Union Calendar No. 88
103D CONGRESS
1ST SESSION
H. R. 2518
[Report No. 103–156]
A BILL
Making appropriations for the Departments of
Labor, Health and Human Services, and Edu-
cation, and related agencies, for the fiscal year
ending September 30, 1994, and for other pur-
poses.
JUNE 24, 1993
Committed to the Committee of the Whole House on
the State of the Union and ordered to be printed
IB
Union Calendar No. 88
103D CONGRESS
1ST SESSION
H. R. 2518
[Report No. 103–156]
Making appropriations for the Departments of Labor, Health and Human
Services, and Education, and related agencies, for the fiscal year ending
September 30, 1994, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
JUNE 24, 1993
Mr. NATCHER, from the Committee on Appropriations, reported the following
bill; which was committed to the Committee of the Whole House on the
State of the Union and ordered to be printed
A BILL
Making appropriations for the Departments of Labor, Health
and Human Services, and Education, and related agen-
cies, for the fiscal year ending September 30, 1994,
and for other purposes.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
That the following sums are appropriated, out of any
money in the Treasury not otherwise appropriated, for the
Departments of Labor, Health and Human Services, and
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Education, and related agencies for the fiscal year ending
September 30, 1994, and for other purposes, namely:
TITLE I—DEPARTMENT OF LABOR
EMPLOYMENT AND TRAINING ADMINISTRATION
PROGRAM ADMINISTRATION
For expenses of administering employment and train-
ing programs and for carrying out section 908 of the So-
cial Security Act, $92,406,000, together with not to ex-
ceed $46,655,000, which may be expended from the Em-
ployment Security Administration account in the Unem-
ployment Trust Fund.
TRAINING AND EMPLOYMENT SERVICES
For expenses necessary to carry into effect the Job
Training Partnership Act, as amended, including the pur-
chase and hire of passenger motor vehicles, the construc-
tion, alteration, and repair of buildings and other facili-
ties, and the purchase of real property for training centers
as authorized by the Job Training Partnership Act,
$4,943,181,000 plus reimbursements, to be available for
obligation for the period July 1, 1994, through June 30,
1995, of which $61,871,000 shall be for carrying out sec-
tion 401, $78,303,000 shall be for carrying out section
402, $8,957,000 shall be for carrying out section 441,
$1,473,000 shall be for the National Commission for Em-
ployment Policy, $5,357,000 shall be for all activities con-
ducted by and through the National Occupational Infor-
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mation Coordinating Committee under the Job Training
Partnership Act, and $3,831,000 shall be for service deliv-
ery areas under section 101(a)(4)(A)(iii) of the Job Train-
ing Partnership Act in addition to amounts otherwise pro-
vided under sections 202, 252 and 262 of the Act; and,
in addition, $126,556,000 is appropriated for necessary
expenses of construction, rehabilitation, and acquisition of
Job Corps centers, including $20,000,000 for new centers,
as authorized by the Job Training Partnership Act, in ad-
dition to amounts otherwise provided herein for the Job
Corps, to be available for obligation for the period July
1, 1994 through June 30, 1997; and, in addition,
$744,000 is appropriated for the Glass Ceiling Commis-
sion authorized by title II of the Civil Rights Act of 1991;
and, in addition, $744,000 is appropriated for the Na-
tional Center for the Workplace authorized by title XV,
part A, of Public Law 102–325; and, in addition,
$12,537,000 is appropriated for activities authorized by
title VII, subtitle C of the Stewart B. McKinney Homeless
Assistance Act: Provided, That no funds from any other
appropriation shall be used to provide meal services at or
for 
Job 
Corps 
centers: 
Provided 
further, 
That
$300,000,000 for carrying out part B of title II of the
Job Training Partnership Act shall be available for obliga-
tion for the period October 1, 1993 through June 30,
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1994: Provided further, That appropriations in this para-
graph are available to carry out the Women in Apprentice-
ship and Nontraditional Occupations Act (Public Law
102–530) for the period beginning October 1, 1993.
COMMUNITY SERVICE EMPLOYMENT FOR OLDER
AMERICANS
To carry out the activities for national grants or con-
tracts with public agencies and public or private nonprofit
organizations under paragraph (1)(A) of section 506(a)
of title V of the Older Americans Act of 1965, as amended,
$320,190,000.
To carry out the activities for grants to States under
paragraph (3) of section 506(a) of title V of the Older
Americans Act of 1965, as amended, $90,310,000.
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES
For payments during the current fiscal year of bene-
fits and payments as authorized by title II of Public Law
95–250, as amended, and of trade adjustment benefit pay-
ments and allowances under part I, and for training, for
allowances for job search and relocation, and for related
State administrative expenses under part II, subchapter
B, chapter 2, title II of the Trade Act of 1974, as amend-
ed, $190,000,000 together with such amounts as may be
necessary to be charged to the subsequent appropriation
for payments for any period subsequent to September 15
of the current year: Provided, That amounts received or
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recovered pursuant to section 208(e) of Public Law 95–
250 shall be available for payments.
STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT
SERVICE OPERATIONS
For activities authorized by the Act of June 6, 1933,
as 
amended 
(29 
U.S.C. 
49–49l–1; 
U.S.C.
3202(a)(1)(E)); title III of the Social Security Act, as
amended (42 U.S.C. 502–504); necessary administrative
expenses for carrying out 5 U.S.C. 8501–8523, and sec-
tions 225, 231–235 and 243–244, title II of the Trade
Act of 1974, as amended; as authorized by section 7c of
the Act of June 6, 1933, as amended, necessary adminis-
trative 
expenses 
under 
sections 
101(a)(15)(H),
212(a)(5)(A), (m) (2) and (3), (n)(1), and 218(g) (1), (2),
and (3), and 258(c) of the Immigration and Nationality
Act, as amended (8 U.S.C. 1101 et seq.); necessary ad-
ministrative expenses to carry out the Targeted Jobs Tax
Credit Program under section 51 of the Internal Revenue
Code of 1986, and section 221(a) of the Immigration Act
of 1990, $69,542,000 together with not to exceed
$3,327,707,000 (including not to exceed $2,098,000
which may be used for amortization payments to States
which had independent retirement plans in their State em-
ployment service agencies prior to 1980, and including not
to exceed $1,000,000 which may be obligated in contracts
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with non-State entities for activities such as occupational
and test research activities which benefit the Federal-
State Employment Service System), which may be ex-
pended from the Employment Security Administration ac-
count in the Unemployment Trust Fund, and of which the
sums available in the allocation for activities authorized
by title III of the Social Security Act, as amended (42
U.S.C. 502–504), and the sums available in the allocation
for necessary administrative expenses for carrying out 5
U.S.C. 8501–8523, shall be available for obligation by the
States through December 31, 1994, except that funds
used for automation acquisitions shall be available for obli-
gation by States through September 30, 1996; and of
which 
$67,486,000 
together 
with 
not 
to 
exceed
$807,870,000 of the amount which may be expended from
said trust fund shall be available for obligation for the pe-
riod July 1, 1994, through June 30, 1995, to fund activi-
ties under the Act of June 6, 1933, as amended, including
the cost of penalty mail made available to States in lieu
of 
allotments 
for 
such 
purpose, 
and 
of 
which
$347,272,000 shall be available only to the extent nec-
essary for additional State allocations to administer unem-
ployment compensation laws to finance increases in the
number of unemployment insurance claims filed and
claims paid or changes in a State law: Provided, That to
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the extent that the Average Weekly Insured Unemploy-
ment (AWIU) for fiscal year 1994 is projected by the De-
partment of Labor to exceed 3.28 million, an additional
$27,000,000 shall be available for obligation for every
100,000 increase in the AWIU level (including a pro rata
amount for any increment less than 100,000) from the
Employment Security Administration Account of the Un-
employment Trust Fund.
ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND
OTHER FUNDS
For repayable advances to the Unemployment Trust
Fund as authorized by sections 905(d) and 1203 of the
Social Security Act, as amended, and to the Black Lung
Disability Trust Fund as authorized by section 9501(c)(1)
of the Internal Revenue Code of 1954, as amended; and
for nonrepayable advances to the Unemployment Trust
Fund as authorized by section 8509 of title 5, United
States Code, and section 104(d) of Public Law 102–164,
and section 5 of Public Law 103–6, and to the ‘‘Federal
unemployment benefits and allowances’’ account, to re-
main available until September 30, 1995, $2,556,000,000.
In addition, for making repayable advances to the
Black Lung Disability Trust Fund in the current fiscal
year after September 15, 1994, for costs incurred by the
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Black Lung Disability Trust Fund in the current fiscal
year, such sums as may be necessary.
LABOR-MANAGEMENT STANDARDS
SALARIES AND EXPENSES
For necessary expenses for Labor-Management
Standards, $27,309,000.
PENSION AND WELFARE BENEFITS ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for Pension and Welfare Ben-
efits Administration, $64,408,000.
PENSION BENEFIT GUARANTY CORPORATION
PENSION BENEFIT GUARANTY CORPORATION FUND
The Pension Benefit Guaranty Corporation is author-
ized to make such expenditures, including financial assist-
ance authorized by section 104 of Public Law 96–364,
within limits of funds and borrowing authority available
to such Corporation, and in accord with law, and to make
such contracts and commitments without regard to fiscal
year limitations as provided by section 104 of the Govern-
ment Corporation Control Act, as amended (31 U.S.C.
9104), as may be necessary in carrying out the program
through September 30, 1994, for such Corporation: Pro-
vided, That not to exceed $34,194,000 shall be available
for administrative expenses of the Corporation: Provided
further, That expenses of such Corporation in connection
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with the termination of pension plans, for the acquisition,
protection or management, and investment of trust assets,
and for benefits administration services shall be consid-
ered as non-administrative expenses for the purposes here-
of, and excluded from the above limitation.
EMPLOYMENT STANDARDS ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Employment Stand-
ards Administration, including reimbursement to State,
Federal, and local agencies and their employees for inspec-
tion services rendered, $237,176,000 together with
$989,000 which may be expended from the Special Fund
in accordance with sections 39(c) and 44(j) of the
Longshore and Harbor Workers’ Compensation Act.
SPECIAL BENEFITS
(INCLUDING TRANSFER OF FUNDS)
For the payment of compensation, benefits, and ex-
penses (except administrative expenses) accruing during
the current or any prior fiscal year authorized by title 5,
chapter 81 of the United States Code; continuation of ben-
efits as provided for under the head ‘‘Civilian War Bene-
fits’’ in the Federal Security Agency Appropriation Act,
1947; the Employees’ Compensation Commission Appro-
priation Act, 1944; and sections 4(c) and 5(f) of the War
Claims Act of 1948 (50 U.S.C. App. 2012); and 50 per
centum of the additional compensation and benefits re-
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quired by section 10(h) of the Longshore and Harbor
Workers’ Compensation Act, as amended, $279,000,000
together with such amounts as may be necessary to be
charged to the subsequent year appropriation for the pay-
ment of compensation and other benefits for any period
subsequent to August 15 of the current year: Provided,
That such sums as are necessary may be used for a dem-
onstration project under section 8104 of title 5, United
States Code, in which the Secretary may reimburse an em-
ployer, who is not the employer at the time of injury, for
portions of the salary of a reemployed, disabled bene-
ficiary: Provided further, That balances of reimbursements
from Federal Government agencies unobligated on Sep-
tember 30, 1993, shall remain available until expended for
the payment of compensation, benefits, and expenses: Pro-
vided further, That in addition there shall be transferred
from the Postal Service fund to this appropriation such
sums as the Secretary of Labor determines to be the cost
of administration for Postal Service employees through
September 30, 1994: Provided further, That the Secretary
may require that any person filing a notice of injury or
a claim for benefits under Subchapter 5, U.S.C., Chapter
81, or under Subchapter 33, U.S.C. 901, et seq. (the
Longshore and Harbor Workers’ Compensation Act, as
amended), provide as part of such notice and claim, such
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identifying information (including Social Security account
number) as such regulations may prescribe.
BLACK LUNG DISABILITY TRUST FUND
(INCLUDING TRANSFER OF FUNDS)
For payments from the Black Lung Disability Trust
Fund, $1,001,575,000, of which $947,967,000, shall be
available until September 30, 1995, for payment of all
benefits as authorized by section 9501(d) (1), (2), (4), and
(7), of the Internal Revenue Code of 1954, as amended,
and interest on advances as authorized by section
9501(c)(2) of that Act, and of which $28,929,000 shall
be available for transfer to Employment Standards Ad-
ministration, Salaries and Expenses, and $24,384,000 for
transfer to Departmental Management, Salaries and Ex-
penses, and $295,000 for transfer to Departmental Man-
agement, Office of Inspector General, for expenses of oper-
ation and administration of the Black Lung Benefits pro-
gram as authorized by section 9501(d)(5)(A) of that Act:
Provided, That in addition, such amounts as may be nec-
essary may be charged to the subsequent year appropria-
tion for the payment of compensation, interest, or other
benefits for any period subsequent to June 15 of the cur-
rent year: Provided further, That in addition such amounts
shall be paid from this fund into miscellaneous receipts
as the Secretary of the Treasury determines to be the ad-
ministrative expenses of the Department of the Treasury
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for administering the fund during the current fiscal year,
as authorized by section 9501(d)(5)(B) of that Act.
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Occupational Safety
and Health Administration, $294,640,000, including not
to exceed $68,630,000, which shall be the maximum
amount available for grants to States under section 23(g)
of the Occupational Safety and Health Act, which grants
shall be no less than fifty percent of the costs of State
occupational safety and health programs required to be
incurred under plans approved by the Secretary under sec-
tion 18 of the Occupational Safety and Health Act of
1970: Provided, That none of the funds appropriated
under this paragraph shall be obligated or expended to
prescribe, issue, administer, or enforce any standard, rule,
regulation, or order under the Occupational Safety and
Health Act of 1970 which is applicable to any person who
is engaged in a farming operation which does not maintain
a temporary labor camp and employs ten or fewer employ-
ees: Provided further, That no funds appropriated under
this paragraph shall be obligated or expended to admin-
ister or enforce any standard, rule, regulation, or order
under the Occupational Safety and Health Act of 1970
with respect to any employer of ten or fewer employees
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who is included within a category having an occupational
injury lost workday case rate, at the most precise Stand-
ard Industrial Classification Code for which such data are
published, less than the national average rate as such
rates are most recently published by the Secretary, acting
through the Bureau of Labor Statistics, in accordance
with section 24 of that Act (29 U.S.C. 673), except—
(1) to provide, as authorized by such Act, con-
sultation, technical assistance, educational and train-
ing services, and to conduct surveys and studies;
(2) to conduct an inspection or investigation in
response to an employee complaint, to issue a cita-
tion for violations found during such inspection, and
to assess a penalty for violations which are not cor-
rected within a reasonable abatement period and for
any willful violations found;
(3) to take any action authorized by such Act
with respect to imminent dangers;
(4) to take any action authorized by such Act
with respect to health hazards;
(5) to take any action authorized by such Act
with respect to a report of an employment accident
which is fatal to one or more employees or which re-
sults in hospitalization of two or more employees,
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and to take any action pursuant to such investiga-
tion authorized by such Act; and
(6) to take any action authorized by such Act
with respect to complaints of discrimination against
employees for exercising rights under such Act:
Provided further, That the foregoing proviso shall not
apply to any person who is engaged in a farming operation
which does not maintain a temporary labor camp and em-
ploys ten or fewer employees.
MINE SAFETY AND HEALTH ADMINISTRATION
SALARIES AND EXPENSES
For necessary expenses for the Mine Safety and
Health 
Administration, 
$193,858,000, 
of 
which
$5,740,000 shall be for the State Grants Program, includ-
ing purchase and bestowal of certificates and trophies in
connection with mine rescue and first-aid work, and the
hire of passenger motor vehicles; the Secretary is author-
ized to accept lands, buildings, equipment, and other con-
tributions from public and private sources and to pros-
ecute projects in cooperation with other agencies, Federal,
State, or private; the Mine Safety and Health Administra-
tion is authorized to promote health and safety education
and training in the mining community through cooperative
programs with States, industry, and safety associations;
and any funds available to the Department may be used,
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with the approval of the Secretary, to provide for the costs
of mine rescue and survival operations in the event of a
major disaster: Provided, That none of the funds appro-
priated under this paragraph shall be obligated or ex-
pended to carry out section 115 of the Federal Mine Safe-
ty and Health Act of 1977 or to carry out that portion
of section 104(g)(1) of such Act relating to the enforce-
ment of any training requirements, with respect to shell
dredging, or with respect to any sand, gravel, surface
stone, surface clay, colloidal phosphate, or surface lime-
stone mine.
BUREAU OF LABOR STATISTICS
SALARIES AND EXPENSES
For necessary expenses for the Bureau of Labor Sta-
tistics, including advances or reimbursements to State,
Federal, and local agencies and their employees for serv-
ices rendered, $281,768,000, together with not to exceed
$51,927,000, which may be expended from the Employ-
ment Security Administration account in the Unemploy-
ment Trust Fund.
DEPARTMENTAL MANAGEMENT
SALARIES AND EXPENSES
For necessary expenses for Departmental Manage-
ment, including the hire of five sedans, and including up
to $4,320,000 for the President’s Committee on Employ-
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ment of People With Disabilities, $142,242,000, together
with not to exceed $332,000, which may be expended from
the Employment Security Administration account in the
Unemployment Trust Fund.
WORKING CAPITAL FUND
Hereafter, funds received for services rendered to any
entity or person for use of Departmental facilities, includ-
ing associated utilities and security services, shall be cred-
ited to and merged with this fund.
ASSISTANT SECRETARY FOR VETERANS EMPLOYMENT
AND TRAINING
Not to exceed $186,648,000 may be derived from the
Employment Security Administration account in the Un-
employment Trust Fund to carry out the provisions of 38
U.S.C. 2001–10 and 2021–26.
OFFICE OF INSPECTOR GENERAL
For salaries and expenses of the Office of Inspector
General in carrying out the provisions of the Inspector
General Act of 1978, as amended, $47,215,000, together
with not to exceed $3,990,000, which may be expended
from the Employment Security Administration account in
the Unemployment Trust Fund.
GENERAL PROVISION
SEC. 101. The Secretary of Labor is authorized to
accept, in the name of the Department of Labor, and em-
ploy or dispose of in furtherance of authorized activities
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of the Department of Labor, any money or property, real,
personal, or mixed, tangible or intangible, received by gift,
devise, bequest, or otherwise.
This title may be cited as the ‘‘Department of Labor
Appropriations Act, 1994’’.
TITLE II—DEPARTMENT OF HEALTH AND
HUMAN SERVICES
HEALTH RESOURCES AND SERVICES ADMINISTRATION
HEALTH RESOURCES AND SERVICES
For carrying out titles II, III, VII, VIII, X, XII, XIX,
and XXVI of the Public Health Service Act, section
427(a) of the Federal Coal Mine Health and Safety Act,
title V of the Social Security Act, the Health Care Quality
Improvement Act of 1986, as amended, Public Law 101–
527, and the Native Hawaiian Health Care Act of 1988,
as amended, $2,833,588,000, of which $415,000 shall re-
main available until expended for interest subsidies on
loan guarantees made prior to fiscal year 1981 under part
B of title VII of the Public Health Service Act: Provided,
That when the Department of Health and Human Serv-
ices administers or operates an employee health program
for any Federal department or agency, payment for the
full estimated cost shall be made by way of reimbursement
or in advance to this appropriation: Provided further, That
of the funds made available under this heading, $942,000
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shall be available until expended for facilities renovations
at the Gillis W. Long Hansen’s Disease Center: Provided
further, That in addition to fees authorized by section
427(b) of the Health Care Quality Improvement Act of
1986, fees shall be collected for the full disclosure of infor-
mation under the Act sufficient to recover the full costs
of operating the National Practitioner Data Bank, and
shall remain available until expended to carry out that
Act.
MEDICAL FACILITIES GUARANTEE AND LOAN FUND
FEDERAL INTEREST SUBSIDIES FOR MEDICAL FACILITIES
For carrying out subsections (d) and (e) of section
1602 of the Public Health Service Act, $9,000,000, to-
gether with any amounts received by the Secretary in con-
nection with loans and loan guarantees under title VI of
the Public Health Service Act, to be available without fis-
cal year limitation for the payment of interest subsidies.
During the fiscal year, no commitments for direct loans
or loan guarantees shall be made.
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM
For the cost of guaranteed loans, such sums as may
be necessary to carry out the purpose of the program, as
authorized by title VII of the Public Health Service Act,
as amended: Provided, That such costs, including the cost
of modifying such loans, shall be as defined in section 502
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of the Congressional Budget Act of 1974: Provided fur-
ther, That these funds are available to subsidize gross obli-
gations for the total loan principal any part of which is
to be guaranteed at not to exceed $375,000,000. In addi-
tion, for administrative expenses to carry out the guaran-
teed loan program, $2,946,000.
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND
For payments from the Vaccine Injury Compensation
Program Trust Fund, such sums as may be necessary for
claims associated with vaccine-related injury or death with
respect to vaccines administered after September 30,
1988, pursuant to subtitle 2 of title XXI of the Public
Health Service Act, to remain available until expended:
Provided, That for necessary administrative expenses, not
to exceed $2,500,000 shall be available from the Trust
Fund to the Secretary of Health and Human Services.
VACCINE INJURY COMPENSATION
For payment of claims resolved by the United States
Court of Federal Claims related to the administration of
vaccines before October 1, 1988, $80,000,000, to remain
available until expended.
CENTERS FOR DISEASE CONTROL AND PREVENTION
DISEASE CONTROL, RESEARCH, AND TRAINING
To carry out titles II, III, VII, XI, XV, XVII, and
XIX of the Public Health Service Act, sections 101, 102,
103, 201, 202, and 203 of the Federal Mine Safety and
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Health Act of 1977, and sections 20, 21, and 22 of the
Occupational Safety and Health Act of 1970; including
insurance of official motor vehicles in foreign countries;
and hire, maintenance, and operation of aircraft,
$1,910,182,000, of which $16,648,000 shall remain avail-
able until expended for equipment and construction and
renovation of facilities, and in addition, such sums as may
be derived from authorized user fees, which shall be cred-
ited to this account: Provided, That training of private
persons shall be made subject to reimbursement or ad-
vances to this appropriation for not in excess of the full
cost of such training: Provided further, That funds appro-
priated under this heading shall be available for payment
of the costs of medical care, related expenses, and burial
expenses hereafter incurred by or on behalf of any person
who had participated in the study of untreated syphilis
initiated in Tuskegee, Alabama, in 1932, in such amounts
and subject to such terms and conditions as prescribed
by the Secretary of Health and Human Services and for
payment, in such amounts and subject to such terms and
conditions, of such costs and expenses hereafter incurred
by or on behalf of such person’s wife or offspring deter-
mined by the Secretary to have suffered injury or disease
from syphilis contracted from such person: Provided fur-
ther, That amounts received by the National Center for
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Health Statistics from reimbursements and interagency
agreements and the sale of data tapes may be credited
to this appropriation and shall remain available until ex-
pended: Provided further, That in addition to amounts pro-
vided herein, up to $28,873,000 shall be available from
amounts available under section 241 of the Public Health
Service Act, to carry out the National Center for Health
Statistics surveys.
NATIONAL INSTITUTES OF HEALTH
NATIONAL CANCER INSTITUTE
For carrying out section 301 and title IV of the Pub-
lic 
Health 
Service 
Act 
with 
respect 
to 
cancer,
$2,082,267,000.
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
For carrying out sections 301 and 1105 and title IV
of the Public Health Service Act with respect to cardio-
vascular, lung, and blood diseases, and blood and blood
products, $1,277,880,000.
NATIONAL INSTITUTE OF DENTAL RESEARCH
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to dental disease,
$169,520,000.
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NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND
KIDNEY DISEASES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to diabetes and diges-
tive and kidney diseases, $716,054,000.
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS
AND STROKE
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to neurological dis-
orders and stroke, $630,650,000.
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS
DISEASES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to allergy and infec-
tious diseases, $1,065,583,000.
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to general medical
sciences, $875,511,000.
NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN
DEVELOPMENT
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to child health and
human development, $555,195,000.
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NATIONAL EYE INSTITUTE
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to eye diseases and
visual disorders, $290,260,000.
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH
SCIENCES
For carrying out sections 301 and 311, and title IV
of the Public Health Service Act with respect to environ-
mental health sciences, $264,249,000.
NATIONAL INSTITUTE ON AGING
For carrying out section 301 and title IV of the Pub-
lic 
Health 
Service 
Act 
with 
respect 
to 
aging,
$420,303,000.
NATIONAL INSTITUTE OF ARTHRITIS AND
MUSCULOSKELETAL AND SKIN DISEASES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to arthritis, and mus-
culoskeletal and skin diseases, $223,280,000.
NATIONAL INSTITUTE ON DEAFNESS AND OTHER
COMMUNICATION DISORDERS
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to deafness and other
communication disorders, $162,823,000.
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NATIONAL INSTITUTE OF NURSING RESEARCH
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to nursing research,
$51,018,000.
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND
ALCOHOLISM
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to alcohol abuse, and
alcoholism, $185,617,000.
NATIONAL INSTITUTE ON DRUG ABUSE
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to drug abuse,
$425,201,000.
NATIONAL INSTITUTE OF MENTAL HEALTH
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to mental health,
$613,444,000.
NATIONAL CENTER FOR RESEARCH RESOURCES
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to research resources
and general research support grants, $328,915,000: Pro-
vided, That none of these funds shall be used to pay recipi-
ents of the general research support grants program any
amount for indirect expenses in connection with such
grants.
HR 2518 RH
NATIONAL CENTER FOR HUMAN GENOME RESEARCH
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to human genome re-
search, $119,030,000.
JOHN E. FOGARTY INTERNATIONAL CENTER
For carrying out the activities at the John E.
Fogarty International Center, $22,240,000.
NATIONAL LIBRARY OF MEDICINE
For carrying out section 301 and title IV of the Pub-
lic Health Service Act with respect to health information
communications, $118,481,000.
OFFICE OF THE DIRECTOR
(INCLUDING TRANSFER OF FUNDS)
For carrying out the responsibilities of the Office of
the Director, National Institutes of Health, $224,746,000:
Provided, That funding shall be available for the purchase
of not to exceed five passenger motor vehicles for replace-
ment only: Provided further, That the Director may direct
up to 1 percent of the total amount made available in this
Act to all National Institutes of Health appropriations to
emergency activities the Director may so designate: Pro-
vided further, That no such appropriation shall be in-
creased or decreased by more than 1 percent by any such
transfers and that the Congress is promptly notified of
the transfer.
HR 2518 RH
BUILDINGS AND FACILITIES
For construction of, and acquisition of equipment for,
facilities of or used by the National Institutes of Health,
including the acquisition of real property, $114,385,000,
to remain available until expended.
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
ADMINISTRATION
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
For carrying out the Public Health Service Act with
respect to substance abuse and mental health services, sec-
tion 612 of Public Law 100–77, as amended, and the Pro-
tection and Advocacy for Mentally Ill Individuals Act of
1986, $2,057,167,000, of which $952,000, together with
unobligated balances for facilities renovation, shall be
available for maintenance and repair of Federally-owned
facilities at Saint Elizabeths Hospital and shall remain
available until expended: Provided, That no portion of
amounts appropriated for the programs of the Depart-
ment of Health and Human Services shall be available for
obligation pursuant to section 571 of the Public Health
Service Act, other than an amount of $4,000,000 from
amounts appropriated to carry out section 510 of that Act.
HR 2518 RH
ASSISTANT SECRETARY FOR HEALTH
OFFICE OF THE ASSISTANT SECRETARY FOR HEALTH
For the expenses necessary for the Office of the As-
sistant Secretary for Health and for carrying out titles
III, XVII, XX, and XXI of the Public Health Service Act,
$68,758,000, and, in addition, amounts received by the
Public Health Service from Freedom of Information Act
fees, reimbursable and interagency agreements and the
sale of data tapes shall be credited to this appropriation
and shall remain available until expended.
RETIREMENT PAY AND MEDICAL BENEFITS FOR
COMMISSIONED OFFICERS
For retirement pay and medical benefits of Public
Health Service Commissioned Officers as authorized by
law, and for payments under the Retired Serviceman’s
Family Protection Plan and Survivor Benefit Plan and for
medical care of dependents and retired personnel under
the Dependents’ Medical Care Act (10 U.S.C. ch. 55), and
for payments pursuant to section 229(b) of the Social Se-
curity Act (42 U.S.C. 429(b)), such amounts as may be
required during the current fiscal year.
AGENCY FOR HEALTH CARE POLICY AND RESEARCH
HEALTH CARE POLICY AND RESEARCH
For carrying out titles III and IX of the Public
Health Service Act, and part A of title XI of the Social
Security Act, $129,051,000, together with not to exceed
HR 2518 RH
$4,792,000 to be transferred from the Federal Hospital
Insurance and the Federal Supplementary Medical Insur-
ance Trust Funds, as authorized by section 1142 of the
Social Security Act and not to exceed $994,000 to be
transferred from the Federal Hospital Insurance and the
Federal Supplementary Medical Insurance Trust Funds,
as authorized by section 201(g) of the Social Security Act;
and, in addition, amounts received from Freedom of Infor-
mation Act fees, reimbursable and interagency agree-
ments, and the sale of data tapes shall be credited to this
appropriation and shall remain available until expended:
Provided, That the amount made available pursuant to
section 926(b) of the Public Health Service Act shall not
exceed $13,204,000.
HEALTH CARE FINANCING ADMINISTRATION
GRANTS TO STATES FOR MEDICAID
For carrying out, except as otherwise provided, titles
XI and XIX of the Social Security Act, $64,477,413,000,
to remain available until expended.
Payment under title XIX may be made for any quar-
ter with respect to a State plan or plan amendment in
effect during such quarter, if submitted in or prior to such
quarter and approved in that or any subsequent quarter.
PAYMENTS TO HEALTH CARE TRUST FUNDS
For payment to the Federal Hospital Insurance and
the Federal Supplementary Medical Insurance Trust
HR 2518 RH
Funds, as provided under sections 217(g) and 1844 of the
Social Security Act, sections 103(c) and 111(d) of the So-
cial Security Amendments of 1965, section 278(d) of Pub-
lic Law 97–248, and for administrative expenses incurred
pursuant to section 201(g) of the Social Security Act,
$45,731,440,000.
PROGRAM MANAGEMENT
For carrying out, except as otherwise provided, titles
XI, XVIII, and XIX of the Social Security Act, title XIII
of the Public Health Service Act, the Clinical Laboratory
Improvement Amendments of 1988, section 4360 of Pub-
lic Law 101–508, and section 4005(e) of Public Law 100–
203, not to exceed $2,172,598,000, together with all funds
collected in accordance with section 353 of the Public
Health Service Act, the latter funds to remain available
until expended; the $2,172,598,000 to be transferred to
this appropriation as authorized by section 201(g) of the
Social Security Act, from the Federal Hospital Insurance
and the Federal Supplementary Medical Insurance Trust
Funds: Provided, That all funds derived in accordance
with 31 U.S.C. 9701 from organizations established under
title XIII of the Public Health Service Act are to be cred-
ited to this appropriation.
HR 2518 RH
SOCIAL SECURITY ADMINISTRATION
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS
For payment to the Federal Old-Age and Survivors
Insurance and the Federal Disability Insurance Trust
Funds, as provided under sections 201(m), 228(g), and
1131(b)(2) of the Social Security Act, $28,178,000.
SPECIAL BENEFITS FOR DISABLED COAL MINERS
For carrying out title IV of the Federal Mine Safety
and Health Act of 1977, $575,181,000, to remain avail-
able until expended.
SUPPLEMENTAL SECURITY INCOME PROGRAM
For carrying out titles XI and XVI of the Social Se-
curity Act, section 401 of Public Law 92–603, section 212
of Public Law 93–66, as amended, and section 405 of
Public Law 95–216, including payment to the Social Secu-
rity trust funds for administrative expenses incurred pur-
suant to section 201(g)(1) of the Social Security Act,
$20,181,775,000, to remain available until expended: Pro-
vided, That any portion of the funds provided to a State
in the current fiscal year and not obligated by the State
during that year shall be returned to the Treasury.
LIMITATION ON ADMINISTRATIVE EXPENSES
For 
necessary 
expenses, 
not 
more 
than
$4,874,285,000 may be expended, as authorized by sec-
HR 2518 RH
tion 201(g)(1) of the Social Security Act, from any one
or all of the trust funds referred to therein.
In addition to funding already available under this
heading, and subject to the same terms and conditions,
$320,000,000, of which $260,000,000 shall be derived
from the Federal Disability Insurance Trust Fund, for
disability caseload processing.
In addition to funding already available under this
heading, and subject to the same terms and conditions,
$330,000,000, which shall remain available until ex-
pended, to invest in a state-of-the-art computing network,
including related equipment and administrative expenses
associated solely with this network, for the Social Security
Administration and the State Disability Determination
Services, may be expended from any or all of the trust
funds as authorized by section 201(g)(1) of the Social Se-
curity Act.
ADMINISTRATION FOR CHILDREN AND FAMILIES
FAMILY SUPPORT PAYMENTS TO STATES
For making payments to States or other non-Federal
entities, except as otherwise provided, under titles I, IV–
A (other than section 402(g)(6)) and D, X, XI, XIV, and
XVI of the Social Security Act, and the Act of July 5,
1960 (24 U.S.C. ch. 9), $11,915,966,000, to remain avail-
able until expended.
HR 2518 RH
PAYMENTS TO STATES FOR AFDC WORK PROGRAMS
For carrying out aid to families with dependent chil-
dren work programs, as authorized by part F of title IV
of the Social Security Act, $1,100,000,000.
REFUGEE AND ENTRANT ASSISTANCE
For making payments for refugee and entrant assist-
ance activities authorized by title IV of the Immigration
and Nationality Act and section 501 of the Refugee Edu-
cation Assistance Act of 1980 (Public Law 96–422),
$400,000,000.
COMMUNITY SERVICES BLOCK GRANT
For making payments under the Community Services
Block Grant Act, section 408 of Public Law 99–425, and
the Stewart B. McKinney Homeless Assistance Act,
$447,643,000.
PAYMENTS TO STATES FOR CHILD CARE ASSISTANCE
For carrying out sections 658A through 658R of the
Omnibus 
Budget 
Reconciliation 
Act 
of 
1981,
$892,711,000.
SOCIAL SERVICES BLOCK GRANT
For monthly payments to States for carrying out title
XX of the Social Security Act, $2,800,000,000.
CHILDREN AND FAMILIES SERVICES PROGRAMS
For carrying out, except as otherwise provided, the
Runaway and Homeless Youth Act, the Developmental