H. R. 1105—260 
SEC. 218. Not to exceed $35,000,000 of funds appropriated 
by this Act to the institutes and centers of the National Institutes 
of Health may be used for alteration, repair, or improvement of 
facilities, as necessary for the proper and efficient conduct of the 
activities authorized herein, at not to exceed $2,500,000 per project. 
(TRANSFER OF FUNDS) 
SEC. 219. Of the amounts made available for the National 
Institutes of Health, 1 percent of the amount made available for 
National Research Service Awards (‘‘NRSA’’) shall be made avail-
able to the Administrator of the Health Resources and Services 
Administration to make NRSA awards for research in primary 
medical care to individuals affiliated with entities who have received 
grants or contracts under section 747 of the Public Health Service 
Act, and 1 percent of the amount made available for NRSA shall 
be made available to the Director of the Agency for Healthcare 
Research and Quality to make NRSA awards for health service 
research. 
SEC. 220. Section 223 of division G of the Consolidated Appro-
priations Act, 2008, is amended in its first proviso by striking 
‘‘for’’ the first time it appears and inserting ‘‘in’’. 
SEC. 221. (a) IN GENERAL.—Section 1927(c)(1)(D) of the Social 
Security Act (42 U.S.C. § 1396r–8(c)(1)(D)), as added by section 
6001(d)(2) of the Deficit Reduction Act of 2005, is amended— 
(1) in clause (i)— 
(A) by redesignating subclause (IV) as subclause (VI); and 
(B) by inserting after subclause (III) the following: 
‘‘(IV) An entity that— 
‘‘(aa) is described in section 501(c)(3) of 
the Internal Revenue Code of 1986 and exempt 
from tax under section 501(a) of such Act or 
is State-owned or operated; and 
‘‘(bb) would be a covered entity described 
in section 340(B)(a)(4) of the Public Health 
Service Act insofar as the entity provides the 
same type of services to the same type of 
populations as a covered entity described in 
such section provides, but does not receive 
funding under a provision of law referred to 
in such section; 
‘‘(V) A public or nonprofit entity, or an entity 
based at an institution of higher learning whose 
primary purpose is to provide health care services 
to students of that institution, that provides a 
service or services described under section 1001(a) 
of the Public Health Service Act, 42 U.S.C. 300.’’. 
(2) by adding at the end the following new clause: 
‘‘(iv) RULE
OF CONSTRUCTION.—Nothing in this 
subparagraph shall be construed to alter any existing 
statutory or regulatory prohibition on services with 
respect to an entity described in clause (i)(IV), 
including the prohibition set forth in section 1008 of 
the Public Health Service Act.’’. 
(b) EFFECTIVE DATE.—The amendments made by this sub-
section shall take effect as if included in the amendment made 
by section 6001(d)(2) of the Deficit Reduction Act of 2005.
H. R. 1105—261 
SEC. 222. Section 202 of Public Law 102–394 is hereby amended 
by substituting ‘‘4,000’’ for ‘‘2,800’’. 
SEC. 223. Within 60 days of passage of this Act, the Secretary 
of the Department of Health and Human Services shall issue an 
Advanced Notice of Proposed Rulemaking to solicit public comment 
in advance of modifying regulations at 42 CFR Part 50 Subpart 
F for the purpose of strengthening Federal oversight and identifying 
enhancements of policies, including requirements for financial 
disclosure to institutions, governing financial conflicts of interest 
among extramural investigators receiving grant support from the 
National Institutes of Health. 
SEC. 224. Hereafter, the activities authorized under section 
399M of the Public Health Service Act shall be known as the 
‘‘James T. Walsh Universal Newborn Hearing Screening Program.’’ 
(RESCISSION OF FUNDS) 
SEC. 225. Of the funds available for carrying out section 204 
of the Ticket to Work and Work Incentives Improvement Act of 
1999 (Public Law 106–170), $21,500,000 are rescinded: Provided, 
That notwithstanding subsection (c)(3)(B) of such section, in no 
case may the aggregate amount of payments made by the Secretary 
of Health and Human Services to States under such section exceed 
$223,500,000. 
SEC. 226. Section 1941(b)(1)(B) of the Social Security Act, as 
added by section 7002(b) of the Supplemental Appropriations Act, 
2008, is amended by inserting ‘‘each of’’ after ‘‘for’’. 
This title may be cited as the ‘‘Department of Health and 
Human Services Appropriations Act, 2009’’. 
TITLE III 
DEPARTMENT OF EDUCATION 
EDUCATION FOR THE DISADVANTAGED 
For carrying out title I of the Elementary and Secondary Edu-
cation Act of 1965 (‘‘ESEA’’) and section 418A of the Higher Edu-
cation Act of 1965, $15,760,086,000, of which $4,739,881,000 shall 
become available on July 1, 2009, and shall remain available 
through September 30, 2010, and of which $10,841,176,000 shall 
become available on October 1, 2009, and shall remain available 
through September 30, 2010, for academic year 2009–2010: Pro-
vided, That $6,597,946,000 shall be for basic grants under section 
1124 of the ESEA: Provided further, That up to $4,000,000 of 
these funds shall be available to the Secretary of Education on 
October 1, 2008, to obtain annually updated local educational- 
agency-level census poverty data from the Bureau of the Census: 
Provided further, That $1,365,031,000 shall be for concentration 
grants under section 1124A of the ESEA: Provided further, That 
$3,264,712,000 shall be for targeted grants under section 1125 
of the ESEA: Provided further, That $3,264,712,000 shall be for 
education finance incentive grants under section 1125A of the 
ESEA: Provided further, That $9,167,000 shall be to carry out 
sections 1501 and 1503 of the ESEA.
H. R. 1105—262 
IMPACT AID 
For carrying out programs of financial assistance to federally 
affected schools authorized by title VIII of the Elementary and 
Secondary Education Act of 1965, $1,265,718,000, of which 
$1,128,535,000 shall be for basic support payments under section 
8003(b), $48,602,000 shall be for payments for children with disabil-
ities under section 8003(d), $17,509,000 shall be for construction 
under section 8007(b) and shall remain available through Sep-
tember 30, 2010, $66,208,000 shall be for Federal property pay-
ments under section 8002, and $4,864,000, to remain available 
until expended, shall be for facilities maintenance under section 
8008: Provided, That for purposes of computing the amount of 
a payment for an eligible local educational agency under section 
8003(a) for school year 2008–2009, children enrolled in a school 
of such agency that would otherwise be eligible for payment under 
section 8003(a)(1)(B) of such Act, but due to the deployment of 
both parents or legal guardians, or a parent or legal guardian 
having sole custody of such children, or due to the death of a 
military parent or legal guardian while on active duty (so long 
as such children reside on Federal property as described in section 
8003(a)(1)(B)), are no longer eligible under such section, shall be 
considered as eligible students under such section, provided such 
students remain in average daily attendance at a school in the 
same local educational agency they attended prior to their change 
in eligibility status. 
SCHOOL IMPROVEMENT PROGRAMS 
For carrying out school improvement activities authorized by 
parts A, B, and D of title II, part B of title IV, subparts 6 and 
9 of part D of title V, parts A and B of title VI, and parts B 
and C of title VII of the Elementary and Secondary Education 
Act of 1965 (‘‘ESEA’’); the McKinney-Vento Homeless Assistance 
Act; section 203 of the Educational Technical Assistance Act of 
2002; the Compact of Free Association Amendments Act of 2003; 
and the Civil Rights Act of 1964, $5,362,016,000, of which 
$3,495,865,000 shall become available on July 1, 2009, and remain 
available through September 30, 2010, and of which $1,681,441,000 
shall become available on October 1, 2009, and shall remain avail-
able through September 30, 2010, for academic year 2009–2010: 
Provided, That of the funds available for section 2103(a) of the 
ESEA, $5,000,000 shall be available for a school leadership partner-
ship initiative and up to $7,500,000 shall be available for teacher 
and principal quality national activities administered by the Sec-
retary of Education, as specified in the explanatory statement 
described in section 4 (in the matter preceding division A of this 
consolidated Act): Provided further, That funds made available to 
carry out part B of title VII of the ESEA may be used for construc-
tion, renovation and modernization of any elementary school, sec-
ondary school, or structure related to an elementary school or 
secondary school, run by the Department of Education of the State 
of Hawaii, that serves a predominantly Native Hawaiian student 
body: Provided further, That from the funds referred to in the 
preceding proviso, not less than $1,500,000 shall be for a grant 
to the Department of Education of the State of Hawaii for the 
activities described in such proviso, and $1,500,000 shall be for 
a grant to the University of Hawaii School of Law for a Center