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. 
MINE SAFETY AND HEALTH ADMINISTRATION 
SALARIES AND EXPENSES 
For necessary expenses for the Mine Safety and 
Health Administration, $353,193,000, 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; in addition, not to ex-
ceed $750,000 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 col-
lected for the approval and certification of equipment, ma-
terials, and explosives for use in mines, and may utilize 
such sums for such activities; the Secretary of Labor is 
authorized to accept lands, buildings, equipment, and 
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other contributions from public and private sources and 
to prosecute projects in cooperation with other agencies, 
Federal, State, or private; the Mine Safety and Health Ad-
ministration is authorized to promote health and safety 
education and training in the mining community through 
cooperative programs with States, industry, and safety as-
sociations; the Secretary is authorized, in fiscal year 2010 
and each fiscal year thereafter, to recognize the Joseph 
A. Holmes Safety Association as a principal safety asso-
ciation and, notwithstanding any other provision of law, 
may provide funds and, with or without reimbursement, 
personnel, including service of Mine Safety and Health 
Administration officials as officers in local chapters or in 
the national organization; and any funds available to the 
Department of Labor may be used, with the approval of 
the Secretary, to provide for the costs of mine rescue and 
survival operations 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, $533,359,000, together with not to exceed 
$78,264,000, which may be expended from the Employ-
ment Security Administration Account in the Unemploy-
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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, $37,031,000. 
DEPARTMENTAL MANAGEMENT 
SALARIES AND EXPENSES 
(INCLUDING TRANSFER OF FUNDS) 
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, 
$350,827,000, of which $91,419,000 is for the Bureau of 
International Labor Affairs (including $6,500,000 to im-
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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 $19,892,000 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, and of which $5,000,000 is for Program Evaluation, 
which may be transferred to any other appropriate ac-
count in the Department for such purpose; together with 
not to exceed $327,000, which may be expended from the 
Employment Security Administration Account in the Un-
employment Trust Fund. 
OFFICE OF JOB CORPS 
To carry out subtitle C of title I of the Workforce 
Investment Act of 1998, including Federal administrative 
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; $1,705,320,000, plus reimbursements, as fol-
lows: 
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(1) $1,576,130,000 for Job Corps Operations, 
of which $985,130,000 shall be available for obliga-
tion for the period July 1, 2010 through June 30, 
2011 and of which $591,000,000 shall be available 
for obligation for the period October 1, 2010 
through June 30, 2011; 
(2) $100,000,000 for construction, rehabilita-
tion and acquisition of Job Corps Centers, which 
shall be available for the period October 1, 2010 
through June 30, 2013; and 
(3) $29,190,000 for necessary expenses of the 
Office of Job Corps which shall be available for obli-
gation for the period October 1, 2009 through Sep-
tember 30, 2010: 
Provided, That the Office of Job Corps shall have con-
tracting authority: Provided further, That no funds from 
any other appropriation shall be used to provide meal serv-
ices at or for Job Corps centers. 
VETERANS EMPLOYMENT AND TRAINING 
Not to exceed $210,156,000 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 Pub-
lic Law 103-353, and which shall be available for obliga-
tion by the States through December 31, 2010, of which 
VerDate Nov 24 2008 
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$2,449,000 is for the National Veterans’ Employment and 
Training Services Institute. 
In addition, to carry out the Department of Labor 
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, $46,971,000, of which 
$9,641,000 shall be available for obligation for the period 
July 1, 2010 through June 30, 2011. 
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, $78,093,000, together with not to 
exceed $5,921,000, which may be expended from the Em-
ployment Security Administration Account in the Unem-
ployment Trust Fund. 
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-
VerDate Nov 24 2008 
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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 
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. 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-
VerDate Nov 24 2008 
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atives and the Senate detailing the planned uses of such 
funds. 
SEC. 105. 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-
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. 106. None of the funds available in this Act or 
available to the Secretary of Labor from other sources for 
Career Pathways Innovation Fund 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. 107. 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 
VerDate Nov 24 2008 
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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, 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 organiza-
tions that administer Federal programs involved including 
Employment and Training Administration programs. 
SEC. 108. The Secretary of Labor shall submit to the 
Committees on Appropriations of the House of Represent-
atives and the Senate a plan for the transfer of the admin-
istration of the Job Corps program authorized under title 
I-C of the Workforce Investment Act of 1998 from the 
Office of the Secretary to the Employment and Training 
Administration. As of the date that is 30 days after the 
date of submission of such plan, the Secretary may trans-
fer the administration and appropriated funds of the pro-
gram from the Office of the Secretary and the provisions 
of section 102 of Public Law 109-149 shall no longer be 
applicable. 
This title may be cited as the ‘‘Department of Labor 
Appropriations Act, 2010’’. 
VerDate Nov 24 2008 
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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, $7,305,817,000, of which $41,200,000 from gen-
eral revenues, notwithstanding section 1820(j) of the So-
cial Security Act, shall be available for carrying out the 
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 
VerDate Nov 24 2008 
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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 shall be available until expended for 
carrying out the provisions of section 224(o) of the PHS 
Act including associated administrative expenses and rel-
evant evaluations: Provided further, That no more than 
$44,055,000 shall be available until expended for carrying 
out the provisions of Public Law 104–73 and for expenses 
incurred by the Department of Health and Human Serv-
ices (‘‘HHS’’) pertaining to administrative claims made 
under such law: Provided further, That of the funds made 
available under this heading, $317,491,000 shall be for 
the program under title X of the PHS Act to provide for 
voluntary family planning projects: Provided further, That 
amounts provided to said projects under such title shall 
not be expended for abortions, that all pregnancy coun-
VerDate Nov 24 2008 
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seling shall be nondirective, and that such amounts shall 
not be expended for any activity (including the publication 
or distribution of literature) that in any way tends to pro-
mote public support or opposition to any legislative pro-
posal or candidate for public office: Provided further, That 
of the funds available under this heading, $1,932,865,000 
shall remain available to the Secretary of HHS through 
September 30, 2012, 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, 
$6,021,000 shall be available to the Secretary through 
September 30, 2012, and shall be available to qualifying 
jurisdictions, within 30 days of enactment, for increasing 
supplemental grants for fiscal year 2010 to metropolitan 
and transitional areas that received grant funding in fiscal 
year 2009 under subparts I and II of part A of title XXVI 
of the PHS Act to ensure that an area’s total funding 
under subparts I and II of part A for fiscal year 2009, 
together with the amount of this additional funding, is not 
less than 92.4 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 2009, shall be available to the area for 
VerDate Nov 24 2008 
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obligation from the date of the award through the end of 
the grant year for the award: Provided further, That 
$835,000,000 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: 
Provided further, That notwithstanding section 703 of 
Public Law 109-415, authority to carry out title XXVI 
of the PHS Act shall continue in effect until October 1, 
2010, unless prior to that date, authorization is enacted 
into law otherwise extending this authority: Provided fur-
ther, That notwithstanding sections 502(a)(1) and 
502(b)(1) of the Social Security Act, not to exceed 
$92,649,000 shall be available for carrying out special 
projects of regional and national significance pursuant to 
section 501(a)(2) of such Act and $10,400,000 shall be 
available for projects described in paragraphs (A) through 
(F) of section 501(a)(3) of such Act: Provided further, 
That notwithstanding 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 
VerDate Nov 24 2008 
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not less than $29,025,000 shall be for family medicine 
programs: 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, 
$179,330,000 shall be used for the projects financing the 
construction and renovation (including equipment) 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 report of the 
Committee on Appropriations of the House of Representa-
tives to accompany this Act, and of which up to one per-
cent of the amount for each project may be used for re-
lated agency administrative expenses: Provided further, 
That notwithstanding section 338J(k) of the PHS Act, 
$9,700,000 shall be available for State Offices of Rural 
Health: Provided further, That of the funds provided, 
$15,000,000 shall be available for the Small Rural Hos-
pital Improvement Grant Program for quality improve-
ment and adoption of health information technology: Pro-
vided further, That $75,000,000 shall be available for 
State Health Access Grants to expand access to affordable 
health care coverage for the uninsured populations in such 
States. 
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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 
of the Public Health Service Act, to remain available until 
expended: Provided, That for necessary administrative ex-
penses, not to exceed $6,502,000 shall be available from 
the Trust Fund to the Secretary of Health and Human 
Services. 
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 
VerDate Nov 24 2008 
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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, $6,313,032,000, of which $30,000,000 shall 
remain available until expended for acquisition of real 
property, equipment, construction and renovation of facili-
ties; of which $595,749,000 shall remain available until 
expended for the Strategic National Stockpile under sec-
tion 319F–2 of the PHS Act; of which $13,455,000 shall 
be used for the projects, and in the amounts, specified 
under the heading ‘‘Disease Control, Research, and Train-
ing’’ in the report of the Committee on Appropriations of 
the House of Representatives to accompany this Act; of 
which $118,979,000 for international HIV/AIDS shall re-
main available through September 30, 2011; and of which 
$70,723,000 shall be available until expended to provide 
screening and treatment for first response emergency serv-
ices personnel, residents, students, and others related to 
the September 11, 2001 terrorist attacks on the World 
VerDate Nov 24 2008 
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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 with re-
spect to the previous proviso, authorized user fees from 
the Vessel Sanitation Program shall be available through 
September 30, 2011: 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) $12,864,000 to carry out the National 
Immunization Surveys; (2) $138,683,000 to carry out the 
National Center for Health Statistics surveys; (3) 
$47,386,000 
for 
Public 
Health 
Informatics; 
(4) 
$47,036,000 for Health Marketing; (5) $31,170,000 to 
carry out Public Health Research; and (6) $91,724,000 
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 
VerDate Nov 24 2008 
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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 $20,573,000 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 of the funds appropriated, $10,000 shall be for offi-
cial reception and representation expenses when specifi-
cally 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 Of-
ficers, detailed to States, municipalities, or other organiza-
tions 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 in-
cluded within any personnel ceiling applicable to the Agen-
cy, Service, or the Department of Health and Human 
Services during the period of detail or assignment: Pro-
vided further, That none of the funds appropriated may 
be used to implement section 2625 of the PHS Act. 
In addition, for necessary expenses to administer the 
Energy Employees Occupational Illness Compensation 
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Program Act, $55,358,000, to remain available until ex-
pended: Provided, That this amount shall be available con-
sistent with the provision regarding administrative ex-
penses in section 151(b) of division B, title I of Public 
Law 106–554. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the Pub-
lic 
Health 
Service 
Act 
with 
respect 
to 
cancer, 
$5,150,170,000, 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, 
$3,123,403,000. 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL 
RESEARCH 
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to dental disease, 
$417,032,000. 
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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, $1,824,251,000. 
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, $1,650,253,000. 
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, $4,859,502,000, of which $500,000,000 
shall be derived by transfer from funds appropriated under 
the heading ‘‘Biodefense Countermeasures’’ in the Depart-
ment of Homeland Security Appropriations Act, 2004: 
Provided, That $300,000,000 may be made available to 
International Assistance Programs ‘‘Global Fund to Fight 
HIV/AIDS, Malaria, and Tuberculosis’’, to remain avail-
able until expended. 
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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, $2,069,156,000. 
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, $1,341,120,000. 
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, $713,072,000. 
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, $695,497,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Pub-
lic 
Health 
Service 
Act 
with 
respect 
to 
aging, 
$1,119,404,000. 
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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, $543,621,000. 
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, $422,308,000. 
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, 
$146,945,000. 
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, $466,308,000. 
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, 
$1,069,583,000. 
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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, 
$1,502,266,000. 
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, $520,311,000. 
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, $319,217,000. 
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, $1,280,031,000. 
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, $129,953,000. 
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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, $213,316,000. 
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), $70,780,000. 
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, $342,585,000, of which 
$4,000,000 shall be available until expended for improve-
ment of information systems: Provided, That in fiscal year 
2010, 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 
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under section 478A of the PHS Act and related health 
services. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of 
the Director, National Institutes of Health (‘‘NIH’’), 
$1,168,704,000, 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 
(‘‘Fund’’): Provided further, That all funds credited to the 
Fund shall remain available for one fiscal year after the 
fiscal year in which they are deposited: Provided further, 
That up to $194,400,000 shall be available for continu-
ation of the National Children’s Study: Provided further, 
That $534,066,000 shall be available for the Common 
Fund established 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 recep-
tion and representation expenses when specifically ap-
proved by the Director of the NIH: Provided further, That 
the Office of AIDS Research within the Office of the Di-
VerDate Nov 24 2008 
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rector of the NIH may spend up to $8,000,000 to make 
grants for construction or renovation of facilities as pro-
vided for in section 2354(a)(5)(B) of the PHS Act. 
BUILDINGS AND FACILITIES 
For the study of, construction of, renovation of, and 
acquisition of equipment for, facilities of or used by the 
National Institutes of Health, including the acquisition of 
real property, $100,000,000, 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, 
$3,419,438,000, of which $10,108,000 shall be used for 
the projects, and in the amounts, specified under the head-
ing ‘‘Substance Abuse and Mental Health Services’’ in the 
report of the Committee on Appropriations of the House 
of Representatives to accompany this Act: Provided, 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 $795,000 shall be available until 
VerDate Nov 24 2008 
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expended for reimbursing the General Services Adminis-
tration for environmental testing and remediation on the 
federally owned facilities at St. Elizabeths Hospital, in-
cluding but not limited to testing and remediation con-
ducted prior to fiscal year 2010: 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) tech-
nical assistance, national data, data collection and evalua-
tion activities, and further that the total available under 
this Act for section 1935(b) activities shall not exceed 5 
percent of the amounts appropriated 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 assistance, national data, data collection 
and evaluation activities, and further that the total avail-
able 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 520E(b)(2) of the PHS Act shall not apply 
to funds appropriated under this Act for fiscal year 2010. 
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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, $220,962,473,000, 
to remain available until expended. 
For making, after May 31, 2010, payments to States 
under title XIX of the Social Security Act for the last 
quarter of fiscal year 2010 for unanticipated costs, in-
curred for the current fiscal year, such sums as may be 
necessary. 
For making payments to States or in the case of sec-
tion 1928 on behalf of States under title XIX of the Social 
VerDate Nov 24 2008 
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Security Act for the first quarter of fiscal year 2011, 
$86,789,382,000, 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, $207,296,070,000. 
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 
Act’’), and the Clinical Laboratory Improvement Amend-
ments of 1988, not to exceed $3,463,362,000, to be trans-
VerDate Nov 24 2008 
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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 
$35,681,000, to remain available through September 30, 
2011, shall be for contract costs for the Healthcare Inte-
grated General Ledger Accounting System: Provided fur-
ther, That $65,600,000, to remain available through Sep-
tember 30, 2011, shall be for the Centers for Medicare 
and Medicaid Services (‘‘CMS’’) Medicare contracting re-
form activities: Provided further, That the Secretary is di-
rected to collect fees in fiscal year 2010 from Medicare 
Advantage organizations pursuant to section 1857(e)(2) 
of the Social Security Act and from eligible organizations 
VerDate Nov 24 2008 
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with risk-sharing contracts under section 1876 of that Act 
pursuant to section 1876(k)(4)(D) of that Act: Provided 
further, That $1,600,000 shall be used for the projects, 
and in the amounts, specified under the heading ‘‘Pro-
gram Management’’ in the report of the Committee on Ap-
propriations of the House of Representatives to accom-
pany this Act: Provided further, That $65,000,000 shall 
be available for the State high risk health insurance pool 
program as authorized by the State High Risk Pool Fund-
ing Extension Act of 2006. 
HEALTH CARE FRAUD AND ABUSE CONTROL ACCOUNT 
In addition to amounts otherwise available for pro-
gram integrity and program management, $311,000,000, 
to remain available through September 30, 2011, to be 
transferred from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance 
Trust Fund, as authorized by section 201(g) of the Social 
Security Act, of which $220,320,000 shall be for the Medi-
care Integrity Program at the Centers for Medicare and 
Medicaid Services, including administrative costs, to con-
duct oversight activities for Medicare Advantage and the 
Medicare Prescription Drug Program authorized in title 
XVIII of the Social Security Act and for activities listed 
in section 1893 of such Act; of which $29,790,000 shall 
be for the Department of Health and Human Services Of-
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fice of Inspector General to carry out fraud and abuse ac-
tivities authorized by section 1817(k)(3) of such Act; of 
which $31,100,000 shall be for the Medicaid and Chil-
dren’s Health Insurance Program (‘‘CHIP’’) program in-
tegrity activities; and of which $29,790,000 shall be for 
the Department of Justice to carry out fraud and abuse 
activities authorized by section 1817(k)(3) of such Act: 
Provided, That the report required by section 1817(k)(5) 
of the Social Security Act for fiscal year 2010 shall include 
measures of the operational efficiency and impact on 
fraud, waste, and abuse in the Medicare, Medicaid, and 
CHIP programs for the funds provided by this appropria-
tion. 
ADMINISTRATION FOR CHILDREN AND FAMILIES 
PAYMENTS TO STATES FOR CHILD SUPPORT 
ENFORCEMENT AND FAMILY SUPPORT PROGRAMS 
For making payments to States or other non-Federal 
entities under titles I, IV–D, X, XI, XIV, and XVI of the 
Social Security Act and the Act of July 5, 1960, 
$3,571,509,000, to remain available until expended; and 
for such purposes for the first quarter of fiscal year 2011, 
$1,100,000,000, 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-
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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. 
LOW INCOME HOME ENERGY ASSISTANCE 
For making payments under subsections (b), (d), and 
(e) of section 2602 of the Low Income Home Energy As-
sistance 
Act 
of 
1981, 
$5,100,000,000, 
of 
which 
$4,509,672,000 shall be for payments under subsections 
(b) and (d) of such section; and of which $590,328,000 
shall be for payments under subsection (e) of such section, 
to be made notwithstanding the designation requirements 
of such subsection: Provided, That all but $839,792,000 
of the amount provided in this Act for subsections (b) and 
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