979 
•AMDT. NO. 4805 
information under the ‘‘Health Care Fraud and Abuse 
Data 
Collection 
Program’’, 
authorized 
by 
section 
1128E(d)(2) of the Social Security Act, shall be sufficient 
to recover the full costs of operating the program, and 
shall remain available until expended to carry out that 
Act: Provided further, That no more than $40,000 shall 
be available until expended for carrying out the provisions 
of section 224(o) of the PHS Act including associated ad-
ministrative expenses and relevant evaluations: Provided 
further, That no more than $100,000,000 shall be avail-
able until expended for carrying out the provisions of Pub-
lic Law 104–73 and for expenses incurred by the Depart-
ment of Health and Human Services (‘‘HHS’’) pertaining 
to administrative claims made under such law: Provided 
further, That of the funds made available under this head-
ing, $327,356,000 shall be for the program under title X 
of the PHS Act to provide for voluntary family planning 
projects: Provided further, That amounts provided to said 
projects under such title shall not be expended for abor-
tions, that all pregnancy counseling shall be nondirective, 
and that such amounts shall not be expended for any ac-
tivity (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 of the funds available 
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•AMDT. NO. 4805 
under this heading, $2,010,365,000 shall remain available 
to the Secretary of HHS through September 30, 2013, 
for parts A and B of title XXVI of the PHS Act, of which 
$900,000,000 shall be for State AIDS Drug Assistance 
Programs under the authority of section 2616 or 311(c) 
of the PHS Act: Provided further, That within the 
amounts provided for part A of title XXVI of the PHS 
Act, $4,919,000 shall be available to the Secretary 
through September 30, 2013, and shall be available to 
qualifying jurisdictions, within 30 days of enactment, for 
increasing supplemental grants for fiscal year 2011 to 
metropolitan and transitional areas that received grant 
funding in fiscal year 2010 under subparts I and II of 
part A of title XXVI of the PHS Act to ensure that an 
area’s total funding under subparts I and II of part A 
for fiscal year 2010, together with the amount of this ad-
ditional funding, is not less than 90.7 percent of the 
amount of such area’s total funding under part A for fiscal 
year 2006: Provided further, That notwithstanding section 
2603(c)(1) of the PHS Act, the additional funding to 
areas under the immediately preceding proviso, which may 
be used for costs incurred during fiscal year 2010, shall 
be available to the area for obligation from the date of 
the award through the end of the grant year for the 
award: Provided further, That in addition to amounts pro-
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•AMDT. NO. 4805 
vided herein, $25,000,000 shall be available from amounts 
available under section 241 of the PHS Act to carry out 
parts A, B, C, and D of title XXVI of the PHS Act to 
fund section 2691 Special Projects of National Signifi-
cance: Provided further, That notwithstanding sections 
502(a)(1) and 502(b)(1) of the Social Security Act, not 
to exceed $93,999,263 shall be available for carrying out 
special projects of regional and national significance pur-
suant to section 501(a)(2) of such Act and $11,810,915 
shall be available for projects described in paragraphs (A) 
through (F) of section 501(a)(3) of such Act: Provided 
further, That of the funds provided, $34,927,000 shall be 
provided for the Delta Health Initiative as authorized in 
section 219 of division G of Public Law 110–161 and asso-
ciated administrative expenses: Provided further, That, for 
any program operating under section 751 of the PHS Act 
on or before January 1, 2009, the Secretary of HHS may 
waive any of the requirements contained in sections 
751(d)(2)(A) and 751(d)(2)(B) of such Act: Provided fur-
ther, That funds provided under section 846 and subpart 
3 of part D of title III of the PHS Act may be used to 
make prior-year adjustments to awards made under these 
sections: Provided further, That of the amount appro-
priated in this paragraph, $257,375,000 shall be used for 
the projects financing the construction and renovation (in-
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•AMDT. NO. 4805 
cluding equipment) of healthcare and other facilities and 
for other health-related activities, and in the amounts, 
specified in the explanatory statement described in section 
4 (in the matter preceding division A of this consolidated 
Act), and of which up to 1 percent of the amount for each 
project may be used for related agency administrative ex-
penses: Provided further, That notwithstanding section 
338J(k) of the PHS Act, $10,075,000 shall be available 
for State Offices of Rural Health: Provided further, That 
of the funds provided, $15,000,000 shall be available for 
the Small Rural Hospital Improvement Grant Program: 
Provided further, That notwithstanding section 399BB(g) 
of the PHS Act, funds made available under this heading 
for section 399BB of the PHS Act are for carrying out 
the program as authorized under section 399BB(a)–(f) of 
such Act unless otherwise authorized subsequent to enact-
ment of this Act: Provided further, That $65,000,000 shall 
be available for State Health Access Grants to expand ac-
cess to affordable health care coverage for the uninsured 
populations in such States: Provided further, That of the 
funds provided under this paragraph, $90,000,000 shall 
be for grants to assist in the development of medical 
schools, including the construction and acquisition of 
property and facilities, in designated health professional 
shortage areas: Provided further, That funds made avail-
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•AMDT. NO. 4805 
able in this paragraph may be used to continue operating 
the Council on Graduate Medical Education notwith-
standing section 762(k) of the PHS Act. 
For an additional amount to carry out the activities 
listed, and in the amounts specified, under the heading 
‘‘Prevention and Public Health Fund’’ in the explanatory 
statement described in section 4 (in the matter preceding 
division A of this consolidated Act), $20,000,000, to be 
derived by transfer from funds appropriated under section 
4002 of the Patient Protection and Affordable Care Act: 
Provided, That such funds shall not be available for fur-
ther transfer under authority granted in this or any other 
Act: Provided further, That the amounts shall be trans-
ferred within 45 days of enactment of this Act. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation 
Program Trust Fund (‘‘Trust Fund’’), such sums as may 
be necessary for claims associated with vaccine-related in-
jury 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 ex-
penses, not to exceed $6,502,000 shall be available from 
the Trust Fund to the Secretary of Health and Human 
Services. 
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•AMDT. NO. 4805 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
DISEASE CONTROL, RESEARCH, AND TRAINING 
(INCLUDING TRANSFER OF FUNDS) 
To carry out titles II, III, VII, XI, XV, XVII, XIX, 
XXI, and XXVI of the Public Health Service Act (‘‘PHS 
Act’’), sections 101, 102, 103, 201, 202, 203, 301, 501, 
and 514 of the Federal Mine Safety and Health Act of 
1977, section 13 of the Mine Improvement and New 
Emergency Response Act of 2006, sections 20, 21, and 
22 of the Occupational Safety and Health Act of 1970, 
titles II and IV of the Immigration and Nationality Act, 
section 501 of the Refugee Education Assistance Act of 
1980, sections 4001, 4004, 4201, and 4301 of the Patient 
Protection and Affordable Care Act (‘‘PPACA’’), section 
103(a)(4)(H) of the Afghanistan Freedom Support Act of 
2002, and for expenses necessary to support activities re-
lated to countering potential biological, nuclear, radio-
logical, and chemical threats to civilian populations; in-
cluding purchase and insurance of official motor vehicles 
in foreign countries; and purchase, hire, maintenance, and 
operation 
of 
aircraft, 
$6,288,507,000, 
of 
which 
$12,000,000 shall remain available until expended for ac-
quisition of real property, equipment, construction, and 
renovation of facilities, including necessary repairs and 
improvements to laboratories leased or operated by the 
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•AMDT. NO. 4805 
Centers for Disease Control and Prevention; of which 
$523,305,000 shall remain available until expended for 
the Strategic National Stockpile under section 319F–2 of 
the PHS Act; of which $25,000,000 shall remain available 
through September 30, 2012 for chronic disease grants; 
of which $12,155,000 shall be used for the projects, and 
in the amounts, specified in the explanatory statement de-
scribed in section 4 (in the matter preceding division A 
of this consolidated Act); of which $118,023,000 for inter-
national HIV/AIDS shall remain available through Sep-
tember 30, 2012; of which $150,137,000 shall be available 
until expended to provide screening and treatment for first 
response emergency services personnel, residents, stu-
dents, and others related to the September 11, 2001 ter-
rorist attacks on the World Trade Center; and of which 
$5,540,000 shall remain available until expended for re-
search on underground mine refuge chambers and alter-
natives: Provided, That paragraphs (1) through (3) of sec-
tion 2821(b) of the PHS Act shall not apply to funds 
made available under this heading: Provided further, That 
in addition, such sums as may be derived from authorized 
user fees shall be credited to this account: Provided fur-
ther, That with respect to the previous proviso, authorized 
user fees from the Vessel Sanitation Program shall be 
available through September 30, 2012: Provided further, 
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•AMDT. NO. 4805 
That in addition to amounts provided herein, the following 
amounts shall be available from amounts available under 
section 241 of the PHS Act: (1) $12,864,000 to carry out 
the National Immunization Surveys; (2) $161,883,000 to 
carry out the National Center for Health Statistics sur-
veys; (3) $61,916,000 for Scientific and Support Services; 
(4) $31,170,000 to carry out Public Health Research; and 
(5) $91,724,000 to carry out research activities within the 
National Occupational Research Agenda: Provided further, 
That none of the funds made available for injury preven-
tion and control at the Centers for Disease Control and 
Prevention may be used, in whole or in part, to advocate 
or promote gun control: Provided further, That of the 
funds made available under this paragraph, up to $1,000 
per eligible employee of the Centers for Disease Control 
and Prevention shall be made available until expended for 
Individual Learning Accounts: 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 des-
ignate: Provided further, That the Committees on Appro-
priations of the House of Representatives and the Senate 
are to be notified promptly of any such redirection: Pro-
vided further, That not to exceed $22,787,000 may be 
available for making grants under section 1509 of the 
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•AMDT. NO. 4805 
PHS Act to not less than 22 States, tribes, or tribal orga-
nizations: Provided further, That notwithstanding any 
other provision of law, the Centers for Disease Control and 
Prevention shall award a single contract or related con-
tracts for development and construction that collectively 
include the full scope of the project: Provided further, That 
the solicitation and contract shall contain the clause 
‘‘availability of funds’’ found at 48 CFR 52.232–18: Pro-
vided further, That of the funds appropriated, $10,000 
shall be for official reception and representation expenses 
when specifically approved by the Director of the Centers 
for Disease Control and Prevention: Provided further, 
That employees of the Centers for Disease Control and 
Prevention or the Public Health Service, both civilian and 
Commissioned Officers, detailed to States, municipalities, 
or other organizations under authority of section 214 of 
the PHS Act, or in overseas assignments, shall be treated 
as non-Federal employees for reporting purposes only and 
shall not be included within any personnel ceiling applica-
ble to the Agency, Service, or the Department of Health 
and Human Services during the period of detail or assign-
ment: Provided further, That, notwithstanding section 516 
of this Act, no activity funded under this heading or fund-
ed through transfers to ‘‘Disease Control, Research, and 
Training’’ that has a funding amount specifically identi-
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•AMDT. NO. 4805 
fied in the explanatory statement described in section 4 
(in the matter preceding division A of this consolidated 
Act) may be eliminated, increased by more than 3 percent 
or reduced by more than 1 percent through any adminis-
trative action. 
In addition, for necessary expenses to administer the 
Energy Employees Occupational Illness Compensation 
Program Act, $55,358,000, to remain available until ex-
pended, of which no less than $4,500,000 shall be for use 
by or in support of the Advisory Board on Radiation and 
Worker Health (‘‘the Board’’) to carry out its statutory 
responsibilities, including obtaining audits, technical as-
sistance, and other support from the Board’s audit con-
tractor with regard to radiation dose estimation and re-
construction efforts, site profiles, procedures, and review 
of Special Exposure Cohort petitions and evaluation re-
ports: Provided, That this amount shall be available con-
sistent with the provision regarding administrative ex-
penses in section 151(b) of division B, title I of Public 
Law 106–554. 
For an additional amount to carry out the activities 
listed, and in the amounts specified, under the heading 
‘‘Prevention and Public Health Fund’’ in the explanatory 
statement described in section 4 (in the matter preceding 
division A of this consolidated Act), $630,000,000, to be 
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•AMDT. NO. 4805 
derived by transfer from funds appropriated under section 
4002 of the Patient Protection and Affordable Care Act: 
Provided, That such funds shall not be available for fur-
ther transfer under authority granted in this or any other 
Act: Provided further, That the amounts shall be trans-
ferred within 45 days of enactment of this Act. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic 
Health 
Service 
Act 
with 
respect 
to 
cancer, 
$5,221,908,000, of which up to $8,000,000 may be used 
for facilities repairs and improvements at the National 
Cancer Institute-Frederick Federally Funded Research 
and Development Center in Frederick, Maryland. 
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to cardiovascular, lung, 
and blood diseases, and blood and blood products, 
$3,168,353,000. 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 
RESEARCH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to dental disease, 
$422,577,000. 
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•AMDT. NO. 4805 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER 
COMMUNICATION DISORDERS 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to deafness and other 
communication disorders, $428,826,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to nursing research, 
$149,339,000. 
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND 
ALCOHOLISM 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to alcohol abuse and 
alcoholism, $472,795,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to drug abuse, 
$1,084,288,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to mental health, 
$1,524,787,000. 
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993 
•AMDT. NO. 4805 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to human genome re-
search, $527,485,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND 
BIOENGINEERING 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to biomedical imaging 
and bioengineering research, $324,149,000. 
NATIONAL CENTER FOR RESEARCH RESOURCES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to research resources 
and general research support grants, $1,306,868,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND 
ALTERNATIVE MEDICINE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to complementary and 
alternative medicine, $131,693,000. 
NATIONAL INSTITUTE ON MINORITY HEALTH AND 
HEALTH DISPARITIES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to minority health and 
health disparities research, $217,430,000. 
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994 
•AMDT. NO. 4805 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty 
International Center (described in subpart 2 of part E of 
title IV of the Public Health Service Act), $71,967,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act (‘‘PHS Act’’) with respect to health 
information communications, $361,826,000, of which 
$4,000,000 shall be available until expended for improve-
ment of information systems: Provided, That in fiscal year 
2011, the National Library of Medicine may enter into 
personal services contracts for the provision of services in 
facilities owned, operated, or constructed under the juris-
diction of the National Institutes of Health: Provided fur-
ther, That in addition to amounts provided herein, 
$8,200,000 shall be available from amounts available 
under section 241 of the PHS Act to carry out the pur-
poses of the National Information Center on Health Serv-
ices Research and Health Care Technology established 
under section 478A of the PHS Act and related health 
services. 
OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out the responsibilities of the Office of 
the Director, National Institutes of Health (‘‘NIH’’), 
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•AMDT. NO. 4805 
$1,252,514,000, of which up to $25,000,000 shall be used 
to carry out section 213 of this Act: Provided, That fund-
ing shall be available for the purchase of not to exceed 
29 passenger motor vehicles for replacement only: Pro-
vided further, That the NIH is authorized to collect third 
party payments for the cost of clinical services that are 
incurred in NIH research facilities and that such pay-
ments shall be credited to the NIH Management Fund: 
Provided further, That all funds credited to such Fund 
shall remain available for one fiscal year after the fiscal 
year in which they are deposited: Provided further, That 
up to $194,400,000 shall be available for continuation of 
the National Children’s Study: Provided further, That 
$557,224,000 shall be available for the Common Fund es-
tablished under section 402A(c)(1) of the Public Health 
Service Act (‘‘PHS Act’’): Provided further, That of the 
funds provided $10,000 shall be for official reception and 
representation expenses when specifically approved by the 
Director of the 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 con-
struction or renovation of facilities as provided for in sec-
tion 2354(a)(5)(B) of the PHS Act: Provided further, 
That $50,000,000 shall be available to implement section 
402C of the PHS Act, relating to the Cures Acceleration 
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996 
•AMDT. NO. 4805 
Network: Provided further, That if the entirety of the 
$50,000,000 cannot be obligated for the Cures Accelera-
tion Network in fiscal year 2011, the Director is author-
ized to transfer the remaining funds to the Institutes and 
Centers, in proportion to, and for the same purposes as, 
the appropriations otherwise made to such Institutes and 
Centers in this Act, in order to obligate the full amount 
available prior to October 1, 2011. 
BUILDINGS AND FACILITIES 
For the study of, construction of, renovation of, and 
acquisition of equipment for, facilities of or used by the 
National Institutes of Health, including the acquisition of 
real property, $36,390,000, to remain available until ex-
pended. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out titles III, V, and XIX of the Public 
Health Service Act (‘‘PHS Act’’) with respect to substance 
abuse and mental health services and the Protection and 
Advocacy for Individuals with Mental Illness Act, 
$3,461,456,000, of which $10,118,000 shall be used for 
the projects, and in the amounts, specified in the explana-
tory statement described in section 4 (in the matter pre-
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