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HR 1105 PCS 
Trust Fund and the Federal Supplementary Medical In-
surance Trust Fund, as authorized by section 201(g) of 
the Social Security Act, of which $147,038,000 shall be 
for the Medicare Integrity Program at the Centers for 
Medicare and Medicaid Services to conduct oversight of 
activities for Medicare Advantage and the Medicare Pre-
scription Drug Program authorized in title XVIII of the 
Social Security Act, including activities listed in section 
1893(b) of such Act; of which $18,967,000 shall be for 
the Department of Health and Human Services Office of 
Inspector General; of which $13,028,000 shall be for the 
Medicaid and State Children’s Health Insurance Program 
(‘‘SCHIP’’) program integrity activities; and of which 
$18,967,000 shall be for the Department of Justice: Pro-
vided, That the report required by section 1817(k)(5) of 
the Social Security Act for fiscal year 2009 shall include 
measures of the operational efficiency and impact on 
fraud, waste, and abuse in the Medicare, Medicaid, and 
SCHIP programs for the funds provided by this appro-
priation. 
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 
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HR 1105 PCS 
Social Security Act and the Act of July 5, 1960, 
$2,759,078,000, to remain available until expended; and 
for such purposes for the first quarter of fiscal year 2010, 
$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 ef-
fective 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 appropria-
tion and under such title IV–A as amended by the Per-
sonal Responsibility 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 unanticipated costs, incurred 
for the current fiscal year, such sums as may be necessary. 
REFUGEE AND ENTRANT ASSISTANCE 
For necessary expenses for refugee and entrant as-
sistance activities authorized by section 414 of the Immi-
gration and Nationality Act and section 501 of the Ref-
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HR 1105 PCS 
ugee Education Assistance Act of 1980, for carrying out 
section 462 of the Homeland Security Act of 2002, for 
costs associated with the care and placement of unaccom-
panied alien children, and for carrying out the Torture 
Victims Relief Act of 1998, $633,442,000, of which up 
to $9,814,000 shall be available to carry out the Traf-
ficking Victims Protection Act of 2000: Provided, That 
funds appropriated under this heading pursuant to section 
414(a) of the Immigration and Nationality Act and sec-
tion 462 of the Homeland Security Act of 2002 for fiscal 
year 2009 shall be available for the costs of assistance pro-
vided and other activities to remain available through Sep-
tember 30, 2011. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For carrying out the Child Care and Development 
Block Grant Act of 1990, $2,127,081,000 shall be used 
to supplement, not supplant State general revenue funds 
for child care assistance for low-income families: Provided, 
That $18,960,000 shall be available for child care resource 
and referral and school-aged child care activities, of which 
$1,000,000 shall be for the Child Care Aware toll-free hot-
line: Provided further, That, in addition to the amounts 
required to be reserved by the States under section 658G, 
$271,401,000 shall be reserved by the States for activities 
authorized under section 658G, of which $99,534,000 
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HR 1105 PCS 
shall be for activities that improve the quality of infant 
and toddler care: Provided further, That $9,910,000 shall 
be for use by the Secretary of Health and Human Services 
for child care research, demonstration, and evaluation ac-
tivities. 
SOCIAL SERVICES BLOCK GRANT 
For making grants to States pursuant to section 
2002 of the Social Security Act, $1,700,000,000: Pro-
vided, That notwithstanding subparagraph (B) of section 
404(d)(2) of such Act, the applicable percent specified 
under such subparagraph for a State to carry out State 
programs pursuant to title XX of such Act shall be 10 
percent. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For carrying out, except as otherwise provided, the 
Runaway and Homeless Youth Act, the Developmental 
Disabilities Assistance and Bill of Rights Act, the Head 
Start Act, the Child Abuse Prevention and Treatment Act, 
sections 310 and 316 of the Family Violence Prevention 
and Services Act, the Native American Programs Act of 
1974, title II of the Child Abuse Prevention and Treat-
ment and Adoption Reform Act of 1978 (adoption oppor-
tunities), sections 330F and 330G of the Public Health 
Service Act (‘‘PHS Act’’), the Abandoned Infants Assist-
ance Act of 1988, sections 261 and 291 of the Help Amer-
ica Vote Act of 2002, part B–1 of title IV and sections 
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