[Senate Report 109-287]
[From the U.S. Government Publishing Office]




109th Congress                                                   Report
                                 SENATE
 2d Session                                                     109-287
--------------------------------------------------------------------------
                                                       Calendar No. 526

 
  DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND 
               RELATED AGENCIES APPROPRIATION BILL, 2007

                               ----------                              

                              R E P O R T

                                 of the

                      COMMITTEE ON APPROPRIATIONS
                              U.S. SENATE

                                   on

                                S. 3708

                                     




                 July 20, 2006.--Ordered to be printed
  Departments of Labor, Health and Human Services, and Education, and 
          Related Agencies Appropriation Bill, 2007 (S. 3708)


                                                       Calendar No. 526
109th Congress                                                   Report
                                 SENATE
 2d Session                                                     109-287

======================================================================




  DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND 
               RELATED AGENCIES APPROPRIATION BILL, 2007
                                _______
                                

                 July 20, 2006.--Ordered to be printed

                                _______
                                

          Mr. Specter, from the Committee on Appropriations, 
                        submitted the following

                              R E P O R T

                         [To accompany S. 3708]

    The Committee on Appropriations reports the bill (S. 3708) 
making appropriations for Departments of Labor, Health and 
Human Services, and Education and related agencies for the 
fiscal year ending September 30, 2007, and for other purposes, 
reports favorably thereon and recommends that the bill do pass.

                       Amount of budget authority
Total of bill as reported to the Senate.............    $605,536,272,000
Amount of 2006 appropriations.......................     609,531,301,000
Amount of 2007 budget estimate......................     601,083,544,000
Amount of House allowance \1\.......................     604,990,972,000
Bill as recommended to Senate compared to--
    2006 appropriations.............................      -3,995,029,000
    2007 budget estimate............................      +4,452,728,000
    House allowance.................................        +545,300,000

\1\ H.R. 5647 as reported to the House.



                            C O N T E N T S

                              ----------                              
                                                                   Page

Summary of Budget Estimates and Committee Recommendations........     4
Overview and Bill Highlights.....................................     4
Highlights of the Bill...........................................     4
Title I: Department of Labor:
    Employment and Training Administration.......................     7
    Employee Benefits Security Administration....................    19
    Employment Standards Administration..........................    20
    Occupational Safety and Health Administration................    24
    Mine Safety and Health Administration........................    25
    Bureau of Labor Statistics...................................    26
    Office of Disability Employment Policy.......................    26
    Departmental Management......................................    28
    General Provisions...........................................    35
Title II: Department of Health and Human Services:
    Health Resources and Services Administration.................    36
    Centers for Disease Control and Prevention...................    70
    National Institutes of Health................................   101
    Substance Abuse and Mental Health Services Administration....   170
    Agency for Healthcare Research and Quality...................   182
    Centers for Medicare and Medicaid Services...................   184
    Administration for Children and Families.....................   191
    Administration on Aging......................................   209
    Office of the Secretary......................................   214
    General Provisions, Department of Health and Human Services..   222
Title III: Department of Education:
    Education for the Disadvantaged..............................   224
    Impact Aid...................................................   232
    School Improvement Programs..................................   233
    Indian Education.............................................   241
    Innovation and Improvement...................................   241
    Safe Schools and Citizenship Education.......................   253
    English Language Acquisition.................................   256
    Special Education............................................   257
    Rehabilitation Services and Disability Research..............   260
    Special Institutions for Persons With Disabilities:
        American Printing House for the Blind....................   266
        National Technical Institute for the Deaf................   267
        Gallaudet University.....................................   267
    Vocational and Adult Education...............................   268
    Student Financial Assistance.................................   271
    Student Aid Administration...................................   273
    Higher Education.............................................   273
    Howard University............................................   285
    College Housing and Academic Facilities Loans................   286
    Historically Black College and University Capital Financing 
      Program....................................................   286
    Institute of Education Science...............................   286
    Departmental Management:
        Program Administration...................................   291
        Office for Civil Rights..................................   291
    General Provisions...........................................   292
Title IV: Related Agencies:
    Committee for Purchase from People who are Blind or Severely 
      Dis- 
      abled......................................................   294
    Corporation for National and Community Service...............   294
    Corporation for Public Broadcasting..........................   298
    Federal Mediation and Conciliation Service...................   299
    Federal Mine Safety and Health Review Commission.............   300
    Institute of Museum and Library Services.....................   300
    Medicare Payment Advisory Commission.........................   303
    National Commission on Libraries and Information Science.....   303
    National Council on Disability...............................   303
    National Labor Relations Board...............................   304
    National Mediation Board.....................................   304
    Occupational Safety and Health Review Commission.............   305
    Railroad Retirement Board....................................   305
    Social Security Administration...............................   306
Title V: General Provisions......................................   310
Budgetary Impact of Bill.........................................   311
Compliance With Paragraph 7, Rule XVI of the Standing Rules of 
  the Sen- 
  ate............................................................   311
Compliance With Paragraph 7(C), Rule XXVI of the Standing Rules 
  of the Senate..................................................   312
Compliance With Paragraph 12, Rule XXVI of the Standing Rules of 
  the Senate.....................................................   313
Comparative Statement of New Budget Authority....................   314

       SUMMARY OF BUDGET ESTIMATES AND COMMITTEE RECOMMENDATIONS

    For fiscal year 2007, the Committee recommends total budget 
authority of $605,536,272,000 for the Departments of Labor, 
Health and Human Services, and Education, and Related Agencies. 
Of this amount, $142,800,000,000 is current year discretionary 
funding, including offsets.

                      OVERVIEW AND BILL HIGHLIGHTS

    The Labor, HHS, and Education and Related Agencies bill 
constitutes the largest of the non-defense Federal 
appropriations bills being considered by Congress this year. It 
is the product of extensive deliberations, driven by the 
realization that no task before Congress is more important than 
safeguarding and improving the health and well-being of all 
Americans. This bill is made up of over 300 programs, spanning 
three Federal Departments and numerous related agencies. But 
the bill is more than its component parts. Virtually every 
element of this bill reflects the traditional ideal of 
democracy: that every citizen deserves the right to a basic 
education and job skills training; protection from illness and 
want; and an equal opportunity to reach one's highest 
potential.
    This bill at the same time provides a safety net of social 
protections for the needy while stimulating advances in human 
achievement and the life sciences. At its core, this bill 
embodies those defining principles by which any free society 
must be guided: compassion for the less fortunate; respect for 
family and loved ones; acceptance of personal responsibility 
for one's actions; character development; and the avoidance of 
destructive behavior.

                         HIGHLIGHTS OF THE BILL

    Job Training.--The Committee recommendation includes 
$5,089,620,000 for job training programs, an increase of 
$677,215,000 over the budget request, but $27,846,000 below the 
comparable 2006 level. This includes $1,629,788,000 for the 
Office of Job Corps, and $1,476,064,000 for Dislocated Worker 
Assistance.
    Worker Protection.--The Committee bill includes 
$1,620,700,000 to ensure the health and safety of workers, 
including $249,789,000 for the National Labor Relations Board, 
$491,167,000 for the Occupational Safety and Health 
Administration and $300,436,000 for the Mine Safety and Health 
Administration. The recommendation is an increase of 
$76,300,000 over the 2006 level.
    Child Labor.--The Committee bill includes $72,516,000 for 
activities designed to end abusive child labor. This is 
$60,153,000 above the budget request, but the same as the 2006 
level.
    National Institutes of Health.--A total of $28,550,667,000 
is recommended to fund biomedical research at the 27 Institutes 
and Centers that comprise the NIH. This represents an increase 
of $220,820,000 over the fiscal year 2006 level and 
$200,664,000 over the budget request.
    Health Centers.--The recommendation includes $1,926,076,000 
for health centers, $145,000,000 over the fiscal 2006 level.
    Substance Abuse.--The Committee bill provides 
$3,336,812,000 for substance abuse prevention and treatment 
programs. Included in this amount is $2,130,757,000 for 
substance abuse treatment, $196,729,000 for substance abuse 
prevention and $911,805,000 for mental health programs.
    Low-income Home Energy Assistance State Grants.--The 
Committee recommends $2,161,170,000 for heating and cooling 
assistance for low-income individuals and families, 
$379,170,000 above the budget request and $1,485,000 more than 
the 2006 comparable level.
    Head Start.--The Committee recommendation includes 
$6,788,571,000 for the Head Start Program. This represents an 
increase of $3,709,000 over the 2006 comparable level.
    Persons With Disabilities.--To promote independent living 
in home and community-based settings. This includes $27,655,000 
for the Office of Disability Employment Policy at the 
Department of Labor, $15,720,000 for Disabled Voter Services 
and $10,000,000 for Real Choice Systems Change Grants through 
the Center for Medicaid and Medicare Services.
    Education for the Disadvantaged.--The Committee has 
provided $14,447,189,000 in grants to enhance educational 
opportunities for disadvantaged children.
    Educator Professional Development.--The Committee 
recommends $3,470,374,000 for various professional development 
programs administered by the Department of Education.
    English Language Acquisition.--The Committee recommends 
$669,007,000 for bilingual education.
    Student Financial Aid.--The Committee recommends 
$14,488,458,000 for student financial assistance. The Pell 
Grant Program continues its current maximum grant award of 
$4,050.
    Higher Education Initiatives.--The Committee bill provides 
$2,002,692,000 for initiatives to provide greater opportunities 
for higher education, including $828,178,000 for Federal TRIO 
programs and $303,423,000 for GEAR UP.
    Education for Individuals With Disabilities.--The Committee 
bill provides $11,400,112,000 to help ensure that all children 
have access to a free and appropriate education, and that all 
infants and toddlers with disabilities have access to early 
intervention services.
    Rehabilitation Services.--The bill recommends 
$3,248,312,000 for rehabilitation services. These funds are 
essential for families with disabilities seeking employment. 
The Committee restored funding for several important programs 
proposed for elimination, such as Supported Employment State 
Grants, Projects with Industry, Recreational programs and 
programs for migrant and seasonal farmworkers.
    Services for Older Americans.--For programs serving older 
Americans, the Committee recommendation includes 
$2,941,563,000. This recommendation includes $217,592,000 for 
senior volunteer programs, $432,311,000 for community service 
employment for older Americans, $350,595,000 for supportive 
services and centers, $156,167,000 for family caregiver support 
programs and $715,070,000 for senior nutrition programs. For 
the medical research activities of the National Institute on 
Aging, the Committee recommends $1,039,828,000. The Committee 
recommendation also includes not less than $30,000,000 for the 
Medicare insurance counseling program.
    Corporation for Public Broadcasting.--The Committee bill 
recommends an advance appropriation for fiscal year 2009 of 
$400,000,000 for the Corporation for Public Broadcasting. In 
addition, the Committee bill includes $29,700,000 for 
conversion to digital broadcasting and $36,000,000 for the 
replacement project of the interconnection system in fiscal 
year 2007 funding.

                  REPROGRAMMING AND TRANSFER AUTHORITY

    The Committee has included bill language delineating 
permissible transfer authority in general provisions for each 
of the Departments of Labor, Health and Human Services, and 
Education, as well as specifying reprogramming authority in a 
general provision applying to all funds provided under this 
act.

                       COMPARISONS TO HOUSE BILL

    The comparisons in this report are to the House reported 
version of the bill. The Committee has initiated an original 
Senate bill, since the House of Representatives has not yet 
taken action on H.R. 5647 as reported by the House 
Appropriations Committee.

                                TITLE I

                          DEPARTMENT OF LABOR

                 Employment and Training Administration

                    TRAINING AND EMPLOYMENT SERVICES

Appropriations, 2006 \1\................................  $3,524,708,000
Budget estimate, 2007...................................   2,910,803,000
House allowance.........................................   3,443,899,000
Committee recommendation................................   3,459,832,000

\1\ Excludes $125,000,000 in emergency supplemental appropriations 
pursuant to Public Law 109-148.

    The Committee recommends $3,459,832,000 for this account in 
2007 which provides funding primarily for activities under the 
Workforce Investment Act [WIA]. This is $64,876,000 less than 
the comparable 2006 level, $15,933,000 more than the House 
allowance, and $549,029,000 over the administration request. 
The Committee recommendation does not include the $325,000,000 
rescission of prior year funds proposed by the House, for which 
there was no budget request.
    Training and employment services is comprised of programs 
designed to enhance the employment and earnings of economically 
disadvantaged and dislocated workers, operated through a 
decentralized system of skill training and related services. 
This appropriation is generally forward-funded on a July-to-
June cycle. Funds provided for fiscal year 2007 will support 
the program from July 1, 2007 through June 30, 2008.
    Beginning with the fiscal year 2000 appropriation, budget 
constraints required that a portion of this account's funding 
be advance appropriated, yet still available for the forward-
funded program year. This practice will continue in this year's 
appropriation.
    Pending reauthorization of the Workforce Investment Act the 
Committee is acting on a current law request, deferring without 
prejudice proposed legislative language under the jurisdiction 
of the authorizing committees.
    The Committee recommendation retains language from last 
year's bill requiring that the Department take no action to 
amend, through regulatory or other administrative action, the 
definition established in 20 CFR 677.220 for functions and 
activities under title I of the Workforce Investment Act until 
such time as legislation reauthorizing the Act is enacted. 
Similar language was included in the House bill. The Committee 
expects that, while the Workforce Investment Act is in the 
process of being altered and renewed, the Administration will 
refrain from unilateral changes to the administration, 
operation and financing of employment and training programs. 
Specifically, the Committee expects that no funds be utilized 
for the proposed career advancement account initiative unless 
specifically authorized by law.
    Adult Employment and Training.--For Adult Employment and 
Training Activities, the Committee recommends $800,000,000, 
which is $88,000,000 more than the budget request, $54,000,000 
less than the House allowance, and $64,199,000 less than the 
program year 2006 level. This program is formula-funded to 
States and further distributed to local workforce investment 
boards. Services for adults will be provided through the One-
Stop system and most customers receiving training will use 
their individual training accounts to determine which programs 
and providers fit their needs. The act authorizes core 
services, which will be available to all adults with no 
eligibility requirements, and intensive services, for 
unemployed individuals who are not able to find jobs through 
core services alone.
    Dislocated Worker Assistance.--For Dislocated Worker 
Assistance, the Committee recommends $1,476,064,000, $4,161,000 
more than the comparable program year 2006 level, $361,482,000 
more than the budget request, and the same as the House 
allowance. Of the total, $1,193,264,000 is designated for State 
formula grants. This program is a State-operated effort which 
provides core services, intensive services, training, and 
supportive services to help permanently separated workers 
return to productive, unsubsidized employment. In addition, 
States use these funds for rapid response assistance to help 
workers affected by mass layoffs and plant closures. Also, 
States may use these funds to carry out additional statewide 
employment and training activities, which may include 
implementation of innovative incumbent and dislocated worker 
training programs, and programs such as Advanced Manufacturing 
Integrated Systems Technology. The recommendation includes 
$282,800,000 available to the Secretary for activities such as 
responding to mass layoffs, plant and/or military base 
closings, and natural disasters across the country, which 
cannot be otherwise anticipated, as well as technical 
assistance and training and demonstration projects, including 
community college initiatives.
    The Committee bill continues language authorizing the use 
of funds under the dislocated workers program for projects that 
provide assistance to new entrants in the workforce and 
incumbent workers, as well as to provide assistance where there 
have been dislocations across multiple sectors or local areas 
of a State.
    The Committee recommendation includes, as it has in past 
years, funding for dislocated worker projects aimed at 
assisting the long-term unemployed.
    The Committee is encouraged by the administration's efforts 
in addressing our Nation's nursing shortage. Native Hawaiians, 
along with other ethnic minority populations throughout rural 
America, feel this critical shortage much more acutely. The 
Department is strongly urged to work collaboratively with 
nursing programs amidst such populations to facilitate 
opportunities for summer employment of nursing students.
    The Committee is aware of the economic diversification 
opportunity brought on by the human and natural resources 
released by the recently announced closure of a century old 
pineapple plantation on Oahu and recommends that collaboration 
between the Hawaii Department of Labor and Industrial relations 
and the Hawaii Farm Bureau Federation to promote and sponsor 
multiculturally farm food safety training. The Committee urges 
sensitive consideration of this and other employment challenges 
posed to the people of Hawaii as a result of torrential rains 
and devastating floods.
    Community-Based Job Training Initiative.--The Committee 
recommendation includes $125,000,000 to carry out the Community 
College/Community-Based Job Training Grant initiative, compared 
to the $150,000,000 request. The Committee recommendation 
allocates $125,000,000 from National Emergency Grant funds 
available under section 132(a)(2)(A) of the Workforce 
Investment Act, as does the House bill for this initiative. The 
Secretary is expected to initially use resources from the 
National Emergency Grants account for these awards that are 
designated for non-emergencies under sections 171(d) and 170(b) 
of the Workforce Investment Act. Community Based Job Training 
Grant awards will also be subject to the limitations of 
sections 171(c)(4)(A) through 171(c)(4)(C) of the Workforce 
Investment Act to ensure that these grants are awarded 
competitively. Funds used for this initiative should strengthen 
partnerships between workforce investment boards, community 
colleges, and employers, to train workers for high growth, high 
demand industries in the new economy.
    The Committee encourages the Employment and Training 
Administration to consider, in future solicitations for grant 
applications for the Community Based Job Training Initiative, 
including One Stop Career Centers, and in rural areas and other 
communities without community colleges, eligibility of 
alternative education and training providers to apply for these 
grants.
    Youth Training.--For Youth Training, the Committee 
recommends $935,500,000, which is $95,000,000 more than the 
budget request and the same as House allowance. The purpose of 
Youth Training is to provide eligible youth with assistance in 
achieving academic and employment success through improving 
educational and skill competencies and providing connections to 
employers. Other activities include providing mentoring 
opportunities, opportunities for training, supportive services, 
summer employment opportunities that are directly linked to 
academic and occupational learning, incentives for recognition 
and achievement, and activities related to leadership 
development, citizenship, and community service.
    Youthbuild.--Like the House, the Committee recommendation 
requires that within the amount made available for youth 
activities, up to $50,000,000 may be dedicated toward the 
Youthbuild program. The Committee concurs with House bill 
language that all funds shall revert to the youth formula grant 
program if the Youth build program is not authorized for 
transfer to the Labor Department by April 1, 2007.
    Job Corps.--The Committee recommendation continues funding 
the Job Corps program as an independent entity reporting to the 
Office of the Secretary of Labor. The budget request and House 
allowance recommend returning the program to the Employment and 
Training Administration. This program is described in a 
separate account in this report.
    Responsible Reintegration of Youthful Offenders.--The 
Committee recommendation includes $60,000,000, to continue 
funding for the current Responsible Reintegration of Youthful 
Offenders program. Neither the budget request nor the House 
allowance included funding for this program, which was funded 
at $49,104,000 in program year 2006. The Responsible 
Reintegration of Youthful Offenders program targets critical 
funding to help prepare and assist young offenders to return to 
their communities. The program also provides support, 
opportunities, education and training to youth who are court-
involved and on probation, in aftercare, on parole, or who 
would benefit from alternatives to incarceration or diversion 
from formal judicial proceedings.
    The Committee commends the work of the Second Chance 
Program of San Diego for its exemplary recidivism reduction 
program. The State of California is particularly in need of 
reentry services, as it houses 40 percent of our Nation's 
inmates. Second Chance is one of the STRIVE network of program 
affiliates previously supported by the Department. The 
Committee expects the Department to support Second Chance 
through funding to expand and replicate its recidivism 
prevention program.
    The Committee is aware of the Ready4Work demonstration 
created in 2003 to strengthen local support networks, in areas 
of high crime, for young adults as they reenter their 
communities following detention and/or incarceration. The 
Committee expects the Department to support Public/Private 
Ventures through funding to ensure the effectiveness of these 
initiatives through the continued design, testing and study of 
ex-offender assistance.
    Prisoner Re-entry.--The recommendation does not include 
separate funding for the prisoner re-entry initiative, instead 
expanding funding under the Responsible Reintegration of 
Youthful Offenders Program. The House did not include funding 
for this initiative for which the budget requested the current 
level of $19,642,000.
    Native Americans.--For Native Americans, the Committee 
recommends $50,000,000, the same as the House allowance, 
compared to the budget request of $51,548,000 and the 
$53,696,000 enacted program year 2006 level. This program is 
designed to improve the economic well-being of Native Americans 
(Indians, Eskimos, Aleuts, and Native Hawaiians) through the 
provision of training, work experience, and other employment-
related services and opportunities that are intended to aid the 
participants to secure permanent, unsubsidized jobs.
    Migrant and Seasonal Farmworkers.--For Migrant and Seasonal 
Farmworkers, the Committee recommends $80,657,000, compared to 
the 2006 enacted level of $79,756,000. Authorized by the 
Workforce Investment Act, this program is designed to serve 
members of economically disadvantaged families whose principal 
livelihood is derived from migratory and other forms of 
seasonal farmwork, or fishing, or logging activities. Enrollees 
and their families are provided with employment training and 
related services intended to prepare them for stable, year-
round employment within and outside of the agriculture 
industry. The Committee notes that for the past 3 fiscal years, 
this program has exceeded the goals set for it by the 
Department of Labor.
    There are at least 3 million hard-working migrant and 
seasonal farmworkers in America whose annual incomes are below 
$10,000. At a time when most State budgets are shrinking and 
many of the basic services provided by State and local 
governments are being cut back, the Committee recognizes the 
importance of sustaining a national commitment, dating from 
1964, to help alleviate the chronic seasonal unemployment and 
underemployment that traps many farmworker families in a cycle 
of poverty across generations and that deprives many farmworker 
children of educational opportunities and real prospects for 
better jobs at higher wages. The Committee also recognizes that 
many State and local government officials will be reluctant to 
fund this training and related assistance for this vulnerable 
portion of our Nation's workforce who migrate through many 
States every year, even though the work they perform is 
essential to the economic well-being of our Nation's farmers, 
growers, and small businesses.
    The Committee recommendation of $80,657,000 for program 
year 2007 activities authorized under section 167 of the 
Workforce Investment Act is reflected in two separate line 
items on the table accompanying the Committee Report: ``Migrant 
and Seasonal Farmworkers'' and ``National Activities/Other.'' 
Under the Migrant and Seasonal Farmworkers line item, the 
Committee recommends $80,053,000. The Committee recommendation 
includes bill language directing that $5,000,000 of this amount 
be used for migrant and seasonal farmworker housing grants, of 
which not less than 70 percent shall be for permanent housing. 
The principal purpose of these funds is to continue the network 
of local farmworker housing organizations working on permanent 
housing solutions for migrant and seasonal farmworkers. The 
Committee encourages greater emphasis on the southeast region 
for farmworker housing grants. The recommendation also provides 
that the remaining amount of $75,053,000 be used for State 
service area grants, including funding grantees in those States 
impacted by formula reductions to at least the amount they were 
alloted in program year 2004. Within the National Activities/
Other line item, the Committee recommendation includes $604,000 
to be used for Section 167 training, technical assistance and 
related activities, including funds for migrant rest center 
activities. The Committee urges the Department to continue 
valuable technical assistance services provided by the 
Association of Farmworker Opportunity Programs. Finally, the 
Committee wishes to again advise the Department regarding the 
requirements of the Workforce Investment Act in selecting an 
eligible entity to receive a State service area grant under 
section 167. Such an entity must have already demonstrated a 
capacity to administer effectively a diversified program of 
workforce training and related assistance for eligible migrant 
and seasonal farmworkers.
    National Programs.--This activity includes WIA-authorized 
programs in support of the workforce system including technical 
assistance and incentive grants, evaluations, pilots, 
demonstrations and research, and the Women in Apprenticeship 
Program.
    Technical Assistance.--The Committee recommends $1,604,000 
for the provision of technical assistance, a decrease of 
$376,000 from the program year 2006 level. Neither the budget 
request nor House allowance recommend funding for this 
activity. This includes $1,000,000 for technical assistance to 
employers and unions to assist them in training, placing, and 
retraining women in nontraditional jobs and occupations, as 
authorized under the Women in Apprenticeship and Non-
Traditional Occupations Act of 1992, Public Law 102-530; this 
amount is specified in bill language, to prevent its being 
diverted to other purposes. As described in the Migrant and 
Seasonal Farmworker section of this report, the recommendation 
also includes $604,000 for WIA Section 167 activities.
    Pilots, Demonstrations, and Research.--The Committee 
recommends $44,815,000, an increase of $27,115,000 over the 
budget request, and $1,454,000 over the House allowance for 
grants or contracts to conduct research, pilots or 
demonstrations that improve techniques or demonstrate the 
effectiveness of programs.
    In addition, the Committee recommends $6,875,000 to 
continue activities of the Denali Commission, for job training 
in connection with infrastructure building projects it funds in 
rural Alaska. Funding will allow unemployed and underemployed 
rural Alaskans to train for high paying jobs in their villages.
    The Committee is deeply concerned about the ability of the 
28 million Americans who are deaf or hard-of-hearing to be 
informed of critical news and information in the post-9/11/01 
environment. The Committee is aware that court reporting 
schools may not be able to meet the ``unfunded mandate'' set by 
the Telecommunications Act of 1996 to provide closed captioning 
of 100 percent of broadcast programming. These compelling 
concerns justify continued Federal support to those schools to 
increase their capability to attract and train more real time 
writers and to work closely with the broadcasting industry to 
significantly increase the amount of programming that is closed 
captioned, that 100 million Americans utilize closed captioning 
in some form and the shortage of providers need to be addressed 
immediately.
    The University of Hawaii Center on the Family remains 
committed to the development of a socially and culturally 
sensitive knowledge base that expands and assesses public 
policies that affect the wellbeing of the growing population of 
multi-ethnic individuals and families residing within the 
State.
    The Committee recommendation also includes language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
413 Hope Mission Ministries, Incorporated,                      $100,000
 Philadelphia, PA, for continuing adult-vocational and
 technology training programs..........................
ACTION Housing, Inc., Pittsburgh, PA for Project                 100,000
 Opportunity, for a program that connects entry-level
 healthcare employees to advance financial literacy and
 improve job retention.................................
Allegheny County Department of Economic Development,             500,000
 Pittsburgh, PA to create a workforce delivery system
 that will train available manufacturing workers to
 meet the workforce needs of the community.............
Alu Like, Inc., HI, for training and education.........          100,000
American Community Partnerships, Washington, DC, for             250,000
 the Working Together for Jobs-Philadelphia in
 conjunction with the Philadelphia Housing Authority to
 provide pre-apprenticeship training...................
Big Picture Company, Providence, RI, for the design and          200,000
 implementation of an adult education program..........
Bismarck State College, Bismarck, ND, for development            500,000
 of an instrument and control energy education training
 program...............................................
Brockton Area Private Industry Council, Inc., Brockton,          200,000
 MA, for workforce development programs................
Canton Production Workforce Development Training,                400,000
 Jackson, MS...........................................
Carnegie Library of Pittsburgh, Pittsburgh, PA, to               100,000
 sustain operations of a Job and Career Education
 Center................................................
Catholic Charities, Chicago, IL, for vocational                  350,000
 training and support programs at the St. Leo Residence
 for Veterans..........................................
Center for Career and Workforce Education, Indianola,            400,000
 MS, to focus on the training, education, and skills
 improvement needs of businesses and industries within
 the Delta region......................................
Central Maine Community College, Precision                       165,000
 Manufacturing Advantage, Auburn, ME to prepare
 unemployed and underemployed workers for precision
 metalworking trades...................................
Chester County Economic Development Council Workforce            100,000
 Development Program, Exton, PA to train workers in bio-
 med and IT industries.................................
City of Las Vegas, Las Vegas, NV for the EVOLVE career           500,000
 training program......................................
City of New Haven, CT, for the [email protected] Project......          200,000
City of San Jose, CA, for job training for the homeless          300,000
Community College of Allegheny County, Pittsburgh, PA            500,000
 to support the region's economic development by
 employment training...................................
Congreso de Latinos Unidos's Youth Works, Philadelphia,          100,000
 PA, program will hire at risk youth to train them in
 life skills, work skills, GED, and financial literacy.
Cook Inlet Tribal Council, Anchorage, AK for the                 500,000
 Alaska's People Program to provide job training and
 employment counseling.................................
Crowder College, Neosho, MO to develop a workforce               250,000
 development program...................................
East Boston Neighborhood Health Center, East Boston,             200,000
 MA, for a health-care workforce development program...
Eastern Michigan University, for retraining displaced            500,000
 workers...............................................
Eastern Technology Council, Wayne, PA, to provide women          100,000
 and minority displaced workers with access to training
 and employment opportunities in the technology and
 life sciences sectors.................................
Fay-Penn Economic Development Council located in                 100,000
 Uniontown, PA to support the Reaching Educational
 Achievement with Community Help (REACH) program.......
Foundation for an Independent Tomorrow, FIT, Las Vegas,          250,000
 NV, for job training, vocational education, and
 support...............................................
Greater Philadelphia Marketing and Tourism Corporation,          100,000
 Philadelphia, PA to train tourism workforce on
 marketplace dynamics..................................
Hamilton County, TN Workforce Training Initiative, to            200,000
 support workforce training and development............
Idaho Women Work! at the Centers for New Direction at            150,000
 Eastern Idaho Technical College, Idaho Falls, ID, to
 continue and expand the Recruiting for the Information
 Technology Age initiative in Idaho....................
Impact Services Corporation, Philadelphia, PA, to                100,000
 support its Community Job Placement and Training
 Program...............................................
International Longshore and Warehouse Union Local 19,            200,000
 Seattle, WA, for training programs on new port
 security requirements.................................
Iowa Policy Project for a study on temporary and                 400,000
 contingent workers....................................
ISED Ventures, Des Moines, IA, for job training and              500,000
 supportive services...................................
Itawamba Community College, MS to set up a training              300,000
 program to work with industry to train students and
 faculty in highly technical operations................
IUPAT District Council 21 Apprentice Training Fund,              250,000
 Philadelphia, PA to purchase equipment to upgrade
 classes for Journeypersons and to train new
 Apprentices...........................................
Jewish Family and Children's Service of Minneapolis,             100,000
 Minnetonka, MN to prepare disadvantaged people for the
 biosciences workforce.................................
Lackawanna College, Scranton, PA to provide training to          100,000
 area residents as Computerized Numerical Controls
 Machinists............................................
MAGLEV Inc., McKeesport, PA, for a training program in           300,000
 advanced precision fabrication........................
Maui Community College Remote Rural Hawaii Job Training        1,900,000
 Project, for the Remote Rural Hawaii Job Training
 project...............................................
Maui Community College Training and Educational                1,800,000
 Opportunities, HI, for training and education.........
Maui Economic Development Board, HI, for high tech               300,000
 training..............................................
Maui Economic Development Board, HI, for the rural               300,000
 computer utilization training program.................
Mercy Vocational High School, Philadelphia, PA to                200,000
 expand the certified nursing assistant training
 program for inner city youth..........................
Metropolitan Career Center, Philadelphia, PA, to offer           100,000
 workforce training to low-income and under educated
 individuals...........................................
Minnesota State Colleges and State Universities, St.             150,000
 Paul, MN, to assist veteran-serving organizations to
 serve veterans in pursuing education, including
 programs customized for veterans' needs...............
Minot State University, Minot, ND, to provide training           500,000
 and master's degrees to Job Corps Center senior
 management personnel..................................
Mississippi State University, Starkville, MS to                  500,000
 establish a data warehouse to integrate data from
 state and local agencies involved in workforce
 development...........................................
Mississippi State University, Starkville, MS, to deploy          400,000
 a system for the assessment and measurement of return
 on investment for workforce development training......
Mississippi Valley State University, Itta Bena, MS to            400,000
 assist in the continued development and expansion of
 its Automated Identification Technology (AIT)/
 Automatic Data Collection (ADC) Program...............
National Council of La Raza in Washington, DC, to                500,000
 provide technical assistance on Hispanic workforce
 issues including capacity building, language barriers,
 and health care job training..........................
Nevada Women Work!, Reno, NV, to implement the                   150,000
 Recruiting for the Information Technology Age
 initiative in Nevada..................................
Northeast Pennsylvania Labor Management Council, Wilkes-         100,000
 Barre, PA to assist the older, dislocated worker
 transition into re-employment.........................
Northwest Washington Electrical Industry Joint                   125,000
 Apprenticeship and Training Committee, Mount Vernon,
 WA, to expand training programs, including equipment
 purchase..............................................
Pacific Mountain Workforce Development Council, Lacey,           100,000
 WA, to provide training for qualified foresters and
 restoration professionals in Lewis County.............
Partnership Advancing Training for Careers in Health,            100,000
 Media, PA, to develop curriculum and create an
 incentive program to recruit health workers at all
 steps of the career ladder............................
Pennsylvania Highlands Community College, Johnstown, PA          500,000
 to develop community college capabilities for
 comprehensive workforce training......................
Philadelphia Convention & Visitors Bureau,                       100,000
 Philadelphia, PA for educational and training programs
 for the tourism workforce.............................
Philadelphia Shipyard Development Corporation,                   100,000
 Philadelphia, PA, to expand the number of
 apprenticeship opportunities at the Aker Philadelphia
 Shipyard..............................................
Philadelphia Veterans Multi-Service and Education                400,000
 Center, Philadelphia, PA for job training for veterans
 at the multi-purpose center...........................
Pittsburgh Life Sciences Greenhouse, Pittsburgh, PA to           100,000
 provide retraining for displaced workers and continued
 training for incumbent workers in the biotechnology
 and life sciences industries..........................
Port Jobs, in partnership with South Seattle Community           100,000
 College, Seattle, WA, to create a career ladder for
 entry-level airport workers...........................
Portland Community College, Portland, OR, for the                300,000
 Center for Business and Industry......................
Precision Manufacturing Institute, Erie, PA to assist            100,000
 regional manufacturers in a competitive world economy
 by developing new machining technology initiatives and
 training programs.....................................
Project ARRIBA, El Paso, TX, for workforce development           100,000
 and economic opportunities in the West Texas region...
Saint Leonard's Ministries, Chicago, IL, for job                 250,000
 training and placement for ex-offenders...............
Santa Maria El Mirador, Santa Fe, NM to provide an             2,000,000
 employment training program...........................
Snohomish County Workforce Development Council,                  750,000
 Everett, WA, for high tech training programs..........
Southwest Washington Workforce Development Council,              100,000
 Vancouver, WA, for a mentoring program with an
 emphasis on math and science..........................
Texas Workforce Commission, Austin, TX, for the Texas            200,000
 Adult Technology Training Project.....................
The Joblinks program for continuation costs............          500,000
Tioga County Development Corporation, Wellsboro, PA,             100,000
 for a skills-based training program in a variety of
 production and operations procedures..................
Tri County Workforce Development Council, Yakima, WA,            150,000
 to establish an incumbent worker training program.....
Union Project, Pittsburgh, PA, to provide job and life           100,000
 skills training in an underserved urban community.....
University of Mississippi, Oxford, MS Center for Second          400,000
 Language Acquisition for English language training and
 instruction...........................................
University of Mississippi, Oxford, MS to develop a               500,000
 Southeastern Center for Human Resources Management and
 create a partnership between major corporations and
 university scholars...................................
Vermont Department of Labor of Montpelier, VT, to                600,000
 provide employment resources to help women reenter
 society after incarceration...........................
Vermont Technical College of Randolph, VT, to provide            750,000
 job training to displaced workers in Vermont..........
Waukesha-Ozaukee-Washington Workforce Development,               450,000
 Pewaukee, WI for job training programs in metal
 working, including technology and equipment...........
WHYY, Inc., Philadelphia, PA, to expand to Delaware a            250,000
 program for bilingual workplace and literacy skills...
Wisconsin Community Action Program Association,                  325,000
 Madison, WI, to expand support services for job
 training..............................................
Wisconsin Regional Training Partnership, Milwaukee, WI,          400,000
 to provide pre-employment certificate training and
 apprenticeship education..............................
Wrightco Technologies, Inc, Claysburg, PA, to provide            100,000
 training, retraining and vocational skills upgrade
 programs in homeland security systems and
 communications........................................
York College of Pennsylvania, York, PA to develop an             100,000
 Electrical/Computer Engineering program to provide a
 locally-based trained workforce to meet the needs of
 local small businesses and manufacturers..............
------------------------------------------------------------------------

    The bill also includes continuation funding from prior year 
appropriations for the following activities: the Appalachian 
Council; the Working for America Institute; The National Center 
on Education and the Economy; and the Delta Housing Development 
Corporation.
    Evaluation.--The Committee recommends $4,921,000 to provide 
for the continuing evaluation of programs conducted under the 
Workforce Investment Act, as well as of federally-funded 
employment-related activities under other provisions of law.

            COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

Appropriations, 2006....................................    $432,311,000
Budget estimate, 2007...................................     432,311,000
House allowance.........................................     420,000,000
Committee recommendation................................     432,311,000

    The Committee recommends $432,311,000, the same as the 
budget request, the House allowance, and the program year 2006 
comparable level for community service employment for older 
Americans. The House recommendation is $420,000,000, a 
reduction of $12,311,000. This program, authorized by title V 
of the Older Americans Act, provides part-time employment in 
community service activities for unemployed, low-income persons 
aged 55 and over. It is forward-funded from July to June, and 
the 2007 appropriation will support the program from July 1, 
2007, through June 30, 2008. The Committee believes that within 
the title V community service employment program for older 
Americans, special attention should be paid to providing 
community service jobs for older Americans with poor employment 
prospects, including individuals with a long-term detachment 
from the labor force, older displaced homemakers, aged 
minorities, limited English-speaking persons, and legal 
immigrants.
    The program provides a direct, efficient, and quick means 
to assist economically disadvantaged older workers because it 
has a proven effective network in every State and in 
practically every county. Administrative costs for the program 
are low, and the vast majority of the money goes directly to 
low-income seniors as wages and fringe benefits.
    The program provides a wide range of vital community 
services that would not otherwise be available, particularly in 
low-income areas and in minority neighborhoods. Senior 
enrollees provide necessary and valuable services at Head Start 
centers, schools, hospitals, libraries, elderly nutrition 
sites, senior center, and elsewhere in the community. These 
services would not be available without the program.
    A large proportion of senior enrollees use their work 
experience and training to obtain employment in the private 
sector. This not only increases our Nation's tax base, but it 
also enables more low-income seniors to participate in the 
program.
    The Committee believes that the program should pay special 
attention to providing community service jobs for older 
Americans with poor employment prospects, including individuals 
with a long-term detachment from the labor force, older 
displaced homemakers, aged minorities, limited English-speaking 
persons, and legal immigrants.

              FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

Appropriations, 2006....................................    $966,400,000
Budget estimate, 2007...................................     938,600,000
House allowance.........................................     938,600,000
Committee recommendation................................     938,600,000

    The Committee recommends $938,600,000 the same as the 
budget estimate and House allowance for fiscal year 2007, and a 
decrease of $27,800,000 below the fiscal year 2006 
appropriation for Federal Unemployment Benefits and Allowances. 
Trade adjustment benefit payments are expected to decline from 
$707,000,000 in fiscal year 2006 to $679,000,000 in fiscal year 
2007, while trade training in fiscal year 2007 will increase by 
$200,000 to $259,400,000 with an estimated 78,000 participants.
    The Committee expects the Department to provide funds to 
the State of Alaska to mitigate negative effects on Alaskan 
fishermen and other Alaskan displaced workers stemming from 
passage of trade legislation in 2002. Funds should be provided 
on a flexible basis to cover costs of job training and 
placement programs, among other uses.
    The Trade Adjustment Assistance Reform Act of 2002 that 
amended the Trade Act of 1974 was signed into law on August 6, 
2002 (Public Law 107-210). This act consolidated the previous 
Trade Adjustment Assistance [TAA] and NAFTA Transitional 
Adjustment Assistance [NAFTA-TAA] programs, into a single, 
enhanced TAA program with expanded eligibility, services, and 
benefits. Additionally, the Act provides a program of 
Alternative Trade Adjustment Assistance for Older Workers.

     STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS

Appropriations, 2006....................................  $3,358,157,000
Budget estimate, 2007...................................   3,435,717,000
House allowance.........................................   3,411,762,000
Committee recommendation................................   3,350,876,000

    The Committee recommends $3,350,876,000 for this account. 
Included in the total availability is $3,246,346,000 authorized 
to be drawn from the ``Employment Security Administration'' 
account of the unemployment trust fund, and $104,530,000 to be 
provided from the general fund of the Treasury.
    The funds in this account are used to provide 
administrative grants and assistance to State agencies which 
administer Federal and State unemployment compensation laws and 
operate the public employment service.
    For unemployment insurance [UI] services, the bill provides 
$2,546,675,000. This includes $2,536,775,000 for State 
Operations, and $9,900,000 for UI national activities, which is 
directed to activities that benefit the State/Federal 
unemployment insurance program. The bill provides for a 
contingency reserve amount should the unemployment workload 
exceed an average weekly insured claims volume of 2,708,000. 
This contingency amount would fund the administrative costs of 
unemployment insurance workload over the level of 2,708,000 
insured unemployed per week at a rate of $28,600,000 per 
100,000 insured unemployed, with a pro rata amount granted for 
amounts of less than 100,000 insured unemployed; the 
President's budget and House allowance provide for a 
contingency threshold level of $2,963,000.
    For the Employment Service allotments to States, the 
Committee recommends $688,769,000 which includes $22,016,000 in 
general funds together with an authorization to spend 
$666,753,000 from the ``Employment Security Administration'' 
account of the unemployment trust fund. This is the same as the 
budget request and House allowance and below the enacted level 
of $715,883,000 for allotments to States. These funds are 
available for the program year of July 1, 2007 through June 30, 
2008.
    The recommendation also includes $32,918,000 for Employment 
Service national activities, a decrease of $510,000 from the 
fiscal year 2006 level, as requested by the administration. The 
recommendation is $18,677,000 for the work opportunity tax 
credit program, $1,000,000 over the 2006 enacted level.
    The recommendation also includes $63,000,000 for One-Stop 
Career Centers, compared to the budget request of $63,855,000 
and House allowance of $40,000,000 and 2006 enacted level of 
$81,662,000. The Committee recommendation includes funding for 
America's Labor Market Information System, including core 
employment statistics, universal access for customers, 
improving efficiency in labor market transactions, and 
measuring and displaying WIA performance information.
    The recommendation includes $19,514,000 for the Work 
Incentives Grants program, to help persons with disabilities 
find and retain jobs through the One-Stop Career Center system 
mandated by the Workforce Investment Act. Funding will support 
grants, including the Disability Program Navigator initiative, 
intended to ensure that One-Stop systems integrate and 
coordinate mainstream employment and training programs with 
essential employment-related services for persons with 
disabilities. The budget request and House allowance provide no 
funding for this program.

        ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS

Appropriations, 2006....................................    $465,000,000
Budget estimate, 2007...................................     452,000,000
House allowance.........................................     452,000,000
Committee recommendation................................     452,000,000

    The Committee recommends $452,000,000, the same as the 
budget estimate and House allowance for fiscal year 2007, and 
$13,000,000 less than the fiscal year 2006 level. The 
appropriation is available to provide advances to several 
accounts for purposes authorized under various Federal and 
State unemployment compensation laws and the Black Lung 
Disability Trust Fund, whenever balances in such accounts prove 
insufficient. The bill anticipates that fiscal year 2006 
advances will be made to the Black Lung Disability Trust Fund.
    The separate appropriations provided by the Committee for 
all other accounts eligible to borrow from this account in 
fiscal year 2007 are expected to be sufficient. Should the need 
arise, due to unanticipated changes in the economic situation, 
laws, or for other legitimate reasons, advances will be made to 
the appropriate accounts to the extent funds are available. 
Funds advanced to the Black Lung Disability Trust Fund are now 
repayable with interest to the general fund of the Treasury.

                         PROGRAM ADMINISTRATION

Appropriations, 2006....................................    $169,423,000
Budget estimate, 2007...................................     211,554,000
House allowance.........................................     211,554,000
Committee recommendation................................     184,976,000

    The Committee recommendation includes $90,182,000 in 
general funds for this account, as well as authority to expend 
$94,794,000 from the ``Employment Security Administration'' 
account of the unemployment trust fund, for a total of 
$184,976,000. This level provides sufficient resources to cover 
built-in cost increases. It also provides a $2,000,000 increase 
over the request to accelerate the processing of backlogged 
foreign labor certificate cases. The Committee expects a 
progress report by August 31, 2006, detailing the status of 
efforts to eliminate the backlog of pending foreign labor 
certification applications. The Committee recommendation 
reflects shifting $28,578,000 in Job Corps staffing costs to a 
separate appropriations account.
    General funds in this account provide the Federal staff to 
administer employment and training programs under the Workforce 
Investment Act, the Older Americans Act, the Trade Act of 1974, 
the Denali Commission Act, the Women in Apprenticeship and Non-
Traditional Occupations Act of 1992, and the National 
Apprenticeship Act. Trust funds provide for the Federal 
administration of employment security functions under title III 
of the Social Security Act and the Immigration and Nationality 
Act, as amended. Federal staff costs related to the Wagner-
Peyser Act in this account are split 97 percent to 3 percent 
between unemployment trust funds and general revenue, 
respectively.
    The Committee believes that the public workforce system is 
strengthened by the effective participation of all of the 
stakeholders in the system and urges that the Department use a 
portion of its discretionary funds to support that 
participation through grants and contracts to 
intergovernmental, business, labor, and community-based 
organizations dedicated to training and technical assistance in 
support of Workforce Investment Boards and their members.
    The Committee is concerned that there are limited 
opportunities for Native Hawaiian administrators in health care 
organizations and encourages effective training programs to 
prepare Native Hawaiians with the expertise to excel in these 
areas.
    The Committee instructs that, for the purposes of the 
temporary visa programs, the Department of Labor shall treat 
loggers as agricultural workers and not as non-agricultural 
workers. Presently, the Department classifies loggers as non-
agricultural; however, since June 1987, it has imposed upon 
them the same worker protections and labor standards as H-2A 
agricultural workers. Employers wishing to hire logger aliens 
must already provide transportation, housing, and meals, and 
must make the same benefits available to U.S. workers based on 
Department policy that predates the 1986 immigration reforms. 
The provision applies strictly to loggers, and shall not affect 
any other H-2B workers.

               Employee Benefits Security Administration


                         SALARIES AND EXPENSES

Appropriations, 2006....................................    $133,550,000
Budget estimate, 2007...................................     143,573,000
House allowance.........................................     143,573,000
Committee recommendation................................     143,573,000

    The Committee recommendation provides $143,573,000 for this 
account which is $10,023,000 above the 2006 comparable level. 
This provides sufficient resources to cover built-in cost 
increases, as well as the requested program increase to develop 
an new E-FAST filing and acceptance system to better protect 
employee pension and health benefits.
    The Employee Benefits Security Administration [EBSA] is 
responsible for the enforcement of title I of the Employee 
Retirement Income Security Act of 1974 [ERISA] in both civil 
and criminal areas. ESBA is also responsible for enforcement of 
sections 8477 and 8478 of the Federal Employees' Retirement 
Security Act of 1986 [FERSA]. In accordance with the 
requirements of FERSA, the Secretary of Labor has promulgated 
regulations and prohibited transactions class exemptions under 
the fiduciary responsibility and fiduciary bonding provisions 
of the law governing the Thrift Savings Plan for Federal 
employees. In addition, the Secretary of Labor has, pursuant to 
the requirement of section 8477(g)(1) of FERSA, established a 
program to carry out audits to determine the level of 
compliance with the fiduciary responsibility provisions of 
FERSA applicable to Thrift Savings Plan fiduciaries. ESBA 
provides funding for the enforcement and compliance; policy, 
regulation, and public services; and program oversight 
activities.

                  PENSION BENEFIT GUARANTY CORPORATION

    The Corporation's estimated obligations for fiscal year 
2007 include single employer benefit payments of 
$5,334,000,000, multiemployer financial assistance of 
$93,000,000 and administrative expenses of $397,644,000. 
Administrative expenses are comprised of three activities: (1) 
Pension insurance activities, $78,614,000; (2) operational 
support, $125,580,000; and (3) pension plan termination 
expenses, $193,450,000. Such expenditures will be financed by 
permanent authority.
    The Pension Benefit Guaranty Corporation is a wholly owned 
Government corporation established by the Employee Retirement 
Income Security Act of 1974. The law places it within the 
Department of Labor and makes the Secretary of Labor the chair 
of its board of directors. The corporation receives its income 
primarily from insurance premiums collected from covered 
pension plans, assets of terminated pension plans, collection 
of employer liabilities imposed by the act, and investment 
earnings. It is also authorized to borrow up to $100,000,000 
from the Treasury. The primary purpose of the corporation is to 
guarantee the payment of pension plan benefits to participants 
if covered defined benefit plans fail or go out of existence.
    The 2006 budget does not recommend a discretionary limit on 
administrative expenditures [LAE] for PBGC. The PBGC's budget 
reflects--in a way that is more accountable to the Committee--
the level of administrative expenditures that the Committee 
believes is appropriate to PBGC's changing responsibilities to 
protect the pensions it insures. PBGC's dollar benefit levels 
and workload change from year to year as specific pension plans 
fail. Most of its workload involves terminating failed pension 
plans, so that pension benefits can be paid. The workload of 
plan termination especially fluctuates from year to year as 
large plans (or a spate of small ones) terminate, and then as 
the terminations are completed. The language provides the PBGC 
the flexibility to respond when dictated by increased workload 
and increased benefit payments, while increasing accountability 
to the Committee by requiring approval by the Office of 
Management and Budget and the Committees on Appropriations.
    The single-employer program protects about 34.6 million 
participants in about 29,600 defined benefit pension plans. The 
multi-employer insurance program protects about 9.8 million 
participants in more than 1,600 plans.

                  Employment Standards Administration


                         SALARIES AND EXPENSES

Appropriations, 2006....................................    $411,064,000
Budget estimate, 2007...................................     437,417,000
House allowance.........................................     418,495,000
Committee recommendation................................     435,371,000

    The Committee recommendation includes $435,371,000 for this 
account. The bill contains authority to expend $2,076,000 from 
the special fund established by the Longshore and Harbor 
Workers' Compensation Act; the remainder of $433,295,000 are 
general funds. In addition, an amount of $33,578,000 is 
available by transfer from the black lung disability trust 
fund.
    This recommendation provides sufficient funding to offset 
the impact of inflation, and includes resources for the 
requested Enforcement of Wage and Hour Standards program 
increase. The $17,526,000 request for Program Direction has 
been reduced to $17,000,000; an addition of $2,000,000 is 
described in the following paragraph.
    The recommendation includes $2,000,000 to continue 
activities for the expeditious startup of a system to resolve 
claims of victims for bodily injury caused by asbestos 
exposure. This may include contracts with individuals or 
entities having relevant experience to assist in jump starting 
the program, as described in S. 852, the Fair Act of 2005. 
Activities to shorten the lead-time for implementation of 
asbestos activities encompass procedures for the processing of 
claims, including procedures for the expediting of exigent 
health claims, and planning for promulgation of regulations.
    Executive Order 11246 requires that employers doing 
business with the Federal Government comply with Federal laws 
and regulations requiring nondiscrimination and affirmative 
action. To facilitate enforcement of this mandate, the 
Department of Labor adopted a regulation in 2000 to require the 
Office of Federal Contract Compliance Programs [OFCCP] to 
distribute an Equal Opportunity Survey to all Federal 
contractors to obtain compliance data on employment and 
compensation practices. The regulation specified that the data 
should be used, in part, to inform OFCCP's selection of 
contractors for compliance reviews. The Committee is aware that 
in the 6 years since the regulation's adoption, OFCCP has only 
distributed the survey one time and to a small percentage of 
contractors. In addition, the Committee understands that the 
collected data was not analyzed nor was it used for compliance 
reviews, as required by the regulations of 2000. Therefore, the 
Committee has included $1,000,000 for the distribution, 
analysis and compliance utilization of the Equal Opportunity 
Survey.
    The Employment Standards Administration is involved in the 
administration of numerous laws, including the Fair Labor 
Standards Act, the Immigration and Nationality Act, the Migrant 
and Seasonal Agricultural Workers' Protection Act, the Davis-
Bacon Act, the Family and Medical Leave Act, the Federal 
Employees' Compensation Act [FECA], the Longshore and Harbor 
Workers' Compensation Act, and the Federal Mine Safety and 
Health Act (black lung).

                            SPECIAL BENEFITS

Appropriations, 2006....................................    $237,000,000
Budget estimate, 2007...................................     230,000,000
House allowance.........................................     230,000,000
Committee recommendation................................     230,000,000

    The Committee recommends $230,000,000, the same as the 
House allowance and budget estimate for fiscal year 2007, and 
$7,000,000 less than fiscal year 2006. This appropriation 
primarily provides benefits under the Federal Employees' 
Compensation Act [FECA]. The payments are prescribed by law. In 
fiscal year 2007, an estimated 152,000 injured Federal workers 
or their survivors will file claims; 52,000 will receive long-
term wage replacement benefits for job-related injuries, 
diseases, or deaths.
    The Committee recommends continuation of appropriation 
language to provide authority to require disclosure of Social 
Security account numbers by individuals filing claims under the 
Federal Employees' Compensation Act or the Longshore and Harbor 
Workers' Compensation Act and its extensions.
    The Committee recommends continuation of appropriation 
language that provides authority to use the FECA fund to 
reimburse a new employer for a portion of the salary of a newly 
reemployed injured Federal worker. The FECA funds will be used 
to reimburse new employers during the first 3 years of 
employment not to exceed 75 percent of salary in the worker's 
first year, declining thereafter.
    The Committee again includes appropriation language that 
retains the drawdown date of August 15. The drawdown authority 
enables the agency to meet any immediate shortage of funds 
without requesting supplemental appropriations. The August 15 
drawdown date allows flexibility for continuation of benefit 
payments without interruption.
    The Committee recommends continuation of appropriation 
language to provide authority to deposit into the special 
benefits account of the employees' compensation fund those 
funds that the Postal Service, the Tennessee Valley Authority, 
and other entities are required to pay to cover their fair 
share of the costs of administering the claims filed by their 
employees under FECA. The Committee concurs with requested bill 
language to allow use of fair share collections to fund capital 
investment projects and specific initiatives to strengthen 
compensation fund control and oversight.

               SPECIAL BENEFITS FOR DISABLED COAL MINERS

Appropriations, 2006....................................    $232,250,000
Budget estimate, 2007...................................     229,373,000
House allowance.........................................     229,373,000
Committee recommendation................................     229,373,000

    The Black Lung Consolidation of Administrative 
Responsibility Act was enacted on November 2, 2002. The act 
amends the Black Lung Benefits Act to transfer part B black 
lung benefits responsibility from the Commissioner of Social 
Security to the Secretary of Labor, thus consolidating all 
black lung benefit responsibility under the Secretary. Part B 
benefits are based on claims filed on or before December 31, 
1973. The Secretary of Labor already responsible for the part C 
claims filed after December 31, 1973. In fiscal year 2007, an 
estimated 36,500 beneficiaries (4,000 miners and 32,500 
survivors) will receive benefits.
    The Committee recommends an appropriation of $229,373,000 
in fiscal year 2007 for special benefits for disabled coal 
miners. This is in addition to the $74,000,000 appropriated 
last year as an advance for the first quarter of fiscal year 
2007. The recommendation is the same as the administration 
request and House allowance. These funds are used to provide 
monthly benefits to coal miners disabled by black lung disease 
and to their widows and certain other dependents, as well as to 
pay related administrative costs.
    By law, increases in black lung benefit payments are tied 
directly to Federal pay increases. The year-to-year decrease in 
this account reflects a declining beneficiary population.
    The Committee recommends an advance appropriation of 
$68,000,000 for the first quarter of fiscal year 2008, the same 
as the administration request. These funds will ensure 
uninterrupted benefit payments to coal miners, their widows, 
and dependents.

       ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM

Appropriations, 2006....................................     $96,081,000
Budget estimate, 2007...................................     102,307,000
House allowance.........................................     102,307,000
Committee recommendation................................     102,307,000

    The Committee recommends $102,307,000, the same as the 
budget estimate for fiscal year 2007, and $6,226,000 more than 
2006.
    The mission of the Energy Employees Occupational Illness 
Compensation Program is to deliver benefits to eligible 
employees and former employees of the Department of Energy, its 
contractors and subcontractors or to certain survivors of such 
individuals, as provided in the Energy Employees Occupational 
Illness Compensation Program Act. The mission also includes 
delivering benefits to certain beneficiaries of the Radiation 
Exposure Compensation Act.
    The Department of Labor's Office of Workers' Compensation 
Programs within the Employment Standards Administration is 
responsible for adjudicating and administering claims filed by 
employees or former employees (or their survivors) under the 
act. The program went into effect on July 31, 2001.
    In 2007, the volume of incoming claims under Part B of the 
Energy Employees Occupational Illness Compensation Program is 
estimated to remain stable at about 7,500 claims from 
Department of Energy [DOE] employees or survivors, and private 
companies under contract with DOE, who suffer from a radiation-
related cancer, beryllium-related disease, or chronic silicosis 
as a result of their work in producing or testing nuclear 
weapons.
    The Committee expects that the administration refrain from 
unilateral changes to reduce the cost of benefits for current 
or pending cohorts of atomic weapons workers with cancer under 
the Energy Employees Occupational Illness Compensation Program 
until such time as Congress approves proposed changes. The 
Advisory Board on Radiation and Worker Health was created by 
Congress to review applications based on scientific and medical 
evidence, with as much independence and objectivity as 
possible. To ensure that the Advisory Board can retain its 
autonomy, the Committee has retained language from the fiscal 
year 2006 enacted appropriations legislation which transfers 
$4,500,000 in administrative funds within 30 days of enactment 
to the National Institute for Occupational Safety and Health 
for the exclusive use of the Board and its audit contractor.

                    BLACK LUNG DISABILITY TRUST FUND

Appropriations, 2006....................................  $1,068,000,000
Budget estimate, 2007...................................   1,071,000,000
House allowance.........................................   1,071,000,000
Committee recommendation................................   1,071,000,000

    The Committee recommends $1,071,000,000 for this account in 
2007, an increase of $3,000,000 above the fiscal year 2006 
level, and the same as the budget request and House allowance. 
The appropriation language changed beginning in fiscal year 
2003 for the Black Lung Disability Trust Fund to provide such 
sums as may be necessary to pay for benefits. This change 
eliminated the need for drawdowns from the subsequent year 
appropriation in order to meet current year compensation, 
interest, and other benefit payments.
    The total amount available for fiscal year 2007 will 
provide $294,465,000 for benefits payments, and $59,535,000 for 
administrative expenses for the Department of Labor. Also, 
included is $717,000,000 for interest payments on advances.
    The trust fund pays all black lung compensation/medical and 
survivor benefit expenses when no responsible mine operation 
can be assigned liability for such benefits, or when coal mine 
employment ceased prior to 1970, as well as all administrative 
costs which are incurred in administering the benefits program 
and operating the trust fund.
    It is estimated that people will be receiving black lung 
benefits financed through the end of the fiscal year 2007, 
compared to an estimated receiving benefits in fiscal year 
2006.
    The basic financing for the trust fund comes from a coal 
excise tax for underground and surface-mined coal. Additional 
funds come from reimbursement from the Advances to the 
Unemployment Trust Fund and Other Funds as well as payments 
from mine operators for benefit payments made by the trust fund 
before the mine operator is found liable. The advances to the 
fund assure availability of necessary funds when liabilities 
may exceed other income. The Omnibus Budget Reconciliation Act 
of 1987 continues the current tax structure until 2014.

             Occupational Safety and Health Administration


                         SALARIES AND EXPENSES

Appropriations, 2006....................................    $472,427,000
Budget estimate, 2007...................................     483,667,000
House allowance.........................................     486,051,000
Committee recommendation................................     491,167,000

    The Committee recommendation includes $491,167,000 for this 
account. This is an increase of $5,116,000 over the House 
allowance and $7,500,000 over the budget request. This agency 
is responsible for enforcing the Occupational Safety and Health 
Act of 1970 in the Nation's workplaces.
    This recommendation provides sufficient funding to offset 
the impact of inflation, as well as additional resources to 
fund the development and implementation of the OSHA Information 
System.
    In addition, the Committee has included language to allow 
OSHA to retain up to $750,000 per fiscal year of training 
institute course tuition fees to be utilized for occupational 
safety and health training and education grants in the private 
sector.
    The Committee retains language carried in last year's bill 
effectively exempting farms employing 10 or fewer people from 
the provisions of the act except those farms having a temporary 
labor camp. The Committee also retains language exempting small 
firms in industry classifications having a lost workday injury 
rate less than the national average from general schedule 
safety inspections. These provisions have been in the bill for 
many years.
    The Committee believes that OSHA's worker safety and health 
training and education programs, including the grant program 
that supports such training, are a critical part of a 
comprehensive approach to worker protection. The Committee is 
concerned that OSHA has again cut funding to help establish 
ongoing worker safety and health training programs and has 
therefore restored the Susan Harwood training grant program to 
$10,116,000. Bill language specifies that no less than 
$3,200,000 shall be used to maintain the existing institutional 
competency building training grants, provided that grantees 
demonstrate satisfactory performance.
    The Committee is dissatisfied with the lack of progress on 
OSHA's regulation concerning Employer Payment for Personal 
Protective Equipment, the public comment period for which ended 
over 7 years ago. This is particularly important for Hispanic 
workers and immigrant workers who experience a disproportionate 
and growing number of injuries and fatalities. The Committee 
expects the Secretary to report to the Committee within 30 days 
of enactment of this act, the definitive status of this 
regulation, the agency's reasons for not issuing the regulation 
sooner, and a timetable for its issuance.
    The Committee has provided $53,357,000, the current level, 
for the State consultation grant program and expects that this 
program will continue to be targeted to provide compliance 
assistance to small businesses.
    The Committee continues to be pleased with OSHA's efforts 
in placing high priority on the voluntary protection programs 
[VPP] and other voluntary cooperative programs. The Committee 
expects OSHA to continue to place high priority on the VPP. 
Cooperative voluntary programs, especially the VPP, are an 
important part of OSHA's ability to assure worker safety and 
health and should be administered in conjunction with an 
effective strong enforcement program.
    The Committee also intends that the Office of Regulatory 
Analysis continue to be funded as close as possible to its 
present level.

                 Mine Safety and Health Administration


                         SALARIES AND EXPENSES

Appropriations, 2006 \1\................................    $277,686,000
Budget estimate, 2007...................................     287,836,000
House allowance.........................................     278,869,000
Committee recommendation................................     302,436,000

\1\ Excludes $25,600,000 in emergency supplemental appropriations 
pursuant to Public Law 109-234.

    The Committee recommendation includes $302,436,000 for this 
account, an increase of $14,600,000 over the budget request 
level, and $23,567,000 more than the House allowance.
    This recommendation provides sufficient funding to offset 
the impact of inflation, as well as additional resources for 
coal mine enforcement. It deletes one-time funding of projects 
contained in the 2006 enacted level, but includes funding for 
new projects.
    The Committee continues to be concerned by the over 40 
percent increase in fatalities experienced in coal mines in the 
first 6 months of 2006. In the past 5 years, from fiscal year 
2001 to fiscal year 2006, the coal enforcement division of MSHA 
reduced staff by 217 FTE. It was for that reason that the 
Committee included an additional $25,600,000 in Public Law 109-
234 to recruit, hire, train and equip coal mine inspectors and 
restore the office to its fiscal year 2001 staffing level.
    Within the funds provided for mine safety, the Committee 
recommends $133,395,000 for coal enforcement activities. This 
level is $13,000,000 above the budget request, $16,243,000 
above the fiscal year 2006 regular appropriation before 
supplemental funds, and it is $9,357,000 below the total fiscal 
year 2006 appropriations level including supplemental funds. 
Supplemental funds remain available in 2007 and should continue 
to be used to support additional coal mine inspectors. The 
Committee expects that hiring and training should be done 
expeditiously in fiscal year 2006 and completed early in fiscal 
year 2007 and that the 2008 budget put forth by MSHA should 
include sufficient funds to maintain the 2001 level of 
staffing.
    The Committee expects that progress reports on hiring will 
continue to be submitted to the Committee on Appropriations on 
a quarterly basis with additional information on the progress 
of the additional inspectors through the Academy and their 
distribution among the district offices.
    The Committee recommendation also includes bill language 
providing up to $2,000,000 for mine rescue and recovery 
activities, the same as the fiscal year 2006 comparable level. 
It also retains the provision allowing the Secretary of Labor 
to use any funds available to the Department to provide for the 
costs of mine rescue and survival operations in the event of a 
major disaster.
    The Committee concurs with House report language directing 
MSHA to increase emphasis to ensure that all mining machinery 
sold by manufacturers and re-builders for use in a mine is in 
compliance with the MSHA approval plate that is on the machine.
    This agency insures the safety and health of the Nation's 
miners by conducting inspections and special investigations of 
mine operations, promulgating mandatory safety and health 
standards, cooperating with the States in developing effective 
State programs, and improving training in conjunction with 
States and the mining industry.
    In addition, bill language is included to allow the 
National Mine Health and Safety Academy to collect not to 
exceed $750,000 for room, board, tuition, and the sale of 
training materials to be available for mine safety and health 
education and training activities. Bill language also allows 
MSHA to retain up to $1,000,000 from fees collected for the 
approval and certification of equipment, materials, and 
explosives for use in mines, and may utilize such sums for such 
activities.
    The Committee recommendation also contains $1,600,000 
specified in bill language for two projects not included in the 
budget request or House allowance.

                       Bureau of Labor Statistics


                         SALARIES AND EXPENSES

Appropriations, 2006....................................    $537,099,000
Budget estimate, 2007...................................     563,288,000
House allowance.........................................     565,288,000
Committee recommendation................................     563,288,000

    The Committee recommends the budget request of $563,288,000 
for this account, $26,189,000 more than the 2006 comparable 
level. This includes $79,026,000 from the ``Employment Security 
Administration'' account of the unemployment trust fund, and 
$484,262,000 in Federal funds. This funding level will cover 
the agency's built-in increases, and includes $5,000,000 which 
may be used to continue the Mass Layoff Statistics Program. 
Language contained in the fiscal year 2006 bill is retained, 
pertaining to the Current Employment Survey.
    The Bureau of Labor Statistics is the principal fact 
finding agency in the Federal Government in the broad field of 
labor economics.

                 Office of Disability Employment Policy

Appropriations, 2006....................................     $27,655,000
Budget estimate, 2007...................................      20,319,000
House allowance.........................................      20,319,000
Committee recommendation................................      27,655,000

    The Committee recommends $27,655,000 for this account in 
2007. This is $7,336,000 more than the President's request and 
the same as 2006. The Committee intends that at least 80 
percent of these funds shall be used for demonstration and 
technical assistance grants to develop innovative and effective 
practices to increase the employment of youth and adults with 
disabilities.
    Congress created the Office of Disability Employment Policy 
[ODEP] in the Department of Labor's fiscal year 2001 
appropriation. Programs and staff of the former President's 
Committee on Employment of People with Disabilities [PCEPD] 
have been integrated into this office.
    The Committee recommends that the Office of Disability 
Employment Policy continue and expand the existing, structured, 
internship program for undergraduate college students with 
disabilities, at no less than current appropriation levels. The 
Committee continues to believe that this innovative, structured 
internship program will provide important opportunities for 
undergraduate and graduate students with disabilities to pursue 
academic and career development opportunities within the 
Department of Labor and other Federal agencies.
    The Committee has included $5,000,000 to continue the self-
employment initiative, of which $3,000,000 is to be used to 
continue the national technical assistance grant. The Committee 
recognizes that self-employment is not an option for all 
persons with disabilities but believes that it can be a 
beneficial way to promote independence and develop assets 
within the disability community. The special needs of this 
population require more support and technical assistance in 
business development, as well as benefits counseling. 
Therefore, the Committee intends that the national technical 
assistance grant be used to provide expertise and help to local 
service providers including vocational rehabilitation agencies, 
one-stop training centers, and other organizations trying to 
promote self-employment.
    The Committee is concerned by the elimination of the Youth 
State Alignment Grants. This program helps youth with 
disabilities transition from school to work by aligning the 
efforts of school districts, workforce investment programs, 
juvenile justice programs and other not-for-profit service 
providers. The Committee encourages ODEP to continue this 
important effort.
    The Committee is concerned by the lack of attention to the 
problem of underemployment of people with disabilities. The 
Committee is aware that over 50 million Americans have some 
kind of disability, representing 17 percent of our population. 
Many of these individuals, particularly those with intellectual 
disabilities, would benefit from the social interaction and the 
physical demands of full-time employment, but their disability 
is such that they could not be employed in an occupation that 
is compensated highly enough to cover the medical expenses and 
supportive services they need to survive. While some 
disabilities resulting from injuries can change with time, many 
developmental disabilities are permanent in nature. The 
Committee believes that the U.S. Government would benefit from 
the additional tax dollars generated by the additional 
employment, as well as the prevention of chronic illnesses in 
this population that can come from the physical and emotional 
benefits of work. Therefore, the Committee directs the Office 
of Disability Employment Policy to undertake a study on 
underemployment for individuals with disabilities. The study 
should include: the number of individuals on Federal disability 
benefit programs who are currently underemployed; an analysis 
of the types of disabilities these individuals represent; an 
examination of the categories of disability which would leave 
the individual with the capacity to work full time but without 
the earning potential to sustain him or herself; the estimated 
economic impact of full-time work for these Americans assuming 
they were allowed to keep all or a portion of their benefits, 
including an estimation of the economic impact to the 
Government and the benefit funds themselves; and finally an 
analysis of the health impact of full-time work on those 
populations including the cost savings to health benefit 
programs.

                        Departmental Management


                         SALARIES AND EXPENSES

Appropriations, 2006....................................    $297,580,000
Budget estimate, 2007...................................     242,091,000
House allowance.........................................     236,784,000
Committee recommendation................................     293,405,000

    The Committee recommendation includes $293,405,000 for this 
account, which is $51,314,000 more than the budget request and 
$4,175,000 less than the 2006 comparable level. In addition, an 
amount of $25,255,000 is available by transfer from the black 
lung disability trust fund, which is the same as the budget 
request and the House allowance.
    The primary goal of the Department of Labor is to protect 
and promote the interests of American workers. The departmental 
management appropriation finances staff responsible for 
formulating and overseeing the implementation of departmental 
policy and management activities in support of that goal. In 
addition, this appropriation includes a variety of operating 
programs and activities that are not involved in departmental 
management functions, but for which other salaries and expenses 
appropriations are not suitable.
    The Committee recommendation includes $25,534,000 for 
Executive Direction, the same as the fiscal year 2006 
comparable level. Within this amount the fiscal year 2006 
comparable level of $4,651,000 is for the Office of 
Congressional and Intergovernmental Affairs.
    The Committee concurs with the budget request of $6,735,000 
for Civil Rights activities, an increase of $349,000 over the 
House allowance.
    The Committee recommendation includes $10,000,000 for the 
Women's Bureau, an increase of $334,000 over the 2006 level. 
The Committee is pleased with the effectiveness of Women Work! 
in advancing women in the workplace. The organization's work is 
strategically aligned with the goals of the Women's Bureau, and 
has continued each year to exceed its performance measures. The 
Committee strongly supports continued funding for this 
important program and believes that Women Work!'s outstanding 
performance merits increased support from the Women's Bureau.
    The Committee is disappointed that the Department of Labor 
has once again put forward a budget for the coming year that 
drastically reduces funding for International Labor Affairs 
Bureau [ILAB], in particular, those initiatives working with 
the International Labor Organization [ILO] to combat abusive 
and exploitative child labor.
    The Committee is pleased by findings contained in the ILO 
report entitled ``The End of Child Labor: Within Reach,'' which 
was released in May 2006. The report stated that child labor is 
in decline worldwide, in large part because of the programs 
advanced by this Committee. Between 2000 and 2004, the number 
of child laborers worldwide fell by 11 percent, from 246 
million to 218 million. Moreover, the number of children and 
youth aged 5-17 trapped in hazardous work decreased by 26 
percent, and for the age group of 5-14 years, the decline in 
hazardous work was even steeper, at 33 percent. It is a 
testament to the importance of the programs administered by the 
International Labor Affairs Bureau, which this Committee has 
consistently supported. Clearly, these programs are having a 
positive impact and the Committee feels strongly that reducing 
United States efforts to eradicate child labor or substantially 
changing the structure and leadership of those efforts would, 
at best, endanger the progress being made. At worse, 
withdrawing from these efforts could damage the credibility and 
reputation of the United States in the countries whose 
governments are real partners to the United States in this 
effort.
    The Committee is aware that the administration is 
aggressively pursing multiple trade agreements that promise 
technical assistance on labor standards, including but not 
limited to the eradication of child labor. ILAB is the division 
of the U.S. Government with the mission and authority to 
provide that assistance. Given the aggressive trade agenda and 
the recent commitment to capacity building in developing 
nations as a form of aid, the Committee is mystified by the 
Department's now annual effort to eliminate these programs, 
this year proposing an astounding 86 percent reduction.
    Therefore, the Committee recommendation includes 
$72,516,000 for the Bureau of International Labor Affairs. Of 
this amount, the Committee's recommendation includes 
$37,620,000 for the U.S. contribution to sustain the successful 
efforts of the ILO's International Program for the Elimination 
of Child Labor [IPEC]. Also included is $22,770,000 to help 
ensure access to basic education for the growing number of 
children removed from the worst forms of child labor in 
impoverished nations where abusive and exploitative child labor 
is most acute. The Committee expects the Department of Labor to 
work with the governments of host countries to eliminate school 
fees that create a barrier to education.
    The Committee notes that ILAB is statutorily required to 
compile and report to the Congress annually on the extent to 
which each foreign country that has trade and investment 
agreements with the United States enforces internationally-
recognized worker rights. This report is required under 
multiple U.S. laws and promotes core labor standards as 
embodied in the ILO Declaration on Fundamental Principles and 
Rights at Work as adopted and reaffirmed in 1998. The Committee 
once again directs the Secretary to include in the 2007 report, 
all former GSP recipients that have achieved a Free Trade 
Agreement with the United States over the preceding year.
    For the administration of ILAB programs, including FTE for 
Federal Administration, the Committee recommends $12,126,000. 
The Committee is dismayed that costs from salaries and expenses 
have been supplemented from out of the grant programs 
themselves. The Committee notes with displeasure that at times 
the amount deducted from grant programs has exceeded 14 
percent. The Committee directs that in fiscal year 2007, no 
more than 7 percent may be deducted from grant programs for the 
administration of the grants. The Committee expects the 2008 
budget submission to eliminate the need for any transfer by 
including sufficient funds to maintain the staff of ILAB. The 
Committee has included sufficient funds in the program 
administration line to fully maintain the 49 FTE currently 
assigned to the Office of the Deputy Under Secretary, the 
Office of Trade Agreement Implementation, the Office of 
International Economic Affairs and the International Child 
Labor Program.
    The Committee concurs with the budget request and House 
allowance of $85,188,000 for the Office of the Solicitor, an 
increase of $4,737,000 over the enacted fiscal year 2006 
appropriation level. The Committee notes that the Office of the 
Solicitor has augmented its fiscal year 2006 appropriation by 
$4,055,000, requiring Department of Labor agencies to pay for 
certain functions that previously had been performed without 
cost to client agencies. The Committee expects that this 
practice not be continued in fiscal year 2007 and future years. 
If additional resources are needed for the Solicitor's Office, 
the regular transfer authority or reprogramming procedures 
should be used, or the administration should submit a budget 
amendment or supplemental appropriations request. For future 
years, the President's Budget submission to Congress should 
adequately address the request for all functions of the Office 
of the Solicitor.
    The Committee is concerned by communication difficulties 
with the Department of Labor. The Committee is responsible for 
providing adequate resources to fulfill the mission of the 
agency and overseeing the expenditure of those resources. When 
emergencies arise, such as coal mine disasters or the 
hurricanes the Committee must act quickly to ensure that 
resources are available and appropriately distributed. 
Conversely, many initiatives funded by the Committee span 
multiple years, multiple appropriations bills. The Committee 
must have a senior official available to respond in a timely 
manner, and possesses the needed institutional knowledge to 
address immediate or long term initiatives. The Office of 
Congressional and Inter-Governmental Affairs consistently 
experiences high turnover and has little experience in or 
knowledge of the detailed budget process and execution 
procedures that are most often the information needed by the 
Committee. Within 15 days of the adoption of this Senate 
Committee report, the Committee directs the Secretary to 
designate an individual from the Budget office to be 
responsible for responding to Committee staff. The individual 
should be experienced in budget formulation and execution.

                          OFFICE OF JOB CORPS

Appropriations, 2006 \1\................................  $1,592,758,000
Budget estimate, 2007...................................   1,501,602,000
House allowance.........................................   1,523,000,000
Committee recommendation................................   1,629,788,000

\1\ Excludes $16,000,000 in emergency supplemental appropriations 
pursuant to Public Law 109-234.

    For Job Corps, the Committee recommends $1,629,788,000, 
$37,030,000 more than the 2006 comparable level. This includes 
$28,578,000 for Federal administrative expenses, for 188 full-
time equivalent positions; the budget request and House 
allowance include these administrative costs in the ETA Program 
Administration account. The Senate recommendation for direct 
program cost is $1,601,210,000, compared to the $1,501,602,000 
budget request and $1,523,000,000 House Allowance. The 
Committee concurs with the House in not agreeing to the 
proposed $75,000,000 rescission of funds previously 
appropriated for construction and renovation activities.
    The Committee recommendation continues the Office of Job 
Corps as an independent entity reporting to the Office of the 
Secretary of Labor, retaining program functions previously 
administered by the Job Corps prior to its transfer from the 
Employment and Training Administration, and ensuring the 
support necessary for oversight and management 
responsibilities. Although the Office of the Assistant 
Secretary for Administration and Management will oversee the 
procurement process, this arrangement shall not alter the 
existing authorities, duties or activities of Job Corps as it 
existed prior to the transfer. The Office of Job Corps and the 
Assistant Secretary for Administration and Management are 
directed to maintain controls to assure the procurement 
activities are completely separate from program operations. The 
budget request and House allowance recommend returning the Job 
Corps program to the Employment and Training Administration.
    The Committee applauds Job Corps for establishing 
partnerships with national employers, and encourages Job Corps 
to continue to work with both large employers and small 
businesses to ensure that student training meets current labor 
market needs. Job Corps is a nationwide network of residential 
facilities chartered by Federal law to provide a comprehensive 
and intensive array of training, job placement and support 
services to at-risk young adults. The mission of Job Corps is 
to attract eligible young adults, teach them the skills they 
need to become employable and independent, and place them in 
meaningful jobs or further education. Participation in the 
program is voluntary and is open to economically disadvantaged 
young people in the 16-24 age range who are unemployed and out 
of school. Most Job Corps students come from disruptive or 
debilitating environments, and it is important that they be 
relocated to residential facilities where they can benefit from 
the highly structured and carefully integrated services 
provided by the Job Corps program. A limited number of 
opportunities are also available for non-residential 
participation.
    As a national training program, Job Corps is particularly 
well-suited to help meet the needs of large, multi-state 
employers for skilled entry-level workers. The Committee 
commends Job Corps for establishing partnerships with national 
employers, and encourages Job Corps to continue to work with 
larger employers and small businesses to ensure that student 
training meets current labor market needs. The Committee urges 
Job Corps to also strengthen and expand the program in order to 
help meet our nation's needs for trained, entry level workers 
in three critical areas: health care, homeland security and 
national defense. In addition, Job Corps should intensify its 
efforts to upgrade its vocational offerings and curricula to 
reflect industry standards and required certifications 
recognized by employers.
    The Committee commends the Job Corps program for 
establishing cost-effective national and local partnerships 
with the U.S. Army, Navy, and Coast Guard to recruit high 
quality military personnel. Job Corps students' average scores 
on military entrance exams exceed the national average in their 
education verification tier. On average, the Army recruits more 
than 2,000 Job Corps graduates each year. The Committee also 
recognizes that many Job Corps centers have developed optional 
military-oriented curriculum for students, and that training is 
providing skills that are in high demand by all military 
branches, including computer technology, nursing and welding. 
The Committee encourages the Job Corps to explore further 
options in developing systematic approaches to partner with the 
military, including developing a military-endorsed curriculum 
for students. The Committee expects the Job Corps to provide 
the Committee with a report by February 15, 2007 on the 
potential options, including establishing a partnership with 
the U.S. Department of Defense, for establishing military-
oriented curriculum for students.
    The Job Corps has also been widely successful in certifying 
hundreds of students in various homeland security fields and 
skills including first responder training and security 
training. Private security companies have built strong 
partnerships with Job Corps centers across the Nation to 
utilize these skilled and disciplined students to meet the 
demand for increased homeland security capacity in our local 
communities. The Committee expects the Job Corps to explore 
options to expand programs to provide high quality recruits to 
agencies of the U.S. Department of Homeland Security related to 
border security such as the Transportation Security 
Administration [TSA] and U.S. Customs and Border Protection. 
The Committee expects the Job Corps by February 15, 2007 to 
provide the Committee with a report on the potential options 
for building and strengthening these partnerships. The 
Committee also expects the Job Corps to provide the Committee 
with a report by December 31, 2006 on the development, in 
conjunction with the TSA, of pilot demonstration projects at 
multiple Job Corps sites so that the Job Corps can help to fill 
unmet needs, as directed and funded by Congress in the fiscal 
year 2005 Consolidated Appropriations Act.
    The Committee commends the Job Corps for developing 
programs to help address the Nation's shortfall of staff in 
health professions, including nursing, pharmacy, and lab 
technician trades. The Committee supports an initiative to 
establish a minimum of two existing Job Corps centers as 
``health care magnet'' centers. Each health care magnet center 
will be dedicated to training Job Corps students in the health 
sciences, including CNAs, LPNs, health records technicians, 
dieticians, pharmacy technicians, healthcare facilities 
maintenance, and medical billing. The Columbia Basin 
(Washington), Keystone (Pennsylvania), and the Miami (Florida) 
Job Corps Centers have expressed interest in being designated 
health care magnet centers.
    The Committee commends the work of the NJCA Foundation for 
Youth Opportunities [FYO] in its charitable and educational 
activities and programs that benefit youth, especially those 
at-risk. The FYO seeks to provide resources and research that 
helps non-profit, for profit, and Government agencies further 
education and training opportunities for disadvantaged youth. 
The Committee expects the Department to support the FYO through 
funding to implement programs and services that raise public 
awareness and support for at-risk youth.
    The Committee is committed to promoting and expanding cost-
effective Federal programs that have a proven record of success 
provide consistent and positive results and help address 
national labor shortages. Therefore, the Committee recommends 
$10,000,000 for two new Job Corps sites. In the selection 
process, priority should go to: (1) a site hosted by a 
community college in a State with an existing center no more 
than 250 miles apart that can be started in the short term as a 
satellite Job Corps center (residential or non-residential) and 
later converted to stand alone facility; and (2) a site in a 
State that currently does not have a Job Corps center.
    The Committee is aware of the efforts of Indian Hills 
Community College [IHCC] in Ottumwa, Iowa, in forging a 
partnership with the existing Job Corps center in Denison, 
Iowa. IHCC is on the cutting edge of job training initiatives 
that could be the next generation of Job Corps occupational 
training. Indian Hills operates the only center in the Nation 
that is designed specifically to train technicians for the 
expanding agricultural biotechnology sector. The Committee 
appreciates IHCC's efforts as a current working partner in the 
Federal workforce system, a hub of a state-wide industrial new 
jobs training program and a leader in technical training for 
agricultural biotechnology.
    The Committee recognizes Utah's Management and Training 
Corporation for operation of successful job-training programs 
through the Job Corps program. For more than a quarter of a 
century, the Management and Training Corporation has provided 
life-changing opportunities for young people though academic, 
vocational, and social skills training. The Committee 
appreciates Utah's Weber Basin and Clearfield, Utah Job Corps 
centers and their efforts toward preparing thousands of young 
Americans for meaningful careers.

                    VETERANS EMPLOYMENT AND TRAINING

Appropriations, 2006....................................    $222,091,000
Budget estimate, 2007...................................     224,887,000
House allowance.........................................     224,440,000
Committee recommendation................................     224,867,000

    The Committee recommendation includes $224,867,000 for this 
account, including $29,263,000 in general revenue funding and 
$195,604,000 to be expended from the ``Employment Security 
Administration'' account of the unemployment trust fund. This 
is $2,718,000 more than the 2006 comparable level.
    For State grants the bill provides $161,218,000, which 
includes funding for the Disabled Veterans Outreach Program and 
the Local Veterans Employment Representative Program.
    For Federal administration, the Committee recommends 
$32,417,000, the same as the budget request and the House 
allowance. The Committee supports the concept of the Transition 
Assistance Program administered jointly with the Department of 
Defense which assists soon-to-be-discharged service members in 
transitioning into the civilian work force and includes funding 
to maintain this effective program.
    Individuals leaving the military may be at high risk of 
homelessness due to a lack of job skills transferable to the 
civilian sector, disrupted or dissolved family and social 
support networks, and other risk factors that preceded their 
military service. The Committee expects the Secretary of Labor 
to ensure that a module on homelessness prevention is added to 
the Transition Assistance Program curriculum. The module should 
include a presentation on risk factors for homelessness, a 
self-assessment of risk factors, and contact information for 
preventative assistance associated with homelessness.
    The Committee recommendation includes $1,969,000, the same 
as the budget request, for the National Veterans Training 
Institute [NVTI]. This Institute provides training to the 
Federal and State staff involved in the direct delivery of 
employment and training related services to veterans.
    The Committee recommendation includes $21,838,000 for the 
Homeless Veterans Program, the same as the budget request. Also 
included is $7,425,000 for the Veterans Workforce Investment 
Program, the same as the budget request.

                    OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2006....................................     $71,101,000
Budget estimate, 2007...................................      73,761,000
House allowance.........................................      73,761,000
Committee recommendation................................      75,761,000

    The bill includes $75,761,000 for this account, $4,660,000 
above the 2006 comparable level. The bill includes $5,688,000 
in general funds and authority to transfer $70,073,000 from the 
``Employment Security Administration'' account of the 
unemployment trust fund. In addition, an amount of $346,000 is 
available by transfer from the black lung disability trust 
fund. This level provides sufficient resources to cover built-
in cost increases, as well as augmenting program accountability 
activities and expanding the labor racketeering program.
    The Office of the Inspector General [OIG] was created by 
law to protect the integrity of departmental programs as well 
as the welfare of beneficiaries served by those programs. 
Through a comprehensive program of audits, investigations, 
inspections, and program evaluations, the OIG attempts to 
reduce the incidence of fraud, waste, abuse, and mismanagement, 
and to promote economy, efficiency, and effectiveness.

                           General Provisions

    General provision bill language is included to:
    Provide for limiting use of Job Corps funding for 
compensation of an individual that is not a Federal employee at 
a rate in excess of Executive Level I (sec. 101)
    Provide for general transfer authority (sec. 102).
    Prohibit funding for the procurement of goods and services 
utilizing forced or indentured child labor in industries and 
host countries already identified by the Labor Department in 
accordance with Executive Order 13126 (sec. 103).
    Authorize funds to be appropriated for job training for 
workers involved in construction projects funded through the 
Denali Commission (sec. 104).
    Require the Department of Labor to submit its fiscal year 
2008 congressional budget justifications in the same format and 
level of detail used by the Department of Education in its 
fiscal year 2007 congressional budget justification (sec. 105).
    Require the Labor Department to report to the Committees on 
Appropriations on the projects awarded under research and 
demonstration projects (sec. 106).
    Require the Secretary to issue monthly transit subsidy of 
not less than $105 to each of the Department's eligible 
employees in the National Capital region (sec. 107).
    Sec. 108. Retains a provision from the fiscal year 2006 
supplemental limiting compensation from Federal funds to a rate 
not greater than Executive Level II for any recipient or 
subrecipient receiving funds under the heading, ``Employment 
and Training Administration''.

                                TITLE II

                DEPARTMENT OF HEALTH AND HUMAN SERVICES

              Health Resources and Services Administration

                     HEALTH RESOURCES AND SERVICES

Appropriations, 2006 \1\................................  $6,587,855,000
Budget estimate, 2007...................................   6,333,855,000
House allowance.........................................   7,075,917,000
Committee recommendation................................   6,992,859,000

\1\ Excludes $4,000,000 in emergency supplemental appropriations 
pursuant to Public Law 109-234.

    The Committee provides a program level of $6,992,859,000 
for the Health Resources and Services Administration [HRSA]. 
The Committee recommendation includes $6,967,859,000 in budget 
authority and an additional $25,000,000 via transfers available 
under section 241 of the Public Health Services Act. The fiscal 
year 2006 comparable program level was $6,587,855,000, the 
budget request for fiscal year 2007 was $6,333,855,000, and the 
House Committee recommendation was $7,075,917,000.
    Health Resources and Services Administration activities 
support programs to provide health care services for mothers 
and infants; the underserved, elderly, homeless; migrant farm 
workers; and disadvantaged minorities. This appropriation 
supports cooperative programs in community health, AIDS care, 
health care provider training, and health care delivery systems 
and facilities.

                     BUREAU OF PRIMARY HEALTH CARE

                        COMMUNITY HEALTH CENTERS

    The Committee provides $1,926,076,000 for the community 
health centers program. The fiscal year 2006 comparable program 
level was $1,781,076,000 and the budget request for fiscal year 
2007 was $1,962,861,000. This group of programs includes 
community health centers, migrant health centers, health care 
for the homeless, and public housing health service grants. The 
Committee continues to strongly support the on-gong effort to 
increase the number of people who have access to medical 
services at health centers, and notes that this program receive 
one of the largest increases in funding in the Committee 
recommendation.
    Within the amount provided, $25,000,000 has been allocated 
to offset the rising cost of health care at existing centers 
and to resolve specific financial situations beyond the control 
of the local health center, such as unusual increases in the 
number of uninsured patients seeking care.
    Within the amount provided, the Committee has provided 
$44,550,000 under the Federal Tort Claims Act for the Health 
Centers program. The Committee has included bill language 
making this funding available until expended and allowing costs 
associated with the health centers tort liability relief 
program to be paid from the fund. The Committee intends that 
the fund be used to pay judgments and settlements, occasional 
witness fees and expenses, and the administrative costs of the 
program, which includes the cost of evaluating claims, 
defending claims, and conducting settlement activities. The 
Committee is aware of legislation that would extend FTCA 
coverage to volunteer physicians and non-grantee health 
centers, as well as to health centers and their employees 
traveling to provide care in emergency-affected areas. While 
these proposals would extend FTCA coverage to additional 
providers, the Committee expects the amount provided to be 
adequate to cover any increased costs in fiscal year 2007.
    The Committee believes that adequate funding for the 
technical assistance and networking functions available for 
health centers is critical to the successful operation and 
expansion of the Health Centers program. Funds are available 
within the amount provided to continue assistance to existing 
centers and support expansion to new communities.
    The Committee strongly urges HRSA to assist rural 
communities in high-need areas of the country that have not 
fully participated in the Health Center expansion effort in 
recent years. Despite documented need, many eligible counties 
have not received health center grants. The focus on financial 
viability and regionally specific criteria, such as homeless 
populations and migrant workers, has sometimes held back 
communities outside of the targeted demographic. The Committee 
notes that some majority African-American areas of the rural 
Southeastern United States have fared particularly badly in the 
award of health center grants. The Committee urges HRSA to 
provide technical assistance and consider funding planning 
grants to potential new access point grantees to enable them to 
better compete for health center awards.
    The Committee commends the efforts of health centers to 
deliver culturally and linguistically appropriate care and 
urges the Secretary to work with health centers to further 
enable these efforts. The Committee also urges the Department 
to establish centers in un-served and under-served communities 
and to implement strategies to increase the numbers and 
diversity of health professionals at community health centers.
    The Committee recognizes the important role of the 
consolidated health centers in caring for people living with or 
at risk for hepatitis C. The Committee encourages HRSA to 
increase health centers' capacity for delivery of medical 
management and treatment of HCV by implementing training and 
technical assistance initiatives, so that health centers are 
able to increase hepatitis C counseling and testing, and 
medical management and treatment services to meet the 
healthcare priorities of their respective communities.
    The Committee continues to be concerned that community 
health center funds are often not available to small, remote 
communities in Alaska, Hawaii and other similar States because 
the population base is too small. Many of these communities 
have no health service providers and are forced to travel long 
distances by boat or plane even in emergency situations. The 
Committee recommends that HRSA examine its regulations and 
applications procedures to ensure they do not unduly burden 
small communities and are appropriately flexible to meet the 
needs of these communities. The Committee applauds the agency 
for its initiatives, such as the ``Alaska Frontier Health 
Plan,'' and encourages the agency to continue and expand its 
efforts with this program.
    The Committee recognizes the importance of increasing the 
use of health information technology [IT] at health centers. 
Health centers have demonstrated improved access to services 
and improved patient outcomes by using electronic health 
records and other IT tools through their participation in 
various networks, projects, systems, and collaboratives. The 
Committee urges HRSA to ensure that health centers have 
adequate resources to establish and expand health IT systems to 
further enhance the delivery of cost-effective, quality health 
care services.
    The Committee recognizes the service to the uninsured by 
Integrated Health Centers [IHCs] and Nurse-Managed Health 
Centers [NMHCs]. These nonprofit hospital-affiliated or 
university-based health centers provide much needed primary 
care to a diverse and disadvantaged population. These health 
centers are frequently the only source of primary care to their 
patients. The Committee encourages HRSA to explore options to 
include IHCs and NMHCs in new public-private safety net 
partnerships thereby increasing access for the medically 
underserved. Specifically, the Committee encourages HRSA to 
explore granting these health centers the ability to apply for 
FQHC Look-Alike status.
    The Committee encourages HRSA to make funding available for 
service expansion awards, especially those expanding access to 
mental health services, with full and fair consideration given 
to health centers in communities affected by Hurricanes Katrina 
and Rita. Further, the Committee recognizes that School-Based 
Health Centers are effective providers of mental health 
services to underserved populations and encourages HRSA to give 
priority to applications for service expansions to such 
applicants.
    The Committee does not provide additional funds for loan 
guarantee authority under section 330(d) of the Public Health 
Service Act. The Committee notes that $72,000,000 of the 
$160,000,000 appropriated in fiscal years 1997 and 1998 
continues to remain available for guarantees of both loan 
principal and interest. The Committee notes that some health 
centers have successfully used funds available through the HRSA 
Loan Guarantee Program to meet their capital needs. To maximize 
the use of the loan guarantee funds, the Committee urges HRSA 
to increase the percentages at which loan guarantees are 
provided for managed care plans, networks, and facilities to 
the highest authorized levels.

Native Hawaiian Health Care

    The Committee again includes the legal citation in the bill 
for the Native Hawaiian Health Care Program. The Committee has 
included sufficient funding so that health care activities 
funded under the Native Hawaiian Health Care Program can be 
supported under the broader community health centers line. The 
Committee expects that not less than $14,200,000 be provided 
for these activities in fiscal year 2007.
    The Committee recognizes there are still few Native 
Hawaiian health care administrators working in Federally 
qualified health centers. The Committee directs that a portion 
of the funds appropriated for Native Hawaiian Health Care Act 
programs be used to develop administrative competency 
curriculum to prepare Native Hawaiians with the expertise 
necessary to succeed in these positions.

Free Clinics Medical Malpractice Coverage

    The Committee provides $10,000 in funding for payments of 
claims under the Federal Tort Claims Act to be made available 
for free clinic health professionals as authorized by U.S.C. 
Title 42, Section 233(o) of the Public Health Service Act. The 
fiscal year 2006 comparable level was $40,000 and the fiscal 
year 2007 budget request did not include funding for this 
program. This appropriation continues to extend Federal Tort 
Claims Act coverage to medical volunteers in free clinics in 
order to expand access to health care services to low-income 
individuals in medically underserved areas.

Radiation and Exposure Screening and Education Program

    The Committee provides $1,917,000 for activities authorized 
by the Radiation Exposure Compensation Act. The fiscal year 
2006 comparable level was $1,916,000 and the budget request for 
fiscal year 2007 was $1,917,000. This program provides grants 
for the education, prevention, and early detection of 
radiogenic cancers and diseases resulting from exposure to 
uranium during its mining and milling at nuclear test sites.

National Hansen's Disease Program

    The Committee has included $16,705,000 for the National 
Hansen's Disease Program. The fiscal year 2006 comparable level 
was $15,894,000 and the budget request for fiscal year 2007 was 
$15,905,000. The program consists of inpatient, outpatient, 
long-term care, training, and research in Baton Rouge, 
Louisiana; a residential facility at Carville, Louisiana, and 
11 outpatient clinic sites serving approximately 3,100 patients 
in the continental United States and Puerto Rico. The Committee 
has provided an increase of $811,000 over fiscal year 2006 to 
maintain appropriate staffing levels at both facilities.

National Hansen's Disease Program Buildings and Facilities

    The Committee provides $220,000 for buildings and 
facilities. The fiscal year 2006 comparable level was $220,000 
and the budget request for fiscal year 2007 was $220,000 for 
this program. This funding provides for the repair and 
maintenance of buildings at the Gillis W. Long Hansen's Disease 
Center.

Payment to Hawaii for Hansen's Disease Treatment

    The Committee provides $1,996,000 for Hansen's Disease 
services. The fiscal year 2006 comparable level was $1,995,000 
and the budget request for fiscal year 2007 was $1,996,000. 
Payments are made to the State of Hawaii for the medical care 
and treatment of persons with Hansen's Disease in hospital and 
clinic facilities at Kalaupapa, Molokai and Honolulu. Expenses 
above the level of appropriated funds are borne by the State of 
Hawaii.

Black Lung Clinics

    The Committee provides $6,000,000 for black lung clinics. 
The fiscal year 2006 comparable level was $5,887,000 and the 
budget request for fiscal year 2007 was $5,891,000. This 
program funds clinics that treat respiratory and pulmonary 
diseases of active and retired coal miners, steel mill workers, 
agricultural workers, and others with occupationally-related 
respiratory and pulmonary impairments. These clinics reduce the 
incidence of high-cost inpatient treatment for these 
conditions.

                      BUREAU OF HEALTH PROFESSIONS

National Health Service Corps: Field Placements

    The Committee provides $40,298,000 for field placement 
activities. The fiscal year 2006 comparable level was 
$40,270,000 and the budget request for fiscal year 2007 was 
$40,298,000. The funds provided for this program are used to 
support the activities of National Health Service Corps in the 
field, including travel and transportation costs of assignees, 
training and education, recruitment of volunteers, and 
retention activities. Salary costs of most new assignees are 
paid by the employing entity.
    The Committee is pleased by the increasing proportion of 
National Health Service Corps assignees being placed at 
Community, Migrant, Homeless, and Public Housing Health 
Centers. The Committee encourages HRSA to further expand this 
effort to ensure that health centers have access to sufficient 
numbers of health professionals through the Corps.
    The Committee is concerned that the current Health 
Professional Shortage Area [HPSA] scoring process used by HRSA 
disadvantages many health centers located in medically 
underserved areas of the country. The Committee urges HRSA to 
apply the same placement criteria to physicians seeking J-1 
Visa Waivers and NHSC Scholars as are currently applied to NHSC 
Loan Repayment recipients. The Committee is concerned that the 
recent decline in J-1 Visa Waiver applicants is due to systemic 
obstacles, including HPSA scoring minimums, rather than 
diminishing needs in underserved communities. To ensure that 
the number and location of the placements meets the needs of 
the underserved, the Committee urges HRSA to expand eligibility 
for the J-1 visa waiver program.

National Health Service Corps: Recruitment

    The Committee provides $85,230,000 for recruitment 
activities. The fiscal year 2006 comparable level was 
$85,171,000 and the budget request for fiscal year 2007 was 
$85,230,000. This program provides major benefits to students 
(full-cost scholarships or sizable loan repayment) in exchange 
for an agreement to serve as a primary care provider in a high 
priority federally designated health professional shortage 
area. These funds should support multi-year, rather than 
single-year, commitments.
    The Committee understands that the Department of Labor has 
identified physical therapists as being one of only two types 
of health professionals in significant shortage. The Committee 
urges HRSA to identify the health occupation of physical 
therapist for placement in underserved communities. Loan 
repayment programs would be an incentive to recruit individuals 
to seek this practice opportunity and to retain qualified 
physical therapists to address the unique needs of these 
communities in the areas of rehabilitation, disease management, 
prevention, and public health.
    The Committee encourages HRSA to include doctors of 
optometry in the NHSC Student Loan Repayment Program with the 
goal of making preventive eye care services more accessible in 
community health centers within health professional shortage 
areas. The Committee requests that HRSA be prepared to report 
on progress towards this goal during deliberations for the 
fiscal year 2008 budget.

                           HEALTH PROFESSIONS

    The Committee provides $304,082,000 for all HRSA health 
professions programs. The fiscal year 2006 comparable level was 
$294,674,000 and the budget request for fiscal year 2007 was 
$159,412,000.
    The Committee recognizes that the determination of whether 
an individual is from an economically disadvantaged background 
has been problematic for health professions and nursing grant 
and cooperative agreement programs authorized by titles III, 
VII, and VIII of the Public Health Service Act, such as the 
Nursing Workforce Diversity Program. The Committee is pleased 
that HRSA responded to concerns and issued new guidance and 
methodology for the aforementioned programs on February 18, 
2005 (70 FR 8381-8382). However, the Committee is concerned 
that despite the revisions, parental income remains a factor in 
the determination of whether an individual is from an 
economically disadvantaged background, even if the student 
lives with a relative other than a parent. Therefore, the 
Committee encourages HRSA to omit the consideration of parental 
income from fiscal year 2007 competitions as well as from 
future guidance and methodology issued for health professions 
and nursing grant and cooperative agreement programs authorized 
by titles III, VII, and VIII of the Public Health Service Act.

Training for Diversity

            Centers of Excellence
    The Committee provides $11,872,000 for the Centers of 
Excellence program. The fiscal year 2006 comparable level was 
$11,872,000 and the budget request for fiscal year 2007 did not 
include any funds for this program. This program was 
established to fund institutions that train a significant 
portion of the Nation's minority health professionals. Funds 
are used for the recruitment and retention of students, faculty 
training, and the development of plans to achieve institutional 
improvements. The institutions that are designated as centers 
of excellence are private institutions whose mission is to 
train disadvantaged minority students for service in 
underserved areas. Located in poor communities and usually with 
little State funding, they serve the health care needs of their 
patients--often without payment.
    The Committee is pleased that HRSA has re-focused the 
Minority Centers of Excellence program on providing support to 
historically minority health professions institutions. The 
Committee recognizes the important role of this program in 
supporting faculty and other academic programs at minority 
institutions. The Committee notes that at the level of funding 
provided, Public Law 105-392, the Health Professions Education 
Partnerships Act of 1998, limits funding to the original four 
Centers of Excellence.
            Health Careers Opportunity Program
    The Committee provides $3,957,000 for the Health Careers 
Opportunity Program. The fiscal year 2006 comparable level was 
$3,957,000 and the budget request for fiscal year 2007 did not 
include any funds for this program. This program provides funds 
to medical and other health professions schools for recruitment 
of disadvantaged students and pre-professional school 
preparations.
    The Committee is concerned about the reduced level of 
support provided to minority health professions schools through 
the H-COP program in recent fiscal years. For fiscal year 2007, 
the Committee strongly urges HRSA to give priority 
consideration to awarding grants to those institutions with a 
historic mission of training minorities in the health 
professions.
            Faculty Loan Repayment
    The Committee provides $1,288,000 for the Faculty Loan 
Repayment program. The fiscal year 2006 comparable level was 
$1,288,000 and the budget request for fiscal year 2007 did not 
include any funds for this program. This program provides for 
the repayment of education loans for individuals from 
disadvantaged backgrounds who are health professions students 
or graduates, and who have agreed to serve for not less than 2 
years as a faculty member of a health professions school.
            Scholarships for Disadvantaged Students
    The Committee provides $46,625,000 for the Scholarships for 
Disadvantaged Students program. The fiscal year 2006 comparable 
level was $46,625,000 and the budget request for fiscal year 
2007 was $9,733,000. This program provides grants to health 
professions schools for student scholarships to individuals who 
are from disadvantaged backgrounds and are enrolled as full-
time students in such schools.

Training in Primary Care Medicine and Dentistry

    The Committee provides $50,000,000 for Training in Primary 
Care Medicine and Dentistry programs. The fiscal year 2006 
comparable level was $40,823,000 and the budget request for 
fiscal year 2007 did not include any funding for this program.
            Family Medicine Training
    Family medicine activities support grants for graduate 
training in family medicine, grants for pre-doctoral training 
in family medicine, grants for faculty development in family 
medicine, and grants for the establishment of departments of 
family medicine. The Committee reiterates its support for this 
program and recognizes its importance in increasing the number 
of primary care physicians in underserved areas.
    The Committee has included bill language enabling HRSA to 
fund its family medicine activities at a level of $31,000,000.
            General Internal Medicine and Pediatrics Training
    This program provides funds to public and private nonprofit 
hospitals and schools of medicine and osteopathic medicine to 
support residencies in internal medicine and pediatrics. Grants 
may also include support for faculty.
            Physician Assistants
    This program supports planning, development, and operation 
of physician assistant training programs.
            General Dentistry and Pediatric Dental Residencies
    This program assists dental schools and postgraduate dental 
training institutions to meet the costs of planning, 
developing, and operating residency training and advanced 
education programs in general practice of dentistry and funds 
innovative models for postdoctoral general dentistry and 
pediatric dentistry.
    The Committee has included bill language enabling HRSA to 
fund the pediatric dental program at a level of $5,000,000 The 
Committee recognizes that the approximately 40 percent of U.S. 
children living in low-income households have about three to 
five times the level of untreated dental disease compared to 
their more affluent peers. Recruitment and retention of 
pediatric dental educators is vital to pediatric dental 
residency programs. Pediatric dentists treat about 30 percent 
of the children in this country, and train all of the dentists 
who treat children. Additionally, rural States are 
disproportionately underserved by pediatric dentists, as 
several States have fewer than 10 pediatric dentists. The 
Committee encourages HRSA to develop pediatric dentistry 
faculty development and student loan repayment programs.

Interdisciplinary, Community-based Linkages

            Area Health Education Centers
    The Committee provides $28,661,000 for the Area Health 
Education Centers program. The fiscal year 2006 comparable 
level was $28,661,000 and the budget request for fiscal year 
2007 did not include any funds for this program. This program 
links university health science centers with community health 
service delivery systems to provide training sites for 
students, faculty, and practitioners. The program supports 
three types of projects: Core grants to plan and implement 
programs; special initiative funding for schools that have 
previously received Area Health Education Centers [AHEC] 
grants; and model programs to extend AHEC programs with 50 
percent Federal funding.
            Allied Health and Other Disciplines
    The Committee provides $4,000,000 for the Allied Health and 
Other Disciplines program. The fiscal year 2006 comparable 
level was $3,957,000 and the budget request for fiscal year 
2007 did not include any funds for this program. These programs 
seek to improve access, diversity, and distribution of allied 
health practitioners to areas of need. The program improves 
access to comprehensive and culturally competent health care 
services for underserved populations. The Committee 
recommendation is sufficient to continue the Chiropractic-
Medical School Demonstration Grant and Graduate Psychology 
training programs at the same levels as in fiscal year 2006.

Public Health Workforce Development

    With the continued need for public health training 
throughout the country, the Committee believes these programs 
serve an important role in maintaining the country's public 
health infrastructure.
            Public Health, Preventive Medicine, and Dental Public 
                    Health Programs
    The Committee provides $8,000,000 for these programs. The 
fiscal year 2006 comparable level was $7,915,000 and the budget 
request for fiscal year 2007 did not include any funds for this 
program. This program supports awards to schools of medicine, 
osteopathic medicine, public health, and dentistry for support 
of residency training programs in preventive medicine and 
dental public health; and for financial assistance to trainees 
enrolled in such programs.

Nursing Workforce Development Programs

    The Committee provides $149,679,000 for the Nursing 
Workforce Development programs. The fiscal year 2006 comparable 
level was $149,576,000 and the budget request for fiscal year 
2007 was $149,679,000. The Committee recognizes that the 
current nursing shortage has reached a crisis state across 
America. The situation only promises to worsen due to a lack of 
young nurses in the profession, an aging existing workforce, 
and inadequate availability of nursing faculty to prepare 
future nurses. The Committee urges HRSA to support programs 
aimed at increasing nursing faculty and encouraging a diverse 
population's entry into nursing.
            Advanced Education Nursing
    The Committee provides $57,061,000 for the Advanced 
Education Nursing programs. The fiscal year 2006 comparable 
level was $57,021,000 and the budget request for fiscal year 
2007 was $57,061,000. This program funds nursing schools to 
prepare nurses at the master's degree or higher level for 
teaching, administration, or service in other professional 
nursing specialties. Within the allocation, the Committee 
encourages HRSA to allocate funding at least at the fiscal year 
2006 level for nurse anesthetist education.
            Nurse Education, Practice, and Retention
    The Committee provides $37,291,000 for the Nurse Education, 
Practice, and Retention programs. The fiscal year 2006 
comparable level was $37,265,000 and the budget request for 
fiscal year 2007 was $37,291,000. The goal of this program is 
to improve the quality of nursing practice. Activities under 
this program will initiate new projects that will change the 
educational mix of the nursing workforce and empower the 
workforce to meet the demands of the current health care 
system.
            Nursing Workforce Diversity
    The Committee provides $16,107,000 for the Nursing 
Workforce Diversity program. The fiscal year 2006 comparable 
level was $16,096,000 and the budget request for fiscal year 
2007 was $16,107,000. The goal of this program is to improve 
the diversity of the nursing workforce through increased 
educational opportunities for individuals from disadvantaged 
backgrounds.
            Nurse Loan Repayment and Scholarship Program
    The Committee provides $31,055,000 for the Nurse Loan 
Repayment and Scholarship programs. The fiscal year 2006 
comparable level was $31,034,000 and the budget request for 
fiscal year 2007 was $31,055,000. This program offers student 
loan repayment to nurses in exchange for an agreement to serve 
not less than 2 years in an Indian Health Service health 
center, Native Hawaiian health center, public hospital, 
community or migrant health center, or rural health clinic.
            Nurse Faculty Loan Program
    The Committee provides $4,773,000 for the Nursing Faculty 
Loan program. The fiscal year 2006 comparable level was 
$4,770,000 and the budget request for fiscal year 2007 was 
$4,773,000. This program supports the development of a student 
loan fund in schools of nursing to increase the number of 
qualified nursing faculty.
            Comprehensive Geriatric Education
    The Committee provides $3,392,000 for Comprehensive 
Geriatric Education grants. The fiscal year 2006 comparable 
level was $3,390,000 and the budget request for fiscal year 
2007 was $3,392,000. These grants prepare nursing personnel to 
care for the aging population.

Patient Navigator

    The Committee provides $5,000,000 for Patient Navigator 
Grants authorized by Public Law 109-18. No funds were included 
in the fiscal year 2007 budget request for this program. These 
funds will be used to provide patient navigator services to 
improve health care outcomes.
    Patient navigators are individuals who know the local 
community and can help patients navigate through the 
complicated health care system. They help with referrals and 
follow-up treatment and direct patients to programs and 
clinical trials that are available to help them get the 
treatment and care they need to fight cancer and other chronic 
diseases. In addition, the patient navigator guides patients to 
health coverage that they may be eligible to receive. They also 
conduct ongoing outreach to communities with health disparities 
to encourage people to get screenings and early detection 
services.

Children's Hospitals Graduate Medical Education Program

    The Committee has provided $200,000,000 for the Children's 
Hospitals Graduate Medical Education [GME] program. The fiscal 
year 2006 comparable level was $296,795,000 and the budget 
request for fiscal year 2007 was $99,000,000.
    The program provides support for health professions 
training in children's teaching hospitals that have a separate 
Medicare provider number (``free-standing'' children's 
hospitals). Children's hospitals are statutorily defined under 
Medicare as those whose inpatients are predominantly under the 
age of 18. The funds in this program are intended to make the 
level of Federal Graduate Medical Education support more 
consistent with other teaching hospitals, including children's 
hospitals that share provider numbers with other teaching 
hospitals. Payments are determined by formula, based on a 
national per-resident amount. Payments support training of 
resident physicians as defined by Medicare in both ambulatory 
and inpatient settings.

National Practitioner Data Bank

    The Committee provides $15,700,000 for the national 
practitioner data bank. The fiscal year 2006 comparable level 
was $15,700,000 and the budget request for fiscal year 2007 was 
$15,700,000. The Committee and the budget request assume that 
full funding will be provided entirely through the collection 
of user fees and will cover the full cost of operating the data 
bank. Bill language is included to ensure that user fees are 
collected to cover all costs of processing requests and 
providing such information to data bank users.

Health Care Integrity and Protection Data Bank

    The Committee provides $4,000,000 for the health care 
integrity and protection data bank. The fiscal year 2006 
comparable level was $4,000,000 and the budget request for 
fiscal year 2007 was $4,000,000. The Committee and the budget 
request assume that full funding will be provided entirely 
through the collection of user fees and will cover the full 
cost of operating the data bank. The data bank is intended to 
collect, maintain, and report on certain actions taken against 
health care providers, suppliers, and practitioners.

                    MATERNAL AND CHILD HEALTH BUREAU

Maternal and Child Health Block Grant

    The Committee provides $693,000,000 for the maternal and 
child health [MCH] block grant. The fiscal year 2006 comparable 
level was $692,521,000 and the budget request for fiscal year 
2007 was $693,000,000.
    The Maternal and Child Health Block Grant program provides 
a flexible source of funding that allows States to target their 
most urgent maternal and child health needs through development 
of community-based networks of preventive and primary care that 
coordinate and integrate public and private sector resources 
and programs for pregnant women, mothers, infants, children, 
and adolescents. The program supports a broad range of 
activities including prenatal care, well child services and 
immunizations, reducing infant mortality, preventing injury and 
violence, expanding access to oral health care, addressing 
racial and ethnic disparities and providing comprehensive care 
for children, adolescents, and families through clinics, home 
visits and school-based health programs.
    The MCH block grant funds are provided to States to support 
health care for mothers and children. According to statute, 85 
percent of appropriated funds up to $600,000,000 are 
distributed to States and 15 percent are set aside for special 
projects of regional and national significance [SPRANS]. Also 
according to statute, 12.75 percent of funds over $600,000,000 
are to be used for community-integrated service systems [CISS] 
programs. The remaining funds over $600,000,000 are distributed 
on the same 85/15 percent split as the basic block grant.
    The Committee has included bill language identifying 
$116,051,892 for the SPRANS set-aside. Within that total, the 
Committee intends that $1,536,480 be used for a first-time 
motherhood education program; $2,880,900 be used for epilepsy 
demonstration projects; $990,000 be used for a fetal alcohol 
syndrome demonstration program; $3,841,200 be used to continue 
the sickle cell newborn screening program and its locally based 
outreach and counseling efforts; $1,920,600 be used for newborn 
and child screening for heritable disorders as authorized in 
title XXVI of the Children's Health Act of 2000; and $4,801,500 
be used to continue the oral health demonstration programs and 
activities in the States.
    As stated above, the Committee also provides $1,536,480 for 
a first-time motherhood demonstration program, equally divided 
between urban and rural settings. Funding for urban settings 
should be focused on community-based doula activities. These 
funds may be used to improve infant health, strengthen families 
and provide supports to ensure family success through a 
community-based doula program. This approach identifies and 
trains indigenous community leaders to mentor pregnant women 
during the months of pregnancy, birth and the immediate post-
partum period. Doulas provide pregnancy and childbirth 
education, early linkage to health care and social services, 
labor coaching, breastfeeding education and counseling and 
parenting skills while fostering parental attachment. Rural 
areas represent a unique challenge in supporting first-time 
mothers, particularly around the area of lactation support and 
services. Funding for the rural portion of the demonstration 
should be focused on the best ways of delivering supportive 
services, including delivery outside the hospital setting both 
before and after the birth of the child. Priority should be 
given to applications which emphasize breastfeeding initiation 
and retention.
    As stated above, the Committee has provided $2,880,900 for 
the continuation of epilepsy demonstration programs to improve 
access to health and other services regarding seizures and to 
encourage early detection and treatment in children and others 
residing in medically underserved and rural areas. Of the 
amount provided, the Committee recommends 30 percent be used to 
continue to fund the development and testing of a national 
public health awareness campaign to increase seizure 
recognition and improve access to care among minorities and 
underserved populations. The Committee encourages HRSA to 
conduct these programs in partnership with a national 
organization whose mission is to improve the lives of children 
and adults affected by seizure through research, education, 
advocacy and service.
    The Committee has included $990,000 to continue the 
demonstration program on fetal alcohol syndrome. Each year, 
40,000 children are born with fetal alcohol spectrum disorders 
[FASD], the leading known cause of mental retardation and birth 
defects. The demonstration program should continue to 
coordinate services between the National Organization on Fetal 
Alcohol Syndrome and community health centers to improve the 
prevention, identification, and support of individuals with 
fetal alcohol syndrome. In addition, funds have been included 
to engage and include maternal child health sites in this 
successful demonstration.
    As stated above, the Committee provides $1,920,600 to 
continue the heritable disorders screening program authorized 
in Title XXVI of the Children's Health Act of 2000. Newborn 
screening is used for early identification of infants affected 
by certain genetic, metabolic, hormonal and or functional 
conditions for which there is effective treatment or 
intervention. Screening detects disorders in newborns that, 
left untreated, can cause death, disability, mental retardation 
and other serious illnesses. The Committee is aware that wide 
disparities exist in the number of conditions screened for in 
each State. The Committee believes that parents and healthcare 
providers responsible for the care of newborns should be able 
to provide the best chance at a healthy start on life, and 
therefore, encourages HRSA to consider including guidance that 
parents be informed in writing of the availability of 
additional tests that may not be required under State law.
    The Committee commends HRSA for convening the Secretary's 
Advisory Committee on Heritable Disorders and Genetic Diseases 
in Newborns and Children to make national recommendations to 
standardize newborn screening programs in the United States; 
and for funding the Regional Genetic Service and Newborn 
Screening Collaboratives to address the maldistribution of 
genetic services and resources to bring services closer to 
local communities.
    As stated above, the Committee has provided $4,801,500 for 
the continuation of oral health programs in the States. These 
programs will help States develop well integrated, quality oral 
health programs through grants, cooperative agreements, and 
contracts. The Committee encourages HRSA to assist States 
through partnerships with national associations and foundations 
to focus on state-based early interventions to prevent early 
childhood caries. As linkages continue to be made among disease 
transmissibility, maternal behaviors, poor birth outcomes and 
poor periodontal health, further program attention is warranted 
to avoid the need for more costly care.
    The Committee recognizes the key role that Maternal and 
Child Health Centers for Leadership in Pediatric Dentistry 
Education provide in preparing dentists with dual training in 
pediatric dentistry and dental public health. Dentists in the 
three currently funded programs concentrate on working with 
Federal, State, and local programs that provide services for 
vulnerable populations including low-income children and women 
and children with special health care needs. Dentists trained 
through these centers become future faculty and policy leaders 
specializing in pediatric dentistry and maternal and child 
health. The Committee encourages HRSA to expand this program.
    The Committee reiterates its long-standing support for the 
continuation of funding that the Maternal and Child Health 
Block Grant has provided to comprehensive thalassemia treatment 
centers under the SPRANS program. The Committee urges HRSA to 
continue this program, expand it to include additional centers 
around the country, and to continue its existing partnership on 
these activities with a voluntary organization.
    The most crucial need for individuals suffering from 
Chronic Fatigue Syndrome [CFS] is for effective, compassionate 
medical care. Through its demonstration grants program, HRSA 
has piloted effective ways of delivering health care services 
to those with emerging illnesses. The Committee encourages HRSA 
to provide demonstration grants to develop model CFS clinical 
centers with the goal of delivering effective, 
multidisciplinary clinical care to persons with CFS.
    The Committee recognizes the critical role of hemophilia 
treatment centers in providing needed comprehensive care for 
persons with bleeding disorders and the expanded role of these 
centers in addressing the needs of women with bleeding 
disorders and persons with clotting disorders such as 
thrombophilia. The Committee urges HRSA to continue its support 
of this model disease management network.
    The Committee encourages HRSA to consider partnering with a 
national non-profit voluntary organization to develop model 
demonstration programs to develop a national data source by 
which States could report State-specific rates and improve the 
screening, detection, and treatment of vision problems that 
would otherwise result in delayed learning and education in 
children.
    The Committee is aware that HRSA has been reviewing the 
State Core Performance Measures for children. Last year, the 
Committee included report language encouraging HRSA to consider 
developing a National Core Performance Measure for children's 
vision. This is necessary to ensure care is provided to the 
many school-age children with significant vision problems. The 
Committee requests that HRSA report to the Committee on 
Appropriations by June 15, 2007 the status of the MCH Core 
Performance Measure review process, the anticipated timeline 
for review completion, and the steps the Administrator has 
taken to ensure appropriate vision screening for children 
entering school.

Sickle Cell Anemia Demonstration Program

    The Committee provides $3,000,000 for the sickle cell 
anemia demonstration program. The fiscal year 2006 comparable 
level was $2,176,000 and the budget request for fiscal year 
2007 was $2,178,000.

Traumatic Brain Injury Program

    The Committee provides $8,910,000 for the traumatic brain 
injury program. The fiscal year 2006 comparable level was 
$8,904,000 and the budget request for fiscal year 2007 did not 
include any funding for this program. The program supports 
implementation and planning grants to States for coordination 
and improvement of services to individuals and families with 
traumatic brain injuries as well as protection and advocacy. 
Such services can include: pre-hospital care, emergency 
department care, hospital care, rehabilitation, transitional 
services, education, employment, and long-term support. The 
Committee includes $3,000,000 for protection and advocacy 
services, as authorized under section 1305 of Public Law 106-
310.

Healthy Start Initiative

    The Committee provides $101,518,000 for the healthy start 
infant mortality initiative. The fiscal year 2006 comparable 
level was $101,448,000 and the budget request for fiscal year 
2007 was $101,518,000.
    The healthy start initiative was developed to respond to 
persistently high rates of infant mortality in this Nation. The 
initiative was expanded in fiscal year 1994 by a special 
projects program, which supported an additional seven urban and 
rural communities to implement infant mortality reduction 
strategies and interventions. The Children's Health Act of 2000 
fully authorized this initiative as an independent program. The 
Committee urges HRSA to give preference to current and former 
grantees with expiring or recently expired project periods.

Universal Newborn Hearing Screening and Early Intervention

    The Committee provides $10,000,000 for universal newborn 
hearing screening and early intervention activities. The fiscal 
year 2006 comparable level was $9,794,000 and the budget 
request for fiscal year 2007 did not include any funds for this 
program.
    The Committee expects HRSA to coordinate projects funded 
with this appropriation with projects related to early hearing 
detection and intervention by the National Center on Birth 
Defects and Developmental Disabilities, the National Institute 
on Deafness and Other Communication Disorders, the National 
Institute on Disability and Rehabilitation Research, and the 
Office of Special Education and Rehabilitative Services.

Emergency Medical Services for Children

    The Committee provides $20,000,000 for emergency medical 
services for children. The fiscal year 2006 comparable level 
was $19,786,000 and the budget request for fiscal year 2007 did 
not include funds for this program. The program supports 
demonstration grants for the delivery of emergency medical 
services to acutely ill and seriously injured children.
    The Committee continues to be pleased with the progress 
made for the emergency medical services for children. The 10-
year Institute of Medicine study of emergency medical services 
for children was informative, and the Committee looks forward 
to its 20-year update.

Family-To-Family Health Information Centers

    The Committee has not provided funding for the Family-To-
Family Health Information Centers program. The budget request 
for fiscal year 2007 included $3,000,000 for this new 
initiative. The Committee notes that the Deficit Reduction Act 
of 2005 appropriated $3,000,000 for this activity in fiscal 
year 2007.

                            HIV/AIDS BUREAU

                  ACQUIRED IMMUNE DEFICIENCY SYNDROME

Ryan White AIDS Programs

    The Committee provides $2,139,091,000 for Ryan White AIDS 
programs. The recommendation includes $25,000,000 in transfers 
available under section 241 of the Public Health Service Act. 
The fiscal year 2006 comparable level was $2,061,305,000 and 
the budget request for fiscal year 2007 was $2,157,713,000. In 
the absence of the reauthorization of the Ryan White CARE Act 
and with the exception of the deviations noted in the following 
sections, the Committee intends that funds be distributed using 
the same methodologies used in fiscal year 2006.
    Next to the Medicaid program, the Ryan White CARE Act (the 
CARE Act) is the largest Federal investment in the care and 
treatment of people living with HIV/AIDS in the United States. 
The CARE Act provides a wide range of community-based services, 
including primary and home health care, case management, 
substance abuse treatment, mental health services, and 
nutritional services.
    Within the total provided, the Committee intends that Ryan 
White AIDS activities that are targeted to address the growing 
HIV/AIDS epidemic and its disproportionate impact upon 
communities of color, including African-Americans, Latinos, 
Native Americans, Asian Americans, Native Hawaiians, and 
Pacific Islanders continue with at least the level of funding 
provided in fiscal year 2006.
    The Committee is aware that over 30 percent of HIV-infected 
persons in the United States are also chronically infected with 
the hepatitis C virus [HCV]. Chronic hepatitis C infection may 
lead to cirrhosis of the liver and liver cancer, and is the 
leading cause of liver transplantation in the United States. In 
addition, chronic hepatitis C disease progresses more rapidly 
in HIV-infected persons, and end stage liver disease resulting 
from chronic hepatitis C infection is now a leading cause of 
death for people with HIV/AIDS. The Committee urges HRSA to 
provide guidance to CARE Act grantees to encourage them to 
proactively address HCV care and treatment among their HIV/HCV 
co-infected patient populations.

Emergency Assistance--Title I

    The Committee provides $605,993,000, an increase of 
$2,417,000 over fiscal year 2006 and $2,000,000 over the budget 
request, for emergency assistance grants to eligible 
metropolitan areas disproportionately affected by the HIV/AIDS 
epidemic. These funds are provided to metropolitan areas 
meeting certain criteria. Half of the funds are awarded by 
formula and the other half are awarded through supplemental 
competitive grants.

Comprehensive Care Programs--Title II

    The Committee provides $1,190,518,000 for HIV health care 
and support services. These funds are awarded to States to 
support HIV service delivery consortia, the provision of home 
and community-based care services for individuals with HIV 
disease, continuation of health insurance coverage for low-
income persons with HIV disease and support for State AIDS drug 
assistance programs [ADAP].
    The Committee continues to be encouraged by the progress of 
anti-retroviral therapy in reducing the mortality rates 
associated with HIV infection and in enhancing the quality of 
life of patients on medication. The Committee includes bill 
language for $844,546,000 for AIDS medications in the AIDS Drug 
Assistance Program [ADAP]. The fiscal year 2006 comparable 
level was $789,005,000 and the budget request for fiscal year 
2007 was $789,546,000. The Committee has provided this increase 
to address the long-standing problem of State waiting lists for 
HIV/AIDS medications without unfairly punishing States that 
have provided their own resources to make up funding 
shortfalls.
    The Committee has included requested bill language and 
provided $15,000,000 over the fiscal year 2006 level for Title 
II to fund the initiative within Title II to enable the 
Secretary to target HIV care and treatment funds to areas of 
greatest need. It is the understanding of the Committee that 
the enhanced flexibility associated with these resources will 
be used to provide health care and treatment services to 
individuals in greatest need, including those newly diagnosed 
as a result of increased testing, and to further address the 
long-standing problem of State waiting lists for HIV/AIDS 
medications.
    The Committee is aware of the success HIV therapies have 
had on prolonging and enhancing the quality of life for those 
infected with HIV/AIDS. As the infected population lives longer 
and becomes increasingly resistant to current treatment 
regimens, there is a growing need to focus on access to newer 
therapies for treatment experienced or ``later stage'' 
patients. The Committee encourages HRSA and State ADAPs to 
prioritize coverage of treatments for later stage patients so 
that there is parity of access to effective treatments for 
patients across the HIV disease spectrum. The Committee further 
encourages State ADAPs to provide coverage of therapies 
approved by the FDA for the treatment of HCV in HIV/HCV co-
infected patients.

Early Intervention Services--Title III

    The Committee provides $195,488,000, an increase of 
$2,000,000 over the fiscal year 2006 level and $23,134,000 
below the budget request, for early intervention grants. These 
funds are awarded competitively to primary health care 
providers to enhance health care services available to people 
at risk of HIV and AIDS. Funds are used for comprehensive 
primary care, including counseling, testing, diagnostic, and 
therapeutic services. The Committee has provided an increase 
over the fiscal year 2006 level of $2,000,000 to maintain 
service levels provided through the existing program. The 
Committee has not provided funding, nor overridden existing 
authorities, as proposed in the fiscal year 2007 budget request 
for the ``HIV community action grants'' initiative.

Children, Youth, Women, and Families--Title IV

    The Committee provides $73,294,000, an increase of 
$1,550,000 over the fiscal year 2006 level and $1,500,000 over 
the budget request, for title IV CARE Act programs for 
Children, Youth, Women, and Families. Funds are awarded to 
community health centers, family planning agencies, 
comprehensive hemophilia diagnostic and treatment centers, 
federally qualified health centers under section 1905(1)(2)(B) 
of the Social Security Act, county and municipal health 
departments and other nonprofit community-based programs that 
provide comprehensive primary health care services to 
populations with or at risk for HIV disease.
    Title IV of the CARE Act provides a program of grants for 
coordinated services and access to research for women, infants, 
children and youth. Title IV grantees may engage in a broad 
range of activities to reduce mother-to-child transmission, 
including voluntary testing of pregnant women and treatment to 
reduce mother-to-child transmission. In addition, title IV 
grantees are required to provide individuals with information 
and education on opportunities to participate in HIV/AIDS 
clinical research. Title IV of the Ryan White CARE Act is 
specifically charged with linking women, children, youth and 
families living with HIV/AIDS to care, services and research. 
With a specific focus on families, Title IV grantees have taken 
the lead on reducing mother-to-child HIV transmission in the 
United States, provide family-centered HIV care and services, 
and closely coordinate HIV testing with expert health care and 
social services. Nearly 90 percent of families served under 
title IV are African-American and Hispanic. Title IV funds 90 
lead grantees that coordinate health care services through over 
650 community-based health centers, children's hospitals, 
academic health centers, and other health care agencies. Nearly 
20 organizations funded by title IV have been faith-based 
organizations and have been working on the front lines of this 
epidemic for two decades.
    The Committee expects HRSA to maximize available funds 
under this part to existing grantees. The Committee is 
concerned that previous report language to HRSA regarding the 
analysis of data pertaining to administrative costs in title IV 
has still not been followed, making it almost impossible for 
HRSA to impose a cap in fiscal year 2007. The Committee 
strongly urges HRSA to collaborate with grantees under this 
title to produce necessary tools for the accurate collection of 
expense data. Unless HRSA can produce data regarding 
administrative expenses with a precise definition to ensure 
accuracy and comparability, the agency will be unable to impose 
a limitation on such expenses without harming the ability of 
grantees to provide services for women, children, youth and 
families infected with HIV.
    The Committee is aware of the efforts of title IV grantees 
to care for youth infected with HIV and urges HRSA to 
disseminate the effective practices and models of care 
developed by title IV grantees across all Ryan White CARE Act 
providers.
    Technical assistance may be provided to title IV grantees 
using up to 2 percent of the funds appropriated under this 
section. Within this amount sufficient funds exist to maintain 
agreements to provide technical assistance to title IV grantees 
and to conduct policy analysis and research.

AIDS Education and Training Centers--Part F

    The Committee provides $35,200,000, an increase of $524,000 
over the fiscal year 2006 level and $500,000 over the budget 
request, for the AIDS education and training centers [AETC's]. 
AIDS education and training centers train health care 
practitioners, faculty, and students who care for AIDS patients 
outside of the traditional health professions education venues, 
and support curriculum development on diagnosis and treatment 
of HIV infection for health professions schools and training 
organizations. The targeted education efforts by AETC's are 
needed to ensure the cost-effective use of the significant 
expenditures in Ryan White programs and the AIDS drugs 
assistance program. The agency is urged to fully utilize the 
AETC's to ensure the quality of medical care and to ensure, as 
much as possible, that no individual with HIV receives 
suboptimal therapy due to the lack of health care provider 
information.

AIDS Dental Services--Part F

    The Committee provides $13,598,000, an increase of $521,000 
over the fiscal year 2006 level and $512,000 over the budget 
request, for AIDS Dental Services. This program provides grants 
to dental schools, dental hygiene schools, and postdoctoral 
dental education programs to assist with the cost of providing 
unreimbursed oral health care to patients with HIV disease.

                       HEALTH CARE SYSTEMS BUREAU

Organ Donation and Transplantation

    The Committee provides $25,049,000 for organ donation and 
transplantation activities. The fiscal year 2006 comparable 
level was $23,033,000 and the budget request for fiscal year 
2007 was $23,049,000. These funds support a scientific registry 
of organ transplant recipients and the National Organ 
Procurement and Transplantation Network to match donors and 
potential recipients of organs. A portion of the appropriated 
funds may be used for education of the public and health 
professionals about organ donations and transplants, and to 
support agency staff providing clearinghouse and technical 
assistance functions.
    The Committee notes that Public Law 108-216, the Organ 
Donation Recovery and Improvement Act of 2004 authorizes 
valuable new uses of these funds, including patient travel, and 
has provided $2,000,000 over the budget request to initiate 
implementation of the new law. The Committee notes that the new 
provisions may have a direct impact on increasing the rate of 
successful transplantations.
    The Committee applauds HRSA for its successful ``Organ 
Donation Breakthrough Collaborative'' campaign to identify and 
promote best practices in organ donations for hospitals and 
organ procurement organizations. Improving the rate of donation 
nationally is crucial to making life-saving organ 
transplantations more widely available for patients with 
diabetes, heart disease, end stage renal disease, and many 
other devastating illnesses. The Committee encourages HRSA to 
improve the allocation system with the goal of expanding the 
number of available organs, including pancreases for 
transplantation or islet extraction in patients with diabetes.
    The Committee is concerned that pregnant women and their 
families are unaware of the benefits of umbilical cord blood in 
treating many congenital and genetic diseases. The Committee 
encourages HRSA to consider adding umbilical cord blood to 
organ and tissue donation education programs operated by HRSA 
to provide education on options for umbilical cord blood 
storage.
    The Committee commends HRSA for its leadership in promoting 
increased organ and tissue donations and encourages the 
Division of Transplantation to continue its partnership with 
the pulmonary hypertension community in this important area.

C.W. Bill Young Cell Transplantation Program

    The Committee provides $22,687,000 for the C.W. Bill Young 
Cell Transplantation Program, which is the successor of the 
National Bone Marrow Donor Registry. The fiscal year 2006 
comparable level for the Registry was $25,145,000 and the 
budget request for fiscal year 2007 was $22,687,000.
    The Committee is pleased that HRSA is moving forward to 
implement the C.W. Bill Young Cell Transplantation Program. The 
Committee is committed to expanding the opportunities for those 
in need of a bone marrow transplant. It is the Committee's 
expectation that those program functions that remain under the 
direct oversight of the Secretary, i.e. Patient Advocacy and 
Case Management, single point of access, and the Stem Cell 
Therapeutic Outcomes Database, will operate in an objective and 
unbiased manner, free from conflicts of interest, such that 
they can support use of the stem cell source material that is 
most appropriate for the individual patient.

National Cord Blood Inventory

    The Committee has provided $3,960,000 for the National Cord 
Blood Inventory, which is the successor of the National Cord 
Blood Stem Cell Bank program. The fiscal year 2006 comparable 
level was $3,957,000 and the budget request for fiscal year 
2007 did not request funds for this activity. The purpose of 
this program is to provide funds to cord blood banks to build 
an inventory of the highest quality cord blood units for 
transplantation.
    The Committee is concerned that the establishment of the 
Advisory Council, required by the Stem Cell Therapeutic and 
Research Act of 2005, Public Law 109-129, has been delayed. The 
Advisory Council is intended to provide independent, scientific 
counsel related to all aspects of the C.W. Bill Young Cell 
Transplantation Program. Congress envisioned the Advisory 
Council would play a prominent role in developing a 
scientifically sound definition of a ``high-quality cord blood 
unit.'' In addition, it was anticipated that the Secretary 
would consult with the Advisory Council regarding the 
accreditation requirements for cord blood banks, the 
standardized data requirements, and other related matters. The 
Committee believes it is very important to assure the highest 
quality throughout the cord blood collection and storage 
process. Therefore, the Committee strongly urges HRSA to move 
forward with the creation of the Advisory Council.

Poison Control Centers

    The Committee provides $23,068,000 for Poison Control 
Center activities. The fiscal year 2006 comparable level was 
$23,052,000 and the budget request for fiscal year 2007 was 
$13,168,000. The Poison Control Program currently supports a 
mix of grantees: most grantees serve entire States; a few 
grantees serve multi-State regions; and, in a handful of cases, 
more than one grantee serves a single State. The Committee is 
generally supportive of this current structure and instructs 
HRSA not to make any changes aimed at replacing existing single 
State grantees with multi-State providers. In allocating funds, 
the Committee has provided sufficient resources to continue the 
current approach of allocating funding to all certified centers 
based on service population.

Office of Pharmacy Affairs

    The Committee provides $2,970,000 for the Office of 
Pharmacy Affairs. The budget request for fiscal year 2007 was 
$2,970,000 for this new program. The Office of Pharmacy Affairs 
promotes access to clinically and cost effective pharmacy 
services among safety-net clinics and hospitals that 
participate in the 340B Drug Pricing Program. Section 340B of 
the Public Health Service Act requires drug manufacturers to 
provide discounts or rebates to a specified set of HHS assisted 
programs and hospitals that meet the criteria in the Social 
Security Act for serving a disproportionate share of low income 
patients. These funds will be used to help resolve deficiencies 
that could not be addressed within resources available for the 
normal operations of the office. Specifically, these 
deficiencies include non-compliance with the 340B pricing 
requirements and errors and omissions in the office's covered 
entity database.
    The Committee is concerned by price fluctuations in drugs 
currently accessed through 340b, which play a major role in the 
delivery of care in community health centers, title X clinics, 
and rural health centers. The Committee hopes that the funding 
for Office of Pharmacy Affairs will help to address the 
variability in pricing to help clinics plan for their patient 
load.
    The Committee is also concerned by barriers to safety net 
pharmacies contracting with the Medicare part D prescription 
drug plans and the subsequent impact on low income Medicare 
beneficiaries' participation. The Committee urges HRSA to work 
with the Centers for Medicare and Medicaid Services to assess 
safety net participation in part D networks and expand 
assistance to assure that safety net pharmacies may participate 
on fair terms. The Committee is aware of legislation that would 
track and analyze the expenditures that safety net pharmacies 
make on behalf of their low income Medicare patients that do 
not count towards beneficiaries' true out-of-pocket 
expenditures, and supports the goal of ensuring low-income 
Medicare beneficiaries have continued access to prescription 
drugs through the Medicare program.

Trauma Care

    The Committee provides $1,000,000 for the trauma/emergency 
medical services program. This program did not receive funding 
in fiscal year 2006 and the budget request for fiscal year 2007 
did not include funding for this program. This program is 
intended to improve the Nation's overall emergency medical 
systems, which are constantly activated to respond to a wide 
range of natural and man-made disasters.

                         RURAL HEALTH PROGRAMS

Rural Health Policy Development Program

    The Committee provides $8,737,000 for the Rural Health 
Policy Development Program. The fiscal year 2006 comparable 
level was $8,731,000 and the budget request for fiscal year 
2007 was $8,737,000. The funds provide support for the Office 
of Rural Health Policy to be the focal point for the 
Department's efforts to improve the delivery of health services 
to rural communities and populations. Funds are used for rural 
health research centers, the National Advisory Committee on 
Rural Health, and a reference and information service.

Rural Health Care Services Outreach Grants

    The Committee provides $38,885,000 for rural health 
outreach grants. The fiscal year 2006 comparable level was 
$38,858,000 and the budget request for fiscal year 2007 was 
$10,365,000. This program supports projects that demonstrate 
new and innovative models of outreach in rural areas such as 
integration and coordination of health services.
    The Committee understands that many primary care clinics in 
isolated, remote locations are providing extended stay services 
and are not staffed or receiving appropriate compensation to 
provide this service. The Committee encourages the HRSA to 
continue its support for a demonstration project authorized in 
the Medicare Modernization Act to evaluate the effectiveness of 
a new type of provider, the ``Frontier Extended Stay Clinic,'' 
to provide expanded services in remote and isolated primary 
care clinics to meet the needs of seriously ill or injured 
patients who cannot be transferred quickly to acute care 
referral centers, and patients who require monitoring and 
observation for a limited time.
    Mississippi's Delta is a community in which residents 
disproportionately experience disease risk factors and children 
are significantly mentally and physically developmentally 
behind. The Committee recognizes that communities such as this 
show positive behavioral change when community-based programs 
and infrastructure are in place. The Committee believes that 
collaborative programs offering health education, coordination 
of health services and health-related research offer the best 
hope for breaking the cycle of poor health in underprivileged 
areas such as the Mississippi Delta. Therefore, the Committee 
recommends the continued funding of these activities as already 
initiated and undertaken by the coordinated efforts of the 
Mississippi Delta Health Alliance, which is a collaboration 
involving Delta State University, Mississippi State University, 
the University of Mississippi Medical Center, and the 
Mississippi State Department of Health.

Rural and Community Access to Emergency Devices

    The Committee provides $1,500,000 for rural and community 
access to emergency devices. The fiscal year 2006 comparable 
level was $1,484,000 and the budget request for fiscal year 
2007 did not include funding for this program. This 
appropriation provides funding for both the rural program under 
section 413 of the Public Health Service Act and the community 
access demonstration under section 313.
    The Committee is concerned that reductions in the fiscal 
year 2006 appropriation for this program were implemented in a 
manner that disproportionately impacted rural areas. The 
Committee expects that a portion of the fiscal year 2007 
funding be used to provide defibrillators to rural communities.
    Funding will be used to train additional rural and 
community lay rescuers and first responders to use automated 
external defibrillators [AEDs] and to purchase and place AEDs 
in public areas where cardiac arrests are likely to occur.

Rural Hospital Flexibility Grants

    The Committee provides $38,538,000 for rural hospital 
flexibility grants. The fiscal year 2006 comparable level was 
$63,494,000 and the budget request for fiscal year 2007 did not 
include funds for this program. The Committee notes that the 
fiscal year 2006 level included $25,000,000 for the first year 
of the Delta Health Initiative, which is now funded as a 
separately authorized line item.
    Under this program, eligible rural hospitals may convert 
themselves into limited service facilities termed Critical 
Access Hospitals. Such entities are then eligible to receive 
cost-based payments from Medicare. The grant component of the 
program assists States with the development and implementation 
of State rural health plans, conversion assistance, and 
associated activities.
    Of the amount provided, the Committee includes $15,000,000 
to continue the Small Rural Hospital Improvement Grant Program, 
as authorized by section 1820(g)(3) of the Social Security Act 
and Public Law 107-116 and outlined in House Report 107-342.

Delta Health Initiative

    The Committee has included $35,000,000 for the Delta Health 
Initiative as authorized in section 223 of this act. The 
Committee understands that HRSA intends to award a multi-year 
award in fiscal year 2006 to implement the Delta Health 
Initiative as described in House Report 109-337. The Committee 
notes that continuation of this award in fiscal year 2007 in 
the same manner and with the same requirements will satisfy the 
requirements of section 223.

State Offices of Rural Health

    The Committee provides $8,141,000 for the State Offices of 
Rural Health. The fiscal year 2006 comparable level was 
$8,135,000 and the budget request for fiscal year 2007 was 
$8,141,000. The State Office of Rural Health program helps the 
States strengthen rural heath care delivery systems by allowing 
them to better coordinate care and improve support and outreach 
in rural areas. The Committee believes that continued funds for 
this purpose are critical to improving access and quality 
health care services throughout rural communities.

Native and Rural Alaskan Health Care

    The Committee provides $39,283,000 for the Denali 
Commission. The fiscal year 2006 comparable level was 
$39,283,000 and the budget request for fiscal year 2007 did not 
include funding for this program. These funds support 
construction and renovation of health clinics, hospitals and 
social service facilities in rural Alaska, as authorized by 
Public Law 106-113, to help remote communities in Alaska 
develop critically needed health and social service 
infrastructure for which no other funding sources are 
available, thereby providing health and social services to 
Alaskans in remote rural communities as they are in other 
communities throughout the country. The Committee expects the 
Denali Commission to allocate funds to a mix of rural hospital, 
clinic, long-term care and social service facilities, rather 
than focusing exclusively on clinic funding.

Terrorism Preparedness

    The Committee provides $486,606,000 for bioterrorism 
preparedness related activities at HRSA. Within this total, 
$466,210,000 is provided for hospital preparedness, $8,000,000 
is provided for credentialing and guidelines development, and 
$12,396,000 is provided for training and curriculum 
development.
    Within the total provided for hospital preparedness grants, 
the Committee approves the request for $15,000,000 to create a 
medical surge capacity national demonstration at the Washington 
Hospital Center. This funding will increase emergency care 
capacity for the Nation's Capital, and serve as a national 
demonstration center for advanced mass casualty emergency 
facility design, training, and care.

Family Planning

    The Committee provides $283,103,000 for the title X family 
planning program. The fiscal year 2006 comparable level was 
$282,907,000 and the budget request for fiscal year 2007 was 
$283,103,000.
    Title X grants support primary health care services at more 
than 4,500 clinics nationwide. About 85 percent of family 
planning clients are women at or below 150 percent of poverty 
level. Title X of the Public Health Service Act, which 
established the family planning program, authorizes the 
provision of a broad range of acceptable and effective family 
planning methods and preventive health services to individuals, 
regardless of age or marital status. This includes FDA-approved 
methods of contraception.
    The Committee remains concerned that programs receiving 
Title X funds ought to have access to these resources as 
quickly as possible. The Committee again instructs the 
Department to distribute to the regional offices all of the 
funds available for family planning services no later than 60 
days following enactment of this bill. The Committee intends 
that the regional offices should retain the authority for the 
review, award and administration of family planning funds, in 
the same manner and time frame as in fiscal year 2006. The 
Committee intends that at least 90 percent of funds 
appropriated for Title X activities be for clinical services 
authorized under section 1001 of the Act. The Committee further 
expects the Office of Family Planning to spend any remaining 
year-end funds in section 1001 activities.

Health Care-related Facilities and Activities

    The Committee provides $260,028,000 for the construction 
and renovation (including equipment) of health care-related 
facilities and other health care-related activities. No funds 
were provided for these purposes in fiscal year 2006 and the 
budget request for fiscal year 2007 did not include funding for 
these activities. The Committee expects HRSA to use no more 
than 1 percent of the funds allocated for projects for agency 
administrative expenses. These funds are to be used for the 
following projects and in the following amounts:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
ACTION Donated Dental Program/Arizona Dental                    $100,000
 Foundation, Arizona to support a community dental
 program...............................................
AIDS Healthcare Foundation, Los Angeles, CA for a                900,000
 demonstration of residential and outpatient treatment
 facilities............................................
Aims Community College, Greeley, CO, for equipment for           100,000
 the allied health program.............................
Alaska Federal Health Care Access Network, Anchorage,          1,000,000
 AK, to create a regional telehealth resource center...
Alaska Federal Health Care Access Network, Anchorage,            500,000
 AK, to support activities of the Alaska Telemedicine
 Advisory Committee....................................
Alaska Native Medical Center in Anchorage, AK for              2,000,000
 equipment.............................................
Alaska Psychiatric Institute, Anchorage, AK for its              400,000
 Telebehavioral Health Project.........................
Albany Medical Center, Albany, NY, for the                       500,000
 establishment of the Patient Safety Center............
Albuquerque Indian Health Center, New Mexico, for                200,000
 renovations and equipment.............................
Allegheny General Hospital, Pittsburgh, PA, for                  800,000
 construction, renovation and equipment................
Allegheny Singer Research Institute, Pittsburgh, PA for          800,000
 equipment and renovation..............................
Alton Memorial Hospital, Alton, IL for renovation and            100,000
 equipment at the Riverbend Stroke Center..............
Armstrong Center for Medicine and Health (ACMH),                 100,000
 Kittanning, PA, for equipment.........................
Association for Utah Community Health, Salt Lake City,           250,000
 UT, for expansion of telemedicine services............
Avis Goodwin Community Health Center, Somersworth, NH,           200,000
 for construction, renovation and equipment............
Baptist Health Care, Pensacola, FL, for construction,            450,000
 renovation and equipment..............................
Barnes-Kasson County Hospital, Susquehanna, PA, for              300,000
 construction, renovation, and equipment...............
Bear River Health Department, Logan, UT, for its                 100,000
 Medicare Reserve Corps Program........................
Beartooth Hospital and Health Center, Red Lodge, MT for          500,000
 construction, renovation and equipment................
Beaver Valley Hospital, Beaver, UT, for equipment......          100,000
Beloit Area Community Health Center, Beloit, WI, for             500,000
 renovation and equipment..............................
Benedictine Hospital, Kingston, NY, for purchase of              250,000
 technology............................................
Benefis Healthcare, Great Falls, MT, to establish a              500,000
 health information technology demonstration project in
 rural Montana.........................................
Billings Clinic Diabetes Center, Billings, MT, to                250,000
 create a center for diabetes prevention and treatment.
Billings Clinic, Billings, MT, for construction,               1,200,000
 renovation, and equipment.............................
Bloomsburg Hospital, Bloomsburg, PA for construction,            300,000
 renovation and equipment..............................
Blue Mountain Health System, Lehighton, PA for                   100,000
 equipment at the Gilbert Medical Center...............
Bon Secours Richmond Health System, Richmond, VA for             100,000
 equipment.............................................
Boone County Senior Citizen Service Corporation,               1,000,000
 Columbia, MO for equipment for the Alzheimer's Disease
 Demonstration Center on the Bluff's campus............
Boston Health Care for the Homeless Program, Boston,             175,000
 MA, for the construction of a health care facility....
Boston Medical Center, Boston, MA, for facilities and            350,000
 equipment for the J. Joseph Moakley Medical Services
 Building..............................................
Boys Town National Research Hospital, Omaha, NE, for             900,000
 construction, renovation and equipment................
Bozeman Deaconess Hospital, Bozeman, MT, for an                  500,000
 electronic medical record system......................
Brackenridge Hospital, Austin, TX, for construction,             200,000
 renovation, and equipment.............................
Breast Cancer Detection Center of Alaska, Inc.,                  100,000
 Fairbanks, AK for equipment...........................
Briar Cliff University, Sioux City, IA for facilities            100,000
 and equipment.........................................
Brockton Hospital, Brockton, MA, for equipment.........          200,000
Brockton Neighborhood Health Center, Brockton, MA, for           200,000
 construction..........................................
Bucknell University, Lewisburg, PA, for a partnership            800,000
 with Geisinger Health System of Danville, PA for a
 joint teaching and training program...................
Bucktail Medical Center, Renovo, PA for equipment......          100,000
Camillus House, Inc., Miami, FL, to expand its medical           200,000
 facility..............................................
Carbon Medical Services Association, Inc., East Carbon,          200,000
 UT, for construction, renovation, and equipment.......
Cardinal Stritch University, Milwaukee, WI, to                   325,000
 establish a bachelors of science nurse degree program
 for nurses at Zablocki Veteran's Hospital.............
Care New England, Warwick, RI, for equipment...........          225,000
Carilion Health System, Roanoke, VA, for equipment.....          100,000
Caring Health Center, Inc., Springfield, MA, for                 250,000
 equipment needed to expand urgent care and oral health
 programs..............................................
Carnegie Mellon University, Pittsburgh, PA, for                  800,000
 equipment.............................................
Carolinas Medical Center, Charlotte, NC for                      150,000
 construction, renovation and equipment................
Case Western Reserve University, Cleveland, OH, for the          200,000
 National Flight Nursing Academy and Flight Nursing
 Program...............................................
Catholic Charities of Maine, St. Lewis Center                    290,000
 Biddeford, ME, for construction, renovation, and
 equipment of a dental center to serve low income
 children..............................................
Central Carolina Allied Health Center, Sumter, SC, for           175,000
 construction, renovation, and equipment...............
Charles Drew Health Center, Omaha, NE, for construction        1,000,000
Children's Hospital at Johnson City Medical Center,              500,000
 Johnson City, TN for construction, renovation, and
 equipment.............................................
Children's Hospital Medical Center of Akron, OH, for             500,000
 construction, renovation and equipment................
Children's Hospital of KidsPeace, Orefield, PA, for              100,000
 construction, renovation, and equipment...............
Children's Hospital of The King's Daughters Health               100,000
 System, Norfolk, VA, for equipment....................
Children's Hospital, Denver, CO for construction,              1,300,000
 renovation and equipment..............................
Children's Institute of Pittsburgh, PA for                       250,000
 construction, renovation and equipment................
Children's Care Hospital, Sioux Falls, SD, for                   140,000
 construction..........................................
Children's Health Fund/Phoenix Children's Health                 100,000
 Project, Phoenix, AZ for equipment....................
Children's Home of Pittsburgh, Pittsburgh, PA, for               200,000
 equipment.............................................
Children's Hospital Boston, Boston, MA, for the                  220,000
 development of comprehensive pediatric electronic
 medical records system................................
Children's Hospital Foundation at Saint Francis, Tulsa,          100,000
 OK for equipment......................................
Children's Hospital of Pittsburgh, Pittsburgh, PA, for           500,000
 construction, renovation and equipment................
Childrens Hospital of Wisconsin, Milwaukee, WI, for              200,000
 construction, renovation and equipment................
Children's Medical Center, Dallas, TX, for equipment...          250,000
CHOICE Regional Health Network, Olympia, WA, Emergency           200,000
 Care Center Case Coordination Program.................
Christiana Care Health System, Visiting Nursing                  250,000
 Association, Newark, Delaware, for the purchase of
 telemonitors..........................................
CHRISTUS San Rosa Children's Hospital, San Antonio, TX,          200,000
 for construction, renovation, and equipment...........
Cincinnati Children's Hospital, Cincinnati, Ohio, for            700,000
 equipment.............................................
City and County of San Francisco Department of Public            400,000
 Health, CA, for HIV/AIDS Outpatient Services..........
City of Fort Wayne, IN, for training of emergency                200,000
 medical personnel, including equipment purchase.......
Clarion Hospital, Clarion, PA for equipment to                   300,000
 implement electronic medical records..................
Cleveland Clinic Foundation, Cleveland, OH for                   500,000
 equipment.............................................
Cold Spring Harbor Laboratory, Cold Spring Harbor, NY,           900,000
 for The Women's Cancer Genomics Center................
College Misericodia, Dallas, PA, for construction,               200,000
 renovation, and equipment.............................
Columbus Children's Research Institute, Columbus, OH,            150,000
 for construction, renovation, and equipment...........
Community Blood Center/Community Tissue Services,                700,000
 Dayton, OH, for the DataCentric (RFID and Data
 Warehousing Project)..................................
Community Health Access Project, Mansfield, OH, to               100,000
 train community health workers........................
Community Health Center of Burlington, Burlington, VT,           100,000
 for equipment.........................................
Community Health Centers in Iowa.......................        3,850,000
Community Health Centers of Arkansas, North Little               450,000
 Rock, AR, for construction, renovation and equip-
 ment..................................................
Community Medical Center Healthcare System, Scranton,            250,000
 PA to create and implement comprehensive Information
 Technology initiatives................................
Connie Dwyer Breast Center, Newark, NJ, for equipment..          200,000
Cook Children's Medical Center, Fort Worth, TX for               300,000
 construction, renovation and equipment................
Cooper University Hospital, Camden, NJ, for the                  500,000
 Neurological Institute................................
Copper Queen Hospital, Bisbee, AZ for construction,              100,000
 renovation, and equipment.............................
County of McKinley, NM for construction and expansion          1,000,000
 of a dialysis center..................................
County of Riverside, CA, for the Riverside County                250,000
 Regional Medical Center Trauma Center Renovation......
Culpeper Regional Hospital, Culpeper, VA, for                    100,000
 construction, renovation, and equipment...............
CVPH Medical Center, Plattsburgh, NY, for construction,          500,000
 renovation and equipment..............................
Day Kimball Hospital, Putnam, Connecticut, for                   500,000
 equipment.............................................
Deborah Heart and Lung Center, Brown Mills, NJ, for              250,000
 construction, renovation and equipment................
Delaware Valley Community Health, Inc., Philadelphia,            100,000
 PA, for equipment.....................................
Delta Dental of Iowa, Ankeny, IA, for a dental loan              150,000
 repayment program.....................................
DuBois Regional Medical Center, DuBois, PA, for                  100,000
 equipment.............................................
East Orange General Hospital, East Orange, NJ, for               500,000
 renovations for the Emergency Room....................
East Tennessee State University College of Pharmacy,             500,000
 Johnson City, TN for construction, renovation, and
 equipment.............................................
Easter Seals Iowa, for construction and enhancement of           400,000
 a health care center..................................
Ed Roberts Campus in Berkeley, CA......................          750,000
Edward Waters College, Jacksonville, FL, for training            100,000
 students in HIV, tuberculosis, hypertension, and
 diabetes outreach.....................................
Elk Regional Health System, St. Marys, PA for equipment          200,000
Elliot Hospital and Visiting Nurse Association                   200,000
 Telemedicine Project, Manchester, NH, for telehealth
 and information technology equipment..................
Endless Mountains Health Systems, Montrose, PA, for              300,000
 construction, renovation, and equipment...............
Enterprise Valley Medical Clinic, Enterprise, UT, for            100,000
 equipment.............................................
Evangelical Community Hospital, Lewisburg, PA to reduce          100,000
 medical errors with real time risk manage-  ment......
Excela Health Latrobe Hospital, Latrobe, PA, for                 250,000
 construction, renovation, and equipment...............
Exempla Saint Joseph's Hospital, Denver, CO, for                 250,000
 equipment and operations of a mobile women's clinic...
Fenway Community Health Center, Boston, MA, for                  250,000
 construction, renovation and equipment................
Fish River Rural Health, Eagle Lake, ME, for                     100,000
 construction, renovation, and equipment of a dental
 facility..............................................
Fletcher Allen Health Care of Burlington, VT, for                500,000
 construction and equipment............................
Forum Health, Youngstown, OH, for equipment............          700,000
Fox Chase Cancer Center, Philadelphia, PA, to purchase           600,000
 equipment.............................................
Free Clinic of the Greater Menomonie Area, Inc,                  100,000
 Menomonie, WI, for equipment and administration.......
Free Clinics of Iowa in Des Moines, to support a                 400,000
 network of free clinics...............................
Freeman Health System, Joplin, MO for construction,              500,000
 renovation, and equipment of a facility in McDonald
 County, Missouri......................................
Garden State Cancer Center, Belleville, NJ, for                  250,000
 equipment.............................................
Garfield Memorial Hospital, Garfield County, UT for              200,000
 construction, renovation and equipment................
Geisinger Health System, Danville, PA for construction,          300,000
 renovation and equipment..............................
Generations Inc., Lindenwold, NJ, for construction of            300,000
 Nex Generation Medical Center.........................
Good Samaritan Health System, Lebanon, PA, for                   250,000
 equipment.............................................
Good Samaritan Hospital, Pottsville, PA, for medical             250,000
 outreach..............................................
Good Shepherd Rehabilitation Hospital, Allentown, PA,            250,000
 for equipment.........................................
Grand View Hospital, Sellersville, PA, for                       250,000
 construction, renovation, and equipment...............
Great Basin College, Elko, NV, for Elko Clinic                   350,000
 renovations...........................................
Green River Medical Center, Green River, UT, for                 200,000
 equipment.............................................
Greene Care Clinic, Inc., Stanardsville, VA, for rural           100,000
 health outreach.......................................
Gritman Medical Center, Moscow, ID for equipment to              100,000
 implement advanced clinical information systems.......
Gundersen Lutheran Hospital, LaCrosse, WI, for                   200,000
 equipment.............................................
Hackensack University Medical Center, Hackensack, NJ,            200,000
 for the Ambulatory Adult Cancer Center................
Halifax Regional Health System, South Boston, VA, for            100,000
 electronic medical records............................
Hancock County Municipal Government and Wellmont Health          500,000
 System, Sneedville, TN for construction, renovation,
 and equipment.........................................
Harris County Hospital District, Houston, TX, for the            200,000
 purchase of diabetes equipment........................
Hazleton General Hospital, Hazleton, PA, for equipment.          250,000
Health Care Foundation of North Mississippi, Tupelo,           1,000,000
 MS, for the Children's Health Science Education Center
Health Federation of Philadelphia, Philadelphia, PA,             100,000
 for equipment.........................................
Health Work Force Institute, Seattle WA, to develop and          500,000
 implement a diversity recruitment and worker
 development initiative................................
Heartland Partnership, Peoria, IL, for construction of           400,000
 a cancer research laboratory..........................
Helene Fuld College of Nursing, New York, NY, for                350,000
 construction..........................................
Heritage Valley Health System, Beaver, PA, for                   100,000
 construction, renovation, and equipment...............
Hilo Medical Center, HI, for a medical robotics                  100,000
 training lab..........................................
Holy Cross Hospital, Chicago, IL, for equipment........        1,000,000
Holy Name Hospital, Teaneck, NJ, for construction,               100,000
 renovation and equipment..............................
Holy Names University, Oakland, CA, for renovation and           150,000
 equipment of the nursing school.......................
Holy Redeemer Health System, Huntingdon Valley, PA, for          250,000
 construction, renovation, and equipment...............
Holyoke Hospital, Holyoke, MA, for equipment...........          220,000
Hospital for Special Surgery, New York, NY, for                  500,000
 expansion and modernization of its clinical facilities
House of Mercy in Des Moines, Iowa, for renovation of            300,000
 the medical clinic....................................
Humility of Mary Health Partners, Youngstown, OH, for            500,000
 the Electronic Medical Records--Medication
 Administration Project................................
Hunter's Hope Foundation, Orchard Park, NY, for                  500,000
 equipment in the Krabbe's disease programs............
Huntridge Teen Center, Las Vegas, NV, to purchase                125,000
 dental equipment and coordinate dental care...........
Idaho State University, Telehealth Idaho Network, to             500,000
 continue expanding and improving health care access...
Illinois Primary Health Care Association to develop an           200,000
 electronic medical record system......................
Independence Square Foundation, Kingston, RI, for                250,000
 construction, renovation, and equipment of health-
 related facilities....................................
Indiana University School of Medicine, Indianapolis,           1,250,000
 IN, for equipment to support the Cancer Center
 Translational Pathway project.........................
Inova Health System, Falls Church, VA, for                       100,000
 construction, renovation, and equipment...............
Intermountain Healthcare, Salt Lake City, UT for                 500,000
 equipment to implement electronic medical records.....
Iowa Caregivers Association for training and support of          350,000
 certified nurse assistants............................
Iowa Central Community College, Fort Dodge, IA, for a            250,000
 dental program including equipment....................
J.C. Blair Memorial Hospital, Huntingdon, PA, for                200,000
 equipment.............................................
Jackson Laboratory, Research Expansion, Bar Harbor, ME,          290,000
 for construction, renovation, and equipment...........
Jackson Medical Mall Foundation, Jackson, MS, for                700,000
 construction, renovation, and equipment...............
Jackson State University, Jackson, MS, for the Southern          800,000
 Institute for Mental Health Research and Training.....
Jameson Hospital, New Castle, PA, construction,                  300,000
 renovation, and equipment.............................
Jefferson Regional Medical Center, Pittsburgh, PA, for           150,000
 electronic medical records............................
Jersey Shore Hospital, Jersey Shore, PA for equipment..          100,000
Jewish Renaissance Medical Center, Perth Amboy, NJ, for          450,000
 construction, renovation and equipment................
Johns Hopkins University, Baltimore, MD, for their               300,000
 Critical Event Preparedness and Response program......
Joseph Health Services of Rhode Island, North                    175,000
 Providence, RI for equipment..........................
Kane Community Hospital, Kane, PA for equipment........          300,000
Kansas State University, Manhattan, KS for equipment...        1,300,000
Kaweah Delta Healthcare District, Visalia, CA, for               200,000
 Neonatal ICU equipment................................
Kenosha Community Health Center, Kenosha, WI, for                300,000
 construction, renovation and equipment................
Kent County Visiting Nurses Association (VNA of Care             200,000
 New England), Warwick, RI, for equipment..............
Kent State University, Kent, OH, for the Oak Clinic              475,000
 Partnership for equipment.............................
Keystone Rural Health Center, Camp Hill, PA, for                 100,000
 equipment.............................................
Lake Erie Research Institute, Girard, PA, for equipment          100,000
Lakeland Regional Medical Center, Lakeland, FL, for              500,000
 construction, renovation and equipment................
Lancaster Cleft Palate Clinic, Lancaster, PA for                 200,000
 construction, renovation and equipment................
Lancaster General Hospital, Lancaster, PA, for                   200,000
 construction, renovation, and equipment...............
Latrobe Area Hospital, Latrobe, PA for construction,             200,000
 renovation and equipment..............................
Le Bonheur Children's Medical Center, Memphis, TN for          1,000,000
 construction, renovation, and equipment...............
Lebanon College, Lebanon, NH, for construction,                  500,000
 renovation, and equipment.............................
Lehigh Valley Hospital and Health Network, Allentown,            100,000
 PA for equipment......................................
Lehigh Valley Hospital and Health Network, Allentown,            150,000
 PA, for construction, renovation, and equipment.......
LeMoyne-Owen College, Memphis, TN, Community Health              400,000
 Center for construction, renovation, and equipment....
LifeBridge Health of Baltimore, MD, to implement the             500,000
 Computerized Physician Order Entry Initiative.........
Lincoln County Health and Human Services Department,             100,000
 Newport, OR for construction, renovation and equipment
Lourdes Health System, Camden, NJ, for equipment at the          200,000
 Osborn Family Health Center...........................
Lower Bucks Hospital, Bristol, PA for equipment........          200,000
Magee Rehabilitation Hospital, Philadelphia, PA, for             250,000
 equipment.............................................
Magee Women's Research Institute, Pittsburgh, PA, for            500,000
 construction, renovation and expansion................
Magic Valley Regional Medical Center, Twin Falls, ID             250,000
 for equipment.........................................
Main Line Health System, Bryn Mawr, PA, for                      250,000
 construction, renovation, and equipment...............
Maine Coast Memorial Hospital, Ellsworth, ME for                 190,000
 construction, renovation and equipment................
Maine Hospice Council, Inc., Augusta, ME, to establish           100,000
 the Maine Center for End-of-Life Care.................
Maine Primary Care Association, Maine Electronic                 140,000
 Medical Record Adoption, Augusta, ME, for implementing
 an electronic medical record network in rural Maine...
Maliheh Free Clinic, Salt Lake City, UT, for equipment.          100,000
Marias Medical Center, Shelby, MT for equipment........          400,000
Marshall University, WV, for the Bioengineering and            2,700,000
 Biomanufacturing Institute............................
Marshall University, WV, for the construction of a             6,500,000
 patient care and clinical training site in
 Southwestern West Virginia............................
Marshall University, WV, for the Virtual Colonoscopy           1,750,000
 Outreach Program......................................
Mary Scott Nursing Center, Dayton, OH, for                       400,000
 construction, renovation, and equipment...............
Maryland Hospital Association, for their nursing                 350,000
 lattice program.......................................
Mattawa Community Medical Clinic, Mattawa, WA, to                400,000
 complete construction of a new Rural Health Clinic....
Maui Community Health Center, HI, for construction,              250,000
 renovation and equipment..............................
Maui Economic Development Board, HI, for the Lanai               100,000
 Women's Initiative....................................
Maury Regional Hospital, Columbia, TN for construction,          400,000
 renovation, and equipment.............................
Meadville Medical Center, Meadville, PA, for                     250,000
 construction, renovation, and equipment...............
Meharry Medical College, Nashville, TN, for                    1,000,000
 construction, renovation, and equipment...............
Memorial Hermann Southwest Hospital, Houston, TX, for            250,000
 construction, renovation, and equipment...............
Memorial Hospital, York, PA, for construction,                   250,000
 renovation, and equipment.............................
Memphis Bioworks Foundation, Memphis, TN, for                    500,000
 construction, renovation, and equipment...............
Mercy Health Partners, Scranton, PA, for equipment.....          250,000
Mercy Health System, Conshohocken, PA, for equipment...          250,000
Mercy Housing Inc., Denver, CO, for construction,                100,000
 renovation, and equipment of health care facilities...
Mercy Medical Center, Springfield, MA, for equipment...          225,000
Methodist Healthcare System, Houston, TX, for equipment          200,000
MetroHealth System, Cleveland, OH, for construction,             350,000
 renovation, and equipment.............................
Miami Children's Hospital, Miami, FL for equipment.....          300,000
Miami University, Oxford, OH, for equipment............          400,000
Middle Tennessee State University, Murfreesboro, TN,             500,000
 for construction, renovation, and equipment...........
Midtown Community Health Center, Ogden, UT, for                  200,000
 equipment.............................................
Minot State University, Minot, ND, for a telehealth              200,000
 wellness program for people with disabilities.........
Mississippi Hospital Association, Jackson, MS, for               850,000
 construction, renovation, and equipment...............
Mississippi Primary Health Care Association, Jackson,          3,200,000
 MS, for construction, renovation, and equipment of
 Community Health Centers..............................
Mississippi Primary Health Care Association, Jackson,            500,000
 MS, for development of the PharmNet South 340B Program
Mississippi State University, Starkville, MS, for                900,000
 renovation and equipment in support of developing a
 Program of Excellence in Tissue Engineering and
 Biomaterials..........................................
Missouri Highlands Health Care, Ellington, MO for                875,000
 construction, renovation and equipment................
Monongahela Valley Hospital, Monongahela, PA for                 250,000
 equipment.............................................
Moses Taylor Hospital, Scranton, PA, for equipment.....          250,000
Mount Sinai Medical Center, Miami Beach, FL, for                 250,000
 construction, renovation and equipment................
Mountain State University, Beckley, WV, for the                4,000,000
 construction of the Allied Health Technology Tower....
Mountainlands Community Health Center, Provo, UT for             150,000
 construction, renovation and equipment................
National Center for Genome Resources, Santa Fe, NM for         1,100,000
 equipment.............................................
National Jewish Medical and Research Center, Denver,             100,000
 CO, for construction, renovation, and equipment.......
Nebraska Hospital Association Research and Education             200,000
 Foundation in Lincoln, NE for its Nebraska Statewide
 Telehealth Network Project............................
Nevada Rural Hospital Partners in Reno, NV, to expand            450,000
 and improve telemedicine in rural Nevada..............
New Hampshire Community Health Centers, Bi-State                 300,000
 Primary Care Association, Concord, NH.................
New York-Presbyterian Hospital, NY, for cardiac care             650,000
 telemetry equipment...................................
North Arkansas College, Harrison, AR, for equipment for          570,000
 the North Arkansas Partnership for Health Education...
North Country Children's Clinic, Inc., Watertown, NY,            500,000
 for construction and renovation.......................
North Dakota State University, Fargo, ND, to expand a          1,000,000
 statewide telepharmacy project........................
North Idaho Rural Health Consortium (NIRHC), Bonner              750,000
 General Hospital, Sandpoint, ID, to continue providing
 and improving distance healthcare access in north
 Idaho.................................................
Northeast Wisconsin Technical College, Green Bay, WI,            400,000
 to purchase equipment for a mobile clinic.............
Northeastern Pennsylvania Technology Institute,                  100,000
 Scranton, PA, to connect the eighteen regional
 hospitals with state and federal medical experts
 during incident response and recovery.................
Northeastern Vermont Regional Hospital, St Johnsbury,            750,000
 VT, for construction, renovation and equipment........
Northern Rockies Medical Center, Cut Bank, MT for                250,000
 equipment.............................................
Northwest Center for the Developmentally Disabled,               400,000
 Seattle, WA, for a portable medical records project...
Northwest Hospital and Medical Center, Seattle, WA, for          750,000
 construction, renovation and equipment................
Norton Community Hospital, Norton, VA, for equipment to          200,000
 implement digitized medical records...................
Nova University, Fort Lauderdale, FL, for construction           250,000
 of the Center for Collaborative Biomedical Re-  search
NYU School of Medicine, NY, NY, for the Basic Research           900,000
 and Imaging Program...................................
Ohio Valley General Hospital, McKees Rocks, PA for               100,000
 equipment.............................................
Oklahoma State University Center for Health Sciences,            160,000
 Tulsa, OK for equipment...............................
Orange County, Orlando, FL, for Primary Care Access              100,000
 Network Clinic........................................
Ottumwa Regional Health Center, Ottumwa, IA, for                 750,000
 construction, renovation and equipment................
Oxford Enterprise Center, Oxford, MS, for construction,        1,000,000
 renovation, and equipment of facilities for health
 research..............................................
Pacific Northwest National Laboratory, Richland, WA, to          500,000
 create a proteomics laboratory for clinical
 applications..........................................
Paula and Anthony Rich Center for the Study and                  500,000
 Treatment of Autism, Youngstown, OH, for equipment....
Penn State Milton S. Hershey Medical Center/College of           300,000
 Medicine, Hershey, PA for rural health outreach.......
Penn State University, Milton S. Hershey Medical                 700,000
 Center, Hershey, PA, for equipment....................
Pennsylvania Homecare Association, Lemoyne, PA, for              100,000
 home tele-health programs serving rural areas.........
Pinnacle Health Hospitals, Harrisburg, PA, for                   250,000
 equipment.............................................
Pioneer Valley Life Sciences Institute, Springfield,             475,000
 MA, for the construction of biomedical research
 facilities............................................
Pittsburgh Mercy Health System, Pittsburgh, PA, for              250,000
 construction, renovation, and equipment...............
Pocono Medical Center, East Stroudsburg, PA, for                 450,000
 construction, renovation, and equipment...............
Powell County Medical Center, Deer Lodge, MT for                 200,000
 equipment.............................................
Primary Care Association of HI, for construction,                750,000
 renovation, equipment, disability services and
 outreach at the State's health centers................
Providence Community Health Centers, Providence, RI for          250,000
 construction, renovation and equipment................
Providence Health System of Washington, DBA Providence         1,300,000
 Alaska Medical Center for family practice residency
 activities............................................
Rainbow Babies & Children's Hospital, Cleveland, OH,             700,000
 for equipment.........................................
Rapid City Area School District 51/4, Rapid City, SD,            150,000
 for construction, renovation, and equipment of a
 school-based health clinic............................
Reading Hospital and Medical Center, Reading PA for              300,000
 equipment.............................................
Richford Health Center, Inc of Richford, VT, for                 100,000
 construction, renovation and equipment................
Riverside Regional Medical Center (RRMC), Newport News,          100,000
 VA, for equipment.....................................
Rochester General Hospital, Rochester, NY, for heart             250,000
 failure equipment and training........................
Rockland Community College, Suffern, NY, for new                 250,000
 science, allied health and nursing labs...............
Rosebud Alcohol Drug Treatment Center, Rosebud, SD, for          400,000
 the construction of a treatment wing..................
Rosebud Inter-facility Transport, Rosebud, SD, for               150,000
 purchase of emergency vehicles and equipment..........
Rural Health Technology Consortium, Billings, MT to              700,000
 develop a Rural Clinical Information System...........
Rural Wisconsin Health Cooperative, Sauk City, WI, to            225,000
 develop electronic health records.....................
Rutgers, The State University of New Jersey, New                 200,000
 Brunswick, for the Rutgers Universtion Mammalian
 Biology Resource Center...............................
Sac and Fox Tribe of the Mississippi in Iowa for a               750,000
 Tribal Health Care Clinic.............................
Sacred Heart Hospital, Allentown, PA, for equipment and          450,000
 renovation............................................
Saint Croix Regional Family Health Center, East Grand            195,000
 Facility Expansion for Behavioral Health, Danforth,
 ME, for construction, renovation, and equipment of its
 Danforth site.........................................
Saint Elizabeth Medical Center, Edgewood, KY for                 300,000
 construction, renovation, and equipment...............
Saint Elizabeth Medical Center, Utica, NY, for                   350,000
 renovation and expansion of the emergency department..
Saint Francis Hospital, Escanaba, MI, for construction,          250,000
 renovation and equipment..............................
Saint Francis Memorial Hospital, San Francisco, CA, for          200,000
 the Surgery Suite Expansion...........................
Saint John's Lutheran Ministries, Billings, MT,                  500,000
 construction, renovation, and equipment...............
Saint Joseph Hospital, Nashua, NH, for development and           500,000
 expansion of the electronic medical record system.....
Saint Joseph's Hospital and Medical Center, Phoenix,             350,000
 AZ, for a mobile clinic...............................
Saint Louis Children's Hospital, Saint Louis, MO for           1,000,000
 construction, renovation and equipment................
Saint Louis University, Saint Louis, MO, for equipment         1,000,000
 at the Advanced Neurosurgical Innovation Center.......
Saint Luke's Episcopal Hospital Neuroscience Center,             250,000
 Houston, TX, for equipment............................
Saint Luke's Miners Memorial Hospital, Coaldale, PA for          200,000
 equipment.............................................
Saint Luke's Hospital, Allentown, PA for construction,           250,000
 renovation and equipment..............................
Saint Luke's Regional Medical Center, Boise, ID for              800,000
 equipment.............................................
Saint Mary Medical Center, Langhorne, PA, for                    100,000
 construction, renovation, and equipment...............
Saint Mary's Good Samaritan, Inc., Mount Vernon, IL for          100,000
 equipment.............................................
Saint Mary's Regional Medical Center, Reno, NV, for            1,000,000
 construction, renovation and equipment................
Saint Patrick Hospital and Health Sciences Center,               500,000
 Missoula, MT for equipment to implement an electronic
 medical records system................................
Saint Peter's Hospital, Helena, MT for construction,             500,000
 renovation and equipment..............................
Saint Thomas Health Services, Nashville, TN for                  250,000
 construction, renovation and equipment................
Saint Vincent Charity Hospital, Cleveland, OH, for               100,000
 construction, renovation, and equipment...............
Saint Vincent Healthcare Foundation, Billings, MT for          2,500,000
 construction, renovation and equipment................
Saint Vincent Healthcare, Billings, MT, to create a              750,000
 continuing medical education program..................
Saint Vincent Regional Medical Center, New Mexico, for         1,000,000
 construction, renovation and equipment................
Salt Lake Community College, Salt Lake City, UT, for             850,000
 construction, renovation, and equipment...............
Salt Lake County Aging Services, Salt Lake County, UT,           100,000
 for construction, renovation, and equipment...........
Salud Latina/Latino Health, Chicago, IL, for equipment           100,000
 to monitor the health status and outcomes.............
San Luis Valley Regional Medical Center, Alamosa, CO,            200,000
 for the Health Information Technology Project.........
Seattle Cancer Care Alliance, Seattle, WA, for the               700,000
 acquisition of a mobile mammography specialty vehicle
 and for digital imaging equipment.....................
Sharon Regional Health System, Sharon, PA for equipment          200,000
Shodair Hospital, Helena, MT, for project Cancer                 250,000
 Genetics..............................................
Singing River Health System, Gautier, MS, for equipment          150,000
 for the Gulf Coast Emergency Infrastructure Project...
Skagit Valley Hospital, Mount Vernon, WA, for equipment          200,000
 for the Cancer Care Center............................
Somerset Hospital, Somerset, PA for equipment..........          450,000
Southcentral Foundation in Anchorage, AK for equipment         2,000,000
 at its Primary Care Center............................
Southeast Lancaster Health Services, Inc, Lancaster,             100,000
 PA, for electronic medical records....................
Southeast Missouri State University, Cape Girardeau, MO          250,000
 for construction, renovation, and equipment...........
Southeastern Ohio Regional Medical Center, Cambridge,            350,000
 OH, for electronic health records.....................
Southern Ohio Health Services Network, Milford, OH, for          300,000
 equipment and technology infrastructure upgrades......
Spectrum Health Services, Philadelphia, PA for                   100,000
 construction, renovation and equipment................
Stamford Hospital, Stamford, Connecticut, for the                150,000
 expansion emergency services department and primary
 care facilities.......................................
State of New Mexico to improve rural healthcare through          750,000
 telehealth, focused on mental health..................
Straub Hospital Burn Center, HI, for health professions          100,000
 training in burn treatment............................
Summa Health System, Akron, OH, for construction,                500,000
 renovation, and equipment of the Cancer Center........
SUN Home Health Services, Inc., Northumberland, PA, for          100,000
 facilities and equipment..............................
Susquehanna Health System, Williamsport, PA, for                 400,000
 construction, renovation, and equipment...............
SwedishAmerican Health System, Rockford, IL, for                 100,000
 construction and equipment for a clinic in Davis
 Junction..............................................
Swedish Medical Center, Seattle, WA, for the Seattle             750,000
 Neuroscience Institute................................
Swift River Health Care, Rumford, ME, for construction,          100,000
 renovation, and equipment.............................
Swope Health Services, Kansas City, MO, for equipment..          250,000
Temple University Health System, Philadelphia, PA, for           800,000
 construction, renovation, and equipment...............
Temple University, Philadelphia, PA, for construction,           100,000
 renovation, and equipment at the Temple University
 School of Medicine's Center for Minority Health.......
Tennessee Technological University, Cookeville, TN, for          500,000
 construction, renovation, and equipment...............
Texas A&M University, College Station, TX, for                   500,000
 equipment.............................................
Texas Children's Hospital, Houston, TX, for Project              250,000
 Medical Home..........................................
Texas Health Institute, Austin, TX, for equipment for            200,000
 an emergency communications demonstration pro-  ject..
Thomas Jefferson University Hospital, Philadelphia, PA,          450,000
 for construction, renovation, and equipment...........
Thomas Jefferson University, Philadelphia, PA, for               500,000
 equipment.............................................
Toledo Children's Hospital, Toledo OH, for                       300,000
 construction, renovation, and equipment of the
 Children's Palliative Care Center.....................
Trinitas Health Foundation, Elizabeth, NJ, for the               250,000
 Trinitas Hospital Cancer Care Initiative..............
Twin City Hospital, Dennison, OH, for equipment........          500,000
Tyrone Hospital, Tyrone, PA, for equipment.............          250,000
UMass Memorial Health Care in Worcester, MA for a high-          900,000
 speed network and Picture Archiving and Communication
 System................................................
Uniontown Hospital, Uniontown, PA, for construction,             200,000
 renovation, and equipment of the Chest Pain Cen-  ter.
University Medical Center, Tucson, AZ for construction,          750,000
 renovation, and equipment.............................
University of Alabama at Birmingham, AL for                   10,000,000
 construction of Phase II of the Interdisciplinary
 Sciences Building.....................................
University of Alabama, Tuscaloosa, AL for construction        10,000,000
 of a Health Services Facility.........................
University of Alaska at Anchorage, Anchorage, AK, for            250,000
 its Geriatric and Disabled Care Training Program......
University of Alaska at Fairbanks and University of              500,000
 Alaska at Anchorage, AK, for their program to train
 Alaska natives for careers in psychology..............
University of Arizona, Tucson, AZ, for construction,             750,000
 renovation, and equipment.............................
University of Arizona, Tucson, AZ, for equipment.......          850,000
University of Arkansas for Medical Sciences, Little              200,000
 Rock, AR for equipment and renovation of Endovascular
 Imaging Suite.........................................
University of Delaware, Newark, DE, for the Delaware             400,000
 Biotechnology Institute...............................
University of Georgia, Coverdell Center for Biomedical           125,000
 Health Sciences, Athens, GA for equipment.............
University of Houston System, Houston, TX, for                   100,000
 equipment of a DNA laboratory at UH-Victoria..........
University of Iowa, Iowa City, IA, for facilities and          1,000,000
 equipment for a public health laboratory..............
University of Kansas Medical Center, Kansas City, KS             300,000
 for equipment.........................................
University of Kentucky in Lexington, KY, for the               1,000,000
 Kentucky Oral Health Initiative.......................
University of Kentucky, Lexington, KY, for                     1,500,000
 construction, renovation, and equipment...............
University of Louisville in Louisville, KY for                15,700,000
 construction, renovation and equipment................
University of Louisville, Center for Cardiovascular            3,200,000
 Care, Louisville, KY, for construction, renovation and
 equipment.............................................
University of Maryland at Baltimore, to establish a              750,000
 Institute for Nurse Educators.........................
University of Miami, FL, Miller School of Medicine, for          500,000
 the Center for Patient Safety.........................
University of Minnesota, Minneapolis, MN for                     150,000
 construction, renovation and equipment at the Muscular
 Dystrophy Center......................................
University of Mississippi Medical Center, Jackson, MS,         2,800,000
 for development, construction, renovation, and
 equipment of the National Biomedical Research Imaging
 Center................................................
University of Mississippi Medical Center, School of              500,000
 Dentistry, Jackson, MS................................
University of Mississippi, Oxford, MS, Center for                900,000
 Thermal Pharmaceutical Processing, for construction,
 renovation, and equipment.............................
University of Mississippi, Oxford, MS, for                     7,900,000
 construction, renovation, and equipment at the
 National Center for Natural Products Research.........
University of Mississippi, Oxford, MS, for                     2,900,000
 construction, renovation, and equipment of a School of
 Pharmacy facility.....................................
University of Missouri-Kansas City, Kansas City, MO,           1,000,000
 for construction, renovation, and equipment...........
University of Nebraska Medical Center, to construct a          1,000,000
 cancer research floor.................................
University of Nevada-Reno, Reno, NV, for construction          1,000,000
 and equipping of the biomedical research build-  ning.
University of New Mexico, Albuquerque, NM, for                 8,296,000
 construction, renovation, and equipment...............
University of North Dakota School of Medicine and                300,000
 Health Services, Grand Forks, ND, for construction of
 a forensic facility...................................
University of North Dakota School of Medicine, Center            500,000
 for Rural Health and Medicine, Grand Forks, ND, to
 identify and address the health needs of elderly rural
 residents.............................................
University of North Dakota, for the Indians Into                 350,000
 Medicine program......................................
University of North Texas, Denton, TX, for equipment             500,000
 for the Center for Computational Epidemiology.........
University of Pennsylvania, Philadelphia, PA, for                800,000
 construction, renovation, and equipment...............
University of Pittsburgh Cancer Institute, Pittsburgh,           800,000
 PA, for equipment.....................................
University of Pittsburgh, Pittsburgh, PA, for equipment          500,000
 to address rare diseases..............................
University of South Alabama, Cancer Research Institute,        1,400,000
 Mobile, AL for equipment..............................
University of South Dakota Department of Dental                  140,000
 Hygiene, Vermillion, SD, for purchase of dental clinic
 equipment.............................................
University of South Dakota School of Medicine,                 1,000,000
 Vermillion, SD, for the construction of the medical
 school................................................
University of Southern Maine, Portland, ME, for                  400,000
 construction, renovation, and equipment...............
University of Southern Mississippi Research Foundation,          450,000
 Hattiesburg, MS, for equipment........................
University of Tennessee Health Science Center, Memphis,          400,000
 TN for construction, renovation, and equipment........
University of Tennessee Medical Center Knoxville, TN             250,000
 for equipment.........................................
University of Texas MD Anderson Cancer Center, Houston,          500,000
 TX, for equipment.....................................
University of Texas Medical Branch in Galveston,                 100,000
 Galveston, TX, to expand telehealth capabilities......
University of Texas Medical Branch, Galveston, TX, for           600,000
 equipment.............................................
University of Wisconsin-Oshkosh Foundation, Oshkosh,WI,          150,000
 for equipment.........................................
University of Wisconsin-Superior, Superior, WI, for              200,000
 construction and equipment............................
Utah Navajo Health Systems Inc, Montezuma Creek, UT for          100,000
 equipment.............................................
Valley-Wide Health Systems, Durango, CO, for                     100,000
 construction, renovation and equipment................
Vanderbilt University Medical Center, Nashville, TN,             250,000
 for the Nurses for Newborns of Tennessee program......
Vannie E. Cook, Jr. Cancer Foundation, Baylor College            300,000
 of Medicine, Houston, TX, for construction, renovation
 and equipment.........................................
Vantage Health Care Network, Meadville, PA, for elderly-         100,000
 care professional training programs...................
Venice Family Clinic, Venice, CA, for renovations and            200,000
 equipment at the Pico Health Center...................
Vermont Association of Hospitals and Health Systems of           400,000
 Montpelier, VT, for health information tech-  nology..
Virginia Commonwealth University (VCU) Massey Cancer             100,000
 Center, Richmond, VA, for construction, renovation,
 and equipment.........................................
Visiting Nurse Association of Omaha Nebraska, for                300,000
 Omaha's CareWatch program for the chronically ill.....
Visiting Nurses Association of Greater Philadelphia,             100,000
 Philadelphia, PA for equipment, training and out-
 reach.................................................
Visiting Nurses Association of Manchester and Southern           300,000
 New Hampshire, for an electronic medical record
 project...............................................
Washington Hospital, Washington, PA for construction,            300,000
 renovation and equipment..............................
Washington State University, College of Nursing,               1,500,000
 Spokane, WA, for construction and equipment for
 medical school nursing facility.......................
Wayne Community Health Centers, Inc., Bicknell, UT, for          100,000
 equipment.............................................
Wayne Memorial Hospital, Honesdale, PA for                       100,000
 construction, renovation and equipment................
Welcome House, Inc., OH, for the Eldercare/MRDD Project          500,000
 and construction, renovation, and equipment...........
Wellspan Health, York, PA, for disease management                250,000
 services..............................................
Wentworth-Douglass Hospital, Dover, NH for equipment to          500,000
 implement electronic medical records..................
Wesley College, Dover, DE, for the expansion of the              700,000
 nursing program.......................................
West Pennsylvania Allegheny Health System, Pittsburgh,           200,000
 PA for equipment......................................
West Virginia University for the construction and              3,500,000
 equipping of medical simulation research and training
 centers in Morgantown, Charleston and Martinsburg.....
West Virginia University for the construction of a             4,500,000
 Multiple Sclerosis Center.............................
Westerly Hospital, Westerly, RI, for construction and            500,000
 renovation............................................
Western Pennsylvania Hospital, Pittsburgh, PA, for               100,000
 equipment.............................................
Wetzel County Hospital, WV, for the expansion and              1,000,000
 remolding of the Emergency Department.................
Wexner Heritage Village, Columbus, OH, for the Larry             170,000
 and Leonore Zusman Jewish Community Hospice for
 renovation and equipment..............................
Wheaton Franciscan Health Care -Southeast Wisconsin,             200,000
 Inc., for equipment...................................
Wilcox Health Center, Warwick, RI, for construction,             250,000
 renovation, and equipment.............................
Wills Eye Hospital, Philadelphia, PA, for construction,          500,000
 renovation, and equipment.............................
Wisconsin Primary Health Care Association, Madison, WI,          225,000
 for an electronic medical records system..............
Wistar Institute, Philadelphia, PA, for construction,            100,000
 renovation, and equipment.............................
Wolfson Children's Hospital, Jacksonville, FL, for               250,000
 equipment.............................................
Women and Infants Hospital, Providence, RI for                   200,000
 construction, renovation and equipment................
Women's Care Center of Erie County, Inc., Erie, PA, for          100,000
 health outreach.......................................
Wyoming Dental Association, Casper, WY, to track,                200,000
 train, and recruit needed oral health care providers..
Wyoming Department of Health, Office of Telemedicine,          1,800,000
 Cheyenne, WY, to support the Wyoming Network for
 Telehealth (WyNETTE) program..........................
Wyoming Valley Health Care System, Wilkes Barre, PA,             250,000
 for equipment.........................................
Xavier University, New Orleans, LA, for construction of          500,000
 a biotechnology and pharmacology building.............
Youth for Tomorrow, Inc, Bristow, VA, for construction,          200,000
 renovation, and equipment of a clinical facility......
------------------------------------------------------------------------

    The Committee intends that these funds be disbursed as 
direct subsidy payments. The Committee directs HRSA to develop 
this program with appropriate safeguards to assure compliance 
by recipients with the intended uses of these funds and with 
other applicable requirements, such as civil rights statutes 
and the National Historic Preservation Act. Further, the 
Committee intends that when these funds are used for purchase, 
construction or major alteration of real property or the 
purchase of equipment, the Federal interest in the property 
will last for a period of 5 years following the completion of 
the project or until such time that the Government is 
compensated for its proportionate interest in the property if 
the property use changes or the property is transferred or 
sold, whichever time period is less. At the conclusion of that 
time period, the Federal Interest in that property shall be 
terminated.
    The Committee has included bill language to terminate after 
5 years the Federal interest in buildings and equipment funded 
in this line item. The Committee is aware of situations in 
which HRSA has had to track obsolete pieces of equipment, such 
as old medical equipment, for years after the useful life of 
the equipment has ended. The Committee is also aware of 
situations in which HRSA has had to track Federal interest of 
less than 2 percent of total value of a building for years 
after the completion of construction. The bill language should 
alleviate these unintended consequences of the grant process.

Telehealth

    The Committee provides $6,819,000 for telehealth 
activities. The fiscal year 2006 comparable level was 
$6,814,000 and the budget request for fiscal year 2007 was 
$6,819,000. The telehealth program funded through the Office 
for the Advancement of Telehealth promotes the effective use of 
technologies to improve access to health services for people 
who are isolated from healthcare and distance education for 
health professionals.
    Telehealth is an innovation that promises greater access 
and higher quality health care with reduced costs. The practice 
of telemedicine, however, has been under-utilized and under-
funded despite numerous studies praising the ability of 
telehealth to deliver care to individuals in remote and 
underserved areas. The adoption of telehealth has been hampered 
by legal, financial, and regulatory barriers. The Committee 
intends that HRSA continue to carry out programs and expand 
support for activities authorized under the Health Care Safety 
Net Amendments as initiated in the Fiscal Year 2006 Labor, 
Health & Human Services, and Education Appropriations Act, 
including telehealth resource centers, network grants, 
demonstration or pilot projects for telehomecare, and programs 
under which health licensing boards or various States cooperate 
to develop and implement policies that will reduce statutory 
and regulatory barriers to telehealth. The Committee intends 
that HRSA place a high priority on the needs of rural States 
with populations of less than 1,500,000 individuals in the 
award and geographical placement of new telehealth resource 
grants.

Program Management

    The Committee provides $144,432,000 for program management 
activities for fiscal year 2007. The fiscal year 2006 
comparable level was $144,432,000 and the budget request for 
fiscal year 2007 was $141,071,000. The Committee has included 
$2,000,000 to continue the dental workforce programs authorized 
in section 340G of the Public Health Service Act.
    The Committee is pleased that the Mathematica evaluation of 
the HRSA clinical pharmacy demonstration projects proved 
valuable to patients, health centers, and colleges and schools 
of pharmacy. The Committee requests that HRSA submit a report 
to the Chairmen of the Senate Committee on Appropriations, 
Appropriations Subcommittee on Labor, Health and Human 
Services, Education and Related Agencies, and the Senate 
Committee on Health, Education, Labor, and Pensions making 
recommendations on similar improvements that might be made to 
all HRSA programs in which medications play an integral role in 
patient care, such as health centers and Ryan White programs. 
The Committee expects HRSA to collaborate with external 
organizations such as the American Association of Colleges of 
Pharmacy, the National Association of Community Health Centers, 
and members of the 340B Coalition to develop the 
recommendations that should include options for financing 
clinical pharmacy services in HRSA supported programs, cost of 
such financing, and opportunities for maintaining and building 
upon the relationships with colleges and schools of pharmacy.

                   HEALTH EDUCATION ASSISTANCE LOANS

    The Committee provides $1,000,000 to liquidate obligations 
from loans guaranteed before 1992. The fiscal year 2006 
comparable level was $4,000,000 and the budget request for 
fiscal year 2007 was $1,000,000. For administration of the HEAL 
Program including the Office of Default Reduction, the 
Committee provides $2,887,000. The fiscal year 2006 comparable 
level was $2,885,000 and the budget request for fiscal year 
2007 was $2,887,000.
    The HEAL Program insures loans to students in the health 
professions. The Budget Enforcement Act of 1990, changed the 
accounting of the HEAL Program. One account is used to pay 
obligations arising from loans guaranteed prior to 1992. A 
second account was created to pay obligations and collect 
premiums on loans guaranteed in 1992 and after. Administration 
of the HEAL Program is separate from administration of other 
HRSA programs.

              NATIONAL VACCINE INJURY COMPENSATION PROGRAM

    The Committee provides that $66,366,000 be released from 
the vaccine injury compensation trust fund in fiscal year 2007, 
of which $3,564,000 is for administrative costs. The total 
fiscal year 2006 comparable level was $64,534,000 and the total 
budget request for fiscal year 2007 was $66,366,000.
    The National Vaccine Injury Compensation Program provides 
compensation for individuals with vaccine-associated injuries 
or deaths. Funds are awarded to reimburse medical expenses, 
lost earnings, pain and suffering, legal expenses, and a death 
benefit. The vaccine injury compensation trust fund is funded 
by excise taxes on certain childhood vaccines.

               Centers for Disease Control and Prevention


                DISEASE CONTROL, RESEARCH, AND TRAINING

Appropriations, 2006 \1\................................  $6,087,183,000
Budget estimate, 2007...................................   6,099,052,000
House allowance.........................................   6,173,368,000
Committee recommendation................................   6,195,765,000

Excludes $293,000,000 in emergency supplemental appropriations pursuant 
to Public Laws 109-13, 109-148, and 109-234.

    The Committee provides a program level of $6,195,765,000 
for the Centers for Disease Control and Prevention [CDC]. The 
Committee recommendation includes $6,095,900,000 in budget 
authority and an additional $99,865,000 via transfers available 
under section 241 of the Public Health Services Act. The fiscal 
year 2006 comparable program level was $6,380,183,000 and the 
program level budget request for fiscal year 2007 was 
$6,099,052,000.
    The activities of the CDC focus on several major 
priorities: provide core public health functions; respond to 
urgent health threats; monitor the Nation's health using sound 
scientific methods; build the Nation's health infrastructure to 
insure our national security against bioterrorist threats; 
assure the Nation's preparedness for emerging infectious 
diseases and potential pandemics; promote women's health; and 
provide leadership in the implementation of nationwide 
prevention strategies to encourage responsible behavior and 
adoption of lifestyles that are conducive to good health. All 
comparisons to fiscal year 2006 and the fiscal year 2007 budget 
request account for various reprogrammings and rescissions. 
These are not reflected in the table at the back of this 
report.

                          INFECTIOUS DISEASES

    The Committee recommends $1,726,237,000 for infectious 
disease related programs at the CDC. The fiscal year 2006 
comparable level was $1,692,058,000 and the comparable budget 
request level for fiscal year 2007 was $1,777,099,000. The 
Committee recommendation includes $12,794,000 in transfers 
available under section 241 of the Public Health Services Act.
    The Coordinating Center for Infectious Diseases includes 
the National Center for Infectious Diseases, the National 
Center for STD, TB, and HIV Prevention, and the National 
Immunization Program.

Infectious Diseases Control

    The Committee has provided $266,366,000 for infectious 
diseases preparedness and control activities. The Committee 
intends that all infectious disease control activities be 
funded at least at the level of the administration's request 
and that the additional funds be used to address emerging 
issues as determined by CDC.
    These activities focus on: national surveillance of 
infectious disease; applied research to develop new or improved 
diagnoses; prevention and control strategies; working with 
State and local departments and private health care providers 
to transfer application of infectious disease prevention 
technologies; and strengthening the capability to respond to 
outbreaks of new or reemerging diseases and pandemics. With the 
exceptions noted below, the Committee has provided funding at 
the level of the fiscal year 2007 request.
    Chronic Fatigue Syndrome.--With the full restoration of 
$12,900,000 to the Chronic Fatigue Syndrome [CFS] research 
program in response to a report from the Inspector General 
dated May 12, 1999, the Committee commends CDC for developing a 
comprehensive CFS program that now leads CFS research efforts 
worldwide. The Committee is encouraged by the commitment of the 
CFS research team and the exciting progress it is making in 
understanding the pathophysiology of CFS. The Committee 
encourages CDC to provide sufficient resources to sustain this 
leadership and to protect the progress made and has provided an 
additional $1,000,000 over the budget request level to aid 
these efforts. The Committee is also concerned that the CDC 
restructuring not undermine this momentum. The Committee 
requests a report by May 1, 2007 that outlines how the restored 
funding was used and how the CDC restructuring will affect CFS 
research. The Committee commends CDC on the joint CDC/CFIDS 
Association of America national public education and awareness 
campaign. The Committee is disappointed by the postponement of 
the campaign and expects CDC to expedite the campaign and 
ensure that the intent and objectives of the overall campaign, 
as originally envisioned, are achieved.
    The Committee understands that emerging evidence indicates 
that human herpesvirus 6A and Epstein-Barr virus may play a 
role in CFS. The Committee encourages CDC to investigate the 
role that these viruses may play, including as possible 
causative agents.
    Emerging Infectious Diseases.--The Committee provides 
$130,000,000 for all other emerging infectious diseases. This 
increase will provide sufficient resources to expand laboratory 
capacity, research and support for detecting and characterizing 
influenza and other pathogens that would likely be in the 
differential diagnosis of patients with febrile illnesses.
    Hepatitis.--The Committee continues to be concerned that 
more than many of the people infected with hepatitis C are 
unaware of their condition. The Committee encourages CDC to 
collaborate with national voluntary health organizations to 
raise awareness of appropriate screening and medical follow up 
of target populations. The Committee is also aware of 
increasing rates of hepatitis A and B infections among select 
adult populations, as well as the alarming rate of individuals 
co-infected with both hepatitis C and HIV. The Committee 
encourages CDC to aid hepatitis screening initiatives in the 
States; help establish guidelines and recommendations for 
preemptive programs; consider focusing on education and 
awareness programs targeted at specific populations where there 
is a high prevalence of hepatitis B and where therapeutic 
interventions are increasingly effective; and implement the 
National Hepatitis C Prevention Strategy to address the 
emerging threat of hepatitis C. In addition, the Committee 
strongly urges CDC to collaborate with the Health Resources and 
Services Administration to implement improved HCV screening 
programs for HIV-infected individuals served by HRSA programs.
    Pandemic Influenza.--The Committee has provided 
$24,659,000, an increase of $22,000,000 over the fiscal year 
2006 level. The Committee anticipates that these funds will be 
used to develop a diagnostic reagent stockpile and a library of 
pandemic reference strains.
    Prevention Epicenter Program.--The Committee applauds CDC's 
support for the Prevention Epicenter Program and has provided 
sufficient resources to continue this program to address 
patient safety issues.

HIV, STD, and TB Prevention

    Recognizing the intersection among these diseases, and the 
need for a focal point for leadership and accountability, CDC 
combines HIV, STD, and TB activities to provide leadership in 
preventing and controlling human immunodeficiency virus 
infection, other sexually transmitted diseases [STDs], and 
tuberculosis. CDC works in collaboration with partners at 
community, State, national, and international levels, applying 
multi-disciplinary programs of research, surveillance, 
technical assistance, and evaluation. These diseases are not 
yet vaccine preventable and must be controlled and prevented by 
identifying, diagnosing, and treating infected persons; 
provision of confidential, culturally competent counseling to 
identify and reach those who have been exposed to infection and 
who may not know it; and individual and population level health 
promotion to reduce high risk behaviors. With the exceptions 
noted below, the Committee has provided funding at the level of 
the fiscal year 2007 request.
    HIV/AIDS Initiative.--The Committee is strongly supportive 
of the HIV/AIDS initiative described in the budget request, and 
has included an increase of $19,176,000 over the fiscal year 
2006 level for CDC's HIV/AIDS-related activities. Within that 
increase, $4,551,000 above the fiscal year 2006 level is for 
National, Regional, and other organizations. Although 
approximately 1 million Americans have been infected with HIV, 
approximately 25 percent are unaware of their infection. This 
results in increased spread of the disease, as persons who are 
aware of their infection are more likely to modify their 
behaviors to avoid transmission to others. The increase 
provided by the Committee should be used to increase testing in 
medical settings, make voluntary testing a routine part of 
medical care, and create new testing guidelines, models, and 
best practices. The Committee notes that quick HIV tests that 
can provide results in less than an hour are a critical 
component of the initiative. The Committee has supported bulk 
purchases of HIV quick tests for distribution to providers, 
and--as a result of the provided increase--expects an increase 
in the number of tests distributed to grantees.
    Infertility Prevention.--The Committee notes that there are 
multiple causes for infertility including ovulatory and 
hormonal disorders, blocked fallopian tubes, endometriosis and 
cervical problems among women and poor sperm quality, motility 
and count among men. There are also recognized risk factors 
that contribute to these causes in addition to sexually 
transmitted diseases, which has been the primary focus of CDC's 
education on infertility risks. These factors include delayed 
child bearing, smoking, low or excessive body weight and other 
chronic conditions, exposures to hazardous environmental toxins 
and contaminants, drug and alcohol abuse, diabetes, cancer and, 
particularly for men, exposure to high temperatures. The 
Committee encourages CDC to consider expanding the scope of 
this program and provide greater support to public education on 
the risks to fertility.
    Oral Fluid Rapid HIV Tests.--The Committee commends the 
Department for the domestic HIV/AIDS testing initiative for 
increased testing among high risk populations. The Committee is 
supportive of CDC's use of the oral fluid rapid HIV test in its 
HIV/AIDS activities and strongly encourages CDC to move forward 
as quickly as possible with the bulk purchase of additional 
tests to supply CDC grantees with an adequate and ongoing 
inventory. The Committee recognizes the economy and efficiency 
of CDC's bulk purchase of oral fluid rapid HIV kits for 
distribution to CDC funded sites, and has provided funding 
within the domestic HIV/AIDS testing initiative to continue and 
expand this activity.
    Tuberculosis.--The Committee is pleased with the efforts of 
the tuberculosis control program, which has reduced the number 
of new tuberculosis cases for the past 10 years. However, the 
number of new tuberculosis cases in foreign-born individuals in 
the United States remains a concern. Although tuberculosis 
rates have been falling, the Committee is aware that similar 
low rates have been achieved in the past only to see a 
reemergence of the disease due to inadequate control efforts. 
In the end, any savings achieved during that period were more 
than used to again gain control of the incidence of the 
disease. The Committee has provided sufficient resources to 
maintain the fiscal year 2006 level of funding for tuberculosis 
control efforts and to prevent a similar reemergence.
    The Committee understands that TB is an enormous health 
crisis in the developing world, killing 2 million people every 
year. Despite the development of effective treatments against 
TB 50 years ago, there have never been more people infected 
with the disease in the history of the world. The Committee 
encourages CDC to continue and, if possible, expand the 
existing TB vaccine research cooperative agreement.
    The Committee understands that the CDC is planning a new 
initiative called the Intensified Support and Activities to 
Accelerate Control [ISAAC]. ISAAC plans call for targeting TB 
in African Americans and along the U.S./Mexico border, 
universal genotyping of all culture positive TB cases, and 
expanding clinical trials and development of new tools for the 
diagnosis and treatment of TB. The Committee encourages the CDC 
to implement ISSAC to accelerate the control and elimination of 
TB.
    In fiscal year 2006, the Committee encouraged the CDC in 
the Senate report to make available funds to States suffering 
from TB cases among recently-arrived Hmong. The Committee 
understands the CDC and Department of State still have not 
adequately contained the TB outbreak in the Thailand refugee 
camp and serious TB control problems have recently become 
apparent, including long delays in lab testing and an absence 
of oversight of complicated multi-drug resistant TB cases. As a 
result, TB importation with Hmong newcomers has continued 
through December 2005. The Committee again encourages 
additional funding through CDC's cooperative agreements to help 
States respond to the TB epidemic among this population. The 
Committee recognizes the importance of Transitional and Medical 
Services funding under the Refugee and Entrant Assistance 
Program to specifically target the TB medical care needs of 
this population.

Immunization

    The Committee recommends $479,303,000 for the program 
authorized under section 317 of the Public Health Service Act. 
The fiscal year 2006 comparable level was $504,406,000 and the 
budget request for fiscal year 2007 was $492,551,000. The 
Committee recommendation includes $12,794,000 in transfers 
available under section 241 of the Public Health Service Act.
    The Omnibus Reconciliation Act of 1993 established a 
vaccine purchase and distribution system that provides, free of 
charge, all pediatric vaccines recommended for routine use by 
the Advisory Committee on Immunization Practices to all 
Medicaid-eligible children, uninsured children, underinsured, 
and native Americans through program-registered providers.
    The President's Budget proposes a shift of $100,000,000 in 
funding for vaccine purchase from the discretionary section 317 
program to the mandatory Vaccines for Children Program. The 
Committee is opposed to the proposed $100,000,000 funding 
shift, which is contingent on a change in authorizing 
legislation that has not yet occurred.
    Immunization project grants are awarded to all 50 States, 
six cities and eight current or former territories for 
planning, developing, and conducting childhood immunization 
programs including enhancement of the vaccine delivery 
infrastructure. CDC directly maintains a stockpile of vaccines, 
supports consolidated purchase of vaccines for State and local 
health agencies, and conducts surveillance, investigations, and 
research into the safety and efficacy of new and presently used 
vaccines.
    Despite great success in lowering disease levels and 
raising immunization coverage rates, much remains to be done to 
ensure the protection of children and adults worldwide. 
Approximately 1 million 2-year-old children in the United 
States have not received one or more of the more established, 
recommended vaccines. One of our Nation's greatest challenges 
is extending our success in childhood immunization to the adult 
population. The burden due to the occurrence of vaccine-
preventable diseases in adults in the United States is 
staggering. As many as 40,000 U.S. adults each year die of 
influenza, pneumococcal infections and hepatitis B. CDC is 
addressing these obstacles to the greatest extent possible and 
continues to provide leadership to reduce disability and death 
resulting from diseases that can be prevented through 
vaccination.
    Vaccines protect not only the individual vaccinated, but 
the community as well. When high levels of vaccination are 
achieved, disease transmission is reduced and children too 
young for vaccination, children with compromised immune 
systems, and children who cannot receive vaccines for medical 
reasons are indirectly protected because they are not exposed 
to disease. Clusters of under and non-immunized children in 
communities are at danger for developing vaccine-preventable 
diseases. In addition, such children can become a reservoir of 
infection disseminating disease to all communities. Federal 
support for removing financial barriers to vaccination has 
included the Vaccines for Children Program for uninsured 
children and the 317 immunization grants that provide 
eligibility for all children, adolescents, and adults.
    The Committee is concerned that failure to increase 317 
immunization grant support to cover newly recommended vaccines 
to prevent pneumonia, meningitis, whooping cough, influenza, 
hepatitis A, and rotavirus will create a group of children, 
adolescents and adults in most communities in this country who 
are unvaccinated. Spread of mumps recently into and then out of 
Iowa and other neighboring states highlights the problem of 
dissemination of infectious diseases when they are introduced 
into a community. The Committee is aware that prior to 2000 and 
the introduction of new vaccines such as pneumococal vaccine 
that the 317 immunization program was adequately assuring that 
children traditionally dependent on the public sector for 
support but who were not eligible for the Vaccines for Children 
Program could receive needed vaccines. In 1999, the 317 
immunization program allowed 747,000 children to receive the 
full immunization schedule. Since that date, there has been a 
growing gap where the 317 program is lagging in support 
relative to the VFC program. In 2006, the 317 program was only 
able to support an estimated 280,000 children due to lack of 
funding.
    Therefore, the Committee requests CDC to provide a report 
by March 1, 2007, that provides information on how much funding 
would be needed in fiscal year 2008 to cover the same relative 
proportion of eligible children, adolescents and adults under 
the section 317 program as was provided in previous years. The 
report should include information on the cost of adding each 
new vaccine recommended for routine vaccination of children and 
adolescents by the Advisory Committee on Immunization Practices 
since 1999, and annual data on State coverage rates for new 
vaccines. The report should address the barriers and time lag 
related to implementation of new vaccines, including data on 
two-tiered States that are unable to offer all recommended 
vaccines to all children due to insufficient funding. The 
report should also include 5-year historical data on section 
317 operations infrastructure funding for childhood, adolescent 
and adult immunization programs, and present information on the 
ongoing and emerging needs to support provider and public 
education on new vaccines, investigate disease outbreaks, 
identify and address barriers to immunization, and other 
activities relative to the current funding level. Finally, the 
report should include 10-year historical data on the percentage 
of childhood, adolescent and adult immunization covered by 
funding source.
    The Committee encourages CDC to increase section 317 grant 
support for infrastructure development and purchase of vaccines 
for the State of Alaska's universal immunization program. It 
has been brought to the Committee's attention that 
infrastructure costs of delivering vaccines to children in 
Alaska are substantially higher than in other areas of the 
country, because of the many small, remote communities which 
must be served primarily by air. The Committee encourages the 
agency to give careful consideration to Alaska's request for 
sufficient funding for the purchase of vaccines needed for 90 
percent of Alaskan children and to provide infrastructure 
support needed to deliver these vaccines at the community 
level, including development of a statewide immunization 
registry to ensure that all children in Alaska are immunized. 
The Committee notes that failure to immunize children in remote 
areas of Alaska results in deaths each year from exposure to 
open sewage lagoons and contaminated water.
    Vaccine Tracking.--The Committee is pleased by CDC's 
development of the Surveillance, Preparedness, Awareness and 
Response System and has included sufficient resources to 
continue this program at the level of the budget request. In 
light of vaccine shortages that have occurred over the past 
several flu seasons, the Committee understands that this system 
could serve as a valuable surveillance and tracking system for 
private and public sector inventory levels of vaccine.

                            HEALTH PROMOTION

    The Coordinating Center for Health Promotion includes the 
National Center for Chronic Disease Prevention and Health 
Promotion and the National Center for Birth Defects and 
Developmental Disabilities.
    The Committee recommends $967,671,000 for Health Promotion-
related activities at the CDC. The fiscal year 2006 comparable 
level was $957,973,000 and the budget request for fiscal year 
2007 was $924,439,000.
    The Committee recognizes the important role national non-
governmental health organizations play in increasing the 
awareness of chronic disease prevention and birth defects and 
development disabilities issues. Therefore, the Committee has 
included $5,000,000 to allow for the award of projects to 
support the dissemination of information on the condition or 
disease and effective public health interventions or to conduct 
public and professional health awareness and education efforts. 
Using a competitive review process, each project should be 
awarded for a 4-year, non-renewable project period and should 
not exceed $1,500,000 per year.

            CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION

    Within the total provided, the following amounts are 
provided for the specified activities above the comparable 
amount for fiscal year 2006: $5,762,000 to expand heart disease 
and stroke-related activities; $2,237,000 to expand diabetes-
related activities; $5,266,000, to expand cancer prevention and 
control activities; $830,000 to expand tobacco-related 
activities; and $2,930,000 for nutrition physical activity and 
obesity. With the exceptions noted, the Committee has provided 
funding at the level of the fiscal year 2007 request
    Chronic diseases have had a profound human and economic 
toll on our Nation. Nearly 125 million Americans today are 
living with some form of chronic condition, including cancer, 
cardiovascular disease, diabetes, arthritis, and various 
neurological conditions such as epilepsy. These and other 
chronic diseases now account for nearly 70 percent of all 
healthcare costs, as well as 70 percent of all deaths annually. 
A few modifiable risk factors bring suffering and early death 
to millions of Americans. Three such factors--tobacco use, poor 
nutrition, and lack of physical activity--are major 
contributors to our Nation's leading causes of death.
    Alzheimer's Disease and Healthy Aging.--The Committee is 
aware that studies have found lifestyle measures taken to 
improve physical health may also help protect brain health and 
lower risks of Alzheimer's disease and related disorders. 
Epidemiological research reveals that individuals taking anti-
inflammatory drugs to treat conditions such as arthritis have a 
lower-than-expected occurrence of Alzheimer's; other studies 
appear to link known risk factors for diabetes and heart 
disease to risk factors for Alzheimer's and dementia. In light 
of this evidence, 2 years ago Congress launched a CDC brain 
health initiative, in collaboration with the Alzheimer's 
Association, to promote greater public awareness and 
communication, specific public health interventions and more 
prevention research. In light of the continuing threat 
Alzheimer's presents to a growing number of Americans, the 
Committee has provided sufficient resources to continue this 
important initiative at the same level of funding as was 
provided in fiscal year 2006.
    Amyotrophic Lateral Sclerosis.--The Committee is pleased 
that the CDC is beginning to gather data for a nationwide ALS 
registry that will estimate the incidence and prevalence of the 
disease, promote a better understanding of the disease, and 
provide data that will be useful for research on improving 
disease management and developing standards of care. The 
Committee has provided sufficient funding to continue to 
develop a national ALS Registry.
    Assay Standardization.--The Committee commends the CDC for 
its efforts to standardize assays that are essential for 
research on the causes and prevention of type 1 diabetes. 
Standardized methods to measure diabetes autoantibodies improve 
the prediction of disease risk in vulnerable individuals, 
enable direct comparisons of new therapies in clinical trials, 
and facilitate the exchange of data within the research 
community. The CDC is encouraged to expedite development of a 
standard assay for C-peptide, which the Committee is aware may 
serve as a biomarker and reduce the length of clinical trials 
for new drugs to prevent or reverse type 1 diabetes.
    Cancer Prevention and Control.--The Committee is strongly 
supportive of the CDC cancer programs focused on awareness, 
education, and early detection and has included a significant 
increase for these programs.
    Within the amounts provided, the following amounts are 
provided for the specified activities above the comparable 
amount for fiscal year 2006: $5,145,000 to expand comprehensive 
cancer activities and $121,000 to expand activities related to 
the Cancer Survivorship Resource Center Program. All other 
cancer activities are funded at the fiscal year 2006 level.
    Cancer Survivorship Resource Center.--The Committee 
supports the ongoing partnership between CDC and the Lance 
Armstrong Foundation to address the needs of the approximately 
10 million cancer survivors. The Committee is particularly 
supportive of efforts to provide comprehensive services to 
cancer patients and survivors.
    Cerebral Palsy.--The Committee encourages the CDC to 
consider establishing cerebral palsy surveillance and 
epidemiology sites that would use methodology developed in the 
Metropolitan Atlanta Developmental Disabilities Study and the 
Metropolitan Atlanta Developmental Disabilities Surveillance 
Program, with the addition of sophisticated imaging techniques, 
genetics and clinical evaluations.
    Chronic Kidney Disease.--Twenty million Americans have 
chronic kidney disease [CKD], and another 20 million are at 
risk of developing the disease. Individuals with diabetes or 
hypertension have especially high vulnerability. Kidney disease 
is the ninth leading cause of death in the United States, and 
death by cardiovascular disease is 10 to 30 times higher in 
kidney dialysis patients than in the general population. The 
number of individuals with end stage renal disease [ESRD], 
irreversible kidney failure requiring either dialysis or a 
transplant to remain alive, is expected to increase from 
372,000 patients in 2000 to over 712,000 by 2015.
    In fiscal year 2006, the Committee initiated a Chronic 
Kidney Disease program at CDC to address this growing health 
issue. The Committee is pleased with the progress CDC is making 
to implement a Chronic Kidney Disease program. The Committee 
has included $1,000,000 to continue development and 
implementation of a public health strategy for chronic kidney 
disease. Second year activities will continue planning for 
capacity and infrastructure at CDC for a kidney disease 
epidemiology, research and outcomes program and to institute a 
CKD surveillance system. Funding may also support State-based, 
culturally appropriate, community demonstration projects for 
CKD detection and treatment.
    Chronic Obstructive Pulmonary Disease.--Chronic obstructive 
pulmonary disease [COPD] is the fourth leading cause of death 
in the United States and the only one of the top 10 causes of 
death that is on the increase. The Committee encourages the CDC 
to expand its data collection efforts on COPD. Specifically, 
the Committee encourages the CDC to include questions on COPD 
in the National Health and Nutrition Examination Survey, the 
National Health Interview Study and the Behavioral Risk Factor 
Surveillance Survey that asks about COPD by name.
    Delta Health Intervention.--The Mississippi Delta Region 
experiences some of the Nation's highest rates of chronic 
diseases, such as diabetes, hypertension, obesity, heart 
disease, and stroke. The Committee recognizes CDC's expertise 
in implementing research and programs to prevent the leading 
causes of death and disability. The Committee is aware that CDC 
has been conducting a background community assessment of health 
and related social and environmental conditions in the delta in 
partnership with the Delta Health Alliance. The Committee has 
provided $3,000,000, within the Heart Disease and Stroke 
program, for CDC to continue and expand this partnership to 
develop and implement a long-range health intervention plan 
that has the goal of breaking the cycle of poor health in the 
Mississippi Delta region.
    Diabetes.--Diabetes is now the sixth leading cause of death 
in the United States. Approximately 14.6 million Americans have 
diabetes, and an estimated 6.2 million people are undiagnosed 
and therefore untreated.
    The collateral health effects of diabetes can be 
devastating, often causing cause heart disease, stroke, 
blindness, kidney failure, pregnancy complications, amputations 
of the leg, foot, and toe, as well as deaths related to flu and 
pneumonia. Known preventive measures can reduce the impact of 
diabetes, but these preventions are not currently practiced 
universally. Therefore public awareness campaigns must be 
promoted to reach the general population so that at-risk 
individuals are encouraged to take appropriate measures to 
identify the stage of their diabetes and take action to prevent 
or slow the progression of their disease. A goal of the CDC is 
to increase the percentage of individuals with diabetes who 
receive annual eye and foot exams, and at least two A1C 
measures per year.
    It is estimated that maintaining a certain blood glucose 
level (A1C target of 7 or below) would reduce complications of 
diabetes. The Committee encourages CDC to consider establishing 
national public-private partnerships to leverage Federal 
resources with private-sector contributions to expand the 
National Diabetes Education Program and augment public 
awareness campaigns to encourage individuals with diabetes to 
be tested and know their A1C levels so that they can take 
appropriate action to control their condition.
    The Committee is concerned about the adverse health toll 
that the twin epidemics of diabetes and obesity are taking 
across the Nation. An informed and culturally sensitive 
response is urgently needed to address this escalating 
epidemic. The Committee encourages CDC to fund projects of 
national and community organizations that have the capacity to 
carry out coordinated health promotion programs that will focus 
on diabetes and obesity in the general population and across 
minority communities. The Committee further encourages CDC to 
identify potential grantee organizations directed by and 
serving individuals from communities with disproportionate 
diabetes and obesity rates.
    The high incidence of diabetes among Native American, 
Native Alaskan, and Native Hawaiian populations persists. The 
Committee is pleased with the CDC's efforts to target this 
population, in particular, to assist the leadership of Native 
Hawaiian and Pacific Basin Islander communities. It is 
important to incorporate traditional healing concepts and to 
develop partnerships with community health centers. The 
Committee encourages CDC to build on all its historical efforts 
in this regard.
    Diabetic Kidney Disease.--The Committee strongly encourages 
the CDC to work closely with the National Institute of 
Diabetes, Digestive and Kidney Diseases to ensure that the 
biosamples and data from the Genetics of Kidneys in Diabetes 
collection are made available to the research community in a 
timely and efficient manner.
    Epilepsy.--The Committee supports the CDC epilepsy program 
and its partnership with the Epilepsy Foundation. This program 
is conducting research, epidemiology and surveillance, early 
detection, improved treatment, public education and expansion 
of interventions to support people with epilepsy and their 
families in their communities. The Committee has provided 
sufficient resources to continue this partnership.
    Food Allergy and Anaphylaxis Information.--The Committee 
encourages CDC to create a National Information Center on Food 
Allergy and Anaphylaxis. Food allergy is a growing public 
health and food safety concern in the United States. Twelve 
million Americans--including 3 million children--suffer from 
food allergies and the incidence is increasing. Because there 
is no cure, avoidance of the allergen is the only way to 
prevent reactions. Food allergy is the leading cause of 
anaphylaxis (a severe, potentially life-threatening allergic 
reaction) outside the hospital setting causing an estimated 
30,000 emergency room visits and 150 to 200 deaths annually, 
virtually all of which can be prevented with proper education. 
The Committee encourages the CDC to create a Center that will 
provide guidance to the public and health care professionals 
about how to avoid products with allergy-causing ingredients 
and how to respond to potentially life-threatening reactions to 
food allergens. The Committee encourages CDC to partner with a 
national nonprofit organization with a proven track record in 
developing and providing general information, educational 
materials, and training support to the public, health care 
providers, educators, Government agencies and food and 
restaurant industry leaders regarding the primary and secondary 
prevention of allergic reactions to food.
    Glaucoma and Other Vision Disorders.--Despite the fact that 
half of all blindness can be prevented through education, early 
detection, and treatment, it is estimated that the number of 
blind and visually impaired people will double by 2030 if 
nothing is done to curb vision problems. Recognizing this 
emerging public health threat, the Committee is aware of the 
demonstrated success of vision screening programs in preventing 
blindness and vision impairments among many of the more than 30 
million adults that suffer from eye-related disorders.
    The Committee is encouraged by the CDC's exploration of 
strategies to implement a national initiative to combat the 
effects of eye-related disorders, especially glaucoma. The 
Committee has included sufficient resources to maintain at 
least the fiscal year 2006 level for vision screening and 
education programs in partnership with national voluntary 
health agencies and for CDC to continue to develop a national 
vision screening and education program. In addition, the 
Committee has again included sufficient resources to maintain 
at least the fiscal year 2006 level of funding for a model 
project that is testing and evaluating the efficacy of glaucoma 
screening using mobile units.
    Heart Disease and Stroke.--The Committee commends the CDC 
for creating a Division of Heart Disease and Stroke Prevention 
to consolidate and elevate efforts to prevent and control heart 
disease, stroke, and other cardiovascular diseases. Given that 
cardiovascular diseases remain the No. 1 killer in every State, 
the Committee continues to support the goal of providing 
funding for basic implementation of a State Heart Disease and 
Stroke Prevention Program in each State. The Committee has 
provided sufficient funding to maintain the Paul Coverdell 
National Acute Stroke Registry, and initiate the development of 
a State-based cardiac arrest registry.
    Inflammatory Bowel Disease.--The Committee understands that 
up to 1.4 million people in the United States may suffer from 
Crohn's disease or ulcerative colitis, collectively known as 
inflammatory bowel disease [IBD]. In fiscal year 2006, the 
Committee provided funds for CDC to expand a national IBD 
epidemiology program in partnership with the Crohn's and 
Colitis Foundation of America. For fiscal year 2007, the 
Committee has included funding to continue this important 
initiative.
    Interstitial Cystitis.--The Committee is pleased by the 
establishment of a cooperative agreement between the CDC and 
the Interstitial Cystitis Association and has included funds to 
continue the public and professional education initiative 
regarding interstitial cystitis.
    Liver Wellness.--The Committee continues to be concerned 
about the prevalence of hepatitis and encourages CDC, 
particularly the Division of Adolescent and School Health, to 
work with voluntary health organizations to promote liver 
wellness with increased attention toward childhood education 
and prevention.
    Lung Disease.--The Committee encourages the CDC to consider 
supporting efforts to validate the importance of spirometry 
screenings in early detection of lung disease. Such efforts 
include further research and development of projects to 
facilitate the translation of new scientific knowledge into 
spirometry public health screening programs. The Committee 
urges the CDC to continue to coordinate with the National 
Heart, Lung, and Blood Institute in translating the results of 
these efforts into guidance for public health programs, 
including vital signs and screening programs.
    Lupus.--The Committee recognizes that lupus is a serious, 
complex, debilitating chronic autoimmune disease that can cause 
inflammation and tissue damage to virtually any organ system in 
the body and impacts between 1.5 and 2 million individuals. The 
Committee is concerned by the lack of reliable epidemiological 
data on the incidence and prevalence of all forms of lupus 
among various ethnic and racial groups. The Committee has 
included sufficient resources to continue CDC's lupus-related 
activities.
    Mind-Body Research.--The Committee continues to support 
mind-body research and has provided sufficient funding to 
continue these efforts in the same form as in fiscal year 2006.
    Needlesticks.--The Committee is concerned about the high 
incidence of percutaneous injuries caused by accidental 
needlesticks particularly among the diabetic population because 
of secondary complications that inhibit their sense of feel. 
Data indicating that many people who administer insulin on 
their own do not properly discard contaminated syringes is 
troubling. Safe needle disposal is a practice that should be 
encouraged through diabetic self-management training to prevent 
injuries from accidental needlesticks. Moreover, the medical 
community should have improved data related to health 
consequences arising from accidental needlestick injuries, 
especially among diabetics, to improve awareness and stimulate 
safer practices. The Committee requests that CDC conduct a 
comprehensive study on the health effects of needlestick 
injuries with particular emphasis on the diabetic population. 
This study should examine the prevalence of accidental 
needlesticks, the causes thereof, direct and secondary health 
consequences, attendant healthcare costs, and the effectiveness 
of available self-management technologies, including modern 
electronic needle disposal devices, that could help prevent 
percutaneous needlestick injuries. The CDC is requested to 
provide a report with recommendations on how the medical and 
public health community can address needlestick injuries to the 
Committee by June 30, 2007.
    Nutrition, Physical Activity, and Obesity.--The Committee 
understands that the multiple factors contributing to the 
overweight and obesity epidemic took years to develop. 
Reversing the epidemic will require a long-term, well-
coordinated, concerted approach to reach Americans where they 
live, work, play, and pray. Effective collaboration among the 
public, voluntary, and private sectors is critical to reshape 
the social and physical environment of our Nation's communities 
and provide the necessary support, information, tools, and 
realistic strategies needed to reverse the current obesity 
trends nationwide.
    Given the large, preventable health and economic burden of 
poor nutrition, physical inactivity, and unhealthy body weight, 
the Committee encourages CDC to continue its leadership role in 
developing, implementing, and evaluating nutrition and physical 
activity population-based strategies to prevent and control 
overweight and obesity. Targeting prevention efforts throughout 
the lifespan--including children as young as toddlers--as well 
as promoting fruit and vegetable consumption through CDC's 
Federal lead role in the national 5 A Day program, and 
increasing the proportion of children, adolescents, and adults 
who meet daily physical activity recommendations should remain 
priorities for the agency. The Committee has provided $500,000 
above the fiscal year 2006 level to sustain and expand CDC's 
support of the 5 A Day Program.
    To reduce consumer confusion about the myriad of health 
messages about obesity, diabetes, and cardiovascular disease, 
the Committee encourages the CDC to design and develop 
mechanisms for fast-tracked translation of research into 
reasoned guidance for the American public.
    To prevent unhealthy weight gain and maintain healthy 
weight among children and adolescents, CDC is urged to work 
with the U.S. Department of Education to issue a report with 
recommendations about reintroducing school physical education 
into the school day.
    Nutrition and Physical Activity Study.--Within the amount 
provided for Nutrition, Physical Activity and Obesity, the 
Committee has provided sufficient funds to conduct a study of 
the impact of school nutrition and physical activity programs 
on academic outcomes, including school attendance, student 
behavior, and student achievement on standardized tests.
    Office on Smoking and Health.--The Committee continues its 
long-time efforts to combat tobacco use--the leading 
preventable cause of death--which kills more than 400,000 
Americans and adds $89,000,000,000 in healthcare costs every 
year. The Committee is concerned that while the Nation has made 
some progress in this area, a new survey released by the CDC 
finds the first increase in the Nation's high school smoking 
rate since 1997. The new survey found that the percentage of 
students reporting they have smoked a cigarette in the past 
month increased to 23 percent. Also, in June an NIH consensus 
panel concluded that of the 44.5 million adult smokers in the 
United States, 70 percent want to quit and 40 percent make a 
serious quit attempt each year, but fewer than 5 percent 
succeed in any given year. The panel found that while effective 
methods to stop smoking are already available and could double 
or triple quit rates, not enough smokers request or are being 
offered these interventions. At the same time, States have 
significantly reduced their support for tobacco prevention 
efforts and tobacco companies are spending record amounts to 
promote tobacco use. Accordingly, the Committee has provided an 
increase in funding for OSH--the Federal Government's key 
agency for tobacco control--to expand its efforts to reduce the 
human and financial tolls caused by tobacco use.
    Oral Health.--The Committee recognizes that to effectively 
reduce disparities in oral disease will require improvements at 
the State and local levels. The Committee has provided 
sufficient funding to States to maintain their capacities to 
assess the prevalence of oral diseases, to target 
interventions, such as additional water fluoridation and 
school-linked sealant programs, and resources to the 
underserved, and to evaluate changes in policies, programs, and 
disease burden. The Committee encourages the CDC to advance 
efforts to reduce the disparities and health burden from oral 
cancers that are closely linked to chronic diseases such as 
diabetes and heart disease.
    Pioneering Healthier Communities.--The Committee has 
provided sufficient funding to support the Pioneering Healthier 
Communities initiative at the same level as in fiscal year 
2006.
    Prevention Centers.--The Committee encourages the continued 
support of center activities aimed at improving knowledge about 
the effective models for health promotion programs for persons 
with disabilities.
    Primary Immunodeficiency Diseases.--Congress has made funds 
available for CDC to support the national physician education 
and public awareness campaign developed by the Jeffrey Modell 
Foundation. The Foundation program has generated more than 
$50,000,000 in donated media coverage, resulting in substantial 
increases in the number of diagnosed patients. The campaign has 
featured public service announcements, physician symposia, 
publications, and the development of website and educational 
materials, as well as mailings to physicians, school nurses, 
daycare centers, and others. This program has been 
characterized as a model of public-private cooperation. The 
campaign was recently expanded to reach the underserved 
African-American and Hispanic populations, and the Committee 
has provided $2,400,000 to maintain the program.
    Public Health Genomics.--The coming era of personalized 
medicine has broad applicability for the field of public 
health. The Committee urges CDC to conduct and sponsor public 
health genomics research and develop appropriate programs to 
identify people at risk for disease and early death. CDC is 
further urged to use genomic information to provide targeted 
and personalized interventions that will prevent disease, 
disability, and death, and may ultimately save public 
resources.
    Pulmonary Fibrosis.--The Committee previously has expressed 
concern regarding the need to expand public health strategies 
to combat lung disease particularly pulmonary fibrosis, a 
disease that is terminal and for which there is currently no 
effective treatment. Many individuals are diagnosed too late to 
initiate treatment regimens that could reduce morbidity and 
mortality. Currently more than 40,000 die from this disease 
annually. Lung disease is the third leading cause of death in 
the United States. The Committee encourages the CDC to 
collaborate with the National Heart, Lung, and Blood Institute 
to develop surveillance, epidemiology, and health outcomes 
programs.
    Pulmonary Hypertension.--The Committee continues to be 
interested in pulmonary hypertension [PH], a rare, progressive, 
and fatal disease that predominantly affects women, regardless 
of age or race. PH causes deadly deterioration of the heart and 
lungs and is a secondary condition in many other serious 
disorders such as scleroderma and lupus. Because early 
detection of PH is critical to a patient's survival and quality 
of life, the Committee continues to encourage CDC to consider 
partnering with the pulmonary hypertension community to foster 
greater awareness of the disease.
    REACH Initiative.--The Committee recognizes the strengths 
that national/multi-geographical minority organizations may be 
able to provide to the REACH Initiative. Such organizations 
could have the capacity to influence communities through pre-
existing coalitions and collaborative relationships. Such 
organizations may also be able to provide key support to local 
organizations that may lack the infrastructure needed to fully 
implement the programmatic activities required for this 
important program. The Committee urges CDC to include such 
organizations among the entities that are eligible to compete 
for funding without preventing other applicants from receiving 
these grants. The Committee has provided sufficient resources 
to continue REACH activities at the fiscal year 2006 level.
    SEARCH for Diabetes in Youth Study.---The Committee is 
aware of the SEARCH for Diabetes in Youth Study, which is 
determining the incidence and prevalence of diabetes in youth 
under the age of 20 years in six locations across the United 
States. As the first 5-year phase of SEARCH comes to a close, 
the CDC and NIDDK are urged to make biosamples and data readily 
available to the biomedical research community for ancillary 
studies testing novel ideas.
    Steps to a Healthier United States.--The Committee applauds 
the Department's continued commitment to tackling the problems 
of obesity, diabetes, and asthma. The Committee agrees that 
these are three of the most critical chronic conditions 
afflicting Americans. The Committee is concerned that existing 
programs that address these problems have not yet been 
implemented in all of the States. The Committee has provided 
sufficient resources to continue this initiative and existing 
programs within CDC that are aimed at obesity, diabetes, and 
asthma. The Committee strongly urges CDC to coordinate the 
efforts of these programs such that the best possible outcome 
is achieved using these limited funds.
    Sudden Infant Death Syndrome.--To prevent Sudden Infant 
Death Syndrome [SIDS], the Committee encourages CDC to consider 
supporting a National Campaign for Cribs pilot program in 
partnership with a national voluntary organization dedicated to 
infant survival. Such a pilot project may be composed of a 
public health education component for new parents and 
caregivers and seek to provide a crib for babies whose mothers 
and caregivers cannot afford a proper sleeping environment for 
their children.

Birth Defects, Developmental Disabilities, Disability and Health

    Within the total provided, the following amounts are 
provided for the specified activities above the comparable 
amount for fiscal year 2006: $1,000,000 for tuberous sclerosis 
and $386,000 to expand support for the Special Olympics Healthy 
Athletes Initiative. With the exceptions noted, all other 
programs are funded at the level of the fiscal year 2007 
request.
    Autism.--The Committee is aware of the progress that has 
been made with the autism programs at CDC. The Committee 
acknowledges the importance of this work by the CDC in the area 
of autism surveillance and research, and urges this work to 
continue in a timely manner. Sufficient resources have been 
provided to continue the Center's surveillance and research 
programs--including the CADDRE and ADDM Network--and the 
National awareness campaign.
    Centers for Birth Defects Research and Prevention.--The 
Committee encourages CDC to consider expanding the promising 
research being conducted by the regional Centers for Birth 
Defects Research and Prevention and maintain assistance to 
States to implement and expand community-based birth defects 
tracking systems, programs to prevent birth defects, and 
activities to improve access to health services for children 
with birth defects.
    CHADD Resource Center.--The Committee is aware of the 
demand for information, support services, and health 
professional education regarding attention deficit/hyper 
activity disorder [AD/HD]. The Committee continues to support 
the National Resource Center on AD/HD and has provided 
sufficient resources to provide the same level of support as 
was provided in fiscal year 2006.
    Christopher and Dana Reeve Paralysis Resource Center.--The 
Committee understands the growing demand for information, 
resources, and public health services by individuals with 
paralysis. The Committee has included $5,909,000 for the 
Paralysis Resource Center and the associated rehabilitation 
therapy program.
    Cooley's Anemia.--The Committee remains pleased with the 
progress that CDC has made in the establishment of a blood 
safety surveillance program for Cooley's anemia patients, who 
are the largest consumers of red blood cells. Six treatment 
centers throughout the Nation handle the medical monitoring and 
treatment; the Cooley's Anemia Foundation provides education 
and awareness, patient recruitment, and other services; and CDC 
has created an archive of tested and analyzed blood samples. 
The Committee has included funds to continue this program and 
encourages CDC to utilize this program to enhance the safety of 
the blood supply while improving the health of Cooley's anemia 
patients.
    Craniofacial Malformation.--The Committee has continued 
funding for CDC's initiatives to help families of children with 
craniofacial malformations. The Committee commends CDC for 
their work on this important public health issue and encourages 
them to continue work with State and private partners, 
including the National Foundation for Facial Reconstruction.
    Diamond Blackfan Anemia.--The Committee has provided 
sufficient funds to continue CDC's public health outreach and 
surveillance program for Diamond Blackfan Anemia [DBA]. These 
funds should continue to be used to (a) educate clinicians and 
blood disorder treatment centers about DBA and how to diagnose 
it and (b) collaborate with a Clinical Care Center, which 
already has significant experience in treating DBA patients, to 
create a critical mass of DBA expertise where DBA patients may 
be referred.
    Disabilities Prevention.--The Committee continues to 
strongly support the CDC disabilities prevention program, which 
provides support to States and academic centers to reduce the 
incidence and severity of disabilities, especially 
developmental and secondary disabilities.
    Duchenne and Becker Muscular Dystrophy.--The Committee has 
provided sufficient funding to continue surveillance, 
epidemiological, and education efforts for Duchenne and Becker 
muscular dystrophy.
    Fetal Alcohol Spectrum Disorders.--The Committee is 
concerned by the prevalence of fetal alcohol spectrum disorders 
[FASD] in the United States and notes that drinking during 
pregnancy is the Nation's leading known preventable cause of 
mental retardation and birth defects. To publicize and promote 
awareness of this critical updated public health information, 
the Committee has provided sufficient resources to continue 
these activities.
    Folic Acid Campaign.--The Committee is encouraged with the 
progress made in preventing neural tube defects, but notes that 
recent March of Dimes and CDC research shows only 40 percent of 
women of childbearing age consume enough folic acid daily. The 
Committee commends the CDC for its efforts related to educating 
women about multivitamin usage in order to improve folic acid 
status and reduce the rate of birth defects. The Committee has 
provided sufficient funding to continue these efforts.
    Fragile X.--The Committee is encouraged by the CDC's 
efforts related to Fragile X and support for the Fragile X 
public health program to expand surveillance and 
epidemiological research of Fragile X. Given the limited 
resources available, the Committee urges the CDC to ensure that 
the agency's educational and awareness activities under this 
initiative are not duplicative of current efforts of nationally 
recognized authorities in the area of Fragile X, but are 
instead focused on supporting the further dissemination and 
distribution of existing informational materials. The Committee 
is aware that the introduction of an early childhood 
developmental screening program, creation of appropriate 
genetic counseling protocols for supporting families of new 
diagnoses, and the development of standards of care for 
clinicians and care providers are all existing agency 
priorities that would directly benefit individuals impacted by 
Fragile X and related conditions. The Committee encourages the 
CDC to consider Fragile X as a model for these important 
initiatives.
    Hereditary Hemorrhagic Telangiectasia.--The Committee is 
aware of interest in the establishment of a Hereditary 
Hemorrhagic Telangiectasia [HHT] National Resource Center 
through a partnership between the CDC and a national voluntary 
agency representing HHT families. The Committee encourages the 
CDC to examine carefully proposals to establish such a center.
    Limb Loss Information Center.--The Committee understands 
that more than 1.5 million Americans are living with limb loss 
due to diabetes, heart disease, trauma, and cancer. A key 
challenge facing individuals with limb loss is gaining access 
to necessary health and rehabilitative services. The Committee 
commends CDC for its collaborations with voluntary 
organizations to identify strategies to remove these barriers. 
The Committee continues to support the CDC's resource and 
information center, which assists individuals living with 
disabilities, and their families, in need of information on 
medical, physical, and emotional needs, and resources and 
support to reintegrate socially and economically into society.
    Marfan Syndrome.--The Committee continues to be interested 
in Marfan syndrome, a progressive and degenerative genetic 
disorder which can result in sudden loss of life from aortic 
aneurysms. Unfortunately, many individuals affected by Marfan 
syndrome are undiagnosed or misdiagnosed until they experience 
a cardiac complication. Increasing awareness of this life-
threatening disease is vital to ensuring accurate diagnosis and 
appropriate disease management in patients who are at risk for 
cardiovascular complications. The Committee encourages CDC to 
partner with the Marfan syndrome community to increase 
awareness of the disease among the general public and health 
care providers.
    Prader-Willi Syndrome.--Prader-Willi syndrome is the most 
common known genetic cause of life-threatening obesity in 
children. The Committee encourages the CDC to initiate a study 
of the incidence rate of Prader-Willi syndrome and to provide a 
system for tracking the complications from the syndrome 
including causes of premature death. Additionally, early 
diagnosis and treatment is crucial to the proper treatment of 
Prader-Willi syndrome and can significantly reduce the long-
term care costs. The Committee encourages the CDC to develop 
and disseminate educational materials to clinicians, educators, 
and parents in collaboration with voluntary organizations.
    Special Olympics Healthy Athletes Initiative.--To address 
the unmet health needs among its athletes, Special Olympics 
created the Healthy Athletes Program, which provides Special 
Olympics athletes access to an array of health assessment, 
education, preventive health services and supplies, and 
referral for follow-up care where needed. These services are 
provided to athletes without cost in conjunction with 
competitions at local, State, national, and international 
levels. The Committee has included $6,000,000 for this program.
    Spina Bifida.--The Committee recognizes that Spina Bifida 
is the leading permanently disabling birth defect in the United 
States. While Spina Bifida and related neural tube defects are 
highly preventable through proper nutrition, including 
appropriate folic acid consumption, and its secondary effects 
can be mitigated through appropriate and proactive medical care 
and management, such efforts have not been adequately 
coordinated to result in significant reductions in these costly 
conditions. In an effort to continue to improve the quality-of-
life for individuals affected by Spina Bifida and reduce and 
prevent the occurrence of--and suffering from--this birth 
defect, the Committee provides $5,000,000 for the National 
Spina Bifida Program and within the amount provided, $200,000 
is for the maintenance of the National Spina Bifida 
Clearinghouse and Resource Center to meet the current and 
growing demand for information and support services for 
individuals and families affected by Spina Bifida. In addition, 
the Committee supports the memorandum of understanding between 
CDC and AHRQ to examine clinical treatment of Spina Bifida and 
improve quality of life.
    The Committee understands that the Agent Orange database of 
health and educational services composes the largest repository 
of longitudinal treatment information of people with Spina 
Bifida and may provide insight and understanding into the needs 
of people with Spina Bifida. The Committee commends the CDC and 
the Department of Veterans Affairs for their collaborative 
efforts to review and analyze the Agent Orange database to gain 
better understanding of the treatment and educational and 
vocational needs of people with Spina Bifida. The Committee 
encourages the ongoing collaboration to analyze this data and 
requests a report by June 15, 2007, summarizing the analysis of 
the data, including recommendations based on the analysis as to 
how to improve treatment and quality-of-life for people with 
Spina Bifida.
    Tourette Syndrome.--The Committee commends CDC for its 
continued partnership with the national Tourette Syndrome 
Association in developing a public health education and 
research program to continue to educate parents, physicians, 
educators, and other healthcare workers about the disorder and 
to expand on the scientific knowledge base on prevalence, risk 
factors and co-morbidities of Tourette Syndrome. The Committee 
has provided sufficient resources to maintain the partnership 
between the national TSA and the CDC at the same level as in 
fiscal year 2006.
    Tuberous Sclerosis Complex.--Tuberous sclerosis complex 
[TSC] is a genetic disorder that causes uncontrollable tumor 
growth. Because this disorder can affect multiple organs of the 
body, it is difficult to diagnose, track, and properly treat. 
The Committee has provided sufficient resources for CDC to 
partner with the Tuberous Sclerosis Alliance to collect and 
analyze data at the nationwide network of TSC clinics; support 
surveillance and epidemiological studies; and to educate 
healthcare professionals and teachers who come into contact 
with TSC patients.

                     HEALTH INFORMATION AND SERVICE

    The Coordinating Center for Health Information and Services 
includes the National Center for Health Statistics [NCHS], a 
new National Center for Health Marketing, and a new National 
Center for Public Health Informatics.
    The Committee recommends a program level of $246,280,000 
for Health Information and Service related activities at the 
CDC. The fiscal year 2006 comparable program level was 
$222,005,000.

Health Statistics

    CDC's statistics give context and perspective on which we 
can base important public health decisions. By aggregating the 
experience of individuals, CDC gains a collective understanding 
of health, collective experience with the health care system, 
and our problems and public health challenges. NCHS data are 
used to create a basis for comparisons between population 
groups or geographic areas, as well as an understanding of how 
trends in health change and develop over time.
    The Committee commends the NCHS for fulfilling its mission 
as the Nation's premiere health statistics agency and for 
ensuring the credibility and integrity of the data it produces. 
In particular, the Committee congratulates the agency for its 
timely release of critical data and encourages it to continue 
making information, including data from the National Health and 
Nutrition Examination Survey [NHANES] and the National Health 
Interview Study [HIS], accessible to the public as soon as 
possible. The Committee has provided funding at the level of 
the fiscal year 2007 budget request.
    Eating Disorders.--The Committee is concerned about the 
growing incidence and health consequences of eating disorders 
among the population. The extent of the problem while estimated 
by several long-term outcome studies as being high remains 
unknown. The Committee urges the CDC to research the incidence 
and morbidity and mortality rates of eating disorders, 
including anorexia nervosa, bulimia nervosa, binge eating 
disorder, and eating disorders not otherwise specified across 
age, race, and sex.
    Psoriasis.--The Committee urges the NCHS to ensure that any 
data collected on psoriasis be comprehensive and include the 
full age range of individuals affected by the disease including 
children, adolescents and adults. The Committee is interested 
in having the Center collect and report psoriasis incidence and 
prevalence data that are based on nationwide epidemiological 
studies. If such data are not currently available, the 
Committee encourages the Center to undertake a comprehensive 
epidemiological study with a focus on determining incidence of 
psoriasis and psoriatic arthritis. The Committee urges CDC to 
consider working with a national psoriasis organization to 
develop a surveillance program to ascertain and monitor 
psoriasis and psoriatic arthritis incidence and co-morbidities.

Public Health Informatics

    Information systems and information technology are critical 
to the practice of public health. CDC activities reflect 
ongoing efforts to build a national network of public health 
information systems that will enhance public health partner 
capabilities in detection and monitoring, surveillance, data 
analysis and interpretation, and other public health 
activities. With the exceptions noted below, all activities are 
funded at the level of the budget request.
    Vaccine Registry.--The Committee has provided $20,000,000 
for a vaccine registry to monitor vaccine use. The development 
of a vaccine registry is critical to ensuring that vaccines 
reach the targeted audience and that antivirals are 
appropriately administered.

Health Marketing

    CDC links directly with the people whose health it is 
trying to improve. This activity uses commercial, nonprofit, 
and public service marketing practices to better understand 
people's health-related needs and preferences; to motivate 
changes in behaviors; and to enhance CDC's partnerships with 
public and private organizations to more effectively accomplish 
health protection and improvement.
    Risk Communication.--The Committee has provided $8,000,000 
for CDC's risk communication activities related to potential 
pandemics.

               ENVIRONMENTAL HEALTH AND INJURY PREVENTION

    The Coordinating Center for Environmental Health and Injury 
Prevention includes the National Center for Environmental 
Health, the Agency for Toxic Substances and Disease Registry, 
and the National Center for Injury Prevention and Control.
    The Committee recommends $276,658,000 for environmental 
health and injury prevention related activities at the CDC. The 
fiscal year 2006 comparable level was $287,475,000 and the 
budget request for fiscal year 2007 was $277,876,000.

Environmental Health

    Many of the public health successes that were achieved in 
the 20th century can be traced to innovations in environmental 
health practices. However, emerging pathogens and environmental 
toxins continue to pose risks to our health and significant 
challenges to public health. The task of protecting people's 
health from hazards in their environment requires a broad set 
of tools. First among these tools are surveillance and data 
collection to determine which substances in the environment are 
getting into people and to what degree. It also must be 
determined whether or not these substances are harmful to 
humans, and at what level of exposure. With the exceptions 
noted below, all activities are funded at the level of the 
budget request.
    Amyotrophic Lateral Sclerosis Registry.--The Committee has 
provided sufficient funding to continue the ALS registry.
    Asthma.--The Committee is pleased with the work that the 
CDC has done to address the increasing prevalence of asthma. 
However, the increase in asthma among children remains 
alarming. The Committee encourages CDC to continue to expand 
its outreach aimed at increasing public awareness of asthma 
control and prevention strategies, particularly among at-risk 
populations in underserved communities. To further facilitate 
this effort, CDC is urged to partner with voluntary health 
organizations to support program activity consistent with the 
CDC's efforts to fund community-based interventions that apply 
effective approaches demonstrated in research projects within 
the scientific and public health community.
    Biomonitoring.--The Committee applauds the CDC's 
biomonitoring efforts and encourages the agency to continue 
this program and continue to improve its efforts to communicate 
these results in context. In particular, the CDC's National 
Report on Human Exposure to Environmental Chemicals is a 
significant new exposure tool that provides valuable 
information for setting research priorities and for tracking 
trends in human exposures over time. Accordingly, the Committee 
continues to support the CDC environmental health laboratory's 
efforts to provide exposure information about environmental 
chemicals. As CDC has recognized, this information does not by 
itself suggest harmful effects in humans. The Committee 
understands that for many chemicals it is difficult to 
interpret biomonitoring information in a health risk context. 
The Committee encourages the CDC to collaborate with Federal 
Government and private sector toxicologists, health scientists 
and laboratory analytical chemists, to facilitate the 
development of the necessary methods to interpret human 
biomonitoring concentrations in the context of potential health 
risks.
    Childhood Lead Poisoning Prevention.--The Committee 
commends the CDC for its commitment to support the enhanced 
development of a portable, hand-held lead screening device that 
holds great promise for increasing childhood screening rates in 
underserved communities. Further development of this device 
will help ensure its application in community health settings.
    Environmental Health Laboratory.--The CDC environmental 
health laboratory performs assessments for State investigations 
of diseases (such as cancer and birth defects) and 
investigations of chemical exposures, such as dioxin, 
pesticides, mercury and cadmium. CDC is also working with 
States to improve public health laboratories that assess State 
level biomonitoring needs. CDC works closely with academic 
institutions, other Federal agencies, and other partners to 
measure human exposure to toxic substances and the adverse 
effects of that exposure.
    Health Tracking Network.--The Committee has provided 
$20,000,000 to continue the development of a Health Tracking 
Network, which seeks to develop a surveillance system that can 
integrate environmental hazards data with human exposure and 
health effects data that have possible links to the 
environment. With health tracking, public health officials can 
better target preventive services, health care providers can 
offer better health care, and the public will be able to 
develop a clear understanding of what is occurring in their 
communities and how overall health can be improved.
    Landmine Survivor Network.--The Committee commends CDC for 
its partnership with the Landmine Survivor Network that has 
developed peer support networks for landmine survivors in six 
mine-affected countries. The Committee has included sufficient 
resources to continue support of the network at the fiscal year 
2006 level. These funds will be used to expand peer support 
networks and the number of survivors that are reached in 
network and non-network countries; strengthen the capacity of 
medical and rehabilitative care facilities to address the needs 
of amputees; enhance economic opportunities for survivors; and 
further CDC programs and research for victims of landmines, 
civil strife and warfare.
    Volcanic Emissions.--The Committee remains concerned about 
the public health issue of volcanic emissions. Such emissions 
contribute to the exacerbation of a myriad of pre-existing 
health conditions in many island residents, especially 
children. The acute- and long-term impact that these emissions 
have on both the healthy and pre-disposed residents warrants 
further study. The Committee encourages the establishment of a 
dedicated center that embraces a multi-disciplinary approach in 
studying the short- and long-term health effects of the 
volcanic emissions.

Injury Prevention and Control

    CDC is the lead Federal agency for injury prevention and 
control. Programs are designed to prevent premature death and 
disability and reduce human suffering and medical costs caused 
by: fires and burns; poisoning; drowning; violence; lack of 
bicycle helmet use; lack of seatbelt and proper baby seat use; 
and other injuries. The national injury control program at CDC 
encompasses non-occupational injury and applied research in 
acute care and rehabilitation of the injured. Funds are 
utilized for both intramural and extramural research as well as 
assisting State and local health agencies in implementing 
injury prevention programs. The Committee recognizes the vital 
role CDC serves as a focal point for all Federal injury control 
activities.
    Within the total provided, the Committee has provided the 
following increases over the fiscal year 2006 level: $804,000 
for unintentional injury and $638,000 for rape prevention. All 
other activities are funded at the level of the fiscal year 
2007 budget request.
    Child Maltreatment.--The Committee recognizes that child 
maltreatment is a serious public health threat with extensive 
short-and long-term health consequences. New avenues to support 
child maltreatment prevention would allow CDC to further the 
identification, enhancement, and dissemination of evidence-
based child maltreatment prevention programs, such as positive 
parenting programs and home visitation programs.
    Children's Injury Control Research Center.--The Committee 
recognizes the need for an additional Injury Control Research 
Center, located in Federal Region V, that will conduct research 
on injury and injury prevention related to children and 
adolescents. The Committee believes that children and 
adolescent populations have special and underserved needs in 
injury control. Injury is the leading cause of death and 
disability among children and teenagers in the United States. 
Currently, there is no center that focuses exclusively on 
childhood and adolescent injuries even though children and 
adolescents are affected by injury more than any other segment 
in the United States. Preference should be given to applicants 
with proven experience in children and adolescent injury 
control and prevention research. The Committee has included 
$804,000 above the fiscal year 2006 level for this purpose.
    Injury Data.--The Committee commends CDC for participating 
in discussions among the Home Safety Council, representatives 
of various injury prevention research groups, and providers of 
injury data from diverse hazard disciplines. The Committee 
understands that these discussions addressed the challenges of 
completeness, quality and consistency of existing injury data 
collection systems for home safety, traffic, consumer products, 
and violence. The Committee encourages CDC to continue its 
participation in this on-going dialog.
    National Violent Death Reporting System.--The Committee is 
supportive of the National Violent Death Reporting System, 
which is a State-based system that collects data from medical 
examiners, coroners, police, crime labs, and death certificates 
to understand the circumstances surrounding violent deaths. The 
information can be used to develop, inform, and evaluate 
violence prevention programs. The Committee urges the CDC to 
continue to work with private health and education agencies as 
well as State agencies in the development and implementation of 
an injury reporting system.
    Suicide Prevention.--The Committee encourages CDC to 
consider supporting the evaluation of suicide prevention 
planning, programs, and communication efforts to change 
knowledge and attitudes and to reduce suicide and suicidal 
behavior. These evaluation efforts would support communities to 
identify promising and effective suicide prevention strategies 
that follow the public health model and build community 
resilience.
    Trauma Information and Exchange Program.--The Committee 
supports the continuation of the Trauma Information and 
Exchange Program.
    Violence Against Women.--The Committee urges CDC to 
increase research on the psychological sequelae of violence 
against women and expand research on special populations and 
their risk for violence including adolescents, older women, 
ethnic minorities, women with disabilities, and other affected 
populations.
    Youth Violence.--The Committee has included $23,883,000 for 
CDC's youth violence prevention activities. The Committee notes 
that the level of youth violence in cities around the Nation is 
troubling. The city of Philadelphia continues to experience a 
spike in youth violence.

                     OCCUPATIONAL SAFETY AND HEALTH

    The Committee recommends $257,881,000 for occupational 
safety and health programs. The fiscal year 2006 level was 
$262,883,000 and the budget request for fiscal year 2007 was 
$249,357,000. The Committee recommendation includes $87,071,000 
in transfers available under section 241 of the Public Health 
Service Act. Sufficient funding has been provided to maintain 
staffing levels at the Morgantown facility and increase 
research funding at that facility.
    The CDC's National Institute for Occupational Safety and 
Health [NIOSH] is the only Federal agency responsible for 
conducting research and making recommendations for the 
prevention of work-related illness and injury. The NIOSH 
mission spans the spectrum of activities necessary for the 
prevention of work-related illness, injury, disability, and 
death by gathering information, conducting scientific 
biomedical research (both applied and basic), and translating 
the knowledge gained into products and services that impact 
workers in settings from corporate offices to construction 
sites to coal mines. With the exceptions noted below, all other 
activities are funded at the level of the fiscal year 2007 
request.
    Construction Safety and Health.--The Committee once again 
is very pleased with the progress that NIOSH has made in its 
program directed at occupational illnesses and injuries in the 
building and construction industry and has included funding to 
continue this important worker safety initiative.
    Education and Research Centers.--The Committee recognizes 
the important role Education and Research Centers [ERCs] play 
in preventive health research and the training of occupational 
safety and health professionals, and includes an increase of 
$825,000 for ERCs over the amount appropriated for ERCs in 
fiscal year 2006.
    Farm Health and Safety.--The Committee has included funding 
to continue the farm health and safety initiative. This 
important initiative, begun in fiscal year 1990, has a primary 
focus of reducing the incidence of fatal and nonfatal injuries 
and occupational diseases among the millions of agricultural 
workers and their families in the United States. The Committee 
encourages NIOSH to give priority to grants to States and 
private organizations with a focus on disseminating and 
translating research for occupational safety and health.
    Mine Safety Technology Research.--The Committee has 
included $6,000,000 over the President's request for mine 
safety technology research, development, and testing. The 
Committee encourages NIOSH to use these funds for both 
intramural and extramural activities focusing on the research, 
development, and testing of mine refuge chambers, emergency 
tracking, respiratory, and communication devices. The Committee 
has received reports of technologies being used in other 
countries that is not being utilized in this country and 
encourages NIOSH to look at those technologies.
    The CDC is expected to submit progress reports on 
grantmaking and research findings to the Committee on 
Appropriations of the House of Representatives and the 
Committee on Appropriations of the Senate in accordance with 
the requirements of section 7010 of Public Law 109-234.
    Miners' Choice Health Screening Program.--The Committee has 
provided sufficient resources to continue to implement the 
Miners' Choice Health Screening Program in fiscal year 2007. 
This program was initiated to encourage all miners to obtain 
free and confidential chest x-rays to obtain more data on the 
prevalence of Coal Workers' Pneumonconiosis in support of 
development of new respirable coal dust rules. The Committee is 
strongly supportive of these efforts and urges NIOSH to work to 
improve this health screening program thereby helping to 
protect the health and safety our Nation's miners.
    National Occupational Research Agenda.--NIOSH provides 
national and international leadership to prevent work-related 
illness, injury, and death by gathering information, conducting 
scientific research, and translating the knowledge gained into 
products and services. The Committee is pleased with the 
progress NIOSH has made in consulting with partners and 
stakeholders across the country to examine and update the 
National Occupational Research Agenda for the coming decade. 
The Committee expects that this updated agenda will provide an 
important blueprint for conducting occupational research and 
examining the impact of stressful workplaces on psychological 
functioning.
    The Committee recommendation includes sufficient resources 
to maintain funding for CDC's National Occupational Research 
Agenda [NORA]. The Committee believes that NORA is a critical 
scientific research program that protects employees and 
employers from the high personal and financial costs of work 
site health and safety losses. Industries such as agriculture, 
construction, health care, and mining benefit from the 
scientific research supported by NORA. The program's research 
agenda focuses on prevention of disease and injury resulting 
from infectious diseases, cancer, asthma, hearing loss, 
musculoskeletal disorders, traumatic injuries, and allergic 
reactions, among others. The Committee continues to strongly 
support NORA and encourages expansion of its research program 
to cover additional causes of workplace health and safety 
problems.
    National Mesothelioma Registry.--The Committee has again 
provided $1,000,000 for the continuation of a National 
Mesothelioma Registry to collect data regarding symptoms, 
pathology, evaluation, treatment, outcomes, and quality of life 
and a Tissue Bank to include the pre- and post-treatment blood 
(serum and blood cells) specimens as well as tissue specimens 
from biopsies and surgery.
    National Personal Protective Technologies Laboratory.--The 
Committee has provided $500,000 above the fiscal year 2006 
level of funding for the NIOSH National Personal Protective 
Technologies Laboratory to expedite research and development 
in, and certification of, protective equipment, such as powered 
air purifying respirators, and combined self-contained 
breathing apparatus/escape sets.
    The Committee encourages NIOSH to consider the value of a 
study to evaluate all classes of disposable NIOSH approved 
respirator facemasks, including but not limited to particulate 
and antimicrobial technology for effectiveness against 
transmission of avian influenza and other pathogens.

                             GLOBAL HEALTH

    The Committee recommends $368,892,000 for global health-
related activities at the CDC in fiscal year 2007. The fiscal 
year 2006 comparable level was $379,624,000 and the budget 
request for fiscal year 2007 was $379,147,000. The Office of 
Global Health leads and coordinates CDC's global programs to 
promote health and prevent disease in the United States and 
abroad, including ensuring rapid detection and response to 
emerging health threats. With the exceptions noted below, all 
activities are funded at the level of the budget request.
    Global HIV/AIDS.--CDC works with governments in 25 
countries in Africa, Asia, and Latin America and the Caribbean 
focusing on primary prevention of HIV/AIDS; care and treatment 
of tuberculosis and other opportunistic infections, palliative 
care and appropriate use of antiretroviral medications; and 
infrastructure and capacity development.
    Global Disease Detection.--The Committee commends CDC for 
its role in strengthening the capacity of the public health 
community, both at home and abroad, to respond to global 
threats, such as SARS, monkeypox, West Nile virus, pandemic flu 
and bioterrorism. CDC's Global Disease Detection System is 
integral to these efforts. This system is designed to provide 
worldwide technical support to ensure rapid and accurate 
diagnoses of emerging infectious disease events, and to provide 
a secure link between clinicians and laboratories and CDC and 
the World Health Organization to ensure real-time reporting of 
emerging threats. The Global Disease Detection System also will 
support sentinel sites in key regions around the globe to 
ensure prompt disease detection and referral to a regional 
laboratory service. These capacities are critical to mitigate 
the consequences of a catastrophic public health event, whether 
the cause is an intentional act of terrorism or the natural 
emergence of a deadly infectious virus, like SARS.
    Global Immunization Activities.--The Committee includes 
$143,514,000 for global immunization activities, including 
$100,591,000 for polio vaccine, surveillance, and program 
operations for the highly successful, yet unfinished polio 
eradication efforts; and $42,923,000 for the purchase of 
measles vaccine for measles mortality reduction and regional 
measles elimination initiatives and to expand epidemiologic, 
laboratory, and programmatic/operational support to WHO and its 
member countries.
    Global Malaria.--The Committee has provided $8,600,000 to 
continue the global malaria program.
    Pandemics.--The Committee has provided $40,000,000 for 
international and domestic surveillance, diagnosis and epidemic 
investigations including real-time point-of care surveillance 
methods sensitive enough to detect first cases of influenza and 
other potential pandemics among infants, children, and adults 
in domestic community settings.
    Further, the Committee has included an increase of 
$19,000,000 for rapid outbreak response in 15 target countries 
and for human-animal interface studies.

                         PUBLIC HEALTH RESEARCH

    Public Health Research.--The Committee has provided 
$31,000,000 to fund the Public Health Research program. The 
fiscal year 2006 comparable level and budget request were also 
$31,000,000. The Committee is strongly supportive of public 
health and prevention research, which bridge the gap between 
medical research discoveries and behaviors that people adopt by 
identifying the best strategies for detecting new diseases, 
assessing the health status of populations, motivating healthy 
lifestyles, communicating effective health promotion messages, 
and acquiring and disseminating information in times of crisis.

                PUBLIC HEALTH IMPROVEMENT AND LEADERSHIP

    The Committee provides $219,828,000 for public health 
improvement and leadership activities at the CDC. The fiscal 
year 2006 comparable level was $189,106,000 and the budget 
request for fiscal year 2007 was $189,190,000.

Leadership and Management

    The Committee provides $161,716,000 for leadership and 
management costs at the CDC in fiscal year 2007. The fiscal 
year 2006 comparable level was $161,592,000 and the budget 
request for fiscal year 2007 was $161,716,000.
    In addition, the Committee has included sufficient funding 
for the following projects in the following amounts for fiscal 
year 2007:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
A Voice for All, Wilmington, DE, for speech and                 $400,000
 language evaluations for persons with disabilities....
AIDS Resource Center Wisconsin, Milwaukee, WI, for               150,000
 health care and case management services..............
Alaska Multiple Sclerosis Center, Inc, Anchorage, AK,            150,000
 for its multiple sclerosis related activities.........
Albert Einstein Healthcare Network (AEHN),                       800,000
 Philadelphia, PA, for genetic testing and education/
 outreach..............................................
Allied Services Foundation, Clarks Summit, PA, for               250,000
 pediatric health programs for children with
 developmental disabilities............................
American Trauma Society, Upper Marlboro, MD to expand            300,000
 the Trauma Survivor Network programs..................
BioAdvance, Philadelphia, PA, to strengthen existing             150,000
 biomedical informatics training activities............
Brown County Oral Health Partnership, Green Bay, WI, to          350,000
 expand a childhood oral health program................
Cascade AIDS, Portland, OR, to conduct HIV/AIDS                  250,000
 awareness and prevention programs throughout  Oregon..
Center for Autism Research (CeFAR) at the University of          250,000
 Pittsburgh, Pittsburgh, PA, for its autism-related
 activities............................................
Center for Mind Body Medicine, Washington, DC, to train          100,000
 health and mental health professionals in treating war
 and terrorism related trauma in the U.S. and abroad...
Columbia Urban League, Columbia, SC, to expand health            225,000
 education in minority communities.....................
Columbus Children's Research Institute, Columbus, OH,            750,000
 for the Center for Injury Research and Policy.........
Community Dental Care Foundation, Wausau, WI, to expand          150,000
 dental education and dental services..................
Community Health Centers in Hawaii for Childhood Rural           175,000
 Asthma Project........................................
Domestic Violence HELP, Pittsburgh, PA, for domestic             100,000
 violence programs.....................................
Dr. Gertrude A. Barber National Institute, Erie, PA, to          200,000
 address autism spectrum disorders.....................
East Los Angeles Community Union (TELACU) Education              750,000
 Foundation, Los Angeles, CA, for a diabetes outreach
 and prevention program................................
Farrell Area School District, PA, for a fitness &                100,000
 health program that is developmentally appropriate for
 all students..........................................
Fletcher Allen Health Care of Burlington, VT, for                250,000
 chronic disease registries............................
Food Allergy and Anaphylaxis Network, Fairfax, VA, for           120,000
 the Iowa Food Allergy Education program...............
Geisinger Medical Center in Danville, PA, for an                 100,000
 updated study of the emergency medicine workforce.....
Health Care Network, Inc., Racine, WI, to expand dental          100,000
 services..............................................
Healthy Northeast Pennsylvania Initiative, Clarks                100,000
 Summit, PA to address chronic disease management and
 mental health and health education....................
Heritage Valley Health System, Beaver, PA to expand the          200,000
 capacity of three disease management pro-  grams......
Highlands Hospital, Connellsville, PA, for equipment to          100,000
 support microbicide research..........................
Inland Northwest Health Services, Northwest Health               300,000
 Programs, Spokane, WA, to develop, test and evaluate
 tools for regional disease surveillance...............
Inner Harmony Foundation, Clarks Summit, PA, for New             100,000
 Beginnings cancer care program and alternative
 medicine..............................................
Iowa Chronic Care Consortium, Des Moines, Iowa, for a            150,000
 preventative health demonstration program.............
Iowa Department of Public Health to continue the Harkin        2,000,000
 Wellness Grant program................................
Iowa Health Foundation, for wellness activities for              100,000
 dementia patients.....................................
Iowa State University, Ames, IA, for the Iowa                    650,000
 Initiative for Healthier Schools and Student Wellness.
Kennebec Valley YMCA, Augusta, ME, for the Every Kid             100,000
 Deserves a Y for A Lifetime Capital Campaign..........
Kennedy Health System, Voorhees, NJ, for the Women and           500,000
 Children's Health Pavillion's Advanced Cancer
 Prevention and Treatment Initiative...................
Kids Kicking Cancer, Detroit, MI, for the Hero's Circle        1,000,000
 Program...............................................
Manatee County Department of Health, Bradenton, FL, for          200,000
 Tallevast health screenings...........................
Marcus Institute, Atlanta, GA, for clinical programs             100,000
 for children with developmental disabilities..........
Marquette University, Milwaukee, WI, for a dental                250,000
 health outreach program...............................
MAVIN Foundation, Seattle, WA, for education and                 200,000
 outreach on health issues affecting multiracial
 populations...........................................
Medical Institute, Austin, TX, to communicate credible,          250,000
 evidence-based medical and scientific information to
 promote healthy sexual decisions......................
Metropolitan AIDS Neighborhood Nutrition Alliance                100,000
 (MANNA), Philadelphia, PA, for public health outreach
 for the chronically ill...............................
Michigan Health and Hospital Association, for the                500,000
 Keystone Center for Patient Safety and Quality Project
Mississippi State Department of Health, Jackson, MS, to        2,800,000
 develop and implement a statewide man-made and natural
 disaster preparedness and response program............
Mississippi University for Women, Columbus, MS, to               500,000
 implement Healthy Community Outreach..................
Muhlenberg College, Allentown, PA, for a Public Health           100,000
 education program.....................................
Myrna Brind Center of Integrative Medicine,                      100,000
 Philadelphia, PA, to develop three models of
 integrative programs of clinical excellence...........
National Nursing Centers Consortium, Philadelphia, PA,           100,000
 for a Lead Safe Babies Program........................
Northeast Regional Cancer Institute, Scranton, PA, for           100,000
 cancer screening evaluation...........................
Northern Virginia Urban League, Inc, Alexandria, VA, to          100,000
 promote healthy pregnancy outcomes....................
Ohio Chapter of the American Academy of Pediatrics,              500,000
 Worthington, OH, for the Early Identification of
 Autism Initiative.....................................
Oral Vaccine Institute in Las Vegas, Nevada for the              950,000
 development of innovative vaccine delivery
 alternatives..........................................
Partnership for Food Safety Education, Washington, DC,           250,000
 for the FightBAC campaign.............................
Pennsylvania Affiliate of the SIDS Alliance, Inc.,               200,000
 Pittsburgh, PA, to expand the ``Cribs for Kids''
 program throughout Pennsylvania and the nation........
Pennsylvania Breast Cancer Coalition, Ephrata, PA to             100,000
 expand and enhance their breast cancer guide  book....
Philadelphia Department of Public Health, Philadelphia,          100,000
 PA, for pandemic flu preparedness.....................
Providence Medical Center, Kansas City, KS, for the              500,000
 Chronic Disease Management Center.....................
Rett Syndrome Research Association, Cincinnati, OH, for          500,000
 education and outreach activities.....................
Saint Mary's Hospital, Lewiston, ME, for a Patient               305,000
 Safety and Outcomes Improvement project...............
Self Reliance Foundation, Washington DC, for the                 450,000
 National Hispanic Health Communications Project.......
Sister to Sister--Everyone Has a Heart Foundation,               500,000
 Washington, DC, to increase womens' awareness of heart
 disease...............................................
Southeastern Center for Emerging Biologic Threats,               400,000
 Atlanta, GA...........................................
Southern Nevada Health District, to purchase equipment           350,000
 and to expand its immunization program................
Spinal Muscular Atrophy Foundation, New York, NY, to             100,000
 address spinal muscular atrophy.......................
State Information Technology Consortium, Herndon, VA,            100,000
 for patient safety programs and outreach..............
State of Alaska Department of Health and Social                  500,000
 Services, Juneau, AK for detection and control of
 tuberculosis in Alaska................................
State of Alaska Department of Health and Social                  500,000
 Services, Juneau, AK for the Obesity Prevention and
 Control program.......................................
State of Alaska, Department of Health and Social                 750,000
 Services, AK, for Avian Influenza Surveillance........
Stone Soup Group, Anchorage, AK, for services to                 200,000
 disabled children and their families..................
Sullivan County Medical Center, Laporte, PA, to provide          200,000
 for patient outreach and prevention of chronic
 illnesses.............................................
Supporting Autism and Families Everywhere, Wilkes-               100,000
 Barre, PA, for autism education programs and services.
Temple University, School of Medicine, Philadelphia,             400,000
 PA, to establish a Center for Minority Health.........
Texas Tech University Health Services Center at El               900,000
 Paso, TX, to establish a Center for Research and Re-
 Emerging Infectious Diseases..........................
Tioga Dental Services, Wellsboro, PA, for construction,          100,000
 renovation, and equipment.............................
Tulane University, New Orleans, LA, for a center on              200,000
 health emergency preparedness and response............
University of Alaska Statewide Office, Fairbanks, AK to        1,000,000
 conduct avian flu surveillance activities.............
University of Alaska Statewide Office, Fairbanks, AK to          750,000
 continue to develop and implement its statewide health
 agenda................................................
University of Louisville in Louisville, KY, for the              350,000
 Chronic Disease Management Education Program in Cancer
University of North Carolina, Chapel Hill, NC to                 200,000
 address Racial Disparities and Cardiovascular Diseases
University of Northern Iowa, Cedar Falls, IA, to                 240,000
 support youth fitness and obesity efforts in rural
 Iowa..................................................
University of Pittsburgh Medical Center, Pittsburgh,             800,000
 PA, for a minority-cardiac study......................
University of West Florida, Pensacola, FL, for the               300,000
 University of West Florida, PERCH Program.............
Utah Department of Health, Salt Lake City, UT, for the           100,000
 establishment of a Utah Regional Homeland Defense
 Medical Center........................................
WakeMed, Raleigh, NC to address Pediatric Diabetes.....          100,000
Wellness Community, Philadelphia, PA, for cancer                 100,000
 education, outreach, and support services.............
Western Kentucky University in Bowling Green, Kentucky,          250,000
 for the health promotion and disease prevention
 program at the Hispanic Resource Center...............
Youth and Family Services, Girls Incorporated of Rapid           150,000
 City, SD, for the Health Connections program..........
------------------------------------------------------------------------

    Director's Discretionary Fund.--The Committee has provided 
$8,000,000 for a Director's Discretionary Fund. This fund will 
allow the Director to quickly respond to emerging public health 
issues and threats not contemplated at the time of enactment of 
the appropriations.
    Epidemic Services and Response.--CDC's epidemic services 
and response program provides resources and scientific 
expertise for operating and evaluating surveillance systems; 
developing and refining research methods and strategies to the 
benefit of public health practice; training public health 
professionals who are prepared to respond to public health 
emergencies, outbreaks and other assistance requests; and 
communicating with multi-faceted audiences accurate public 
health information and effective messages. The Committee 
recognizes that CDC maintains a keen appreciation for the fact 
that local outbreaks of illness can develop rapidly into 
epidemics, that previously unidentified health problems can 
appear at any time, that contaminated food or defective 
products may appear in the community without warning, and that 
the threat of bioterrorism is present in many areas of the 
world. When CDC participates in an investigation, all of the 
resources of the Agency are at the disposal of the affected 
area, including its state-of-the-art laboratories.
    Leadership and Management Savings.--The Committee strongly 
believes that as large a portion as possible of CDC funding 
should go to programs and initiatives that improve the health 
and safety of Americans. To facilitate this goal, any savings 
in leadership and management may be reallocated to the 
Director's Discretionary Fund upon notification of the 
Committee.
    Minority Health Professions.--The Committee is pleased that 
CDC has continued to support the cooperative program with the 
Minority Health Professions Foundation and urges continued 
expansion of this activity, including sponsorship of public 
health and biomedical symposiums aimed at increasing career 
opportunities for minority students.

          PREVENTATIVE HEALTH AND HEALTH SERVICES BLOCK GRANT

    The Committee has provided $100,000,000 for the 
Preventative Health & Health Services Block grant. The fiscal 
year 2006 comparable level was $98,932,000 and the budget 
request for fiscal year 2007 did not request any funding for 
this program.
    The block grant provides funding for primary prevention 
activities and health services that address urgent health 
problems in local communities. This flexible source of funding 
can be used to target concerns where other funds do not exist 
or where they are inadequate to address the extent of the 
health problem. The grants are made to the 50 States, the 
District of Columbia, two American Indian tribes, and eight 
U.S. territories.

                        BUILDINGS AND FACILITIES

    The Committee has provided $100,000,000 for the planning, 
design, and construction of new facilities, repair and 
renovation of existing CDC facilities, and data security and 
storage. The fiscal year 2006 comparable level was $158,291,000 
and the budget request for fiscal year 2007 was $29,700,000.
    The Committee has again provided bill language to allow CDC 
to enter into a single contract or related contracts for the 
full scope of development and construction of facilities and 
instructs CDC to utilize this authority, when necessary, in 
constructing the Atlanta and Fort Collins facilities.
    The Committee intends that $5,000,000 of the funds provided 
be used to continue construction of the Fort Collins, Colorado 
facility.

                     BUSINESS SERVICES AND SUPPORT

    The Committee provides $323,058,000 for business services 
support functions at the CDC. The fiscal year 2006 comparable 
level was $317,615,000 and the administration requested a 
comparable level of $323,058,000 for fiscal year 2007. These 
funds will be used to support CDC-wide support functions.
    The Committee strongly believes that as large a portion as 
possible of CDC funding should go to programs and initiatives 
that improve the health and safety of Americans. To facilitate 
this goal, any savings in business services support may be 
reallocated to the Director's Discretionary Fund upon 
notification of the Committee.

                               TERRORISM

    The Committee provides $1,578,260,000 for CDC terrorism 
preparedness activities. The comparable fiscal year 2006 level 
was $1,576,173,000 and the administration requested 
$1,657,161,000 for these activities in fiscal year 2007.
    Within the funds provided, $823,674,000 is for Upgrading 
State and Local Capacity through grants and cooperative 
agreements; $30,690,000 is for the Centers for Public Health 
Preparedness; $5,346,000 is for the Advanced Practice Centers; 
$26,630,000 is for other State and Local Capacity; $135,628,000 
is for upgrading CDC Capacity; $13,001,000 is for anthrax 
vaccine studies; $52,987,000 is for the Biosurveillance 
Initiative, including $25,000,000 for Bio Sense and $18,000,000 
for quarantine stations; and $550,000,000 is for the Strategic 
National Stockpile.
    State and Local Capacity.--The Committee continues to 
recognize that bioterrorism events will occur at the local 
level and will require local capacity, preparedness and initial 
response. It is the Committee's intent that significant funding 
for State and local public health infrastructure be used to 
improve local public health capacity and meet the needs 
determined by local public health agencies. The Committee notes 
that HHS' cooperative agreement guidance now includes explicit 
requirements for local concurrence with State spending plans 
for public health emergency preparedness and urges CDC to 
monitor and enforce these requirements.
    The Committee also recognizes that HHS has incorporated the 
National Response Plan into the cooperative agreement guidance 
and established new CDC Preparedness Goals. The Committee urges 
the Department to assure that the performance metrics for the 
CDC Preparedness Goals, by which local health department 
preparedness will be measured, are fully consistent with all 
requirements in the Target Capabilities being developed under 
Homeland Security Presidential Directive 8 by the Department of 
Homeland Security.
    Funds for bioterrorism prevention and response are 
distributed through grants to 50 States and four metropolitan 
areas. The Committee strongly recommends that these funds be 
distributed based on a formula that includes factors for risk 
of a terrorist event. Risk is challenging to quantify, but the 
Committee suggests that CDC, in coordination with the Secretary 
of Health and Human Services, consider the following and other 
factors: (1) Site of headquarters or major offices of 
multinational organizations; (2) site of major financial 
markets; (3) site of previous incidents of international 
terrorism; (4) some measure of population density versus just 
population; (5) internationally recognized icons; (6) percent 
of national daily mass transit riders; (7) proximity to a major 
port, including major port ranked on number of cargo containers 
arriving at the port per year.
    Pacific Emergency Health Initiative.--The Committee 
recognizes that the Pacific Emergency Health Initiative [PEHI] 
may facilitate the disaster preparededness plans for the 
communities of the Republic of Palau, the U.S. Territories of 
Guam and American Samoa, the Commonwealth of Marianas Islands, 
the Federated States of Micronesia and the Republic of Marshall 
Islands. The Committee encourages CDC to consider supporting 
the Pacific Emergency Health Initiative for the completion and 
maintenance of emergency plans and training to fortify our 
Nation's westernmost Pacific borders against health threats 
associated with terrorist's acts, natural disasters and 
emerging diseases. Activities might include awareness of how to 
mitigate disease and deaths due to the aforementioned causes 
and the provision of data and tools essential for enhancing 
research studies in disaster management.
    The research derived from these experiences with disaster 
management will be useful in the development of standards of 
response in the Pacific and the U.S. mainland. The Pacific 
Emergency Health Initiative should coordinate these efforts 
with existing institutions such as the Pacific Island Health 
Officers Association, the World Health Organization, the 
Secretariat of Pacific Community and the U.S. Department of 
Defense.
    Strategic National Stockpile.--Vaccines and antivirals are 
not the only supplies that need to be stockpiled in preparation 
for a pandemic. Currently, most health providers order and 
stock supplies on a ``just-in-time'' basis. This means they 
often only have a few days of reserve supplies, equipment like 
portable respirators, and commonly prescribed medications, 
including many basic protective items, such as protective N95 
masks, gloves, gowns, and clean hospital linens, many of which 
are produced abroad and may not be available during a global 
health emergency.
    The Committee commends the Secretary for commissioning the 
Institute of Medicine to evaluate the potential development of 
reusable respirator facemasks in the event on an influenza 
pandemic. The Committee encourages the Secretary to consider 
comparative data regarding duration of effectiveness, range of 
cidal activity and shelf life for disposable NIOSH approved 
respirator facemasks with particulate filter, antimicrobial 
coated and antimicrobial iodinated technology, and to consider 
supply needs and issue end-user recommendations for such 
facemasks.

                     National Institutes of Health

    The National Institutes of Health has played a unique and 
defining role in the advancement of this Nation's health and 
well-being, fueling discoveries that have led to life-saving 
surgical techniques; tools that permit earlier, more accurate 
diagnosis of disease; and the development of drugs and vaccines 
that have vastly improved disease treatment and prevention. To 
those who question the merit of investing taxpayer dollars in 
medical research, the Committee contends that the long-term 
value of this national investment is without question. For 
example, this year, for the first time in history the number of 
Americans dying from cancer will decline; over the past three 
decades, deaths caused by cardiovascular disease has dropped 60 
percent, with 815,000 fewer people dying each year from 
coronary disease alone; and NIH-supported research led to the 
discovery that intensive lifestyle interventions can reduce 
type 2 diabetes by more than 50 percent.
    While research sponsored by NIH is driven, first and 
foremost, by the hope of curing illness, easing suffering and 
extending life, often overlooked are the significant 
contributions the agency makes to the economic vitality of this 
Nation. Yet other challenges remain. In 2003, an estimated 18 
million adults were not working because of a disability, 
chronic disease or other health reasons. Sixty-nine million 
reported missing days due to illness, for a total of 407 
million days of lost time at work. All told, labor time lost 
due to health reasons represents lost economic output totaling 
an estimated $260,000,000,000 per year. All the while, the 
United States is being confronted with new threats, from 
bioterrorism and West Nile virus to rising rates of obesity and 
diabetes. In the face of those challenges, the Committee is 
concerned that short-term budget savings will cloud the 
potential of dividends paid in the form of healthier, more 
productive lives; that growing pressure for immediate pay-off 
will take precedence over research where clinical need is 
greatest; and that the pipeline of new scientists--the hope for 
tomorrow's discoveries--will be lost.
    Budget Justification Materials.--The Committee takes 
seriously its oversight responsibilities, which include 
assuring that policies and programs are executed in accordance 
with appropriations law, and in a timely and administratively 
efficient manner. An important tool in the oversight process is 
the justification material submitted to the Committee. These 
documents are intended to provide an accounting of funds 
already appropriated as well as the rationale underlying the 
President's budget request. In recent years, however, the 
content of the NIH justification materials has become less 
informative, often failing to provide clear, concise, and 
detailed information. Prior to the development of next year's 
budget justifications, the Committee expects to work with NIH 
officials to develop a more consistent format that affords 
increased transparency of NIH research activities, both ongoing 
and proposed, and provides greater accountability of research 
dollars.
    The NIH Mission.--NIH is a large and complex organization, 
supported by a community of more than 200,000 scientists at 
more than 1,700 institutions across the Nation. Nevertheless, 
its mission is simple and straightforward: to improve and 
safeguard the health of every American. The agency's 
stewardship of taxpayers' dollars transcends organizational 
lines. Research needs do not fit neatly into bureaucratic 
functions. As such, the Committee has eliminated any references 
in this report to the mission of individual institutes and 
centers. Moreover, the Committee expects that research will not 
be discouraged, nor will collaboration be hampered by 
artificial barriers.
    Biomedical Research and Development Price Index.--The 
Committee is once again disappointed that the budget request 
would require NIH to break its funding commitments to existing 
grantees. Forcing grantees to reduce the scope of research that 
is already underway disrupts the research plan and reduces the 
science that NIH purchased when the initial award was made. The 
Committee believes, that to the extent resources allow, NIH 
should follow its cost management plan principles, which will 
help NIH continue to maintain the purchasing power of the 
research in which it invests.
    Human Embryonic Stem Cell Research.--The Committee 
continues to be concerned that the current administration 
policy relating to human embryonic stem cell research is so 
narrow that it is stifling the pace of stem cell research. The 
Committee strongly believes that embryonic stem cell research 
holds enormous potential for the treatment of cardiovascular 
disease, Parkinson's, spinal cord injuries and a vast array of 
other diseases and injuries. After convening 18 in-depth 
hearings on the subject, the Committee believes that with the 
proper safeguards in place, this field of investigation ought 
to be widened. While it originally appeared that 78 embryonic 
stem cell lines would be available for research under the 
Federal policy, now, nearly 5 years after the President's 
announcement on August 9, 2001, only 21 lines are available to 
researchers. Moreover, scientists have told the Committee that 
all available stem cell lines were grown with mouse feeder 
cells, making their therapeutic use for humans uncertain. The 
Committee strongly urges the administration to modify the 
current embryonic stem cell policy so that it provides this 
area of research the greatest opportunity to lead to the 
treatments and cures for which we are all hoping.
    The Committee also strongly urges that the NIH explore all 
avenues of stem cell research including adult stem cells and 
alternative methods of establishing human embryonic stem cell 
lines that do not involve the destruction of an embryo.
    The Committee is also deeply concerned with the slow pace 
of implementation of the current stem cell policy. The 
Committee was informed that, under the budget request, NIH 
plans to spend $39,000,000, the same as fiscal year 2006, on 
human embryonic stem cell research. The Committee strongly 
urges the NIH to commit a substantial amount of resources to 
all methods of human embryonic stem cell research. Finally, the 
Committee expects the NIH to provide detailed reporting on 
funding for all forms of stem cell research in future 
congressional budget justifications.
    The Committee recommends $28,550,667,000 for the NIH. This 
amount is $220,820,000 above the fiscal year 2006 appropriation 
and $200,664,000 over the budget request.

                       NATIONAL CANCER INSTITUTE

Appropriations, 2006....................................  $4,790,063,000
Budget estimate, 2007...................................   4,753,609,000
House allowance.........................................   4,753,609,000
Committee recommendation................................   4,799,063,000

    The Committee recommends an appropriation of $4,799,063,000 
for the National Cancer Institute [NCI]. The budget request was 
$4,753,609,000. The fiscal year 2006 appropriation was 
$4,750,063,000. The comparable amounts for the budget estimate 
include funds to be transferred from the Office of AIDS 
Research.
    Academic Public Private Partnership Program.--The Committee 
is concerned about the NCI decision to cancel the Academic 
Public Private Partnership Program [AP-4], which was instituted 
by the NCI to increase the success rate of complex drug 
discovery and development research through collaborations 
involving university-based researchers and the private sector. 
Particularly given current funding constraints and the fact 
that the AP-4 program would amplify the Federal investment with 
a significant private sector match, the Committee encourages 
the NCI to reconsider the decision to terminate this program 
and to proceed with awards based on the peer review 
recommendations of already reviewed-consortia proposals.
    Angiogenesis.--The Committee encourages the NCI to continue 
its leadership in support of interdisciplinary research on 
angiogenesis--the growth of new blood vessels--through the 
Trans-Institute Angiogenesis Research Program [TARP]. Advances 
in this field have the potential to impact treatment of 
multiple diseases, including cancer, diabetes, heart disease, 
stroke, and others.
    Blood Cancers.--The Committee urges NCI to place greater 
emphasis on both translational and clinical research in blood 
cancers such as leukemia, lymphoma, multiple myeloma, and 
myeloproliferative disorders in order to develop more effective 
treatments for these diseases and further the translation of 
laboratory discoveries to the patient's bedside.
    Breast Cancer.--The Committee strongly urges the NCI to 
give increased attention to areas of research that focus on 
helping women to more fully restore and improve their quality 
of life after treatment, including further breast cancer 
research on lymphedema, stress, nutrition, exercise, weight, 
and the environment. The Committee strongly urges the NCI to 
further accelerate advances in breast cancer screening 
technology and to capitalize on existing and create new 
technologies that improve early diagnosis, health outcomes, and 
survival.
    Cancer Centers at Minority Institutions.--The Committee 
commends NCI on the success of its cancer centers program. 
Given that minority populations suffer disproportionately from 
virtually every form of cancer, the Committee encourages NCI to 
support the establishment of a comprehensive center at a 
minority institution focused on research, treatment, and 
prevention of cancer in African American and other minority 
communities. The Committee is pleased with NCI's attention to 
this important matter.
    Cancer Genome.--The Committee commends the NHGRI and NCI 
for jointly launching the pilot phase of The Cancer Genome 
Atlas [TCGA]. This important new effort will accelerate the 
understanding of the molecular basis of cancer through the 
application of genome analysis technologies, including large-
scale genome sequencing. Using technologies developed by the 
Human Genome Project and recent advances in applying genetic 
information to improve cancer diagnosis and treatment, this 
effort should lead to new tests to detect cancer in its early, 
most treatable stages; new ways to predict which cancers will 
respond to which treatments; new therapies to target cancer at 
its most vulnerable points; and, ultimately, new strategies to 
prevent cancer.
    Cancer Metastasis to Bone.--A frequent complication of 
cancer is its spread to bone (bone metastasis), which occurs in 
up to 80 percent of patients with myeloma, 70 percent of 
patients with either breast or prostate cancer, and 15 to 30 
percent of patients with lung, colon, stomach, bladder, 
uterine, rectal, and renal cancer, causing severe bone pain and 
pathologic fractures. Only 20 percent of breast cancer patients 
and 5 percent of lung cancer patients survive more than 5 years 
after discovery of bone metastasis. The Committee urges NCI, in 
collaboration with NIAMS, NIA, and NIDDK, to support research 
to determine mechanisms and to identify, block and treat cancer 
metastasis to bone. Furthermore, the Committee urges NCI to 
expand research on osteosarcoma to improve survival and quality 
of life and to prevent metastatic osteosarcoma in children and 
teenagers who develop this cancer.
    Cancer Vaccines.--The Committee has recently become aware 
of emerging vaccine technologies, including a vaccine for the 
treatment of nicotine addiction, which could prevent 
carcinogenesis. The Committee urges NCI, in collaboration with 
NIDA, to support clinical trials to make available to the 
public vaccines to prevent cancer.
    Chronic Lymphocytic Leukemia [CLL].--This incurable disease 
is the most common form of adult leukemia in the United States. 
The Committee once again urges the NCI to increase research 
into CLL, including improved therapies and their rapid movement 
from the laboratory to the bedside. The Committee strongly 
urges the NCI to give favorable consideration to continuing and 
expanding the scope of research activities funded through the 
CLL Research Consortium as it works to defeat this blood 
disorder.
    Dissemination Research.--The Committee commends the NCI for 
its leadership on an initiative to help evidence-based 
behavioral interventions reach the public more quickly. The 
Committee is supportive of NCI's efforts to inspire research 
that will overcome barriers to the adoption of evidence-based 
interventions that previous research has shown to be effective, 
but where adoption to date has been limited or significantly 
delayed.
    Gynecologic Cancers.--The Committee encourages NCI to give 
priority to gynecologic cancers and to work with the National 
Human Genome Research Institute on the Cancer Genomics project. 
The Committee further encourages the NCI to support 
translational research involving biologic prognosticators and 
therapeutic effects of chemotherapy to speed the development 
and delivery of new cancer treatments to women with gynecologic 
cancers.
    Imaging Systems Technologies.--The Committee is encouraged 
by progress made by the NCI following its August 1999 
conference on biomedical imaging, and it urges the NCI to 
continue to take a leadership role with the Centers for 
Medicare and Medicaid Services [CMS] and the Food and Drug 
Administration to avoid duplicative reviews of new imaging 
technologies which may prevent their benefits from reaching 
patients on a timely basis. The Committee is aware of the great 
potential for improved patient care and disease management 
represented by molecular imaging technologies, especially 
positron emission tomography [PET], through its ability to 
image the biology of many kinds of cancer and other diseases. 
The Committee continues to support the NCI's increased emphasis 
on examining the molecular basis of disease through imaging 
technologies such as PET and MicroPET. The Committee continues 
to encourage the large-scale testing of women for breast cancer 
and men for prostate cancer to demonstrate and quantify the 
increased diagnostic and staging capabilities of PET relative 
to conventional diagnostic and staging technologies, including 
mammography.
    Liver Cancer.--The Committee remains concerned about the 
increasing incidence of primary liver cancer and the small 
number of effective treatments--a situation that stands in 
sharp contrast to many other forms of cancer for which the 
incidence is declining and the treatment options are growing. 
The Committee urges the NCI to continue to support the NIDDK-
sponsored HALT-C clinical trial and to collaborate with the 
NIBIB on the development of improved early liver cancer 
diagnostic techniques. The Committee welcomes NCI's program 
announcements on hepatocellular carcinoma but urges the 
Institute to set aside specific funds for research on this 
disease.
    Lung Cancer.--Lung cancer remains a major public health 
issue and is the leading cause of cancer death among women and 
minority populations. The death rate is expected to escalate as 
the population ages. The Committee encourages the NCI to work 
with the thoracic surgical community to initiate new clinical 
trials that involve patients at an early stage of the disease 
when surgery is a treatment option.
    Lymphatic Research and Lymphedema.--The Committee urges NCI 
to support research on lymphedema, a chronic, progressive and 
historically neglected condition faced by many cancer 
survivors. The Committee also urges the Institute to devote 
increased resources toward the study of lymphangiogenesis and 
lymphatic imaging, which are critical to a greater 
understanding of cancer metastasis and lymphedema.
    Lymphoma Research.--The Committee urges the National Cancer 
Institute [NCI] to capitalize on the recent basic research 
investment by accelerating the translation of basic research 
findings into new treatment strategies for lymphoma. This may 
require a greater investment in lymphoma translational and 
clinical research initiatives, including more clinical trials 
focused on innovative lymphoma therapies. The Committee 
believes that the substantial impact of the disease on 
individuals, families, and society requires a more urgent 
lymphoma therapeutic development effort. The Committee 
recommends that NCI devote resources to: (1) studies of 
adequate scope to assure the identification of environmental 
risk factors for specific subtypes of lymphoma; (2) small 
studies designed to improve detection and quantification of 
historically difficult-to-measure environmental factors; (3) 
studies that are directed toward enhancing the understanding of 
the role of the immune system in the initiation and progression 
of lymphoma; and (4) studies that examine the simultaneous 
presence of a wide profile of infectious agents among 
individuals with lymphoma. The Committee also notes that 
lymphoma survivors may face significant long-term effects from 
their treatment. The Committee urges NCI to dedicate some of 
its survivorship research funds on research issues related to 
problems confronted by lymphoma survivors.
    Melanoma.--Melanoma is the fastest growing cancer in the 
United States and worldwide. The etiology of the disease is not 
well understood, and the average life span of patients with 
advanced melanoma is less than 1 year. Nevertheless, there is a 
shortage of melanoma researchers and a lack of effective of 
drugs and treatments. Therefore, the Committee strongly urges 
the NCI to convene a panel of consumers, extramural and 
intramural scientists to develop a 5-year strategic plan for 
melanoma research and submit it to the Committee by July 1, 
2007. The strategic plan should identify the current shortfalls 
and promise of melanoma research and recommended new directions 
and targets for future research. The plan should also explore 
the role of new and innovative technologies including shared 
biospecimen repositories, identify and validate melanoma-
specific targets to design effective therapy; and identify 
opportunities for facilitating translational research in this 
area.
    Mesothelioma Research.--The Committee is concerned with the 
pace of mesothelimoma research. To address these concerns, the 
Committee strongly encourages the NCI to establish up to 10 
mesothelioma centers, increase research, including clinical 
trials, detection and prevention methods, palliation of disease 
symptoms and pain management.
    Nanosystems Biology.--The Committee encourages NCI and the 
Office of the NIH Director to continue to support a 
collaborative effort to bring nanotechnology, systems biology 
and molecular imaging together to examine the molecular basis 
of cancer. Initial efforts have shown that cancers such as 
breast cancer are not a single disease, but may encompass many 
different diseases, when examined at the molecular level. Many 
clinical trials of new drugs are now considered to fail if only 
10 percent of patients benefit, yet the 10 percent may 
represent a specific type of the disease for which the drug may 
be 100 percent effective. Bringing these three disciplines 
together may allow researchers to identify specific sub-types 
of cancer and to better target new interventions. Successful 
results of such an effort could lead to a molecular 
classification of many types of cancer and to targeted 
molecular treatments for molecular-specific diseases.
    Neurofibromatosis.--The committee commends NCI for 
conducting clinical trials of NF1 patients and encourages NCI 
to increase funding for NF research. Recognizing NF's 
connection to many of the most common forms of human cancer, 
the Committee encourages NCI to substantially increase its NF 
research portfolio in such areas as further development of 
animal models, natural history studies, genetic and drug 
screening, therapeutic experimentation, and pre-clinical and 
clinical trials. The Committee encourages NCI to create, fund, 
and implement NF clinical and pre-clinical trials 
infrastructures including NF centers and pre-clinical mouse 
consortiums, patient databases, and tissue banks. The Committee 
further encourages NCI to apply existing cancer drugs to NF 
patients in clinical trials both extramurally and intramurally, 
and to develop new drugs for NF which could then apply to the 
general population because of NF's connection to most forms of 
human cancer. The Committee encourages NCI to continue to 
coordinate its efforts with other NIH institutes and government 
agencies.
    Pancreatic Cancer.--Pancreatic cancer is the country's 
fourth leading cause of cancer death, yet it remains severely 
underfunded, as compared to the top five cancers based on 
mortality. While the Committee notes that the NCI is pursuing 
major new scientific research initiatives in the areas of 
nanotechnology and genomics, it urges the Institute to maintain 
its investments in the primary research areas, including early 
detection, diagnosis and treatment. The Committee also reminds 
the NIH that, in last year's Senate report, it requested a 
professional judgment budget to be submitted by May 1, 2006. 
The Committee is very disappointed that the Department delayed 
the release of that budget so that it could not be reviewed by 
the deadline for producing this year's Senate report, in mid-
July. The Committee strongly urges the Department to release 
the budget as quickly as possible. In addition, the Committee 
requests detailed fiscal year 2007 spending plans for 
pancreatic cancer research, as compared with fiscal years 2005 
and 2006, within 90 days of the passage of this act.
    Pediatric Cancer.--The NCI is currently partially funding a 
portfolio of studies looking at the causes and most effective 
treatments for childhood cancers. The Children's Oncology Group 
[COG] is conducting important laboratory research on cancer 
cells to discover the reasons children get cancer, developing 
and making available new treatments that destroy cancers, and 
improving the quality of life and long-term survival for 
pediatric cancer patients. However, the NCI is only funding 
approximately 50 percent of the approved collaborative 
pediatric cancer research projects. The Committee understands 
the COG acts as a cancer center without walls and reimburses 
hospitals for enrolling pediatric cancer patients into the best 
available clinical trials. The Committee encourages the NCI to 
increase the percentage of approved funding directed to the COG 
in order to open additional treatment protocols and make more 
treatment options available to physicians and families.
    Prostate Cancer.--The Committee commends the NCI for the 
considerable investment in prostate cancer and encourages NCI 
to continue to support research to improve the accuracy of 
screening and early detection of prostate cancer.
    Specialized Programs for Research Excellence [SPORE].--The 
Committee encourages the National Cancer Institute to fund the 
SPOREs at fiscal year 2004 funding levels and administer the 
program following fiscal year 2004 guidelines, providing for 
grant renewals until such time that the Translational Research 
Working Group [TRWG] concludes its evaluation and provides 
recommendations to more effectively support translational 
research.
    Tuberous Sclerosis Complex.--Tuberous sclerosis complex, or 
TSC, is a genetic disorder that triggers uncontrollable tumor 
growth in multiple organs of the body, including the brain, 
heart, kidneys, lungs, liver, eyes, or skin. In light of its 
similarities to the uncontrolled growth of cancer cells, many 
scientists believe that determining the cause of tumor growth 
in TSC could open the way for cures and treatments for cancer 
as well. The Committee encourages NCI to expand its clinical 
trial network to include more sites and additional trials, and 
to assist in the development of protocols for additional 
clinical trials for tumor growth in TSC. Also, the Committee 
urges NCI to collaborate with NIDDK to conduct research on the 
needs identified in a recent conference on nutrient sensing and 
insulin-signaling in cells.

               NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

Appropriations, 2006....................................  $2,919,750,000
Budget estimate, 2007...................................   2,901,012,000
House allowance.........................................   2,901,012,000
Committee recommendation................................   2,924,299,000

    The Committee recommendation includes $2,924,299,000 for 
the National Heart, Lung, and Blood Institute [NHLBI]. The 
fiscal year 2006 appropriation was $2,919,750,000 and the 
budget request was $2,901,012,000. The comparable amounts for 
the budget estimate include funds to be transferred from the 
Office of AIDS Research.
    Advanced Imaging Technology for Heart Disease and Stroke.--
The Committee is aware that heart perfusion PET scans using 
Rubidium-82 are considered the ``gold standard'' for 
determining the extent of muscle damage to the heart following 
a heart attack. The Committee encourages the NHLBI to expand 
its research efforts into the role of biological imaging and 
PET in delivering more accurate information to determine 
appropriate treatment for heart disease patients.
    Cardiothoracic Surgery.--The field of cardiothoracic 
surgery contributes significantly to the improvement in cardiac 
health in this country and the Committee is encouraged by the 
advances in the field. The Committee supports the steps the 
Institute is taking to establish a network for cardiothoracic 
surgical investigations, and urges implementation of this plan 
with sufficient funding to continue the progress being made in 
the treatment of heart disease. The Committee supports the 
Institute's effort to develop a strategic plan and expects 
cardiothoracic surgeons to be represented in the planning 
process. The Institute's support for an intramural program in 
cardiothoracic surgery is an important step in expanding the 
role of surgery in cardiovascular research.
    Cardiovascular Diseases.--The Committee encourages the 
Institute to place the highest priority on heart disease, 
stroke, and other cardiovascular diseases by providing the 
resources to stimulate and strengthen basic, clinical, 
translational, and trans-institute cardiovascular disease 
research through all available mechanisms. The Committee 
continues to strongly believe that more research is critically 
needed to better understand the causes of cardiovascular 
diseases and to develop more effective treatment and cures.
    Chronic Obstructive Pulmonary Disease [COPD].--The 
Committee understands that COPD may be a predictor of future 
onset of lung cancer. With 24 million people having decreased 
lung function, and in the face of an ever-aging population, the 
need to develop better treatment and prevention strategies to 
address this linkage will only increase over the coming decade. 
The Committee encourages NHLBI to collaborate more fully with 
NCI to develop appropriate research initiatives that can be 
undertaken cooperatively, and encourages NHLBI to sponsor a 
workshop on COPD as it relates to lung cancer with input from 
the lung community to address these issues.
    Congenital Heart Disease.--The Committee commends the NHLBI 
for convening a working group to address this issue, and 
supports its recommendation that action be taken to prevent 
needless disability and premature mortality in this rapidly-
growing population. The Committee urges the NHLBI to work with 
the CDC, the Adult Congenital Heart Association, and others to 
develop outreach efforts to reach the many CHD survivors 
currently ``lost'' to cardiac care and to create a national 
adult congenital heart disease registry and research network.
    Cooley's Anemia.--The Committee remains strongly supportive 
of the focused research effort that is being undertaken by the 
Thalassemia Clinical Research Network, which is composed of the 
leading research institutions in the field of thalassemia, or 
Cooley's anemia. The Committee believes that this network is 
just beginning to meet its promise, and it urges the Institute 
to continue to support the research projects undertaken by it. 
In addition, the Committee commends NHLBI for convening a 
meeting with regard to gene therapy and urges the Institute to 
move much more aggressively in pursuing a research agenda that 
will lead to a cure at the earliest possible time.
    Diamond-Blackfan Anemia.--The Committee is pleased that 
NHLBI has awarded grants for research initiatives to 
investigate the rare bone marrow deficiency disorder, Diamond 
Blackfan Anemia [DBA]. The Committee understands that 
breakthroughs in this disorder may lead to important strides in 
research especially relating to blood cell formation (recovery 
from cancer chemotherapy), cancer predisposition, gene 
discovery, and the effectiveness of steroids and blood 
transfusions as treatment options for all bone marrow failure 
syndromes. The Committee commends NHLBI for its attention to 
this disorder.
    Hematology.--The Committee recognizes the strategic 
planning process underway at NHLBI and encourages the Institute 
to continue to place a high priority on hematology research. 
Further research efforts in vascular biology and thrombosis, 
immunobiology, and blood progenitor/stem cells will provide a 
better understanding of hematologic diseases and allow for the 
development of improved treatments and targeted therapies to 
combat heart attacks, stroke, and chronic malignant and non-
malignant blood disorders. The Committee encourages NHLBI to 
work with experts in the field of hematology in developing its 
strategic plan.
    Hereditary Hemorrhagic Telangiectasia [HHT].--The Committee 
is aware that HHT is a rare, multi-system genetic disorder of 
the blood vessels that can result in stroke, hemorrhage, and 
death. The Committee encourages the NIH to explore 
opportunities for additional clinical and basic research on 
HHT.
    Juvenile Diabetes.--Cardiovascular disease is the major 
cause of mortality for individuals with diabetes. It is also a 
major contributor to morbidity and direct and indirect costs of 
diabetes. The Committee urges NHLBI to support research to 
investigate the epidemic of cardiovascular disease in patients 
with type 1 diabetes.
    Lymphangioleiomyomatosis [LAM].--The Committee remains very 
interested in efforts to find a cure for LAM. The Committee 
understands that recent scientific findings have presented new 
treatment approaches for clinical testing, and that 
experimental trials with the drug sirolimus have begun. The 
Committee encourages continuation of the intramural research 
protocol and further urges the NHLBI to explore opportunities 
for funding clinical treatment trials through both intramural 
and extramural means and to use all available mechanisms as 
appropriate, including support of state-of-the-science 
symposia, request for applications, and the facilitation of 
access to human tissues, to stimulate a broad range of clinical 
and basic LAM research.
    Lymphatic Research and Lymphatic Diseases.--The Committee 
urges the NHLBI's Lung Division to engage in lymphatic research 
initiatives, with particular attention to congenital lymphatic 
malformation-induced pulmonary dysfunction.
    Marfan Syndrome.--The Committee commends NIAMS for its 
support of research opportunities to study this life-
threatening, degenerative genetic disorder. The Committee also 
commends the NHLBI Pediatric Heart Network for its support of a 
clinical trial of a potential new drug therapy. The Committee 
urges the Institute to continue to support the major advances 
made in this area through all available mechanisms, as deemed 
appropriate.
    Neurofibromatosis.--Significant advances continue to be 
made in research on NF's implications with heart disease and, 
in particular, its involvement with hypertension and congenital 
heart disease. The Committee applauds NHLBI for its involvement 
with NF research and with NF patient advocacy groups, and 
encourages the Institute to continue to expand its NF research 
portfolio in light of the enormous implications for the general 
population.
    Outcomes Research in Cardiovascular Diseases.--The 
Committee commends the NHLBI for convening a Working Group on 
Outcomes Research in Cardiovascular Disease and for 
subsequently publishing a report identifying priority areas for 
research, including developing national surveillance of 
cardiovascular care and outcomes, promoting patient-centered 
care, translating best practice into clinical practice, 
involving patients in care, and placing the cost of 
interventions in the context of their real-world effectiveness. 
The Committee encourages the Institute to fund the priority 
areas highlighted in the report to enhance the prevention and 
treatment of heart disease, stroke and other cardiovascular 
diseases.
    Preventing Weight Gain in Young Adults.--Evidence suggests 
that reducing the obesity epidemic will require significant 
attention to preventing progressive weight gain starting in 
early adulthood. Yet, little is known about the best methods to 
achieve weight management in this population. The Committee 
urges the NHLBI to initiate a project to prevent and test 
innovative practical, cost-effective ways to prevent weight 
gain in young adults, with the goal of reducing heart disease, 
stroke and other cardiovascular diseases.
    Pulmonary Fibrosis.--The Committee previously has expressed 
concern regarding the need to expand public health strategies 
to combat lung disease, particularly pulmonary fibrosis. Many 
individuals are diagnosed too late to initiate treatment 
regimens that could reduce morbidity and mortality. The 
Committee urges the NHLBI to increase funding for lung 
research, particularly in the area of pulmonary fibrosis. The 
Committee further urges the NHLBI to convene a consensus 
conference of experts in the area of lung disease and other 
stakeholders to lay the groundwork for a formal Pulmonary 
Fibrosis Disease Action Plan for prevention and control of this 
deadly disease.
    Pulmonary Hypertension.--Pulmonary hypertension [PH] is a 
rare, progressive and fatal disease which causes deadly 
deterioration of the heart and lungs. The Committee continues 
to view research in this area as a high priority and commends 
NHLBI for its plans to establish Specialized Centers of 
Clinically Orientated Research [SCCOR] in pulmonary 
hypertension. The Committee encourages NHLBI to prioritize 
support for 3-4 SCCORs this year and continue efforts to expand 
basic and translational research on PH in partnership with the 
pulmonary hypertension community.
    Sleep Disorders.--The Committee is pleased that public and 
professional awareness on sleep will be a component of NHLBI's 
strategic planning process and encourages the institute to 
engage voluntary organizations throughout this process. The 
Committee continues to urge the National Center on Sleep 
Disorders Research to partner with other Federal agencies, such 
as the Centers for Disease Control and Prevention, as well as 
voluntary health organizations, such as the National Sleep 
Foundation, to implement a sleep education and public awareness 
initiative using the roundtable model that has been successful 
for other institutes and Public Health Service agencies.
    Tuberous Sclerosis Complex.--Research has demonstrated a 
link between TSC and lymphangioleiomyomatosis [LAM], a lung 
disorder that primarily affects women. The Committee urges 
NHLBI to support clinical trials on individuals suffering from 
both LAM and TSC.

         NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH

Appropriations, 2006....................................    $389,069,000
Budget estimate, 2007...................................     386,095,000
House allowance.........................................     386,095,000
Committee recommendation................................     389,669,000

    The Committee recommendation includes $389,669,000 for the 
National Institute of Dental and Craniofacial Research [NIDCR]. 
The fiscal year 2006 appropriation was $389,069,000 and the 
budget requested $386,095,000. The comparable amounts for the 
budget estimate include funds to be transferred from the Office 
of AIDS Research.
    Dental Disease.--Dental Disease is the most common chronic 
childhood illness and the most prevalent unmet need in poor 
children. Research indicates that dental disease has a serious 
impact on learning and overall health of children, and recent 
data indicates an increase in early childhood caries. The 
Committee commends the NIDCR for its current efforts in this 
area and urges the NIDCR to strongly support additional 
research to determine the most effective methods for 
preventing, controlling, and treating early childhood caries.
    Genetic Disorders.--The Committee commends the NIDCR for 
its participation in efforts to create a strain of mice which 
has the same genetic characteristics as that of humans, and 
urges that research in this area be continued.
    Temporomandibular Joint [TMJ] Disorders.--The Committee 
commends the NIDCR for its efforts to increase funding for TMJ 
research and stimulate interest in young investigators in TMJ 
research. Because the multifaceted nature of TMJ disorders 
requires an approach that coordinates the work of many 
interested parties at NIH, the Committee expects the NIDCR to 
continue to collaborate and coordinate research and awareness 
activities with NINDS, ORWH and all other relevant ICs. The 
Committee also urges the NIDCR to consult regularly with 
patient advocacy groups in the planning of research 
initiatives.

    NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES

Appropriations, 2006....................................  $1,703,753,000
Budget estimate, 2007...................................   1,694,298,000
House allowance.........................................   1,694,298,000
Committee recommendation................................   1,707,753,000

    The Committee recommends an appropriation of $1,707,753,000 
for the National Institute of Diabetes and Digestive and Kidney 
Diseases [NIDDK]. The fiscal year 2006 appropriation was 
$1,703,753,000 and the administration's request is 
$1,694,298,000. The comparable amounts for the budget estimates 
include funds to be transferred from the Office of AIDS 
Research.
    Action Plan for Liver Disease Research.--The Committee is 
pleased that the NIH Director approved a trans-NIH action plan 
for liver disease research in December 2005. The Committee 
applauds the NIDDK-led efforts to evaluate and critique 
progress being made in each of the 16 research areas identified 
by the plan. The Committee looks forward to being kept informed 
as to the progress being made to implement the goals of the 
plan and continuing efforts by NIH to establish priorities 
within the framework of each individual research area and among 
the 16 research areas.
    Acute Liver Failure.--The Committee applauds the leadership 
of the NIDDK to convene a meeting in December 2006 to address 
the important issue of acute liver failure. The Committee urges 
that the attendance at the meeting will be broad enough to 
determine what improvements can be made in the U.S. market 
based on best practices in other countries.
    Behavioral Research on Diabetes.--The Committee commends 
the Institute for its continuing commitment to behavioral 
research on adherence to diet and exercise regimens to prevent 
or slow the progression of Type II diabetes. The Committee is 
concerned, however, that the strategic plan for research to 
combat Type I diabetes includes almost no behavioral research. 
NIDDK is encouraged to examine the impact of diet and exercise 
interventions on the health and glucose control of Type I 
diabetics.
    Biliary Atresia.--The Committee is pleased that the number 
of Biliary Atresia Research Network Centers has increased from 
9 to 10 and that NIDDK, and in conjunction with HRSA, will 
conduct a newborn screening conference in September 2006. This 
conference will permit a review and evaluation of best 
practices in other countries around the world. The Committee 
looks forward to being informed as to the results of the 
conference.
    Bone Marrow Diseases.--The Committee commends the NIDDK's 
focus on finding effective treatment for iron overload that 
threatens the lives of transfusion-dependent bone marrow 
patients. The NIDDK is urged to collaborate with the NIBIB to 
expand research that will enable patients suffering from 
aplastic anemia, myelodysplastic syndromes, and paroxysmal 
nocturnal hemoglobinuria to obtain efficient iron measurement 
and chelation.
    Cooley's Anemia.--The Committee continues to support the 
high-quality research being conducted by the NIDDK on such 
issues as iron chelation, non-invasive iron measurement, fetal 
hemoglobin, and other topics critical to improving the lives of 
Cooley's anemia patients. The development of a less burdensome 
means of iron chelation is urgently needed. In addition, the 
Committee encourages NIDDK to continue to work closely with the 
NIBIB to develop and perfect non-invasive means of measuring 
iron.
    Crohn's Disease.--The Committee has been encouraged in 
recent years by discoveries related to Crohn's disease and 
ulcerative colitis, collectively known as inflammatory bowel 
disease [IBD]. These extremely complex disorders represent a 
major cause of morbidity from intestinal illness. The Committee 
commends the NIDDK for its strong leadership in this area and 
continues to encourage the Institute to increase funding for 
research focused on the cellular, molecular and genetic 
structure of IBD; identification of the genes that determine 
susceptibility or resistance to IBD in various patient 
subgroups; and translation of basic research findings into 
patient clinical trials, as outlined in the research agenda 
developed by the scientific community titled ``Challenges in 
Inflammatory Bowel Disease.'' The Committee also encourages the 
NIDDK to continue to strengthen its partnership with the IBD 
community and increase support for its successful Digestive 
Disease Centers program with an emphasis on IBD.
    Diamond-Blackfan Anemia.--The Committee strongly encourages 
NIDDK to develop grant opportunities and increase research to 
support DBA.
    Digestive Diseases.--Diseases of the digestive system 
continue to affect more than one-half of all Americans at some 
time in their lives. Serious disorders such as colorectal 
cancer, inflammatory bowel disease, irritable bowel syndrome, 
hemochromatosis, celiac disease, and hepatitis take a 
tremendous toll in terms of human suffering, mortality, and 
economic burden. The Committee commends NIDDK on the success of 
its Digestive Disease Centers program in addressing a wide 
range of disorders that result in tremendous human suffering 
and economic cost. The Committee continues to encourage NIDDK 
to expand this important program with an increased emphasis on 
irritable bowel syndrome.
    Drug-Induced Liver Injury.--The Committee is aware of 
increased incidence of drug-induced liver injury and urges 
additional research focused on identifying the cause of this 
drug-induced morbidity and recommendations for prevention. This 
research is particularly important because the unintended and 
episodic liver injury creates an impediment to people using 
highly beneficial pharmaceuticals to address other indications.
    End-stage Renal Disease.--The Committee is concerned about 
the significant differences among minority groups in the 
incidence and prevalence of patients suffering from end-stage 
renal disease [ESRD]. The Committee urges NIDDK to take steps 
to ensure adequate inclusion of minority ESRD patients in the 
Comprehensive Dialysis Study and other relevant research so 
that such trends can be understood for their impact on these 
populations.
    The Committee also is aware of wide geographic and ethnic 
variances in rates of hemodialysis, both center-based and home 
hemodialysis, as well as peritoneal dialysis, for patients 
suffering from ESRD. The Committee understands that a large 
clinical trial involving hemodialysis is underway and urges the 
NIDDK to expand its research in this area to include peritoneal 
dialysis, or to develop a similar review for peritoneal 
dialysis that examines medical outcomes, quality of life, and 
clinical improvements for ESRD patients who choose this 
important and well-established therapy.
    Fatty Liver Disease.--The Committee notes a diagnosis of 
fatty liver disease encompasses a spectrum of severity disease 
with many cases evolving into non-alcoholic steatohepatitis 
[NASH] and, ultimately, cirrhosis. NASH-related liver disease 
has already become an important indicator for liver 
transplantation, and in the absence of better treatments, the 
need for NASH-related liver transplantation will increase 
significantly over time. The Committee is pleased that NIDDK is 
funding a fatty liver disease clinical trial that includes both 
adult and pediatric populations, and NIH leadership has 
generated a significant increase in highly competitive science 
and research focused on fatty liver disease.
    Fragile X.--The symptoms of Fragile X syndrome include 
digestive difficulties. Some affected individuals also show 
hyperphagia and obesity. Understanding this disorder may help 
researchers develop treatments to relieve disease symptoms and 
to better understand disorders with similar symptoms. The 
Committee urges the NIDDK to expand its research activities on 
Fragile X and to coordinate these efforts with other Institutes 
working on related activities, including NIMH, NINDS, NICHD, 
and the Fogarty International Center.
    Genetics of Type 1 Diabetes.--The NIDDK is asked to 
accelerate its efforts to ensure the research community's 
access to biosamples and data collected by the Type 1 Diabetes 
Genetics Consortium and the Genetics of Kidneys in Diabetes 
[GoKinD] study. Efforts to share resources and support 
innovative research will assist researchers in developing new 
methods of measuring an individual's risk for type 1 diabetes 
or its complications.
    Glomerular Disease Research.--The Committee continues to be 
pleased with the work of NIDDK in the area of glomerular 
disease research, particularly as it relates to focal segmental 
glomerulosclerosis. The Committee commends NIDDK for conducting 
the recent Glomerular Disease Workshop in January 2005, and 
urges NIDDK to issue a specific program announcement or other 
appropriate mechanism to ensure the initiation of grant 
proposals, training positions, and other activities to expand 
the NIDDK portfolio in this important area of research. The 
Committee requests a progress report during the fiscal year 
2008 hearings.
    Hematology.--The Committee is aware of the high-quality 
hematology research in iron metabolism, gene regulation, and 
stem cell plasticity. The Committee encourages the Institute to 
set priorities for future research in these and other areas 
that significantly impact a broad array of blood disorders. The 
Committee further encourages the Institute to increase research 
in the area of anemia of chronic inflammation and is pleased to 
see that the Institute plans to hold a conference on this topic 
to identify key research questions and priority areas for 
study. The Committee requests a report by July 1, 2006, on the 
promising research opportunities identified and the steps to be 
taken to accelerate research in these areas.
    Hepatitis B.--The Committee urges a continuing priority on 
increased research for hepatitis B. The Committee applauds the 
leadership of the NIDDK in conducting an experts' conference on 
this disease in April 2006 and is aware that a significant 
number of new research opportunities have been identified. The 
Committee urges that a focus be placed on identifying best 
practices of the treatment of hepatitis B and supports efforts 
to reduce the disproportionately high annual treatment costs 
for hepatitis B. Additionally, the Committee urges the NIDDK to 
collaborate with the CDC to develop a document to reach at-risk 
populations for intensive public health screening, outreach and 
testing campaigns.
    Incontinence.--Many otherwise healthy, active individuals 
suffer from incontinence. Fecal incontinence, also called bowel 
incontinence, affects people of all ages and is associated with 
a wide variety of causes. The Committee is pleased that NIDDK 
is collaborating with NICHD and the Office of Medical 
Applications of Research on the incontinence state-of-the-
science conference and urges the institute to prioritize 
implementation of this conference.
    Inflammatory Bowel Disease [IBD] in Children.--The 
Committee has learned that research into adult disease is of 
limited assistance in managing younger patients because the 
condition manifests itself in very different ways in pediatric 
cases. Consumer and physician organizations have identified 
priority areas for basic research in pediatric IBD. These are: 
growth failure and bone disease; identification of the genes 
responsible for early onset IBD; and the relationship between 
children's immune systems and IBD onset and response to 
treatment. The Committee encourages NIDDK to conduct focused 
conferences on these priorities to develop research initiatives 
that will lead to better diagnosis and more effective treatment 
of pediatric IBD, as well as to determine potential ways that 
the condition may be prevented.
    Interstitial Cystitis.--Research on interstitial cystitis 
is still in its infancy. While there has been important 
progress in this area in the last decade, there is still very 
little known about the etiology and pathogenesis of the 
disease. The Committee urges the NIDDK to set aside IC-specific 
funding in order to focus on the basic science of IC and to 
attract and sustain research in the field. The Committee was 
pleased that the NIDDK worked closely with the Interstitial 
Cystitis Association to put on an international scientific 
symposium on IC. The Committee was also encouraged by the 
NIDDK's efforts to elevate awareness of IC among providers and 
would like to see the NIDDK continue to work more closely with 
the interstitial cystitis patient community and the CDC to 
utilize its resources and expertise effectively.
    Irritable Bowel Syndrome.--The Committee is pleased that 
NIDDK is formulating an action plan for digestive diseases 
through the National Commission on Digestive Diseases and that 
irritable bowel syndrome [IBS] will be included. The Committee 
continues to direct NIDDK to expedite this plan and ensure that 
IBS be given sufficient attention in order to increase the 
functional gastrointestinal and IBS research portfolio at 
NIDDK. The Committee also encourages NIDDK to continue to 
strengthen its partnership with the IBD community and increase 
support for its successful Digestive Disease Centers program 
with an emphasis on IBD.
    Living Donor Transplantation.--The Committee recognizes 
that the transplantation of organs, tissues, and cells is a 
powerful mode of treatment for dozens of life-threatening 
diseases affecting millions of Americans. From this 
perspective, the Committee urges NIDDK's basic and clinical 
research programs in transplantation to focus efforts on the 
study of living donor transplantation, to enhance success rates 
by reducing morbidity and mortality. Additionally, the 
Committee would like to be informed on the Institute's plans to 
initiate a cohort study to assess the health outcomes of living 
donors not only following the period immediately after the 
donation but for the quality of life implications for decades 
post donation.
    Lymphatic Research and Lymphatic Diseases.--The lymphatic 
system plays an important role in the transport and digestion 
of fats. The NIDDK is urged to study the metabolic link between 
lymphatic function and obesity, dyslipedema and diabetes. In 
addition, the Committee strongly urges NIDDK to study protein 
losing enteropathy, a life-threatening complication associated 
with numerous syndromes involving congenital lymphatic 
malformations.
    Pediatric Kidney Disease.--Kidney disease is a major cause 
of illness and death in infants, children and adolescents. In 
addition, many diseases like diabetes and hypertension that 
lead to chronic kidney disease [CKD] and end-stage renal 
disease [ESRD] in adults begin in childhood; therefore, 
strategies to prevent kidney disease must begin early in life. 
The Committee recognizes the urgent need to better understand 
the pathogenesis of these conditions, and it urges the NIDDK to 
continue to support research focused on the identification and 
study of genes and gene mutations that cause and increase the 
risk of progressive kidney disease. In addition, translational 
research aimed at clarifying the mechanisms underlying the 
genesis and evolution of kidney injury will help create 
targeted interventions to prevent, identify, and treat kidney 
disease in children. Specifically, the Committee recommends 
that emphasis be placed on research to determine how obesity, 
type 2 diabetes, and hypertension contribute to the evolution 
of CKD, and what interventions may limit cardiovascular 
morbidity in patients with these diseases.
    Polycystic Kidney Disease [PKD].--The Committee is pleased 
to learn that NIH-supported PKD research, in partnership with 
private organizations, has rapidly led to multiple clinical 
drug trials in humans and to interdisciplinary blood pressure 
and heart studies to validate the advantages of slowing PKD 
progression. The Committee is encouraged that with additional 
support and resources for these trials, the establishment of 
core facilities, gene registries and research on the 
interrelationship of PDK with tuberous sclerosis complex, new 
innovative therapies may soon be developed to slow or reverse 
the progression of PKD for more than 600,000 Americans who 
suffer from the disease. The Committee also acknowledges the 
recent publication of data from the CRISP study, which makes 
available a much better measure of disease progression and 
which dramatically reduces the number of patients needed to 
obtain valid results from clinical trials, thus greatly 
accelerating the pace and accuracy of clinical PKD research and 
reducing its cost. The Committee recognizes the significant 
benefits emanating from the PKD Centers of Excellence in 
promoting interdisciplinary scientific research and developing 
alternative animal models; therefore, the Committee encourages 
the NIKKD to support the efforts of the PKD Centers to the 
maximum extent possible. Given the momentum and therapeutic 
opportunities in PKD science, the Committee also strongly urges 
the NIDDK to pursue fulfillment of the PKD Strategic Plan, 
facilitate PKD clinical trials and multidisciplinary research, 
and expand studies of pathophysiology and cellular 
pathobiology.
    Prostatitis.--The Committee encourages the Institute to 
provide more diverse medical specialties to supplement and 
build upon the insufficient treatment options and the 
background of basic information now available for prostatitis.
    Type 1 Diabetes Clinic Trials.--The Committee is encouraged 
by the launch of new clinical trials to prevent or treat type 1 
diabetes through the Type 1 Diabetes TrialNet. NIDDK is 
encouraged to expedite the launch of new trials in TrialNet to 
ensure that patients continue to receive the benefits of 
innovative research and discoveries.
    Tuberous Sclerosis Complex.--Tuberous sclerosis complex, or 
TSC, is a genetic disorder that triggers uncontrollable tumor 
growth in multiple organs of the body including the kidneys, 
where patients are at risk for polycystic kidney disease [PKD], 
cancer or, most commonly, benign growths known as 
angiomyolipoma that can result in kidney failure. The Committee 
urges the NIDDK to collaborate with the NCI to conduct research 
on the needs identified in a recent conference on nutrient 
sensing and insulin-signaling in cells. The Committee also 
encourages the NIDDK to expand research on the link between PKD 
and TSC.
    Urological Research.--The Committee strongly urges the 
NIDDK to establish a Urological Disease Research Branch within 
the Division of Kidney, Urologic, and Hematologic Diseases 
[DKUH]. Despite significant increases in funding for the 
Institute, the Committee remains concerned that the research 
portfolio in urology has not kept pace with the impact of these 
diseases on women, men, and children. The Committee believes a 
Urological Disease Research Branch will better focus and 
accelerate research on urology disease in the NIDDK and help 
coordinate and stimulate urology-related research across the 
NIH and within other Federal agencies.

        NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

Appropriations, 2006....................................  $1,533,703,000
Budget estimate, 2007...................................   1,524,750,000
House allowance.........................................   1,524,750,000
Committee recommendation................................   1,537,703,000

    The Committee recommends an appropriation of $1,537,703,000 
for the National Institute of Neurological Disorders and Stroke 
[NINDS]. The fiscal year 2006 appropriation was $1,533,703,000 
and the budget request is $1,524,750,000. The comparable 
amounts for the budget estimates include funds to be 
transferred from the Office of AIDS Research.
    Alzheimer's Disease.--Research supported by the NINDS 
continues to play an integral role in widening the scientific 
base of knowledge about Alzheimer's disease. In a study 
supported jointly by the NINDS, the NIA and the Alzheimer's 
Association, scientists found that administering lithium to 
genetically engineered mice reduced the accumulation of an 
abnormal protein, called tau, that contributes to the 
degeneration of neurons in Alzheimer's disease. Further 
research will determine whether lithium could also reduce 
neuronal degeneration if administered before any significant 
structural abnormalities occur in neurons. The Committee 
encourages the NINDS to continue to assign a high priority to 
its Alzheimer's research portfolio, and to continue to work 
closely with the NIA and other Institutes. The Committee 
further urges the NINDS, in collaboration with the NIA and 
NIMH, to expand its research into early diagnosis of 
Alzheimer's using PET imaging of the brain, and to share its 
results with the Centers for Medicare and Medicaid Services.
    Amyotrophic Lateral Sclerosis [ALS].--The Committee is 
gratified by the increased capacity in the past 2 years for 
drug discovery and patient care regarding ALS throughout the 
Nation's major academic centers and community clinics. 
Collaborations between the NINDS and voluntary health 
associations, such as the coordination of the NIH National 
Center for Drug Discovery in Neurodegeneration with The ALS 
Association's new clinical TREAT ALS program, provide an 
evolved nationwide infrastructure for accelerating programs in 
translational research. More patients now have access to more 
clinical trials through the increased prevalence of ALS 
centers, which not only define, establish and support a 
national standard of care in the management of ALS, but also 
interrelate with state-of-the art research. The Committee is 
also pleased with the continuing collaboration between NIH, the 
Department of Veterans Affairs and the Department of Defense to 
advance ALS research and identify treatments for this disease 
that afflicts veterans in disproportionate numbers. The 
Committee encourages NIH to continue collaborating with other 
relevant Federal agencies as well, including the Centers for 
Disease Control and Prevention.
    Batten Disease.--The Committee strongly urges the Institute 
to increase funding for Batten disease research by actively 
soliciting grant applications and taking aggressive steps to 
assure that a vigorous research program is established. The 
Committee expects to be informed of the steps taken to increase 
research on Batten disease.
    Brain Tumors.--The Committee continues to believe that 
additional attention should be given by NINDS to identifying 
causes of and treatments for brain tumors and encourages NINDS 
to continue working with NCI to carry out the recommendations 
of the Report of the Brain Tumor Progress Review Group.
    Chronic Inflammatory Demyelinating Polyneuropathy [CIDP].--
The Committee recognizes that Chronic Inflammatory 
Demyelinating Polyneuropathy [CIDP] is a rare disorder of the 
peripheral nerves characterized by gradually increasing 
weakness of the legs and arms. The Committee urges the National 
Institute of Neurological Diseases and Stroke to support 
research to assist in the diagnosis and treatment of CIDP.
    Down Syndrome.--As a follow-up to its successful Down 
syndrome workshop to address research priorities relating to 
the synaptic structure and function of neuronal circuits, NINDS 
is strongly encouraged to issue special program announcements 
related to its workshop findings. Specifically, the Committee 
encourages NINDS to identify and fund investigations relating 
to the genetic and cellular basis for abnormalities in the 
structure and function of neuronal circuits in both the 
developing and mature nervous systems. NINDS is also encouraged 
to work with the Office of the Director, OPASI, and the other 
institutes to develop a strategic plan for Down syndrome 
research and to coordinate all Down syndrome research within 
NIH. In anticipation of future clinical trials that will seek 
to accurately measure cognitive improvement in individuals with 
Down syndrome, the Committee further encourages NINDS to begin 
to develop better measurement standards and a common database 
that can be used generally for such trials.
    Duchenne and Becker MD Translational Research.--The 
Committee is advised that the NIH is working toward 
prioritizing opportunities for Duchenne and Becker Muscular 
Dystrophy translational research projects and plans to convene 
a workshop examining DBMD translational opportunities later 
this year. The Committee is pleased with this development and 
requests that NIH--through NINDS, the Muscular Dystrophy 
Coordinating Committee, and the other relevant Institutes--
develop specific measurable milestones, including a timeline, 
needed to establish a DBMD Translational Research Initiative. 
The Committee also requests that this information be included 
in the annual report to Congress authorized by the MD Care Act. 
The Committee encourages the NIH to include representatives 
from the 6 MD Centers of Excellence in the process for 
establishing the DBMD Translational Research Initiative.
    Duchenne Muscular Dystrophy.--The Committee is pleased that 
the Muscular Dystrophy Coordinating Committee [MDCC] has 
approved the Action Plan for the Muscular Dystrophies. The 
Committee remains concerned that the plan does not adequately 
clarify which agencies are tasked with primary and secondary 
responsibilities for achieving each of the 76 research 
objectives. The Committee strongly encourages the MDCC to 
designate by April 1, 2007, the agencies with primary and 
secondary responsibilities for working toward each research 
objective. The Committee requests that the NIH's annual report 
to Congress, authorized in the MD Care Act, include information 
detailing the NIH's current DMD research goals, the progress 
made toward each goal, the total amount of money invested 
toward each goal, and projected spending on DMD research for 
the present and future fiscal year. The Committee further 
encourages NINDS to partner with NIAMS and NHLBI to provide the 
funding needed to adequately support the research agenda at 
each of the six Wellstone Muscular Dystrophy Cooperative 
Research Centers.
    Dystonia.--The Committee continues to support the expansion 
of research and treatment developments regarding the 
neurological movement disorder dystonia. The Committee is 
pleased with progress made in expanding the dystonia research 
portfolio resulting from the joint dystonia research program 
announcement and understands that 11 new grants have been 
funded as a result of this initiative. The Committee commends 
NINDS on its sponsorship of the scientific workshop on dystonia 
and looks forward to initiatives based on this activity.
    Epilepsy.--The Committee encourages intensified efforts by 
the Institute to produce breakthroughs in the prevention, 
treatment, and eventual cure of epilepsy. The Committee 
applauds the development of benchmarks for epilepsy research 
resulting from the ``Curing Epilepsy: Focus on the Future'' 
conference held in March 2000 and encourages the Institute to 
address important research issues raised at the ``Living Well 
with Epilepsy II'' conference held in July 2003. The Committee 
encourages the NINDS to designate resources to implement its 
benchmark priorities, to develop plans and goals for the anti-
epileptic drug development program, and to provide pertinent 
updates on these activities.
    Fragile X.--Fragile X is a single-gene disorder, but both 
its symptoms and its cellular mechanisms suggest the 
involvement of multiple genes and specific brain pathways that 
are associated with other neurological disorders, such as 
autism and seizures. Recent research offers clear evidence of 
disruption of fundamental brain circuitry in Fragile X. Thus, 
Fragile X research has the potential to contribute to the 
understanding of multiple disorders, such as seizure disorders, 
developmental disorders and autism. The Committee urges the 
NINDS to intensify its research into these issues as they 
relate to Fragile X, and to coordinate this research with other 
Institutes working on Fragile X, including, but not limited to, 
NIMH and NICHD.
    Fragile X-Associated Tremor/Ataxia Syndrome [FXTAS].--
Carriers of premutation [CGG] expansions of the Fragile X gene 
are generally thought to be spared most of the problems 
associated with the full mutation; however, a newly identified 
neurological disorder, involving progressively severe tremor 
and difficulty with walking and balance, appears to 
specifically affect some older premutation carriers, generally 
grandfathers of children with Fragile X syndrome. Although this 
neurological disorder occurs by a separate mechanism from 
Fragile X syndrome and affects different individuals, it is 
caused by the same gene, and therefore opens a new portal for 
understanding how the Fragile X gene works. The Committee 
encourages NINDS to use FXTAS as a gateway to understanding 
other adult/aging disorders including parkinsonism and 
dementia. The Institute is encouraged to work with the NIA to 
expand research on FXTAS.
    Healthy Brain Initiative.--NINDS is commended for its 
cooperative efforts in producing a searchable database of 
studies and planning joint efforts to solicit research on 
enhancing healthy cognitive and emotional function. This 
initiative is a model of how institutes can work together on 
complex issues involving multiple disciplines and 
methodologies. Given the importance of maintaining and 
enhancing brain health at all stages of life, NINDS is 
encouraged to make this initiative a priority.
    Human Herpesviruses.--The Committee requests the NINDS, in 
coordination with NIAID and other appropriate NIH Institutes, 
to engage in research into the possible role of human 
herpesviruses 6A and 6B in the onset and progression of 
multiple sclerosis, mesial temporal lobe epilepsy, status 
epilepticus, HIV/AIDS, chronic fatigue syndrome and other 
neurological, and immune system diseases.
    Mucolipidosis Type IV [ML4].--The Committee encourages the 
Institute to expand research involving other organisms which 
bear genes resembling the one whose mutation in humans causes 
ML4. This research could be beneficial not only to those with 
ML4, but a number of other disorders involving TRP genes and 
other genetic disorders.
    Neurofibromatosis.--Advances in NF research have linked NF 
to cancer, brain tumors, learning disabilities, memory loss and 
heart disease. The Committee encourages NINDS to aggressively 
expand its NF clinical, pre-clinical and basic research 
portfolios and to continue its efforts to accelerate the 
process of translational research. The Committee commends NINDS 
for its leadership role in NF research and in coordinating 
efforts with other Institutes and government agencies engaged 
in NF research. The Committee encourages NINDS to continue its 
exemplary efforts in the creation, implementation and funding 
of NF pre-clinical and clinical trials infrastructures, 
including NF Centers, translational research, genetic and drug 
screening, training of new NF researchers, and clinical trials 
using existing and new drugs on NF patients. The Committee 
calls upon NINDS to continue to coordinate its efforts with the 
other institutes at NIH as well as other government agencies.
    Opsoclonus-Myoclonus Syndrome [OMS].--OMS is a rare, 
autoimmune, paraneoplastic disorder that targets the brain. In 
childhood, it is associated with neuroblastoma of the chest, 
abdomen, or pelvis. Besides the hallmark features of opsoclonus 
(involuntary saccadic eye movements), myoclonus (tremulousness, 
muscle jerks), and ataxia (gait disorder), the children have 
rages, inability to sleep, and may become mute and unable to 
sit or stand. Permanent problems in motor control, language 
development, behavior, and cognition--even mental retardation--
are common. The available treatment options for OMS are 
extremely limited. The Committee urges the Institute to 
accelerate research efforts to identify OMS susceptibility 
genes and biomarkers, and to develop innovative 
immunotherapeutic strategies.
    Parkinson's Disease.--The Committee supports the innovative 
multidisciplinary research and training concerning Parkinson's 
disease provided by the Morris K. Udall Parkinson's Disease 
Research Centers of Excellence. The Committee encourages the 
Director to create an additional Coordinating Udall Center to 
further focus and manage the interdisciplinary efforts of the 
Udall Centers. The Committee further encourages NIH to require 
that the Udall Centers include a significant clinical 
component, in addition to their ongoing basic research. In 
reviewing the Udall Center grants, the Committee also 
encourages the NIH to evaluate the applicants in a manner that 
recognizes the unique aspects of the clinical, coordination, 
and multidisciplinary components of the applicants, while 
continuing to preserve the integrity of the peer-review 
process.
    The Committee has urged the Director to expeditiously 
provide funding at the conclusion of the neuroprotection trials 
[NET-PD] for phase III clinical trials of all the 
neuroprotection compounds found to be not futile, including 
combinations of them. The Committee requests the Director to 
report to the Committee the current status of the NET-PD after 
the conclusion of each of the futility studies.
    Peripheral Neuropathy.--This neurological disorder causes 
debilitating pain, weakness in the arms and legs, and 
difficulty walking. Although research is underway on diabetic 
neuropathy and HIV/AIDS-related neuropathy, the Committee 
strongly urges the NINDS to strengthen its research portfolio 
on other forms of neuropathy, and it notes with interest the 
upcoming workshop that the NINDS will convene to identify 
research goals.
    Pick's Disease.--The Committee urges the NINDS to initiate 
funding for drug discovery efforts that focus on specific 
targets relevant to treating the mechanisms underlying brain 
degeneration due to frontotemporal dementia [FTD]. The 
Committee further encourages the NINDS to conduct multicenter 
treatment trials for symptomatic management of Pick's disease 
and other FTDs. The Committee encourages the Institute to focus 
on methods for discovering the causes of this family of 
diseases, improving diagnostic accuracy, and providing 
longitudinal characterizations so that the success of 
intervention can be determined.
    Rett Syndrome.--The Committee remains concerned at the 
level of funding dedicated toward research into Rett Syndrome, 
an incurable and devastating childhood neurological disorder 
that is the leading cause of severe neurologic impairment in 
females and the only autism spectrum disorder with a known 
genetic cause. While once considered rare, increased diagnosis 
suggests that the prevalence of Rett Syndrome may be much 
greater than current estimates. Furthermore, Rett Syndrome is 
linked with autism, schizophrenia, bipolar disease and other 
mental disorders. The discovery in 1999 of the specific genetic 
cause of Rett Syndrome, a gene called MECP2, was a crucial 
breakthrough. The Committee encourages research aimed at 
understanding the pathogenesis of Rett Syndrome, the function 
of MECP2 in the developing and mature nervous system, and the 
identification of the targets of MECP2 and their role in 
disease. The development of outcome measures and new 
quantifiable assays to study Rett and related disorders are 
also needed to prepare for future interventional trials in 
patients. The Committee also encourages NIH to coordinate with 
private organizations supporting research initiatives in this 
area in order to ensure the most efficient use of resources.
    Spinal Muscular Atrophy [SMA].--The Committee understands 
that the severity of SMA and its relatively high incidence, and 
the possibility of imminent treatments have led NINDS to 
execute the SMA Therapeutics Development Program. The Committee 
commends NINDS for this initiative and strongly urges NIH/NINDS 
to continue to commit the resources to ensure a timely 
completion of the project mission of identifying and completing 
preclinical research and development of drug candidate 
therapeutics for SMA by 2007. More importantly, the Committee 
strongly encourages NINDS to begin planning and budgeting for 
the necessary next stages of drug development. The Committee 
requests that NIH report back to the Committee no later than 
April 2007 with a progress report on all aspects of SMA 
research.
    Stroke.--The Committee continues to place a high priority 
on stroke research and strongly encourages the NINDS to 
increase resources for basic, clinical and translational 
research and related activities into stroke. The Committee 
remains concerned that funding for stroke research over the 
years has not kept pace with the scientific opportunities, the 
number of Americans afflicted with stroke, and the economic 
toll of this disease. Therefore, the Committee encourages the 
NINDS to aggressively expand its stroke education program, to 
implement the long-range strategic plan for stroke research and 
to continue searching for novel approaches to improve stroke 
diagnosis, treatment, rehabilitation, and prevention. The 
Committee continues to support full and timely implementation 
of the SPRG report and expects another written update by July 
1, 2007, highlighting activities and initiatives.
    Stroke Rehabilitation.--The Committee commends the 
Institute's commitment to update the findings and 
recommendations of the Stroke Progress Review Report and urges 
that a special focus of the update be on the need to redouble 
efforts on rehabilitation science and the translation of 
rehabilitation discoveries into practice. The Committee notes 
that there is a growing body of evidence that stroke victims do 
not achieve the fullest possible recovery from rehabilitation 
because of limited awareness of research evidence for the 
effectiveness of appropriate rehabilitation protocols and urges 
that this matter be addressed with additional research. 
Finally, the Committee urges the inclusion of rehabilitation 
scientists in NINDS-sponsored workshops, expert conferences and 
consensus conferences as appropriate.
    Tuberous Sclerosis Complex.--The Committee is encouraged 
that the NINDS has organized a Trans-NIH Tuberous Sclerosis 
Coordinating Committee, and it urges the Institute to continue 
to take a leadership role in convening meetings of this group. 
The Committee believes that the scope of the Coordinating 
Committee should be broadened to include an international 
conference every 2 years. The Committee also encourages the 
NINDS to work with the NICHD and the NIMH to organize a 
conference focused on psychiatric issues and cognitive 
disabilities in TSC.
    Vulvodynia.--NIH-supported research indicates that millions 
of women suffer from chronic pelvic and genitourinary pain 
conditions such as vulvodynia. Therefore, the Committee calls 
upon the NINDS, in coordination with the NICHD, ORWH, the NIH 
Pain Consortium and other ICs, to expand its support of 
research in this area, with a focus on etiology and multi-
center therapeutic trials. The Committee also calls on NINDS to 
work with ORWH and other relevant ICs and government agencies, 
as well as patient and professional organizations, to implement 
an educational outreach campaign on vulvodynia.

         NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

Appropriations, 2006....................................  $4,380,268,000
Budget estimate, 2007...................................   4,395,496,000
House allowance.........................................   4,270,496,000
Committee recommendation................................   4,395,496,000

    The Committee recommends an appropriation of $4,395,496,000 
for the National Institute of Allergy and Infectious Diseases 
[NIAID]. The fiscal year 2006 appropriation was $4,380,268,000 
and the budget request is $4,395,496,000. Included in these 
funds is $100,000,000 to be transferred to the Global Fund to 
Fight HIV/ AIDS, Malaria, and Tuberculosis. Also included is 
bill language permitting up to $25,000,000 for extramural 
facilities construction grants. The comparable amounts for the 
budget estimate include funds to be transferred from the Office 
of AIDS Research.
    Anaphylaxis.--The Committee is pleased that the NIAID has 
continued its collaboration with private sector organizations 
to improve the diagnosis and treatment of anaphylaxis, a 
particularly severe reaction often resulting from allergic 
responses to food or medications. A recent published report of 
a second symposium co-sponsored by NIAID emphasized the need 
for expanded research related to anaphylaxis. The report 
highlighted a number of areas requiring additional research 
including the identification of relevant biomarkers; improved 
understanding of the basic immunology and pathophysiology of 
anaphylaxis; and studies of the mechanisms that determine the 
severity of allergic reactions and the variability of organ 
system responses. The Committee urges the NIAID to take steps 
to stimulate investigator-initiated research on these and other 
questions and requests a report outlining these efforts by May 
1, 2007.
    Antibiotic Resistance.--NIAID should move aggressively to 
strengthen translational research efforts in the area of 
antibiotic research and development particularly with regard to 
multi-drug resistant gram negative bacterial infections for 
which few drugs are moving forward in the pharmaceutical 
pipeline as well as methicillin-resistant Staphylococcus aureus 
[MRSA] infections, which have become a silent epidemic in 
communities and hospitals across the country. NIAID also should 
accelerate its antibiotic resistance basic research efforts to 
more quickly advance our understanding of mechanisms of 
resistance and how resistant microbes impact human health.
    Antimicrobial Resistance.--The Committee commends NCI, CDC 
and NIAID for their multi-agency efforts focused on reducing 
antimicrobial resistance to infectious diseases, improving the 
medical management of patients infected by hospital- and 
community-acquired Staphylococcus aureus and similar 
infections, and developing new therapeutics for treatment of 
these infections. However, the Committee notes that no FDA-
licensed vaccines for prevention of hospital- and community-
acquired multidrug-resistant Staphylococcus aureus and similar 
infections are currently available and views this as a critical 
gap in medicine and public health. The Committee is aware that 
new conjugate vaccine technologies currently exist and clinical 
studies of promising bacterial vaccine candidates have been 
conducted. The Committee urges NIAID to assist in supporting 
advanced development and clinical studies needed to make 
vaccines and immune therapeutics available for prevention and 
treatment of these life-threatening infections.
    Asthma.--The Committee is very pleased with NIAID's 
leadership regarding asthma research and management. The 
Committee urges NIAID to continue to improve its focus and 
effort on asthma management, especially as it relates to 
children. The Committee also urges the NIAID to collaborate 
more aggressively with voluntary health organizations to 
support asthma prevention, treatment, and research activities.
    Atopic Dermatitis.--In recent years, the Committee has 
encouraged the NIAID to work with NIAMS and other institutes on 
a multi-institute initiative to encourage investigator-
initiated research projects on atopic dermatitis [AD], commonly 
known as eczema. As NIAID continues its focus on the smallpox 
vaccine, it is important to expand investigator-initiated 
research on adverse reactions to the vaccine experienced by 
individuals with AD. In addition, studies have confirmed that 
individuals with severe AD are more likely to develop severe 
asthma and other allergic diseases. The Committee was pleased 
to receive the February 2006 report on NIAID's research efforts 
related to AD. The Atopic Dermatitis and Vaccinia Immunization 
Network and the Immune Tolerance Network are important 
initiatives. However, the Committee believes more needs to be 
done to encourage investigator-initiated research on AD, 
particularly in light of recently announced discoveries by NIH 
scientists regarding the relationship of ineffective skin 
barrier and immune system response to allergens. The Committee 
again encourages the NIAID to cooperate with NIAMS and other 
institutes to spearhead a multidisciplinary, multi-institute 
initiative to encourage investigator-initiated research 
projects on AD as it relates to smallpox vaccination as well as 
the progression to asthma and other allergic diseases.
    Autoimmune Diseases.--The NIAID is commended for its 
support of research into the cause and treatment of autoimmune 
diseases. NIAID programs play a key role in understanding the 
roots of autoimmune disease and developing new treatments to 
stop disease without life-long suppression of the patients' 
immune systems. The Committee encourages NIAID to support 
communication between researchers studying different autoimmune 
diseases so that findings in one disease can quickly be applied 
to related conditions. As part of this effort, NIAID is urged 
to expand its interactions with the National Center for 
Biotechnology Information [NCBI] to establish a database where 
results of studies can be readily accessed by the research 
community.
    Behavioral Research on Pandemic Flu.--The Committee 
encourages NIAID to work with OBSSR to identify and fund 
behavioral research on infectious diseases. In particular, 
behavioral research in areas such as risk perception, adherence 
to vaccination recommendations, and public health preparedness 
could enhance scientific research on preparation and response 
to pandemic influenza outbreaks.
    Coinfection Research.--The Committee is concerned that 
there is growing evidence of liver toxicity of highly active 
antiretroviral therapy [HAART] in those with decompensated 
liver disease awaiting liver transplantation. There also 
appears to be an emerging problem of liver cancer in co-
infected patients [HCV and/or HBV with HIV]. The Committee 
encourages NIAID to initiate significant research initiatives 
in both of these areas.
    Hepatitis.--The Committee continues to be concerned about 
the prevalence of hepatitis and urges NIAID to work with 
voluntary health organizations to promote liver wellness, 
education, and prevention of hepatitis.
    Hepatitis C Virus [HCV] Vaccine Development.--The Committee 
is pleased to learn that phase I of a small hepatitis vaccine 
human trial has been successfully completed and that phase II 
regarding efficacy is underway. The Committee is concerned with 
preliminary information that this vaccine candidate may not be 
universally effective against all genotypes of hepatitis C and 
therefore urges the simultaneous development of other vaccine 
candidates against this disease.
    Immune Tolerance Network.--The Committee commends the NIAID 
and NIDDK for their support of preclinical studies of new 
approaches to immune tolerance to prevent or treat type 1 
diabetes. The Committee urges the NIAID to expedite the 
translation of promising results into early phase clinical 
trials within the Immune Tolerance Network.
    Implementation of the Transplantation Research Action 
Plan.--The Committee is pleased that NIAID convened an experts 
conference and developed a 5-year Transplantation Research 
Action Plan identifying the most urgently needed research to 
facilitate and increase in the success of organ 
transplantation. The Committee urges an annual review of 
progress made in the various research areas identified by the 
plan with recommendations and appropriate followup to enhance 
progress in promising, but low-yielding areas of research 
specifically as they relate to organ donation, organ 
evaluation, and organ transplantation.
    Inflammatory Bowel Disease.--The Committee continues to 
note with interest a scientific research agenda for Crohn's 
disease and ulcerative colitis (collectively known as 
inflammatory bowel disease) titled ``Challenges in Inflammatory 
Bowel Disease [IBD].'' This report identifies strong linkages 
between the functions of the immune system and IBD. The 
Committee encourages the Institute to expand its research 
partnerships with the IBD community in fiscal year 2007 and 
increase funding for research focused on the immunology of IBD 
and the interaction of genetics and environmental factors in 
the development of the disease.
    Living Donor Transplantation.--The Committee recognizes 
that the transplantation of organs, tissues, and cells is a 
powerful mode of treatment for dozens of life-threatening 
diseases affecting millions of Americans. From this 
perspective, the Committee urges NIAID's basic and clinical 
research programs in transplantation to focus efforts on the 
study of living donor transplantation, to enhance success rates 
by reducing morbidity and mortality. Additionally, the 
Committee would like to be informed on the Institute's plans to 
initiate a cohort study to assess the health outcomes of living 
donors not only following the period immediately after the 
donation but for the quality of life implications for decades 
post donation.
    Lupus.--The Committee urges the NIAID to expand and 
intensify genetic, clinical and basic research and related 
activities with respect to lupus, with particular focus on 
identifying biomarkers and addressing the apparent health 
disparities associated with this disease.
    Lymphatic Research and Lymphatic Diseases.--With a 
portfolio that includes chronic infections, immune-mediated 
diseases, transplantation, allergy, asthma and airway 
infections, the NIAID has a significant stake in advancing 
lymphatic research. The Committee urges the NIAID to work 
closely with the NHLBI to support research that addresses the 
immune functions of the lymphatic system and the role of immune 
mechanisms and inflammation in lymphatic diseases, with 
particular attention to the immunodeficient complications 
associated with congenital lymphatic malformations and 
lymphedema.
    Primary Immunodeficiency Diseases.--NIAID is the lead 
agency for research into bone marrow transplantation [BMT]. 
Recently, the survival rate for Severe Combined Immune 
Deficiency [SCID] from related HLA-identical donors has 
resulted in a survival rate of over 90 percent. Unfortunately, 
there are no HLA identical donors for most patients. 
Alternative approaches using HLA-matched unrelated donors and 
HLA-mismatched related donors have produced very promising 
results. These new approaches have been designed to eliminate 
graft versus host disease and other complications. Research and 
resources should be directed by NIAID to develop therapeutic 
approaches to ``curing'' SCID patients who require BMT.
    Psoriasis.--The Committee urges NIAID to support genetic, 
clinical, and basic research related to the understanding of 
the cellular and molecular mechanisms of psoriasis and 
psoriatic arthritis, chronic and immune-medicated diseases.
    Tuberculosis.--The World Health Organization [WHO] 
estimates that nearly one-third of the world's population will 
become infected with tuberculosis [TB], and by 2020, 70,000,000 
people will die worldwide of this disease. The Committee is 
pleased with NIAID's efforts to develop an effective TB vaccine 
and notes NIAID expansion of work on this important initiative.
    Xenotransplantation.--The Committee commends the NIAID on 
developing a xenotransplantation initiative and encourages the 
Institute to foster collaborations and shared resources among 
investigators to reduce the waiting list of organ transplant 
recipients. Specifically, NIAID is encouraged to evaluate the 
benefits of using porcine pancreases, which could provide an 
unlimited supply of insulin-producing cells for transplantation 
to restore normal glucose control in diabetic patients.

             NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

Appropriations, 2006....................................  $1,934,288,000
Budget estimate, 2007...................................   1,923,481,000
House allowance.........................................   1,923,481,000
Committee recommendation................................   1,934,888,000

    The Committee recommendation includes $1,934,888,000 for 
the National Institute of General Medical Sciences [NIGMS]. The 
fiscal year 2006 appropriation was $1,934,288,000 and the 
administration's request is $1,923,481,000. The comparable 
amounts for the budget estimate include funds to be transferred 
from the Office of AIDS Research.
    Training Programs.--The Committee continues to be pleased 
with the quality of NIGMS's training programs, particularly 
those that have a special focus on increasing the number of 
minority scientists such as the Minority Access to Research 
Careers [MARC] and Minority Biomedical Research Support [MBRS] 
programs. The Committee encourages NIGMS to continue to support 
these important initiatives, and is particularly pleased that 
NIGMS has supported biomedical career opportunity programs for 
high school and undergraduate college students in conjunction 
with historically black health professions schools. The 
Committee urges continued, long-term support of this program.

        NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

Appropriations, 2006....................................  $1,263,900,000
Budget estimate, 2007...................................   1,257,418,000
House allowance.........................................   1,257,418,000
Committee recommendation................................   1,264,500,000

    The Committee recommends an appropriation of $1,264,500,000 
for the National Institute of Child Health and Human 
Development [NICHD]. The fiscal year 2006 appropriation was 
$1,263,900,000 and the administration's request was 
$1,257,418,000. The comparable amounts for the budget estimate 
include funds to be transferred from the Office of AIDS 
Research.
    Autism.--The Committee is aware of the important research 
into the genetic basis of autism spectrum disorders and of its 
support for the High Risk Baby Sibling Autism Research Project 
(Baby SIBS) on the incidence of autism among children in the 
same families. Accordingly, the Committee encourages the 
Institute to expand its support and funding for the Baby SIBS 
project, and encourages the Institute to expand its work with 
and support for similar public-private partnerships. The 
Committee also encourages the Institute to expand its autism 
research portfolio on gene-environment interactions.
    Behavioral Science.--The Committee emphasizes its strong 
support for the broad portfolio of behavioral research at NICHD 
and supports its efforts to determine the biological, 
behavioral, and social factors that affect cognitive, social, 
and personality development of children in a variety of 
settings. The Committee encourages the Institute to maintain 
its support for research and training in behavioral science as 
it engages in its priority-setting process.
    Childhood Obesity.--The Committee is pleased that NICHD is 
funding behavioral intervention research focused on preventing 
childhood obesity. The Committee encourages additional clinical 
trials that focus on the effectiveness of behavioral 
interventions in settings beyond primary care, including the 
home, school, community, and other environments that influence 
physical activity and health behaviors. The Committee 
recognizes the critical importance of prevention efforts in 
this area and supports continued initiatives to promote healthy 
behaviors in children and adolescents, particularly for ethnic 
minority populations.
    Demographic Research.--The Committee commends the NICHD for 
supporting demographic research, which is essential for 
understanding the health, socioeconomic, and geographic 
implications of the rapidly changing U.S. population. The 
Committee encourages the Institute to invest in its demographic 
training programs to prepare the next generation of social 
scientists. Further, the Committee urges the Institute, in a 
partnership with other Federal agencies, to continue supporting 
critical, accessible databases, such as the National 
Longitudinal Study of Adolescent Health.
    Down Syndrome.-- NICHD is encouraged to partner with NINDS 
and other agencies to define additional mouse models needed to 
link important structural and functional abnormalities that 
underlie cognitive difficulties to the actions of specific 
genes and gene pathways. The Committee also encourages NICHD to 
work with the Office of the Director, OPASI and the other 
Institutes to develop a strategic plan for Down syndrome 
research and to coordinate its research within NIH.
    Drug Safety for Children.--The Committee strongly supports 
continued implementation of the Best Pharmaceuticals for 
Children Act of 2002, which supports the pediatric testing of 
off-patent drugs, as well as on-patent drugs not being studied 
through existing mechanisms. In implementing this provision, 
NICHD should continue to act as coordinator for all other 
Institutes within NIH for which pediatric pharmacological drug 
research may have therapeutic relevance, and in consultation 
with the Food and Drug Administration, develop study requests 
designed to yield improved pediatric labeling. In preparation 
for reauthorization of the BPCA in 2007, the Committee requests 
NICHD to provide a report on the implementation process 
instituted, including the process for prioritizing drug 
studies; the number of pediatric studies supported to date both 
through the Research Fund and through the Foundation for the 
National Institutes of Health [FNIH]; the contributions of the 
individual Institutes of the NIH to the studies; the estimated 
cost of each ongoing or proposed study; the nature and type of 
studies proposed or undertaken including whether any studies 
are comparative; the number of study requests referred to the 
FNIH after being declined by drug manufacturers and whether the 
number declined is increasing or decreasing annually; the 
estimated completion date of all proposed or ongoing studies; 
the patent status of the drugs studied; the number of drugs 
remaining on the priority list; and the key ethical, 
scientific, intellectual property, and operational issues that 
have arisen in the implementation of the program.
    Family Formation.--The Committee is pleased that the NICHD 
is working with other Institutes and agencies to assess the 
state of the science and research needs related to children 
exposed to domestic and community violence, war, and terrorism. 
The Committee encourages the NICHD to continue to fund research 
on effective ways to promote and sustain healthy family 
formations, particularly for low-income families and families 
of color. The Institute is encouraged to include research 
related to family, community and cultural factors that serve as 
risk or protective factors and promote resilience from exposure 
to violence in the home, communities, and schools.
    Fragile X.--The Committee is pleased that the NICHD has 
funded three Fragile X research centers, and it urges the NICHD 
to increase funding for them, with the goal of enhancing the 
centers and recruiting new researchers to the Fragile X field. 
The Committee also encourages the NICHD to coordinate its 
Fragile X research efforts internally, by partnering with 
others, and by relating Fragile X research with that in other 
developmental disorders, such as autism research. The Committee 
also notes that newborn screening can play a vital role in 
identifying infants affected by certain genetic, metabolic, 
hormonal or functional conditions, such as Fragile X, for which 
there is effective treatment or intervention. Yet, the 
Committee is also aware that wide disparities exist with regard 
to the number and types of conditions screened for in each 
State. Recent advances in gene discovery and new technology, 
however, may soon make it possible to screen for significantly 
greater numbers of conditions than are currently tested for 
today. To advance these efforts, the agency is encouraged to 
support continued efforts to create a screening study using 
Fragile X as a prototype.
    Fragile X-related Premature Ovarian Failure [POF].--POF is 
a condition in which the ovaries stop functioning normally in a 
woman younger than age 40. Studies show that women who have POF 
of unknown cause have a 1 in 50 chance of being a premutation 
carrier of the FMR1 gene, the gene that causes Fragile X 
syndrome. Women with POF and a family history of female 
relatives with POF have a 1 in 15 chance of carrying this 
premutation. The Committee recognizes that there is a need for 
a focused approach to investigating POF due to the FMR1 
premutation. While the intramural research program of NICHD has 
been doing work for nearly two decades in this area, there 
remains much to be learned about the mechanism causing POF, 
abnormal ovarian function as it relates to FMR1, and mental 
health effects on young women who get the double diagnosis of 
premature ovarian failure and the FMR1 premutation. The 
Committee encourages the NICHD to commit additional resources 
and expand research into POF.
    Learning and School Readiness.--The Committee continues to 
support NICHD on its commitment to research in reading, 
learning disabilities and math and science cognition. The 
Committee is encouraged that NICHD has made progress on 
developing comprehensive, culturally neutral and 
developmentally appropriate assessments and instruments to 
measure cognitive, social and emotional skills for preschool-
aged children that are necessary for school readiness.
    National Center for Medical Rehabilitation Research.--The 
Committee is pleased with the continuing effort of NCMRR to 
coordinate rehabilitation research initiatives among the 
several relevant Institutes including NINDS, NICHD, NIA, and 
NIMH. The Committee is concerned, however, that the 
contribution of rehabilitation sciences to the fullest possible 
recovery of individuals who experience functional limitations 
or have chronic disabilities does not meet its potential. 
Therefore, the Committee urges that NCMRR redouble its trans-
NIH efforts to expand rehabilitation research in the portfolio 
of the several Institutes and help insure the translation of 
this research into practice.
    National Longitudinal Study of Adolescent Health.--The 
Committee is pleased that the NICHD funded another round of the 
Add Health Study, which has provided a rich resource of the 
effects of home, family, and school environment on behaviors 
that promote health or could contribute to adverse health 
outcomes. By collecting data on biological, behavioral and 
social factors, researchers are discovering at which points 
during development significant increases in some risk 
behaviors, such as smoking, alcohol use and physical activity, 
are most likely to occur. As these risk behaviors offer early 
predictors of future chronic diseases such as cardiovascular 
disease and diabetes, the study provides valuable information 
to inform public health prevention efforts. Given the important 
findings of this nationally representative study, the Committee 
encourages NICHD to ensure that the next wave is provided 
adequate funding.
    Near-term Births.--The preterm birth rate is now over 12 
percent of all live births; of these, 75 percent are near-term 
births. It is estimated that this group encompasses 40 percent 
of neonatal ICU admissions. These infants are at risk for 
sepsis, pneumonia, feeding difficulties, white matter damage, 
seizures, and apnea and remain at risk for higher morbidities 
in early infancy. The Committee understands that this group of 
infants has not been well studied and may account for a portion 
of the increase in adverse long-term outcomes such as autism, 
attention deficit disorders, and neurodevelopmental disorders. 
The NICHD is encouraged to facilitate the critical need for 
research in this area.
    Neurofibromatosis.--Learning disabilities occur with high 
frequency (30-65 percent) in children with NF and in 
approximately 5 percent of the entire world's population. 
Enormous advances have been made in the past few years in the 
successful treatment and curing of learning disabilities in 
pre-clinical NF animal models. Therefore, the Committee 
encourages NICHD to issue RFAs for NF research, aggressively 
pursue and expand funding of clinical trials for NF patients in 
the area of learning disabilities, and support the creation of 
NF Centers involved with treating and curing learning 
disabilities.
    Obstetric Systematic Reviews.--The Committee applauds the 
NICHD's efforts supporting the Neonatal Cochrane Review Group, 
which not only provides a substantial scientific resource but 
also allows the community access to these reviews via the NICHD 
website. These reviews are an invaluable resource, providing 
the most comprehensive and timely review of clinical topics. 
The Committee strongly encourages NICHD to provide a similar 
service to the obstetrical community by supporting obstetric 
systematic reviews and providing them free of cost to the 
general public.
    Physician Scientists and Researchers.--The Committee 
commends the NICHD for responding to the scientific community's 
need for enhanced training programs to provide a solid 
framework for the development of physician scientists and 
researchers. A substantial investment has been made in 
traineeships, fellowships, and research career awards. The 
NICHD is encouraged to identify funding opportunities for NIH-
trained investigators who have demonstrated a commitment to a 
research career.
    Prader-Willi Syndrome.--Prader-Willi Syndrome is the most 
common known genetic cause of life threatening obesity in 
children. The Committee strongly encourages the NICHD to place 
a high priority on Prader-Willi Syndrome research to study 
childhood obesity. Furthermore, the NICHD is urged to 
incorporate Prader-Willi Syndrome into the planning process for 
The National Children's Study.
    Preterm Birth.--The Committee applauds NICHD's efforts in 
supporting research to understand, prevent and treat preterm 
birth, including workshops on major gaps in knowledge areas. 
Despite these efforts, however, the rate of preterm births 
continues to rise. The Committee therefore strongly urges the 
NICHD to fully support the Maternal Fetal Medicine Units 
Network so that it can continue to address issues pertaining to 
preterm births and low birth-weight deliveries, and to fully 
support the new Genomic and Proteomic Network, which will 
hasten a better understanding behind the pathophysiology of 
premature birth, discover novel diagnostic biomarkers, and 
ultimately aid in formulating more effective interventional 
strategies to prevent premature birth.
    Primary Immunodeficiency Diseases.--The Committee commends 
the NICHD for continuing to dedicate financial and personnel 
resources to the physician education and public awareness 
program conducted by the Jeffrey Modell Foundation regarding 
this class of about 140 diseases. The Committee is strongly 
encouraged by the Institute's commitment to develop newborn 
screening procedures for PI, particularly various forms of 
severe combined immune deficiency, utilizing microarray 
technologies. The Committee believes that the NICHD should move 
ahead aggressively with this initiative, in partnership with 
the Foundation, other NIH Institutes and private industry, and 
dedicate financial and personnel resources to newborn 
screening.
    Pulmonary Rehabilitation.--Pulmonary rehabilitation has 
been increasingly recognized as an important treatment option 
for the many patients with disabling chronic lung diseases, 
like COPD. The Committee encourages the National Center for 
Medical Rehabilitation Research to expand research 
opportunities in this area.
    Spinal Muscular Atrophy [SMA].--SMA is the leading genetic 
killer of infants and toddlers, and is the most prevalent 
genetic motor neuron disease. The severity of the disease, its 
relatively high incidence, and the possibility of imminent 
treatments led the NINDS to initiate the innovative SMA 
Project. The Committee strongly urges NICHD to continue to 
formulate a plan for expanding its work and funding for SMA 
research.
    Specifically, the Committee encourages NICHD to coordinate 
funding with NINDS to ensure increased participation of 
investigators in SMA and developmental neurobiology relevant to 
SMA. Further, the Committee encourages NICHD to take the lead 
on developing a cross-Institute working group comprised of 
NICHD, NINDS and NIGMS to study broader questions of care, role 
of exercise and nutrition on SMA and other neuromuscular 
disease.
    Stillbirth.--The Committee applauds the NICHD's efforts in 
addressing stillbirth, a major public health issue with 
morbidity equal to that of all infant deaths. The Committee 
understands that the NICHD cooperative network has initiated a 
pilot study, with the overall study using a standard protocol 
planned to start this year. The Committee strongly encourages 
the NICHD to fully fund this effort.
    Tuberous Sclerosis Complex.--The Committee urges the NICHD 
to explore the links between autism and TSC, and to conduct 
epidemiology studies on the prevalence of mental illness in TSC 
patients. The Committee suggests that the NICHD collaborate 
with the NINDS and the NIMH to sponsor a conference focused on 
psychiatric issues and cognitive disabilities in TSC.
    Type 1 Diabetes Information Access and Integration.--The 
Trial to Reduce the Incidence of Diabetes in the Genetically-
At-Risk [TRIGR] is a multi-year clinical trial testing the 
potential influence of cow's milk on the development of type 1 
diabetes in young children. The Committee urges the NICHD and 
NIDDK to ensure that TRIGR biosamples and data are made 
available to the research community. The Institutes are 
encouraged to integrate TRIGR with other relevant clinical 
studies on type 1 diabetes, such as the Type 1 Diabetes 
Genetics Consortium.
    Type 1 Diabetes Research in Children Network.--The 
Committee commends the NICHD for excellent progress made 
through the Diabetes Research in Children Network (DirecNet) 
which supports research to optimize the complex management of 
type 1 diabetes in children. The Committee urges the Institute 
to continue its strong support of DirecNet and to pursue robust 
translation of the research into clinical practice to improve 
the health of diabetic children.
    Vulvodynia.--As a result of efforts funded by the NICHD, 
the number of highly qualified scientists interested in 
researching vulvodynia has greatly increased. The Committee 
commends NICHD for reissuing its program announcement in this 
area and recommends that a request for applications be issued. 
The Committee strongly urges NICHD to increase the number of 
awards for vulvodynia studies, with a particular emphasis on 
etiology and multi-center therapeutic trials. Finally, the 
Committee calls upon NICHD to work with ORWH and other relevant 
ICs and Government agencies, as well as patient and 
professional organizations, to implement an educational 
outreach campaign on vulvodynia.

                         NATIONAL EYE INSTITUTE

Appropriations, 2006....................................    $666,298,000
Budget estimate, 2007...................................     661,358,000
House allowance.........................................     661,358,000
Committee recommendation................................     666,898,000

    The Committee recommends an appropriation of $666,898,000 
for the National Eye Institute [NEI]. The budget request and 
the administration request is $661,358,000. The comparable 
amounts for the budget estimate include funds to be transferred 
from the Office of AIDS Research.
    Age-related Macular Degeneration.--The Committee was 
pleased to hear of the recent discovery of a second gene which 
can increase the risk of developing age-related macular 
degeneration. The identification of these genes creates the 
opportunity to predict and preempt the disease, thus preserving 
independence and mobility for millions of Americans. These gene 
discoveries also validate a new approach to identify the subtle 
genetic risk factors underlying common, complex diseases. The 
Committee notes that Genome wide association studies allow 
scientists to scan the entire genome of patients with common 
diseases and compare their DNA to controls without disease. The 
Committee urges the Institute to move on an expedited basis to 
translate this finding into treatment for those suffering from 
this condition.

          NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

Appropriations, 2006....................................    $640,692,000
Budget estimate, 2007...................................     637,323,000
House allowance.........................................     637,323,000
Committee recommendation................................     641,292,000

    The Committee recommends an appropriation of $641,292,000 
for the National Institute of Environmental Health Sciences 
[NIEHS]. The budget request was $637,323,000, and the fiscal 
year 2006 appropriation was $640,692,000. The comparable 
amounts for the budget estimate include funds to be transferred 
from the Office of AIDS Research.
    Asthma.--Given the link between environmental factors and 
the onset of asthma, COPD, and pulmonary fibrosis, the 
Committee encourages NIEHS to further develop research 
initiatives, such as a large multi-center, long-term 
longitudinal, and maternal/birth cohort to understand the 
environmental and genetic risk factors for predisposing some 
individuals to and in controlling the severity of these lung 
diseases.
    Autism.--The Committee is aware of the important research 
into the genetic and environmental basis of autism spectrum 
disorders. Accordingly, the Committee encourages the Institute 
to expand its support and funding for gene-environment 
interaction research in autism, and encourages the Institute to 
expand its work with and support for similar public-private 
partnerships.
    Behavioral Research in Strategic Plan.--NIEHS is requested 
to report to the Committee during the fiscal year 2008 hearings 
on plans to extend its research on obesity and the built 
environment, and other areas in which behavioral research is to 
be involved in its research portfolio in the coming years. 
Individual and group behavior with regard to diet, exercise, 
work, recreation, family, and neighborhood interaction, are 
critically important areas to investigate, to build knowledge 
about how people's environments shape their health.
    Genes and the Environment.--The Committee commends the 
NIEHS for its partnership with NHGRI in the Genes and 
Environment Initiative [GEI] which supports studies in genetic 
analysis and environmental technology development to understand 
the causes of common diseases such as Parkinson's, asthma, 
stroke, cancer, and heart disease. NIEHS's role in developing 
new technology to monitor personal environmental exposures, 
dietary intake, and physical activity will greatly enhance our 
ability to understand how they interact with genetic variations 
and result in human disease. The NIEHS is encouraged to take a 
closer look at environmental interactions with genes, and to 
involve expert behavioral and social scientists in the 
initiative to enhance the success and applicability of this 
important research.
    National Toxicology Program Interagency Center for the 
Evaluation of Alternative Methods/Interagency Coordinating 
Committee on the Validation of Alternative Methods [NICEATM/
ICCVAM].--The Committee commends the NICEATM/ICCVAM for its 
role in the assessment of new, revised and alternative 
scientifically validated methods for the Federal Government. 
The Committee also commends the National Toxicology Program 
[NTP] for finalizing its ``Roadmap to Achieve the NTP Vision.''
    The Committee encourages the NICEATM/ICCVAM, in partnership 
with the relevant Federal agencies to build on the NTP Roadmap 
to create a 5-year plan to research, develop, translate and 
validate new and revised non-animal and other alternative 
assays for integration of relevant and reliable methods into 
the Federal agency testing programs. The Committee encourages 
the Federal agency program offices to identify areas of high 
priority for new and revised non-animal and alternative assays 
for the replacement, reduction and refinement of animal tests. 
The Committee further encourages relevant agencies to include 
the public when developing this plan. The Committee further 
requests a status report during the fiscal year 2008 budget 
hearings.
    Parkinson's Disease.--The Committee commends the NIEHS on 
the work of its Collaborative Centers for Parkinson's Disease 
Environmental Research [CCPDER] Consortium Program to foster 
multidisciplinary research approaches to elucidate gene-
environment interactions in PD. The Committee urges the NIEHS 
to work in conjunction with other NIH Institutes and the 
Centers for Disease Control and Prevention as necessary, to 
conduct an investigation and prepare and submit a report to the 
Committee on the incidence of Parkinson's disease, including 
age, occupation, and geographic population clusters, and 
related environmental factors relating to the disease. The 
report shall be submitted by June 30, 2007.
    Strategic Plan.--The Committee commends NIEHS for preparing 
a new Strategic Plan to speed its progress in understanding how 
the environment influences the development and progression of 
disease. The Committee notes especially the goals of building 
integrated environmental health research programs to address 
problems in human biology and human disease and of fostering 
the development of partnerships between NIH, other research 
agencies, academia, industry, and community organizations to 
improve human health.
    Volcanic Emissions.--The Committee continues to have 
concerns about the public health impacts of volcanic emissions 
in Hawaii. Such emissions contribute to the exacerbation of a 
myriad of pre-existing health conditions in many island 
residents, especially children. The acute and long-term impact 
that these emissions have on both the healthy and pre-disposed 
residents warrants further study. The Committee strongly 
advises the NIH to embrace a multi-disciplinary approach in 
studying the short- and long-term health effects of volcanic 
emissions, and to consider the establishment of a center 
dedicated to such research.

                      NATIONAL INSTITUTE ON AGING

Appropriations, 2006....................................  $1,045,912,000
Budget estimate, 2007...................................   1,039,828,000
House allowance.........................................   1,039,828,000
Committee recommendation................................   1,048,912,000

    The Committee recommendation includes $1,048,912,000 for 
the National Institute on Aging [NIA]. The budget request was 
$1,039,828,000 and the fiscal year 2006 appropriation was 
$1,045,912,000. The comparable amounts for the budget estimate 
include funds to be transferred from the Office of AIDS 
Research.
    Alzheimer's Disease.--More than one in 10 Americans over 
age 65 and nearly half of those over 85 suffer from Alzheimer's 
disease. As the Baby Boom generation enters the age of highest 
risk, between 11 million to 16 million will be stricken with 
Alzheimer's. Their complex health and long-term care needs will 
continue to take an enormous toll on family caregivers, and 
place an even greater strain on Federal and State healthcare 
programs. Total Medicare spending for beneficiaries with 
Alzheimer's will double in the next decade--rising from 
$91,000,000,000 in 2005 to $189,000,000,000 in 2015; over the 
same period, Medicaid spending on nursing home care alone will 
increase from $21,000,000,000 to $27,000,000,000. As a result 
of past investments in research recommended by the Committee, 
drugs now are available for treating the symptoms of 
Alzheimer's, and clinical trials are underway to test other 
promising compounds. The NIA has launched a public/private 
imaging initiative that should accelerate the development of 
new, more effective treatments; and a genetics initiative that 
will make it possible to target new treatments on those who 
stand the best chance of benefiting. In light of its enormous 
human and financial toll this disease exacts, the Committee 
regards Alzheimer's disease as a high priority for the 
Institute. NIA is urged to expand its investment in Alzheimer's 
disease research, placing special emphasis on expediting the 
translation of research findings into effective treatments and 
prevention strategies for at-risk individuals.
    Behavioral and Social Research on Work and Retirement.--The 
Committee encourages NIA to maintain its commitment to research 
on patterns and cycles of work in aging populations. Research 
on how jobs may be ``retrofitted'' for an aging workforce, or 
how workplaces can better accommodate aging workers, is 
encouraged. Research on how older workers plan for and 
experience retirement is also timely and encouraged.
    Bone Strength.--Although bone mineral density has been a 
useful predictor of susceptibility to fracture, other 
properties of the skeleton contribute to bone strength, 
including exercise and mechanisms of biomineralization. 
However, little is understood as to how these properties assist 
in the maintenance of bone strength. The Committee urges the 
NIA, in collaboration with the NIAMS, NIBIB, NICHD, and NHLBI, 
to support research that is aimed at identifying these 
parameters and will lead to prevention and treatment of bone 
diseases such as osteoporosis, osteogenesis imperfecta, bone 
loss due to kidney disease, and heart attacks due to hardening 
of the arteries.
    Demographic and Economic Research.--The Committee commends 
the NIA for supporting demographic and economic research on the 
implications of population aging. With the number of Americans 
over the age of 65 expected to double over the next 25 years, 
the Institute is well poised to inform the public and 
policymakers about the implications of this anticipated trend 
and the macroeconomic and global aspects of aging. In 
particular, the Committee urges the Institute to continue 
supporting the Health and Retirement Study [HRS], which can 
help inform policymakers about potential changes to the Social 
Security and Medicare programs.
    Down Syndrome.--The Committee commends NIA for its support 
of studies to examine the cellular, molecular and genetic bases 
for age-related neuropathological and cognitive abnormalities 
in people with Down syndrome. It encourages NIA to further 
examine these abnormalities and to devise new methods for 
diagnosing and treating them. Given that all people with Down 
syndrome develop the neuropathological changes of Alzheimer's 
disease, and that many or most go on to suffer dementia, NIA is 
encouraged to consider how studies of the Down syndrome 
population might enhance the ability to understand, diagnose 
and treat Alzheimer's disease. The Committee encourages NIA to 
coordinate its research with NICHD, NINDS, NIMH and other 
institutes.
    Fragile X-associated Tremor/Ataxia Syndrome [FXTAS].--The 
Committee applauds the NIA for working alongside the NINDS to 
fund research on FXTAS. It encourages the NIA to expand its 
research into this newly identified neurological disorder, 
which involves progressively severe tremors and difficulty with 
walking and balance that appears to specifically affect some 
older premutation carriers, generally grandfathers of children 
with Fragile X syndrome.
    Healthy Brain Initiative.--NIA is commended for its 
cooperative efforts in producing a searchable database of 
studies and planning joint efforts to solicit research on 
enhancing healthy cognitive and emotional function. This 
initiative is a model of how institutes can work together on 
complex issues involving multiple disciplines and 
methodologies. Given the importance of maintaining and 
enhancing brain health as the population ages, NIA is 
encouraged to make this initiative a priority.
    Hematology.--The Committee looks forward to learning more 
about NIA's collaborative efforts with the American Society of 
Hematology and NHLBI to identify research priorities in venous 
and arterial thrombosis, blood clots that can lead to death and 
serious morbidity, including pulmonary embolism, lower 
extremity phlebitis, heart attacks, strokes and chronic 
respiratory dysfunction. In light of research findings showing 
that age is one of the most important risk factors for 
thrombosis, the Committee urges NIA and NHLBI to develop a 
research agenda in this area to learn more about the underlying 
causes of thrombosis and its impact on the elderly.

 NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES

Appropriations, 2006....................................    $507,583,000
Budget estimate, 2007...................................     504,533,000
House allowance.........................................     504,533,000
Committee recommendation................................     508,583,000

    The Committee recommends an appropriation of $508,583,000 
for the National Institute of Arthritis and Musculoskeletal and 
Skin Diseases [NIAMS]. The budget requested $504,533,000 and 
the fiscal year 2006 appropriation was $507,583,000. The 
comparable amounts for the budget estimate include funds to be 
transferred from the Office of AIDS Research.
    Burden of Skin Diseases.--The Committee notes the 
relationship between the recent Burden of Skin Diseases report 
and the September 2002 workshop on the burden of skin diseases 
sponsored by NIAMS. The Committee continues to urge NIAMS to 
expand the research portfolio on skin disease and develop 
partnerships with the skin disease research community to 
address the recognized challenges and future research 
endeavors.
    Congenic and Genetic Disease of Bone.--The Committee is 
aware that thousands of children and adolescents nationwide 
suffer from musculoskeletal disorders and malformations. 
Diseases such as osteogenesis imperfecta, fibrous dysplasia, 
osteopetrosis, and Paget's disease are caused by poorly 
understood genetic mutations. In Paget's disease, underlying 
genetic defects can also be exacerbated by environmental 
factors. The Committee urges NIAMS and NICHD to support 
research focusing on mechanisms of preventing fractures and 
improving bone quality and correcting malformations, on 
innovations in surgical and non-surgical approaches to 
treatment, on physical factors that affect growth, and on 
genetic defects that cause bone disease.
    Genetics of Rare Disorders.--The Committee urges NIAMS to 
collaborate with NICHD, NIDCR, and NIDDK to expand research on 
the genetics for the rare disorders fibrous dysplasia and 
osteopetrosis, and to expand research on mechanisms of these 
diseases in humans.
    Lupus.--The Committee is aware that despite numerous 
important research advances, few new therapies are available to 
patients with lupus. Treatment with steroids, anti-inflammatory 
agents and immunosuppressive medications may be palliative but 
these medications have numerous side effects and may become 
less effective over time. Advances in the identification of 
lupus susceptibility genes and biomarkers make it imperative 
that a sustained effort be made to translate these research 
advances into clinically relevant treatments. The Committee 
urges the Institute to develop focused programs designed to 
move research advances from the laboratory to the patient's 
bedside so that the complications of lupus and the underlying 
disease can be treated more effectively.
    Marfan Syndrome.--The Committee commends NIAMS for 
supporting research on Marfan syndrome and for collaborating 
with other Institutes to study this disease. Better management 
of cardiovascular issues associated with Marfan syndrome has 
extended the lives of many but has introduced an older 
generation of people who live with chronic pain because of 
orthopedic problems. Basic, translational and clinical research 
including the natural history of skeletal problems is required 
to understand the underlying early orthopedic deterioration in 
people with Marfan syndrome and to investigate possible 
therapeutic choices. The Committee urges NIAMS to support this 
effort through all available mechanisms, as deemed appropriate.
    Musculoskeletal Trauma and Skeletal Pain.--The Committee 
recognizes that more than half of all Americans who are injured 
each year incur injuries to the musculoskeletal system. Back 
pain is a major reason for lost time from work, and, in our 
military, bone trauma is now accounting for over 50 percent of 
all combat injuries. The Committee urges NIAMS, NIA, NIDCR, and 
NCCAM to study ways to better understand the epidemiology of 
back pain, improve on existing diagnostic techniques for back 
pain, as well as to develop new ones. The Committee also 
encourages the expansion of research to improve diagnostic and 
therapeutic approaches to lower the impact of musculoskeletal 
trauma.
    Osteoporosis.--The Committee is aware that osteoporosis is 
becoming widespread in all ages of our population. NIAMS is 
urged to collaborate with other Institutes to support research 
into the pathophysiology of bone loss in varied populations and 
in targeted therapies to improve bone density and bone quality 
according to the etiology of osteoporosis. Furthermore, the 
Committee urges research to identify patients at risk for 
fracture who do not meet current criteria for osteoporosis, as 
well as to study the effects of available and developing 
osteoporosis treatments on the reduction of fracture risk in 
these patients.
    Psoriasis.--The Committee is disappointed that funding for 
psoriasis research has not grown significantly over the past 
decade. The Committee strongly urges NIAMS to expand and 
coordinate genetic, clinical, and basic psoriasis and psoriatic 
arthritis research and related activities, with emphasis on the 
cellular and molecular mechanisms of disease; genetics that 
lead to psoriasis susceptibility; the natural course and 
history of psoriasis before, during and after treatment with 
conventional therapies; the role of inflammation in skin and 
joints and co-morbidities such as obesity, depression and 
hypertension; the development of diagnostic tests for psoriatic 
arthritis; the unique challenges faced by children with 
psoriasis; and the use of certain types of antibodies to 
prevent relapse of psoriasis.
    Tuberous Sclerosis Complex [TSC].--The Committee urges 
NIAMS to explore new strategies for the treatment of skin 
manifestations of TSC utilizing knowledge of basic mechanisms, 
such as mTOR inhibitors and angiogenesis inhibitors.

    NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS

Appropriations, 2006....................................    $393,188,000
Budget estimate, 2007...................................     391,556,000
House allowance.........................................     391,556,000
Committee recommendation................................     395,188,000

    The Committee recommends an appropriation of $395,188,000 
for the National Institute on Deafness and Other Communication 
Disorders [NIDCD]. The budget requested $391,556,000, and the 
fiscal year 2006 appropriation was $393,188,000. The comparable 
amounts for the budget estimate include funds to be transferred 
from the Office of AIDS Research.
    Neurofibromatosis.--NF2 accounts for approximately 5 
percent of genetic forms of deafness. Unlike other genetic 
forms of deafness, NF2-associated deafness is potentially 
preventable or curable if tumor growth is halted before damage 
has been done to the adjacent nerve. Research is now being 
conducted to cure deafness in NF2 mice through gene therapy, 
with enormous implications for gene therapy in general and for 
patients suffering from meningiomas and other tumors in 
particular. The Committee therefore encourages NIDCD to expand 
its NF2 research portfolio through all suitable mechanisms 
including RFAs and clinical trials.

                 NATIONAL INSTITUTE OF NURSING RESEARCH

Appropriations, 2006....................................    $137,248,000
Budget estimate, 2007...................................     136,550,000
House allowance.........................................     136,550,000
Committee recommendation................................     137,848,000

    The Committee recommends an appropriation of $137,848,000 
for the National Institute of Nursing Research [NINR]. The 
budget request was $136,550,000 and the fiscal year 2006 
appropriation was $137,248,000. The comparable amounts for the 
budget estimate include funds to be transferred from the Office 
of AIDS Research.
    Behavioral Research.--The Committee realizes the importance 
of behavioral research in preventing and treating disease. 
While understanding the biological basis of disease is 
essential, it is understood that behavioral factors have a 
critical influence on the onset, course, and duration of 
disease and in the successful management of many disease 
conditions. The Committee encourages NINR to devote significant 
efforts to behavioral research, including research that 
examines the interactions of biological and behavioral factors 
and their effect on treatment and prevention.
    Eliminating Health Disparities.--Health disparities, 
whether in race, ethnicity, or socioeconomic status, continue 
to be of concern to our Nation's healthcare system and to this 
Committee. Reducing, and ultimately eliminating, health 
disparities is a critical priority for all areas of healthcare 
research. The Committee urges NINR to fund research into the 
causes of health disparities and into new ways to overcome such 
disparities. Developing new nurse scientists from underserved 
populations will prove valuable for encouraging new health 
disparities research.
    End-of-Life Research.--Improving the care of terminally ill 
patients and their loved ones at the end-of-life is an urgent 
public health need, especially in view of the increasing 
numbers of older Americans. Additional research is needed in 
improving palliative care, improving patient/clinician 
communication, and reducing caregiver burden. The Committee 
recognizes NINR's leadership in promoting end-of-life research 
and encourages the Institute's continued focus in this area.
    Nurse-Managed Health Centers.--The Committee urges the NINR 
to increase support for research and demonstration projects 
involving nurse-managed health centers and advanced practice 
nurses.
    Nursing Shortage.--The nursing shortage has an adverse 
effect on the health care delivery system as well as the health 
of our Nation's citizens. A shortage of nurse faculty caused 
schools of nursing to turn away thousands of qualified students 
last year. NINR confronts this issue by directing 8 percent of 
its budget to research training to help develop the pool of 
nurse researchers who also become faculty. Training support for 
fast-track baccalaureate-to-doctoral program participants is 
one important initiative. The 17 recently funded Nursing 
Partnership Centers to Reduce Health Disparities is another 
initiative that helps produce an adequate number of nurse 
researchers. The Committee encourages these ongoing efforts. 
The Committee also encourages NINR to facilitate research 
projects located in rural areas that serve minority nursing 
students through community colleges.
    Research Training.--Increasing the number of new nurse 
scientists is critical for advancing nursing research, 
especially in light of the ongoing nursing shortage. Innovative 
strategies for recruiting and training new researchers are 
needed. The Committee encourages NINR to support training 
programs that will develop the next generation of nurse 
scientists, especially those with multidisciplinary research 
skills and those from underserved populations.

           NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

Appropriations, 2006....................................    $435,630,000
Budget estimate, 2007...................................     433,318,000
House allowance.........................................     433,318,000
Committee recommendation................................     436,630,000

    The Committee recommends an appropriation of $436,630,000 
for the National Institute on Alcohol Abuse and Alcoholism 
[NIAAA]. The budget request was $433,318,000 and the fiscal 
year 2006 appropriation was $435,630,000. The comparable 
amounts for the budget estimate include funds to be transferred 
from the Office of AIDS Research.
    Alaska Substance Abuse.--The Committee is aware of serious 
problems with alcohol and substance abuse in Alaska, especially 
among its Alaska Native population, and of the need for 
translating research into clinical applications for this 
population. The Committee urges NIAAA to sponsor a Research to 
Practice Forum with the Substance Abuse and Mental Health 
Services Administration and universities to focus on bridging 
the gap between researchers and practitioners and translating 
scientific research into clinical applications, and encourages 
NIAAA to support the implementation of any recommendations 
developed at the forum.
    Clinician's Guide.--The Committee understands that NIAAA 
has recently revised its publication ``Helping Patients Who 
Drink Too Much: A Clinician's Guide.'' The Committee applauds 
that the guide has been disseminated to thousands of primary 
care and mental health practitioners and organizations through 
an extensive program of direct mail and email announcements. 
The Committee encourages NIAAA to further develop guide 
materials, including information for clinicians about how to 
best use the guide, and short pamphlets that are targeted 
toward special subpopulations, and to work with professional 
organizations, SAMHSA, and other international organizations to 
further disseminate this important resource.
    Epigenetic (Environmental) Effects Underlying Alcoholism.--
The Committee understands that alcoholism is a complex 
behavioral disorder and that the genetic composition of an 
individual contributes to over half of the risk for developing 
this behavior, while the individual's environmental 
interactions and influences also contribute significantly to 
this risk. Research supported by NIAAA has identified several 
candidate genes that increase an individual's risk for 
developing an alcohol use disorder once the person chooses to 
drink alcohol. The Committee encourages NIAAA to continue to 
fund research to determine the role of the environment and 
environmental factors in producing lasting and potentially 
life-altering changes in gene expression and gene function that 
contributes to the development of alcohol abuse and addiction 
with the ultimate goal of developing new medication for the 
treatment of alcohol use disorders.
    Underage Drinking.--The Committee commends the NIAAA for 
its team approach in developing and guiding its research 
programs to understand the many factors that contribute to the 
onset of drinking and abuse of alcohol by youth. The Committee 
is aware that the NIAAA has partnered with the Surgeon General 
in the preparation of ``A Call to Action on Underage 
Drinking,'' which will provide guidance to the public on this 
topic. The Committee commends the NIAAA for providing the 
scientific foundation for this report through the research 
supported by its Underage Drinking Initiative and for 
continuing to work with the Office of the Surgeon General and 
other Federal agencies on this effort.
    Understanding Natural Recovery from Alcohol Dependence.--
Recent research has demonstrated that many individuals 
transition out of alcohol dependence without professional 
treatment. The Committee encourages NIAAA to investigate the 
mechanisms through which individuals alter their drinking 
behavior without professional treatment in order to design more 
effective treatments for alcohol use disorders.

                    NATIONAL INSTITUTE ON DRUG ABUSE

Appropriations, 2006....................................    $999,342,000
Budget estimate, 2007...................................     994,829,000
House allowance.........................................     994,829,000
Committee recommendation................................   1,000,342,000

    The Committee recommends an appropriation of $1,000,342,000 
for the National Institute on Drug Abuse [NIDA]. The budget 
request was $994,829,000. The fiscal year 2006 appropriation 
was $999,342,000. The comparable numbers for the budget 
estimate include funds to be transferred from the Office of 
AIDS Research.
    Adolescent Brain Development.--The Committee notes 
neuroimaging research by NIDA and others showing that the human 
brain does not fully develop until about age 25. This adds to 
the rationale for referring to addiction as a ``developmental 
disease.'' The Committee encourages NIDA to continue its 
emphasis on adolescent brain development to better understand 
how developmental processes and outcomes are affected by drug 
exposure, the environment and genetics.
    Collaboration With Single State Authorities [SSAs].--The 
Committee commends NIDA for its outreach and work with SAMHSA's 
Center for Substance Abuse Treatment [CSAT] and State substance 
abuse directors, also known as Single State Authorities [SSAs], 
to reduce the current 15- to 20-year lag between the discovery 
of an effective treatment intervention and its availability at 
the community level. In particular, the Committee applauds NIDA 
for working with SAMHSA on a recent RFA designed to strengthen 
State Substance Abuse agencies' capacity to support and engage 
in research that will foster State-wide adoption of meritorious 
science-based policies and practices. The Committee also 
encourages NIDA to continue its collaborative work with SSAs by 
working through the national association representing State 
substance abuse directors on its ``blending activities'' to 
ensure that research findings are relevant and adaptable by 
State substance abuse systems.
    Co-Occurring Disorders.--The Committee recognizes that 
substance abuse is a disorder that can affect the course of 
other diseases, such as HIV/AIDS, mental illness, trauma, 
cancer, and cardiovascular disease. To adequately address co-
occurring health problems, the Committee encourages the 
Institute to work with other agencies to stimulate new research 
to develop effective strategies and to ensure the timely 
adoption and implementation of evidence-based practices for the 
prevention and treatment of co-occurring disorders.
    Drug Abuse and HIV/AIDS.--The Committee understands that 
one of the most significant causes of HIV virus acquisition and 
transmission is drug-taking practices and related risk factors 
in different populations. Drug abuse prevention and treatment 
interventions can be very effective in reducing HIV risk. The 
Committee congratulates NIDA on its ``Drug Abuse and HIV--Learn 
the Link'' public awareness campaign, targeting young people, 
and urges the Institute to continue supporting research that 
focuses on developing and testing drug-abuse related 
interventions designed to reduce the spread of HIV/AIDS.
    Drug Treatment in Criminal Justice Settings.--The Committee 
is very concerned about the well-established connections 
between drug use and crime. Research continues to demonstrate 
that providing treatment to individuals involved in the 
criminal justice system significantly decreases future drug use 
and criminal behavior, while improving social functioning. The 
Committee strongly supports NIDA's efforts in this area, 
particularly the Criminal Justice Drug Abuse Treatment Studies 
[CJ-DATS].
    Emerging Drug Problems.--The Committee recognizes that drug 
use patterns are constantly changing and is pleased with NIDA's 
efforts to monitor drug use trends and to rapidly inform the 
public of emerging drug problems. The Committee especially 
encourages NIDA to continue supporting research that provides 
reliable data on emerging drug trends, particularly among youth 
and in major cities across the country.
    Genetics and New Technological Advances to Curtail 
Addiction.--The Committee recognizes that not everyone who 
takes drugs becomes addicted. Research has shown that genetics 
plays a critical role in addiction, and that the interplay 
between genetics and environment is crucial. The Institute is 
urged to further investigate this phenomenon.
    Health Disparities.--The Committee notes that the 
consequences of drug abuse disproportionately impact 
minorities, especially African American populations. The 
Committee is pleased to learn that NIDA is encouraging 
researchers to conduct more studies in this population and to 
target their studies in geographic areas where HIV/AIDS is high 
and or growing among African Americans, including in criminal 
justice settings.
    Inhalant Abuse.--The Committee understands and is alarmed 
that inhalant use continues to be a significant problem among 
our youth. The Committee urges the Institute to continue its 
support of research on prevention and treatment of inhalant 
abuse, and to enhance public awareness on this issue.
    Marijuana Use.--The Committee is concerned with the 
continuing widespread use of marijuana. The Committee urges 
NIDA to continue support for efforts to assess the long-term 
consequences of marijuana use on cognitive abilities, 
achievement, and mental and physical health, as well as work 
with the private sector to develop medications focusing on 
marijuana addiction.
    Medications Development.--The Committee applauds NIDA for 
its leadership in working with private industry to develop 
anti-addiction medications and is pleased this collaboration 
has resulted in a new medication for opiate addiction. The 
Committee encourages NIDA to continue its efforts to engage the 
private sector in the development of anti-addiction 
medications, particularly for cocaine, methamphetamine, and 
marijuana.
    Methamphetamine Abuse.--The Committee is very concerned 
about the continued abuse of methamphetamine across the United 
States. The Committee notes the advances in understanding 
methamphetamine abuse and addiction, and is encouraged by the 
growing evidence of treatment effectiveness in these 
populations. The Committee urges NIDA to continue supporting 
research to address the broad medical consequences of 
methamphetamine abuse.
    Primary Care Settings and Youth.--The Committee recognizes 
that primary care settings are potential key points of access 
to prevent and treat problem drug use among young people. The 
Committee encourages NIDA to continue to support health 
services research on effective ways to educate primary care 
providers about drug abuse and develop brief behavioral 
interventions for preventing and treating drug use and related 
health problems; and develop methods to integrate drug abuse 
screening, assessment, prevention and treatment into primary 
health care settings.
    Reducing Prescription Drug Abuse.--The Committee notes the 
continued increases in the numbers of people, especially young 
people, who use prescription drugs for non-medical purposes. 
Particular concern revolves around the inappropriate use of 
opioid analgesics--very powerful pain medications. The 
Committee commends NIDA for its research focus in this area, 
and for the new Prescription Opioid Use and Abuse in the 
Treatment of Pain initiative. Research targeting a reduction in 
prescription drug abuse, particularly among our Nation's youth, 
should continue to be a priority for NIDA.
    Social Neuroscience.--Research-based knowledge about the 
dynamic interactions of genes with the environment confirms 
addiction as a complex and chronic disease of the brain with 
many contributors to its expression in individuals. The 
Committee applauds NIDA's involvement in the recently released 
``social neuroscience'' request for applications, and 
encourages the Institute to continue its focus on the interplay 
between genes, environment, and social factors and their 
relevance to drug abuse and addiction.
    Translational Research--Ensuring Research is Adaptable and 
Useable.--The Committee commends NIDA for its broad and varied 
information dissemination programs. The Committee also 
understands that the Institute is focused on stimulating and 
supporting innovative research to determine the components 
necessary for adopting, adapting, delivering, and maintaining 
effective research-supported policies, programs, and practices. 
As evidence-based strategies are developed, the Committee urges 
NIDA to support research to determine how these practices can 
be best implemented at the community level.

                  NATIONAL INSTITUTE OF MENTAL HEALTH

Appropriations, 2006....................................  $1,402,551,000
Budget estimate, 2007...................................   1,394,806,000
House allowance.........................................   1,394,806,000
Committee recommendation................................   1,403,551,000

    The Committee recommends an appropriation of $1,403,551,000 
for the National Institute of Mental Health [NIMH]. The budget 
request was $1,394,806,000 and the fiscal year 2006 
appropriation was $1,402,551,000. The comparable amounts for 
the budget estimate include funds to be transferred from the 
Office of AIDS Research.
    Adolescent Depression and Suicide.--Depressive disorders, 
one of the major risk factors for suicide, continue to be very 
common in adolescence. The Committee is pleased to note that 
NIMH, in partnership with NIDA and NIAAA, is supporting three 
research centers whose primary focus is on new trials to reduce 
adolescent suicidality. Suicide now accounts for 13 percent of 
all adolescent deaths and ranks third as a cause of death among 
teenagers. The Committee therefore strongly encourages NIMH to 
continue this investment in finding ways to better identify the 
risk factors in children and adolescents, and examining the 
outcomes of actions taken to assist those found to be at risk.
    Alzheimer's Disease.--NIMH continues to play an important 
part in efforts to develop effective treatment strategies for 
Alzheimer's disease. The Institute is currently supporting 
research examining various aspects of the pathophysiology and 
genetics of Alzheimer's disease, and studies examining 
behavioral, emotional and psychiatric symptoms associated with 
the disorder and their treatment. The Committee encourages NIMH 
to continue to assign a high priority to this research.
    Autism.--The Committee is pleased to learn that the NIMH is 
placing increased emphasis on studies of autism in its 
intramural research program on the Bethesda campus. The 
Committee supports these NIMH efforts in addition to its 
significantly higher levels of support for autism research 
throughout the country. One such intramural study will seek to 
better understand regressive autism, which occurs in children 
who appear to develop normally for the first 12-15 months of 
life and then begin to lose language skills and developmental 
milestones. This study will gather information about the 
behavioral and medical characteristics of regressive autism and 
compare the findings with those from healthy children, children 
with non-regressive autism, and children with Rett's disorder 
(a genetic disorder in which children have autistic features 
with clear regression). Information from this study may help 
doctors diagnose autism more accurately, treat the disorder 
more effectively, and prevent future cases of regressive 
autism.
    Basic Behavioral Science.--The Committee urges the 
Institute to maintain its support for the research on the 
promotion of mental health and the study of psychological, 
social, and legal factors that influence behavior. In 
particular, the Institute is encouraged to continue its 
commitment to basic behavioral research that examines the basic 
psychological functions that promote mental health or become 
disturbed in mental disorders.
    Clinical Trials.--The committee is pleased with NIMH's 
major initiative involving ``practical'' clinical trials. 
Traditional clinical trials of medications must test their 
safety and efficacy for approval. They are usually short, 
limited in scope and take place in very controlled environments 
with carefully selected participants. However, in reality, 
medications are almost never used in such pristine and 
carefully constructed settings. Rather, they are used by people 
very often suffering from one or more co-morbid disorders who 
live in everyday, commonplace settings. In order to find out 
the effectiveness of these medications in ``real-world'' 
settings--comparing them with other medications in general 
use--NIMH launched a major effort to answer questions that 
patients, families and practicing physicians might ask about 
the use of these medications in their lives. The Committee 
requests a report on the major findings from these studies 
before the fiscal year 2008 hearings.
    Down Syndrome.--The Committee encourages NIMH to develop 
new strategies for cataloging, understanding, diagnosing and 
treating behavioral disorders that are common in people with 
Down syndrome. They include autism, pervasive developmental 
disorder, obsessive compulsive disorder, depression and 
psychosis. The Committee urges NIMH to coordinate its research 
on Down syndrome with NICHD, NINDS, NIA, and other institutes.
    Fragile X.--Fragile X is the most common single-gene 
neuropsychiatric disease known. It causes cognitive impairment, 
mental disorders such as obsessive-compulsive disorder, and 
extreme anxiety. The Committee commends the NIMH for 
spearheading three focused research meetings devoted to 
identifying critical research needs, in November 2001, January 
2003, and July 2004. The Committee notes that many of these 
needs remain to be addressed, and it again urges the NIMH to 
pursue them. These include controlled studies of existing and 
new pharmacological treatments for Fragile X and identification 
of the key molecular targets that are likely candidates for 
designing drug treatments for Fragile X and related disorders 
such as autism. The Committee also urges the NIMH to include 
Fragile X in its studies of related neuropsychiatric disorders 
and to work with other Institutes such as the NICHD and NINDS 
to develop cooperative research support mechanisms in this 
area. In addition, the Committee urges the NIMH to work with 
industry and academia to test available medications and bring 
new treatments to market.
    Frontier Mental Health Needs.--The Committee commends NIMH 
on its outreach efforts to determine the differences in mental 
health needs which may exist in remote frontier communities, 
including Alaska. The Committee encourages NIMH to expand its 
research efforts into these communities, which are often 
ignored in research projects, but which continue to suffer from 
high incidences of mental health problems including depression, 
suicide and co-occurring disorders with substance abuse.
    Historically Black College and University [HBCU] Mental 
Health Consortium.--The Committee recommends that NIMH consider 
support for the Historically Black College and University 
[HBCU] mental health consortium to serve as a clearinghouse for 
responding to the mental health needs of the poor and 
underserved immediately following a disaster.
    Mental Health and Older Adults.--The Committee is pleased 
that NIMH recognizes the importance and interrelatedness of 
cognitive, emotional health and mental health function in older 
adults and is collaborating with other institutes on efforts 
such as the Cognitive and Emotion Health Project. Given the 
increasing older adult population, it is critical to explore 
scientific opportunities to maintain cognitive functioning and 
mental health to prevent mental disorders like depression in 
older adults. NIMH is encouraged to continue its pivotal role 
as the primary institute for mental health and aging research 
by expanding its research on older adults to include large-
scale, multi-site trials of behaviorally based treatments of 
depression, anxiety, and for managing behaviors associated with 
cognitive impairments as well as increasing opportunities for 
training future behavioral scientists focused on older adults.
    Minority Training.--The Committee is disappointed to learn 
that the NIMH intends to reduce its commitment to training 
minority scientists through the Minority Fellowship Program and 
the Career Opportunities in Research Program. Both programs 
have demonstrated success in training biomedical and behavioral 
scientists who are addressing critical ethnic minority mental 
health issues. The Minority Fellowship Program in particular 
has been an important national program that has provided access 
to training to all, without regional or university-specific 
restrictions. Reducing these programs will have a 
disproportionate impact on minority mental health training when 
the focus should be on reducing health disparities for 
vulnerable and underserved populations.
    Neuroscience Blueprint.--The Committee is pleased with 
NIMH's leadership role, along with NINDS, in the Neuroscience 
Blueprint initiative, which is a cooperative effort of 15 NIH 
Institutes and Centers supporting research on the nervous 
system. These kinds of trans-NIH initiatives should be a model 
because they assure the pooling of resources and expertise--
essential to take full advantage of the opportunities for 
progress that may exist across the agency.
    Parkinson's Disease.--The Committee encourages continued 
collaborations including additional intramural activities 
between NINDS, NIMH, and NIA to enhance understanding of the 
important psychiatric component of neurodegenerative diseases, 
particularly Parkinson's.
    Prader-Willi Syndrome.--The Committee commends the NIMH for 
its efforts to further the understanding and description of the 
mental health components of Prader-Willi syndrome. The 
Committee recommends that NIMH expand its programs to develop 
practical treatment protocols, including pharmaceutical 
options, for the severe anxiety, obsessive-compulsive disorder, 
oppositional-defiant disorder and psychotic mental illness 
aspects of Prader-Willi Syndrome.
    Psychological Impacts of Trauma.--The Committee is pleased 
that NIMH is working with the Department of Veterans Affairs to 
ensure that psychosocial and pharmacological interventions are 
available to returning soldiers, veterans and their families. 
The Committee supports NIMH research related to the 
psychological impact of both acute and chronic exposure to 
threats of violence, including terrorism, war, natural 
disasters, and domestic and community violence. Within the area 
of trauma, particular emphasis should also be placed on 
vulnerable populations, such as trauma survivors, children and 
older adults. The Committee encourages NIMH to expand its 
research portfolio to include research related to psychosocial 
factors that promote detection or prediction, prevention, and 
post-exposure recovery and resilience.
    Schizophrenia.--The Committee supports NIMH's initiative 
that targets cognitive problems for people with schizophrenia. 
Cognitive deficits, such as trouble with memory, attention, and 
executive function (capacity to make judgments and control 
impulses), are responsible for much of the long term disability 
in schizophrenia. They remain a significant barrier to a 
productive life for people with the disease, yet the 
medications currently available provide no relief for cognitive 
problems. There has been a lack of scientific consensus on 
which cognitive impairments should be targeted and which tools 
are best for measuring them. To address these issues, NIMH 
launched the Measurement and Treatment Research to Improve 
Cognition in Schizophrenia [MATRICS] program. It brought 
together representatives from academia, industry, and 
regulatory agencies to develop a comprehensive assessment tool 
to measure cognitive functioning in people with schizophrenia. 
This has been completed, and now in the second phase novel 
compounds designed to enhance cognition will be tested. NIMH 
has awarded a 4-year contract to six academic medical centers 
to create a network of Treatment Units for Research on 
Neurocognition and Schizophrenia [TURNS]. The research will 
test the effectiveness of new drug treatments for the cognitive 
deficits of schizophrenia.
    Translating Behavioral Research.--The Committee supports 
NIMH's efforts to advance the application of behavioral 
research and interventions in clinical settings to address the 
public health burden of mental disorders. The Committee 
strongly supports additional clinical trials that examine the 
effectiveness of behavioral interventions in community-based 
settings and utilizing adaptive treatment designs. Behavioral 
interventions are especially needed for children and 
adolescents with mental disorders, including post-traumatic 
stress disorder, eating disorders, attention deficit-
hyperactivity disorder, and the most common forms of 
depression. Translational research in the behavioral sciences 
is especially needed to address how basic behavioral processes, 
such as cognition, emotion, motivation, development and social 
interaction, inform the diagnosis, treatment and delivery of 
services for mental disorders.
    Tuberous Sclerosis Complex.--Tuberous sclerosis complex, or 
TSC, is a genetic disorder that triggers uncontrollable tumor 
growth in multiple organs of the body. The Committee urges NIMH 
to explore the links between autism and TSC, and conduct 
epidemiology studies on the prevalence of mental illness in TSC 
patients. The Committee suggests that NIMH collaborate with 
NINDS and NICHD to sponsor a conference focused on psychiatric 
issues and cognitive disabilities in TSC.

                NATIONAL HUMAN GENOME RESEARCH INSTITUTE

Appropriations, 2006....................................    $485,715,000
Budget estimate, 2007...................................     482,942,000
House allowance.........................................     482,942,000
Committee recommendation................................     486,315,000

    The Committee recommendation includes $486,315,000 for the 
National Human Genome Research Institute [NHGRI]. The budget 
requested $482,942,000 and the fiscal year 2006 appropriation 
was $485,715,000. The comparable amounts for the budget 
estimate include funds to be transferred from the Office of 
AIDS Research.
    Genes and Environment.--The Committee commends NIH and the 
Foundation for the NIH [FNIH] for initiating the Genetic 
Association Information Network [GAIN], a public-private 
partnership using genetic analysis of existing case-control 
studies to identify the genetic roots of common illnesses. The 
Committee also commends NIH for building on the momentum of 
GAIN to advance the trans-NIH and DHHS Genes and Environment 
Initiative [GEI], beginning in fiscal year 2007. This new 
research effort combines genetic analysis and environmental 
technology development to understand the causes of common 
diseases such as Alzheimer's, diabetes, stroke, cancer, asthma, 
and heart disease. The Committee encourages NHGRI to work with 
the NIEHS on this important project. The Committee also 
encourages NHGRI to follow up on the working group 
recommendations on a ``Population-Based Cohort Study to 
Determine the Relationships among Genes, Environment, and 
Health.'' This kind of prospective cohort study of a large 
sample of Americans could provide a valuable complement to the 
work of GAIN and GEI.
    Liver Disease.--The Committee urges NHGRI to focus on the 
genetic component of biliary atresia and other liver diseases 
with an identified genetic component.
    Mapping Human Genes.--The Committee commends NHGRI for its 
leadership in developing technologies that will help accelerate 
the delivery of molecular medicine. The completion of the 
HapMap is a helpful tool in the identification of genes that 
determine susceptibility to diseases such as diabetes and heart 
disease. The Committee encourages NHGRI to continue its efforts 
to make these resources available to the research community.
    Parkinson's Disease.--The Committee encourages the National 
Human Genome Research Institute to work with NINDS and other 
Institutes conducting Parkinson's research to derive biological 
and therapeutic insights from recently discovered Parkinson's 
susceptibility genes and the completed Human Genome Project. 
The Committee encourages continued collaborations including 
additional intramural activities between NINDS, NIMH, NIA and 
NHGRI to enhance understanding of neurodegenerative diseases 
and develop therapeutic applications for gene discoveries, 
particularly for Parkinson's.
    Primary Immunodeficiency Diseases.--NHGRI is commended for 
its use of a public-private partnership with the Jeffrey Modell 
Foundation to develop a newborn screening test for X-linked 
SCID, the most severe form of primary immunodeficiency.
    Spinal Muscular Atrophy [SMA].-- The Committee is aware 
that SMA carrier testing is available to help persons of 
childbearing age make more informed reproductive decisions with 
regard to the risk of SMA in their offspring. The Committee 
strongly encourages NHGRI to develop a pilot program to assess 
the optimal practices for delivery of population-based 
screening for SMA carriers.
    Tuberous Sclerosis Complex.--Tuberous sclerosis complex, or 
TSC, is a genetic disorder that triggers uncontrollable tumor 
growth in multiple organs of the body. The Committee urges 
NHGRI to provide assistance and advice to the TSC research 
community on TSC gene and genome-wide sequencing projects.

      NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING

Appropriations, 2006....................................    $296,606,000
Budget estimate, 2007...................................     294,850,000
House allowance.........................................     294,850,000
Committee recommendation................................     297,606,000

    The Committee recommends an appropriation of $297,606,000 
for the National Institute of Biomedical Imaging and 
Bioengineering [NIBIB]. The budget requested $294,850,000 and 
the fiscal year 2006 appropriation was $296,606,000. The 
comparable amounts for the budget estimate include funds to be 
transferred from the Office of AIDS Research.
    Artificial Pancreas.--Maintaining blood glucose levels as 
close to normal values as possible is proven to reduce the risk 
of long-term complications in diabetes. However, tight glucose 
control is difficult to achieve, especially in young children. 
The NIBIB is encouraged to expedite research on ``closing the 
loop'' between glucose monitoring technologies and insulin 
delivery devices as a means to automate glucose control and 
improve disease management.
    Image-guided Surgery.--The Committee continues to be 
encouraged by the potential of image-guided surgery to improve 
patient outcomes. The Committee supports the Institute's 
efforts to expand its efforts in this area.
    Liver Imaging Techniques.--Consistent with NIBIB's mission 
to improve all diagnostic imaging technologies, the Committee 
urges NIBIB to continue to make liver imaging techniques a 
primary focus, speeding the development of new modalities that 
better capture the early stages of various liver diseases, 
including cancer, as well as offering the potential for less 
invasive combinations of diagnosis and treatment and the 
evaluation of livers from cadaver donors. The Committee urges 
NIBIB to participate actively in trans-NIH initiatives that 
address these priorities.
    Liver Tissue Engineering.--The Committee urges NIBIB to 
focus efforts on expanding the Tissue Engineering Program to 
examine how the development and function of engineered tissues 
and organs can improve treatment techniques for patients 
afflicted with liver disease.
    PET and MicroPET.--The Committee continues to encourage the 
Institute to provide increased support for molecular imaging 
technologies such as positron emission tomography [PET] and 
microPET to take advantage of the capacities of molecular 
imaging to detect disease process at the molecular level and to 
monitor the effectiveness of targeted gene therapies now under 
development. The Committee also encourages the Institute to 
develop its research agenda in close collaboration with other, 
disease-specific Institutes at NIH, so that new imaging 
technologies are closely tied to the research projects being 
undertaken by the various other Institutes of NIH.

                 NATIONAL CENTER FOR RESEARCH RESOURCES

Appropriations, 2006....................................  $1,098,346,000
Budget estimate, 2007...................................   1,098,242,000
House allowance.........................................   1,123,242,000
Committee recommendation................................   1,104,346,000

    The Committee recommends an appropriation of $1,104,346,000 
for the National Center for Research Resources [NCRR]. The 
budget request was $1,098,242,000 and the fiscal year 2006 
appropriation was $1,098,346,000. The comparable amounts for 
the budget estimate include funds to be transferred from the 
Office of AIDS Research.
    Extramural Construction.--Due to budget constraints, the 
Committee has provided no funding for the extramural biomedical 
facility renovation and construction.
    General Clinical Research Centers/Clinical and 
Translational Science Award.--Last year, the Committee provided 
funds for the initiation of the Clinical and Translational 
Science Awards [CTSAs]. The Committee supports the goal of the 
CTSA initiative to provide an integrated setting for inter-
disciplinary clinical research and clinical research training 
and recognizes that the ultimate goal is improved health care 
for the American people. The Committee has been strongly 
supportive of the General Clinical Research Centers [GCRCs] 
program, which has for decades supported clinical researchers 
with specialty nursing care, patient facilities, laboratory 
testing, and specialized monitoring and diagnostic 
capabilities. The Committee believes that during this 
transition period to CTSAs, NIH must assure that these clinical 
services are maintained or enhanced. The Committee has included 
$361,200,000 for clinical research supported by the GCRCs and 
the CTSAs combined. Within this amount, NIH is encouraged to 
ensure a smooth transition from the GCRC program to the CTSA 
program, in a manner that establishes the critical mass 
necessary to launch this new paradigm, while being attentive to 
the needs of those institutions and programs which have served 
well as the foundation for this new program. The NIH is 
encouraged to fully fund up to 8 new CTSA awards rather than 
the 10 additional new CTSA awards proposed by the NCRR. The 
Committee expects the GCRCs to be reconfigured into the CTSA 
grant and requests a status report from NIH no later than July 
1, 2007, which describes the CTSA awards which have been made 
to date, and which details the portion of the budget allocated 
to GCRCs funded by M01 awards and the portion of the budget 
used for the new CTSA awards and that was derived from the M01 
awards.
    The Committee expects the NIH to involve the extramural 
clinical research community in the development and evaluation 
of the CTSA program and its anticipated impact on translational 
and clinical research. This review should include an assessment 
of whether the CTSA program provides sufficient support for 
clinical research focused on the health of children. The 
Committee requests a report no later than July 1, 2007 on the 
status of this evaluation and the manner in which the 
recommendations and concerns of the clinical research community 
will be addressed in any future request for applications for 
CTSAs.
    Human Islet Cell Resource Centers.--The Committee is 
encouraged that the Islet Cell Resource Centers [ICR] program 
has been renewed. The Committee supports the Centers' goals of 
providing islets for transplantation into diabetes patients and 
making human islets readily available for research. Further, 
the Committee is supportive of the Centers serving as regional 
islet isolation facilities with the ability to transport high-
quality human islets to many transplant centers, thus expanding 
the availability of islet transplantation to a larger pool of 
diabetes patients across the Nation.
    Institutional Development Awards [IDeA].--The Committee has 
provided $215,938,000, the same as the budget request for the 
IDeA program authorized by section 402(g) of the Public Health 
Service Act. The Committee recognizes the importance of the 
Centers of Biomedical Research Excellence and the IDeA Networks 
of Biomedical Research Excellence programs and expects funding 
to be maintained for both. The focus of IDeA should continue to 
be on improving the necessary infrastructure and strengthening 
the biomedical research capacity and capability of research 
institutions within the IDeA States.
    Research Centers at Minority Institutions.--The Committee 
continues to recognize the critical role played by minority 
institutions at both the graduate and undergraduate level in 
addressing the health research and training needs of minority 
populations. These programs help facilitate the preparation of 
a new generation of scientists at these institutions. The 
Research Centers in Minority Institutions [RCMI] Program 
continues to impact significantly on these problems. The 
Committee encourages NIH to strengthen participation from 
minority institutions and increase resources available in this 
area. The Committee also encourages NIH to work with minority 
institutions with a track record of producing minority scholars 
in science and technology.
    Research Resource Centers.--The Committee continues to urge 
NCRR to support research resource centers for the development 
and refinement of positron emission tomography [PET] as a 
unique imaging technology to diagnose and stage diseases of the 
brain, including Alzheimer's disease.

       NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE

Appropriations, 2006....................................    $121,382,000
Budget estimate, 2007...................................     120,554,000
House allowance.........................................     120,554,000
Committee recommendation................................     121,982,000

    The Committee has included $121,982,000 for the National 
Center for Complementary and Alternative Medicine. The budget 
request was $120,544,000 and the fiscal year 2006 appropriation 
was $121,382,000. The comparable amounts for the budget 
estimate include funds to be transferred from the Office of 
AIDS Research.
    The Committee strongly supports the work of the National 
Center for Complementary and Alternative Medicine. The Center 
is charged with assuring that complementary and alternative 
therapies be rigorously reviewed to provide consumers reliable 
information.
    Ameliorating Liver Disease.--The Committee is pleased with 
NCCAM's efforts to conduct clinical trials in collaboration 
with NIDDK regarding the use of milk thistle as a possible 
treatment in slowing the progression of nonalcoholic 
steatohepatitis and to reduce the side effects of hepatitis C 
interferon treatments. The Committee looks forward to the 
development and dissemination of the research results 
associated with the use of milk thistle as a treatment to 
ameliorate liver disease.
    Parkinson's Disease.--The Committee encourages NCCAM to 
continue exploration of exercise in its many forms including 
aerobic, anaerobic and Chinese exercises such as Tai Chi Chuan 
in the treatment of Parkinson's. Recent studies show exercise 
may increase neuroprotective chemicals in the brain and 
decrease falls in the elderly. The Committee also encourages 
continued research into significant non-motor co-morbidities in 
Parkinson's including magnetic stimulation for depression, and 
the phytomedicine Valerian for sleep dysfunction. Finally, 
NCCAM is encouraged to work the Office of Dietary Supplements 
in investigating supplements which may be neuroprotective, such 
as berries, alpha lipoic acid, N-acetyl-L-cysteine, acetyl-L-
carnitine, vitamin E, ginko biloba, vitamin D, vitamin B12, 
phosphatidylcholine, and glyconutrients. In light of the many 
ways cell death can occur, NCCAM is encouraged to study the 
concurrent implementation of multiple exercise and nutrition-
based strategies.

       NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

Appropriations, 2006....................................    $195,271,000
Budget estimate, 2007...................................     194,299,000
House allowance.........................................     194,299,000
Committee recommendation................................     196,771,000

    The Committee has included $196,771,000 for the National 
Center on Minority Health and Health Disparities. The budget 
request was $194,299,000 and the fiscal year 2006 appropriation 
was $195,271,000. The comparable amounts for the budget 
estimate include funds to be transferred from the Office of 
AIDS Research.
    Cancer in Minority Communities.--The Committee commends 
NCMHD for its leadership in addressing the disproportionate 
impact of cancer in minority communities. The Committee 
encourages NCMHD to consider collaborating with the National 
Center for Research Resources and the National Cancer Institute 
in supporting the establishment of a cancer center at a 
historically minority institution focused on research, 
treatment, and prevention of cancer in African American and 
other minority communities.
    Genomic Analysis of Disease.--The Committee is encouraged 
by the opportunities that exist for NCMHD. The Center is 
encouraged to strengthen its focus on efforts to unravel the 
genomic analysis of diseases that disproportionately affect 
minorities; applying advances stemming from unraveling the 
physiology and genetics of diabetes; furthering implementation 
of recommendations stemming from the IOM report Examining the 
Health Disparities Research Plan of the National Institutes of 
Health: Unfinished Business; developing innovative strategies 
for improving the health status and health outcomes of 
minorities; furthering the understanding of the dietary link in 
disease prevention and control; strengthening and expanding the 
involvement and participation of minority organizations 
including minority community-based organizations in research, 
outreach, awareness and prevention activities.
    Glomerular Disease.--The Committee understands that 
glomerular disease, a group of diseases affecting the filtering 
mechanisms of the kidneys, is more prevalent among African 
Americans than the general population. The Committee urges 
NCMHD to explore collaboration with NIDDK to support research 
activities related to glomerular injury and requests a status 
report on progress made in this area during the fiscal year 
2008 appropriations hearings.
    Health Professions.--To help close the gaps in research 
training and clinical applications with respect to racial and 
ethnic health disparities, the Committee encourages the NCMHD 
to work with the HRSA via pre and post doctorial training of 
health professions in these areas. Also, important in this area 
is capacity and infrastructure building for strengthening 
support in the areas of faculty and student research and 
training in an effort to build transitional bridges between 
high schools, junior colleges and 4-year institutions. Steps 
also need to be taken to intensify participatory community 
research that addresses priority areas in which wide gaps in 
health status exist as delineated in Healthy People 2010, and 
other national epidemiological and surveillance data sets.
    Liver Disease.--The Committee notes that many liver 
diseases, such as hepatitis C, hepatitis B and nonalcoholic 
steatohepatitis, are more common in the African-American, 
Hispanic, Asian Pacific Islander and Native American 
populations than in European Americans. In addition, access to 
and acceptance of care is particularly problematic in these 
populations. The Committee therefore continues to urge the 
Center to initiate and participate with NIDDK, NIDA and NCI in 
research focused on addressing and reducing these disparities.
    Minority Health Disparities.--The Committee commends the 
National Center on Minority Health and Health Disparities for 
its leadership in addressing the longstanding problem of health 
status disparities in minority and medically underserved 
populations. For fiscal year 2007, the Committee continues to 
encourage NCMHD to implement its successful Research Endowment 
program as an ongoing initiative. Moreover, the Committee 
encourages NCMHD to implement the program in a manner that is 
consistent with the authorizing legislation. The Committee 
believes that implementation of recommendations stemming from 
the IOM Unequal Treatment: Confronting Racial and Ethnic 
Disparities in Health Care study offer significant 
opportunities for improving health across communities of color. 
NCMHD is encouraged to work with minority organizations and 
minority community-based efforts to disseminate research-based 
health information to further engage minority national 
organizations and minority community-based organizations in 
implementing recommendations of the Institute of Medicine 
study.
    Project EXPORT.--The Committee commends NCMHD for its 
successful ``Project EXPORT'' initiative and urges continued 
support for this important program. The Committee encourages 
the director of NCMHD to coordinate with the NIH Director and 
the National Center for Research Resources in support of 
extramural facility construction and the development of other 
research and research library infrastructure at minority health 
professions schools.

 JOHN E. FOGARTY INTERNATIONAL CENTER FOR ADVANCED STUDY IN THE HEALTH 
                                SCIENCES

Appropriations, 2006....................................     $66,332,000
Budget estimate, 2007...................................      66,681,000
House allowance.........................................      66,681,000
Committee recommendation................................      66,832,000

    The Committee recommends an appropriation of $66,832,000 
for the Fogarty International Center [FIC]. The budget request 
was $66,681,000 and the fiscal year 2006 appropriation was 
$66,332,000. The comparable amounts for the budget estimate 
include funds to be transferred from the Office of AIDS 
Research.
    Chronic Obstructive Pulmonary Disease.--The Committee notes 
that Chronic Obstructive Pulmonary Disease [COPD] is the fourth 
leading cause of death worldwide, and encourages the Fogarty 
International Center to expand its COPD research and training 
activities.
    Fragile X.--International collaboration among scientists is 
an essential element in Fragile X research. The Committee 
encourages the Fogarty International Center to consider Fragile 
X syndrome through all appropriate programs, such as the 
Fogarty International Research Collaboration Award and the FIC 
Brain Disorders in the Developing World Program. The Committee 
also encourages the Fogarty International Center to establish 
public/private partnerships that will increase the number of 
international fragile X research projects and collaborations.
    Tuberculosis Training.--The Committee is pleased with the 
Fogarty International Center's efforts to supplement grants in 
AIDS International Training and Research Program [AITRP] or 
International Training and Research Program in Emerging 
Infectious Diseases [ERID], which trains tuberculosis experts 
in the developing world. Given the magnitude of global 
tuberculosis, the Committee encourages FIC to develop a 
specific free-standing TB training program.

                      NATIONAL LIBRARY OF MEDICINE

Appropriations, 2006....................................    $314,694,000
Budget estimate, 2007...................................     313,269,000
House allowance.........................................     313,269,000
Committee recommendation................................     315,294,000

    The Committee recommends an appropriation of $315,294,000 
for the National Library of Medicine [NLM]. The budget 
requested $313,269,000 and the fiscal year 2006 appropriation 
was $314,694,000. These amounts include $8,200,000 made 
available from program evaluation funds. The comparable amounts 
for the budget estimate include funds to be transferred from 
the Office of AIDS Research.
    Disease Management Technology.--The Committee urges NLM to 
conduct outreach activities to all public and private sector 
organizations which have demonstrated capabilities in health 
information technology. The Committee is particularly 
interested in disease management technology as it relates to 
saving health care dollars, and improving care for chronically 
ill individuals and the workforce.
    Native Hawaiian Healing.--The Committee encourages the 
preservation and documentation of Native Hawaiian traditional 
cultural healing practices.
    Outreach.--The Committee encourages NLM to continue its 
outreach activities aimed at educating health care 
professionals and the general public about the Library's 
products and services, in coordination with medical librarians 
and other health information specialists.
    PubMed Central.--The Committee commends NLM for its 
leadership in developing PubMed Central, an electronic online 
repository for life science articles. Because of the high level 
of expertise health information specialists have in the 
organization, collection, and dissemination of medical 
information, the Committee believes that health sciences 
librarians have a key role to play in the further development 
of PubMed Central. The Committee encourages NLM to work with 
the medical library community regarding issues related to 
copyright, fair use, peer-review and classification of 
information on PubMed Central.

                         OFFICE OF THE DIRECTOR

Appropriations, 2006....................................    $527,238,000
Budget estimate, 2007...................................     667,825,000
House allowance.........................................     667,825,000
Committee recommendation................................     687,825,000

    The Committee recommends an appropriation of $687,825,000 
for the Office of the Director [OD]. The budget request was 
$667,825,000 and the amount appropriated in fiscal year 2006 
was $527,238,000. The comparable amounts for the budget 
estimate include funds to be transferred from the Office of 
AIDS Research.
    The Committee has included within the total, $96,030,000 to 
support specific targeted research activities needed to develop 
radiological/nuclear and chemical threat countermeasures.
    The Committee has also included language requested in the 
President's budget to provide additional transfer authority for 
the NIH Common Fund. The Committee believes that the amounts 
transferred from the Institutes and Centers to the NIH Common 
Fund should reflect a uniform percentage of the transfer 
amount.
    Ombudsman Activities.--The Committee understands that, with 
the exception of a limited number of topics such as the 
treatment of human subjects, neither the NIH nor the Department 
has a structure in place to process and address complaints by 
investigators and others about the ways in which NIH-funded 
research activities are conducted. In an agency with an annual 
appropriation of more than $28,000,000,000, this is not 
acceptable. The Committee strongly urges the NIH to put in 
place a structure in which complaints about NIH-funded grants 
and other activities can be evaluated objectively.

Office of Behavioral and Social Sciences Research

    Basic Behavioral Research.--OBSSR is congratulated on its 
tenth anniversary at NIH. The Committee encourages OBSSR to 
continue working to build alliances among institutes that 
support and nurture basic behavioral and social sciences 
research. In particular, the Committee encourages OBSSR to 
partner with NIGMS and other funders of basic research to 
enhance support for work on methods, animal models, and the 
interplay of biological factors, behavioral and social 
influences underlying phenomena such as stress that influence 
multiple health conditions.
    Social Work Research.--The Committee commends the NIH for 
implementing recommendations of the May 2003 NIH Plan for 
Social Work Research, including the release of program 
announcements titled ``Research on Social Work Practice and 
Concepts in Health,'' which are designed to encourage social 
work research related to improving health outcomes for persons 
with medical and behavioral disorders and conditions. The 
Committee requests that NIH submit a progress report in June 
2007 that covers the 4 years since the plan was released. The 
report should outline the efforts made by NIH to utilize and 
support social work research in areas related to aging, health 
disparities, child and family issues and behavioral health.
    Education and the Workplace.--The Committee encourages 
OBSSR to intensify its efforts to increase scientific 
understanding of the elements of education and the workplace 
that most affect health. The Committee strongly encourages 
OBSSR to increase its investment in projects and studies that 
focus on maintaining behavior change in the areas of disease 
prevention, control, and health outcomes especially in cancer, 
diabetes, obesity, asthma, heart disease, HIV/AIDS, chronic 
obstructive pulmonary disease, and stroke.

Office of Dietary Supplements

    The Committee continues to strongly support the important 
work of this Office. Use of dietary supplements has increased 
significantly among Americans who want to improve their health 
and prevent disease. There is a great need for additional 
research to better inform consumers of the health benefits of 
supplements.

Office of Rare Disease Research

    Pediatric Liver Diseases.--The Committee is pleased that 
the ORD has continued to provide significant funding to support 
10 centers within the Biliary Atresia Clinical Research 
Consortium, as well as working with NCRR to research 
cholastatic liver disease in children.

Office of Research on Women's Health

    Irritable Bowel Syndrome.--The Committee is pleased with 
the increased focus on irritable bowel syndrome [IBS] at the 
NIH's Office of Women's Health, and urges the office to 
continue expanding research on this prevalent functional 
gastrointestinal disorder.
    Stroke in Women.--Recognizing that women are the single 
largest group at risk for death from stroke, the Committee 
believes that special attention should be focused on better 
understanding the gender-related differences in stroke. Studies 
suggest that significant gender differences occur in the 
evaluation and treatment of stroke patients, with women often 
receiving fewer diagnostic tests and intervention procedures. 
Increased research is needed to understand these differences 
and provide a means to optimize stroke care for all patients. 
Some aspects of the disease unique to women include strokes 
related to pregnancy and the use of oral contraceptives; stroke 
in younger women requires increased attention. Stroke is 
additionally a leading cause of serious disability among women 
and may contribute to late-life cognitive decline. The 
Committee supports the funding of new and continuing NIH 
studies that investigate the impact of postmenopausal hormone 
replacement therapy on stroke risk. Continued support of 
clinical and basic research on hormone physiology in women is 
necessary to understanding the impact of hormones on women's 
vascular systems. The Committee urges NIH to increase research 
in stroke among women of all ages, with specific attention to 
gender-related differences in stroke risk, and to stroke 
prevention interventions, acute stroke management, post-stroke 
recovery, long-term outcomes, and quality of care. The 
Committee further urges NIH to increase research into new 
therapies for stroke in women as well as into ways of enhancing 
the vascular health of all Americans, including (1) 
observational research on differences in the way men and women 
present with stroke symptoms, (2) research addressing how 
stroke influences the likelihood and severity of cognitive 
impairment in women, (3) a clinical trial of carotid 
endarterectomy and angioplasty/stenting in women, (4) studies 
of differences in how men and women respond to antiplatelet 
agents for recurrent stroke prevention, and (5) basic science 
research to address unique brain cell death and repair 
mechanisms in females.
    The Committee also encourages and supports NIH's 
initiatives toward advancing the organization of stroke care in 
women, including post-stroke rehabilitation, and the 
identification of stroke treatment and research centers that 
would provide rapid, early, continuous 24-hour treatment to 
stroke victims, including the use of the clot-buster t-PA, when 
appropriate. Designated areas in medical facilities equipped 
with the resources and personnel for treating stroke would also 
promote the early evaluation of innovative stroke treatments. 
In addition, the Committee recommends all of these important 
initiatives be subsumed under an NIH mandate for a Women's 
Agenda for Stroke Prevention, Diagnosis and Treatment.
    Vulvodynia.--In recent years, NIH has supported two 
important research conferences on vulvodynia, as well as the 
first prevalence study and clinical trial on the disorder. 
These efforts have both clearly demonstrated the need for 
substantial additional research and served to heighten the 
research community's level of interest in studying vulvodynia. 
The Committee calls upon the Director to build upon these 
initial successes by coordinating through the ORWH an expanded, 
collaborative extramural and intramural research effort into 
the causes of, and treatments for, vulvodynia. This expanded 
effort should involve ORWH, NICHD, NINDS and other relevant 
ICs, as well as the NIH Pain Consortium. The Committee commends 
ORWH for initiating a dialogue with the National Vulvodynia 
Association to determine the best approach for launching an 
educational outreach campaign on vulvodynia, as the Committee 
requested last year. ORWH is encouraged to implement this 
effort with the help of other relevant ICs and women's health 
offices in governmental agencies including HHS, FDA, HRSA and 
CDC. Finally, the Committee encourages the Director to work 
with the Center for Scientific Review and ICs to ensure that 
experts in vulvodynia, and related chronic pain and female 
reproductive system conditions, are adequately represented on 
peer review panels.
    Women and AIDS Treatments.--While much progress has been 
made with regard to AIDS treatments, considerable work remains 
especially with regard to HIV/AIDS across communities of color 
and in women. The Committee encourages the NIH to further 
examine how these medications work in smaller frame women; how 
best to ensure women follow treatment regimens; mental health 
impact of HIV/AIDS in women including depression; and impact on 
memory, AIDS related cognitive dementia.
    Women and Biomedical Research.--In 2001, the Institute of 
Medicine released a report that stressed the importance of 
biological sex as a basic variable that needs to be considered 
in all areas of biomedical research. Recent findings have 
demonstrated significant differences between men and women 
exist in health and disease. For many disorders, the sex of the 
patient influences disease etiology, natural history, diagnosis 
and treatment alternatives and outcomes. One of the fields 
where such differences are most pronounced is neuroscience. The 
Committee strongly encourages each of the 15 Institutes 
involved in the NIH Neuroscience Blueprint to carefully analyze 
their entire NIH Neuroscience Blueprint research portfolio to 
ensure sex is included as a variable,when appropriate, and to 
require that all reported results include sex specific 
analysis. The Committee would like a written report from the 
Director that includes information on the progress of these 
efforts at all 15 of the NIH Neuroscience Blueprint Institutes 
prior to the fiscal year 2008 hearings.

Multi-Institute Research Initiatives

    Autism Spectrum Disorders.--The Committee is encouraged by 
the NIH's autism research matrix and urges NIH to devote 
sufficient resources to this research agenda. The Committee 
urges the NIH when implementing the autism research matrix to 
coordinate with autism organizations already funding research 
initiatives to ensure the most efficient use of its resources. 
The Committee also notes the promise of particular areas cited 
in the matrix, including genetic, gene-environment 
interactions, behavioral characterizations of the disorder, 
screening and early diagnosis, and the development of evidence-
based interventions.
    Autoimmune Diseases.--Congress commends the NIH Autoimmune 
Diseases Coordinating Committee [ADCC] for fostering 
collaborative, integrated multi-Institute research on issues 
affecting the genetically related family of autoimmune 
diseases. The ADCC should focus on the role of environmental 
and infectious agents in the initiation and/or exacerbation of 
autoimmune diseases. Additionally, the Committee encourages the 
ADCC to be proactive in identifying promising areas of 
autoimmune research where collaboration among the NIH 
institutes enhances the potential for major advances.
    Center for Scientific Review [CSR].--The Committee has 
received reports from scientists and professional organizations 
that many grant applications are referred to study sections 
that do not include reviewers with the appropriate expertise. 
The Committee is concerned that this may be adversely impacting 
research in important areas of science and medicine, such as 
cardiothoracic surgery. The Committee requests that CSR examine 
the pattern of grant application referral to study sections, 
especially as it relates to cardiothoracic surgery grants, and 
be prepared to report at the fiscal year 2008 hearings on the 
results of the examination and what recommended steps may be 
needed to assure that applications are reviewed by study 
sections that have the expertise to provide a thorough, 
impartial review.
    Charcot-Marie-Tooth Disease.--The Committee welcomes the 
upcoming NINDS workshop on peripheral neuropathies and is 
pleased the agenda will focus on developing research 
opportunities to address Charcot-Marie-Tooth disease [CMT]. The 
Committee hopes all relevant NIH institutes and centers, 
including the National Institute of Arthritis and 
Musculoskeletal and Skin Diseases, National Institute of 
Diabetes and Digestive and Kidney Disorders and National 
Institute of Child Health and Human Development, will 
participate in the workshop. The Committee, therefore, requests 
a report on the workshop on peripheral neuropathies and on 
developments in CMT and CMT-related research by March 2007.
    In addition, the Committee requests that in 2007 NIH begin 
reporting annual funding figures on CMT research supported by 
all of the institutes and centers.
    Chronic Fatigue Syndrome.--The Committee commends the NIH 
for the July 14, 2005, request for applications [RFA] on CFS. 
The Committee supports the CFS Advisory Committee's 
recommendation to ``establish five Centers of Excellence within 
the United States that would effectively utilize state of the 
art knowledge concerning the diagnosis, clinical management, 
treatment and clinical research of persons with CFS.'' The 
Committee notes that the recommendation includes modeling the 
CFS centers after the existing Centers of Excellence program, 
with funding in the range of $1,500,000 per center per year for 
5 years. The Committee has reviewed the Director's July 2006 
report on NIH Research Activities on Chronic Fatigue Syndrome. 
The coding instructions for grants appear insufficient and 
overly broad, allowing the inclusion of non-CFS-specific 
studies. Thus, the Committee remains concerned that funds for 
CFS are not reported appropriately. It is imperative that NIH 
improve its methods of accounting for disease-specific 
research, consistent with recommendations from the NIH's 
Council of Public Representatives and the Institute of 
Medicine's 2003 report, ``Enhancing the Vitality of the NIH: 
Organizational Changes to Meet New Challenges.'' Within 60 days 
of passage of this bill, the Committee requests the NIH to work 
with the CFS Advisory Committee to refine its coding 
instructions and revise its report to the Committee 
accordingly.
    Clinical Research.--The Committee is aware that NIH is 
establishing large, validated databases to measure patient-
reported outcomes from clinical trials that cover a wide range 
of chronic diseases and demographic characteristics. NIH is 
urged to create databases to measure and track outcomes for 
surgical procedures, in order to establish common data 
standards and facilitate comparisons among surgical clinical 
research studies. A report on the development of these surgical 
databases is expected in the fiscal year 2008 Congressional 
budget justifications.
    Down Syndrome.--The Committee urges the Director of NIH to 
establish an NIH Down syndrome research task force on cognition 
to develop a strategic plan for genetic and neurobiological 
research relating to the cognitive dysfunction and the 
progressive late-life dementia associated with Down syndrome. 
The purpose of the strategic plan is to provide a guide for 
coordinating Down syndrome research on cognition across NIH and 
for enhancing the development of new research efforts based on 
identification of areas of greatest scientific opportunity, 
especially as they relate to the development of future 
treatments. The plan should include short-, intermediate- and 
long-term goals for basic and clinical research with strategies 
for achieving goals and with specified time frames for 
implementation.
    Dystonia.--The Committee is very pleased with progress 
demonstrated by the NIH intramural research program in the 
treatment and understanding of dystonia. NIH intramural 
researchers have successfully utilized injections of Botox to 
treat many patients who otherwise would be severely debilitated 
by dystonia. The Committee urges continued work in this 
important area of study and treatment.
    Fragile X.--The Committee notes the impressive progress 
made by Fragile X researchers in understanding the basic neural 
defects that cause this developmental disorder. The success of 
these translational research efforts has made treatment of 
Fragile X a near-term possibility. However, collaborative 
efforts between industry, academia and NIH Institutes are 
likely to be necessary to develop promising therapies. The 
Committee further notes that while Fragile X is a relatively 
common genetic disease, the treatments being developed for 
Fragile X may also be effective for a much larger number of 
people with related autism spectrum disorders. Research has 
shown many possible treatment strategies which merit human 
Fragile X clinical trials, including, but not limited to, 
mGluR5 antagonists, Ampakines, aripiprazole, and lithium. The 
Committee strongly urges the Director to facilitate and fund 
public/private partnerships that will enable these vital 
studies to proceed. The Committee also urges the Director to 
take an active role in coordinating Fragile X research at NIH, 
by organizing regular intramural meetings of program directors 
from all institutes sponsoring Fragile X research projects.
    Gene Therapy Research.--The Committee is encouraged by 
promising research being undertaken in gene therapy, especially 
in regard to thalassemia, or Cooley's anemia. It is concerned, 
however, that the current mechanism for funding gene therapy 
research, while promoting advancement of individual components 
of gene therapy, lacks an overarching strategy that will 
coalesce these advances and encourage the ultimate goal of 
curing genetic disorders expeditiously. Last year, the 
Committee urged the Director to assess the prospects for the 
most promising areas for breakthroughs in this field and to 
develop an aggressive program to focus resources on it. A 
meeting was convened on the topic, but the Committee believes 
that more focused and aggressive action is needed. NIH is 
strongly urged to develop a plan for assessing the prospects 
for success in Cooley's anemia and a broad range of diseases, 
with the goal of curing a single gene disorder in the shortest 
possible time utilizing gene therapy.
    Heart Disease Research and Prevention Action Plan.--The 
Committee is pleased to learn that the NIH, through the NHLBI, 
will convene a national conference in 2006 to assess progress 
and opportunities in heart disease research and prevention and 
to develop a comprehensive, long-range, trans-agency action 
plan. The Committee understands that the Institute will invite 
stakeholders from the research, practice, and patient advocacy 
communities and include representatives from relevant NIH 
components and other Federal agencies, including CDC, AHRQ, and 
DOD. The Committee expects the report to be a long-range, 
trans-agency action plan on heart disease research and 
prevention, with quantifiable goals and benchmarks to measure 
progress in the battle against heart disease.
    Hereditary Hemorrhagic Telangiectasia [HHT].--The Committee 
is aware that HHT is a rare, multi-system genetic disorder of 
the blood vessels that can result in stroke, hemorrhage, and 
death. The Committee encourages the NIH to explore 
opportunities for additional clinical and basic research on 
HHT.
    Human Tissue Supply.--The Committee remains interested in 
matching the increased needs of NIH grantees, intramural, and 
university-based researchers who rely upon human tissues and 
organs to study human diseases and search for cures, including 
for those researchers dedicated to the study and cure of rare 
diseases. The Committee is aware that one of the leaders in 
this competitive field, the National Disease Research 
Interchange [NDRI], is positioned to obtain this valuable and 
effective alternative research resource. More than 500 peer-
reviewed research advances made by NDRI-dependent researchers 
have been published in recent years, contributing to the 
research community's fund of knowledge. The Committee 
encourages the Director to increase support NDRI receives from 
NCRR, and to broaden the scope of the multi-Institute 
initiative by strongly urging the Institute Directors of NCI, 
NHGRI, NHLBI, NICHD, NIMH, and NINDS to identify and expand 
support for NDRI.
    Information, Dissemination and Outreach.--The Nation 
invests greatly in the NIH providing tremendous opportunities 
for accelerated improvements in health and quality of life. 
Research advances must be applied more expeditiously to ensure 
greater improvements in health outcomes across all communities 
of color and the general public. To maximize the benefits of 
this national Federal enterprise and resource, the Committee 
strongly urges the NIH to improve, strengthen, and expand its 
systems of information dissemination and outreach to healthcare 
providers, minority organizations, and the public. The NIH 
system must accelerate the dissemination and application of 
research findings and advances in prevention, diagnosis, 
treatment, behavioral response, awareness, and other health 
improvement opportunities.
    Lymphangioleiomyomatosis [LAM].--The Committee remains very 
interested in efforts to find a cure and treatments for LAM, a 
progressive and fatal lung disease that strikes women, usually 
in their childbearing years. Currently, there are no effective 
treatments. The Committee understands that recent scientific 
findings have presented new treatment approaches for clinical 
testing, and that experimental trials with the drug sirolimus 
have begun. The Committee urges the NHLBI, as well as the NCI, 
the Office of Rare Diseases, and the NINDS to find clinical 
treatment trials through both intramural and extramural means 
and to use all available mechanisms as appropriate, including 
support of state-of-the-science symposia, request for 
applications, and facilitating access to human tissues to 
stimulate a broad range of clinical and basic LAM research. The 
Committee also commends the NCRR and ORD for their roles in 
supporting the Rare Lung Disease Consortium.
    Lymphatic Research.--The lymphatic system plays a vital 
role in the immune system, the digestive system, and a wide 
range of diseases, including lymphedema, asthma, and cancer. 
There is growing evidence, for example, that intervening in the 
lymphatic system could help reduce the spread of tumors. Other 
research suggests that it contributes to unwanted inflammation. 
Until recently, however, the scientific and medical professions 
have not sufficiently recognized its importance. While 
substantial resources have been spent to study the blood 
circulatory system, far fewer have been devoted to the 
lymphatic circulatory system. Therefore, the Committee urges 
the NIH to consider research on the lymphatic system as an 
initiative within the newly created Office of Portfolio 
Analysis and Strategic Initiatives. In keeping with OPASI's 
purpose, such research would address an area of emerging 
scientific opportunity, and it would not focus on a specific 
group of diseases, but a broad range. Furthermore, while a 
better understanding of the lymphatic system would benefit 
numerous Institutes and Centers, basic research in this area 
currently falls both within and between existing IC missions--a 
situation that contributes to the scientific neglect of the 
lymphatic system. The Committee also urges the NHLBI, NCI, 
NIAID and other ICs to improve coordination for lymphatic 
system research through the Trans-NIH Coordinating Committee 
and to specifically cite lymphatic system research in NIH 
funding mechanisms such as program announcements and RFAs.
    Medical Challenges.--In light of new medical challenges 
such as SARS and the threat of bioweapons, the Director is 
encouraged to increase collaborative efforts to address these 
and other medical challenges. In addition the Committee 
encourages the Director to conduct multi-institute projects to 
address these challenges.
    Minority Health Professions Institutions.--The Committee 
continues to be pleased with the NIH Director's implementation 
of various programs focused on developing research 
infrastructure at minority health professions institutions, 
including Research Centers at Minority Institutions, Extramural 
Biomedical Research Facilities, and the National Center on 
Minority Health and Health Disparities.
    Nanosystems Biology.--The Committee encourages the 
Director, along with NCI, to support a collaborative effort to 
bring nanotechnology, systems biology and molecular imaging 
together to examine the molecular basis of cancer, consistent 
with the Director's Roadmap Initiative. Initial efforts have 
shown that cancers such as breast cancer are not a single 
disease, but may encompass many different diseases, when 
examined at the molecular level. Many clinical trials of new 
drugs are now considered to fail if only 10 percent of patients 
benefit, yet that 10 percent may represent a specific type of 
the disease, for which the drug in question may be 100 percent 
effective. Bringing these three disciplines together may allow 
researchers to identify specific sub-types of cancer and to 
better target new interventions. Successful results of such an 
effort could lead to a molecular classification of many types 
of cancer and to targeted molecular treatments for molecular-
specific disease.
    National Children's Study.--The Committee was very 
disappointed that the President's budget proposed to eliminate 
funding for the National Children's Study. The Committee 
supports full and timely implementation of the Study [NCS] and 
has included funds within the Office of the Director to 
continue the study. This study aims to quantify the impacts of 
a broad range of environmental influences, including physical, 
chemical, biological and social influences, on child health and 
development. Now that the pilot phase of the project has gotten 
underway, the Committee believes it is timely to reconsider the 
scientific strategy to measure environmental exposures and 
genetic factors. Major scientific advances have occurred in 
several fields since the National Children's Study was first 
authorized, and the leadership of the NCS is urged to bring in 
additional objective scientific expertise to assess the 
scientific merit of the study components. The Committee further 
urges the NIH to coordinate the involvement of the Departments, 
the lead Federal partners and other interested institutes, 
agencies and non-Federal partners conducting research on 
children's environmental health and development, such that this 
study is ready for the field by no later than 2007.
    National Commission on Digestive Diseases.--The Committee 
directs the Director of the National Institutes of Health is 
planning to extend the charter for the National Commission on 
Digestive Diseases from 2 years to 4 years from the date of its 
establishment in order to provide for adequate consideration of 
all study, evaluation, and planning matters as directed by the 
Committee in Senate Report 108-345 for fiscal year 2005 (as 
carried out by the Director in the notice appearing in the 
Federal Register of August 26, 2005, volume 70, number 165, 
pages 50377-50378).
    National Private Research Centers.--The Committee 
recognizes the need to raise awareness of the availability of 
the National Primate Research Centers' [NPRCs] nonhuman primate 
resources amongst Institute and Center Directors and within the 
NIH-funded research community. The NPRCs provide access to 
resources such as: nonhuman primates for NIH-funded 
experiments; nonhuman cells, fluids, tissues, organs, proteins, 
cell lines, and nucleic acid samples; immunological reagents 
for nonhuman primate research; comprehensive genetic and 
genomic information for nonhuman primates; and venues for the 
assessment of nonhuman primate behavior and cognition. These 
unique resources and expertise contribute to the overall 
effectiveness of the Federal investment in biomedical research.
    Obesity Research Task Force.--The Committee commends the 
NIH for creation of an Obesity Research Task Force and for 
NIH's recognition of the need to prevent and treat obesity 
beginning in childhood. However, the Committee strongly urges 
the Task Force to explicitly include, across the six proposed 
trans-NIH obesity initiatives, investigations into the genetic 
causes of obesity beginning with study of Prader-Willi 
syndrome. Furthermore, the Committee urges the Director of NIH 
to conduct outreach to the Prader-Willi Syndrome community to 
participate in research at the proposed ``Obesity Clinical 
Research Center.'' The NIH should be prepared to report on the 
progress made by the Obesity Research Task Force, and the 
trans-NIH research efforts to appropriately incorporate both 
children and genetics into the overall obesity research agenda 
during the fiscal year 2007 appropriations hearings.
    Parkinson's Disease.--The Committee is aware that 
Parkinson's disease research would benefit from targeted and 
measured investment of resources by NIH which would result in 
significant dividends in terms of reduction in human suffering 
and economic costs to society. Accordingly, the Committee 
continues to encourage the NIH to develop a strategic plan for 
future investments in Parkinson's research, based on the 
findings of a planning conference tasked with identifying the 
current shortcomings and future opportunities for more 
effective treatments and potential cures for the disease, and 
with a clearly defined budget for achieving those objectives.
    The Committee understood last year that the NIH convened a 
conference in June 2005 and instructed NIH to report back to 
Congress the conclusions and recommended research plan for the 
next 3 years of Parkinson's research. The Committee is 
discouraged that the report was not transmitted to the 
Committee as requested.
    The Committee further encourages the NIH to submit an 
implementation plan with a research budget that outlines 
progress already made and specific results of investments 
outlined in that plan by July 1, 2007.
    Peer Review of Patient-Focused Research.--The Committee 
remains extremely concerned about analyses by the Center for 
Scientific Review confirming that grant applications focused on 
patient-oriented research are less likely to receive funding 
than laboratory research grant proposals. The Committee 
encourages the Director to take steps to eliminate this 
disparity. The Committee is pleased that the NIH Roadmap is 
focused on efforts to improve the training of clinical 
investigators. However, these efforts can only partially 
succeed if these researchers are at a disadvantage in the peer 
review process. In addition, the Committee is concerned that 
the peer review system may be failing to recognize the merit of 
applications that could lead to medical breakthroughs. The 
Committee encourages the Director to appoint a committee of 
clinical investigators with experience as NIH grant reviewers 
to recommend specific steps that should be taken to eliminate 
the disparity in the review of laboratory and clinical research 
applications. The Committee requests a report by March 1, 2007, 
on steps that are being taken to address problems highlighted 
in a 2002 General Accounting Office report including the lack 
of reliable methods for identifying and tracking patient-
oriented research applications or reviewers.
    Prader-Willi Syndrome.--The Committee recognizes the 
commitment to establish a Rare Diseases Clinical Research 
Center as part of the Rare Diseases Clinical Research Network 
for the study of Prader-Willi syndrome and other rare 
disorders. The Committee strongly encourages that the RDCRC 
program be expanded to increase the level of research being 
conducted.
    Psoriasis.--The Committee urges the Director to expand and 
coordinate research and related activities with respect to 
psoriasis and psoriatic arthritis across all relevant 
institutes, centers and offices, particularly at NIAMS and 
NIAID, to help foster new, safe, and effective treatments for 
these diseases and move toward a cure.
    Rehabilitation Research.--The Committee is pleased with the 
continuing effort of the National Center for Medical 
Rehabilitation Research to coordinate rehabilitation research 
initiatives among the several relevant institutes, including 
NICHD, NINDS, NIA, and NIMH. The Committee is concerned, 
however, that the contribution of rehabilitation sciences to 
the fullest possible recovery of individuals who experience 
functional limitations or have chronic disabilities does not 
meet its potential. Therefore, the Committee urges the NIH to 
provide a report to Congress by April 1, 2007, to address the 
following: efforts to increase awareness of rehabilitation 
research and coordination among all related institutes at NIH 
and inclusion in trans-NIH initiatives; the appropriateness of 
rehabilitation and disability research as a priority under the 
Office of Portfolio Analysis and Strategic Initiatives [OPASI]; 
and efforts to better track the NIH investment in 
rehabilitation and disability research.
    Research Training.--The Committee commends the NIH Director 
for his efforts to improve training for young investigators 
through the new Pathway to Independence program. The Committee 
encourages the NIH to maintain its commitment to training 
future biomedical and behavioral scientists, including women 
and minority researchers, who are instrumental in understanding 
health disparities. Given the importance of reducing health 
disparities in diseases such as cancer, diabetes, heart 
disease, as well as mental disorders, it is crucial that NIH 
increase the coordination of data collection and the 
development of objectives and long-term outcome measures across 
institutes and centers and review whether current reductions in 
training are having disproportionate impacts on minority 
investigators.
    Review of Grant Applications.--The Committee is concerned 
that review time for proposals submitted to the Institute at 
NIH continues to average about 18 months from the submission of 
the grant proposal to the awarding of the grant. The Committee 
strongly urges the Director to speed up the grant process and 
award grants on an expedited basis.
    Small Business Research.--Innovative ideas from small 
businesses have the potential to be rapidly translated into 
patient monitoring devices or treatments. The Committee urges 
all Institutes and Centers to take advantage of the Small 
Business Innovation Research [SBIR] and Small Business 
Technology Transfer [STTR] programs to speed research on new 
technologies that can lead to improvements in the prevention, 
diagnosis, and cure of diabetes and its complications.
    Spinal Muscular Atrophy.--The Committee strongly urges the 
Director to ensure the success of the SMA Project by providing 
active and ongoing support from the Office of the Director as 
well as from other related Institute Directors. The Committee 
is aware that the current SMA Project is scheduled to conclude 
in 2007 and requests the OD begin planning for the necessary 
follow-on effort to maximize the results of this innovative 
project for SMA and to ensure it serves as a model for other 
diseases.
    Support of Clinical Investigators.--The Committee believes 
that NIH should give the highest priority to programs and 
policies that support the work of clinical investigators who 
translate laboratory findings to improved patient care. While 
the Committee supports the goals of the Clinical and 
Translational Science Awards [CTSA], the initiative appears 
focused largely on the training of new clinical investigators 
and may result in a diminution of resources currently available 
to active clinical researchers. The Committee is concerned, for 
example, about whether the clinical services currently provided 
by General Clinical Research Centers will remain available to 
funded clinical investigators, particularly those in 
institutions that do not compete successfully for a CTSA. The 
Committee encourages the Director to monitor this closely and 
take steps to assure that the necessary clinical research 
infrastructure support is maintained for NIH-funded clinical 
investigators.
    The Committee is particularly supportive of the component 
of the CTSA award that will make support available to 
researchers for pilot studies to collect preliminary data and 
offer researchers the opportunity to progress to research 
project grant support. The Committee requests a report by March 
1, 2007, on the extent to which CTSA award funding or other NIH 
roadmap grants are being dedicated to this type of support for 
investigators.
    Temporomandibular Joint [TMJ] Disorders.--While much work 
remains, the Committee is encouraged by actions taken over the 
last year by NIH to expand research on TMJ disorders. The 
Committee commends the Directors of NIDCR, NINDS and ORWH for 
their efforts to increase research on genetic and environmental 
factors that may increase risk for the onset and progression of 
these disorders and attract new investigators to the field. The 
need for safe and effective prostheses for TMJ patients who 
have lost jaw tissue due to disease or disease treatments 
remains a critical issue, and the Committee applauds NIDCR for 
giving high priority to advancing tissue replacement 
technology. In cooperation with NIBIB, recommendations from the 
third scientific meeting of The TMJ Association provide 
bioengineering approaches that can be implemented which will 
improve diagnostics as well as treatments for TMJ problems. 
Complex disease research calls for team efforts involving 
engineers, computer scientists and medical scientists to study 
the jaw anatomy, physiology and the complex nervous, endocrine 
and immune system interactions that orchestrate jaw function. 
The Committee calls on the Director to invigorate such 
collaborative efforts in these areas over the coming fiscal 
year and to coordinate the work of all relevant ICs and give 
priority to collaborative, cross-cutting research. The 
Committee also strongly urges the NIH to take concrete steps to 
develop informational materials directed to medical, dental and 
allied health professionals (e.g., nurses, dental hygienists) 
to improve understanding of TMJ diseases and disorders and 
their frequent co-morbidities. Such an effort should be 
directed and coordinated by OWRH in collaboration with other 
ICs, including NIDCR, NIAMS, NINDS, NIBIB and NHLBI.
    Translational Research.--The Committee is very supportive 
of translational research and strongly encourages the NIH to 
integrate such research as a permanent component of the 
research portfolio of each institute and center. The Committee 
urges NIH to begin discussions to determine how best to 
facilitate progress in translating existing research findings 
and to disseminate and integrate these findings at the practice 
level. Translational research should also include the discovery 
and application of knowledge within the practice setting using 
such laboratories as practice-based research networks. This 
research spans biological systems, patients, and communities, 
and arises from questions of importance to patients and their 
physicians, particularly those practicing primary care. The 
Committee strongly encourages all of the NIH Institutes and 
Centers to support translational research in the behavioral and 
social sciences to address how basic behavioral processes 
inform the diagnosis, prevention, treatment, and delivery of 
services. The Committee requests the Director of NIH to include 
a progress update in next year's budget Justification.
    Tuberous Sclerosis Complex [TSC].--The Committee urges the 
Office to work with all institutes involved in TSC research to 
revise the 10-year TSC Research Plan into a comprehensive TSC 
Research Strategy for a Cure. The Committee also encourages the 
continuation of the Program Announcement on Understanding and 
Treating Tuberous Sclerosis Complex.

                        OFFICE OF AIDS RESEARCH

    The Committee recommendation does not include a direct 
appropriation for the Office of AIDS Research [OAR]. Instead, 
funding for AIDS research is included within the appropriation 
for each Institute, Center, and Division of the NIH. The 
recommendation also includes a general provision which directs 
that the funding for AIDS research, as determined by the 
Director of the National Institutes of Health and the OAR, be 
allocated directly to the OAR for distribution to the 
Institutes consistent with the AIDS research plan. The 
recommendation also includes a general provision permitting the 
Director of the NIH and the OAR to shift up to 3 percent of 
AIDS research funding among Institutes and Centers throughout 
the year if needs change or unanticipated opportunities arise. 
The Committee requests that the Director provide notification 
to the Committee in the event the Directors exercise the 3 
percent transfer authority.
    The NIH Office of AIDS Research [OAR] coordinates the 
scientific, budgetary, legislative, and policy elements of the 
NIH AIDS research program. Congress provided new authorities to 
the OAR to fulfill these responsibilities in the NIH 
Revitalization Act Amendments of 1993. The law mandates the OAR 
to develop an annual comprehensive plan and budget for all NIH 
AIDS research and to prepare a Presidential bypass budget.

                        BUILDINGS AND FACILITIES

Appropriations, 2006....................................     $81,025,000
Budget estimate, 2007...................................      81,081,000
House allowance.........................................      81,081,000
Committee recommendation................................      81,081,000

    The Committee recommends an appropriation of $81,081,000 
for buildings and facilities [B&F]. The budget requested 
$81,081,000 and the fiscal year 2006 appropriation was 
$81,025,000.
    Building Improvements.--The Committee is aware that in the 
conduct of research in buildings of the type and age of those 
operated and owned by the NIH, it will sometimes be necessary 
to conduct improvements, including renovations and alterations, 
and/or repairs to meet program objectives; and that the needs 
for such activities often cannot be anticipated in budgets 
prepared a year or more in advance. The Committee, therefore, 
has included a provision to clarify that consistent with long-
standing NIH practice, funds appropriated to the Institutes and 
Centers may be used for improvements (renovation/alterations) 
and repairs provided that (1) the funds are not already 
included in the buildings and facilities appropriation, (2) the 
improvements and repairs funded are principally for the benefit 
of the program from which the funds are drawn, and (3) such 
activities are conducted under and subject to the 
administrative policies and procedures of the NIH Office of the 
Director. The Committee has included a limitation on the size 
of projects to be funded directly by the Institutes and 
Centers.
    The Committee has included full-scope bill language within 
this appropriation to give flexibility to the NIH to continue 
work on the John E. Porter Neuroscience Research Center.

       Substance Abuse and Mental Health Services Administration

Appropriations, 2006....................................  $3,324,536,000
Budget estimate, 2007...................................   3,260,001,000
House allowance.........................................   3,343,135,000
Committee recommendation................................   3,337,312,000

    The Committee recommends $3,337,312,000 for the Substance 
Abuse and Mental Health Services Administration [SAMHSA] for 
fiscal year 2007. This amount is $12,776,000 above the 
comparable fiscal year 2006 level and $77,311,000 above the 
administration request. The recommendation includes 
$126,129,000 in transfers available under section 241 of the 
Public Health Service Act. SAMHSA is responsible for supporting 
mental health programs and alcohol and other drug abuse 
prevention and treatment services throughout the country, 
primarily through categorical grants and block grants to 
States.
    The Committee has provided funding for programs of regional 
and national significance under each of the three SAMHSA 
centers: mental health services, substance abuse treatment, and 
substance abuse prevention. Separate funding is available for 
the children's mental health services program, projects for 
assistance in transition from homelessness, the protection and 
advocacy program, data collection activities undertaken by the 
Office of Applied Studies and the two block grant programs: the 
community mental health services block grant and the substance 
abuse prevention and treatment block grant.
    The Committee remains concerned by the disproportionate 
presence of substance abuse in rural and native communities, 
particularly for American Indian, Alaska Native, and Native 
Hawaiian communities. The Committee reiterates its belief that 
funds for prevention and treatment programs should be targeted 
to those persons and communities most in need of service. 
Therefore, the Committee has provided sufficient funds to fund 
projects to increase knowledge about effective ways to deliver 
services to rural and native communities.
    In developing its fiscal year 2008 budget request, the 
Committee urges SAMHSA to revise the format for its 
congressional justification in ways that will make it more 
readable and easily understood. In particular, the Committee 
would appreciate more descriptive information for existing and 
proposed programs of regional and national significance, 
including a brief description of the program, a justification 
of changing funding levels, a 5-year funding history and output 
measures. As an example, the Committee urges SAMHSA to examine 
the format and level of detail contained in the Department of 
Education congressional justification.

                   CENTER FOR MENTAL HEALTH SERVICES

Appropriations, 2006....................................    $883,673,000
Budget estimate, 2007...................................     848,912,000
House allowance.........................................     890,114,000
Committee recommendation................................     911,805,000

    The Committee recommends $911,805,000 for mental health 
services. This amount is $28,132,000 above the comparable level 
for fiscal year 2006 and $62,893,000 above the administration 
request. The recommendation includes $21,629,000 in transfers 
available under section 241 of the Public Health Service Act. 
Included in the recommendation is funding for programs of 
regional and national significance, the mental health 
performance partnership block grant to the States, children's 
mental health services, projects for assistance in transition 
from homelessness, and protection and advocacy services for 
individuals with mental illnesses.

Programs of Regional and National Significance

    The Committee recommends $290,994,000 for programs of 
regional and national significance. This amount is $27,914,000 
above the comparable level for fiscal year 2006 and $62,893,000 
above the administration request. Programs of regional and 
national significance address priority mental health needs 
through developing and applying best practices, offering 
training and technical assistance, providing targeted capacity 
expansion grants, and changing the delivery system through 
family, client-oriented and consumer-run activities.
    The Committee remains deeply concerned that suicide is the 
third leading cause of death among adolescents. Beginning in 
fiscal year 2005, the Committee has provided funding for grants 
to States and tribes to develop youth suicide prevention and 
early intervention programs. The Committee recommendation 
includes $30,000,000 for these grants, $12,180,000 above last 
year's level and the administration request. In addition, the 
Committee has provided $5,000,000 for campus-based programs 
that address youth suicide prevention. This is an increase of 
$50,000 above the comparable level for fiscal year 2006 and the 
administration request. The Committee also provides $5,000,000 
for the Suicide Prevention Hotline program, which is $1,979,000 
more than the fiscal year 2006 comparable level and the 
administration request.
    The Committee intends that no less than last year's level 
of funding be used for preventing youth violence. This 
initiative includes the Safe Schools/Healthy Students 
interdepartmental program. The administration proposed cutting 
this program by $17,588,000. The Committee believes that 
enhanced school and community-based services can strengthen 
healthy child development, thus reducing violent behavior and 
substance use. Since 1999, over 180 communities have received 
and benefited from these grants. It is again expected that 
SAMHSA will collaborate with the Departments of Education and 
Justice to continue a coordinated approach.
    The Committee recommendation provides $25,740,000 for the 
State Incentive Grants for Transformation program, which is the 
same as the comparable level for fiscal year 2006 and 
$5,944,000 above the administration's request. The Committee 
has not included bill language, as requested by the 
administration, allowing States to redirect a portion of the 
Community Mental Health Services Block Grant for transformation 
activities. Instead, the Committee recommends that the 
administration continue funding transformation planning and 
implementation activities through the State Incentive Grants 
for Transformation program. In furtherance of achieving its 
goals for transformation, the Committee also urges SAMHSA to 
prioritize within its Programs of Regional and National 
Significance [PRNS] initiatives that augment the role of 
consumers. To that end, the Committee urges SAMHSA to provide a 
mechanism within its program of State Incentives Grants for 
Transformation to ensure that modest funding is made available 
to support full and active participation by community-based 
organizations representing consumers in all facets of 
transformation planning and implementation.
    In support of the idea that transformation should be 
consumer-and family-driven, the Committee recommendation 
provides funding at last year's level for Statewide Consumer 
Network Grants and Statewide Family Network Grants. The 
Committee also provides funding at last year's level for the 
consumer and consumer-supporter national technical assistance 
centers. The Committee directs CMHS to support multi-year 
grants to five such national technical assistance centers.
    The Committee has provided $30,000,000 to continue the 
important work of the National Child Traumatic Stress Network 
[NCTSN]. The Committee strongly urges SAMHSA to build the 
strongest possible network of centers by setting criteria that 
award competitive grants based upon expertise and experience in 
the field of child traumatic stress. The Committee asks SAMHSA 
to review whether previously funded centers, not currently in 
the network, should be awarded grants to rejoin the network, if 
their expertise would benefit the network. The Committee also 
urges SAMHSA to give high priority to grants for centers that 
work with children and families affected by devastating 
hurricanes along the Gulf Coast as well as those centers that 
work with children and families of active, guard and reserve 
personnel deployed in Iraq and Afghanistan.
    The Committee has included $15,000,000 for grants to fund 
mental health services to the homeless. This is $5,440,000 
above the comparable level for fiscal year 2006 and $10,561,000 
above the administration request. The Committee understands 
that the administration request will fund all current grantees 
that need continuation funds. It is the Committee's intention 
that the funding provided above that level shall be used to 
fund services in permanent supportive housing to help end 
chronic homelessness. The Committee directs CMHS, in 
consultation with CSAT, to award these grants to applicants 
that operate permanent supportive housing funded by HUD's 
Homeless Assistance Programs or comparable programs, including 
those that were funded through the Interagency Collaborative 
Initiative to Reduce Chronic Homelessness.
    The Committee recommendation includes funding at last 
year's level for the Elderly Treatment and Outreach Program. 
The Committee notes that while many older Americans experience 
depression, dementia, anxiety, and substance abuse disorders, 
far too often these conditions are not recognized or treated. 
Outreach to elderly persons conducted in places frequented by 
seniors, such as senior centers, meal sites, primary care 
settings and other locations, is needed. The Elderly Treatment 
and Outreach Program is the only federally funded services 
program dedicated specifically to the mental health care of 
older adults. This grant program, which helps local communities 
establish the infrastructure necessary to better serve the 
mental health needs of older adults, has been funded at 
approximately $5,000,000 for fiscal years 2002-2006. The 
Committee urges SAMHSA to expand this program so that it can 
provide evidence-based mental health outreach and treatment 
services to the growing population of older adults in this 
country.
    While the Committee is pleased that SAMHSA is focusing on 
helping persons with mental illnesses achieve recovery, a 
parallel effort must be made to strengthen the service capacity 
of safety net community-based mental health providers. 
Therefore, the Committee urges SAMHSA to produce a 
comprehensive study regarding the technical assistance 
furnished to Community Mental Health Centers over the last 5 
years on such issues as personnel preparation, evidenced based 
practices, quality improvement, integrated treatment, and 
individualized care.
    The Committee recognizes the significant impact that 
natural and human-made disasters can have on mental and 
behavioral health. In particular, such events can lead to 
negative mental and behavioral health consequences for 
vulnerable populations, including older adults, children, 
individuals with disabilities, and ethnic minorities. The 
Committee acknowledges the role of the Emergency Mental Health 
and Traumatic Stress Services Branch in supporting the 
emotional recovery of those impacted by trauma and disasters. 
The Committee encourages this branch, in collaboration with 
FEMA, to increase attention to the mental and behavioral health 
needs of vulnerable populations during and in the aftermath of 
a disaster.
    The Committee remains concerned about the need to improve 
the representation of minorities among behavioral health 
professionals providing services in the public sector. For this 
reason, the Committee is providing funding for the Minority 
Fellowship Program [MFP] at last year's level so that SAMHSA 
can continue this program, which has been successful in 
addressing this issue. The Committee does urge SAMHSA, however, 
to consider the inclusion in the MFP program of other 
professions like marriage and family therapists in so far as 
they provide services in the public sector.
    Both the President's New Freedom Commission on Mental 
Health and the Surgeon General of the United States have called 
for greater involvement of consumers in the mental health care 
delivery system. The Surgeon General noted that consumers ``in 
the role of peer-specialists integrated into case management 
teams led to improved patient outcomes.'' Peer-specialists, by 
providing a level of care not available from medical 
professionals, help to improve treatment outcomes, including 
reduced hospitalization and use of other services. The 
Committee encourages SAMHSA to include peer-support and peer-
specialists in the development and application of best mental 
health practices.
    The Committee recommendation also includes language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Access Community Health Network, Chicago, IL, to                $450,000
 integrate behavioral health services in a community
 health setting........................................
Alaska Dept of Health and Social Services and Catholic           300,000
 Community Services in Anchorage, AK to provide mental
 health and substance abuse treatment for seniors and
 their caregivers......................................
Aliquippa Community Hospital, Aliquippa, PA, for the             200,000
 conduct of an Outpatient Mental Health--Partial
 Hospitalization program...............................
Arc of Lackawanna County, Scranton, PA for mental                100,000
 health programs.......................................
BJC Behavioral Health, Farmington, MO to develop a               250,000
 pilot project to serve children in need of mental
 health services in rural areas........................
Centerstone, Nashville, TN, to develop improved ways of          500,000
 managing care of individuals with schizo-  phrenia....
Community Counseling Center, Portland, ME to provide             100,000
 expanded trauma assistance for the Greater Portland
 Trauma Assistance Network.............................
Corporate Alliance for Drug Education (CADE),                    100,000
 Philadelphia, PA, for violence prevention programs in
 schools...............................................
Family Service Partners, New Cumberland, PA, for mental          100,000
 health services.......................................
Foundation for Glade Run Lutheran Services, Zelienople,          100,000
 PA to develop and assess mental health treatment
 programs..............................................
Horizon House, Inc., Philadelphia, PA, for mental                100,000
 health treatment services.............................
Institute for Behavior Change, Coatesville, PA to                100,000
 further use of the Home Facilitator Support Program...
Northeast Kingdom Human Services, Inc. of Newport, VT,           300,000
 to expand access to mental health services............
Spurwink, Portland, ME for Best Practices Models for             135,000
 Residential Treatment and Data Collection.............
State of New Mexico to help transform its public                 300,000
 behavioral healthcare system..........................
Tanana Chiefs Conference, in partnership with Fairbanks          500,000
 Native Association and the University of Alaska/
 Fairbanks in Fairbanks, AK to treat behavioral
 problems of children through the Ch'eghutsen (that
 Children are Precious) program........................
The Samaritans, Inc., Providence, RI to complete an              150,000
 evaluation of the state's suicide prevention hotline..
United Way of Anchorage, AK for its 211 Project to               600,000
 develop an integrated system of resources for people
 with substance abuse, mental illness and homelessness.
Wisconsin Department of Agriculture, Transportation and          100,000
 Consumer Protection, Madison, WI, to provide mental
 health services for farmers and their families
 throughout Wisconsin..................................
------------------------------------------------------------------------

Community Mental Health Services Block Grant

    The Committee recommends $428,472,000 for the community 
mental health services block grant, which is $108,000 above the 
comparable fiscal year 2006 amount and is the same as the 
administration request. The recommendation includes $21,629,000 
in transfers available under section 241 of the Public Health 
Service Act.
    The Committee has not included bill language requested by 
the administration that would redirect a portion of each 
State's block grant funding toward transformation planning and 
implementation activities. Instead, the Committee directs that 
SAMHSA continue to preserve the funding flexibility that has 
marked the Community Mental Health Services Block Grant. The 
Committee further recommends that SAMHSA continue to work with 
States and the planning and advisory councils to integrate the 
principles of transformation with a State's service-delivery 
system, including the block grant. The Committee recommends 
that the administration continue funding transformation 
planning and implementation activities through the State 
Incentives Grants for Transformation.
    The Community Mental Health Services Block Grant Program 
distributes funds to 59 eligible States and Territories through 
a formula based upon specified economic and demographic 
factors. Applications must include an annual plan for providing 
comprehensive community mental health services to adults with a 
serious mental illness and children with a serious emotional 
disturbance. Because the mental health needs of our Nation's 
elderly population are often not met by existing programs and 
because the need for such services is dramatically and rapidly 
increasing, the Committee recommends that SAMHSA require that 
States' plans include specific provisions for mental health 
services for older adults.

                   CHILDREN'S MENTAL HEALTH SERVICES

    The Committee recommends $104,078,000 for the children's 
mental health services program. This amount is $72,000 above 
the comparable fiscal year 2006 level and the same as the 
administration request. This program provides grants and 
technical assistance to support community-based services for 
children and adolescents with serious emotional, behavioral or 
mental disorders. Grantees must provide matching funds, and 
services must involve the educational, juvenile justice, and 
health systems.

     PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS [PATH]

    The Committee recommends $54,261,000 for the PATH Program. 
This amount is $38,000 above the comparable fiscal year 2006 
level and the same as the administration request.
    PATH provides outreach, mental health, and case management 
services and other community support services to individuals 
with serious mental illness who are homeless or at risk of 
becoming homeless. The PATH program makes a significant 
difference in the lives of homeless persons with mental 
illnesses. PATH services eliminate the revolving door of 
episodic inpatient and outpatient hospital care. 
Multidisciplinary teams address client needs within a continuum 
of services, providing needed stabilization so that mental 
illnesses and co-occurring substance abuse and medical issues 
can be addressed. Assistance is provided to enhance access to 
housing, rehabilitation and training, and other needed 
supports, assisting homeless people in returning to secure and 
stable lives.

Protection and Advocacy

    The Committee recommends $34,000,000 for the protection and 
advocacy program, which is the same as the comparable fiscal 
year 2006 level and the administration request. This program 
helps ensure that the rights of mentally ill individuals are 
protected while they are patients in treatment facilities, or 
while they are living in the community, including their own 
homes. Funds are allocated to States according to a formula 
based on population and relative per capita incomes.

                  CENTER FOR SUBSTANCE ABUSE TREATMENT

Appropriations, 2006....................................  $2,156,100,000
Budget estimate, 2007...................................   2,133,970,000
House allowance.........................................   2,160,695,000
Committee recommendation................................   2,131,257,000

    The Committee recommends $2,131,257,000 for substance abuse 
treatment programs. This amount is $24,843,000 below the 
comparable fiscal year 2006 funding level and $2,713,000 below 
the administration request. The recommendation includes 
$83,500,000 in transfers available under section 241 of the 
Public Health Service Act. This amount funds substance abuse 
treatment programs of regional and national significance and 
the substance abuse prevention and treatment block grant to the 
States.
    The Committee commends the Center for Substance Abuse 
Treatment [CSAT] for its continued collaboration with the 
National Institute on Drug Abuse [NIDA] and State substance 
abuse directors, also known as Single State Authorities [SSAs] 
for Substance Abuse, to improve the manner in which evidence-
based practices are used in our publicly funded system. The 
Committee encourages CSAT to continue its Blending Initiative 
with NIDA and the SSAs to ensure that research findings are 
relevant and adaptable by State substance abuse systems.

Programs of Regional and National Significance

    The Committee recommends $342,666,000 for programs of 
regional and national significance [PRNS]. The recommendation 
includes $4,300,000 in transfers available under section 241 of 
the Public Health Service Act. The recommendation is 
$56,009,000 below the comparable fiscal year 2006 level and 
$32,713,000 below the administration request.
    Programs of regional and national significance include 
three primary activities: best practice programs are used to 
develop more information on how best to serve those most in 
need; training and technical assistance supports dissemination 
of information through knowledge development; and targeted 
capacity expansion programs enable the agency to respond to 
service needs in local communities.
    The Committee has not included funding for the 
administration's proposed Access to Recovery voucher incentive 
program. The administration requested $70,488,000 for this 
program, which would give priority to States that use a portion 
of their Substance Abuse Prevention and Treatment [SAPT] block 
grant to deliver services through the use of vouchers. The 
Committee is aware that State addiction systems currently 
employ a broad range of purchasing mechanisms to ensure 
successful outcomes. At the same time, the Committee continues 
to strongly support the SAPT block grant program. Therefore, 
the Committee is re-directing a portion of the proposed funding 
for the voucher incentive program to the SAPT block grant to 
ensure that all States and territories are afforded adequate 
resources for addiction treatment and prevention.
    Since fiscal year 2004 the Committee has funded, through 
the President's original Access to Recovery program, 14 States 
and one tribal entity for the purpose of piloting programs to 
purchase treatment and recovery support services through the 
use of vouchers. The first 3-year grant cycle ends September 
30, 2006. The Committee supports SAMHSA's proposal to evaluate 
the extent to which the ATR programs were successful and urges 
SAMHSA, as part of the ATR evaluation, to review and report on 
the extent to which the use of vouchers impacts clinical 
outcomes compared to the use of other purchasing strategies.
    The Committee is aware that the administration has proposed 
$24,750,000 for a methamphetamine treatment initiative that 
would require successful applicants to purchase methamphetamine 
treatment services through the use of vouchers. The Committee 
appreciates and supports efforts to help expand access to 
clinically appropriate methamphetamine treatment. While the 
perception exists that methamphetamine addicts do not respond 
well to treatment, studies indicate that over 60 percent of 
methamphetamine users remain abstinent 6 months after being 
discharged from treatment. However, the Committee believes that 
States and local communities are currently achieving effective 
outcomes for the treatment of methamphetamine addiction by 
tailoring their strategies, including how services are 
delivered, in ways that best address local needs. Therefore, 
the Committee has provided $25,000,000 for methamphetamine 
treatment services within the targeted capacity expansion 
program with no requirements as to how grantees choose to 
provide services.
    The Committee continues to be concerned about the incidence 
of drug addiction among pregnant and parenting women. The 
unavailability of family-based treatment is manifested in the 
overrepresentation of substance-abusing mothers in the child 
welfare system. Up to 80 percent of the families who come to 
the attention of child welfare agencies are substance abusing. 
The Committee believes that increased capacity for family-based 
treatment programs is imperative. Within the funds appropriated 
for CSAT, the Committee recommends $15,000,000 for treatment 
programs for pregnant, postpartum, and residential women and 
their children. This amount is $4,116,000 above the comparable 
level for fiscal year 2006 and $11,068,000 above the 
administration request. Moreover, since women and children are 
disproportionately affected by the meth epidemic, the Committee 
directs SAMHSA to explore ways to increase family treatment 
capacity within the methamphetamine treatment program.
    The Committee recommendation includes $31,151,000 for the 
Screening, Brief Intervention, Referral, and Treatment [SBIRT] 
program as requested. This competitive grant program assists 
States, territories, and tribes in targeting nondependent drug 
users and is designed to avert the progression of patients from 
chronic substance abuse problems. The SBIRT program works in 
primary and general care settings to identify patients in need 
of treatment and to provide them with appropriate intervention 
and treatment options.
    The Committee remains concerned about substance abuse among 
American Indian and Alaskan Native populations. It notes that 
the rate of current illicit drug use as reported by the 2004 
National Survey on Drug Use and Health was 12.3 percent among 
American Indians and Alaska Natives, nearly 50 percent higher 
than among whites, blacks, or Hispanics. It also notes that 
among youth aged 12 to 17, the rate of current illicit drug use 
was highest among American Indians or Alaskan Natives at 26 
percent, which is more than twice the rate among all youth. 
Thus the Committee has included $5,000,000 for grants to 
American Indian and Alaskan Native tribes or tribal 
organizations to address substance abuse problems.
    The Committee commends SAMHSA for encouraging substance 
abuse prevention and treatment grantees to make prevention of 
hepatitis a part of their comprehensive prevention and 
treatment program and for encouraging them to use other 
resources to fund treatment or for providing vaccines where 
appropriate. In particular, the Committee commends CSAT for 
taking a leadership role in hepatitis prevention through the 
implementation of the Adult Hepatitis Vaccine Demonstration 
Project, and encourages the continuation and evaluation of this 
program.
    The Committee recommendation also includes language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Akeela, Inc., in Anchorage, AK to continue its Re-Entry         $450,000
 Program for newly released prisoners with substance
 abuse problems........................................
City and County of San Francisco Department of Human             400,000
 Services, CA, for mental health and substance abuse
 services for the homeless.............................
County of Alameda Health Care Services Agency, CA, for           150,000
 the Detoxification and Recovery Services Cen-  ter....
Doe Fund, Inc, Philadelphia, PA, to provide substance            100,000
 abuse treatment services..............................
Fairbanks Memorial Hospital, in Fairbanks, AK for the            500,000
 Fairbanks Community Initiative for Chronic Inebriates.
Gateway Rehabilitation Center, Aliquippa, PA, for                100,000
 expanded treatment services...........................
Maniilaq Association, in Kotzebue, AK for the Maniilaq           500,000
 Family Recovery Program...............................
Municipality of Anchorage, with the Dept. of Health and          400,000
 Social Services and Cook Inlet Tribal Council,
 Anchorage, AK for the Anchorage Downtown Partnership
 Pathways to Sobriety Project..........................
Potter County Human Services, Roulette, PA to expand             100,000
 drug and alcohol treatment services...................
Salvation Army of Clark County, Las Vegas, NV, for an            500,000
 adult rehabilitation program..........................
Starting Place, Hollywood, FL, for substance abuse               100,000
 treatment for adolescents.............................
Teen Challenge of Illinois, Decatur, IL, for drug abuse          250,000
 treatment services for girls and women................
Will County Health Department, Joliet, IL, for                   500,000
 substance abuse programs for the mentally ill.........
------------------------------------------------------------------------

Substance Abuse Prevention and Treatment Block Grant

    The Committee recommends $1,788,591,000 for the substance 
abuse prevention and treatment block grant. The recommendation 
includes $79,200,000 in transfers available under section 241 
of the Public Health Service Act. The recommendation is 
$31,166,000 above the comparable level for fiscal year 2006 and 
$30,000,000 above the administration request. The block grant 
provides funds to States to support alcohol and drug abuse 
prevention, treatment, and rehabilitation services. Funds are 
allocated to the States according to formula. State plans must 
be submitted and approved annually.
    The Committee is aware that the Substance Abuse Prevention 
and Treatment [SAPT] block grant is the backbone of our 
Nation's publicly funded treatment and prevention system in 
every State and territory in the country. The SAPT block grant 
funds over 10,500 community-based organizations and serves our 
Nation's most vulnerable citizens, including pregnant and 
parenting women, those with HIV/AIDS and others. The Committee 
is also aware that the data demonstrate the efficiency and 
effectiveness of services funded by the SAPT block grant. In 
particular, programs funded by the SAPT block grant help people 
remain abstinent from alcohol and other drug use; find 
employment; find stable housing; stay away from criminal 
activity; and live productive lives in recovery. As a result, 
the Committee continues to express its strong support for the 
SAPT block grant.

                 CENTER FOR SUBSTANCE ABUSE PREVENTION

Appropriations, 2006....................................    $192,767,000
Budget estimate, 2007...................................     180,598,000
House allowance.........................................     195,805,000
Committee recommendation................................     196,729,000

    The Committee recommends $196,729,000 for programs to 
prevent substance abuse, which is $3,962,000 above the 
comparable fiscal year 2006 level and $16,131,000 above the 
administration request.

Programs of Regional and National Significance

    The Committee has provided $196,729,000 for programs of 
regional and national significance [PRNS]. The recommendation 
is $3,962,000 above the comparable fiscal year 2006 level and 
$16,131,000 above the administration request. The Center for 
Substance Abuse Prevention [CSAP] is the sole Federal 
organization with responsibility for improving accessibility 
and quality of substance abuse prevention services. Through the 
PRNS, CSAP supports: development of new practice knowledge on 
substance abuse prevention; identification of proven effective 
models; dissemination of science-based intervention 
information; State and community capacity-building for 
implementation of proven effective substance abuse prevention 
programs; and programs addressing new needs in the prevention 
system.
    The Committee recognizes the important role played by the 
20 percent prevention services set-aside within the Substance 
Abuse Prevention and Treatment [SAPT] block grant. This vital 
substance abuse prevention program helped contribute to the 
fact that 600,000 fewer teens used drugs in 2004 compared to 
2001, according to the Monitoring the Future Survey.
    The Committee has provided $16,131,000 above the 
President's request for CSAP in recognition of its role as the 
lead Federal agency for preventing substance use among youth. 
The Committee is concerned by the overall level of funding 
requested by the administration for prevention activities. 
According to the President's National Drug Control Strategy, 
the amount of Federal funding requested for prevention across 
all agencies in fiscal year 2007 represents a decline of over 
$474,000,000, or 24 percent, from fiscal year 2005 levels. 
Furthermore, only 35 percent of the Federal drug control budget 
was requested for demand reduction activities, compared to 65 
percent for supply reduction. While the Committee is supportive 
of efforts to disrupt the flow of illicit drugs into this 
country, the growing emphasis on these activities suggests a 
belief by the administration that they are more effective than 
demand reduction programs, and prevention programs in 
particular. The Committee strongly disagrees with this approach 
and believes that a successful drug control strategy must 
provide sufficient funding to prevention and treatment programs 
in addition to market disruptions activities.
    The Committee expects CSAP to focus its efforts on reducing 
youth drug and alcohol use through the Strategic Prevention 
Framework State Incentive Grant [SPFSIG] program. The 
Committee's recommendations include $106,650,000 for the SPFSIG 
program, which is the same as the comparable level for fiscal 
year 2006 level. Given the scarce resources available for 
substance use prevention, the Committee expects CSAP to work 
with the State SPFSIG recipients to focus their funds on 
environmental and population-based strategies, due to the cost 
effectiveness of these approaches; and to ensure that community 
anti-drug coalitions, funded under the Drug Free Communities 
program, are utilized, to the maximum extent possible, as 
SPFSIG sub-recipients, in order to maximize Federal investments 
in prevention.
    The SPFSIG program is designed to promote, bolster, and 
sustain prevention infrastructure for every State in the 
country. The Committee recognizes that a linchpin of this 
program is State flexibility so that each State may tailor 
initiatives and direct resources in ways that are most 
appropriate for its own jurisdiction. The Committee encourages 
SAMHSA to promote maximum flexibility in managing the SPFSIG 
program and the 20 percent prevention set-aside within the SAPT 
block grant so that each State may employ a range of effective 
strategies to meet its unique needs and local circumstances.
    The Committee recommendation includes $850,000 for the 
continuation of the Ad Council's parent-oriented media campaign 
to combat underage drinking. The Committee believes this 
campaign represents a critical component of the Nation's 
commitment to combating underage drinking by providing the 
first-ever visible, consistent federally backed message 
challenging parental complacency about the risks of underage 
drinking. The Committee considers the continuity of this 
program a top priority, and provides a fourth year of funding 
for this essential public health message.
    The Committee is pleased that the Inter-Agency Coordinating 
Committee on the Prevention of Underage Drinking [ICCPUD] has 
taken steps to engage State officials on evidence-based 
strategies for combating underage drinking and to promote 
increased State action to reduce youth alcohol use. The 
Committee appreciates the ICCPUD's January 2006 submission of a 
proposed Federal underage drinking prevention plan. While it 
provides a good description of the scope of the problem and 
existing Federal activities in this area, the Committee is 
disappointed by the plan's lack of vision. The plan sets three 
performance targets for 2009: reducing the prevalence of past 
month alcohol use by those aged 12-20 by 10 percent; reducing 
the prevalence of those aged 12-20 reporting binge alcohol use 
in the past 30 days by 10 percent; and increasing the average 
age of first use from 15.6 to 16.5. These are modest goals, and 
they expire in just 3 years. It is well recognized, however, 
that reducing underage drinking will take a concerted effort 
over many years--certainly more than 3--and no one should be 
satisfied with 10 percent reductions. The Committee strongly 
urges ICCPUD to set more ambitious, longer-term targets in its 
next annual report.
    The Committee is pleased that the ICCPUD plan includes a 
``Call to Action'' by the Surgeon General on underage drinking 
prevention. The Committee directs the ICCPUD to ensure that the 
``Call to Action'' is vigorously promoted and disseminated to 
policymakers and the public. Finally, the Committee requests 
that the ICCPUD work with the National Institute on Drug Abuse 
[NIDA] to ensure that NIDA's Monitoring the Future Survey, 
which tracks youth substance use, separately and prominently 
highlights underage drinking findings and trends.
    The Committee recommendation also includes language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Community Health Center on the Big Island of Hawaii,            $200,000
 for youth anti-drug program...........................
Dakota County, Hastings, MN, for the All Children Excel          300,000
 program...............................................
Institute for Research, Education & Training in                  100,000
 Addictions (IRETA), Pittsburgh, PA, for substance
 abuse prevention programs.............................
Maine Lighthouse Corporation, Bar Harbor, ME to combat           100,000
 community substance abuse.............................
Ramsey County, Saint Paul, MN, for the All Children              200,000
 Excel program.........................................
Seton Hill University, Westmoreland County, PA, to               100,000
 provide individual and family therapy to juveniles
 referred from the court system........................
Valley Prevention Services, Williamsport, PA to utilize          100,000
 a community-based approach to enhance alcohol and
 other drug prevention efforts in Clinton County.......
------------------------------------------------------------------------

                           PROGRAM MANAGEMENT

    The Committee recommends $97,521,000 for program management 
activities of the agency. The recommendation includes 
$21,000,000 in transfers available under section 241 of the 
Public Health Service Act. The recommendation is $5,521,000 
above the comparable level for fiscal year 2006 and $1,000,000 
above the budget request.
    The program management activity includes resources for 
coordinating, directing, and managing the agency's programs. 
Program management funds support salaries, benefits, space, 
supplies, equipment, travel, and departmental overhead required 
to plan, supervise, and administer SAMHSA's programs.
    The Committee recommendation includes $1,000,000 to 
continue the collaborative effort by SAMHSA and CDC to 
establish a population-based source of data on the mental and 
behavioral health needs in this country.
    The Committee is aware of collaborative work by State 
substance abuse directors, also known as Single State 
Authorities [SSAs] for Substance Abuse, and SAMHSA to improve 
the quality and utility of substance abuse prevention and 
treatment data through the use of a core set of National 
Outcome Measures [NOMS] across all SAMHSA funding mechanisms, 
including services funded by the SAPT block grant. The 
Committee commends the States and SAMHSA for working to 
streamline data reporting, reduce administrative burden, and 
improve accountability. The Committee strongly encourages 
SAMHSA to work with State substance abuse directors on all 
aspects of NOMs and State Outcomes Measurement and Management 
System [SOMMS] implementation and evaluation--including work to 
examine and promote effective nonproprietary data management 
tools. This partnership will further support the infrastructure 
for substance abuse data reporting at the State and national 
levels.

               Agency for Healthcare Research and Quality

Appropriations, 2006....................................    $318,695,000
Budget estimate, 2007...................................     318,695,000
House allowance.........................................     318,695,000
Committee recommendation................................     318,695,000

    The Committee recommends $318,695,000 for the Agency for 
Healthcare Research and Quality [AHRQ]. This amount is the same 
as both the comparable funding level for fiscal year 2006 and 
the administration request. The Committee has funded AHRQ 
through budget authority rather than through transfers 
available under section 241 of the Public Health Service Act.
    The Agency for Healthcare Research and Quality was 
established in 1990 to promote improvements in clinical 
practice and patient outcomes, promote improvements in the 
financing, organization, and delivery of health care services, 
and increase access to quality care. AHRQ is the Federal agency 
charged to produce and disseminate scientific and policy-
relevant information about the cost, quality, access, and 
medical effectiveness of health care. AHRQ provides 
policymakers, health care professionals, and the public with 
the information necessary to improve cost effectiveness and 
appropriateness of health care and to reduce the costs of 
health care.

                  HEALTH COSTS, QUALITY, AND OUTCOMES

    The Committee provides $260,695,000 for research on health 
costs, quality and outcomes [HCQO]. This amount is the same as 
both the comparable amount for fiscal year 2006 and the 
administration request. HCQO research activity is focused upon 
improving clinical practice, improving the health care system's 
capacity to deliver quality care, and tracking progress toward 
health goals through monitoring and evaluation.
    Of the total amount provided for HCQO the Committee has 
included $84,000,000 to determine ways to reduce medical 
errors. Of this amount, $50,000,000 will support the 
Department's initiative to promote the development, adoption, 
and diffusion of information technology in health care.
    The Committee recommendation includes $15,000,000 for 
research authorized under section 1013 of the Medicare 
Prescription Drug, Improvement and Modernization Act of 2003. 
The Committee's recommendation is the same as the amount 
provided last year.
    Autoimmune Disease.--In order to support continued HHS-wide 
implementation of the HHS Autoimmune Diseases Research Plan, 
the Committee encourages AHRQ to estimate the annual treatment 
and societal costs of autoimmune diseases in the United States, 
in order to project their future impact and burden on the 
healthcare system.
    Duchenne and Becker Muscular Dystrophy.--The Committee is 
pleased that AHRQ is working with the Centers for Disease 
Control and Prevention [CDC] to establish evidence-driven 
standards of care for DBMD patients, and encourages both 
agencies to complete this work by February 1, 2007.
    Medication Errors.--The Committee is pleased with AHRQ's 
continued emphasis on efforts to address bedside medication 
errors, which frequently lead to patient harm, and encourages 
AHRQ to give particular attention to comprehensive medication 
delivery systems, especially those that ensure connectivity 
from patient to pharmacy. The Committee understands that pilot 
projects are underway to demonstrate the usefulness of such 
integrated medication delivery systems and encourages AHRQ to 
continue to make these systems, which show tremendous promise 
in preventing bedside medication delivery errors, a strong 
component of its health information technology grants.
    Mental Illness.--The Committee is seriously concerned about 
the prevalence of undiagnosed and untreated mental illness 
among older Americans. Affective disorders, including 
depression, anxiety, dementia, and substance abuse and 
dependence, are often misdiagnosed or not recognized at all by 
primary and specialty care physicians in their elderly 
patients. While effective treatments for these conditions are 
available, there is an urgent need to translate advancements 
from biomedical and behavioral research to clinical practice. 
The Committee urges AHRQ to support evidence-based research 
projects focused on the diagnosis and treatment of mental 
illnesses in the geriatric population, and to disseminate 
evidence-based reports to physicians and other health care 
professionals.
    Nurse-Managed Health Centers.--The Committee encourages 
AHRQ to include nurse managed health centers and advanced 
practice nurses in research and demonstration projects 
conducted by the agency.

                   MEDICAL EXPENDITURES PANEL SURVEYS

    The Committee provides $55,300,000 for health insurance and 
medical expenditures panel surveys [MEPS], which is the same as 
the comparable fiscal year 2006 level and the administration 
request. MEPS is intended to obtain timely national estimates 
of health care use and expenditures, private and public health 
insurance coverage, and the availability, costs and scope of 
private health insurance benefits. It also develops cost and 
savings estimates of proposed changes in policy and identifies 
impact of policy changes on payers, providers, and patients.

                            PROGRAM SUPPORT

    The Committee recommends $2,700,000 for program support. 
This amount is the same as the comparable fiscal year 2006 
level and the administration request. This activity supports 
the overall management of the agency.

               Centers for Medicare and Medicaid Services


                     GRANTS TO STATES FOR MEDICAID

Appropriations, 2006....................................$156,954,419,000
Budget estimate, 2007................................... 138,072,248,000
House allowance......................................... 138,072,248,000
Committee recommendation................................ 138,072,248,000

    The Committee recommends $138,072,248,000 for Grants to 
States for Medicaid. This amount is $18,882,171,000 below than 
the fiscal year 2006 appropriation and the same as the 
administration's request and House allowance. This amount 
excludes $62,783,825,000 in fiscal year 2006 advance 
appropriations for fiscal year 2007. In addition, 
$65,257,617,000 is provided for the first quarter of fiscal 
year 2008, as requested by the administration. The Federal 
share of Medicaid outlays is estimated to be $199,800,000,000 
in fiscal year 2007, an increase of 3.7 percent over the 
estimated gross outlays of $192,700,000,000 for fiscal year 
2006.
    The President's budget proposes to restrict the ability of 
schools to claim reimbursement for administrative and 
transportation services for Medicaid enrolled children with 
disabilities who receive early intervention, special education 
and related services through the Individuals with Disabilities 
Education Act. The Committee is very concerned that this 
proposal will reduce the availability of and access to needed 
health and developmental services for students with 
disabilities and other low-income children with special needs. 
For these children, school is their primary site for healthcare 
delivery. The Committee directs the Centers for Medicare and 
Medicaid Services to submit a report to the Appropriations 
Committee no later than March 1, 2007, examining the impact of 
the proposed policy change on the availability of services for 
students with disabilities and other health care needs, 
participation rates of States and school districts in school-
based Medicaid claiming and the general impact on the health of 
children with special needs in rural and urban areas. The 
Committee expects CMS to take no additional action on the 
proposal until the Committee has received and reviewed the 
report. The Secretary should be prepared to testify on this 
issue at a fiscal year 2008 appropriations hearing.
    The Medicaid program provides medical care for eligible 
low-income individuals and families. It is administered by each 
of the 50 States, the District of Columbia, Puerto Rico, and 
the territories. Federal funds for medical assistance are made 
available to the States according to a formula, which 
determines the appropriate Federal matching rate for State 
program costs. This matching rate is based upon the State's 
average per capita income relative to the national average, and 
shall be no less than 50 percent and no more than 83 percent.

                  PAYMENTS TO HEALTH CARE TRUST FUNDS

Appropriations, 2006....................................$178,647,200,000
Budget estimate, 2007................................... 197,135,795,000
House allowance......................................... 197,017,391,000
Committee recommendation................................ 197,017,931,000

    The Committee recommends $197,017,391,000 for Federal 
payments to health care trust funds. This amount is 
$118,404,000 less than the administration's request the same as 
the House allowance, and is an increase of $18,370,191,000 from 
the fiscal year 2006 appropriation. This entitlement account 
includes the general fund subsidy to the Federal Supplementary 
Medical Insurance Trust Fund for Medicare part B benefits and 
for Medicare part D drug benefits and administration, plus 
other reimbursements to the Federal Hospital Insurance Trust 
Fund for part A benefits and related administrative costs that 
have not been financed by payroll taxes or premium 
contributions. The Committee has provided $139,351,000,000 for 
the Federal payment to the Supplementary Medical Insurance 
Trust Fund. This payment provides matching funds for premiums 
paid by Medicare part B enrollees. This amount is the same as 
the administration's request and is $10,431,000 more than the 
fiscal year 2006 amount. The Committee further provides 
$56,574,000,000 for the general fund share of benefits paid 
under Public Law 108-173, the Medicare Prescription Drug, 
Improvement and Modernization Act of 2003. The Committee 
includes bill language requested by the administration 
providing indefinite authority for paying the General Revenue 
portion of the part B premium match and provides resources for 
the part D drug benefit program in the event that the annual 
appropriation is insufficient. The recommendation also includes 
$239,000,000 for hospital insurance for the uninsured. This 
amount is the same as the administration's request and is 
$37,000,000 more than the fiscal year 2006 amount. The 
Committee also recommends $229,000,000 for Federal uninsured 
benefit payment. This payment reimburses the Hospital Insurance 
Trust Fund for the cost of benefits provided to Federal 
annuitants who are eligible for Medicare. This amount is the 
same as the administration's request and an increase of 
$23,000,000 over the fiscal year 2006 level, reflecting an 
increase on the number of covered individuals who are currently 
enrolled. The Committee recommendation includes $153,000,000 to 
be transferred to the Hospital Insurance Trust Fund as the 
general fund share of CMS Program Management administrative 
expenses. This amount is the same as the administration's 
request and is $11,000,000 less than the fiscal year 2006 
amount. The Committee recommendation also includes $453,319,000 
to be transferred to the Supplementary Insurance Trust Fund as 
the general fund share of part D administrative expenses. This 
amount is the same as the administration's request. The 
recommendation also provides $18,000,000 for State low-income 
determination activities through the prescription drug account. 
This amount is the same as the administration's request and is 
$81,100,000 less than the 2006 amount. The Committee 
recommendations does not include reimbursement to the Health 
Care Fraud and Abuse Control [HCFAC] fund, since the Committee 
did not fund this new account, for which $118,404,000 was 
requested; the House likewise did not fund this account.

                           PROGRAM MANAGEMENT

Appropriations, 2006....................................  $3,119,818,000
Budget estimate, 2007...................................   3,148,402,000
House allowance.........................................   3,153,547,000
Committee recommendation................................   3,149,250,000

    The Committee recommends $3,149,250,000 for CMS program 
management, which is $848,000 more than the amount requested by 
the administration, $4,297,000 less than the House allowance, 
and $29,432,000 more than the fiscal year 2006 enacted level.

Research, Demonstrations, and Evaluations

    The Committee recommends $57,376,000 for research, 
demonstrations, and evaluation activities. This amount is 
$15,848,000 more than the budget request, and $44,000 less than 
the 2006 level.
    CMS research and demonstration activities facilitate 
informed, rational Medicare and Medicaid policy choices and 
decision making. These studies and evaluations include projects 
to measure the impact of Medicare and Medicaid policy analysis 
and decision making, projects to measure the impact of Medicare 
and Medicaid on health care costs, projects to measure patient 
outcomes in a variety of treatment settings, and projects to 
develop alternative strategies for reimbursement, coverage, and 
program management.
    The Committee has included $10,000,000 for Real Choice 
Systems Change Grants for Community Living to States to fund 
initiatives that establish enduring and systemic improvements 
in long-term services and supports.
    The Committee appreciates the efforts of the Centers for 
Medicare and Medicaid Services in supporting a rural health 
interdisciplinary training demonstration project in Hilo, 
Hawaii. This project avails the opportunity to reduce health 
disparities and improve access to culturally appropriate health 
care for Native Hawaiians and underserved populations.
    The Committee requests the Centers for Medicare and 
Medicaid Services consider waivers for rural and/or isolated 
area demonstration projects when calculating such requirements 
as population density in Hawaii.
    The Committee urges the Centers for Medicare and Medicaid 
Services to avail reimbursement for services delivered in 
federally qualified health centers to Native Hawaiians in the 
same manner as it does for American Indians and Alaskan 
Natives.
    The Committee is aware that senior citizens constitute a 
larger proportion of the United States rural resident 
population and in such rural areas, the availability of primary 
health care professionals and specialized services for seniors 
are more austere. The Committee recommends that the Centers for 
Medicare and Medicaid Services consider funding projects with a 
focus on rural healthcare, specifically those serving the 
elderly and minority populations such as Native Hawaiians, 
Native Alaskans, and Native Americans.
    The Committee commends CMS for expanding the Quality of 
Life Demonstration project to include oral chemotherapy 
regimens in its data collection on this project. The inclusion 
of oral chemotherapy regimes will provide a more comprehensive 
understanding of the quality of life issues impacting all 
cancer patients. The demonstration project is intended to 
provide a better understanding from cancer patients receiving 
chemotherapy on such important issues as their pain control 
management, minimization of nausea and vomiting, and reduction 
for fatigue. CMS' action to expand the demonstrations project 
will provide important data on all anti-cancer regimens and its 
impact on patients' quality of life.
    The Committee recommendation also includes bill language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Allied Services, Clarks Summit, PA for stabilizing the          $291,000
 workforce for patient care............................
Berwick Hospital Center, Berwick, PA for stabilizing             177,000
 the workforce for patient care........................
Bloomsburg Hospital, Bloomsburg, PA for stabilizing the          115,000
 workforce for patient care............................
Community Medical Center, Scranton, PA for stabilizing           530,000
 the workforce for patient care........................
Divine Providence Hospital, Williamsport, PA for                 144,000
 stabilizing the workforce for patient care............
Geisinger Wilkes-Barre, Wilkes-Barre, PA for                     296,000
 stabilizing the workforce for patient care............
Geisinger Wyoming Valley Medical Center, Wilkes-Barre,           246,000
 PA for stabilizing the workforce for patient care.....
Hazleton General Hospital, Hazleton, PA for stabilizing          170,000
 the workforce for patient care........................
Inglis Foundation, Philadelphia, PA, for healthcare and          100,000
 social services for low-income adults with severe
 physical disabilities in an effort to promote
 independent living....................................
Marian Community Hospital, Carbondale, PA for                    140,000
 stabilizing the workforce for patient care............
Memorial Hospital of Rhode Island, Pawtucket, RI Study           100,000
 of Mercury Exposure Among Newborns....................
Mercy Hospital, Scranton, PA for stabilizing the                 450,000
 workforce for patient care............................
Mosaic, Des Moines, IA, for the Iowa Community                   350,000
 Integration Project...................................
Moses Taylor Hospital, Scranton, PA for stabilizing the          400,000
 workforce for patient care............................
Patient Advocacy Foundation, Newport News, VA, to                200,000
 provide financial assistance to qualified insured
 patients..............................................
Patient Services, Incorporated, Midlothian, VA, to               200,000
 administer a patient premium assistance and case
 management demonstration for Medicare and Medicaid
 eligible individuals with chronic diseases............
Saint Joseph Medical Center, Hazleton, PA for                    172,000
 stabilizing the workforce for patient care............
State Health Insurance Program through the Utah                  100,000
 Division of Aging and Adult Services, Salt Lake City,
 UT to supplement funding for SHIP training to assist
 seniors with Medicare part D choices..................
Tyler Memorial Hospital, Tunkhannock, PA for                     100,000
 stabilizing the workforce for patient care............
University of Mississippi, Oxford, MS, Medication Use            500,000
 and Outcomes Research Group...........................
Williamsport Hospital & Medical Center, Williamsport,            481,000
 PA for stabilizing the workforce for patient care.....
Wyoming Valley Health Care System, Wilkes-Barre, PA for          586,000
 stabilizing the workforce for patient care............
------------------------------------------------------------------------

Medicare Operations

    The Committee recommends $2,130,208,000 for Medicare 
operations, which is $15,000,000 less than the House allowance 
and the amount requested by the administration, and $13,034,000 
less then fiscal year 2006 enacted level. This $15,000,000 
reduction, due to tight budget constraints should not be taken 
from the already reduced request for Medicare contractor fee-
for-service operations.
    The Medicare operations line item covers a broad range of 
activities including claims processing and program safeguard 
activities performed by Medicare contractors. These contractors 
also provide information, guidance, and technical support to 
both providers and beneficiaries. In addition, this line item 
includes a variety of projects that extend beyond the 
traditional fee-for-service arena.
    The Committee recommends that not less than $30,000,000 be 
made available for the State Health Insurance Counseling 
Program. SHIPs provide one-on-one counseling to beneficiaries 
on complex Medicare-related topics, including Medicare 
entitlement and enrollment, health plan options, prescription 
drug benefits, Medigap and long-term care insurance, and 
Medicaid.
    The Committee recommends that $48,960,000 be made available 
for obligation over a 2-year period ending September 30, 2007, 
for contract costs pursuant to the development of the 
Healthcare Integrated General Ledger Accounting System 
[HIGLAS].
    The Committee recommendation retains bill language 
providing authority to obligate additional funds for increases 
in claims volumes above budgeted values; neither the budget 
request nor House allowance recommended continuing this 
proviso, carried in last year's bill.
    The Committee recognizes that CMS has initiated some 
commendable community-based activities for an education and 
outreach program directed towards dual-eligible persons with 
mental impairments, and encourages that additional efforts be 
directed to one-on-one pharmaceutical benefits counseling 
through community-based organizations and safety net community 
mental health centers to help with part D enrollment.

State Survey and Certification

    The Committee recommends $283,524,000, the budget estimate 
and House allowance, for Medicare State survey and 
certification activities, which is $25,396,000 more than the 
fiscal year 2006 level.
    Survey and certification activities ensure that 
institutions and agencies providing care to Medicare and 
Medicaid beneficiaries meet Federal health, safety, and program 
standards. On-site surveys are conducted by State survey 
agencies, with a pool of Federal surveyors performing random 
monitoring surveys.

Federal Administration

    The Committee recommends $655,377,000 for Federal 
administration costs, which is the same as the budget request 
and House allowance and an increase of $18,312,000 over the 
fiscal year 2006 level. This funding level allows for fixed 
cost increases associated with the requested staffing level of 
4,531 full-time equivalent positions, 29 fewer than the fiscal 
year 2006 level.
    The Committee recommends continuing the Healthy Start, Grow 
Smart program, which disseminates informational brochures to 
new Medicaid-eligible mothers. These brochures are distributed 
at the time of birth, then monthly over the first year of each 
child's life. Each publication focuses on activities that 
stimulate infant brain development and build the skills these 
children need to be successful in school. In addition to these 
educational suggestions, Healthy Start pamphlets include vital 
health and safety information for new parents.
    The Committee is very pleased with the demonstration 
project at participating sites licensed by the Program for 
Reversing Heart Disease and encourages its continuation. The 
Committee further urges CMS to continue with the demonstration 
project being conducted at the Mind Body Institute of Boston, 
Massachusetts.
    The Committee urges the Centers for Medicare and Medicaid 
Services to consider waivers for rural or isolated area 
demonstration projects when calculating such requirements as 
population density in the State of Hawaii.
    The Committee urges CMS to provide for reimbursement for 
services rendered to Native Hawaiians in federally qualified 
health centers in the same manner that it currently does for 
American Indians and Alaskan Natives. Further, the Committee 
requests a report on this matter by next year's budget 
hearings.
    The Committee recognizes that rural residents account for 
25 percent of the general population in the United States with 
a disproportionate number of them being seniors. Additionally, 
67 percent of the country's primary care health professional 
shortage areas are located in rural areas and access to 
specialized care is limited for seniors. The Committee urges 
CMS to consider funding projects with a focus on rural 
healthcare, specifically those serving minority populations 
such as Native Hawaiians, Native Alaskans, and Native 
Americans.
    The Committee recognizes that the Centers for Medicare and 
Medicaid Services has denied requests by community hospitals to 
be designated as Sole Community Hospitals on the basis that 
they are within 25 miles of the nearest like hospital. CMS has 
measured these distances by determining the absolute shortest 
distance between these hospitals even if the routes may be 
obscure, unknown, and unused by emergency vehicles. As such, 
the Committee recommends that when making SCH eligibility 
determinations, CMS calculate the distance between hospitals 
using improved roads which (1) are maintained by a local, State 
or Federal Government entity for use by the general public and 
(2) represent the most expeditious and accessible routes 
between hospitals as designated by State Departments of 
Transportation in accordance with the Manual on Uniform Traffic 
Control Devices for Streets and Highways [MUTCD] as published 
by the Federal Highway Administration.
    The Committee expects CMS to review a pending report 
prepared by HRSA on the healthcare workforce as well as other 
relevant research, in order to develop recommendations 
addressing the critical care workforce shortage issue, 
including the possible use of the pulmonary/critical care 
specialty as a model for developing and testing policy 
approaches to address workforce shortage issues.
    The Committee is concerned that patients suffering from 
end-stage renal disease [ESRD] are offered the proper modality 
for the best medical outcome and the highest quality of life. 
The U.S. Renal Data System [USRDS] reports that hemodialysis is 
dominant across the country, while the use of peritoneal 
dialysis is growing, but in a minority of regions. In addition, 
USDRS reports that prevalent rates of transplantation have 
grown more in some areas of the country than others. The 
Committee is particularly concerned about factors which may be 
influencing the choice of modality and the availability of 
services to ESRD patients. Given that Medicare provides 
coverage for 90 percent of the prevalent dialysis population 
and 69 percent of those with a transplant, the Committee urges 
CMS, in conjunction with other health agencies, to review these 
patterns and requests CMS to provide the Committee with 
recommendations to ensure public health policies, in the form 
of reimbursement rates, public health services, research or 
other activities related to ESRD, give priority to positive 
medical outcomes and quality of life for ESRD patients.
    The Committee urges CMS to consider a new Medicare benefit 
category for advanced interactive balancing mobility systems 
and to issue a National Coverage Determination to provide for 
Medicare reimbursement for such interactive balancing mobility 
systems. This type of technology allows individuals with 
disabilities to achieve extensive function and mobility in 
order to live independently.
    The Committee understands that only 40 percent of Medicaid 
Managed Care Organizations [MCO] allow nurse practitioners to 
act as primary care providers. The Committee encourages CMS to 
closely monitor those MCOs that do not utilize these providers 
and actively enforce existing regulations which prohibit 
discrimination against a particular class of healthcare 
provider.
    The Committee is aware that legislation authorizing direct 
Medicare reimbursement to nurse practitioners providing 
reimbursable Medicare Services, was passed by Congress and 
signed into law, effective January 1, 1998. Since that time, 
nurse practitioners have been providing reimbursable care to 
patients as part B Providers. Despite their ability to provide 
and bill for services rendered in all of these areas, they are 
still unable to refer patients to home health or hospice care. 
The apparent reason is that an expanded interpretation of the 
word ``physician'' is needed in part A, section 1814, of the 
Medicare law in order for home health agencies and hospice 
centers to accept these referrals. The Committee is very aware 
that nurse practitioners have demonstrated the ability to 
provide safe and responsible care to the patients they serve. 
They have expert knowledge that allows them to provide high 
level assessments of patients needs and recognize when 
additional care, such as home health and hospice care is needed 
or not needed by their patients. The Committee urges CMS to 
reinterpret the statute that will authorize home health 
agencies and hospices to accept orders from nurse 
practitioners.
    The Committee is aware of the barriers faced by Asian and 
Pacific Islander seniors accessing programs such as those 
contained in the Medicare Prescription Drug, Improvement, and 
Modernization Act and other similar health and social services 
programs. The Committee urges additional focus upon this 
population, utilizing the expertise of organizations such as 
the National Asian Pacific Center on Aging.
    The Committee is concerned about ongoing fraud and abuse in 
the power mobility device/power wheel chair program. CMS has 
not moved quickly enough to adopt accreditation and quality 
standards for suppliers. The Committee believes that these 
standards will help eliminate fraud and abuse by limiting the 
ability of fraudulent suppliers to get provider numbers. The 
Committee instructs CMS to issue accreditation and quality 
standards at the earliest possible date.
    The Committee encourages CMS to conduct a demonstration 
project to identify effective Medication Therapy Management 
Program [MTMP] models for low-income Medicare part D enrollees 
living with HIV/AIDS. The demonstration project should 
emphasize evidence-based prescribing, prospective medication 
management, technological innovation and outcome reporting. The 
Committee also encourage CMS to work with the States to 
establish this demonstration project for HIV/AIDS patients.
    The Committee is concerned that the agency has not yet 
issued regulations to implement the Integrated Rural Training 
Track program as authorized in section 407 (c)(1)(iv) of the 
Balanced Budget Refinement Act of 1999, Public Law 106-113, for 
graduate physician training in rural areas. Without 
implementation of the IRTT, programs to train family physicians 
to practice in rural and frontier communities will continue to 
be unable to meet the requirements for GME programs developed 
for urban and suburban areas. The Committee urges the agency to 
develop such regulations and directs the agency to report back 
to the Committee on Appropriations on its progress by April 1, 
2007.

Revitalization Plan

    The Committee recommends the budget request and House 
allowance of $22,765,000 in 2-year budget authority, as the 
fourth-year investment in CMS's efforts to make significant 
improvements to key aspects of managing the agency and the 
Medicare program. Funding will target system-related 
improvements, and continue addressing long-term information 
technology issues, including Medicare claims processing 
redesign activities. The Committee urges CMS to augment 
information technology activities utilizing resources available 
under the Quality Improvement Organization program.

                Administration for Children and Families


  PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT 
                                PROGRAMS

Appropriations, 2006....................................  $2,121,643,000
Budget estimate, 2007...................................   2,759,997,000
House allowance.........................................   2,752,697,000
Committee recommendation................................   2,752,697,000

    The Committee recommends $2,752,697,000 be made available 
in fiscal year 2007 for payments to States for child support 
enforcement and family support programs. The comparable funding 
level for fiscal year 2006 is $2,817,384,700 and the budget 
request includes $2,759,997,000 for this program. The Committee 
recommendation provides the full amount requested under current 
law, and an additional $300,000 for repatriation as proposed by 
the administration. The budget request includes a net increase 
of $7,300,000 based on proposed legislation.
    These payments support the States' efforts to promote the 
self-sufficiency and economic security of low-income families. 
These funds also support efforts to locate non-custodial 
parents, determine paternity when necessary, and establish and 
enforce orders of support. The appropriation, when combined 
with the $1,200,000,000 in advance funding provided in last 
year's bill, an estimated $7,000,000 from offsetting 
collections, and an estimated carryover of $155,465,000, 
supports a program level of $4,115,462,000.
    The Committee also has provided $1,000,000,000 in advance 
funding for the first quarter of fiscal year 2008 for the child 
support enforcement program, the same as the budget request.

               LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM

Appropriations, 2006....................................  $2,159,685,000
Budget estimate, 2007...................................   1,782,000,000
House allowance.........................................   2,111,170,000
Committee recommendation................................   2,161,170,000

    The Committee recommends $2,161,170,000 for fiscal year 
2007 for LIHEAP. The comparable funding level for fiscal year 
2006 is $2,159,685,000, and the budget request includes 
$1,782,000,000 for this program. LIHEAP is made up of two 
components: the State grant program and a contingency fund. The 
Deficit Reduction Act of 2005 (as amended by Public Law 109-
204) provided an additional $500,000,000 for the State grant 
program, and $500,000,000 for the contingency fund for fiscal 
year 2006.
    The Committee recommendation includes $1,980,000,000 for 
fiscal year 2007 for the State grant program. The comparable 
funding level for fiscal year 2006 is $1,979,725,000 and the 
budget request includes $1,782,000,000 for this program. LIHEAP 
grants are awarded to States, territories, Indian tribes, and 
tribal organizations to assist low-income households in meeting 
the costs of home energy. States receive great flexibility in 
how they provide assistance, including direct payments to 
individuals and vendors and direct provision of fuel. These 
resources are distributed by formula to these entities as 
defined by statute, based in part on each State's share of home 
energy expenditures by low-income households.
    The Committee recommends $181,170,000 for fiscal year 2007 
for the contingency fund. The comparable funding level for 
fiscal year 2006 is $179,960,000 and the budget request did not 
include any regular year funding for this program. The 
contingency fund may be used to provide assistance to one or 
more States adversely affected by extreme heat or cold, 
significant price increases, or other causes of energy-related 
emergencies.
    The Committee intends that up to $27,225,000 of the amount 
recommended for LIHEAP for fiscal year 2007 be used for the 
leveraging incentive fund. The fund will provide a percentage 
match to States for private or non-Federal public resources 
allocated to low-income home energy benefits.

                     REFUGEE AND ENTRANT ASSISTANCE

Appropriations, 2006....................................    $569,432,000
Budget estimate, 2007...................................     614,935,000
House allowance.........................................     604,329,000
Committee recommendation................................     599,935,000

    The Committee recommends $599,935,000 for fiscal year 2007 
for refugee and entrant assistance. The comparable funding 
level for fiscal year 2006 is $569,432,000 and the budget 
request includes $614,935,000 for this program.
    The Refugee and Entrant Assistance Program is designed to 
assist States in their efforts to assimilate refugees, asylees, 
Cuban and Haitian entrants, and adults and minors who are 
trafficking victims, into American society as quickly and 
effectively as possible. The program funds State-administered 
transitional and medical assistance, the voluntary agency 
matching grant program, programs for victims of trafficking and 
torture, employment and social services, targeted assistance, 
and preventive health. Based on an estimated refugee admission 
ceiling of 70,000, this appropriation enables States to provide 
at least 8 months of cash and medical assistance to eligible 
refugees and entrants, a variety of social and educational 
services, as well as foster care for refugee and entrant 
unaccompanied minors.
    In order to carry out the refugee and entrant assistance 
program, the Committee recommends $282,333,000 for transitional 
and medical assistance including State administration and the 
voluntary agency program; $9,816,000 for victims of 
trafficking; $149,610,000 for social services; $4,748,000 for 
preventive health; and $48,590,000 for targeted assistance.
    The Committee encourages the efforts of the Department to 
assist child trafficking victims from remaining trapped in 
life-threatening situations. However, there is concern that the 
victims may fear being interrogated by law enforcement 
authorities. The Committee supports efforts made within the 
jurisdiction of the Department, under the Trafficking Victim 
Protection Act of 2000, to certify child victims of trafficking 
as eligible for emergency benefits or services, and encourages 
the Department to facilitate the provision of guardians ad 
litem for child trafficking victims to help ensure their access 
to these. The Committee encourages the Department to work with 
the Department of Justice and/or the Department of Homeland 
Security to ensure that needs of the victims are served in the 
best and most appropriate manner. Funds were not provided for a 
newly authorized trafficking program which would focus on 
domestic victims.
    For unaccompanied children, pursuant to section 462 of the 
Homeland Security Act of 2002, the Committee recommends 
$95,022,000. Funds are provided for the care and placement of 
unaccompanied alien minors in the Office of Refugee 
Resettlement. In fiscal year 2007 there will be an estimated 
11,500 placements for unaccompanied alien children apprehended 
in the United States by INS/Homeland Security agents, Border 
Patrol officers, or other law enforcement agencies. This would 
be an increase of 19.8 percent over fiscal year 2006 estimates. 
Therefore, additional funds have been provided for shelter 
needs, care, hiring of further field staff in areas of high 
apprehension, and to address the increased medical services and 
administrative costs associated with the sharp rise in UAC 
placements. These children are taken into care pending 
resolution of their claims for relief under U.S. immigration 
law and released to an adult family member or a responsible 
adult guardian. The Committee did not include additional funds 
for expanded background checks.
    The Committee recognizes the legal representation crisis 
and need for guardians for unaccompanied children and is 
pleased with the progress ORR has made in implementing a pro 
bono representation program as well as a pilot program using 
child advocates for unaccompanied children. For this purpose, 
the Committee encourages ORR to continue successful pilot 
programs, and to develop programs on a national level including 
a national list of pro bono representatives available to 
unaccompanied children in Federal custody. However, the 
Committee cautions the Department to ensure that funding 
priority goes first and foremost to serving the primary mission 
of the program and that no unaccompanied alien child's basic 
needs are unmet.
    The Committee also recommends $9,816,000 to treat and 
assist victims of torture. These funds may also be used to 
provide training to healthcare providers to enable them to 
treat the physical and psychological effects of torture.
    Section 412(a)(7) of title IV of the Immigration and 
Nationality Act authorizes the use of funds appropriated under 
this account to be used to carry out monitoring, evaluation, 
and data collection activities to determine the effectiveness 
of funded programs and to monitor the performance of States and 
other grantees.

                 CHILD CARE AND DEVELOPMENT BLOCK GRANT

Appropriations, 2006....................................  $2,060,664,000
Budget estimate, 2007...................................   2,062,081,000
House allowance.........................................   2,062,081,000
Committee recommendation................................   2,062,081,000

    The Committee recommends $2,062,081,000 for fiscal year 
2007 for the child care and development block grant. The 
comparable funding level for fiscal year 2006 is $2,060,664,000 
and the budget request includes $2,062,081,000 for this 
program.
    The child care and development block grant supports grants 
to States to provide low-income families with financial 
assistance for child care; for improving the quality and 
availability of child care; and for establishing or expanding 
child development programs. The funds are used to both expand 
the services provided to individuals who need child care in 
order to work, or attend job training or education, and to 
allow States to continue funding the activities previously 
provided under the consolidated programs.
    The Committee recommendation continues specific earmarks in 
appropriations language, also included in the budget request, 
that provide targeted resources to specific policy priorities 
including $18,777,370 for the purposes of supporting before and 
afterschool services, as well as resource and referral 
programs. This represents the Federal commitment to the 
activities previously funded under the dependent care block 
grant. The Committee expects that these funds will not supplant 
current funding dedicated to resource and referral and school 
age activities provided by the child care and development block 
grant. The Committee strongly encourages States to continue to 
address the matters of before and afterschool care and the 
establishment of resource and referral programs with the funds 
provided in this program.
    The Committee recommendation includes an additional 
$267,785,718 for child care quality activities, and sets aside 
$98,208,000 specifically for an infant care quality initiative. 
These funds are recommended in addition to the 4 percent 
quality earmark established in the authorizing legislation. The 
Committee has provided these additional quality funds because 
of the considerable research that demonstrates the importance 
of serving children in high quality child care settings which 
include nurturing providers who are educated in child 
development and adequately compensated. While considerable 
progress has been made, the Committee believes States should 
continue to invest in education and training linked to 
compensation of the child care workforce in order to improve 
the overall quality of child care.
    The Committee recommendation also provides $9,821,000 for 
child care research, demonstration and evaluation activities.
    The Committee recommendation for resource and referral 
activities also includes $982,080 to continue support for the 
National Association of Child Care Resource and Referral 
Agencies' information service, Child Care Aware, and the 
national toll-free information hotline which links families to 
local child care services and programs.

                      SOCIAL SERVICES BLOCK GRANT

Appropriations, 2006 \1\................................  $1,700,000,000
Budget estimate, 2007...................................   1,700,000,000
House allowance.........................................   1,700,000,000
Committee recommendation................................   1,700,000,000

\1\ Excludes $550,000,000 in emergency supplemental appropriations 
pursuant to Public Law 109-324.

    The Committee recommends $1,700,000,000 for fiscal year 
2007 for the social services block grant. The comparable 
funding level for fiscal year 2006 is $1,700,000,000 and the 
budget request includes $1,700,000,000 for this program. The 
Committee rejects the administration's proposed bill language 
to lower the authorized funding level stipulated in section 
2003(c) of the Social Security Act to $1,200,000,000.

                CHILDREN AND FAMILIES SERVICES PROGRAMS

Appropriations, 2006 \1\................................  $8,841,756,000
Budget estimate, 2007...................................   8,238,602,000
House allowance.........................................   8,652,666,000
Committee recommendation................................   8,856,185,000

\1\ Excludes $90,000,000 in emergency supplemental appropriations 
pursuant to Public Law 109-234.

    The Committee recommends $8,856,185,000 for fiscal year 
2007 for children and families services programs. The 
comparable funding level for fiscal year 2006 is $8,841,756,000 
and the budget request includes $8,238,602,000 for this 
program. In addition, $10,500,000 in transfers are available 
under section 241 of the Public Health Service Act.
    This appropriation provides funding for programs for 
children, youth, and families, the developmentally disabled, 
and Native Americans, as well as Federal administrative costs.

Head Start

    The Committee recommends $6,788,571,000 for fiscal year 
2007 for Head Start. The comparable funding level for fiscal 
year 2006 is $6,784,862,000 and the budget request includes 
$6,785,771,000 for this program. The Committee recommendation 
includes $1,388,800,000 in advance funding that will become 
available on October 1, 2007.
    Head Start provides comprehensive development services for 
low-income children and families, emphasizing cognitive and 
language development, socioemotional development, physical and 
mental health, and parent involvement to enable each child to 
develop and function at his or her highest potential. At least 
10 percent of enrollment opportunities in each State are made 
available to children with disabilities.
    The Committee understands the serious need for additional 
and expanded Head Start facilities among Native American 
populations and in rural areas. The Committee believes that the 
Department could help serve these needy communities by 
providing minor construction funding, as authorized, in remote 
Native American communities.
    The Committee is concerned that the funds available 
pursuant to section 640(a)(2) might not be achieving their full 
potential to serve American Indian/Alaska Native Head Start. 
These funds are used for Indian Head Start programs; Migrant 
and Seasonal Head Start programs and services for children with 
disabilities; funding programs in several Trust Territories; 
training and technical assistance activities; discretionary 
payments by the Secretary; and research, demonstration and 
evaluation activities. The Committee requests that the 
Secretary of Health and Human Services shall include in the 
annual congressional budget justification, detailed information 
on the proposed and actual use of these funds.
    The Committee is aware that in May 2005, the Secretary made 
$35,000,000 in additional fiscal year 2005 funds available to 
Migrant and Seasonal Head Start programs and that these funds, 
which will be awarded on competitive basis, will allow for at 
least 4,000 additional children to access Migrant and Seasonal 
Head Start. The Committee is concerned that while $35,000,000 
in fiscal year 2005 expansion funds were made available to 
Migrant and Seasonal Head Start Programs to serve additional 
migrant children, those funds were not released until July 2006 
despite the fact that funding applications were submitted in 
July 2005. The Committee is troubled by this delay.
    The Committee requests that ACF brief the Committee, not 
later than 60 days after the enactment of this act, on plans 
for ensuring that a greater percentage of eligible migrant and 
seasonal children have access to Migrant and Seasonal Head 
Start and for providing any future funds to Migrant and 
Seasonal Head Start grantees in a timely manner. The Committee 
continues to point to the 2001 study published by the U.S. 
Department of Health and Human Services which documented that 
only 19 percent of eligible children were able to access 
Migrant and Seasonal Head Start. Funding for Migrant and 
Seasonal Head Start as a percentage of the overall Head Start 
budget has not increased since this study was released in 2001. 
The Committee encourages ACF to consider the fiscal year 2005 
funds part of the baseline to the extent that there is a 
demonstrated need.
    The Head Start Bureau shall continue to provide the 
Committee with the number and cost of buses purchased, by 
region with Head Start in the annual congressional budget 
justification.

Consolidated Runaway and Homeless Youth Program

    The Committee recommends $87,837,000 for fiscal year 2007 
for the consolidated runaway and homeless youth program. The 
comparable funding level for fiscal year 2006 is $87,777,000 
and the budget request includes $87,837,000 for this program. 
This program was reauthorized under the Runaway, Homeless, and 
Missing Children Protection Act of 2003. In this 
reauthorization a statutory formula was established to 
distribute funds between the Basic Center Program and the 
Transitional Living Program.
    This program addresses the crisis needs of runaway and 
homeless youth and their families through support to local and 
State governments and private agencies. Basic centers and 
transitional living programs help address the needs of some of 
the estimated 1.3 to 2.8 million runaway and homeless youth, 
many of whom are running away from unsafe or unhealthy living 
environments. These programs have been proven effective at 
supporting positive youth development, securing stable and safe 
living arrangements and providing the skills required to engage 
in positive relationships with caring adults and contribute to 
society.
    The Committee is discouraged by the administration's 
proposed voucher system for pregnant and parenting youth. This 
use of funds is not specifically authorized, and there are no 
demonstrated cases of youth being refused services due to their 
condition. Rather than dividing funds for this important 
subpopulation of homeless youth, the Committee directs the 
Secretary to continue to monitor and ensure that current and 
future TLP grantees will continue to provide transitional 
living opportunities and support to pregnant and parenting 
homeless youth, as is their current practice. Committee 
continues to encourage the Secretary, acting through the 
network of federally-funded runaway and homeless youth training 
and technical assistance providers, to offer guidance to 
grantees and others on the programmatic modifications required 
to address the unique needs of pregnant and parenting youth and 
on the various sources of funding available for residential 
services to this population.

Runaway Youth Prevention Program

    The Committee recommends $15,027,000 for fiscal year 2007 
for the runaway youth prevention program. The comparable 
funding level for fiscal year 2006 is $15,017,000 and the 
budget request includes $15,027,000 for this program. This is a 
discretionary grant program open to private nonprofit agencies 
for the provision of services to runaway, homeless, and street 
youth. Funds may be used for street-based outreach and 
education, including treatment, counseling, provision of 
information, and referrals for these youths, many of whom have 
been subjected to, or are at risk of being subjected to, sexual 
abuse. The goal of this program is to help young people leave 
the streets.

Child Abuse Programs

    The Committee recommends $96,967,000 for fiscal year 2007 
for child abuse programs. The comparable funding level for 
fiscal year 2006 is $95,151,000 and the budget request includes 
$95,217,000 for this program. The recommendation includes 
$27,007,000 for State grants, $27,530,000 for discretionary 
activities, and $42,430,000 for community-based child abuse 
prevention.
    These programs seek to improve and increase activities at 
all levels of government which identify, prevent, and treat 
child abuse and neglect through State grants, technical 
assistance, research, demonstration, and service improvement.
    Within the funds provided for child abuse discretionary 
activities, the Committee includes funding for the following 
items:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Boys and Girls Town of Missouri, St. James, MO to               $500,000
 expand services to children suffering from abuse and
 neglect...............................................
Catholic Community Services of Juneau, AK to continue            400,000
 operations at its Family Resource Center for child
 abuse prevention and treatment........................
Family Communications, Inc., Pittsburgh, PA, for child           100,000
 abuse prevention programs.............................
Family Resource Center, St. Louis, Missouri for a child          150,000
 abuse recovery initiative.............................
Northampton County, Easton, PA, for child abuse                  100,000
 treatment programs....................................
State of Alaska Department of Health and Social                  500,000
 Services, Office of Children's Services, statewide, to
 continue its Healthy Families Alaska home visitation
 program...............................................
------------------------------------------------------------------------

Abandoned Infants Assistance

    The Committee recommends $11,835,000 for fiscal year 2007 
for abandoned infants assistance. The comparable funding level 
for fiscal year 2006 is $11,827,000 and the budget request 
includes $11,835,000 for this program.
    This program provides grants to public and private 
nonprofit agencies, State and county child welfare agencies, 
universities, and community-based organizations to develop, 
implement, and operate demonstration projects that will prevent 
the abandonment of infants and young children, especially those 
impacted by substance abuse and HIV and who are at-risk of 
being or are currently abandoned. By providing respite care for 
families and care givers and assisting abandoned infants and 
children to reside with their natural families or in foster 
care.

Child Welfare Services

    The Committee recommends $286,753,000 for fiscal year 2007 
for child welfare services. The comparable funding level for 
fiscal year 2006 is $286,556,000 and the budget request 
includes $286,753,000 for this program.
    This program helps State public welfare agencies improve 
their child welfare services with the goal of keeping families 
together. State services include: preventive intervention, so 
that, if possible, children will not have to be removed from 
their homes; reunification so that children can return home; 
and development of alternative placements like foster care or 
adoption if children cannot remain at home. These services are 
provided without regard to income.

Child Welfare Training

    The Committee recommends $7,335,000 for fiscal year 2007 
for child welfare training. The comparable funding level for 
fiscal year 2006 is $7,330,000 and the budget request includes 
$7,335,000 for this program.
    Under section 426, title IV-B of the Social Security Act, 
discretionary grants are awarded to public and private 
nonprofit institutions of higher learning to develop and 
improve education/training programs and resources for child 
welfare service providers. These grants upgrade the skills and 
qualifications of child welfare workers.

Adoption Opportunities

    The Committee recommends $26,848,000 for fiscal year 2007 
for adoption opportunities. The comparable funding level for 
fiscal year 2006 is $26,830,000 and the budget request includes 
$26,848,000 for this program.
    This program eliminates barriers to adoption and helps find 
permanent homes for children who would benefit by adoption, 
particularly children with special needs.

Adoption Incentives

    The Committee recommends $29,654,000 for fiscal year 2007 
for adoption incentives. The comparable funding level for 
fiscal year 2006 is $17,808,000 and the budget request includes 
$29,654,000 for this program.
    The purpose of this program is to provide incentive funds 
to States to encourage an increase in the number of adoptions 
of children from the public foster care system. These funds are 
used to pay States bonuses for increasing their number of 
adoptions. The appropriation allows incentive payments to be 
made for adoptions completed prior to September 30, 2007.

Adoption Awareness

    The Committee recommends $12,674,000 for fiscal year 2007 
for adoption awareness. The comparable funding level for fiscal 
year 2006 is $12,665,000 and the budget request includes 
$12,674,000 for this program.
    This program was authorized in the Children's Health Act of 
2000. The program consists of two activities: the Infant 
Adoption Awareness Training Program and the Special Needs 
Awareness Campaign. The Infant Adoption Awareness Training 
Program provides grants to support adoption organizations in 
the training of designated health staff, in eligible health 
centers that provide health services to pregnant women, to 
inform them about adoption and make referrals on request on an 
equal basis with all other courses of action. Within the 
Committee recommendation, $9,728,000 is available for this 
purpose.
    The Special Needs Adoption Campaign supports grants to 
carry out a national campaign to inform the public about the 
adoption of children with special needs. The Committee 
recommendation includes $2,946,000 to continue this important 
activity.

Compassion Capital Fund

    The Committee recommends $54,549,000 for fiscal year 2007 
for the compassion capital fund. The comparable funding level 
for fiscal year 2006 is $64,306,000 and the budget request 
includes $100,000,000 for this program.
    The Committee expects funds made available through this 
program to supplement and not supplant private resources and 
continues to encourage the Secretary to require private 
resources to match grant funding provided to public/private 
partnerships.
    The goal of this program is to help faith-based and 
community organizations maximize their social impact as they 
provide services to those most in need. To accomplish this goal 
the Compassion Capital Fund administers three discretionary 
grant programs: a demonstration program which provides funding 
to intermediary organizations to provide training and technical 
assistance in capacity building and to provide financial 
support; a program to fund capacity-building activities; and a 
capacity-building program for the Helping America's Youth 
Imitative which focuses on connecting at-risk youth with 
family, school and their community, with specific emphasis on 
organizations that serve areas with significant gang activity.

Social Services Research

    The Committee recommends $22,123,000 for fiscal year 2007 
for social services research. The comparable funding level for 
fiscal year 2006 is $11,864,000 and the budget request includes 
$6,000,000.
    The Committee has funded $6,000,000 of this program through 
transfers available under section 241 of the Public Health 
Service Act. These funds support cutting-edge research and 
evaluation projects in areas of critical national interest. 
Research includes determining services that are more cost 
effective and alternative ways to increase the economic 
independence of American families.
    The Committee notes ACF's efforts to assist States with 
meeting the extensive recordkeeping, reporting and tracking 
requirements of the TANF program. Working through the State 
Information Technology Consortium, ACF has successfully 
provided States with the tools necessary to strengthen and 
improve the complex IT systems required to support TANF. The 
recently enacted TANF reauthorization, however, requires States 
to put in place new systems and processes to more closely 
monitor and verify work participation rates, track and verify 
hours of work, and determine who is a work-eligible individual. 
The Committee recommends that ACF continue this successful 
partnership, and has provided $2,000,000 to develop, in 
collaboration with the States, a performance measurement 
capability, along with the required new processes and 
technologies necessary for States to comply with the new TANF 
requirements. Similarly, while the Child Support Enforcement 
program continues to make gains in enforcing child support 
orders, child support collections reached $23,000,000,000 in 
2005 while serving an estimated 16 million child support cases, 
the costs and complexities of tracking, locating and 
coordinating child support cases is imposing heavy burdens on 
State automation systems. Both the Government Accountability 
Office and the Office of the Inspector General have recommended 
that ACF provide more technical assistance to help States 
better administer and manage these systems. In addition, 
broader administration and reporting requirements contained in 
the Deficit Reduction Act of 2005 will place additional strain 
on the States' ability to manage this program. ACF is currently 
working with the State Information Technology Consortium to 
expand data exchange capabilities between the courts and State 
child support enforcement agencies as well as increase 
collection efficiency in States and tribal organizations. The 
Committee recommends that collaborative efforts continue, and 
has provided $3,000,000 for this purpose.
    The Committee is aware that interstate collection of child 
support is often difficult and notes that a disproportionate 
amount of the uncollected support dollars are associated with 
these cases. The Committee urges ACF to utilize its authority 
under section 1115 and section 452(j) of the Social Security 
Act to expand current demonstration projects involving the co-
location of State staffs to address this issue.
    Within the funds provided for child abuse discretionary 
activities, the Committee includes funding for the following 
items:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
A+ For Abstinence, Waynesboro, PA for abstinence                $100,000
 education and related services........................
Alaska Children's Services, in Anchorage Alaska, for a           250,000
 program to serve low income youth.....................
Alaska Statewide Independent Living Council, Inc. to             300,000
 continue and expand its Personal Care Attendant
 Program and to expand outreach efforts to the disabled
 living in rural Alaska................................
Allegheny County of Human Services, Pittsburgh, PA, for          100,000
 anti-gang programs targeting at-risk youth............
Anchorage's Promise of Anchorage, AK to implement                100,000
 America's Promise child mentoring and support program
 in Anchorage..........................................
Anna Maria College, Paxton, MA, for program development          100,000
 at the Molly Bish Center for the Protection of
 Children and the Elderly..............................
Best Friends Foundation, Washington, DC, to expand a             200,000
 national network of school-based programs which reduce
 risk behavior and increase physical and emotional well-
 being of adolescents to Erie and Pittsburgh...........
Big Brothers/Big Sisters, statewide, in partnership              300,000
 with AK Dept. of Education, the Boys and Girls Club
 and Cook Inlet Tribal Council for a comprehensive
 mentoring program for at-risk children through Alaska
 schools and communities...............................
Boston Medical Center, Boston, MA, for the continued             210,000
 development and operation of the Children's AIDS
 project in Mattapan, MA...............................
Catholic Family Center, Rochester, NY, for the Kinship           250,000
 Caregiver Resource Network............................
Catholic Social Services, Wilkesbarre, PA for                    100,000
 abstinence education and related services.............
Child Care Resource and Referral Network, Tacoma, WA,            750,000
 for a child care quality initiative...................
Children's Home Society of Idaho, for the Bridge--Homes          250,000
 for Children Project to place Idaho children in care
 in loving foster families.............................
City of Chester, Bureau of Health, Chester, PA for               100,000
 abstinence education and related services.............
Crozer Chester Medical Center, Upland, PA for                    100,000
 abstinence education and related services.............
Darkness to Light, Charleston, SC to develop an online           500,000
 training and certification program to prevent child
 sexual abuse..........................................
Dauphin County Social Services for Children & Youth,             200,000
 Harrisburg, PA to expand Family Group Conferencing
 program for children in Dauphin County................
Esperanza USA, Philadelphia, PA to increase the social           200,000
 infrastructure in Pennsylvania's Hispanic communities
 by awarding competitively bid sub-grants to
 Pennsylvania Hispanic faith- and community-based
 agencies for service delivery and capacity building...
Fathers and Families Center, Indianapolis, IN, for               100,000
 supportive services for fathers.......................
Fathers' Support Center, St. Louis, Missouri to provide          200,000
 noncustodial fathers with personal development,
 communication and relationship building skills........
Friends Association for Care and Protection of                   200,000
 Children, North Church, PA for programs to provide
 safe, secure housing for children through an emergency
 shelter for families, transitional housing,
 specialized foster care and adoption programs.........
George Washington Carver Community Center, Norristown,           100,000
 PA for abstinence education and related services......
Greater Calvary Community Development Corporation,               100,000
 Erie, PA to develop program to support children of
 families trying to reconnect after prison and/or
 addiction.............................................
Guidance Center, Ridgeway, PA for abstinence education           100,000
 and related services..................................
Heart Beat, Millerstown, PA for abstinence education             100,000
 and related services..................................
Hope Village for Children, Meridian, MS to expand the            150,000
 existing program that provides shelter and therapeutic
 group care for foster children........................
Horizons for Homeless Children, Boston, MA, for                  170,000
 mentoring, educational, and social development
 programs for homeless youth...........................
Hudson Perinatal Consortium, Jersey City, NJ, for a              100,000
 motherhood initiative in the Puerto Rican population,
 including prenatal care, support for healthy birth
 outcomes throughout pregnancy and for six weeks
 postpartum............................................
Human Resources Center, Inc., Honesdale, PA and                  100,000
 Friendship House, Scranton, PA to expand job training
 programs and expand mental/behavioral health services
 for underserved children and families.................
Keystone Central School District, Mill Hall, PA for              100,000
 abstinence education and related services.............
Keystone Economic Development Corporation, Johnstown,            100,000
 PA for abstinence education and related services......
La Comunidad Hispana, Kennett Square, PA for a gang-             100,000
 reduction program aimed at providing high-risk youth
 with academic, vocational and social skills...........
Lackawanna Trail School District, Factoryville, PA for           100,000
 abstinence education and related services.............
LaSalle University, Philadelphia, PA for abstinence              110,000
 education and related services........................
Mercy Hospital of Pittsburgh, Pittsburgh, PA for                 110,000
 abstinence education and related services.............
My Choice Inc., Athens, PA for abstinence education and          100,000
 related services......................................
National Center for Adoption Law and Policy (NCALP) at           255,000
 Capital University Law School, Columbus, OH, for the
 Ohio Adoption Preservation Initiative.................
National Fatherhood Initiative, Gaithersburg, MD to              100,000
 improve the well being of children by increasing the
 proportion who grow up with involved, responsible, and
 committed fathers.....................................
Neighborhood United Against Drugs, Philadelphia, PA for          135,000
 abstinence education and related services.............
New Brighton School District, New Brighton, PA for               100,000
 abstinence education and related services.............
Northeast Guidance Center, Detroit, MI, for the Family           125,000
 Life Center project...................................
Nueva Esperanza, Philadelphia, PA for abstinence                 100,000
 education and related services........................
Partners for Healthier Tomorrows, Ephrata, PA for                100,000
 abstinence education and related services.............
Potter County Education Council, Coudersport, PA to              100,000
 assist single parents, teen parents and homemakers in
 acquiring skills needed to enter the workforce........
Preble Street Resource Center, Portland, ME to support           200,000
 and expand the Home for Good project to assist
 chronically homeless individuals achieve permanent
 housing and stability.................................
Rape & Victim Assistance Center of Schuylkill County,            100,000
 Pottsville, PA for abstinence education and related
 services..............................................
Real Alternatives, Harrisburg, Pennsylvania to expand            150,000
 crisis pregnancy and parenting support services in
 Pennsylvania..........................................
Real Commitment, Gettysburg, PA for abstinence                   100,000
 education and related services........................
School District of Lancaster, Lancaster, PA for                  100,000
 abstinence education and related services.............
School District of Philadelphia, Philadelphia, PA for            100,000
 abstinence education and related services.............
Shepherd's Maternity House, Inc, Stroudsburg, PA for             100,000
 abstinence education and related services.............
Southeast Alaska Independent Living, in South East               200,000
 Alaska, to continue programs to assist disabled
 Alaskans who live independently.......................
Southwest Council of Governments, Silver City, NM, to            200,000
 develop a nontraditional child care program in Grant
 County................................................
To Our Children's Future with Health, Inc,                       110,000
 Philadelphia, PA for abstinence education and related
 services..............................................
Together as Adoptive Parents, Inc. (TAP), Harleysville,          100,000
 PA to provide support to adoptive, foster and kinship
 families..............................................
Tuscarora Intermediate Unit, McVeytown, PA for                   100,000
 abstinence education and related services.............
Union-Snyder Community Action Agency, Selinsgrove, PA            100,000
 to provide learning tools for families to achieve
 economic self-sufficiency.............................
United Christian Ministries Inc., Osceola, PA to                 100,000
 provide supportive services for homeless families.....
Urban Family Council, Philadelphia, PA for abstinence            360,000
 education and related services........................
Victim Resource Center, Franklin, PA for abstinence              100,000
 education and related services........................
Washington Hospital Teen Outreach, Washington, PA for            135,000
 abstinence education and related services.............
Washington Hospital, Washington, PA, for a mentoring             100,000
 program for at risk boys..............................
Women's Opportunities Resource Center, Philadelphia, PA          100,000
 to fund economic education programs for women.........
Women's Care Center, Erie County, Abstinence Advantage,          135,000
 Erie, PA for abstinence education and related services
York County Human Life Services, York, PA for                    100,000
 abstinence education and related services.............
YWCA of Central New Jersey, for Services to Indigent             200,000
 Women and Families....................................
------------------------------------------------------------------------

Developmental Disabilities

    The Committee recommends $172,623,000 for fiscal year 2007 
for programs administered by the Administration on 
Developmental Disabilities. The comparable funding level for 
fiscal year 2006 is $170,718,000 and the budget request 
includes $170,835,000 for these programs. Within the funds 
provided, $156,903,000 is for carrying out the Developmental 
Disability Act, and $15,720,000 is for carrying out the Help 
America Vote Act of 2002.
    The Administration on Developmental Disabilities supports 
community-based delivery of services which promote the rights 
of persons of all ages with developmental disabilities. 
Developmental disability is defined as severe, chronic 
disability attributed to mental or physical impairments 
manifested before age 22, which causes substantial limitations 
in major life activities. The ADD also administers monies for 
election assistance for individuals with disabilities. This 
program is for individuals with any type of disability.
    Of the funds provided, the Committee recommends $71,771,000 
for State councils. These councils assist each State in 
promoting the development of a comprehensive, statewide, 
consumer and family-centered system which provides a 
coordinated array of culturally competent services, and other 
assistance for individuals with development disabilities. State 
councils undertake a range of activities including 
demonstration of new approaches, program and policy analysis, 
interagency collaboration and coordination, outreach and 
training.
    The Committee recommends $38,718,000 for protection and 
advocacy grants. This formula grant program provides funds to 
States to establish protection and advocacy systems to protect 
the legal and human rights of persons with developmental 
disabilities who are receiving treatment, services, or 
rehabilitation within the State.
    The Committee recommends $15,720,000 for disabled voter 
services. Of these funds, $11,000,000 is to promote disabled 
voter access, and the remaining $4,720,000 is for disabled 
voters protection and advocacy systems. The election assistance 
for individuals with disabilities program was authorized in the 
Help America Vote Act of 2002. The program enables an applicant 
to establish, expand, and improve access to, and participation 
by, any individual with a disability in the election process.
    The Committee recommends $11,414,000 for projects of 
national significance to assist persons with developmental 
disabilities. This program funds grants and contracts providing 
nationwide impact by developing new technologies and applying 
and demonstrating innovative methods to support the 
independence, productivity, and integration into the community 
of persons with developmental disabilities. The Committee 
recognizes the potential benefits that assistive technology can 
have for individuals with developmental disabilities. Of these 
funds, $5,000,000 is available to expand activities of the 
Family Support program. The Committee's placement of funds for 
family support within the Projects of National Significance 
account does not provide ACF with discretion on this definition 
of family support as defined in title II of the Developmental 
Disability Act. The Committee makes a crucial distinction 
between support services designed for families of children with 
disabilities and support services designed for an individual 
with a disability. The Committee intends that these funds be 
used for the support and assistance of families of children 
with disabilities, in accordance with the statute.
    The Committee recommends $35,000,000 for the University 
Centers for Excellence in Developmental Disabilities [UCEDDs] 
which is a network of 64 centers that are interdisciplinary 
education, research and public service units of a university 
system or are public or nonprofit entities associated with 
universities. UCEDDs conduct research, develop evidence-based 
practices and teach thousands of parents, professionals, 
students and people with disabilities about critical disability 
areas such as early intervention, healthcare, community-based 
services, inclusive and meaningful education, transition from 
school to work, employment, housing, assistive technology, 
aging with a disability and transportation. The Centers serve 
as the major vehicle to translate disability-related research 
into community practice and service systems and to train the 
next cohort of future professionals who will provide services 
and supports to an increasingly diverse population of people 
with disabilities.

Native American Programs

    The Committee recommends $44,332,000 for fiscal year 2007 
for Native American programs. The comparable funding level for 
fiscal year 2006 is $44,302,000 and the budget request includes 
$44,332,000 for this program.
    The Administration for Native Americans [ANA] assists 
Indian tribes and Native American organizations in planning and 
implementing long-term strategies for social and economic 
development through the funding of direct grants for individual 
projects, training and technical assistance, and research and 
demonstration programs.

Community Services

    The Committee recommends $694,648,000 for fiscal year 2007 
for the community services programs. The comparable funding 
level for fiscal year 2006 is $694,097,000 and the budget 
request includes $24,452,000 for this program.
    Within the funds provided, the Committee recommends 
$630,425,000 for the community services block grant [CSBG]. 
These funds are used to make formula grants to States and 
Indian tribes to provide a wide range of services and 
activities to alleviate causes of poverty in communities and to 
assist low-income individuals in becoming self-sufficient.
    The Committee continues to reject the administration's 
recommendation to eliminate the community services block grant 
funding. Although a restrictive Committee allocation prevented 
CSBG funding from being increased, the Committee continues to 
recognize the importance of CSBG and the Community Action 
Agencies it funds in helping meet the extraordinary challenges 
facing low-income communities.
    The Nation's Community Action Agency network relies on CSBG 
funding to help initiate and administer programs designed to 
alleviate poverty. The universal characteristic of these CSBG-
funded programs is that they provide people with the resources 
and the tools to become self-sufficient.
    In addition, the Committee continues to expect the Office 
of Community Services to inform the State CSBG grantees of any 
policy changes affecting carryover CSBG funds within a 
reasonable time after the beginning of the Federal fiscal year.
    Several other discretionary programs are funded from this 
account. Funding for these programs is recommended at the 
following levels for fiscal year 2007: community economic 
development, $32,404,000; individual development accounts, 
$24,452,000; and rural community facilities, $7,367,000. The 
Committee did not provide funds for the national youth sports 
or community food and nutrition programs.
    The Committee continues to support strongly the Community 
Economic Development program because of the substantial record 
of achievement that Community Development Corporations have 
compiled in working in distressed urban and rural communities. 
The Committee, in particular, notes that Federal funds leverage 
substantial non-Federal resources in meeting the objectives of 
this program. Therefore, it is the Committee's intent that 
appropriated funds should be allocated to the maximum extent 
possible in the form of grants to qualified Community 
Development Corporations in order to maximize the leveraging 
power of the Federal investment and the number and amount of 
set-asides should be reduced to the most minimal levels. These 
grants are made to private, nonprofit community development 
corporations, which in turn provide technical and financial 
assistance to business and economic development projects that 
target job and business opportunities for low-income citizens. 
The Committee has included bill language clarifying that 
Federal funds made available through this program may be used 
for financing construction and rehabilitation, and loans or 
investments in private business enterprises owned by Community 
Development Corporations.
    The Job Opportunities for Low-Income Individuals [JOLI] 
Program is authorized under the Family Support Act to target 
community development activities to create jobs for people on 
public assistance. This demonstration program provides grants 
on a competitive basis to nonprofit organizations to create new 
employment and business opportunities for TANF recipients and 
other low-income individuals. Funding also supports technical 
and financial assistance for private employers that will result 
in the creation of full-time permanent jobs for eligible 
individuals. The Committee recognizes that continued funding of 
this program would provide opportunities for more low-income 
individuals. The Committee expects that experienced community 
development corporations be given appropriate consideration for 
grants under this program.
    The Committee has included bill language allocating funding 
to the Office of Community Services for Rural Community 
Facilities Technical Assistance as authorized under section 
680(3)(B) of the Community Services Block Grant Act. In 
providing this funding, the Committee expects that it be used 
solely for the purpose of improving water and wastewater 
facilities in poor, rural communities.
    The Committee is concerned that many small and very small 
community water and wastewater treatment systems might be most 
vulnerable to terrorist attack, and yet least prepared to deal 
with the issue. The Committee urges OCS to continue to support 
RCAP Small Community Infrastructure Safety and Security 
Training and Technical Assistance project, which provides 
State, regional and national infrastructure safety and security 
training workshops and on-site technical assistance targeted to 
small and very small community water and wastewater treatment 
systems. The goal of the project is to improve the capacity of 
small systems to better prepare for emergencies, develop 
emergency preparedness training manuals for small water 
systems, identify appropriate technologies to secure such 
systems, and provide technical assistance to small communities 
struggling to deal with these issues.

Domestic Violence Hotline

    The Committee recommends $2,970,000 for fiscal year 2007 
for the national domestic violence hotline. The comparable 
funding level for fiscal year 2006 is $2,968,000 and the budget 
request includes $2,970,000 for this program.
    This is a cooperative agreement which funds the operation 
of a national, toll-free, 24-hours-a-day telephone hotline to 
provide information and assistance to victims of domestic 
violence.

Battered Women's Shelters

    The Committee recommends $124,731,000 for fiscal year 2007 
for battered women's shelters program. The comparable funding 
level for fiscal year 2006 is $124,645,000 and the budget 
request includes $124,731,000 for this program.
    This is a formula grant program to support community-based 
projects which operate shelters and provide related assistance 
for victims of domestic violence and their dependents. Emphasis 
is given to projects which provide counseling, advocacy, and 
self-help services to victims and their children.

Mentoring Children of Prisoners

    The Committee recommends $40,000,000 for fiscal year 2007 
for mentoring children of prisoners. The comparable funding 
level for fiscal year 2006 is $49,459,000 and the budget 
request includes $40,000,000 for this program.
    The mentoring children of prisoners program was authorized 
in 2001 under section 439 of the Social Security Act. The 
purpose of this program is to help children while their parents 
are imprisoned and includes activities that keep children 
connected to a parent in prison in order to increase the 
chances that the family will come together successfully when 
the parent is released. As a group, children of prisoners are 
less likely than their peers to succeed in school and more 
likely to become engaged in delinquent behavior.

Independent Living Training Vouchers

    The Committee recommends $46,157,000 for fiscal year 2007 
for independent living training vouchers. The comparable 
funding level for fiscal year 2006 is $46,125,000 and the 
budget request includes $46,157,000 for this program.
    These funds will support vouchers of up to $5,000 for 
college tuition, or vocational training for individuals who age 
out of the foster care system so they can be better prepared to 
live independently and contribute productively to society. 
Studies have shown that 25,000 youths leave foster care each 
year at age 18 and just 50 percent will have graduated from 
high school, 52 percent will be unemployed and 25 percent will 
be homeless for one or more nights.

Abstinence Education

    The Committee recommends $113,400,000 for fiscal year 2007 
for community-based abstinence education. The comparable 
funding level for fiscal year 2006 is $113,325,000 and the 
budget request includes $141,165,000 for this program. Within 
the Committee recommendation, $108,900,000 is provided for 
community-based abstinence education, $4,500,000 is provided 
through an evaluation set-aside, as requested by the 
administration. In addition, $50,000,000 is available from pre-
appropriated mandatory funds.
    This program provides support for the development and 
implementation of abstinence education programs for 
adolescents, ages 12 through 18. These programs are unique in 
that their entire focus is to education young people and create 
an environment within communities that supports teen decisions 
to postpone sexual activity until marriage.
    Of the funds provided up to $10,000,000 may be available 
for a national abstinence media campaign. The Committee 
understands that a portion of fiscal year 2007 funds will be 
used for evaluation purposes. The Committee intends that ACF 
use available funds to continue support for an independent 
group to conduct a thorough and rigorous evaluation of this 
campaign.

Faith-Based Center

    The Committee recommends $1,386,000 for fiscal year 2007 
for the operation of the Department's Center for Faith-Based 
and Community Initiatives. The comparable funding level for 
fiscal year 2006 is $1,385,000 and the budget request includes 
$1,386,000 for this program.

Program Administration

    The Committee recommends $186,265,000 for fiscal year 2007 
for program administration. The comparable funding level for 
fiscal year 2006 is $183,239,000 and the budget request 
includes $188,123,000 for this program.
    The Committee continues its interest in the Department's 
Child and Family Services reviews. These reviews are an 
effective method for monitoring the progress States are making 
in assuring the safety, health, and permanency for children in 
child welfare and foster care as required in the Adoption and 
Safe Families Act. The Committee encourages the Department to 
make available sufficient resources to ensure full 
implementation of the new collaborative monitoring system. The 
Committee directs ACF to continue to provide information on the 
progress of the reviews in the annual congressional 
justification.

                   PROMOTING SAFE AND STABLE FAMILIES

Appropriations, 2006....................................    $394,039,000
Budget estimate, 2007...................................     434,100,000
House allowance.........................................     434,100,000
Committee recommendation................................     420,000,000

    The Committee recommends $420,000,000 for fiscal year 2007 
for promoting safe and stable families. The comparable funding 
level for fiscal year 2006 is $394,039,000 and the budget 
request includes $434,100,000 for this program.
    Funding available provides grants to States in support of: 
(1) family preservation services; (2) time-limited family 
reunification services; (3) community-based family support 
services; and (4) adoption promotion and support services. The 
Committee notes that most of the Federal funding related to 
child welfare is provided for the removal and placement of 
children outside of their own homes. Funds available through 
the Promoting Safe and Stable Families program are focused on 
supporting those activities that can prevent family crises from 
emerging which might require the temporary or permanent removal 
of a child from his or her own home.
    The Promoting Safe and Stable Families program is comprised 
of $345,000,000 in capped entitlement funds authorized by the 
Social Security Act and $75,000,000 in discretionary 
appropriations.

       PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION ASSISTANCE

Appropriations, 2006....................................  $4,940,800,000
Budget estimate, 2007...................................   5,211,000,000
House allowance.........................................   5,211,000,000
Committee recommendation................................   5,211,000,000

    The Committee recommends $5,211,000,000 for fiscal year 
2007 for payments to States for foster care and adoption 
assistance. The comparable funding level for fiscal year 2006 
is $4,940,800,000 and the budget request includes 
$5,211,000,000 for this program. In addition, the Committee 
recommendation provides $1,810,000,000 for an advance 
appropriation for the first quarter of fiscal year 2008. The 
Committee recommendation provides the full amount requested 
under current law. The budget request includes a net increase 
of $32,000,000 based on proposed legislation for fiscal year 
2007, and a net increase of $30,000,000 for the fiscal year 
2008 advance appropriation.
    The Foster Care Program provides Federal reimbursement to 
States for: Maintenance payments to families and institutions 
caring for eligible foster children, matched at the Federal 
medical assistance percentage [FMAP] rate for each State; and 
administration and training costs to pay for the efficient 
administration of the Foster Care Program, and for training of 
foster care workers and parents.
    The Adoption Assistance Program provides funds to States 
for maintenance costs and the nonrecurring costs of adoption 
for children with special needs. The goal of this program is to 
facilitate the placement of hard-to-place children in permanent 
adoptive homes, and thus prevent long, inappropriate stays in 
foster care. As in the Foster Care Program, State 
administrative and training costs are reimbursed under this 
program.
    The Independent Living Program provides services to foster 
children under 18 and foster youth ages 18-21 to help them make 
the transition to independent living by engaging in a variety 
of services including educational assistance, life skills 
training, health services and room and board. States are 
awarded grants from the annual appropriation proportionate to 
their share of the number of children in foster care, subject 
to a matching requirement.

                        Administration on Aging

Appropriations, 2006....................................  $1,361,923,000
Budget estimate, 2007...................................   1,334,835,000
House allowance.........................................   1,390,306,000
Committee recommendation................................   1,380,516,000

    The Committee recommends an appropriation of $1,380,516,000 
for aging programs. This amount is $18,593,000 above the 
comparable fiscal year 2006 level and $45,681,000 above the 
administration request.

Supportive Services and Senior Centers

    The Committee recommends an appropriation of $350,595,000 
for supportive services and senior centers, which is $241,000 
above the comparable fiscal year 2006 level and is the same as 
the administration request. This State formula grant program 
funds a wide range of social services for the elderly, 
including multipurpose senior centers, adult day care, and 
ombudsman activities. State agencies on aging award funds to 
designated area agencies on aging who in turn make awards to 
local services providers. All individuals age 60 and over are 
eligible for services, although, by law, priority is given to 
serving those who are in the greatest economic and social need, 
with particular attention to low-income minority older 
individuals and those residing in rural areas. Under the basic 
law, States have the option to transfer up to 30 percent of 
funds appropriated between the senior centers program and the 
nutrition programs, which allows the State to determine where 
the resources are most needed.

Preventive Health Services

    The Committee recommends $21,400,000 for preventive health 
services, which is $15,000 above the comparable fiscal year 
2006 level. The administration did not request funds for this 
activity. Funds appropriated for this program are part of the 
comprehensive and coordinated service systems targeted to those 
elderly most in need. Preventive health services include 
nutritional counseling and education, exercise programs, health 
screening and assessments, and prevention of depression.

Protection of Vulnerable Older Americans

    The Committee recommends $21,156,000 for grants to States 
for protection of vulnerable older Americans. This is 
$1,014,000 above the comparable fiscal year 2006 level and 
$1,990,000 above the administration request. Within the 
Committee recommendation, $16,010,000 is for the ombudsman 
services program and $5,146,000 is for the prevention of elder 
abuse program. Both programs provide formula grants to States 
to prevent the abuse, neglect, and exploitation of older 
individuals. The ombudsman program focuses on the needs of 
residents of nursing homes and board and care facilities, while 
elder abuse prevention targets its message to the elderly 
community at large.

National Family Caregiver Support Program

    The Committee recommends $156,167,000 for the national 
family caregiver support program, which is $107,000 above the 
comparable fiscal year 2006 level and $1,980,000 above the 
administration request. Funds appropriated for this activity 
established a multifaceted support system in each State for 
family caregivers. All States are expected to implement the 
following five components into their program: individualized 
referral information services; assistance to caregivers in 
locating services from a variety of private and voluntary 
agencies; caregiver counseling, training and peer support; 
respite care provided in the home, an adult day care center or 
other residential setting located in an assisted living 
facility; and limited supplemental services that fill remaining 
service gaps.
    The Committee recognizes the essential role of family 
caregivers who provide a significant proportion of our Nation's 
health and long-term care for the chronically ill and aging. 
While caring for a loved one can be rewarding, it may also put 
caregivers at risk for negative physical and mental health 
consequences. The Committee acknowledges the efforts of the AoA 
to provide vital support services for family caregivers through 
the National Family Caregiver Support Program. The Committee 
encourages increased support of services that may prevent or 
reduce the health burdens of caregiving, including individual 
counseling, support groups, respite care, and caregiver 
training.

Native American Caregiver Support Program

    The Committee recommendation includes $6,241,000 to carry 
out the Native American Caregiver Support Program, which is 
$4,000 above the comparable fiscal year 2006 level and the same 
as the administration request. The program will assist tribes 
in providing multifaceted systems of support services for 
family caregivers and for grandparents or older individuals who 
are relative caregivers.

Congregate and Home-delivered Nutrition Services

    For congregate nutrition services, the Committee recommends 
an appropriation of $385,319,000 which is $265,000 above the 
comparable fiscal year 2006 level and $1,918,000 above the 
administration request. For home-delivered meals, the Committee 
recommends $181,905,000, which is $124,000 above the comparable 
fiscal year 2006 level and $907,000 above the administration 
request. These programs address the nutritional need of older 
individuals. Projects funded must make home-delivered and 
congregate meals available at least once a day, 5 days a week, 
and each meal must meet one-third of the minimum daily dietary 
requirements. While States receive separate allotments of funds 
for congregate and home-delivered nutrition services and 
support services, they are permitted to transfer up to 40 
percent of funds between these programs.
    The Committee encourages the Administration on Aging to 
test enhancing the diets of Elderly Nutrition Program [ENP] 
meal participants by providing a daily multivitamin/multi-
mineral supplement to enhance nutritional status and thus 
reduce the occurrence of chronic disease.

Nutrition Services Incentives Program

    The Committee recommendation includes $147,846,000 for the 
nutrition services incentives program [NSIP], $102,000 above 
the comparable fiscal year 2006 funding level and $736,000 
above the administration request. This program augments funding 
for congregate and home-delivered meals provided to older 
adults. Funds provided under this program are dedicated 
exclusively to the provision of meals. NSIP rewards effective 
performance by States and Tribal organizations in the efficient 
delivery of nutritious meals to older individuals through the 
use of cash or commodities.

Aging Grants to Indian Tribes and Native Hawaiian Organizations

    The Committee recommends $26,134,000 for grants to Native 
Americans, which is $18,000 above the comparable fiscal year 
2006 funding level and is the same as the administration 
request. Under this program awards are made to tribal and 
Alaskan Native organizations and to public or nonprofit private 
organizations serving native Hawaiians which represent at least 
50 percent Indians or Alaskan Natives 60 years of age or older 
to provide a broad range of supportive services and assure that 
nutrition services and information and assistance are 
available.

Training, Research, and Discretionary Projects

    The Committee recommends $40,235,000 for training, 
research, and discretionary projects, which is $15,657,000 
above the comparable fiscal year 2006 level and $4,750,000 
above the administration request. These funds support 
activities designed to expand public understanding of aging and 
the aging process, apply social research and analysis to 
improve access to and delivery of services for older 
individuals, test innovative ideas and programs to serve older 
individuals, and provide technical assistance to agencies that 
administer the Older Americans Act.
    The Committee recommendation fully funds the administration 
request for the ``Choices for Independence'' initiative. This 
initiative, funded at $28,000,000, seeks to promote consumer-
directed and community-based long term care options. It will 
build on recent AoA initiatives such as the Aging and 
Disability Resource Centers, the Cash & Counseling 
Demonstration Program and the Evidence-Based Disease Prevention 
program. Choices for Independence will integrate the best 
practices from these initiatives into a strategy focusing on: 
empowering individuals to make informed decisions about long-
term support options; providing more choices for individuals at 
high-risk of nursing home placement, and enabling older people 
to make behavioral changes that will reduce the risk of 
disease, disability and injury.
    Since the landmark 1999 Supreme Court Olmstead decision, 
this Committee has been dedicating resources toward States to 
move individuals out of institutions and into community-based 
care. These grants, known as the Real Choice Systems Change 
grants, are funded out of the Centers for Medicare and Medicaid 
Services [CMS]. The Committee believes that the significant 
infrastructure built by the Systems Change grants should be 
enhanced rather than recreated by the new Choices for 
Independence program. Therefore, the Committee has once again 
funded the Systems Change grants at $10,000,000 in CMS and 
urges AoA to collaborate with this program at the Federal 
level. In addition, AoA should give priority to States whose 
applications promote collaboration at the State and local 
level.
    Alzheimer's disease often causes patients to exhibit 
unusual and unpredictable behavior, including physical 
aggression and combativeness and drastic mood swings. AoA funds 
support a 24-hour call center to help families in crisis manage 
these behaviors with expert advice, consultation and referrals. 
The Committee has provided $1,000,000 to continue this valuable 
resource.
    The Committee continues to support funding at no less than 
last year's level for national programs scheduled to be 
refunded in fiscal year 2007 that address a variety of issues, 
including elder abuse, Native American issues, and legal 
services.
    The Committee continues to support strengthening the 
capacity of those community-based organizations dedicated to 
improving health care access and health care outcomes for 
minority elder populations. The recommendation includes 
continuation of current level funding for the National Minority 
Aging Organizations including Asian-Pacific American, Native 
American, and Hispanic and African-American Aging Centers.
    The Committee is aware of innovative program models aimed 
at mobilizing older Americans, particularly the 77 million baby 
boomers, to serve their communities. The Committee encourages 
partnerships with organizations that enable older Americans to 
help meet critical social needs effectively.
    The Committee is concerned that AoA's current regulations 
governing the expenditure of funds for services to the aging 
community do not properly consider the unique challenges of 
providing those services in frontier communities. The Committee 
directs AoA to assess the challenges facing frontier 
communities in the provision of services to the aging 
population and report back to the Committee no later than March 
31, 2007 on the findings of such an assessment.
    The Committee includes the following projects and 
activities and the following amounts for fiscal year 2007:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
City of Henderson, Henderson, NV, to expand senior              $250,000
 programs at the Henderson Senior Center...............
Coalition of Wisconsin Aging Groups, Madison, WI, to             200,000
 conduct outreach and education on financial elder
 abuse.................................................
Disability Rights Wisconsin, Milwaukee, WI, for nursing          185,000
 home support services.................................
Institute of Medical Humanism, Inc of Bennington, VT,            200,000
 for an end-of-life care initiative....................
Jewish Community Services of South Florida, for Home             100,000
 Care Support..........................................
Jewish Family Service of Salt Lake City, UT for a                100,000
 Naturally Occurring Retirement Communities (NORC)
 demonstration project.................................
Jewish Family Services of New Mexico for a Naturally             530,000
 Occurring Retirement Communities (NORC) demonstration
 project...............................................
Jewish Federation of Greater Indianapolis, IN for a              750,000
 Naturally Occurring Retirement Communities (NORC)
 demonstration project.................................
Jewish Federation of Las Vegas, NV, for the Las Vegas            300,000
 Senior Lifeline program...............................
Jewish Federation of St. Louis, Missouri for a                   250,000
 Naturally Occurring Retirement Communities (NORC)
 demonstration project.................................
Madlyn and Leonard Abramson Center for Jewish Life,              200,000
 North Whales, PA for an innovative end-stage
 palliative care program...............................
Systems Unlimited, Inc., Iowa City, IA, for a home               300,000
 health visit demonstration program....................
United Jewish Communities of MetroWest NJ, Whippany NJ,          385,000
 for NORCs Aging in Place Demonstration................
------------------------------------------------------------------------

Aging Network Support Activities

    The Committee recommends $13,133,000 for aging network 
support activities, $9,000 above the comparable amount for 
fiscal year 2006 and the same as the administration request. 
The Committee recommendation includes funding at the 
administration request level for the Eldercare Locator and for 
the Pension Information and Counseling Program.
    The Eldercare Locator, a toll-free, nationwide directory 
assistance service for older Americans and their caregivers, is 
operated by the National Association of Area Agencies on Aging. 
Since 1991, the service has linked more than 700,000 callers to 
an extensive network of resources for aging Americans and their 
caregivers.
    Pension counseling projects provide information, advice, 
and assistance to workers and retirees about pension plans, 
benefits, and how to pursue claims when pension problems arise. 
The information dissemination and outreach activities of the 
pension counseling projects have served over 30,000 people and 
has helped obtain more than $60,000,000 in retirement benefits 
for older individuals.
    The Committee has provided funding at the administration 
request level for the National Long Term Care Ombudsman 
Resource Center, the National Center on Elder Abuse and the 
Health Care Anti-Fraud, Waste and Abuse Program.

Alzheimer's Disease Demonstration Grants to States

    The Committee recommends a funding level of $12,000,000 for 
Alzheimer's disease demonstration grants to States, which is 
$340,000 above the comparable fiscal year 2006 funding level. 
The administration did not request funds for this activity.
    An estimated 70 percent of Americans with Alzheimer's 
disease live at home, where family members provide the 
preponderance of care. The Alzheimer's disease demonstration 
grant program currently supports matching grants to 38 States 
to help stimulate and coordinate services to assist families 
caring for Alzheimer patients, particularly those living in 
underserved rural communities and minorities. This program is 
designed to address the unique demands Alzheimer's disease 
places on families, and emphasizes systems change to meet those 
demands. In the absence of any meaningful alternative for 
Alzheimer families, the Committee rejects the notion that this 
program should be terminated, and has provided funds for its 
continuation.

Program Administration

    The Committee recommends $18,385,000 for program 
administration, which is $697,000 above the comparable fiscal 
year 2006 funding level and the same as the administration 
request. These funds support salaries and related expenses for 
program management and oversight activities.

                        Office of the Secretary


                    GENERAL DEPARTMENTAL MANAGEMENT

Appropriations, 2006....................................    $357,650,000
Budget estimate, 2007...................................     368,419,000
House allowance.........................................     363,592,000
Committee recommendation................................     381,575,000

    The Committee recommends $381,575,000 for general 
departmental management [GDM]. This amount is $23,925,000 above 
the comparable level for fiscal year 2006 and $13,156,000 above 
the administration request. The Committee recommendation 
includes the transfer of $5,851,000 from Medicare trust funds, 
which is the same as the administration request. In addition, 
for policy evaluation activities the Committee recommends 
$39,552,000 in transfers available under section 241 of the 
Public Health Service Act.
    The Committee directs that specific information requests 
from the chairman and ranking member of the Subcommittee on 
Labor, Health and Human Services, and Education, and Related 
Agencies, on scientific research or any other matter, shall be 
transmitted to the Committee on Appropriations in a prompt 
professional manner and within the time frame specified in the 
request. The Committee further directs that scientific 
information requested by the Committees on Appropriations and 
prepared by Government researchers and scientists be 
transmitted to the Committee on Appropriations, uncensored and 
without delay.
    This appropriation supports those activities that are 
associated with the Secretary's role as policy officer and 
general manager of the Department. It supports certain health 
activities performed by the Office of Public Health and 
Science, including the Office of the Surgeon General. GDM funds 
also support the Department's centralized services carried out 
by several Office of the Secretary staff divisions, including 
personnel management, administrative and management services, 
information resources management, intergovernmental relations, 
legal services, planning and evaluation, finance and 
accounting, and external affairs.
    The Office of the Surgeon General, in addition to its other 
responsibilities, provides leadership and management oversight 
for the PHS Commissioned Corps, including the involvement of 
the Corps in departmental emergency preparedness and response 
activities.
    The Committee recommendation does not include funding for 
Department-wide training on the Working for America Act, the 
administration's pay for performance management proposal. The 
Committee will reconsider funding for this activity should the 
proposal become enacted into law.
    The Committee has included $15,000,000 above last year's 
level for the transformation of the Commissioned Corps. The 
Committee has provided funding since fiscal year 2003 to 
improve the ability of the Corps to respond more quickly and 
effectively to public health emergencies. The Committee 
understands that the administration will shortly submit to 
Congress an amended budget request that incorporates the 
findings of The Federal Response to Hurricane Katrina: Lessons 
Learned report of February 2006. The Committee recommendation 
reflects the amended request for additional funding for the 
Commissioned Corps to create and equip dedicated health and 
medical response teams, consistent with the findings of the 
report.
    The Committee recommendation provides $500,000 for the 
Secretary, in collaboration with the Centers for Disease 
Control and Prevention, to fund a study by the Institute of 
Medicine of the National Academy of Sciences that will examine 
and make recommendations regarding various means that could be 
employed to reduce dietary sodium intake to levels recommended 
by the Dietary Guidelines for Americans. These should include, 
but not be limited to, actions by food manufacturers, such as 
new product development and food reformulation, and 
governmental approaches, such as regulatory, legislative 
approaches, and public and professional information and 
education. The Secretary is also directed to request a report 
from the Surgeon General on what HHS is doing to examine the 
health issues related to salt.
    Chronic Fatigue.--The Committee appreciates the work of the 
Department's Chronic Fatigue Syndrome Advisory Committee 
[CFSAC]. However, the Committee is concerned that it took the 
Department almost one year to appoint new members to replace in 
March 2006 the five CFSAC appointees whose terms expired in 
September 2005. The Committee directs the Department to ensure 
a timely nomination and appointment process to replace the 
remaining CFSAC members whose terms will expire in 2006, and to 
ensure that the appointment process does not disrupt the 
committee's schedule of meetings.
    Food Allergies.--Approximately 2,000,000 school-aged 
children in the United States suffer from food allergy, for 
which there is no cure. Allergic reactions in children often 
occur in the school setting and can develop into severe 
anaphylactic shock that can kill within minutes unless 
epinephrine is administered. It is estimated that 94 percent of 
the Nation's schools have students with food allergy, and the 
incidence is increasing. The Committee encourages the 
Department to work with the Department of Education and 
knowledgeable private sector organizations on the development 
of guidelines for the management of children with food allergy 
as well as a plan to disseminate and publicize these guidelines 
to local educational agencies and youth organizations.
    Food Study.--The Committee requests that the Secretary, in 
conjunction with the Secretary of Agriculture, submit a report 
to the Committees on Appropriations of the House and the Senate 
and the Committee on Health, Education, Labor, and Pensions of 
the Senate and the Committee on Education and Workforce in the 
House. The report could address the progress of HHS and the 
Department of Agriculture relating to the presence of naturally 
occurring and human made substances in food that may be 
carcinogenic or cause other toxic effects. The Committee 
expects the report by March 1, 2007.
    Genetic Screening.---The Committee is pleased that the 
Secretary's Advisory Committee on Heritable Disorders and 
Genetic Diseases in Newborns and Children has recommended a 
uniform screening panel for which all newborns should be 
screened. The Advisory Committee is encouraged to update the 
panel of recommended tests periodically, as well as provide the 
Secretary with recommendations, advice or information on steps 
to improve newborn screening programs. This Committee strongly 
urges the Secretary to adopt or reject recommendations no later 
than 180 days after the Advisory Committee issues them, and to 
make public the justification for such determination.
    Health Disparities.--The Committee is committed to ensuring 
the overall improved health of the American people, and 
strongly urges the Secretary to continue to intensify its 
efforts in implementing recommendations developed by the 
Institute of Medicine's Unequal Treatment: Confronting Racial 
and Ethnic Disparities in Health Care study. The 
recommendations offer significant guidelines and opportunities 
for eliminating health disparities and improving health across 
all populations. The Committee expects the Secretary to report 
on the progress of this action during next year's 
appropriations hearings.
    HIV Rapid Testing Initiative.--The Committee commends the 
Secretary for the HHS initiative on increased rapid HIV testing 
for HIV/AIDS. The Committee is aware that wide-scale bulk 
deployment of new oral fluid rapid HIV testing for HIV is a 
significant step towards helping citizens throughout the United 
States, to know their HIV status. The Committee urges the 
Secretary to significantly increase the use of bulk purchasing 
and wide-scale deployment of FDA-approved oral fluid HIV rapid 
tests for all domestic HIV prevention initiatives.
    Methamphetamine.--The Committee recognizes that 
methamphetamine abuse in the United States has been on the rise 
over the past few years and that this abuse is having a 
devastating effect on our communities. The Committee requests 
that the Secretary study this issue and provide a report to 
Congress within 6 months that outlines actions that should be 
taken to help combat this epidemic.
    Sleep Disorders.--At the National Institutes of Health's 
Frontiers of Knowledge in Sleep and Sleep Disorders conference 
in March 2004, the U.S. Surgeon General reported on the 
profound impact that chronic sleep loss and untreated sleep 
disorders have on Americans of all ages and that the public 
health model is well suited to translate these essential health 
messages to society. The Committee continues to urge the 
Surgeon General to develop a Surgeon General's Report on Sleep 
and Sleep Disorders and requests an update regarding progress 
made on this initiative.
    Tobacco Harm Reduction.--According to a report published by 
the Institute of Medicine, even with the most intensive 
applications of the most effective know programs for prevention 
and cessation, approximately 15 percent of the adults in the 
United States are expected to continue to be regular smokers. 
Among this group are many who cannot or will not stop smoking, 
and it is to this group that effective programs and products of 
tobacco harm reduction should be directed. The Committee urges 
the Department to continue its review and discussion of 
products that could significantly reduce risk to individual 
smokers.
    The Committee includes the following projects and 
activities and in the following amounts for fiscal year 2007:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Community Transportation Association of America for           $1,000,000
 technical assistance to human services transportation
 providers on ADA requirements.........................
Palmer College on Chiropractice, Consortial Center for           400,000
 Chiropractic Research in Davenport, IA, and the Policy
 Institute for Integrative Medicine in Philadelphia, PA
 for a best practices initiative on lower back pain....
------------------------------------------------------------------------

Adolescent Family Life

    The Committee has provided $30,277,000 for the Adolescent 
Family Life Program [AFL], which is $21,000 above the 
comparable fiscal year 2006 level and $95,000 below the 
administration request.
    AFL is the only Federal program focused directly on the 
issue of adolescent sexuality, pregnancy, and parenting. 
Through demonstration grants and contracts, AFL focuses on a 
comprehensive range of health, educational, and social services 
needed to improve the health of adolescents, including the 
complex issues of early adolescent sexuality, pregnancy, and 
parenting.

Minority Health

    The Committee recommends $57,325,000 for the Office of 
Minority Health, which is $870,000 above the comparable level 
for fiscal year 2006 and $10,550,000 above the administration 
request.
    The Office of Minority Health [OMH] focuses on strategies 
designed to decrease the disparities and to improve the health 
status of racial and ethnic minority populations in the United 
States. OMH establishes goals, and coordinates all departmental 
activity related to improving health outcomes for disadvantaged 
and minority individuals. OMH supports several demonstration 
projects, including the Minority Community Health Coalition, 
the Bilingual/Bicultural Service, the Center for Linguistic and 
Cultural Competency in Health Care, and the Family and 
Community Violence Prevention Program.
    The Committee has included $10,000,000 for specific 
programs focused on the following initiatives designed to 
impact medically underserved communities and build capacity for 
the training of minorities in health professions careers: (1) 
OMH-sponsored programs to assist medically underserved 
communities with the greatest need in solving health 
disparities and attracting and retaining health professionals; 
(2) assistance to minority institutions in acquiring real 
property to expand their campuses to increase the capacity to 
train minorities for medical careers; (3) support of 
conferences for high school and undergraduate students to 
pursue health professions careers; (4) support for cooperative 
agreements with minority institutions for the purpose of 
strengthening their capacity to train more minorities in the 
health professions.
    Health Disparities.--The Committee expects the OMH and the 
National Center for Minority Health and Health Disparities at 
NIH to play a joint role in coordinating and monitoring the 
implementation of the Department's elimination of health 
disparities initiatives and strategic plans. The Committee 
expects the Secretary to report to Congress on the progress and 
implementation of the strategic plans in general and as related 
to the IOM's assessment and recommendations regarding the 
strategic plan during next year's appropriations hearings, and 
to include a progress update in the Department's Budget 
Justification.
    Historically Black Medical Schools.--The Committee 
continues to be concerned about the diminished partnership 
between OMH and our Nation's historically black medical 
schools. Consistent with the fiscal year 2006 conference 
report, the Committee encourages OMH to: (1) Re-establish its 
unique cooperative agreement with Meharry Medical College, (2) 
develop a formal partnership with the Morehouse School of 
Medicine and its National Center for Primary Care, and (3) 
coordinate a response to the challenges facing the Charles R. 
Drew University of Medicine and Science, including expanded 
opportunities for biomedical research and support for residency 
training faculty. The Committee requests an update on the 
status of these activities in the Department's Budget 
Justification.
    Minority Male Consortium.--The Committee continues to 
recognize the importance of the educational and preventive 
health work being undertaken and implemented in campus and 
community-based projects by the five historically black 
colleges and universities in the New Minority Males Consortium, 
Inc. The Committee encourages the OMH to increase the resources 
necessary to expand the number of participating institutions, 
as well as to enhance the resources received by each of the 
institutions to increase their activities and to conduct the 
national comparative study of the incidence of certain health 
conditions and diseases among minority males.
    The Committee includes the following projects and 
activities and in the following amounts for fiscal year 2007:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Nazareth Hospital, Philadelphia, PA, for stroke                 $250,000
 prevention programs targeting the African-American
 community.............................................
Winston Salem State University in Winston-Salem, NC for          300,000
 an initiative targeting health awareness and
 healthcare disparities in medically underserved
 communities...........................................
------------------------------------------------------------------------

Office on Women's Health

    The Committee recommends $28,869,000 for the Office on 
Women's Health. This is $624,000 above the comparable level for 
fiscal year 2006 and $500,000 above the administration request.
    The PHS Office on Women's Health [OWH] develops, 
stimulates, and coordinates women's health research, health 
care services, and public and health professional education and 
training across HHS agencies. It advances important 
crosscutting initiatives and develops public-private 
partnerships, providing leadership and policy direction, and 
initiating and synthesizing program activities to redress the 
disparities in women's health.
    The Committee includes the following projects and 
activities and in the following amounts for fiscal year 2007:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Saint Michael's Hospital, Newark, NJ for St. Michael's          $500,000
 Hospital Women's Cardiovascular Disease Education
 Initiative............................................
------------------------------------------------------------------------

HIV/AIDS in Minority Communities

    To address high-priority HIV prevention and treatment needs 
of minority communities heavily impacted by HIV/AIDS, the 
Committee recommends $51,891,000. This amount is $36,000 above 
the comparable fiscal year 2006 level and is the same as the 
administration request. These funds are available to key 
operating divisions of the Department with capability and 
expertise in HIV/AIDS services to assist minority communities 
with education, community linkages, and technical assistance.

Afghanistan

    The Committee recommendation includes $6,016,000 for the 
Secretary's Afghanistan health initiative. This amount is 
$128,000 above the comparable fiscal year 2006 funding level 
and is the same as the administration request. Funds will be 
used in partnership with the Department of Defense for medical 
training activities at the Rabia Balkhi Women's Hospital in 
Kabul, and for support of maternal and child health throughout 
Afghanistan.

Embryo Adoption

    The Committee continues to believe that increasing public 
awareness of embryo donation and adoption remains an important 
goal. The Committee has provided $2,000,000 for the 
Department's embryo adoption awareness campaign, which is 
$21,000 more than the comparable fiscal year 2006 funding level 
and $20,000 over the administration request.

                OFFICE OF MEDICARE HEARINGS AND APPEALS

Appropriations, 2006....................................     $59,359,000
Budget estimate, 2007...................................      74,250,000
House allowance.........................................      70,000,000
Committee recommendation................................      70,000,000

    The Committee provides $70,000,000 for the Office of 
Medicare Hearings and Appeals, which is $10,641,000 above the 
comparable fiscal year 2006 level and $4,250,000 below the 
administration request.
    The Office of Medicare Hearings and Appeals is responsible 
for hearing Medicare appeals at the administrative law judge 
level, which is the third level of Medicare claims appeals. 
Since fiscal year 1995 these appeals have been processed by the 
Social Security Administration under an interagency agreement 
with the Centers for Medicare and Medicaid Services. This 
function was transferred to the Office of the Secretary by the 
Medicare Prescription Drug, Improvement and Modernization Act 
of 2003.

  OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY

Appropriations, 2006....................................     $61,243,000
Budget estimate, 2007...................................     115,872,000
House allowance.........................................      98,000,000
Committee recommendation................................      63,243,000

    The Committee provides $63,243,000 to the Office of the 
National Coordinator for Health Information Technology [ONC]. 
This amount is $2,000,000 above the comparable fiscal year 2006 
level and $52,629,000 below the administration request. The 
Committee recommendation includes $11,930,000 in transfers 
available under section 241 of the Public Health Service Act. 
In addition, the Committee has provided $50,000,000 for health 
information technology to the Agency for Healthcare Research 
and Quality.
    The Committee understands that the administration will 
shortly submit to Congress an amended budget request that 
incorporates the findings of The Federal Response to Hurricane 
Katrina: Lessons Learned report of February 2006. The Committee 
recommendation reflects the amended request and includes 
$2,000,000 above last year's level for development and testing 
of a medical disaster response Electronic Health Record.
    The Office of The National Coordinator for Health 
Information Technology is responsible for promoting the use of 
electronic health records in clinical practice, coordinating 
Federal health information systems and collaborating with the 
private sector to develop standards for a nationwide 
interoperable health information technology infrastructure.
    Disease Management Technology.--The Committee urges ONC to 
conduct outreach activities to all public and private sector 
organizations which have demonstrated capabilities in disease 
management technology as it relates to saving health care 
dollars, and improving care for chronically ill individuals and 
the workforce.

                      OFFICE OF INSPECTOR GENERAL

Appropriations, 2006....................................     $39,388,000
Budget estimate, 2007...................................      43,760,000
House allowance.........................................      41,415,000
Committee recommendation................................      43,760,000

    The Committee recommends an appropriation of $43,760,000 
for the Office of Inspector General [OIG], which is $4,372,000 
above the fiscal year 2006 comparable level and the same as the 
administration request. In addition to discretionary funds 
provided in this act, the Health Insurance Portability and 
Accountability Act of 1996 and the Deficit Reduction Act of 
2005 both contain permanent appropriations for the Office of 
Inspector General. The total funds provided to the OIG from 
this bill and other permanent appropriations is $228,760,000 in 
fiscal year 2007.
    The Office of Inspector General conducts audits, 
investigations, inspections, and evaluations of the operating 
divisions within the Department of Health and Human Services. 
The OIG functions with the goal of reducing the incidence of 
waste, abuse, and fraud. It also pursues examples of 
mismanagement toward the goal of promoting economy and 
efficiency throughout the Department.

                        OFFICE FOR CIVIL RIGHTS

Appropriations, 2006....................................     $34,622,000
Budget estimate, 2007...................................      36,283,000
House allowance.........................................      36,283,000
Committee recommendation................................      36,283,000

    The Committee recommends $36,283,000 for the Office for 
Civil Rights [OCR]. This is $1,661,000 above the comparable 
level for fiscal year 2006 and the same as the administration 
request. The recommendation includes the transfer of $3,314,000 
from the Medicare trust funds.
    The Office for Civil Rights is responsible for enforcing 
civil rights-related statutes in health care and human services 
programs. To enforce these statutes, OCR investigates 
complaints of discrimination, conducts program reviews to 
correct discriminatory practices, and implements programs to 
generate voluntary compliance among providers and constituency 
groups of health and human services.
    Health Disparities.--The Institute of Medicine and the U.S. 
Commission on Civil Rights have highlighted the need to 
strengthen OCR's ability to implement and enforce civil rights 
laws to reduce disparities in health care access, financing, 
research and treatment. The Committee strongly urges OCR to 
intensify its efforts towards the elimination of health 
disparities. As the primary defender of the public's right to 
nondiscriminatory access to health and human services, the 
Committee urges OCR to ensure that civil rights challenges are 
met in the complex and ever-changing health and human services 
setting. The funds provided will allow OCR to address the 
marked increase in responsibilities due to additional statutory 
obligations and court decisions.

     RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS

Appropriations, 2006....................................    $328,552,000
Budget estimate, 2007...................................     341,694,000
House allowance.........................................     341,694,000
Committee recommendation................................     341,694,000

    The Committee provides an estimated $341,694,000 for 
retirement pay and medical benefits for commissioned officers 
of the U.S. Public Health Service, the same as the 
administration request. This amount is $13,142,000 above the 
comparable level for fiscal year 2006.
    This account provides for: retirement payments to U.S. 
Public Health Service officers who are retired for age, 
disability, or length of service; payments to survivors of 
deceased officers; medical care to active duty and retired 
members and dependents and beneficiaries; and for payments to 
the Social Security Administration for military service 
credits.

            PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND

Appropriations, 2006 \1\................................     $59,984,000
Budget estimate, 2007...................................     160,475,000
House allowance.........................................     160,475,000
Committee recommendation................................     166,907,000

\1\ Excludes $3,082,000,000 in emergency supplemental appropriations 
pursuant to Public Law 109-148 and $2,300,000,000 in emergency 
supplemental appropriations pursuant to Public Law 109-234.

    The Committee provides $166,907,000 to the Public Health 
and Social Services Emergency Fund. This is $106,923,000 above 
the comparable fiscal year 2006 level and $6,432,000 above the 
administration request. The Committee's recommendation for 
fiscal year 2007 includes $88,027,000 for bioterrorism 
preparedness within the Office of the Secretary and $78,880,000 
for pandemic flu activities.
    The Committee understands that the administration will 
shortly submit to Congress an amended budget request that 
incorporates the findings of The Federal Response to Hurricane 
Katrina: Lessons Learned report of February 2006. The Committee 
recommendation for the Office of the Secretary reflects this 
amended request and includes the following increases over last 
year's level: $11,000,000 for Project Bioshield; $10,000,000 
for management of emergency response; and $2,000,000 for 
development of electronic benefits transfer capability.
    The Committee encourages the Department to consider 
accelerating the development of approaches, such as monoclonal 
and polyclonal antibodies for the protection of young infants, 
health care workers, immunocompromised individuals, and the 
treatment of other patients exposed to potential pandemic 
viruses. The Committee requests that the Department prepare and 
submit a report by June 15, 2007 on the feasibility of 
developing such approaches. The Committee requests that the 
report also address the utility and feasibility of creating a 
library of monoclonal antibodies associated with known strains 
of influenza viruses and other epidemic and bioterrorist 
infectious disease vectors as a jump-start for production 
should one of those strains or a similar strain threaten the 
population.

      General Provisions, Department of Health and Human Services

    The Committee recommendation continues a provision placing 
a $50,000 ceiling on official representation expenses (sec. 
201).
    The Committee recommendation continues a provision which 
limits the assignment of certain public health personnel (sec. 
202).
    The Committee recommendation retains language regarding 
set-asides in the authorizing statute of the National 
Institutes of Health (sec. 203).
    The Committee recommendation continues a provision limiting 
the use of grant funds to pay individuals no more than an 
annual rate of executive level I (sec. 204).
    The Committee recommendation includes a provision limited 
the use of funds for Head Start to pay compensation of an 
individual in excess of executive level II (sec. 205).
    The Committee recommendation continues a provision 
restricting the Secretary's use of taps for program evaluation 
activities unless a report is submitted to the Appropriations 
Committees on the proposed use of funds (sec. 206).
    The Committee recommendation modifies a provision 
authorizing the transfer of up to 2.4 percent of Public Health 
Service funds for evaluation activities (sec. 207).
    The Committee recommendation continues a provision 
restricting transfers of appropriated funds and requires a 15 
day notification to both the House and Senate Appropriations 
Committees (sec. 208).
    The Committee recommendation continues a provision 
permitting the transfer of up to 3 percent of AIDS funds among 
institutes and centers by the Director of NIH and the Director 
of the Office of AIDS Research at NIH (sec. 209).
    The Committee recommendation retains language which 
requires that the use of AIDS research funds be determined 
jointly by the Director of the National Institutes of Health 
and the Director of the Office of AIDS Research and that those 
funds be allocated directly to the Office of AIDS Research for 
distribution to the institutes and centers consistent with the 
AIDS research plan (sec. 210).
    The Committee recommendation continues a provision 
regarding requirements for family planning applicants (sec. 
211).
    The Committee recommendation retains language which 
restricts the use of funds to carry out the Medicare Advantage 
Program if the Secretary denies participation to an otherwise 
eligible entity (sec. 212).
    The Committee recommendation retains language which states 
that no provider services under title X of the PHS Act may be 
exempt from State laws regarding child abuse (sec. 213).
    The Committee recommendation retains language which 
prohibits the Secretary from withholding substance abuse 
treatment funds (sec. 214).
    The Committee recommendation continues a provision which 
facilitates the expenditure of funds for international AIDS 
activities (sec. 215).
    The Committee recommendation includes a provision allowing 
the Division of Federal Occupational Health to use personal 
services contracting to employ professional, administrative, 
and occupational health professionals (sec. 216).
    The Committee recommendation modifies a provision 
authorizing the Director of the National Institutes of Health 
to enter into certain transactions to carry out research in 
support of the NIH Common Fund (sec. 217).
    The Committee includes a provision that permits the Centers 
for Disease Control and Prevention and the Agency for Toxic 
Substances and Disease Registry to transfer funds that are 
available for Individual Learning Accounts to ``Disease 
Control, Research, and Training'' (sec. 218).
    The Committee recommendation includes bill language 
allowing use of funds to continue operating the Council on 
Graduate Medical Education (sec. 219).
    The Committee recommendation retains language pertaining to 
Head Start waivers for the transportation of children (sec. 
220).
    The Committee recommendation modifies language pertaining 
to use of the Centers for Disease Control aircraft (sec. 221).
    The Committee recommendation includes a new provision 
permitting the National Institutes of Health to use up to 
$2,500,000 of per project for improvements and repairs of 
facilities (sec. 222).
    The Committee includes a new provision which authorizes 
funding for the Delta Health Alliance (sec. 223).
    The Committee includes a new provision which grants waivers 
to under title XXVI of the Public Health Service Act for 
Louisiana, Mississippi, Alabama, and Texas (sec. 224).

                               TITLE III

                        DEPARTMENT OF EDUCATION

                    Education for the Disadvantaged

Appropriations, 2006.................................... $14,481,161,000
Budget estimate, 2007...................................  16,469,541,000
House allowance.........................................  14,652,541,000
Committee recommendation................................  14,447,189,000

    The Committee recommends an appropriation of 
$14,447,189,000 for education for the disadvantaged. The 
comparable funding level for fiscal year 2006 is 
$14,481,161,000 and the budget request includes $16,469,541,000 
for this account.
    The programs in the Education for the Disadvantaged account 
help ensure that poor and low-achieving children are not left 
behind in the Nation's effort to raise the academic performance 
of all children and youth. That goal is more pressing than ever 
since the passage of the No Child Left Behind Act, which 
incorporates numerous accountability measures into title I 
programs, especially part A grants to local educational 
agencies--the largest Federal elementary and secondary 
education program.
    In particular, the law strengthens title I accountability 
by requiring States to implement statewide accountability 
systems covering all public schools and students. These systems 
must be based on challenging State standards in reading and 
mathematics, annual statewide progress objectives ensuring that 
all groups of students reach proficiency in reading and math by 
the end of the 2013-2014 school year, and annual testing for 
all students in grades 3-8. State progress objectives and 
assessment results must be broken out by poverty, race and 
ethnicity, disability, and limited English proficiency. States, 
school districts, and schools must report annually on their 
progress toward statewide proficiency goals. Districts and 
schools that fail to make adequate yearly progress [AYP] toward 
these goals are, over time, subject to increasingly rigorous 
improvement, corrective action, and restructuring measures 
aimed at getting them back on course to meet State standards. 
Students attending schools that fail to meet annual State AYP 
objectives for 2 consecutive years are permitted to transfer to 
a better public school or, if the school continues to fail to 
meet AYP for 3 years or more, to use title I funds to obtain 
supplemental educational services from a public- or private-
sector provider selected by their parents.
    Funds appropriated in this account primarily support 
activities in the 2007-2008 school year.

Grants to Local Educational Agencies

    Title I Grants to Local Educational Agencies [LEAs] provide 
supplemental education funding, especially in high-poverty 
areas, for local programs that provide extra academic support 
to help raise the achievement of eligible students or, in the 
case of schoolwide programs, help all students in high-poverty 
schools to meet challenging State academic standards. The 
program serves more than 16 million students in nearly all 
school districts and more than half of all public schools--
including two-thirds of the Nation's elementary schools.
    Title I schools help students reach challenging State 
standards through one of two models: ``targeted assistance'' 
that supplements the regular education program of individual 
children deemed most in need of special assistance, or a 
``schoolwide'' approach that allows schools to use title I 
funds--in combination with other Federal, State, and local 
funds--to improve the overall instructional program for all 
children in a school.
    States are required to reserve 4 percent of their 
allocation under this program for school improvement 
activities, unless such action would require a State to reduce 
the grant award of a local educational agency to an amount 
below the preceding year. At the funding level recommended by 
the Committee for fiscal year 2007, this set-aside would 
generate up to $499,000,000 for this purpose. States must 
distribute 95 percent of these reserved funds to local 
educational agencies for schools identified for improvement, 
corrective action, or restructuring.
    The budget request proposes bill language to allow States 
to generate the 4 percent school improvement set aside 
authorized in the No Child Left Act, even if it means reducing 
a school district's title I award. The Committee bill does not 
include the requested language, despite its continued concern 
about how this requirement of law is working.
    The Committee intends for States to utilize these funds 
along with those available under the School Improvement Grants 
program to make competitive awards to school districts that are 
of sufficient size and scope, and of a multi-year duration, so 
that schools may undertake sustainable, scientifically based 
research reform activities that have a positive impact on 
improving instructional practices in the classroom.
    The Committee strongly urges the Secretary to ensure that 
the funds available under the school improvement set-aside 
authorized by section 1003(a) of the No Child Left Behind Act 
and the appropriation for the School Improvement Grants program 
authorized by section 1003(g) of such act are used consistent 
with the intent expressed in this section and in the section 
under the School Improvement Grants program.
    The Committee is concerned that, so far, the Department has 
been able to provide very little information about the ways in 
which States have used their set-aside funding to help improve 
the performance of schools identified for improvement. The 
Committee directs the Department to provide, not later than 60 
days after enactment of this act, a report, based on its 
monitoring and other relevant sources of information, of 
specific scientifically based research strategies identified 
and implemented by school districts using the 4 percent set-
aside for school improvement and other Federal funds. The 
Committee expects this report to contain, at a minimum, a full 
and complete accounting of the average per student grant 
amount, and the duration and number of grants made to local 
education agencies; the criteria used to distribute grant 
funds; the types of activities supported with such funds and 
the evidence of effectiveness justifying their use; and the 
number of schools receiving assistance that have been removed 
from State watch lists or are now making adequate yearly 
progress.
    The appropriation for title I grants to LEAs primarily 
supports activities associated with the 2007-2008 academic 
year. Of the funds available for this program, up to $3,472,000 
shall be available on October 1, 2006, not less than 
$5,326,352,000 will become available on July 1, 2007, and 
$7,383,301,000 will become available on October 1, 2007. The 
funds that become available on July 1, 2007 and October 1, 2007 
will remain available for obligation until September 30, 2008.
    Title I grants are distributed through four formulas: 
basic, concentration, targeted, and education finance incentive 
grant [EFIG].
    For title I basic grants, including up to $3,472,000 
transferred to the Census Bureau for poverty updates, the 
Committee recommends an appropriation of $6,808,408,000. The 
comparable funding level for fiscal year 2006 and the budget 
request are both $6,808,408,000 for the basic grants funding 
stream. Basic grants are awarded to school districts with at 
least 10 poor children who make up more than 2 percent of 
enrollment.
    For concentration grants, the Committee recommends an 
appropriation of $1,365,031,000. The comparable funding level 
for fiscal year 2006 and the budget request are both 
$1,365,031,000. Funds under this program are distributed 
according to the basic grants formula, except that they go only 
to LEAs where the number of poor children exceeds 6,500 or 15 
percent of the total school-aged population.
    The targeted grants formula weights child counts to make 
higher payments to school districts with high numbers or 
percentages of poor students. For these grants, the Committee 
recommends an appropriation of $2,269,843,000. The comparable 
funding level for fiscal year 2006 and the budget request both 
are $2,269,843,000 for this funding stream.
    The Committee recommends an appropriation of $2,269,843,000 
for education finance incentive grants [EFIG]. The comparable 
funding level for fiscal year 2006 and the budget request both 
are $2,269,843,000 for the EFIG funding stream. The EFIG 
funding stream is allocated using State-level equity and effort 
factors to make allocations to States that are intended to 
encourage States to improve the equity of State education 
funding systems.

William F. Goodling Even Start Family Literacy Program

    The Committee does not recommend any funds for the Even 
Start program. The comparable funding level for fiscal year 
2006 is $99,000,000 and the budget request does not include any 
funds for this program.
    The Even Start program provides grants for family literacy 
programs that serve disadvantaged families with children under 
8 years of age and adults eligible for services under the Adult 
Education and Family Literacy Act. Programs combine early 
childhood education, adult literacy, and parenting education. 
Funding is provided to States based on their relative share of 
title I, part A funds and States use these resources to make 
competitive subgrants to partnerships comprised of local 
educational agencies and other organizations serving families 
in high-poverty areas.

School Improvement Grants

    The Committee recommendation includes $100,000,000 for the 
School Improvement Grants program. The President's budget 
requested $200,000,000 for this program, which has not been 
funded previously. The School Improvement Grants program was 
authorized as part of the No Child Left Behind Act to support a 
formula grant program to States that will enable them to 
provide assistance to schools not making adequate yearly 
progress for at least 2 years. Under the authorized program, 
States are required to allocate not less than 95 percent of 
their awards to schools to enable them to, among other things, 
develop and implement their school improvement plans (which may 
include research-based activities such as comprehensive school 
reform, professional development for teachers and staff, and 
extended learning opportunities.)
    When subgranting these funds to LEAs, the Committee 
strongly urges the Secretary to inform States that they are 
required to make awards of sufficient size and scope to 
undertake activities required by sections 1116 and 1117 of 
NCLB, integrate these grant funds with other resources awarded 
by the States under this act (particularly, the 4 percent 
school improvement set-aside), and give priority to those LEAs 
with the lowest-achieving schools that demonstrate the greatest 
need for school improvement funding and the strongest 
commitment to ensuring that such funds are used to provide 
adequate resources to enable the lowest-performing schools to 
meet the goals identified in improvement plans, correction 
action, and restructuring plans under section 1116 of NCLB. The 
Committee intends for States to utilize these funds along with 
those available under the 4 percent school improvement set-
aside to make competitive awards to school districts that are 
of sufficient size and scope, and of a multi-year duration, so 
that schools may undertake sustainable activities grounded in 
scientifically based research that have a positive impact on 
improving instructional practices in the classroom. The 
Committee also directs the Department to inform State and local 
educational agencies that they must consider the products and 
services of the regional educational laboratories, 
comprehensive centers, What Works Clearinghouse, Comprehensive 
School Reform Quality Center and other findings of federally 
funded reviews of research to provide products and services 
that will help States and school districts utilize the school 
improvement funds available in this account to support school 
improvement activities that are supported by scientifically 
based research. The Committee requests that the Department 
brief the Committee on its planned implementation actions not 
later than 14 days prior to the announcement of funding 
available under this program.
    The Committee requests that the 2008 congressional 
justification include specific information about the actions 
taken to support the Committee's intention in providing 
resources for this program and other school improvement 
activities and steps the Department will take to collect 
evidence on the outcomes achieved with school improvement 
funds.
    The budget request proposes bill language that would 
override the requirement in NCLB for States to distribute 95 
percent of their grant awards to school districts. The 
Committee bill does not include this requested language.

Reading First State Grants

    The Committee recommends $1,000,000,000 for the Reading 
First State Grants program. The comparable funding level for 
fiscal year 2006 and the budget request are both 
$1,029,234,000.
    Reading First is a comprehensive effort to provide States 
and LEAs with funds to implement comprehensive reading 
instruction for children in grades K-3. The purpose of the 
program is to help ensure that every child can read by the end 
of third grade. LEAs and schools that receive funds under this 
program should use the money to provide professional 
development in reading instruction for teachers and 
administrators, adopt and use reading diagnostics for students 
in grades K-3 to determine where they need help, implement 
reading curricula that are based on scientific research, and 
provide reading interventions for children who are not reading 
at grade level.
    The Committee reiterates its intention for funds available 
under the Reading First program to encourage and support the 
use of reading programs with the strongest possible scientific 
evidence of effectiveness.

Early Reading First

    The Committee recommends $100,000,000 for the Early Reading 
First program. The comparable funding level for fiscal year 
2006 and the budget request both are $103,118,000.
    Early Reading First complements Reading First State Grants 
by providing competitive grants to school districts and 
nonprofit groups to support activities in existing preschool 
programs that are designed to enhance the verbal skills, 
phonological awareness, letter knowledge, pre-reading skills, 
and early language development of children ages 3 through 5. 
Funds are targeted to communities with high numbers of low-
income families.
    The Committee supports the intent of this program, which is 
to prepare young children to enter kindergarten with the 
necessary language, cognitive, and early reading skills to 
prevent reading difficulties and ensure school success. The 
Committee believes the Early Reading First program should 
continue to encourage and support State and local programs to 
provide research-based early literacy screening as well as 
providing skill building activities to enhance and build 
preschoolers' early reading skills, especially for students who 
struggle and may be at risk for learing disabilities.

Striving Readers

    The Committee recommends $35,000,000 for the Striving 
Readers initiative. The comparable fiscal year 2006 funding 
level is $29,700,000 and the budget request includes 
$100,000,000 for the Striving Readers program. This program 
supports grants to develop, implement, and evaluate reading 
interventions for middle or high school students reading 
significantly below grade level. Under this program, awards are 
made to local educational agencies eligible to receive funds 
under part A of title I with one or more high schools or middle 
schools serving a significant number of students reading below 
grade level. Awards also may be made to partnerships including 
institutions of higher education and eligible nonprofit or for-
profit organizations. The Committee intends that funds provided 
in this bill continue to be utilized in accordance with the 
priorities established in the statement of the managers 
accompanying the Fiscal Year 2005 Appropriations Act that 
relate to a rigorous evaluation requirement and parity in 
funding for middle schools and high schools.

Math Now for Elementary School Students

    The Committee recommendation does not include any funding 
for the new Math Now for Elementary School Students initiative. 
The budget proposes $125,000,000 for this new initiative. Under 
this program, the Department would make grants to institutions 
of higher education, eligible nonprofit organizations, and 
local educational agencies with one or more elementary or 
middle schools with significant numbers of students whose math 
scores are below grade level or partnerships of these entities. 
Grant funds would be used to implement instructional practices, 
programs and materials identified by the National Mathematics 
Advisory Panel as effective in improving mathematics learning.

Math Now for Middle School Students

    The Committee recommendation does not include any funding 
for the new Math Now for Middle School Students initiative. The 
budget proposes $125,000,000 for this new initiative. Under 
this program, the Department would make grants to partnerships 
to improve mathematics instruction for middle-school students 
whose achievement is significantly below grade level. Awards 
would be made to institutions of higher education, eligible 
nonprofit organizations, and local educational agencies with 
one or more middle schools with significant numbers of students 
whose math scores are below grade level or partnerships of 
these entities. Grant funds would be used to diagnose the 
deficiencies of students who are not proficient in mathematics 
on State tests at the 6th and 7th grade level, implement 
scientifically based research interventions that involve 
intensive and systemic instruction and provide professional 
development for teachers, principals and district leaders.

Improving Literacy Through School Libraries

    The Committee recommends $19,486,000 for the Improving 
Literacy Through School Libraries program, the same amount as 
the comparable funding level for fiscal year 2006 and the 
budget request.
    This program provides funds for urgently needed, up-to-date 
school library books and training for school library media 
specialists in order to support the scientifically based 
reading programs authorized by the Reading First initiative. 
LEAs with a child-poverty rate of at least 20 percent are 
eligible for the competitive awards. Funds may be used to 
acquire school library media resources, including books and 
advanced technology; facilitate resource-sharing networks among 
schools and school libraries; provide professional development 
for school library media specialists; and provide students with 
access to school libraries during nonschool hours.

High School Reform

    The Committee recommendation does not include any funding 
for the new High School Reform initiative. The budget proposed 
$1,475,000,000 for this new initiative. Under this proposal, 
funds would be used to develop, implement, and evaluate 
interventions that increase the achievement of all high school 
students, particularly those at risk of failing to meet 
challenging State academic content standards, and annual 
assessments that would help educators in developing strategies 
to meet the needs of at-risk high school students. The proposed 
initiative would provide funds to States based on a formula and 
SEAs would then make competitive grants to LEAs using 95 
percent of appropriated funds, with the balance of funds 
available for use by States to develop, implement, and 
administer two additional assessments in reading and math, and 
for administration, evaluation, and technical assistance.
    The budget request proposes bill language that would allow 
a portion of the requested funds to be used for continuation 
costs for certain Higher Education Act programs; to authorize 
this new high school initiative, including the requirement for 
States receiving funds under the title I grant funds to develop 
and implement the new assessments in reading and math; and to 
require each State to participate in 12th grade State National 
Assessment of Educational Progress reading and math 
assessments. The Committee bill does not include the requested 
language.

America's Opportunity Scholarships for Kids

    The Committee recommendation does not include any funding 
for the proposed America's Opportunity Scholarships for Kids 
program. The budget request proposed $100,000,000 for this new 
program. Under this proposed program, the Department would make 
competitive grant awards to States, local educational agencies, 
and nonprofit organizations to enable such entities to provide 
school choice or intensive tutoring opportunities to students 
from low-income households who attend a school identified for 
restructuring under NCLB. The Department proposed to provide a 
priority to applications from school districts with a large 
number or proportion of schools identified for restructuring.

Migrant Education Program

    The Committee recommends $386,524,000 for the Migrant 
Education program, the same amount as the comparable fiscal 
year 2006 funding level and the budget request.
    The title I Migrant Education program authorizes grants to 
State educational agencies for programs to meet the special 
educational needs of the children of migrant agricultural 
workers and fishermen. Funds are allocated to the States 
through a statutory formula based on each State's average per-
pupil expenditure for education and actual counts of migratory 
children ages 3 through 21 residing within the States in the 
previous year. Only migratory children who have moved within 
the last 3 years are generally eligible to be counted and 
served by the program.
    This appropriation also supports activities to improve 
interstate and intrastate coordination of migrant education 
programs, as well as identifying and improving services to the 
migrant student population.

Neglected and Delinquent

    The Committee recommends $49,797,000 for the title I 
neglected and delinquent program, the same amount as the 
comparable funding level for fiscal year 2006 and the budget 
request.
    This program provides financial assistance to State 
educational agencies for education services to neglected and 
delinquent children and youth in State-run institutions and for 
juveniles in adult correctional institutions. Funds are 
allocated to individual States through a formula based on the 
number of children in State-operated institutions and per-pupil 
education expenditures for the State.
    States are authorized to set aside at least 15 percent, but 
not more than 30 percent, of their neglected and delinquent 
funds to help students in State-operated institutions make the 
transition into locally operated programs and to support the 
successful reentry of youth offenders, who are age 20 or 
younger and have received a secondary school diploma or its 
recognized equivalent. Reentry activities may include 
strategies designed to expose the youth to, and prepare the 
youth for, postsecondary education, or vocational and technical 
training programs.
    Under the No Child Left Behind Act, the Congress provided 
the Secretary with the authority to reserve up to 2.5 percent 
of the appropriation for national activities. The Committee 
continues to urge the Secretary to fully utilize this authority 
to support capacity building in and dissemination of best 
practices to State agency programs and to develop a uniform 
model for evaluating State performance under this program.

Evaluation

    The Committee recommends $9,330,000 for evaluation of title 
I programs, the same amount as the comparable funding level for 
fiscal year 2006 and the budget request.
    Evaluation funds are used to support large-scale national 
surveys that examine how the title I program is contributing to 
student academic achievement. Funds also are used to evaluate 
State assessment and accountability systems and analyze the 
effectiveness of educational programs supported with title I 
funds.

Comprehensive School Reform Demonstration

    The Committee does not recommend additional funds for the 
comprehensive school reform demonstration program. The 
comparable funding level for fiscal year 2006 is $7,920,000 and 
the budget request did not include any funds for the 
comprehensive school reform program.
    As authorized under NCLB, this program provided schools 
with funding to develop or adopt, and implement, comprehensive 
school reforms that will enable children in participating 
schools to meet State standards. In the fiscal year 2006 bill, 
Congress provided funding only for the continuation of the 
Comprehensive School Reform Clearinghouse and Quality 
Initiatives grants.

High School Equivalency Program

    The Committee recommends $18,550,000 for the high school 
equivalency program [HEP], the same amount as the comparable 
funding level for fiscal year 2006 and the budget request.
    This program provides 5-year grants to institutions of 
higher education and other nonprofit organizations to recruit 
migrant students ages 16 and over and provide the academic and 
support services needed to help them obtain a high school 
equivalency certificate and subsequently gain employment, win 
admission to a postsecondary institution or a job-training 
program, or join the military. Projects provide counseling, 
health services, stipends, and placement assistance. At the 
funding level recommended by the Committee, HEP will serve 
roughly 7,000 migrants.

College Assistance Migrant Program

    For the College Assistance Migrant Program [CAMP], the 
Committee recommends $15,377,000, the same amount as the 
comparable funding level for fiscal year 2006 and the budget 
request.
    Funds provide 5-year grants to institutions of higher 
education and nonprofit organizations for projects that provide 
tutoring, counseling, and financial assistance to migrant 
students during their first year of postsecondary education. 
Projects also may use up to 10 percent of their grants for 
follow-up services after students have completed their first 
year of college, including assistance in obtaining student 
financial aid.

                               Impact Aid

Appropriations, 2006....................................  $1,228,453,000
Budget estimate, 2007...................................   1,228,453,000
House allowance.........................................   1,228,453,000
Committee recommendation................................   1,228,453,000

    The Committee recommends an appropriation of $1,228,453,000 
for impact aid for the Department of Education. This is the 
same as the comparable funding level for fiscal year 2006 and 
the budget request.
    Impact aid provides financial assistance to school 
districts for the costs of educating children when enrollments 
and the availability of revenues from local sources have been 
adversely affected by the presence of Federal activities. 
Children who reside on Federal or Indian lands generally 
constitute a financial burden on local school systems because 
these lands do not generate property taxes--a major revenue 
source for elementary and secondary education in most 
communities. In addition, realignments of U.S. military forces 
at bases across the country often lead to influxes of children 
into school districts without producing the new revenues 
required to maintain an appropriate level of education.
    The Committee bill includes language that provides for 
continued eligibility for students affected by the deployment 
or death of their military parent, as long as these children 
still attend the same school district. This language was 
included in the budget request and last year's appropriation 
bill.
    Basic Support Payments.--The Committee recommends 
$1,091,867,000 for basic support payments. The comparable 
funding level for fiscal year 2006 and the budget request both 
are $1,091,867,000. Under this statutory formula, payments are 
made on behalf of all categories of federally connected 
children, with a priority placed on making payments first to 
heavily impacted school districts and providing any remaining 
funds for regular basic support payments.
    Payments for Children with Disabilities.--The Committee 
bill includes $49,466,000 for this purpose, the same amount as 
the comparable funding level for fiscal year 2006 and the 
budget request. Under this program, additional payments are 
made for certain federally connected children eligible for 
services under the Individuals with Disabilities Education Act.
    Facilities Maintenance.--The Committee recommends 
$4,950,000 for facilities maintenance. The comparable funding 
level for fiscal year 2006 and the budget request both are 
$4,950,000 for this purpose. This activity provides funding for 
emergency repairs and comprehensive capital improvements to 
certain school facilities owned by the Department of Education 
and used by local educational agencies to serve federally 
connected military dependent students. Funds appropriated for 
this purpose are available until expended.
    Construction.--The Committee recommends $17,820,000 for 
this program. The comparable fiscal year 2006 funding level and 
the budget request both are $17,820,000 for this purpose. 
Formula and competitive grants are authorized to be awarded to 
eligible LEAs for emergency repairs and modernization of school 
facilities. Funds appropriated for the construction activity 
are available for obligation for a period of 2 years.
    The fiscal year 2006 appropriation for this activity 
stipulated that funds were to be used only on formula 
construction grants to eligible school districts. The budget 
request proposes bill language this year to provide 
construction funds on a competitive basis only. The Committee 
has provided this requested authority.
    Payments for Federal Property.--The Committee recommends 
$64,350,000 for this activity. The comparable funding level for 
fiscal year 2006 and the budget request both are $64,350,000 
for this program. These payments compensate local educational 
agencies in part for revenue lost due to the removal of Federal 
property from local tax rolls. Payments are made to LEAs that 
have a loss of tax base of at least 10 percent of assessed 
value due to the acquisition since 1938 of real property by the 
U.S. Government.

                      School Improvement Programs

Appropriations, 2006....................................  $5,255,477,000
Budget estimate, 2007...................................   4,973,158,000
House allowance.........................................   4,764,559,000
Committee recommendation................................   5,029,943,000

    The Committee recommends an appropriation of $5,029,943,000 
for school improvement programs. The comparable funding level 
in fiscal year 2006 for this account is $5,255,477,000 and the 
budget request includes $4,973,158,000.

State Grants for Improving Teacher Quality

    The Committee recommends $2,747,439,000 for State grants 
for improving teacher quality. The comparable funding level for 
fiscal year 2006 and the budget request both are $2,887,439,000 
for this program.
    The appropriation for this program primarily supports 
activities associated with the 2007-2008 academic year. Of the 
funds provided, $1,312,439,000 will become available on July 1, 
2007, and $1,435,000,000 will become available on October 1, 
2007. These funds will remain available for obligation until 
September 30, 2008.
    The No Child Left Behind Act requires States to ensure that 
all teachers teaching in core academic subjects are ``highly 
qualified'' by the end of the 2005-2006 school year. However, 
the Committee is aware that the Secretary of Education has 
notified States of her intention not to withhold Federal funds 
as provided under NCLB, if States did not reach the 100 percent 
goal by the end of the 2005-2006 school year but were making a 
good-faith effort to reach the goal as soon as possible.
    States and LEAs may use the funds for a range of activities 
related to the certification, recruitment, professional 
development, and support of teachers and administrators. 
Activities may include reforming teacher certification and 
licensure requirements, addressing alternative routes to State 
certification of teachers, recruiting teachers and principals, 
and implementing teacher mentoring systems, teacher testing, 
merit pay, and merit-based performance systems. These funds may 
also be used by districts to hire teachers to reduce class 
sizes.

Early Childhood Educator Professional Development

    The Committee recommends $14,549,000 to support 
professional development activities for early childhood 
educators and caregivers in high-poverty communities. The 
comparable funding level for fiscal year 2006 and the budget 
request are both $14,549,000 for this program. From this 
appropriation, the Secretary makes competitive grants to 
partnerships of early childhood and family literacy caregivers 
and educators in order to provide high quality, sustained and 
intensive professional development for early childhood 
educators to help them provide developmentally appropriate 
school-readiness services for preschool-age children.

Mathematics and Science Partnerships

    The Committee recommends $195,000,000 for the mathematics 
and science partnerships program. The comparable funding level 
for fiscal year 2006 and the budget request both are 
$182,160,000 for this purpose. These funds will be used to 
improve the performance of students in the areas of math and 
science by bringing math and science teachers in elementary and 
secondary schools together with scientists, mathematicians, and 
engineers to increase the teachers' subject-matter knowledge 
and improve their teaching skills. When the appropriation for 
this program is $100,000,000 or greater, the Secretary is 
authorized to award grants to States by a formula which 
includes consideration of the number of children aged 5 to 17 
below the poverty line. States then are required to make grants 
competitively to eligible partnerships to enable the entities 
to pay the Federal share of the costs of developing or 
redesigning more rigorous mathematics and science curricula 
that are aligned with State and local standards; creating 
opportunities for enhanced professional development that 
improves the subject-matter knowledge of math and science 
teachers; recruiting math and science majors; and improving and 
expanding training of math and science teachers, including the 
effective integration of technology into curricula and 
instruction.

Innovative Education Program Strategies State Grants

    The Committee does not recommend any funding for innovative 
education program strategies State grants. The comparable 
funding level for fiscal year 2006 and the budget request both 
are $99,000,000 for this purpose.
    The innovative education program is a flexible source of 
Federal funds that provides support to States and LEAs for 
developing education reform initiatives that will improve the 
performance of students, schools, and teachers.

Educational Technology State Grants

    The Committee recommends $272,250,000 for educational 
technology State grants. The comparable funding level for 
fiscal year 2006 is $272,250,000 and the budget request did not 
include any funds for this program.
    The educational technology State grants program supports 
efforts to integrate technology into curricula to improve 
student learning. Funds flow by formula to States and may be 
used for the purchase of hardware and software, teacher 
training on integrating technology into the curriculum, and 
efforts to use technology to improve communication with 
parents, among other related purposes. An LEA must use at least 
25 percent of its formula allocation for professional 
development in the integration of technology into the curricula 
unless it can demonstrate that it already provides such high-
quality professional development.
    Under the No Child Left Behind Act, States may use up to 5 
percent of their award for technical assistance and 
administrative expenses and then must distribute 50 percent of 
remaining funds based on a formula and 50 percent based on a 
grant competition. However, the fiscal year 2006 appropriations 
act included language allowing States to award up to 100 
percent of their funds competitively. The Committee bill 
continues this legislative authority.

Supplemental Education Grants

    The Committee recommendation includes $18,824,000 for the 
supplemental education grants program. The comparable funding 
level for fiscal year 2006 and the budget request both are 
$18,001,000 for this program. This grant program was authorized 
by the Compact of Free Association Amendments Act of 2003. The 
act discontinued the eligibility of Republic of Marshall 
Islands [RMI] and the Federated States of Micronesia [FSM] for 
funding available from Adult, Dislocated Worker and Youth 
Workforce Investment Act programs, Head Start, Title I Grants 
to LEAs, Adult and Vocational Education State Grants, Federal 
Work-Study and Federal Supplemental Educational Opportunities 
Grants. In place of funding from these sources, the act 
provided a separate supplemental education grant program that 
provides these entities with a more flexible source of funds 
that can be tailored to local needs. These funds will be 
transferred from the Department of Education to the Secretary 
of the Interior for grants to these entities. The Committee 
bill includes language, contained in the fiscal year 2006 
appropriations act and budget request, that allows up to 5 
percent to be used by the FSM and RMI to purchase oversight and 
technical assistance, which may include reimbursement of the 
Departments of Labor, Health and Human Services and Education 
for such services.

21st Century Community Learning Centers

    The Committee recommends an appropriation of $981,166,000 
for the 21st Century Community Learning Centers program, the 
same as both the comparable level for fiscal year 2006 and the 
budget request.
    Funds are allocated to States by formula, which in turn, 
award at least 95 percent of their allocations to local 
educational agencies, community-based organizations and other 
public and private entities. Grantees use these resources to 
establish or expand community learning centers that provide 
activities offering significant extended learning 
opportunities, such as before-and after-school programs, 
recreational activities, drug and violence prevention and 
family literacy programs for students and related services to 
their families. Centers must target their services on students 
who attend schools that are eligible to operate a schoolwide 
program under title I of the Elementary and Secondary Education 
Act or serve high percentages of students from low-income 
families.

State Assessments and Enhanced Assessment Instruments

    The Committee recommends $407,563,000 for State 
assessments, the same as both the comparable funding level for 
fiscal year 2006 and the budget request.
    A key accountability measure in the No Child Left Behind 
Act requires annual State assessments in reading and 
mathematics for all students in grades 3-8 beginning in the 
2005-2006 school year. The new assessments will be used to 
determine whether States, LEAs, and schools are making adequate 
yearly progress toward the goal of helping all students attain 
proficiency within 12 years of the 2001-2002 school year.
    This program has two components. The first provides formula 
grants to States to pay the cost of developing standards and 
assessments required by the new law. The statute includes 
funding ``trigger amounts'' for fiscal years 2002-2007; States 
may defer the new assessments for each year the appropriation 
falls below the trigger level. The trigger for fiscal year 2007 
is $400,000,000. The Committee recommendation includes 
$400,000,000 for this purpose.
    Under the second component of State assessments--Grants for 
Enhanced Assessment Instruments--appropriations in excess of 
the trigger level are used for a competitive grant program 
designed to support efforts by States to improve the quality 
and fairness of their assessment systems. The Committee 
recommendation for the second component is $7,563,000, the same 
as both the comparable funding level for fiscal year 2006 and 
the budget request.
    The Committee continues to be concerned that many schools 
are unable to properly assess the performance of limited-
English proficient students and students with disabilitites and 
is pleased that the Department has established a competitive 
preference for applications addressing the assessment of such 
students. The Committee urges the Department to continue to 
place a high priority on grant applications that aim to improve 
the quality of State assessments for students with disabilities 
and students with limited English proficiency, and to ensure 
the most accurate means of measuring their performance on these 
assessments.

Javits Gifted and Talented Education

    The Committee recommends $5,025,000 for the Javits Gifted 
and Talented Students Education Program, the fiscal year 2006 
funding level was $9,596,000. The President's budget proposes 
to eliminate funding for this program. Funds are used for 
awards to state and local educational agencies, institutions of 
higher education, and other public and private agencies for 
research, demonstration, and training activities designed to 
enhance the capability of elementary and secondary schools to 
meet the special educational needs of gifted and talented 
students. The Committee recommendation will fund fully all 
current State and local educational agencies grants, and 
research and development activities.

Foreign Language Assistance

    The Committee recommends $26,152,000 for the foreign 
language assistance program. The comparable funding level for 
fiscal year 2006 is $21,780,000 and the budget request proposes 
$23,780,000 for foreign language assistance activities.
    The Committee intends for funding available under this 
program to promote the goal of well-articulated, long-sequence 
language programs that lead to demonstrable results for all 
students. The Committee directs the Department not to make 
grants to schools that are replacing current traditional 
language programs with critical needs language instruction. The 
Committee is aware of the considerable research base 
demonstrating that second language acquisition leads to easier 
additional language learning, because the skills for language 
learning are transferable. The Committee believes it is more 
appropriate for the Department to build on the foundation of 
Federal support for traditional foreign language instruction in 
addressing critical needs languages and has provided funding 
for a grant competition in fiscal year 2007 to follow the 
framework of principles outlined in this paragraph.
    Funds from this program support competitive grants to 
increase the quality and quantity of foreign language 
instruction. At least 75 percent of the appropriation must be 
used to expand foreign language education in the elementary 
grades. The Committee has included bill language that prohibits 
Foreign Language Assistance program funds from being used for 
the Foreign Language Incentive program.
    The Committee is concerned that this program, which is the 
only Federal program designed to help schools meet the need for 
foreign language instruction, is unavailable to the poorest 
schools because grant recipients must provide a 50 percent 
match from non-Federal sources. The Committee, therefore, 
strongly urges the Secretary to use her ability to waive the 
matching requirement for qualifying schools and to increase 
awareness of this accommodation among the affected school 
population.

Education for Homeless Children and Youth

    For carrying out education activities authorized by title 
VII, subtitle B of the Stewart B. McKinney Homeless Assistance 
Act, the Committee recommends $61,871,000. The comparable 
fiscal year 2006 funding level and the budget request both are 
$61,871,000.
    This program provides assistance to each State to support 
an office of the coordinator of education for homeless children 
and youth, to develop and implement State plans for educating 
homeless children, and to make subgrants to LEAs to support the 
education of those children. Grants are made to States based on 
the total that each State receives in title I grants to LEAs.
    Under the McKinney-Vento Homeless Children and Youths 
Program, State educational agencies must ensure that homeless 
children and youth have equal access to the same free public 
education, including a public preschool education, as is 
provided to other children and youth. States must review and 
undertake steps to revise any laws, regulations, practices, or 
policies that may act as barriers to the enrollment, 
attendance, or success in school of homeless children and 
youth.

Training and Advisory Services

    For training and advisory services authorized by title IV 
of the Civil Rights Act, the Committee recommends $7,113,000. 
The comparable fiscal year 2006 funding level and the budget 
request both are $7,113,000 for these services.
    The funds provided will support awards to operate the 10 
regional equity assistance centers [EACs]. Each EAC provides 
services to school districts upon request. Activities include 
disseminating information on successful practices and legal 
requirements related to nondiscrimination on the basis of race, 
color, sex, or national origin in education programs.

Education for Native Hawaiians

    For programs for the education of Native Hawaiians, the 
Committee recommends $33,908,000. The comparable fiscal year 
2006 funding level is $33,907,000 and the budget request 
includes $31,433,000 for these programs.
    The Committee bill includes language allowing $1,250,000 of 
the funds recommended to be used for construction and 
renovation of Native Hawaiian educational facilities.
    Native Hawaiian Law School Center of Excellence.----The 
Committee appreciates the Department's continued support of the 
Native Hawaiian Law School Center of Excellence. This 
repository houses a compilation of historical and cultural 
documents which facilitates preservation and examination of 
laws of great significance to Native Hawaiians. The Committee 
bill includes language stipulating that $1,250,000 shall be 
used for a grant to the Center of Excellence at the University 
of Hawaii School of Law.
    The Henry Kuualoha Giugni Kupuna Memorial.--The Committee 
recommends support of projects that support the development of 
academic curricula or instructional materials that are based on 
archives of oral histories of Native Hawaiian history and 
culture. Activities supported with project funds may include 
the development of archives for collectable media significant 
to the State of Hawaii in memory of former Senate Sergeant at 
Arms Henry Kuualoha Giugni. The Henry Kuualoha Giugni Kupuna 
Archives will facilitate the acquisition of historical records 
and stories unique to the culture of Native Hawaiians. The 
establishment of this archival collection is critical for 
recording, cataloguing, and digitalization of oral histories, 
both new and old, and securing their availability for 
development of innovative educational programs to assist Native 
Hawaiian students.

Alaska Native Educational Equity

    The Committee recommends $33,908,000 for the Alaska Native 
educational equity assistance program. The comparable fiscal 
year 2006 funding level is $33,907,000 and the budget request 
is $33,908,000 for this purpose.
    These funds address the severe educational handicaps of 
Alaska Native schoolchildren. Funds are used for the 
development of supplemental educational programs to benefit 
Alaska Natives. The Committee bill includes language which 
allows funding provided by this program to be used for 
construction. This language is included from last year's 
appropriations act. The Committee expects the Department to use 
some of these funds to address the construction needs of rural 
schools.

Rural Education

    The Committee recommends $168,918,000 for rural education 
programs, the same as both the comparable fiscal year 2006 
funding level and the budget request.
    The Committee strongly supports the continued use of 
Federal funding specifically for rural education. Rural schools 
face difficult challenges in meeting the mandates in the No 
Child Left Behind Act, particularly in the areas of attracting 
highly qualified teachers and adapting to new assessment 
requirements and reporting expectations. The rural education 
programs are intended to help level the playing field for small 
and high-poverty rural school systems that typically receive 
less Federal formula funding than their urban and suburban 
counterparts, and are frequently unable to compete for 
competitive grants. In addition to providing more total funding 
for such districts, the program also allows these districts to 
combine funds from four categorical programs and use the money 
to address their highest priorities, such as recruiting 
teachers, purchasing technology, or upgrading curricula.
    The Committee expects that rural education funding will be 
equally divided between the Small, Rural Schools Achievement 
Program, which provides funds to LEAs that serve a small number 
of students, and the Rural and Low-Income Schools Program, 
which provides funds to LEAs that serve concentrations of poor 
students, regardless of the number of students served.

Comprehensive Centers

    The Committee recommends $56,257,000 for the comprehensive 
centers program, the same as both the comparable fiscal year 
2006 funding level and the budget request.
    These funds will provide continued support to a network of 
21 comprehensive centers, at least one of which will operate in 
each of the 10 regions of the United States. The centers are 
operated by research organizations, agencies, institutions of 
higher education or partnerships thereof, provide training and 
technical assistance on various issues to States, LEAs, and 
schools as identified through needs assessments undertaken in 
each region. Grantees have developed 5-year plans for 
undertaking authorized activities that address the needs of 
States in a region and established advisory boards to advise 
the centers on allocation of resources, maintaining a high 
standard of quality in services delivery and ensuring that 
activities promote progress toward improving student 
achievement. The National Center for Education Evaluation and 
Regional Assistance will provide for ongoing independent 
evaluation of each center to assess whether each is meeting its 
objectives.
    The Committee notes that one of the primary missions of the 
16 regional comprehensive centers is to provide intensive 
technical assistance to State Educational Agencies to increase 
their capacity to assist local educational agencies and schools 
with meeting the goals of No Child Left Behind. This assistance 
is based in large part on the work of the five content centers, 
which are organized by topic area so these centers can develop 
the information, materials and resources that the regional 
centers need to fulfill their mission. The Committee directs 
the Department to inform the centers that the assistance 
provided by these centers must be based on scientifically based 
research and used, among other activities, to help States, 
school districts and schools better utilize the school 
improvement funds available under the 4 percent school 
improvement set aside and $100,000,000 school improvement grant 
program available under the education for the disadvantaged 
account, so that schools identified as in need of improvement 
can undertake the fundamental changes in instructional 
practices and the learning environment that scientifically 
based research demonstrates will lead to improved student 
achievement.
    The Committee is aware that the Department is developing a 
Promising Practices Initiative that is intended to share 
practices that show promise of improving student achievement 
based on the best available evidence. This Committee 
understands that this initiative will be led by the Office of 
Planning, Evaluation, and Policy Development. The Committee 
requests a report on how this initiative will be integrated and 
coordinated with the work of the Institute of Education 
Sciences What Work Clearinghouse, the Regional Educational 
Laboratories and other technical assistance providers funded by 
the Department of Education. The Committee requests a briefing 
on this issue not later than 30 days before the launch of this 
initiative and a report not later than 30 days after enactment 
of this act.

                            Indian Education

Appropriations, 2006....................................    $118,690,000
Budget estimate, 2007...................................     118,690,000
House allowance.........................................     118,690,000
Committee recommendation................................     118,690,000

    The Committee recommends $118,690,000 for Indian Education 
programs. The comparable fiscal year 2006 funding level and the 
budget request both are $118,690,000 for such activities.

Grants to Local Education Agencies

    For grants to local educational agencies, the Committee 
recommends $95,331,000. The comparable fiscal year 2006 funding 
level and the budget request both are $95,331,000 for 
authorized activities.
    These funds provide financial support to elementary and 
secondary school programs that serve Indian students, including 
preschool children. Funds are awarded on a formula basis to 
local educational agencies, schools supported and operated by 
the Bureau of Indian Affairs, and in some cases directly to 
Indian Tribes.

Special Programs for Indian Children

    The Committee recommends $19,399,000 for special programs 
for Indian children, the same as the comparable fiscal year 
2006 funding level and the budget request.
    Funds are used for demonstration grants to improve Indian 
student achievement through early childhood education and 
college preparation programs, and for professional development 
grants for training Indians who are preparing to begin careers 
in teaching and school administration.

National Activities

    The Committee recommends $3,960,000 for national 
activities. The comparable fiscal year 2006 amount and the 
budget request both are $3,960,000 for authorized activities. 
Funds will be used to expand efforts to improve research, 
evaluation, and data collection on the status and effectiveness 
of Indian education programs.

                       Innovation and Improvement

Appropriations, 2006....................................    $936,486,000
Budget estimate, 2007...................................     850,966,000
House allowance.........................................     911,413,000
Committee recommendation................................     989,942,000

    The Committee recommends an appropriation of $989,942,000 
for programs within the innovation and improvement account. The 
comparable fiscal year 2006 funding level for these programs is 
$936,486,000 and the budget request includes $850,966,000 for 
this account.

Troops-to-Teachers

    The Committee recommends an appropriation of $14,645,000 
for the Troops-to-Teachers program, the same as both the 
comparable funding level for fiscal year 2006 and the budget 
request.
    This program supports the Defense Department's Troops to 
Teachers program, which helps recruit and prepare retiring and 
former military personnel to become highly qualified teachers 
serving in high-poverty school districts. The Secretary of 
Education transfers program funds to the Department of Defense 
for the Defense Activity for Non-Traditional Education Support 
to provide assistance, including stipends of up to $5,000 and/
or bonuses of up to $10,000 to eligible members of the Armed 
Forces so that they can obtain teacher certification or 
licensing. In addition, the program helps these individuals 
find employment in a school.

Transition to Teaching

    The Committee recommends $44,484,000 for the transition to 
teaching program, the same as both the comparable fiscal year 
2006 funding level and the budget request.
    This program provides grants to help support efforts to 
recruit, train, and place nontraditional teaching candidates 
into teaching positions and to support them during their first 
years in the classroom. In particular, this program is intended 
to attract mid-career professionals and recent college 
graduates. Program participants are placed in high-need schools 
in high-need LEAs.

National Writing Project

    The Committee recommends $25,000,000 for the National 
Writing Project. The comparable funding level for fiscal year 
2006 is $21,532,000 and the budget request proposes to 
eliminate Federal funding for this program.
    These funds are awarded to the National Writing Project, a 
nonprofit organization that supports and promotes K-16 teacher 
training programs in the effective teaching of writing.

Teaching of Traditional American History

    The Committee recommends $121,000,000 for the teaching of 
traditional American history program. The comparable fiscal 
year 2006 funding level is $119,790,000 and the budget request 
is $50,000,000 for this activity. This program supports 
competitive grants to LEAs, and funds may be used only to 
undertake activities that are related to American history, and 
cannot be used for social studies coursework. Grant awards are 
designed to augment the quality of American history instruction 
and to provide professional development activities and teacher 
education in the area of American history. The Committee 
directs the Department to continue its current policy of 
awarding 3-year grants.
    The budget request proposes to continue language included 
in the fiscal year 2006 appropriations act that allows the 
Department to reserve up to 3 percent of funds appropriated for 
this program for national activities. The Committee bill 
includes the requested language. The Committee directs the 
Department to prepare and submit an operating plan to the House 
and Senate Committees on Appropriations, within 30 days of 
enactment of this act, on how these reserved funds will be used 
to support the intent of this program.

School Leadership

    The Committee recommends $14,731,000 for the school 
leadership program. The comparable fiscal year 2006 funding 
level is $14,731,000 and the budget request proposes to 
eliminate funding for this program. This program provides 
competitive grants to assist high-need LEAs to recruit and 
train principals and assistant principals through activities 
such as professional development and training programs. The 
Committee continues to recognize the critical role that 
principals and assistant principals play in creating an 
environment that fosters effective teaching and high academic 
achievement for students.

Advanced Credentialing

    The Committee recommends $18,695,000 for the advanced 
credentialing program. The comparable fiscal year 2006 funding 
level is $16,695,000 and the budget request includes $8,000,000 
for one component of the authorized program.
    The Committee recommendation includes $10,695,000 for the 
National Board for Professional Teaching Standards [NBPTS]. The 
comparable fiscal year 2006 funding level is $9,821,000 and the 
budget request proposes to eliminate funding for the National 
Board. Funds available assist the Board's work in providing 
financial support to States for teachers applying for 
certification, increasing the number of minority teachers 
seeking certification and developing outreach programs about 
the advanced certification program.
    The fiscal year 2007 appropriation also supports $8,000,000 
for the fifth and final year of a grant for the American Board 
for the Certification of Teacher Excellence. These funds 
support the development and implementation of two levels of 
teacher certification. Passport for Teaching is a certification 
for teachers entering the profession, while the Master Teacher 
certification is for experienced teachers.

Charter Schools Grants

    The Committee recommends $214,782,000 for the support of 
charter schools. The comparable fiscal year 2006 funding level 
and the budget request both are $214,782,000 for this program.
    This appropriation supports the planning, development, and 
initial implementation of charter schools, which are public 
schools that receive exemption from many statutory and 
regulatory requirements in exchange for promising to meet 
agreed-upon accountability measures. State educational agencies 
that have the authority under State law to approve charter 
schools are eligible to compete for grants. If an eligible SEA 
does not participate, charter schools from the State may apply 
directly to the Secretary. The authorizing statute requires 
that amounts appropriated in excess of $200,000,000 and less 
than $300,000,000 be used for 5-year competitive grants to 
States that operate per-pupil facilities aid programs for 
charters schools. Federal funds are used to match State funded 
programs in order to provide charter schools with additional 
resources for charter school facilities financing. At the 
Committee recommendation $14,782,000 will be available to 
continue support for per-pupil facilities aid grants.
    The Committee notes that the Department plans to use 
$8,000,000 in appropriated funds for national activities, which 
will include support for a rigorous evaluation of charter 
schools, technical assistance and dissemination of model 
charters and charter school laws. The Committee encourages the 
Department to continue to support such efforts and expects that 
additional information on these activities will be included in 
the fiscal year 2008 congressional budget justification.

Credit Enhancement for Charter School Facilities

    The Committee does not recommend any funding for this 
program. The comparable funding level for fiscal year 2006 and 
the budget request both are $36,611,000 for this purpose. The 
Committee notes that the authorization for this program expired 
in fiscal year 2005 and, due to limited resources, does not 
fund this unauthorized activity. The budget request includes 
bill language that would continue to authorize this activity in 
fiscal year 2007.
    This program provides assistance to help charter schools 
meet their facility needs. Funds are provided on a competitive 
basis to public and non-profit entitities, to leverage non-
Federal funds that help charter schools obtain school 
facilities through purchase, lease, renovation and 
construction.

Voluntary Public School Choice

    The Committee recommends $26,278,000 for the voluntary 
public school choice program, the same as both the comparable 
funding level for fiscal year 2006 and the budget request.
    This program supports efforts by States and school 
districts to establish or expand State- or district-wide public 
school choice programs, especially for parents whose children 
attend low-performing public schools.

Magnet Schools Assistance

    The Committee recommends $106,693,000 for the magnet 
schools assistance program, the same as both the comparable 
fiscal year 2006 funding level and the budget request.
    This program supports grants to local educational agencies 
to establish and operate magnet schools that are part of a 
court-ordered or federally approved voluntary desegregation 
plan. Magnet schools are designed to attract substantial 
numbers of students from different social, economic, ethnic, 
and racial backgrounds. Grantees may use funds for planning and 
promotional materials, teacher salaries, purchase of computers, 
and other educational materials and equipment.

Fund for the Improvement of Education

    The Committee recommends an appropriation of $238,879,000 
for the Fund for the Improvement of Education [FIE]. The 
comparable funding level for fiscal year 2006 is $158,510,000 
and the budget request includes $104,043,000 for comparable 
activities.
    For programs of national significance authorized under 
section 5411 of the Elementary and Secondary Education Act 
[ESEA], the Committee recommendation includes $700,000 for the 
National Institute of Building Sciences to continue operation 
of the National Clearinghouse for Educational Facilities, the 
Nation's sole source for comprehensive information about school 
planning, design, financing, construction, and maintenance. The 
Committee recommends an additional $300,000 for this purpose 
within Safe and Drug-Free Schools and Communities National 
Programs to address issues related to school safety and healthy 
school buildings.
    The Committee recommendation also includes resources for 
the following activities: National Mathematics Panel; Teach for 
America; Reach Out and Read; evaluation and data quality 
initiatives designed to improve the quality of data collected 
from, and evaluations conducted by, grantees under elementary 
and secondary education programs; peer review and other grant 
activities authorized under section 5411 of the ESEA.
    The Committee commends the Music Educators National 
Conference for their work on the National Anthem Project and 
for highlighting the important role music teachers play in 
teaching our musical heritage. The Committee encourages the 
Department to work with the National Anthem Project to further 
their goal of teaching Americans the National Anthem.
    The budget request also proposed funding the Language 
Teacher Corps, Teacher to Teacher initiative, Math and Science 
evaluation, and State Scholars activity under this authority. 
Due to limited resources, the Committee recommendation does not 
include funding for these activities. The Committee notes that 
the Teacher to Teacher initiative and State Scholars activity 
have been funded previously, though no funding was provided 
explicitly for these items.
    Within the total amount for FIE, the Committee 
recommendation also includes funding for separately authorized 
programs as described in the paragraphs below.
    The Committee recommends $25,043,000 to award a contract to 
Reading Is Fundamental, Inc. [RIF] to provide reading-
motivation activities. The comparable funding level for fiscal 
year 2006 and the budget request both are $25,043,000 for this 
purpose. RIF, a private nonprofit organization, helps prepare 
young children and motivate older children to read, through 
activities including the distribution of books. Federal funds 
provide up to 75 percent of the costs of books, except for 
migrant and seasonal farmworker programs which may receive up 
to 100 percent of the costs of books.
    The administration recommended eliminating funding for 
activities listed below.
    The Committee recommends $10,000,000 for the Star Schools 
program. The comparable funding level for fiscal year 2006 is 
$14,850,000. The Star Schools program is designed to improve 
instruction in math, science, foreign languages, and other 
areas such as vocational education, to underserved populations 
by means of telecommunications technologies.
    The Committee recommends $10,000,000 for the Ready to Teach 
program. The comparable funding level for fiscal year 2006 is 
$10,890,000. Ready to Teach encompasses funding for PBS 
TeacherLine and one or more nonprofit entities, for the purpose 
of continuing to develop telecommunications-based programs to 
improve teacher quality in core areas. It also includes digital 
educational programming grants, which encourage community 
partnerships among local public television stations, State and 
local educational agencies, and other institutions to develop 
and distribute digital instructional content based on State and 
local standards.
    The Committee recommendation includes $9,500,000 for the 
Education through Cultural and Historical Organizations [ECHO] 
Act of 2001, as authorized by the No Child Left Behind Act. The 
comparable funding level for fiscal year 2006 is $8,910,000. 
Programs authorized under ECHO provide a broad range of 
educational, cultural, and job training opportunities for 
students from communities across the Nation, including Alaska, 
Hawaii, Massachusetts and Mississippi.
    The Committee has included $36,500,000 for arts in 
education. The comparable funding level for fiscal year 2006 is 
$35,277,000. Within the total, $6,369,000 is for the John F. 
Kennedy Center for the Performing Arts; $7,440,000 is for VSA 
arts; $13,755,000 is for the competitive art education model 
grant program for the development of model projects that 
effectively strengthen and integrate arts and cultural 
partnerships into the core curriculum; $7,936,000 is for grants 
for professional development for music, dance, drama, and 
visual arts educators to be administered by the U.S. Department 
of Education; and $1,000,000 is to continue the evaluation and 
national dissemination of information regarding model programs 
and professional development projects funded through the Arts 
in Education section, including dissemination promising 
practices from funded projects and technical assistance for 
self-evaluation. Within the amount for evaluation, funds 
provided above the fiscal year 2006 level shall be used to 
support the National Center for Education Statistics Fast 
Response Survey System to collect data for the report of Arts 
Education in Public Elementary and Secondary Schools during the 
2007-2008 school year. The Committee expects this survey and 
reporting to have the comprehensive quality of the 2002 report 
and to include national samples of elementary and secondary 
school principals, as well as surveys of elementary and 
secondary classroom teachers and arts specialists.
    The Committee recommends $39,600,000 for Parental 
Information and Resource Centers, which provide training, 
information, and support to parents, State and local education 
agencies, and other organizations that carry out parent 
education and family involvement programs. The comparable 
funding level for fiscal year 2006 is $39,600,000.
    The Committee notes that the No Child Left Behind Act 
requires grantees to use at least 30 percent of their awards to 
establish, expand, or operate Parents as Teachers, Home 
Instruction Program for Preschool Youngsters, or other early 
childhood parent education programs.
    The Committee recommends $5,000,000 to continue support for 
the Mental Health Integration in Schools program. The 
comparable funding level for fiscal year 2006 is $4,910,000. 
This program supports grants to or contracts with State 
educational agencies, local educational agencies or Indian 
tribes to increase student access to mental health care by 
linking schools with their local mental health systems. The 
Committee expects this program to continue to be carried out by 
the Office of Safe and Drug-Free Schools.
    The Committee includes $2,926,000 for the women's 
educational equity program. The comparable funding level for 
fiscal year 2006 is $2,926,000. This program supports projects 
that assist in the local implementation of gender equity 
policies and practices.
    The Committee recommendation includes $1,500,000 for 
activities authorized by the Excellence in Economics Education 
Act. The comparable fiscal year 2006 funding is $1,473,000. 
These funds will support a grant to a nonprofit educational 
organization to promote economic and financial literacy among 
kindergarten through 12th grade students.
    The Committee recommendation includes $2,436,000 to carry 
out the American History and Civics Education Act of 2004. The 
comparable funding level for fiscal year 2006 is $1,980,000. 
From the amount available, the Department will make grants to 
support Presidential Academies for Teaching of American History 
and Civics and Congressional Academies for Students of American 
History and Civics.
    The Committee recommendation also includes bill language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
32nd Degree Masonic Learning Centers, Lexington, MA,            $100,000
 for a public school initiative program in New
 Hampshire.............................................
Adams County 12 Five Star Schools, Thornton, CO, for             100,000
 modern language labs..................................
Alamosa School District RE 11J, Alamosa, CO, for                 100,000
 afterschool programs..................................
Alaska Educational Services, Anchorage, AK, for its              400,000
 after school alternatives program.....................
Alaska SeaLife Center in Seward, AK, for a Marine                250,000
 Ecosystems Education Program..........................
American Foundation for Negro Affairs National                   200,000
 Education and Research Fund, Philadelphia, PA, to
 raise the achievement level of minority students and
 increase minority access to higher education..........
Avante Garde Learning Associates, Anchorage, AK, for           1,000,000
 following the leaders program in Alaska...............
Bass Lake Joint Union Elementary School District,                200,000
 Oakhurst, CA, for music and art education programs....
Beaver County, PA, to implement educational programming          100,000
 for K-12 students, including safe and appropriate use
 of the Internet.......................................
Best Buddies International, Inc., Miami, FL, to enhance          250,000
 the lives of people with mental retardation by
 providing opportunities for one-to-one friendships and
 integrated employment.................................
Best Buddies Virginia, McLean, VA, for program                   100,000
 expansion.............................................
Best Buddies, Miami, FL, for establishment of a Best             250,000
 Buddies program in New Hampshire......................
Best Buddies, Miami, FL, to develop a Nevada site......          500,000
Boys & Girls Club of Mount Vernon, Mount Vernon, NY, to          150,000
 support character and leadership development programs.
Boys and Girls Harbor, New York, NY, for arts education          100,000
 programs at the Harbor Conservatory for Performing
 Arts..................................................
Bridgerland Community Ice Arena, North Logan, UT, for            100,000
 educational outreach and programming that meet the
 Utah core curriculum requirements in physical
 education.............................................
Brigham City Corporation, Brigham City, UT, to support           100,000
 a distance learning initiative........................
Brigham Young University of Provo, UT, for the                   400,000
 Comprehensive Literacy Program to improve the literacy
 performance of low achieving students.................
Brooklyn Public Library, Brooklyn, NY, for the Learning          500,000
 Centers...............................................
Calcasieu Parish School Board, Westlake, LA, for                 100,000
 technology enhancements...............................
California Academy of Sciences, San Francisco, CA, for           400,000
 science education programs............................
Carnegie Hall, NY, NY, for the National Music Education          250,000
 Programs..............................................
Cedar Rapids School District, IA, for technology to              350,000
 monitor student progress and supplement teaching......
Celeste Foundation, Mt. Doro, FL, to provide technical         1,400,000
 assistance to parents and caregivers of autistic
 children on early intervention therapies..............
Center for Advancing Partnerships in Education,                  100,000
 Allentown, PA, for distance learning programs and
 technology upgrades...................................
Challenger Learning Center of Maine, Bangor, ME, for a           115,000
 school improvement initiative.........................
Chamber Education Foundation, Warwick, RI, for a                 200,000
 mentoring program.....................................
Charter School Development Foundation, Las Vegas, NV,            500,000
 for technology upgrades...............................
Charter School Institute, Philadelphia, PA, for the              200,000
 Shipyard Industrial Charter School Project............
Chester County Intermediate Unit, Downingtown, PA, for           100,000
 a vocational-technical education program..............
Child and Family Network Centers, Alexandria, VA, for            150,000
 education services to at-risk children................
Children Uniting Nations, Los Angeles, CA, for the Los           200,000
 Angeles Mentoring Model...............................
Children's Literacy Initiative, Philadelphia, PA, to             100,000
 improve the reading readiness and early literacy of
 children in high-poverty communities by providing
 professional development to teachers and principals...
Christ Lutheran Community Outreach Corp., Upper Darby,           100,000
 PA, in partnership with the Upper Darby School
 District, for education programs......................
City of Compton, CA, for educational programs at                 200,000
 Tomorrow's Aeronautical Museum........................
City of Fresno, CA, for the Teacher Housing Program              300,000
 Pilot.................................................
City of Indianapolis, IN, for the Indianapolis Center            400,000
 for Education Innovation..............................
City of Ogden, Ogden, UT, for historical education               100,000
 programming, including curriculum development and
 materials, at Fort Buenaventura in Ogden, UT..........
City of Springfield, Springfield, MO, for program                500,000
 development, expansion, equipment and technology for
 the Ready to Learn Program............................
City of Warwick, RI, for after school programming......          250,000
City of West Valley, West Valley City, UT, for a                 140,000
 community education partnership.......................
City Year New Hampshire, Stratham, NH, for expansion of          200,000
 the Young Heroes program..............................
City Year, Inc., Philadelphia, PA, to reduce truancy             200,000
 and drop out rates in Philadelphia high schools.......
Clark County School District, Las Vegas, NV, to expand           350,000
 the Newcomer Academy..................................
Clay County School system, WV, for the continuation of           100,000
 Following the Leaders programs in Clay and Roane
 counties..............................................
Clemens Center for the Performing Arts, Elmira, NY, for          250,000
 their classical literature program at schools.........
Communities in Schools, Richmond, VA, to continue                100,000
 providing assistance to at-risk students..............
Coppin State University, Baltimore, MD, for the urban            300,000
 education corridor program............................
COSI Toledo, Toledo, OH, for a science education                 250,000
 initiative............................................
Creative Visions in Des Moines, IA for outreach to at-           150,000
 risk youth............................................
Cristo Rey High School, Chicago, IL, for its Library             300,000
 and Technology Center.................................
Cuyahoga County Board of County Commissioners,                   150,000
 Cleveland, OH, for the Invest in Children early
 learning program......................................
Da Vinci Discovery Center of Science and Technology,             100,000
 Bethlehem, PA to support science education initiatives
Delta State University, Cleveland, MS, for the Delta           1,000,000
 Education Initiative..................................
Des Moines Community School District and Urban Dreams,           350,000
 Des Moines, IA, to continue a demonstration on full
 service community schools.............................
Des Moines Community School District to expand pre-              750,000
 kindergarten programs.................................
Detroit Area Pre-College Engineering Program, Detroit,           175,000
 MI, for program expansion efforts and curriculum
 development...........................................
East Penn School District, Emmaus, PA, for a leadership          100,000
 training program......................................
East Saint Louis High School, East Saint Louis, IL, to           300,000
 upgrade the school's technology and sciences programs.
Educating Young Minds, Los Angeles, CA, for educational          100,000
 programs..............................................
Educational Service District 101, Spokane WA, for                150,000
 afterschool programs..................................
Eisenhower Foundation for replication of the Delaney             700,000
 Street project in Iowa................................
Esmeralda County School District, NV, for an                     100,000
 accelerated reading and math program..................
Fairbanks North Star Borough School District in                  200,000
 Fairbanks, AK for the 4 R Children's program..........
Fairbanks North Star Borough School District in                  250,000
 Fairbanks, AK to expand the PLATO Learning initiative.
Fairbanks North Star Borough School District,                  1,500,000
 Fairbanks, AK, for educational programs...............
First Book, Washington, DC, for the expansion of                 220,000
 programs in West Virginia.............................
First Book, Washington, DC, for the Maine Rural                  100,000
 Outreach Initiative...................................
First Tee, Saint Augustine, FL, for the Life Skills              500,000
 Initiative............................................
Galena School District in Galena, AK, for a boarding             500,000
 school for low performing Native students from remote
 villages across Western Alaska........................
George C. Marshall Foundation, Lexington, VA to expand           100,000
 educational programs..................................
Granite School District, Salt Lake City, UT, for the             100,000
 Granite Digital Student Achievement Management System.
Guardian Angel Community Services, Joliet, IL for                100,000
 before and after school programs......................
Harford County Board of Education, Aberdeen, MD, for             300,000
 the Math and Science Academy at Aberdeen High School
 in partnership with the Army's Aberdeen Proving Ground
Harrisburg School District, Harrisburg, PA, for school           100,000
 reform and technology initiative......................
Hartford Public Schools, Hartford, CT, to expand the             100,000
 English as a Second Language program..................
Homer-Center School District, Homer City, PA, for                100,000
 development and implementation of a science curriculum
Internet Keep Safe Coalition, Salt Lake City, UT, for            600,000
 an internet education safety program..................
Iowa Association of School Boards, Des Moines, IA for            500,000
 the Lighthouse for School Reform project..............
Iowa City Community School District, IA, to implement a          500,000
 literacy program......................................
Iowa Department of Education to continue the Harkin            8,090,000
 grant program.........................................
Iowa School Boards Association to expand the Following         3,000,000
 the Leaders project in Iowa...........................
Jamestown 400th Commemoration Commission, Williamsburg,          150,000
 VA for curriculum development.........................
Jazz at Lincoln Center, NY, NY, for education programs.          250,000
Jeremiah Cromwell Disabilities Center, Portland, ME, to          100,000
 support an elementary school disabilities awareness
 program...............................................
Johns Hopkins University, Baltimore, MD, for the Center          150,000
 for Talented Youth....................................
Jumpstart, Boston, MA, to expand the One Child at a              125,000
 Time project in Rhode Island..........................
Jumpstart, Boston, MA, to expand the One Child at a              250,000
 Time project in the state of Washington...............
Kanawha County School System, WV, for the continuation           900,000
 of Following the Leaders program......................
Kanawha County School System, WV, to implement the             1,000,000
 Project GRAD program..................................
Kansas Learning Center for Health, Halstead, KS, for             100,000
 health education programs.............................
Kauai Economic Development Board, HI, for math and               100,000
 science education.....................................
Kenai Borough School District, Soldotna, AK, for the             100,000
 after the bell tutoring program.......................
KICKSTART, Houston, TX, for a character development              200,000
 program...............................................
Kids Voting--USA, Tempe, Arizona, for the Kids Vote for          120,000
 Their Future--Illinois Initiative.....................
KIPP Foundation, San Francisco, CA, to subgrant to KIPP          200,000
 schools in the State of Tennessee, to support student
 programs..............................................
KIPP Foundation, San Francisco, CA, for curriculum               200,000
 development and teacher training for California
 schools, including subgrants..........................
KIPP Foundation, San Francisco, CA, to subgrant to KIPP          100,000
 Philadelphia Charter School for educational programs..
Klingberg Family Centers, New Britain, Connecticut, for          600,000
 the special education enhancement initiative..........
La Causa Charter School, Milwaukee, WI, for science and          100,000
 robotics curriculum and equipment.....................
Liberty Science Center, Jersey City, NJ, for the Hudson          100,000
 Harbor and Estuary Ecological Learning Initiative.....
Lincoln Parish School Board, Ruston, LA, for technology          100,000
 enhancements..........................................
LISC Rhode Island Child Care Facilities Fund,                    250,000
 Providence, RI, for training and technical assistance
 designed to improve the quality of early care and
 education.............................................
Livingston Parish School Board, Walker, LA, for                  100,000
 technology enhancements...............................
Loess Hills Area Education Agency in Iowa for a                  750,000
 demonstration in early childhood education............
Logan City School District, Logan, UT, for the 6th               100,000
 Grade Reading Assistance Project......................
Lower Pioneer Valley Educational Collaborative, West             200,000
 Springfield, MA, for the procurement of educational
 equipment and development of academic programs........
Maine Alliance for the Arts Education, Augusta, ME to            100,000
 provide access to high-quality arts education.........
Marketplace of Ideas/Marketplace for Kids, Inc.,                 250,000
 Mandan, ND, for a statewide program focused on
 entrepreneurship education............................
Maui Economic Development Board, HI, for the girls into          300,000
 science program.......................................
McKelvey Foundation, New Wilmington, PA, to support              100,000
 McKelvey entrepreneurial college scholarships for
 rural, low-income Pennsylvania high school graduates..
Meeting Street School, Providence, RI, for a school              250,000
 readiness initiative..................................
Metropolitan Wilmington Urban League, Wilmington, DE,            150,000
 for Achievement Matters!..............................
Milwaukee Public Schools, Milwaukee, WI, for                   1,300,000
 afterschool programs..................................
Milwaukee SCORES, Milwaukee, WI, for afterschool                 100,000
 programs..............................................
Mississippi State University, Mississippi State, MS,             100,000
 for the Center for Economic Education.................
Monterey Bay Aquarium, Monterey, CA, for ocean science           200,000
 education for students learning English...............
National American Indian, Alaskan, and Hawaiian                  400,000
 Educational Development Center, Sheridan, WY, to
 expand its training of staff serving Native students
 in an early literacy learning and math framework......
National History Day for a history competition in Iowa.          100,000
Negro Leagues Baseball Museum, Kansas City, MO, for              250,000
 curriculum development................................
New Mexico State University, Las Cruces, NM, for the             139,000
 Southern New Mexico Science, Engineering, Mathematics
 and Aerospace Academy.................................
New Orleans Outreach, New Orleans, LA, to coordinate             300,000
 volunteer efforts at charter schools..................
New School University, New York, NY, for the Institute           950,000
 for Urban Education...................................
New York Hall of Science, Queens, NY, for science                600,000
 exhibits and educational programming..................
Nome Public Schools, Nome, AK, to support vocational             250,000
 training provided by the Northwestern Alaska Career
 and Technical Center..................................
North Country Education Services Agency, Gorham, NH,             300,000
 for educational opportunities through the North
 Country Gear Up College Prep Initiative...............
North Slope Borough School District, Barrow, AK, for an          300,000
 Early Childhood Education Program.....................
Oakland School of the Arts, CA, for educational                  300,000
 programs..............................................
Ogden City School District, Ogden, UT, for the Ogden             100,000
 Telepresence-Enabled Academic Mentoring pro-  gram....
Ohio Council of Urban Leagues, Elyria, OH, for a                 500,000
 mentoring initiative..................................
Pacific Islands Center for Educational Development in            400,000
 American Samoa, for a mentoring program aimed at
 college prep..........................................
PE4life Foundation, Kansas City, MO, for expansion and           600,000
 assessment of PE4life programs across Iowa............
Pennsylvania Department of Education, Harrisburg, PA,            200,000
 for development of an instructional model for
 improving instruction and student outcomes............
People for People, Inc., Philadelphia, PA, to expand an          300,000
 after school program..................................
Philadelphia Martin Luther King, Jr. Association for             100,000
 Nonviolence Inc., Philadelphia, PA, for its College
 for Teens program.....................................
Philadelphia School District, Philadelphia, PA for a           1,000,000
 summer school initiative..............................
Plaquemines Parish School Board, Harvey, LA, for                 100,000
 technology enhancements...............................
Portfolio Gallery and Educational Center, St. Louis,             100,000
 MO, to develop an after school art program for
 underserved students..................................
Project GRAD Knoxville, TN, for school reform                    200,000
 activities............................................
Project HOME, Philadelphia, PA, for an after school              100,000
 program...............................................
Project Rainbow, Philadelphia, PA, for early childhood           100,000
 services and after-school programs....................
Providence Community Action Program, Inc, Providence,            100,000
 RI, for the Providence Interim Middle School
 Intervention Center...................................
Providence School Department, Providence, RI, for an             200,000
 extended learning pilot program.......................
Provo Community Arts Center, Provo, UT, for a community          100,000
 arts program..........................................
Public/Private Ventures, Philadelphia, PA, for Youth             100,000
 Net programs, in partnership with the School District
 of Philadelphia.......................................
Putnam County Educational Service Center, Ottawa, OH,            300,000
 for a structured reading mentoring project primarily
 for children with disabilities........................
Rapides Parish School Board, Alexandria, LA, for                 100,000
 technology enhancements...............................
Ready Readers, St. Louis, MO, to serve additional                100,000
 students through the after school reading program.....
Re-Inventing Schools Coalition, Anchorage, AK to expand          500,000
 statewide its Alaska Quality Schools Model............
Rhode Island MicroEnterprise Association, North                  100,000
 Kingstown, RI, for the Rhode Island Youth
 Entrepreneurship Program..............................
Riverside School District, Taylor, PA, for curriculum            100,000
 and equipment for a physical education program........
Roberto Clemente Charter School, Allentown, PA, to               100,000
 enable bi-lingual, economically disadvantaged high
 school students to prepare for careers in nursing and
 other healthcare professions..........................
Rodale Institute, Kutztown, PA, for educational                  100,000
 programming...........................................
Rose Brooks Center, Kansas City, MO, for a school based          250,000
 anti-violence education project.......................
Rutgers University-Camden Campus, Center For Strategic           965,000
 Urban Community Leadership, Camden, for the LEAP Early
 Child Research Learning Academy.......................
Saint Bernard Parish School Board, Chalmette, LA, for            100,000
 technology enhancements...............................
Saint Joseph Institute for the Deaf, Chesterfield, MO,           250,000
 for special education services to the hearing impaired
Saint Joseph's University, Philadelphia, PA, to develop          100,000
 a Public Education Partnership to provide professional
 development for area principals and teachers..........
Saint Louis SCORES, Saint Louis, MO, for an after                200,000
 school education pilot project........................
San Bernardino Boys and Girls Club, San Bernardino, CA,        1,000,000
 to serve at-risk youth................................
San Juan School District, Blanding, UT, for the PUSH             110,000
 program...............................................
San Miguel School, Providence, RI, for curriculum                100,000
 development, community education and operating  costs.
Save the Children, Westport, CT, for early childhood,            500,000
 after school, summer, or in-school literacy programs
 in rural or Gulf Coast areas in Mississippi, which may
 be carried out through subgrants to local partners....
Save the Children, Westport, CT, to implement literacy           500,000
 programs in rural schools in Nevada...................
Scholars' Academy, St. Louis, MO, for curriculum                 100,000
 development...........................................
Scranton School District, Scranton, PA, for curriculum           100,000
 development and training to teachers in foreign
 language, arts and humanities instruction.............
Sevier School District, Richfield, UT, for math and              100,000
 literacy interventions................................
Slater Mill, Pawtucket, RI, for curriculum-based museum          150,000
 education programming.................................
Sophia Academy, Providence, RI, to improve education             100,000
 for girls from socio-economically disadvantaged
 backgrounds...........................................
SouthCoastConnected, New Bedford, MA, for                        100,000
 implementation of the Drop the Drop-Out Rate
 Initiative............................................
Southeast Island School District, Thorne Bay, AK, to             100,000
 develop two-way interactive video conferencing to
 provide special education services at isolated school
 sites in Southeast Alaska.............................
Southern Methodist University, Dallas, TX, for the               300,000
 Dallas Kids Program...................................
State of Alaska Department of Education and Early              2,950,000
 Development, Anchorage, AK, for a statewide teacher
 mentoring and retention initiative....................
Susquehanna Valley House of Hope, Selinsgrove, PA, for           100,000
 education programs for at-risk youth..................
Teach for America, Las Vegas, NV, to expand Teach for            250,000
 America's operations in Clark County, Nevada..........
Technological Research and Development Authority,                100,000
 Titusville, FL, for Endeavor Academy Titusville, FL...
The Bushnell Center for Performing Arts, Hartford, CT,           250,000
 for the Arts Education Community Engagement Program...
Thelonious Monk Institute of Jazz, Washington, DC, for           250,000
 jazz education programs in Alaska schools.............
Town of Barnstable, MA, for the development of programs          250,000
 and procurement of educational equipment at youth and
 community center......................................
Tri-County Community Action Partnership, Bridgeton, NJ,          250,000
 for the Literacy Program..............................
United Inner City Services, Kansas City, MO, to enhance          750,000
 and expand early learning programs....................
University of Maine, Orono, ME, for Sports Done Right            140,000
 for defining, shaping and maintaining healthy
 interscholastic and youth sports programs.............
University of Northern Iowa to continue the 2+2 teacher          500,000
 education demonstration program.......................
University of Northern Iowa, Cedar Falls, IA, for an             100,000
 early childhood science and math program..............
University of Pennsylvania, Philadelphia, PA, to                 500,000
 support a global languages and culture program to
 serve area K-12 students..............................
University of Southern Mississippi, Hattiesburg, MS,           1,000,000
 for the Center for Literacy and Assessment............
University of Southern Mississippi, Hattiesburg, MS,             300,000
 for the Frances A. Karnes Center for Gifted Studies...
University of Vermont, Burlington, VT, to establish the        3,000,000
 Educational Excellence program........................
University of Wisconsin-Platteville, Platteville, WI,            150,000
 to establish an English as a Second Language teacher
 certification program.................................
University of Wisconsin-Whitewater, Whitewater, WI, to           150,000
 establish a certification program for science teachers
Urban Family Council in partnership with the School              200,000
 District of Philadelphia, Philadelphia, PA, for the
 Saturday Morning Alternative Reach and Teach program..
Utah State Office of Education, Salt Lake City, UT, for        1,000,000
 a teacher mentoring program...........................
Vermillion Parish School Board, Abbeville, LA, for               100,000
 technology enhancements...............................
W.E.B. DuBois Learning Center in Kansas City, MO, for            100,000
 an after school tutoring program......................
Waldo County Preschool & Family Service, Belfast, ME,            100,000
 to increase reading and learning success for Maine
 children..............................................
Washington County School District, St. George, UT, for           100,000
 the Family Focus Project..............................
Washington Education Foundation, Issaquah WA, for the          1,000,000
 Leadership 1000 Scholarship Program...................
Washington Jesuit Academy, Washington, DC, for a                 400,000
 mentoring and achievement program.....................
Washoe County School District, Reno, NV, to expand the           350,000
 Classroom on Wheels program...........................
Whitaker Center for Science and the Arts, Harrisburg,            100,000
 PA, for science instruction through the arts..........
Wilkes University, Wilkes-Barre, PA, for curriculum              100,000
 development and equipment acquisition.................
YMCA of Greater St. Louis, St. Louis, MO, to expand              250,000
 after school programming at the Monsanto Family YMCA..
York School District, York, PA, for technology and               100,000
 equipment.............................................
Youth Advocate Programs, Inc., Harrisburg, PA, for               300,000
 alternative school services...........................
------------------------------------------------------------------------

Teacher Incentive Fund

    The Committee recommendation includes $99,000,000 for the 
teacher incentive fund program. The comparable funding level 
for fiscal year 2006 and the budget request both are 
$99,000,000 for this purpose.
    The appropriation supports a pilot program to develop and 
implement innovative ways to provide financial incentives for 
teachers and principals who raise student achievement and close 
the achievement gap in some of our Nation's highest-need 
schools. Under this program, the Secretary shall use not less 
than 95 percent of these funds to award competitive grants to 
local educational agencies [LEAs], including charter schools 
that are LEAs, States, or partnerships of (1) a local 
educational agency, a State, or both and (2) at least one non-
profit organization to design and implement fair, 
differentiated compensation systems for public school teachers 
and principals based primarily on measures of gains in student 
achievement, in addition to other factors, for teachers and 
principals in high-need schools. Performance-based compensation 
systems must consider gains in student achievement as well as 
classroom evaluations conducted multiple times during each 
school year and provide educators with incentives to take on 
additional responsibilities and leadership roles. Each 
applicant for funding must demonstrate a significant investment 
in, and ensure the sustainability of, its project by committing 
to pay for an increasing share of the total cost of the 
project, for each year of the grant, with State, local, or 
other non-Federal funds. In addition, the Secretary gives a 
priority to applications that demonstrate the majority support 
of educators for such compensation systems.
    Not more than 5 percent of the appropriation may be used by 
the Secretary to provide schools with assistance in 
implementing this program through one or more grants to an 
organization or organizations with expertise in providing 
research-based expert advice to support schools initiating and 
implementing differentiated compensation systems, training 
school personnel, disseminating information on effective 
teacher compensation systems, and providing program outreach 
through a clearinghouse of best practices. This set aside also 
will support the design and implementation of an appropriate, 
long-term and rigorous evaluation of this program which will be 
used to inform Congress on the results achieved under this 
program.
    The budget request, and Committee bill, continue language 
included in last year's appropriations act authorizing this 
program.

Ready to Learn Television

    The Committee recommends an appropriation of $24,255,000 
for the Ready to Learn Television program. The comparable 
funding level for fiscal year 2006 and the budget request both 
are $24,255,000 for this purpose.
    Ready to Learn Television supports the development and 
distribution of educational television programming designed to 
improve the readiness of preschool children to enter 
kindergarten and elementary school. The program also supports 
the development, production, and dissemination of educational 
materials designed to help parents, children, and caregivers 
obtain the maximum advantage from educational programming.
    The Committee directs the Department to utilize funds 
provided for fiscal year 2007 in the same proportions as fiscal 
year 2006 program resources. In the statement of the managers 
accompanying the fiscal year 2006 appropriations act, the 
conferees indicated that funds provided above the fiscal year 
2005 level were to be used for the outreach cooperative 
agreement to expand successful models of public television 
station-based outreach activities that incorporate local adult 
training workshops. The Committee intends for outreach funds to 
be used in fiscal years 2006 and 2007 for this purpose.

Dropout Prevention

    The Committee does not recommend any funding for the 
dropout prevention program. The comparable funding level for 
fiscal year 2006 is $4,851,000 and the budget request did not 
include any funding for the dropout prevention program. These 
funds have been used to help schools implement school dropout 
prevention and re-entry programs.

Close Up Fellowships

    The Committee recommendation includes $1,500,000 for Close 
Up Fellowships. The comparable funding level for fiscal year 
2006 is $1,454,000 and the budget request did not include any 
funds for this purpose. The Close Up Fellowships, formerly 
called Ellender Fellowships, which is administered by the Close 
Up Foundation of Washington, DC, provides fellowships to 
students from low-income families and their teachers to enable 
them to spend 1 week in Washington attending seminars and 
meeting with representatives of the three branches of the 
Federal Government.

Advanced Placement Program

    The Committee recommends $40,000,000 for advanced 
placement. The comparable funding level for fiscal year 2006 is 
$32,175,000 and the budget request includes $122,175,000 for 
this purpose.
    The first priority of the program is to subsidize test fees 
for low-income students who are enrolled in an advanced 
placement class and plan to take an advanced placement test. 
The balance of the funds are allocated for advanced placement 
Incentive Program grants, which are used to expand access for 
low-income individuals to advanced placement programs. Eligible 
activities include teacher training and participation in online 
advanced placement courses, among other related purposes.
    The budget request proposes bill language to require grant 
recipients to offer incentives to teachers to become qualified 
to teach advanced placement courses in math, sciences and 
critical foreign languages, and to teachers whose students pass 
tests in those subjects. The budget request also proposes bill 
language to require grantees to provide a match of $2 in non-
Federal funds for each $1 in Federal funds received under this 
program.
    The Committee bill does not include the requested language, 
but the Committee notes that the No Child Left Behind Act 
establishes clear priorities for the Department to utilize in 
conducting grant competitions under the advanced placement 
incentive program. The Committee intends for funds to be used 
for these priorities to increase the availability of such 
programs in the highest poverty school districts.

                 Safe Schools and Citizenship Education

Appropriations, 2006....................................    $729,518,000
Budget estimate, 2007...................................     266,627,000
House allowance.........................................     623,627,000
Committee recommendation................................     653,204,000

Safe and Drug-Free Schools and Communities

    The Committee recommends a total of $653,204,000 for 
activities to promote Safe Schools and Citizenship Education. 
The comparable fiscal year 2006 funding level is $729,518,000 
and the budget request includes $266,627,000 for these 
activities.
    State Grant Program.--The Committee recommends $310,000,000 
for the safe and drug-free schools and communities State grant 
program. The comparable fiscal year 2006 funding level is 
$346,500,000 and the budget request did not include any funds 
for this purpose. The State grant program is the backbone of 
youth drug prevention efforts in the United States. This 
formula-based State grant program provides resources to 
Governors, State educational agencies, and local educational 
agencies for developing and implementing activities that help 
create and maintain safe and drug-free learning environments in 
and around schools.
    National Programs.--The Committee has included $131,112,000 
for the national programs portion of the safe and drug-free 
schools and communities program. The comparable funding level 
for fiscal year 2006 is $141,112,000 and the budget request 
includes $196,992,000 for these programs. The Committee 
recommendation includes $4,000,000 for Project SERV (School 
Emergency Response to Violence), which provides education-
related services to LEAs in which the learning environment has 
been disrupted due to a violent or traumatic crisis. These 
funds are available until expended.
    The Committee continues to be concerned about the 
increasing problem of alcohol and drug abuse on college 
campuses. The Committee has included bill language requiring 
the Department to spend $850,000 on a program under the 
guidelines in section 120(f) of Public Law 105-244. This 
program identifies and provides models of alcohol and drug 
abuse prevention and education programs in higher education. 
The Committee includes these funds within the requested 
$6,584,000 for post-secondary alcohol prevention efforts 
proposed in the budget request.
    The Committee expects that the Department will provide 
$300,000 for the continued operation of the National 
Clearinghouse for Educational Facilities. These funds will be 
used to address issues related to school safety and healthy 
school buildings. The Committee has included additional funds 
for the Clearinghouse through the Fund for the Improvement of 
Education.
    The Committee recommendation does not include $52,500,000 
as requested by the Department for a new grant program for 
local educational agencies. This program was proposed to 
replace the State grant program, a proposal rejected by the 
Committee.
    The Committee recommendation includes $27,000,000 to 
continue and expand the school safety initiative. The Committee 
believes that this initiative should be broadened to include 
grants for non-profit organizations to support technical 
assistance that helps early care and education programs 
undertake crisis response planning that will better prepare 
early care and education providers for necessary actions that 
will need to be taken in the event of an emergency. The 
Committee is aware that such programs were not prepared 
adequately for the Gulf hurricanes and are not being integrated 
into crisis response planning that is being undertaken. The 
Committee encourages the Department to coordinate with the 
Administration for Children and Families of the Department of 
Health and Human Services on this initiative.
    The Committee recommendation includes $11,000,000 for 
school-based drug testing programs for students. The comparable 
fiscal year 2006 funding level is $10,380,000 and the budget 
request includes $15,000,000. Within this amount, the Committee 
has included $1,900,000 for the ongoing rigorous evaluation of 
the student drug testing grants.
    The Committee recommendation also includes $3,036,000 to 
continue data management improvement grants and related 
technical assistance; $72,792,000 for Safe Schools Healthy 
Students; $1,400,000 for the required impact evaluation; and 
$5,000,000 for other activities.

Alcohol Abuse Reduction

    The Committee recommends $32,409,000 for grants to LEAs to 
develop and implement programs to reduce underage drinking in 
secondary schools. The comparable funding level for fiscal year 
2006 is $32,409,000 and the budget request did not include any 
funds for this purpose. The Committee directs the Department 
and the Substance Abuse and Mental Health Services 
Administration [SAMHSA] in the Department of Health and Human 
Services to continue to work together on this effort.

Mentoring

    The Committee recommends $19,000,000 to support mentoring 
programs and activities for children who are at risk of failing 
academically, dropping out of school, getting involved in 
criminal or delinquent activities, or who lack strong positive 
role models. The comparable fiscal year 2006 funding level is 
$48,814,000 and the budget request is $19,000,000 for this 
purpose.

Character Education

    The Committee recommends $24,248,000 to provide support for 
the design and implementation of character education programs. 
The comparable funding level for fiscal year 2006 and the 
budget request both are $24,248,000 for this purpose.

Elementary and Secondary School Counseling

    The Committee recommends $34,650,000 to establish or expand 
counseling programs in elementary schools. The comparable 
fiscal year 2006 funding level is $34,650,000 and President's 
budget proposes to eliminate funding for this program. As 
authorized by the No Child Left Behind Act, all amounts 
appropriated up to $40,000,000 are used only for elementary 
school counseling programs.

Carol M. White Physical Education for Progress Program

    The Committee recommends $72,674,000 to help LEAs and 
community-based organizations initiate, expand and improve 
physical education programs for students in grades K-12, as 
authorized by Public Law 107-110. The comparable funding level 
for fiscal year 2006 is $72,674,000 and the budget request 
includes $26,387,000 for this program. Provision of this 
funding will help schools and communities nationwide improve 
their structured physical education programs for students and 
help children develop healthy lifestyles to combat the epidemic 
of obesity in the Nation.

Civic Education

    The Committee recommends $29,111,000 for grants to improve 
the quality of civics and government education, to foster civic 
competence and responsibility, and to improve the quality of 
civic and economic education through exchange programs with 
emerging democracies. The comparable fiscal year 2006 funding 
level is $29,111,000 and the budget request proposed to 
eliminate funding for this purpose.
    Civic Education program funds support both the We the 
People programs and the Cooperative Education Exchange. The 
Committee recommends $17,039,000 for the nonprofit Center for 
Civic Education to support the We the People programs. We the 
People has two primary components: the Citizen and the 
Constitution program, which provides teacher training, 
curriculum materials, and classroom instruction for upper 
elementary, middle, and high school students; and Project 
Citizen, a program for middle school students that focuses on 
the role of State and local governments in the American Federal 
system.
    Within the amount for the We the People program, the 
Committee recommends the following: that $2,995,000 be reserved 
to continue the comprehensive program to improve public 
knowledge, understanding, and support of American democratic 
institutions which is a cooperative project among the Center 
for Civic Education, the Center on Congress at Indiana 
University, and the Trust for Representative Democracy at the 
National Conference of State Legislatures; and that $1,498,000 
be used for continuation and expansion of the school violence 
prevention demonstration program including the Native American 
program.
    The Committee recommends $12,072,000 for the Cooperative 
Education Exchange program. Within this amount, the Committee 
has included $4,527,000 for the Center for Civic Education and 
$4,527,000 for the National Council on Economic Education. The 
remaining $3,018,000 should be used for a competitive grant 
program for civics and government education, and for economic 
education.

                      English Language Acquisition

Appropriations, 2006....................................    $669,008,000
Budget estimate, 2007...................................     669,007,000
House allowance.........................................     669,007,000
Committee recommendation................................     669,007,000

    The Committee recommends an appropriation of $669,007,000 
for English language acquisition. The comparable funding level 
for fiscal year 2006 is $669,008,000 and the budget request is 
$669,007,000 for authorized activities.
    The Department makes formula grants to States based on each 
State's share of the Nation's limited-English-proficient and 
recent immigrant student population. The program is designed to 
increase the capacity of States and school districts to address 
the needs of these students. The No Child Left Behind Act also 
requires that 6.5 percent of the appropriation, an amount equal 
to $43,485,000 at the Committee recommendation funding level, 
be used to support national activities, which include 
professional development activities designed to increase the 
number of highly qualified teachers serving limited English 
proficient students; a National Clearinghouse for English 
Language Acquisition and Language Instructional Programs; and 
evaluation activities. The budget request includes language 
that would allow national activities funds to be available for 
2 years. The Committee bill includes the requested language.

                           Special Education

Appropriations, 2006.................................... $11,653,013,000
Budget estimate, 2007...................................  11,697,502,000
House allowance.........................................  11,753,013,000
Committee recommendation................................  11,610,367,000

    The Committee recommends $11,610,367,000 for special 
education programs authorized by the Individuals with 
Disabilities Education Act [IDEA]. The comparable fiscal year 
2006 funding level is $11,653,013,000 and the budget request 
includes $11,697,502,000 for such programs.
    No Child Left Behind [NCLB] and the Individuals with 
Disabilities Education Act [IDEA 04].--The Committee is aware 
of the effort made on behalf of students with disabilities as 
changes in NCLB policy have directly impacted these students as 
States have been given flexibility in assessment options with 
the Interim Two Percent Policy and Draft Two Percent Rule. The 
Committee believes the Office of Special Education and 
Rehabilitation Services should strengthen and increase its role 
in recommending guidance to States and LEAs that will define 
how students are identified for the Two Percent Rule and ensure 
eligible students have every possible opportunity for full and 
consistent participation in the general education curriculum 
and be on track to graduate with a regular diploma.
    Specific Learning Disabilities [SLD].--The Committee 
commends the Office of Special Education Programs [OSEP] for 
its consistent efforts to support and conduct work on behalf of 
individuals with specific learning disabilities. The Committee 
believes OSEP should assist States and LEAs in identifying the 
criteria for determining an SLD and ensuring the consistency 
and integrity of the classification system across the States, 
and provide guidance and technical assistance systems for the 
improvement of SLD identification and eligibility. OSEP should 
disseminate to and assist both States and LEAs with replicable 
models that produce measurable positive improvements in student 
learning, including reliable and valid information on 
Responsiveness/Response to Intervention [RTI]. OSEP should 
provide positive, proactive guidance, based on the well 
established RTI models in the country, on the appropriate use 
of RTI in the eligibility process. OSEP should seek counsel 
from practitioner leaders as well as university researchers to 
accomplish this function. The Committee encourages OSEP to 
coordinate with the Parent Training and Information Centers, 
National Dissemination Center for Children with Disabilities 
and other national partners to disseminate information about 
accurate identification of SLDs to parents, including 
information on RTI, so parents will have a firm understanding 
of what the process may look like in their school and how to be 
informed and be an active partner in the process. The Committee 
also encourages OSEP to coordinate efforts within the 
Department of Education, National Institutes of Health, 
National Science Foundation and other Federal agencies working 
on related activities.
    No Child Left Behind [NCLB] and the Individuals with 
Disabilities Education Act [IDEA 04].--The Committee urges OSEP 
to improve and increase its activities to educate parents of 
students with learning disabilities with the critical 
information they need to understand the impact of the 
Individualized Education Program Team decisions related to 
options for statewide assessments required by NCLB and how to 
improve the academic achievement of students through School 
Choice, Supplemental Education Services and other provisions of 
NCLB. The Committee encourages OSEP to develop a Toolkit for 
Parents of Students with Disabilities to accompany and reflect 
the information made available to parents of required NCLB 
subgroups through the Office of Communications and Outreach. 
The Committee notes that parents of students with disabilities 
need essential information on NCLB to ensure their student has 
every possible opportunity for full and consistent 
participation in the general education curriculum and to be on 
track to graduate with a regular diploma.

Grants to States

    The Committee recommends $10,582,961,000 for special 
education grants to States, as authorized under part B of the 
IDEA. The comparable fiscal year 2006 funding level is 
$10,582,961,000 and the budget request includes 
$10,682,961,000. This program provides formula grants to assist 
States, Outlying Areas, and other entities in meeting the costs 
of providing special education and related services for 
children with disabilities. States pass along most of these 
funds to local educational agencies, but may reserve some for 
program monitoring, enforcement, technical assistance, and 
other activities.
    The appropriation for this program primarily supports 
activities associated with the 2007-2008 academic year. Of the 
funds available for this program, $5,158,761,000 will become 
available on July 1, 2007 and $5,424,200,000 will become 
available on October 1, 2007. These funds will remain available 
for obligation until September 30, 2008.
    The budget request includes language capping the Department 
of Interior set-aside at the prior year level, adjusted by the 
lower of the increase in inflation or the increase in the 
appropriation for grants to States. The Committee bill includes 
this language.

Preschool Grants

    The Committee recommends $380,751,000 for preschool grants. 
The comparable fiscal year 2006 funding level and the budget 
request both are $380,751,000. The preschool grants program 
provides formula grants to States to assist them in making 
available special education and related services for children 
with disabilities aged 3 through 5. States distribute a 
significant share of the funds to local educational agencies, 
if they serve all eligible children with disabilities aged 3 
through 5 and have an approved application under the 
Individuals with Disabilities Education Act.

Grants for Infants and Families

    The Committee recommends $436,400,000 for grants for the 
infants and families program under part C of the IDEA. The 
comparable fiscal year 2006 funding level and the budget 
request both are $436,400,000. This program provides formula 
grants to States, Outlying Areas and other entities to 
implement statewide systems of coordinated, comprehensive, 
multidisciplinary interagency programs to make available early 
intervention services to all children with disabilities, ages 2 
and under, and their families.

State Personnel Development

    The Committee recommendation does not include a fiscal year 
2007 appropriation for the State personnel development program. 
The comparable fiscal year 2006 funding level is $50,146,000 
and the budget request does not include any funds for this 
program. The program formerly was known as the State 
improvement grant program, until it was changed by the 
Individuals with Disabilities Education Improvement Act of 
2004. Under the reauthorization, this program focuses on the 
professional development needs in States by requiring that 90 
percent of funds be used for professional development 
activities. The program supports grants to State educational 
agencies to help them reform and improve their personnel 
preparation and professional development related to early 
intervention, educational and transition services that improve 
outcomes for students with disabilities.
    The Committee understands that the fiscal year 2006 
appropriation is available still for use to cover the costs 
associated with fiscal year 2007 awards, so it has concurred 
with the budget request to not provide any funds under this 
authority in fiscal year 2007.

Transition Initiative

    The Committee recommendation includes $2,000,000 for this 
initiative, which is intended to support State efforts to 
develop and use data to improve post-school outcomes for 
students with disabilities. The budget request includes 
$2,000,000 for this new initiative. Funds would be used to help 
States improve high school graduation rates; identify effective 
interventions such as counseling, personnel training and 
transition services; establish better data collection systems; 
and analyze and use student information through research-based 
practices. Grants would be made to State educational agencies 
on a competitive basis.
    The Committee recommendation also includes $3,827,000 under 
the demonstration and training program in the Rehabilitation 
Services and Disability Research account to support this 
initiative.

Technical Assistance and Dissemination

    The Committee recommends $48,903,000 for technical 
assistance and dissemination. The comparable fiscal year 2006 
funding level and the budget request both are $48,903,000 for 
these activities. This program supports awards for technical 
assistance, model demonstration projects, the dissemination of 
useful information and other activities. Funding supports 
activities that are designed to improve the services provided 
under IDEA.

Personnel Preparation

    The Committee recommends $89,720,000 for the personnel 
preparation program. The comparable fiscal year 2006 funding 
level and the budget request both are $89,720,000 for this 
program. Funds support competitive awards to help address 
State-identified needs for personnel who are qualified to work 
with children with disabilities, including special education 
teachers and related services personnel. The reauthorization of 
IDEA also establishes requirements to fund several other broad 
areas including training for leadership personnel and personnel 
who work with children with low incidence disabilities, and 
providing enhanced support for beginning special educators.

Parent Information Centers

    The Committee recommends $25,704,000 for parent information 
centers. The comparable fiscal year 2006 funding level and the 
budget request both are $25,704,000 for authorized activities. 
This program makes awards to parent organizations to support 
parent training and information centers, including community 
parent resource centers. These centers provide training and 
information to meet the needs of parents of children with 
disabilities living in the areas served by the centers, 
particularly underserved parents, and parents of children who 
may be inappropriately identified.

Technology and Media Services

    The Committee recommends $38,428,000 for technology and 
media services. The comparable fiscal year 2006 funding level 
is $38,428,000 and the budget request includes $31,063,000 for 
such activities. This program makes competitive awards to 
support the development, demonstration, and use of technology, 
and educational media activities of value to children with 
disabilities.
    The Committee recommendation includes $11,880,000 for 
Recording for the Blind and Dyslexic, Inc. [RFB&D]. These funds 
support the continued development, production, and circulation 
of recorded textbooks, increased outreach activities to print-
disabled students and their teachers, and accelerated use of 
digital technology. The administration proposed eliminating the 
earmark for RFB&D for these activities.
    The Committee also recommends $1,485,000 to continue 
support of the Reading Rockets program, administered by the 
Greater Washington Educational Television Association. Last 
year, this program received $1,448,000. The administration 
proposed eliminating support for this program.

Special Olympics Education Programs

    The Committee recommendation includes $5,500,000 for 
Special Olympics education programs. This is a new program in 
fiscal year 2007 and the budget request did not include any 
funds for this purpose. Under the Special Olympics Sport and 
Empowerment Act of 2004, the Secretary is authorized to provide 
financial assistance to Special Olympics for activities that 
promote the expansion of Special Olympics and for the design 
and implementation of education programs that can be integrated 
into classroom instruction and are consistent with academic 
content standards.

            Rehabilitation Services and Disability Research

Appropriations, 2006....................................  $3,125,544,000
Budget estimate, 2007...................................   3,180,414,000
House allowance.........................................   3,244,247,000
Committee recommendation................................   3,248,312,000

    The Committee recommends $3,248,312,000 for rehabilitation 
services and disability research. The comparable fiscal year 
2006 funding level is $3,125,544,000 and the budget request 
includes $3,180,414,000 for programs in this account.
    The authorizing statute for programs funded in this 
account, except for those authorized under the Assistive 
Technology Act, expired September 30, 2004. The program 
descriptions provided below assume the continuation of current 
law.

Vocational Rehabilitation State Grants

    The Committee provides $2,837,160,000 for vocational 
rehabilitation grants to States. The Committee recommendation 
provides the full amount authorized by the Rehabilitation Act 
of 1973. The comparable funding level for fiscal year 2006 is 
$2,720,192,000 and the budget request includes $2,837,160,000 
for this program.
    Basic State grant funds assist States in providing a range 
of services to help persons with physical and mental 
disabilities prepare for and engage in meaningful employment. 
Authorizing legislation requires States to give priority to 
persons with the most significant disabilities. Funds are 
allotted to States based on a formula that takes into account 
population and per capita income. States must provide a 21.3 
percent match of Federal funds, except the State's share is 50 
percent for the cost of construction of a facility for 
community rehabilitation program purposes.
    The Rehabilitation Act requires that no less than 1 percent 
and not more than 1.5 percent of the appropriation in fiscal 
year 2007 for vocational rehabilitation State grants be set 
aside for grants for Indians. Service grants are awarded to 
Indian tribes on a competitive basis to help tribes develop the 
capacity to provide vocational rehabilitation services to 
American Indians with disabilities living on or near 
reservations.

Client Assistance

    The Committee recommends $11,782,000 for the client 
assistance program. The comparable fiscal year 2006 funding 
level and the budget request both are $11,782,000 for 
authorized activities.
    The client assistance program funds State formula grants to 
assist vocational rehabilitation clients or client applicants 
in understanding the benefits available to them and in their 
relationships with service providers. Funds are distributed to 
States according to a population-based formula, except that 
increases in minimum grants are guaranteed to each of the 50 
States, the District of Columbia, and Puerto Rico, and 
guaranteed to each of the outlying areas, by a percentage not 
to exceed the percentage increase in the appropriation. States 
must operate client assistance programs in order to receive 
vocational rehabilitation State grant funds.

Training

    The Committee recommends $38,438,000 for training 
rehabilitation personnel. The comparable fiscal year 2006 
funding level and the budget request both are $38,438,000 for 
training activities.
    The purpose of this program is to ensure that skilled 
personnel are available to serve the rehabilitation needs of 
individuals with disabilities. It supports training, 
traineeships, and related activities designed to increase the 
numbers of qualified personnel providing rehabilitation 
services. The program awards grants and contracts to States and 
public or nonprofit agencies and organizations, including 
institutions of higher education, to pay all or part of the 
cost of conducting training programs. Long-term, in-service, 
short-term, experimental and innovative, and continuing 
education programs are funded, as well as special training 
programs and programs to train interpreters for persons who are 
deaf, hard of hearing and deaf-blind.

Demonstration and Training Programs

    The Committee bill includes $12,603,000 for demonstration 
and training programs for persons with disabilities. The 
comparable fiscal year 2006 funding level and budget request 
both are $6,511,000 for authorized activities. This program 
awards grants to States and nonprofit agencies and 
organizations to develop innovative methods and comprehensive 
services to help individuals with disabilities achieve 
satisfactory vocational outcomes. Demonstration programs 
support projects for individuals with a wide array of 
disabilities.
    Within the Committee recommendation, $3,827,000 is 
available to support the Office of Special Education and 
Rehabilitative Services' Special Education--Vocational 
Rehabilitation Transition Initiative. Together with the 
$2,000,000 provided under the Special Education account, these 
funds will be used to assist States with improving high school 
graduation rates and post-school outcomes for students with 
disabilities.
    The Committee recommendation also includes bill language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
Alaska Center for the Blind and Visually Impaired, in           $250,000
 partnership with the Lions Club, statewide, to expand
 services to low-vision Alaskans.......................
American Academy of Orthotists and Prosthetists,                 500,000
 Alexandria, VA, for continued support of Project
 Quantum Leap..........................................
Cleveland Sight Center, Cleveland, OH, for the                   300,000
 development of Braille technology.....................
Deaf Blind Service Center, Seattle, WA, for the                  300,000
 National Support Service Provider pilot project.......
Enable America, Inc., Tampa, Florida, for civic/                 500,000
 citizenship demonstration project for disabled adults.
Groden Center, Providence, RI, for the Arts and                  100,000
 Business Training Center..............................
Helen Keller National Center for Deaf-Blind Youths and         2,000,000
 Adults, Sands Point, NY for program support...........
Kenai Peninsula Independent Living Center, Homer, AK,            200,000
 for the Total Recreation and Independent Living
 Services Project......................................
National Ability Center, Park City, UT, to provide ADA           250,000
 accessible transportation for individuals with
 cognitive and physical disabilities...................
National Sports Center for the Disabled, Denver, CO,             500,000
 for adaptive equipment, sports program expansion and
 research..............................................
Pennsylvania Association for the Blind, Enola, PA, for           100,000
 specialized services for the blind or visually
 impaired..............................................
Rainbow Center for Communicative Disorders, Blue                 300,000
 Springs, MO, to expand day habilitation programming
 available to individuals with severe disabilities.....
Southeast Alaska Independent Living, Juneau, AK, to              200,000
 continue a joint recreation and employment project
 with the Tlingit and Haida Tribe of Alaska in
 Southeast Alaska......................................
Vocational Guidance Services, Cleveland, OH, for                 300,000
 equipment acquisition which will help automate sewing
 operations and improve employment opportunities for
 individuals with disabilities.........................
------------------------------------------------------------------------

Migrant and Seasonal Farmworkers

    The Committee recommends $2,279,000 for migrant and 
seasonal farmworkers, the same amount as the comparable fiscal 
year 2006 funding level. The administration proposes 
eliminating separate funding for this program.
    This program provides grants limited to 90 percent of the 
costs of the projects providing comprehensive rehabilitation 
services to migrant and seasonal farm workers with disabilities 
and their families. Projects also develop innovative methods 
for reaching and serving this population. The program 
emphasizes outreach, specialized bilingual rehabilitation 
counseling, and coordination of vocational rehabilitation 
services with services from other sources.

Recreational Programs

    The Committee provides $2,518,000 for recreational 
programs, the same amount as the comparable fiscal year 2006 
funding level. The budget request does not include funding for 
this program.
    Recreational programs help finance activities such as 
sports, music, dancing, handicrafts, and art to aid in the 
employment, mobility, and socialization of individuals with 
disabilities. Grants are awarded to States, public agencies, 
and nonprofit private organizations, including institutions of 
higher education. Grants are awarded for a 3-year period with 
the Federal share at 100 percent for the first year, 75 percent 
for the second year, and 50 percent for the third year. 
Programs must maintain the same level of services over the 3-
year period.

Protection and Advocacy of Individual Rights

    The Committee recommends $16,489,000 for protection and 
advocacy of individual rights. The comparable fiscal year 2006 
funding level and the budget request both are $16,489,000.
    This program provides grants to agencies to protect and 
advocate for the legal and human rights of persons with 
disabilities who are not eligible for protection and advocacy 
services available through the Developmental Disabilities 
Assistance and Bill of Rights Act or the Protection and 
Advocacy for Individuals with Mental Illness Act.

Projects with Industry

    The Committee recommends $19,246,000 for projects with 
industry. The comparable fiscal year 2006 funding level is 
$19,538,000 and the administration proposes eliminating 
separate funding for this program.
    The projects with industry [PWI] program promotes greater 
participation of business and industry in the rehabilitation 
process. PWI provides training and experience in realistic work 
settings to prepare individuals with disabilities for 
employment in the competitive job market. Postemployment 
support services are also provided. The program supports grants 
to a variety of agencies and organizations, including 
corporations, community rehabilitation programs, labor and 
trade associations, and foundations.

Supported Employment State Grants

    The Committee's bill includes $29,700,000 for the supported 
employment State grant program. The comparable fiscal year 2006 
funding level is $29,700,000 and the administration proposes 
eliminating separate funding for this program.
    This program assists the most severely disabled individuals 
by providing the ongoing support needed to obtain competitive 
employment. Short-term vocational rehabilitation services are 
augmented with extended services provided by State and local 
organizations. Federal funds are distributed on the basis of 
population.

Independent Living State Grants

    The Committee recommends $22,588,000 for independent living 
State grants. The comparable funding level for fiscal year 2006 
and the budget request both are $22,588,000 for authorized 
activities.
    The independent living State formula grants program 
provides funding to improve independent living services, 
support the operation of centers for independent living, 
conduct studies and analysis, and provide training and 
outreach.

Independent Living Centers

    The Committee recommends $74,638,000 for independent living 
centers. The comparable fiscal year 2006 funding level and the 
budget request both are $74,638,000 for the centers.
    These funds support consumer-controlled, cross-disability, 
nonresidential, community-based centers that are designed and 
operated within local communities by individuals with 
disabilities. These centers provide an array of independent 
living services.

Independent Living Services for Older Blind Individuals

    The Committee provides $32,895,000 for independent living 
services to older blind individuals. The comparable fiscal year 
2006 funding level and the budget request both are $32,895,000 
for these activities. Through this program, assistance is 
provided to persons aged 55 or older to adjust to their 
blindness, continue living independently and avoid societal 
costs associated with dependent care. Services may include the 
provision of eyeglasses and other visual aids, mobility 
training, braille instruction and other communication services, 
community integration, and information and referral. These 
services help older individuals age with dignity, continue to 
live independently and avoid significant societal costs 
associated with dependent care. The services most commonly 
provided by this program are daily living skills training, 
counseling, the provision of low-vision devices community 
integration, information and referral, communication devices, 
and low-vision screening.

Program Improvement Activities

    The Committee recommends $835,000 for program improvement 
activities. The comparable fiscal year 2006 funding level and 
the budget request both are $835,000 for authorized activities. 
In fiscal year 2007, funds for these activities will continue 
to support technical assistance efforts to improve the 
efficiency and effectiveness of the vocational rehabilitation 
program and improve accountability efforts. The funds provided 
are sufficient to support technical assistance and other 
ongoing program improvement activities, such as improved 
program performance measurement.

Evaluation

    The Committee recommends $1,473,000 for evaluation 
activities. The comparable fiscal year 2006 funding level and 
the budget request both are $1,473,000 for such activities.
    These funds support evaluations of the impact and 
effectiveness of programs authorized by the Rehabilitation Act. 
The Committee recommendation continues to support a new multi-
year study of the State Vocational Rehabilitation Services 
program. The Department awards competitive contracts for 
studies to be conducted by persons not directly involved with 
the administration of Rehabilitation Act programs.

Helen Keller National Center

    The Committee recommends $8,511,000 for the Helen Keller 
National Center for Deaf-Blind Youth and Adults. The comparable 
fiscal year 2006 funding level and budget request both are 
$8,511,000 for this purpose.
    The Helen Keller National Center consists of a national 
headquarters in Sands Point, New York, with a residential 
training and rehabilitation facility where deaf-blind persons 
receive intensive specialized services; a network of 10 
regional field offices which provide referral and counseling 
assistance to deaf-blind persons; and an affiliate network of 
agencies. At the recommended level, the center would serve more 
than 110 persons with deaf-blindness at its headquarters 
facility and provide field services to approximately 2,400 
individuals and families and approximately 1,100 organizations.

National Institute on Disability and Rehabilitation Research

    The Committee recommends $106,705,000 for the National 
Institute on Disability and Rehabilitation Research [NIDRR]. 
The comparable fiscal year 2006 funding level and the budget 
request both are $106,705,000 for authorized activities.
    NIDRR develops and implements a comprehensive and 
coordinated approach to the conduct of research, demonstration 
projects, and related activities that enable persons with 
disabilities to better function at work and in the community, 
including the training of persons who provide rehabilitation 
services or who conduct rehabilitation research. The Institute 
awards competitive grants to support research in federally 
designated priority areas, including rehabilitation research 
and training centers, rehabilitation engineering research 
centers, research and demonstration projects, and dissemination 
and utilization projects. NIDRR also supports field-initiated 
research projects, research training, and fellowships.
    The Committee commends NIDRR for recognizing Chronic 
Fatigue Syndrome [CFS] as an unmet area of research. The 
Committee encourages NIDRR to continue to pursue CFS-related 
research proposals through its investigator-initiated and other 
grants programs.

Assistive Technology

    The Committee recommends $30,452,000 for assistive 
technology. The comparable fiscal year 2006 funding level is 
$30,452,000 and the budget request includes $22,389,000 for 
some of the activities authorized by the Assistive Technology 
Act of 1998.
    The Assistive Technology program is designed to improve 
occupational and educational opportunities and the quality of 
life for people of all ages with disabilities through increased 
access to assistive technology services and devices. The 
program support various activities that help States to develop 
comprehensive, consumer-responsive statewide programs that 
increase access to, and the availability of, assistive 
technology devices and services. Under the recent 
reauthorization, the administration of this program was moved 
to the Rehabilitation Services Administration from the National 
Institute on Disability and Rehabilitation Research. The 
reauthorization also requires that an annual report be 
submitted to Congress by December 31 of each year.
    The Committee recommendation includes $24,425,000 for State 
grant activities authorized under section 4, $4,975,000 for 
protection and advocacy systems authorized by section 5, and 
$1,052,000 for technical assistance activities authorized under 
section 6.
    The Committee encourages States to use the additional funds 
provided for State grant activities authorized under section 4 
for State-level alternative financing programs. The Committee 
is concerned that funds are not be utilized as intended to 
expand access to assistive technology devices and services 
directly through State programs or based on coordination and 
collaboration with other alternative financing programs 
operated in a State. The Committee looks forward to reviewing 
the Department's mandated report on State implementation of 
this program, particularly the activities related to State 
financing and coordination and collaboration.

           Special Institutions for Persons With Disabilities


                 AMERICAN PRINTING HOUSE FOR THE BLIND

Appropriations, 2006....................................     $17,572,000
Budget estimate, 2007...................................      17,573,000
House allowance.........................................      18,000,000
Committee recommendation................................      20,000,000

    The Committee recommends $20,000,000 for the American 
Printing House for the Blind [APH]. The comparable fiscal year 
2006 funding level is $17,572,000 and the budget request 
includes $17,573,000 for this purpose.
    This appropriation helps support the American Printing 
House for the Blind, which provides educational materials to 
students who are legally blind and enrolled in programs below 
the college level. The Federal subsidy provides more than 60 
percent of APH's total sales income. Materials are distributed 
free of charge to schools and States through per capita 
allotments based on the total number of students who are blind. 
Materials provided include textbooks and other educational aids 
in braille, large type, and recorded form and computer 
applications. Appropriated funds may be used for staff salaries 
and expenses, as well as equipment purchases and other 
acquisitions consistent with the purpose of the Act to Promote 
the Education of the Blind.
    In addition to its ongoing activities, the Individuals with 
Disabilities Education Improvement Act assigned to the American 
Printing House for the Blind the responsibility of establishing 
and maintaining a National Instructional Materials Access 
Center. The Center will serve as a national clearinghouse, 
maintaining a repository of textbook files provided in the 
National Instructional Materials Accessibility Standard format 
by textbook publishers. The Center will manage the transfer of 
these files to State and local education agencies for 
production in media that are readily accessible to the blind, 
visually impaired, and print disabled.

               NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

Appropriations, 2006....................................     $56,141,000
Budget estimate, 2007...................................      55,349,000
House allowance.........................................      57,000,000
Committee recommendation................................      57,500,000

    The Committee recommends $57,500,000 for the National 
Technical Institute for the Deaf [NTID]. The comparable fiscal 
year 2006 funding level is $56,141,000 and the budget request 
includes $55,349,000 for this purpose.
    The Institute, located on the campus of the Rochester 
Institute of Technology, was created by Congress in 1965 to 
provide a residential facility for postsecondary technical 
training and education for persons who are deaf. NTID also 
provides support services for students who are deaf, trains 
professionals in the field of deafness, and conducts applied 
research. At the discretion of the Institute, funds may be used 
for the Endowment Grant program.

                          GALLAUDET UNIVERSITY

Appropriations, 2006....................................    $106,998,000
Budget estimate, 2007...................................     107,598,000
House allowance.........................................     110,500,000
Committee recommendation................................     110,500,000

    The Committee recommends $110,500,000 for Gallaudet 
University. The comparable fiscal year 2006 funding level is 
$106,998,000 and the budget request includes $107,598,000 for 
the university.
    Gallaudet University is a private, nonprofit institution 
offering undergraduate, and continuing education programs for 
students who are deaf, as well as graduate programs in fields 
related to deafness for students who are hearing and deaf. The 
University conducts basic and applied research related to 
hearing impairments and provides public service programs for 
the deaf community.
    The Model Secondary School for the Deaf serves as a 
laboratory for educational experimentation and development, 
disseminates curricula, materials, and models of instruction 
for students who are deaf, and prepares adolescents who are 
deaf for postsecondary academic or vocational education or the 
workplace. The Kendall Demonstration Elementary School develops 
and provides instruction for children from infancy through age 
15.
    The budget request includes $600,000 earmarked in bill 
language to conduct evaluation activities related to the 
education programs and administrative operations of the 
University and the Department's findings during the Program 
Assessment Rating Tool [PART] process. The Committee 
understands the Department is now updating its PART for the 
University, so the Committee recommendation does not include 
the requested funding nor the earmark language.

                     Vocational and Adult Education

Appropriations, 2006....................................  $1,992,159,000
Budget estimate, 2007...................................     579,552,000
House allowance.........................................   1,925,858,000
Committee recommendation................................   1,899,858,000

    The Committee recommendation includes a total of 
$1,899,858,000 for vocational and adult education, consisting 
of $1,296,306,000 for vocational education, $579,552,000 for 
adult education and $24,000,000 for other activities. The 
comparable funding level in fiscal year 2006 is $1,992,159,000 
and the budget request includes $579,552,000 for this account.
    The authorizing statute for vocational and adult education 
programs and the State grants for incarcerated youth offenders 
program funded in this account expired September 30, 2004. 
Descriptions for these programs provided below assume the 
continuation of current law.

Vocational Education

    The Committee recommends $1,296,306,000 for vocational 
education. The comparable fiscal year 2006 funding level is 
$1,296,306,000 and the budget request does not include any 
funds for these activities. The administration proposed to 
redirect the funds currently allocated for vocational education 
to a new High School initiative.
    Basic Grants.--The Committee recommends $1,182,388,000 for 
basic grants, the same amount as the comparable fiscal year 
2006 funding level. The budget request does not include any 
funds for this purpose. Funds provided under the State grant 
program assist States, localities, and outlying areas to expand 
and improve their programs of vocational education and provide 
equal access to vocational education for populations with 
special needs. Persons assisted range from secondary students 
in prevocational courses through adults who need retraining to 
adapt to changing technological and labor market conditions. 
Funds are distributed according to a formula based on State 
population and State per capita income.
    Under the Indian and Hawaiian Natives programs, competitive 
grants are awarded to federally recognized Indian tribes or 
tribal organizations and to organizations primarily serving and 
representing Hawaiian Natives for services that are in addition 
to services such groups are eligible to receive under other 
provisions of the Perkins Act.
    Of the funds available for this program, $391,388,000 will 
become available on July 1, 2007 and $791,000,000 will become 
available on October 1, 2007. These funds will remain available 
for obligation until September 30, 2008.
    Tech-Prep Education.--The Committee recommends $104,754,000 
for tech-prep programs. The comparable fiscal year 2006 funding 
level is $104,754,000 and the budget request proposes to 
eliminate funding for this program. This program is designed to 
link academic and vocational learning and to provide a 
structured link between secondary schools and postsecondary 
education institutions. Funds are distributed to the States 
through the same formula as the basic State grant program. 
States then make planning and demonstration grants to consortia 
of local educational agencies and postsecondary institutions to 
develop and operate model 4-year programs that begin in high 
school and provide students with the mathematical, science, 
communication, and technological skills needed to earn a 2-year 
associate degree or 2-year certificate in a given occupational 
field.
    National Programs, Research.--The Committee recommends 
$9,164,000 for national research programs and other national 
activities. The comparable fiscal year 2006 funding level is 
$9,164,000 and the budget request proposes to eliminate 
separate funding for this program.
    Funds provided under this program support research, 
development, dissemination, evaluation and assessment designed 
to improve the quality and effectiveness of vocational and 
technical education. Funds have been provided to the National 
Research Center for Career and Technical Education and the 
National Dissemination Center for Career and Technical 
Education to conduct research and provide technical assistance 
to vocational educators. The results of the applied research 
done by these Centers inform technical assistance to reform and 
improve vocational education instruction in schools and 
colleges. Resources made available through this program also 
are used to support a variety of activities to identify and 
promote effective research-based programs and practice in 
vocational education.

                            ADULT EDUCATION

    The Committee recommends $579,552,000 for adult education, 
the same amount as the comparable fiscal year 2006 funding 
level. The budget request includes $579,552,000 for this 
purpose.
    Adult Education State Programs.--For adult education State 
programs, the Committee recommends $563,975,000, the same 
amount as the comparable fiscal year 2006 funding level. The 
budget request includes $563,975,000 for authorized activities. 
These funds are used by States for programs to enable 
economically disadvantaged adults to acquire basic literacy 
skills, to enable those who so desire to complete a secondary 
education, and to make available to adults the means to become 
more employable, productive, and responsible citizens.
    The Committee recommendation continues the English literacy 
and civics education State grants set aside within the Adult 
Education State grant appropriation. Within the total, 
$67,896,000 is available to help States or localities affected 
significantly by immigration and large limited-English 
populations to implement programs that help immigrants acquire 
English literacy skills, gain knowledge about the rights and 
responsibilities of citizenship and develop skills that will 
enable them to navigate key institutions of American life.
    National Activities.--The Committee recommends $9,005,000 
for national leadership activities. The comparable funding 
level for fiscal year 2006 and the budget request both are 
$9,005,000 for this purpose. Under this program, the Department 
supports applied research, development, dissemination, 
evaluation and program improvement activities to assist States 
in their efforts to improve the quality of adult education 
programs.
    National Institute for Literacy.--The Committee recommends 
$6,572,000 for the National Institute for Literacy, authorized 
under section 242 of the Adult Education and Family Literacy 
Act. The comparable fiscal year 2006 funding level and the 
budget request both are $6,572,000 for this purpose. The 
Institute provides leadership and coordination for national 
literacy efforts by conducting research and demonstrations on 
literacy, establishing and maintaining a national center for 
adult literacy and learning disabilities, and awarding 
fellowships to outstanding individuals in the field to conduct 
research activities under the auspices of the Institute.

Smaller Learning Communities

    The Committee does not recommend additional funds for this 
program. The comparable fiscal year 2006 funding level is 
$93,531,000 and the budget request does not include any funds 
for this purpose. This program has supported competitive grants 
to local educational agencies to enable them to create smaller 
learning communities in large schools. Funds have been used to 
study, research, develop and implement strategies for creating 
smaller learning communities, as well as professional 
development for staff. Two types of grants were made under this 
program: 1-year planning grants, which help LEAs plan smaller 
learning communities and 3-year implementation grants, which 
help create or expand such learning environments.

State Grants for Incarcerated Youth Offenders

    The Committee has included $24,000,000 for education and 
training for incarcerated youth offenders. The comparable 
funding level for fiscal year 2006 is $22,770,000. The 
administration proposes to eliminate funding for these 
activities. This program provides grants to State correctional 
education agencies to assist and encourage incarcerated youth 
to acquire functional literacy, life and job skills, through 
the pursuit of a postsecondary education certificate or an 
associate of arts or bachelor's degree. Grants also assist 
correction agencies in providing employment counseling and 
other related services that start during incarceration and 
continue through prerelease and while on parole. Under current 
law, each student is eligible for a grant of not more than 
$1,500 annually for tuition, books, and essential materials, 
and not more than $300 annually for related services such as 
career development, substance abuse counseling, parenting 
skills training, and health education. In order to participate 
in a program, a student must be no more than 25 years of age 
and be eligible to be released from prison within 5 years. 
Youth offender grants are for a period not to exceed 5 years, 1 
year of which may be devoted to study in remedial or graduate 
education.

                      Student Financial Assistance

Appropriations, 2006.................................... $14,926,975,000
Budget estimate, 2007...................................  13,747,000,000
House allowance.........................................  14,890,745,000
Committee recommendation................................  14,488,458,000

    The Committee recommends an appropriation of 
$14,488,458,000 for student financial assistance. The 
comparable fiscal year 2006 funding level is $14,926,975,000 
and the budget request includes $13,747,000,000 for this 
purpose.
    Programs in this account are authorized currently through 
September 30, 2006, under the terms of the Second Higher 
Education Extension Act of 2006. Program authorities and 
descriptions assume the continuation of current law.

Federal Pell Grant Program

    For Pell grant awards in the 2007-2008 academic year, the 
Committee recommends $12,606,713,000 to maintain the record 
maximum Pell Grant award level of $4,050. The appropriation 
provided in this bill, plus the estimated $271,000,000 
available from the fiscal year 2006 appropriation, will 
maintain the current grant level without creating a shortfall 
in the program.
    Pell grants provide need-based financial assistance that 
helps low-and middle-income undergraduate students and their 
families defray a portion of the costs of postsecondary 
education and vocational training. Awards are determined 
according to a statutory need analysis formula that takes into 
account a student's family income and assets, household size, 
and the number of family members, excluding parents, attending 
postsecondary institutions. Pell grants are considered the 
foundation of Federal postsecondary student aid.
    The budget request assumes the enactment of three 
legislative proposals related to the Pell Grant program. The 
Committee recommendation assumes this program will operate 
under current law.

Federal Supplemental Educational Opportunity Grants

    The Committee recommends $770,933,000 for Federal 
supplemental educational opportunity grants [SEOG]. The 
comparable fiscal year 2006 funding level and the budget 
request both are $770,933,000 for this purpose. This program 
provides funds to postsecondary institutions for need-based 
grants to undergraduate students. Institutions must contribute 
25 percent towards SEOG awards, which are subject to a maximum 
grant level of $4,000. School financial aid officers have 
flexibility to determine student awards, though they must give 
priority to Pell grant recipients with exceptional need.

Federal Work-Study Programs

    The Committee bill provides $980,354,000 for the Federal 
work-study program, the same amount as both the comparable 
fiscal year 2006 funding level and the budget request.
    This program provides grants to more than 3,300 
institutions to help an estimated 810,000 undergraduate, 
graduate, and professional students meet the costs of 
postsecondary education through part-time employment. Work-
study jobs must pay at least the Federal minimum wage and 
institutions must provide at least 25 percent of student 
earnings. Institutions also must use at least 7 percent of 
their grants for community-service jobs.
    The Committee continues to strongly support and encourage 
the Work College program authorized in section 448 of the 
Higher Education Act. Alice Lloyd College and Berea College in 
Kentucky, Blackburn College in Illinois, the College of the 
Ozarks in Missouri, Sterling College in Vermont, and Warren 
Wilson College in North Carolina not only provide a high 
quality education for their students, but also ensure access 
for thousands of students from families of modest means to a 
college education--while avoiding overwhelming these students 
and their families with large student loan debts. The Committee 
encourages the Work Colleges to find new ways to familiarize 
the broader higher education community with the work college 
philosophy and practice, and bring new institutions into the 
work college family. The Committee directs the Department to 
provide $6,000,000 for the Work Colleges from the regular 
Federal Work Study appropriation.

Federal Perkins Loans

    The Committee bill does not include any funds for Federal 
Perkins loans capital contributions. The comparable fiscal year 
2006 funding level did not include such funds and the budget 
request does not provide any funds for this purpose.
    The Federal Perkins loan program supports student loan 
revolving funds built up with capital contributions to nearly 
1,900 participating institutions. Institutions use these 
revolving funds, which also include Federal capital 
contributions [FCC], institutional contributions equal to one-
third of the FCC, and student repayments, to provide low-
interest (5 percent) loans that help financially needy students 
pay the costs of postsecondary education.
    The Committee recommends $65,471,000 for loan 
cancellations, the same amount as the comparable funding level 
for fiscal year 2006. The budget request did not include any 
funds for this purpose. These funds reimburse institutional 
revolving funds on behalf of borrowers whose loans are 
cancelled in exchange for statutorily specified types of public 
or military service, such as teaching in a qualified low-income 
school, working in a Head Start Program, serving in the Peace 
Corps or VISTA, or nurses and medical technicians providing 
health care services.
    The Committee recommendation does not include language 
proposed in the budget request to recall the Federal portion of 
loan repayments made during fiscal year 2007 to the revolving 
funds held by participating institutions.
    The Committee recommendation will maintain a robust loan 
program that will support more than $1,100,000,000 in loans to 
more than 500,000 individuals.
    The Committee recognizes the importance of the Perkins Loan 
Forgiveness Program for professionals in all eligible fields of 
study, including social work. The Committee requests that the 
Department of Education implement measures to better publicize 
that this loan forgiveness program is available to individuals 
in multiple fields identified in the Higher Education Act.

Leveraging Educational Assistance Partnership Program

    For the leveraging educational assistance partnership 
[LEAP] program, the Committee recommends $64,987,000, the same 
amount as the comparable funding level for fiscal year 2006. 
The budget proposes to eliminate funding for this program.
    The leveraging educational assistance partnership program 
provides a Federal match to States as an incentive for 
providing need-based grant and work-study assistance to 
eligible postsecondary students. When the appropriation exceeds 
$30,000,000, amounts above this threshold must be matched by 
States on a 2:1 basis. federally supported grants and job 
earnings are limited to $5,000 per award year for full-time 
students, but States may also make awards to part-time 
students.

                       Student Aid Administration

Appropriations, 2006....................................    $118,800,000
Budget estimate, 2007...................................     733,720,000
House allowance.........................................     713,720,000
Committee recommendation................................     713,720,000

    The Committee recommends $713,720,000 for the Student Aid 
Administration account. The comparable fiscal year 2006 
discretionary funding level is $118,800,000 and the budget 
request includes $733,720,000 for activities funded under this 
account, as reauthorized by the Higher Education Reconciliation 
Act of 2005. These funds are available until expended. That act 
reclassified most of the administrative costs of the Student 
Aid Account that were classified as mandatory spending through 
fiscal year 2006. In fiscal year 2006, the comparable amount of 
mandatory funding provided under the Higher Education 
Reconciliation Act was $600,000,000.
    Funds appropriated for the Student Aid Administration 
Account will support the Department's student aid management 
expenses. The Office of Federal Student Aid and Office of 
Postsecondary Education have primary responsibility for 
administering Federal student financial assistance programs.

                            Higher Education

Appropriations, 2006....................................  $1,951,053,000
Budget estimate, 2007...................................   1,108,711,000
House allowance.........................................   1,964,203,000
Committee recommendation................................   2,003,192,000

    The Committee recommends an appropriation of $2,003,192,000 
for higher education programs. The comparable fiscal year 2006 
funding level is $1,951,053,000 and the budget request includes 
$1,108,711,000 for such activities.
    Except for the activities authorized by the Mutual 
Educational and Cultural Exchange Act of 1961 and Carl D. 
Perkins Vocational and Technical Education Act, funded programs 
in this account are authorized through September 30, 2006 under 
the Second Higher Education Extension Act of 2006. All program 
authorities and descriptions assume the continuation of current 
law.

Aid for Institutional Development

    The Committee recommends $505,814,000 for aid for 
institutional development authorized by titles III and V of the 
Higher Education Act. The comparable funding level for fiscal 
year 2006 is $505,814,000 and the budget request includes 
$503,229,000 for authorized activities.
    Strengthening Institutions.--The Committee bill includes 
$79,535,000 for the part A strengthening institutions program. 
The comparable fiscal year 2006 funding level and the budget 
request both are $79,535,000 for this activity. The part A 
program supports competitive, 1-year planning and 5-year 
development grants for institutions with a significant 
percentage of financially needy students and low educational 
and general expenditures per student in comparison with similar 
institutions. Applicants may use part A funds to develop 
faculty, strengthen academic programs, improve institutional 
management, and expand student services. Institutions awarded 
funding under this program are not eligible to receive grants 
under other sections of part A or part B.
    Hispanic-Serving Institutions [HSI].--The Committee 
recommends $94,914,000 for institutions at which Hispanic 
students make up at least 25 percent of enrollment. The 
comparable fiscal year 2006 funding level and the budget 
request both are $94,914,000 for these institutions. 
Institutions applying for title V funds must meet the regular 
part A requirements and show that at least one-half of their 
Hispanic students are low-income college students. Funds may be 
used for acquisition, rental or lease of scientific or 
laboratory equipment, renovation of instructional facilities, 
development of faculty, support for academic programs, 
institutional management, and purchase of educational 
materials. Title V recipients are not eligible for other awards 
provided under title III, parts A and B.
    Strengthening Historically Black Colleges and 
Universities.--The Committee recommends $238,095,000 for part B 
grants. The comparable fiscal year 2006 funding level and the 
budget request both are $238,095,000 for authorized activities. 
The part B strengthening historically black colleges and 
universities [HBCU] program makes formula grants to HBCUs that 
may be used to purchase equipment, construct and renovate 
facilities, develop faculty, support academic programs, 
strengthen institutional management, enhance fundraising 
activities, provide tutoring and counseling services to 
students, and conduct outreach to elementary and secondary 
school students. The minimum allotment is $500,000 for each 
eligible institution. Part B recipients are not eligible for 
awards under part A.
    Strengthening Historically Black Graduate Institutions.--
The Committee recommends $57,915,000 for the part B, section 
326 program. The comparable fiscal year 2006 funding level and 
the budget request both are $57,915,000 for such activities. 
The section 326 program provides 5-year grants to strengthen 
historically black graduate institutions [HBGIs]. The Higher 
Education Amendments of 1998 increased the number of recipients 
to 18 named institutions, but reserved the first $26,600,000 
appropriated each year to the 16 institutions included in the 
previous authorization. Grants may be used for any part B 
purpose and to establish an endowment.
    Strengthening Alaska Native and Native Hawaiian-Serving 
Institutions.--The Committee recommends $11,785,000 for this 
program, the same amount as last year. The budget request 
includes $9,200,000 for authorized activities. The purpose of 
this program is to improve and expand the capacity of 
institutions serving Alaska Native and Native Hawaiian 
students. Funds may be used to plan, develop, and implement 
activities that encourage: faculty and curriculum development; 
better fund and administrative management; renovation and 
improvement of educational facilities; student services; and 
the purchase of library and other educational materials. As 
initial funding cycles expire, the Committee encourages the 
Department to use simplified application forms to permit 
participating institutions to obtain continuation funding for 
successful programs funded under this authority.
    Strengthening Tribally Controlled Colleges and 
Universities.--The Committee recommends $23,570,000 for 
strengthening tribal colleges and universities [TCUs]. The 
comparable funding level for fiscal year 2006 and the budget 
request both are $23,570,000 for this program. Tribal colleges 
and universities rely on a portion of the funds provided to 
address developmental needs, including faculty development, 
curriculum and student services.
    In past years, the Committee has supported a competitive 
grant program to assist institutions in addressing long overdue 
and high-priority infrastructure and facilities requirements. 
The Committee intends for the funds provided to be used to 
support continuation of existing basic grants and new planning 
or implementation grant awards. The remaining funds shall be 
available for grants for renovation and construction of 
facilities to continue to address urgently needed facilities 
repair and expansion.

International Education and Foreign Language Studies

    The bill includes a total of $105,751,000 for international 
education and foreign language programs. The comparable fiscal 
year 2006 funding level is $105,751,000 and the budget request 
includes $106,751,000 for such activities.
    The Committee bill includes language allowing funds to be 
used to support visits and study in foreign countries by 
individuals who plan to utilize their language skills in world 
areas vital to the United States national security in the 
fields of government, international development and the 
professions. Bill language also allows up to 1 percent of the 
funds provided to be used for program evaluation, national 
outreach and information dissemination activities. This 
language is continued from last year's bill and was proposed in 
the budget request.
    Domestic Programs.--The Committee recommends $91,541,000 
for domestic program activities related to international 
education and foreign language studies, including international 
business education, under title VI of the HEA. The comparable 
fiscal year 2006 funding level is $91,541,000 and the budget 
request includes $92,541,000 for authorized activities. 
Domestic programs include national resource centers, 
undergraduate international studies and foreign language 
programs, international research and studies projects, 
international business education projects and centers, American 
overseas research centers, language resource centers, foreign 
language and area studies fellowships, and technological 
innovation and cooperation for foreign information access.
    Overseas Programs.--The bill includes $12,610,000 for 
overseas programs authorized under the Mutual Educational and 
Cultural Exchange Act of 1961, popularly known as the 
Fulbright-Hays Act. The comparable fiscal year 2006 funding 
level and the budget request both are $12,610,000 for these 
programs. Under these overseas programs, grants are provided 
for group and faculty research projects abroad, doctoral 
dissertation research abroad, and special bilateral projects. 
Unlike other programs authorized by the Fulbright-Hays Act and 
administered by the Department of State, these Department of 
Education programs focus on training American instructors and 
students in order to improve foreign language and area studies 
education in the United States.
    Institute for International Public Policy.--The Committee 
bill recommends $1,600,000 for the Institute for International 
Public Policy. The comparable funding level for fiscal year 
2006 and the budget request both are $1,600,000 for authorized 
activities. This program is designed to increase the number of 
minority individuals in foreign service and related careers by 
providing a grant to a consortium of institutions for 
undergraduate and graduate level foreign language and 
international studies. An institutional match of 50 percent is 
required.

Fund for the Improvement of Postsecondary Education

    The Committee recommends $80,529,000 for the Fund for the 
Improvement of Postsecondary Education [FIPSE]. The comparable 
fiscal year 2006 funding level and the budget request both are 
$21,989,000 for this purpose. FIPSE stimulates improvements in 
education beyond high school by supporting exemplary, locally 
developed projects that have potential for addressing problems 
and recommending improvements in postsecondary education. The 
Fund is administered by the Department with advice from an 
independent board and provides small, competitive grants and 
contracts to a variety of postsecondary institutions and 
agencies, including 2- and 4-year colleges and universities, 
State education agencies, community-based organizations, and 
other non-profit institutions and organizations concerned with 
education beyond high school.
    The Committee recommendation includes $17,030,000, the full 
amount requested for the comprehensive program, as well as 
funds for international consortia programs.
    The Committee recommendation also includes bill language 
requiring that funds be provided to the following organizations 
in the amounts specified:

------------------------------------------------------------------------
                                                              Amount
------------------------------------------------------------------------
AIB College of Business, Des Moines, IA, for                    $500,000
 scholarships in captioning and court reporting........
Albertson College of Idaho, for a library technology             600,000
 infrastructure upgrade................................
Alpena Community College, MI, for its Rural Homeland             200,000
 Security Preparedness Education and Training
 Initiative............................................
American Prosthodontic Society Foundation, Osceola               150,000
 Mills, PA, for scholarships and program costs related
 to prosthetic dentistry and clinical prosthodontics...
Arkansas State University, Jonesboro, AR, to                     100,000
 collaborate with the University of Memphis, and the
 University of Mississippi, for the Delta Bridge
 Education Project to provide professional development
 for teachers..........................................
Assumption College, Worcester, MA for the procurement            150,000
 of technology infrastructure and educational program
 development...........................................
Baptist Bible College and Seminary, Clarks Summit, PA,           100,000
 for equipment and technology acquisition..............
Benjamin Franklin Institute of Technology, Boston, MA,           250,000
 for educational equipment and curriculum development
 to support medical technology professional training
 programs..............................................
Blue Mountain Community College, Pandleton, OR to                300,000
 expand and enhance distance education infrastructure..
Bristol Community College, Fall River, MA, to expand             200,000
 adult literacy and career development academic
 programs..............................................
Cabrini College, Radnor, PA, for equipment and                   100,000
 educational programming for the Center for Science,
 Education and Technology..............................
California University of Pennsylvania, California, PA,           100,000
 for a Math and Science Institute......................
Cedar Crest College, Allentown, PA, for a nursing                100,000
 education program.....................................
Clarion University of Pennsylvania, Clarion, PA, for             100,000
 equipment acquisition for mathematics and science
 laboratories..........................................
Clinton School of Public Service, Little Rock, AR, for         1,000,000
 endowment scholarships and curriculum develop-  ment..
College Misericordia, Dallas, PA, for technology                 100,000
 upgrades and infrastructure...........................
Community College of Beaver County, Monaca, PA, for              100,000
 technology training courses and technological
 infrastructure upgrades...............................
Community College of Philadelphia, Philadelphia, PA,             100,000
 for a distance learning initiative....................
Community College of Southern Nevada, Las Vegas, NV, to          750,000
 expand and improve Internet-based course offerings,
 including equipment purchase..........................
Connecticut State University, New Haven, Connecticut,            500,000
 for the Statewide Teacher Training Initiative.........
Dakota Wesleyan University, Mitchell, SD, for archiving          170,000
 of former Senator George McGovern's papers............
Dartmouth College, Hanover, NH, for an                         1,000,000
 interdisciplinary initiative on engineering and
 medicine..............................................
Deaf West Theatre, North Hollywood, CA, for cultural             600,000
 experiences for the deaf..............................
Dean College, Franklin, MA, to develop programs and              235,000
 procure equipment for the Learning Center.............
East Stroudsburg University, East Stroudsburg, PA, for           100,000
 science, math and technology training programs........
Eastern Iowa Community College, Davenport, IA, for the           350,000
 creation of a center on sustainable energy, including
 equipment.............................................
Eastern New Mexico University, Portales, NM, for                 885,000
 computer and telecommunications equipment for a
 foreign language instruction laboratory...............
Eastern University, St. Davids, PA, for laboratory               100,000
 equipment and technological infrastructure
 improvements..........................................
Edinboro University of Pennsylvania, Edinboro, PA, to            100,000
 support a computer forensics training program at the
 Western Pennsylvania High Tech Crime Training Center..
Elizabethtown College, Elizabethtown, PA, for support            200,000
 of science and math programs and increase academic
 research opportunities for students...................
Emerson College, Boston, MA, for educational equipment           400,000
 and program development...............................
Emmanuel College, Boston, MA, for the procurement of             220,000
 educational equipment and program develop-  ment......
Florida Memorial University, Miami, FL, for equipment            100,000
 for the Library Enhancement Initiative................
George Meany Center for Labor Studies- the National              900,000
 Labor College for curriculum development..............
Golden Apple Foundation, Chicago, IL, for a math and             350,000
 science teacher training initiative...................
Greenville Technical College, Greenville, SC, for                100,000
 curriculum development for the Greenville Technical
 Middle College program................................
Harrisburg Area Community College, Harrisburg, PA, for           100,000
 laboratory and equipment upgrades in support of
 programs at the Community Center for Technology and
 the Arts..............................................
Henry Kuualoha Giugni Archives at the University of              100,000
 Hawaii at Manoa, to establish an archival facility of
 historical Native Hawaiian records and stories........
Hepatitis B Foundation, Doylestown, PA, for education            100,000
 programs to prepare post-secondary students for
 careers in biomedical research, public health and
 biotechnology.........................................
Holyoke Community College, Holyoke, MA, for educational          200,000
 equipment and information technology..................
Houston Community College, Houston, TX, for the                  150,000
 Accelerated Nursing Proficiency Center................
Hudson Valley Community College, Troy, NY, to expand             500,000
 the nursing program...................................
Huntington Junior College, Huntington, WV, for the             1,200,000
 expansion of the captioning program...................
Immaculata University, Immaculata, PA, for technology            100,000
 acquisition and infrastructure improvements...........
Indiana University of Pennsylvania, Indiana, PA, for             100,000
 equipment acquisition and program support related to a
 mine safety and mapping initiative....................
James B. Edwards College of Dental Medicine,                     200,000
 Charleston, SC, for equipment acquisition and program
 support...............................................
Johnson and Wales University, Providence, RI for                 200,000
 special education teacher training....................
Keystone College, LaPlume, PA, for classroom and                 100,000
 laboratory equipment..................................
King's College, Wilkes-Barre, PA, for support of the             100,000
 Center for Community Engagement and Learning..........
La Salle University, Philadelphia, PA, for the                   100,000
 University Science and Technology Center to support
 math and science instruction for teachers, including
 tuition support.......................................
Lehigh Carbon Community College, Schnecksville, PA, to           100,000
 support an Academy of Arts, Sciences and Advanced
 Technologies..........................................
Lesley University, Cambridge, MA in partnership with             100,000
 Lesley University Education Center, Las Vegas, NV, to
 develop an online special education teacher
 certification program.................................
Lesley University, Cambridge, MA, for educational and            250,000
 research equipment to support new science instruction
 laboratories..........................................
Lewis-Clark State College, Lewiston, ID, to continue             450,000
 and expand the American Indian Students in the
 Leadership of Education Program.......................
Lincoln University, Lincoln University, PA, for campus-          100,000
 wide technology upgrades and wiring...................
Lock Haven University of Pennsylvania, Lock Haven, PA            100,000
 for program support and equipment related to a
 distance education initiative.........................
Lock Haven University, Lock Haven, PA for professional           400,000
 development partnerships and related services.........
Luzerne County Community College, Nanticoke, PA, for             100,000
 support of the Regional Public Safety Training
 Institute.............................................
Maryland Association of Community Colleges, Annapolis,         1,250,000
 MD, to expand and improve nursing programs at
 Maryland's sixteen community colleges.................
Messiah College, Grantham, PA, for wireless technology           100,000
 and technology infrastructure improvements............
MidAmerica Nazarine University, Olathe, KS for the               200,000
 Distance Education Initiative in Western Kansas.......
Mid-State Technical College, Wisconsin Rapids, WI, for           115,000
 training and certification programs in renewable
 energy technologies...................................
Miles Community College, Miles City, MT, for curriculum          500,000
 development and equipment for the Pathways to Careers
 in Health project.....................................
Millersville University of Pennsylvania, Millersville,           100,000
 PA, for teacher preparation programs in math and
 science...............................................
Mississippi Immigrants Community Development                     500,000
 Corporation, Jackson, MS, an English language pilot
 program...............................................
Mississippi State University, Mississippi State, MS for        1,200,000
 the National Center on Rural Early Childhood Learning
 Initiatives...........................................
Mississippi State University, Starkville, MS for               2,000,000
 acquisition of digital technology and studio
 production systems....................................
Mississippi State University, Starkville, MS, for                300,000
 support of a teacher preparation and enhancement
 initiative............................................
Mississippi Valley State University, Itta Bena, MS, for          500,000
 foreign language and international studies curriculum
 development and program support.......................
Missouri State University, Springfield, MO, for program        1,000,000
 development and equipment and technology for the
 Distance Learning Project on the West Plains Campus...
Montana State University--Billings for program                   500,000
 development in the College of Technology..............
Montana State University--Billings, Billings, MT, to             500,000
 develop health care-related degree and professional
 development education programs........................
Montgomery County Community College, Blue Bell, PA, for          200,000
 curriculum development and equipment acquisition......
Moravian College, Bethlehem, PA, for equipment,                  100,000
 technology, and curriculum development for a science
 initiative............................................
National Association for Equal Opportunity in Higher             400,000
 Education, Silver Spring, MD, for the Undergraduate
 Credit Discipline Education and Mentoring Program at
 Wilberforce University and Central State University in
 Ohio..................................................
National Student Partnerships, Washington, DC, for               100,000
 student volunteer training activities to improve and
 evaluate methods of expansion for national training
 programs..............................................
Nevada State College, Henderson, NV, to create a                 375,000
 partnership with the Community College of Southern
 Nevada and Clark County School District to increase
 the number of math and science teachers in Clark
 County................................................
New Hampshire Community Technical College System,                500,000
 Concord, NH, for technology and telecommunications
 systems linking the community college campuses........
New Mexico State University, New Mexico, to establish a          200,000
 new bridge program in manufacturing tech-  nology.....
North Dakota State College of Science, Wahpeton, ND, to          400,000
 train students in nanoscience and other advanced
 technologies..........................................
Northeast Community College, Nebraska, for the                   700,000
 development of a new college center...................
Northern Kentucky University in Highland Heights, KY,          1,500,000
 for technology, equipment, curriculum development and
 program development for the Infrastructure Management
 Institute.............................................
Pacific University, Hillsboro, OR, for equipment for             400,000
 the health professions campus.........................
Penn State Worthington Scranton, Dunmore, PA, for                150,000
 support of the Corporate Community Center.............
Philadelphia University, PA, for technology upgrades             100,000
 and to develop an instructional delivery system which
 will focus on the integration of technology into
 coursework............................................
Pierce College, Lakewood WA, for the Center of                   150,000
 Excellence for Homeland Security......................
Pittsburgh Tissue Engineering Initiative, Pittsburgh,            100,000
 PA, for program development...........................
Plymouth State University, Plymouth, New Hampshire, for          500,000
 a collaborative research institute for sustainable
 rural economics.......................................
Portland State University, Portland, OR, for the                 300,000
 Science Research and Teaching Center..................
Regis University, Henderson, NV, to design and adapt an          250,000
 online teacher education course.......................
Rhodes College, Memphis, TN to support the Rhodes                250,000
 College Learning Corridor and expand educational
 programs..............................................
Rice University, Houston, TX, for equipment for the              750,000
 Earth Sciences Laboratory at Weiss School of Natural
 Sciences..............................................
Robert Morris University, Moon Township, PA, for                 100,000
 equipment and support of nursing and allied health
 programs..............................................
Rochester Area Colleges, Rochester, NY, for a Center             800,000
 for Excellence in Math and Science....................
Salish Kootenai College, Pablo, MT, for faculty,                 500,000
 student recruitment and retention, and support of the
 nursing program.......................................
San Juan College, New Mexico, to expand training and           1,000,000
 academic programs in the School of Energy.............
Security On Campus, Inc., King of Prussia, PA, to                100,000
 develop and conduct regional training sessions on
 compliance with the Clery Act and the technical
 assistance handbook...................................
Shippensburg University, Shippensburg, PA, for                   100,000
 technology and infrastructure upgrades................
Southwestern Indian Polytechnic Institute, NM, to                400,000
 expand training programs including equipment purchase.
Southwestern University, Georgetown, TX, for curriculum          250,000
 development and equipment for the Center for Hispanic
 Studies...............................................
Stonehill College, Easton, MA, to procure equipment and          200,000
 develop programs for the Center for Non-Profit
 Management............................................
Sweetwater Education Foundation, Chula Vista, CA, for            100,000
 administration of the Compact for Success program.....
Syracuse University, NY, to create the Global Justice            250,000
 Center................................................
Temple University, Philadelphia, PA, for support of the          100,000
 Fox School of Business and Management Center for
 Competitive Government................................
Texas A&M University System Health Science Center,               100,000
 College Station, TX, for curriculum development and
 program support.......................................
Texas Southern University, Houston, TX, for equipment            200,000
 for the Center for Human and Material Science
 Performance...........................................
Texas Women's University, Denton, TX, for equipment and          250,000
 technology acquisition for the Institute of Health
 Sciences Dallas Center................................
Thaddeus Stevens College of Technology, Lancaster, PA,           250,000
 for support of technical education programs...........
Thiel College, Greenville, PA, for campus-wide                   100,000
 technology infrastructure upgrades....................
Touro University School of Nursing, Henderson, NV, to            500,000
 recruit, train and place rural students in post-
 graduate nursing education............................
Tuscarora Intermediate Unit 11, McVeytown, PA, for a             100,000
 distance education initiative.........................
University of Alaska, Anchorage for the Alaska Native          1,000,000
 Students in Engineering program.......................
University of Alaska/Southeast for the Alaska Distance         2,500,000
 Education Technology Consortium.......................
University of Arkansas for Medical Sciences, Little              380,000
 Rock, AR, for curriculum and infrastructure
 development enabling UAMS to participate and
 administer development of a multi-state master's
 degree program in genetic counseling and continuing
 education cou.........................................
University of Central Arkansas, Conway, AR, to provide           500,000
 faculty with appropriate instructional technology,
 software, and curriculum development support..........
University of Dubuque in Dubuque, Iowa for the                   500,000
 establishment of a nursing education program..........
University of Hawaii at Hilo for an Applied Rural                750,000
 Science program and a Clinical Pharmacy Training
 Program...............................................
University of Hawaii School of Law, for a health policy          150,000
 center and cultural education programs................
University of Idaho, Moscow, ID, for support of the              500,000
 Gateway to Math Program, a statewide, Internet-based
 outreach program for pre-college math students........
University of Maryland, College Park, to develop a             3,000,000
 Maryland Center for Public Service....................
University of Mississippi Research Foundation, Oxford,           500,000
 MS....................................................
University of Mississippi, Oxford, MS, for program and         3,000,000
 curriculum development in public policy leader-  ship.
University of Nevada-Reno, Reno, NV, for the Center for          100,000
 Student Cultural Diversity............................
University of Pittsburgh, Pittsburgh, PA to support the          200,000
 Dick Thornburgh Legacy Project........................
University of Rhode Island, Kingston, RI, for an                 200,000
 infants and toddlers care professional development
 program...............................................
University of San Francisco, San Francisco, CA, for              200,000
 science center equipment..............................
University of Scranton, Scranton, PA, to promote health          100,000
 education through the Center for Global Health,
 Education, and Rehabilitation.........................
University of Southern Mississippi, Hattiesburg, MS,             300,000
 for the Integrated Learning Initiative................
University of the Sciences in Philadelphia,                      100,000
 Philadelphia, PA, for a Science Education Partnership.
University of Tulsa, Tulsa, OK, for an information               160,000
 technology initiative.................................
University of Vermont of Burlington, VT, to establish            300,000
 advanced practice graduate nursing program in
 psychiatric-mental health nursing.....................
University of Washington Bothell, Bothell, WA, for the           300,000
 Nursing Faculty Consortium............................
University of Wisconsin-Eau Claire, Eau Claire, WI, for          200,000
 equipment for nanotechnology education pro-  grams....
Urban College of Boston, Boston, MA, to support higher           750,000
 education programs serving low-income and minority
 students..............................................
Utah Valley State College, Orem, UT, for equipment and           100,000
 software for the Digital Learning Center..............
Villa Julie College, Stevenson, MD, to expand the                500,000
 Nursing Distance Learning Program.....................
Virginia Military Institute, Lexington, VA, for                  100,000
 curriculum development and program support............
Washington & Jefferson College, Washington, PA, for a            100,000
 foreign language distance instruction initiative......
Washington & Jefferson College, Washington, PA, for              100,000
 support of foreign language instruction...............
Washington Center for Internships and Academic                   100,000
 Seminars, Washington, DC, for support of an internship
 program for minority college students and recent
 graduates.............................................
Washington State University, to expand and enhance               500,000
 science education for women...........................
Weber State University, Ogden, UT, to improve access             750,000
 for and graduation rates of nursing students..........
West Chester University, West Chester, PA, for                   100,000
 technology infrastructure upgrades....................
Western Iowa Tech Community College, Sioux City, IA,             100,000
 for equipment.........................................
Western Kentucky University, Bowling Green, KY, for            1,500,000
 technology and equipment for the Kentucky Academy of
 Mathematics and Science...............................
Westminster College, Salt Lake City, UT, for                     100,000
 development of distance learning technology and curri-
  culum................................................
Westmoreland County Community College, Waynesburg, PA,           100,000
 for classroom equipment and technology associated with
 programs at EverGreene Technology Park................
Wheaton College, Norton, MA, to procure educational              200,000
 equipment and information technology to support
 science center expansion..............................
Wheelock College, Boston, MA, for educational equipment          250,000
 and curriculum development for the K-9 science
 teachers program......................................
William Paterson University, for the Center for the              200,000
 Study of Critical Languages...........................
Wilson College, Chambersburg, PA, for support of the             100,000
 Institute for Women and Girls in Science, Mathematics
 and Technology........................................
Wisconsin Association of Independent Colleges and                200,000
 Universities, Madison, WI, to coordinate
 administrative support................................
------------------------------------------------------------------------

Minority Science and Engineering Improvement

    The Committee recommends $8,730,000 for the Minority 
Science and Engineering Improvement program [MSEIP]. The 
comparable fiscal year 2006 funding level and the budget 
request both are $8,730,000 for this program. Funds are used to 
provide discretionary grants to institutions with minority 
enrollments greater than 50 percent to purchase equipment, 
develop curricula, and support advanced faculty training. 
Grants are intended to improve science and engineering 
education programs and increase the number of minority students 
in the fields of science, mathematics, and engineering.

Tribally Controlled Postsecondary Vocational Institutions

    The Committee recommends $7,366,000 for tribally controlled 
postsecondary vocational institutions. The comparable fiscal 
year 2006 funding level and the budget request both are 
$7,366,000 for this purpose. This program provides grants for 
the operation and improvement of two tribally controlled 
postsecondary vocational institutions to ensure continued and 
expanding opportunities for Indian students: United Tribes 
Technical College in Bismarck, North Dakota, and Crownpoint 
Institute of Technology in Crownpoint, New Mexico.
    The Committee bill includes language carried over from last 
year's bill and proposed in the budget request that allows 
grantees to charge the regular indirect cost rate to their 
grants.

Federal TRIO Programs

    The Committee recommends $828,178,000 for Federal TRIO 
Programs. The comparable fiscal year 2006 funding level is 
$828,178,000 and the budget request includes $380,100,000 for 
this program. The budget request redirects the savings from the 
reduction proposed for TRIO programs to provide support for a 
proposed High School Reform initiative.
    TRIO programs provide a variety of services to improve 
postsecondary education opportunities for low-income 
individuals and first-generation college students: Upward Bound 
offers disadvantaged high school students academic services to 
develop the skills and motivation needed to continue their 
education; Student Support Services provides remedial 
instruction, counseling, summer programs and grant aid to 
disadvantaged college students to help them complete their 
postsecondary education; Talent Search identifies and counsels 
individuals between ages 11 and 27 regarding opportunities for 
completing high school and enrolling in postsecondary 
education; Educational Opportunity Centers provide information 
and counseling on available financial and academic assistance 
to low-income adults who are first-generation college students; 
and the Ronald E. McNair Postbaccalaureate Achievement Program 
supports research internships, seminars, tutoring, and other 
activities to encourage disadvantaged college students to 
enroll in graduate programs.
    The Committee is concerned about the potential impact of 
the Invitational Priority for the Upward Bound program 
published in the Federal Register on July 3, 2006 and its 
potential impact on services to eligible students. The 
Committee encourages the Department to consider fully comments 
on this proposed priority. The Committee requests a briefing by 
the Department on this issue, prior to the announcement of the 
competition for the Upward Bound program.

Gaining Early Awareness and Readiness for Undergraduate Programs 
        [GEARUP]

    The Committee recommends $303,423,000 for GEARUP. The 
comparable fiscal year 2006 funding level is $303,423,000 and 
the budget request does not include any funds for this purpose. 
The budget proposes to redirect these funds to provide support 
for a proposed High School Reform initiative.
    Under this program funds are used by States and 
partnerships of colleges, middle and high schools, and 
community organizations to assist middle and high schools 
serving a high percentage of low-income students. Services 
provided help students prepare for and pursue a postsecondary 
education.

Byrd Honors Scholarships

    The Committee recommends $41,000,000 for the Byrd honors 
scholarship program. The comparable fiscal year 2006 funding 
level is $40,590,000 and the budget request does not include 
any funds for this program.
    The Byrd honors scholarship program is designed to promote 
student excellence and achievement and to recognize 
exceptionally able students who show promise of continued 
excellence. Funds are allocated to State education agencies 
based on each State's school-aged population. The State 
education agencies select the recipients of the scholarships in 
consultation with school administrators, teachers, counselors, 
and parents. The funds provided will support a new cohort of 
first-year students in 2007, and continue support for the 2004, 
2005, and 2006 cohorts of students in their fourth, third and 
second years of study, respectively. The amount recommended 
will provide scholarships of $1,500 to 27,333 students.

Javits Fellowships

    The Committee recommends $9,699,000 for the Javits 
Fellowships program. The comparable fiscal year 2006 funding 
level and the budget request both are $9,699,000 for this 
program.
    The Javits Fellowships program provides fellowships of up 
to 4 years to students of superior ability who are pursuing 
doctoral degrees in the arts, humanities, and social sciences 
at any institution of their choice. Each fellowship consists of 
a student stipend to cover living costs, and an institutional 
payment to cover each fellow's tuition and other expenses. The 
Committee bill includes language proposed in the budget that 
stipulates that funds provided in the fiscal year 2007 
appropriation support fellowships for the 2008-2009 academic 
year.

Graduate Assistance in Areas of National Need [GAANN]

    The Committee recommends $30,067,000 for graduate 
assistance in areas of national need. The comparable fiscal 
year 2006 funding level and the budget request both are 
$30,067,000 for GAANN. This program awards competitive grants 
to graduate academic departments and programs for fellowship 
support in areas of national need as determined by the 
Secretary. In fiscal year 2005, the Secretary designated the 
following areas of national need: biology, chemistry, computer 
and information sciences, engineering, geological and related 
sciences, mathematics, physics, and nursing. Recipients must 
demonstrate financial need and academic excellence, and seek 
the highest degree in their fields.
    The Committee is especially pleased that the Secretary 
included nursing as an area of national need in its fiscal year 
2006 program announcement. Given the magnitude of the nursing 
shortage, the Committee was pleased to see the Secretary take 
this step in establishing a priority for a nursing program that 
focuses on the preparation of nurse scholars at the PhD level 
for educational leadership roles.
    The Committee believes that the GAANN program can make a 
difference in helping our Nation prepare for the projected need 
for 1.2 million new and replacement nurses by 2014 as 
identified by the U.S. Bureau of Labor Statistics. The 
Committee encourages the Secretary to include nursing as an 
area of national need in future years until our Nation develops 
an adequate supply of nurses and ends this projected shortage.

Teacher Quality Enhancement Grants

    The Committee recommends $57,000,000 for the teacher 
quality enhancement grants program. The comparable fiscal year 
2006 funding level is $59,895,000 and the budget request 
proposes to eliminate funding for this program.
    The program was established to support initiatives that 
best meet specific teacher preparation and recruitment needs. 
Further, the Higher Education Act provides and designates 
funding for the program in three focus areas: 45 percent of 
resources support a State grant program, 45 percent of funds 
are used for a partnership program, and 10 percent are 
designated for a recruitment grant program.
    The Committee bill includes language that would allow the 
Department to fund awards under the three program areas at the 
discretion of the Department, instead of as mandated by the 
Higher Education Act. The Committee continues this language 
from last year's bill in order to prevent funds available under 
this program from going unused.
    Under the State grant program, funds may be used for a 
variety of State-level reforms, including more rigorous teacher 
certification and licensure requirements; provision of high-
quality alternative routes to certification; development of 
systems to reward high-performing teachers and principals; and 
development of efforts to reduce the shortage of qualified 
teachers in high-poverty areas.
    Teacher training partnership grants, which are awarded to 
local partnerships comprised of at least one school of arts and 
science, one school or program of education, a local education 
agency, and a K-12 school, may be used for a variety of 
activities designed to improve teacher preparation and 
performance, including efforts to provide increased academic 
study in a proposed teaching specialty area; to prepare 
teachers to use technology effectively in the classroom; to 
provide preservice clinical experiences; and to integrate 
reliable research-based teaching methods into the curriculum. 
Partnerships may work with other entities, with those involving 
businesses receiving priority consideration. Partnerships are 
eligible to receive a one-time-only grant to encourage reform 
and improvement at the local level.
    The recruitment grant program supports efforts to reduce 
shortages of qualified teachers in high-need school districts 
as well as provide assistance for high-quality teacher 
preparation and induction programs to meet the specific 
educational needs of the local area.

Child Care Access Means Parents in Schools

    The Committee recommends an appropriation of $15,810,000 
for the Child Care Access Means Parents in School [CCAMPIS] 
program. The comparable fiscal year 2006 funding level and the 
budget request both are $15,810,000 for this program. CCAMPIS 
was established in the Higher Education Amendments of 1998 to 
support the efforts of a growing number of non-traditional 
students who are struggling to complete their college degrees 
at the same time that they take care of their children. 
Discretionary grants of up to 4 years are made to institutions 
of higher education to support or establish a campus-based 
childcare program primarily serving the needs of low-income 
students enrolled at the institution.

Advancing America through Foreign Language Partnerships

    The Committee recommendation does not include funding for 
this new program. The budget request proposes $24,000,000 for a 
new program of grants to increase the number of Americans with 
professional levels of competency in languages critical to 
national security. Under this new program grants would be 
awarded to institutions of higher education for partnerships 
with school districts to create programs of study in 
kindergarten through 16th grade in critical needs languages. 
The budget proposes bill language to create this new program.

Demonstration Projects to Ensure Quality Higher Education for Students 
        With Disabilities

    The Committee recommends $6,875,000 for this program, the 
same amount as the comparable fiscal year 2006 funding level. 
The budget proposes no funding for this program. This program's 
purpose is to ensure that students with disabilities receive a 
high-quality postsecondary education. Grants are made to 
support model demonstration projects that provide technical 
assistance and professional development activities for faculty 
and administrators in institutions of higher education.
    The Committee urges the Department to utilize resources 
available under the GPRA/data collection program to support a 
rigorous evaluation of outcomes achieved by grantees funded 
under this program and to identify the impact that these funds 
are having on improving opportunities for students with 
disabilities at institutions of higher education throughout the 
United States.

Underground Railroad Program

    The Committee recommendation includes $1,980,000 for the 
Underground Railroad program, the same amount as the comparable 
fiscal year 2006 funding level. The budget request does not 
include any funds for this activity. The program was authorized 
by the Higher Education Amendments of 1998 and was funded for 
the first time in fiscal year 1999. Grants are provided to 
research, display, interpret, and collect artifacts relating to 
the history of the underground railroad. Educational 
organizations receiving funds must demonstrate substantial 
private support through a public-private partnership, create an 
endowment fund that provides for ongoing operation of the 
facility, and establish a network of satellite centers 
throughout the United States to share information and teach 
people about the significance of the Underground Railroad in 
American history.

GPRA/Higher Education Act Program Evaluation

    The Committee recommends $970,000 for data collection 
associated with the Government Performance and Results Act data 
collection and to evaluate programs authorized by the Higher 
Education Act. The comparable fiscal year 2006 funding level 
and the budget request both are $970,000 for these activities. 
These funds are used to comply with the Government Performance 
and Results Act, which requires the collection of data and 
evaluation of Higher Education programs and the performance of 
recipients of Higher Education funds.

B.J. Stupak Olympic Scholarships

    The Committee recommendation does not include funding for 
this program. The comparable fiscal year 2006 funding level is 
$970,000 and the budget request did not include funds for this 
activity. Funds appropriated in fiscal year 2006 will be used 
to provide financial assistance to athletes who are training at 
the United States Olympic Education Center or one of the United 
States Olympic Training Centers and who are pursuing a 
postsecondary education at an institution of higher education. 
Unlike most other Federal student aid programs, scholarships 
are provided without consideration of expected family 
contributions.

Thurgood Marshall Legal Educational Opportunity Program

    The Committee recommendation does not include any funds for 
the Thurgood Marshall Legal Educational Opportunity Program. 
The comparable funding level for fiscal year 2006 is $2,946,000 
and the budget request does not include any funds for this 
purpose.
    Under this program, funds help low-income, minority or 
disadvantaged college students with the information, 
preparation and financial assistance to enter and complete law 
school study. The Higher Education Act stipulates that the 
Secretary make an award to or contract with the Council on 
Legal Education Opportunity to carry out authorized activities.

                           Howard University

Appropriations, 2006....................................    $237,391,000
Budget estimate, 2007...................................     237,392,000
House allowance.........................................     237,392,000
Committee recommendation................................     237,392,000

    The Committee recommends an appropriation of $237,392,000 
for Howard University. The comparable fiscal year 2006 funding 
level is $237,391,000 and the budget request includes 
$237,392,000 for this purpose. Howard University is located in 
the District of Columbia and offers undergraduate, graduate, 
and professional degrees through 12 schools and colleges. The 
university also administers the Howard University Hospital, 
which provides both inpatient and outpatient care, as well as 
training in the health professions. Federal funds from this 
account support more than 50 percent of the university's 
projected educational and general expenditures, excluding the 
hospital. The Committee recommends, within the funds provided, 
not less than $3,600,000 shall be for the endowment program.
    Howard University Hospital.--Within the funds provided, the 
Committee recommends $29,461,000 for the Howard University 
Hospital. The comparable fiscal year 2006 funding level and the 
budget request both are $29,461,000 for this purpose. The 
hospital serves as a major acute and ambulatory care center for 
the District of Columbia and functions as a major teaching 
facility attached to the university. The Federal appropriation 
provides partial funding for the hospital's operations.

             College Housing and Academic Facilities Loans

Appropriations, 2006....................................        $567,000
Budget estimate, 2007...................................         486,000
House allowance.........................................         486,000
Committee recommendation................................         486,000

    Federal Administration.--The Committee bill includes 
$486,000 for Federal administration of the CHAFL program. The 
comparable fiscal year 2006 funding level is $567,000 and the 
budget request includes $486,000 for such expenses.
    These funds will be used to reimburse the Department for 
expenses incurred in managing the existing CHAFL loan portfolio 
during fiscal year 2007. These expenses include salaries and 
benefits, travel, printing, contracts (including contracted 
loan servicing activities), and other expenses directly related 
to the administration of the CHAFL program.

  Historically Black College and University Capital Financing Program

Appropriations, 2006....................................        $208,000
Budget estimate, 2007...................................         190,000
House allowance.........................................         190,000
Committee recommendation................................         190,000

    Federal Administration.--The Committee recommends $190,000 
for Federal administration of the Historically Black College 
and University [HBCU] Capital Financing Program. The comparable 
fiscal year 2006 funding level is $208,000 and the budget 
request includes $190,000 for this activity.
    The HBCU Capital Financing Program makes capital available 
to HBCUs for construction, renovation, and repair of academic 
facilities by providing a Federal guarantee for private sector 
construction bonds. Construction loans will be made from the 
proceeds of the sale of the bonds.

                     Institute of Education Science

Appropriations, 2006....................................    $517,468,000
Budget estimate, 2007...................................     554,468,000
House allowance.........................................     534,916,000
Committee recommendation................................     535,916,000

    The bill includes $535,916,000 for the Institute of 
Education Sciences. The comparable fiscal year 2006 funding 
level is $517,468,000 and the budget request includes 
$554,468,000 for comparable activities. This account supports 
education research, data collection and analysis activities, 
and the assessment of student progress.

Research, Development and Dissemination

    The Committee recommends $162,552,000 for education 
research, development and national dissemination activities. 
The comparable fiscal year 2006 amount and the budget request 
both are $162,552,000 for these activities. Funds are available 
for obligation for 2 fiscal years. These funds support 
research, development, and dissemination activities that are 
aimed at expanding fundamental knowledge of education and 
promoting the use of research and development findings in the 
design of efforts to improve education.
    The Committee strongly supports the Department's efforts to 
carry out congressionally authorized evaluations of Federal 
education programs using rigorous methodologies, particularly 
random assignment, that are capable of producing scientifically 
valid knowledge regarding which program activities are 
effective. To ensure that authorized evaluations are conducted 
in a rigorous manner that is independent of the program office 
and includes scientific peer review, the Committee believes 
that the Institute of Education Sciences should be the lead 
agency for the design and implementation of these evaluations. 
The Committee believes further that it is essential for program 
offices to work collaboratively with the Institute to include a 
priority or requirement in program solicitations for grantee 
participation in such evaluations, including random assignment, 
to the extent the Institute deems appropriate and where not 
specifically prohibited by law. The Committee notes that 
program offices and the Institute have already collaborated in 
this manner to advance rigorous evaluations in programs such as 
Student Drug Testing, Smaller Learning Communities, Student 
Mentoring, and Striving Readers.
    The Committee is pleased with the framework identified by 
the Institute in June 2, 2006 correspondence from the Director 
that outlines concrete steps the Institute is taking to 
implement the national research and development centers program 
in fiscal year 2006, consistent with the intent of the 
Committee. This correspondence stated that the Institute would 
spend $18,000,000 in fiscal year 2006 funds for base grants for 
nine research and development centers, with the balance of 
funds available for supplemental funding of centers that have 
been in operation for at least 1 year. The correspondence 
further stated that supplemental funding requests would be 
considered for research and related activities relevant to and 
aligned with the original objectives of center awards, even if 
such proposals overlapped 2007 competitions announced by the 
Institute. The Committee intends that fiscal year 2007 funds 
available to the Institute will be utilized in the same manner 
and amounts.
    The Committee is pleased that the Institute conducted a 
round of field-initiated research this year. The Committee 
recognizes the critical role the Institute plays in achieving 
the important goals set by the No Child Left Behind Act and 
encourages the Institute to continue its progress in 
translating scientifically based research findings into 
classroom practice. The Committee supports the implementation 
of programs that bring advances in cognitive, developmental, 
educational science and neuroscience into the classroom by 
informing curriculum development in schools and in graduate 
schools of education.
    The Committee encourages the Institute to establish a 
research priority in the area of identifying and serving gifted 
students from culturally diverse, disabled, economically 
disadvantaged and other populations traditionally underselected 
for gifted and talented education programs. The Committee is 
aware that a research and development center will be awarded in 
this area during fiscal year 2006, but believes that there is 
great potential for additional research opportunities at 
institutions with a long history of producing and disseminating 
high-quality work in this area.

Statistics

    The Committee recommends $91,022,000 for data gathering and 
statistical analysis activities of the National Center for 
Education Statistics [NCES]. The comparable fiscal year 2006 
funding level is $90,022,000 and the budget request includes 
$93,022,000 for this purpose.
    The NCES collects, analyzes, and reports statistics on 
education in the United States. Activities are carried out 
directly and through grants and contracts. The Center collects 
data on educational institutions at all levels, longitudinal 
data on student progress, and data relevant to public policy. 
The NCES also provides technical assistance to State and local 
education agencies and postsecondary institutions.
    The Committee has included funds above the fiscal year 2006 
level under the arts in education evaluation activity and 
within this program for the National Center for Education 
Statistics to utilize its Fast Response Survey System to 
collect data for the report of Arts Education in Public 
Elementary and Secondary Schools during the 2007-2008 school 
year. The Committee expects this survey to be co-requested by 
the Office of Innovation and Improvement and the National 
Endowment for the Arts, and administered by the Institute for 
Education Sciences. The Committee believes the survey must have 
the comprehensive quality of the 2002 report and should include 
national samples of elementary and secondary school principals, 
as well as surveys of elementary and secondary classroom 
teachers and arts specialists.

Regional Educational Laboratories

    The Committee recommends $65,470,000 to continue support 
for the regional educational laboratories. The comparable 
fiscal year 2006 funding level and the budget request both are 
$65,470,000 for this purpose. Program funds support a network 
of 10 laboratories that are responsible for promoting the use 
of broad-based systemic strategies to improve student 
achievement.
    The Committee is pleased that the research, development, 
dissemination, and technical assistance activities carried out 
by the regional educational laboratories will be consistent 
with the standards for scientifically based research prescribed 
in the Education Sciences Reform Act of 2002. The Committee 
believes that the laboratories, working collaboratively with 
the comprehensive centers and Department-supported technical 
assistance providers, have an important role to play in helping 
parents, States, and school districts improve student 
achievement as called for in No Child Left Behind. In 
particular, the Committee intends for the laboratories and 
their technical assistance provider partners to provide 
products and services that will help States and school 
districts utilize the school improvement funds available in the 
Education for the Disadvantaged account to support school 
improvement activities that are supported by scientifically 
based research. The Committee requests that the 2008 
congressional justification include specific information about 
the actions taken to support the Committee's intention in 
providing resources for this program, other technical 
assistance providers and school improvement activities.

Research and Innovation in Special Education

    The Committee recommends $71,840,000 for research and 
innovation in special education. The comparable funding level 
for fiscal year 2006 and the budget request both are 
$71,840,000 for this purpose. The reauthorization of the 
Individuals with Disabilities Education Act created a new 
National Center for Special Education Research. This new center 
will address gaps in scientific knowledge in order to improve 
special education and early intervention services and outcomes 
for infants, toddlers, and children with disabilities. Funds 
provided to the center will be available for obligation for 2 
fiscal years.
    The Committee commends the Institute for its efforts to 
transform education into an evidence-based field in which 
decisionmakers routinely seek out the best available research 
and data before adopting programs or practices that will affect 
significant numbers of students. The Committee encourages the 
Institute to coordinate with the Head Start Bureau, the Office 
of Special Education Programs, the National Institutes of 
Health and other Federal agencies conducting research in the 
field of early learning, early identification, early 
intervention and scientific, research-based reading instruction 
to ensure collaboration wherever possible on the research 
initiatives that directly affect students with specific 
learning disabilities and those most at risk for specific 
learning disabilities.

Special Education Studies and Evaluations

    The Committee recommends $9,900,000 for special education 
studies and evaluations. Funding for this activity was made 
available previously as a set-aside from the Special Education 
State Grants program until this new authority was created by 
the Individuals with Disabilities Education Improvement Act of 
2004. The comparable funding level for fiscal year 2006 and the 
budget request both are $9,900,000 for this purpose.
    This program will support competitive grants, contracts, 
and cooperative agreements to assess the implementation of the 
Individuals with Disabilities Education Act. Funds also will be 
used to evaluate the effectiveness of State and local efforts 
to deliver special education services and early intervention 
programs. Funds are available for obligation for 2 fiscal 
years.

Statewide Data Systems

    The Committee recommendation includes $38,000,000 for 
Statewide Data Systems. The comparable funding level for fiscal 
year 2006 is $24,552,000 and the budget request includes 
$54,552,000.
    This program supports competitive grants to State 
educational agencies to enable such agencies to design, 
develop, and implement statewide, longitudinal data systems to 
manage, analyze, disaggregate, and use individual student data. 
Funds are available for obligation for 2 fiscal years. The 
Committee believes these funds are necessary to help States 
measure individual student performance, particularly as it 
relates to adequate yearly progress goals, more efficiently and 
accurately.
    The Committee commends the Institute for its work in 
establishing an expert team to design the program and plan the 
2005 grant competition. These actions are the first steps 
toward fulfilling the goals established in the Educational 
Technical Assistance Act and the statement of the managers 
accompanying the fiscal year 2005 Department of Education 
appropriations act. The Committee supports the progress of the 
Institute of Education Sciences in implementing the Statewide 
Longitudinal Data Systems program through the 14 grant awards 
made to States to date. The goals of these grants are to 
enhance the ability of States to use education data from 
individual student records to make data-driven decisions to 
improve student learning, to facilitate research to increase 
student achievement and close achievement gaps, and to comply 
with requirements under the Elementary and Secondary Education 
Act of 1965 and other reporting requirements. The Committee 
intends for the Institute to continue to administer this 
program in a manner that addresses all of these goals.

Assessment

    The Committee recommends $97,132,000 for assessment. The 
comparable fiscal year 2006 funding level is $93,132,000 and 
the budget request includes $97,132,000 for authorized 
activities.
    These funds provide support for the National Assessment of 
Educational Progress [NAEP], a congressionally mandated 
assessment created to measure the educational achievement of 
American students. The primary goal of NAEP is to determine and 
report the status and trends over time in educational 
achievement, subject by subject. Beginning in 2002, the 
Department began paying for State participation in biennial 
reading and mathematics assessments in grades 4 and 8.
    The budget request includes an increase of $4,000,000 to 
support essential activities for implementing in 2009 State-
level assessments in the 12th grade. The Committee 
recommendation includes these requested funds.
    The Committee expects the Department to administer the 
National Assessment of Educational Progress in the Arts in 
2008, as is indicated in the 2007 congressional justification, 
which states that the fiscal year 2007 appropriation will be 
used in part to prepare for this assessment.
    Within the funds appropriated, the Committee recommends 
$5,037,000 for the National Assessment Governing Board [NAGB], 
which is responsible for formulating policy for NAEP. The 
comparable fiscal year 2006 amount and the budget request both 
are $5,037,000 for NAGB.

                        Departmental Management


                         PROGRAM ADMINISTRATION

Appropriations, 2006....................................    $411,150,000
Budget estimate, 2007...................................     425,966,000
House allowance.........................................     423,916,000
Committee recommendation................................     423,916,000

    The Committee recommends $423,916,000, for program 
administration. The comparable fiscal year 2006 funding level 
is $411,150,000 and the budget request includes $425,966,000 
for this purpose.
    Funds support personnel compensation and benefits, travel, 
rent, communications, utilities, printing, equipment and 
supplies, automated data processing, and other services 
required to award, administer, and monitor approximately 180 
Federal education programs. Support for program evaluation and 
studies and advisory councils is also provided under this 
activity.
    The budget request includes $4,550,000 for building 
renovations and related expenses associated with the upgrade of 
the Mary E. Switzer building. The Committee recommendation 
includes $2,500,000 for this purpose and makes the funds 
available until expended, as proposed in the budget request.
    The Committee is aware that several leading professional 
societies and lay organizations have recognized the importance 
of managing life-threatening food allergies in the school 
setting. It is estimated that 94 percent of the Nation's 
schools have students with food allergy, and the incidence is 
increasing. The Committee encourages the Department to work 
with the Department of Health and Human Services and 
knowledgeable private sector organizations on the development 
of guidelines for the management of children with food allergy 
as well as a plan to disseminate these guidelines to State and 
local educational agencies.

                        OFFICE FOR CIVIL RIGHTS

Appropriations, 2006....................................     $90,611,000
Budget estimate, 2007...................................      92,866,000
House allowance.........................................      92,866,000
Committee recommendation................................      92,866,000

    The Committee bill includes $92,866,000 for the Office for 
Civil Rights [OCR]. The comparable fiscal year 2006 amount was 
$90,611,000 and the budget request is $92,866,000 for this 
purpose.
    The Office for Civil Rights is responsible for the 
enforcement of laws that prohibit discrimination on the basis 
of race, color, national origin, sex, disability, and age in 
all programs and institutions funded by the Department of 
Education. To carry out this responsibility, OCR investigates 
and resolves discrimination complaints, monitors desegregation 
and equal educational opportunity plans, reviews possible 
discriminatory practices by recipients of Federal education 
funds, and provides technical assistance to recipients of funds 
to help them meet civil rights requirements.
    In last year's Senate report (109-103), the Committee 
expressed concern over the Department's ``Additional 
Clarification of Intercollegiate Athletics Policy: Three-Part 
Test--Part Three'' issued in March 2005 and asked the 
Department to prepare a report addressing the other sources of 
information besides surveys institutions consider to assess 
student interest under the third prong of the three-part test. 
The Committee is aware that the Secretary has reassured the 
Congress through several exchanges of correspondence, and in 
its report, that the Additional Clarification does not 
establish any new legal standards, but rather is intended to 
provide institutions with additional guidance on compliance 
with the third part of the three-part test. Accordingly, the 
Committee understands that the 2005 Additional Clarification 
does not change the legal standards for compliance with prong 
three set forth in the 1996 Policy Clarification, and that a 
presumption of compliance with prong three may not be achieved 
solely through reliance on a survey. Rather, the Committee 
understands that the Additional Clarification is intended to 
provide recipients with a model survey that they may use as one 
tool in the process of evaluating their compliance with prong 
three and any such survey may only be used in conjunction with 
the other methods for assessing interest that the 1996 
Clarification requires recipients to evaluate (such as 
interviews with students and coaches and participation rates in 
area high school, club, intramural and community sports). The 
Committee also understands that any nonresponse to the Model 
Survey will be considered a nonresponse, rather than an 
expression of lack of interest, unless the institution takes 
appropriate and effective measures to follow up with each 
nonrespondent to obtain a valid response to each survey 
question. To eliminate confusion regarding the use of interest 
surveys to demonstrate compliance with prong three, the 
Committee urges the Department to provide public notice of the 
understanding of the Additional Clarification expressed in the 
preceding sentences to all entities covered under title IX, 
including by posting such notice on the Department's website. 
The Committee requests that the Department take this action no 
later than 60 days after enactment of this act.

                    OFFICE OF THE INSPECTOR GENERAL

Appropriations, 2006....................................     $48,510,000
Budget estimate, 2007...................................      53,145,000
House allowance.........................................      51,000,000
Committee recommendation................................      51,000,000

    The Committee recommends $51,000,0000 for the Office of the 
Inspector General. The comparable fiscal year 2006 amount is 
$48,510,000 and the budget request includes $53,145,000 for 
authorized activities.
    The Office of the Inspector General has the authority to 
investigate all departmental programs and administrative 
activities, including those under contract or grant, to prevent 
and detect fraud and abuse, and to ensure the quality and 
integrity of those programs. The Office investigates alleged 
misuse of Federal funds, and conducts audits to determine 
compliance with laws and regulations, efficiency of operations, 
and effectiveness in achieving program goals.

                           General Provisions

    The Committee bill contains language which has been 
included in the bill since 1974, prohibiting the use of funds 
for the transportation of students or teachers in order to 
overcome racial imbalance (sec. 301).
    The Committee bill contains language included in the bill 
since 1977, prohibiting the involuntary transportation of 
students other than to the school nearest to the student's home 
(sec. 302).
    The Committee bill contains language which has been 
included in the bill since 1980, prohibiting the use of funds 
to prevent the implementation of programs of voluntary prayer 
and meditation in public schools (sec. 303).
    The Committee bill includes a provision giving the 
Secretary of Education authority to transfer up to 1 percent of 
any discretionary funds between appropriations (sec. 304).
    The Committee bill includes a provision related to 
eligibility and the computation of payments for the Impact Aid 
program (sec. 305).

                                TITLE IV

                            RELATED AGENCIES

 Committee for Purchase From People Who Are Blind or Severely Disabled

Appropriations, 2006....................................      $4,622,000
Budget estimate, 2007...................................       4,995,000
House allowance.........................................       4,995,000
Committee recommendation................................       4,995,000

    The Committee recommends $4,995,000 for fiscal year 2007 
for Committee for Purchase From People Who Are Blind or 
Severely Disabled. The comparable funding level for fiscal year 
2006 is $4,622,000 and the budget request includes $4,995,000 
for this program.
    The Committee for Purchase From People Who Are Blind or 
Severely Disabled was established by the Javits-Wagner-O'Day 
Act of 1938 as amended. Its primary objective is to increase 
the employment opportunities for people who are blind or have 
other severe disabilities and, whenever possible, to prepare 
them to engage in competitive employment.

             Corporation for National and Community Service

Appropriations, 2006 \1\................................    $899,960,000
Budget estimate, 2007...................................     851,462,000
House allocation........................................     822,940,000
Committee recommendation................................     876,537,000

\1\ Excludes $10,000,000 in emergency supplemental appropriations 
pursuant to Public Law 109-234.

    The Committee recommends $876,537,000 for the Corporation 
for National and Community Service, a decrease of $33,423,000 
below the comparable level for fiscal year 2006 and $25,075,000 
above the budget request.
    The Corporation for National and Community Service, a 
Corporation owned by the Federal Government, was established by 
the National and Community Service Trust Act of 1993 (Public 
Law 103-82) to enhance opportunities for national and community 
service and provide national service education awards. The 
Corporation makes grants to States, institutions of higher 
education, public and private nonprofit organizations, and 
others to create service opportunities for students, out-of-
school youth, and adults.

                  DOMESTIC VOLUNTEER SERVICE PROGRAMS

    The Committee recommends $313,058,000 for fiscal year 2007 
for the domestic volunteer service programs of the Corporation 
for National and Community Service. This amount is the same as 
the administration request. The comparable funding level for 
fiscal year 2006 is $313,050,000. Programs authorized under the 
Domestic Volunteer Service Act include: the Volunteers in 
Service to America Program [VISTA]; the Foster Grandparent 
Program; the Senior Companion Program; and the Retired and 
Senior Volunteer Program.

VISTA

    The Committee recommends $95,466,000 for the Volunteers in 
Service to America [VISTA] Program. This amount is $2,000 above 
the comparable funding level for fiscal year 2006 and is the 
same as the budget request.
    VISTA, created in 1964 under the Economic Opportunity Act, 
provides capacity building for small community-based 
organizations. VISTA volunteers raise resources for local 
projects, recruit and organize volunteers, and establish and 
expand local community-based programs in housing, employment, 
health, and economic development activities.

National Senior Volunteer Corps

    The Committee recommends $217,592,000 for the National 
Senior Volunteer Corps programs, which is $6,000 above the 
comparable funding level for fiscal year 2006 and the same as 
the budget request.
    The maximum total dollars which may be used in fiscal year 
2007 for Grants.gov/eGrants support, Training and Technical 
Assistance, and Recruitment and Retention activities shall not 
exceed the amount enacted for these activities in fiscal year 
2006.
    Further, funds appropriated for fiscal year 2007 may not be 
used to implement or support service collaboration agreements 
or any other changes in the administration and/or governance of 
national service programs prior to passage of a bill by the 
authorizing committee of jurisdiction specifying such changes.
    The CNCS shall comply with the directive that use of funds 
appropriated for FGP, RSVP, SCP, and VISTA shall not be used to 
fund demonstration activities. The Committee has not included 
funding for senior demonstration activities.

Foster Grandparent Program

    The Committee recommends $110,943,000 for fiscal year 2007 
for the Foster Grandparent Program, which is $6,000 above the 
comparable funding level for fiscal year 2006 and the same as 
the budget request. This program provides volunteer 
opportunities to low-income seniors age 60 and over who serve 
at-risk youth. This program not only involves seniors in their 
communities, but also provides a host of services to children.

Senior Companion Program

    The Committee recommends $46,964,000 for fiscal year 2007 
for the Senior Companion Program. This amount is the same as 
both the comparable funding level for fiscal year 2006 and the 
budget request.
    This program enables senior citizens to provide personal 
assistance and companionship to adults with physical, mental, 
or emotional difficulties. Senior companions provide vital in-
home services to elderly Americans who would otherwise have to 
enter nursing homes. The volunteers also provide respite care 
to relieve care givers.

Retired and Senior Volunteer Program

    The Committee recommends $59,685,000 for the Retired and 
Senior Volunteer Program. This amount is the same as both the 
comparable funding level for fiscal year 2006 and the budget 
request.
    This program involves persons age 55 and over in volunteer 
opportunities in their communities such as tutoring youth, 
responding to natural disasters, teaching parenting skills to 
teen parents, and mentoring troubled youth.

                NATIONAL AND COMMUNITY SERVICE PROGRAMS

                     (INCLUDING TRANSFER OF FUNDS)

    The Committee recommends $488,214,000 for the programs 
authorized under the National Community Service Act of 1990, a 
decrease of $26,673,000 below the comparable fiscal year 2006 
level and $25,075,000 above the budget request.
    The National and Community Service Programs of the 
Corporation for National and Community Service include: the 
AmeriCorps program (including AmeriCorps State and National and 
the National Civilian Community Corps); Learn and Serve 
America, Innovation, Demonstration, Assistance and Evaluation 
activities; State Commission Administration grants; and the 
National Service Trust.
    The Committee recommendation includes $271,475,000 for 
AmeriCorps State and National operating grants (including 
$12,516,000 for State administrative expenses); $124,720,000 
for the National Service Trust; $12,324,000 for subtitle H fund 
activities; $26,730,000 for AmeriCorps NCCC; $34,155,000 for 
Learn and Serve; $3,960,000 for audits and evaluations; 
$9,900,000 for the Points of Light Foundation; and $4,950,000 
for America's Promise.

AmeriCorps Grants Program (not including NCCC]

    Within the amount provided for AmeriCorps grants, the 
Committee is providing $55,695,000 for national direct 
grantees.
    The Committee requests that the Corporation continue 
providing monthly reports to the Committee on Appropriations 
and the Corporation's Inspector General on the actual and 
projected year-end level of AmeriCorps membership enrollment, 
usage, and earnings, and the financial status of the Trust fund 
(revenue, expenses, outstanding liabilities, reserve, etc.).
    The Committee recognizes that the Corporation has improved 
its management of AmeriCorps grant funds. Over the past 5 
years, the Corporation has reduced the cost per AmeriCorps 
member service year, reduced average carryover balances even as 
funding has grown, and taken action to increase the rate at 
which grantees expend awarded funds.
    However, the Committee still has concerns about the 
Corporation's carryover balances. In fiscal year 2006 the 
Corporation ``recoded'' unexpended balances in order to award 
disaster augmentation grants. While this has helped to reduce 
carryover funds, the Committee does not believe that this 
approach is a fiscally responsible long-term solution to the 
carryover problem. Instead, the Committee encourages the 
Corporation to take further steps to maximize AmeriCorps grant 
fund utilization while maintaining sound fiscal management 
practices. These steps should include giving grantees more 
flexibility to refill vacated member positions and to move 
positions among subgrantees or program sites to ensure that 
they are filled. The Committee notes that States, tribes, and 
territories frequently do not request all of the funds alloted 
to them. The Committee encourages the Corporation to identify 
and recapture unexpended funds while they are still available 
for redistribution to States that can use more than their base 
allocation.
    The Committee recognizes that, even with these 
improvements, a small lapse is to be expected in AmeriCorps 
grants due to member turnover. Therefore, the Committee has 
included bill language allowing the Corporation to transfer any 
funds deobligated from closed out AmeriCorps grants to the 
National Service Trust, offsetting the need for new budget 
authority in that account in the future.

Innovation, Assistance and Other Activities

    Within the amount recommended for innovation, 
demonstration, and assistance activities, the Committee 
recommends $1,300,000 for next generation grants; $500,000 for 
Martin Luther King Jr. Day grants; $725,000 for Service 
Learning Clearinghouse and Exchange; $2,250,000 for training 
and technical assistance; $3,999,000 for disability programs; 
$400,000 for Presidential Freedom Scholarships; $125,000 for 
Faith-Based and Community Initiatives; $302,000 for the 
Presidential Council on Service and Presidential Volunteer 
Service Award; $5,000 for the National Volunteer Hotline; and 
$1,980,000 for Communities in Schools, Inc. The Committee has 
not provided any funding in this account for Teach for America; 
these funds were requested by the administration within the 
Department of Education.

AmeriCorps National Civilian Community Corps

    Within the amount provided for the NCCC, the Committee has 
included $5,000,000 to prepare two NCCC sites for relocation in 
fiscal year 2007. The possible location of these sites will be 
identified in the report requested by the Committee in last 
year's conference report. The Committee expects the results of 
this report to be released by September 1, 2006.

                         SALARIES AND EXPENSES

    The Committee recommends an appropriation of $70,315,000 
for the Corporation's salaries and expenses. This amount is 
$4,233,000 above the comparable level to fiscal year 2006 and 
is the same as the budget request. The Committee reiterates the 
directive under the program account that the Corporation must 
fund all staffing needs from the salaries and expenses account.
    The salaries and expenses appropriation provides funds for 
staff salaries, benefits, travel, training, rent, advisory and 
assistance services, communications and utilities expenses, 
supplies, equipment, and other operating expenses necessary for 
management of the Corporation's activities under the National 
and Community Service Act of 1990 and the Domestic Volunteer 
Service Act of 1973.

                      OFFICE OF INSPECTOR GENERAL

    The Committee recommends an appropriation of $4,950,000 for 
the Office of Inspector General [OIG]. This amount is $990,000 
below the comparable level for fiscal year 2006 and is the same 
as the budget request.
    The goals of the Office of Inspector General are to 
increase organizational efficiency and effectiveness and to 
prevent fraud, waste, and abuse. The Office of Inspector 
General within the Corporation for National and Community 
Service was transferred to the Corporation from the former 
ACTION agency when ACTION was abolished and merged into the 
Corporation in April 1994.
    The Committee continues to direct the OIG to review the 
Corporation's management of the National Service Trust fund. 
The Committee directs the OIG to continue reviewing the monthly 
Trust reports and to notify the Committees on Appropriations on 
the accuracy of the reports.

                       ADMINISTRATIVE PROVISIONS

    The Committee has included four administrative provisions 
carried in prior year appropriations acts as follows: language 
regarding: qualified student loans eligible for education 
awards; the availability of funds for the placement of 
volunteers with disabilities; the Inspector General to levy 
sanctions in accordance with standard Inspector General audit 
resolutions procedures; and language regarding the Corporation 
to make significant changes to program requirements or policy 
through public rulemaking and public notice and grant selection 
process.

                  Corporation for Public Broadcasting

Appropriations, 2007....................................    $400,000,000
Appropriations, 2008....................................     400,000,000
Budget estimate, 2009...................................................
House allowance.........................................................
Committee recommendation................................    $400,000,000

    The Committee recommends $400,000,000 be made available for 
the Corporation for Public Broadcasting [CPB], as an advance 
appropriation for fiscal year 2009. The comparable funding 
level provided last year was $400,000,000 for fiscal year 2008. 
The budget request does not include advance funds for this 
program.
    In addition, the Committee recommends $29,700,000 be made 
available in fiscal year 2007 for the conversion to digital 
broadcasting, the same as the comparable funding level for 
fiscal year 2006. The budget request included authority to 
permit CPB to spend up to $38,000,000 in previously 
appropriated fiscal year 2007 funds for digital conversion 
activities, the House provided the same authority.
    In addition, the Committee recommends $36,000,000 be made 
available in fiscal year 2007 for the final stage in the 
replacement project of the interconnection system. In fiscal 
year 2006, $34,650,000 was appropriated for this purpose. The 
House included authority to permit CPB to spend up to 
$36,000,000 in previously appropriated fiscal year 2007 funds 
for the Satellite Interconnection system.
    The current interconnection system is entirely satellite 
based. This satellite is currently nearing the end of its 
useful life, and while satellite technology is currently the 
most cost-effective method for distribution in a point-to-
multipoint system, terrestrial technology is far more 
economical when data is distributed between single points. The 
Next Generation Interconnection System will utilize a 
combination of satellite and terrestrial technologies for a 
more flexible system. In addition, a portion of the provided 
funds will be used to upgrade existing ground station and 
transmit/receive equipment to be compatible with the new 
system.
    The Committee recognizes the importance of the partnership 
CPB has with the National Minority Public Broadcasting 
Consortia, which helps develop, acquire, and distribute public 
television programming to serve the needs of African American, 
Asian American, Latino, Native American, Pacific Islander, and 
many other viewers. As many communities in the Nation welcome 
increased numbers of citizens of diverse ethnic backgrounds, 
the local public television stations should strive to meet 
these viewers' needs. With an increased focus on programming to 
meet local community needs, the Committee encourages CPB to 
continue to support and expand this critical partnership.
    The Committee is aware that public radio stations are 
taking advantage of experimental authority to develop their 
digital operations including multicasting. We encourage the 
corporation to work with the Federal Communications Commission 
to enable public radio and television stations to utilize the 
full range of digital broadcasting technology as soon as 
possible, including the use of multicasting for public radio 
stations.

               Federal Mediation and Conciliation Service

Appropriations, 2006....................................     $42,601,000
Budget estimate, 2007...................................      42,842,000
House allowance.........................................      42,842,000
Committee recommendation................................      42,842,000

    The Committee recommends $42,842,000 for fiscal year 2007 
for the Federal Mediation and Conciliation Service [FMCS]. The 
comparable funding level for fiscal year 2006 is $42,601,000 
and the budget request includes $42,842,000 for this program.
    The FMCS was established by Congress in 1947 to provide 
mediation, conciliation, and arbitration services to labor and 
management. FMCS is authorized to provide dispute resolution 
consultation and training to all Federal agencies.
    Within the funds provided, $400,000 is for the Labor-
Management Cooperation grant program. The Committee continues 
to reject the administration's proposal to eliminate this 
program. The 1978 Labor-Management