H. J. Res. 2—306
PAYMENTS TO HEALTH CARE TRUST FUNDS
For payment to the Federal Hospital Insurance and the Federal
Supplementary Medical Insurance Trust Funds, as provided under
section 1844 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 administrative expenses incurred pursuant
to section 201(g) of the Social Security Act, $81,462,700,000.
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, and the Clinical Laboratory
Improvement Amendments of 1988, not to exceed $2,581,672,000,
to be transferred from the Federal Hospital Insurance and the
Federal Supplementary Medical Insurance Trust Funds, as author-
ized by section 201(g) of the Social Security Act; together with
all funds collected in accordance with section 353 of the Public
Health Service Act and section 1857(e)(2) of the Social Security
Act, and such sums as may be collected from authorized user
fees and the sale of data, which shall remain available until
expended, and together with administrative fees collected relative
to Medicare overpayment recovery activities, which shall remain
available until expended: Provided, That all funds derived in accord-
ance with 31 U.S.C. 9701 from organizations established under
title XIII of the Public Health Service Act shall be credited to
and available for carrying out the purposes of this appropriation:
Provided further, That from amounts appropriated under this
heading, $3,000,000 for the managed care system redesign shall
remain 
available 
until 
expended: 
Provided 
further, 
That
$51,000,000, to remain available until September 30, 2004, is for
contract costs for the Healthcare Integrated General Ledger
Accounting System: Provided further, That of the amounts made
available for research, demonstration and evaluation, $1,500,000
is available for AIDS Healthcare Foundation in Los Angeles for
a demonstration of residential and outpatient treatment facilities,
$500,000 is available for Bucks County Health Improvement Project,
Langhorne, Pennsylvania, $464,000 is available for Children’s Hos-
pice International demonstration program to provide a continuum
of care for children with life-threatening conditions and their fami-
lies, $350,000 is available for Children’s Hospitals and Clinics of
Minneapolis/St. Paul, in partnership with the National Hospice
and Palliative Care Organization, for a demonstration project to
provide pediatric palliative care education and consultation services,
$100,000 is available for Community Catalyst Inc., in Boston, MA,
to expand a benefits management program to improve the delivery
of healthcare benefits to low-income individuals, $75,000 is available
for Cook County Illinois Bureau of Health Services to improve
the management of the vulnerable patients with poorly controlled
diabetes, $700,000 is available for the County of Sacramento, Cali-
fornia, for implementation of the SacAdvantage pilot program to
increase availability of health insurance for uninsured workers
and their dependents through premium subsidies and purchasing
pools, $200,000 is available for Equip for Equality in Chicago,
Illinois, for a demonstration project to document the impact of
an independent investigative unit to examine deaths and serious
H. J. Res. 2—307
allegations of abuse and neglect of people with disabilities at facili-
ties in Illinois, $300,000 is available for Hamot Medical Center,
Erie, PA, for a demonstration project for the evaluation of advanced
illness coordinated care for Medicare beneficiaries, $100,000 is avail-
able for Hope House Day Care Center in Memphis, Tennessee,
for a demonstration project on improving the overall well-being
of HIV positive children, $500,000 is available for the Hospice
of Metro Denver in Denver, Colorado, to establish a clinical and
training affiliation with the University of Colorado’s Health Science
Center and to develop cutting-edge palliative care practices,
$350,000 is available for Illinois Primary Health Care Association,
in Springfield, Illinois, to implement the Shared Integrated Manage-
ment Information System, $100,000 is available for Jefferson Area
Board for Aging, Charlottesville, Virginia, for continuation of the
recruitment, retention, training, and support of nursing assistants,
$100,000 is available for Johns Hopkins School of Medicine,
Baltimore, MD, for an advanced respiratory medicine project to
study in-home, self-administered high frequency chest wall oscilla-
tion therapy, $130,000 is available for Medical Care for Children
Partnership, Fairfax, Virginia, to provide outreach to increase access
to medical and dental care for children, and $325,000 is available
for The Breast Cancer Fund in San Francisco, California (in
collaboration with Shanti) for the ‘‘Lifelines’’ project to increase
access to breast cancer treatment for medically underserved women:
Provided further, That to the extent Medicare claims volume is
projected by the Centers for Medicare and Medicaid Services (CMS)
to exceed 223,500,000 Part A claims and/or 870,000,000 Part B
claims, an additional $46,800,000 shall be available for obligation
for every 50,000,000 increase in Medicare claims volume (including
a pro rata amount for any increment less than 50,000,000) from
the Federal Hospital Insurance and the Federal Supplementary
Medical Insurance Trust Fund: Provided further, That the Secretary
of Health and Human Services is directed to collect fees in fiscal
year 2003 from Medicare∂Choice organizations pursuant to section
1857(e)(2) of the Social Security Act and from eligible organizations
with risk-sharing contracts under section 1876 of that Act pursuant
to section 1876(k)(4)(D) of that Act.
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 received by the Sec-
retary 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 2003, no commitments for direct loans or loan
guarantees shall be made.
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 (24 U.S.C. ch. 9), $2,475,800,000,
to remain available until expended; and for such purposes for the
H. J. Res. 2—308
first quarter of fiscal year 2004, $1,100,000,000, to remain available
until expended.
For making payments to each State for carrying out the pro-
gram of Aid to Families with Dependent Children under title IV–
A of the Social Security Act before the effective date of the program
of Temporary Assistance for Needy Families (TANF) 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 expendi-
tures under such title IV–A in fiscal year 1997 under this appropria-
tion and under such title IV–A as amended by the Personal Respon-
sibility 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 (24 U.S.C. ch. 9), 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 title XXVI of the Omnibus Budget
Reconciliation Act of 1981, $1,700,000,000.
REFUGEE AND ENTRANT ASSISTANCE
For making payments for refugee and entrant assistance activi-
ties authorized by title IV of the Immigration and Nationality
Act and section 501 of the Refugee Education Assistance Act of
1980 (Public Law 96–422), $436,724,000: Provided, That funds
appropriated pursuant to section 414(a) of the Immigration and
Nationality Act for fiscal year 2003 shall be available for the costs
of assistance provided and other activities through September 30,
2005: Provided further, That up to $10,000,000 is available to
carry out the Trafficking Victims Protection Act of 2000.
For carrying out section 5 of the Torture Victims Relief Act
of 1998 (Public Law 105–320), $10,000,000.
PAYMENTS TO STATES FOR THE 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), $2,099,994,000 shall be used to supple-
ment, not supplant State general revenue funds for child care
assistance for low-income families: Provided, That $19,120,000 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 hotline: Provided further, That, in addition
to the amounts required to be reserved by the States under section
658G, $272,672,000 shall be reserved by the States for activities
authorized under section 658G, of which $100,000,000 shall be
for activities that improve the quality of infant and toddler care:
Provided further, That $10,000,000 shall be for use by the Secretary
for child care research, demonstration, and evaluation activities.
H. J. Res. 2—309
SOCIAL SERVICES BLOCK GRANT
For making grants to States pursuant to section 2002 of the
Social Security Act, $1,700,000,000: Provided, 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 Preven-
tion and Treatment Act, sections 310 and 316 of the Family Violence
Prevention and Services Act, as amended, the Native American
Programs Act of 1974, title II of Public Law 95–266 (adoption
opportunities), the Adoption and Safe Families Act of 1997 (Public
Law 105–89), sections 1201 and 1211 of the Children’s Health
Act of 2000, the Abandoned Infants Assistance Act of 1988, the
Early Learning Opportunities Act, part B(1) of title IV and sections
413, 429A, 1110, and 1115 of the Social Security Act, and sections
40155, 40211, and 40241 of Public Law 103–322; for making pay-
ments under the Community Services Block Grant Act, sections
439(h), 473A, and 477(i) of the Social Security Act, and title IV
of Public Law 105–285, 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 Omnibus Budget Reconciliation Act of 1981, title IV
of the Immigration and Nationality Act, section 501 of the Refugee
Education Assistance Act of 1980, section 5 of the Torture Victims
Relief Act of 1998 (Public Law 105–320), sections 40155, 40211,
and 40241 of Public Law 103–322, and section 126 and titles IV
and V of Public Law 100–485, $8,643,117,00, of which $43,000,000,
to remain available until September 30, 2004, shall be for grants
to States for adoption incentive payments, as authorized by section
473A of title IV of the Social Security Act (42 U.S.C. 670–679)
and may be made for adoptions completed in fiscal years 2001
and 2002; of which $6,667,533,000 shall be for making payments
under the Head Start Act, of which $1,400,000,000 shall become
available October 1, 2003 and remain available through September
30, 2004; and of which $739,315,000 shall be for making payments
under the Community Services Block Grant Act: Provided, That
not less than $7,250,000 shall be for section 680(3)(B) of the Commu-
nity Services Block Grant Act, as amended: Provided further, That
in addition to amounts provided herein, $6,000,000 shall be avail-
able from amounts available under section 241 of the Public Health
Service 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 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 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 shall establish procedures regarding the disposi-
tion of intangible property which permits grant funds, or intangible
assets acquired with funds authorized under section 680 of the
Community Services Block Grant Act, as amended, to become the