558 
81; continuation of benefits as provided for under the 
heading ‘‘Civilian War Benefits’’ in the Federal Security 
Agency Appropriation Act, 1947; the Employees’ Com-
pensation Commission Appropriation Act, 1944; sections 
4(c) and 5(f) of the War Claims Act of 1948; and 50 per-
cent of the additional compensation and benefits required 
by section 10(h) of the Longshore and Harbor Workers’ 
Compensation Act, $163,000,000, together with such 
amounts as may be necessary to be charged to the subse-
quent year appropriation for the payment of compensation 
and other benefits for any period subsequent to August 
15 of the current year: Provided, That amounts appro-
priated may be used under 5 U.S.C. 8104, by the Sec-
retary of Labor to reimburse an employer, who is not 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 Sep-
tember 30, 2008, shall remain available until expended for 
the payment of compensation, benefits, and expenses: Pro-
vided further, That in addition there shall be transferred 
to this appropriation from the Postal Service and from 
any other corporation or instrumentality required under 
5 U.S.C. 8147(c) to pay an amount for its fair share of 
the cost of administration, such sums as the Secretary de-
termines to be the cost of administration for employees
559 
of such fair share entities through September 30, 2009: 
Provided further, That of those funds transferred to this 
account from the fair share entities to pay the cost of ad-
ministration of the Federal Employees’ Compensation Act, 
$52,720,000 shall be made available to the Secretary as 
follows: 
(1) For enhancement and maintenance of auto-
mated data processing systems and telecommuni-
cations systems, $15,068,000; 
(2) For automated workload processing oper-
ations, including document imaging, centralized mail 
intake, and medical bill processing, $23,273,000; 
(3) For periodic roll management and medical 
review, $14,379,000; and 
(4) The remaining funds shall be paid into the 
Treasury as miscellaneous receipts: 
Provided further, That the Secretary may require that any 
person filing a notice of injury or a claim for benefits 
under 5 U.S.C. 81, or the Longshore and Harbor Work-
ers’ Compensation Act, provide as part of such notice and 
claim, such identifying information (including Social Secu-
rity account number) as such regulations may prescribe. 
SPECIAL BENEFITS FOR DISABLED COAL MINERS 
For carrying out title IV of the Federal Mine Safety 
and Health Act of 1977, as amended by Public Law 107– 
275, $188,130,000, to remain available until expended.
560 
For making after July 31 of the current fiscal year, 
benefit payments to individuals under title IV of such Act, 
for costs incurred in the current fiscal year, such amounts 
as may be necessary. 
For making benefit payments under title IV for the 
first quarter of fiscal year 2010, $56,000,000, to remain 
available until expended. 
ADMINISTRATIVE EXPENSES, ENERGY EMPLOYEES 
OCCUPATIONAL ILLNESS COMPENSATION FUND 
For necessary expenses to administer the Energy 
Employees Occupational Illness Compensation Program 
Act, $49,654,000, to remain available until expended: Pro-
vided, That the Secretary of Labor may require that any 
person filing a claim for benefits under the Act provide 
as part of such claim, such identifying information (in-
cluding Social Security account number) as may be pre-
scribed. 
BLACK LUNG DISABILITY TRUST FUND 
(INCLUDING TRANSFER OF FUNDS) 
In fiscal year 2009 and thereafter, such sums as may 
be necessary from the Black Lung Disability Trust Fund 
(‘‘Fund’’), to remain available until expended, for payment 
of all benefits authorized by section 9501(d)(1), (2), (4), 
and (7) of the Internal Revenue Code of 1954; and inter-
est on advances, as authorized by section 9501(c)(2) of 
that Act. In addition, the following amounts may be ex-
561 
pended from the Fund for fiscal year 2009 for expenses 
of operation and administration of the Black Lung Bene-
fits program, as authorized by section 9501(d)(5): not to 
exceed $32,308,000 for transfer to the Employment 
Standards Administration ‘‘Salaries and Expenses’’; not 
to exceed $24,694,000 for transfer to Departmental Man-
agement, ‘‘Salaries and Expenses’’; not to exceed 
$325,000 for transfer to Departmental Management, ‘‘Of-
fice of Inspector General’’; and not to exceed $356,000 
for payments into miscellaneous receipts for the expenses 
of the Department of the Treasury. 
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Occupational Safety 
and Health Administration, $513,042,000, including not 
to exceed $92,593,000 which shall be the maximum 
amount available for grants to States under section 23(g) 
of the Occupational Safety and Health Act (‘‘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 of 
Labor under section 18 of the Act; and, in addition, not-
withstanding 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, other-
562 
wise authorized by law to be collected, and may utilize 
such sums for occupational safety and health training and 
education grants: Provided, That, notwithstanding 31 
U.S.C. 3302, the Secretary is authorized, during the fiscal 
year ending September 30, 2009, to collect and retain fees 
for services provided to Nationally Recognized Testing 
Laboratories, 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 en-
sure the safety of equipment and products used by workers 
in the workplace: Provided further, That none of the funds 
appropriated under this paragraph shall be obligated or 
expended to prescribe, issue, administer, or enforce any 
standard, rule, regulation, or order under the Act which 
is applicable to any person who is engaged in a farming 
operation which does not maintain a temporary labor 
camp and employs 10 or fewer employees: Provided fur-
ther, That no funds appropriated under this paragraph 
shall be obligated or expended to administer or enforce 
any standard, rule, regulation, or order under the Act with 
respect to any employer of 10 or fewer employees who is 
included within a category having a Days Away, Re-
stricted, or Transferred (DART) occupational injury and 
illness rate, at the most precise industrial classification 
code for which such data are published, less than the na-
563 
tional average rate as such rates are most recently pub-
lished by the Secretary, acting through the Bureau of 
Labor Statistics, in accordance with section 24 of the Act, 
except— 
(1) to provide, as authorized by the 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 cita-
tion for violations found during such inspection, and 
to assess a penalty for violations which are not cor-
rected within a reasonable abatement period and for 
any willful violations found; 
(3) to take any action authorized by the Act 
with respect to imminent dangers; 
(4) to take any action authorized by the Act 
with respect to health hazards; 
(5) to take any action authorized by the 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 investiga-
tion authorized by the Act; and
564 
(6) to take any action authorized by the Act 
with respect to complaints of discrimination against 
employees for exercising rights under the Act: 
Provided further, That the foregoing proviso shall not 
apply to any person who is engaged in a farming operation 
which does not maintain a temporary labor camp and em-
ploys 10 or fewer employees: Provided further, That 
$10,000,000 shall be available for Susan Harwood train-
ing grants, of which $3,144,000 shall be used for the In-
stitutional Competency Building training grants awarded 
in February 2008, provided that a grantee has dem-
onstrated satisfactory performance: Provided further, That 
such grants shall be awarded not later than 30 days after 
the date of enactment of this Act. 
MINE SAFETY AND HEALTH ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Mine Safety and 
Health Administration, $347,003,000, including purchase 
and bestowal of certificates and trophies in connection 
with mine rescue and first-aid work, and the hire of pas-
senger motor vehicles, including up to $2,000,000 for 
mine rescue and recovery activities, and $1,808,000 to 
continue the project with the United Mine Workers of 
America, for classroom and simulated rescue training for 
mine rescue teams; in addition, not to exceed $750,000
565 
may be collected by the National Mine Health and Safety 
Academy for room, board, tuition, and the sale of training 
materials, 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 addition, the Mine Safety and Health Administration 
may retain up to $1,000,000 from fees collected for the 
approval and certification of equipment, materials, and ex-
plosives for use in mines, and may utilize such sums for 
such activities; the Secretary of Labor is authorized to ac-
cept lands, buildings, equipment, and other contributions 
from public and private sources and to prosecute projects 
in cooperation with other agencies, Federal, State, or pri-
vate; the Mine Safety and Health Administration is au-
thorized to promote health and safety education and train-
ing in the mining community through cooperative pro-
grams with States, industry, and safety associations; the 
Secretary is authorized to recognize the Joseph A. Holmes 
Safety Association as a principal safety association and, 
notwithstanding any other provision of law, may provide 
funds and, with or without reimbursement, personnel, in-
cluding service of Mine Safety and Health Administration 
officials as officers in local chapters or in the national or-
ganization; and any funds available to the Department of 
Labor may be used, with the approval of the Secretary,
566 
to provide for the costs of mine rescue and survival oper-
ations in the event of a major disaster. 
BUREAU OF LABOR STATISTICS 
SALARIES AND EXPENSES 
For necessary expenses for the Bureau of Labor Sta-
tistics, including advances or reimbursements to State, 
Federal, and local agencies and their employees for serv-
ices rendered, $518,918,000, together with not to exceed 
$78,264,000, which may be expended from the Employ-
ment Security Administration Account in the Unemploy-
ment Trust Fund, of which $1,500,000 may be used to 
fund the mass layoff statistics program under section 15 
of the Wagner-Peyser Act: Provided, That the Current 
Employment Survey shall maintain the content of the sur-
vey issued prior to June 2005 with respect to the collection 
of data for the women worker series. 
OFFICE OF DISABILITY EMPLOYMENT POLICY 
SALARIES AND EXPENSES 
For necessary expenses for the Office of Disability 
Employment Policy to provide leadership, develop policy 
and initiatives, and award grants furthering the objective 
of eliminating barriers to the training and employment of 
people with disabilities, $26,679,000.
567 
DEPARTMENTAL MANAGEMENT 
SALARIES AND EXPENSES 
For necessary expenses for Departmental Manage-
ment, including the hire of three sedans, and including 
the management or operation, through contracts, grants 
or other arrangements of Departmental activities con-
ducted by or through the Bureau of International Labor 
Affairs, including bilateral and multilateral technical as-
sistance 
and 
other 
international 
labor 
activities, 
$313,871,000, of which $86,074,000 is for the Bureau of 
International Labor Affairs (including $6,500,000 to im-
plement model programs to address worker rights issues 
through technical assistance in countries with which the 
United States has trade preference programs), and of 
which $21,286,000 is for the acquisition of Departmental 
information 
technology, 
architecture, 
infrastructure, 
equipment, software and related needs, which will be allo-
cated by the Department’s Chief Information Officer in 
accordance with the Department’s capital investment 
management process to assure a sound investment strat-
egy; together with not to exceed $327,000, which may be 
expended from the Employment Security Administration 
Account in the Unemployment Trust Fund. 
OFFICE OF JOB CORPS 
To carry out subtitle C of title I of the Workforce 
Investment Act of 1998, including Federal administrative
568 
expenses, the purchase and hire of passenger motor vehi-
cles, the construction, alteration and repairs of buildings 
and other facilities, and the purchase of real property for 
training centers as authorized by the Workforce Invest-
ment Act; $1,683,938,000, plus reimbursements, as fol-
lows: 
(1) $1,540,276,000 for Job Corps Operations, 
of which $949,276,000 shall be available for obliga-
tion for the period July 1, 2009 through June 30, 
2010 and of which $591,000,000 shall be available 
for obligation for the period October 1, 2009 
through June 30, 2010; 
(2) $115,000,000 for construction, rehabilita-
tion and acquisition of Job Corps Centers, of which 
$15,000,000 shall be available for the period July 1, 
2009 through June 30, 2012 and $100,000,000 
shall be available for the period October 1, 2009 
through June 30, 2012; and 
(3) $28,662,000 for necessary expenses of the 
Office of Job Corps shall be available for obligation 
for the period October 1, 2008 through September 
30, 2009: 
Provided, That the Office of Job Corps shall have con-
tracting authority: Provided further, That no funds from
569 
any other appropriation shall be used to provide meal serv-
ices at or for Job Corps centers. 
VETERANS EMPLOYMENT AND TRAINING 
Not to exceed $205,468,000 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. 4100–4113, 4211–4215, and 4321–4327, and 
Public Law 103–353, and which shall be available for obli-
gation by the States through December 31, 2009, of which 
$1,949,000 is for the National Veterans’ Employment and 
Training Services Institute. To carry out the Homeless 
Veterans Reintegration Programs under section 5(a)(1) of 
the Homeless Veterans Comprehensive Assistance Act of 
2001 and the Veterans Workforce Investment Programs 
under section 168 of the Workforce Investment Act, 
$33,971,000, of which $7,641,000 shall be available for 
obligation for the period July 1, 2009 through June 30, 
2010. 
OFFICE OF INSPECTOR GENERAL 
For salaries and expenses of the Office of Inspector 
General in carrying out the provisions of the Inspector 
General Act of 1978, $76,326,000, together with not to 
exceed $5,815,000, which may be expended from the Em-
ployment Security Administration Account in the Unem-
ployment Trust Fund.
570 
GENERAL PROVISIONS 
SEC. 101. None of the funds appropriated in this Act 
for the Job Corps shall be used to pay the salary of an 
individual, either as direct costs or any proration as an 
indirect cost, at a rate in excess of Executive Level I. 
(TRANSFER OF FUNDS) 
SEC. 102. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and 
Emergency Deficit Control Act of 1985) which are appro-
priated for the current fiscal year for the Department of 
Labor in this Act may be transferred between a program, 
project, or activity, but no such program, project, or activ-
ity shall be increased by more than 3 percent by any such 
transfer: Provided, That the transfer authority granted by 
this section shall be available only to meet emergency 
needs and shall not be used to create any new program 
or to fund any project or activity for which no funds are 
provided in this Act: Provided further, That the Commit-
tees on Appropriations of the House of Representatives 
and the Senate are notified at least 15 days in advance 
of any transfer. 
SEC. 103. In accordance with Executive Order No. 
13126, none of the funds appropriated or otherwise made 
available pursuant to this Act shall be obligated or ex-
pended for the procurement of goods mined, produced, 
manufactured, or harvested or services rendered, whole or
571 
in part, by forced or indentured child labor in industries 
and host countries already identified by the United States 
Department of Labor prior to enactment of this Act. 
SEC. 104. After September 30, 2008, the Secretary 
of Labor shall issue a monthly transit subsidy of not less 
than the full amount (of not less than $115) that each 
of its employees of the National Capital Region is eligible 
to receive. 
SEC. 105. None of the funds appropriated in this title 
for grants under section 171 of the Workforce Investment 
Act of 1998 may be obligated prior to the preparation and 
submission of a report by the Secretary of Labor to the 
Committees on Appropriations of the House of Represent-
atives and the Senate detailing the planned uses of such 
funds. 
SEC. 106. There is authorized to be appropriated 
such sums as may be necessary to the Denali Commission 
through the Department of Labor to conduct job training 
of the local workforce where Denali Commission projects 
will be constructed. 
SEC. 107. None of the funds made available to the 
Department of Labor for grants under section 414(c) of 
the American Competitiveness and Workforce Improve-
ment Act of 1998 may be used for any purpose other than 
training in the occupations and industries for which em-
572 
ployers are using H–1B visas to hire foreign workers, and 
the related activities necessary to support such training: 
Provided, That the preceding limitation shall not apply to 
multi-year grants awarded prior to June 30, 2007. 
SEC. 108. None of the funds available in this Act or 
available to the Secretary of Labor from other sources for 
Community-Based Job Training grants and grants au-
thorized under section 414(c) of the American Competi-
tiveness and Workforce Improvement Act of 1998 shall 
be obligated for a grant awarded on a non-competitive 
basis. 
SEC. 109. The Secretary of Labor shall take no ac-
tion to amend, through regulatory or administration ac-
tion, the definition established in section 667.220 of title 
20 of the Code of Federal Regulations for functions and 
activities under title I of the Workforce Investment Act 
of 1998, or to modify, through regulatory or administra-
tive action, the procedure for redesignation of local areas 
as specified in subtitle B of title I of that Act (including 
applying the standards specified in section 116(a)(3)(B) 
of that Act, but notwithstanding the time limits specified 
in section 116(a)(3)(B) of that Act), until such time as 
legislation reauthorizing the Act is enacted. Nothing in the 
preceding sentence shall permit or require the Secretary 
to withdraw approval for such redesignation from a State
573 
that received the approval not later than October 12, 
2005, or to revise action taken or modify the redesignation 
procedure being used by the Secretary in order to complete 
such redesignation for a State that initiated the process 
of such redesignation by submitting any request for such 
redesignation not later than October 26, 2005. 
SEC. 110. None of the funds made available in this 
or any other Act shall be available to finalize or implement 
any proposed regulation under the Workforce Investment 
Act of 1998, Wagner-Peyser Act of 1933, or the Trade 
Adjustment Assistance Reform Act of 2002 until such 
time as legislation reauthorizing the Workforce Invest-
ment Act of 1998 and the Trade Adjustment Assistance 
Reform Act of 2002 is enacted. 
SEC. 111. None of the funds appropriated in this Act 
under the heading ‘‘Employment and Training Adminis-
tration’’ shall be used by a recipient or subrecipient of 
such funds to pay the salary and bonuses of an individual, 
either as direct costs or indirect costs, at a rate in excess 
of Executive Level II. This limitation shall not apply to 
vendors providing goods and services as defined in Office 
of Management and Budget Circular A–133. Where 
States are recipients of such funds, States may establish 
a lower limit for salaries and bonuses of those receiving 
salaries and bonuses from subrecipients of such funds,
574 
taking into account factors including the relative cost-of- 
living in the State, the compensation levels for comparable 
State or local government employees, and the size of the 
organizations that administer Federal programs involved 
including Employment and Training Administration pro-
grams. 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2009’’. 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
HEALTH RESOURCES AND SERVICES 
For carrying out titles II, III, IV, VII, VIII, X, XI, 
XII, XIX, and XXVI of the Public Health Service Act 
(‘‘PHS Act’’), section 427(a) of the Federal Coal Mine 
Health and Safety Act, title V and sections 711, 1128E, 
and 1820 of the Social Security Act, the Health Care 
Quality Improvement Act of 1986, the Native Hawaiian 
Health Care Act of 1988, the Cardiac Arrest Survival Act 
of 2000, section 712 of the American Jobs Creation Act 
of 2004, and the Stem Cell Therapeutic and Research Act 
of 2005, $7,234,436,000, of which $39,200,000 from gen-
eral revenues, notwithstanding section 1820(j) of the So-
cial Security Act, shall be available for carrying out the
575 
Medicare rural hospital flexibility grants program under 
such section: Provided, That of the funds made available 
under this heading, $129,000 shall be available until ex-
pended for facilities renovations at the Gillis W. Long 
Hansen’s 
Disease 
Center: 
Provided 
further, 
That 
$56,000,000 of the funding provided for community 
health centers shall be for base grant adjustments for ex-
isting health centers: Provided further, That in addition 
to fees authorized by section 427(b) of the Health Care 
Quality Improvement Act of 1986, fees shall be collected 
for the full disclosure of information under the Act suffi-
cient to recover 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 Pro-
gram’’, 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 is available until expended for carrying 
out the provisions of section 224(o) of the PHS Act in-
cluding associated administrative expenses and relevant 
evaluations: Provided further, That no more than 
$44,055,000 is available until expended for carrying out
576 
the provisions of Public Law 104–73 and for expenses in-
curred by the Department of Health and Human Services 
pertaining to administrative claims made under such law: 
Provided further, That of the funds made available under 
this heading, $307,491,000 shall be for the program under 
title X of the PHS Act to provide for voluntary family 
planning projects: Provided further, That amounts pro-
vided to said projects under such title shall not be ex-
pended for abortions, that all pregnancy counseling shall 
be nondirective, and that such amounts shall not be ex-
pended for any activity (including the publication or dis-
tribution of literature) 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 under this heading, $1,886,873,000 shall 
remain available to the Secretary of Health and Human 
Services through September 30, 2011, for parts A and B 
of title XXVI of the PHS Act: Provided further, That 
within the amounts provided for part A of title XXVI of 
the PHS Act, $10,853,000 is available to the Secretary 
of Health and Human Services through September 30, 
2011, and shall be available to qualifying jurisdictions, 
within 30 days of enactment, for increasing supplemental 
grants for fiscal year 2009 to metropolitan areas that re-
ceived grant funding in fiscal year 2008 under subpart
577 
I of part A of title XXVI of the PHS Act to ensure that 
an area’s total funding under subpart I of part A for fiscal 
year 2008, together with the amount of this additional 
funding, is not less than 93.7 percent of the amount of 
such area’s total funding under part A for fiscal year 
2006, and to transitional areas that received grant fund-
ing in fiscal year 2008 under subpart II of part A of title 
XXVI of the PHS Act to ensure that an area’s total fund-
ing under subpart II of part A for fiscal year 2008, to-
gether with the amount of this additional funding, is not 
less than 88.7 percent of the amount of such area’s total 
funding under part A for fiscal year 2006: Provided fur-
ther, 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 2008, 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 
$815,000,000 shall be for State AIDS Drug Assistance 
Programs authorized by section 2616 of the PHS Act: 
Provided further, That in addition to amounts provided 
herein, $25,000,000 shall be available from amounts avail-
able 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 Significance:
578 
Provided further, That notwithstanding section 502(a)(1) 
and 502(b)(1) of the Social Security Act, not to exceed 
$92,551,000 is available for carrying out special projects 
of regional and national significance pursuant to section 
501(a)(2) of such Act and $10,400,000 is available for 
projects described in paragraphs (A) through (F) of sec-
tion 501(a)(3) of such Act: Provided further, That not-
withstanding section 747(e)(2) of the PHS Act, not less 
than $5,000,000 shall be for general dentistry programs, 
not less than $5,000,000 shall be for pediatric dentistry 
programs including faculty loan repayment, and not less 
than $29,025,000 shall be for family medicine programs: 
Provided further, That of the funds provided, $19,642,000 
shall be provided to the Denali Commission as a direct 
lump payment pursuant to Public Law 106–113: Provided 
further, That of the funds provided, $26,000,000 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 
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 appropriated in this 
paragraph, $310,470,000 shall be used for the projects fi-
nancing the construction and renovation (including equip-
579 
ment) of health care and other facilities and for other 
health-related activities, and in the amounts, specified 
under the heading ‘‘Health Resources and Services’’ in the 
explanatory statement described in section 4 (in the mat-
ter preceding division A of this consolidated Act), and of 
which up to one percent of the amount for each project 
may be used for related agency administrative expenses: 
Provided further, That notwithstanding section 338J(k) of 
the PHS Act, $9,201,000 is available for State Offices of 
Rural Health: Provided further, That of the funds pro-
vided, $15,000,000 is available for the Small Rural Hos-
pital Improvement Grant Program for quality improve-
ment and adoption of health information technology. 
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 Pub-
lic Health Service Act (‘‘PHS Act’’). For administrative 
expenses to carry out the guaranteed loan program, in-
cluding section 709 of the PHS Act, $2,847,000. 
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
580 
of the Public Health Service Act, to remain available until 
expended: Provided, That for necessary administrative ex-
penses, not to exceed $5,404,000 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, 
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, 
title IV of the Immigration and Nationality Act, section 
501 of the Refugee Education Assistance Act of 1980, and 
for expenses necessary to support activities related to 
countering potential biological, nuclear, radiological, and 
chemical threats to civilian populations; including pur-
chase and insurance of official motor vehicles in foreign 
countries; and purchase, hire, maintenance, and operation 
of aircraft, $6,283,350,000, of which $151,500,000 shall 
remain available until expended for acquisition of real 
property, equipment, construction and renovation of facili-
ties; of which $570,307,000 shall remain available until
581 
expended for the Strategic National Stockpile under sec-
tion 319F–2 of the PHS Act; of which $21,997,000 shall 
be used for the projects, and in the amounts, specified 
under the heading ‘‘Disease Control, Research, and Train-
ing’’ in the explanatory statement described in section 4 
(in the matter preceding division A of this consolidated 
Act); of which $118,863,000 for international HIV/AIDS 
shall remain available through September 30, 2010; and 
of which $70,000,000 shall be available until expended to 
provide screening and treatment for first response emer-
gency services personnel, residents, students, and others 
related to the September 11, 2001 terrorist attacks on the 
World Trade Center: Provided, That in addition, such 
sums as may be derived from authorized user fees, which 
shall be credited to this account: Provided further, That 
in addition to amounts provided herein, the following 
amounts shall be available from amounts available under 
section 241 of the PHS Act: (1) $12,794,000 to carry out 
the National Immunization Surveys; (2) $124,701,000 to 
carry out the National Center for Health Statistics sur-
veys; (3) $24,751,000 to carry out information systems 
standards development and architecture and applications- 
based research used at local public health levels; (4) 
$46,780,000 for Health Marketing; (5) $31,000,000 to 
carry out Public Health Research; and (6) $91,225,000
582 
to carry out research activities within the National Occu-
pational Research Agenda: 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, in whole or in part, to advocate or promote gun 
control: Provided further, That of the funds made available 
under this heading, up to $1,000 per eligible employee of 
the Centers for Disease Control and Prevention shall be 
made available until expended for Individual Learning Ac-
counts: 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 ac-
tivities the Director may so designate: Provided further, 
That the Committees on Appropriations of the House of 
Representatives and the Senate are to be notified promptly 
of any such redirection: Provided further, That not to ex-
ceed $19,528,000 may be available for making grants 
under section 1509 of the PHS Act to not less than 21 
States, tribes, or tribal organizations: Provided further, 
That notwithstanding any other provision of law, the Cen-
ters for Disease Control and Prevention shall award a sin-
gle contract or related contracts for development and con-
struction of the next building or facility designated in the 
Buildings and Facilities Master Plan that collectively in-
clude the full scope of the project: Provided further, That
583 
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 out of funds made available 
under this heading for domestic HIV/AIDS testing, up to 
$15,000,000 shall be for States newly eligible in fiscal 
year 2009 under section 2625 of the PHS Act as of De-
cember 31, 2008 and shall be distributed by May 31, 2009 
based on standard criteria relating to a State’s epidemio-
logical profile, and of which not more than $1,000,000 
may be made available to any one State, and amounts that 
have not been obligated by May 31, 2009 shall be made 
available to States and local public health departments for
584 
HIV testing activities: Provided further, That none of the 
funds made available in this Act to carry out part A of 
title XIX of the PHS Act may be used to provide more 
than 75 percent of any State’s allotment under section 
1902 of the PHS Act until such State certifies that it will 
submit a plan to the Secretary of Health and Human 
Services, not later than January 1, 2010, to reduce 
healthcare-associated infections: Provided further, That 
each such State plan shall be consistent with the Depart-
ment of Health and Human Services’ national action plan 
for reducing healthcare-associated infections and include 
measurable 5-year goals and interim milestones for reduc-
ing such infections: Provided further, That the Secretary 
shall conduct a review of the State plans submitted pursu-
ant to the preceding proviso and report to the Committees 
on Appropriations of the House of Representatives and the 
Senate not later than June 1, 2010, regarding the ade-
quacy of such plans for achieving State and national goals 
for reducing healthcare-associated infections: Provided 
further, That for purposes of the two preceding provisos, 
the term ‘‘State’’ means each of the several States, the 
District of Columbia, and the Commonwealth of Puerto 
Rico. 
In addition, for necessary expenses to administer the 
Energy Employees Occupational Illness Compensation
585 
Program Act, $55,358,000, to remain available until ex-
pended, of which $4,500,000 shall be for use by or in sup-
port of the Advisory Board on Radiation and Worker 
Health (‘‘the Board’’) to carry out its statutory respon-
sibilities, including obtaining audits, technical assistance, 
and other support from the Board’s audit contractor with 
regard to radiation dose estimation and reconstruction ef-
forts, site profiles, procedures, and review of Special Expo-
sure Cohort petitions and evaluation reports: Provided, 
That this amount shall be available consistent with the 
provision regarding administrative expenses in section 
151(b) of division B, title I of Public Law 106–554. 
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, 
$4,968,973,000, 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, 
$3,015,689,000.
586 
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, 
$402,652,000. 
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND 
KIDNEY DISEASES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to diabetes and diges-
tive and kidney disease, $1,761,338,000. 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS 
AND STROKE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to neurological dis-
orders and stroke, $1,593,344,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
DISEASES 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to allergy and infec-
tious 
diseases, 
$4,702,572,000: 
Provided, 
That 
$300,000,000 may be made available to International As-
sistance Programs ‘‘Global Fund to Fight HIV/AIDS, Ma-
laria, and Tuberculosis’’, to remain available until ex-
pended.
587 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to general medical 
sciences, $1,997,801,000. 
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF 
CHILD HEALTH AND HUMAN DEVELOPMENT 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to child health and 
human development, $1,294,894,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to eye diseases and 
visual disorders, $688,480,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH 
SCIENCES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to environmental 
health sciences, $662,820,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Pub-
lic 
Health 
Service 
Act 
with 
respect 
to 
aging, 
$1,080,796,000.
588 
NATIONAL INSTITUTE OF ARTHRITIS AND 
MUSCULOSKELETAL AND SKIN DISEASES 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to arthritis and mus-
culoskeletal and skin diseases, $524,872,000. 
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, $407,259,000. 
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, 
$141,879,000. 
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, $450,230,000. 
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, 
$1,032,759,000.
589 
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, 
$1,450,491,000. 
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, $502,367,000. 
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, $308,208,000. 
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, $1,226,263,000. 
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, $125,471,000.
590 
NATIONAL CENTER 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, $205,959,000. 
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), $68,691,000. 
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, $330,771,000, of which 
$4,000,000 shall be available until expended for improve-
ment of information systems: Provided, That in fiscal year 
2009, 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.
591 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the Director, National Institutes of Health (‘‘NIH’’), 
$1,246,864,000, of which up to $25,000,000 shall be used 
to carry out section 214 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 $192,300,000 shall be available for continuation of 
the National Children’s Study: Provided further, That 
$541,133,000 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-
592 
struction or renovation of facilities as provided for in sec-
tion 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 the 
National Institutes of Health, including the acquisition of 
real property, $125,581,000, to remain available until ex-
pended. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
ADMINISTRATION 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
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, 
$3,334,906,000, of which $15,666,000 shall be used for 
the projects, and in the amounts, specified under the head-
ing ‘‘Substance Abuse and Mental Health Services’’ in the 
explanatory statement described in section 4 (in the mat-
ter preceding division A of this consolidated Act): Pro-
vided, That notwithstanding section 520A(f)(2) of the 
PHS Act, no funds appropriated for carrying out section 
520A are available for carrying out section 1971 of the 
PHS Act: Provided further, That $2,000,000 shall be 
available to establish State-administered controlled sub-
stance monitoring systems as authorized by Public Law
593 
109–60: Provided further, That $772,000 shall be for re-
imbursing the General Services Administration for envi-
ronmental testing and remediation on the federally owned 
facilities at St. Elizabeths Hospital, including but not lim-
ited to testing and remediation conducted prior to fiscal 
year 2009: Provided further, 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; (2) 
$21,039,000 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 activi-
ties, 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; (3) $22,750,000 to carry out national surveys 
on drug abuse and mental health; and (4) $8,596,000 to 
collect and analyze data and evaluate substance abuse 
treatment programs: Provided further, That section
594 
520E(b)(2) of the PHS Act shall not apply to funds ap-
propriated under this Act for fiscal year 2009. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the Public 
Health Service Act (‘‘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, 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 937(c) of the 
PHS Act shall not exceed $372,053,000. 
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, $149,335,031,000, 
to remain available until expended. 
For making, after May 31, 2009, payments to States 
under title XIX of the Social Security Act for the last 
quarter of fiscal year 2009 for unanticipated costs, in-
curred for the current fiscal year, such sums as may be 
necessary.
595 
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 2010, 
$71,700,038,000, to remain available until expended. 
Payment under title XIX may be made for any quar-
ter 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 In-
surance 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) of Public Law 97–248, and for ad-
ministrative expenses incurred pursuant to section 201(g) 
of the Social Security Act, $195,383,000,000. 
In addition, for making matching payments under 
section 1844, and benefit payments under section 1860D– 
16 of the Social Security Act, 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 Public Health Service Act (‘‘PHS
596 
Act’’), and the Clinical Laboratory Improvement Amend-
ments of 1988, not to exceed $3,305,386,000, to be trans-
ferred from the Federal Hospital Insurance Trust Fund 
and the Federal Supplementary Medical Insurance Trust 
Fund, as authorized by section 201(g) of the Social Secu-
rity 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 
of Health and Human Services 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 expended: 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 pur-
poses of this appropriation: Provided further, That 
$35,700,000, to remain available through September 30, 
2010, shall be for contract costs for the Healthcare Inte-
grated General Ledger Accounting System: Provided fur-
ther, That $108,900,000, to remain available through Sep-
tember 30, 2010, shall be for the Centers for Medicare 
and Medicaid Services (‘‘CMS’’) Medicare contracting re-
form activities: Provided further, That funds appropriated 
under this heading shall be available for the Healthy
597 
Start, Grow Smart program under which the CMS may, 
directly or through grants, contracts, or cooperative agree-
ments, produce and distribute informational materials in-
cluding, but not limited to, pamphlets and brochures on 
infant and toddler health care to expectant parents en-
rolled in the Medicaid program and to parents and guard-
ians enrolled in such program with infants and children: 
Provided further, That the Secretary is directed to collect 
fees in fiscal year 2009 from Medicare Advantage organi-
zations pursuant to section 1857(e)(2) of the Social Secu-
rity Act and from eligible organizations with risk-sharing 
contracts under section 1876 of that Act pursuant to sec-
tion 1876(k)(4)(D) of that Act: Provided further, That 
$4,542,000 shall be used for the projects, and in the 
amounts, specified under the heading ‘‘Program Manage-
ment’’ in the explanatory statement described in section 
4 (in the matter preceding division A of this consolidated 
Act): Provided further, That $75,000,000 is available for 
the State high risk health insurance pool program as au-
thorized by the State High Risk Pool Funding Extension 
Act of 2006. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $198,000,000, 
to be transferred from the Federal Hospital Insurance
598 
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
599 
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-
600 
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
601 
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
602 
413, 1110, and 1115 of the Social Security Act; for mak-
ing payments under the Community Services Block Grant 
Act (‘‘CSBG Act’’), sections 439(i), 473B, and 477(i) of 
the Social Security Act, and the Assets for Independence 
Act; and for necessary administrative expenses to carry 
out such Acts and titles I, IV, V, X, XI, XIV, XVI, and 
XX of the Social Security Act, the Act of July 5, 1960, 
the Low-Income Home Energy Assistance Act of 1981, 
title IV of the Immigration and Nationality Act, section 
501 of the Refugee Education Assistance Act of 1980, and 
section 505 of the Family Support Act of 1988, 
$9,301,111,000, of which $36,500,000, to remain avail-
able through September 30, 2010, shall be for grants to 
States for adoption incentive payments, as authorized by 
section 473A of the Social Security Act and may be made 
for adoptions completed before September 30, 2009: Pro-
vided, That without regard to the fiscal year limitations 
set forth in section 473A of the Social Security Act, from 
the amounts appropriated herein, the Secretary shall pay 
adoption incentives for fiscal year 2008 in the same man-
ner as such incentives were awarded in fiscal year 2008 
for the previous fiscal year: Provided further, That 
$7,112,786,000 shall be for making payments under the 
Head Start Act, of which $2,000,000, to remain available 
through September 30, 2010, shall be designated to fund
603 
section 657B: Provided further, That $746,000,000 shall 
be for making payments under the CSBG Act: Provided 
further, That not less than $10,000,000 shall be for sec-
tion 680(3)(B) of the CSBG Act: Provided further, That 
in addition to amounts provided herein, $5,762,000 shall 
be available from amounts available under section 241 of 
the PHS Act to carry out the provisions of section 1110 
of the Social Security Act: Provided further, That to the 
extent Community Services Block Grant funds are distrib-
uted as grant funds by a State to an eligible entity as 
provided under the CSBG Act, and have not been ex-
pended by such entity, they shall remain with such entity 
for carryover into the next fiscal year for expenditure by 
such entity consistent with program purposes: Provided 
further, That the Secretary of Health and Human Services 
shall establish procedures regarding the disposition of in-
tangible assets and program income that permit such as-
sets acquired with, and program income derived from, 
grant funds authorized under section 680 of the CSBG 
Act to become the sole property of such grantees after a 
period of not more than 12 years after the end of the 
grant period for any activity consistent with section 
680(a)(2)(A) of the CSBG Act: Provided further, That in-
tangible assets in the form of loans, equity investments 
and other debt instruments, and program income may be
604 
used by grantees for any eligible purpose consistent with 
section 680(a)(2)(A) of the CSBG Act: Provided further, 
That these procedures shall apply to such grant funds 
made available after November 29, 1999: Provided further, 
That funds appropriated for section 680(a)(2) of the 
CSBG Act shall be available for financing construction 
and rehabilitation and loans or investments in private 
business enterprises owned by community development 
corporations: Provided further, That $47,688,000 shall be 
for a compassion capital fund to provide grants to chari-
table organizations to emulate model social service pro-
grams and to encourage research on the best practices of 
social service organizations: Provided further, That 
$17,410,000 shall be for activities authorized by the Help 
America Vote Act of 2002, of which $12,154,000 shall be 
for payments to States to promote access for voters with 
disabilities, and of which $5,256,000 shall be for payments 
to States for protection and advocacy systems for voters 
with disabilities: Provided further, That $94,659,000 shall 
be for making competitive grants to provide abstinence 
education (as defined by section 510(b)(2) of the Social 
Security Act) to adolescents, and for Federal costs of ad-
ministering the grants: Provided further, That grants 
under the immediately preceding proviso shall be made 
only to public and private entities which agree that, with
605 
respect to an adolescent to whom the entities provide ab-
stinence education under such grants, the entities will not 
provide to that adolescent any other education regarding 
sexual conduct, except that, in the case of an entity ex-
pressly required by law to provide health information or 
services the adolescent shall not be precluded from seeking 
health information or services from the entity in a dif-
ferent setting than the setting in which abstinence edu-
cation was provided: Provided further, That information 
provided through such competitive grants for abstinence 
education shall be scientifically accurate and shall comply 
with section 317P(c)(2) of the PHS Act: Provided further, 
That within amounts provided herein for abstinence edu-
cation for adolescents, up to $10,000,000 may be available 
for a national abstinence education campaign: Provided 
further, That in addition to amounts provided herein for 
abstinence education for adolescents, $4,455,000 shall be 
available from amounts available under section 241 of the 
PHS Act to carry out evaluations (including longitudinal 
evaluations) of adolescent pregnancy prevention ap-
proaches: Provided further, That up to $2,000,000 shall 
be for improving the Public Assistance Reporting Informa-
tion System, including grants to States to support data 
collection for a study of the system’s effectiveness: Pro-
vided further, That $16,910,000 shall be used for the