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(2)
INCLUSION
OF
INFORMATION
IN
NEW 
TRAINING PROGRAMS.—The Secretary shall ensure 
that any training program for the acquisition work 
force developed or implemented after the date of the 
enactment of this Act includes comprehensive infor-
mation on the requirements described in paragraph 
(1). 
(j) CONSISTENCY WITH INTERNATIONAL AGREE-
MENTS.— 
(1) IN GENERAL.—No provision of this section 
shall apply to the extent the Secretary of Homeland 
Security, in consultation with the United States 
Trade Representative, determines that it is in incon-
sistent with United States obligations under an 
international agreement. 
(2) REPORT.—The Secretary of Homeland Se-
curity shall submit a report each year to Congress 
containing, with respect to the year covered by the 
report— 
(A) a list of each provision of this section 
that did not apply during that year pursuant to 
a determination by the Secretary under para-
graph (1); and 
(B) a list of each contract awarded by the 
Department of Homeland Security during that 
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year without regard to a provision in this sec-
tion because that provision was made inappli-
cable pursuant to such a determination. 
(k) EFFECTIVE DATE.—This section applies with re-
spect to contracts entered into by the Department of 
Homeland Security after the date of the enactment of this 
Act. 
TITLE VIII—INTERIOR AND 
ENVIRONMENT 
DEPARTMENT OF THE INTERIOR 
BUREAU OF LAND MANAGEMENT 
CONSTRUCTION 
(INCLUDING TRANSFERS OF FUNDS) 
For
an
additional
amount
for
‘‘Construction’’, 
$325,000,000, for priority road, bridge, and trail repair 
or
decommissioning,
critical
deferred
maintenance 
projects, facilities construction and renovation, hazardous 
fuels reduction, and remediation of abandoned mine or 
well sites: Provided, That funds may be transferred to 
other appropriate accounts of the Bureau of Land man-
agement: Provided further, That the amount set aside 
from this appropriation pursuant to section 1106 of this 
Act shall be not more than 5 percent instead of the per-
centage specified in such section. 
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UNITED STATES FISH AND WILDLIFE SERVICE 
CONSTRUCTION 
(INCLUDING TRANSFER OF FUNDS) 
For
an
additional
amount
for
‘‘Construction’’, 
$300,000,000, for priority road and bridge repair and re-
placement, and critical deferred maintenance and improve-
ment projects on National Wildlife Refuges, National Fish 
Hatcheries, and other Service properties: Provided, That 
funds may be transferred to ‘‘Resource Management’’: 
Provided further, That the amount set aside from this ap-
propriation pursuant to section 1106 of this Act shall be 
not more than 5 percent instead of the percentage speci-
fied in such section. 
NATIONAL PARK SERVICE 
CONSTRUCTION 
(INCLUDING TRANSFER OF FUNDS) 
For
an
additional
amount
for
‘‘Construction’’, 
$1,700,000,000, for projects to address critical deferred 
maintenance needs within the National Park System, in-
cluding roads, bridges and trails, and for other critical in-
frastructure projects: Provided, That funds may be trans-
ferred to ‘‘Operation of the National Park System’’: Pro-
vided further, That $200,000,000 of these funds shall be 
for projects related to the preservation and repair of his-
torical and cultural resources within the National Park 
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System: Provided further, That $15,000,000 of these 
funds shall be transferred to the ‘‘Historic Preservation 
Fund’’ for historic preservation projects at historically 
black colleges and universities as authorized by the His-
toric Preservation Fund Act of 1996 and the Omnibus 
Parks and Public Lands Act of 1996, except that any 
matching
requirements
otherwise
required
for
such 
projects are waived: Provided further, That the amount set 
aside from this appropriation pursuant to section 1106 of 
this Act shall be not more than 5 percent instead of the 
percentage specified in such section. 
CENTENNIAL CHALLENGE 
To carry out provisions of section 814(g) of Public 
Law 104–333 relating to challenge cost share agreements, 
$100,000,000, for National Park Service Centennial Chal-
lenge signature projects and programs: Provided, That not 
less than 50 percent of the total cost of each project or 
program is derived from non-Federal sources in the form 
of donated cash, assets, in-kind services, or a pledge of 
donation guaranteed by an irrevocable letter of credit: Pro-
vided further, That the amount set aside from this appro-
priation pursuant to section 1106 of this Act shall be not 
more than 5 percent instead of the percentage specified 
in such section. 
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UNITED STATES GEOLOGICAL SURVEY 
SURVEYS, INVESTIGATIONS, AND RESEARCH 
For an additional amount for ‘‘Surveys, Investiga-
tions, and Research’’, $200,000,000, for repair and res-
toration of facilities; equipment replacement and upgrades 
including stream gages, and seismic and volcano moni-
toring systems; national map activities; and other critical 
deferred maintenance and improvement projects: Pro-
vided, That the amount set aside from this appropriation 
pursuant to section 1106 of this Act shall be not more 
than 5 percent instead of the percentage specified in such 
section. 
BUREAU OF INDIAN AFFAIRS 
CONSTRUCTION 
(INCLUDING TRANSFER OF FUNDS) 
For
an
additional
amount
for
‘‘Construction’’, 
$500,000,000, for priority repair and replacement of 
schools, detention centers, roads, bridges, employee hous-
ing, and critical deferred maintenance projects: Provided, 
That not less than $250,000,000 shall be used for new 
and replacement schools and detention centers: Provided 
further, That funds may be transferred to ‘‘Operation of 
Indian Programs’’: Provided further, That the amount set 
aside from this appropriation pursuant to section 1106 of 
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this Act shall be not more than 5 percent instead of the 
percentage specified in such section. 
ENVIRONMENTAL PROTECTION AGENCY 
HAZARDOUS SUBSTANCE SUPERFUND 
For an additional amount for ‘‘Hazardous Substance 
Superfund’’, $800,000,000, which shall be used for the 
Superfund Remedial program: Provided, That amounts 
available by law from this appropriation for management 
and administration shall take the place of the set-aside 
under section 1106 of this Act. 
LEAKING UNDERGROUND STORAGE TANK TRUST FUND 
PROGRAM 
For an additional amount for ‘‘Leaking Underground 
Storage Tank Trust Fund Program’’, to carry out leaking 
underground storage tank cleanup activities authorized by 
subtitle I of the Solid Waste Disposal Act, $200,000,000, 
which shall be used to carry out leaking underground stor-
age tank cleanup activities authorized by section 9003(h) 
of the Solid Waste Disposal Act, except that such funds 
shall not be subject to the State matching requirements 
in section 9003(h)(7)(B): Provided, That amounts avail-
able by law from this appropriation for management and 
administration shall take the place of the set-aside under 
section 1106 of this Act. 
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STATE AND TRIBAL ASSISTANCE GRANTS 
For an additional amount for ‘‘State and Tribal As-
sistance Grants’’, $8,400,000,000, which shall be used as 
follows: 
(1) $6,000,000,000 shall be for capitalization 
grants for the Clean Water State Revolving Funds 
under title VI of the Federal Water Pollution Con-
trol Act (33 U.S.C. 1381 et seq.), except that such 
funds shall not be subject to the State matching re-
quirements in paragraphs (2) and (3) of section 
602(b) of such Act or to the Federal cost share limi-
tations in section 202 of such Act: Provided, That 
the amount set aside from this appropriation pursu-
ant to section 1106 of this Act shall be not more 
than 2 percent instead of the percentage specified in 
such
section:
Provided
further,
That,
notwith-
standing the limitation on amounts specified in sec-
tion 518(c) of the Federal Water Pollution Control 
Act, up to a total of 1.5 percent of such funds may 
be reserved by the Administrator of the Environ-
mental Protection Agency for grants under section 
518(c) of such Act: Provided further, That the re-
quirements of section 513 of such Act shall apply to 
the construction of treatment works carried out in 
whole or in part with assistance made available 
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under this heading by a Clean Water State Revolv-
ing Fund under title VI of such Act, or with assist-
ance made available under section 205(m) of such 
Act,
or
both:
Provided
further,
That,
notwith-
standing the requirements of section 603(d) of such 
Act, each State shall use 50 percent of the amount 
of the capitalization grant received by the State 
under title VI of such Act to provide assistance, in 
the form of additional subsidization, including for-
giveness of principal, negative interest loans, and 
grants, to municipalities (as defined in section 502 
of such Act) for projects that are included on the 
State’s priority list established under section 603(g) 
of such Act, of which 80 percent shall be for projects 
to benefit municipalities that meet affordability cri-
teria as determined by the Governor of the State 
and 20 percent shall be for projects to address 
water-efficiency
goals,
address
energy-efficiency 
goals, mitigate stormwater runoff, or encourage en-
vironmentally sensitive project planning, design, and 
construction, to the extent that there are sufficient 
project applications eligible for such assistance. 
(2) $2,000,000,000 shall be for capitalization 
grants for the Drinking Water State Revolving 
Funds under section 1452 of the Safe Drinking 
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Water Act (42 U.S.C. 300j–12), except that such 
funds shall not be subject to the State matching re-
quirements of section 1452(e) of such Act: Provided, 
That the amount set aside from this appropriation 
pursuant to section 1106 of this Act shall be not 
more than 2 percent instead of the percentage speci-
fied in such section: Provided further, That section 
1452(k) of the Safe Drinking Water Act shall not 
apply to such funds: Provided further, That the re-
quirements of section 1450(e) of such Act (42 
U.S.C. 300j–9(e)) shall apply to the construction 
carried out in whole or part with assistance made 
available under this heading by a Drinking Water 
State Revolving fund under section 1452 of such 
Act: Provided further, That, notwithstanding the re-
quirements of section 1452(a)(2) of such Act, each 
State shall use 50 percent of the amount of the cap-
italization grant received by the State under section 
1452 of such Act to provide assistance, in the form 
of additional subsidization, including forgiveness of 
principal, negative interest loans, and grants, to mu-
nicipalities (as defined in section 1401 of such Act) 
for projects that are included on the State’s priority 
list established under section 1452(b)(3) of such 
Act. 
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(3) $300,000,000 shall be for grants under title 
VII, Subtitle G of the Energy Policy Act of 2005: 
Provided, That the amount set aside from this ap-
propriation pursuant to section 1106 of this Act 
shall be not more than 3 percent instead of the per-
centage specified in such section. 
(4) $100,000,000 shall be to carry out section 
104(k) of the Comprehensive Environmental Re-
sponse, Compensation, and Liability Act of 1980: 
Provided, That the amount set aside from this ap-
propriation pursuant to section 1106 of this Act 
shall be not more than 3 percent instead of the per-
centage specified in such section. 
DEPARTMENT OF AGRICULTURE 
FOREST SERVICE 
CAPITAL IMPROVEMENT AND MAINTENANCE 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Capital Improvement 
and Maintenance’’, $650,000,000, for reconstruction, cap-
ital improvement, decommissioning, and maintenance of 
forest roads, bridges and trails; alternative energy tech-
nologies, energy efficiency enhancements and deferred 
maintenance at Federal facilities; and for remediation of 
abandoned mine sites, removal of fish passage barriers, 
and other critical habitat, forest improvement and water-
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HR 1 PP 
shed enhancement projects on Federal lands and waters: 
Provided, That funds may be transferred to ‘‘National 
Forest System’’: Provided further, That the amount set 
aside from this appropriation pursuant to section 1106 of 
this Act shall be not more than 5 percent instead of the 
percentage specified in such section. 
WILDLAND FIRE MANAGEMENT 
(INCLUDING TRANSFERS OF FUNDS) 
For an additional amount for ‘‘Wildland Fire Man-
agement’’, $850,000,000, of which $300,000,000 is for 
hazardous fuels reduction, forest health, wood to energy 
grants and rehabilitation and restoration activities on 
Federal lands, and of which $550,000,000 is for State fire 
assistance hazardous fuels projects, volunteer fire assist-
ance, cooperative forest health projects, city forest en-
hancements, and wood to energy grants on State and pri-
vate lands: Provided, That amounts in this paragraph may 
be transferred to ‘‘State and Private Forestry’’ and ‘‘Na-
tional Forest System’’: Provided further, That the amount 
set aside from this appropriation pursuant to section 1106 
of this Act shall be not more than 5 percent instead of 
the percentage specified in such section. 
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DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
INDIAN HEALTH SERVICE 
INDIAN HEALTH FACILITIES 
For an additional amount for ‘‘Indian Health Facili-
ties’’, $550,000,000, for priority health care facilities con-
struction projects and deferred maintenance, and the pur-
chase of equipment and related services, including but not 
limited to health information technology: Provided, That 
notwithstanding any other provision of law, the amounts 
available under this paragraph shall be allocated at the 
discretion of the Director of the Indian Health Service: 
Provided further, That the amount set aside from this ap-
propriation pursuant to section 1106 of this Act shall be 
not more than 5 percent instead of the percentage speci-
fied in such section. 
OTHER RELATED AGENCIES 
SMITHSONIAN INSTITUTION 
FACILITIES CAPITAL 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Facilities Capital’’, 
$150,000,000, for deferred maintenance projects, and for 
repair, revitalization, and alteration of facilities owned or 
occupied by the Smithsonian Institution, by contract or 
otherwise, as authorized by section 2 of the Act of August 
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22, 1949 (63 Stat. 623): Provided, That funds may be 
transferred to ‘‘Salaries and Expenses’’: Provided further, 
That the amount set aside from this appropriation pursu-
ant to section 1106 of this Act shall be not more than 
5 percent instead of the percentage specified in such sec-
tion. 
NATIONAL FOUNDATION ON THE ARTS AND THE 
HUMANITIES 
NATIONAL ENDOWMENT FOR THE ARTS 
GRANTS AND ADMINISTRATION 
For an additional amount for ‘‘Grants and Adminis-
tration’’, $50,000,000, to be distributed in direct grants 
to fund arts projects and activities which preserve jobs in 
the non-profit arts sector threatened by declines in philan-
thropic and other support during the current economic 
downturn: Provided, That 40 percent of such funds shall 
be distributed to State arts agencies and regional arts or-
ganizations in a manner similar to the agency’s current 
practice and 60 percent of such funds shall be for competi-
tively selected arts projects and activities according to sec-
tions 2 and 5(c) of the National Foundation on the Arts 
and Humanities Act of 1965 (20 U.S.C. 951, 954(c)): 
Provided further, That matching requirements under sec-
tion 5(e) of such Act shall be waived: Provided further, 
That the amount set aside from this appropriation pursu-
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ant to section 1106 of this Act shall be not more than 
5 percent instead of the percentage specified in such sec-
tion. 
TITLE IX—LABOR, HEALTH AND 
HUMAN SERVICES, AND EDU-
CATION 
Subtitle A—Labor 
DEPARTMENT OF LABOR 
EMPLOYMENT AND TRAINING ADMINISTRATION 
TRAINING AND EMPLOYMENT SERVICES 
For an additional amount for ‘‘Training and Employ-
ment Services’’ for activities under the Workforce Invest-
ment Act of 1998 (‘‘WIA’’), $4,000,000,000, which shall 
be available for obligation on the date of enactment of this 
Act, as follows: 
(1) $500,000,000 for grants to the States for 
adult employment and training activities. 
(2) $1,200,000,000 for grants to the States for 
youth activities, including summer jobs for youth: 
Provided, That the work readiness performance indi-
cator described in section 136(b)(2)(A)(ii)(I) of the 
WIA shall be the only measure of performance used 
to assess the effectiveness of summer jobs for youth 
provided with such funds: Provided further, That 
with respect to the youth activities provided with 
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such funds, section 101(13)(A) of the WIA shall be 
applied by substituting ‘‘age 24’’ for ‘‘age 21’’: Pro-
vided further, That no portion of the additional 
funds provided herein shall be reserved to carry out 
section 127(b)(1)(A) of the WIA: Provided further, 
That for purposes of section 127(b)(1)(C)(iv) of the 
WIA, such funds shall be allotted as if the total 
amount of funding available for youth activities in 
the fiscal year does not exceed $1,000,000,000. 
(3) $1,000,000,000 for grants to the States for 
dislocated worker employment and training activi-
ties. 
(4) $500,000,000 for the dislocated workers as-
sistance national reserve to remain available for 
Federal obligation through June 30, 2010: Provided, 
That such funds shall be made available for grants 
only to eligible entities that serve areas of high un-
employment or high poverty and only for the pur-
poses described in subsection 173(a)(1) of the WIA: 
Provided further, That the Secretary of Labor shall 
ensure that applicants for such funds demonstrate 
how income support, child care, and other supportive 
services necessary for an individual’s participation in 
job training will be provided. 
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(5)
$50,000,000
for
YouthBuild
activities, 
which shall remain available for Federal obligation 
through June 30, 2010. 
(6) $750,000,000 for a program of competitive 
grants for worker training and placement in high 
growth and emerging industry sectors (including 
projects funded under section 6002 of division B of 
this Act): Provided, That $500,000,000 shall be for 
research, labor exchange and job training projects 
that prepare workers for careers in the energy effi-
ciency and renewable energy industries specified in 
section 171(e)(1)(B)(ii) of the WIA (as amended by 
the Green Jobs Act of 2007): Provided further, That 
in awarding grants from those funds not designated 
in the preceding proviso, the Secretary of Labor 
shall give priority to projects that prepare workers 
for careers in the health care sector: Provided fur-
ther, That the provisions of section 1103 of this Act 
shall not apply to this appropriation: 
Provided, That the additional funds provided to States 
under this heading are not subject to section 191(a) of 
the WIA: Provided further, That notwithstanding section 
1106 of this Act, there shall be no amount set aside from 
the appropriations made in subsections (1) through (3) 
under this heading and the amount set aside for sub-
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of the sums to be allotted in accordance with section 
132(b)(2)(B)(ii)(III) of the Workforce Investment Act of 
1998: Provided further, That not less than $250,000,000 
of the amount provided under this heading shall be used 
by States for reemployment services for unemployment in-
surance claimants (including the integrated Employment 
Service and Unemployment Insurance information tech-
nology required to identify and serve the needs of such 
claimants): Provided further, That the Secretary of Labor 
shall establish planning and reporting procedures nec-
essary to provide oversight of funds used for reemploy-
ment services. 
DEPARTMENTAL MANAGEMENT 
SALARIES AND EXPENSES 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Departmental Man-
agement’’, $80,000,000, for the enforcement of worker 
protection laws and regulations, oversight, and coordina-
tion activities related to the infrastructure and unemploy-
ment insurance investments in this Act: Provided, That 
the Secretary of Labor may transfer such sums as nec-
essary to ‘‘Employment and Standards Administration’’, 
‘‘Occupational Safety and Health Administration’’, and 
‘‘Employment and Training Administration—Program 
Administration’’ for enforcement, oversight, and coordina-
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tion activities: Provided further, That the provisions of sec-
tion 1106 of this Act shall not apply to this appropriation. 
OFFICE OF JOB CORPS 
For an additional amount for ‘‘Office of Job Corps’’, 
$300,000,000, for construction, rehabilitation and acquisi-
tion of Job Corps Centers, which shall be available upon 
the date of enactment of this Act and remain available 
for obligation through June 30, 2010: Provided, That sec-
tion 1552(a) of title 31, United States Code shall not 
apply to up to 30 percent of such funds, if such funds 
are used for a multi-year lease agreement that will result 
in construction activities that can commence within 120 
days of enactment of this Act: Provided further, That not-
withstanding section 3324(a) of title 31, United States 
Code, the funds referred to in the preceding proviso may 
be used for advance, progress, and other payments: Pro-
vided further, That the Secretary of Labor may transfer 
up to 15 percent of such funds to meet the operational 
needs of such centers, which may include the provision of 
additional training for careers in the energy efficiency and 
renewable energy industries: Provided further, That pri-
ority should be given to activities that can commence 
promptly following enactment and to those projects that 
will create the greatest impact on the energy efficiency of 
Job Corps facilities: Provided further, That the Secretary 
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shall provide to the Committees on Appropriations of the 
House of Representatives and the Senate a report on the 
actual obligations, expenditures, and unobligated balances 
for each activity funded under this heading not later than 
September 30, 2009 and quarterly thereafter as long as 
funding provided under this heading is available for obli-
gation or expenditure. 
GENERAL PROVISIONS, THIS SUBTITLE 
SEC. 9101. ELIGIBLE EMPLOYEES IN THE RECREATIONAL 
MARINE INDUSTRY. 
Section 2(3)(F) of the Longshore and Harbor Work-
ers’ Compensation Act (33 U.S.C. 902(3)(F)) is amend-
ed— 
(1) by striking ‘‘, repair, or dismantle’’; and 
(2) by striking the semicolon and inserting ‘‘, or 
individuals employed to repair any recreational ves-
sel, or to dismantle any part of a recreational vessel 
in connection with the repair of such vessel;’’. 
Subtitle B—Health and Human 
Services 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES 
For an additional amount for ‘‘Health Resources and 
Services’’, $2,188,000,000 which shall be used as follows: 
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(1) $500,000,000, of which $250,000,000 shall 
not be available until October 1, 2009, shall be for 
grants to health centers authorized under section 
330 of the Public Health Service Act (‘‘PHS Act’’). 
(2) $1,000,000,000 shall be available for ren-
ovation and repair of health centers authorized 
under section 330 of the PHS Act and for the acqui-
sition by such centers of health information tech-
nology systems: Provided, That the timeframe for 
the award of grants pursuant to section 1103(b) of 
this Act shall not be later than 180 days after the 
date of enactment of this Act instead of the time-
frame specified in such section. 
(3) $88,000,000 shall be for fit-out and other 
costs related to moving into a facility to be secured 
through a competitive lease procurement to replace 
or renovate a headquarters building for Public 
Health Service agencies and other components of the 
Department of Health and Human Services. 
(4) $600,000,000, of which $300,000,000 shall 
not be available until October 1, 2009, shall be for 
the training of nurses and primary care physicians 
and dentists as authorized under titles VII and VIII 
of the PHS Act, for the provision of health care per-
sonnel under the National Health Service Corps pro-
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gram authorized under title III of the PHS Act, and 
for the patient navigator program authorized under 
title III of the PHS Act. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
DISEASE CONTROL, RESEARCH, AND TRAINING 
For an additional amount for ‘‘Disease Control, Re-
search, and Training’’ for equipment, construction, and 
renovation of facilities, including necessary repairs and 
improvements to leased laboratories, $462,000,000: Pro-
vided, That notwithstanding any other provision of law, 
the Centers for Disease Control and Prevention may 
award a single contract or related contracts for develop-
ment and construction of facilities that 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: Provided 
further, That in accordance with applicable authorities, 
policies, and procedures, the Centers for Disease Control 
and Prevention shall acquire real property, and make any 
necessary improvements thereon, to relocate and consoli-
date property and facilities of the National Institute for 
Occupational Safety and Health. 
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award: Provided further, That the Center, in obligating 
such funds, shall require that each entity that applies for 
a grant or contract under section 481A for any project 
shall include in its application an assurance described in 
section 1621(b)(1)(I) of the Public Health Service Act: 
Provided further, That the Center shall give priority in the 
award of grants and contracts under section 481A of such 
Act to those applications that are expected to generate de-
monstrable energy-saving or beneficial environmental ef-
fects: Provided further, That the provisions of section 1103 
of this Act shall not apply to the peer-reviewed grants 
awarded under this heading. 
OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Office of the Direc-
tor’’, $1,500,000,000, of which $750,000,000 shall not be 
available until October 1, 2009: Provided, That such funds 
shall be transferred to the Institutes and Centers of the 
National Institutes of Health and to the Common Fund 
established under section 402A(c)(1) of the Public Health 
Service Act in proportion to the appropriations otherwise 
made to such Institutes, Centers, and Common Fund for 
fiscal year 2009: Provided further, That these funds shall 
be used to support additional scientific research and shall 
be merged with and be available for the same purposes 
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as the appropriation or fund to which transferred: Pro-
vided further, That this transfer authority is in addition 
to any other transfer authority available to the National 
Institutes of Health: Provided further, That none of these 
funds may be transferred to ‘‘National Institutes of 
Health—Buildings and Facilities’’, the Center for Sci-
entific Review, the Center for Information Technology, the 
Clinical Center, the Global Fund for HIV/AIDS, Tuber-
culosis and Malaria, or the Office of the Director (except 
for the transfer to the Common Fund): Provided further, 
That the provisions of section 1103 of this Act shall not 
apply to the peer-reviewed grants awarded under this 
heading. 
BUILDINGS AND FACILITIES 
For an additional amount for ‘‘Buildings and Facili-
ties’’, $500,000,000, to fund high priority repair and im-
provement projects for National Institutes of Health facili-
ties on the Bethesda, Maryland campus and other agency 
locations. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Healthcare Research 
and Quality’’ to carry out titles III and IX of the Public 
Health Service Act, part A of title XI of the Social Secu-
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rity Act, and section 1013 of the Medicare Prescription 
Drug, Improvement, and Modernization Act of 2003, 
$700,000,000 for comparative effectiveness research: Pro-
vided, That of the amount appropriated in this paragraph, 
$400,000,000 shall be transferred to the Office of the Di-
rector of the National Institutes of Health (‘‘Office of the 
Director’’) to conduct or support comparative effectiveness 
research: Provided further, That funds transferred to the 
Office of the Director may be transferred to the national 
research institutes and national centers of the National 
Institutes of Health and to the Common Fund established 
under section 402A(c)(1) of the Public Health Service Act: 
Provided further, That this transfer authority is in addi-
tion to any other transfer authority available to the Na-
tional Institutes of Health: Provided further, That the pro-
visions of section 1103 of this Act shall not apply to the 
peer-reviewed grants awarded under this paragraph: Pro-
vided further, That the amount set aside from this appro-
priation pursuant to section 1106 of this Act shall be not 
more than 1 percent instead of the percentage specified 
in such section. 
In addition, $400,000,000 shall be available for com-
parative effectiveness research to be allocated at the dis-
cretion of the Secretary of Health and Human Services 
(‘‘Secretary’’): Provided, That the funding appropriated in 
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this paragraph shall be used to accelerate the development 
and dissemination of research assessing the comparative 
effectiveness of health care treatments and strategies, in-
cluding through efforts that: (1) conduct, support, or syn-
thesize research that compares the clinical outcomes, ef-
fectiveness, and appropriateness of items, services, and 
procedures that are used to prevent, diagnose, or treat dis-
eases, disorders, and other health conditions; and (2) en-
courage the development and use of clinical registries, clin-
ical data networks, and other forms of electronic health 
data that can be used to generate or obtain outcomes data: 
Provided further, That the Secretary shall enter into a 
contract with the Institute of Medicine, for which no more 
than $1,500,000 shall be made available from funds pro-
vided in this paragraph, to produce and submit a report 
to the Congress and the Secretary by not later than June 
30, 2009, that includes recommendations on the national 
priorities for comparative effectiveness research to be con-
ducted or supported with the funds provided in this para-
graph and that considers input from stakeholders: Pro-
vided further, That the Secretary shall consider any rec-
ommendations of the Federal Coordinating Council for 
Comparative Effectiveness Research established by section 
9201 of this Act and any recommendations included in 
the Institute of Medicine report pursuant to the preceding 
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proviso in designating activities to receive funds provided 
in this paragraph and may make grants and contracts 
with appropriate entities, which may include agencies 
within the Department of Health and Human Services and 
other governmental agencies, as well as private sector enti-
ties, that have demonstrated experience and capacity to 
achieve the goals of comparative effectiveness research: 
Provided further, That the Secretary shall publish infor-
mation on grants and contracts awarded with the funds 
provided under this heading within a reasonable time of 
the obligation of funds for such grants and contracts and 
shall disseminate research findings from such grants and 
contracts to clinicians, patients, and the general public, 
as appropriate: Provided further, That, to the extent fea-
sible, the Secretary shall ensure that the recipients of the 
funds provided by this paragraph offer an opportunity for 
public comment on the research: Provided further, That 
the provisions of section 1103 of this Act shall not apply 
to the peer-reviewed grants awarded under this paragraph: 
Provided further, That the Secretary shall provide the 
Committees on Appropriations of the House of Represent-
atives and the Senate, the Committee on Energy and Com-
merce and the Committee on Ways and Means of the 
House of Representatives, and the Committee on Health, 
Education, Labor, and Pensions and the Committee on Fi-
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nance of the Senate with an annual report on the research 
conducted or supported through the funds provided under 
this heading: Provided further, That the Secretary, jointly 
with the Directors of the Agency for Healthcare Research 
and Quality and the National Institutes of Health, shall 
provide the Committees on Appropriations of the House 
of Representatives and the Senate a fiscal year 2009 oper-
ating plan for the funds appropriated under this heading 
prior to making any Federal obligations of such funds in 
fiscal year 2009, but not later than 90 days after the date 
of enactment of this Act, and a fiscal year 2010 operating 
plan for such funds prior to making any Federal obliga-
tions of such funds in fiscal year 2010, but not later than 
November 1, 2009, that detail the type of research being 
conducted or supported, including the priority conditions 
addressed; and specify the allocation of resources within 
the Department of Health and Human Services: Provided 
further, That the Secretary jointly with the Directors of 
the Agency for Healthcare Research and Quality and the 
National Institutes of Health, shall provide to the Com-
mittees on Appropriations of the House of Representatives 
and the Senate a report on the actual obligations, expendi-
tures, and unobligated balances for each activity funded 
under this heading not later than November 1, 2009, and 
every 6 months thereafter as long as funding provided 
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under this heading is available for obligation or expendi-
ture. 
ADMINISTRATION FOR CHILDREN AND FAMILIES 
LOW-INCOME HOME ENERGY ASSISTANCE 
For an additional amount for ‘‘Low-Income Home 
Energy Assistance’’ for making payments under section 
2602(b) and section 2602(d) of the Low-Income Home 
Energy Assistance Act of 1981, $1,000,000,000, which 
shall become available on October 1, 2009: Provided, That 
the provisions of section 1106 of this Act shall not apply 
to this appropriation. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For an additional amount for ‘‘Payments to States 
for the Child Care and Development Block Grant’’, 
$2,000,000,000, of which $1,000,000,000 shall become 
available on October 1, 2009, which shall be used to sup-
plement, not supplant State general revenue funds for 
child care assistance for low-income families: Provided, 
That the provisions of section 1106 of this Act shall not 
apply to this appropriation. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For an additional amount for ‘‘Children and Families 
Services Programs’’, $3,200,000,000, which shall be used 
as follows: 
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(1) $1,000,000,000 for carrying out activities 
under the Head Start Act, of which $500,000,000 
shall become available on October 1, 2009. 
(2)
$1,100,000,000
for
expansion
of
Early 
Head Start programs, as described in section 645A 
of the Head Start Act, of which $550,000,000 shall 
become available on October 1, 2009: Provided, That 
of the funds provided in this sentence, up to 10 per-
cent shall be available for the provision of training 
and technical assistance to such programs consistent 
with section 645A(g)(2) of such Act, and up to 3 
percent shall be available for monitoring the oper-
ation of such programs consistent with section 641A 
of such Act: Provided further, That the preceding 
proviso shall apply to this appropriation in lieu of 
the provisions of section 1106 of this Act: Provided 
further, That the provisions of section 1103 of this 
Act shall not apply to this appropriation. 
(3) $1,000,000,000 for carrying out activities 
under sections 674 through 679 of the Community 
Services Block Grant Act, of which $500,000,000 
shall become available on October 1, 2009, and of 
which no part shall be subject to paragraphs (2) and 
(3) of section 674(b) of such Act: Provided, That 
notwithstanding section 675C(a)(1) of such Act, 100 
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percent of the funds made available to a State from 
this additional amount shall be distributed to eligible 
entities as defined in section 673(1) of such Act: 
Provided further, That for services furnished under 
such Act during fiscal years 2009 and 2010, States 
may apply the last sentence of section 673(2) of 
such Act by substituting ‘‘200 percent’’ for ‘‘125 
percent’’: Provided further, That the provisions of 
section 1106 of this Act shall not apply to this ap-
propriation. 
(4) $100,000,000 for carrying out activities 
under section 1110 of the Social Security Act, of 
which $50,000,000 shall become available on Octo-
ber 1, 2009: Provided, That the Secretary of Health 
and Human Services shall distribute such amount 
under the Compassion Capital Fund to eligible faith- 
based and community organizations: Provided fur-
ther, That the provisions of section 1106 of this Act 
shall not apply to this appropriation. 
ADMINISTRATION ON AGING 
AGING SERVICES PROGRAMS 
For an additional amount for ‘‘Aging Services Pro-
grams’’ under section 311, and subparts 1 and 2 of part 
C, of title III of the Older Americans Act of 1965, 
$200,000,000, of which $100,000,000 shall become avail-
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able on October 1, 2009: Provided, That the provisions 
of section 1106 of this Act shall not apply to this appro-
priation. 
OFFICE OF THE SECRETARY 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Office of the National 
Coordinator for Health Information Technology’’ to carry 
out section 9202 of this Act, $2,000,000,000, to remain 
available until expended: Provided, That of such amount, 
the Secretary of Health and Human Services shall trans-
fer $20,000,000 to the Director of the National Institute 
of Standards and Technology in the Department of Com-
merce for continued work on advancing health care infor-
mation enterprise integration through activities such as 
technical standards analysis and establishment of con-
formance testing infrastructure, so long as such activities 
are coordinated with the Office of the National Coordi-
nator for Health Information Technology: Provided fur-
ther, That the provisions of section 1103 of this Act shall 
not apply to this appropriation: Provided further, That the 
amount set aside from this appropriation pursuant to sec-
tion 1106 of this Act shall be 0.25 percent instead of the 
percentage specified in such section: Provided further, 
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That funds available under this heading shall become 
available for obligation only upon submission of an annual 
operating plan by the Secretary to the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate: Provided further, That the fiscal year 2009 operating 
plan shall be provided not later than 90 days after enact-
ment of this Act and that subsequent annual operating 
plans shall be provided not later than November 1 of each 
year: Provided further, That these operating plans shall 
describe how expenditures are aligned with the specific ob-
jectives, milestones, and metrics of the Federal Health In-
formation Technology Strategic Plan, including any subse-
quent updates to the Plan; the allocation of resources 
within the Department of Health and Human Services and 
other Federal agencies; and the identification of programs 
and activities that are supported: Provided further, That 
the Secretary shall provide to the Committees on Appro-
priations of the House of Representatives and the Senate 
a report on the actual obligations, expenditures, and unob-
ligated balances for each major set of activities not later 
than November 1, 2009, and every 6 months thereafter 
as long as funding provided under this heading is available 
for obligation or expenditure: Provided further, That the 
Comptroller General of the United States shall review on 
an annual basis the expenditures from funds provided 
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under this heading to determine if such funds are used 
in a manner consistent with the purpose and requirements 
under this heading. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY 
FUND 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Public Health and So-
cial Services Emergency Fund’’ to support advanced re-
search and development pursuant to section 319L of the 
Public Health Service Act, $430,000,000: Provided, That 
the provisions of section 1103 of this Act shall not apply 
to this appropriation. 
For an additional amount for ‘‘Public Health and So-
cial Services Emergency Fund’’ to prepare for and re-
spond to an influenza pandemic, including the develop-
ment and purchase of vaccine, antivirals, necessary med-
ical supplies, diagnostics, and other surveillance tools, 
$420,000,000: Provided, That the provisions of section 
1103 of this Act shall not apply to this appropriation: Pro-
vided further, That products purchased with these funds 
may, at the discretion of the Secretary of Health and 
Human Services (‘‘Secretary’’), be deposited in the Stra-
tegic National Stockpile: Provided further, That notwith-
standing section 496(b) of the Public Health Service Act, 
funds may be used for the construction or renovation of 
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privately owned facilities for the production of pandemic 
influenza vaccine and other biologics, where the Secretary 
finds such a contract necessary to secure sufficient sup-
plies of such vaccines or biologics: Provided further, That 
funds appropriated in this paragraph may be transferred 
to other appropriation accounts of the Department of 
Health and Human Services, as determined by the Sec-
retary to be appropriate, to be used for the purposed speci-
fied in this sentence. 
For an additional amount for ‘‘Public Health and So-
cial Services Emergency Fund’’ to improve information 
technology security at the Department of Health and 
Human Services, $50,000,000: Provided, That the Sec-
retary shall prepare and submit a report by not later than 
November 1, 2009, and by not later than 15 days after 
the end of each month thereafter, updating the status of 
actions taken and funds obligated in this and previous ap-
propriations Acts for pandemic influenza preparedness 
and response activities, biomedical advanced research and 
development activities, Project BioShield, and Cyber Secu-
rity. 
PREVENTION AND WELLNESS FUND 
(INCLUDING TRANSFER OF FUNDS) 
For
necessary
expenses
for
a
‘‘Prevention
and 
Wellness Fund’’ to be administered through the Depart-
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ment of Health and Human Services Office of the Sec-
retary, $3,000,000,000: Provided, That the provisions of 
section 1103 of this Act shall not apply to this appropria-
tion: Provided further, That of the amount appropriated 
under this heading not less than $2,350,000,000 shall be 
transferred to the Centers for Disease Control and Pre-
vention as follows: 
(1) Not less than $954,000,000 shall be used as 
an additional amount to carry out the immunization 
program authorized by section 317(a), (j), and 
(k)(1) of the Public Health Service Act (‘‘section 
317
immunization
program’’),
of
which 
$649,900,000 shall be available on October 1, 2009. 
(2) Not less than $296,000,000 shall be used as 
an additional amount to carry out Part A of title 
XIX of the Public Health Service Act, of which 
$148,000,000 shall be available on October 1, 2009. 
(3) Not less than $545,000,000 shall be used as 
an additional amount to carry out chronic disease, 
health promotion, and genomics programs, as jointly 
determined by the Secretary of Health and Human 
Services (‘‘Secretary’’) and the Director of the Cen-
ters for Disease Control and Prevention (‘‘Direc-
tor’’). 
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(6) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Education. 
(7) STATE.—The term ‘‘State’’ has the mean-
ing given such term in section 103 of the Higher 
Education Act of 1965 (20 U.S.C. 1003). 
(8) STATE HIGHER EDUCATION AGENCY.—The 
term ‘‘State higher education agency’’ has the mean-
ing given such term in section 103 of the Higher 
Education Act of 1965 (20 U.S.C. 1003). 
SEC. 9303. MANDATORY PELL GRANTS. 
Section 401(b)(9)(A) of the Higher Education Act of 
1965 (20 U.S.C. 1070a(b)(9)(A)) is amended— 
(1) in clause (ii), by striking ‘‘$2,090,000,000’’ 
and inserting ‘‘$2,733,000,000’’; and 
(2) in clause (iii), by striking ‘‘$3,030,000,000’’ 
and inserting ‘‘$3,861,000,000’’. 
SEC. 9304. INCREASE STUDENT LOAN LIMITS. 
(a) AMENDMENTS.—Section 428H(d) of the Higher 
Education Act of 1965 (20 U.S.C. 1078–8(d)) is amend-
ed— 
(1) in paragraph (3)— 
(A)
in
subparagraph
(A),
by
striking 
‘‘$2,000’’ and inserting ‘‘$4,000’’; and 
(B)
in
subparagraph
(B),
by
striking 
‘‘$31,000’’ and inserting ‘‘$39,000’’; and 
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