 241 
of the PHS Act: (1) $79,200,000 to carry out subpart II of part 
B of title XIX of the PHS Act to fund section 1935(b) technical 
assistance, national data, data collection and evaluation activities, 
and further that the total available under this Act for section 
1935(b) activities shall not exceed 5 percent of the amounts appro-
priated for subpart II of part B of title XIX; and (2) $2,000,000 
to evaluate substance abuse treatment programs: Provided further, 
That no funds shall be available for the National All Schedules 
Prescription Reporting system. 
SUBSTANCE ABUSE PREVENTION 
For carrying out titles III and V of the PHS Act with respect 
to substance abuse prevention, $186,361,000. 
HEALTH SURVEILLANCE AND PROGRAM SUPPORT 
For program support and cross-cutting activities that supple-
ment activities funded under the headings ‘‘Mental Health’’, ‘‘Sub-
stance Abuse Treatment’’, and ‘‘Substance Abuse Prevention’’ in 
carrying out titles III, V, and XIX of the PHS Act and the Protection 
and Advocacy for Individuals with Mental Illness Act in the Sub-
stance 
Abuse 
and 
Mental 
Health 
Services 
Administration, 
$109,106,000: Provided, That in addition to amounts provided 
herein, $27,428,000 shall be available under section 241 of the 
PHS Act to supplement funds available to carry out national surveys 
on drug abuse and mental health, to collect and analyze program 
data, and to conduct public awareness and technical assistance 
activities: Provided further, That funds made available under this 
heading may be used to supplement program support funding pro-
vided under the headings ‘‘Mental Health’’, ‘‘Substance Abuse Treat-
ment’’, and ‘‘Substance Abuse Prevention’’. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the PHS Act, part A 
of title XI of the Social Security Act, and section 1013 of the 
Medicare Prescription Drug, Improvement, and Modernization Act 
of 2003, $369,053,000 shall be available from amounts available 
under section 241 of the PHS Act, notwithstanding subsection 947(c) 
of such Act: Provided, That in addition, amounts received from 
Freedom of Information Act fees, reimbursable and interagency 
agreements, and the sale of data shall be credited to this appropria-
tion and shall remain available until September 30, 2013. 
CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles XI and 
XIX of the Social Security Act, $184,279,110,000, to remain avail-
able until expended.
H. R. 2055—290 
For making, after May 31, 2012, payments to States under 
title XIX or in the case of section 1928 on behalf of States under 
title XIX of the Social Security Act for the last quarter of fiscal 
year 2012 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 section 1928 
on behalf of States under title XIX of the Social Security Act 
for the first quarter of fiscal year 2013, $90,614,082,000, to remain 
available until expended. 
Payment under such title XIX may be made for any quarter 
with respect to a State plan or plan amendment in effect during 
such quarter, if submitted in or prior to such quarter and approved 
in that or any subsequent quarter. 
PAYMENTS TO HEALTH CARE TRUST FUNDS 
For payment to the Federal Hospital Insurance Trust Fund 
and the Federal Supplementary Medical Insurance Trust Fund, 
as provided under sections 217(g), 1844, and 1860D–16 of the Social 
Security Act, sections 103(c) and 111(d) of the Social Security 
Amendments of 1965, section 278(d)(3) of Public Law 97–248, and 
for administrative expenses incurred pursuant to section 201(g) 
of the Social Security Act, $230,741,378,000. 
In addition, for making matching payments under section 1844 
and benefit payments under section 1860D–16 of the Social Security 
Act that were not anticipated in budget estimates, such sums as 
may be necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles XI, XVIII, 
XIX, and XXI of the Social Security Act, titles XIII and XXVII 
of the PHS Act, the Clinical Laboratory Improvement Amendments 
of 1988, and other responsibilities of the Centers for Medicare 
and Medicaid Services, not to exceed $3,879,476,000, to be trans-
ferred from the Federal Hospital Insurance Trust Fund and the 
Federal Supplementary Medical Insurance Trust Fund, as author-
ized by section 201(g) of the Social Security Act; together with 
all funds collected in accordance with section 353 of the PHS 
Act and section 1857(e)(2) of the Social Security Act, funds retained 
by the Secretary pursuant to section 302 of the Tax Relief and 
Health Care Act of 2006; and such sums as may be collected 
from authorized user fees and the sale of data, which shall be 
credited to this account and remain available until September 30, 
2017: Provided, That all funds derived in accordance with 31 U.S.C. 
9701 from organizations established under title XIII of the PHS 
Act shall be credited to and available for carrying out the purposes 
of this appropriation: Provided further, That $34,000,000, to remain 
available through September 30, 2013, shall be for contract costs 
for the Healthcare Integrated General Ledger Accounting System: 
Provided further, That the Secretary is directed to collect fees 
in fiscal year 2012 from Medicare Advantage organizations pursuant 
to section 1857(e)(2) of the Social Security Act and from eligible 
organizations with risk-sharing contracts under section 1876 of 
that Act pursuant to section 1876(k)(4)(D) of that Act: Provided 
further, That $44,000,000 shall be available for the State high- 
risk health insurance pool program as authorized by the State 
High Risk Pool Funding Extension Act of 2006.
H. R. 2055—291 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for program integ-
rity and program management, $310,377,000, to remain available 
through September 30, 2013, to be transferred from the Federal 
Hospital Insurance Trust Fund and the Federal Supplementary 
Medical Insurance Trust Fund, as authorized by section 201(g) 
of the Social Security Act, of which $219,879,000 shall be for the 
Medicare Integrity Program at the Centers for Medicare and Med-
icaid Services, including administrative costs, to conduct oversight 
activities for Medicare Advantage under Part C and the Medicare 
Prescription Drug Program under Part D of the Social Security 
Act and for activities described in section 1893(b) of such Act, 
of which $29,730,000 shall be for the Department of Health and 
Human Services Office of Inspector General to carry out fraud 
and abuse activities authorized by section 1817(k)(3) of such Act, 
of which $31,038,000 shall be for the Medicaid and Children’s 
Health Insurance Program (‘‘CHIP’’) program integrity activities, 
and of which $29,730,000 shall be for the Department of Justice 
to carry out fraud and abuse activities authorized by section 
1817(k)(3) of such Act: Provided, That the report required by section 
1817(k)(5) of the Social Security Act for fiscal year 2012 shall 
include measures of the operational efficiency and impact on fraud, 
waste, and abuse in the Medicare, Medicaid, and CHIP programs 
for the funds provided by this appropriation. 
ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND 
FAMILY SUPPORT PROGRAMS 
For making payments to States or other non-Federal entities 
under titles I, IV–D, X, XI, XIV, and XVI of the Social Security 
Act and the Act of July 5, 1960, $2,305,035,000, to remain available 
until expended; and for such purposes for the first quarter of 
fiscal year 2013, $1,100,000,000, to remain available until expended. 
For making payments to each State for carrying out the pro-
gram of Aid to Families with Dependent Children under title IV– 
A of the Social Security Act before the effective date of the program 
of Temporary Assistance for Needy Families with respect to such 
State, such sums as may be necessary: Provided, That the sum 
of the amounts available to a State with respect to expenditures 
under such title IV–A in fiscal year 1997 under this appropriation 
and under such title IV–A as amended by the Personal Responsi-
bility and Work Opportunity Reconciliation Act of 1996 shall not 
exceed the limitations under section 116(b) of such Act. 
For making, after May 31 of the current fiscal year, payments 
to States or other non-Federal entities under titles I, IV–D, X, 
XI, XIV, and XVI of the Social Security Act and the Act of July 
5, 1960, for the last 3 months of the current fiscal year for unantici-
pated costs, incurred for the current fiscal year, such sums as 
may be necessary. 
LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b) and (d) of section 
2602 of the Low Income Home Energy Assistance Act of 1981, 
$3,478,246,000: Provided, That all but $497,000,000 of such funds