insurance of official motor vehicles in foreign countries;
and hire, maintenance, and operation of aircraft,
$2,153,376,000, of which $8,353,000 shall remain avail-
able until expended for equipment and construction and
renovation of facilities, and in addition, such sums as may
be derived from authorized user fees, which shall be cred-
ited to this account: Provided, That in addition to amounts
provided herein, up to $48,400,000 shall be available from
amounts available under section 241 of the Public Health
Service Act, to carry out the National Center for Health
Statistics surveys: 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 to advocate or promote gun control.
In addition, $33,642,000, to be derived from the Vio-
lent Crime Reduction Trust Fund, for carrying out sec-
tions 40151 and 40261 of Public Law 103–322.
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,
$2,385,741,000.
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,
$1,438,265,000.
NATIONAL INSTITUTE OF DENTAL RESEARCH
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to dental disease,
$195,596,000.
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 diseases, $819,224,000.
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, $725,478,000.
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS
DISEASES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to allergy and infec-
tious diseases, $1,256,149,000.
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, $1,003,722,000.
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, $631,989,000.
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, $333,131,000.
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH
SCIENCES
For carrying out sections 301 and 311 and title IV
of the Public Health Service Act with respect to environ-
mental health sciences, $308,258,000.
NATIONAL INSTITUTE ON AGING
For carrying out section 301 and title IV of the Pub-
lic 
Health 
Service 
Act 
with 
respect 
to 
aging,
$484,375,000.
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, $257,637,000.
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, $189,243,000.
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,
$59,715,000.
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, $212,079,000.
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,
$487,341,000.
NATIONAL INSTITUTE OF MENTAL HEALTH
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to mental health,
$701,247,000.
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, $416,523,000: Pro-
vided, That none of these funds shall be used to pay recipi-
ents of the general research support grants program any
amount for indirect expenses in connection with such
grants: Provided further, That $37,000,000 shall be for
extramural facilities construction grants.
NATIONAL CENTER FOR HUMAN GENOME RESEARCH
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to human genome re-
search, $189,267,000.
JOHN E. FOGARTY INTERNATIONAL CENTER
For carrying out the activities at the John E.
Fogarty International Center, $26,707,000.
NATIONAL LIBRARY OF MEDICINE
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to health information
communications, $150,093,000, of which $4,000,000 shall
be available until expended for improvement of informa-
tion systems: Provided, That in fiscal year 1997, the Li-
brary may enter into personal services contracts for the
provision of services in facilities owned, operated, or con-
structed under the jurisdiction of the National Institutes
of Health.
OFFICE OF THE DIRECTOR
(INCLUDING TRANSFER OF FUNDS)
For carrying out the responsibilities of the Office of
the Director, National Institutes of Health, $275,423,000:
Provided, That funding shall be available for the purchase
of not to exceed five passenger motor vehicles for replace-
ment only: Provided further, That the Director may direct
up to 1 percent of the total amount made available in this
Act to all National Institutes of Health appropriations to
activities the Director may so designate: Provided further,
That no such appropriation shall be increased or de-
creased by more than 1 percent by any such transfers and
that the Congress is promptly notified of the transfer: Pro-
vided further, That NIH is authorized to collect third
party payments for the cost of clinical services that are
incurred in National Institutes of Health research facili-
ties and that such payments shall be credited to the Na-
tional Institutes of Health Management Fund: Provided
further, That all funds credited to the NIH Management
Fund shall remain available for one fiscal year after the
fiscal year in which they are deposited.
BUILDINGS AND FACILITIES
For the study of, construction of, and acquisition of
equipment for, facilities of or used by the National Insti-
tutes of Health, including the acquisition of real property,
$200,000,000, to remain available until expended, of
which $90,000,000 shall be for the clinical research cen-
ter: Provided, That, notwithstanding any other provision
of law, a single contract or related contracts for the devel-
opment and construction of the clinical research center
may be employed which collectively include the full scope
of the project: Provided further, That the solicitation and
contract shall contain the clause ‘‘availability of funds’’
found at 48 CFR 52.232–18.
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
ADMINISTRATION
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
For carrying out titles V and XIX of the Public
Health Service Act with respect to substance abuse and
mental health services, the Protection and Advocacy for
Mentally Ill Individuals Act of 1986, and section 301 of
the Public Health Service Act with respect to program
management, $1,849,235,000.
RETIREMENT PAY AND MEDICAL BENEFITS FOR
COMMISSIONED OFFICERS
For retirement pay and medical benefits of Public
Health Service Commissioned Officers as authorized by
law, and for payments under the Retired Serviceman’s
Family Protection Plan and Survivor Benefit Plan and for
medical care of dependents and retired personnel under
the Dependents’ Medical Care Act (10 U.S.C. ch. 55), and
for payments pursuant to section 229(b) of the Social Se-
curity Act (42 U.S.C. 429(b)), such amounts as may be
required during the current fiscal year.
AGENCY FOR HEALTH CARE POLICY AND RESEARCH
HEALTH CARE POLICY AND RESEARCH
For carrying out titles III and IX of the Public
Health Service Act, and part A of title XI of the Social
Security Act, $90,469,000; in addition, amounts received
from Freedom of Information Act fees, reimbursable and
interagency agreements, and the sale of data tapes shall
be credited to this appropriation and shall remain avail-
able until expended: Provided, That the amount made
available pursuant to section 926(b) of the Public Health
Service Act shall not exceed $34,700,000.
HEALTH CARE FINANCING ADMINISTRATION
GRANTS TO STATES FOR MEDICAID
For carrying out, except as otherwise provided, titles
XI and XIX of the Social Security Act, $75,056,618,000,
to remain available until expended.
For making, after May 31, 1997, payments to States
under title XIX of the Social Security Act for the last
quarter of fiscal year 1997 for unanticipated costs, in-
curred for the current fiscal year, such sums as may be
necessary.
For making payments to States under title XIX of
the Social Security Act for the first quarter of fiscal year
1998, $27,988,993,000, to remain available until ex-
pended.
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 and
the Federal Supplementary Medical Insurance Trust
Funds, as provided under sections 217(g) and 1844 of the
Social Security Act, sections 103(c) and 111(d) of the So-
cial Security Amendments of 1965, section 278(d) of Pub-
lic Law 97–248, and for administrative expenses incurred
pursuant to section 201(g) of the Social Security Act,
$60,079,000,000.
PROGRAM MANAGEMENT
For carrying out, except as otherwise provided, titles
XI, XVIII, and XIX of the Social Security Act, title XIII
of the Public Health Service Act, and the Clinical Labora-
tory Improvement Amendments of 1988, not to exceed
$1,733,125,000, to be transferred from the Federal Hos-
pital Insurance and the Federal Supplementary Medical
Insurance Trust Funds, as authorized by section 201(g)
of the Social Security Act; together with all funds collected
in accordance with section 353 of the Public Health Serv-
ice Act, the latter funds to remain available until ex-
pended, together with such sums as may be collected from
authorized user fees and the sale of data, which shall re-
main available until expended: Provided, That all funds
derived in accordance with 31 U.S.C. 9701 from organiza-
tions established under title XIII of the Public Health
Service Act are to be credited to and available for carrying
out the purposes of this appropriation.
HEALTH MAINTENANCE ORGANIZATION LOAN AND LOAN
GUARANTEE FUND
For carrying out subsections (d) and (e) of section
1308 of the Public Health Service Act, any amounts re-
ceived by the Secretary in connection with loans and loan
guarantees under title XIII of the Public Health Service
Act, to be available without fiscal year limitation for the
payment of outstanding obligations. During fiscal year
1997, no commitments for direct loans or loan guarantees
shall be made.
ADMINISTRATION FOR CHILDREN AND FAMILIES
FAMILY SUPPORT PAYMENTS TO STATES
For making payments to States or other non-Federal
entities, except as otherwise provided, under titles I, IV–
A (other than section 402(g)(6)) and D, X, XI, XIV, and
XVI of the Social Security Act, and the Act of July 5,
1960 (24 U.S.C. ch. 9), $13,301,000,000, to remain avail-
able until expended.
For making, after May 31 of the current fiscal year,
payments to States or other non-Federal entities under
titles I, IV–A and D, X, XI, XIV, and XVI of the Social
Security Act, for the last three months of the current year
for unanticipated costs, incurred for the current fiscal
year, such sums as may be necessary.
For making payments to States or other non-Federal
entities under titles I, IV-A (other than section 402(g)(6))
and D, X, XI, XIV, and XVI of the Social Security Act
and the Act of July 5, 1960 (24 U.S.C. ch. 9) for the
first quarter of fiscal year 1998, $4,700,000,000, to re-
main available until expended.
JOB OPPORTUNITIES AND BASIC SKILLS
For carrying out aid to families with dependent chil-
dren work programs, as authorized by part F of title IV
of the Social Security Act, $1,000,000,000.
LOW INCOME HOME ENERGY ASSISTANCE
For making payments under title XXVI of the Omni-
bus Budget Reconciliation Act of 1981, $900,000,000.
REFUGEE AND ENTRANT ASSISTANCE
For making payments for refugee and entrant assist-
ance activities authorized by title IV of the Immigration
and Nationality Act and section 501 of the Refugee Edu-
cation Assistance Act of 1980 (Public Law 96–422),
$412,076,000: Provided, That funds appropriated pursu-
ant to section 414(a) of the Immigration and Nationality
Act under Public Law 103–333 for fiscal year 1995 shall
be available for the costs of assistance provided and other
activities conducted in such year and in fiscal years 1996
and 1997.
CHILD CARE AND DEVELOPMENT BLOCK GRANT
For carrying out sections 658A through 658R of the
Omnibus Budget Reconciliation Act of 1981 (The Child
Care and Development Block Grant Act of 1990),
$950,000,000, which shall be available for obligation
under the same statutory terms and conditions applicable
in the prior fiscal year: Provided, That $13,000,000 shall
become available for obligation on October 1, 1996.
SOCIAL SERVICES BLOCK GRANT
For making grants to States pursuant to section
2002 of the Social Security Act, $2,480,000,000: Pro-
vided, That notwithstanding section 2003(c) of such Act,
the amount specified for allocation under such section for
fiscal year 1997 shall be $2,480,000,000.
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,
the Family Violence Prevention and Services Act, the Na-
tive American Programs Act of 1974, title II of Public
Law 95–266 (adoption opportunities), the Abandoned In-
fants Assistance Act of 1988, and part B(1) of title IV
of the Social Security Act; for making payments under the
Community Services Block Grant Act; and for necessary
administrative expenses to carry out said Acts and titles
I, IV, X, XI, XIV, XVI, and XX of the Social Security
Act, the Act of July 5, 1960 (24 U.S.C. ch. 9), the Omni-
bus Budget Reconciliation Act of 1981, title IV of the Im-
migration and Nationality Act, section 501 of the Refugee
Education Assistance Act of 1980, and section 126 and
titles IV and V of Public Law 100–485, $4,854,036,000
(increased by $2,399,000), of which $531,941,000 shall
be for making payments under the Community Services
Block Grant Act: Provided, That to the extent Community
Services Block Grant funds are distributed as grant funds
by a State to an eligible entity as provided under the Act,
and have not been expended by such entity, they shall re-
main with such entity for carryover into the next fiscal
year for expenditure by such entity consistent with pro-
gram purposes.
In addition, $27,358,000, to be derived from the Vio-
lent Crime Reduction Trust Fund, for carrying out sec-
tions 40155, 40211 and 40241 of Public Law 103–322.
FAMILY PRESERVATION AND SUPPORT
For carrying out section 430 of the Social Security
Act, $240,000,000.
PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION
ASSISTANCE
For making payments to States or other non-Federal
entities, under title IV–E of the Social Security Act,
$4,445,031,000.
For making payments to States or other non-Federal
entities, under title IV–E of the Social Security Act, for
the first quarter of fiscal year 1998, $1,111,000,000.
ADMINISTRATION ON AGING
AGING SERVICES PROGRAMS
For carrying out, to the extent not otherwise pro-
vided, the Older Americans Act of 1965, as amended,
$810,545,000.
OFFICE OF THE SECRETARY
GENERAL DEPARTMENTAL MANAGEMENT
For necessary expenses, not otherwise provided, for
general departmental management, including hire of six
sedans, and for carrying out titles III, XVII, and XX of
the Public Health Service Act, $148,999,000, together
with $5,851,000, to be transferred and expended as au-
thorized by section 201(g)(1) of the Social Security Act
from the Hospital Insurance Trust Fund and the Supple-
mental Medical Insurance Trust Fund: Provided, That of
the funds made available under this heading for carrying
out title XVII of the Public Health Service Act,
$11,500,000 shall be available until expended for extra-
mural construction.
OFFICE OF INSPECTOR GENERAL
For expenses necessary for the Office of Inspector
General in carrying out the provisions of the Inspector
General Act of 1978, as amended, $29,399,000, together
with any funds, to remain available until expended, that
represent the equitable share from the forfeiture of prop-
erty in investigations in which the Office of Inspector Gen-
eral participated, and which are transferred to the Office
of the Inspector General by the Department of Justice,
the Department of the Treasury, or the United States
Postal Service.
OFFICE FOR CIVIL RIGHTS
For expenses necessary for the Office for Civil
Rights, $16,066,000, together with not to exceed
$3,314,000, to be transferred and expended as authorized
by section 201(g)(1) of the Social Security Act from the
Hospital Insurance Trust Fund and the Supplemental
Medical Insurance Trust Fund.
POLICY RESEARCH
For carrying out, to the extent not otherwise pro-
vided, research studies under section 1110 of the Social
Security Act, $9,000,000.
GENERAL PROVISIONS
SEC. 201. Funds appropriated in this title shall be
available for not to exceed $37,000 for official reception
and representation expenses when specifically approved by
the Secretary.
SEC. 202. The Secretary shall make available through
assignment not more than 60 employees of the Public
Health Service to assist in child survival activities and to
work in AIDS programs through and with funds provided
by the Agency for International Development, the United
Nations International Children’s Emergency Fund or the
World Health Organization.
SEC. 203. None of the funds appropriated under this
Act may be used to implement section 399L(b) of the Pub-
lic Health Service Act or section 1503 of the National In-
stitutes of Health Revitalization Act of 1993, Public Law
103–43.
SEC. 204. None of the funds made available by this
Act may be used to withhold payment to any State under
the Child Abuse Prevention and Treatment Act by reason
of a determination that the State is not in compliance with
section 1340.2(d)(2)(ii) of title 45 of the Code of Federal
Regulations. This provision expires upon the date of enact-
ment of the reauthorization of the Child Abuse Prevention
and Treatment Act.
SEC. 205. None of the funds appropriated in this Act
for the National Institutes of Health and the Substance
Abuse and Mental Health Services Administration shall
be used to pay the salary of an individual, through a grant
or other extramural mechanism, at a rate in excess of
$125,000 per year.
SEC. 206. None of the funds appropriated in this Act
may be expended pursuant to section 241 of the Public
Health Service Act, except for funds specifically provided
for in this Act, or for other taps and assessments made
by any office located in the Department of Health and
Human Services, prior to the Secretary’s preparation and
submission of a report to the Committee on Appropria-
tions of the Senate and of the House detailing the planned
uses of such funds.
(TRANSFER OF FUNDS)
SEC. 207. Of the funds appropriated or otherwise
made available for the Department of Health and Human
Services, General Departmental Management, for fiscal
year 1997, the Secretary of Health and Human Services
shall transfer to the Office of the Inspector General such
sums as may be necessary for any expenses with respect
to the provision of security protection for the Secretary
of Health and Human Services.
SEC. 208. None of the funds appropriated in this Act
may be obligated or expended for the Federal Council on
Aging under the Older Americans Act or the Advisory
Board on Child Abuse and Neglect under the Child Abuse
Prevention and Treatment Act.
(TRANSFER OF FUNDS)
SEC. 209. Not to exceed 1 percent of any discre-
tionary funds (pursuant to the Balanced Budget and
Emergency Deficit Control Act, as amended) which are
appropriated for the current fiscal year for the Depart-
ment of Health and Human Services in this Act may be
transferred between appropriations, but no such appro-
priation shall be increased by more than 3 percent by any
such transfer: Provided, That the Appropriations Commit-
tees of both Houses of Congress are notified at least fif-
teen days in advance of any transfer.
(TRANSFER OF FUNDS)
SEC. 210. The Director of the National Institutes of
Health, jointly with the Director of the Office of AIDS
Research, may transfer up to 3 percent among institutes,
centers, and divisions from the total amounts identified
by these two Directors as funding for research pertaining
to the human immunodeficiency virus: Provided, That the
Congress is promptly notified of the transfer.
SEC. 211. None of the funds made available in this
Act may be used by the National Institutes of Health to
provide grants or cooperative agreements under the SBIR
program under section 9(f) of Public Law 85–536 for re-
search proposals when it is made known to the Federal
official having authority to obligate or expend such funds
that (in the process of technical and scientific peer review
under section 492 of the Public Health Service Act) the
median of the evaluation scores for the proposals in the
review cycle involved is higher than the median of the eval-
uation scores in such review cycle for RO1 proposals.
SEC. 212. EXTENSION OF MORATORIUM.—Section
6408(a)(3) of the Omnibus Budget Reconciliation Act of
1989, as amended by section 13642 of the Omnibus Budg-
et Reconciliation Act of 1993, is amended by striking ‘‘De-
cember 31, 1995’’ and inserting ‘‘December 31, 2000, or
the first day of the first quarter on which the Medigrant
plan for the State of Michigan is effective under title XIX
of such Act.’’.
SEC. 213. (a) The Secretary of Health and Human
Services may in accordance with this section provide for
the relocation of the Federal facility known as the Gillis
W. Long Hansen’s Disease Center (located in the vicinity
of Carville, in the State of Louisiana), including the relo-
cation of the patients of the Center.
(b)(1) Subject to entering into a contract in accord-
ance with subsection (c), in relocating the Center the Sec-
retary may on behalf of the United States transfer to the
State of Louisiana, without charge, title to the real prop-
erty and improvements that (as of the date of the enact-
ment of this Act) constitute the Center. Such real property
is a parcel consisting of approximately 330 acres. The
exact acreage and legal description used for purposes of
the transfer shall be in accordance with a survey satisfac-
tory to the Secretary.
(2) Any conveyance under paragraph (1) is not effec-
tive unless the conveyance specifies that, if the State of
Louisiana engages in a material breach of the contract
under subsection (c), title to the real property and im-
provements involved reverts to the United States at the
election of the Secretary.
(c) The transfer described in subsection (b) may be
made only if, before the transfer is made, the Secretary
and the State enter into a contract whose provisions are
in accordance with the following:
(1) During the 30-year period beginning on the
date on which the transfer is made, the real property
and improvements referred to in subsection (b) (re-
ferred to in this subsection as the ‘‘transferred prop-
erty’’) will be used exclusively for purposes that pro-
mote the health or education of the public, with such
incidental exceptions as the Secretary may approve,
and consistent with the memorandum of understand-
ing signed June 11, 1996 by the Chancellors of Lou-
isiana State University and Southern University.
(2) For purposes of monitoring the extent to
which the transferred property is being used in ac-
cordance with paragraph (1), the Secretary will have
access to such documents as the Secretary deter-
mines to be necessary, and the Secretary may re-
quire the advance approval of the Secretary for such
contracts, conveyances of real or personal property,
or other transactions as the Secretary determines to
be necessary.
(3) The relocation of patients from the trans-
ferred property will be completed not later than 3
years after the date on which the transfer is made,
except to the extent the Secretary determines that
relocating particular patients is not feasible. During
the period of relocation, the Secretary will have un-
restricted access to the transferred property, and
after such period will have such access as may be
necessary with respect to the patients who pursuant
to the preceding sentence are not relocated.
(4) The Secretary will provide for the continu-
ation at the transferred property of the projects (un-
derway as of the date of the enactment of this Act)
to make repairs and to make energy-related improve-
ments, subject to the availability of appropriations to
carry out the projects.
(5) The contract disposes of issues regarding
access to the cemetery located on the transferred
property, and the establishment of a museum re-
garding memorabilia relating to the use of the prop-
erty to care for patients with Hansen’s disease.
(6) In the case of each individual who as of the
date of the enactment of this Act is a Federal em-
ployee at the transferred property with management,
engineering, or dietary duties:
(A) The State will provide the individual
with the right of first refusal to an employment
position with the State with substantially the
same type of duties as the individual performed
in his or her most recent position at the trans-
ferred property.
(B) If the individual becomes an employee
of the State pursuant to subparagraph (A), the
State will make payments in accordance with
subsection (d)(3)(B) (relating to disability), as
applicable with respect to the individual.
(7) The contract contains such additional provi-
sions as the Secretary determines to be necessary to
protect the interests of the United States, and the
Secretary shall have final approval over the terms of
the contract.
(d)(1) This subsection applies if the transfer under
subsection (b) is made.
(2) In the case of each individual who as of the date
of the enactment of this Act is a Federal employee with
a position at the Center and is, for duty at the Center,
receiving the pay differential under section 5545(d) of title
5, United States Code:
(A) If as of the date of the transfer under sub-
section (b) the individual is eligible for an annuity
under section 8336 or 8412 of title 5, United States
Code, then once the individual separates from the
service and thereby becomes entitled to receive the
annuity, the pay differential shall be excluded from
the computation of the annuity unless the individual
separated from the service not later than 30 days
after the date on which the transfer was made.
(B) If the individual is not eligible for such an
annuity as of the date of the transfer under sub-
section (b) but subsequently does become eligible,
then once the individual separates from the service
and thereby becomes entitled to receive the annuity,
the pay differential shall be excluded from the com-
putation of the annuity unless the individual sepa-
rated from the service not later than 30 days after
the date on which the individual first became eligible
for the annuity.
(C) For purposes of this paragraph, the individ-
ual is eligible for the annuity if the individual meets
all conditions under such section 8336 or 8412 to be
entitled to the annuity, except the condition that the
individual be separated from the service.
(3) In the case of each individual who as of the date
of the enactment of this Act is a Federal employee at the
Center with management, engineering, or dietary duties,
and who becomes an employee of the State pursuant to
subsection (c)(6)(A):
(A) The provisions of subchapter III of chapter
83 of title 5, United States Code, or of chapter 84
of such title, whichever is applicable, that relate to
disability shall be considered to remain in effect with
respect to the individual (subject to subparagraph
(C)) until the earlier of—
(i) the expiration of the 2-year period be-
ginning on the date on which the transfer under
subsection (b) is made; or
(ii) the date on which the individual first
meets all conditions for coverage under a State
program for payments during retirement by
reason of disability.
(B) The payments to be made by a State pur-
suant to subsection (c)(6)(B) with respect to the in-
dividual are payments to the Civil Service Retire-
ment and Disability Fund, if the individual is receiv-
ing Federal disability coverage pursuant to subpara-
graph (A). Such payments are to be made in a total
amount equal to that portion of the normal-cost per-
centage (determined through the use of dynamic as-
sumptions) of the basic pay of the individual that is
allocable to such coverage and is paid for service
performed during the period for which such coverage
is in effect. Such amount is to be determined in ac-
cordance with chapter 84 of such title 5, is to be
paid at such time and in such manner as mutually
agreed by the State and the Office of Personnel
Management, and is in lieu of individual or agency
contributions otherwise required.
(C) In the determination pursuant to subpara-
graph (A) of whether the individual is eligible for
Federal disability coverage (during the applicable pe-
riod of time under such subparagraph), service as an
employee of the State after the date of the transfer
under subsection (b) shall be counted toward the
service requirement specified in the first sentence of
section 8337(a) or 8451(a)(1)(A) of such title 5
(whichever is applicable).
(e) The following provisions apply if under subsection
(a) the Secretary makes the decision to relocate the Cen-
ter:
(1) The site to which the Center is relocated
shall be in the vicinity of Baton Rouge, in the State
of Louisiana.
(2) The facility involved shall continue to be
designated as the Gillis W. Long Hansens’s Disease
Center.
(3) The Secretary shall make reasonable efforts
to inform the patients of the Center with respect to
the planning and carrying out of the relocation.
(4) In the case of each individual who as of Oc-
tober 1, 1996, is a patient of the Center and is re-
ceiving long-term care (referred to in this subsection
as an ‘‘eligible patient’’), the Secretary shall con-
tinue to provide for the long-term care of the eligible
patient, without charge, for the remainder of the life
of the patient. Of the amounts appropriated for a
fiscal year for the Public Health Service, the Sec-
retary shall make available such amounts as may be
necessary to carry out the preceding sentence.
(5) Except in the case of an eligible patient for
whom it is not feasible to relocate for purposes of
subsection (c)(3), each eligible patient may make an
irrevocable choice of one of the following long-term
care options:
(A) For the remainder of his or her life,
the patient may reside at the Center.
(B) For the remainder of his or her life,
the patient may elect to receive payments each
year in an annual amount of $33,000 (adjusted
for fiscal year 1998 and each subsequent fiscal
year to the extent necessary to offset inflation
occurring after October 1, 1996), which pay-
ments are in complete discharge of the obliga-
tion of the Federal Government under para-
graph (4). If the individual makes the election
under the preceding sentence, the Federal Gov-
ernment does not under such paragraph have
any responsibilities regarding the daily life of
the patient, other than making such payments.
(6) The Secretary shall provide to each eligible
patient such information and time as may be nec-
essary for the patient to make an informed decision
regarding the options under paragraph (5).
(f) For purposes of this section:
(1) The term ‘‘Center’’ means the Gillis W.
Long Hansen’s Disease Center.
(2) The term ‘‘Secretary’’ means the Secretary
of Health and Human Services.
(3) The term ‘‘State’’ means the State of Lou-
isiana.
(g) Section 320 of the Public Health Service Act (42
U.S.C. 247e) is amended by striking the section designa-
tion and all that follows and inserting the following:
‘‘SEC. 320. (a)(1) At the Gillis W. Long Hansen’s
Disease Center (located in the State of Louisiana), the
Secretary shall without charge provide short-term care
and treatment, including outpatient care, for Hansen’s
disease and related complications to any person deter-
mined by the Secretary to be in need of such care and
treatment.
‘‘(2) The Center referred to in paragraph (1) shall
conduct training in the diagnosis and management of
Hansen’s disease and conduct and promote the coordina-
tion of research, investigations, demonstrations, and stud-
ies relating to the causes, diagnosis, treatment, control,
and prevention of Hansen’s disease and the complications
of such disease.
agrees that, in operating the voluntary family planning
project involved, the applicant will comply with the follow-
ing conditions:
(1) Priority will be given in the project to the
provision of services to individuals from low-income
families.
(2) An individual will not be charged for serv-
ices in the project if the family of the individual has
a total annual income that is at or below 100 per-
cent of the Federal poverty line, except to the extent
that payment will be made by a third party (includ-
ing a government agency) that is authorized, or is
under a legal obligation, to pay the charge.
(3) If the family of the individual has a total
annual income that exceeds 100 percent of such pov-
erty line but does not exceed 250 percent of the line,
the project will impose a charge according to the
ability to pay.
(4) If the family of the individual has a total
annual income that exceeds 250 percent of such pov-
erty line, the project will impose the full charge for
the services involved.
(5) Subject to paragraphs (1) through (4), the
policies of the applicant will ensure that economic