H. R. 3288—206 
TITLE II 
DEPARTMENT OF HEALTH AND HUMAN SERVICES 
HEALTH RESOURCES AND SERVICES ADMINISTRATION 
HEALTH RESOURCES AND SERVICES 
For carrying out titles II, III, IV, VII, VIII, X, XI, XII, XIX, 
and XXVI of the Public Health Service Act (‘‘PHS Act’’), section 
427(a) of the Federal Coal Mine Health and Safety Act, title V 
and sections 711, 1128E, and 1820 of the Social Security Act, 
the Health Care Quality Improvement Act of 1986, the Native 
Hawaiian Health Care Act of 1988, the Cardiac Arrest Survival 
Act of 2000, section 712 of the American Jobs Creation Act of 
2004, and the Stem Cell Therapeutic and Research Act of 2005, 
$7,473,522,000, of which $41,200,000 from general revenues, not-
withstanding section 1820(j) of the Social Security Act, shall be 
available for carrying out the Medicare rural hospital flexibility 
grants program under such section: Provided, That of the funds 
made available under this heading, $1,000,000 shall be to carry 
out section 1820(g)(6) of the Social Security Act: Provided further, 
That amounts provided for such grants shall be available for the 
purchase and implementation of telehealth services, including pilots 
and demonstrations on the use of electronic health records to coordi-
nate rural veterans care between rural providers and the Depart-
ment of Veterans Affairs through the use of the VISTA-Electronic 
Health Record: Provided further, That of the funds made available 
under this heading, $129,000 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 information 
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: Provided further, That fees collected 
for the full disclosure of information under the ‘‘Health Care Fraud 
and Abuse Data Collection Program’’, authorized by section 
1128E(d)(2) of the Social Security Act, shall be sufficient to recover 
the full costs of operating the program, and shall remain available 
until expended to carry out that Act: Provided further, That no 
more than $40,000 shall be available until expended for carrying 
out the provisions of section 224(o) of the PHS Act including associ-
ated administrative expenses and relevant evaluations: Provided 
further, That no more than $44,055,000 shall be available until 
expended for carrying out the provisions of Public Law 104–73 
and for expenses incurred by the Department of Health and Human 
Services (‘‘HHS’’) pertaining to administrative claims made under 
such law: Provided further, That of the funds made available under 
this heading, $317,491,000 shall be for the program under title 
X of the PHS Act to provide for voluntary family planning projects: 
Provided further, That amounts provided to said projects under 
such title shall not be expended for abortions, that all pregnancy 
counseling shall be nondirective, and that such amounts shall not 
be expended for any activity (including the publication or distribu-
tion of literature) that in any way tends to promote public support 
or opposition to any legislative proposal or candidate for public
H. R. 3288—207 
office: Provided further, That of the funds available under this 
heading, $1,932,865,000 shall remain available to the Secretary 
of HHS through September 30, 2012, for parts A and B of title 
XXVI of the PHS Act: Provided further, That within the amounts 
provided for part A of title XXVI of the PHS Act, $6,021,000 
shall be available to the Secretary through September 30, 2012, 
and shall be available to qualifying jurisdictions, within 30 days 
of enactment, for increasing supplemental grants for fiscal year 
2010 to metropolitan and transitional areas that received grant 
funding in fiscal year 2009 under subparts I and II of part A 
of title XXVI of the PHS Act to ensure that an area’s total funding 
under subparts I and II of part A for fiscal year 2009, together 
with the amount of this additional funding, is not less than 92.4 
percent of the amount of such area’s total funding under part 
A for fiscal year 2006: Provided further, That notwithstanding sec-
tion 2603(c)(1) of the PHS Act, the additional funding to areas 
under the immediately preceding proviso, which may be used for 
costs incurred during fiscal year 2009, shall be available to the 
area for obligation from the date of the award through the end 
of the grant year for the award: Provided further, That $835,000,000 
shall be for State AIDS Drug Assistance Programs authorized by 
section 2616 of the PHS Act: Provided further, That in addition 
to amounts provided herein, $25,000,000 shall be available from 
amounts available under section 241 of the PHS Act to carry out 
parts A, B, C, and D of title XXVI of the PHS Act to fund section 
2691 Special Projects of National Significance: Provided further, 
That notwithstanding sections 502(a)(1) and 502(b)(1) of the Social 
Security Act, not to exceed $92,551,000 shall be available for car-
rying out special projects of regional and national significance 
pursuant to section 501(a)(2) of such Act and $10,400,000 shall 
be available for projects described in paragraphs (A) through (F) 
of section 501(a)(3) of such Act: Provided further, That notwith-
standing section 747(e)(2) of the PHS Act, not less than $29,025,000 
shall be for family medicine programs, not less than $7,575,000 
shall be for general dentistry programs, and not less than 
$7,575,000 shall be for pediatric dentistry programs including fac-
ulty loan repayments for service as a full-time faculty member 
in dentistry: Provided further, That dentistry faculty loan repay-
ments shall be made using the same terms and conditions as 
the Nursing Faculty Loan Repayment program authorized under 
section 738 of the PHS Act unless otherwise authorized: Provided 
further, That of the funds provided, $10,000,000 shall be provided 
to the Denali Commission as a direct lump payment pursuant 
to Public Law 106–113: Provided further, That of the funds provided, 
$35,000,000 shall be provided for the Delta Health Initiative as 
authorized in section 219 of division G of Public Law 110–161 
and associated administrative expenses: Provided further, That 
funds provided under section 846 and subpart 3 of part D of title 
III of the PHS Act may be used to make prior year adjustments 
to awards made under these sections: Provided further, That not-
withstanding section 340A(d)(3)(B) of the PHS Act, $5,000,000 shall 
be available for 3 year grant periods under the Patient Navigator 
Act: Provided further, That of the amount appropriated in this 
paragraph, $338,002,000 shall be used for the projects financing 
the construction and renovation (including equipment) of health 
care and other facilities and for other health-related activities, 
and in the amounts, specified under the heading ‘‘Health Resources
H. R. 3288—208 
and Services’’ in the statement of the managers on the conference 
report accompanying this Act, and of which up to one percent 
of the amount for each project may be used for related agency 
administrative expenses: Provided further, That notwithstanding 
section 338J(k) of the PHS Act, $10,075,000 shall be available 
for State Offices of Rural Health: Provided further, That of the 
funds provided, $15,000,000 shall be available for the Small Rural 
Hospital Improvement Grant Program for quality improvement and 
adoption of health information technology: Provided further, That 
$75,000,000 shall be available for State Health Access Grants to 
expand access to affordable health care coverage for the uninsured 
populations in such States. 
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM ACCOUNT 
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 (‘‘PHS Act’’). For administrative expenses to carry out 
the guaranteed loan program, including section 709 of the PHS 
Act, $2,847,000. 
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND 
For payments from the Vaccine Injury Compensation Program 
Trust Fund (‘‘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 administra-
tive expenses, not to exceed $6,502,000 shall be available from 
the Trust Fund to the Secretary of Health and Human Services. 
CENTERS FOR DISEASE CONTROL AND PREVENTION 
DISEASE CONTROL, RESEARCH, AND TRAINING 
To carry out titles II, III, VII, XI, XV, XVII, XIX, XXI, and 
XXVI of the Public Health Service Act (‘‘PHS Act’’), sections 101, 
102, 103, 201, 202, 203, 301, 501, and 514 of the Federal Mine 
Safety and Health Act of 1977, section 13 of the Mine Improvement 
and New Emergency Response Act of 2006, sections 20, 21, and 
22 of the Occupational Safety and Health Act of 1970, title IV 
of the Immigration and Nationality Act, section 501 of the Refugee 
Education Assistance Act of 1980, and for expenses necessary to 
support activities related to countering potential biological, nuclear, 
radiological, and chemical threats to civilian populations; including 
purchase and insurance of official motor vehicles in foreign coun-
tries; and purchase, hire, maintenance, and operation of aircraft, 
$6,390,387,000, of which $69,150,000 shall remain available until 
expended for acquisition of real property, equipment, construction 
and renovation of facilities; of which $595,749,000 shall remain 
available until expended for the Strategic National Stockpile under 
section 319F–2 of the PHS Act; of which $20,620,000 shall be 
used for the projects, and in the amounts, specified under the 
heading ‘‘Disease Control, Research, and Training’’ in the statement 
of the managers on the conference report accompanying this Act; 
of which $118,979,000 for international HIV/AIDS shall remain 
available through September 30, 2011; and of which $70,723,000
H. R. 3288—209 
shall be available until expended to provide screening and treatment 
for first response emergency services personnel, residents, students, 
and others related to the September 11, 2001 terrorist attacks 
on the World Trade Center: Provided, That in addition, such sums 
as may be derived from authorized user fees, which shall be credited 
to this account: Provided further, That with respect to the previous 
proviso, authorized user fees from the Vessel Sanitation Program 
shall be available through September 30, 2011: Provided further, 
That in addition to amounts provided herein, the following amounts 
shall be available from amounts available under section 241 of 
the PHS Act: (1) $12,864,000 to carry out the National Immuniza-
tion Surveys; (2) $138,683,000 to carry out the National Center 
for Health Statistics surveys; (3) $30,880,000 for Public Health 
Informatics; (4) $47,036,000 for Health Marketing; (5) $31,170,000 
to carry out Public Health Research; and (6) $91,724,000 to carry 
out research activities within the National Occupational Research 
Agenda: Provided further, That none of the funds made available 
for injury prevention and control at the Centers for Disease Control 
and Prevention may be used, in whole or in part, to advocate 
or promote gun control: Provided further, That of the funds made 
available under this heading, up to $1,000 per eligible employee 
of the Centers for Disease Control and Prevention shall be made 
available until expended for Individual Learning Accounts: Provided 
further, That the Director may redirect the total amount made 
available under authority of Public Law 101–502, section 3, dated 
November 3, 1990, to activities the Director may so designate: 
Provided further, That the Committees on Appropriations of the 
House of Representatives and the Senate are to be notified promptly 
of any such redirection: Provided further, That not to exceed 
$20,787,000 may be available for making grants under section 
1509 of the PHS Act to not less than 21 States, tribes, or tribal 
organizations: Provided further, That notwithstanding any other 
provision of law, the Centers for Disease Control and Prevention 
shall award a single contract or related contracts for development 
and construction of the next building or facility designated in the 
Buildings and Facilities Master Plan that collectively include the 
full scope of the project: Provided further, That the solicitation 
and contract shall contain the clause ‘‘availability of funds’’ found 
at 48 CFR 52.232–18: Provided further, That of the funds appro-
priated, $10,000 shall be for official reception and representation 
expenses when specifically approved by the Director of the Centers 
for Disease Control and Prevention: Provided further, That 
employees of the Centers for Disease Control and Prevention or 
the Public Health Service, both civilian and Commissioned Officers, 
detailed to States, municipalities, or other organizations under 
authority of section 214 of the PHS Act, or in overseas assignments, 
shall be treated as non-Federal employees for reporting purposes 
only and shall not be included within any personnel ceiling 
applicable to the Agency, Service, or the Department of Health 
and Human Services during the period of detail or assignment. 
In addition, for necessary expenses to administer the Energy 
Employees Occupational Illness Compensation Program Act, 
$55,358,000, to remain available until expended, of which 
$4,500,000 shall be for use by or in support of the Advisory Board 
on Radiation and Worker Health (‘‘the Board’’) to carry out its 
statutory responsibilities, including obtaining audits, technical 
assistance, and other support from the Board’s audit contractor
H. R. 3288—210 
with regard to radiation dose estimation and reconstruction efforts, 
site profiles, procedures, and review of Special Exposure Cohort 
petitions and evaluation reports: Provided, That this amount shall 
be available consistent with the provision regarding administrative 
expenses in section 151(b) of division B, title I of Public Law 
106–554. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL CANCER INSTITUTE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to cancer, $5,103,388,000, of which up 
to $8,000,000 may be used for facilities repairs and improvements 
at the National Cancer Institute-Frederick Federally Funded 
Research and Development Center in Frederick, Maryland. 
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to cardiovascular, lung, and blood diseases, 
and blood and blood products, $3,096,916,000. 
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to dental disease, $413,236,000. 
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY 
DISEASES 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to diabetes and digestive and kidney dis-
ease, $1,808,100,000. 
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to neurological disorders and stroke, 
$1,636,371,000. 
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES 
(INCLUDING TRANSFER OF FUNDS) 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to allergy and infectious diseases, 
$4,818,275,000, of which $304,000,000 shall be derived by transfer 
from funds appropriated under the heading ‘‘Biodefense Counter-
measures’’ in the Department of Homeland Security Appropriations 
Act, 2004: Provided, That $300,000,000 may be made available 
to International Assistance Programs ‘‘Global Fund to Fight HIV/ 
AIDS, Malaria, and Tuberculosis’’, to remain available until 
expended. 
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to general medical sciences, $2,051,798,000.
H. R. 3288—211 
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH 
AND HUMAN DEVELOPMENT 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to child health and human development, 
$1,329,528,000. 
NATIONAL EYE INSTITUTE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to eye diseases and visual disorders, 
$707,036,000. 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to environmental health sciences, 
$689,781,000. 
NATIONAL INSTITUTE ON AGING 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to aging, $1,110,229,000. 
NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN 
DISEASES 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to arthritis and musculoskeletal and skin 
diseases, $539,082,000. 
NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION 
DISORDERS 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to deafness and other communication dis-
orders, $418,833,000. 
NATIONAL INSTITUTE OF NURSING RESEARCH 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to nursing research, $145,660,000. 
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to alcohol abuse and alcoholism, 
$462,346,000. 
NATIONAL INSTITUTE ON DRUG ABUSE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to drug abuse, $1,059,848,000. 
NATIONAL INSTITUTE OF MENTAL HEALTH 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to mental health, $1,489,372,000.
H. R. 3288—212 
NATIONAL HUMAN GENOME RESEARCH INSTITUTE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to human genome research, $516,028,000. 
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to biomedical imaging and bioengineering 
research, $316,582,000. 
NATIONAL CENTER FOR RESEARCH RESOURCES 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to research resources and general research 
support grants, $1,268,896,000. 
NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE 
MEDICINE 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to complementary and alternative medi-
cine, $128,844,000. 
NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES 
For carrying out section 301 and title IV of the Public Health 
Service Act with respect to minority health and health disparities 
research, $211,572,000. 
JOHN E. FOGARTY INTERNATIONAL CENTER 
For carrying out the activities of the John E. Fogarty Inter-
national Center (described in subpart 2 of part E of title IV of 
the Public Health Service Act), $70,051,000. 
NATIONAL LIBRARY OF MEDICINE 
For carrying out section 301 and title IV of the Public Health 
Service Act (‘‘PHS Act’’) with respect to health information commu-
nications, $339,716,000, of which $4,000,000 shall be available until 
expended for improvement of information systems: Provided, That 
in fiscal year 2010, the National Library of Medicine may enter 
into personal services contracts for the provision of services in 
facilities owned, operated, or constructed under the jurisdiction 
of the National Institutes of Health: Provided further, That in 
addition to amounts provided herein, $8,200,000 shall be available 
from amounts available under section 241 of the PHS Act to carry 
out the purposes of the National Information Center on Health 
Services Research and Health Care Technology established under 
section 478A of the PHS Act and related health services. 
OFFICE OF THE DIRECTOR 
For carrying out the responsibilities of the Office of the Director, 
National Institutes of Health (‘‘NIH’’), $1,177,300,000, of which 
up to $25,000,000 shall be used to carry out section 214 of this 
Act: Provided, That funding shall be available for the purchase 
of not to exceed 29 passenger motor vehicles for replacement only:
H. R. 3288—213 
Provided further, That the NIH is authorized to collect third party 
payments for the cost of clinical services that are incurred in 
NIH research facilities and that such payments shall be credited 
to the NIH Management Fund: Provided further, That all funds 
credited to such Fund shall remain available for one fiscal year 
after the fiscal year in which they are deposited: Provided further, 
That up to $193,880,000 shall be available for continuation of 
the National Children’s Study: Provided further, That $544,109,000 
shall be available for the Common Fund established under section 
402A(c)(1) of the Public Health Service Act (‘‘PHS Act’’): Provided 
further, That of the funds provided $10,000 shall be for official 
reception and representation expenses when specifically approved 
by the Director of the NIH: Provided further, That the Office of 
AIDS Research within the Office of the Director of the NIH may 
spend up to $8,000,000 to make grants for construction or renova-
tion of facilities as provided for in section 2354(a)(5)(B) of the 
PHS Act. 
BUILDINGS AND FACILITIES 
For the study of, construction of, renovation of, and acquisition 
of equipment for, facilities of or used by the National Institutes 
of Health, including the acquisition of real property, $100,000,000, 
to remain available until expended. 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION 
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
For carrying out titles III, V, and XIX of the Public Health 
Service Act (‘‘PHS Act’’) with respect to substance abuse and mental 
health services and the Protection and Advocacy for Individuals 
with Mental Illness Act, $3,431,624,000, of which $14,518,000 shall 
be used for the projects, and in the amounts, specified under the 
heading ‘‘Substance Abuse and Mental Health Services’’ in the 
statement of the managers on the conference report accompanying 
this Act: Provided, That notwithstanding section 520A(f)(2) of the 
PHS Act, no funds appropriated for carrying out section 520A 
are available for carrying out section 1971 of the PHS Act: Provided 
further, That $795,000 shall be available until expended for 
reimbursing the General Services Administration for environmental 
testing and remediation on the federally owned facilities at St. 
Elizabeths Hospital, including but not limited to testing and remedi-
ation conducted prior to fiscal year 2010: Provided further, That 
in addition to amounts provided herein, the following amounts 
shall be available under section 241 of the PHS Act: (1) $79,200,000 
to carry out subpart II of part B of title XIX of the PHS Act 
to fund section 1935(b) technical assistance, national data, data 
collection and evaluation activities, and further that the total avail-
able under this Act for section 1935(b) activities shall not exceed 
5 percent of the amounts appropriated for subpart II of part B 
of title XIX; (2) $21,039,000 to carry out subpart I of part B 
of title XIX of the PHS Act to fund section 1920(b) technical assist-
ance, national data, data collection and evaluation activities, and 
further that the total available under this Act for section 1920(b) 
activities shall not exceed 5 percent of the amounts appropriated 
for subpart I of part B of title XIX; (3) $22,750,000 to carry out 
national surveys on drug abuse and mental health; and (4)
H. R. 3288—214 
$8,596,000 to collect and analyze data and evaluate substance abuse 
treatment programs: Provided further, That section 520E(b)(2) of 
the PHS Act shall not apply to funds appropriated under this 
Act for fiscal year 2010. 
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY 
HEALTHCARE RESEARCH AND QUALITY 
For carrying out titles III and IX of the Public Health Service 
Act (‘‘PHS Act’’), part A of title XI of the Social Security Act, 
and section 1013 of the Medicare Prescription Drug, Improvement, 
and Modernization Act of 2003, amounts received from Freedom 
of Information Act fees, reimbursable and interagency agreements, 
and the sale of data shall be credited to this appropriation and 
shall remain available until expended: Provided, That the amount 
made available pursuant to section 937(c) of the PHS Act shall 
not exceed $397,053,000. 
CENTERS FOR MEDICARE AND MEDICAID SERVICES 
GRANTS TO STATES FOR MEDICAID 
For carrying out, except as otherwise provided, titles XI and 
XIX of the Social Security Act, $220,962,473,000, to remain avail-
able until expended. 
For making, after May 31, 2010, payments to States under 
title XIX of the Social Security Act for the last quarter of fiscal 
year 2010 for unanticipated costs, incurred for the current fiscal 
year, such sums as may be necessary. 
For making payments to States or in the case of section 1928 
on behalf of States under title XIX of the Social Security Act 
for the first quarter of fiscal year 2011, $86,789,382,000, to remain 
available until expended. 
Payment under title XIX may be made for any quarter 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 Trust Fund 
and the Federal Supplementary Medical Insurance Trust Fund, 
as provided under sections 217(g), 1844, and 1860D–16 of the Social 
Security Act, sections 103(c) and 111(d) of the Social Security 
Amendments of 1965, section 278(d) of Public Law 97–248, and 
for administrative expenses incurred pursuant to section 201(g) 
of the Social Security Act, $207,286,070,000. 
In addition, for making matching payments under section 1844, 
and benefit payments under section 1860D–16 of the Social Security 
Act, not anticipated in budget estimates, such sums as may be 
necessary. 
PROGRAM MANAGEMENT 
For carrying out, except as otherwise provided, titles XI, XVIII, 
XIX, and XXI of the Social Security Act, titles XIII and XXVII 
of the Public Health Service Act (‘‘PHS Act’’), and the Clinical