H. R. 3288—219 
heading, $1,000,000 shall be transferred to the National Commis-
sion on Children and Disasters to carry out title VI of division 
G of Public Law 110–161: Provided further, That $20,785,000 shall 
be used for the projects, and in the amounts, specified under the 
heading ‘‘Children and Families Services Programs’’ in the state-
ment of the managers on the conference report accompanying this 
Act. 
PROMOTING SAFE AND STABLE FAMILIES 
For carrying out section 436 of the Social Security Act, 
$345,000,000 and section 437 of such Act, $63,311,000. 
PAYMENTS FOR FOSTER CARE AND PERMANENCY 
For making payments to States or other non-Federal entities 
under title IV–E of the Social Security Act, $5,532,000,000. 
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 2011, $1,850,000,000. 
For making, after May 31 of the current fiscal year, payments 
to States or other non-Federal entities under section 474 of title 
IV–E of the Social Security Act, 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. 
ADMINISTRATION ON AGING 
AGING SERVICES PROGRAMS 
For carrying out, to the extent not otherwise provided, the 
Older Americans Act of 1965, section 398 and title XXIX of the 
Public Health Service Act, and section 119 of the Medicare Improve-
ments for Patients and Providers Act of 2008, $1,516,297,000, of 
which $5,500,000 shall be available for activities regarding medica-
tion management, screening, and education to prevent incorrect 
medication and adverse drug reactions: Provided, That $5,974,000 
shall be used for the projects, and in the amounts, specified under 
the heading ‘‘Aging Services Programs’’ in the statement of the 
managers on the conference report accompanying this Act. 
OFFICE OF THE SECRETARY 
GENERAL DEPARTMENTAL MANAGEMENT 
(INCLUDING TRANSFER OF FUNDS) 
For necessary expenses, not otherwise provided, for general 
departmental management, including hire of six sedans, and for 
carrying out titles III, IV, XVII, XX, and XXI of the Public Health 
Service Act (‘‘PHS Act’’), the United States-Mexico Border Health 
Commission Act, and research studies under section 1110 of the 
Social Security Act, $493,377,000, together with $5,851,000 to be 
transferred and expended as authorized by section 201(g)(1) of 
the Social Security Act from the Federal Hospital Insurance Trust 
Fund and the Federal Supplementary Medical Insurance Trust 
Fund, and $65,211,000 from the amounts available under section 
241 of the PHS Act to carry out national health or human services
H. R. 3288—220 
research and evaluation activities: Provided, That of this amount, 
$53,891,000 shall be for minority AIDS prevention and treatment 
activities; $5,789,000 shall be to assist Afghanistan in the develop-
ment of maternal and child health clinics, consistent with section 
103(a)(4)(H) of the Afghanistan Freedom Support Act of 2002; and 
$1,000,000 shall be transferred, not later than 30 days after enact-
ment of this Act, to the National Institute of Mental Health to 
administer the Interagency Autism Coordinating Committee: Pro-
vided further, That all of the funds made available under this 
heading for carrying out title XX of the PHS Act shall be for 
activities specified under section 2003(b)(1) of such title XX: Pro-
vided further, That of the funds made available under this heading, 
$110,000,000 shall be for making competitive contracts and grants 
to public and private entities to fund medically accurate and age 
appropriate programs that reduce teen pregnancy and for the Fed-
eral costs associated with administering and evaluating such con-
tracts and grants, of which not less than $75,000,000 shall be 
for replicating programs that have been proven effective through 
rigorous evaluation to reduce teenage pregnancy, behavioral risk 
factors underlying teenage pregnancy, or other associated risk fac-
tors, of which not less than $25,000,000 shall be available for 
research and demonstration grants to develop, replicate, refine, 
and test additional models and innovative strategies for preventing 
teenage pregnancy, and of which any remaining amounts shall 
be available for training and technical assistance, evaluation, out-
reach, and additional program support activities: Provided further, 
That of the amounts provided under this heading from amounts 
available under section 241 of the PHS Act, $4,455,000 shall be 
available to carry out evaluations (including longitudinal evalua-
tions) of teenage pregnancy prevention approaches: Provided fur-
ther, That funds provided in this Act for embryo adoption activities 
may be used to provide, to individuals adopting embryos, through 
grants and other mechanisms, medical and administrative services 
deemed necessary for such adoptions: Provided further, That such 
services shall be provided consistent with 42 CFR 59.5(a)(4): Pro-
vided further, That $1,650,000 shall be used for the projects, and 
in the amounts, specified under the heading ‘‘General Departmental 
Management’’ in the statement of the managers on the conference 
report accompanying this Act. 
OFFICE OF MEDICARE HEARINGS AND APPEALS 
For expenses necessary for administrative law judges respon-
sible for hearing cases under title XVIII of the Social Security 
Act (and related provisions of title XI of such Act), $71,147,000, 
to be transferred in appropriate part from the Federal Hospital 
Insurance Trust Fund and the Federal Supplementary Medical 
Insurance Trust Fund. 
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION 
TECHNOLOGY 
For expenses necessary for the Office of the National Coordi-
nator for Health Information Technology, including grants, con-
tracts, and cooperative agreements for the development and 
advancement of interoperable health information technology, 
$42,331,000: Provided, That in addition to amounts provided herein,
H. R. 3288—221 
$19,011,000 shall be available from amounts available under section 
241 of the Public Health Service Act. 
OFFICE OF INSPECTOR GENERAL 
For expenses necessary for the Office of Inspector General, 
including the hire of passenger motor vehicles for investigations, 
in carrying out the provisions of the Inspector General Act of 
1978, $50,279,000: Provided, That of such amount, necessary sums 
shall be available for providing protective services to the Secretary 
of Health and Human Services and investigating non-payment of 
child support cases for which non-payment is a Federal offense 
under 18 U.S.C. 228: Provided further, That at least forty percent 
of the funds provided in this Act for the Office of Inspector General 
shall be used only for investigations, audits, and evaluations per-
taining to the discretionary programs funded in this Act. 
OFFICE FOR CIVIL RIGHTS 
For expenses necessary for the Office for Civil Rights, 
$37,785,000, together with not to exceed $3,314,000 to be trans-
ferred and expended as authorized by section 201(g)(1) of the Social 
Security Act from the Federal Hospital Insurance Trust Fund and 
the Federal Supplementary Medical Insurance Trust Fund. 
RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED 
OFFICERS 
For retirement pay and medical benefits of Public Health 
Service Commissioned Officers as authorized by law, for payments 
under the Retired Serviceman’s Family Protection Plan and Sur-
vivor Benefit Plan, and for medical care of dependents and retired 
personnel under the Dependents’ Medical Care Act, such amounts 
as may be required during the current fiscal year. 
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND 
(INCLUDING TRANSFER OF FUNDS) 
For expenses necessary to support activities related to coun-
tering potential biological, nuclear, radiological, chemical, and 
cybersecurity threats to civilian populations, and for other public 
health emergencies and to pay the costs described in section 319F– 
2(c)(7)(B) 
of 
the 
Public 
Health 
Service 
Act 
(‘‘PHS 
Act’’), 
$617,942,000; of which $33,065,000 shall be to support preparedness 
and emergency operations, of which $5,000,000 shall remain avail-
able through September 30, 2011; and of which $10,000,000, to 
remain available through September 30, 2011, shall be to support 
the delivery of medical countermeasures: Provided, That of the 
amount made available herein for the delivery of medical counter-
measures, up to $8,000,000 may be transferred to the U.S. Postal 
Service to support delivery of medical countermeasures. 
For expenses necessary to support advanced research and 
development pursuant to section 319L of the PHS Act, $305,000,000, 
to be derived by transfer from funds appropriated under the heading 
‘‘Biodefense Countermeasures’’ in the Department of Homeland 
Security Appropriations Act, 2004, to remain available through 
September 30, 2011.
H. R. 3288—222 
For expenses necessary to prepare for and respond to an 
influenza pandemic, $354,167,000, of which $276,000,000 shall be 
available until expended, for activities including the development 
and purchase of vaccine, antivirals, necessary medical supplies, 
diagnostics, and other surveillance tools: Provided, That products 
purchased with these funds may, at the discretion of the Secretary 
of Health and Human Services, be deposited in the Strategic 
National Stockpile under section 319F–2(a) of the PHS Act: Pro-
vided further, That notwithstanding section 496(b) of the PHS Act, 
funds may be used for the construction or renovation of privately 
owned facilities for the production of pandemic influenza vaccines 
and other biologics, if the Secretary finds such construction or 
renovation necessary to secure sufficient supplies of such vaccines 
or biologics: Provided further, That funds appropriated herein may 
be transferred to other appropriation accounts of the Department 
of Health and Human Services, as determined by the Secretary 
to be appropriate, to be used for the purposes specified in this 
paragraph. 
All remaining balances from funds appropriated under the 
heading ‘‘Biodefense Countermeasures’’ in the Department of Home-
land Security Appropriations Act, 2004, shall be transferred to 
this account, and shall remain available for obligation through 
September 30, 2013, for the procurement of medical counter-
measures pursuant to section 319F–2(c) of the PHS Act: Provided, 
That products purchased with these funds shall be deposited in 
the Strategic National Stockpile under section 319F–2(a) of the 
PHS Act. 
For expenses necessary for fit-out and other costs related to 
a competitive lease procurement to renovate or replace the existing 
headquarters building for Public Health Service agencies and other 
components of the Department of Health and Human Services, 
$69,585,000, to remain available until expended. 
GENERAL PROVISIONS 
SEC. 201. Funds appropriated in this title shall be available 
for not to exceed $50,000 for official reception and representation 
expenses when specifically approved by the Secretary of Health 
and Human Services. 
SEC. 202. The Secretary of Health and Human Services 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 in this Act for the 
National Institutes of Health, the Agency for Healthcare Research 
and Quality, 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 Executive Level I. 
SEC. 204. 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 preparation