117 
(b) JOB CREATION GOALS.—Section 501(e)(1) and 
section 501(e)(2) of the Small Business Investment Act 
(15 U.S.C. 695) are each amended by striking ‘‘$50,000’’ 
and inserting ‘‘$65,000’’. 
SEC. 6206. INCREASING SMALL BUSINESS INVESTMENT. 
(a) SIMPLIFIED MAXIMUM LEVERAGE LIMITS.—Sec-
tion 303(b) of the Small Business Investment Act of 1958 
(15 U.S.C. 683(b)) is amended— 
(1) by striking so much of paragraph (2) as 
precedes subparagraphs (C) and (D) and inserting 
the following: 
‘‘(2) MAXIMUM LEVERAGE.— 
‘‘(A) 
IN
GENERAL.—The 
maximum 
amount of outstanding leverage made available 
to any one company licensed under section 
301(c) of this Act may not exceed the lesser 
of— 
‘‘(i) 300 percent of such company’s 
private capital; or 
‘‘(ii) $150,000,000. 
‘‘(B) MULTIPLE
LICENSES
UNDER
COM-
MON CONTROL.—The maximum amount of out-
standing leverage made available to two or more 
companies licensed under section 301(c) of this 
Act that are commonly controlled (as deter-
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118 
mined by the Administrator) and not under 
capital 
impairment 
may 
not 
exceed 
$225,000,000.’’; and 
(2) by striking paragraph (4). 
(b) SIMPLIFIED AGGREGATE INVESTMENT LIMITA-
TIONS.—Section 306(a) of the Small Business Investment 
Act of 1958 (15 U.S.C. 686(a)) is amended to read as 
follows: 
‘‘(a) PERCENTAGE LIMITATION ON PRIVATE CAP-
ITAL.—If any small business investment company has ob-
tained financing from the Administrator and such financ-
ing remains outstanding, the aggregate amount of securi-
ties acquired and for which commitments may be issued 
by such company under the provisions of this title for any 
single enterprise shall not, without the approval of the Ad-
ministrator, exceed 10 percent of the sum of— 
‘‘(1) the private capital of such company; and 
‘‘(2) the total amount of leverage projected by 
the company in the company’s business plan that 
was approved by the Administrator at the time of 
the grant of the company’s license.’’. 
SEC. 6207. GAO REPORT. 
(a) REPORT.—Not later than 30 days after the enact-
ment of this Act, the Comptroller General of the United 
States shall report to the Congress on the actions of the 
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Administrator in implementing the authority established 
in sections 6201 through 6206 of this Act. 
(b) INCLUDED ITEM.—The report under this section 
shall include a summary of the activity of the Adminis-
trator under this section and an analysis of whether he 
is accomplishing the purpose of increasing liquidity in the 
secondary market for Small Business Administration 
loans. 
TITLE VII—HOMELAND 
SECURITY 
DEPARTMENT OF HOMELAND SECURITY 
U.S. CUSTOMS AND BORDER PROTECTION 
SALARIES AND EXPENSES 
For an additional amount for ‘‘Salaries and Ex-
penses’’, $100,000,000, for non-intrusive detection tech-
nology to be deployed at sea ports of entry. 
CONSTRUCTION 
For an additional amount for ‘‘Construction’’, 
$150,000,000, to repair and construct inspection facilities 
at land border ports of entry. 
TRANSPORTATION SECURITY ADMINISTRATION 
AVIATION SECURITY 
For an additional amount for ‘‘Aviation Security’’, 
$500,000,000, for the purchase and installation of explo-
sive detection systems and emerging checkpoint tech-
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nologies: Provided, That the Assistant Secretary of Home-
land Security (Transportation Security Administration) 
shall prioritize the award of these funds to accelerate the 
installations at locations with completed design plans and 
to expeditiously award new letters of intent. 
COAST GUARD 
ALTERATION OF BRIDGES 
For an additional amount for ‘‘Alteration of 
Bridges’’, $150,000,000, for alteration or removal of ob-
structive bridges, as authorized by section 6 of the Tru-
man-Hobbs Act (33 U.S.C. 516): Provided, That the 
Coast Guard shall award these funds to those bridges that 
are ready to proceed to construction. 
FEDERAL EMERGENCY MANAGEMENT AGENCY 
EMERGENCY FOOD AND SHELTER 
For an additional amount for ‘‘Emergency Food and 
Shelter’’, $200,000,000, to carry out the emergency food 
and shelter program pursuant to title III of the McKin-
ney-Vento Homeless Assistance Act (42 U.S.C. 11331 et 
seq.): Provided, That for the purposes of this appropria-
tion, the redistribution required by section 1104(b) shall 
be carried out by the Federal Emergency Management 
Agency and the National Board, who may reallocate and 
obligate any funds that are unclaimed or returned to the 
program: Provided further, That the amount set aside 
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from this appropriation pursuant to section 1106 of this 
Act shall be 3.5 percent instead of the percentage specified 
in such section. 
GENERAL PROVISIONS, THIS TITLE 
SEC. 7001. EXTENSION OF PROGRAMS. 
Section 401(b) of the Illegal Immigration Reform and 
Immigrant Responsibility Act of 1996 (8 U.S.C. 1324a 
note) is amended by striking ‘‘11-year period’’ and insert-
ing ‘‘16-year period’’. 
SEC. 7002. PROTECTION OF SOCIAL SECURITY ADMINIS-
TRATION PROGRAMS. 
(a) FUNDING UNDER AGREEMENT.—Effective for 
fiscal years beginning on or after October 1, 2008, the 
Commissioner of Social Security and the Secretary of 
Homeland Security shall enter into and maintain an 
agreement which shall— 
(1) provide funds to the Commissioner for the 
full costs of the responsibilities of the Commissioner 
under section 404 of the Illegal Immigration Reform 
and Immigrant Responsibility Act of 1996 (8 U.S.C. 
1324a note), including (but not limited to)— 
(A) acquiring, installing, and maintaining 
technological equipment and systems necessary 
for the fulfillment of the responsibilities of the 
Commissioner under such section 404, but only 
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that portion of such costs that are attributable 
exclusively to such responsibilities; and 
(B) responding to individuals who contest 
a tentative nonconfirmation provided by the 
basic pilot confirmation system established 
under such section; 
(2) provide such funds quarterly in advance of 
the applicable quarter based on estimating method-
ology agreed to by the Commissioner and the Sec-
retary (except in such instances where the delayed 
enactment of an annual appropriation may preclude 
such quarterly payments); and 
(3) require an annual accounting and reconcili-
ation of the actual costs incurred and the funds pro-
vided under the agreement, which shall be reviewed 
by the Office of Inspector General of the Social Se-
curity Administration and the Department of Home-
land Security. 
(b) CONTINUATION OF EMPLOYMENT VERIFICATION 
IN ABSENCE OF TIMELY AGREEMENT.—In any case in 
which the agreement required under subsection (a) for any 
fiscal year beginning on or after October 1, 2008, has not 
been reached as of October 1 of such fiscal year, the latest 
agreement between the Commissioner and the Secretary 
of Homeland Security providing for funding to cover the 
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costs of the responsibilities of the Commissioner under 
section 404 of the Illegal Immigration Reform and Immi-
grant Responsibility Act of 1996 (8 U.S.C. 1324a note) 
shall be deemed in effect on an interim basis for such fis-
cal year until such time as an agreement required under 
subsection (a) is subsequently reached, except that the 
terms of such interim agreement shall be modified by the 
Director of the Office of Management and Budget to ad-
just for inflation and any increase or decrease in the vol-
ume of requests under the basic pilot confirmation system. 
In any case in which an interim agreement applies for any 
fiscal year under this subsection, the Commissioner and 
the Secretary shall, not later than October 1 of such fiscal 
year, notify the Committee on Ways and Means, the Com-
mittee on the Judiciary, and the Committee on Appropria-
tions of the House of Representatives and the Committee 
on Finance, the Committee on the Judiciary, and the 
Committee on Appropriations of the Senate of the failure 
to reach the agreement required under subsection (a) for 
such fiscal year. Until such time as the agreement re-
quired under subsection (a) has been reached for such fis-
cal year, the Commissioner and the Secretary shall, not 
later than the end of each 90-day period after October 
1 of such fiscal year, notify such Committees of the status 
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of negotiations between the Commissioner and the Sec-
retary in order to reach such an agreement. 
SEC. 7003. GAO STUDY OF BASIC PILOT CONFIRMATION 
SYSTEM. 
(a) IN GENERAL.—As soon as practicable after the 
date of the enactment of this Act, the Comptroller General 
of the United States shall conduct a study regarding erro-
neous tentative nonconfirmations under the basic pilot 
confirmation system established under section 404(a) of 
the Illegal Immigration Reform and Immigrant Responsi-
bility Act of 1996 (8 U.S.C. 1324a note). 
(b) MATTERS TO BE STUDIED.—In the study re-
quired under subsection (a), the Comptroller General shall 
determine and analyze— 
(1) the causes of erroneous tentative noncon-
firmations under the basic pilot confirmation system; 
(2) the processes by which such erroneous ten-
tative nonconfirmations are remedied; and 
(3) the effect of such erroneous tentative non-
confirmations on individuals, employers, and Federal 
agencies. 
(c) REPORT.—Not later than 2 years after the date 
of the enactment of this Act, the Comptroller General shall 
submit the results of the study required under subsection 
(a) to the Committee on Ways and Means and the Com-
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mittee on the Judiciary of the House of Representatives 
and the Committee on Finance and the Committee on the 
Judiciary of the Senate. 
SEC. 7004. GAO STUDY OF EFFECTS OF BASIC PILOT PRO-
GRAM ON SMALL ENTITIES. 
(a) IN GENERAL.—Not later than 2 years after the 
date of the enactment of this Act, the Comptroller General 
of the United States shall submit to the Committees on 
the Judiciary of the United States House of Representa-
tives and the Senate a report containing the Comptroller 
General’s analysis of the effects of the basic pilot program 
described in section 403(a) of the Illegal Immigration Re-
form and Immigrant Responsibility Act of 1996 (8 U.S.C. 
1324a note) on small entities (as defined in section 601 
of title 5, United States Code). The report shall detail— 
(1) the costs of compliance with such program 
on small entities; 
(2) a description and an estimate of the number 
of small entities enrolled and participating in such 
program or an explanation of why no such estimate 
is available; 
(3) the projected reporting, recordkeeping and 
other compliance requirements of such program on 
small entities; 
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(4) factors that impact small entities’ enroll-
ment and participation in such program, including 
access to appropriate technology, geography, entity 
size, and class of entity; and 
(5) the steps, if any, the Secretary of Homeland 
Security has taken to minimize the economic impact 
of participating in such program on small entities. 
(b) DIRECT AND INDIRECT EFFECTS.—The report 
shall cover, and treat separately, direct effects (such as 
wages, time, and fees spent on compliance) and indirect 
effects (such as the effect on cash flow, sales, and competi-
tiveness). 
(c) SPECIFIC CONTENTS.—The report shall provide 
specific and separate details with respect to— 
(1) small businesses (ad defined in section 601 
of title 5, United States Code) with fewer than 50 
employees; and 
(2) small entities operating in States that have 
mandated use of the basic pilot program. 
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TITLE VIII—INTERIOR AND 
ENVIRONMENT 
DEPARTMENT OF THE INTERIOR 
BUREAU OF LAND MANAGEMENT 
CONSTRUCTION 
(INCLUDING TRANSFERS OF FUNDS) 
For an additional amount for ‘‘Construction’’, 
$325,000,000, for priority road, bridge, and trail repair 
or 
decommissioning, 
critical 
deferred 
maintenance 
projects, facilities construction and renovation, hazardous 
fuels reduction, and remediation of abandoned mine or 
well sites: Provided, That funds may be transferred to 
other appropriate accounts of the Bureau of Land man-
agement: Provided further, That the amount set aside 
from this appropriation pursuant to section 1106 of this 
Act shall be not more than 5 percent instead of the per-
centage specified in such section. 
UNITED STATES FISH AND WILDLIFE SERVICE 
CONSTRUCTION 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Construction’’, 
$300,000,000, for priority road and bridge repair and re-
placement, and critical deferred maintenance and improve-
ment projects on National Wildlife Refuges, National Fish 
Hatcheries, and other Service properties: Provided, That 
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funds may be transferred to ‘‘Resource Management’’: 
Provided further, That the amount set aside from this ap-
propriation pursuant to section 1106 of this Act shall be 
not more than 5 percent instead of the percentage speci-
fied in such section. 
NATIONAL PARK SERVICE 
CONSTRUCTION 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Construction’’, 
$1,700,000,000, for projects to address critical deferred 
maintenance needs within the National Park System, in-
cluding roads, bridges and trails, and for other critical in-
frastructure projects: Provided, That funds may be trans-
ferred to ‘‘Operation of the National Park System’’: Pro-
vided further, That $200,000,000 of these funds shall be 
for projects related to the preservation and repair of his-
torical and cultural resources within the National Park 
System: Provided further, That the amount set aside from 
this appropriation pursuant to section 1106 of this Act 
shall be not more than 5 percent instead of the percentage 
specified in such section. 
NATIONAL MALL REVITALIZATION FUND 
For construction, improvements, repair, or replace-
ment of facilities related to the revitalization of National 
Park Service assets on the National Mall in Washington, 
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DC, $200,000,000, of which $100,000,000 shall only be 
made available to the extent that funds are matched by 
non-Federal contributions: Provided, That the amount set 
aside from this appropriation pursuant to section 1106 of 
this Act shall be not more than 5 percent instead of the 
percentage specified in such section. 
CENTENNIAL CHALLENGE 
To carry out provisions of section 814(g) of Public 
Law 104–333 relating to challenge cost share agreements, 
$100,000,000, for National Park Service Centennial Chal-
lenge signature projects and programs: Provided, That not 
less than 50 percent of the total cost of each project or 
program is derived from non-Federal sources in the form 
of donated cash, assets, in-kind services, or a pledge of 
donation guaranteed by an irrevocable letter of credit: Pro-
vided further, That the amount set aside from this appro-
priation pursuant to section 1106 of this Act shall be not 
more than 5 percent instead of the percentage specified 
in such section. 
UNITED STATES GEOLOGICAL SURVEY 
SURVEYS, INVESTIGATIONS, AND RESEARCH 
For an additional amount for ‘‘Surveys, Investiga-
tions, and Research’’, $200,000,000, for repair and res-
toration of facilities; equipment replacement and upgrades 
including stream gages, and seismic and volcano moni-
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toring systems; national map activities; and other critical 
deferred maintenance and improvement projects: Pro-
vided, That the amount set aside from this appropriation 
pursuant to section 1106 of this Act shall be not more 
than 5 percent instead of the percentage specified in such 
section. 
BUREAU OF INDIAN AFFAIRS 
CONSTRUCTION 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Construction’’, 
$500,000,000, for priority repair and replacement of 
schools, detention centers, roads, bridges, employee hous-
ing, and critical deferred maintenance projects: Provided, 
That not less than $250,000,000 shall be used for new 
and replacement schools and detention centers: Provided 
further, That funds may be transferred to ‘‘Operation of 
Indian Programs’’: Provided further, That the amount set 
aside from this appropriation pursuant to section 1106 of 
this Act shall be not more than 5 percent instead of the 
percentage specified in such section. 
ENVIRONMENTAL PROTECTION AGENCY 
HAZARDOUS SUBSTANCE SUPERFUND 
For an additional amount for ‘‘Hazardous Substance 
Superfund’’, $800,000,000, which shall be used for the 
Superfund Remedial program: Provided, That amounts 
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available by law from this appropriation for management 
and administration shall take the place of the set-aside 
under section 1106 of this Act. 
LEAKING UNDERGROUND STORAGE TANK TRUST FUND 
PROGRAM 
For an additional amount for ‘‘Leaking Underground 
Storage Tank Trust Fund Program’’, to carry out leaking 
underground storage tank cleanup activities authorized by 
subtitle I of the Solid Waste Disposal Act, $200,000,000, 
which shall be used to carry out leaking underground stor-
age tank cleanup activities authorized by section 9003(h) 
of the Solid Waste Disposal Act, except that such funds 
shall not be subject to the State matching requirements 
in section 9003(h)(7)(B): Provided, That amounts avail-
able by law from this appropriation for management and 
administration shall take the place of the set-aside under 
section 1106 of this Act. 
STATE AND TRIBAL ASSISTANCE GRANTS 
For an additional amount for ‘‘State and Tribal As-
sistance Grants’’, $8,400,000,000, which shall be used as 
follows: 
(1) $6,000,000,000 shall be for capitalization 
grants for the Clean Water State Revolving Funds 
under title VI of the Federal Water Pollution Con-
trol Act (33 U.S.C. 1381 et seq.), except that such 
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funds shall not be subject to the State matching re-
quirements in paragraphs (2) and (3) of section 
602(b) of such Act or to the Federal cost share limi-
tations in section 202 of such Act: Provided, That 
the amount set aside from this appropriation pursu-
ant to section 1106 of this Act shall be not more 
than 2 percent instead of the percentage specified in 
such section: Provided further, That, notwith-
standing the limitation on amounts specified in sec-
tion 518(c) of the Federal Water Pollution Control 
Act, up to a total of 1.5 percent of such funds may 
be reserved by the Administrator of the Environ-
mental Protection Agency for grants under section 
518(c) of such Act: Provided further, That the re-
quirements of section 513 of such Act shall apply to 
the construction of treatment works carried out in 
whole or in part with assistance made available 
under this heading by a Clean Water State Revolv-
ing Fund under title VI of such Act, or with assist-
ance made available under section 205(m) of such 
Act, or both: Provided further, That, notwith-
standing the requirements of section 603(d) of such 
Act, each State shall use 50 percent of the amount 
of the capitalization grant received by the State 
under title VI of such Act to provide assistance, in 
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the form of additional subsidization, including for-
giveness of principal, negative interest loans, and 
grants, to municipalities (as defined in section 502 
of such Act) for projects that are included on the 
State’s priority list established under section 603(g) 
of such Act, of which 80 percent shall be for projects 
to benefit municipalities that meet affordability cri-
teria as determined by the Governor of the State 
and 20 percent shall be for projects to address 
water-efficiency 
goals, 
address 
energy-efficiency 
goals, mitigate stormwater runoff, or encourage en-
vironmentally sensitive project planning, design, and 
construction, to the extent that there are sufficient 
project applications eligible for such assistance. 
(2) $2,000,000,000 shall be for capitalization 
grants for the Drinking Water State Revolving 
Funds under section 1452 of the Safe Drinking 
Water Act (42 U.S.C. 300j–12), except that such 
funds shall not be subject to the State matching re-
quirements of section 1452(e) of such Act: Provided, 
That the amount set aside from this appropriation 
pursuant to section 1106 of this Act shall be not 
more than 2 percent instead of the percentage speci-
fied in such section: Provided further, That section 
1452(k) of the Safe Drinking Water Act shall not 
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apply to such funds: Provided further, That the re-
quirements of section 1450(e) of such Act (42 
U.S.C. 300j–9(e)) shall apply to the construction 
carried out in whole or part with assistance made 
available under this heading by a Drinking Water 
State Revolving fund under section 1452 of such 
Act: Provided further, That, notwithstanding the re-
quirements of section 1452(a)(2) of such Act, each 
State shall use 50 percent of the amount of the cap-
italization grant received by the State under section 
1452 of such Act to provide assistance, in the form 
of additional subsidization, including forgiveness of 
principal, negative interest loans, and grants, to mu-
nicipalities (as defined in section 1401 of such Act) 
for projects that are included on the State’s priority 
list established under section 1452(b)(3) of such 
Act. 
(3) $300,000,000 shall be for grants under title 
VII, Subtitle G of the Energy Policy Act of 2005: 
Provided, That the amount set aside from this ap-
propriation pursuant to section 1106 of this Act 
shall be not more than 3 percent instead of the per-
centage specified in such section. 
(4) $100,000,000 shall be to carry out section 
104(k) of the Comprehensive Environmental Re-
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sponse, Compensation, and Liability Act of 1980: 
Provided, That the amount set aside from this ap-
propriation pursuant to section 1106 of this Act 
shall be not more than 3 percent instead of the per-
centage specified in such section. 
DEPARTMENT OF AGRICULTURE 
FOREST SERVICE 
CAPITAL IMPROVEMENT AND MAINTENANCE 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Capital Improvement 
and Maintenance’’, $650,000,000, for reconstruction, cap-
ital improvement, decommissioning, and maintenance of 
forest roads, bridges and trails; alternative energy tech-
nologies, energy efficiency enhancements and deferred 
maintenance at Federal facilities; and for remediation of 
abandoned mine sites, removal of fish passage barriers, 
and other critical habitat, forest improvement and water-
shed enhancement projects on Federal lands and waters: 
Provided, That funds may be transferred to ‘‘National 
Forest System’’: Provided further, That the amount set 
aside from this appropriation pursuant to section 1106 of 
this Act shall be not more than 5 percent instead of the 
percentage specified in such section. 
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136 
WILDLAND FIRE MANAGEMENT 
(INCLUDING TRANSFERS OF FUNDS) 
For an additional amount for ‘‘Wildland Fire Man-
agement’’, $850,000,000, of which $300,000,000 is for 
hazardous fuels reduction, forest health, wood to energy 
grants and rehabilitation and restoration activities on 
Federal lands, and of which $550,000,000 is for State fire 
assistance hazardous fuels projects, volunteer fire assist-
ance, cooperative forest health projects, city forest en-
hancements, and wood to energy grants on State and pri-
vate lands: Provided, That amounts in this paragraph may 
be transferred to ‘‘State and Private Forestry’’ and ‘‘Na-
tional Forest System’’: Provided further, That the amount 
set aside from this appropriation pursuant to section 1106 
of this Act shall be not more than 5 percent instead of 
the percentage specified in such section. 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
INDIAN HEALTH SERVICE 
INDIAN HEALTH FACILITIES 
For an additional amount for ‘‘Indian Health Facili-
ties’’, $550,000,000, for priority health care facilities con-
struction projects and deferred maintenance, and the pur-
chase of equipment and related services, including but not 
limited to health information technology: Provided, That 
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notwithstanding any other provision of law, the amounts 
available under this paragraph shall be allocated at the 
discretion of the Director of the Indian Health Service: 
Provided further, That the amount set aside from this ap-
propriation pursuant to section 1106 of this Act shall be 
not more than 5 percent instead of the percentage speci-
fied in such section. 
OTHER RELATED AGENCIES 
SMITHSONIAN INSTITUTION 
FACILITIES CAPITAL 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Facilities Capital’’, 
$150,000,000, for deferred maintenance projects, and for 
repair, revitalization, and alteration of facilities owned or 
occupied by the Smithsonian Institution, by contract or 
otherwise, as authorized by section 2 of the Act of August 
22, 1949 (63 Stat. 623): Provided, That funds may be 
transferred to ‘‘Salaries and Expenses’’: Provided further, 
That the amount set aside from this appropriation pursu-
ant to section 1106 of this Act shall be not more than 
5 percent instead of the percentage specified in such sec-
tion. 
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NATIONAL FOUNDATION ON THE ARTS AND THE 
HUMANITIES 
NATIONAL ENDOWMENT FOR THE ARTS 
GRANTS AND ADMINISTRATION 
For an additional amount for ‘‘Grants and Adminis-
tration’’, $50,000,000, to be distributed in direct grants 
to fund arts projects and activities which preserve jobs in 
the non-profit arts sector threatened by declines in philan-
thropic and other support during the current economic 
downturn: Provided, That 40 percent of such funds shall 
be distributed to State arts agencies and regional arts or-
ganizations in a manner similar to the agency’s current 
practice and 60 percent of such funds shall be for competi-
tively selected arts projects and activities according to sec-
tions 2 and 5(c) of the National Foundation on the Arts 
and Humanities Act of 1965 (20 U.S.C. 951, 954(c)): 
Provided further, That matching requirements under sec-
tion 5(e) of such Act shall be waived: Provided further, 
That the amount set aside from this appropriation pursu-
ant to section 1106 of this Act shall be not more than 
5 percent instead of the percentage specified in such sec-
tion. 
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TITLE IX—LABOR, HEALTH AND 
HUMAN SERVICES, AND EDU-
CATION 
Subtitle A—Labor 
DEPARTMENT OF LABOR 
EMPLOYMENT AND TRAINING ADMINISTRATION 
TRAINING AND EMPLOYMENT SERVICES 
For an additional amount for ‘‘Training and Employ-
ment Services’’ for activities under the Workforce Invest-
ment Act of 1998 (‘‘WIA’’), $4,000,000,000, which shall 
be available for obligation on the date of enactment of this 
Act, as follows: 
(1) $500,000,000 for grants to the States for 
adult employment and training activities; 
(2) $1,200,000,000 for grants to the States for 
youth activities, including summer jobs for youth: 
Provided, That the work readiness performance indi-
cator described in section 136(b)(2)(A)(ii)(I) of the 
WIA shall be the only measure of performance used 
to assess the effectiveness of summer jobs for youth 
provided with such funds: Provided further, That 
with respect to the youth activities provided with 
such funds, section 101(13)(A) of the WIA shall be 
applied by substituting ‘‘age 24’’ for ‘‘age 21’’: Pro-
vided further, That no portion of the additional 
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funds provided herein shall be reserved to carry out 
section 127(b)(1)(A) of the WIA: Provided further, 
That for purposes of section 127(b)(1)(C)(iv) of the 
WIA, such funds shall be allotted as if the total 
amount of funding available for youth activities in 
the fiscal year does not exceed $1,000,000,000; 
(3) $1,000,000,000 for grants to the States for 
dislocated worker employment and training activi-
ties; 
(4) $500,000,000 for the dislocated workers as-
sistance national reserve to remain available for 
Federal obligation through June 30, 2010: Provided, 
That such funds shall be made available for grants 
only to eligible entities that serve areas of high un-
employment or high poverty and only for the pur-
poses described in subsection 173(a)(1) of the WIA: 
Provided further, That the Secretary of Labor shall 
ensure that applicants for such funds demonstrate 
how income support, child care, and other supportive 
services necessary for an individual’s participation in 
job training will be provided; 
(5) $50,000,000 for YouthBuild activities, 
which shall remain available for Federal obligation 
through June 30, 2010; and 
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(6) $750,000,000 for a program of competitive 
grants for worker training and placement in high 
growth and emerging industry sectors: Provided, 
That $500,000,000 shall be for research, labor ex-
change and job training projects that prepare work-
ers for careers in the energy efficiency and renew-
able 
energy 
industries 
specified 
in 
section 
171(e)(1)(B)(ii) of the WIA (as amended by the 
Green Jobs Act of 2007): Provided further, That in 
awarding grants from those funds not designated in 
the preceding proviso, the Secretary of Labor shall 
give priority to projects that prepare workers for ca-
reers in the health care sector: Provided further, 
That the provisions of section 1103 of this Act shall 
not apply to this appropriation: 
Provided, That the additional funds provided to States 
under this heading are not subject to section 191(a) of 
the WIA: Provided further, That notwithstanding section 
1106 of this Act, there shall be no amount set aside from 
the appropriations made in subsections (1) through (3) 
under this heading and the amount set aside for sub-
sections (4) through (6) shall be up to 1 percent instead 
of the percentage specified in such section. 
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142 
COMMUNITY SERVICE EMPLOYMENT FOR OLDER 
AMERICANS 
For an additional amount for ‘‘Community Service 
Employment for Older Americans’’ to carry out title V of 
the Older Americans Act of 1965, $120,000,000, which 
shall be available for obligation on the date of enactment 
of this Act: Provided, That funds shall be allotted within 
30 days of such enactment to current grantees in propor-
tion to their allotment in program year 2008. 
STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT 
SERVICE OPERATIONS 
For an additional amount for ‘‘State Unemployment 
Insurance and Employment Service Operations’’ for 
grants to the States in accordance with section 6 of the 
Wagner-Peyser Act, $500,000,000, which may be ex-
pended from the Employment Security Administration Ac-
count in the Unemployment Trust Fund, and which shall 
be available for obligation on the date of enactment of this 
Act: Provided, That such funds shall remain available to 
the States through September 30, 2010: Provided further, 
That, with respect to such funds, section 6(b)(1) of such 
Act shall be applied by substituting ‘‘one-third’’ for ‘‘two- 
thirds’’ in subparagraph (A), with the remaining one-third 
of the sums to be allotted in accordance with section 
132(b)(2)(B)(ii)(III) of the Workforce Investment Act of 
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1998: Provided further, That not less than $250,000,000 
of the amount provided under this heading shall be used 
by States for reemployment services for unemployment in-
surance claimants (including the integrated Employment 
Service and Unemployment Insurance information tech-
nology required to identify and serve the needs of such 
claimants): Provided further, That the Secretary of Labor 
shall establish planning and reporting procedures nec-
essary to provide oversight of funds used for reemploy-
ment services. 
DEPARTMENTAL MANAGEMENT 
SALARIES AND EXPENSES 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Departmental Man-
agement’’, $80,000,000, for the enforcement of worker 
protection laws and regulations, oversight, and coordina-
tion activities related to the infrastructure and unemploy-
ment insurance investments in this Act: Provided, That 
the Secretary of Labor may transfer such sums as nec-
essary to ‘‘Employment and Standards Administration’’, 
‘‘Occupational Safety and Health Administration’’, and 
‘‘Employment and Training Administration—Program 
Administration’’ for enforcement, oversight, and coordina-
tion activities: Provided further, That the provisions of sec-
tion 1106 of this Act shall not apply to this appropriation. 
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144 
OFFICE OF JOB CORPS 
For an additional amount for ‘‘Office of Job Corps’’, 
$300,000,000, for construction, rehabilitation and acquisi-
tion of Job Corps Centers, which shall be available upon 
the date of enactment of this Act and remain available 
for obligation through June 30, 2010: Provided, That sec-
tion 1552(a) of title 31, United States Code shall not 
apply to up to 30 percent of such funds, if such funds 
are used for a multi-year lease agreement that will result 
in construction activities that can commence within 120 
days of enactment of this Act: Provided further, That not-
withstanding section 3324(a) of title 31, United States 
Code, the funds referred to in the preceding proviso may 
be used for advance, progress, and other payments: Pro-
vided further, That the Secretary of Labor may transfer 
up to 15 percent of such funds to meet the operational 
needs of such centers, which may include the provision of 
additional training for careers in the energy efficiency and 
renewable energy industries: Provided further, That pri-
ority should be given to activities that can commence 
promptly following enactment and to those projects that 
will create the greatest impact on the energy efficiency of 
Job Corps facilities: Provided further, That the Secretary 
shall provide to the Committees on Appropriations of the 
House of Representatives and the Senate a report on the 
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145 
actual obligations, expenditures, and unobligated balances 
for each activity funded under this heading not later than 
September 30, 2009 and quarterly thereafter as long as 
funding provided under this heading is available for obli-
gation or expenditure. 
GENERAL PROVISIONS, THIS SUBTITLE 
SEC. 9101. ELIGIBLE EMPLOYEES IN THE RECREATIONAL 
MARINE INDUSTRY. 
Section 2(3)(F) of the Longshore and Harbor Work-
ers’ Compensation Act (33 U.S.C. 902(3)(F)) is amend-
ed— 
(1) by striking ‘‘, repair or dismantle’’; and 
(2) by striking the semicolon and inserting ‘‘, or 
individuals employed to repair any recreational ves-
sel, or to dismantle any part of a recreational vessel 
in connection with the repair of such vessel;’’. 
Subtitle B—Health and Human 
Services 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
HEALTH RESOURCES AND SERVICES 
For an additional amount for ‘‘Health Resources and 
Services’’, $2,188,000,000 which shall be used as follows: 
(1) $500,000,000, of which $250,000,000 shall 
not be available until October 1, 2009, shall be for 
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146 
grants to health centers authorized under section 
330 of the Public Health Service Act (‘‘PHS Act’’); 
(2) $1,000,000,000 shall be available for ren-
ovation and repair of health centers authorized 
under section 330 of the PHS Act and for the acqui-
sition by such centers of health information tech-
nology systems: Provided, That the timeframe for 
the award of grants pursuant to section 1103(b) of 
this Act shall not be later than 180 days after the 
date of enactment of this Act instead of the time-
frame specified in such section; 
(3) $88,000,000 shall be for fit-out and other 
costs related to moving into a facility to be secured 
through a competitive lease procurement to replace 
or renovate a headquarters building for Public 
Health Service agencies and other components of the 
Department of Health and Human Services; and 
(4) $600,000,000, of which $300,000,000 shall 
not be available until October 1, 2009, shall be for 
the training of nurses and primary care physicians 
and dentists as authorized under titles VII and VIII 
of the PHS Act, for the provision of health care per-
sonnel under the National Health Service Corps pro-
gram authorized under title III of the PHS Act, and 
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for the patient navigator program authorized under 
title III of the PHS Act. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
DISEASE CONTROL, RESEARCH, AND TRAINING 
For an additional amount for ‘‘Disease Control, Re-
search, and Training’’ for equipment, construction, and 
renovation of facilities, including necessary repairs and 
improvements to leased laboratories, $462,000,000: Pro-
vided, That notwithstanding any other provision of law, 
the Centers for Disease Control and Prevention may 
award a single contract or related contracts for develop-
ment and construction of facilities that collectively include 
the full scope of the project: Provided further, That the 
solicitation and contract shall contain the clause ‘‘avail-
ability of funds’’ found at 48 CFR 52.232–18: Provided 
further, That in accordance with applicable authorities, 
policies, and procedures, the Centers for Disease Control 
and Prevention shall acquire real property, and make any 
necessary improvements thereon, to relocate and consoli-
date property and facilities of the National Institute for 
Occupational Safety and Health. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CENTER FOR RESEARCH RESOURCES 
For an additional amount for ‘‘National Center for 
Research Resources’’, $1,500,000,000 for grants or con-
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tracts under section 481A of the Public Health Service 
Act to renovate or repair existing non-Federal research fa-
cilities: Provided, That sections 481A(c)(1)(B)(ii), para-
graphs (1), (3), and (4) of section 481A(e), and section 
481B of such Act shall not apply to the use of such funds: 
Provided further, That the references to ‘‘20 years’’ in sub-
sections (c)(1)(B)(i) and (f) of section 481A of such Act 
are deemed to be references to ‘‘10 years’’ for purposes 
of using such funds: Provided further, That the National 
Center for Research Resources may also use such funds 
to provide, under the authority of section 301 and title 
IV of such Act, shared instrumentation and other capital 
research equipment to recipients of grants and contracts 
under section 481A of such Act and other appropriate en-
tities: Provided further, That the Director of the Center 
shall provide to the Committees on Appropriations of the 
House of Representatives and the Senate an annual report 
indicating the number of institutions receiving awards of 
a grant or contract under section 481A of such Act, the 
proposed use of the funding, the average award size, a 
list of grant or contract recipients, and the amount of each 
award: Provided further, That the Center, in obligating 
such funds, shall require that each entity that applies for 
a grant or contract under section 481A for any project 
shall include in its application an assurance described in 
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section 1621(b)(1)(I) of the Public Health Service Act: 
Provided further, That the Center shall give priority in the 
award of grants and contracts under section 481A of such 
Act to those applications that are expected to generate de-
monstrable energy-saving or beneficial environmental ef-
fects: Provided further, That the provisions of section 1103 
of this Act shall not apply to the peer-reviewed grants 
awarded under this heading. 
OFFICE OF THE DIRECTOR 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Office of the Direc-
tor’’, $1,500,000,000, of which $750,000,000 shall not be 
available until October 1, 2009: Provided, That such funds 
shall be transferred to the Institutes and Centers of the 
National Institutes of Health and to the Common Fund 
established under section 402A(c)(1) of the Public Health 
Service Act in proportion to the appropriations otherwise 
made to such Institutes, Centers, and Common Fund for 
fiscal year 2009: Provided further, That these funds shall 
be used to support additional scientific research and shall 
be merged with and be available for the same purposes 
as the appropriation or fund to which transferred: Pro-
vided further, That this transfer authority is in addition 
to any other transfer authority available to the National 
Institutes of Health: Provided further, That none of these 
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150 
funds may be transferred to ‘‘National Institutes of 
Health—Buildings and Facilities’’, the Center for Sci-
entific Review, the Center for Information Technology, the 
Clinical Center, the Global Fund for HIV/AIDS, Tuber-
culosis and Malaria, or the Office of the Director (except 
for the transfer to the Common Fund): Provided further, 
That the provisions of section 1103 of this Act shall not 
apply to the peer-reviewed grants awarded under this 
heading. 
BUILDINGS AND FACILITIES 
For an additional amount for ‘‘Buildings and Facili-
ties’’, $500,000,000, to fund high priority repair and im-
provement projects for National Institutes of Health facili-
ties on the Bethesda, Maryland campus and other agency 
locations. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Healthcare Research 
and Quality’’ to carry out titles III and IX of the Public 
Health Service Act, part A of title XI of the Social Secu-
rity Act, and section 1013 of the Medicare Prescription 
Drug, Improvement, and Modernization Act of 2003, 
$700,000,000 for comparative effectiveness research: Pro-
vided, That of the amount appropriated in this paragraph, 
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$400,000,000 shall be transferred to the Office of the Di-
rector of the National Institutes of Health (‘‘Office of the 
Director’’) to conduct or support comparative effectiveness 
research: Provided further, That funds transferred to the 
Office of the Director may be transferred to the national 
research institutes and national centers of the National 
Institutes of Health and to the Common Fund established 
under section 402A(c)(1) of the Public Health Service Act: 
Provided further, That this transfer authority is in addi-
tion to any other transfer authority available to the Na-
tional Institutes of Health: Provided further, That the pro-
visions of section 1103 of this Act shall not apply to the 
peer-reviewed grants awarded under this paragraph: Pro-
vided further, That the amount set aside from this appro-
priation pursuant to section 1106 of this Act shall be not 
more than 1 percent instead of the percentage specified 
in such section. 
In addition, $400,000,000 shall be available for com-
parative effectiveness research to be allocated at the dis-
cretion of the Secretary of Health and Human Services 
(‘‘Secretary’’): Provided, That the funding appropriated in 
this paragraph shall be used to accelerate the development 
and dissemination of research assessing the comparative 
effectiveness of health care treatments and strategies, in-
cluding through efforts that: (1) conduct, support, or syn-
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thesize research that compares the clinical outcomes, ef-
fectiveness, and appropriateness of items, services, and 
procedures that are used to prevent, diagnose, or treat dis-
eases, disorders, and other health conditions; and (2) en-
courage the development and use of clinical registries, clin-
ical data networks, and other forms of electronic health 
data that can be used to generate or obtain outcomes data: 
Provided further, That the Secretary shall enter into a 
contract with the Institute of Medicine, for which no more 
than $1,500,000 shall be made available from funds pro-
vided in this paragraph, to produce and submit a report 
to the Congress and the Secretary by not later than June 
30, 2009, that includes recommendations on the national 
priorities for comparative effectiveness research to be con-
ducted or supported with the funds provided in this para-
graph and that considers input from stakeholders: Pro-
vided further, That the Secretary shall consider any rec-
ommendations of the Federal Coordinating Council for 
Comparative Effectiveness Research established by section 
9201 of this Act and any recommendations included in 
the Institute of Medicine report pursuant to the preceding 
proviso in designating activities to receive funds provided 
in this paragraph and may make grants and contracts 
with appropriate entities, which may include agencies 
within the Department of Health and Human Services and 
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other governmental agencies, as well as private sector enti-
ties, that have demonstrated experience and capacity to 
achieve the goals of comparative effectiveness research: 
Provided further, That the Secretary shall publish infor-
mation on grants and contracts awarded with the funds 
provided under this heading within a reasonable time of 
the obligation of funds for such grants and contracts and 
shall disseminate research findings from such grants and 
contracts to clinicians, patients, and the general public, 
as appropriate: Provided further, That, to the extent fea-
sible, the Secretary shall ensure that the recipients of the 
funds provided by this paragraph offer an opportunity for 
public comment on the research: Provided further, That 
the provisions of section 1103 of this Act shall not apply 
to the peer-reviewed grants awarded under this paragraph: 
Provided further, That the Secretary shall provide the 
Committees on Appropriations of the House of Represent-
atives and the Senate, the Committee on Energy and Com-
merce and the Committee on Ways and Means of the 
House of Representatives, and the Committee on Health, 
Education, Labor, and Pensions and the Committee on Fi-
nance of the Senate with an annual report on the research 
conducted or supported through the funds provided under 
this heading: Provided further, That the Secretary, jointly 
with the Directors of the Agency for Healthcare Research 
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and Quality and the National Institutes of Health, shall 
provide the Committees on Appropriations of the House 
of Representatives and the Senate a fiscal year 2009 oper-
ating plan for the funds appropriated under this heading 
prior to making any Federal obligations of such funds in 
fiscal year 2009, but not later than 90 days after the date 
of enactment of this Act, and a fiscal year 2010 operating 
plan for such funds prior to making any Federal obliga-
tions of such funds in fiscal year 2010, but not later than 
November 1, 2009, that detail the type of research being 
conducted or supported, including the priority conditions 
addressed; and specify the allocation of resources within 
the Department of Health and Human Services: Provided 
further, That the Secretary jointly with the Directors of 
the Agency for Healthcare Research and Quality and the 
National Institutes of Health, shall provide to the Com-
mittees on Appropriations of the House of Representatives 
and the Senate a report on the actual obligations, expendi-
tures, and unobligated balances for each activity funded 
under this heading not later than November 1, 2009, and 
every 6 months thereafter as long as funding provided 
under this heading is available for obligation or expendi-
ture. 
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ADMINISTRATION FOR CHILDREN AND FAMILIES 
LOW-INCOME HOME ENERGY ASSISTANCE 
For an additional amount for ‘‘Low-Income Home 
Energy Assistance’’ for making payments under section 
2602(b) and section 2602(d) of the Low-Income Home 
Energy Assistance Act of 1981, $1,000,000,000, which 
shall become available on October 1, 2009: Provided, That 
the provisions of section 1106 of this Act shall not apply 
to this appropriation. 
PAYMENTS TO STATES FOR THE CHILD CARE AND 
DEVELOPMENT BLOCK GRANT 
For an additional amount for ‘‘Payments to States 
for the Child Care and Development Block Grant’’, 
$2,000,000,000, of which $1,000,000,000 shall become 
available on October 1, 2009, which shall be used to sup-
plement, not supplant State general revenue funds for 
child care assistance for low-income families: Provided, 
That the provisions of section 1106 of this Act shall not 
apply to this appropriation. 
CHILDREN AND FAMILIES SERVICES PROGRAMS 
For an additional amount for ‘‘Children and Families 
Services Programs’’, $3,200,000,000, which shall be used 
as follows: 
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(1) $1,000,000,000 for carrying out activities 
under the Head Start Act, of which $500,000,000 
shall become available on October 1, 2009; 
(2) $1,100,000,000 for expansion of Early 
Head Start programs, as described in section 645A 
of the Head Start Act, of which $550,000,000 shall 
become available on October 1, 2009: Provided, That 
of the funds provided in this sentence, up to 10 per-
cent shall be available for the provision of training 
and technical assistance to such programs consistent 
with section 645A(g)(2) of such Act, and up to 3 
percent shall be available for monitoring the oper-
ation of such programs consistent with section 641A 
of such Act: Provided further, That the preceding 
proviso shall apply to this appropriation in lieu of 
the provisions of section 1106 of this Act: Provided 
further, That the provisions of section 1103 of this 
Act shall not apply to this appropriation; 
(3) $1,000,000,000 for carrying out activities 
under sections 674 through 679 of the Community 
Services Block Grant Act, of which $500,000,000 
shall become available on October 1, 2009, and of 
which no part shall be subject to paragraphs (2) and 
(3) of section 674(b) of such Act: Provided, That 
notwithstanding section 675C(a)(1) of such Act, 100 
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percent of the funds made available to a State from 
this additional amount shall be distributed to eligible 
entities as defined in section 673(1) of such Act: 
Provided further, That for services furnished under 
such Act during fiscal years 2009 and 2010, States 
may apply the last sentence of section 673(2) of 
such Act by substituting ‘‘200 percent’’ for ‘‘125 
percent’’: Provided further, That the provisions of 
section 1106 of this Act shall not apply to this ap-
propriation; and 
(4) $100,000,000 for carrying out activities 
under section 1110 of the Social Security Act, of 
which $50,000,000 shall become available on Octo-
ber 1, 2009: Provided, That the Secretary of Health 
and Human Services shall distribute such amount 
under the Compassion Capital Fund to eligible faith- 
based and community organizations: Provided fur-
ther, That the provisions of section 1106 of this Act 
shall not apply to this appropriation. 
ADMINISTRATION ON AGING 
AGING SERVICES PROGRAMS 
For an additional amount for ‘‘Aging Services Pro-
grams’’ under section 311, and subparts 1 and 2 of part 
C, of title III of the Older Americans Act of 1965, 
$200,000,000, of which $100,000,000 shall become avail-
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158 
able on October 1, 2009: Provided, That the provisions 
of section 1106 of this Act shall not apply to this appro-
priation. 
OFFICE OF THE SECRETARY 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH 
INFORMATION TECHNOLOGY 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Office of the National 
Coordinator for Health Information Technology’’ to carry 
out section 9202 of this Act, $2,000,000,000, to remain 
available until expended: Provided, That of such amount, 
the Secretary of Health and Human Services shall trans-
fer $20,000,000 to the Director of the National Institute 
of Standards and Technology in the Department of Com-
merce for continued work on advancing health care infor-
mation enterprise integration through activities such as 
technical standards analysis and establishment of con-
formance testing infrastructure, so long as such activities 
are coordinated with the Office of the National Coordi-
nator for Health Information Technology: Provided fur-
ther, That the provisions of section 1103 of this Act shall 
not apply to this appropriation: Provided further, That the 
amount set aside from this appropriation pursuant to sec-
tion 1106 of this Act shall be 0.25 percent instead of the 
percentage specified in such section: Provided further, 
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That funds available under this heading shall become 
available for obligation only upon submission of an annual 
operating plan by the Secretary to the Committees on Ap-
propriations of the House of Representatives and the Sen-
ate: Provided further, That the fiscal year 2009 operating 
plan shall be provided not later than 90 days after enact-
ment of this Act and that subsequent annual operating 
plans shall be provided not later than November 1 of each 
year: Provided further, That these operating plans shall 
describe how expenditures are aligned with the specific ob-
jectives, milestones, and metrics of the Federal Health In-
formation Technology Strategic Plan, including any subse-
quent updates to the Plan; the allocation of resources 
within the Department of Health and Human Services and 
other Federal agencies; and the identification of programs 
and activities that are supported: Provided further, That 
the Secretary shall provide to the Committees on Appro-
priations of the House of Representatives and the Senate 
a report on the actual obligations, expenditures, and unob-
ligated balances for each major set of activities not later 
than November 1, 2009, and every 6 months thereafter 
as long as funding provided under this heading is available 
for obligation or expenditure: Provided further, That the 
Comptroller General of the United States shall review on 
an annual basis the expenditures from funds provided 
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under this heading to determine if such funds are used 
in a manner consistent with the purpose and requirements 
under this heading. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY 
FUND 
(INCLUDING TRANSFER OF FUNDS) 
For an additional amount for ‘‘Public Health and So-
cial Services Emergency Fund’’ to support advanced re-
search and development pursuant to section 319L of the 
Public Health Service Act, $430,000,000: Provided, That 
the provisions of section 1103 of this Act shall not apply 
to this appropriation. 
For an additional amount for ‘‘Public Health and So-
cial Services Emergency Fund’’ to prepare for and re-
spond to an influenza pandemic, including the develop-
ment and purchase of vaccine, antivirals, necessary med-
ical supplies, diagnostics, and other surveillance tools, 
$420,000,000: Provided, That the provisions of section 
1103 of this Act shall not apply to this appropriation: Pro-
vided further, That products purchased with these funds 
may, at the discretion of the Secretary of Health and 
Human Services (‘‘Secretary’’), be deposited in the Stra-
tegic National Stockpile: Provided further, That notwith-
standing section 496(b) of the Public Health Service Act, 
funds may be used for the construction or renovation of 
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privately owned facilities for the production of pandemic 
influenza vaccine and other biologics, where the Secretary 
finds such a contract necessary to secure sufficient sup-
plies of such vaccines or biologics: Provided further, That 
funds appropriated in this paragraph may be transferred 
to other appropriation accounts of the Department of 
Health and Human Services, as determined by the Sec-
retary to be appropriate, to be used for the purposed speci-
fied in this sentence. 
For an additional amount for ‘‘Public Health and So-
cial Services Emergency Fund’’ to improve information 
technology security at the Department of Health and 
Human Services, $50,000,000: Provided, That the Sec-
retary shall prepare and submit a report by not later than 
November 1, 2009, and by not later than 15 days after 
the end of each month thereafter, updating the status of 
actions taken and funds obligated in this and previous ap-
propriations Acts for pandemic influenza preparedness 
and response activities, biomedical advanced research and 
development activities, Project BioShield, and Cyber Secu-
rity. 
PREVENTION AND WELLNESS FUND 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses for a ‘‘Prevention and 
Wellness Fund’’ to be administered through the Depart-
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162 
ment of Health and Human Services Office of the Sec-
retary, $3,000,000,000: Provided, That the provisions of 
section 1103 of this Act shall not apply to this appropria-
tion: Provided further, That of the amount appropriated 
under this heading not less than $2,350,000,000 shall be 
transferred to the Centers for Disease Control and Pre-
vention as follows: 
(1) not less than $954,000,000 shall be used as 
an additional amount to carry out the immunization 
program authorized by section 317(a), (j), and 
(k)(1) of the Public Health Service Act (‘‘section 
317 
immunization 
program’’), 
of 
which 
$649,900,000 shall be available on October 1, 2009; 
(2) not less than $296,000,000 shall be used as 
an additional amount to carry out Part A of title 
XIX of the Public Health Service Act, of which 
$148,000,000 shall be available on October 1, 2009; 
(3) not less than $545,000,000 shall be used as 
an additional amount to carry out chronic disease, 
health promotion, and genomics programs, as jointly 
determined by the Secretary of Health and Human 
Services (‘‘Secretary’’) and the Director of the Cen-
ters for Disease Control and Prevention (‘‘Direc-
tor’’); 
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Provided further, That of the amount appropriated under 
this heading not less than $150,000,000 shall be available 
for an additional amount to carry out activities to imple-
ment a national action plan to prevent healthcare-associ-
ated infections, as determined by the Secretary, of which 
not less $50,000,000 shall be provided to States to imple-
ment healthcare-associated infection reduction strategies: 
Provided further, That of the amount appropriated under 
this heading $500,000,000 shall be used to carry out evi-
dence-based clinical and community-based prevention and 
wellness strategies and public health workforce develop-
ment activities authorized by the Public Health Service 
Act, as determined by the Secretary, that deliver specific, 
measurable health outcomes that address chronic and in-
fectious disease rates and health disparities, which shall 
include evidence-based interventions in obesity, diabetes, 
heart disease, cancer, tobacco cessation and smoking pre-
vention, and oral health, and which may be used for the 
Healthy Communities program administered by the Cen-
ters for Disease Control and Prevention and other existing 
community-based programs administered by the Depart-
ment of Health and Human Services: Provided further, 
That funds appropriated in the preceding proviso may be 
transferred to other appropriation accounts of the Depart-
ment of Health and Human Services, as determined by 
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the Secretary to be appropriate: Provided further, That the 
Secretary shall, directly or through contracts with public 
or private entities, provide for annual evaluations of pro-
grams carried out with funds provided under this heading 
in order to determine the quality and effectiveness of the 
programs: Provided further, That the Secretary shall, not 
later than 1 year after the date of enactment of this Act, 
submit to the Committees on Appropriations of the House 
of Representatives and the Senate, the Committee on En-
ergy and Commerce of the House of Representatives, and 
the Committee on Health, Education, Labor, and Pen-
sions of the Senate, a report (1) summarizing the annual 
evaluations of programs from the preceding proviso; and 
(2) making recommendations concerning future spending 
on prevention and wellness activities, including any rec-
ommendations made by the United States Preventive 
Services Task Force in the area of clinical preventive serv-
ices and the Task Force on Community Preventive Serv-
ices in the area of community preventive services: Provided 
further, That the Secretary shall enter into a contract with 
the Institute of Medicine, for which no more than 
$1,500,000 shall be made available from funds provided 
in this paragraph, to produce and submit a report to the 
Congress and the Secretary by no later than 1 year after 
the date of enactment of this Act that includes rec-
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ommendations on the national priorities for clinical and 
community-based prevention and wellness activities that 
will have a positive impact in preventing illness or reduc-
ing healthcare costs and that considers input from stake-
holders: Provided further, That the Secretary shall provide 
to the Committees on Appropriations of the House of Rep-
resentatives and the Senate a fiscal year 2009 operating 
plan for the Prevention and Wellness Fund prior to mak-
ing any Federal obligations of funds provided under this 
heading in fiscal year 2009 (excluding funds to carry out 
the section 317 immunization program), but not later than 
90 days after the date of enactment of this Act, and a 
fiscal year 2010 operating plan for the Prevention and 
Wellness Fund prior to making any Federal obligations 
of funds provided under this heading in fiscal year 2010 
(excluding funds to carry out the section 317 immuniza-
tion program), but not later than November 1, 2009, that 
indicate the prevention priorities to be addressed; provide 
measurable goals for each prevention priority; detail the 
allocation of resources within the Department of Health 
and Human Services; and identify which programs or ac-
tivities are supported, including descriptions of any new 
programs or activities: Provided further, That the Sec-
retary shall provide to the Committees on Appropriations 
of the House of Representatives and the Senate a report 
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on the actual obligations, expenditures, and unobligated 
balances for each activity funded under this heading not 
later than November 1, 2009 and every 6 months there-
after as long as funding provided under this heading is 
available for obligation or expenditure. 
GENERAL PROVISIONS, THIS SUBTITLE 
SEC. 9201. FEDERAL COORDINATING COUNCIL FOR COM-
PARATIVE EFFECTIVENESS RESEARCH. 
(a) ESTABLISHMENT.—There is hereby established a 
Federal Coordinating Council for Comparative Effective-
ness Research (in this section referred to as the ‘‘Coun-
cil’’). 
(b) PURPOSE; DUTIES.—The Council shall— 
(1) assist the offices and agencies of the Fed-
eral Government, including the Departments of 
Health and Human Services, Veterans Affairs, and 
Defense, and other Federal departments or agencies, 
to coordinate the conduct or support of comparative 
effectiveness and related health services research; 
and 
(2) advise the President and Congress on— 
(A) strategies with respect to the infra-
structure needs of comparative effectiveness re-
search within the Federal Government; 
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(B) appropriate organizational expendi-
tures for comparative effectiveness research by 
relevant Federal departments and agencies; and 
(C) opportunities to assure optimum co-
ordination of comparative effectiveness and re-
lated health services research conducted or sup-
ported by relevant Federal departments and 
agencies, with the goal of reducing duplicative 
efforts and encouraging coordinated and com-
plementary use of resources. 
(c) MEMBERSHIP.— 
(1) NUMBER AND APPOINTMENT.—The Council 
shall be composed of not more than 15 members, all 
of whom are senior Federal officers or employees 
with responsibility for health-related programs, ap-
pointed by the President, acting through the Sec-
retary of Health and Human Services (in this sec-
tion referred to as the ‘‘Secretary’’). Members shall 
first be appointed to the Council not later than 30 
days after the date of the enactment of this Act. 
(2) MEMBERS.— 
(A) IN
GENERAL.—The members of the 
Council shall include one senior officer or em-
ployee from each of the following agencies: 
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(i) The Agency for Healthcare Re-
search and Quality. 
(ii) The Centers for Medicare and 
Medicaid Services. 
(iii) 
The 
National 
Institutes 
of 
Health. 
(iv) The Office of the National Coor-
dinator for Health Information Tech-
nology. 
(v) The Food and Drug Administra-
tion. 
(vi) The Veterans Health Administra-
tion within the Department of Veterans 
Affairs. 
(vii) The office within the Department 
of Defense responsible for management of 
the 
Department 
of 
Defense 
Military 
Health Care System. 
(B) QUALIFICATIONS.—At least half of the 
members of the Council shall be physicians or 
other experts with clinical expertise. 
(3) CHAIRMAN; VICE
CHAIRMAN.—The Sec-
retary shall serve as Chairman of the Council and 
shall designate a member to serve as Vice Chairman. 
(d) REPORTS.— 
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(1) INITIAL REPORT.—Not later than June 30, 
2009, the Council shall submit to the President and 
the Congress a report containing information de-
scribing Federal activities on comparative effective-
ness research and recommendations for additional 
investments in such research conducted or supported 
from funds made available for allotment by the Sec-
retary for comparative effectiveness research in this 
Act. 
(2) ANNUAL REPORT.—The Council shall sub-
mit to the President and Congress an annual report 
regarding its activities and recommendations con-
cerning the infrastructure needs, appropriate organi-
zational expenditures and opportunities for better 
coordination of comparative effectiveness research by 
relevant Federal departments and agencies. 
(e) STAFFING; SUPPORT.—From funds made avail-
able for allotment by the Secretary for comparative effec-
tiveness research in this Act, the Secretary shall make 
available not more than 1 percent to the Council for staff 
and administrative support. 
SEC. 9202. INVESTMENT IN HEALTH INFORMATION TECH-
NOLOGY. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall invest in the infrastructure nec-
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essary to allow for and promote the electronic exchange 
and use of health information for each individual in the 
United States consistent with the goals outlined in the 
Strategic Plan developed by the Office of the National Co-
ordinator for Health Information Technology. Such invest-
ment shall include investment in at least the following: 
(1) Health information technology architecture 
that will support the nationwide electronic exchange 
and use of health information in a secure, private, 
and accurate manner, including connecting health 
information exchanges, and which may include up-
dating and implementing the infrastructure nec-
essary within different agencies of the Department 
of Health and Human Services to support the elec-
tronic use and exchange of health information. 
(2) Integration of health information tech-
nology, including electronic medical records, into the 
initial and ongoing training of health professionals 
and others in the healthcare industry who would be 
instrumental to improving the quality of healthcare 
through the smooth and accurate electronic use and 
exchange of health information as determined by the 
Secretary. 
(3) Training on and dissemination of informa-
tion on best practices to integrate health information 
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technology, including electronic records, into a pro-
vider’s delivery of care, including community health 
centers receiving assistance under section 330 of the 
Public Health Service Act and providers partici-
pating in one or more of the programs under titles 
XVIII, XIX, and XXI of the Social Security Act (re-
lating to Medicare, Medicaid, and the State Chil-
drens Health Insurance Program). 
(4) Infrastructure and tools for the promotion 
of telemedicine, including coordination among Fed-
eral agencies in the promotion of telemedicine. 
(5) Promotion of the interoperability of clinical 
data repositories or registries. 
The Secretary shall implement paragraph (3) in coordina-
tion with State agencies administering the Medicaid pro-
gram and the State Children’s Health Insurance Program. 
(b) LIMITATION.—None of the funds appropriated to 
carry out this section may be used to make significant in-
vestments in, or provide significant funds for, the acquisi-
tion of hardware or software or for the use of an electronic 
health or medical record, or significant components there-
of, unless such investments or funds are for certified prod-
ucts that would permit the full and accurate electronic ex-
change and use of health information in a medical record, 
including standards for security, privacy, and quality im-
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provement functions adopted by the Office of the National 
Coordinator for Health Information Technology. 
(c) REPORT.—The Secretary shall annually report to 
the Committees on Energy and Commerce, on Ways and 
Means, on Science and Technology, and on Appropriations 
of the House of Representatives and the Committees on 
Finance, on Health, Education, Labor, and Pensions, and 
on Appropriations of the Senate on the uses of these funds 
and their impact on the infrastructure for the electronic 
exchange and use of health information. 
Subtitle C—Education 
DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For an additional amount for ‘‘Education for the Dis-
advantaged’’ to carry out title I of the Elementary and 
Secondary 
Education 
Act 
of 
1965 
(‘‘ESEA’’), 
$13,000,000,000: Provided, That $5,500,000,000 shall be 
available for targeted grants under section 1125 of the 
ESEA, of which $2,750,000,000 shall become available on 
July 1, 2009, and shall remain available through Sep-
tember 30, 2010, and $2,750,000,000 shall become avail-
able on July 1, 2010, and shall remain available through 
September 
30, 
2011: 
Provided 
further, 
That 
$5,500,000,000 shall be available for education finance in-
centive grants under section 1125A of the ESEA, of which 
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$2,750,000,000 shall become available on July 1, 2009, 
and shall remain available through September 30, 2010, 
and $2,750,000,000 shall become available on July 1, 
2010, and shall remain available through September 30, 
2011: Provided further, That $2,000,000,000 shall be for 
school improvement grants under section 1003(g) of the 
ESEA, of which $1,000,000,000 shall become available on 
July 1, 2009, and shall remain available through Sep-
tember 30, 2010, and $1,000,000,000 shall become avail-
able on July 1, 2010, and shall remain available through 
September 30, 2011: Provided further, That the provisions 
of section 1106 of this Act shall not apply to this appro-
priation. 
IMPACT AID 
For an additional amount for ‘‘Impact Aid’’ to carry 
out section 8007 of title VIII of the Elementary and Sec-
ondary Education Act of 1965, $100,000,000, which shall 
remain available through September 30, 2010: Provided, 
That the amount set aside from this appropriation pursu-
ant to section 1106 of this Act shall be 1 percent instead 
of the percentage specified in such section. 
SCHOOL IMPROVEMENT PROGRAMS 
For an additional amount for ‘‘School Improvement 
Programs’’ to carry out subpart 1, part D of title II of 
the Elementary and Secondary Education Act of 1965 
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(‘‘ESEA’’), and subtitle B of title VII of the McKinney- 
Vento Homeless Assistance Act, $1,066,000,000: Pro-
vided, That $1,000,000,000 shall be available for subpart 
1, part D of title II of the ESEA, of which $500,000,000 
shall become available on July 1, 2009, and shall remain 
available through September 30, 2010, and $500,000,000 
shall become available on July 1, 2010, and remain avail-
able through September 30, 2011: Provided further, That 
the provisions of section 1106 of this Act shall not apply 
to these funds: Provided further, That $66,000,000 shall 
be available for subtitle B of title VII of the McKinney- 
Vento Homeless Assistance Act, of which $33,000,000 
shall become available on July 1, 2009, and shall remain 
available through September 30, 2010, and $33,000,000 
shall become available on July 1, 2010, and remain avail-
able through September 30, 2011. 
INNOVATION AND IMPROVEMENT 
For an additional amount for ‘‘Innovation and Im-
provement’’ to carry out subpart 1, part D and subpart 
2, part B of title V of the Elementary and Secondary Edu-
cation Act of 1965 (‘‘ESEA’’), $225,000,000: Provided, 
That $200,000,000 shall be available for subpart 1, part 
D of title V of the ESEA: Provided further, That these 
funds shall be expended as directed in the fifth, sixth, and 
seventh provisos under the heading ‘‘Innovation and Im-
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