[Senate Report 110-410]
[From the U.S. Government Publishing Office]
110th Congress Report
SENATE
2d Session 110-410
_______________________________________________________________________
Calendar No. 866
DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND
RELATED AGENCIES APPROPRIATION BILL, 2009
----------
R E P O R T
of the
COMMITTEE ON APPROPRIATIONS
U.S. SENATE
on
S. 3230
July 8, 2008.--Ordered to be printed
Departments of Labor, Health and Human Services, and Education, and
Related Agencies Appropriation Bill, 2009 (S. 3230)
Calendar No. 866
110th Congress Report
SENATE
2d Session 110-410
======================================================================
DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND
RELATED AGENCIES APPROPRIATION BILL, 2009
_______
July 8, 2008.--Ordered to be printed
_______
Mr. Harkin, from the Committee on Appropriations,
submitted the following
REPORT
[To accompany S. 3230]
The Committee on Appropriations reports the bill (S. 3230)
making appropriations for Departments of Labor, Health and
Human Services, and Education, and related agencies for the
fiscal year ending September 30, 2009, 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............. $626,463,029,000
Amount of 2008 appropriations....................... 600,467,001,000
Amount of 2009 budget estimate...................... 618,683,815,000
Bill as recommended to Senate compared to--
2008 appropriations............................. +25,996,028,000
2009 budget estimate............................ +7,779,214,000
CONTENTS
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Page
Summary of Budget Estimates and Committee Recommendations........ 4
Overview......................................................... 4
Highlights of the Bill........................................... 4
Initiatives...................................................... 6
Title I: Department of Labor:
Employment and Training Administration....................... 11
Employee Benefits Security Administration.................... 23
Pension Benefit Guaranty Corporation......................... 23
Employment Standards Administration.......................... 24
Occupational Safety and Health Administration................ 29
Mine Safety and Health Administration........................ 30
Bureau of Labor Statistics................................... 33
Office of Disability Employment Policy....................... 34
Departmental Management...................................... 34
General Provisions........................................... 39
Title II: Department of Health and Human Services:
Health Resources and Services Administration................. 41
Centers for Disease Control and Prevention................... 69
National Institutes of Health................................ 90
Substance Abuse and Mental Health Services Administration.... 128
Agency for Healthcare Research and Quality................... 139
Centers for Medicare and Medicaid Services................... 142
Administration for Children and Families..................... 147
Administration on Aging...................................... 161
Office of the Secretary...................................... 166
General Provisions........................................... 176
Title III: Department of Education:
Education for the Disadvantaged.............................. 178
Impact Aid................................................... 182
School Improvement Programs.................................. 184
Indian Education............................................. 188
Innovation and Improvement................................... 189
Safe Schools and Citizenship Education....................... 198
English Language Acquisition................................. 200
Special Education............................................ 201
Rehabilitation Services and Disability Research.............. 204
Special Institutions for Persons With Disabilities:
American Printing House for the Blind.................... 210
National Technical Institute for the Deaf................ 210
Gallaudet University..................................... 210
Career, Technical, and Adult Education....................... 211
Student Financial Assistance................................. 214
Student Aid Administration................................... 215
Higher Education............................................. 216
Howard University............................................ 227
College Housing and Academic Facilities Loans................ 227
Historically Black College and University Capital Financing
Program.................................................... 228
Institute of Education Science............................... 228
Departmental Management:
Program Administration................................... 231
Office for Civil Rights.................................. 231
Office of the Inspector General.......................... 231
General Provisions........................................... 232
Title IV: Related Agencies:
Committee for Purchase from People who are Blind or Severely
Dis-
abled...................................................... 233
Corporation for National and Community Service............... 233
Corporation for Public Broadcasting.......................... 236
Federal Mediation and Conciliation Service................... 237
Federal Mine Safety and Health Review Commission............. 237
Institute of Museum and Library Services..................... 237
Medicare Payment Advisory Commission......................... 238
National Council on Disability............................... 238
National Labor Relations Board............................... 238
National Mediation Board..................................... 239
Occupational Safety and Health Review Commission............. 239
Railroad Retirement Board.................................... 239
Social Security Administration............................... 241
Title V: General Provisions...................................... 245
Compliance With Paragraph 7, Rule XVI of the Standing Rules of
the Sen-
ate............................................................ 246
Compliance With Paragraph 7(C), Rule XXVI of the Standing Rules
of the Senate.................................................. 246
Compliance With Paragraph 12, Rule XXVI of the Standing Rules of
the Senate..................................................... 247
Bugetary Impact of Bill.......................................... 252
Disclosure of Congressionally Directed Spending Items............ 252
Comparative Statement of New Budget Authority.................... 289
SUMMARY OF BUDGET ESTIMATES AND COMMITTEE RECOMMENDATIONS
For fiscal year 2009, the Committee recommends total budget
authority of $626,474,029,000 for the Departments of Labor,
Health and Human Services, and Education, and Related Agencies.
Of this amount, $153,139,000,000 is current year discretionary
funding, including offsets.
OVERVIEW
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.
HIGHLIGHTS OF THE BILL
Job Training.--The Committee recommends $2,994,510,000 for
State grants for job training, an increase of $25,061,000 over
last year and $499,054,000 more than the request. The Committee
also recommends $1,650,516,000 for the Office of Job Corps, an
increase of $40,010,000 over the fiscal year 2008 level and
$85,817,000 more than the request.
Worker Protection.--The Committee bill provides
$851,515,000 to ensure the health and safety of workers,
including $504,620,000 for the Occupational Safety and Health
Administration [OSHA] and $346,895,000 for the Mine Safety and
Health Administration. This total is $33,667,000 more than the
fiscal year 2008 level and $17,780,000 more than the budget
request. The Committee also has focused resources at OSHA, the
Bureau of Labor Statistics and National Institute of
Occupational Safety and Health on understanding the extent and
potential causes of under-reporting of workplace injuries and
illness.
Child Labor.--The Committee bill includes $86,074,000 for
activities designed to end abusive child labor. This is
$5,000,000 above the fiscal year 2008 level.
National Institutes of Health.--A total of $30,254,524,000
is recommended to fund biomedical research at the 27 Institutes
and Centers that comprise the NIH. This represents an increase
of $1,025,000,000 over the fiscal year 2008 level and the
budget request.
Health Centers.--The recommendation includes $2,215,022,000
for health centers, $150,000,000 over the fiscal year 2008
level.
Nursing Education.--The Committee recommends $167,652,000
for nursing education, $11,606,000 over the fiscal year 2008
level.
Autism.--The Committee bill includes $63,400,000 for
prevention of and support for families affected by autism and
other related developmental disorders. This is an increase of
$9,834,000 over last year's appropriation.
Centers for Disease Control and Prevention.--A total of
$6,507,795,000 is provided in this bill for the Centers for
Disease Control and Prevention. This is an increase of
$76,790,000 over the fiscal year 2008 level. This level does
not include funding for the influenza pandemic, which is
appropriated in the HHS Office of the Secretary.
Colorectal Cancer.--The Committee bill provides $38,974,000
for prevention efforts around colorectal cancer. Included in
this amount is $25,000,000 to establish a national surveillance
campaign, with grants to local communities to support
colorectal screenings and polyp removal for low-income
individuals.
Substance Abuse and Mental Health.--The Committee bill
provides $3,388,636,000 for substance abuse and mental health
programs. Included in this amount is $2,163,579,000 for
substance abuse treatment, $191,271,000 for substance abuse
prevention and $930,383,000 for mental health programs.
Pandemic Influenza.--The Committee recommendation includes
$507,000,000 to prepare for and respond to an influenza
pandemic. Funds are available for the development and purchase
of vaccine, antivirals, necessary medical supplies,
diagnostics, and other surveillance tools.
Head Start.--The Committee bill includes $7,104,571,000 for
the Head Start Program. This represents an increase of
$226,595,000 over the 2008 comparable level.
Title I (Education).--The Committee has provided
$14,529,901,000 for title I grants to LEAs, an increase of
$631,026,000 over the fiscal year 2008 appropriation, and
$491,265,000 for school improvement grants, the same amount as
the fiscal year 2008 level.
Student Financial Aid.--The Committee recommends
$18,761,809,000 for student financial assistance. The maximum
discretionary Pell Grant Program award level is increased to
$4,310. This funding, combined with mandatory funding provided
in the College Cost Reduction and Access Act, would increase
the maximum award to $4,800 for the 2009/2010 school year. The
Committee bill includes $70,000,000 for Federal Perkins loan
cancellations, an increase of $5,673,000.
Higher Education Initiatives.--The Committee bill provides
$1,856,214,000 for initiatives to provide greater opportunities
for higher education, including $838,178,000 for Federal TRIO
programs, an increase of $10,000,000, and $308,423,000 for GEAR
UP, an increase of $5,000,000. The bill also provides
$47,540,000 for Teacher Quality Enhancement Grants, an increase
of $13,878,000.
Education for Individuals With Disabilities.--The Committee
bill provides $12,511,631,000 to help ensure that all children
have access to a free and appropriate education. This amount
includes $11,424,511,000 for Part B grants to States, an
increase of $477,000,000 over last year and $140,000,000 more
than the budget request. The recommended level will reverse the
declining share of Federal resources for educating students
with disabilities and raise it to 17.3 percent.
Rehabilitation Services.--The bill recommends
$3,379,109,000 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 and rejected the
Department's proposal to freeze State grant funding at the
fiscal year 2008 level.
Services for Older Americans.--For programs serving older
Americans, the Committee recommendation includes
$3,187,303,000. This recommendation includes $213,785,000 for
senior volunteer programs, $571,925,000 for community service
employment for older Americans, $361,348,000 for supportive
services and centers, $161,316,000 for family caregiver support
programs and $801,481,000 for senior nutrition programs. For
the medical research activities of the National Institute on
Aging, the Committee recommends $1,077,448,000.
Corporation for Public Broadcasting.--The Committee bill
recommends an advance appropriation for fiscal year 2011 of
$430,000,000 for the Corporation for Public Broadcasting. In
addition, the Committee bill includes $29,181,000 for
conversion to digital broadcasting and $26,283,000 for the
replacement project of the interconnection system in fiscal
year 2009 funding.
INITIATIVES
Improving Teacher Quality
Research has proven conclusively that improving teacher
quality is the most important thing schools can do to help
students succeed academically. If we are truly going to meet
the goal of leaving no child behind, a strong teacher is needed
in every classroom. For too many students, however, especially
those in disadvantaged schools, good teachers are the exception
rather than the rule. High-poverty schools are more likely to
employ teachers who are unprepared, inexperienced and don't
know their subject area than schools in more affluent areas. As
a result, the students who need the best instruction--those
students most at risk of being left behind--tend to have the
worst teachers. This is no way to close the achievement gap.
For the most part, local school districts bear the
responsibility of recruiting, hiring, and retaining teachers.
States set the rules on licensing, and the work of preparing
most teachers is performed by colleges and universities. But
the Federal Government also plays a key role in promoting
teacher quality. Most notably, the No Child Left Behind Act
requires that all public school teachers of core academic
subjects must be ``highly qualified.''
Congress also appropriates significant funding for
teachers. The Committee recommendation for fiscal year 2009
includes more than $3,645,491,000, through 14 separate
programs, specifically for hiring teachers or improving teacher
quality. This total doesn't include title I grants to LEAs,
which can also be used for those purposes.
The Committee has made it a top priority to identify and
provide strategic increases in programs that can help schools
improve teacher quality. They are described below.
Teacher Quality Enhancement Grants.--Preparing teachers the
right way will ensure they have the skills necessary and
support required to succeed in the classroom. Unfortunately,
one-third of new teachers leave the profession within the first
5 years and this imposes significant costs on school systems
throughout the United States. By investing in high-quality
teacher preparation models, such as professional development
schools, we can more effectively prepare and support teachers
as they start their careers. Professional development schools
partner universities with schools that practice state-of-the-
art approaches and train novices in the classrooms of expert
teachers while they are completing coursework. The Committee
recommends $47,540,000, an increase of $13,878,000 over the
fiscal year 2008 level of $33,662,000.
School Leadership.--Principals are the instructional
leaders of a school and, therefore, responsible for maintaining
high standards for their teachers and providing them with
effective professional development. And yet very little
attention has been paid to professional development for
principals themselves. While this is an allowable use under the
improving teacher quality State grants program, only a tiny
fraction of this program's funding is used for that purpose.
The Committee has attempted to meet the meet for better
principals by recommending a small but significant increase for
the school leadership program. The Committee recommendation for
fiscal year 2009 is $19,220,000, a $4,746,000 increase over the
fiscal year 2008 level of $14,474,000. The administration
proposed eliminating the program.
Advanced Credentialing.--For the same reasons as the
increase for the school leadership program cited above, the
Committee recommends a $1,000,000 increase to the National
Board of Professional Teaching Standards [NBPTS] for the
purpose of developing a new National Board certification for
principals. The Committee hopes that the principal
certification will prove as successful as the NBPTS's existing
programs for teachers. The administration proposed eliminating
the program.
Special Education Personnel Development.--According the
Department of Education's Interim Report on Teacher Quality
under the No Child Left Behind Act, almost 6 out of 10 school
districts had difficulty attracting highly qualified applicants
in special education. Special education is an area where there
is a problem of adequate supply and one major cause is the
insufficient capacity to train all of the special educators
needed. The Committee recommends $93,153,000, an increase of
$5,000,000 over the fiscal year 2008 level to build the
leadership programs that are needed to meet the demand for
special educators.
Teaching of Traditional American History.--The Committee
recommends $120,000,000 for supporting professional development
for teachers of American history. The fiscal year 2008 level
was $117,904,000, and the budget request is $50,000,000.
In addition, the Committee recommendation maintains funding
at the fiscal year 2008 level for several programs that the
administration proposed reducing or eliminating. They include:
improving teacher quality State grants ($2,935,249,000),
National Writing Project ($23,581,000), Teach for America
($11,790,000) and two Teachers for a Competitive Tomorrow
programs ($1,966,000).
Finally, the Committee proposes an increase of $631,026,000
for title I grants to LEAs, for a total of $14,529,901,000.
Mental Health Promotion and Prevention
The Committee notes that mental illness is a major public
health concern. Approximately one-quarter of all Americans had
a diagnosable mental disorder within the past year, and fully a
quarter of those had a serious mental illness that
significantly disrupted their ability to function. Major mental
disorders are estimated to cost the United States at least
$317,600,000,000 each year in lost earnings, disability
benefits and health care expenditures. In addition, mental
disorders are the leading cause of disability in the United
States and Canada for those between the ages of 15 and 44.
The Committee is also aware that many of these disorders
begin in childhood: half of all lifetime cases of mental
illnesses begin by age 14. While effective treatments do exist,
there can be serious delays between the age at which symptoms
appear and when people actually seek, and receive, treatment.
These delays can lead to a more severe, more difficult to treat
illness, and to the development of co-occurring substance abuse
disorders. Research has shown a strong link between early
mental health problems and the subsequent development of
substance abuse, school failure, risky behavior and criminal
activity.
The Committee believes that given the magnitude of the
problem, our Nation must begin to take a public health approach
to mental health. Early identification, prevention and
treatment of mental disorders must be regarded with the same
importance as they are for physical disorders. Fundamental to
such an approach is promoting strategies for young children and
their parents that reduce the risk factors involved in
developing mental health problems, and that improve protective
factors that serve to buffer against such problems. The
Committee has provided $7,200,853,000, an increase of
$255,713,000 over the fiscal year 2008 level, for programs
across various health, education and social service systems
that strengthen parenting, foster resilience in children,
provide for early intervention, and promote mental wellness.
Head Start.--The Committee has included $7,104,571,000 for
Head Start, an increase of $226,595,000 over the 2008
comparable level. The Head Start program provides comprehensive
services that improve the cognitive and social development of
children, as well as promote school readiness.
Home Visitation.--The Committee has included $12,000,000 to
promote evidence-based home visitation interventions. This is
an increase of $2,000,000 above last year's level and the
administration request. Research has shown that home visitation
programs can reduce incidents of child abuse and neglect. These
programs are also associated with long-term positive effects
for mothers and their children, such as reduced substance
abuse, fewer mental health and behavior problems, lowered
criminal activity, greater work-force participation, and
delayed initiation of sexual activity.
Project Launch.--The Committee recommends $20,369,000 for
the Project Launch program at the Substance Abuse and Mental
Health Services Administration [SAMHSA]. This is an increase of
$13,000,000 over last year's level. The administration proposed
to eliminate this program, which promotes the emotional,
physical, and emotional wellness of young children from birth
to 8 years of age.
Family Treatment.--The Committee recommends $17,000,000 for
residential substance abuse treatment programs for pregnant and
postpartum women and their children, an increase of $5,210,000
over last year's level. The administration proposed eliminating
this program.
Child Traumatic Stress.--The Committee recommendation
includes $38,000,000 for the national child traumatic stress
initiative, an increase of $4,908,000 over last year. This
initiative improves access to care, treatment, and services for
children and adolescents exposed to traumatic events.
Mental Health Integration in Schools.--The Committee
recommendation includes $5,913,000, an increase of $1,000,000
over the fiscal year 2008 level, for the mental health
integration in schools program, which provides grants to
increase student access to mental health care by linking
schools with their local mental health systems.
Data Collection.--The Committee recognizes the need for
population-based sources of data on adults with serious mental
illness and children with serious emotional disturbance. The
Committee has included $3,000,000 above the request to improve
surveillance activities among these groups.
Elimination of Fraud, Waste, and Abuse
For fiscal year 2009, the Committee has increased funding
for a variety of activities aimed at reducing fraud, waste, and
abuse of taxpayer dollars. These program integrity initiatives
have been shown to be a wise investment of Federal dollars
resulting in billions of dollars of savings from Federal
entitlement programs--unemployment insurance, Medicare and
Medicaid, and Social Security.
Unemployment Insurance Program Integrity.--The Committee
recommendation includes $50,000,0000, an increase of
$40,000,000, to conduct eligibility reviews of claimants of
Unemployment Insurance. This increase will save an estimated
$200,000,000 annually in inappropriate Unemployment Insurance
payments.
Social Security Program Integrity.--The Committee
recommendation includes $504,000,000 for conducting continuing
disability reviews [CDRs] and redeterminations of eligibility
for Social Security Disability and Supplemental Security Income
benefits. CDRs save $10 in benefit payments for every $1 spent
to conduct these activities, while redeterminations save $7 in
payments for every $1 for doing this work.
Health Care Program Integrity.--In fiscal year 2006,
Medicare and Medicaid outlays accounted for nearly $1 out of
every $5 of the total Federal outlays. Fraud committed against
Federal health care programs puts Americans at increased risk
and diverts critical resources from providing necessary health
services to some of the Nation's most vulnerable populations.
The Committee has included $198,000,000 for Health Care
Fraud and Abuse Control [HCFAC] activities at the Center for
Medicare and Medicaid Services. No discretionary funds were
provided for this activity in fiscal year 2008.
Investment in health care program integrity more than pays
for itself based on 10 years of documented recoveries to the
Medicare Part A Trust Fund. The historical return on investment
for the life of the Medicare Integrity program has been about
13 to 1.
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, available for obligation from previous appropriations
acts, or derived from fees collected.
TITLE I
DEPARTMENT OF LABOR
Employment and Training Administration
TRAINING AND EMPLOYMENT SERVICES
Appropriations, 2008.................................... $3,576,268,000
Budget estimate, 2009................................... 3,060,923,000
Committee recommendation................................ 3,618,556,000
The Committee recommends $3,618,556,000 for this account,
which provides funding primarily for activities under the
Workforce Investment Act [WIA]. The comparable fiscal year 2008
level is $3,576,268,000 and the administration request is
$3,060,923,000.
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 2009 will support
the program from July 1, 2009 through June 30, 2010. A portion
of this account's funding, $1,772,000,000, is advance
appropriated, yet still available for the forward-funded
program year.
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 includes language in section 109 of the general
provisions 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. This
language is continued from last year's bill.
The Committee expects that, while the Workforce Investment
Act, Wagner-Peyser Act, and Trade Adjustment Act are in the
process of being altered and renewed, the administration also
will refrain from unilateral changes to the administration,
operation and financing of employment and training programs.
Therefore, legislative language is included in section 110 of
the general provisions that prohibits the Department from
taking such action while Congress considers legislation
reauthorizing these acts.
While the Committee is interested in ensuring that more
training is accomplished with the funds available--a stated
concern of the Department as well--the Committee disagrees with
the Department's proposed solutions, which are funding cuts and
consolidation of programs. The Committee believes these policy
solutions are not the right ones to move American workers
forward in a competitive global marketplace.
Grants to States
The Committee recommendation includes $2,994,510,000 for
Training and Employment Services Grants to States. The fiscal
year 2008 comparable amount is $2,969,449,000 and the budget
request includes $2,495,456,000 for this purpose.
The budget request also proposes legislative language to
increase the amount of funds that a local workforce board may
transfer between the adult and dislocated worker assistance
program from the 30 percent under current law to 40 percent,
with the approval of the Governor. The Committee bill does not
provide the recommended increase to 40 percent and the
Committee notes that many States report that no funds have been
transferred under this authority while other States have
received waivers from the Department to transfer 100 percent of
such funds.
The budget request also includes language allowing the
Secretary to reallocate funds available under the Adult, Youth
and Dislocated Worker programs if the total amount of
unexpended balances in a State exceeds 30 percent during
program year 2007. These funds would be reallocated using
program year 2008 funds to States that have unexpended balances
lower than 30 percent. The Committee recommendation does not
include the requested language and notes that this issue is
most appropriately addressed during the reauthorization of the
Workforce Investment Act.
Adult Employment and Training.--For Adult Employment and
Training Activities, the Committee recommends $864,199,000. The
comparable fiscal year 2008 level is $861,540,000 and the
budget request includes $712,000,000 for this purpose. 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.
Funds made available in this bill support program year 2009
activities, which occur from July 1, 2009 through June 30,
2010. The bill provides that $152,199,000 is available for
obligation on July 1, 2009, and that $712,000,000 is available
on October 1, 2009. Both categories of funding are available
for obligation through June 30, 2010.
Youth Training.--For Youth Training, the Committee
recommends $930,500,000. The comparable fiscal year 2008 level
is $924,069,000 and the budget request includes $840,500,000
for this purpose. 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 supported include mentoring, training, supportive
services, and summer employment directly linked to academic and
occupational learning, incentives for recognition and
achievement, and activities related to leadership development,
citizenship, and community service. Funds made available for
youth training support program year 2009 activities, which
occur from April 1, 2009 through June 30, 2010.
Dislocated Worker Assistance.--For Dislocated Worker
Assistance, the Committee recommends $1,199,811,000. The
comparable fiscal year 2008 level is $1,183,840,000 and the
budget request includes $942,956,000 for this purpose. This
program is a State-operated effort that provides core and
intensive services, training, and support 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, and programs such as Advanced
Manufacturing Integrated Systems Technology.
Funds made available in this bill support program year 2009
activities, which occur from July 1, 2009 through June 30,
2010. The bill provides that $351,811,000 is available for
obligation on July 1, 2009, and that $848,000,000 is available
on October 1, 2009. Both categories of funding are available
for obligation through June 30, 2010.
Federally Administered Programs
Dislocated Worker Assistance National Reserve.--The
Committee recommends $282,092,000 for the Dislocated Worker
National Reserve, which is 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 the Community-Based Job Training Initiative.
Funds made available in this bill support program year 2009
activities, which occur from July 1, 2009 through June 30,
2010. The bill provides that $70,092,000 is available for
obligation on July 1, 2009, and that $212,000,000 is available
on October 1, 2009. Both categories of funding are available
for obligation through June 30, 2010.
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 appreciates the actions taken by the
Department to address the economic diversification opportunity
brought on by the recent closures of U.S. pineapple plantations
and encourages the Department to consider continuing possible
collaborations between State and statewide agricultural
organizations that mitigate worker dislocation and help workers
transition in a changing economy.
Community-Based Job Training Initiative.--Within the
Committee recommendation for the Dislocated Worker Assistance
National Reserve, $125,000,000 is available to continue the
Community College/Community-Based Job Training Grant
initiative. The comparable fiscal year 2008 level is
$122,816,000 and the budget request includes $125,000,000 for
this purpose. 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
recommendation includes a general provision requiring these
grants to be awarded competitively.
The Committee is particularly interested in the Department
awarding competitive grants under this initiative for energy
efficiency and renewable energy worker training activities
authorized under section 171(e) of the Green Jobs Act of 2007.
To date, very little of the grant funding has been provided for
such activities and the Committee believes a greater training
investment needs to be made in areas such as renewable electric
power, biofuels, energy-efficiency assessment and
environmentally sustainable manufacturing. Therefore, the
Committee directs the Department to consult with the Committee
prior to announcing a solicitation for grant applications under
this initiative.
Native American Programs.--For Native American programs,
the Committee recommends $52,758,000, the same as the
comparable fiscal year 2008 level. The budget request includes
$45,000,000 for this purpose. 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 Farmworker Programs.--For Migrant and
Seasonal Farmworkers, the Committee recommends $82,740,000. The
comparable fiscal year 2008 level is $79,668,000, while the
budget proposes to eliminate funding for this purpose.
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 recommendation provides that $76,710,000 be
used for State service area grants. The Committee
recommendation also includes bill language directing that
$5,500,000 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 recommendation also includes
$530,000 to be used for section 167 training, technical
assistance and related activities, including funds for migrant
rest center activities. 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.
Women in Apprenticeship.--The Committee recommends $983,000
for program year 2009 activities as authorized under the Women
in Apprenticeship and Non-Traditional Occupations Act of 1992.
The comparable fiscal year 2008 level is $983,000, while the
budget proposes to eliminate funding for this purpose. These
funds provide for technical assistance to employers and unions
to assist them in training, placing, and retraining women in
nontraditional jobs and occupations.
YouthBuild.--The Committee recommends $58,952,000 for the
YouthBuild program. The comparable fiscal year 2008 level is
$58,952,000 and the budget request includes $50,000,000 for
this purpose.
The YouthBuild program provides the opportunity for
eligible youth to learn construction trade skills by building
or rehabilitating housing for low-income individuals, earn a
high school diploma or equivalency degree, and prepare for
postsecondary training. Personal counseling and training in
life skills and financial management also are provided. The
students are a part of a mini-community of adults and youth
committed to each other's success and to improving the
conditions in their neighborhoods.
The Committee notes that 76,000 YouthBuild students have
built or rehabilitated 17,000 units of affordable housing since
1994. Construction projects range from constructing new homes
to restoring multi-unit buildings to rebuilding entire
neighborhoods. In particular, the Committee is aware of
YouthBuild successes and continued potential in communities
along the Gulf of Mexico, where recent hurricanes created a
need for both skilled construction labor and low-income housing
construction itself.
National Activities
Pilots, Demonstrations, and Research.--The Committee
recommends $31,438,000 for pilots, demonstration and research
authorized by section 171 of the Workforce Investment Act. The
comparable fiscal year 2008 level is $48,508,000 and the budget
request includes $16,000,000 for this purpose. These funds
support grants or contracts to conduct research, pilots or
demonstrations that improve techniques or demonstrate the
effectiveness of programs.
The Committee bill also includes language under section 105
of the general provisions that requires the Department to
submit an operating plan by July 1, 2009 which details the
planned expenditure of these funds.
The Committee recommendation also includes language
requiring that funds be provided to the following organizations
in the amounts specified:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
Aerospace Worker Joint Apprenticeship Training $500,000
Committee [AWJATC], Seattle, WA, for skills training
for the aerospace industry...........................
Bay Area Workforce Development Board, Green Bay, WI, 250,000
to address re-entry planning, family reunification,
mentoring and life skills intervention for
incarcerated women...................................
Blackhawk Technical College, Janesville, WI, for 1,000,000
employment and training activities...................
Brevard Workforce Development Board, Rockledge, FL, 250,000
for retraining of aerospace industry workers.........
Central Council of Tlingit-Haida Indian Tribes of 250,000
Alaska, Juneau, AK, for job training programs........
City of Baltimore, Baltimore, MD, for the City of 1,250,000
Baltimore's YouthWorks summer job program............
City of Jackson, MS, for the Jackson Transitional Job 100,000
Project for job training and employment programs for
the Homeless.........................................
City of Lewiston, ME, for job training programs....... 350,000
City of Milwaukee, Milwaukee, WI, for youth 400,000
internships and occupational training in the green-
collar employment sector.............................
City of Oakland, CA, for the Oakland Green Jobs 300,000
Initiative...........................................
City of Santa Ana, CA, for employment and job training 750,000
services.............................................
Community College of Allegheny County, Pittsburgh, PA, 100,000
for job training.....................................
Community College of Beaver County, Monaca, PA, for 100,000
job training.........................................
Community Solutions for Clackamas County, Oregon City, 200,000
OR, for the Working for Independence job training and
workforce development program........................
Community Transportation Association of America, 450,000
Washington, DC, for the Joblinks program.............
Congreso de Latinos Unidos, Philadelphia, PA, for job 100,000
training.............................................
Des Moines Area Community College, Des Moines, IA, for 400,000
Project Employment...................................
Eisenhower Foundation, Washington, DC, to replicate 350,000
and evaluate job-training and supportive services
programs for disadvantaged workers in Des Moines,
Iowa.................................................
Esperanza, Philadelphia, PA, for workforce development 100,000
Florida Community College at Jacksonville, 100,000
Jacksonville, FL, for employment, training and
assessment programs for veterans recently returning
to civilian life.....................................
Goodwill Industries Inc., Chicago, IL, to expand the 250,000
Goodwill Works initiative............................
Goodwill Industries of Southeastern Wisconsin, Inc., 300,000
Milwaukee, WI, to provide training, employment and
supportive services, including for individuals with
disabilities.........................................
Groden Center, Providence, RI, for job readiness 350,000
training for adults with Asperger's Syndrome.........
Groundwork Providence, Providence, RI, for workforce 150,000
training.............................................
Harrisburg Area Community College, Harrisburg, PA, for 100,000
job training.........................................
Hawkeye Community College, Waterloo, IA, for an 250,000
Advanced Manufacturing Training Center...............
Healthcare Industry Grant Corporation, Dorchester, MA, 200,000
for an incumbent health care worker skills training
program..............................................
Hispanic Center, Pittsburgh, PA, for job training..... 100,000
Impact Services Corporation, Philadelphia, PA, for 100,000
workforce development................................
Iowa Central Community College, Fort Dodge, IA, for 250,000
job training activities..............................
Jobs for Maine's Graduates, Inc., Augusta, ME, for 300,000
career development for at-risk youth.................
Kentucky Community and Technical College System, 100,000
Louisville, KY, for career training programs for
disabled veterans....................................
Kershaw County, Camden, SC, for workforce training 250,000
programs in partnership with Kershaw, Lee, and
Central Carolina Technical College...................
Manufacturers Association of Central New York, 300,000
Syracuse, NY, to improve employment and training in
the manufacturing sector.............................
Maui Community College Remote Rural Hawaii Job 2,200,000
Training Project, Kahului, HI, for training and
education............................................
Maui Community College Training & Education 2,000,000
Opportunities, Kahului, HI, for training and
education............................................
Maui Economic Development Board, Kihei, HI, for high 475,000
tech training........................................
Maui Economic Development Board, Kihei, HI, for rural 300,000
computer utilization training program................
Maui Economic Development Board, Kihei, HI, to 150,000
integrate job training activities in a health center.
Minnesota State Colleges and Universities, Office of 1,000,000
the Chancellor, St. Paul, MN, to continue a statewide
veterans re-entry education program..................
Minot State University, Minot, ND, for the Job Corps 650,000
Executive Management Program.........................
Mississippi State University, Mississippi State, MS, 400,000
for the Mississippi Integrated Workforce Performance
System...............................................
Mississippi Valley State University, Itta Bena, MS, 150,000
for training and development at the Automated
Identification Technology [AIT]/Automatic Data
Collection [ADC] Program.............................
Montana AFL-CIO, Helena, MT, for workforce development 200,000
and training activities..............................
Nevada Partners for a Skilled Workforce, North Las 500,000
Vegas, NV, for the Build Nevada Initiative...........
Nine Star Enterprises, Anchorage, AK, for a job 125,000
training initiative..................................
Northwestern Alaska Career and Technical Center, Nome, 200,000
AK, for job training programs for high school
students.............................................
NW Works--Autism Inclusion Initiative, Winchester, VA, 100,000
for program development, training, and acquisition of
equipment............................................
Penn Asian Senior Services, Jenkintown, PA, for job 100,000
training.............................................
Pennsylvania Association for Individuals with 100,000
Disabilities, Johnstown, PA, for job training........
Philadelphia Shipyard Development Corporation, 200,000
Philadelphia, PA, for job training...................
Project ARRIBA, El Paso, TX, for workforce development 100,000
and economic opportunities in the West Texas region..
Rapides Parish Police Jury Office of Economic and 300,000
Workforce Development, Alexandria, LA, for workforce
development, employer-based training and education
and work-based training for out-of-school- youth....
ReCycle North, Burlington, VT, for workforce 500,000
development and training activities..................
Roca, Inc., Chelsea, MA, for a transitional employment 150,000
program for high-risk youth and young adults ages 16-
24...................................................
Rural Opportunities Inc., Harrisburg, PA, for 100,000
workforce development................................
San Francisco Department of Economic and Workforce 250,000
Development, San Francisco, CA, for the Green Jobs
Workforce Development Training Pilot project.........
Seattle-King County Workforce Development Council, 150,000
Seattle, WA, for demand side workforce development
approach training....................................
Sinclair Community College, Dayton, OH, for workforce 150,000
development and training activities..................
South Carolina Association of Community Development 300,000
Corporation, Charleston, SC, for development of self-
employment job centers...............................
Southwest Alaska Vocation and Education Center, King 200,000
Salmon, AK, for workforce development and training...
United Auto Workers Region 9, Local 624, New York, for 450,000
incumbent worker training............................
University of Maryland, Baltimore, Baltimore, MD, For 1,500,000
the Life Sciences Workforce Training Center..........
University of Southern Mississippi, Hattiesburg, MS, 250,000
for workforce training in Marine Composite...........
University of West Florida, Pensacola, FL, to provide 100,000
job training programs for veterans...................
Vermont Agency of Human Services, Waterbury, VT, for 1,000,000
an employment services program for veterans with
disabilities.........................................
Vermont Association of Business, Industry & 200,000
Rehabilitation, Williston, VT, for employment
services to at-risk populations......................
Vermont HITEC, Williston, VT, for health care training 1,000,000
Washington Technology Center, Seattle, WA, for a 50,000
workforce training and retention project.............
Washington State Board for Community & Technical 75,000
Colleges, Federal Way, WA, for training, on-the-job
support and career development services in the long-
term care sector in Washington State.................
Washington Workforce Association, Vancouver, WA, to 450,000
prepare students to enter secure, local, high-demand
occupations in Washington's workforce through job
shadowing, internships, and scholarships.............
YouthCare, Seattle, WA, for a technology training 100,000
program for homeless and out-of-school youth.........
------------------------------------------------------------------------
Reintegration of Ex-offenders.--The Committee
recommendation includes $103,493,000 to continue funding for
the Reintegration of Ex-offenders program. The comparable
fiscal year 2008 level is $73,493,000, while the budget request
includes $39,600,000 for this program. The Responsible
Reintegration of Ex-offenders program targets critical funding
to help prepare and assist ex-offenders to return to their
communities, such as pre-release services, mentoring, and case
management. 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 recommends $60,000,000 to continue a
mentoring initiative that began in program year 2006. The
Committee intends for these funds to be used to implement
mentoring strategies that integrate educational and employment
interventions and prevent youth violence. Funds shall be used
first to continue grants, subject to additional need and
performance, made with program year 2007 and 2008 funds. The
balance should be used for additional grants for mentoring
strategies serving schools with high rates of school dropout or
identified as persistently dangerous.
Within the Committee recommendation, sufficient funding is
available to initiate a competitive grant program, targeting
national community-based organizations with demonstrated
capacity and proven track records of effectiveness in preparing
young ex-offenders and dropouts to re-enter the workforce. The
Committee intends for the Department to initiate such a
competition using program year 2009 funds.
The Committee urges the Department to award grants to
organizations that will: (1) implement programs, practices, or
strategies shown in well-designed randomized controlled trials
to have sizable, sustained effects on important workforce and
reintegration outcomes; (2) adhere closely to the specific
elements of the proven program, practice, or strategy; and (3)
obtain sizable matching funds for their project from other
Federal or non-Federal sources, such as the Adult Training
formula grant program authorized under the Workforce Investment
Act of 1998, or State or local programs.
Evaluation.--The Committee recommends $4,835,000 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.
The comparable fiscal year 2008 level is $4,835,000 and the
budget request includes $9,000,000 for this purpose.
Community-based Job Training Grants.--The Committee
recommends $125,000,000 for this initiative from the Dislocated
Worker National Reserve, as described earlier in this section.
This is the same financing arrangement provided for in last
year's bill. The budget request includes $125,000,000 for this
initiative. The Committee recommendation includes a general
provision requiring these grants to be awarded competitively.
The Committee is particularly interested in the Department
awarding competitive grants under this initiative for energy-
efficiency and renewable energy worker training activities
authorized under section 171(e) of the Green Jobs Act of 2007.
To date, very little of the grant funding has been provided for
such activities and the Committee believes a greater training
investment needs to be made in areas such as renewable electric
power, biofuels, energy-efficiency assessment and
environmentally sustainable manufacturing. Therefore, the
Committee directs the Department to consult with the Committee
prior to announcing a solicitation for grant applications under
this initiative.
Denali Commission.--The Committee recommends $6,755,000 for
the Denali Commission, as authorized in Public Law 108-7, for
job training in connection with infrastructure building
projects it funds in rural Alaska. The comparable fiscal year
2008 level is $6,755,000 and the budget proposes to eliminate
funding for this purpose. Funding will allow un- and under-
employed rural Alaskans to train for better jobs in their
villages.
Job Training for Employment in High Growth Industries.--The
Committee continues to have a strong interest in the
initiatives funded from H-1B fees for job training services and
related capacity-building activities. The Committee is
concerned that 90 percent of the funds made available under the
High Growth Job Training Initiative have not been awarded on a
competitive basis. The Committee recommendation continues
language included in last year's bill which requires awards
under the High Growth Job Training Initiative, Community Based
Job Training Grants and Workforce Innovation in Regional
Economic Development initiative to be made on a competitive
basis.
The Committee is particularly interested in the Department
awarding competitive grants under this initiative for energy
efficiency and renewable energy worker training activities
authorized under section 171(e) of the Green Jobs Act of 2007.
To date, very little of the grant funding has been provided for
such activities. The Committee believes a greater training
investment needs to be made in areas such as renewable electric
power, biofuels, and energy-efficiency assessment and
environmentally sustainable manufacturing. Therefore, the
Committee directs the Department to consult with the Committee
prior to announcing a solicitation for grant applications under
the Job Training for Employment in High Growth Industries'
initiative.
COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS
Appropriations, 2008.................................... $521,625,000
Budget estimate, 2009................................... 350,000,000
Committee recommendation................................ 571,925,000
The Committee recommends $571,925,000 for community service
employment for older Americans. The comparable fiscal year 2008
level is $521,625,000 and the budget request includes
$350,000,000. 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 a forward-funded program, so the fiscal year
2009 appropriation will support the program from July 1, 2009,
through June 30, 2010.
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.
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.
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES
Appropriations, 2008.................................... $888,700,000
Budget estimate, 2009................................... 958,800,000
Committee recommendation................................ 958,800,000
The Committee recommends $958,800,000 for Federal
Unemployment Benefits and Allowances. The comparable fiscal
year 2008 amount is $888,700,000 and the budget request
includes $958,800,000 for this purpose. Trade adjustment
benefit payments are expected to increase from $606,000,000 in
fiscal year 2008 to $667,000,000 in fiscal year 2009, while
trade training in fiscal year 2009 will amount to roughly
$259,000,000 for an estimated 100,000 participants.
The Trade Adjustment Assistance Reform Act of 2002
consolidated the previous Trade Adjustment Assistance [TAA] and
NAFTA Transitional Adjustment Assistance 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, 2008.................................... $3,307,370,000
Budget estimate, 2009................................... 2,782,914,000
Committee recommendation................................ 3,692,363,000
The Committee recommends $3,692,363,000 for this account.
The recommendation includes $3,603,028,000 authorized to be
drawn from the Employment Security Administration account of
the unemployment trust fund, including $40,000,000 in
additional program integrity activities described later in this
account, and $89,335,000 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.
The Committee bill continues language that allows States to
pay the cost of penalty mail from funds allotted to them under
the Wagner-Peyser Act and allows States to use funds
appropriated under this account to assist other States if they
are impacted by a major disaster declared by the President.
The Committee recommends a total of $2,831,872,000 for
unemployment insurance activities.
For unemployment insurance [UI] State operations, the
Committee recommends $2,782,145,000. These funds are available
for obligation by States through December 31, 2009. However,
funds used for automation acquisitions are available for
obligation by States through September 30, 2011.
The recommendation includes $10,000,000 to conduct in-
person reemployment and eligibility assessments and
unemployment insurance improper payment reviews. In addition,
$40,000,000 is available for this purpose through a
discretionary cap adjustment, as provided for in the fiscal
year 2009 budget resolution. The Committee is particularly
interested in a portion of these funds being used for
technology-based overpayment prevention, detection and
collection infrastructure investments.
These program integrity activities will save more than
$200,000,000 annually in overpayments from the unemployment
insurance trust fund. The Committee bill includes language
proposed in the budget request that requires the Secretary of
Labor to submit interim and final reports on the outcomes
achieved through these activities, their associated estimated
savings, and identification of best practices that may be
replicated.
In addition, the Committee recommendation provides for a
contingency reserve amount should the unemployment workload
exceed an average weekly insured claims volume of 3,487,000.
This contingency amount would fund the administrative costs of
the unemployment insurance workload over the level of 3,487,000
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 provides for a contingency threshold level
of 2,790,000.
For unemployment insurance national activities, the
Committee recommends $9,727,000. These funds are directed to
activities that benefit the State/Federal unemployment
insurance program, including helping States adopt common
technology-based solutions to improve efficiency and
performance, supporting training and contracting for actuarial
support for State trust fund management.
For the Employment Service allotments to States, the
Committee recommends $703,776,000, which includes $22,883,000
in general funds together with an authorization to spend
$680,893,000 from the Employment Security Administration
account of the unemployment trust fund, which is the same as
the comparable fiscal year 2008 amounts. The budget request
does not include any funds for this purpose. These funds are
available for the program year of July 1, 2009 through June 30,
2010.
The Committee also recommends $20,026,000 for Employment
Service national activities, the same amount as the budget
request. The comparable fiscal year 2008 amount is $19,677,000
for these activities.
As proposed by the administration, the Committee recommends
a consolidation of funding sources for foreign labor
certification activities. While the President's budget proposed
to create a new account for this consolidation, the Committee
recommends funding of $70,237,000 under this account. The
comparable fiscal year 2008 funding level is $54,004,000 and
the President's budget includes $77,970,000 for this purpose.
In addition, $13,000,000 is estimated to be available from H-1B
fees for processing H-1B alien labor certification
applications.
The budget request also includes legislative proposals that
would authorize fees for the PERM, H-2A and H-2B programs. The
Committee bill defers actions on these proposals, which need to
be considered by the appropriate committees of jurisdiction.
The Committee urges the Department to develop and implement
program integrity objectives and performance measures related
to the foreign labor certification program. The Department of
Labor Inspector General has identified this as an area of major
concern.
For One-Stop Career Centers and Labor Market Information,
the Committee recommends $52,059,000, the same amount as the
comparable fiscal year 2008 level. The budget request includes
$48,880,000 for these activities. The Committee recommendation
includes funding for America's Career Information Network,
improving efficiency in labor market transactions, and
measuring and displaying WIA performance information.
The Committee has provided funds above the budget request
to enable the Secretary to make competitive grants to the State
agencies that administer the Wagner-Peyser Act and State
unemployment insurance programs. The Committee intends that not
less than $2,000,000 of such funds be made available for such
agencies to, in coordination with one-stop delivery systems,
identify job openings in the renewable energy and energy
efficiency sector and refer workers to job openings and such
training programs, among other activities authorized under the
Green Jobs Act of 2007.
The Committee recommends $14,393,000 for the Work
Incentives Grants program, the same amount as the fiscal year
2008 funding level. The budget request proposes to eliminate
funding for these activities. This program helps persons with
disabilities find and retain jobs through the One-Stop Career
Center system mandated by the Workforce Investment Act. Funding
will support the Disability Program Navigator initiative, which
is 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 Committee recommendation includes sufficient
funding for evaluation, capacity building, training, and
technical assistance, which continues to be needed given the
expansion to 47 States.
ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS
Appropriations, 2008.................................... $437,000,000
Budget estimate, 2009................................... 422,000,000
Committee recommendation................................ 422,000,000
The Committee recommends $422,000,000 for this account, the
same amount the budget request. The fiscal year 2008 funding
level is $437,000,000 for this purpose. 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
Committee recommendation assumes that fiscal year 2009 advances
will be made to the Black Lung Disability Trust Fund, as
proposed in the budget request.
The separate appropriations provided by the Committee for
all other accounts eligible to borrow from this account in
fiscal year 2009 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, 2008.................................... $130,836,000
Budget estimate, 2009................................... 144,011,000
Committee recommendation................................ 131,153,000
The Committee recommendation includes $84,368,000 in
general funds for this account, as well as authority to expend
$46,785,000 from the Employment Security Administration account
of the unemployment trust fund, for a total of $131,153,000.
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.
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.
Employee Benefits Security Administration
SALARIES AND EXPENSES
Appropriations, 2008.................................... $139,313,000
Budget estimate, 2009................................... 147,871,000
Committee recommendation................................ 139,313,000
The Committee recommends $139,313,000 for the Employee
Benefits Security Administration [EBSA], the same amount as the
fiscal year 2008 funding level. The budget request includes
$147,871,000.
The 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. EBSA 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. EBSA
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
2009 include single employer benefit payments of
$4,818,000,000, multi-employer financial assistance of
$100,000,000 and administrative expenses of $444,722,000.
Administrative expenses are comprised of three activities: (1)
Pension insurance activities, $68,548,000; (2) pension plan
termination expenses, $240,406,000; and (3) operational
support, $135,768,000. Such expenditures will be financed by
permanent authority. The budget request proposes to make these
funds available until expended.
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. 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 President's budget proposes to continue from last
year's bill a contingency fund for the PBGC that provides
additional administrative resources when the number of
participants in terminated plans exceeds 100,000. When the
trigger is reached, an additional $9,200,000 becomes available
for every 20,000 participants in terminated plans. A trigger
also is included for additional investment management fees for
plan terminations or asset growth. The Committee recommendation
includes this language to ensure that the PBGC can take
immediate, uninterrupted action to protect participants'
pension benefits. The Committee expects to be notified
immediately of the availability of any funds made available by
this provision.
The President's budget also includes language that provides
additional funds for investment management fees for changes in
investment policies approved by the Board. The proposed
language also allows PBGC additional obligation authority for
unforeseen and extraordinary pre-termination expenses, after
approval by the Office of Management and Budget and
notification of the Committees on Appropriations of the House
of Representatives and Senate. The Committee bill only includes
the requested language related to unforeseen expenses.
The single-employer program protects about 33.8 million
participants in approximately 28,900 defined benefit pension
plans. The multi-employer insurance program protects about 9.9
million participants in more than 1,500 plans.
Employment Standards Administration
SALARIES AND EXPENSES
Appropriations, 2008.................................... $420,925,000
Budget estimate, 2009................................... 468,660,000
Committee recommendation................................ 438,359,000
The Committee recommends $438,359,000 for this account. The
bill contains authority to expend $2,022,000 from the special
fund established by the Longshore and Harbor Workers'
Compensation Act; the remainder of $436,337,000 are general
funds. In addition, an amount of $32,308,000 is available by
transfer from the black lung disability trust fund. The
Committee continues to recommend bill language that authorizes
the Employment Standards Administration to assess and collect
fees to defray the cost for processing applications for
homeworker and special minimum wage certifications, and
applications for registration under the Migrant and Seasonal
Agricultural Worker Protection Act.
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).
This recommendation provides sufficient funding to offset
the impact of inflation, and includes more than $5,000,000 to
hire new investigators to conduct inspections and
investigations of industries with high concentrations of low-
wage and other vulnerable workers, and industries with high
levels of wage and hour violations, including overtime
violations.
The Committee requests the Department to include, as part
of its fiscal year 2010 budget justification, a detailed report
on its enforcement efforts aimed at low-wage industries,
including: the measures being used to gauge compliance; the
enforcement strategy being pursued in each of these industries;
the number of investigators who are bilingual (and in what
languages); the number of investigations prompted by complaints
from workers and those initiated by the Department; the number
of workers covered by those investigations; the employer
practices that form the basis of complaints; and the findings
and actions taken, including recovery of back wages.
The Committee is concerned about the misclassification of
employees as independent contractors, which undermines
enforcement of the Nation's worker-protection laws. The
Committee encourages the Wage and Hour Division to focus
increased attention of investigative personnel and resources to
detecting and taking enforcement actions against the illegal
misclassification of workers and unreported cash pay. The
Committee requests that the fiscal year 2010 budget
justification include detailed information on the Department's
enforcement strategy and record on misclassification and
unreported cash pay, including: the measures established to
gauge compliance; the number of investigations prompted by
complaints from workers and those initiated by the Department;
the number of workers covered by those investigations;
descriptive data on the employer practices that form the basis
of the complaint; and the findings and actions taken, including
recovery of back pay, other compensatory measures, and cross-
referral of complaints to the Internal Revenue Service.
The Committee is concerned that the proposed regulations to
the Family and Medical Leave Act [FMLA] published on February
11, 2008, have suggested alterations to the current regulations
without collecting objective, high-quality data to support
these changes. The Committee believes that the Department
should move expeditiously to promulgate regulations to
implement the new military leave provisions to the FMLA that
Congress enacted in the National Defense Authorization Act of
2008. However, the Committee also believes the Department needs
to do more on the non-military aspect of the proposed
regulation and should conduct an objective, comprehensive
survey of both employers and employees, as was done in 2000, on
the need for the proposed changes to the current rules.
Therefore, the Committee requests the Department to withhold
from finalizing regulations (not including rules on the
military family leave provisions as discussed in 73 Fed. Reg.
at 7925-33) that are not based on the survey described above,
unless the results of such survey show an objective and
compelling need for changes to the current regulations.
The recommendation includes $1,000,000 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.
Funds not needed for this purpose, because authorizing
legislation has not been enacted, should be used for additional
investigations as outlined in the budget request.
The Committee recommendation includes a rescission of
$63,000,000 in unexpended balances from H-1B fee receipts the
Department has been unable to spend over the past several
fiscal years. The budget proposes to rescind $30,000,000 of
these balances.
SPECIAL BENEFITS
Appropriations, 2008.................................... $203,000,000
Budget estimate, 2009................................... 163,000,000
Committee recommendation................................ 163,000,000
The Committee recommends $163,000,000 for this account. The
comparable fiscal year 2008 amount is $203,000,000 and the
budget request includes $163,000,000 for this purpose. The
appropriation primarily provides benefits under the Federal
Employees' Compensation Act [FECA].
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 recommendation also continues language
allowing carryover of unobligated balances from fiscal year
2008 to be used in the following year.
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, 2008.................................... $208,221,000
Budget estimate, 2009................................... 188,130,000
Committee recommendation................................ 188,130,000
The Committee recommends an appropriation of $188,130,000
in fiscal year 2009 for special benefits for disabled coal
miners. This is in addition to the $62,000,000 appropriated
last year as an advance for the first quarter of fiscal year
2009. 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.
The Black Lung Consolidation of Administrative
Responsibility Act, enacted on November 2, 2002, 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 is already responsible for the part C claims filed
after December 31, 1973. In fiscal year 2009, an estimated
27,700 beneficiaries will receive benefits.
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
$56,000,000 for the first quarter of fiscal year 2010, 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, 2008.................................... $49,387,000
Budget estimate, 2009................................... 49,654,000
Committee recommendation................................ 49,654,000
The Committee recommends $49,654,000 for the Energy
Employees Occupational Illness Compensation Program [EEOICP].
The comparable fiscal year 2008 amount is $49,387,000 and the
budget request includes $49,654,000 for this program.
The objective of the EEOICP 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 Committee recommends a direct appropriation to the
Centers for Disease Control and Prevention/National Institute
for Occupational Safety and Health [CDC/NIOSH] under the
Department of Health and Human Services, as proposed in the
budget request. Previously, the appropriations act provided the
Department of Labor with the authority to transfer appropriated
funds to CDC/NIOSH for authorized activities.
In 2009, the volume of incoming claims under part B of the
EEOICP is estimated to remain stable at about 8,500 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.
Under part E, the Department is expected to receive
approximately 10,000 new claims during fiscal year 2009. Under
this authority, the Department provides benefits to eligible
DOE contractor employees or their survivors who were found to
have work-related occupational illnesses due to exposure to a
toxic substance at a DOE facility.
The Committee expects the administration to 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.
BLACK LUNG DISABILITY TRUST FUND
Appropriations, 2008.................................... $1,067,644,000
Budget estimate, 2009................................... 1,071,644,000
Committee recommendation................................ 1,071,644,000
The Committee recommends $1,071,644,000 for this account in
2009. The comparable fiscal year 2008 amount is $1,067,644,000
and the budget request includes $1,071,644,000 for this
purpose.
The appropriation language continues to provide indefinite
authority for the Black Lung Disability Trust Fund to provide
for benefit payments. The recommendation assumes that
$1,014,317,000 for benefit payments and interest, comprised of
$256,317,000 for benefits payments and $758,000,000 for
interest payments, will be paid in fiscal year 2009. In
addition, the appropriation bill provides for transfers from
the trust fund for administrative expenses for the following
Department of Labor agencies: up to $32,308,000 for the
Employment Standards Administration, up to $24,694,000 for
Departmental Management, Salaries and Expenses, and up to
$325,000 for Departmental Management, Inspector General. The
bill also allows a transfer of up to $356,000 for the
Department of Treasury.
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 31,000 individuals will receive black
lung benefits financed through the end of the fiscal year 2009.
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, 2008.................................... $486,001,000
Budget estimate, 2009................................... 501,674,000
Committee recommendation................................ 504,620,000
The Committee recommends $504,620,000 for this account. The
comparable fiscal year 2008 amount is $486,001,000 and the
budget request includes $501,674,000 for authorized activities.
This agency is responsible for enforcing the Occupational
Safety and Health Act of 1970 in the Nation's workplaces.
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 is concerned that OSHA's standard setting and
enforcement capabilities have been diminished over the past
several years, due in part to declining budgets. The number of
employees covered by inspections has fallen from almost 2.1
million in fiscal year 2000 to just more than 1.4 million in
fiscal year 2007, a decline of almost one-third. Meanwhile, the
pace of occupational safety and health standards setting at
OSHA has essentially drawn to a halt, despite planned
timetables announced in its regulatory agendas. The Committee
recommends funding above the 2008 level to begin rebuilding
enforcement capacity and increase the pace of standard setting
at OSHA in fiscal year 2009.
The Committee notes that, in 2006, there were 357,160
serious ergonomic injuries resulting in time off the job
reported by employers. The Committee is disturbed that the
Department has failed to make sufficient progress on its
comprehensive plan to address ergonomic injuries, which
included industry-targeted guidelines and tough enforcement
measures. Despite this commitment, the Department only issued
one ergonomic citation over the past 3 years, 3 of 16 promised
guidelines and almost 90 percent fewer hazard alert letters
than the number issued in 2003. The Committee believes that
OSHA should strengthen its efforts in this area.
The Committee is deeply concerned that a large proportion
of work-related injuries and illnesses are not being captured
on the OSHA Log of Work-related Injuries and Illnesses or in
the annual Bureau of Labor Statistics [BLS] Survey of
Occupational Injuries and Illnesses. The Committee understands
that several recent studies found that the BLS survey may miss
from 25 percent to 70 percent of all nonfatal injuries and
illnesses, when compared to State workers' compensation
information. While there is some explanation for why these data
systems won't match completely, the Committee believes this
level of apparent under-reporting raises serious questions,
particularly when firms may have economic incentives to
underreport and workers may fear retaliation for reporting
injuries.
Given that complete and accurate reporting of injuries and
illnesses is part of the foundation of the OSHA program, the
Committee believes OSHA needs to take steps to better
understand the completeness of employer-provided data.
Specifically, the Committee directs OSHA to enhance oversight
and enforcement of its recordkeeping standard to ensure
complete and accurate recording and reporting by employers. To
this end, the Committee has included $1,000,000 above the
budget request for a recordkeeping enforcement initiative on
injury and illness recording. This funding will support the
hiring of additional staff, training of inspectors, and the
establishment of a recordkeeping enforcement unit, which will
enable OSHA to review the completeness and accuracy of
individual employers' injury and illness records and determine
whether there are policies or practices in place that cause
incomplete reporting of injuries and illnesses by employees.
The Committee expects OSHA to keep it updated of its actions in
this area.
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
$9,939,000. Bill language specifies that no less than
$3,144,000 shall be used to maintain the existing institutional
competency building training grants, provided that grantees
demonstrate satisfactory performance.
The Committee included legislative language in the fiscal
year 2008 appropriations act to require OSHA to submit
timelines for and progress reports on the development and
issuance of safety and health standards and took this action
because of the lack of any progress on standards setting. The
Committee is particularly concerned about the health effects of
silica, where the use of silica in abrasive blasting is a well
known cause of silicosis. In fact, the Committee understands
that the United States Navy and 23 States have banned the use
of silica in abrasive blasting.
The Committee understands that OSHA will complete, in
August 2008, a peer review risk assessment and study of health
effects related to silica. The Committee requests a copy of
this assessment and looks forward to OSHA announcing the next
stages of this rulemaking.
Mine Safety and Health Administration
SALARIES AND EXPENSES
Appropriations, 2008.................................... $331,847,000
Budget estimate, 2009................................... 332,061,000
Committee recommendation................................ 346,895,000
The Committee recommendation includes $346,895,000 for the
Mine Safety and Health Administration. The comparable fiscal
year 2008 amount is $331,847,000 and the budget request
includes $332,061,000.
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 2008 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.
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 more
than $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 recommends $154,491,000 for coal enforcement,
which is $9,509,000 more than the budget request and $4,368,000
more than the comparable fiscal year 2008 level. The increase,
together with approximately $6,000,000 available in one-time
expenditures related to the MSHA interim 100 percent plan, will
provide a program level increase of over $10,000,000 for MSHA.
The Committee intends for these funds to be used to
accelerate the implementation of the MINER Act and improve the
health and safety of miners. The Committee believes MSHA needs
to move more aggressively in a number of areas where evidence
reveals that insufficient progress is being made, as described
below. The additional funds provided over the request are
specifically directed toward ensuring MSHA is able to conduct
and follow-up on 100 percent of its mandatory inspections;
adequately train and hire coal mine safety enforcement
personnel; improve the infrastructure at the National Mine
Health and Safety Academy; accelerate the certification and
approval of safety and health equipment, including the
communication and tracking technologies required in the MINER
Act; and ensure the compliance with and effectiveness of
statutory training requirements. In each of these areas and
others specifically required by the MINER Act, the Committee
requests quarterly progress reports on the progress being made
with funding provided by this Committee.
The Committee notes that MSHA conducted 95 percent of
mandatory inspections in the coal industry during fiscal year
2006. In some districts, only 80 to 85 percent of mandatory
inspections were completed. The Committee finds this
unacceptable. These inspections form the core of the agency's
enforcement efforts, and without them, the health and safety of
miners is jeopardized. The Committee expects MSHA to ensure
that no less than 100 percent of mandatory health and safety
inspections are completed in fiscal years 2008 and 2009 and any
follow-up actions required are taken in a timely manner.
The Committee is concerned about the reported increases in
respiratory illnesses in the coal miner population. Within the
Committee recommendation, $2,000,000 shall be used by MSHA to
increase spot inspections in the active workings of coal mines
for the purpose of obtaining compliance with section 202 of the
Federal Coal Mine Health and Safety Act of 1969. In addition,
the Committee requests MSHA to provide a report, not later than
March 31, 2009 and after consultation with the National
Institute for Occupational Safety and Health, on the
feasibility and efficacy of MSHA using single, full-shift
measurements of respirable coal mine dust to ensure compliance
with section 202 of the Federal Coal Mine Health and Safety Act
of 1969.
The Committee also is aware that the Government
Accountability Office [GAO] implementation report issued in May
2007 identified continued concerns about MSHA's preparedness
for dealing with its future workforce needs, which are expected
to be significant given that more than 40 percent of
underground coal mine inspectors are eligible to retire within
the next 5 years. Many of these retirees are highly
experienced, which adds to the impact of these losses. GAO has
concluded that MSHA lacks a clear and well-thought-out plan to
address the expected turnover in its experienced workforce. The
Committee directs MSHA to undertake a strategic planning
process to identify goals and measures for monitoring and
evaluating its progress on staying ahead of the retirement wave
and meeting the needs of its enforcement workforce. The
Committee requests a report, no later than March 30, 2009, that
includes a 5-year succession plan and goals and measures
related to MSHA's human capital needs.
To help meet the demand for training of MSHA's workforce,
the Committee recommendation includes an increase over the
budget request of $2,000,000 to improve the infrastructure and
expand on-line training programs at the National Mine Safety
and Health Academy. These funds are available under the
educational policy and development line.
The Committee also notes MSHA's operating plan indicates
that the Approval and Certification Center has a backlog of
more than 400 approval actions. While additional funding
provided in 2008 will help reduce this backlog through the
hiring of an additional seven staff, the Committee believes
more needs to be done to strengthen the ability of MSHA to
review and certify equipment for use in mines. The Committee
recommends $1,000,000 more than the budget request for
equipment and infrastructure improvement at the Approval and
Certification Center to make more progress on reducing this
backlog.
The Committee recommendation also includes $1,900,000 for
an award to the United Mine Workers of America to provide
classroom and simulated rescue training for mine rescue teams
at its Beckley, West Virginia and Washington, Pennsylvania
career centers. The Committee notes that a GAO report issued in
May 2007 found that 81 percent of mine operators considered the
availability of special training facilities for mine rescue
team training in simulated environments to be a challenge.
The Committee understands the Office of Accountability was
established to provide focus and oversight to ensure that MSHA
policies, enforcement procedures, and guidance are being
complied with consistently and that the agency is accomplishing
its mission-critical activities. The Office conducts field
audits, recommends and monitors corrective actions and analyzes
mining data. The Committee requests that MSHA prepare and
provide a report to the Committee, no later than March 31,
2009, on staffing and budget resources expended or planned for
fiscal years 2008 and 2009; findings and recommendations of
audits conducted to date; and corrective actions implemented.
Bureau of Labor Statistics
SALARIES AND EXPENSES
Appropriations, 2008.................................... $544,801,000
Budget estimate, 2009................................... 592,806,000
Committee recommendation................................ 598,306,000
The Committee recommends $598,306,000 for this account. The
comparable fiscal year 2008 amount is $544,801,000 and the
budget request includes $592,806,000 for this purpose. The
recommendation includes $82,764,000 from the Employment
Security Administration account of the unemployment trust fund,
and $515,542,000 in Federal funds. Language pertaining to the
Current Employment Survey is retained from prior year bills.
The Bureau of Labor Statistics is the principal fact-
finding agency in the Federal Government in the broad field of
labor economics.
The Committee is concerned by the significant discrepancies
found in comparisons of BLS injury and illness survey data,
which are based on employer-reported injury logs provided to
the Occupational Safety and Health Administration [OSHA], and
State worker compensation information. The research identified
that the BLS data were only capturing as few as one-third of
injuries under certain State worker compensation systems. While
there is some explanation for why data from State worker
compensation systems won't match perfectly with the BLS survey
data, the research conducted to date raises serious questions
about the completeness of the national workplace injury
surveillance system.
Therefore, the Committee recommendations includes
additional resources, which are intended to be used to:
strengthen the current BLS examination of the differences
between workers' compensation information and BLS survey data;
better understand employer injury and illnesses recording
practices and conduct a pilot study of using multiple data
sources to capture injury and illness data. The Committee
expects to be kept apprised of BLS work in this area.
The Committee understands that BLS is in the process of
converting the National Compensation Survey sample of areas to
a list that reflects the metropolitan and micropolitan areas
defined by the Office of Management and Budget on the basis of
the 2000 Census of Population. The Committee further
understands that this conversion, which is planned to take
several years, includes initiating a survey of the Las Vegas
metropolitan area. The Committee supports this action and has
included sufficient funding to complete this conversion process
in a timely basis.
The Committee recommendation includes $1,500,000 to
continue the Mass Layoff Statistics Program. These resources,
together with $3,500,000 from the Employment and Training
Administration, are sufficient to continue the program. The
Committee recommendation also includes sufficient funding to
continue the American Time Use Survey in its current form.
Office of Disability Employment Policy
Appropriations, 2008.................................... $26,679,000
Budget estimate, 2009................................... 12,441,000
Committee recommendation................................ 26,679,000
The Committee recommends $26,679,000 for this account in
2009, the same amount as the comparable fiscal year 2008 level.
The budget request includes $12,441,000 for this account. The
Committee intends that at least 80 percent of these funds shall
be used to design and implement research and technical
assistance grants and contracts to develop policy that reduces
barriers to employment for youth and adults with disabilities.
Congress created the Office of Disability Employment Policy
[ODEP] in the Department of Labor's fiscal year 2001
appropriation. The mission of the ODEP is to provide
leadership, develop policy and initiatives, and award grants
furthering the objective of eliminating barriers to the
training and employment of people with disabilities. The
Committee strongly supports each of the components of ODEP's
mission and, in particular, urges the Secretary to ensure that
ODEP is properly supported in carrying out its leadership role
with respect to Government-wide policies related to the
training and employment of individuals with disabilities.
The Committee recommends $500,000 for the Office of
Disability Employment Policy to expand a structured, internship
program for undergraduate college students with disabilities.
The Committee continues to believe that this 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.
Departmental Management
SALARIES AND EXPENSES
Appropriations, 2008.................................... $293,952,000
Budget estimate, 2009................................... 263,483,000
Committee recommendation................................ 314,340,000
The Committee recommendation includes $314,340,000 for this
account. The comparable fiscal year 2008 amount is $293,952,000
and the budget request includes $263,483,000 for this purpose.
In addition, an amount of $24,694,000 is available by transfer
from the black lung disability trust fund.
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 for the Women's Bureau
includes funding for a competitive grant of no less than
$600,000 in fiscal year 2009 to: develop resources and provide
technical assistance to local women's employment and training
programs throughout the country; develop Statewide networks to
enhance the capacity of such employment and training programs;
provide online and toll-free referral services to assist
individual women in accessing such training programs; and
conduct other activities to advance unemployed and
underemployed women in the workforce.
The Committee is disappointed that the Department of Labor
has once again proposed a budget 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 and implement model programs to address worker
rights.
The Committee strongly supports the mandate of the Office
of Child Labor, Forced Labor, and Human Trafficking [OCFT]
which is part of the Department of Labor's ILAB. For the past
decade, the OCFT has responded to requests from Congress to
investigate and report on abusive child labor around the world.
The OCFT played a key role in the drafting of ILO's Convention
182, which became the world's definition of the worst forms of
child labor and their expertise in combating international
child labor, forced labor and human trafficking issues are
vital to formulating U.S. Government policy.
This Committee and Congress have provided OCFT with
significant funding to implement activities, such as research
and technical assistance related to international child labor,
forced labor, and human trafficking. The Committee has provided
funding to OCFT to implement and oversee over 130 cooperative
agreements and contracts to organizations engaged in efforts to
eliminate exploitive child labor in more than 70 countries
around world. In 2005, the Trafficking Victim Protection
Reauthorization Act mandated OCFT to monitor the use of forced
labor and child labor in violation of international standards.
Additionally, OCFT prepares an annual report to Congress on GSP
countries implementation of international commitments to
eliminate the worst forms of child labor as well as those
countries that have negotiated free trade agreements with the
United States.
Clearly, these programs administered by ILAB 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 worst,
withdrawing from these efforts could damage the Nation's
credibility and reputation in the countries that are real
partners to the United States in this effort.
The Committee is aware that the administration is
aggressively pursuing 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 80 percent reduction.
Therefore, the Committee recommendation includes
$86,074,000 for the Bureau of International Labor Affairs. Of
this amount, the Committee directs $42,784,000 be used for the
United States contribution to expand on the successful efforts
of the ILO's International Program for the Elimination of Child
Labor [IPEC].
Also included is $23,581,000 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 believes that the oversight committee created
in 2006 to publicly report on the progress of the
implementation of the Harkin-Engel protocol, a public private
partnership to eliminate the worst forms of child labor and
adult forced labor in the cocoa sector of West Africa, has been
beneficial to all stakeholders. Due to a delay in the
implementation of a transparent certification system, it will
be necessary to extend the oversight process until December
2010. The Committee has included sufficient funds to support
additional annual reporting through the extension period. The
Committee intends for the additional reporting to assess
progress made on key points of the protocol, which include
development of a child labor monitoring system by industry, the
elimination of the worst forms of child labor in the supply
chain, and the development of an industry-wide, public,
transparent certification system covering at least 50 percent
of the growing area in the Ivory Coast and Ghana. The Committee
requests that the annual report also include a programmatic
review of industry and national government efforts to remediate
children found in the worst forms of child labor and adult
forced labor in the cocoa supply chain, as well as
recommendations on the frequency of data collection needed in
the field to accurately and affirmatively report on the
incidence of the worst forms of child labor and adult forced
labor in order to measure the decline over time of these
abusive labor practices.
The Committee recommends continuation of the worker rights
technical assistance projects initiated in last year's bill.
These projects will support the implementation of model
programs designed to address worker rights in countries with
which the United States has trade preference programs. The
Committee bill earmarks $5,913,000 for this purpose and intends
for the increase provided over last year to be targeted to the
work that will be undertaken in Haiti.
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 2008 report
all former GSP recipients that have achieved a Free Trade
Agreement with the United States over the preceding year.
The Committee recommends $100,532,000 for the Office of the
Solicitor. The Committee intends for the increase provided to
support no less than an increase of five FTEs over the fiscal
year 2008 staffing level for enforcement support for the Mine
Safety and Health Administration.
OFFICE OF JOB CORPS
Appropriations, 2008.................................... $1,610,506,000
Budget estimate, 2009................................... 1,564,699,000
Committee recommendation................................ 1,650,516,000
For Job Corps, the Committee recommends $1,650,516,000. The
comparable fiscal year 2008 amount is $1,610,506,000 and the
budget request includes $1,564,699,000 for this purpose.
The Senate recommendation for operations of Job Corps
centers is $1,507,684,000, comprised of $916,684,000 in fiscal
year 2009 funds and $591,000,000 in advance appropriations from
last year's bill. For operations, the Committee also recommends
advance funding of $591,000,000, which will become available on
October 1, 2009.
The Committee also recommends $13,960,000 in construction,
renovation and acquisition funds, which are available from July
1, 2009 to June 30, 2012. In addition, $100,000,000 in
construction, rehabilitation and acquisition funds are provided
in advance funding, which will make these funds available on
October 1, 2009 through June 30, 2012.
In response to this Committee's direction to competitively
select sites for an expansion of Job Corps centers, the
Department of Labor selected three new Job Corps center sites
in February 2007. The Committee includes $113,960,000 within
construction and renovation for, in part, to continue
development of these facilities on the timelines provided to
the Committee and selected sites in January 2007. The timeline
for accepting students at each of the centers is: New
Hampshire, September 2010; Iowa, November 2010; and Wyoming,
February 2011. The Committee intends for these centers to open
on this timeline and has provided sufficient funds to
accomplish this objective.
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.
In fiscal year 2008, the Committee urged the Department to
be prepared to consider new ways to structure and announce a
competition for additional Job Corps center sites, particularly
in rapidly growing metropolitan areas currently without a Job
Corps center. The Committee requests that the Office of Job
Corps conduct outreach to identify interested communities
meeting the priority described in the preceding sentence and
respond to requests for technical assistance to begin a new
process of establishing additional Job Corps centers.
The Committee also requests the Office of Job Corps to
provide a report, no later than March 31, 2009, containing a
capital assessment of the Harper Ferry Job Corps Civilian
Conservation Center.
VETERANS EMPLOYMENT AND TRAINING
Appropriations, 2008.................................... $228,096,000
Budget estimate, 2009................................... 238,439,000
Committee recommendation................................ 238,439,000
The Committee recommends $238,439,000 for this account,
including $32,971,000 in general revenue funding and
$205,468,00 to be expended from the Employment Security
Administration account of the unemployment trust fund.
For State grants, the bill provides $168,894,000, which
includes funding for the Disabled Veterans Outreach Program and
the Local Veterans Employment Representative Program.
For Federal administration, the Committee recommends
$34,625,000. 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 workforce,
and it 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 encourages the Department to
work in coordination with the Departments of Housing and Urban
Development and Veterans Affairs to address the needs of
homeless veterans, including evaluating new approaches for
preventing additional veterans from becoming homeless.
The Committee recommends $1,949,000 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 recommends $25,620,000 for the Homeless
Veterans Program. The Committee also recommends $7,351,000 for
the Veterans Workforce Investment Program, the same as the
budget request.
OFFICE OF THE INSPECTOR GENERAL
Appropriations, 2008.................................... $74,390,000
Budget estimate, 2009................................... 82,141,000
Committee recommendation................................ 82,141,000
The Committee recommends $82,141,000 for this account. The
bill includes $76,326,000 in general funds and authority to
transfer $5,815,000 from the Employment Security Administration
account of the unemployment trust fund. In addition, an amount
of $325,000 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 augment program
accountability activities and expand 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).
Requires the Secretary to provide transit subsidies (sec
104).
Require the Labor Department to report to the Committees on
Appropriations on the projects awarded under research and
demonstration projects (sec. 105).
Authorize funds to be appropriated for job training for
workers involved in construction projects funded through the
Denali Commission (sec. 106).
Requires that funds available under section 414(c) of the
American Competitiveness and Workforce Improvement Act of 1998
may only be used for training in occupations and industries for
which employers are using H-1B visas to hire foreign workers
(sec 107).
Require the Secretary to award competitively funds
available for WIRED Grants, Community-Based Job Training
Grants, and grants for job training for employment in high
growth industries (sec. 108).
Prohibit the Secretary from taking any action to alter the
procedure for redesignating local areas under subtitle B of
title I of the Workforce Investment Act (sec. 109).
Prohibit the Secretary from finalizing or implementing any
proposed regulation under the Workforce Investment Act, Wagner-
Peyser Act or the Trade Adjustment Assistance Reform Act until
such time as such legislation is enacted (sec. 110).
Prohibit the Department of Labor from using funds under
this or any other appropriations act to carry out a public-
private competition or direct conversion under Office of
Management and Budget circular A-76 until 60 days after the
Committees on Appropriations of the House of Representatives
and Senate receive a report from the Government Accountability
Office on the use of competitive sourcing at the Department of
Labor (sec. 111).
Limit compensation from Federal funds to a rate not greater
than Executive Level II for any recipient or subrecipient of
funds under the heading, ``Employment and Training
Administration'' (sec. 112).
TITLE II
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
HEALTH RESOURCES AND SERVICES
Appropriations, 2008.................................... $6,881,191,000
Budget estimate, 2009................................... 5,889,511,000
Committee recommendation................................ 6,968,926,000
The Committee provides a program level of $6,968,926,000
for the Health Resources and Services Administration [HRSA].
The Committee recommendation includes $6,943,926,000 in budget
authority and an additional $25,000,000 via transfers available
under section 241 of the Public Health Service Act. The fiscal
year 2008 comparable program level is $6,881,191,000 and the
budget request for fiscal year 2009 is $5,889,511,000.
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 $2,215,022,000 for the community
health centers program. The fiscal year 2008 comparable program
level is $2,065,022,000 and the budget request for fiscal year
2009 is $2,091,792,000. 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 support strongly the ongoing effort to
increase the number of people who have access to medical
services at health centers.
Within the amount provided, $62,000,000 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 community health center, such as unusual increases
in the number of uninsured patients seeking care or unusual
increases in underserved populations in States with universal
health coverage. While the Committee wholeheartedly supports
the expansion of the Health Centers program, this base grant
adjustment funding recognizes the narrow and declining
operating margins of most health centers.
Within the amount provided, the Committee has provided
$44,055,000 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 include the cost of evaluating claims, defending
claims, and conducting settlement activities.
The Committee is pleased that HRSA has clarified that all
States will be eligible for community health center expansion
funding through a national competition, and that eligibility
will no longer be restricted to specific counties. Further, the
Committee urges HRSA to make funding available for new
community health center sites, to increase capacity at existing
centers, and for service expansion awards to expand access to
mental health services, dental services, outreach to special
populations, and pharmacy services at community health centers.
The Committee expects HRSA to implement any new expansion
initiative using the existing, and statutorily-required,
proportionality for urban and rural communities, as well as
migrant, homeless and public housing health centers. The
Committee rejects the administration's proposed waiver of this
proportionality requirement, outlined in section 330(r)(2)(B)
of the Public Health Service Act.
The Committee expects that the Secretary will continue to
approve community health centers' proposed scope of project
changes when necessary to ensure access to needed specialty
services or to meet the comprehensive needs of special
populations who may require care in other types of health care
settings.
The Committee urges HRSA to confirm that FTCA covers
clinicians employed or individually contracted by community
health centers, who treat or assist in treating non-community
health center patients in hospitals or other settings, where
reciprocal coverage between the community health center
clinicians and other clinicians is customary.
The Committee recognizes the importance of increasing the
use of health information technology [IT] at community health
centers. Community health centers have demonstrated improved
access to services and improved patient outcomes by utilizing
electronic health records and other IT tools through their
participation in Health Center Controlled Networks [HCCNs] and
the Health Disparities Collaboratives. Given this success, the
Committee urges HRSA to ensure that community health centers
have the capacity to establish and expand health IT systems in
order to further enhance the delivery of cost-effective,
quality health care services.
The Committee appreciates the work HRSA has done with
partners to expand health centers' capacity for delivery of
medical management and treatment of hepatitis C virus [HCV] by
implementing training and technical assistance initiatives.
While not all patients are appropriate candidates for HCV
treatment, the Committee is concerned with the low number of
clients being treated despite the availability of effective
medications. The Committee encourages HRSA to address this
through the creation of best practices from successful efforts
in the field, increased provider education, case manager
capacity building and creation of educational materials for
clients.
The Committee continues to be concerned that community
health center funds are often not available to small, remote
communities 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 Frontier Health Plan
initiative, and encourages the agency to continue and expand
its efforts with this program.
The Committee recognizes that Nurse-Managed Health Centers
[NMHCs] serve a dual function in strengthening the health care
safety net by providing health care to populations in
underserved areas and by providing the clinical experiences to
nursing students that are mandatory for professional
development. The Committee further acknowledges that NMHCs are
frequently the only source of health care to their patients and
that a lack of clinical education sites for nurses is a
contributing factor to the nationwide nursing shortage. The
Committee appreciates the work HRSA is doing to reach out to
NMHC's, providing technical assistance to potential applicants
and granting these centers FQHC Look-Alike status.
The Committee notes the important role of Community Health
Centers in screening at-risk children for lead.
The Committee is encouraged that health centers have
successfully utilized those funds available through the HRSA
Loan Guarantee Program to meet their capital needs. In order to
maximize the utilization of all 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
The Committee continues to support collaborative efforts
between Federal agencies to address the demand for primary
health care access in rural communities. The Committee is
pleased that a number of community health centers have been
able to address ongoing capital improvement needs using USDA
Rural Development programs. The Committee encourages HRSA to
work with the USDA Rural Development Office to assist more
community health centers in accessing these resources.
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 $13,952,000 be provided
for these activities in fiscal year 2009.
The Committee is pleased by the creation of the master's
degree and certificate programs aimed at giving Native
Hawaiians the skills needed to succeed as health care
administrators. The Committee has included sufficient funding
for these programs to continue.
The Committee recognizes that there has been rapid growth
in the emerging Hispanic population of Hawaii, which may
necessitate new training requirements for healthcare providers
and educators in areas of cultural awareness and language.
Free Clinics Medical Malpractice Coverage
The Committee provides $39,000 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 2008 comparable level was $39,000 and the fiscal
year 2009 budget request included $40,000 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.
National Hansen's Disease Program
The Committee has included $16,109,000 for the National
Hansen's Disease Program. The fiscal year 2008 comparable level
was $15,693,000 and the budget request for fiscal year 2009 was
$16,109,000. 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 in the continental United States and
Puerto Rico.
National Hansen's Disease Program Buildings and Facilities
The Committee provides $100,000 for buildings and
facilities. The fiscal year 2008 comparable level was $157,000
and the budget request for fiscal year 2009 was $100,000 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 $1,976,000 for Hansen's Disease
services. The fiscal year 2008 comparable level was $1,961,000
and the budget request for fiscal year 2009 was $1,976,000.
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.
BUREAU OF HEALTH PROFESSIONS
National Health Service Corps: Field Placements
The Committee provides $39,736,000 for field placement
activities. The fiscal year 2008 comparable level was
$39,736,000 and the budget request for fiscal year 2009 was
$25,729,000. The funds provided for this program are used to
support the activities of the 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 recognizes that 50 percent of National Health
Service Corps members serve at Community, Migrant, Homeless,
and Public Housing Health Centers. Recent efforts to expand the
Health Centers program have made those placements increasingly
more vital. The Committee is concerned by the more than 2,500
community health center vacancies on the fiscal year 2008 NHSC
Opportunities List and urges HRSA to work expeditiously to fill
those slots.
National Health Service Corps: Recruitment
The Committee provides $95,230,000 for recruitment
activities. The fiscal year 2008 comparable level was
$83,741,000 and the budget request for fiscal year 2009 was
$95,230,000. 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 is concerned by the recent Anti-Deficiency
Act violation and has included statutory authority to allow
HRSA the flexibility to respond to changing tuition and fee
rates. The Committee expects notification in each year's budget
justification on the amount of funds allocated to adjusting
prior year contracts.
The Committee encourages HRSA to recruit nurses with a
focus on reducing infant mortality, late pre-term births, and
other complications associated with childbirth.
HEALTH PROFESSIONS
The Committee provides $363,189,000 for all HRSA health
professions programs. The fiscal year 2008 comparable level was
$350,003,000 and the budget request for fiscal year 2009 was
$109,853,000.
Training for Diversity
Centers of Excellence
The Committee provides $12,773,000 for the Centers of
Excellence program. The fiscal year 2008 comparable level was
$12,773,000 and the budget request for fiscal year 2009 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.
Minority Centers of Excellence.--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.
Health Careers Opportunity Program
The Committee provides $9,825,000 for the Health Careers
Opportunity Program. The fiscal year 2008 comparable level was
$9,825,000 and the budget request for fiscal year 2009 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.
For fiscal year 2009, the Committee directs 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 $1,266,000 for the Faculty Loan
Repayment program. The fiscal year 2008 comparable level was
$1,266,000 and the budget request for fiscal year 2009 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 $45,842,000 for the Scholarships for
Disadvantaged Students program, the same as the fiscal year
2008 comparable level. The budget request for fiscal year 2009
did not include funds for this program. 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 $48,851,000 for Training in Primary
Care Medicine and Dentistry programs. The fiscal year 2008
comparable level is $47,998,000. The budget for fiscal year
2009 did not request funding for this program. The Committee
has included bill language funding family medicine activities,
general dentistry and the pediatric dentistry program at no
less than last year's level.
Pediatric dentistry residency programs provide both
treatments for underprivileged children and training
opportunities to address the national shortage of pediatric
dentists. Even though it is easily preventable, dental decay is
the most common chronic childhood disease in the United States.
Children with dental pain fail to function properly in school
and their everyday lives, thus impacting their development for
years to come. When oral infections go untreated, the proximity
to the brain can lead to fatal conditions. The Committee has
included bill language allowing funds to be used for faculty
loan repayment.
The Committee encourages HRSA to communicate clearly to
applicants that grant funds can be utilized for faculty
development and curriculum enhancement, as well as program
creation or expansion.
Interdisciplinary, Community-based Linkages
Area Health Education Centers
The Committee provides $28,180,000 for the Area Health
Education Centers program, the same as the fiscal year 2008
comparable level. The budget request for fiscal year 2009 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 $8,803,000 for the Allied Health and
Other Disciplines program, the same as the fiscal year 2008
comparable level. The budget request for fiscal year 2009 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, Graduate Psychology training programs, and
the dental workforce programs authorized under section 340G of
the Public Health Service Act at the same levels as in fiscal
year 2008.
Graduate Psychology Education.--The need for behavioral and
mental health services in an integrated health care system is
significant and well documented. With a rapidly growing
generation of elderly and significant numbers of returning war
veterans, the Nation's health system is certain to experience
increased strain for years to come as individuals and their
families increasingly turn to mental healthcare professionals
in local communities. To help respond to this training pipeline
need, the Committee strongly supports the Graduate Psychology
Education Program. This grant program provides
interdisciplinary training for health service psychologists to
provide mental and behavioral health care services to
underserved populations, such as older adults, children,
chronically ill persons and victims of abuse or trauma. While
being trained in both rural and urban communities, graduate
psychology students also provide direct services to people who
would otherwise not receive them. Trainees work in teams with
health care providers from over 30 different health professions
and medical specialties. The GPE program has achieved a
significant increase in the rate of students entering into and
staying to practice in underserved areas.
Geriatric Education
The Committee provides $30,997,000 for Geriatric Education
programs, the same level as the fiscal year 2008 comparable
level. The budget did not request funds for this program.
Geriatric programs include: Geriatric Education Centers,
the Geriatric Academic Career awards program, and the Geriatric
Training program for Physicians, Dentists, and Behavioral/
Mental Health Professionals program. The Committee intends that
all activities remain at last year's level.
Public Health, Preventive Medicine, and Dental Public Health Programs
The Committee provides $9,000,000 for these programs. The
fiscal year 2008 comparable level was $8,273,000 and the budget
request for fiscal year 2009 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 $167,652,000 for the Nursing
Workforce Development programs. The fiscal year 2008 comparable
level was $156,046,000 and the budget request for fiscal year
2009 was $109,853,000.
The Committee recognizes that efforts to alleviate the
Nation's shortage of Registered Nurses [RNs] must focus on
addressing the nurse faculty shortage. According to the latest
survey from the American Association of Colleges of Nursing,
more than 40,000 qualified applicants were turned away from
baccalaureate and graduate nursing programs in 2007 due
primarily to a shortage of nurse faculty. Supporting programs
that prepare more nurse educators is the key to stabilizing the
nursing workforce and reversing the RN shortage.
The Committee recommends funding for the following
activities in the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year 2008 Fiscal year 2009 Committee
comparable budget request recommendation
----------------------------------------------------------------------------------------------------------------
Advanced Education Nursing................................ 61,875 ................ 62,975
Nurse education, practice, and retention.................. 36,640 37,291 37,291
Nursing workforce diversity............................... 15,826 16,107 16,107
Loan repayment and scholarship program.................... 30,512 43,744 40,000
Comprehensive geriatric education......................... 3,333 3,392 3,392
Nursing faculty loan program.............................. 7,860 9,319 7,887
----------------------------------------------------------------------------------------------------------------
Children's Hospitals Graduate Medical Education Program
The Committee has provided $310,000,000 for the Children's
Hospitals Graduate Medical Education [GME] program. The fiscal
year 2008 comparable level was $301,646,000 and the budget for
fiscal year 2009 did not include funds for this program.
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 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.
Patient Navigator
The Committee recommendation includes $4,000,000 for the
Patient Navigator Outreach and Chronic Disease Outreach
program. The comparable funding level for fiscal year 2008 was
$2,948,000 and the budget for fiscal year 2009 did not request
funding for this program.
The program provides demonstration grants to public or non-
profit health centers to help patients overcome barriers in the
health care system to prompt screening, referral, diagnosis and
treatment services.
National Practitioner Data Bank
The Committee provides $18,900,000 for the national
practitioner data bank. The fiscal year 2008 comparable level
was $18,570,000 and the budget request for fiscal year 2009 was
$18,900,000. 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 $3,758,000 for the health care
integrity and protection data bank. The fiscal year 2008
comparable level was $3,758,000 and the administration did not
request funding for this program in fiscal year 2009. The
Committee assumes 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 $664,268,000 for the maternal and
child health [MCH] block grant, the same as the fiscal year
2008 comparable level and the budget request for fiscal year
2009.
The Committee has moved funding for the newborn and child
heritable disorders screening program from the SPRANS set aside
to a new line in order to fully implement the new authorization
in section 1109 of the Newborn Screening Saves Lives Act of
2008. The Committee does not intend to cut grants to States or
the grants for community integrated service systems. Therefore,
the Committee has included a statutory provision to hold
harmless both of these grant programs.
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 Committee has included bill language identifying
$97,287,000 for the SPRANS set-aside. Within that total, the
Committee recommends the following activities in the following
amounts:
----------------------------------------------------------------------------------------------------------------
Fiscal year
Activity 2008 Fiscal year Committee
comparable 2009 budget recommendation
----------------------------------------------------------------------------------------------------------------
Oral Health..................................................... $4,718,109 $4,718,000 $4,718,000
Community-based Sickle Cell Outreach............................ 3,773,898 3,774,000 3,774,000
Doula program................................................... 1,509,166 1,509,000 1,509,000
Epilepsy........................................................ 2,830,669 2,831,000 2,831,000
Fetal Alcohol Syndrome.......................................... 972,705 973,000 973,000
First-time Motherhood........................................... 4,912,650 4,913,000 4,913,000
----------------------------------------------------------------------------------------------------------------
The Committee intends that Doula demonstration funding
continue to be allocated evenly among urban and rural settings,
with an emphasis on breastfeeding initiation and retention.
The Committee recognizes the critical 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 provide State and community leadership in
maternal and child oral health programs, and become future
faculty and policy leaders specializing in pediatric dentistry
and maternal and child health. The Committee encourages HRSA to
explore mechanisms to augment center support with foundation
and corporate funds.
The Committee continues to encourage HRSA to expand support
of State oral health programs that increase access to oral
health services for women and children through sustainable,
well integrated, statewide programs. The Committee also
recognizes the importance of building partnerships between the
public and private sectors to assure an adequate workforce to
meet the needs of those children and their families most
vulnerable to oral disease. The Committee intends that funds
provided within the MCH SPRANS program be used to support
integration of health systems in States and partnerships with
national organizations and foundations that focus on early
interventions to prevent oral disease. HRSA is encouraged to
utilize grants and contracts to accomplish this and formalize
relationships with other Federal agencies to prevent childhood
caries to avoid the need for more costly care.
The Committee applauds HRSA's support of comprehensive
thalassemia treatment centers and encourages HRSA to coordinate
thalassemia treatment center funding with the Thalassemia
Clinical Research Network at NIH and the blood safety
surveillance program at CDC.
Sickle Cell Anemia Program
The Committee provides $3,500,000 for the sickle cell
anemia demonstration program. The fiscal year 2008 comparable
level was $2,653,000 and the budget request for fiscal year
2009 was $2,184,000. The Sickle Cell Service Demonstration
Program provides grants and contracts to help coordinate
service delivery for individuals with sickle cell disease,
including genetic counseling and testing; training of health
professionals; and identifying and establishing other efforts
related to the expansion and coordination of education,
treatment, and continuity of care programs for individuals with
sickle cell disease.
Traumatic Brain Injury Program
The Committee provides $8,754,000 for the traumatic brain
injury program, the same as the fiscal year 2008 comparable
level. The budget request for fiscal year 2009 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 no less than last year's funding level for
protection and advocacy services, as authorized under section
1305 of Public Law 106-310.
Autism and Other Developmental Disorders
The Committee provides $42,000,000 for the autism and other
developmental disorders initiative. The fiscal year 2008
comparable level and the budget request for fiscal year 2009
are $36,354,000. The program supports surveillance, early
detection, education and intervention activities on autism and
other developmental disorders, as authorized in the Combating
Autism Act of 2006.
Within the funding provided for autism and other related
developmental disorders, an increase of no less than $2,000,000
is provided to continue and expand research on evidence-based
practices for interventions for individuals with autism and
other developmental disabilities, for development of guidelines
for those interventions, and for information dissemination. In
addition, an increase of no less than $2,000,000 is provided to
continue and expand the Leadership Education in
Neurodevelopmental and Related Disabilities program.
Newborn Screening for Heritable Disorders
The Committee provides $1,887,000 for the newborn heritable
disorders screening program, as described in section 1109 of
the Newborn Screening Saves Lives Act of 2008, the same as the
fiscal year 2008 comparable level and the fiscal year 2009
budget request. The Committee notes that this program was
previously funded through the SPRANS program. Newborn screening
is an essential public health function provided to all newborns
in the United States. The Committee is aware that the number of
conditions and the quality of programs varies from State to
State. The Committee encourages HRSA to guide States by
providing current information on the panel of conditions for
which infants should be screened and to improve health provider
and public education.
Congenital Disabilities Program
The Committee has provided $1,000,000 to establish the
congenital disabilities program. The purpose of the program is
to provide information and support services to families
receiving a positive test diagnosis for down syndrome, spina
bifida, dwarfism, or other prenatally and postnatally diagnosed
conditions. Grants may be made to States, Territories,
localities, and non-governmental organizations with expertise
in prenatally and postnatally diagnosed conditions.
Funding may be used to collect and disseminate current
evidence-based information and to coordinate the provision of
supportive services to parents who receive a positive diagnosis
prenatally, at birth, or up to 1 year after the affected
child's birth. These services may include the expansion and
further development of national and local peer-support
programs; the creation of a telephone hotline which would
provide parents with information on the physical,
developmental, educational, and psychosocial aspects of the
condition; and awareness and education programs for the
healthcare providers who provide, interpret, and inform parents
of the results of positive test diagnoses for congenital
disabilities.
Healthy Start
The Committee provides $99,744,000 for the healthy start
infant mortality initiative, the same as the fiscal year 2008
comparable level and the budget request for fiscal year 2009.
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 $11,790,000 for universal newborn
hearing screening and early intervention activities, the same
as the fiscal year 2008 comparable level. The budget request
for fiscal year 2009 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 2008 comparable level
was $19,454,000 and the budget request for fiscal year 2009 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.
Family-To-Family Health Information Centers
The Committee has not provided funding for the Family-To-
Family Health Information Centers program. The fiscal year 2008
comparable level was $4,000,000 and the budget request for
fiscal year 2009 included no funding for this initiative. The
Committee notes that the Deficit Reduction Act of 2005
appropriated $5,000,000 for this activity for fiscal year 2009.
HIV/AIDS BUREAU
ACQUIRED IMMUNE DEFICIENCY SYNDROME
Ryan White AIDS Programs
The Committee provides $2,173,306,000 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 2008 comparable level was $2,166,792,000 and
the budget request for fiscal year 2009 was $2,167,912,000.
Next to the Medicaid program, the Ryan White AIDS programs
are the largest Federal investment in the care and treatment of
people living with HIV/AIDS in the United States. These
programs provide 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 2008.
The Committee is aware that over 30 percent of HIV-infected
persons in the United States are chronically infected with the
hepatitis C virus [HCV]. The Committee recognizes the materials
and conferences HRSA has engaged in on this subject and
supports the effort to adjust the ADAP formulary to reduce the
morbidity and mortality of this population. In addition, the
Committee encourages HRSA to highlight best practices regarding
treatment of co-infected patients.
The Ryan White HIV/AIDS Treatment Modernization Act
requires that not less than 75 percent of appropriated funds
under parts A through C must be spent on core medical services.
The Committee is aware that HRSA has recognized food and
nutrition as medically important in fighting HIV/AIDS disease
and in helping the body process complex HIV/AIDS medications.
Emergency Assistance
The Committee provides $619,424,000 for emergency
assistance grants to eligible metropolitan areas
disproportionately affected by the HIV/AIDS epidemic. The
fiscal year 2008 comparable level was $627,149,000 and the
budget request for fiscal year 2009 included $619,424,000.
These funds are provided to metropolitan areas meeting certain
criteria. Two-thirds of the funds are awarded by formula and
the remainder is awarded through supplemental competitive
grants.
The Committee notes that the fiscal year 2008 comparable
level included a one-time provision directing funds to
particular metropolitan areas facing dramatic cuts as a result
of the changes to the Ryan White formula.
Comprehensive Care Programs
The Committee provides $1,209,487,000 for HIV health care
and support services. The fiscal year 2008 comparable level was
$1,195,248,000 and the budget request for fiscal year 2009 was
$1,209,487,000. 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 providing $800,422,000 for AIDS medications in the
AIDS Drug Assistance Program [ADAP]. The fiscal year 2008
comparable level was $794,376,000 and the budget request for
fiscal year 2009 was $814,546,000. 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.
Early Intervention Services
The Committee provides $198,754,000 for early intervention
grants, the same as the fiscal year 2008 comparable level and
the budget request for fiscal year 2009. 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.
Children, Youth, Women, and Families
The Committee provides $73,690,000 for grants for
coordinated services and access to research for women, infants,
children, and youth, the same as the fiscal year 2008
comparable level and the budget request for 2009. 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.
AIDS Dental Services
The Committee provides $12,857,000 for AIDS Dental
Services, the same as the fiscal year 2008 comparable level and
the budget request for fiscal year 2009. 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.
AIDS Education and Training Centers
The Committee provides $34,094,000 for the AIDS education
and training centers [AETC's]. The fiscal year 2008 comparable
level was $34,094,000 and the budget request for fiscal year
2009 included $28,700,000. 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.
HEALTH CARE SYSTEMS BUREAU
Organ Donation and Transplantation
The Committee provides $25,049,000 for organ donation and
transplantation activities. The fiscal year 2008 comparable
level was $22,646,000 and the budget request for fiscal year
2009 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 is aware that individuals with Alpha-1
Antitrypsin Deficiency (Alpha-1) exhibit symptoms of advanced
emphysema between 25 and 65 years of age, even in the absence
of tobacco use and that Alpha-1 is a major cause of lung
transplantation in adults and a leading cause of liver
transplantation in children and adults. The Committee
encourages UNOS to continue to review the methodology used to
determine transplant eligibility for individuals with Alpha-1
and to engage in additional dialogue with the Alpha-1 lay and
scientific communities.
The Committee commends HRSA and the United Network for
Organ Sharing [UNOS] for working with the pulmonary
hypertension [PH] community to address concerns regarding the
allocation of lungs for transplantation in PH patients. The
Committee encourages UNOS to continue its dialogue with the PH
community to monitor concerns regarding the methodology used to
determine transplantation eligibility for PH patients.
National Cord Blood Inventory
The Committee has provided $12,000,000 for the National
Cord Blood Inventory, which is the successor of the National
Cord Blood Stem Cell Bank program. The fiscal year 2008
comparable level was $8,843,000 and the budget request for
fiscal year 2009 was $11,966,000. 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.
C.W. Bill Young Cell Transplantation Program
The Committee provides $23,517,000 for the C.W. Bill Young
Cell Transplantation Program, which is the successor of the
National Bone Marrow Donor Registry. This is the same level as
the fiscal year 2008 comparable level for the Registry and the
budget request for fiscal year 2009 was $22,701,000.
The Committee recognizes the importance of this life-saving
program and the continued need to increase cell transplantation
through the use of cord blood, bone marrow, peripheral blood
stem cells, and other sources of stem cells that may be
available in the future. The Committee applauds the National
Marrow Donor Program [NMDP] for its expansion of the national
registry, which now lists more than 6.5 million potential
volunteer donors and more than 72,000 cord blood units. While
acknowledging this effort, the Committee recognizes the need to
continue to increase the size of the registries to assure
access for all Americans and encourages the continued efforts
to increase awareness about transplantation and donation
outreach among minority and medically underserved populations.
The Committee supports continued innovative, technological, and
scientific advances in cell therapies that have the potential
to help Americans with leukemia or other life threatening blood
diseases. In addition, the Committee encourages the NMDP to
continue to conduct and support research to improve the
availability, efficiency, safety, and cost of transplants and
the effectiveness of program operations.
Office of Pharmacy Affairs
The Committee provides $2,940,000 for the Office of
Pharmacy Affairs. The budget request for fiscal year 2009 did
not request funding for this 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 that the proposed guidelines on
the definition of the term ``patient'' for 340(B) drug
discounts will dramatically change the degree to which safety
net facilities are able to participate in this important
program. The Committee strongly supports a definition of
patient that protects program integrity while ensuring that the
Nation's health care safety net is not further weakened. The
Committee continues to urge HRSA to move forward with portions
of the proposed guidance that enjoy wide support and issue a
new proposed guidance on the question of patient eligibility,
which would allow for additional public comment on issues such
as patient records, health care provider relationships with
covered entities, referral services and hospital discharge
prescriptions.
Poison Control Centers
The Committee provides $26,528,000 for Poison Control
Center activities, the same as the fiscal year 2008 comparable
level. The budget request for fiscal year 2009 was $10,000,000.
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. 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.
RURAL HEALTH PROGRAMS
Rural Health Care Services Outreach Grants
The Committee provides $51,434,000 for rural health
outreach grants. The fiscal year 2008 comparable level was
$48,031,000 and the budget request for fiscal year 2009 did not
include funds for this program. 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 receiving appropriate compensation to provide this
service. The Committee encourages 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.
Rural Health Research
The Committee provides $9,000,000 for the Rural Health
Research program. The fiscal year 2008 comparable level was
$8,584,000. The budget request for fiscal year 2009 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. The Committee
has included additional resources to support data collection
and trend analysis on rural health delivery, including gaps in
care.
Rural Hospital Flexibility Grants
The Committee provides $39,200,000 for rural hospital
flexibility grants. The fiscal year 2008 comparable level was
$37,865,000 and the budget request for fiscal year 2008 did not
include funds for this program.
Under this program, HRSA works with the States to provide
support and technical assistance to Critical Access Hospitals
to focus on quality and performance improvement and to
integrate emergency medical services. 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. The program provides
support for small rural hospitals and focuses on quality
improvement and adoption of health information technology.
Delta Health Initiative
The Committee has included $25,000,000 for the Delta Health
Initiative as authorized in section 219 of division G of Public
Law 110-161.
Rural and Community Access to Emergency Devices
The Committee provides $1,461,000 for rural and community
access to emergency devices, the same as the fiscal year 2008
comparable level. The budget request for fiscal year 2009 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 expects that
fiscal year 2009 funding be equally divided between urban and
rural communities.
Funding will be used to purchase and place automated
external defibrillators in public areas where cardiac arrests
are likely to occur.
State Offices of Rural Health
The Committee provides $7,999,000 for the State Offices of
Rural Health, the same as the fiscal year 2008 comparable
level. The budget request for fiscal year 2009 was $8,141,000.
The State Offices 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.
Black Lung Clinics
The Committee provides $7,200,000 for black lung clinics.
The fiscal year 2008 comparable level was $5,788,000 and the
budget request for fiscal year 2009 was $5,886,000. 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.
Radiation and Exposure Screening and Education Program
The Committee provides $2,000,000 for activities authorized
by the Radiation Exposure Compensation Act. The fiscal year
2008 comparable level was $1,884,000 and the budget request for
fiscal year 2009 was $1,904,000. 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.
Native and Rural Alaskan Health Care
The Committee provides $39,283,000 for the Denali
Commission. The fiscal year 2008 comparable level was
$38,597,000 and the budget request for fiscal year 2009 did not
include funding for this program. These funds support the
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.
Family Planning
The Committee provides $299,981,000 for the title X family
planning program, the same level as the fiscal year 2008
comparable level and the budget request.
Title X grants support primary health care services at
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 timeframe 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 $170,597,000 for the construction
and renovation (including equipment) of health care-related
facilities and other health care-related activities. In fiscal
year 2008, $304,475,000 was provided and the budget request for
fiscal year 2009 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:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
Access Community Health Network, Chicago, IL, for $500,000
construction at Holy Cross Hospital..................
Access to Healthcare Network, Reno, NV, to expand the 600,000
Access to Healthcare Network into Northern NV rural
counties.............................................
Adams State College, Alamosa, CO, for construction of 150,000
a health education facility..........................
Advocate Lutheran General Hospital, Park Ridge, IL, 300,000
for construction.....................................
Advocates for a Healthy Community, Springfield, MO, 1,500,000
for construction, renovation and equipment...........
Alaska Brain Injury Network, Anchorage, AK, for brain 100,000
injury programs and outreach services................
Alaska Native Tribal Health Consortium, Anchorage, AK, 1,500,000
for a statewide electronic medical records and health
information system...................................
Alaska Native Tribal Health Consortium, Anchorage, AK, 1,500,000
for parallel development of an e-Health electronic
Network..............................................
Allegheny General Hospital, Pittsburgh, PA, for 100,000
construction, renovation and equipment...............
Allen Institute for Brain Science, Seattle, WA, for 500,000
equipment............................................
Allen Memorial Hospital, Waterloo, Iowa, for 250,000
construction, renovation and equipment...............
Allied Services Foundation, Clarks Summit, PA, for 100,000
renovations and equipment............................
Altoona Regional Health System, Altoona, PA, for 100,000
renovation and equipment.............................
Anchorage Neighborhood Health Center, Anchorage, AK, 400,000
for construction, renovation and equipment...........
Association of Utah Community Health, Salt Lake City, 500,000
UT, for an electronic health records system for Utah
Community Health Centers.............................
AtlantiCare Regional Medical Center, Egg Harbor 400,000
Township, NJ, for construction of the Cancer Care
Institute............................................
Barnes-Kasson County Hospital, Susquehanna, PA, for 100,000
renovations and equipment............................
Bartlett Regional Hospital, Juneau, AK, for renovation 500,000
and equipment........................................
Bayside Family Healthcare, North Kingstown, RI, to 100,000
implement the NextGen Practice Management System and
Electronic Health Records............................
Beebe Medical Center, Lewes, DE, for the construction 500,000
of a new School of Nursing...........................
Benefis Healthcare Foundation, Great Falls, MT, for 150,000
health information technology in critical access
hospitals............................................
Bethune Cookman University, Daytona Beach, FL, for 100,000
equipping a nurse-managed health facility............
Billings Clinic, Billings, MT, for equipment.......... 150,000
Bingham Memorial Hospital, Blackfoot, ID, for 200,000
construction, renovation and equipment...............
Bi-State Primary Care Association, Concord, NH, for 250,000
renovation and equipment.............................
Bi-State Primary Care Association, Montpelier, VT, for 550,000
construction, renovation and equipment...............
Bloomsburg Hospital, Bloomsburg, PA, for construction, 100,000
renovation and equipment.............................
Blue Mountain Diagnostic Imaging, Inc. (BMDI), 100,000
Pendleton, OR, for equipment.........................
Bois Forte Reservation Tribal Council, Tower, MN, for 300,000
renovation and equipment.............................
Boston Foundation for Sight, Needham Heights, MA, for 150,000
the acquisition of medical equipment.................
Boston Medical Center, Boston, MA for facilities and 350,000
equipment for the J. Joseph Moakley Medical Services
Building.............................................
Boulder City Hospital, Boulder City, NV, for 500,000
construction of an emergency department..............
Boys Town National Research Hospital, Omaha, NE, for 500,000
construction, renovation and equipment...............
Bradford Regional Medical Center, Bradford, PA, for 100,000
renovation and equipment.............................
Broadlawns Medical Center, Des Moines, IA, for 500,000
equipment............................................
Bucknell University Geisinger Health System, 150,000
Lewisburg, PA, for the training of health
professionals........................................
Butler Health System, Butler, PA, for renovation and 100,000
equipment............................................
Caring Health Center, Inc., Springfield, MA, for 200,000
construction.........................................
Carnegie Mellon University, Washington, DC, for 100,000
renovation and equipment.............................
Carolinas HealthCare System, Charlotte, NC, for 100,000
construction, renovation and equipment...............
Catholic Health System, Buffalo, NY, for equipment.... 150,000
Centenary College of Louisiana, Shreveport, LA, for 1,000,000
construction, renovation and equipment of a health
training facility....................................
Center for Asbestos Related Disease, Libby, MT, for 200,000
construction, renovation and equipment...............
Central Carolina Technical College, Sumter, SC, for 250,000
construction, renovation and equipment...............
Central Wyoming College, Riverton, WY, for 450,000
construction, renovation and equipment...............
Central Wyoming College, Riverton, WY, for the Virtual 200,000
Medical Skills Center for Training Nurses in Rural
Health Care..........................................
Charles Cole Memorial Hospital, Coudersport, PA, for 100,000
rural training assistance............................
Chester County Hospital, West Chester, PA, for 100,000
construction renovation and equipment................
Chiesman Foundation for Democracy, Inc., Rapid City, 750,000
SD, to establish a Center for Fetal Alcohol Spectrum
Disorders............................................
Children's Health Fund, New York, NY, to provide 250,000
comprehensive primary care to medically underserved
children at elementary schools in the Austin, TX
Independent School District..........................
Children's Institute of Pittsburgh, Pittsburgh, PA, 200,000
for treating children and adolescents with Autism
Spectrum Disorders...................................
Children's Home Society of Idaho, Boise, ID, for 100,000
construction, renovation and equipment...............
Children's Hospital of Philadelphia, Philadelphia, PA, 100,000
for renovation and equipment.........................
Children's Hospital of Pittsburgh, Pittsburgh, PA, for 100,000
construction, renovation and equipment...............
Children's Hospitals & Clinics, Minneapolis, MN, for 250,000
equipment............................................
Children's Medical Center, Dallas, TX, for 150,000
construction, renovation and equipment...............
Children's Medical Research Institute, Oklahoma City, 100,000
OK, for renovation and equipment.....................
Children's Memorial Hospital, Chicago, IL, for 500,000
construction, renovation and equipment...............
Children's Mercy Hospitals and Clinics, Kansas City, 1,000,000
MO, for construction, renovation and equipment.......
Children's Square, Council Bluffs, IA, for 500,000
construction, renovation, and equipment..............
CHOICE Regional Health Network, Olympia, WA, for the 350,000
Emergency Department Care Coordination Program.......
Christ Hospital, Jersey City, NJ, for the Emergency 300,000
Department Renovation and Equipment Project..........
Christiana Care Health System, Wilmington, DE, to 300,000
renovate and expand Wilmington Hospital's Emergency
Department...........................................
CHRISTUS Santa Rosa Hospital, San Antonio, TX, for 150,000
renovation and equipment.............................
CHRISTUS St. Francis Cabrini Hospital, Shreveport, LA, 100,000
for construction, renovation and equipment...........
City Finance Office dba Community Memorial Hospital, 300,000
Redfield, SD, for facility renovation and
construction.........................................
City of Baltimore, Baltimore, MD, for construction for 1,250,000
Healthcare for the Homeless center...................
City of Newark, Newark, NJ, for an electronic medical 150,000
record system........................................
City of San Jose, San Jose, CA, for a healthcare for 500,000
the homeless program, including equipment............
Clarian Health, Indianapolis, IN, for construction, 100,000
renovation and equipment.............................
Clarion Health System, Clarion, PA, for renovation and 100,000
equipment............................................
Clearfield Hospital, Clearfield, PA, for construction, 100,000
renovation and equipment.............................
Coffeyville Regional Medical Center, Coffeyville, KS, 350,000
for construction, renovation and equipment...........
Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, 750,000
for The Women's Cancer Genomics Center...............
College of St. Scholastica, Inc., Duluth, MN, for a 250,000
rural health and technology demonstration project....
Colorado Community Health Network, Denver, CO, for 200,000
equipment............................................
Commonwealth Medical Education, Scranton, PA, for 1,000,000
equipment and construction...........................
Communicare Inc., Columbia, SC, for automated pharmacy 200,000
equipment............................................
Community Care Network, Montgomery, AL, for the 100,000
purchase of a mobile medical unit and acquisition of
equipment............................................
Community Colleges of Spokane, Spokane, WA, for 285,000
renovation and equipment for allied health educa-
tion.................................................
Community Health and Social Services, Detroit, MI, to 500,000
construct a health clinic............................
Community Health Care, Inc., Davenport, IA, for 200,000
equipment............................................
Community Health Center of Fort Dodge, IA, for 150,000
equipment............................................
Community Health Center of the Black Hills, Rapid 200,000
City, SD, for facilities and equipment...............
Community Health Centers of Southeastern Iowa, 200,000
Burlington, IA, for construction, renovation and
equipment............................................
Community Health Centers of Southern Iowa, Leon, IA, 130,000
for equipment........................................
Community HealthCare Association of the Dakotas, 200,000
Bismarck, ND, for Electronic Medical Record
Implementation.......................................
Community HealthCare Association of the Dakotas, Sioux 250,000
Falls, SD, for an electronic medical records system..
Community HealthCare Association of the Dakotas, Sioux 200,000
Falls, SD, for rural health and dental services in a
mobile dental unit...................................
Community Medical Center, Missoula, MT, for equipment. 100,000
Community Medical Center, Scranton, PA, for renovation 100,000
and equipment........................................
Comprehensive Community Action, Cranston, RI, to 300,000
implement an integrated electronic health record and
practice management system...........................
Concord Hospital, Concord, NH, for construction, 300,000
renovation and equipment.............................
Cook Children's Medical Center, Fort Worth, TX, for 150,000
renovation and equipment.............................
Cornerstone Care Inc., Burgettstown, PA, for 100,000
construction, renovation and equipment...............
Council Bluffs Community Health Center, Council 200,000
Bluffs, IA, for construction, renovation and equip-
ment.................................................
Creighton University, Omaha, NE, for construction, 100,000
renovation and equipment.............................
Crescent Community Health Center, Dubuque, IA, for 200,000
construction, renovation and equipment...............
Crider Health Center, Wentzville, MO, for 1,000,000
construction, renovation and equipment...............
Crozer-Chester Medical Center, Upland, PA, for 100,000
renovation and equipment.............................
Delaware Valley Community Health, Philadelphia, PA, 100,000
for renovation and equipment.........................
Delta State University, Cleveland, MS, for 250,000
construction, renovation and equipment, including
design...............................................
Denver Health and Hospital Authority, Denver, CO, for 150,000
construction.........................................
Driscoll Children's Hospital, Corpus Christi, TX, for 150,000
renovation and equipment.............................
DuBois Regional Medical Center, DuBois, PA, for 100,000
renovation and equipment.............................
East Carolina University, Greenville, NC, for 200,000
construction, renovation and equipment...............
Eastern Shore Rural Health System, Nassawadox, VA, to 300,000
construct the Onley Community Health Center..........
Ed Roberts Campus, Berkeley, CA, for construction, 250,000
renovation and equipment.............................
Elk Regional Health Center, St. Marys, PA, for 100,000
renovation and equipment.............................
Elliot Health System, Manchester, NH, for an 225,000
electronic medical records system....................
Endless Mountains Health Systems, Montrose, PA, for 100,000
construction, renovation and equipment...............
Ephrata Hospital, Ephrata, PA, for renovation and 100,000
equipment............................................
Excela Health, Latrobe, PA, for construction, 100,000
renovation and equipment.............................
Family Medicine Residency of Idaho, Boise, ID, to 100,000
recruit family physicians to rural Idaho.............
Fletcher Allen Health Care, Burlington, VT, for 200,000
construction and equipment...........................
Fletcher Allen Health Care, Burlington, VT, for 500,000
training.............................................
Fox Chase Cancer Center, Philadelphia, PA, for 100,000
renovation and equipment.............................
Franklin Pierce University, Rindge, NH, for nurse 400,000
training outreach programs, including renovation and
equipment............................................
Free Clinic of Pierce and Saint Croix, River Falls, 160,000
WI, to expand care in rural areas....................
Free Clinics of Iowa, Des Moines, IA, to support a 400,000
network of free clinics..............................
Friendship House, Scranton, PA, to create an advanced 150,000
Regional Center for Autism Spectrum Disorders........
Fulton County Medical Center, McConnellsburg, PA, for 100,000
construction, renovation and equipment...............
Gadsden County, Quincy, FL, for repairs and 100,000
renovations of the Gadsden County Community Hospital.
Garfield Memorial Hospital, Panguitch, UT, for 100,000
renovation and equipment.............................
Geisinger Health System, Harrisburg, PA, for post 100,000
traumatic stress disorder related activities.........
Generations, Inc., Camden, NJ, for construction and 100,000
operations of the Nex Generation Health Services
Center...............................................
Georgia Southern University, Statesboro, GA, for rural 100,000
health outreach and training.........................
Georgia State University, Atlanta, GA, for health 100,000
outreach and training................................
Good Samaritan Health Services Foundation, Lebanon, 100,000
PA, for renovation and equipment.....................
Good Shepherd Home, Inc., Allentown, PA, for 100,000
renovation and equipment.............................
Goodall Hospital, Sanford, ME, for an electronic 300,000
health records system................................
Grady Memorial Hospital, Atlanta, GA, for renovation 100,000
and equipment........................................
Grand View Hospital, Inc., Sellersville, PA, for 100,000
renovation and equipment.............................
Great Brook Valley Health Center, Worcester, MA, for 150,000
new facility construction............................
Greater Hudson Valley Family Health Center, Inc., 400,000
Newburgh, NY, for construction, renovation and
equipment............................................
Greater Sioux Community Health Center, Sioux Center, 100,000
IA, for equipment....................................
Gundersen Lutheran Hospital, La Crosse, WI, for health 300,000
care IT improvements.................................
Hamot Medical Center, Erie, PA, for construction, 100,000
renovation and equipment.............................
Hampton University, Hampton, VA, for construction and 400,000
equipment for the development of a new proton beam
therapy facility to treat cancer.....................
Harrington Memorial Hospital, Southbridge, MA, for the 200,000
acquisition of medical equipment.....................
Harris County Hospital District, Houston, TX, for 150,000
renovation and equipment.............................
Hazleton General Hospital--Health Corp (Northeastern 100,000
PA), Hazleton, PA, for renovation and equip- ment...
Health and Hospital Corporation of Marion County, 150,000
Indianapolis, IN, for facility planning,
construction, renovation and equipment...............
Health Care of Southeastern Massachusetts, Brockton, 150,000
MA, for equipment....................................
HealthEast Care System, St. Paul, MN, for 325,000
construction, renovation and equipment...............
HealthPoint Kentucky, Newport, KY, for an electronic 100,000
medical records system...............................
HealthShare Montana, Bozeman, MT, for equipment and 750,000
training.............................................
Hickman Community Hospital, Centerville, TN, for 550,000
construction and renovation and equipment............
Holy Redeemer Health System, Huntington Valley, PA, 100,000
for construction, renovation and equipment...........
Holy Spirit Healthcare System, Camp Hill, PA, for 100,000
renovation and equipment.............................
Hormel Institute, Mower, MN, for biomedical equipment. 100,000
Horn Memorial Hospital, Ida Grove, IA, for equipment.. 250,000
Indiana Regional Medical Center, Indiana, PA, for 100,000
renovation and equipment.............................
Intermountain Healthcare, Salt Lake City, UT, for an 300,000
electronic medical records and pharmacy bar coding
systems..............................................
Inova Health System--The Claude Moore Health Education 100,000
Center's Simulation Center, Falls Church, VA, for
construction, renovation and equipment...............
Iowa Caregivers Association, Des Moines, IA, for 350,000
training and support of certified nurse assistants...
Iowa Dental Foundation, Johnston, IA, for portable 250,000
dental equipment.....................................
Iowa Nebraska Primary Care Association, Des Moines, 260,000
IA, for health information technology equipment and
coordination of programs.............................
Iowa State University, Ames, IA, for construction of a 500,000
biosafety level 3 lab................................
Jackson State University, Jackson, MS, for the 500,000
Institute of Epidemiology and Health Services
Research.............................................
Jameson Memorial Hospital, New Castle, PA, for 100,000
construction, renovation and equipment...............
JC Blair Memorial Hospital, Huntingdon, PA, for 100,000
renovation and equipment.............................
Jefferson Regional Medical Center, Pittsburgh, PA, for 100,000
construction, renovation and equipment...............
Jersey Shore Hospital, Jersey Shore, PA, for 100,000
renovation and equipment.............................
Jewish Renaissance Medical Center, Perth Amboy, NJ, 100,000
for construction of the Medical Arts Building........
Joseph Richey House, Inc., Baltimore, MD, for 750,000
construction of Dr Bob's Place Children's Hospice....
Kadlec Health System, Richland, WA, for construction 150,000
and equipment........................................
Kane Community Hospital, Kane, PA, for construction, 100,000
renovation and equipment.............................
King's Daughters Regional Medical Center, Brookhaven, 500,000
MS, for an electronic medical records system,
including renovation and equipment...................
La Clinica de Familia, Inc., Las Cruces, NM, for 775,000
construction of the Chaparral Dental Center..........
Lahey Clinic, Burlington, MA, for the expansion and 200,000
renovation of emergency and trauma care facili- ties
Lane County, Eugene, OR, for construction of the 100,000
Springfield Community Health Center..................
Laramie County Community College, Cheyenne, WY, for 400,000
renovation, equipment and training...................
Lawndale Christian Health Center, Chicago, IL, for 400,000
construction and equipment...........................
Lehigh Valley Hospital, Allentown, PA, to provide 100,000
healthcare access....................................
Lewis-Clark State College, Lewiston, ID, to prepare 100,000
nursing students for careers in nursing..............
Lincoln County, Newport, OR, for an electronic medical 250,000
records system, including equipment acquisition and
renovation...........................................
Linn Community Care, Cedar Rapids, IA, for 262,000
construction, renovation and equipment...............
Lou Ruvo Brain Institute, Las Vegas, NV, for 600,000
construction, renovation and equipment...............
Lourdes Health System, Camden, NJ, for equipment...... 100,000
Lowell General Hospital, Lowell, MA, for construction 150,000
of new medical facilities............................
Lower Brule Sioux Tribe, Lower Brule, SD, for the 200,000
Community Health Representative program..............
Manchester Community Health Center, Manchester, NH, 200,000
for construction, renovation and equipment...........
Marian Community Hospital, Carbondale, PA, for 100,000
renovation and equipment.............................
Marillac Center, Overland Park, KS, for construction, 200,000
renovation and equipment.............................
Marquette University, Milwaukee, WI, for a dental 250,000
health outreach program..............................
Marshall University in Huntington, WV, for the 3,500,000
Translational Genomic Research Institute.............
Maui Community Health Center, Kahului, HI, for 200,000
construction, renovation and equipment...............
Maui Medical Center, Maui, HI, for equipping a 200,000
robotics and nurse training lab......................
Meadville Medical Center, Meadville, PA, for 100,000
construction, renovation and equipment...............
Meharry Medical College, Nashville, TN, for 600,000
construction, renovation and equipment...............
Memorial Hospital at Gulfport, Gulfport, MS, for 500,000
construction, renovation and equipment...............
Memorial Hospital, Carthage, IL, for equipment........ 400,000
Memorial Hospital, York, PA, for renovation and 100,000
equipment............................................
Mercy Health Foundation, Durango, CO, for renovation 150,000
and equipment........................................
Mercy Health Partners, Scranton, PA, for renovation 100,000
and equipment........................................
Mercy Memorial Health Center, Ardmore, OK, for 100,000
construction, renovation and equipment...............
Mercy Philadelphia Hospital, Philadelphia, PA, for 100,000
construction, renovation and equipment...............
Meridian Health, Neptune, NJ, for the Jersey Shore 350,000
University Medical Center Comprehensive Expansion and
Renovation Project...................................
Messiah College, Grantham, PA, for renovation and 100,000
equipment............................................
Methodist University, Fayetteville, NC, for 175,000
construction, renovation and equipment...............
Miami Jewish Home and Hospital, Miami, FL, for health 75,000
education for those living in the Little Haiti area..
Mid Valley Hospital, Peckville, PA, for renovation and 100,000
equipment............................................
Middletown Regional Health System, Franklin, OH, for 200,000
construction of a nursing school.....................
Midwest Community Clinic, Midwest, WY, for 300,000
construction, renovation, and equipment..............
Miles Community College, Miles City, MT, to expand the 100,000
Healthcare Connections to Career Pathways program....
Miles Perret Cancer Services, Lafayette, LA, for 300,000
purchase and equipping of a mobile unit for use in
rural areas..........................................
Mind Research Network [MRN], Albuquerque, NM, for 3,000,000
construction, renovation and equipment...............
Minot State University, Minot, ND, for the Great 750,000
Plains Autism Treatment Program......................
Misericordia University, Dallas, PA, for construction, 100,000
renovation and renovation............................
Mississippi Primary Health Care Association, Jackson, 250,000
MS, for construction, renovation and equipment.......
Molokai Community Health Center, Molokai, HI, to 250,000
construct facilities.................................
Monongahela Valley Hospital, Monongahela, PA, for 100,000
renovation and equipment.............................
Monroe Clinic, Monroe, WI, for critical health care IT 280,000
improvements, including an electronic medical records
system, in South Central Wisconsin...................
Montgomery College, Rockville, MD, for equipment for 750,000
the biotechnology laboratory.........................
Moses Taylor Hospital, Scranton, PA, for renovation 100,000
and equipment........................................
Mount Nittany Medical Center, State College, PA, for 100,000
renovation and construction..........................
Myrna Brind Center for Integrative Medicine, 100,000
Philadelphia, PA, to develop three models of
integrative programs of clinical excellence..........
Nationwide Children's Hospital Research Institute, 100,000
Columbus, OH, for construction, renovation and
equipment............................................
Nazareth Hospital, Philadelphia, PA, for renovation 100,000
and equipment........................................
Nebraska Hospital Association, Lincoln, NE, to expand 100,000
the Nebraska Statewide Telehealth Network, including
renovation and equipment.............................
Neurosciences Institute, Morgantown, WV, for 5,000,000
construction, renovation and equipment...............
Nevada System of Higher Education, Las Vegas, NV, for 1,000,000
equipment purchase for nursing and medical clinical
skills labs..........................................
New Mexico State University, Las Cruces, NM, for 100,000
Graduate Psychology Education........................
New York University Medical Center, New York, NY, for 750,000
construction, renovation and equipment at the
emergency department.................................
New York-Presbyterian Hospital, NY, for cardiac care 250,000
telemetry............................................
Newark Beth Israel Medical Center, Newark, NJ, for 300,000
construction, equipment and renovation...............
Newton Memorial Hospital, Newton, NJ, for equipment... 200,000
Niagara University, Niagara Falls, NY, for the Nursing 100,000
Leadership project...................................
Norman Regional Health System, Norman, OK, for a 100,000
medical health records system, including acquisition
of equipment.........................................
Northeast Regional Cancer Institute, Scranton, PA, for 100,000
cancer epidemiology research programs................
Northwest Hospital and Medical Center, Seattle, WA, 1,000,000
for construction and equipment to support the
establishment of a Community Health Education and
Simulation Center....................................
Northwest Kidney Centers, Seattle, WA, for equipment.. 200,000
Norton Community Hospital Women's Center/Technology 100,000
Enhancement Project, Norton, VA, for renovation and
equipment............................................
Nova Southeastern University, Ft. Lauderdale, FL, for 75,000
nurse education and training.........................
Nugen's Ranch Substance Abuse Treatment Facility, 300,000
Wasilla, AK, for construction, renovation and
equipment............................................
Oglala Lakota College, Kyle, SD, for a nursing 600,000
education program....................................
Ohio Valley General Hospital, McKees Rocks, PA, for 100,000
renovation and equipment.............................
Ohio Valley Medical Center, Wheeling, WV, for 6,000,000
construction, renovation and equipment...............
Oklahoma Medical Research Foundation, Oklahoma City, 150,000
OK, for renovation and equipment.....................
Oklahoma State University Center for Health Sciences, 100,000
Tulsa, OK, to purchase and equip a mobile health unit
Olympic Medical Center, Port Angeles, WA, for an 650,000
electronic medical records/practice management system
Orange County, Orlando, FL, for the renovation at the 100,000
Primary Care Access Network..........................
Ottumwa Regional Health Center, Ottumwa, IA, for 60,000
equipment............................................
Palmer College of Chiropractic in Davenport, IA, and 400,000
the Myrna Brind Center of Integrative Medicine in
Philadelphia, PA, to develop a model integrative
health care program for the treatment of pain........
Paoli Hospital, Paoli, PA, for construction, 100,000
renovation and equipment.............................
Parkland Health & Hospital System, Dallas, TX, to 250,000
purchase and equip a mobile health unit..............
Parkland Health & Hospital System, Dallas, TX, for 150,000
renovation and equipment.............................
Penn State Hershey Medical Center, Hershey, PA, for 100,000
healthcare services..................................
Pennsylvania Psychiatric Institute, Harrisburg, PA, 100,000
for equipment........................................
Peoples Community Health Clinic, Waterloo, IA, for 60,000
equipment............................................
Philadelphia University, Philadelphia, PA, for 100,000
equipment............................................
Phoebe Putney Memorial Hospital, Albany, GA, to 100,000
partner with the Dougherty County School System to
implement health programs for school children........
Pinnacle Health System, Harrisburg, PA, for 100,000
construction, renovation and equipment...............
Pioneer Valley Life Science Institute, Springfield, 400,000
MA, for the construction and continued development of
biomedical research facilities.......................
Pocono Medical Center, Stroudsburg, PA, for 100,000
construction, renovation and equipment...............
Pottsville Hospital, Pottsville, PA, for construction, 100,000
renovation and equipment.............................
Primary Care Association of Hawaii, Honolulu, HI, to 1,100,000
provide service enhancements and outreach............
Primary Health Care, Inc, Des Moines, IA, for 200,000
construction, renovation and equipment...............
Prince George's County, Upper Marlboro, MD, for dental 500,000
equipment............................................
Provena Covenant Medical Center, Urbana, IL, for 200,000
construction, renovation and equipment...............
Providence Community Health Center, Providence, RI, to 100,000
install an electronic health records system..........
Providence Health System, Anchorage, AK, for physician 1,000,000
recruitment and retention............................
Providence Health System, Olympia, WA, to create a 100,000
Nursing Education to Practice Bridge Program.........
Public Health Foundation of Columbia County, Portland, 250,000
OR, for construction and equipment...................
Reading Hospital and Medical Center, Reading, PA, for 100,000
renovation and equipment.............................
RelateNow, New Glarus, WI, to provide online treatment 300,000
services for rural families of children with autism..
Resurrection Health Care, Oak Park, IL, to expand 300,000
nursing programs.....................................
Rhode Island College Foundation, Providence, RI, to 300,000
upgrade the School of Nursing clinical laboratory....
Rice University, Houston, TX, for construction, 400,000
renovation and equipment.............................
Richardton Memorial Hospital and Health Center, 850,000
Richardton, ND, for planning, renovation and
equipment............................................
River Hills Community Health Center, Ottumwa, IA, for 200,000
equipment............................................
Riverside Healthcare, Kankakee, IL, for a patient 300,000
safety program, including equipment..................
Robert Morris University, Moon Township, PA, for 100,000
renovation and equipment.............................
Rosebud Sioux Tribe, Rosebud, SD, for medical 200,000
equipment............................................
Sac and Fox Tribe of the Mississippi, Tama, IA, for a 650,000
Tribal Health Care Clinic............................
Sacred Heart Hospital of Allentown, Allentown, PA, for 100,000
renovation and equipment.............................
Saint Ambrose University, Davenport, IA, for the 500,000
construction of a Center for Health Sciences Educa-
tion.................................................
Saint Bernard Parish, Chalmette, LA, for construction, 850,000
renovation and equipment of a medical facility.......
Saint Clare Hospital, Madison, WI, for equipment...... 350,000
Saint Francis Hospital Foundation, Wilmington, DE, to 300,000
make capital infrastructure improvements to St
Francis Hospital.....................................
Saint Joseph Health Services, North Providence, RI, 650,000
for renovations to the emergency room................
Saint Joseph Hospital, Nashua, NH, for electronic 425,000
medical records technology, including renovation and
equipment............................................
Saint Luke's Episcopal Hospital, Houston, TX, for 150,000
renovation and equipment.............................
Saint Luke's Hospital Allentown Campus, Allentown, PA, 100,000
for renovation and equipment.........................
Saint Mary Medical Center, Langhorne, PA, for 100,000
renovations and construction.........................
Saint Mary's Hospital, Madison, WI, for equipment at 300,000
the Sun Prairie Emergency Center.....................
Saint Patrick Hospital and Health Sciences Center, 150,000
Missoula, MT, for construction, renovation and
equipment............................................
Saint Vincent Health Center, Erie, PA, for renovation 100,000
and equipment........................................
Saint Vincent Healthcare Foundation, Billings, MT, for 150,000
equipment for the Pediatric Project..................
San Francisco Community Clinic Consortium, San 500,000
Francisco, CA, for facilities and equipment..........
Seattle Biomedical Research Institute, Seattle, WA, 250,000
for equipment........................................
Seattle Cancer Care Alliance, Seattle, WA, for 800,000
construction, renovation and equipment...............
Sedgwick County Government, Wichita, KS, for the 150,000
Healthy Babies Program...............................
Sharon Regional Health System, Sharon, PA, for 100,000
construction, renovation and equipment...............
Shawnee Mission Medical Center, for renovation and 200,000
equipment............................................
Shelby County, Memphis, TN, for construction, 500,000
renovation and equipment.............................
Sinai Health System, Chicago, IL, for equipment....... 500,000
Siouxland Community Health Center, Sioux City, IA, for 200,000
construction, renovation and equipment...............
Sisters of Providence Health System, Springfield, MA, 200,000
for construction of a new health clinic..............
Soldiers + Sailors Memorial Hospital, Wellsboro, PA, 100,000
for renovations and equipment........................
Somerset Hospital, Somerset, PA, for renovation and 100,000
equipment............................................
South County Hospital, Wakefield, RI, for electronic 900,000
health record project................................
South Lane Mental Health, Cottage Grove, OR, for 150,000
construction, renovation and equipment...............
South Shore Regional Health Information Organization, 150,000
Quincy, MA, for the continued development and
deployment of an electronic medical recordkeeping
system...............................................
Southern Methodist University, Dallas, TX, for 200,000
construction, renovation and equipment...............
Southern New Hampshire Medical Center, Nashua, NH, for 425,000
electronic medical records technology, including
renovation and equipment.............................
Southern Utah University, Cedar City, UT, for 400,000
construction, renovation and equipment...............
Southern Vermont College, Bennington, VT, for a 250,000
patient navigator program............................
Southwestern Mental Health Center, Inc., Luverne, MN, 200,000
for construction, renovation and equipment...........
Sparks Regional Medical Center, Fort Smith, AR, to 1,000,000
obtain equipment for the cancer center...............
Spokane County Medical Society Foundation, Spokane, 100,000
WA, for Project Access...............................
State of New Mexico, Santa Fe, NM, to collect and 100,000
analyze data about the need and potential locations
for a dental school within the State.................
Staten Island University Hospital, Staten Island, NY, 500,000
for construction, renovation and equipment for the
emergency department.................................
Stoughton Hospital, Stoughton, WI, for installation of 300,000
a comprehensive electronic health records sys- tem..
Straub Hospital Burn Center, Honolulu, HI, for 100,000
equipment............................................
Sullivan County Medical Center, Laporte, PA, for 100,000
renovation and equipment.............................
Sumter Regional Hospital, Americus, GA, for 100,000
construction, renovation and equipment...............
Susquehanna Health, Williamsport, PA, for renovation 100,000
and equipment........................................
Swope Health Quindaro, KS, for an electronic medical 250,000
records system, including equipment acquisition and
renovation...........................................
Systems Unlimited, Inc., Iowa City, IA, for 250,000
construction, renovation, and equipment..............
Tabitha, Inc., d.b.a., Tabitha Health Care Services, 800,000
Lincoln, NE, for equipment...........................
Temple University Health System, Philadelphia, PA, for 100,000
renovations and equipment............................
Tennessee Tech University, Cookeville, TN, for 500,000
construction and renovation..........................
Texas A&M University, College Station, TX, for 200,000
renovation and equipment.............................
Texas Children's Hospital, Houston, TX, for 150,000
construction, renovation and equipment...............
Texas Health Institute, Austin, TX, for renovation and 200,000
equipment............................................
The Lakes Community Health Center, Iron River, WI, for 300,000
construction, renovation and equipment...............
The Manor, Jonesville, MI, for construction of a 600,000
Treatment and Counseling Center......................
Thomas Jefferson University Hospital, Philadelphia, 100,000
PA, for renovation and equipment.....................
Thomas Jefferson University, Philadelphia, PA, for 100,000
renovation and equipment.............................
Thundermist Health Center, West Warwick, RI, for 350,000
construction, renovation and equipment...............
Tougaloo College, Tougaloo, MS, for renovation and 245,000
equipment............................................
Touro University Nevada, Henderson, NV, for 400,000
construction of a Gerontology Center.................
Towson University, Baltimore, MD, for a Center for 500,000
Adults with Autism Spectrum Disorders................
Trinity Health, Minot, ND, for the Rural Radiology 850,000
Outreach Initiative, including equipment.............
Tri-Town Community Economic Opportunity Committee, 350,000
Johnston, RI, for construction, equipment and
renovation of health care facilities.................
Tufts New England Medical Center, Boston, MA, for 200,000
construction, renovation and equipment...............
Tyrone Hospital, Tyrone, PA, for construction, 100,000
renovation and equipment.............................
UMass Memorial Healthcare, Boston, MA, for upgrades to 250,000
information technology...............................
United Community Health Center, Storm Lake, IA, for 200,000
construction, renovation and equipment...............
University Medical Center at Brackenridge, Austin, TX, 150,000
for renovation and equipment.........................
University of Alabama, Tuscaloosa, Tuscaloosa, AL, for 9,400,000
construction, renovation and equipment...............
University of Alabama, Tuscaloosa, Tuscaloosa, AL, for 250,000
physician recruitment programs.......................
University of Delaware, Newark, DE, for the Delaware 200,000
Biotechnology Institute, including equipment.........
University of Dubuque, Dubuque, IA, for construction 500,000
of a community wellness center.......................
University of Georgia, Athens, GA, for construction, 100,000
renovation and equipment.............................
University of Hawaii at Hilo, Honolulu, HI, for a 150,000
nurse training program...............................
University of Iowa, Iowa City, IA, for the Iowa 2,000,000
Institute for Biomedical Discovery...................
University of Iowa, Iowa City, IA, for the School of 1,000,000
Public Health........................................
University of Kansas Medical Center, Kansas City, KS, 300,000
for renovation and equipment.........................
University of Kentucky Research Foundation, Lexington, 2,000,000
KY, for construction, renovation, and equipment at
the University of Kentucky College of Nursing........
University of Kentucky Research Foundation, Lexington, 1,500,000
KY, for renovation and equipment.....................
University of Kentucky Research Foundation, Lexington, 1,000,000
KY, to establish a program to reduce the risk of
hearth disease in rural areas........................
University of Louisiana at Monroe, Monroe, LA, to 400,000
purchase a mobile dental unit for use in rural
Louisiana............................................
University of Louisville Research Foundation, 1,000,000
Louisville, KY, for construction, renovation, and
equip- ment.........................................
University of Louisville Research Foundation, 6,000,000
Louisville, KY, for construction, renovation, and
equipment to expand cardiovascular facilities........
University of Louisville Research Foundation, 2,000,000
Louisville, KY, for renovation and equipment to
support the computational biology initiative.........
University of Minnesota, Minneapolis, MN, for 100,000
equipment for the Virginia Regional Medical Center...
University of Mississippi Medical Center, Jackson, MS, 3,000,000
for construction, renovation and equipment for the
Arthur C. Guyton Laboratory Building.................
University of Mississippi School of Pharmacy, Oxford, 6,000,000
MS, for construction, renovation and equipment.......
University of Mississippi, National Center for Natural 1,000,000
Products Research, MS, for construction, renovation
and equipment for Phase II of the National Center for
Natural Products Research--Drug Development,
Construction.........................................
University of Mississippi, Oxford, MS, for the Center 250,000
for Pharmaceutical Marketing and Management..........
University of Mississippi, Oxford, MS, for the Center 650,000
for Thermal Pharmaceutical Processing................
University of Nevada School of Medicine, Reno, NV, for 500,000
the Center for Molecular Medicine, including
equipment............................................
University of New England, Biddeford, ME, for 350,000
technology upgrades, including the purchase of
equipment............................................
University of North Carolina at Wilmington, 175,000
Wilmington, NC, for construction, renovation and
equip- ment.........................................
University of North Texas, Denton, TX, for 250,000
construction, renovation and equipment...............
University of Oklahoma, Norman, OK, for renovation and 150,000
equipment............................................
University of Pennsylvania School of Medicine, 100,000
Philadelphia, PA, for construction, renovation and
equipment............................................
University of Pittsburgh (Simmons Center), Pittsburgh, 100,000
PA, for construction, renovation and equipment.......
University of Pittsburgh Cancer Institute, Pittsburgh, 100,000
PA, for construction, renovations, and equipment.....
University of Pittsburgh Medical Center, Pittsburgh, 100,000
PA, for renovation and equipment.....................
University of South Dakota, Vermillion, SD, for 300,000
construction and equipment...........................
University of Southern Mississippi, Hattiesburg, MS, 1,600,000
for construction, renovation and equipment, including
design...............................................
University of Texas at Dallas, Dallas, TX, for 400,000
renovation and equipment.............................
University of Texas Health Science Center at Houston, 300,000
Houston, TX, for construction, renovation and
equipment............................................
University of Texas Health Science Center at Tyler, 250,000
Tyler, TX, for renovation and equipment..............
University of Texas M.D. Anderson Cancer Center, 200,000
Houston, TX, for renovation and equipment............
University of Texas M.D. Anderson Cancer Center, 250,000
Houston, TX, for renovation and equipment for the
center for targeted therapy..........................
University of Washington, Seattle, WA, for the Bothell 100,000
nursing consortium...................................
University of Wisconsin-Eau Claire, Eau Claire, WI, to 280,000
expand the Campus Autism Program, including
facilities...........................................
University of Wyoming, Center for Rural Health 250,000
Research and Education, Laramie, WY, for health
information technology...............................
Utah Department of Health, Salt Lake City, UT, for 400,000
health education and screening for citizens exposed
to uranium mill tailings.............................
Utah Department of Health, Salt Lake City, UT, for 300,000
renovation and equipment.............................
Vermont Information Technology Leaders, Montpelier, 1,000,000
VT, for the implementation of a statewide electronic
medical record system................................
Volunteers of America, Dakotas, Sioux Falls, SD, for 750,000
construction and program expansion of residential
drug treatment.......................................
Wake County, Raleigh, NC, for construction, renovation 200,000
and equipment........................................
Washington County, Plymouth, NC, for construction, 125,000
renovation and equipment.............................
Washington State University, Spokane, WA, to support 1,000,000
distance learning at the Nursing College.............
Wayne Memorial Hospital, Honesdale, PA, for 100,000
renovations and equipment............................
Wayne Memorial Hospital, Jesup, GA, for construction, 100,000
renovation and equipment.............................
Weber County, Ogden, UT, for renovation and equipment 200,000
to improve health literacy...........................
Wentworth-Douglass Hospital, Dover, NH, for electronic 425,000
medical records technology, including renovation and
equipment............................................
Wesley College, Dover, DE, for renovation and 350,000
equipping of the nursing school......................
West Virginia University, Morgantown, WV, for 3,500,000
construction of a Multiple Sclerosis Center..........
WestCare Nevada, Inc., Las Vegas, NV, for construction 150,000
and renovation at the Community Triage Cen- ter.....
Westchester County Department of Labs & Research, 750,000
Valhalla, NY, for construction, renovation and
equipment............................................
Westminster College, Salt Lake City, UT, for 300,000
renovation and equipment.............................
Westside Healthcare Association, Milwaukee, WI, for 300,000
construction at the Lisbon Avenue Health Center......
White River Medical Center, Batesville, AR, for 1,000,000
construction, renovation and equipment...............
Whittier Street Health Center, Roxbury, MA, for 200,000
construction of a new medical facility...............
William Penn University, Oskaloosa, IA, for the 500,000
Nursing and Sciences Teaching Laboratories...........
Wills Eye Health System, Philadelphia, PA, for 100,000
renovation and equipment.............................
Windemere Rehabilitation Center, Oak Bluffs, MA, for 250,000
construction, renovation, and equipment..............
Wistar Institute, Philadelphia, PA, for renovation and 100,000
equipment............................................
Wolfson Children's Hospital, Jacksonville, FL, to 250,000
purchase equipment...................................
World Impact's Good Samaritan Clinic, Wichita, KS, for 150,000
construction, renovation and equipment...............
Wyoming Valley Health Care System Hospital, Wilkes- 100,000
Barre, PA, for renovation and equipment..............
Xavier University, New Orleans, LA, for design and 400,000
construction for the Industry Center for
Pharmaceutical Bioscience/Biotech Infrastructure.....
Yukon-Kuskokwin Health Corporation, Bethel, AK, for 1,550,000
renovation and equipment.............................
------------------------------------------------------------------------
Telehealth
The Committee provides $8,000,000 for telehealth
activities. The fiscal year 2008 comparable level was
$6,700,000 and the budget request for fiscal year 2009 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.
The Committee has included additional funding to support
telehealth network grants, telehealth demonstrations, and
telehomecare pilot projects; and to facilitate cooperation
between health licensing boards or various States to develop
and implement policies that will reduce statutory and
regulatory barriers to telehealth.
Parklawn Replacement
The Committee recommends $5,000,000 for the replacement of
HRSA's facilities at the Parklawn campus. No funds were
included for this purpose in fiscal year 2008 and the fiscal
year 2009 budget included $36,062,000. The current lease
expires on July 31, 2010. The Parklawn building currently
houses 2,484 HHS employees and has been continually occupied
for over 40 years. The Committee is aware that a short-term
extension of the lease is already necessary due to the lack of
any administration request for fiscal year 2008, and is
disappointed to note that this omission has already increased
the cost to taxpayers. The Committee is aware that other
committees of the Congress were consulted in time for
authorizing legislation to be signed in September 2006, so the
lack of a request in fiscal years 2007 and 2008 is
inexplicable.
Program Management
The Committee provides $141,087,000 for program management
activities for fiscal year 2009, the same as the fiscal year
2008 comparable level and the budget request for fiscal year
2009.
The Committee is concerned that the February 29, 2008,
Federal Register Notice of Proposed Rulemaking for
``Designation of Medically Underserved Populations and Health
Professional Shortage Areas'' will have far-reaching
implications for the allocation of resources in dozens of
Federal programs. For that reason, the proposal deserves robust
analysis requiring extensive time for States to analyze and
offer informed comments upon the changes. The Committee urges
the Secretary to keep the comment period open until States'
questions, concerns and clarifications have been completely
answered and addressed. The Committee requests that HRSA report
to the Committee prior to issuing a final rule on: (1) a State
by State analysis of the number of people living in, and
physicians practicing in, areas that will gain and lose
geographic HPSA designations; and (2) a list of currently
designated HPSAs that shift between the highest and lowest
quartiles due to the new methodology. In particular, the
Committee is disturbed that HRSA has not released the scoring
methodology for the safety net facility (Tier III) designation.
The Committee urges HRSA to release the scoring methodology in
time for the public to comment on this important designation.
HEALTH EDUCATION ASSISTANCE LOANS
The Committee provides $1,000,000 to liquidate obligations
from loans guaranteed before 1992, the same level as the fiscal
year 2008 comparable level and the budget request for fiscal
year 2009. For administration of the HEAL program including the
Office of Default Reduction, the Committee provides $2,847,000,
the same level as the fiscal year 2008 comparable level. The
budget request for fiscal year 2009 was $2,906,000.
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 $264,424,000 be released from
the vaccine injury compensation trust fund in fiscal year 2009,
of which $7,000,000 is for administrative costs. The total
fiscal year 2008 comparable level was $124,404,000 and the
total budget request for fiscal year 2009 was $261,952,000.
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, 2008.................................... $6,431,005,000
Budget estimate, 2009................................... 5,956,026,000
Committee recommendation................................ 6,507,795,000
The Committee provides a program level of $6,507,795,000
for the Centers for Disease Control and Prevention [CDC]. The
Committee recommendation includes $6,369,032,000 in budget
authority and an additional $138,763,000 via transfers
available under section 241 of the Public Health Service Act.
The fiscal year 2008 comparable program level is $6,431,005,000
and the program level budget request for fiscal year 2009 is
$5,956,026,000.
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.
INFECTIOUS DISEASES
The Committee recommends $1,909,536,000 for infectious
disease related programs at the CDC. The fiscal year 2008
comparable level was $1,904,536,000 and the comparable budget
request level for fiscal year 2009 was $1,869,977,000. The
Committee recommendation includes $12,794,000 in transfers
available under section 241 of the Public Health Service Act.
The Coordinating Center for Infectious Disease reorganized
in fiscal year 2007. The new four center structure includes:
Zoonotic, Vector Borne, and Enteric Diseases; Preparedness,
Detection and Control of Infectious Diseases; HIV/AIDS, Viral
Hepatitis, STD and TB Prevention; and Immunization and
Respiratory Diseases.
Zoonotic, Vector Borne, and Enteric Diseases
The Committee has included $67,846,000 for fiscal year 2009
for this center, the same as the fiscal year 2008 level. The
2009 budget request was $60,632,000. This Center provides
outbreak investigation, infection control and scientific
evaluations of zoonotic, vector borne and enteric diseases; and
conducts food-borne illness surveillance and investigation.
The Committee has included funding to continue the chronic
fatigue syndrome activities at no less than last year. The
Committee is deeply concerned by reports that 80-90 percent of
CFS patients have not been correctly diagnosed and are not
receiving proper medical care for their illness. Despite years
of research, the cause of CFS is still unknown. Recent research
suggests a much higher level prevalence of the disease than
previously understood. For those reasons, the Committee
strongly supports a robust CFS research program, but is
concerned by the diminished number of research findings being
published by the CDC on this subject. The Committee directs the
CDC to conduct a peer review of the CFS program including a
program performance evaluation by November 1, 2008 and report
the result of such review to the Committee no later than
February 1, 2009. In addition, the Committee directs the CDC to
include in its annual budget justification an itemized
expenditure of funds for each CFS research project or activity
in the following five functional expense categories:
surveillance and epidemiology; clinical assessment and
evaluation; objective diagnosis and pathophysiology; treatment
and intervention; and education, including the CFS marketing
campaign and health care provider education.
Food Safety.--The Committee has included no less than last
year for food safety activities.
Preparedness, Detection and Control of Infectious Diseases
The Committee has included $154,926,000 for fiscal year
2009 for this Center. The comparable level for fiscal year 2008
was $149,926,000 and the budget request for fiscal year 2009
was $122,843,000. This Center builds epidemiology and
laboratory capacity and provides technical assistance to
identify and monitor infectious diseases.
Antimicrobial Resistance.--The Committee is concerned by
the emergence of life-threatening antimicrobial resistant
pathogens in hospital and community settings. The Committee
encourages CDC to explore the model of ``sentinel''
surveillance to describe and confirm regional outbreaks.
Blood Safety Surveillance.--The Committee understands that
CDC's Division of Healthcare Quality Promotion is adding to the
National Healthcare Safety Network [NHSN] the collection and
analysis of data on medical errors and adverse events occurring
during blood donation and transfusion. The Committee encourages
CDC to consider mapping out how a blood safety surveillance
system would work, the active role of the national blood
collection and transfusion community, and the appropriate
Federal role.
Prevention Epicenter Program.--The Committee applauds CDC's
support for the Prevention Epicenter Program and its work
addressing patient safety issues.
Syringe Re-use.--The Committee is deeply troubled by recent
outbreaks of hepatitis caused in some part by the re-use of
syringes in outpatient settings. These outbreaks are entirely
preventable with well-known infection control practices. The
Committee intends that the increased funding provided be used
to respond to outbreaks and to ensure that infection control
measures are adhered to broadly, including provider education
and patient awareness activities. The Committee encourages the
CDC to partner with industry and university researchers to
identify the best interventions to reduce the possibility of
disease transmission in the healthcare setting.
HIV, Viral Hepatitis, STD, and TB Prevention
The Committee has included $1,002,130,000 for the
activities at this Center in fiscal year 2009. The fiscal year
2008 level was $1,002,130,000 and the 2009 budget request was
$1,000,037,000. The Committee has included funding for the
following activities at the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Activity 2008 Fiscal year Committee
comparable 2009 budget recommendation
----------------------------------------------------------------------------------------------------------------
HIV/AIDS, Research and Domestic................................. 691,860 691,147 691,860
Viral Hepatitis................................................. 17,582 17,504 17,582
Tuberculosis [TB]............................................... 140,359 139,735 140,359
----------------------------------------------------------------------------------------------------------------
Hepatitis Testing.--The Committee encourages CDC to
formulate a plan for significant testing for hepatitis,
including the implementation of rapid testing technology as a
means of ascertaining the prevalence of hepatitis and taking
steps to prevent and treat this disorder. In particular, the
Committee encourages CDC to validate interventions focused on
preventing mother-child transmission and other efforts targeted
to the prevention of HBV, especially in the Asian American
community.
HIV/AIDS.--Within the amount made available for HIV/AIDS,
all activities are funded at the fiscal year 2008 comparable
level.
HIV Testing.--The Committee recognizes that the domestic
HIV/AIDS testing initiative has resulted in increased testing
among African American populations. The Committee encourages
CDC to expand this program to additional jurisdictions and
recommends that CDC consider a similar campaign among other
high risk populations. The Committee is supportive of CDC's
promotion of rapid HIV tests in its HIV/AIDS testing
activities.
The Committee notes that in fiscal year 2008, six States
were awarded incentive grants under the Early Diagnosis and
Screening program authorized in section 2625 of the Public
Health Service Act. The Committee has provided $30,000,000 in
fiscal year 2009 for this program within the HIV testing
funding. The funds may be awarded to States newly eligible for
the program in fiscal year 2009. No State may be eligible for
more than $1,000,000. The Committee intends that the amounts
that have not been awarded by May 31, 2009 shall be awarded for
other HIV testing programs.
Microbicides.--The Committee requests the CDC include
information in the fiscal year 2010 budget justification on the
amount of anticipated and actual funding it allocates to
activities related to research and development of microbicides
for HIV prevention.
Tuberculosis Control.--The Committee is pleased that the
CDC increased the proportion of funding distributed based on a
new funding formula within the TB Elimination and Laboratory
Cooperative Agreements. The Committee supports the CDC
distribution formula that would award funds in proportion to
the number and complexity of TB cases in a jurisdiction.
However, the proportion of funds distributed through the
formula remains low (35 percent) and substantial inequities in
tuberculosis funding persist. The Committee urges CDC to
increase substantially the proportion distributed through the
formula for the 2010-2014 Cooperative Agreement funding cycle.
The Committee recognizes that some base level of funding
outside of the formula should be maintained for jurisdictions
with few cases in order to sustain a level of detection
throughout the country. The Committee directs CDC to create a
plan identifying the optimal proportion that should be
distributed under the new funding formula. This report should
be transferred to the Committee by March 1, 2009, prior to the
Cooperative Agreement competitive renewal announcement for
2010-2014.
The Committee recognizes that tuberculosis [TB] rates
remain disproportionally high among African Americans and lower
socio-economic groups and that TB in the foreign-born
population continues to increase. The Committee encourages the
CDC to develop and implement a new national plan to meet this
continuing public health challenge.
Immunization and Respiratory Diseases
The Committee has included a program level of $684,634,000
for the activities of this Center in fiscal year 2009, the same
as the comparable level for fiscal year 2008. The budget
request included $686,465,000 for this Center. The Committee
recommendation includes $12,794,000 in transfers available
under section 241 of the Public Health Service Act.
The Committee recommendation includes funding for the
following activities in the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Activity 2008 Fiscal year Committee
comparable 2009 budget recommendation
----------------------------------------------------------------------------------------------------------------
Section 317 Immunization Program................................ 465,901 465,002 465,901
Vaccine Purchase Grants..................................... 261,528 261,023 261,528
State Operations/Infrastructure Grants...................... 204,373 203,979 204,373
===============================================
Program Operations.............................................. 61,458 61,366 61,458
Vaccine Tracking............................................ 4,738 4,731 4,738
Prevention Activities....................................... 56,720 56,635 56,720
Vaccine Safety.......................................... 16,858 16,825 16,858
National Immunization Survey............................ 12,794 12,794 12,794
All Other Prevention Activities......................... 27,068 27,016 27,068
===============================================
Influenza....................................................... 157,275 160,097 157,275
Seasonal Influenza.......................................... 2,643 2,638 2,643
Pandemic Influenza.......................................... 154,632 157,459 154,632
----------------------------------------------------------------------------------------------------------------
The Committee is pleased that CDC has moved forward to
provide funding to States or local organizations that receive
section 317 immunization grant funds to develop community
adolescent and adult immunization planning demonstrations to
achieve 90 percent immunization coverage for vaccines routinely
recommended for adolescents and adults, and encourages CDC to
continue to support these efforts, including adult immunization
coordinators, regional public health advisors, coverage
monitoring, education/promotion programs for adolescent and
adult immunizations, and vaccine purchase. These models should
include existing and new efforts planned within existing
resources; new activities needed and estimates for those needs.
The Committee expects a status report by February 1, 2009, on
these demonstrations.
The Committee is also pleased with the report on estimated
funding needs of the section 317 immunization program that CDC
provided, and requests that the report be updated and submitted
next year by February 1, 2009, to reflect fiscal year 2010 cost
estimates. The updated report also should include an estimate
of optimum State and local operations funding as well as CDC
operations funding needed relative to current levels to conduct
and support childhood, adolescent and adult programs. This
estimate should include the cost of vaccine administration;
surveillance and assessment of changes in immunization rates;
vaccine storage, handling and quality assurance; implementation
of centralized vaccine distribution and other vaccine business
improvement practices; needs to support provider and public
outreach and education on new vaccines; identification of
barriers to immunization and strategies to address such
barriers; maintenance, utilization, and enhancement of
Immunization Information Systems including integration with
public health preparedness and other public health information
technology systems; innovative strategies to increase coverage
rates in hard-to-reach populations and geographic pockets of
need; vaccine safety and other non-vaccine resource needs of a
comprehensive immunization program. Each of these activities is
critical to ensuring the delivery of life-saving vaccines to
our Nation. While the Committee understands that the 317
program does not pay administration fees, it is nonetheless an
authorized expenditure, and the Committee expects this estimate
to be included.
The Committee encourages CDC to continue to close the
vaccine gap for adults by continuing to support states in their
use of section 317 vaccine funds to provide hepatitis B
vaccinations to high-risk adults in settings such as STD
clinics, HIV counseling and testing sites, correctional
facilities and drug treatment clinics.
HEALTH PROMOTION
The Coordinating Center for Health Promotion includes the
National Center for Chronic Disease Prevention, Health
Promotion and Genomics and the National Center for Birth
Defects and Developmental Disabilities.
CHRONIC DISEASE PREVENTION, HEALTH PROMOTION AND GENOMICS
The Committee has recommended $855,661,000 for chronic
disease prevention, health promotion and genomics. The
comparable level for fiscal year 2008 was $833,827,000 and the
budget request for 2008 was $805,321,000. Within the total
provided, the following amounts are available for the following
categories of funding:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Activity 2008 Fiscal year Committee
comparable 2009 budget recommendation
----------------------------------------------------------------------------------------------------------------
Heart Disease and Stroke........................................ 50,101 48,838 51,701
Diabetes........................................................ 62,711 62,454 62,711
===============================================
Cancer Prevention and Control................................... 309,486 301,773 334,486
Breast and Cervical Cancer.................................. 200,832 200,004 200,832
WISEWOMAN (non-add)..................................... 18,598 18,521 18,598
Cancer Registries........................................... 46,366 46,176 46,366
Colorectal Cancer........................................... 13,974 13,917 38,974
Comprehensive Cancer........................................ 16,348 16,281 16,348
National Education Campaign for gynecologic cancer (non- 96 96 96
add)...................................................
Johannas Law................................................ 6,466 .............. 6,466
Ovarian Cancer.............................................. 5,269 5,247 5,269
Prostate Cancer............................................. 13,245 13,191 13,245
Skin Cancer................................................. 1,876 1,868 1,876
Geraldine Ferraro Cancer Education Program.................. 4,331 4,313 4,331
Cancer Survivorship Resource Center......................... 779 776 779
===============================================
Arthritis and Other Chronic Diseases............................ 23,915 23,817 25,303
Arthritis................................................... 13,037 12,984 13,537
Epilepsy.................................................... 7,766 7,734 7,766
National Lupus Patient Registry............................. 3,112 3,099 4,000
===============================================
Tobacco......................................................... 104,164 103,737 106,164
===============================================
Nutrition, Physical Activity and Obesity........................ 42,191 42,018 44,191
Micronutrient Malnutrition.................................. 6,422 6,396 6,422
5-A Day Program (non-add)............................... 2,310 2,301 2,310
All Other Nutrition/PA/Obesity.............................. 35,769 35,622 37,769
===============================================
Health Promotion................................................ 28,977 24,210 26,253
Behavioral Risk Factor Surveillance System.................. 7,299 7,269 7,299
Community Health Promotion.................................. 6,412 6,386 6,412
Mind-Body Institute......................................... 1,719 .............. 1,719
Glaucoma.................................................... 3,344 3,330 3,344
Visual Screening Education.................................. 2,389 2,379 2,389
Alzheimers Disease.......................................... 1,576 1,570 1,800
Inflammatory Bowel Disease.................................. 667 664 667
Interstitial Cystitis....................................... 658 655 658
Chronic Kidney Disease...................................... 1,965 1,957 1,965
===============================================
School Health................................................... 54,323 53,612 54,323
Food Allergies (non-add).................................... 491 .............. 491
===============================================
Safe Motherhood/Infant Health................................... 42,347 42,174 42,347
Sudden Infant Death Syndrome (non-add)...................... 207 206 207
===============================================
Oral Health..................................................... 12,422 12,371 12,422
Prevention Centers.............................................. 29,131 29,012 31,131
Steps to a Healthier U.S........................................ 25,158 15,541 15,541
Racial and Ethnic Approach to Community Health [REACH].......... 33,860 33,721 33,860
===============================================
Genomics........................................................ 12,093 12,043 12,280
Primary Immune Deficiency Syndrome.......................... 2,913 2,901 3,100
Public Health Genomics...................................... 9,180 9,142 9,180
===============================================
Demonstration Project for Teen Pregnancy........................ 2,948 .............. 2,948
----------------------------------------------------------------------------------------------------------------
Alzheimer's Disease.--Studies have indicated that
cumulative risks for vascular disease and diabetes also
increase the risk of cognitive decline and Alzheimer's disease.
In 2005, the Committee called upon CDC to launch an Alzheimer's
specific segment of the Healthy Aging Program, to educate
aggressively the public and health professionals about ways to
reduce the risks of developing Alzheimer's by maintaining a
healthy lifestyle. The Committee encourages CDC to support the
evaluation of existing population-based surveillance systems,
with a view toward developing a population-based surveillance
system for cognitive decline, including Alzheimer's disease and
dementia.
Colorectal Cancer.--The Committee has included $25,000,000
to launch a nationwide colorectal screening program. The
Committee notes that colorectal cancer is the second leading
cause of cancer-related death in the Nation. Colorectal cancer
first develops with few, if any, symptoms and 75 percent of
colorectal cancers occur in people with no known risk factors.
For those reasons, colorectal screening is a vital tool in
saving lives. The CDC estimates that if every American were
screened regularly, up to 60 percent of the over 55,000 annual
deaths from this disease could be prevented. Since 2005, the
CDC has conducted five community-based pilot programs to
provide colorectal screening and diagnostic follow-up for
Americans 50 years of age and older with little or no health
coverage. The Committee believes that an investment in this
kind of prevention is critical at a time when our Nation is
aging and the cost of treatment is prohibitive for many. Funds
should be made available for screening and diagnostic follow-up
care.
Chronic Kidney Disease.--The Committee supports continued
planning for capacity and infrastructure at CDC for a kidney
disease program and a CKD surveillance system. The Committee is
pleased that CDC convened an expert panel on CKD, and
encourages CDC to prioritize and begin implementation of the
recommendations.
Chronic Obstructive Pulmonary Disease.--The Committee is
pleased that the CDC has taken initial steps to collect COPD-
related data in the National Health and Nutrition Examination
Survey. The committee encourages CDC to consider expanding the
data collection effort to other survey instruments including
the Behavioral Risk Factor Surveillance Survey and the National
Health Interview Survey.
The Committee is aware that Alpha-1 Antitrypsin Deficiency
(Alpha-1) is the major identified genetic risk factor for
developing COPD. The Committee encourages the development of a
COPD program that considers genetic related COPD risk factors
such as Alpha-1.
Diabetes.--The Committee encourages CDC to expand the
National Diabetes Education Program with the goal of expanding
the availability of public awareness campaign to reach the
millions of individuals and high risk populations who have
unmanaged diabetes.
Diabetes Epidemiology and Genetics.--The Committee supports
the SEARCH for Diabetes in Youth Study and the Genetics of
Kidneys in Diabetes [GoKinD] Study, both of which have
generated unique and valuable collections of biological samples
from diabetic patients and their relatives. The Committee
encourages the CDC to continue to ensure the availability and
accessibility of the SEARCH and GoKinD biosample collections.
Eating Disorders.--The Committee is pleased that the CDC
has made data on eating disorders publicly available. In
particular, the Committee appreciates the inclusion of NHANES
data on eating behaviors and encourages the CDC to expand their
analysis of those data to include disability estimates. The
Committee is aware of several studies reporting a 6-10 percent
mortality rate for Americans with eating disorders and urges
the CDC to collaborate with eating disorders researchers in
order to better understand the disparity between these studies
and CDC reported morbidity and mortality, focusing on obtaining
a clear picture of what might be barriers to the detection and
reporting of eating disorders.
Epilepsy.--The Committee supports the CDC's extramural
program to train first-responders, educators, school nurses,
employers, family caregivers and other health care
professionals in the recognition, diagnosis and treatment of
seizures. The Committee encourages the CDC to promote public
awareness of research efforts for improving care and
alleviating the effects of epilepsy. In addition, the Committee
encourages the CDC to study the true impact the condition has
on employment, school, social life, and general well being.
Work should include the critical areas of research related to
quality of life issues, help families understand the
relationship of medications and co-morbid conditions to the
disease, and will build a platform for a national call to
action for additional training for schools, employers and adult
day care providers.
Food Allergy and Anaphylaxis Information.--Food allergy is
the leading cause of anaphylaxis, a severe, potentially life-
threatening allergic reaction. Virtually all of these severe
reactions can be prevented with proper education. In fiscal
year 2008, the Committee encouraged CDC and included funding to
create an information center on food allergy and anaphylaxis.
The Committee requests a report from the CDC no later than
April 1, 2009 outlining the status of the food allergy and
anaphylaxis information center.
Heart Disease and Stroke.--The Committee supports the CDC's
effort to work collaboratively with States to establish a
cardiovascular disease surveillance system to monitor and track
these disorders at the National, State, and local levels.
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 has provided a total of $3,000,000 to expand
CDC's background community assessment of health and related
social and environmental conditions in the Delta.
Inflammatory Bowel Disease.--The Committee continues to
support for CDC's inflammatory bowel disease epidemiology study
and encourages the CDC to consider the establishment of a
pediatric patient registry.
Interstitial Cystitis.--The Committee has included funding
to continue education outreach activities to healthcare
providers.
Lupus.--The Committee remains committed to the objective of
developing reliable epidemiological data on the incidence and
prevalence of all forms of lupus among various ethnic and
racial groups. The Committee has included additional funding to
continue to expand the CDC National Lupus Patient Registry and
address the epidemiological gaps among Hispanics/Latinos, Asian
Americans, and Native Americans.
National Youth Fitness and Health Study.--Physical fitness,
regular physical activity, and sound eating habits are
essential for health and performance across the age span.
However, little information is available on the current
physical fitness levels, physical activity behaviors, and
dietary habits of American youth. In fact, the last
comprehensive assessment of the fitness and physical activity
behaviors of American youth--the National Children and Youth
Fitness Study [NCYFS]--was conducted more than 20 years ago and
did not include assessment of dietary behaviors. Since then,
the prevalence of obesity in children as well as adults has
increased dramatically. Prior to the NCYFS in the mid-1980s,
the United States had conducted decennial, national fitness
studies in the mid-1950s, mid-1960s, and mid-1970s. After a
more than 20 year gap, the Committee believes that repeating
and enhancing this survey could be a critical effort towards
improving the health of our nation's youth. The Committee
encourages CDC to consider conducting this survey, and submit a
plan with objectives and resource requirements to accomplish
this study.
Nutrition, Physical Activity, and Obesity.--The Committee
recognizes that food manufacturers, health organizations,
foreign governments, and others have developed food-rating
systems that use symbols on the fronts of food packages or on
supermarket shelves to encourage consumers to choose healthier
foods. The committee is concerned, however, that a
proliferation of systems is contributing to consumer confusion.
The Committee has provided $1,000,000 for a study by the
Institute of Medicine [IOM] that will examine and provide
recommendations regarding front-of-package nutrition symbols.
These should include, but not be limited to, a review of
systems being used by manufacturers, supermarkets, health
organizations, and governments in the United States and abroad
and the overall merits of front-label nutrition icons, the
advantages and disadvantages of various approaches, and the
potential benefits to consumers of a single, standardized
front-label food guidance system regulated by the FDA. Based
upon its work, the IOM should recommend one or several of the
systems, along with means of maximizing the use and
effectiveness of front-label symbols, that it has identified as
best at promoting consumers' health.
Office of Smoking and Health.--The Committee recognizes
that efforts to reduce smoking and the health consequences of
tobacco use are among the most effective and cost effective
investments in prevention that can be made. The Committee is
pleased with the work underway to expand the Environmental
Health Laboratory's effort to analyze tobacco products and
cigarette smoke based on the increase provided in fiscal year
2008. Because this work is an essential underpinning of efforts
to protect the public from the health consequences of tobacco
use, the Committee has provided an increase of $2,000,000 to
expand the transfer to the Environmental Health Laboratory that
supports this important work. The Committee notes that this
increase is to be provided by OSH to the lab in a manner that
supplements and in no way replaces existing funding for
tobacco-related activities.
Oral Health.--The Committee recognizes that to reduce
disparities in oral disease will require additional and more
effective efforts at the Federal, State, and local levels. The
Committee has provided sufficient funding to continue grants to
States that strengthen their capacities to assess the
prevalence of oral diseases and the associated health burden;
to target resources and interventions--including proven
preventive strategies like school-linked sealant programs--to
the underserved; and to evaluate changes in policies and
programs. The Committee encourages the CDC to advance efforts
to reduce the health disparities and burden from oral diseases,
including those that are linked to chronic diseases such as
diabetes and heart disease.
Steps to a Healthier U.S.--The Committee supports the CDC's
new model for the Steps to a Healthier U.S. program. Within the
program, the Committee has included $3,000,000 for a community
based grant program focusing on poor nutrition and physical
inactivity. Priority in funding should go to applicants with a
high degree of collaboration among community organizations,
schools, county and municipal governments and business leaders.
Underage Drinking Risk Monitoring Program.--The Committee
supports the recommendations of the Surgeon General's Call to
Action on Underage Drinking, including the call for ongoing
independent monitoring of youth exposure to alcohol
advertising. The Committee recognizes the importance of
monitoring risk factors which science has demonstrated
contribute to youth drinking, and therefore urges the Centers
for Disease Control and Prevention to develop and continue its
work to monitor and report on the level of risk faced by youth
from exposure to alcohol advertising.
BIRTH DEFECTS, DEVELOPMENTAL DISABILITIES, DISABILITY AND HEALTH
The Committee has included $133,905,000 for birth defects,
developmental disabilities, disability and health in fiscal
year 2009. The comparable level for 2008 was $127,366,000 and
the 2009 budget request was $126,752,000.
Within the total provided, the following amounts are
provided for the following categories of funding:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Activity 2008 Fiscal year Committee
comparable 2009 budget recommendation
----------------------------------------------------------------------------------------------------------------
Birth Defects and Developmental Disabilities.................... 37,580 37,398 41,559
Birth Defects Base.......................................... 13,683 13,615 14,683
Craniofacial Malformation................................... 1,550 1,543 1,750
Fetal Death................................................. 844 840 844
Down Syndrome............................................... 918 914 918
Alveolar Capillary Dysplasia................................ 246 246 246
Fetal Alcohol Syndrome...................................... 10,112 10,063 10,112
Folic Acid.................................................. 2,221 2,210 3,300
Infant Health............................................... 8,006 7,967 8,006
===============================================
Human Development and Disability................................ 70,349 70,010 74,609
Human Development and Disability Base....................... 16,428 16,349 16,428
Tourette Syndrome........................................... 1,718 1,710 1,718
Early Hearing Detection and Intervention.................... 9,871 9,823 9,871
Muscular Dystrophy.......................................... 6,177 6,147 6,177
Healthy Athletes............................................ 5,437 5,411 5,437
Paralysis Resource Center................................... 5,727 5,699 5,727
Attention Deficit Hyperactivity Disorder.................... 1,746 1,738 1,746
Fragile X................................................... 1,828 1,819 1,900
Spina Bifida................................................ 5,205 5,180 5,205
Autism...................................................... 16,212 16,134 20,400
Autism Epidemiology & Surveillance...................... 13,741 13,675 17,929
Autism Awareness Campaign............................... 2,471 2,459 2,471
===============================================
Hereditary Blood Disorders...................................... 19,437 19,344 19,437
Blood Disorders Base........................................ 17,061 16,979 17,061
Thallasemia................................................. 1,860 1,851 1,860
Diamond Blackfan Anemia..................................... 516 514 516
----------------------------------------------------------------------------------------------------------------
Autism.--Within the funds provided for autism surveillance
and research programs, the Committee has included sufficient
funding to restore the non-CADDRE Phase I Autism Development
Disabilities Monitoring Centers.
Birth Defects Surveillance.--The Committee notes the CDC's
support of States to continue birth defects surveillance
systems, programs to prevent birth defects and activities to
improve access to health services for children with birth
defects. The Committee encourages the CDC to expand the birth
defects studied in the National Birth Defects Prevention Study
to include single gene disorders, such as Fragile X.
Blood Disorders.--The Committee is interested in CDC's
efforts to develop a surveillance system on Deep Vein
Thrombosis [DVT], blood clots in the leg that can cause
significant morbidity and mortality, and notes that the CDC is
working with partners to hold a workshop in 2008 to determine
the elements of such a system. The Committee requests an update
on the recommendations of the workshop and the resources needed
to implement a national thrombosis surveillance system.
Craniofacial Malformation.--The Committee intends that the
increase provided be used first for the development of web-
based continuing medical education for healthcare professionals
that interface with patients with cleft lip and palate and
their families. Second, the funds should be used for the
planning and hosting of a national scientific conference to
draft best practices guidelines for diagnosis, treatment and
long-term management of children with craniosynostosis and
deformational plagiocephaly. Finally, the funds should be used
to disseminate the guidelines, and to develop a reporting
instrument to evaluate the care of children with
craniosynostosis.
Duchenne and Becker Muscular Dystrophy.--The Committee
requests a report by April 1, 2009 on the outcomes and findings
to date of the Muscular Dystrophy Surveillance Tracking and
Research Network regarding early diagnostic symptoms,
incidence, racial and ethnic differences, medical care and
services, and related issues for individuals with DBMD.
Folic Acid.--The Committee is concerned about the disparity
in the rates of folic acid intake and neural tube defects,
particularly in the Hispanic population. Within the funds
provided, the Committee intends that the folic acid education
campaign be continued at the same level as in fiscal year 2008.
The Committee encourages CDC to inform as many women as
possible, particularly nonpregnant Hispanic women and women
between the ages of 18 and 24, as well as healthcare providers
about the benefits of folic acid. In addition, the Committee is
aware of research being done in the United Kingdom which
appears to dispel some of the basis for earlier hesitation to
expand folic acid fortification into corn-based food products
consumed at a higher rate by the Hispanic community. The
Committee has included additional funding for the CDC to
explore the scientific benefits and concerns about expanding
fortification in the United States. The Committee urges the CDC
to work closely with the National Institutes of Health, the
Surgeon General and the Food and Drug Administration.
Fragile X.--The Committee has provided additional funding
to support CDC's continuation of public health activities
related to Fragile X. The Committee is concerned that
previously allocated funds may have been used for general
purposes rather than Fragile X-specific priorities. The
Committee urges CDC to focus its efforts on creating positive
outcomes for families by increasing epidemiological research,
surveillance, and screening efforts to ensure the timely
screening, diagnosis, and introduction of early interventions
for individuals living with Fragile X.
Hydrocephalus.--The Committee encourages CDC to increase
awareness of the medical issues, prevalence, and societal cost
associated with hydrocephalus.
Marfan Syndrome.--The Committee continues to be interested
in Marfan syndrome, a degenerative connective tissue disorder
that can result in sudden loss of life from aortic aneurysms.
Many individuals affected by Marfan syndrome are undiagnosed or
misdiagnosed until they experience a cardiac complication. The
Committee encourages CDC to increase awareness of this disease
among the general public and health care providers. Further,
the Committee requests that CDC coordinate with the National
Heart, Lung, and Blood Institute to ensure that patients and
health care providers are aware of the most cutting edge
treatments and interventions available to them.
Spina Bifida.--The Committee encourages the CDC to continue
to collaborate with the Agency for Healthcare Research and
Quality to develop a national spina bifida patient registry.
HEALTH INFORMATION AND SERVICE
The Coordinating Center for Health Information and Services
includes the National Center for Health Statistics [NCHS], a
National Center for Health Marketing, and a National Center for
Public Health Informatics.
The Committee recommends a program level of $284,355,000
for Health Information and Service related activities at the
CDC, the same as the 2009 budget request. The fiscal year 2008
comparable program level was $276,777,000. The Committee
intends that all activities be funded at the budget request
level.
Health Statistics
CDC's statistics give context and perspective on which to
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 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 premier 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.
Data Disaggregation.--The Committee is concerned that
certain ethnic minority populations in the United States,
particularly the Asian American, Native Hawaiian and Pacific
Islander communities, may be under-represented in data
collection efforts. The Committee encourages NCHS where
statistically possible to develop baseline and disaggregated
health information on our Asian American, Native Hawaiian and
Pacific Islander communities.
Hypertension.--The Committee encourages the CDC to support
the measurement of central blood pressure and arterial
stiffness both in children and adults in the next National
Health and Nutrition Examination Survey. This type of
measurement may provide a more accurate understanding of the
prevalence of hypertension and lead to more effective campaigns
to treat this disease and prevent the onset of related chronic
conditions.
Nutritional Monitoring.--The Committee strongly supports
national nutrition monitoring activities, continuously
conducted jointly between the CDC and the Agricultural Research
Service at USDA. This data collection supports management
decisionmaking and research needed to address and improve the
crisis of obesity, nutrition-related diseases, physical
inactivity, food insecurity, and the poor nutritional quality
of the American diet, as well as provide the data needed to
protect the public against environmental pathogens and
contaminants.
Vital Statistics.--The Committee again encourages CDC to
develop a plan to support directly jurisdictions as they
implement electronic systems that will improve the timeliness,
quality, and security of birth and death data, and report back
to the Committee on the plan.
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.
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.
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 $293,502,000 for environmental
health and injury prevention related activities at the CDC. The
fiscal year 2008 comparable level was $289,323,000 and the
budget request for fiscal year 2009 was $270,872,000.
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. The Committee recommends
$156,665,000 for Environmental Health in fiscal year 2009. The
fiscal year 2008 comparable funding level is $154,486,000 and
the budget request for fiscal year 2009 is $136,606,000. The
Committee recommendation includes funding for the following
activities:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Activity 2008 Fiscal year Committee
comparable 2009 budget recommendation
----------------------------------------------------------------------------------------------------------------
Environmental Health Laboratory................................. 33,797 26,110 33,797
Newborn Screening Quality Assurance Program (non-add)....... 6,878 .............. 6,878
Newborn Screening for Severe Combined Immunodeficiency 983 .............. 983
Diseases (non-add).........................................
===============================================
Environmental Health Activities................................. 120,689 110,496 122,868
Arctic Health............................................... 292 289 292
Safe Water.................................................. 7,199 .............. 7,199
Volcanic Emissions.......................................... 98 97 98
Environmental and Health Outcome Tracking Network........... 23,831 23,608 23,831
Amyotrophic Lateral Sclerosis Registry [ALS]................ 2,821 863 5,000
All Other Environmental Health Activities................... 86,448 85,639 86,448
----------------------------------------------------------------------------------------------------------------
Amyotrophic Lateral Sclerosis Registry.--The Committee is
pleased with CDC's work toward developing 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 believes that a registry that includes other
neurodegenerative disorders will provide a key resource for
efforts to understanding the biology and epidemiology of ALS.
The Committee intends that funds be used to design a registry
that will be of use to biomedical researchers working in the
field.
Asthma.--The Committee applauds the CDC for convening the
2007 asthma policy meeting to facilitate the coordination of
Federal initiatives on asthma treatment and prevention. The
Committee encourages the CDC to develop evidence-based best
practices for policy interventions that will reduce asthma
morbidity and mortality, with specific emphasis on indoor and
outdoor air pollution. In addition, the Committee is pleased
with the efforts that the CDC has taken to monitor lung
function and other asthma interventions for Native Hawaiian
children.
Biomonitoring.--The Committee applauds the CDC's
biomonitoring efforts. CDC's National Report on Human Exposure
to Environmental Chemicals is a significant information
database that provides invaluable information for setting
research priorities and for tracking trends in human exposures
over time. The Committee encourages the CDC to implement the
July 2006 recommendations of the National Research Council of
the National Academy of Sciences with regard to enhancement of
efforts to communicate biomonitoring results in context. Among
other activities, CDC should develop communications principles,
guidelines and case studies that can be applied both within CDC
and to biomonitoring efforts at the State level.
Nontuberculous Mycobacteria [NTM].--The Committee
encourages the CDC to identify the internal leadership and CDC
staff responsible for analyzing research and epidemiology
studies regarding NTM prevalence, geographic, demographic and
host specific data.
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.
The Committee recommends $136,837,000 for injury prevention
and control activities at the CDC. The comparable fiscal year
2008 funding level is $134,837,000 The budget request for 2009
was $134,266,000. The Committee recommendation includes funding
for the following activities:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Activity 2008 Fiscal year Committee
comparable 2009 budget recommendation
----------------------------------------------------------------------------------------------------------------
Intentional Injury.............................................. 100,134 99,710 102,134
Domestic Violence and Sexual Violence....................... 27,046 26,931 27,046
DV and SV Base.......................................... 19,216 19,134 19,216
Child Maltreatment...................................... 7,086 7,056 7,086
DV and SV NVDRS......................................... 744 741 744
Youth Violence Prevention................................... 23,268 23,169 24,268
Youth Violence NVDRS (non-add).......................... 2,477 2,466 2,477
Domestic Violence Community Projects........................ 5,021 5,000 5,021
Rape Prevention............................................. 42,016 41,838 43,016
All Other Intentional Injury................................ 2,783 2,772 2,783
===============================================
Unintentional Injury............................................ 34,703 34,556 34,703
Traumatic Brain Injury [TBI]................................ 5,709 5,685 5,709
All Other Unintentional Injury.............................. 28,994 28,871 28,994
----------------------------------------------------------------------------------------------------------------
Domestic Violence.--The Committee is pleased with the work
of the community-based Domestic Violence Prevention Enhancement
and Leadership Through Alliances [DELTA] program and encourages
CDC to continue this important program.
Falls Prevention.--The Committee is pleased that CDC has
developed a strong falls prevention and safety program to teach
older Americans how to prevent falls and that it is also
working to prevent traumatic brain injury among older adults.
National Violent Death Reporting System.--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 this injury reporting system.
Trauma Centers.--The Committee encourages CDC to develop
and disseminate best practice guidelines in the field of acute
trauma care.
OCCUPATIONAL SAFETY AND HEALTH
The Committee recommends a program level of $390,788,000
for occupational safety and health programs. The fiscal year
2008 program level was $437,313,000 and the budget request for
fiscal year 2009 was $326,411,000. The Committee recommendation
includes $94,969,000 in transfers available under section 241
of the Public Health Service Act and $55,358,000 in mandatory
funding. 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. The Committee recommendation includes
funding for the following activities at the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Activity 2008 Fiscal year Committee
comparable 2009 budget recommendation
----------------------------------------------------------------------------------------------------------------
Education and Research Centers.................................. 21,425 19,234 23,425
Personal Protective Technology.................................. 12,804 12,353 15,000
Healthier Workforce Centers..................................... 2,500 .............. 4,000
National Occupational Research Agenda [NORA].................... 107,389 99,235 107,389
Energy Employees Occupational Illness Compensation Program .............. .............. 55,358
[mandatory]....................................................
World Trade Center.............................................. 51,583 25,000 51,583
Mining Research................................................. 49,126 37,064 50,000
Mining Safety Supplemental (non-add)........................ .............. .............. ..............
Other Occupational Safety and Health Research................... 80,627 78,167 83,033
Miners Choice (non-add)..................................... 641 621 641
National Mesothelioma Registry and Tissue Bank (non-add).... 989 959 989
----------------------------------------------------------------------------------------------------------------
Energy Employees Occupational Illness Compensation Program
Act [EEOICPA].--The Committee has adopted the administration's
proposal to eliminate the transfer of funds from the Department
of Labor and fund the NIOSH responsibilities under the Energy
Employees Occupational Illness program directly in fiscal year
2009. The Committee intends that the Advisory Board on
Radiation and Worker Health be funded at no less than last
year's level.
Pandemic Influenza.--The Committee has included an
additional $1,000,000 for NIOSH research on modes of
transmission of influenza and to develop the next generation of
effective personal protective equipment for healthcare workers
and first responders. The Institute of Medicine, at the request
of the Secretary, has conducted a study on the personal
protective equipment needed by healthcare workers in the event
of an influenza pandemic and concluded that the current paucity
of knowledge on influenza transmission is hindering prevention
efforts and requires expeditious research.
Worker Injury Statistics.--The Committee strongly supports
the work NIOSH is doing to supplement the National Health
Information Survey to gain an understanding of the extent and
potential causes of worker illness and injuries that go
unreported in the Federal occupational injury reports. The
Committee recommendation includes an additional $500,000 to do
follow-up studies on the National Hospital Ambulatory Medical
Care Survey. The Committee is particularly concerned with
injuries experienced in the self-employed population. In
addition, the Committee notes that while there is much
attention paid to acute injuries and illnesses at work places,
there is less focus on how chronic illnesses intersect with
workplaces. The Committee encourages NIOSH to consider
developing a research agenda with this in mind. Finally, the
Committee encourages NIOSH to continue to work with the Bureau
of Labor Statistics to improve the statistics that direct
Federal enforcement and compliance efforts aimed at preventing
illness and injury at our Nation's workplaces.
Worklife Initiative.--The Committee strongly supports the
CDC's decision to begin this important research with the
awarding of the three new Centers of Excellence to Promote a
Healthier Workforce. This network is designed to facilitate the
integration of health protection and health promotion in the
workplace. The Committee has included sufficient resources to
fully fund the existing centers and expand this network
dedicated to research, education and translation programs. As
this network begins to focus on chronic illness in the
workplace, the Committee encourages researchers to collaborate
with other parts of NIOSH to explore the best methods for
improving our Nation's workplace illness surveillance systems
with respect to less acute illnesses.
World Trade Center Health Monitoring.--The Committee
strongly supports treatment services for residents, students,
and other non-responders whose health has been adversely
affected as a result of the September 11, 2001 terrorist
attacks on the World Trade Center. The Committee is concerned
that these individuals may not be receiving the treatment
provided for in previous appropriations. The Committee directs
the Secretary of Health and Human Services, within 90 days of
the date of enactment of this act, to provide a report to the
Committee detailing the activities and services provided to
residents, students, and other non-responders.
GLOBAL HEALTH
The Committee recommends $312,301,000 for global health-
related activities at the CDC in fiscal year 2009. The fiscal
year 2008 comparable level was $302,371,000 and the budget
request for fiscal year 2009 was $302,025,000. 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. The Committee recommendation includes
funding for the following activities in the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Activity 2008 Fiscal year Committee
comparable 2009 budget recommendation
----------------------------------------------------------------------------------------------------------------
Global AIDS Program............................................. 118,863 118,727 118,863
===============================================
Global Immunization Program..................................... 139,851 139,691 143,826
Polio Eradication........................................... 98,025 97,913 102,000
Other Global/Measles........................................ 41,826 41,778 41,826
===============================================
Global Disease Detection........................................ 31,445 31,409 36,000
Global Malaria Program.......................................... 8,696 8,686 10,096
Other Global Health............................................. 3,516 3,512 3,516
----------------------------------------------------------------------------------------------------------------
Global Disease Detection.--The Committee is pleased with
work of the Global Disease Detection Centers and has included
additional funding for new centers.
Global Health Programs.--The Committee commends the efforts
of the CDC's Global AIDS and Global Malaria Programs in
implementing PEPFAR and the President's Malaria Initiative
[PMI]. The Committee encourages global AIDS and malaria program
activities beyond PEPFAR and PMI countries.
Global Malaria.--The Committee commends the CDC's
contribution to global fight against malaria and recognizes
that CDC supports prevention and control of malaria throughout
the world working in local, State, Federal, and international
partnerships. As the United States increases its investment in
malaria prevention and control, CDC's technical expertise and
experience in program implementation is increasingly more
vital. Insecticide resistance and drug resistance have the real
potential to compromise global malaria efforts and point to the
need for the development and testing of new technologies and
materials for insecticide treated nets and new anti-malarial
therapies. The Committee encourages the CDC to expand these
research efforts, including the areas of Insecticide Treated
Bed Nets and Intermittent Preventative Treatment in pregnancy.
The Committee also urges the CDC to expand its technical
assistance, monitoring and evaluation efforts, in particular
its assistance to the President's Malaria Initiative, the World
Bank, the Global Fund to Fight AIDS, Tuberculosis, and Malaria,
and other malaria control initiatives. These programs are in
need of greater expertise and capacity in monitoring and
evaluation to support documentation of impact of efforts.
Finally, the Committee is concerned that while there have been
much-need increases in funding for malaria efforts in Africa,
that there must also be attention paid to malaria control
efforts in Asia and the Americas. CDC should play an active
role in these efforts.
In addition, the Committee encourages CDC to continue its
ongoing support of research and development toward new anti-
malarial drugs.
TERRORISM
The Committee provides $1,508,123,000 for CDC terrorism
preparedness activities. The comparable fiscal year 2008 level
was $1,479,454,000 and the administration requested
$1,419,264,000 for these activities in fiscal year 2009. The
Committee recommendation includes funding for the following
activities in the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Activity 2008 Fiscal year Committee
comparable 2009 budget recommendation
----------------------------------------------------------------------------------------------------------------
Upgrading State and Local Capacity.............................. 746,039 609,385 746,039
Bioterrorism Cooperative Agreement.......................... 700,465 570,903 700,465
Centers for Public Health Preparedness...................... 28,555 28,501 28,555
Advanced Practice Centers................................... 5,261 .............. 5,261
All Other State and Local Capacity.......................... 11,758 9,981 11,758
Upgrading CDC Capacity.......................................... 120,744 131,071 120,744
Anthrax......................................................... 7,882 7,867 7,882
===============================================
Biosurveillance Initiative...................................... 53,281 100,634 63,151
BioSense.................................................... 34,389 49,905 34,389
Quarantine.................................................. 9,870 43,273 19,740
Real-time Lab Reporting..................................... 9,022 7,456 9,022
Strategic National Stockpile.................................... 551,509 570,307 570,307
----------------------------------------------------------------------------------------------------------------
State and Local Capacity.--The Committee continues to
recognize that bioterrorism events and other public health
emergencies will occur at the local level and will require
local capacity, preparedness and initial response. 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 is concerned that some current performance measures
may overlook the distinctive responsibilities of local health
departments and their communities. The Committee urges the
Department to assure that performance metrics intended to
measure public health preparedness include evidence-based
measures that can be scaled to measure the performance of local
health departments in the context of their own communities'
emergency management systems.
PUBLIC HEALTH RESEARCH
Public Health Research.--The Committee has provided
$31,000,000 to fund the Public Health Research program. The
fiscal year 2008 comparable level and 2009 budget request were
also $31,000,000. The Committee is strongly supportive of
public health and prevention research, which bridges 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 $203,448,000 for public health
improvement and leadership activities at the CDC. The fiscal
year 2008 comparable level was $224,899,000 and the budget
request for fiscal year 2009 was $182,143,000. The Committee
recommendation includes funding for the following activities in
the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year
Activity 2008 Fiscal year Committee
comparable 2009 budget recommendation
----------------------------------------------------------------------------------------------------------------
Leadership and Management....................................... 158,255 149,332 149,332
Director's Discretionary Fund................................... 5,895 .............. 5,895
Public Health Workforce Development............................. 34,009 32,811 34,009
----------------------------------------------------------------------------------------------------------------
In addition, the Committee has included sufficient funding
for the following projects in the following amounts for fiscal
year 2009:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
A Voice for All, Wilmington, DE, for speech and $400,000
language evaluations for persons with disabilities...
Albert Einstein Healthcare Network, Philadelphia, PA, 100,000
for a college student health screening program.......
Boys and Girls Club of Alaska, Anchorage, AK, for a 750,000
rural Alaska youth fitness initiative................
Cascade AIDS, Portland, OR, for HIV/AIDS education, 200,000
outreach and prevention services.....................
Clearbrook, Inc., Wilkes Barre, PA, for substance 100,000
abuse and treatment program..........................
Community Health Centers in Hawaii for Childhood Rural 175,000
Asthma Project, Honolulu, HI, for childhood rural
asthma project.......................................
Cornelia de Lange Syndrome Foundation, Avon, CT, for 250,000
awareness and education activities...................
Drexel University School of Public Health, 262,000
Philadelphia, PA, to investigate a polycythemia vera
cluster in Northeast, Pennsylvania...................
Eastern Maine Healthcare Systems, Brewer, ME, for a 300,000
childhood obesity program............................
Friends of the Congressional Glaucoma Caucus 100,000
Foundation, Lake Success, NY, for the New Jersey
Mobile Glaucoma Screening Program....................
Grinnell Regional Medical Center, Grinnell, IA, for a 250,000
wellness initiative..................................
Hackensack University Medical Center, Hackensack, NJ, 100,000
for a study on possible environmental factors of
autism and neurodevelopmental disorders in New Jersey
Healthy Northeast Pennsylvania Initiative, Clarks 100,000
Summit, PA, for obesity prevention and education
programs.............................................
International Rett Syndrome Foundation [IRSF], 150,000
Richmond, VA, for a health education program.........
Iowa Chronic Care Consortium, Des Moines, Iowa, for a 200,000
preventative health demonstration program............
Iowa Department of Public Health, Des Moines, IA, to 1,000,000
continue the Harkin Wellness Grant program...........
Kaweah Delta Hospital Foundation, Visalia, CA, for a 100,000
comprehensive asthma management program..............
La Crosse County Health Department, La Crosse, WI, for 350,000
a program to prevent childhood obesity...............
Latino Leadership Alliance Foundation, New Brunswick, 200,000
NJ, to establish a Latino Leadership Alliance Health
Initiative that will educate and inform the Latino
Community on the importance of proper preventive
health care..........................................
Mary Bird Perkins Cancer Center, Baton Rouge, LA, to 300,000
expand early detection cancer screenings.............
Mount Sinai, New York, NY, for firefighter and 400,000
emergency responder health monitoring program in
Louisiana............................................
Nevada Cancer Institute, Las Vegas, NV, for equipment 400,000
and screening services...............................
New England Coalition for Health Promotion and Disease 100,000
Prevention, Providence, RI, for continued development
of obesity and disease prevention programs...........
Oglala Sioux Tribe, Pine Ridge, SD, for the Oyate Bli 400,000
Helya diabetes program...............................
Ohio Patient Safety Institute, Columbus, OH, for 200,000
patient safety programs..............................
Pennsylvania Breast Cancer Coalition, Ephrata, PA, for 50,000
breast cancer awareness outreach.....................
Providence Health Care System, Portland, OR, for a 200,000
multiple sclerosis registry..........................
Rich Center for Autism/Youngstown State University, 100,000
Youngstown, OH, to improve outreach and early
treatment interventions for children with autism.....
Saint Elizabeth's Hospital of Wabasha, Inc., Wabasha, 100,000
MN, to expand primary prevention services and chronic
disease management programs..........................
Shelburne Farms, Shelburne, VT, for nutritional 500,000
educational programming..............................
South Dakota State University, Brookings, SD, for 300,000
multidisciplinary research on health promotion.......
Southeastern Center for Emerging Biologic Threats, 100,000
Emory University, Atlanta, GA, for programs related
to bioterrorism and emerging biologic threats........
Southern Nevada Health District, Las Vegas, NV, for 550,000
management of the hepatitis C outbreak in Southern
Nevada...............................................
St. Louis Regional Asthma Consortium, St. Louis, MO, 750,000
for asthma management for at-risk children...........
State of Alaska Department of Health and Social 500,000
Services, Anchorage, AK, for a program to prevent,
control, and reduce incidence of obesity.............
Texas Tech University Health Sciences Center, El Paso, 300,000
TX, for the Center for Border Health Research........
University of North Carolina-Chapel Hill in 325,000
conjunction with East Carolina University, Chapel
Hill, NC, to study racial disparities in
cardiovascular disease...............................
University of Wisconsin--Milwaukee, Milwaukee, WI, to 300,000
support and expand public health training programs...
Wheeling Jesuit University, Wheeling, WV, for the 3,000,000
Mining and Industry Safety Technology and Training
Innovation Center....................................
Yale New Haven Health System, New Haven, CT, for 250,000
emergency preparedness education and training
activities at the Connecticut Center for Public
Health Preparedness..................................
------------------------------------------------------------------------
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.
PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT
The Committee has provided $97,270,000 for the Preventive
Health and Health Services Block grant. The fiscal year 2008
comparable level was $97,270,000 and the administration did not
request any funding for this program in fiscal year 2009.
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, 2 American Indian tribes, and 8 U.S.
territories.
BUILDINGS AND FACILITIES
The Committee has provided $150,000,000 for the
continuation of CDC's Buildings and Facilities Master Plan in
Atlanta, Georgia. The fiscal year 2008 comparable level was
$55,022,000 and the budget request or fiscal year 2009 did not
include funds for this activity.
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 facilities.
The Committee intends that $30,000,000 be used for
nationwide repairs and improvements; $71,300,000 shall be for
the completion of Building 24 on the Royball campus; $1,500,000
for facilities and equipment at the CDC lab in Ft. Collins,
Colorado; and the remainder shall be to begin planning and
construction of Buildings 107 and 108 on the Chamblee campus.
BUSINESS SERVICES AND SUPPORT
The Committee provides $337,906,000 for business services
support functions at the CDC. The fiscal year 2008 comparable
level was $371,847,000 and the administration requested
$337,906,000 for fiscal year 2009. These funds will be used to
support CDC-wide support functions. The Committee instructs the
CDC not to tap programs to make up for the cuts to this
function.
National Institutes of Health
The Committee has sounded the alarm for more Federal
biomedical research funding for several years, and the
situation is now at a crisis point. Since the end of the 5-year
doubling effort, in fiscal year 2003, funding for the National
Institutes of Health [NIH] has declined, in real terms, by 12.3
percent. The average researcher now has a less than 1 in 5
chance of getting an NIH grant application approved, and the
average age at which researchers receive their first RO1 grant
has risen to 42. It is little wonder that many young scientists
are balking at a career in biomedical research, putting our
Nation at risk of losing a generation of talented investigators
who could pursue treatments and cures. Meanwhile, several other
countries are ramping up their investments in biomedical
research and threatening the leadership of the United States in
this field.
Regrettably, the administration's budget ignores these
warning signs and proposes to freeze NIH funding at the fiscal
year 2008 level of $29,229,524,000. Under this plan, the
success rate for research project grants would fall to 18
percent, the lowest level on record. In real terms, NIH funding
would be reduced by more than $1,000,000,000. The Bush budget
also proposes eliminating all funding for the National
Children's Study, for which Congress has already appropriated
approximately $212,300,000 since fiscal year 2004.
The Committee rejects the administration's approach and
instead recommends an overall NIH funding increase of
$1,025,000,000, for a total of $30,254,524,000. That amount
would allow NIH funding to keep up with the biomedical
inflation rate (3.5 percent) for the first time in 6 years. It
would also increase the estimated number of new, competing
research project grants to 10,471--the most ever at NIH. The
recommended level includes $192,300,000, an increase of
$81,400,000 over the fiscal year 2008 appropriation of
$110,900,000, for the National Children's Study, to ensure that
the study's implementation stays on track. The Committee also
fully funds the budget request of $300,000,000 for transfer to
the Global Fund to Fight AIDS, Tuberculosis and Malaria. The
fiscal year 2008 transfer was $294,759,000.
The Committee recommends $568,119,000 for the Common Fund.
The fiscal year 2008 level was $495,608,000, and the budget
request is $533,877,000. The Committee intends that much of the
increase will be used to support new investigators and high
risk/high reward research, as described later in this report
under the section on the Office of the Director.
Report Language Format.--The Committee made changes to the
report language format this year with the goal of reducing the
overall length and consolidating the Committee's
recommendations for individual diseases and conditions in a
limited number of locations. For example, report language for
some items is now located entirely in the Office of the
Director rather than distributed among multiple Institutes and
Centers [ICs]. The purpose of this change is to streamline the
report, not to imply that the Office of the Director bears the
total responsibility for addressing the Committee's
recommendations. ICs are advised, therefore, that language
which is relevant to their missions may be found in sections
other than their own, and that they should give all relevant
language the same weight regardless of where it is located in
the report.
NATIONAL CANCER INSTITUTE
Appropriations, 2008.................................... $4,805,088,000
Budget estimate, 2009................................... 4,809,819,000
Committee recommendation................................ 4,958,594,000
Much progress has been made in the fight against cancer,
yet the disease continues to exact an enormous toll. In 2008,
it is estimated that cancer will claim over 565,000 Americans--
1,500 a day. The annual costs for cancer care in this country
exceed $200,000,000,000. And while cancer death rates have
declined for each of the past 3 years, cancer remains the
leading cause of death for Americans under the age of 85.
Therefore, the Committee recommendation for the NIH includes a
special emphasis on cancer research.
The Committee recommends an appropriation of $4,958,594,000
for the National Cancer Institute [NCI]. The budget request was
$4,809,819,000. The fiscal year 2008 appropriation was
$4,805,088,000.
Bone Cancer.--The NCI is encouraged to enhance its research
program in osteosarcoma biology through exploratory and other
grant mechanisms emphasizing the following priorities:
development of suitable genetic and orthotopic models, studies
on the role the tumor microenvironment plays in tumor
progression, the identification of tumor progenitor cells and
the biology of tumor invasion. The NCI is also urged to support
research on the development of clinically relevant experimental
models of tumor dormancy, studies on dormant tumor cells and
their interaction with the microenvironment, and identification
of factors that trigger dormancy of invasive tumor cells or
activation of dormant cells.
Decisionmaking.--The Committee applauds the NCI for
supporting research on decisionmaking processes as they relate
to cancer, which will help people make better informed choices
about cancer prevention and screening.
Health Communication.--The Committee encourages the NCI to
continue its investment in the Health Information National
Trends Survey [HINTS], and to consider expanding the survey to
track how public information campaigns may influence attitudes
about cancer screening and vaccines.
Liver Cancer.--The Committee continues to urge the NCI to
develop a comprehensive research program to slow the incidence
of primary liver cancer and to develop viable treatment options
that will improve survivability. The Committee urges more
programs aimed at the discovery of new interventions for the
early detection, management and treatment of cancer associated
with hepatitis. The Early Detection Research Network continues
to be an impressive and productive programmatic model.
Lung Cancer.--The Committee encourages the NCI to expand
its research to improve lung cancer diagnosis and treatment and
undertake additional research to better understand the role
gender plays in this disease.
Melanoma.--The Committee is aware of the ongoing dialogue
between the NCI and the advocacy and extramural research
community on prioritizing NIH-funded melanoma research, most
recently with the 2007 ``Community-Oriented Strategic Action
Plan for Melanoma Research.'' The Committee encourages the NCI
to better target its funds in three categories: targeted
therapies in melanoma; host response in melanoma; and
prevention, including exploring the feasibility of a randomized
trial of screening for melanoma.
NCI Community Cancer Centers Program.--The Committee
commends the NCI for launching the NCI Community Cancer Centers
Program [NCCCP] early in 2007. The NCCCP, now in a 3-year pilot
phase, seeks to bring more Americans into a system of high-
quality cancer care, increase participation in clinical trials,
reduce cancer healthcare disparities, and improve information
sharing among community cancer centers. The program encourages
collaboration of private-practice medical, surgical, and
radiation oncologists as well as providing links to NCI
research and the NCI-designated Cancer Centers. The Committee
supports these goals and encourages the NCI to continue
supporting this program.
Neuroblastoma.--The Committee urges the NCI to
significantly expand its research portfolio on neuroblastoma,
with a focus on clinical trials for high-risk patients. Given
the poor survival rates for children with advanced disease, the
Committee encourages the NCI to prioritize support for all
promising neuroblastoma research in this population, both
inside and outside of the Children's Oncology Group.
Pancreatic Cancer.--The Committee notes that less than 2
percent of NCI's budget is devoted to pancreatic cancer
research, even though this form of cancer is the fourth leading
cause of cancer-related death. The Committee strongly urges the
NCI to assign more resources to launch a pancreatic cancer-
specific research and training initiative, including the
establishment of a prioritized research plan that includes
exception funding for grants that are pancreatic cancer
focused, strengthening and expanding the SPOREs, and
instituting training mechanisms designed to stimulate clinical
and translational career development. The Committee expects the
NCI to be prepared to provide a detailed accounting of
resources targeted principally on pancreatic cancer research
before the fiscal year 2010 budget hearing.
Pediatric Cancer.--The Committee urges the NCI to expand
and intensify pediatric cancer research, including laboratory
research to identify and evaluate potential therapies,
preclinical testing, and clinical trials through cooperative
clinical trials groups. Such research should include research
on the causes, prevention, diagnosis, recognition, treatment,
and late effects of pediatric cancer.
Prostate Cancer Imaging.--The Committee is aware of the
potential of prostate imaging to improve early diagnosis and
minimally invasive treatment of prostate cancer, and it
encourages the NCI to provide additional funding for research
and the development of technologies for prostate cancer
detection and treatment, comparable to state-of-the-art
mammograms.
Vaccine Research.--The Committee recognizes that aspects of
science surrounding an HIV vaccine and cancer vaccines contain
many similarities and synergies. Therefore, the Committee urges
the NCI to incorporate the development of an HIV vaccine into
cancer vaccine research efforts. The Committee also supports
new partnerships between the NCI and Institutes that are
capable of supporting a joint HIV/cancer vaccine program. In
addition, the Committee urges the OAR to increase HIV/AIDS
funding at the NCI.
NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
Appropriations, 2008.................................... $2,922,112,000
Budget estimate, 2009................................... 2,924,942,000
Committee recommendation................................ 3,006,344,000
The Committee recommendation includes $3,006,344,000 for
the National Heart, Lung, and Blood Institute [NHLBI]. The
fiscal year 2008 appropriation was $2,922,112,000 and the
budget request is $2,924,942,000.
Alpha-1 Antitrypsin Deficiency.--The Committee encourages
the NHLBI to work with the Office of Rare Disorders to
establish a treatment algorithm for Alpha-1 antitrypsin-related
disease to help assist physicians in correctly diagnosing it.
Bleeding and Clotting Disorders.--The Committee encourages
the NHLBI to continue its commitment to research in bleeding
and clotting disorders by focusing on improved and novel
therapies and maintaining its collaborative relationship with
patient advocacy groups and the scientific and medical research
community.
Cardiovascular Diseases.--The Committee applauds the NHLBI
for the development and launch of its Institute-wide strategic
plan and believes that research on heart disease and other
cardiovascular diseases must be a top priority within the
Institute. The Committee supports an increase in funding and
resources for cardiovascular research, including support of
current studies to enhance the prevention, diagnosis, and
treatment of cardiovascular diseases and research to explore
new and promising scientific opportunities.
Chronic Obstructive Pulmonary Disease [COPD].--The
Committee applauds the NHLBI for implementing the COPD
Awareness Campaign and increasing its investment in COPD
research. The Committee is concerned about the growing number
of women dying from COPD, and it encourages additional research
on the role that gender plays in this disease.
Congenital Heart Disease.--The Committee continues to urge
the NHLBI to work with patient associations, other appropriate
NIH Institutes, and the CDC to develop education and research
initiatives targeted to the life-long needs of congenital heart
defect survivors.
Diamond-Blackfan Anemia [DBA].--The Committee encourages
the NHLBI to continue and expand its research initiative into
DBA.
Lymphangioleiomyomatosis [LAM].--The Committee supports
both intramural and extramural means of expanding research on
LAM and urges the NHLBI to use all available mechanisms as
appropriate, including support of state-of-the-science
symposia, requests for applications, and access to human
tissues, to stimulate a broad range of clinical and basic LAM
research. The Committee commends the NHLBI for supporting the
MILES trial, and encourages the support of phase I and phase II
clinical treatment trials to capitalize on the LAM patient
populations that the NHLBI and the Rare Lung Disease Consortium
has assembled. The Committee is also aware of the potential
benefit of establishing regional LAM centers, and suggests the
NHLBI consider supporting these activities.
Marfan Syndrome.--The Committee commends NHLBI for its
strong support of research on Marfan syndrome, particularly the
Pediatric Heart Network clinical trial focused on the drug
losartan. The Committee encourages the Institute to work with
the Marfan syndrome community on strategies for establishing
specialized treatment centers.
Myelodysplasia.--The Committee urges the NHLBI, working in
collaboration with the NCI and NIA, to establish a sustainable
research program on myelodysplasia, a bone marrow failure
disorder that primarily affects the elderly and individuals who
have undergone chemotherapy and/or radiation therapy. The
Committee requests a response in the fiscal year 2010
congressional budget justification.
Omega-3 Fatty Acids.--The Committee urges the NHLBI and the
Office of Dietary Supplements in collaboration with the CDC,
through the Heart Disease and Stroke Prevention Program, to
develop and implement an education and awareness campaign for
the public, patients and providers about the overall health
benefits of consuming omega-3 fatty acids.
Pulmonary Fibrosis.--The Committee continues to urge the
NHLBI to increase funding for lung research, particularly in
the area of pulmonary fibrosis, and to convene a consensus
conference of experts 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 [PH].--The Committee encourages the
Institute to work with the PH community to support the
establishment of a clinical research network that would provide
for expanded clinical trials and facilitate collaboration and
data sharing among PH investigators.
Sickle Cell Disease.--The Committee commends the NHLBI for
developing a strategic plan, with input from public
stakeholders, to enhance its research program on sickle cell
disease and asks that the final research plan and proposed
implementation steps be provided to the Committee when
completed.
Sleep Disorders.--The Committee continues to encourage the
National Center on Sleep Disorders Research to work with other
partners to implement a sleep education and public awareness
project.
Thalassemia.--The Thalassemia Clinical Research Network
[TCRN] is a core program that has advanced physicians'
understanding of how to diagnose, treat and manage this fatal
genetic blood disease. The Committee urges additional
protocols, particularly related to gene therapy, to advance the
field further and lead to a cure in the shortest possible time.
Women and Heart Disease.--The Committee requests the NHLBI
to place a higher priority on: the best strategies for
assessing, preventing, and treating heart disease in women; why
women receive significantly fewer referrals for rehabilitation
programs, advanced diagnostic testing and treatments for heart
disease than men, and how the referral rate for women can be
increased; the most effective methods and treatments for
diastolic heart failure; the biological differences between men
and women in the location, type, and heart disease risk level
associated with fat deposits; the role of inflammation in heart
disease in women; how sex differences in the regulation of
heart rhythm affect risk of heart disease and response to
treatment; why women ages 50 and younger are more likely to die
following a heart attack than men of the same age; and how the
heart disease diagnosis and care disparities between women of
different races can be eliminated.
NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH
Appropriations, 2008.................................... $390,158,000
Budget estimate, 2009................................... 390,535,000
Committee recommendation................................ 401,405,000
The Committee recommendation includes $401,405,000 for the
National Institute of Dental and Craniofacial Research [NIDCR].
The fiscal year 2008 appropriation was $390,158,000 and the
budget request is $390,535,000.
Behavioral Research.--The Committee supports the
Institute's planned research into developing complex models of
behavior and oral health.
Early Childhood Caries.--The Committee notes the urgent
need to eradicate early childhood caries among American Indian/
Alaska Native [AI/AN] populations. The Committee urges the
NIDCR, in collaboration with the Indian Health Service, to
increase support for clinical research to find effective anti-
caries preventions, including new education and intervention
modalities.
Temporomandibular Joint Disorders [TMJDs].--The Committee
encourages the NIDCR, along with the NIAMS and NIBIB, to put a
higher priority on using noninvasive imaging technologies to
establish, validate, and standardize clinical diagnostic
criteria for TMJDs and to better understand the etiology and
mechanisms underlying the symptoms of biomechanical pain and
dysfunction. The Committee also calls on the NIDCR to initiate
interdisciplinary partnerships within the NIH on chronic pain
that is associated not only with TMJDs but other conditions as
well. To address these collaborations extramurally, the
Committee urges NIDCR to follow the recommendation of the
Fourth Scientific Meeting of the TMJ Association calling for
the establishment of regional centers of excellence. Finally,
the Committee calls upon the TMJ Interagency Working Group to
step up its level of activities and work more effectively to
assess the state of science of TMJDs and their co-morbidities,
and to develop short- and long-range research plans.
NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES
Appropriations, 2008.................................... $1,706,684,000
Budget estimate, 2009................................... 1,708,487,000
Committee recommendation................................ 1,755,881,000
The Committee recommends an appropriation of $1,755,881,000
for the National Institute of Diabetes and Digestive and Kidney
Diseases [NIDDK]. The fiscal year 2008 appropriation was
$1,706,684,000 and the administration's request is
$1,708,487,000.
Acute Liver Failure.--The Committee supports the
Institute's plan to renew funding for the Acute Liver Failure
Study Group for an additional 5 years, and it urges the NIDDK
to provide additional resources in this area.
Alpha-1 Antitrypsin Deficiency.--The Committee encourages
the NIDDK to maintain its support of Alpha-1 research and to
collaborate with the NCI and other Institutes on this effort.
Beta Cell Biology.--The NIDDK is urged to extend and expand
its vigorous support of the Beta Cell Biology Consortium, which
promotes collaborative research relevant to understanding and
treating both type 1 and type 2 diabetes. Particularly
important is the creation of diabetes research resources and
reagents that can be accessed by the entire diabetes research
community. In addition, the Committee asks the NIDDK to work
with the NCRR to ensure the viability of the regional Islet
Cell Resources Centers or equivalent infrastructure that can
efficiently produce and distribute purified human islets for
beta cell biology research.
Biosamples for Type 1 Diabetes Research.--The Committee
commends the NIDDK for establishing biorepositories to house
data and biological specimens collected by studies such as the
international Type 1 Diabetes Genetics Consortium [T1DGC], The
Environmental Determinants of Diabetes in the Young [TEDDY]
Study, and the natural history study of TrialNet. The Committee
urges the NIDDK to widely advertise the availability of samples
to the diabetes research community, ensure that the
biorepositories implement efficient procedures to rapidly
disseminate those samples to qualified researchers, and develop
policies to expedite the availability of samples from other
clinical trials in type 1 diabetes.
Chronic Pediatric Kidney Disease.--Translational and
clinical research to understand the mechanisms involved in
kidney injury and progression are crucial to develop and test
new therapies in children. The Committee urges the NIDDK to
initiate two new prospective multicenter pediatric nephrology
translational studies or treatment trials over the next 2
years.
Diamond-Blackfan Anemia [DBA].--The Committee is aware of
important breakthroughs in DBA research and the link with a
ribosomal protein defect. The Committee understands that the
NIDDK is planning a workshop regarding the implications of
ribosome biogenesis in hematological diseases. The Committee
commends the NIDDK for its attention to DBA and encourages
cross-Institute research initiatives related to ribosomal
protein defects found in DBA and their implication in disease
areas important to the NIDDK.
Digestive Diseases.--The Committee looks forward to the
recommendations of the National Commission on Digestive
Diseases and encourages the NIDDK to consider them strongly.
The Committee notes that the draft plan lacked specificity, and
it urges the NIDDK to identify the programs, structures and
resources that are necessary to implement a long-range plan.
Glomerular Disease Research.--The Committee commends the
Institute for the recent release of a program announcement on
glomerular diseases, and it encourages the establishment of a
patient registry in this area.
Hematology.--The Committee commends NIDDK--and its partners
in this effort, the NCI, NHLBI, and NIA--for issuing a program
announcement on the anemia of inflammation of chronic disease.
Hepatitis B Network.--The Committee supports the
Institute's plan to fund and create a network of hepatitis B
clinical research centers and urges that these centers be
established to address the major research questions identified
by the upcoming Hepatitis B Consensus Conference and the
priorities identified for hepatitis B in the NIH Liver Disease
Research Action Plan. The Committee expects to be kept informed
on the outcome of the October 21, 2008, conference.
Hepatitis C.--The Committee continues to strongly support
the HALT-C clinical study on hepatitis C. The Committee also
understands that nearly one-half of all persons with hemophilia
have contracted the hepatitis C virus, and many of these
individuals are co-infected with HIV. The NIDDK is encouraged
to pursue research initiatives on co-infection and the
progression of liver disease in this population.
Incontinence.--The Committee is pleased that the NIDDK
collaborated with the NICHD and the Office of Medical
Applications of Research on the recent state-of-the-science
conference on incontinence, and it urges the Institute to
prioritize the recommendations of this conference.
Inflammatory Bowel Disease [IBD].--The Committee encourages
the Institute to increase support for genetic and clinical IBD
research and other opportunities outlined in the research
agenda, ``Challenges in Inflammatory Bowel Disease.'' The
Committee particularly encourages the NIDDK to expand support
for pediatric IBD research.
Interstitial Cystitis [IC].--The Committee is concerned by
the projected declines in research funding for IC at the NIDDK.
It urges the Institute to provide enough funding to implement
the goals of the MAPP initiative and to support more basic
research on the etiology, pathogenesis and pathophysiology of
IC. In addition, the Committee notes the growing body of
scientific evidence documenting the overlap between IC and
vulvodynia, two highly prevalent, distressing conditions
characterized by chronic pelvic and urogenital pain. The
Committee, therefore, urges the NIDDK to establish a center for
research and education on urologic/urogenital chronic pelvic
pain syndromes that will focus specifically on IC and
vulvodynia, and related comorbid disorders, and will establish
collaborative initiatives among the ORWH, NIAID, NIAMS, NINDS,
and NICHD.
Non-alcoholic Fatty Liver Disease.--The Committee
encourages the NIDDK to renew and expand its research network
for non-alcoholic fatty liver disease, increase the involvement
of non-Federal funding sources, and include adult and pediatric
patients in research and clinical trials.
Pediatric Liver Disease.--The Committee is pleased with the
progress of the Biliary Atresia Clinical Research Consortium
and the Cholestatic Liver Disease Consortium, and it urges the
NIDDK to renew funding for these two 10-center consortia that
conduct research on biliary atresia, the most common cause of
liver transplantation in children, and other rare liver
diseases affecting infants and children. The Committee is also
pleased that the Consortia have added a special focus on
additional neonatal liver diseases.
Polycystic Kidney Disease [PKD].--The Committee urges the
NIDDK to work through the NIH Program on Public-Private
Partnerships to support the establishment of PKD diagnostic and
clinical treatment centers for treating PKD patients and
overseeing clinical trials. The Committee urges that these
centers work in collaboration with General Clinical Research
Centers, Clinical and Translational Science Awards and PKD
Centers of Excellence to ensure that PKD families receive the
best diagnostic tests and therapeutic treatments and the
opportunity to participate in promising clinical trials and
pilot studies. The Committee also encourages the NIDDK to
facilitate the establishment of a centralized facility for the
volumetric analysis of kidney images, PKD genotyping and
surrogate marker analysis.
Sickle Cell Disease.--The Committee commends the NHLBI for
its plans to restructure the sickle cell disease research
program to expand funding of investigator-initiated grants and
to develop a new Clinical Trials Research Network, which will
open participation in clinical research to a larger number of
researchers and patients with sickle cell disease. The
Committee asks to be updated on the progress being made in
implementing the sickle cell disease research plan as part of
the Institute's budget justification for fiscal year 2010.
Thalassemia.--The Committee urges the NIDDK to play a
larger role in the Thalassemia Clinical Research Network
[TCRN], as the iron chelation and non-invasive iron measurement
issues addressed by the Institute are essential to the quality
of life of thalassemia patients.
Urological Research.--The Committee encourages the NIDDK to
establish a urological disease research branch and requests a
response in the fiscal year 2010 budget justification. The
Committee also urges the Institute to prepare a trans-NIH
action plan for urological disease research.
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE
Appropriations, 2008.................................... $1,543,901,000
Budget estimate, 2009................................... 1,545,397,000
Committee recommendation................................ 1,588,405,000
The Committee recommends an appropriation of $1,588,405,000
for the National Institute of Neurological Disorders and Stroke
[NINDS]. The fiscal year 2008 appropriation was $1,543,901,000
and the budget request is $1,545,397,000.
Charcot-Marie-Tooth [CMT].--The Committee commends the
NINDS for issuing a program announcement to solicit grant
applications on CMT with the goal of identifying and validating
therapeutic targets for use in CMT and other peripheral
neuropathies. The Committee requests an update on CMT and CMT-
related research, and on the progress achieved by the program
announcement, in the fiscal year 2010 budget justification.
Duchenne and Becker Muscular Dystrophy [DBMD] Conference.--
The Committee commends the NIH for reconvening a conference
focused on translational research opportunities for DBMD in the
spring of 2009. Pursuant to this conference, the Committee is
pleased that the Muscular Dystrophy Coordinating Committee will
be updating the MD action plan to reflect accomplishments
related to the five broad categories in the plan, and supports
continued efforts to track research goals, NIH-funded grants
and areas of unmet opportunity for DBMD translational research.
Dystonia.--The Committee continues to support the expansion
of research and treatment developments regarding dystonia. The
Committee also notes that the intramural program at NIH
continues to advance research activity in dystonia, and more
support is encouraged.
Fibromyalgia.--Whereas fibromyalgia has traditionally been
considered a musculoskeletal disorder, the Committee notes that
substantial evidence implicates pathology within the central
nervous system in the development and expression of
fibromyalgia symptoms, including abnormal brain activity,
abnormal concentrations of a variety of neurochemicals in
cerebrospinal fluid, dysautonomia and neuroendocrine
dysfunction. The Committee, therefore, urges the NINDS to
collaborate with the NIAMS in convening an international
symposium to elucidate the state of the science with regard to
fibromyalgia, and publish a consensus document within 1 year
establishing a roadmap for future fibromyalgia research. The
Committee also encourages the NINDS to support basic research
into animal models of the disorder.
Headache Disorders.--The Committee encourages intensified
efforts to understand the causes, prevention, treatment, and
eventual cure of headache disorders, including migraine,
cluster headache, and chronic daily headache. Research on these
disorders, to date, has not received funding commensurate with
their prevalence or their costs to the economy. Therefore, the
Committee strongly urges the NINDS to solicit grant
applications in this area; encourage new investigators with
career training and transition awards; provide fair peer review
by headache scientists of submitted headache research grant
applications; and collaborate with the research community to
develop ``Headache Disorders Research Benchmarks.''
Hydrocephalus.--The Committee continues to place a high
priority on increasing research on hydrocephalus, and it urges
the NINDS to expand its research through program announcements
or requests for applications. The Committee also urges the
NINDS to collaborate with other Institutes to advance
hydrocephalus research priorities, including the NIA, NICHD,
NEI, NIBIB, and ORD, and requests an update on the progress of
such collaborative efforts in the fiscal year 2010 budget
justifications.
Mucopolysaccharidosis [MPS].--The Committee commends the
NINDS for taking the lead role supporting the scientific
meeting on the clinical progress of MPS. The Committee
encourages the NINDS to expand research into MPS, and to
implement the recommendations from the meeting, including the
need to collect natural history data to move novel therapies
into the clinic, and to combine therapeutic modalities to
increase efficacy.
Parkinson's Disease.--The Committee encourages the NINDS to
update the program announcement for the Udall Centers of
Excellence for Parkinson's Disease Research Program to include
the recommendations of the committee that evaluated the centers
and to continue to fund and support this important program. The
Committee also commends the NINDS for working to establish and
make public lay-language research summaries for each Udall
Center, which should be considered as a possible model for
other NIH centers of excellence programs.
Stroke.--The Committee commends the NINDS for its work in
developing an Institute-wide strategic plan and supports the
involvement of stroke scientists and/or clinicians in every
aspect of this initiative. The Committee continues to support
the comprehensive and timely implementation of its Stroke
Progress Review Group Report. The Committee also urges the
NINDS to devote additional funding for stroke prevention,
diagnosis, treatment, rehabilitation, and research to explore
new and promising scientific opportunities. In addition, the
Committee acknowledges studies suggesting significant gender
differences concerning stroke; for example, women often receive
fewer diagnostic tests and intervention procedures. The
Committee encourages the NINDS to increase research in this
area in order to understand the differences in treatment
options for men and women and provide a means to optimize
stroke care.
Stroke Rehabilitation.--The Committee is pleased that the
NINDS will convene an expert panel to discuss issues related to
stroke treatment and recovery and how people reintegrate into
their daily lives following a stroke.
NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES
Appropriations, 2008.................................... $4,560,655,000
Budget estimate, 2009................................... 4,568,778,000
Committee recommendation................................ 4,688,828,000
The Committee recommends an appropriation of $4,688,828,000
for the National Institute of Allergy and Infectious Diseases
[NIAID]. The fiscal year 2008 appropriation was $4,560,655,000
and the budget request is $4,568,778,000. Included in these
funds is $300,000,000 to be transferred to the Global Fund to
Fight HIV/ AIDS, Malaria, and Tuberculosis. The fiscal year
2008 transfer amount was $294,759,000.
Antimicrobial Resistance.--The Committee encourages the
NIAID to strengthen clinical, translational, and basic research
addressing antimicrobial resistant infections, with emphasis on
health care-acquired bacterial infections in hospitals, long-
term care facilities, etc. Clinical trials should aim to define
natural histories of infection for common bacterial diseases
and determine optimal implementation of existing agents and
therapeutic strategies. Translational research should emphasize
antibiotic development, vaccine development, novel
antibacterial agents and therapies, and new diagnostics.
Particular attention should be given to multi-drug resistant
gram negative bacterial infections and methicillin-resistant
staphylococcus aureus [MRSA] infections. The Committee further
encourages the NIAID to accelerate its basic research
activities to advance the understanding of mechanisms of
resistance and how resistant microbes impact human health.
Asthma.--The Committee applauds the NHLBI for its support
of the Asthma Clinical Research Network to advance basic,
translational and clinical research understanding of asthma to
improve asthma care.
Career Development in Asthma and Allergic Diseases.--The
Committee encourages the NIAID to work with private sector
organizations to develop programs for the training and career
development of researchers focused on allergic diseases.
Food Allergy and Anaphylaxis.--The Committee commends the
NIAID for its support of research to find a cure for food
allergy and anaphylaxis, and it continues to urge the highest
possible level of funding for this research. The Committee is
aware that food allergy and anaphylaxis has recently been
linked to asthma, eczema, type I diabetes, multiple sclerosis,
and inflammatory bowel syndrome, and it requests the NIAID to
provide a report to the Committee by May 1, 2009, on the common
link among these conditions and the steps the Institute will be
taking to investigate the underlying causation. In addition,
the Committee encourages a greater effort to facilitate and
promote investigator-initiated research on food allergy and
anaphylaxis. The Committee commends the NIAID for its research
initiative ``Exploratory Investigations in Food Allergy,''
which will support innovative pilot studies and developmental
research on the mechanisms of food allergy, with a goal of
attracting additional investigators to the field of food
allergy research, and urges the continuation of this
initiative.
Hepatitis B.--The Committee supports the Institute's plans
to fund experimental models of hepatitis B and to continue
support for the woodchuck model of hepatitis virus. The
Committee urges more work in the area of new intervention
discovery for the treatment and management of this disease.
Hepatitis C.--The Committee encourages the continued
development of standardized terminology to describe anti-viral
drug resistance, as well as studies of the mechanism of
resistance and methods to overcome it.
Inflammatory Bowel Disease [IBD].--The Committee encourages
the NIAID to expand its inflammatory bowel disease research
portfolio and explore partnerships with the IBD community aimed
at fostering greater research on the role of the immune system
in the development and progression of IBD in both adult and
pediatric populations.
Liver Transplants.--The Committee urges expanded research
on the immune system reaction to liver transplants in children.
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 the
identification of biomarkers and addressing the apparent health
disparities associated with this disease.
Malaria.--The Committee commends the NIAID for its malaria
research efforts, especially in basic research. While progress
in malaria research has been encouraging, the Committee is
concerned about the spread of malaria in areas where malaria
had previously been controlled and about the contribution of
drug-resistant parasites to this problem. To support and
sustain the global efforts to control and eliminate malaria,
the Committee urges the NIAID to allocate additional resources
for research to increase the understanding of the complex
interactions among malaria parasites, mosquito vectors and
humans, for development of new diagnostics, drugs, vaccines,
and vector management, and for continuation of its
collaboration with global public-private partnerships to
leverage malaria research efforts.
Microbicides.--The Committee commends the NIAID for
establishing a branch within the Division of AIDS that is
dedicated to microbicides, but notes that progress in staffing
and running the branch has been slow. The Committee urges the
NIAID to move quickly in that regard and requests a report by
May 1, 2009, on the branch's work plan, budget and staffing
situation.
Nontuberculous Mycobacteria [NTM].--The Committee is aware
of the reports of increasing incidence of pulmonary NTM
infections in women and children, particularly involving
rapidly growing mycobacteria, an inherently resistant
subspecies. The Committee commends the NIH for its planning
meetings regarding NTM, outreach to the NTM patient community,
and leading NTM treatment center. The Committee recommends
further collaboration with the NHLBI, CDC, the advocacy
community and other Federal agencies to provide leadership that
will enhance diagnostic and treatment options and as well as
medical and surgical outcomes through the stimulation of multi-
center clinical trials and promotion of health care provider
education. The Committee encourages the NIAID to issue program
announcements, an NIH partnership funding program, and other
appropriate mechanisms to ensure the initiation of grant
proposals and other activities for pulmonary NTM disease.
Parasitic Tropical Diseases.--The Committee urges the NIAID
to expand and intensify research on vaccines, diagnostics, and
treatments for parasitic tropical diseases including African
sleeping sickness, Chagas disease, elephantiasis, visceral
leishmaniasis, Buruli ulcer, and cholera. The Committee further
requests the NIAID to report an estimate of its funding for
research on these diseases in the fiscal year 2010 budget
justification.
Scleroderma.--The Committee encourages the NIAID to expand
its research portfolio on scleroderma in partnership with the
scleroderma community.
Tuberculosis [TB].--The Committee commends the NIAID for
the release of its response plan to drug-resistant TB,
including strains that are extensively drug-resistant. The
Committee encourages the NIAID and other NIH Institutes to
allocate appropriate resources to effectively address this
global health emergency. The Committee also encourages the NIH
to ensure that experts with an understanding of the scientific
basis for the control of tuberculosis are appropriately
represented on study sections that review TB research grants.
NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES
Appropriations, 2008.................................... $1,935,808,000
Budget estimate, 2009................................... 1,937,690,000
Committee recommendation................................ 1,991,609,000
The Committee recommendation includes $1,991,609,000 for
the National Institute of General Medical Sciences [NIGMS]. The
fiscal year 2008 appropriation was $1,935,808,000 and the
administration's request is $1,937,690,000.
Behavioral Research and Training.--The Committee notes that
after many years of requests, the NIGMS is supporting basic
behavioral research training. While this is a step in the right
direction, the Committee remains very concerned that the NIGMS
program needs expanding, and that the NIGMS still is not
funding investigator-initiated research by behavioral
scientists as it is authorized to do so in its statute and has
been requested to do so by Congress many times. The Committee
also encourages the NIGMS to expand its support of basic
behavioral and social science research with initiatives such as
the MIDAS program to improve modeling and predictive
capabilities regarding the effects of a pandemic flu outbreak,
and collaborations with other Institutes and Centers and the
OBSSR.
Training Minority Scientists.--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 the NIGMS to
continue to support these initiatives, and is particularly
pleased that the NIGMS has supported biomedical career
opportunity programs for high school and undergraduate college
students in conjunction with historically black health
professions schools.
EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN
DEVELOPMENT
Appropriations, 2008.................................... $1,254,708,000
Budget estimate, 2009................................... 1,255,920,000
Committee recommendation................................ 1,290,873,000
The Committee recommends an appropriation of $1,290,873,000
for the Eunice Kennedy Shriver National Institute of Child
Health and Human Development [NICHD]. The fiscal year 2008
appropriation was $1,254,708,000 and the administration's
request is $1,255,920,000.
Behavioral Research on Families.--The Committee encourages
the NICHD to support planned research on the changing nature of
our Nation's families. Further understanding of family
processes will help to address the causes of family structure
changes.
Chromosome Abnormalities.--The Committee urges the NIH to
convene a state-of-the-science meeting on chromosome
abnormalities involving multiple contiguous genes, for the
purpose of creating a plan to collect data regarding dosage-
sensitive and dosage-insensitive genes, and to establish
phenotyping and genotyping standards for data collection. The
Committee also encourages the NIH to create funding mechanisms
to support independent investigators whose work could provide
pilot data or insight into future directions for the study of
chromosome abnormalities, particularly those involving
chromosome 18.
Demographic Research.--The Committee applauds the NICHD
Demographic and Behavioral Sciences Branch [DBSB] for
completing its long-range planning study, ``Future Directions
for DBSB.'' The Committee encourages the Institute to
capitalize on the report's recommendations and to do so by
supporting a balanced portfolio of investigator-initiated
research as well as large-scale databases. The Committee also
congratulates the NICHD on its involvement in the Work, Family,
Health and Well-Being Initiative and looks forward to learning
how the Institute plans to disseminate the results of this
groundbreaking study.
First Pregnancy Complications.--Nearly half of all pregnant
women have no pregnancy history to guide the practitioner, and
there is minimal to no information to predict and offer
preventative interventions. The rate of preterm birth for this
group of women increased 50 percent in the last decade. Were
predictors known, not only would the outcome for the first
pregnancy improve, but subsequent pregnancies would be at lower
risk. The NICHD is urged to conduct more research in this area.
Intellectual and Developmental Disabilities Research
Centers [IDDRCs].--The Committee recognizes the outstanding
contributions of the recently renamed Eunice Kennedy Shriver
Intellectual and Developmental Disabilities Research Centers
[IDDRCs], formerly known as the Mental Retardation
Developmental Disabilities Research Centers. However, the
Committee is concerned that the IDDRCs do not have sufficient
resources to sustain the progress made in this critical area
and is especially concerned with the 11 percent funding
reduction for recently funded centers. The Committee urges the
NICHD to restore these reductions and, to the extent possible,
provide additional resources to the IDDRCs so that they can
lead our national effort to develop effective prevention and
intervention strategies for children and adults with
developmental disabilities.
Infertility and Contraception.--The Committee commends the
NICHD for its research on alleviating human infertility and
uncovering new male and female contraceptive leads, including
the next generation of nonhormonal methods. The Committee urges
the NICHD to continue identifying behavioral factors affecting
fertility, infertility and unintended pregnancies.
Learning and School Readiness.--The Committee supports the
important contribution that the NICHD is making in establishing
the basic scientific foundation of the development of reading,
math and science skills for children.
Liver Disease and Minority Health.--Obesity-related chronic
liver disease, also known as non-alcoholic steatohepatitis
[NASH], disproportionately affects Hispanic-American children.
To better understand the genetic and environmental factors
associated with obesity-related chronic liver disease in
children, the Committee urges the NICHD to include NASH as a
study component within the National Children's Study.
Preterm and Late Preterm Births.--The Committee applauds
the NICHD for planning the Surgeon General's Conference on
Preterm Birth and encourages the Institute to expand its
research based on the public-private agenda recomended at the
conference. As authorized by Public Law 109-450, the Committee
strongly urges the establishment of an interagency coordinating
council on prematurity and low birthweight, to be headed by the
NICHD, to ensure that these recommendations are implemented.
The Committee notes that although many late preterm deliveries
(between 34 and 37 weeks of gestation) are due to maternal or
fetal indications, many have no reason listed in vital records
as to what triggered the delivery. The NICHD is urged to
address the causes of these late preterm births and identify
interventions for their prevention.
Rehabilitation Research.--The Committee commends the
institute's National Center for Medical Rehabilitation Research
for the substantial scientific progress made in the basic and
applied research on constraint-induced movement therapy for
stroke patients as well as advanced prosthetics. The Committee
encourages the center to explore the broader social, emotional
and behavioral context of rehabilitation, including effective
interventions to increase social participation and reintegrate
individuals with disabilities into their communities.
Uterine Fibroids.--The Committee continues to encourage
additional research on uterine fibroids, especially with regard
to increased prevalence rates in minority women.
Vulvodynia.--For the 12th consecutive year, the Committee
has called on the NICHD to expand research efforts on
vulvodynia, yet only 11 total awards have been made to date and
only 3 in the last 3 fiscal years. This is especially
discouraging given that, in 2006, an NICHD-funded study showed
that up to 16 percent of American women suffer from vulvodynia.
The Committee strongly urges the NICHD to substantially
increase the number of awards for vulvodynia studies in fiscal
year 2009, with a particular emphasis on etiology and multi-
center therapeutic trials. In addition, to ensure that experts
in vulvodynia and related chronic pain and female reproductive
system conditions, are adequately represented on peer review
panels, the Committee recommends that the current program
announcement on vulvodynia, PA-07-182, be reissued with
``special review.'' Finally, the Committee calls on NICHD to
employ the full range of award mechanisms available to expand
research and research capacity in this area.
NATIONAL EYE INSTITUTE
Appropriations, 2008.................................... $667,116,000
Budget estimate, 2009................................... 667,764,000
Committee recommendation................................ 687,346,000
The Committee recommends an appropriation of $687,346,000
for the National Eye Institute [NEI]. The fiscal year 2008
appropriation was $667,116,000 and the budget request is
$667,764,000.
Age-related Macular Degeneration [AMD].--The Committee
commends the NEI for its trans-Institute research into the
cause, prevention, and treatment of AMD, including the
identification of gene variants associated with an increased
risk for the disease. The Committee encourages further research
into diagnostics for early detection and appropriate therapies.
The Committee also applauds the NEI for initiating the second
phase of its Age-related Eye Disease Study [AREDS], in which
additional dietary supplements are being studied to determine
whether they demonstrate or enhance protective effects against
progression to advanced AMD, as shown previously with dietary
zinc and antioxidant vitamins.
Diabetes Management Devices.--The Committee is pleased that
the NEI, in collaboration with the NIDDK and the Food and Drug
Administration, has scheduled a scientific workshop that will
include representatives from diabetes management device
manufactures and organizations that address the technology
access needs of Americans with vision loss to both document and
clarify the technical capabilities of devices currently on the
market and to develop standards ensuring the accessibility of
such devices for this growing population.
Diabetic Eye Disease.--The Committee encourages the NEI to
expand and extend the Diabetic Retinopathy Clinical Research
Network by increasing the number of clinical trials with new
drugs and therapeutics that can treat and prevent diabetic
retinopathy.
Genetic Basis of Eye Disease.--The Committee congratulates
the NEI on its leadership in elucidating the basis of
devastating eye diseases such as age-related macular
degeneration, retinitis pigmentosa and glaucoma, and recognizes
the progress that has been made in understanding the underlying
disease mechanisms and developing appropriate treatments. By
encouraging the participation of patients and their families
who need highly specialized genetic testing services and
coordinating the efforts of many vision research laboratories,
vital information is being collected confidentially and
maintained securely. This information will help enable
qualified investigators to develop targeted treatments and to
identify those individuals who would most benefit from them.
Low Vision and Blindness Rehabilitation.--The Committee
encourages the NEI to prioritize research aimed at developing
and assessing new methods for the rehabilitation of visually
impaired individuals, including children. The Committee also
urges the NEI to collaborate with the National Center for
Medical Rehabilitation Research at the NICHD on developing
improved assistive technology and training research scientists
in the field of rehabilitation.
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES
Appropriations, 2008.................................... $642,253,000
Budget estimate, 2009................................... 642,875,000
Committee recommendation................................ 660,767,000
The Committee recommends an appropriation of $660,767,000
for the National Institute of Environmental Health Sciences
[NIEHS]. The fiscal year 2008 appropriation was $642,253,000
and the budget request is $642,875,000.
Agricultural Health Study.--The Committee urges that the
scope of the Agricultural Health Study be expanded to permit a
greater focus on reproductive issues to investigate the
possibility that many chronic illnesses may be due to
environmental exposures experienced while in utero.
Alternative Methods of Testing.--The Committee acknowledges
the publication of the National Interagency Center for the
Evaluation of Alternative Methods/Interagency Coordinating
Committee on the Validation of Alternative Methods [NICEATM/
ICCVAM] Five-Year Plan but remains concerned by the slow pace
at which Federal agencies have moved to adopt regulations that
would replace or reduce the use of animals in testing. The
Committee therefore requests the ICCVAM to evaluate the skin
irritation/corrosion, pyrogenicity, phototoxicity, vaccine
potency, acute fish toxicity and developmental toxicity methods
and tiered-testing strategies that have been deemed valid by
the European Centre for the Validation of Alternative Methods
but have not been accepted in the United States. The Committee
also asks the ICCVAM to identify situations where these methods
can be applied with scientific confidence in the existing
testing practices and regulations of ICCVAM agencies. In
addition, the ICCVAM is urged to identify what additional
studies would be needed to produce sufficient scientific
confidence to expand the application of such methods by the
agencies that comprise ICCVAM. The Committee requests a report
on these findings by May 1, 2009.
Respiratory Disease.--The Committee recognizes the
contributions of the NIEHS to help protect and improve
pulmonary health. It encourages the Institute to devote
additional resources to study the effects of changes in
occupational exposures and ambient and indoor air.
Translational Research.--The Committee applauds the NIEHS's
investment in clinical research through the Disease
Investigation through Specialized Clinically Oriented Ventures
in Environmental Research [DISCOVER].
NATIONAL INSTITUTE ON AGING
Appropriations, 2008.................................... $1,047,260,000
Budget estimate, 2009................................... 1,048,278,000
Committee recommendation................................ 1,077,448,000
The Committee recommendation includes $1,077,448,000 for
the National Institute on Aging [NIA]. The fiscal year 2008
appropriation was $1,047,260,000 and the budget request is
$1,048,278,000.
Alzheimer's Disease.--While past investments in Alzheimer's
research have led to a far better understanding of the disease
as well as earlier, more accurate diagnosis, the Committee is
concerned that progress has slowed in recent years. The
Committee therefore recommends that a portion of the additional
funds provided for the NIA be devoted to accelerating the
translation of basic research findings into clinical studies
and human trials, and to fully implement a study of individuals
who are genetically predisposed to develop early-onset
Alzheimer's disease. The NIA is urged to work closely with the
NINDS and NIMH in these efforts.
Behavioral Research and Decisionmaking.--The Committee
encourages the NIA to support its Neuroeconomics and Aging
research program, which will examine the changing motives that
drive behavior in older adults and could lead to interventions
that will help older Americans better manage financial
planning.
Behavioral Research and Long-term Cognitive Improvement.--
The Committee commends the NIA on the success of the ACTIVE
study, and it encourages follow-up studies on more varied
populations.
Cognitive Health.--The Committee encourages the NIA to
follow up on recent findings that cognitive health appears to
be improving in the over-70 population. In particular, further
studies to determine how education, exercise, medications,
cardiovascular health and lifestyle affect cognitive
functioning are encouraged.
Demographic and Economic Research.--The Committee is aware
that fiscal year 2009 is a critical planning year for the NIA
Demography of Aging Centers, the Roybal Centers for Research on
Applied Gerontology, and the Health and Retirement Survey
[HRS]. The Committee urges the NIA, with support from the
Office of Behavioral and Social Science Research and Office of
AIDS Research, to continue its current level of support for the
Demography of Aging Centers and the demographic and economic
components of the Roybal Centers. The NIA is also urged to
provide sufficient funding for the HRS to preclude a cut in the
survey's sample size and to ensure that biological data,
including DNA, are collected as part of the next wave. Finally,
the Committee applauds the Institute's support of the National
Study of Disability Trends and Dynamics, which will include the
older population residing in community and institutional
settings.
Older Workers.--The Committee continues to commend the NIA
for sponsoring research on health interventions in the
workplace that is aimed at older workers.
NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES
Appropriations, 2008.................................... $508,586,000
Budget estimate, 2009................................... 509,080,000
Committee recommendation................................ 523,246,000
The Committee recommends an appropriation of $523,246,000
for the National Institute of Arthritis and Musculoskeletal and
Skin Diseases [NIAMS]. The fiscal year 2008 appropriation was
$508,586,000 and the budget request is $509,080,000.
Arthritis.--The Committee supports the establishment of a
national data collection system to ensure that the safety and
effectiveness of new arthritis treatments is understood and
that they are applied in the most beneficial manner, especially
in the case of childhood arthritis. The Committee also notes
the strong need for a national network of cooperating clinical
centers dedicated to the care and study of children with
arthritis.
Fibromyalgia.--The Committee is concerned by the lack of a
sustained commitment to fibromyalgia-specific research at the
NIAMS, and it strongly urges additional resources for this
purpose. In particular, the Committee urges the Institute, in
collaboration with the NINDS, to convene an international
symposium to elucidate the state of the science with regard to
fibromyalgia and to publish a consensus document within 1 year
establishing a roadmap for future fibromyalgia research. In
addition, it urges the NIAMS to establish a funded center with
dedicated staffing to serve as a nexus for research on
fibromyalgia and related disorders that will explore the broad
spectrum of neurotransmitter abnormalities and other potential
problems, including sleep disturbances, abnormal cervical
anatomy and genetic factors, that might contribute to symptom
development and expression. The Committee also encourages the
Institute to support basic research into animal models of the
disorder. Finally, the Committee urges the NIAMS to collaborate
with the NIDDK in support of its Multi-disciplinary Approach to
the Study of Chronic Pelvic Pain [MAPP] initiative.
Lupus.--The Committee continues to strongly urge the
Institute to greatly expand and intensify genetic, clinical,
and basic research and related activities with respect to
lupus, with particular focus on understanding the underlying
mechanisms of disease, gene-gene and gene-environmental
interactions, epidemiological research, lupus and kidney
disease, biomarkers, pediatric research, environmental factors,
and factors related to the health disparities and comorbidities
associated with lupus.
Marfan Syndrome.--The Committee encourages the NIAMS to
expand its support for musculoskeletal/orthopedic research in
this area and to partner with the NHLBI and the Marfan patient
community in support of NHLBI's Pediatric Heart Network
clinical trial on Marfan syndrome.
Osteoporosis.--The Committee urges the NIAMS and NIA to
support research into the pathophysiology of bone loss in
diverse populations in order to develop targeted therapies to
improve bone density, bone quality and bone strength. Research
is also needed to identify the parameters that lead to the
better prediction, prevention and treatment of bone diseases.
Scleroderma.--The Committee is aware of emerging
opportunities in scleroderma research and encourages the
Institute to partner with the scleroderma patient community in
convening a state of the science conference in this important
area.
Temporomandibular Joint Disorders [TMJDs].--As the
temporomandibular joint is a joint in the body, the Committee
believes that increased effort by the NIAMS on TMJDs is clearly
warranted. Such an effort would greatly accelerate the basic
and clinical understanding of this joint, critical to such
functions as speaking, breathing, eating, swallowing and making
facial expressions. The Committee calls on the NIAMS to work
with the NIDCR and NIBIB to develop a research team involving
bioengineers, computer scientists, basic and clinical
scientists to study the jaw anatomy, physiology and the complex
neural, endocrine and immune systems interactions that
orchestrate jaw function and trigger pathology of the jaw
joint. The Institutes should integrate the findings from
interdisciplinary studies of the structure, mechanical
function, metabolism, and blood flow of bone, joints, and
muscles with studies of central and peripheral neural pathways,
and the endocrine, paracrine, and cytokine factors that impact
upon these craniofacial structures, as a means to understanding
the underlying causes of pain and dysfunction.
NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS
Appropriations, 2008.................................... $394,138,000
Budget estimate, 2009................................... 395,047,000
Committee recommendation................................ 406,000,000
The Committee recommends an appropriation of $406,000,000
for the National Institute on Deafness and Other Communication
Disorders [NIDCD]. The budget request is $395,047,000 and the
fiscal year 2008 appropriation was $394,138,000.
Animal Models.--The Committee notes that mouse models are
too resistant for most auditory lesions and too small for most
surgical work; thus, larger experimental animal models are
desirable. Also, since the most common background mouse strain
for genetic studies is itself susceptible to age-related
hearing loss, the redevelopment of potentially useful genetic
models is needed.
Central Nervous System Plasticity.--The Committee urges the
NIDCD to promote research to discover the cellular and genetic
mechanisms that are responsible for central nervous system
plasticity--how hearing loss changes the central nervous
system--and how these alterations constrain auditory
performance. Analysis at the level of synaptic connections
through studies of perceptual learning is recommended.
Early Detection and Intervention.--The Committee continues
to recommend expanded research in effective intervention
strategies to help infants identified in newborn hearing
screening with mild, moderate and severe hearing impairment.
Environmentally Induced Hearing Loss.--The Committee urges
increased efforts by the NIDCD to raise awareness of the
threats to the auditory system posed by environmental noise.
Risks to hearing in the workplace, and through recreational
activities and by loud consumer products should be publicized.
The Committee urges the dissemination of information
emphasizing the dangers to hearing from these sources, as well
as protective measures, through such means as the Wise Ears!
Campaign and the NIDCD website and publications. Research
studies to increase understanding and treatment of hearing loss
and central auditory processing disorders resulting from noise
are also recommended. The Committee also understands the
potentially deleterious effects of environmental chemicals in
water and air, like lead, mercury and carbon monoxide, on the
inner ear. The NIDCD is urged to support studies in this area,
especially of chemicals' impact on hearing during prenatal and
early postnatal development.
Hearing Devices.--While research into regeneration and stem
cell replacement promises beneficial discoveries in the future,
the Committee recognizes that hearing aids and other assistive
devices, such as cochlear prostheses, provide an important
means to restore hearing in the present to individuals with
deafness and other communication disorders. It recommends that
the NIDCD support research to develop, improve and lower the
cost of hearing aids, as well as support studies to allow the
cochlear implant to benefit a greater number of individuals
with profound hearing impairment. In addition, the Committee
urges development of new central auditory prostheses that will
open the door to hearing for many who cannot be helped by
cochlear prostheses.
Human Temporal Bone Studies.--The Committee recognizes the
importance of the Human Temporal Bone Consortium to acquiring
knowledge about inner ear pathology from debilitating auditory
diseases such as Meniere's disease, presbycusis and sudden
hearing loss. It encourages the NIDCD to continue supporting
this valuable donor-tissue based research.
Inner Ear Hair Cell Regeneration.--The Committee recognizes
that restoration of hearing through regeneration biology has
achieved scientific proof of concept and encourages further
research to develop a human application. The NIDCD should build
on promising new approaches in sensory cell regeneration and
reparation. The Committee realizes that while studies of inner
ear neuron loss indicate that residual hearing can be preserved
with partial retention of these cells, more research is needed
to elucidate the extent to which cell replacement would
correlate with improved hearing.
Presbycusis.--The Committee encourages continuing studies
of the declining stria vascularis metabolism, as well as
investigations of the central mechanisms of presbycusis.
Psychosocial Interventions.--The Committee encourages
continued research into behavioral and cognitive-behavioral
studies validating, refining, and comparing approaches to the
treatment of persons with autism and autism spectrum disorders
and their families, as well as studies that analyze and define
the critical features of effective interventions and the
development of innovative methodologies and outcome measures.
Tinnitus.--The Committee continues to remain interested in
research on tinnitus, particularly in light of continued large
increases in this condition among returning military personnel.
The Committee encourages the NIDCD to continue to increase
collaborative research efforts between the NIH, the Department
of Defense, and the Department of Veterans Affairs.
Translational Research.--The Committee favors continuation
of research activities and clinical trials that can be used in
treatments of communication and otologic disorders. Attention
to clinical trials relevant to Meniere's disease and to
preventative drug therapies for acoustic trauma and exposure to
ototoxicants is strongly recommended.
NATIONAL INSTITUTE OF NURSING RESEARCH
Appropriations, 2008.................................... $137,476,000
Budget estimate, 2009................................... 137,609,000
Committee recommendation................................ 141,439,000
The Committee recommends an appropriation of $141,439,000
for the National Institute of Nursing Research [NINR]. The
budget request is $137,609,000 and the fiscal year 2008
appropriation was $137,476,000.
Nurse-Family Partnership Program.--The Committee urges the
NINR to expand Nurse-Family Partnership Programs affiliated
with nurse-managed health centers and involve advanced practice
nurses in research and demonstration projects.
Nursing Shortage.--The Committee applauds the NINR for its
vital role in educating the next generation of nurse
researchers who will serve as nurse faculty in nursing schools.
Preterm Births.--The Committee is aware of the increasing
trend of preterm births, resulting in a gradual reduction over
the last decade of the average gestation period from 40 weeks
to 39 weeks in the United States. The NINR is urged to fund
maternal-child research to help address the cause of the
decreasing gestation period, the health impact of this trend,
and any necessary interventions.
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
Appropriations, 2008.................................... $436,259,000
Budget estimate, 2009................................... 436,681,000
Committee recommendation................................ 448,834,000
The Committee recommends an appropriation of $448,834,000
for the National Institute on Alcohol Abuse and Alcoholism
[NIAAA]. The budget request is $436,681,000 and the fiscal year
2008 appropriation was $436,259,000.
Alcoholic Energy Drinks.--The Committee is aware of NIAAA-
funded research showing that college students who consumed
alcoholic energy drinks were at greater risk of engaging in
risky behaviors and experiencing alcohol-related harms. The
Committee urges the NIAAA to initiate and pursue further
research in this area, including the impact of pricing,
packaging and marketing of these beverages on youth consumption
patterns.
Alcohol-induced Liver Damage.--The Committee urges the
NIAAA to study the development of biomarkers in patients
susceptible to alcohol-induced liver damage. The Committee also
supports the study of medications development to treat
alcoholic liver disease to reduce the incidence of liver
transplantation.
Behavior Change Research.--The Committee applauds the
NIAAA's efforts to encourage a trans-NIH approach to
understanding mechanisms of behavior change across a broad
range of health-related behaviors.
Hepatitis.--The Committee urges the NIAAA to work with
voluntary health organizations, to promote liver wellness,
education, and primary prevention of both hepatitis and
substance abuse.
Social Neuroscience and Behavior.--The emerging field of
social neuroscience holds promise for understanding and
treating alcohol use disorders, and the Committee is pleased
that the NIAAA plans to invest in this field. The Committee
also urges the NIAAA to support complementary research on
social behavior, as research is needed on the implicit
cognitive, emotional, and social factors that influence the
transition from moderate to uncontrolled drinking, and to
support studies on how socialization processes interact with
neural aspects of emotion that either promote or protect
against alcohol abuse.
Underage Drinking.--The Committee commends the NIAAA for
continuing to partner with the Office of the Surgeon General
and SAMHSA to promote and disseminate ``The Surgeon General's
Call to Action to Prevent and Reduce Underage Drinking.'' The
Committee urges the NIAAA to continue researching the effects
of alcohol on the adolescent brain and to provide guidance on
screening for, and diagnosis of, alcohol misuse in children and
adolescents. The Committee also encourages the NIAAA to engage
in additional study of alcohol advertising issues as an
underage drinking prevention research priority, including
analysis of data on youth brand and beverage preferences.
NATIONAL INSTITUTE ON DRUG ABUSE
Appropriations, 2008.................................... $1,000,700,000
Budget estimate, 2009................................... 1,001,672,000
Committee recommendation................................ 1,029,539,000
The Committee recommends an appropriation of $1,029,539,000
for the National Institute on Drug Abuse [NIDA]. The budget
request is $1,001,672,000 and the fiscal year 2008
appropriation was $1,000,700,000.
Behavioral Research.--The Committee commends the NIDA for
supporting research on adolescent sensitivity to drug use, and
encourages further research, both animal and human, on social
and environmental influences that may be responsible for this
increased vulnerability. The Committee also encourages research
on how behavioral changes during adolescence may be unique to
drug abuse, and it applauds the NIDA's continued support of
behavioral research using animal models.
Drug Abuse and HIV/AIDS.--The Committee continues to be
concerned about the impact of drug abuse and addiction on
fueling the spread of HIV/AIDS. The Committee commends the NIDA
for seeking innovative approaches to this health challenge, as
exemplified by the 2008 Avant-Garde Program.
Drug Treatment in Criminal Justice Settings.--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 the NIDA's efforts in this area, particularly the
Criminal Justice Drug Abuse Treatment Studies [CJ-DATS].
Genetics of Addiction.--The Committee supports the NIDA's
focus on understanding the various aspects and roles of
genetics in addiction, and recommends comprehensive future
efforts focusing on the identification of vulnerability genes,
how the environment can bring about long-term changes in gene
expression, and how genes influence an individual's reaction to
drugs and medications.
Health Disparities and Education/Income Levels.--The
Committee notes that people with less education and lower
incomes are disproportionately vulnerable to drug dependence.
The Committee commends the NIDA for encouraging researchers to
investigate mediators and moderators of such increased
vulnerability on how to effectively tailor drug abuse
prevention and treatment interventions to these at-risk
populations.
Medications Development.--The Committee encourages the NIDA
to develop new, effective medications that could, either by
themselves or combined with validated behavioral therapies,
help alleviate the personal and social impact of addiction.
Prescription Drug Abuse.--The Committee continues to
commend the NIDA for its leadership in addressing the issue of
prescription drug abuse, especially among the Nation's youth.
Pulmonary Hypertension.--The Committee notes with concern a
significant increase in the number of pulmonary hypertension
diagnoses related to the abuse of methamphetamine. The
Committee encourages the NIDA, in partnership with the
pulmonary hypertension community, to initiate appropriate
research and awareness activities.
Single State Authorities [SSA].--The Committee urges the
NIDA to continue SSA Research Infrastructure Grants to allow
additional State substance abuse agencies to benefit from the
program.
Young Investigators.--The Committee recognizes the
importance of replenishing the ``pipeline'' of scientists in
the addiction field, and it congratulates the NIDA for efforts
such as the A-START program, which assists young investigators
building new research programs on drug abuse and HIV/AIDS
prevention.
NATIONAL INSTITUTE OF MENTAL HEALTH
Appropriations, 2008.................................... $1,405,476,000
Budget estimate, 2009................................... 1,406,841,000
Committee recommendation................................ 1,445,987,000
The Committee recommends an appropriation of $1,445,987,000
for the National Institute of Mental Health [NIMH]. The budget
request is $1,406,841,000 and the fiscal year 2008
appropriation was $1,405,476,000.
Behavioral Research.--The Committee urges the NIMH to put a
greater emphasis on behavioral research in accordance with the
first objective of its preliminary strategic plan, to ``promote
discovery in the brain and behavioral sciences.'' In
particular, the Committee urges a greater focus on the study of
personality and social psychology, and basic animal behavior.
In the area of HIV/AIDS, the Committee notes that behavioral
research aimed at reducing the likelihood of HIV infection
should include structural, environmental, and socio-economic
variables to ensure that research-based interventions can be
evaluated as appropriate for racial and ethnic minority
populations.
Minority Training.--The Committee is disappointed to learn
that the NIMH intends to reduce funding for its diversity
training programs at a time when reducing health disparities
for vulnerable and underserved populations should be a high
priority. The Committee understands that a National Advisory
Mental Health Council workgroup is studying the issue, and it
requests to be notified when the group's report is completed.
Older Adults.--For the past several years, the Committee
has recommended that the NIMH increase the amount of research
grant funding devoted to older adults over the age of 65.
Nevertheless, that funding has decreased significantly (both in
real dollars and as a percentage of the total NIMH budget) at a
time when the number of Americans over age 65 is increasing.
The Committee strongly urges the NIMH to reverse that trend.
The Committee also urges the Director of NIH, through the
DCPASI, to examine the NIH's commitment to the treatment of
late-life mental disorders and to identify potential areas of
collaboration among the NIMH, NIA, and NINDS. Finally, the
Committee urges the NIMH to develop additional outreach
programs to stimulate growth in this field, both in terms of
the number of research grant applications in aging as well as
the number of researchers focused on aging and mental health.
Postpartum Depression.--The Committee urges the NIMH to
develop a research plan for postpartum depression and
psychosis; expand basic research on the etiology and causes of
postpartum conditions; expand epidemiological studies to
address the frequency and natural history of postpartum
conditions and the differences among racial and ethnic groups
with respect to such conditions; expand the development of
improved screening and diagnostic techniques; and increase
clinical research for the development and evaluation of new
treatments.
Preventing Suicide.--The Committee encourages the NIMH to
increase the amount of funding it provides to develop
practical, therapeutic approaches to reducing the burden of
suicide, attempted suicide, and their attendant risk factors,
by integrating biological, psychotherapeutic, service-based,
and preventive interventions. The Committee continues to
encourage the NIMH to support advanced as well as additional
developing centers for the intervention and prevention of
suicide, and to ensure that they are well distributed
geographically. The Committee also notes that suicide remains
the third-leading cause of death among teenagers and that
depressive disorders continue to be very common in adolescence.
The Committee therefore strongly encourages NIMH to increase
its investment in finding ways to better identify the risk
factors for suicide in adolescents, improving the criteria for
identifying those at risk, and examining the outcomes of
actions taken to assist those found to be at risk.
Tuberous Sclerosis Complex.--The Committee encourages the
NIMH, working together with the NICHD and NINDS, to support
research on the pathophysiology of autism spectrum disorder in
tuberous sclerosis complex, and other known genetic disorders
where autism has a significant impact on individuals with the
disease.
NATIONAL HUMAN GENOME RESEARCH INSTITUTE
Appropriations, 2008.................................... $486,779,000
Budget estimate, 2009................................... 487,878,000
Committee recommendation................................ 501,411,000
The Committee recommendation includes $501,411,000 for the
National Human Genome Research Institute [NHGRI]. The budget
request is $487,878,000 and the fiscal year 2008 appropriation
was $486,779,000.
Gene-environment Interactions.--The NHGRI is encouraged to
invest in research on ways that gene expression is influenced
by the physical and social environment. The Committee
encourages the NHGRI, on its own and in partnership with other
Institutes and Centers, to continue its emphasis on the
development of real-time environmental monitoring technologies
and the advancement of tools to measure psychosocial stress and
its influence on gene expression.
Spinal Muscular Atrophy.--The Committee continues to
support the development of a pan-ethnic carrier screening
program for SMA. The Committee is pleased that the NHGRI and
NICHD held a conference in February 2008 exploring the
complexities of carrier screening programs for diseases such as
SMA and that the conference included scientific, medical, and
advocacy perspectives. The Committee encourages the NHGRI,
NICHD, and NINDS to collaborate in further exploration of pan-
ethnic carrier screening for SMA and on the development of
specific recommendations and guidelines for providers and
patients, and to continue working cooperatively with
professional societies and the advocacy community in these
efforts. The Committee requests an update on these activities
in the fiscal year 2010 congressional budget justifications.
NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING
Appropriations, 2008.................................... $298,645,000
Budget estimate, 2009................................... 300,254,000
Committee recommendation................................ 307,254,000
The Committee recommends an appropriation of $307,254,000
for the National Institute of Biomedical Imaging and
Bioengineering [NIBIB]. The budget request is $300,254,000 and
the fiscal year 2008 appropriation was $298,645,000.
Intramural Research.--The NIBIB is urged to use a portion
of the additional resources provided in the Committee's
recommendation to support a new intramural research laboratory
in translational radiologic research.
NATIONAL CENTER FOR RESEARCH RESOURCES
Appropriations, 2008.................................... $1,149,446,000
Budget estimate, 2009................................... 1,160,473,000
Committee recommendation................................ 1,192,576,000
The Committee recommends an appropriation of $1,192,576,000
for the National Center for Research Resources [NCRR]. The
budget request is $1,160,473,000 and the fiscal year 2008
appropriation was $1,149,446,000.
The NCRR receives a larger percentage increase under the
Committee's recommendation than other Institutes and Centers
because some of the costs of the Clinical and Translational
Science Awards [CTSAs] program would shift to the NCRR from the
Common Fund. The Committee recommendation includes a total of
$474,972,000 for the CTSAs in fiscal year 2009, divided as
follows: $421,748,000 from the NCRR, compared with $376,264,000
in fiscal year 2008; and $53,224,000 from the Common Fund, down
from $83,224,000 in fiscal year 2008. The fiscal year 2008
total for CTSAs was $471,916,000.
Institutional Development Awards [IDeA].--The Committee has
provided $225,788,000 for the IDeA program authorized by
section 402(g) of the Public Health Service Act. The fiscal
year 2008 funding level was $218,153,000, the same as the
budget request. The Committee recognizes the importance of the
Centers of Biomedical Research Excellence and the IDeA Networks
of Biomedical Research Excellence programs in improving the
infrastructure and strengthening the biomedical research
capacity and capability of research institutions within the
IDeA States.
K30 Awards.--The Committee supports the continuation of the
K30 Clinical Research Curriculum Awards mechanism for those
institutions not yet receiving Clinical and Translational
Science Awards.
Research Centers at Minority Institutions.--The Committee
continues to encourage the NCRR to strengthen participation
from minority institutions, especially those with a track
record of producing minority scholars in science and
technology.
NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE
Appropriations, 2008.................................... $121,577,000
Budget estimate, 2009................................... 121,695,000
Committee recommendation................................ 125,082,000
The Committee has included $125,082,000 for the National
Center for Complementary and Alternative Medicine [NCCAM]. The
budget request is $121,695,000 and the fiscal year 2008
appropriation was $121,577,000.
Behavioral Interventions.--The Committee encourages NCCAM
to continue exploring the combined effects of behavioral
interventions and pharmacotherapies/biologics in the prevention
and treatment of debilitating conditions across the lifespan,
with research that elucidates and enhances the mind-body
connections in health.
Communication Between Patients and Caregivers.--The
Committee applauds NCCAM for its work to develop better
strategies for promoting communication between doctors and
their patients who use CAM, especially adults over 50.
NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
Appropriations, 2008.................................... $199,569,000
Budget estimate, 2009................................... 199,762,000
Committee recommendation................................ 205,322,000
The Committee has included $205,322,000 for the National
Center on Minority Health and Health Disparities. The budget
request is $199,762,000 and the fiscal year 2008 appropriation
was $199,569,000.
Adolescents and Suicide.--The Committee strongly encourages
the NCMHD to expand and strengthen science-based research for
minority populations at elevated risk for suicide. The
Committee further urges the Center to issue a report
identifying best practices for collecting and disseminating
data on evidence-based suicide prevention programs for
adolescents and young adults with the identified populations.
Data on Training.--The Committee endorses the
recommendations put forward in the National Academy of
Sciences' 2005 report on NIH minority research training
programs, and it urges the NCMHD to collaborate with all
Institutes and Centers to develop a coordinated response and to
produce an integrated NIH-wide trainee data tracking system.
The Committee further urges the Center to engage trainees
actively in the data tracking process to document outcomes such
as funding awards for trainees or fellows, including those
programs that are targeted to underrepresented minorities.
Glomerular Disease.--The Committee continues to urge the
NCMHD to collaborate with the NIDDK on glomerular disease, a
group of diseases that is more prevalent among African
Americans than in the general population.
Project Export.--The Committee urges continued support for
this important program.
JOHN E. FOGARTY INTERNATIONAL CENTER FOR ADVANCED STUDY IN THE HEALTH
SCIENCES
Appropriations, 2008.................................... $66,558,000
Budget estimate, 2009................................... 66,623,000
Committee recommendation................................ 68,476,000
The Committee recommends an appropriation of $68,476,000
for the Fogarty International Center [FIC]. The budget request
is $66,623,000 and the fiscal year 2008 appropriation was
$66,558,000.
Drug-resistant Tuberculosis.--The Committee notes with
concern the development of drug-resistant tuberculosis in
middle- and low-income countries. The Committee urges the FIC
to continue and expand its support of tuberculosis training
through the AIDS International Training and Research Program.
Research Training and Workforce Capacity.--The Committee
recognizes that long-term sustainability is critical to U.S.-
supported global health initiatives, such as those that target
HIV/AIDS, malaria, and neglected diseases. Therefore, the
Committee strongly supports the FIC's efforts to strengthen in-
country research workforces, which help to ensure that programs
are continuously improved and adapted to local conditions, and
that the impact of U.S. investments is maximized.
HIV Prevention Trials.--The Committee encourages the FIC to
continue, and initiate where necessary, programs to strengthen
the capacity of developing country partners to ensure that HIV
prevention research has appropriate resources to conduct
research that is ethically sound and that site-level
researchers, staff, and sponsors appropriately engage local
communities and other civil society stakeholders.
NATIONAL LIBRARY OF MEDICINE
Appropriations, 2008.................................... $320,507,000
Budget estimate, 2009................................... 323,046,000
Committee recommendation................................ 329,996,000
The Committee recommends an appropriation of $329,996,000
for the National Library of Medicine [NLM]. The budget request
is $323,046,000 and the fiscal year 2008 appropriation was
$320,507,000. These amounts include $8,200,000 made available
from program evaluation funds.
Communication of Research Findings.--The Committee is
pleased that NLM has followed through on its commitment to
expand the distribution of NIH MedlinePlus magazine. The
Committee strongly urges the NLM to put a high priority on
supplying all physician offices with this valuable resource.
Disaster Information Management.--The Committee supports
the plan to establish a Disaster Information Management
Resources Research Center, which will lead Federal efforts to
identify and implement best practices for maintaining access to
health information during disasters, develop innovative
products and services to serve emergency responders and
preparedness activities, and conduct research to support
disaster health information management. The Center should also
collaborate with other Federal agencies, local communities and
public health officials in efforts to prevent, respond to, and
reduce the adverse health effects of disasters.
Drug-induced Liver Disease.--The Committee urges a
redoubled effort to create an accessible and user-friendly
website on drug-induced liver disease.
Native Hawaiian Healthcare Resources.--The Committee
continues to encourage the NLM to work with Native Hawaiian
organizations to provide health information and health
resources for this population.
NLM Outreach Programs.--The Committee continues to
recognize the role of NLM's outreach activities focused on
providing scientific information to health care professionals
and health care information to consumers.
OFFICE OF THE DIRECTOR
Appropriations, 2008.................................... $1,109,099,000
Budget estimate, 2009................................... 1,056,797,000
Committee recommendation................................ 1,275,281,000
The Committee recommends an appropriation of $1,275,281,000
for the Office of the Director [OD]. The budget request is
$1,056,797,000 and the fiscal year 2008 appropriation was
$1,109,099,000.
The Committee has included bill language specifying the
amount for the Common Fund as $568,119,000. The comparable
amount for fiscal year 2008 was $495,608,000, and the budget
request is $533,877,000.
Conflict of Interest.--The Committee greatly appreciates
the Director's efforts to produce a stronger policy for its
employees regarding conflicts of interest and financial
disclosure. This was an arduous task but worth the effort, as
it served to reassure the public and Congress that NIH
employees are meeting high standards of conduct. However, the
Committee notes that the vast majority of NIH funding is
awarded extramurally, to non-Federal employees and
institutions. Troubling allegations that some NIH-funded
investigators have flaunted their universities' conflict-of-
interest rules have recently come to light, and it seems clear
that the NIH currently has no ability to monitor or prevent
such abuses. Moreover, up to this point the NIH leadership has
not demonstrated much interest in dealing with the issue. That
must change. The Committee believes that the Director has no
higher priority in the coming year than to address this
situation and fix it.
Data Security.--The Committee was disappointed by the
widely publicized reports this spring that an NIH employee had
failed to encrypt sensitive patient data on a laptop computer
which was stolen from his car, placing 2,500 people at risk of
identity theft. While the incident served as an important
reminder that all employees must comply with the Government's
data-security policy, the handling of the incident by NIH
officials, who delayed notification to the affected patients by
almost a month, raised equally disturbing questions. The
Committee expects to be updated on the NIH's efforts to
institute stricter compliance of the security policy as well as
clearer procedures for notifying patients immediately when
their personal information is at risk of being compromised.
High-risk/High-reward Research.--The Committee notes that
flat budgets sometimes make review panels overly conservative
when judging grant applications. The Committee therefore
applauds the NIH for creating sources of funding that are
dedicated specifically to research that is relatively risky but
could lead to significant advances. One such program is the
Director's Pioneer Awards, for which the Committee provides
$45,000,000, an increase of $9,000,000 over the fiscal year
2008 level. This program makes awards to investigators with a
history of doing innovative research. The Committee also
includes up to $50,000,000 for Transformative Research Project
Grants, a new program that will provide grants for potentially
transformative investigator-initiated projects, and
$108,027,000, an increase of $51,853,000 over the fiscal year
2008 level, for New Innovator Awards, which are directed to
young investigators.
New and Early-stage Investigators.--The Committee
encourages the NIH to continue its commitment to maintaining
the pipeline of new and early-stage investigators, who tend to
fare more poorly during tight financial times than their
veteran counterparts. Through programs such as the NIH
Director's New Innovator Awards, the NIH Director's Bridge
Awards, and the Pathway to Independence Awards, as well as
individual programs undertaken by the Institutes and Centers,
the NIH has made significant investments to attract and support
the researchers of the future. The Committee was pleased to
note that in fiscal year 2007, the NIH set a policy to support
its 5-year historical average of first-time and early-stage
investigators at about 1,500, and that the NIH exceeded this
target. The Committee encourages the NIH to continue these
efforts, and to seek to support 1,750 new investigators in
fiscal year 2009.
Office of Behavioral and Social Sciences Research [OBSSR]
Basic Research.--The Committee urges the OBSSR to continue
to build collaborations with Institutes and Centers in support
of basic behavioral and social science research, including
Roadmap proposals and workshops. As the OBSSR has no grant-
making authority, the Committee continues to urge focused
scientific leadership for basic behavioral and social science
research in an Institute that does have such authority. The
Committee is pleased, meanwhile, that the OBSSR continues to
provide leadership in support of this effort by coordinating
targeted efforts among institutes.
Health Disparities.--The Committee encourages the OBSSR to
maintain its important role in spurring new, innovative
behavioral research on health disparities by coordinating work
among several Institutes and Centers.
Office of Rare Diseases [ORD]
Mucopolysaccharidosis [MPS].--The Committee commends the
ORD for its collaboration with the NINDS and NIDDK in support
of the scientific meeting ``Towards Clinical Progress in the
Mucopolysaccharidoses.'' The Committee also acknowledges the
ORD's helpful role in coordinating research and providing
information to patient advocates.
Rare Disease Specimens.--The Committee understands that
obtaining human tissues for rare diseases has been a major
barrier in expanding research aimed at treating and curing
these diseases. The Committee applauds the ORD and NCRR for
supporting nonprofit efforts to procure rare disease specimens.
Office of Research on Women's Health [ORWH]
Chronic Fatigue Syndrome [CFS].--The Committee urges the
ORWH to convene the annual meeting of investigators funded
under the fiscal year 2007 CFS neuroimmune research initiative
to stimulate new research initiatives and build multicenter
collaborations. The Committee again urges the NIH to establish
an intramural CFS research program with relevant areas of
scientific expertise to study disease pathophysiology, identify
biomarkers, objective diagnostic tools and better therapeutic
approaches. The Committee also continues to expect that the
disease and research category reporting system being developed
by the NIH will yield more accurate data on CFS funding.
Finally, the Committee urges the NIH to ensure that study
sections responsible for reviewing grants on CFS include
experts who are qualified in the appropriate disciplines.
Irritable Bowel Syndrome [IBS].--The Committee continues to
welcome the ORWH's focus on IBS.
Stroke in Women.--The Committee continues to urge
additional research in stroke among women of all ages, with
specific attention to gender-related differences in stroke
risk, and to prevention interventions, acute stroke management,
post-stroke recovery, long-term outcomes, and quality of care.
As an example, the Committee encourages research to determine
the biologic basis, including studies of genetic susceptibility
factors, as to why migraine with aura is a risk factor for
stroke, particularly among young women. The Committee also
supports the 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.
Vulvodynia.--The Committee commends the ORWH for working
with patient and professional groups, relevant ICs and women's
health offices in HHS agencies to plan an educational outreach
campaign on vulvodynia, launched in October 2007. The Committee
calls upon the Director to allocate sufficient resources to
this effort to ensure that the developed materials can be more
widely disseminated to the public, patient and medical
communities. In addition, since nearly 5 years have passed
since the last NIH conference on vulvodynia, the Committee
requests that ORWH convene, with the support of relevant ICs, a
consensus conference on vulvodynia in fiscal year 2009, with
specific emphasis on co-morbidities. The Committee notes the
lack of appropriate experts in vulvodynia and related chronic
pain and female reproductive system conditions on peer-review
panels and again encourages the Director to work with the
Center for Scientific Review and ICs to ensure their adequate
representation. Finally, the Committee asks the NIH to include
vulvodynia on its online ``Estimates of Funding for Various
Diseases, Conditions, Research Areas'' table.
Multi-Institute Research Initiatives
Autism.--The Committee is encouraged by the NIH's stated
increases in autism spending and urges more research that is
directly related to autism. Further, the Committee strongly
urges NIH to fund research priorities outlined in the Strategic
Plan for ASD Research that is being developed by the Inter-
Agency Autism Coordinating Committee. The Committee also
requests the NIH to report by July 2009 on the actions it has
taken to implement the recommendations of the Strategic Plan
for ASD research and the research-specific portions of the
Combating Autism Act.
Bridging the Sciences.--The Committee continues to support
the ``Bridging the Sciences'' demonstration program and
requests a report on its implementation by July 30, 2009.
Computer Science and Robotics Research.--The Committee
recognizes that research in the fields of computer science and
robotics has demonstrated significant benefits in advancing the
study and application of medicine and health care. The
Committee urges the Director to investigate and broaden the
currently defined categories of computer science and robotics
research, and increase funding in this area.
Duchenne and Becker Muscular Dystrophy [DBMD].--The
Committee is encouraged by the progress made in the area of
DBMD, particularly through support of the six Wellstone MD
centers of excellence and advancement of a conference focusing
on translational research opportunities. The Committee urges
the NIH to continue to provide sufficient funding through the
NINDS, NIAMS, and NICHD to advance the work of the centers,
encourage greater collaboration and resource sharing between
centers, and to further additional DBMD research opportunities.
The Committee is pleased that the Muscular Dystrophy
Coordinating Committee now includes the Director of NHLBI, and
supports the increased research emphasis on cardiopulmonary
complications associated with muscular dystrophy and enhanced
collaboration with other NIH institutes.
Epilepsy.--The Committee recognizes the NINDS as the
primary Institute for epilepsy research and strongly encourages
the coordination of research efforts with the NICHD, NIMH and
NIA. Although epilepsy often begins in childhood, the number of
affected senior citizens is growing at a rapid pace. This is
partly due to the effects of age-related illness. As such,
broad research in epilepsy must be made a priority, with
special emphasis on the developmental effects of epilepsy,
seizure prevention, improved therapies, and treatment. The
Committee urges the Director of NIH to intensify coordination
of cross-cutting research on epilepsy in all Institutes as
appropriate and be prepared to provide a report during the
fiscal year 2010 budget hearings.
Food Allergies.--In addition to the recommendations under
the NIAID section of this report, the Committee encourages the
NIDDK to explore the linkage between digestion and severe food
allergies. The Committee also encourages the NIEHS to continue
funding research in conjunction with the NIAID on the
relationship between environmental conditions and severe food
allergies.
Fragile X.--The Committee commends the Director for
establishing the NIH Fragile X Research Coordinating Group and
strongly urges his office to ensure that appropriate resources
are provided to implement the objectives outlined in the
Fragile X Research Plan that is being developed. As for
individual Institutes, the Committee encourages the NIMH to
enhance its critical Fragile X translational research efforts
by joining with the NICHD and NINDS to develop cooperative
research support mechanisms for 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 endorses
accelerated funding for basic and translational Fragile X
research, including Fragile X tremor ataxia syndrome [FXTAS],
and efforts to analyze the linkages among Fragile X syndrome,
autism, and autism spectrum disorders. Regarding other
Institutes, the Committee urges the NIDDK to expand its
research activities on Fragile X, given that Fragile X symptoms
often include digestive difficulties, and some affected
individuals also show hyperphagia and obesity. The NHGRI is
urged to contribute to efforts to expand newborn screening to
include Fragile X, and to understand the ethical and
psychosocial implications of detection of children and young
women who are found to be carriers of FMRP premutations and
full mutations. The Committee urges the NICHD to include the
collection of genetic and DNA data on women who are relatives
of people living with Fragile X in the development of a
National Fragile X Patient Registry, to ensure that a
comprehensive research strategy on FXPOI as it relates to the
FMR1 gene be included in the NIH's Fragile X Research
Blueprint, and to continue to prioritize Fragile X as a key
prototype in the development of cost-effective newborn
screening programs. In addition, the Fogarty International
Center is encouraged to continue to identify and promote
opportunities for furthering Fragile X basic and translational
research efforts, including the establishment of public/private
partnerships that will increase the number of international
Fragile X research projects and collaborations. The Committee
commends the NIH for supporting a scientific session on Fragile
X, and it requests a report on progress made in implementing
the recommendations of that session, as well as the Fragile X
Research Blueprint, by September 1, 2009.
Gene Therapy.--The Committee is aware of the extensive and
growing body of research indicating that gene therapy may be
useful in developing treatments or cures for a wide range of
problems, such as lung disease, retina-causing blindness,
cancer, cystic fibrosis, and cardiovascular diseases.
Nevertheless, clinical gene therapy protocols seem to be
lagging in the United States, especially when compared to
Europe. The Committee commends the NIDDK for its recent meeting
aimed at delving into this issue and identifying challenges to
gene therapy clinical trials and how these barriers could be
overcome. The NIH is urged to address those challenges either
through organizational improvements and inter-Institute
collaboration, realigned funding streams, or other mechanisms
aimed at unlocking the promise of gene therapy.
Human Tissue Supply.--The Committee remains interested in
matching the increased needs of NIH grantees who rely upon
human tissues and organs to study human diseases and search for
cures. The Committee encourages the Director to increase
support for nonprofit organizations that supply human tissues
to NIH-funded researchers.
Hydrocephalus.--The Committee urges the Director to
establish a working group to intensify research efforts into
the epidemiology, pathophysiology, disease burden and treatment
of hydrocephalus, and to ensure collaboration among relevant
Institutes. The Committee requests an update on the progress of
such collaborative efforts in the fiscal year 2010 budget
justifications, as well as projected spending on hydrocephalus
research.
Inherited Diseases of Bone.--The Committee urges the NIH to
expand genetics research on diseases such as osteogenesis
imperfecta, fibrous dysplasia, osteopetrosis, and Paget's
disease. The Committee encourages the NIAMS, NIA and other
Institutes to issue program announcements on the interaction of
environmental and genetic factors in Paget's disease and for a
study of the current prevalence of Paget's disease.
Furthermore, the Committee urges the NIH to expand research on
skeletal stem cell biology and the genetics and pathophysiology
of rare bone disorders such as fibrous dysplasia,
melhoreostosis, XLinked hypophosphatemic rickets and
fibrodysplasia ossificans progressiva.
Limb-sparing Techniques.--The Committee is aware that the
wars in Iraq and Afghanistan are producing a new type of
patient--a war fighter with multiple and severely mangled
extremities. Therefore, there is a profound need for targeted
medical research to help military surgeons find new limb-
sparing techniques to save injured extremities, avoid
amputations, and preserve and restore the function of injured
extremities. The Committee urges the Director of NIH to make
this issue a trans-NIH priority and to use the considerable
expertise of all of the Institutes to fund research that will
provide military surgeons with the tools to save severely
injured limbs.
Lupus Research Plan.--In response to this Committee's
request for a 5-year trans-Institute research plan on lupus,
NIH last year developed and published ``The Future Directions
of Lupus.'' The Committee requests an update in the fiscal year
2010 congressional budget justifications.
Lymphatic Research and Lymphatic Disease.--The Committee
strongly urges the Director to foster lymphatic research
initiatives and awareness across all relevant ICs, including
but not limited to: NHLBI, NCRR, NIBIB, NCI, NIDDK, NIAMS,
NIAID, NICHD, NIA, and NHGRI. The Committee commends the NHLBI
for taking a leadership role in the Trans-NIH Coordinating
Committee and for engaging consultative expertise pursuant to
the Intergovernmental Personnel Act. The Committee encourages
appointment of additional leadership from other ICs (e.g., co-
chairs). As the last report by the Trans-NIH Coordinating
Committee was in April 2003, the Committee requests a
comprehensive update by March 1, 2009, setting forth short- and
long-term strategic plans to advance research of the lymphatic
system and lymphatic diseases, and specifically addressing the
Trans-NIH Working Group 2008 Recommendations. The Committee
again urges that ICs specifically cite lymphatic system
research in related funding mechanism requests where a
lymphatic research component is appropriate.
Metabolic Diseases and Bone.--The Committee urges the NIH
to support research in the emerging field of metabolic diseases
and bone. The increase in childhood obesity and its negative
consequences on bone represents a significant health threat.
New research indicates connections between diabetes and neural
diseases and bone that were previously not suspected and merit
further research. Therapies are required for secondary
osteoporosis in children such as calcium supplementation and
physical activity. The Committee also encourages more research
on the beneficial and/or adverse effects of bone therapies such
as bisphosphonates in children and adults with many chronic
diseases.
Native Hawaiians.--The Committee remains concerned about
the high incidence of certain diseases among Native Hawaiians.
In particular, it strongly urges additional research concerning
these disparities in the areas of cancer, heart disease,
cerebrovascular disease and diabetes.
Neurofibromatosis [NF].--NF is an important research area
for multiple NIH Institutes. Recognizing NF's connection to
many of the most common forms of cancer, the Committee
encourages the NCI to substantially increase its NF research
portfolio in pre-clinical and clinical trials. The Committee
also encourages the NCI to support NF centers, virtual centers,
SPORE programs, pre-clinical mouse consortiums, patient
databases, and tissue banks, and to work together with other
NIH Institutes and Government agencies in doing so. The
Committee also urges additional focus from the NHLBI, given
NF's involvement with hypertension and congenital heart
disease. The Committee encourages the NINDS to continue to
aggressively explore NF's implications for disorders such as
autism, spinal cord injury, learning disabilities and memory
loss. In addition, the Committee continues to encourage the
NICHD to expand funding for NF patients in the area of learning
disabilities, including the creation of NF centers. NF2
accounts for approximately 5 percent of genetic forms of
deafness; the Committee therefore encourages the NIDCD to
expand its NF2 research portfolio.
Opsoclonus-myoclonus Syndrome [OMS].--The Committee urges
the Director to accelerate research on OMS and related
paraneoplastic syndromes. Because the causes and symptoms of
OMS cross scientific boundaries, research efforts should
involve the Office of Rare Disorders, NINDS, NCI, NIAID and
NEI, as well as private associations and nonprofit
organizations.
Pain Research.--Pain, shortness of breath, and nausea are
the most common physical symptoms in all serious illnesses. The
Committee urges the NIH to devise a strategy that will increase
the funding devoted to basic and clinical research in pain,
shortness of breath, and nausea. In addition, the Committee
requests an update on the Pain Progress Review Group in the
fiscal year 2010 congressional budget justifications.
Primary Immunodeficiency [PI] Diseases.--The Committee
strongly supports plans for a public-private partnership among
the NICHD, NIAID, NHLBI, and NIDDK, and a private foundation
that would fund a network of diagnostic and research centers
conducting research on PI diseases.
Psoriasis.--The Committee strongly encourages the NIAMS and
NIAID to undertake and expand basic research related to
understanding the genetics and immunology of psoriasis,
including how genetic variation gives rise to differences in
treatment responses and mechanisms that link skin and joint
inflammation. The Committee encourages the NIMH to conduct
research to identify any underlying biologic reason for mental
health issues associated with psoriasis and to understand how
negative social and psychological effects impact psoriasis. The
Committee encourages the NIEHS to study these associations to
better understand psoriasis and psoriatic arthritis in order to
treat and prevent these diseases.
Sex Differences.--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 encourages each of the 15 institutes involved in the
NIH Neuroscience Blueprint to carefully analyze their Blueprint
research portfolio to ensure sex is included as a variable,
when appropriate, and to require that all reported results
include sex-specific analysis.
Spina Bifida.--The Committee encourages the NIDDK, NICHD,
and NINDS to study the causes and care of the neurogenic
bladder in order to improve the quality of life of children and
adults with spina bifida; to support research to address issues
related to the prevention and treatment of spina bifida and
associated secondary conditions such as hydrocephalus; and to
invest in understanding the myriad co-morbid conditions
experienced by children with spina bifida, including those
associated with both paralysis and developmental delay.
Spinal Muscular Atrophy [SMA].--Given the near-term
scientific opportunity for an effective treatment, the
Committee urges the Director to expeditiously establish a
trans-NIH working group on SMA to include the NINDS, NICHD,
NIAMS and NIGMS, as well as other relevant Institutes, to
ensure direct and ongoing support of SMA research and drug
development, including the establishment of a clinical trials
network for SMA that will be needed to support each stage of
drug development. With respect to the work of individual
Institutes, the Committee notes that the NICHD has supported
several new projects on SMA in 2007 but that collectively these
efforts fall short of what is needed and that previously funded
efforts have lapsed. The Committee urges the NICHD to support
large-scale pilot studies that support the development of a
national newborn screening program for SMA. The NINDS is
strongly encouraged to plan and budget for each of the
successive stages of the SMA Project, including for preclinical
testing of multiple compounds and the necessary clinical trials
infrastructure on a national and coordinated level and to begin
a multicenter trial with leading drug candidates. Finally, the
Committee urges the NIAMS to take an active role in research
that would provide a better understanding of the effects of
SMA-linked mutations on muscle as well as research that could
provide therapeutic benefit through actions on muscle.
Toxicity Testing of Chemicals.--The Committee applauds the
memorandum of understanding between the NIH and the EPA titled
``High Throughput Screening, Toxicity Pathway Profiling and
Biological Interpretation of Findings,'' and it encourages the
NIH to provide funding to implement the goals under its
jurisdiction.
Tuberous Sclerosis Complex [TSC].--The Committee encourages
the Office of the Director to continue to support the Trans-NIH
Tuberous Sclerosis Complex Coordinating Committee, with
particular emphasis on research on the link between TSC and
autism spectrum disorder, as well as between common disorders
(cancer, diabetes, aging, arthritis and obesity) and rare
diseases (Peutz-Jegher syndrome, Cowden's disease, Proteus
syndrome and lymphangioleiomyomatosis) that share a link to the
mTOR signaling pathway in cells throughout the human body.
OFFICE OF AIDS RESEARCH
The Office of AIDS Research [OAR] coordinates the
scientific, budgetary, legislative, and policy elements of the
NIH AIDS research program. The Committee recommendation does
not include a direct appropriation for the 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 Committee includes bill language permitting the OAR to
use up to $8,000,000 for construction or renovation of National
Primate Research Centers. This is an increase of $4,000,000
over the fiscal year 2008 level. The budget request does not
include any funding for this purpose. The Committee believes
the need for such centers is especially critical because of
recent disappointments associated with the development of an
HIV/AIDS vaccine, which have led to a consensus among
scientists that vaccine and prevention research efforts should
be redirected to basic research and development. This will
require increased usage of non-human primates. The Committee
recommendation will support the OAR's efforts to expand
breeding colonies of the NPRCs and to expand and improve the
centers' laboratory facilities.
BUILDINGS AND FACILITIES
Appropriations, 2008.................................... $118,966,000
Budget estimate, 2009................................... 125,581,000
Committee recommendation................................ 146,581,000
The Committee recommends an appropriation of $146,581,000
for buildings and facilities [B&F]. The budget request is
$125,581,000 and the fiscal year 2008 appropriation was
$118,966,000.
The Committee has included a provision to clarify that
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.
Renovation of Building 3.--The Committee strongly urges the
NIH to use a portion of the recommended increase to renovate
Building 3 on the Bethesda campus. This building has been
decommissioned and is currently vacant. The renovation and
restoration to productive use of this building will allow the
NIH to provide space for administrative support of the
scientific research portfolio.
Substance Abuse and Mental Health Services Administration
Appropriations, 2008.................................... $3,356,329,000
Budget estimate, 2009................................... 3,158,148,000
Committee recommendation................................ 3,388,636,000
The Committee recommends $3,388,636,000 for the Substance
Abuse and Mental Health Services Administration [SAMHSA] for
fiscal year 2009. The comparable fiscal year 2008 level is
$3,356,329,000 and the administration request is
$3,158,148,000. The recommendation includes $128,989,000 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 is disappointed that the administration has
again submitted a budget request for SAMHSA that eliminates key
programs that provide services and supports to those suffering
from, or at risk of developing, mental health and substance
abuse disorders. The administration's budget reflects a
reduction of almost $200,000,000--or 6 percent--in SAMHSA's
overall funding level. Specifically, mental health programs
within the projects of regional and national significance
activity have been reduced by 48 percent in the President's
budget.
The Committee notes that mental disorders are the leading
cause of disability in the United States and Canada for those
between the ages of 15 and 44 and that frequently, these
disorders start early in childhood. Research has shown that
early mental health issues often are precursors to substance
abuse, school failure, risky behavior, and criminal activity.
Instead of cutting mental health funding, our Nation should be
making the same investments in prevention and promotion
programs for mental health as it does for physical health. The
Committee believes that given the prevalence of these
disorders, taking a public health approach to preventing mental
and behavioral problems should be a major priority. For this
reason the Committee has prioritized funding for those programs
which promote mental health and intervene early to address
emerging mental health and substance abuse problems. The
Committee has provided increases and restored proposed cuts to
youth violence prevention, child traumatic stress activities,
family treatment, early mental health promotion, strategic
prevention framework grants and underage drinking prevention.
The Committee is aware that the National Academy of
Sciences is reviewing key advances in research relating to the
prevention of mental health and substance abuse disorders among
children, adolescents, and adults. The Committee looks forward
to the release of the study, which will recommend priorities
for future policies and strategies. The administration is
encouraged to incorporate these recommendations into SAMHSA's
fiscal year 2010 budget request.
CENTER FOR MENTAL HEALTH SERVICES
Appropriations, 2008.................................... $910,506,000
Budget estimate, 2009................................... 784,266,000
Committee recommendation................................ 930,383,000
The Committee recommends $930,383,000 for mental health
services. The comparable level for fiscal year 2008 is
$910,506,000 and the administration request is $784,266,000.
The recommendation includes $21,039,000 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 $311,782,000 for programs of
regional and national significance. The comparable level for
fiscal year 2008 is $299,279,000 and the administration request
is $155,319,000. Programs of regional and national significance
[PRNS] 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.
As part of taking a public health approach to mental health
promotion and prevention, the Committee recommends $20,369,000
for the Project Launch program. This is an increase of
$13,000,000 over last year's level. The administration proposed
to eliminate this program, which promotes the emotional,
physical and emotional wellness of young children from birth to
8 years of age. Grantees must create an integrated early
childhood system that includes physical, mental and behavioral
health, as well as education, substance abuse and social
service components. The Committee urges SAMHSA to continue
collaboration with HRSA and CDC on this program.
The Committee is pleased with SAMSHA's collaboration with
the Administration for Children and Families [ACF], especially
with regard to that agency's home visitation initiative. The
Committee strongly urges SAMHSA to explore further areas of
collaboration that will strengthen families and promote child
well-being. One possible area of collaboration is ACF's Child
and Family Services Reviews under the child welfare program.
The Committee reiterates its strong support for the
National Child Traumatic Stress Initiative [NCTSI]. Within the
total for PRNS, the Committee provides $38,000,000 under
section 582 of the Public Health Service Act to support grants
through the NCTSI. The funding level represents an increase of
$4,908,000 over the comparable level for fiscal year 2008. The
administration proposed $15,668,000 for this program. The
Committee notes that childhood trauma--such as exposure to
violence, loss of a parent, and physical, sexual or emotional
abuse--is associated with many other child, adolescent and
adult health conditions. Scientific research shows that early
trauma is linked to increased risk of mental health issues such
depression, bipolar disorder, substance abuse, as well as
physical ailments such heart disease, chronic lung disease and
HIV/AIDS. The Committee believes that providing early
intervention and treatment services, as well as promoting
resiliency, for children exposed to trauma must be a high
priority.
With respect to NCTSI grants, the Committee strongly urges
SAMHSA to give preference to applicants with prior experience
in the NCTSN, as well as extensive experience in the field of
trauma-related mental disorders in children, youth, and
families, especially in the areas of child abuse (physical,
sexual, and neglect), and residential treatment settings. In
soliciting grant applications, SAMHSA should also pay special
attention to the role of resiliency in recovery from trauma.
The Committee remains deeply concerned that suicide is the
third leading case of death for young Americans aged 10 to 24.
The Committee recommendation includes $40,000,000 for youth
suicide prevention activities, including $30,000,000 for grants
to States and tribes to develop prevention and early
intervention programs, $5,000,000 for campus-based programs
that address youth suicide prevention and $5,000,000 for the
suicide prevention resource center.
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 initiative by $17,292,000. The Committee believes that
enhanced school and community-based services can strengthen
healthy child development, thus reducing violent behavior and
substance use.
The Committee recommendation provides $2,531,000 to
continue and expand funding for the consumer statewide network
grants. The administration proposed eliminating this program.
The Committee recommendation will allow this network to expand
to 12 new States, allowing more consumers to have a voice in
the development of local mental health services. The Committee
also provides funding at last year's level for the national
technical assistance centers run by consumers and consumer-
supporters.
The Committee recommendation includes sufficient funding to
continue the minority fellowship program, which as been
instrumental in addressing the shortage of mental health
services for racial and ethnic minorities. The administration
did not request funding for this activity.
The Committee has not provided funding for the adolescents
at risk program. The Committee agrees with the administration
that this activity is no longer necessary, as SAMHSA is
conducting a cross-site evaluation of grantees providing
school-based suicide prevention services.
The Committee has not included funding for mental health
drug courts or mental health targeted expansion grants, as
proposed by the administration.
Disaster Mental Health.--The Committee recognizes the
significant impact that natural and human-made disasters can
have on mental and behavioral health. The Committee encourages
the Emergency Mental Health and Traumatic Stress Services
Branch to continue its collaboration with the Federal Emergency
Management Agency [FEMA] in order to increase attention to the
mental and behavioral health needs of vulnerable populations
during and in the aftermath of a disaster.
Foster Youth.--The Committee is concerned that there is no
dedicated funding within SAMHSA to address the needs of foster
youth and older children who are adopted. This is particularly
alarming, given that foster youth suffer depression, panic
disorders, post traumatic stress disorder and substance abuse
at disproportionately high rates. While these population are
served by existing programs, the Committee believes a special
focus is needed to accurately recognize and address the unique
needs of these youth.
Mental Health of Older Adults.--The Committee recognizes
that older adults are among the fastest growing subgroups of
the U.S. population. Approximately 20-25 percent of older
adults have a mental or behavioral health problem. The
Committee encourages increased support for communities to
assist in building a solid foundation for delivering and
sustaining effective mental health outreach, treatment and
prevention services for older adults at risk for a mental
disorder.
Primary Care.--The Committee is deeply concerned about
recent reports that people with serious mental disorders served
in the public mental health system die, on average, 25 years
sooner than other Americans. The Committee strongly urges
SAMHSA to explore ways to integrate primary care and specialty
medical services in Community Mental Health Centers and other
community-based behavioral health agencies.
Teenage Depression and Suicide.--According to the Centers
for Disease Control and Prevention, rates of suicide among
adolescents and young adults in the United States have
continued to rise since 2003. The Committee is deeply concerned
by this disturbing trend and urges SAMHSA to strengthen its
support of local efforts to implement mental health screening
and suicide prevention programs. The Committee further urges
SAMHSA to support evaluations or studies to determine how these
practices can be best implemented at the community level, and
to work with the private sector to develop methods to integrate
mental health screening, assessment, prevention and education
efforts into educational and medical settings.
The Committee recommendation also includes language
requiring that funds be provided to the following organizations
in the amounts specified:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
2-1-1 Maine, Inc., Portland, ME, for a 2-1-1 telephone $200,000
number enabling access to health and social services
in the community.....................................
Children's Health Fund, New York, NY, for support 250,000
services for the Mississippi Gulf Coast Children's
Health Project, Gulfport, MS.........................
City of San Diego, San Diego, CA, to address the risks 100,000
of homelessness, violence and drug abuse among
returning veterans...................................
Highline-West Seattle Mental Health, Seattle, WA, for 450,000
mental health programs...............................
Jewish Family Service of MetroWest, Florham Park, NJ, 200,000
for the Mental Health Intervention and Homelessness
Prevention Project...................................
Marion County, Salem, OR, for mental health treatment 150,000
programs.............................................
Midwest Rural Telemedicine Consortium, Des Moines, IA, 500,000
for the Mental Health Outreach Initiative............
One Sky Center, Portland, OR, for substance abuse and 200,000
mental health programs...............................
Roberta's House, Baltimore, MD, for mental health 300,000
services for children and families...................
Rosebud Sioux Tribe, Rosebud, SD, for suicide 200,000
prevention services..................................
Turnaround for Children, Inc., Manhattan, NY, for 250,000
crisis intervention and treatment services for stu-
dents................................................
United Way of Anchorage, Anchorage, AK, for the 2-1-1 600,000
project to provide a statewide health and human
services management system for Alaska................
United Way of Greater St. Louis, Inc., St. Louis, MO, 250,000
for the 2-1-1 project for outreach, community
education and expansion of statewide health and human
services management systems..........................
University of South Florida, Tampa, FL, for mental 100,000
health program for disabled veterans.................
------------------------------------------------------------------------
COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT
The Committee recommends $420,774,000 for the community
mental health services block grant, which is the same as the
comparable fiscal year 2008 amount and the administration
request. The recommendation includes $21,039,000 in transfers
available under section 241 of the Public Health Service Act.
The community mental health services block grant
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 encourages SAMHSA to require that
States' plans include specific provisions for mental health
services for older adults.
CHILDREN'S MENTAL HEALTH SERVICES
The Committee recommends $102,260,000 for the children's
mental health services program, which is the same as the
comparable fiscal year 2008 level. The administration requested
$114,486,000 for this activity. 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 $59,687,000 for the PATH Program.
This amount is the same as the administration request. The
comparable fiscal year 2008 level is $53,313,000.
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 $35,880,000 for the protection and
advocacy for individuals with mental illness [PAIMI] program.
The comparable fiscal year 2008 level is $34,880,000 and the
administration request is $34,000,000. This program helps
ensure that the rights of mentally ill individuals are
protected while they are patients in all public and private
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, 2008.................................... $2,158,572,000
Budget estimate, 2009................................... 2,115,439,000
Committee recommendation................................ 2,163,579,000
The Committee recommends $2,163,579,000 for substance abuse
treatment programs. The comparable fiscal year 2008 is
$2,158,572,000 and the administration request is
$2,115,439,000. The recommendation includes $85,200,000 in
transfers available under section 241 of the Public Health
Service Act. This appropriation funds substance abuse treatment
programs of regional and national significance and the
substance abuse prevention and treatment block grant to the
States.
Programs of Regional and National Significance
The Committee recommends $384,988,000 for programs of
regional and national significance [PRNS]. The comparable
fiscal year 2008 level is $399,844,000 and the administration
request is $336,848,000. The recommendation includes $6,000,000
in transfers available under section 241 of the Public Health
Service Act.
Programs of regional and national significance include
activities to increase capacity by implementing service
improvements using proven evidence-based approaches and science
to services activities, which promote the identification of
practices thought to have potential for broad service
improvement.
Within the funds appropriated for CSAT, the Committee
recommends $17,000,000 for residential treatment programs for
pregnant and postpartum women and their children. The
comparable funding level for 2008 is $11,790,000. The
administration proposed to eliminate this program, which
expands the availability of comprehensive, high quality
residential treatment, recovery support, and family services
for pregnant and postpartum women, along with their children
impacted by the effects of maternal substance use and abuse.
The Committee strongly believes that these family-based
treatment programs are a cost-effective way to strengthen
families, improve birth outcomes, reduce criminal behavior and
break the cycle of addiction that often occurs in vulnerable
communities.
Within the funds appropriated for CSAT, the Committee
recommends $2,000,000 for grants to States for creating and
improving prescription drug monitoring systems.
The Committee has not provided the administration's
requested increase for the SBIRT program. This grant program
promotes the integration of screening and brief interventions
in primary and general medical care settings with a goal of
identifying patients in need of treatment and providing them
with appropriate intervention and treatment options.
The Committee recommendation also does not include the
administration's requested increase for criminal justice
activities, including treatment drug court grants. The
Committee expects SAMHSA to continue its policy of requiring
grantees to work directly with State substance abuse agencies
on all aspects of the grant in order to help promote effective
and efficient State service systems.
The Committee has provided funding at last year's level for
treatment services for the homeless, including services in
supportive housing. The recommendation also includes
$17,078,000 to continue current efforts under the children and
families activity. The administration did not request funding
for this activity.
The Committee has not provided funding for the
strengthening treatment access and retention program. The
Committee notes that this activity does not support any
provision of services. The Committee also eliminates funding,
as proposed by the administration, for special initiatives and
outreach activities, as well as information dissemination. The
Committee believes these activities are redundant and could be
provided by other programs within the agency.
Hepatitis.--The Committee is concerned about the prevalence
of substance abuse, hepatitis and other blood borne pathogens
and urges SAMHSA to work with voluntary health organizations to
promote liver health education, and primary prevention of
substance abuse and blood borne pathogens, like hepatitis and
HIV/AIDS, to promote healthy lifestyle behaviors for all age
groups and secondary prevention to promote recovery for those
who are infected.
Individuals with Disabilities.--The Committee is concerned
that individuals with a substance use disorder and a coexisting
disability are not receiving appropriate psychological
intervention for substance abuse. Individuals with disabilities
experience substance abuse rates at two-to-four times higher
than the general population. The Committee acknowledges the
efforts of SAMHSA to address the mental and behavioral health
needs of individuals with disabilities and encourages increased
support for research and treatment efforts that specifically
address co-morbid physical, psychological and
neuropsychological disabilities and substance abuse, including
early detection, prevention, access to care, and its impact
upon rehabilitation, work and family for persons with
disabilities.
Rapid HIV Testing.--Rapid HIV testing can effectively
reduce the number of at-risk individuals who are unaware of
their HIV infection status. The Committee believes it is
essential that rapid HIV testing be coupled with comprehensive,
evidenced-based, and culturally and linguistically appropriate
counseling from mental and behavioral health care providers to
help individuals prepare for, and respond to, their test
results, as well as to provide prevention counseling and
services.
Rural and Native Communities.--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. The Committee has provided
sufficient funds to increase knowledge about effective ways to
deliver services to rural and native communities.
Screening Persons with HIV.--According to the HIV Cost and
Services Utilization Study [HCSUS], almost one-half of persons
with HIV/AIDS screened positive for illicit drug use or a
mental disorder, including depression and anxiety disorder.
Unfortunately, health care providers fail to notice mental
disorders and substance use problems in almost one-half of
patients with HIV/AIDS. The Committee encourages SAMHSA to
collaborate with HRSA to train health care providers to screen
HIV/AIDS patients for mental health and substance use problems.
The Committee recommendation also includes language
requiring that funds be provided to the following organizations
in the amounts specified:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
Akeela House Recovery Center, Anchorage, AK, for $500,000
residential substance abuse treatment................
Arlington County--Mental Health and Substance Abuse 150,000
Crisis Intervention and Diversion Program, Arlington,
VA, for the treatment of persons with mental health
and substance abuse issues in Arlington County.......
Chrysalis House, Lexington, KY, for a substance abuse 100,000
program for women and children.......................
Maniilaq Association, Kotzebue, AK, for residential 200,000
substance abuse treatment............................
Metro Homeless Youth Services of Los Angeles, Los 150,000
Angeles, CA, to expand services for homeless youth
with substance abuse problems........................
Prairie Center Health Systems, Urbana, IL, for 500,000
outpatient and inpatient detoxification services for
meth-addicted patients...............................
Rosebud Sioux Tribe, Rosebud, SD, for a substance 200,000
abuse treatment program..............................
Vinland National Center, Independence, MN, for 100,000
substance abuse and parenting treatment services.....
Virginia Department of Mental Health, Mental 300,000
Retardation, and Substance Abuse Services, Richmond,
VA, to provide treatment services for addiction to
prescription pain medication.........................
------------------------------------------------------------------------
Substance Abuse Prevention and Treatment Block Grant
The Committee recommends $1,778,591,000, the same as the
budget request, for the substance abuse prevention and
treatment [SAPT] block grant. The comparable fiscal year 2008
level is $1,758,728,000. The recommendation includes
$79,200,000 in transfers available under section 241 of the
Public Health Service Act. 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 has included bill language requested by the
administration to provide supplemental awards to the top 20
percent of grantees for superior performance and submission of
National Outcomes Measures [NOMS] data.
The Committee believes that the SAPT block grant is an
effective and efficient program that provides vital prevention
and treatment services for the Nation's most vulnerable
populations. According to SAMHSA, the block grant has been
successful in expanding capacity and achieving positive
results. In particular, outcomes data found, at discharge, 68
percent of clients were abstinent from illegal drugs and 74
percent of clients were abstinent from alcohol. The Committee
is also aware that SAPT block grant funded programs help people
find or regain employment; stay away from criminal activity;
reunite with families; and find stable housing.
CENTER FOR SUBSTANCE ABUSE PREVENTION
Appropriations, 2008.................................... $194,120,000
Budget estimate, 2009................................... 158,040,000
Committee recommendation................................ 191,271,000
The Committee recommends $191,271,000 for programs to
prevent substance abuse. The comparable fiscal year 2008 level
is $194,120,000 and the administration request is $158,040,000.
Programs of Regional and National Significance
The Committee has provided $191,271,000 for programs of
regional and national significance [PRNS]. 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 expects CSAP to focus its prevention efforts
on environmental and population based strategies due to the
cost effectiveness of these approaches. Further, the Committee
instructs that given the paucity of resources for bona fide
substance abuse prevention programs and strategies, money
specifically appropriated to CSAP for these purposes shall not
be used or reallocated for any other programs or purposes
within SAMHSA.
The Committee recommendation does not include funds for the
administration's proposed Targeted Capacity Expansion program
to address emerging prevention needs.
The recommendation includes $105,000,000 for the strategic
prevention framework State incentive grant [SPF SIG] program,
which is designed to promote, bolster and sustain prevention
infrastructure in every State in the country. The Committee is
concerned that progress on awarding every State with a SPF SIG
grant has been delayed given that no new grants have been
awarded since fiscal year 2006. For this reason SAMHSA is
strongly urged to maintain the average grant award at the level
of the most recent cohort of SPF SIG recipients. The Committee
continues to recognize that the lynchpin of the SPF SIG program
is State flexibility. Therefore, the Committee urges SAMHSA to
promote flexibility in the use of SPF SIG funds in order to
allow each State to tailor prevention services based on a needs
assessment or plan, rather than pre-determined strategies that
may not be appropriate for the populations in their own
jurisdiction.
The Committee provides funding at no less than last year's
level for the Centers for the Application of Prevention
Technologies [CAPTs]. The Committee strongly supports the
current CAPTs program given their important role working with
State substance abuse agencies, prevention specialists and
others to translate the latest prevention science into everyday
practice. The Committee is concerned that any proposal to
change the CAPT structure would negatively affect the ability
of these customers to receive technical assistance that reflect
State and local needs. The Committee urges SAMHSA to ensure
that any changes to the CAPTs will reflect stakeholder input,
as well as maintain State-specific substance abuse prevention
expertise.
The Committee recommendation includes $7,000,000 for
activities authorized under the Sober Truth on Preventing
Underage Drinking [STOP] Act. This amount includes $5,000,000
for grants to help community coalitions address underage
drinking, $1,000,000 for the continuation of the national
adult-oriented media campaign to prevent underage drinking, and
$1,000,000 for the Intergovernmental Coordinating Committee on
the Prevention of Underage Drinking [ICCPUD].
The Committee notes that the ICCPUD has not submitted an
annual report on national progress in reducing underage
drinking since January 2006. The Committee requests an interim
progress report on the goals articulated in the initial report,
as well as funds being expended by various agencies and
progress on key indicators, such as prevalence, age of
initiation, consumption patterns and the means of underage
access. The report should be submitted no later than March 1,
2009.
While the Committee commends SAMHSA for its support of town
hall meetings on underage drinking, it reiterates its request
that underage drinking findings from Federal surveys be
separately and prominently highlighted. SAMHSA should submit
examples of how this highlighting is being accomplished in its
fiscal year 2010 congressional budget justification.
The Committee supports the continuation of the public
service announcement [PSA] campaign on underage drinking
prevention, and notes that the STOP Act requires SAMHSA to
report to Congress on ``the production, broadcasting, and
evaluation of the campaign, the effectiveness of the campaign
in reducing underage drinking, the need for and likely
effectiveness of an expanded adult-oriented media campaign, and
the feasibility and likely effectiveness of a national youth-
focused media campaign to combat underage drinking.'' The
Committee requests that SAMHSA and the PSA campaign partner
entity submit the required report no later than March 1, 2009.
The Committee recommendation also includes language
requiring that funds be provided to the following organizations
in the amounts specified:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
Hamakua Health Center, Honokaa, HI, for a youth anti- $200,000
drug program.........................................
Mothers Against Drunk Driving, Louisiana Chapter, 100,000
Baton Rouge, LA, for substance abuse prevention
focusing on underage drinking........................
West Virginia Prevention Resource Center, Charleston, 1,000,000
WV, for drug abuse prevention........................
------------------------------------------------------------------------
PROGRAM MANAGEMENT
The Committee recommends $100,131,000 for program
management activities of the agency. The comparable level for
fiscal year 2008 is $93,131,000 and the budget request is
$97,131,000. The recommendation includes $22,750,000 in
transfers available under section 241 of the Public Health
Service Act.
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 recognizes the need for regular and periodic
population-based sources of data on adults with serious mental
illness and children with serious emotional disturbance.
Therefore the recommendation includes $1,000,000 for a module
in the National Survey on Drug Use and Health [NSDUH] to
provide reliable and valid data on adults with serious mental
illness. Based on recommendations from an expert panel that
SAMHSA convened, the Committee believes that the best mechanism
for the collection of information on children with serious
emotional disturbance is the National Health Interview Survey
[NHIS] conducted by the National Center for Health Statistics
at CDC. Thus the recommendation includes $2,000,000 for the
inclusion of questions related to the mental health of children
in the NHIS and to carry out studies necessary to ensure the
validity and reliability of the NHIS data on children with
serious emotional disturbance.
The Committee remains aware of the collaborative work by
SAMHSA and State substance abuse directors to implement
outcomes data collection and reporting through the NOMs
initiative. The Committee is pleased that States continue to
make progress in reporting NOMs data through the SAPT Block
Grant. According to SAMHSA, approximately 47 States voluntarily
reported substance abuse outcome data in 2007. State substance
abuse agencies reported significant results in a number of
areas--including abstinence from alcohol and illegal drug use;
criminal justice involvement; employment; and stable housing.
The Committee encourages SAMHSA to continue to help States
address technical issues and promote State-to-State problem
solving solutions.
ST. ELIZABETH'S HOSPITAL
The Committee recommendation includes $772,000, the same as
the administration request, to further remediate the West
Campus of St. Elizabeth's Hospital. No funds were requested for
this activity in fiscal year 2008.
DATA EVALUATION
The Committee recommendation includes $2,500,000 for a
needs assessment and evaluation of substance abuse data
collection activities across the Department to improve
surveillance activities and avoid duplication of effort. The
recommendation is the same as the administration request. This
activity was not funded in fiscal year 2008. The Department is
requested to submit the results of this needs assessment, as
well as its recommendations, to the Committee.
Agency for Healthcare Research and Quality
Appropriations, 2008.................................... $334,564,000
Budget estimate, 2009................................... 325,664,000
Committee recommendation................................ 334,564,000
The Committee recommends $334,564,000 for the Agency for
Healthcare Research and Quality [AHRQ]. This amount is the same
as the comparable funding level for fiscal year 2008. The
administration request is $325,664,000. The Committee
recommendation includes $243,966,000 in transfers available
under section 241 of the Public Health Service Act.
The Agency for Healthcare Research and Quality was
established in 1990 to enhance the quality, appropriateness,
and effectiveness of health services, as well as access to such
services. In order to fulfill this mission, AHRQ conducts,
supports and disseminates scientific and policy-relevant
research on topics such as reducing medical errors, eliminating
health care disparities, the use of information technology, and
the comparative effectiveness of drugs and medical procedures.
AHRQ-supported research provides valuable information to
researchers, policymakers, healthcare providers and patients on
ways to improve our Nation's health system and make health care
more affordable.
HEALTH COSTS, QUALITY, AND OUTCOMES
The Committee provides $276,564,000 for research on health
costs, quality and outcomes [HCQO]. The recommendation includes
$185,966,000 in transfers available under section 241 of the
Public Health Service Act. The recommendation is the same as
the comparable funding level for fiscal year 2008. The
administration requested $267,664,000 for this activity. The
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 $5,000,000 for activities to identify and reduce the
spread of Methicillin-resistant Staphylococcus Aureus [MRSA]
and other healthcare-associated infections. The Committee is
concerned about the prevalence of these preventable infections
and has provided a second year of funding for this initiative
at AHRQ due to its expertise with patient safety and quality of
care issues. The Committee encourages AHRQ to continue its
collaboration with the Centers for Disease Control and
Prevention [CDC] and the Centers for Medicare and Medicaid
Services [CMS].
The Committee values AHRQ for its critical role in
supporting health services research to improve health care
quality, reduce costs, advance patient safety, eliminate health
care disparities, and broaden access to essential services.
However, the Committee is troubled that AHRQ's investigator-
initiated research portfolio has languished even though many of
the sentinel studies that have changed the face of health and
health care in the United States are the result of researchers'
ingenuity and creativity. To advance discovery and the free
marketplace of ideas, the Committee believes ARHQ must dedicate
more funding to investigator-initiated research. For this
reason, the Committee does not provide the $6,000,0000
requested by the administration for a Health Insurance Decision
Tool. Instead, the Committee strongly urges AHRQ to redirect
these funds toward expanding its investment in investigator-
initiated research.
Ambulatory Patient Safety.--The Committee notes that while
the scope, volume and complexity of ambulatory care has
increased over the past decade, little is known about patient
safety in ambulatory care settings. Few safety practices have
been identified, and limited data exist on the nature of risk
and hazards to patients and the threat to quality in ambulatory
care settings. In light of the growing number of incidents
involving syringe reuse and hepatitis C transmission across the
country, the Committee urges AHRQ to expand the ambulatory
safety and quality program [ASQ] to identify the inherent risks
in ambulatory settings and to develop potential solutions for
protecting patients.
HIV Early Diagnosis.--The Committee recognizes the high
economic burden associated with a positive diagnosis of HIV/
AIDS. The Committee encourages AHRQ to prepare a study
comparing the economic burden of an early diagnosis to that of
a later diagnosis.
Safe Patient Handling.--The Committee continues to be
concerned about the consequences of manual patient lifting in
hospitals, nursing homes and other patient care settings that
increase the risk of injury to both patients and nurses. The
Committee is pleased that AHRQ acknowledges the importance of
this issue, and recommends that AHRQ continue to study the
impact of utilizing assistive devices and patient lifting
equipment on patient injuries and the safety of nurses.
Spina Bifida.--The Committee encourages AHRQ to continue
and expand the development of a National Spina Bifida Patient
Registry in collaboration with the Centers for Disease Control
and Prevention.
Training Grants.--The Committee is deeply concerned about
declines in the number of, and funding for, training grants for
the next generation of researchers. Failure to fund such grants
stifles the workforce and knowledge base needed to respond to
the Nation's growing health care challenges, including aging
baby boomers, unsustainable rising costs, and declining health
status. The Committee urges the administration to expand
funding for AHRQ's training grants in its fiscal year 2010
budget request.
Viral Hepatitis.--The Committee believes that much remains
to be learned about the costs, quality and outcomes of
treatments for hepatitis B and C. The Committee encourages AHRQ
to develop and disseminate evidence-based information to
healthcare providers and patients as a significant step in
reducing the incidence of hepatitis, as well as improving
access to, and outcomes from, treatments for these epidemic
diseases.
MEDICAL EXPENDITURES PANEL SURVEYS
The Committee provides $55,300,000 for medical expenditures
panel surveys [MEPS], which is the same as the comparable
fiscal year 2008 level and the administration request. MEPS
collects detailed information annually from families regarding
health care use and expenditures, private and public health
insurance coverage, and the availability, costs and scope of
health insurance benefits. The data from MEPS is used in the
development of economic models projecting the costs and savings
of proposed changes in policy, as well as estimates of the
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 2008
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, 2008....................................$141,628,056,000
Budget estimate, 2009................................... 149,335,031,000
Committee recommendation................................ 149,335,031,000
The Committee recommends $149,335,031,000 for Grants to
States for Medicaid, the same amount as the administration's
request. This amount excludes $67,292,669,000 in fiscal year
2008 advance appropriations for fiscal year 2009. In addition,
$71,700,038,000 is provided for the first quarter of fiscal
year 2010, as requested by the administration.
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, 2008....................................$188,445,000,000
Budget estimate, 2009................................... 195,308,000,000
Committee recommendation................................ 195,308,000,000
The Committee recommends $195,308,000,000 for Federal
payments to health care trust funds, the same amount as the
administration's request. 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 $147,716,000,000 for the Federal payment
to the Supplementary Medical Insurance Trust Fund. This payment
provides matching funds for premiums paid by Medicare part B
enrollees. The Committee further provides $44,999,000,000 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 $351,000,000 for
hospital insurance for the uninsured. The Committee also
recommends $263,000,000 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. The Committee recommendation includes
$206,000,000 to be transferred to the Hospital Insurance Trust
Fund as the general fund share of CMS Program Management
administrative expenses. The Committee recommendation also
includes $547,000,000 to be transferred to the Supplementary
Insurance Trust Fund as the general fund share of part D
administrative expenses. The Committee recommendation includes
$198,000,000 in reimbursements to the Health Care Fraud and
Abuse Control [HCFAC] fund and $1,028,000,000 for the
Quinquennial Adjustment.
PROGRAM MANAGEMENT
Appropriations, 2008.................................... $3,151,651,000
Budget estimate, 2009................................... 3,307,344,000
Committee recommendation................................ 3,270,574,000
The Committee recommends $3,270,574,000 for CMS program
management. The administration requested $3,307,344,000. The
fiscal year 2008 comparable level was $3,151,651,000.
Research, Demonstrations, and Evaluations
The Committee recommends $33,530,000 for research,
demonstrations, and evaluation activities.
CMS research and demonstration activities facilitate
informed rational Medicare and Medicaid policy choices and
decisionmaking. These studies and evaluations include projects
to measure the impact of Medicare and Medicaid policy analysis
and decisionmaking, 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 $5,000,000 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 is aware of several models of health care
delivery that are improving patient outcomes; decreasing
utilization of inpatient services, emergency room care and
specialty services; and improving patient satisfaction. The
Committee encourages CMS to make resources available for
entities to develop models of primary health care delivery and
demonstrate their effectiveness in improving delivery and
decreasing per patient costs for Medicaid populations.
The Committee recommendation also includes bill language
requiring that funds be provided to the following organizations
in the amounts specified:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
Bi-State Primary Care Association, Concord, NH, to $650,000
treat uninsured patients.............................
City of Milwaukee, Milwaukee, WI, to improve access to 180,000
and utilization of primary and preventive health care
among low-income residents...........................
Hospice Foundation of America, Washington, DC, for 600,000
education programs...................................
Medicare Chronic Care Practice Research Network, Sioux 700,000
Falls, SD, to evolve and continue the Medicare
Coordinated Care Demonstration project...............
University of Pittsburgh Medical Center, Pittsburgh, 100,000
PA, to develop a comprehensive health care delivery
model................................................
------------------------------------------------------------------------
Medicare Operations
The Committee recommends $2,300,729,000 for Medicare
operations. The administration requested $2,339,729,000; the
comparable funding level for fiscal year 2008 was
$2,158,906,000.
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 recommendation includes $108,900,000 for CMS
Medicare contracting reform activities and includes bill
language that extends the availability of those funds until
September 30, 2010.
The Committee recommendation includes $35,700,000 for
contract costs for the Healthcare Integrated General Ledger
Accounting System and includes bill language that extends the
availability of those funds until September 30, 2010.
Advances in medicine have enabled increasing numbers of
type 1 diabetes patients to live with this disease for more
than 50 years. Recent advances in continuous glucose monitoring
technology have the potential to revolutionize the way diabetes
is managed on a daily basis. While research is underway, the
Committee urges CMS not to make premature coverage decisions
related to such items as durable medical equipment or any
associated services or supplies, nor take actions that would
delay the private adoption of these technologies.
Access to human pancreatic islets at a reasonable cost is
vital to basic research on the causes and mechanisms of
diabetes. If organs used to procure islets for research are not
reimbursed at a reasonable rate, the cost could curtail much
needed basic research on islet function in health and disease.
The Committee urges CMS to address the issue of reimbursement
rates for human pancreatic islets in a manner that will
facilitate their research and/or clinical use.
The Committee noted last year that many low-income Medicare
part D enrollees living with HIV/AIDS have benefited from
effective medication management programs. The Committee is
pleased that CMS is now conducting an examination of medication
therapy management programs.
As early as September 2004 this Committee stated that long-
term acute care hospitals play a vital role in the Medicare
continuum of care and that admission decisions should be made
on the basis of well-defined and objective patient and hospital
admissions criteria. The Committee is concerned that the CMS
guidelines set arbitrary quota limits for the number of
patients which an LTACH can accept from any one hospital.
Patients who need access to LTACHs are among the most
vulnerable of the sick.
This Committee has previously stated that the decision as
to which patients should go into a LTACH should be made by
physicians based on well-defined patient and hospital
admissions criteria--not on arbitrary quotas. The Medicare
Payment Advisory Commission [MEDPAC] in its March 22, 2007
letter to CMS warned that arbitrary criteria increase the risk
of unintended consequences. The Committee remains concerned
that 4 years have passed and CMS has not yet developed these
criteria.
State Survey and Certification
The Committee recommends $293,128,000 for Medicare State
survey and certification activities, which is the same as the
administration's request. The fiscal year 2008 funding level
was $281,186,000.
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.
The Committee has not included language, requested by the
administration, which authorizes the Secretary to charge fees
associated with the cost of conducting revisits of certain
health care facilities.
High-Risk Insurance Pools
The Committee did not recommend funding for High-Risk
Insurance Pools nor did the administration request funding for
this program. The fiscal year 2008 comparable funding level for
this program was $49,127,000.
Federal Administration
The Committee recommends $643,187,000 for Federal
administration costs, which is the same as the budget request.
The fiscal year 2008 funding level was $631,132,000.
The Committee is concerned regarding the low utilization
rates for the ``Welcome to Medicare Physical Exam,'' and how
this is impacting the number of Medicare beneficiaries that
receive referrals for the abdominal aortic aneurysm [AAA]
screening benefit and other preventive services. The American
Heart Association estimates that if Medicare beneficiaries who
are at risk for a AAA receive this one-time, cost-effective
ultrasound screening, it will prevent over 15,000 deaths per
year. The Committee urges CMS to launch a major public
relations campaign to educate individuals who are about to
become Medicare eligible, and their families, regarding the
need to get their ``Welcome to Medicare Physical Exam.'' This
exam allows America's seniors to learn new ways to prevent
illness and if they do become ill, to treat the problem early
before it becomes too severe. It also provides an opportunity
to educate our seniors of the importance of leading a healthy
lifestyle through good nutrition, engaging in regular physical
activity and not smoking. All factors that can prevent
individuals from developing chronic diseases and reducing their
quality of life.
The Committee is concerned that many seniors do not have a
good understanding of the benefits covered, and not covered,
under the Medicare program. In particular, studies have
indicated that a majority of adults who are 45 or older
overestimate Medicare coverage for long-term care. The
Committee commends CMS for its efforts in establishing the
National Clearinghouse for Long-Term Care information.
The Committee directs CMS to include in the next
publication of ``Medicare & You'' information regarding the
importance of writing and updating advance directives and
living wills.
The Committee is pleased that CMS plans to do an updated
State-by-State survey of Medicaid coverage and reimbursement
for telemedicine services and will consider the need for
national guidance to State Medicaid agencies on provision of
these services. As noted in last year's report, The Committee
has supported demonstration projects that have assessed the
efficacy of using interactive video technology as a means for
providing intensive behavioral health services to individuals
with serious emotional and behavioral challenges, such as
autism and other at-risk populations. The Committee has
observed that one of the most serious obstacles to the
integration of telemedicine into health practices is the
absence of consistent, comprehensive reimbursement policies.
Medicaid policies set at State levels vary widely and are
inconsistent from State to State.
The Committee notes that the Deficit Reduction Act now
requires that States capture data on certain prescription drugs
administered by physicians under Medicaid and use that data to
collect rebate dollars available from drug manufacturers. The
Committee understands that States do not always adequately
collect that data, if which collected could result in savings
to the Medicaid program.
The Committee encourages CMS to provide technical
assistance to States on technologies available to collect this
data in lieu of granting more waivers.
HEALTH CARE FRAUD AND ABUSE CONTROL
Appropriations, 2008....................................................
Budget estimate, 2009................................... $198,000,000
Committee recommendation................................ 198,000,000
The Committee recommends $198,000,000, to be transferred
from the Medicare trust funds, for health care fraud and abuse
control activities. This account has not been funded using
discretionary funds in prior years. This amount, in addition to
the $1,155,794,000 in mandatory monies for these activities,
will provide a total of $1,353,794,000 for health care fraud
and abuse control activities in fiscal year 2009.
The Committee encourages CMS to invest in efforts to apply
data mining and warehousing methodologies to detect fraud,
waste, and abuse. Data mining is increasingly being used to
extract relevant information from large data bases, like those
maintained by CMS. The Committee has included funds for CMS to
expand its efforts, begun in 2006, to link Medicare claims and
public records data and to initiate new demonstration projects
using data mining technologies. The Committee requests that CMS
make recommendations to the Committee on how linking CMS data
might be used to enhance the Medicare and Medicaid Integrity
Programs to reduce fraud and abuse and to better screen
providers.
Reducing fraud, waste, and abuse in Medicare and Medicaid
continues to be a top priority of the Committee. The Committee
has held a number of hearings on fraud and abuse issues over
the past 10 years and expects to begin holding more hearings on
this issue over the next 12 months.
Administration for Children and Families
PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT
PROGRAMS
Appropriations, 2008.................................... $2,997,970,000
Budget estimate, 2009................................... 2,759,078,000
Committee recommendation................................ 2,759,078,000
The Committee recommends $2,759,078,000 be made available
in fiscal year 2009 for payments to States for child support
enforcement and family support programs. The Committee
recommendation is the same as the budget request under current
law. The Committee also has provided $1,000,000,000 in advance
funding for the first quarter of fiscal year 2010 for the child
support enforcement program, the same as the budget request.
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.
LOW-INCOME HOME ENERGY ASSISTANCE PROGRAM
Appropriations, 2008.................................... $2,570,328,000
Budget estimate, 2009................................... 2,000,000,000
Committee recommendation................................ 2,570,328,000
The Committee recommends $2,570,328,000 for fiscal year
2009 for the low income home energy assistance program
[LIHEAP]. This is the same as the comparable funding level for
fiscal year 2008. The administration requested $2,000,000,000
for this program. LIHEAP is made up of two components: the
State grant program and a contingency fund.
The Committee recommendation includes $1,980,000,000 for
the State grant program, which is the same as the comparable
funding level for fiscal year 2008. The administration
requested $1,700,000,0000 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 have 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 $590,328,000 for the contingency
fund. This is the same as the comparable funding level for
fiscal year 2008. The administration requested $300,000,000 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.
REFUGEE AND ENTRANT ASSISTANCE
Appropriations, 2008.................................... $655,631,000
Budget estimate, 2009................................... 628,044,000
Committee recommendation................................ 635,044,000
The Committee recommends $635,044,000 for refugee and
entrant assistance. The comparable funding level for fiscal
year 2008 is $655,631,000 and the budget request is
$628,044,000.
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. This appropriation enables States to
provide 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.
The Committee recommends $287,000,000 for transitional and
medical assistance, including State administration and the
voluntary agency program. The Office of Refugee Resettlement
[ORR] estimates that $24,600,000 of prior year funding is
available for use in fiscal year 2009, which will allow for a
program level of $311,600,000. This funding level is sufficient
for an estimated refugee ceiling of 80,000, including an
estimated 12,000 Iraqi refugees, as well as an increasing
number of Iraqi and Afghan special immigrant visa arrivals. The
Committee recommendation also includes: $9,814,000 for victims
of trafficking; $154,005,000 for social services; $4,748,000
for preventive health; and $48,590,000 for targeted assistance.
For unaccompanied children, pursuant to section 462 of the
Homeland Security Act of 2002, the Committee recommends
$120,070,000. Funds provided are for the care and placement of
unaccompanied alien children [UAC] who are apprehended in the
United States by the Department of Homeland Security [DHS] or
other law enforcement agencies.
The Committee is committed to ensuring that UAC are
expeditiously transferred from the point of DHS apprehension to
initial placement in ORR facilities where they can receive the
care and services they need. The Committee directs ORR to
respond to DHS' initial call for placement by identifying the
ORR placement facility to DHS within 6 hours, on average, of
receiving the DHS call. In addition, the Committee directs ORR
to continue to work with DHS to expedite the transfer and
placement of those children with special needs to the most
appropriate ORR facility as quickly as possible.
The Committee is aware that, during the implementation of
section 462 of the Homeland Security Act of 2002, the Office of
Management and Budget [OMB] did not transfer funding from the
Immigration and Naturalization Service [INS] to ORR for the
responsibility of transporting unaccompanied alien children to
ORR facilities. This is a clear indication that the
transportation of these children was determined to be the
responsibility of INS and its successor agency, Immigration and
Customs Enforcement [ICE]. The Committee is further aware that
ICE plans imminently to shift responsibility for transporting
UAC to ORR. The Committee notes that the administration's
budget request does not include funding for this responsibility
in the ORR budget, nor does ORR have the transportation
infrastructure in place to assume this function. In order to
clarify the functions of these agencies, the Committee directs
the Department to present to the Committee a joint report with
OMB and DHS no later than March 1, 2009 with a recommendation
for which agency is the most appropriate to fund the
transportation of UAC to ORR facilities. The joint report
should focus on which agency can deliver these services in the
most cost effective manner.
The Committee recommendation includes $5,000,000 for the
pro bono legal services initiative. The Committee recognizes
the need for unaccompanied children to be appropriately
represented before immigration courts. The Committee expects
ORR to use part of the funding provided to assess the overall
impact of the pro bono legal services initiative.
The Committee recommendation includes funding requested by
the administration to respond to unaccompanied children exposed
to traumatic events.
The Committee recommends $10,817,000 to treat and assist
victims of torture. The Committee notes that a large proportion
of the increasing numbers of Iraqi refugee arrivals have
experienced trauma, torture and severe violence. The Committee
recommendation will help address the unique mental health needs
of these refugees as they attempt to rebuild their lives in the
United States.
CHILD CARE AND DEVELOPMENT BLOCK GRANT
Appropriations, 2008.................................... $2,062,081,000
Budget estimate, 2009................................... 2,062,081,000
Committee recommendation................................ 2,137,081,000
The Committee recommends $2,137,081,000 for the child care
and development block grant. The comparable funding level for
fiscal year 2008 is $2,062,081,000, the same as the
administration request. 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 Committee recommendation continues specific set asides
in appropriations language that provide targeted resources to
specific policy priorities including $19,120,350 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 recommendation sets
aside $272,676,992 for child care quality activities, including
$100,001,830 specifically for infant care quality. These funds
are recommended in addition to the 4 percent quality earmark
established in the authorizing legislation. The Committee has
provided additional quality funds because of considerable
research demonstrating the importance of serving children in
high quality child care settings which include adequately
compensated, nurturing providers who are specially trained in
child development.
The Committee recommendation also provides $10,000,307 for
child care research, demonstration and evaluation activities.
The Committee recommendation for resource and referral
activities also includes $1,000,018 to continue support for a
national toll-free hotline that assists families in accessing
local information on child care options and that provides
consumer education materials. The Committee expects the grantee
to monitor the quality of services provided to families as a
result of the program.
SOCIAL SERVICES BLOCK GRANT
Appropriations, 2008.................................... $1,700,000,000
Budget estimate, 2009................................... 1,700,000,000
Committee recommendation................................ 1,700,000,000
The Committee recommends $1,700,000,000 for fiscal year
2009 for the social services block grant. This is the same as
the comparable fiscal year 2008 level. 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, 2008.................................... $8,980,991,000
Budget estimate, 2009................................... 8,503,382,000
Committee recommendation................................ 9,194,377,000
The Committee recommends $9,194,377,000 for fiscal year
2009 for children and families services programs. The
comparable funding level for fiscal year 2008 is $8,980,991,000
and the budget request is $8,503,382,000. The recommendation
includes $10,172,000 in transfers 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 $7,104,571,000 for Head Start. The
comparable funding level for fiscal year 2008 is $6,877,976,000
and the administration request is $7,026,571,000. The Committee
recommendation includes $1,388,800,000 in advance funding that
will become available on October 1, 2009.
Head Start provides comprehensive development services for
low-income children and families that emphasize cognitive and
language development, socio-emotional 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 has provided an increase of $226,595,000 to
the Head Start program in recognition of its vital role in
providing education, health, nutritional, social and other
services to enrolled children and their families. The increase
will provide local programs with a cost-of-living increase and
will assist them in implementing the Improving Head Start for
School Readiness Act of 2007, including increasing enrollment
among Indian and Migrant Head Start programs.
Within the total for Head Start, the Committee includes
$3,000,000 for Centers of Excellence in Early Childhood as
described in section 657B of the Head Start reauthorization
bill.
The Committee understands the serious need for additional
and expanded Head Start facilities in rural areas and among
Native American populations. 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 Head Start Bureau shall continue to provide the
Committee with the number and cost of buses purchased, by
region, with Head Start funds in the annual congressional
budget justification.
Consolidated Runaway and Homeless Youth Program
The Committee recommends $96,128,000 for the consolidated
runaway and homeless youth program. This is the same as the
comparable funding level for fiscal year 2008 and the budget
request. This program consists of the basic center program,
which provides temporary shelter, counseling, and after-care
services to runaway and homeless youth under age 18 and their
families, and the transitional living program, which is
targeted to older youth ages 16 to 21.
Basic centers and transitional living programs provide
services to help address the needs of some of the estimated 1.3
million 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 lessening rates of
family conflict and parental abuse, as well as increasing
school participation and the employment rates of youth.
Runaway Youth Prevention Program
The Committee recommends $17,221,000 for the runaway youth
prevention program. This is the same as the comparable funding
level for fiscal year 2008 and the budget request. This
competitive grant program awards funds 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.
Child Abuse Programs
The Committee recommends $107,799,000 for child abuse
programs. The comparable level for fiscal year 2008 is
$105,359,000, the same as the administration request. The
recommendation includes $26,535,000 for State grants,
$39,575,000 for discretionary activities, and $41,689,000 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.
The Committee recommendation includes $12,000,000 within
child abuse discretionary activities for a home visitation
initiative. The comparable level for fiscal year 2008 is
$10,000,000, the same as the administration request. This
program provides competitive grants to States to encourage
investment of existing funding streams into evidence-based home
visitation models. The Administration for Children and Families
[ACF] shall ensure that States use the funds to support models
that have been shown, in well-designed randomized controlled
trials, to produce sizable, sustained effects on important
child outcomes such as abuse and neglect. The Committee expects
ACF to adhere closely to evidence-based models of home
visitation and not to incorporate any additional initiatives
that have not met these high evidentiary standards or might
otherwise dilute the emphasis on home visitation.
The Committee recommendation includes $500,000 to continue
a feasibility study on the creation of a national child abuse
registry. Funding for the feasibility study was provided last
year in the Office of the Secretary.
Within the funds provided for child abuse discretionary
activities, the Committee includes funding for the following
items:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
Addison County Parent/Child Center, Middlebury, $250,000
Vermont, to support and expand parental education
activities...........................................
Anchorage's Promise, Anchorage, AK, for a child 115,000
mentoring and support program........................
Catholic Community Services, Juneau, AK, to implement 400,000
child abuse delivery programs in Southeast Alaska....
Contra Costa County, Martinez, CA, for a comprehensive 100,000
plan to diminish the effects of domestic violence on
children.............................................
Crisis Shelter of Lawrence County, New Castle, PA, for 100,000
abuse victim services................................
Young Women's Resource Center, Des Moines, IA, for a 100,000
child abuse prevention training program..............
------------------------------------------------------------------------
Abandoned Infants Assistance
The Committee recommends $11,628,000 for abandoned infants
assistance, which is the same as the comparable funding level
for fiscal year 2008 and the budget request. 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
caregivers and assisting abandoned infants and children to
reside with their natural families or in foster care.
Child Welfare Services
The Committee recommends $281,744,000 for child welfare
services. This is the same as the comparable funding level for
fiscal year 2008 and the budget request. 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.
The Committee continues its interest in ACF's Child and
Family Services Reviews. As more States complete the second
round of reviews, ACF should ensure that States are provided
with appropriate resources to develop their performance
improvement plans and obtain technical assistance. In
particular, the Committee urges ACF to examine the need for
additional resources for States in addressing child health and
well-being issues. ACF should explore the possibility of
expanding one of the existing National Resource Centers or, if
warranted, establishing a new center on child health and
wellbeing.
Child Welfare Training
The Committee recommends $7,207,000 for child welfare
training. This is the same as the comparable funding level for
fiscal year 2008 and the budget request. These 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 $26,379,000 for adoption
opportunities, which is the same as the comparable funding
level for fiscal year 2008 and the budget request. 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 $15,000,000 for adoption
incentives. The comparable funding level for fiscal year 2008
is $4,323,000 and the administration request is $19,674,000.
This program provides incentive funds to States to encourage an
increase in the number of adoptions of children from the public
foster care system. The recommendation is sufficient to fund
adoption incentives under current law.
Adoption Awareness
The Committee recommends $12,453,000 for adoption
awareness, which is the same as the comparable funding level
for fiscal year 2008 and the budget request. This 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 train health centers staff serving pregnant women so
that they can inform them about adoption and make referrals on
request to adoption agencies. Within the Committee
recommendation, $9,558,000 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 $2,895,000 to continue this important
activity.
Compassion Capital Fund
The Committee recommends $42,688,000 for the compassion
capital fund [CCF]. The comparable funding level for fiscal
year 2008 is $52,688,000 and the administration request is
$75,000,000. 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. The CCF
administers three discretionary grant programs: a demonstration
program which provides funding to intermediary organizations to
provide training and technical assistance to smaller faith and
community-based organizations; a program to fund capacity-
building activities; and a program to build the capacity of
organizations that combat gang activity and youth violence.
Social Services Research
The Committee recommends $12,337,000 for social services
research. The comparable funding level for fiscal year 2008 is
$21,194,000 and the budget request is $5,762,000. The Committee
recommendation includes $5,762,000 in transfers available under
section 241 of the Public Health Service Act. These funds
support research and evaluation projects focusing on finding
programs that are cost effective, that increase the economic
independence of American families and that contribute to
healthy development of children and youth.
The Committee feels strongly about preventing child
maltreatment and ameliorating its adverse health effects. The
Committee encourages ACF to enhance its child maltreatment
prevention activities by: using population-based monitoring to
capture information outside child protective services systems;
promoting prevention and early intervention to identify and
disseminate information about effective programs; advancing
research to prevent the negative consequences of child
maltreatment; and furthering the development and implementation
of culturally appropriate and linguistically sensitive
prevention and intervention approaches. The Committee also
notes that children with disabilities are a distinct high-risk
group for abuse and neglect. The Committee recommends targeted
support for appropriate research, and the implementation of
evidence-based prevention and early intervention efforts, for
children with disabilities.
The Committee is aware of the dramatic increase in homeless
children combined with the unique multiracial and multiethnic
demographic environment in Hawaii. Forty-two percent of these
children are under age 6, and have twice the sickness and
hunger rates when compared to their peers. Studies also reveal
that homeless children perform poorly in school. The Committee
urges ACF to develop a knowledge base to create programs that
will structure appropriate programs and services that will
improve homeless children's health and learning.
Within the funds provided for social services research, the
Committee includes funding for the following items:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
A+ For Abstinence, Waynesboro, PA, for abstinence $25,000
education and related services.......................
Catholic Social Services, Wilkes Barre, PA, for 25,000
abstinence education and related services............
City of Chester, Bureau of Health, Chester, PA, for 25,000
abstinence education and related services............
Connecticut Council of Family Service Agencies, 400,000
Wethersfield, CT, for the Empowering People for
Success welfare-to-work initiative...................
Creative Visions in Des Moines, IA, for a family 150,000
unification project for incarcerated individuals.....
Crozer Chester Medical Center, Upland, PA, for 25,000
abstinence education and related services............
Desormeaux Foundation, Lafayette, LA, for an expectant 100,000
mother education and aid program.....................
Elijah's Promise, New Brunswick, NJ, for the Healthy 50,000
Kitchens- Healthy Lives program......................
Family Services and Childrens Aid Society, Oil City, 25,000
PA, for abstinence education and related services....
Family, Inc., Council Bluffs, IA, for the FAMILY 350,000
program..............................................
Guidance Center, Ridgeway, PA, for abstinence 25,000
education and related services.......................
Horizons for Homeless Children, Roxbury, MA, for 150,000
continued development of programs designed to support
homeless children....................................
Iowans for Social and Economic Development [ISED], Des 200,000
Moines, IA, for a Comprehensive Asset Development
Project..............................................
Keystone Central School District, Mill Hall, PA, for 25,000
abstinence education and related services............
Keystone Economic Development Corporation, Johnstown, 25,000
PA, for abstinence education and related services....
LaSalle University, Philadelphia, PA, for abstinence 25,000
education and related services.......................
Local Initiatives Support Coalition Rhode Island, 200,000
Providence, RI, for child care professional
development and programmatic activities..............
Louisiana Association of United Ways, New Orleans, LA, 400,000
to expand the capacity of the Louisiana 2-1-1 system.
Marcus Institute, Atlanta, GA, for services for 100,000
children and adolescents with developmental
disabilities.........................................
Monterey County Probation Department, Salinas, CA, for 1,500,000
a gang prevention and intervention program...........
My Choice, Inc., Athens, PA, for abstinence education 25,000
and related services.................................
Nassau County Coalition Against Domestic Violence, 400,000
Inc., Hempstead, NY, to provide legal services to low-
income victims of domestic violence..................
Neighborhood United Against Drugs, Philadelphia, PA, 25,000
for abstinence education and related services........
New Brighton School District, Brighton, PA, for 25,000
abstinence education and related services............
Nueva Esperanza, Philadelphia, PA, for abstinence 25,000
education and related services.......................
Ohio United Way, Columbus, OH, to expand the capacity 400,000
of the 2-1-1 system..................................
One Family, Inc., Boston, MA, for continued 250,000
development of programs to designed to end family
homelessness.........................................
Progressive Believers Ministries, Glenside, PA, for 25,000
abstinence education and related services............
School District of Philadelphia, Philadelphia, PA, for 25,000
abstinence education and related services............
Shepherd's Maternity House, Inc., East Stroudsburg, 25,000
PA, for abstinence education and related services....
Sheriffs Youth Programs of Minnesota, Inver Grove 150,000
Heights, MN, for expansion and related expenses for
foster care services.................................
Simpson College, Indianola, IA, for Urban Studies 200,000
Institute............................................
Southern Penobscot Regional Program for Children with 200,000
Exceptionalities, Bangor, ME, for services for
families with autistic children......................
Tender Care Pregnancy Center, Inc., Hanover, PA, for 25,000
abstinence education and related services............
The Jimmie Hale Mission, Birmingham, AL, for services 100,000
for homeless families................................
TLC for Children and Families, Inc., Olathe, KS, for a 200,000
transitional living program for at-risk youth........
Tuscarora Intermediate Unit, McVeytown, PA, for 25,000
abstinence education and related services............
United Way of the Capital Area, Jackson, MS, for 2-1-1 250,000
Mississippi for social services programs.............
Urban Family Council, Philadelphia, PA, for abstinence 25,000
education and related services.......................
Washington Hospital Teen Outreach, Washington, PA, for 25,000
abstinence education and related services............
Women's Care Center of Erie County, Inc., Erie, PA, 25,000
for abstinence education and related services........
York County Human Life Services, York, PA, for 25,000
abstinence education and related services............
Zuni Tribe, Zuni, NM, for a program to assist foster 275,000
children.............................................
------------------------------------------------------------------------
Developmental Disabilities
The Committee recommends $185,021,000 for programs
administered by the Administration on Developmental
Disabilities. The comparable funding level for fiscal year 2008
is $180,021,000, the same as the administration request.
The Administration on Developmental Disabilities [ADD]
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 provides funding for
election assistance for individuals with disabilities. This
program is for individuals with any type of disability.
Of the funds provided, the Committee recommends $74,482,000
for State Councils. These important entities work to develop,
improve and expand the system of services and supports for
people with developmental disabilities. Through their
activities, Councils on Developmental Disabilities provide for
the inclusion and integration of individuals with developmental
disabilities in the economic, political, social, cultural,
religious and educational mainstream of our Nation.
The Committee recommends $40,024,000 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.
The Committee recommends $17,410,000 for disabled voter
services. Of these funds, $12,154,000 is to promote disabled
voter access and $5,256,000 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 grantees to make polling
places more accessible and increase participation in the voting
process of individuals with disabilities.
The Committee recommends $14,162,000 for projects of
national significance to assist persons with developmental
disabilities. This program funds grants and contracts that
develop new technologies and demonstrate innovative methods to
support the independence, productivity, and integration into
the community of persons with developmental disabilities. The
Committee recommendation includes $2,000,000 for the
continuation of the National Clearinghouse and Technical
Assistance Center. This Center promotes leadership by families
of children with disabilities in the design and improvement of
family-centered and family-controlled systems of family support
services, as described in section 202(b)(2) of the Families of
Children with Disabilities Support Act of 2000.
The Committee recommends $38,943,000 for the University
Centers for Excellence in Developmental Disabilities [UCEDDs],
a network of 67 centers that are interdisciplinary education,
research and public service units of a university system or are
public or nonprofit entities associated with universities. The
Centers serve as the major vehicle to translate disability-
related research into community practice and to train the next
cohort of future professionals who will provide services and
supports to an increasingly diverse population of people with
disabilities. The Committee intends that the additional funding
provided will provide a cost-of-living adjustment to existing
centers, and will also establish new grants to work through
partnerships with minority-serving institutions. These new
grants will focus research, training and services on minority
populations with disabilities.
The Committee encourages the Secretary to make funds
available to establish a National Autism Family Resource and
Information Center, which will provide families and other
caregivers of individuals with autism spectrum disorders access
to information about evidence-based interventions, services and
protocols that can assist individuals with autism and other
developmental disabilities.
Native American Programs
The Committee recommends $45,523,000 for Native American
programs. This is the same as the comparable funding level for
fiscal year 2008 and the budget request. 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 $723,080,000 for community
services programs. The comparable funding level for fiscal year
2008 is $722,440,000 and the administration requested
$24,025,000 for this activity.
Within the funds provided, the Committee recommends
$653,800,000 for the community services block grant [CSBG],
which is the same as the comparable fiscal year 2008 funding
level. The administration did not request funding for this
program. 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.
Several other discretionary programs are funded from this
account. Funding for these programs is recommended at the
following levels for fiscal year 2009: community economic
development, $31,467,000; individual development accounts,
$24,025,000; job opportunities for low-income individuals,
$5,288,000; and rural community facilities, $8,500,000.
The Committee has included bill language clarifying
congressional intent regarding disposition of intangible
assets, including loans and investments, acquired under the
community economic development authority of the CSBG Act.
Grantees under this program make loans or investments in
private business enterprises that provide job and business
opportunities for low-income individuals. As the grantee
receives repayments or program income from these loans or
investments, it recycles these funds into other similar
projects. The bill language continues the policy in place since
1999 that establishes a regulatory period of up to 12 years
after the end of grant period. After that time, the intangible
assets and program income become the property of the grantee
provided they are used in a manner consistent with the intent
of the authorizing statute. The bill language clarifies that
recycled funds or program income may be used in any low-income
community for any eligible purpose under the law and not be
restricted to the original target area, financing, or type of
project for which the grantee was originally funded.
The Committee continues to recognize the importance of
Community Action Agencies [CAAs] as institutions that organize
low-income communities to identify emerging challenges to
economically insecure Americans and subsequently mobilize the
resources, programs and partnerships needed to address local
poverty conditions. The CSBG is a unique Federal resource that
supports CAAs while they initiate creative responses to local
poverty conditions and seek new sources of support and
investment to implement their initiatives. The Committee
believes that CSBG funding is an investment, analogous to
venture capital, in the future of low-wage workers, retirees
and their families.
The Committee notes that Office of Community Services [OCS]
has failed to report on its progress in remedying many of the
severe deficiencies in its oversight of the CSBG that were
reported by the Government Accountability Office. OCS has also
failed to comply with the direction from the fiscal year 2005
appropriations conference report to implement a training and
technical assistance needs assessment and delivery plan in
consultation with CSBG State and local eligible entities. The
Committee expects both failures to be remedied during fiscal
year 2009.
The Committee believes that training and technical
assistance funding should build the local organizational
resources needed to reduce poverty and rebuild communities. The
Committee encourages OCS to develop and deliver the
professional skills training needed by CAA leaders to undertake
investments in projects that enhance their communities' future
security by financing and implementing innovative housing,
economic and community development partnerships. The Committee
also believes that OCS should support development of linkages
between local agencies, their national organizations and major
academic institutions; such linkages could support
dissemination to CAAs of applied research on effective
responses to poverty conditions. The Committee also believes
that OCS should continue to make grants to each statewide
association of CAAs so they may continue and expand cost-
effective training and other capacity-building services for
their members.
Domestic Violence Hotline
The Committee recommends $3,500,000 for the national
domestic violence hotline. The comparable fiscal year 2008
amount is $2,918,000, the same as the budget request. This
activity funds the operation of a national, toll-free, 24-
hours-a-day telephone hotline to provide information and
assistance to victims of domestic violence.
Family Violence Prevention and Services
The Committee recommends $125,000,000 for fiscal year 2009
for the family violence prevention and services program, which
includes battered women's shelters. The comparable amount for
fiscal year 2008 is $122,552,000, the same as the budget
request. These funds support community-based projects which
operate shelters and provide assistance for victims of domestic
violence and their dependents. Grantees use funds to provide
counseling, self-help and referral services to victims and
their children.
The Committee notes that domestic violence impacts one in
four American women over their lifetimes. In addition, 15.5
million children are exposed to domestic violence each year.
The Committee acknowledges the connections between domestic
violence and a variety of related public health problems, such
as youth violence, homelessness, substance abuse, mental
illness, and increased health care costs. The Committee's
funding recommendation reflects its belief that the family
violence prevention and services program, including battered
women's shelters, not only provides critical services to
victims fleeing from life-threatening violence but also
prevents other costly social problems. The Committee encourages
the Family and Youth Services Bureau to collaborate with other
operating divisions within the Department to respond to the
intersection of domestic violence and other health issues. This
collaboration would be cost effective and has the potential to
prevent domestic violence and many other public health
concerns.
Mentoring Children of Prisoners
The Committee recommends $48,628,000 for mentoring children
of prisoners, which is the same as the comparable amount for
fiscal year 2008. The administration requested $50,000,000 for
this activity. This program provides competitive grants to
community organizations to create and sustain mentoring
relationships between children of prisoners and adults in their
community. Research indicates that mentoring programs can help
children with incarcerated parents reduce their drug and
alcohol use, improve their relationships and academic
performance, and reduce the likelihood that they will initiate
violence.
Independent Living Training Vouchers
The Committee recommends $45,351,000 for independent living
training vouchers, which is the same as the comparable fiscal
year 2008 funding level and the budget request. These funds
will support vouchers of up to $5,000 per year for
postsecondary educational and training for foster care youth up
to 21 years of age. This program increases the likeihood that
individuals who age out of the foster care system will be
better prepared to live independently and contribute
productively to society.
Abstinence Education
The Committee recommends $84,827,000 for community-based
abstinence education. The comparable level for fiscal year 2008
is $113,400,000 and the administration request is $141,074,000.
The recommendation includes $4,410,000 in transfers available
under section 241 of the Public Health Service Act.
The Committee has not provided funding for the
administration's proposed increase or for the national
abstinence media campaign. The Committee recommendation fully
funds current grantee continuation costs. The Committee repeats
bill language from last year's Senate report clarifying that
information provided under this program must be scientifically
and medically accurate. The Committee's intent is that
``scientifically and medically accurate'' refers to information
that is verified or supported by peer-reviewed research by
leading medical, psychological, psychiatric and public health
publications, organizations and agencies.
Faith-Based Center
The Committee recommends $1,362,000 for the operation of
the Department's Center for Faith-Based and Community
Initiatives. This amount is the same as the comparable funding
level for fiscal year 2008 and the budget request.
Program Administration
The Committee recommends $196,930,000 for program
administration. The comparable funding level for fiscal year
2008 is $184,496,000 and the administration request is
$195,430,000.
The Committee commends the Department for its plans to
establish in 2008 a Federal advisory committee on children and
disasters under the authority of section 1114 of the Social
Security Act. The Committee understands that this advisory
committee will be charged with providing policy analysis and
advice to ACF and the Secretary. This advisory committee will
assess the needs of children as they relate to preparation for,
response to, and recovery from all hazards, including major
disasters and emergencies. The Committee understands this
advisory committee will build on the evaluations of other
entities and avoid unnecessary duplication, by reviewing the
findings, conclusions, and recommendations of various
commissions, Federal, State, and local governments, and
nongovernmental entities on this topic. The recommendation
includes $1,500,000 to complete this work. Funds may be used
for personnel, travel and any other necessary administrative
expenses. The Committee requests that ACF submit a report on
the progress of this committee within 1 year of the initial
meeting.
The Committee understands that pursuant to the authorizing
legislation, the members of the Commission have already been
appointed. To ensure that the work of the Commission is not
delayed, the Committee directs the Secretary to keep in place
the currently appointed members.
PROMOTING SAFE AND STABLE FAMILIES
Appropriations, 2008.................................... $408,311,000
Budget estimate, 2009................................... 408,311,000
Committee recommendation................................ 418,311,000
The Committee recommends $418,311,000 for promoting safe
and stable families. The comparable funding level for fiscal
year 2008 is $408,311,000, the same as the budget request. The
recommendation consists of $345,000,000 in mandatory funds
authorized by the Social Security Act and $73,311,000 in
discretionary appropriations.
Funds available through the promoting safe and stable
families [PSSF] 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 program provides grants to
States, territories, and tribes for provision of four broad
categories of services to children and families: (1) family
preservation services; (2) time-limited family reunification
services; (3) community-based family support services; and (4)
adoption promotion and support services. The Child and Family
Services Improvement Act of 2006 (Public Law 109-288) allocated
$20,000,000 for formula grants to States to support monthly
caseworker visits to children in foster care and for
competitive grants to regional partnerships to address child
welfare issues raised by parent or caretaker abuse of
methamphetamine or other substance.
PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION ASSISTANCE
Appropriations, 2008.................................... $5,067,000,000
Budget estimate, 2009................................... 5,096,000,000
Committee recommendation................................ 5,096,000,000
The Committee recommends $5,096,000,000 for payments to
States for foster care and adoption assistance, which includes
funding for the foster care, adoption assistance and
independent living programs. The comparable funding level for
fiscal year 2008 is $5,067,000,000. In addition, the Committee
recommendation provides $1,800,000,000 for an advance
appropriation for the first quarter of fiscal year 2010. The
Committee recommendation provides the full amount requested
under current law.
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;
administration and training costs to pay for the efficient
administration of the foster care program; and training of
foster care workers and parents.
The adoption assistance program provides funds to States
for maintenance payments and the nonrecurring costs of adoption
for children with special needs. The goal of this program is to
facilitate the adoption of hard-to-place children in permanent
homes, and thus prevent long, inappropriate stays in foster
care. As in the foster care program, State administrative and
training costs are eligible under this program for Federal
reimbursement subject to a matching rate.
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 and health services. States are awarded grants based
on their share of the number of children in foster care,
subject to a matching requirement.
The Committee urges HHS to clarify that States may not deny
eligibility for independent living services to a youth who
otherwise meets the eligibility criteria but is temporarily
residing out of State, and that States may not terminate
ongoing independent living assistance solely due to the fact
that a youth is temporarily residing out of State.
Administration on Aging
Appropriations, 2008.................................... $1,413,435,000
Budget estimate, 2009................................... 1,381,384,000
Committee recommendation................................ 1,478,156,000
The Committee recommends an appropriation of $1,478,156,000
for the Administration on Aging [AoA]. The comparable fiscal
year 2008 level is $1,413,435,000 and the administration
request is $1,381,384,000.
Supportive Services and Senior Centers
The Committee recommends an appropriation of $361,348,000
for supportive services and senior centers. The comparable
level for fiscal year 2008 is $351,348,000, the same as the
administration request. The supportive services program
provides formula grants to States and territories to fund
activities that help seniors remain in their homes for as long
as possible. This program funds a wide range of social services
such as multipurpose senior centers, adult day care,
transportation and in-home assistance such as personal care and
homemaker assistance. 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, older individuals with limited English
proficiency, and older individuals residing in rural areas.
Preventive Health Services
The Committee recommends $21,026,000 for preventive health
services, which is the same as the comparable fiscal year 2008
level. The administration did not request funds for this
program. The preventive health services program funds
activities such as health screenings, physical fitness,
medication management and information and outreach regarding
healthy behaviors that can help prevent or delay chronic
disease and disability.
Protection of Vulnerable Older Americans
The Committee recommends $22,133,000 for grants to States
for protection of vulnerable older Americans. The comparable
fiscal year 2008 level is $20,633,000, the same as the
administration request. Within the Committee recommendation,
$17,077,000 is for the ombudsman services program and
$5,056,000 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
other long-term care facilities, while elder abuse prevention
targets its message to the elderly community at large.
National Family Caregiver Support Program
The Committee recommends $155,000,000 for the national
family caregiver support program. The comparable level for
fiscal year 2008 is $153,439,000, the same as the
administration request. Funds appropriated for this activity
establish a multifaceted support system in each State for
family caregivers, allowing them to care for their loved ones
at home for as long as possible. States may use funding to
implement the following five components into their program:
information to caregivers about available services; assistance
to caregivers in gaining access to services; caregiver
counseling and training; respite care to enable caregivers to
be temporarily relieved from their caregiving responsibilities;
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 $6,316,000 to carry
out the Native American caregiver support program. This amount
is the same as the comparable fiscal year 2008 level and 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 $434,269,000. The comparable level for
fiscal year 2008 is $410,716,000, the same as the
administration request. For home-delivered meals, the Committee
recommends $205,005,000. The comparable fiscal year 2008 level
is $193,858,000, the same as the administration request. These
programs address the nutritional needs 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 a minimum of one-third of 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 is aware that many local senior nutrition
programs are facing a crisis due to rising fuel and food costs.
The Committee is alarmed that some programs have been forced to
consolidate meal sites, while others have eliminated delivery
routes for home-delivered meals programs. Many programs are
resorting to providing frozen meals and reducing daily
deliveries in order to cut costs. The Committee believes that
such cutbacks put our most vulnerable seniors at risk of
hunger, poor health, and isolation. The Committee has provided
a 5.7 percent increase for senior nutrition programs in order
to help alleviate the financial strain faced by local providers
of these services.
Nutrition Services Incentives Program
The Committee recommendation includes $162,207,000 for the
nutrition services incentives program [NSIP]. The comparable
fiscal year 2008 funding level is $153,429,000, the same as 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 $26,898,000 for grants to Native
Americans. This amount is the same as the comparable fiscal
year 2008 funding level and the administration request. Under
this program, awards are made to eligible organizations based
on their share of Native American, Alaska Native, and Native
Hawaiians aged 60 and over. These tribal organizations assure
that a broad range of supportive services, nutrition services,
information, and assistance are available.
Program Innovations
The Committee recommends $10,102,000 for program
innovations. The comparable fiscal year 2008 level is
$14,655,000 and the administration request is $32,918,000.
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 has provided funding for the choices for
independence program in aging network support activities,
rather than in program innovations as requested by the
administration.
The Committee has included $1,000,000 to continue a 24-hour
call center to provide Alzheimer family caregivers with
professional care consultation and crisis intervention.
The Committee supports direct funding for a national
program of statewide Senior Legal Hotlines/Helplines. The
Committee has included $2,000,000 for this activity, which will
provide an increase in the number of States in which these
services are available for older Americans. Statewide Senior
Legal Hotlines/Helplines provide free legal advice,
information, referrals, and a variety of additional services to
older Americans over 60, enabling more seniors to maintain
healthy, independent lives, free from the threats of poverty,
exploitation or abuse.
The Committee continues to support funding at no less than
last year's level for national programs scheduled to be
refunded in fiscal year 2009 that address a variety of issues,
including elder abuse, Native American issues, and legal
services.
The Committee strongly encourages AoA find ways to promote
civic engagement among older adults, as authorized under
section 417 of the Older Americans Act, by entering into
partnerships with organizations that enable older Americans to
effectively help meet critical social needs and advance the
field of older American civic engagement.
The Committee strongly encourages AoA to expand the
public's understanding of advance directives and living wills.
As people live longer, the chance that they may not be able to
make their own health care decisions increases. A health care
advance directive gives direction to families and health care
providers about an individual's health care decision, if a
person is unable to make a health care choice.
The Committee includes the following projects and
activities and the following amounts for fiscal year 2009:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
Cedar Crest College, Allentown, PA, for a seniors $100,000
outreach program.....................................
Jewish Family Service of Saint Paul, MN, for a 125,000
Naturally Occurring Retirement Community
demonstration project................................
Jewish Family & Child Service, Portland, OR, for 100,000
senior programs and services.........................
Jewish Family Service of Greater New Orleans, 250,000
Metairie, LA, for a Community Nursing Elder Trauma
Response Program demonstration project...............
Jewish Federation of Greater Atlanta, Atlanta, GA, for 100,000
a Naturally Occurring Retirement Community...........
Jewish Federation of Greater Indianapolis, 200,000
Indianapolis, IN, for services at a naturally
occurring retirement community.......................
Legal Services of Northern California, Inc., 250,000
Sacramento, CA, to provides free legal consultation
for older Californians...............................
Nevada Rural Counties RSVP, Carson City, NV, to 100,000
provide home services to seniors in rural areas......
Town of North Hempstead, NY, for the Project 350,000
Independence naturally occurring retirement
communities [NORC] demonstration project.............
University of Wisconsin--Oshkosh, Oshkosh, WI, for a 350,000
demonstration training program that prevents elder
abuse and neglect....................................
Utah Department of Human Services, Division of Aging 100,000
and Adult Services, Salt Lake City, UT, for senior
counseling services on Medicare, Medicaid and private
insurance options....................................
------------------------------------------------------------------------
Aging Network Support Activities
The Committee recommends $43,692,000 for aging network
support activities. The comparable amount for fiscal year 2008
is $31,589,000 and the administration request is $13,133,000.
The Committee recommendation includes funding at the
administration request level for the Eldercare Locator, which
is a toll-free, nationwide directory assistance service for
older Americans and their caregivers. Established in 1991, the
service links over 100,000 callers annually to an extensive
network of resources for aging Americans and their caregivers.
The Committee recommendation includes $28,000,000 to
continue national implementation of the choices for
independence program. The Committee has provided funding for
this program in aging network support activities, as reflected
in the reauthorized Older Americans Act. The administration
requested these funds within the program innovations account.
The choices for independence program seeks to establish long-
term care options for seniors so they can live independently in
their own communities. The program will continue and expand
existing AoA programs that focus on nursing home diversion,
aging and disability resource centers and evidence-based
disease prevention activities.
The Committee has included $2,000,000 within aging network
support activities for the National Center on Senior Benefits
Outreach and Enrollment, which was included in the
reauthorization of the Older American Act. This Center works
with the aging services network, including State and area
agencies on aging, Aging and Disability Resource Centers
[ADRCs] and State Health Insurance Assistance Programs [SHIPs],
to provide outreach and benefits enrollment assistance to older
Americans.
The Committee recommendation includes $1,717,000 for the
pension counseling and information program. Regional pension
counseling projects provide hands-on personalized advice to
workers, retirees and their family members about employer
sponsored pension and retirement savings plan benefits, and
assistance in pursuing claims when problems arise. The program
has secured nearly $85,000,000 in benefits for the thousands of
clients it has served--a return on Federal investment of more
than 5-to-1. The Committee's recommendation includes funds to
increase training and technical support for the counseling
projects and to maintain the six regional counseling projects.
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.
The Committee is concerned that AoA is not dedicating
appropriate resources to the ADRCs for the purpose of assisting
people with vision loss to live safely and independently in
their homes and communities. The Committee encourages the AoA
to develop ongoing relationships with organizations that
possess demonstrated expertise in outreach to older Americans
with vision loss. Such ongoing relationships should also
include web site links from AoA to Internet resources which
provide sound, comprehensive and practical information to
individuals with vision loss and their families.
Alzheimer's Disease Demonstration Grants to States
The Committee recommends a funding level of $11,464,000 for
Alzheimer's disease demonstration grants to States, which is
the same as the comparable fiscal year 2008 funding level. The
administration proposed eliminating funding for this activity.
This program provides competitive matching grants to a
limited number of States to encourage program innovation and
coordination of public and private services for people with
Alzheimer's disease and their families. The Committee is
continuing funds at current levels to support initiatives that
focus on emerging issues such as early intervention and chronic
care management with broad implications for Medicaid and
Medicare, to continue focus on underserved populations, and to
promote dissemination and replication of program successes
nationwide.
Program Administration
The Committee recommends $18,696,000 for program
administration, which is the same as the administration
request. The comparable fiscal year 2008 funding level is
$18,064,000. These funds support salaries and related expenses
for program management and oversight activities.
Office of the Secretary
GENERAL DEPARTMENTAL MANAGEMENT
Appropriations, 2008.................................... $354,014,000
Budget estimate, 2009................................... 379,864,000
Committee recommendation................................ 367,615,000
The Committee recommends $367,615,000 for general
departmental management [GDM]. The administration requested
$379,864,000. The fiscal year 2008 funding level was
$354,014,000. 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 $46,756,000 in
transfers available under section 241 of the Public Health
Service Act.
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 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 timeframe 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.
In addition to requests for specific information, this
Committee report, as in previous years, also includes requests
from the Department for reports on various topics. The
Committee has long been frustrated by the Department's
inability to provide such reports in a timely manner. More
often than not, reports are delivered several months after the
date requested in the Committee report. Indeed, it is unlikely
that any report produced by any operating division of the
Department has been delivered to the Committee by the requested
deadline in many years. The Committee recognizes that the
delays may be due in part to the amount of work involved in
producing the reports. Most of the problem, however, results
from the numerous layers of bureaucracy involved in approving
the release of the reports--steps that consume much time but
add little value to the reports' quality. The Committee reminds
the Department that the deadlines included in this report are
not chosen arbitrarily but are purposefully set in the hope
that the Committee will be able to use the information provided
in the reports to make prudent decisions about how to allocate
funding. The Department is strongly urged to respect the
Committee's requests this year and take the deadlines
seriously.
The Committee has included $10,000,000 for the
transformation of the Commissioned Corps. The Committee
commends the Secretary on his proposal to transform the Public
Health Service Commissioned Corps into a force that is ready to
respond to public health emergencies and looks forward to
working with him on this important initiative.
The Committee has also included up to $3,545,000 supporting
the Secretary's plan to invest in public health and diplomacy
abroad by delivering direct patient care and training local
health workers in Central America. The Committee has held
hearings on global health issues, drug-resistant tuberculosis,
and pandemic influenza and understands that infectious diseases
know no borders. While the United States has provided strong
financial support for the elimination of HIV/AIDS,
tuberculosis, and malaria around the world, the Committee
understands that these efforts cannot succeed without a basic
public health infrastructure in place, not only in Central
America but around the world.
Bill language is included to provide HHS the authority to
work with non-governmental organizations in the provision of
medical services. Section 213 of the general provisions is also
modified so that the State Department can provide the same
embassy personnel, space, and logistics services to the Health
Diplomacy Initiative that it provides to CDC.
The Committee has again included $1,000,000 for the
Secretary to implement section 399CC of the Public Health
Service Act (as enacted in the Combating Autism Act, Public Law
109-416) related to creation and administration of the
Interagency Autism Coordinating Committee. These funds are to
be transferred to the National Institute of Mental Health.
The Committee strongly encourages the Secretary to convene
a series of discussions which would bring together preeminent
scientists and theologians to begin a dialogue on the
relationship between scientific inquiry and religious faith,
including their areas of commonality. These meetings could
serve as a catalyst to develop a mutual understanding between
the scientific and faith communities to improve the health and
well-being of all Americans.
Physical Activity Guidelines.--The Committee is aware that
the Secretary of Health and Human Services is scheduled to
release physical activity guidelines for all Americans in the
fall of 2008. The Committee urges the Secretary to release
these guidelines in a timely manner and promote these
guidelines to the general public and in each Federal agency. It
is especially important that these guidelines be used when
carrying out any Federal health program. In addition, the
Committee recognizes the need to keep the guidelines current
and up to date and therefore, encourages the Secretary to
update the physical activity guidelines every 5 years based on
the latest scientific and medical knowledge available at the
time the report is prepared.
Hispanic Youth and Suicide Risk.--Suicide risk remains a
serious public health concern for Hispanic youth in the United
States. Limited access to mental health services compounds this
problem, given the number of Hispanic youth suffering from a
mental illness. The Committee therefore strongly encourages the
Office of the Secretary to develop a demonstration project that
will illustrate whether the early identification of adolescents
at risk leads to increased proportions of referrals for mental
health treatment among Hispanic adolescents.
Pediatric Trauma Care.--Trauma is the most important cause
of morbidity and mortality among children and adolescents,
accounting for nearly 16,000 deaths, 250,000 hospital
admissions and 9 million emergency department visits annually.
While the goal is to deliver optimal care to injured children
so that they attain the best possible outcomes after serious
trauma, many questions about what constitutes optimal care
remain unanswered. This gives rise to the tremendous variations
in care and settings we see today. The Committee directs the
Secretary to conduct a national prospective study on this
variation in care in order to understand how the organization
and processes of treatment affect outcomes. The organization of
pediatric trauma care is much more complex than that of care
for adult trauma, and a separate study on children is
necessary.
Such a study will allow standards for optimal care of the
injured child to be established based on high-quality evidence.
These standards could then be adopted by organizations such as
the American College of Surgeons, the Emergency Medical
Services for Children program of the Maternal and Child Health
Bureau, and State and local certifying agencies to bring high
quality, uniform care to injured children and prevent needless
disability. The Committee requests a report within 6 months
that outlines how the Secretary shall conduct this study.
The Committee includes the following projects and
activities and in the following amounts for fiscal year 2009:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
Community Transportation Association of America, $750,000
Washington, DC, for technical assistance to human
services transportation providers on ADA requirements
------------------------------------------------------------------------
Adolescent Family Life
The Committee has provided $29,778,000 for the Adolescent
Family Life Program [AFL]. The administration requested
$30,307,000.
The AFL program funds demonstration projects that provide
services to pregnant and parenting adolescents, and prevention
projects which promote abstinence from sexual activity for
adolescents.
Minority Health
The Committee recommends $49,988,000 for the Office of
Minority Health. The administration requested $42,686,000.
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 initiatives,
including demonstration projects (the Minority Community Health
Partnership HIV/AIDS, the Bilingual/Bicultural Service, and the
Youth Empowerment Program) as well as the Center for Linguistic
and Cultural Competency in Health Care, and the Family and
Community Violence Prevention Program.
The Committee is encouraged by the progress the Office of
Minority Health is making in fiscal year 2008 on the multi-year
effort to address health disparities issues in the rural areas
and minority populations of the gulf coast region, and looks
forward to further progress in this area in fiscal year 2009.
The Committee commends OMH for its efforts to partner with
our Nation's historically black medical schools, including
expanded opportunities for biomedical research and support for
residency training faculty. The Committee also encourages OMH
to continue its leadership in defining the opportunities at
minority health schools in resolving health disparities.
The Committee is concerned about barriers to early medical
diagnosis of lupus, a debilitating autoimmune disease that is
up to three times more common among African Americans,
Hispanics and Native Americans and affects over 1.5 million
persons, 90 percent of whom are women. A recent CDC report
found that the death rate from lupus among African American
women ages 45-64 had increased almost 70 percent over the
previous 20 years. During that period, over one-third of lupus
deaths were among women under the age of 45. To combat these
trends, the Committee believes there is a need for a
substantive effort to engage our Nation's health professionals
in finding ways to improve lupus diagnosis and treatment. The
Committee has provided funds for the Office of Minority Health,
working in conjunction with the Surgeon General and the Office
of Women's Health, for a national health education program for
health care providers on lupus. To accomplish the goals of
improving diagnosis and reducing disparities, the Office is
encouraged to involve a wide array of public health, community,
academic, medical and industry organizations, including those
working to improve medical school curricula. The Committee also
requests that OMH provide a report by May 1, 2009 on the
disease, associated health disparities, and the impact of lupus
on the population.
The Committee includes the following projects and
activities and in the following amounts for fiscal year 2009:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
Commonwealth of Massachusetts Department of Public $250,000
Health, Boston, MA, for the continued development of
a program to reduce health disparities and infant
mortality............................................
------------------------------------------------------------------------
Office of Women's Health
The Committee recommends $31,033,000 for the Office of
Women's Health. The administration requested $28,458,000.
The Office of 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 understands 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. The Committee is aware that public and health
professional recognition and understanding of lupus is
extremely low, contributing to misdiagnoses or late diagnoses
that can result in disability or death. The Committee has
included funds to continue the national lupus education
campaign, in conjunction with the Office of Minority Health and
the Surgeon General, directed toward the general public and
health professionals who diagnose and treat people with lupus.
The Committee is aware of the problem of female genital
cutting [FGC] in the United States, which potentially impacts
nearly 228,000 women and girls nationwide. The community
outreach and education initiatives that were called for under
the Federal Prohibition of Female Genital Mutilation Act of
1995 have been limited by the absence of resources needed to
support these efforts. The Committee recognizes the importance
of community-centered programs to address FGC. Community
ownership of the issue is critical and is achieved by engaging
local organizations that have earned the community's trust
through their existing work with refugee and immigrant women
and girls. The Committee therefore encourages the Office of
Women's Health to support FGC-related programs implemented by
ethnic community-based organizations.
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 $50,984,000. The administration requested
$51,891,000. 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 $5,789,000 for the
Secretary's Afghanistan health initiative, the same as the
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 Donation and Adoption
The Committee continues to believe that increasing public
awareness of embryo donation and adoption remains an important
goal. The Committee has provided $4,200,000 for the
Department's embryo donation and adoption awareness activities.
The administration requested $1,980,000. The Committee notes
that the costs associated with embryo adoption may be hindering
people from participating in embryo adoption. The Committee is
aware that the medical procedures involved can be expensive and
are not always successful. To address these challenges, the
Committee has again included bill language allowing funds
appropriated for embryo donation and adoption activities to be
available to pay medical and administrative costs deemed
necessary to facilitate embryo donations and adoptions. The
Committee's intent is that these funds be used for embryo
donation for family building and/or embryo adoption. The
Committee does not intend to limit eligibility based on the
terminology used to describe the transfer of the embryo.
OFFICE OF MEDICARE HEARINGS AND APPEALS
Appropriations, 2008.................................... $63,864,000
Budget estimate, 2009................................... 65,344,000
Committee recommendation................................ 63,864,000
The Committee provides $63,864,000 for the Office of
Medicare Hearings and Appeals, the same as the fiscal year 2008
funding level. The administration requested $65,344,000.
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.
This office began to process Medicare appeals in 2005. Prior to
that time, appeals had 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, 2008.................................... $60,561,000
Budget estimate, 2009................................... 66,151,000
Committee recommendation................................ 60,561,000
The Committee provides $60,561,000 to the Office of the
National Coordinator for Health Information Technology
[ONCHIT], the same as the fiscal year 2008 funding level. The
administration requested $66,151,000.
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.
OFFICE OF INSPECTOR GENERAL
Appropriations, 2008.................................... $43,231,000
Budget estimate, 2009................................... 46,058,000
Committee recommendation................................ 46,058,000
The Committee recommends an appropriation of $46,058,000
for the Office of Inspector General [OIG], 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 are $265,023,000
in fiscal year 2009.
The Office of Inspector General conducts audits,
investigations, and evaluations of the programs administered by
the Department of Health and Human Services Operating and Staff
Divisions, including the recipients of HHS's grant and contract
funds. In doing so, the OIG addresses issues of waste, fraud,
and abuse and makes recommendations to improve the efficiency
and effectiveness of HHS programs and operations.
OFFICE FOR CIVIL RIGHTS
Appropriations, 2008.................................... $34,299,000
Budget estimate, 2009................................... 40,099,000
Committee recommendation................................ 40,099,000
The Committee recommends $40,099,000 for the Office for
Civil Rights [OCR], which is the same as the administration's
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.
RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS
Appropriations, 2008.................................... $397,178,000
Budget estimate, 2009................................... 434,694,000
Committee recommendation................................ 434,694,000
The Committee provides an estimated $434,694,000 for
retirement pay and medical benefits for commissioned officers
of the U.S. Public Health Service, the same as the
administration request.
This 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, 2008.................................... $729,259,000
Budget estimate, 2009................................... 1,395,831,000
Committee recommendation................................ 1,251,758,000
The Committee provides $1,251,758,000 to the Public Health
and Social Services Emergency Fund. The Pandemic Preparedness
and All-Hazards Preparedness Act, enacted into law in December
2006, created the new position of the Assistant Secretary for
Preparedness and Response.
This appropriation supports the activities of the Office of
the Assistant Secretary for Preparedness and Response and other
activities within the Office of the Secretary to prepare for
the health consequences of bioterrorism and other public health
emergencies, including pandemic influenza, and to support the
Department's cyber-security efforts.
Office of the Assistant Secretary for Preparedness and Response [ASPR]
Hospital Preparedness.--The Committee's recommendation
includes $361,660,000 for hospital preparedness grants, the
same as the administration's request. The Committee understands
that ASPR intends to reduce the grant cycle for these monies to
9 months, 3 weeks (August 9 to June 1 rather than August 9 to
August 8) and that support for hospital preparedness activities
will not be reduced on a monthly basis.
The Committee encourages the Secretary, in consultation
with the Departments of Homeland Security and Defense, along
with State and local healthcare providers to develop and
publish guidance identifying minimum performance, safety, and
interoperability requirements for deployable medical facilities
that may be purchased using Federal funds.
Advanced Research and Development.--The Committee
recommendation includes $175,000,000 for advanced research and
development. The administration requested $275,000,000.
Other Activities.--The Committee recommendation includes
the following amounts for the following activities within the
Office of the Assistant Secretary for Preparedness and
Response:
--Operations/Preparedness and Emergency Operations--
$27,536,000;
--National Disaster Medical System--$45,999,000;
--Bioshield Management--$21,743,000;
--International Early Warning Surveillance--$8,690,000;
--Policy, Strategic Planning & Communications--$4,292,000.
Four years after Project BioShield's creation, the
development and acquisition of most high priority vaccines and
therapeutics remains much too slow. The Committee recognizes
that progress is being made and that general acquisition goals
have been identified. However, the Committee remains concerned
by the slow pace of advanced research funding and procurement
of medical products. The Committee therefore urges the
Secretary to accelerate the issuance of procurement RFPs and
awards under Project BioShield.
Office of the Assistant Secretary for Resources & Technology
The Committee recommendation includes $8,906,000 for
information technology cyber-security. The administration
requested $11,980,000.
Office of Public Health & Science
The Committee recommendation includes $9,578,000 for the
medical reserve corps program. The administration requested
$15,110,000.
Office of the Secretary
Pandemic Influenza Preparedness.--The Committee
recommendation includes $585,091,000 for pandemic influenza
preparedness activities, the same as the administration
request. Of this amount, $507,000,000, to be available until
expended, is for activities including purchase of pre-pandemic
vaccine for stockpiling, vaccine development, the purchase of
antivirals and the research and development of diagnostic
tests. The Committee requests monthly reports updating the
status of actions taken and funds obligated for these no-year
funds.
The Committee continues to strongly support efforts to
strengthen the Federal Government's ability to respond to
pandemic influenza. The Committee has not specified how these
no-year funds are to be used, and is broadly supportive of
plans for vaccine development and purchase, antiviral
procurement, and research and development of diagnostics.
However, the Committee encourages HHS to identify and support
new technologies that might have the potential to enhance our
response to a pandemic, and to be open to using the provided
flexibility to make strategic investments in these potentially
paradigm shifting technologies.
The Committee is concerned by reports that many small and
large companies have difficulty communicating with the
Department regarding vision, timing, strategy, and procurement
plans. The Committee urges the Department to make the creation
and continuity of open lines of communication with these
entities a priority. Their participation is critical to
successful implementation of any disease outbreak response.
The Committee has also provided $78,091,000 for ongoing
activities within the Office of the Secretary to prepare the
Nation against an influenza pandemic.
The Committee again encourages HHS and CDC to continue to
support public and professional education, media awareness and
outreach programs related to the annual flu vaccine. The
Committee strongly encourages CDC and HHS to aggressively
implement initiatives for increasing influenza vaccine demand
to match the increased domestic vaccine production and supply
resulting from pandemic preparedness funding. Developing a
sustainable business model for vaccine production will go a
long way toward making vaccine available when needed.
The Committee has made significant investments in State and
local government preparedness. A public health crisis will
involve multiple levels of government, as well as the private
sector. Comprehensive supply chain management strategies are
essential to ensure a coordinated and rapid response. The
Committee is anxious to avoid the supply chain management
breakdowns that occurred in connection with Hurricane Katrina.
Therefore the Committee directs the Department and the Centers
for Disease Control to report back to the Committees on
Appropriations within 180 days on its current supply chain
management strategies and how they can be improved in order to
enhance both State and local government preparedness and the
complex, multi-tiered response anticipated in the President's
Pandemic Preparedness Strategy.
The Committee is extremely concerned about the
ineffectiveness of the flu vaccine used last winter. During
well-matched years, clinical trials have shown vaccine
effectiveness between 70 percent and 90 percent for healthy
adults who received inactivated influenza vaccines. Preliminary
data about vaccine effectiveness for the 2007-2008 influenza
season indicates that those who received trivalent inactivated
influenza vaccine were only 44 percent less likely to have
medically attended influenza illnesses than those who were not
vaccinated. The failure of the flu vaccine raises concerns
regarding our Nation's effort to combat the potential for
pandemic influenza. Data has shown that incorporation of new
technologies, in conjunction with traditional methods of
vaccine evaluation, would have predicted that last winter's flu
vaccine would fail to perform adequately in the field. The
animal model method has not proven an ideal model system to
predict human immunity and thus, there is an unmet need for new
in vitro approaches that could provide reliable and predictive
efficacy, safety, and adverse reaction data. The Committee
encourages CDC and the Assistant Secretary for Preparedness and
Response to support development of technologies that will
accurately predict the effectiveness of influenza, biodefense,
and pre-pandemic vaccines in the future.
Other Activities.--The Committee recommendation includes
$3,263,000 for other activities within the Office of the
Secretary including healthcare provider credentialing.
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 continues a provision limiting
the use of certain grant funds to pay individuals more than an
annual rate of executive level I (sec. 203).
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. 204).
The Committee recommendation continues a provision
authorizing the transfer of up to 2.4 percent of Public Health
Service funds for evaluation activities (sec. 205).
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. 206).
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. 207).
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. 208).
The Committee recommendation continues a provision
regarding requirements for family planning applicants (sec.
209).
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. 210).
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. 211).
The Committee recommendation retains language which
prohibits the Secretary from withholding substance abuse
treatment funds (sec. 212).
The Committee recommendation modifies a provision which
facilitates the expenditure of funds for international health
activities (sec. 213).
The Committee recommendation continues 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. 214).
The Committee continues 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. 215).
The Committee recommendation includes bill language
allowing use of funds to continue operating the Council on
Graduate Medical Education (sec. 216).
The Committee recommendation continues a provision
pertaining to the public access policy at the National
Institutes of Health (sec. 217).
The Committee recommendation continues a provision
permitting the National Institutes of Health to use up to
$2,500,000 per project for improvements and repairs of
facilities (sec. 218).
The Committee recommendation includes a provision that
transfers funds from NIH to HRSA and AHRQ, to be used for
National Research Service Awards (sec. 219).
The Committee recommendation includes a provision that
modifies language authorizing the Nonrecurring Expenses Fund
(sec. 220).
The Committee recommendation includes a provision amending
the nominal price exception to the Medicaid Drug Rebate program
to include non-title X funded family planning clinics and
college health centers (sec. 221).
The Committee recommendation includes a provision that
increases the authorized number of Regular Officers to 4,000
(sec. 222).
The Committee recommendation includes a provision requiring
the release of unobligated LIHEAP funds no later than the date
of enactment (sec. 223).
The Committee recommendation includes a new provision
concerning conflicts of interest among extramural investigators
receiving grants from the National Institutes of Health (sec.
224).
The Committee recommendation includes a provision that
places a 1-year moratorium on the August 17, 2007 directive
issued by the Department of Health and Human Services relating
to the State Child Health Insurance program (sec 225).
TITLE III
DEPARTMENT OF EDUCATION
Education for the Disadvantaged
Appropriations, 2008.................................... $15,489,475,000
Budget estimate, 2009................................... 16,917,059,000
Committee recommendation................................ 15,735,884,000
The Committee recommends an appropriation of
$15,735,884,000 for education for the disadvantaged. The
comparable funding level for fiscal year 2008 was
$15,489,475,000, and the budget request includes
$16,917,059,000.
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. Funds appropriated in this account
primarily support activities in the 2009-2010 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 an estimated 20 million students in nearly all
school districts and more than half of all public schools--
including two-thirds of the Nation's elementary schools.
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. States must distribute 95 percent of
these reserved funds to LEAs for schools identified for
improvement, corrective action, or restructuring. 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 was disappointed by the findings of a
February 2008 Government Accountability Office [GAO] report,
which was requested by the Committee, showing that some States
did not fulfill No Child Left Behind Act [NCLBA] requirements
for allocating or tracking the 4 percent funds, and that the
Education Department failed to monitor States' compliance. The
Committee requests an update on the Department's plans to
improve its monitoring practices in the fiscal year 2010 budget
justification.
Of the funds available for title I grants to LEAs, up to
$4,000,000 shall be available on October 1, 2008, not less than
$5,632,145,000 will become available on July 1, 2009, and
$8,893,756,000 will become available on October 1, 2009. The
funds that become available on July 1, 2009, and October 1,
2009, will remain available for obligation until September 30,
2010.
Title I grants are distributed through four formulas:
basic, concentration, targeted, and education finance incentive
grant [EFIG].
Overall, the Committee recommends $14,529,901,000 for title
I grants, $225,000,000 more than the budget request, which was
$14,304,901,000. The fiscal year 2008 appropriated level was
$13,898,875,000.
As in past years, the Committee divided the increase over
fiscal year 2008 equally between the targeted and EFIG
formulas, both of which direct a higher share of funds to
poorer students than the basic and concentration formulas do.
The budget request allocates all of the increase over fiscal
year 2008 into the targeted account.
For title I basic grants, including up to $4,000,000
transferred to the Census Bureau for poverty updates, the
Committee recommends an appropriation of $6,597,946,000, the
same as the budget request and the fiscal year 2008 level. For
concentration grants, the Committee recommends $1,365,031,000,
the same as the budget request and the fiscal year 2008 level.
The Committee recommends $3,283,462,000 for grants through
the targeted formula. The comparable funding level for fiscal
year 2008 was $2,967,949,000, and the budget request is
$3,373,975,000. The Committee recommends $3,283,462,000 to be
allocated through the EFIG formula. The comparable funding
level for the budget request and fiscal year 2008 was
$2,967,949,000.
William F. Goodling Even Start Family Literacy Program
The Committee recommends $66,454,000, the same as the
fiscal year 2008 level, for the Even Start program. 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 $491,265,000, the
same as the budget request and the fiscal year 2008 level, for
the School Improvement Grants program. This formula grant
program enables States to provide assistance to schools not
making adequate yearly progress for at least 2 years. States
must subgrant 95 percent of their allocations to LEAs and may
use up to 5 percent for administration, evaluation and
technical assistance activities.
The Committee expects high demand for these funds from LEAs
given the growing numbers of schools that are being identified
for improvement, corrective action and restructuring.
Therefore, the Committee requests that the Department assist
States in encouraging LEAs to use their school improvement
funds only on those programs that are proven to be effective in
rigorous research. The Committee also recommends that States
prioritize grant requests for the use of programs that meet the
research standards set forth in the Comprehensive School Reform
Quality [CSRQ] Center.
Reading First State Grants
The Committee recommends no funding for the Reading First
State Grants program. The comparable funding level for fiscal
year 2008 was $393,012,000, and the budget request is
$1,000,000,000.
The Committee was highly disappointed by the interim report
from the Reading First Impact Study, which showed that this
program did not have a statistically significant impact on
students' reading comprehension. The Committee notes that the
funding cut in fiscal year 2008--which resulted from the
Department's severe mismanagement of the program--did not
affect the results of the impact study, which examined Reading
First when it was being fully funded at roughly $1,000,000,000
a year. While new leadership at the Department has ended the
conflict of interest abuses that marked Reading First's
creation and early implementation, those changes do not appear
to have solved the program's flaws. Therefore, the Committee
does not plan to provide any additional funding for Reading
First until it can be assured that the program will have a
positive effect on student learning.
Early Reading First
The Committee recommends $112,549,000, the same as the
budget request and the fiscal year 2008 appropriation, for the
Early Reading First program.
Early Reading First provides 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.
Striving Readers
The Committee recommends $35,371,000, the same as the
fiscal year 2008 level, for the Striving Readers initiative.
The budget request is $100,000,000. This program supports
grants to develop, implement, and evaluate reading
interventions for middle or high school students reading
significantly below grade level.
Math Now
The Committee recommendation does not include any funding
for the proposed Math Now initiative, which is authorized by
the America COMPETES Act and is intended to improve math
instruction for students in kindergarten through 9th grade. The
budget request is $95,000,000.
Improving Literacy Through School Libraries
The Committee recommends $19,145,000, the same as the
budget request and the fiscal year 2008 appropriation, for the
Improving Literacy Through School Libraries program.
This program provides competitive awards for urgently
needed, up-to-date school library books and training for school
library media specialists. 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.
Pell Grants for Kids
The Committee does not include any funding for a new
program proposed by the administration called Pell Grants for
Kids. The program's purpose is to provide students with
scholarships to pay tuition at private schools or out-of-
district public schools. The budget request is $300,000,000.
The Committee notes that this program has a new name but is
virtually identical to previous voucher plans that were
proposed by the administration but rejected by the Congress.
Migrant Education Program
The Committee recommends $389,771,000 for the migrant
education program. The budget request is $399,771,000 and the
fiscal year 2008 level was $379,771,000.
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. States receive at least the same amount
they received in fiscal year 2002; any funds over the fiscal
year 2002 appropriation 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. 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 $48,927,000, the same as the
fiscal year 2008 appropriation, for the title I neglected and
delinquent program. The budget request is $51,927,000.
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.
Evaluation
The Committee recommends $9,167,000, the same as the budget
request and the fiscal year 2008 appropriation, for evaluation
of title I programs.
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 include any funding for the
comprehensive school reform demonstration program. Neither did
the budget request. The fiscal year 2008 level was $1,605,000.
The fiscal year 2008 funding was used entirely for the
final year of a contract to the Comprehensive School Reform
Clearinghouse.
High School Equivalency Program
The Committee recommends $18,226,000, the same as the
fiscal year 2008 appropriation and the budget request, for the
high school equivalency program [HEP].
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.
College Assistance Migrant Program
For the College Assistance Migrant Program [CAMP], the
Committee recommends $15,108,000, the same amount as the fiscal
year 2008 appropriation 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, 2008.................................... $1,240,718,000
Budget estimate, 2009................................... 1,240,718,000
Committee recommendation................................ 1,240,718,000
The Committee recommends an appropriation of $1,240,718,000
for impact aid. This is the same as the comparable funding
level for fiscal year 2008 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 retains 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.
Basic Support Payments.--The Committee recommends
$1,105,535,000 for basic support payments. This is the same as
the fiscal year 2008 level and the budget request. 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 $48,602,000, the same as the budget request and
the fiscal year 2008 appropriation, for payments for children
with disabilities. 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
$4,864,000, the same as the fiscal year 2008 appropriation and
the budget request, for facilities maintenance. 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 $17,509,000, the
same as the fiscal year 2008 appropriation and the budget
request, for the construction account. 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 and 2007 appropriations 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, as was the case
in fiscal year 2008. The Committee has provided this requested
authority.
Payments for Federal Property.--The Committee recommends
$64,208,000, the same as the budget request and the fiscal year
2008 appropriation, for this activity. These payments
compensate local educational agencies in part for revenue lost
due to the removal of Federal property from local tax rolls.
School Improvement Programs
Appropriations, 2008.................................... $5,289,077,000
Budget estimate, 2009................................... 4,566,323,000
Committee recommendation................................ 5,292,422,000
The Committee recommends an appropriation of $5,292,422,000
for school improvement programs. The comparable funding level
in fiscal year 2008 was $5,289,077,000, and the budget request
is $4,566,323,000.
State Grants for Improving Teacher Quality
The Committee recommends $2,935,249,000, the same as the
fiscal year 2008 appropriation, for State grants for improving
teacher quality. The budget request is $2,835,248,000.
The appropriation for this program primarily supports
activities associated with the 2009-2010 academic year. Of the
funds provided, $1,500,249,000 will become available on July 1,
2009, and $1,435,000,000 will become available on October 1,
2009. These funds will remain available for obligation until
September 30, 2010.
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.
Mathematics and Science Partnerships
The Committee recommends $178,978,000, the same as the
fiscal year 2008 level and the budget request, for the
mathematics and science partnerships program. 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. The
Department awards grants to States by a formula based on the
number of children aged 5 to 17 who are from families with
incomes below the poverty line. States then are required to
make grants competitively to eligible partnerships, which must
include an engineering, math or science department of an
institution of higher learning and a high-need LEA.
Educational Technology State Grants
The Committee recommends $267,494,000, the same as the
fiscal year 2008 appropriation, for educational technology
State grants. 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.
The Committee bill retains language allowing States to
award up to 100 percent of their funds competitively.
Supplemental Education Grants
The Committee recommendation includes $17,687,000, the same
as the budget request and the fiscal year 2008 appropriation,
for supplemental education grants to the Republic of Marshall
Islands and the Federated States of Micronesia. This grant
program was authorized by the Compact of Free Association
Amendments Act of 2003. 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 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
$1,081,166,000, the same as the fiscal year 2008 level, for the
21st Century Community Learning Centers program. The budget
request is $800,000,000.
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 $410,732,000 for State assessments
and enhanced assessment instruments. The fiscal year 2008
appropriation was $408,732,000, the same as the budget request.
This program has two components. The first provides formula
grants to States to pay the cost of developing standards and
assessments required by the No Child Left Behind Act. The
Committee provides $400,000,000, the same as the fiscal year
2008 level and the budget request, for this purpose.
Under the second component--grants for enhanced assessment
instruments--appropriations in excess of the State assessment
program 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 $10,732,000. The budget request and the
fiscal year 2008 appropriation was $8,732,000.
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 $7,463,000, the same as the fiscal
year 2008 appropriation, for the Javits Gifted and Talented
Students Education Program. The budget requests no 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.
Foreign Language Assistance
The Committee recommends $27,000,000 for the foreign
language assistance program. The comparable funding level for
fiscal year 2008 was $25,655,000, the same as the budget
request.
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 also
includes bill language that carves out $7,360,000 for 5-year
grants to LEAs, in partnership with institutions of higher
education, for the establishment or expansion of articulated
programs of study in critical-needs languages. The amount set
aside for this purpose in fiscal year 2008 was $2,360,000.
The Committee is concerned that this program 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.
The Committee commends the Department for agreeing not to
make grants to schools that are replacing current traditional
language programs with critical-needs language instruction.
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 $64,067,000, the same as the
fiscal year 2008 appropriation and the budget request.
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.
Training and Advisory Services
For training and advisory services authorized by title IV
of the Civil Rights Act, the Committee recommends $6,989,000,
the same as the fiscal year 2008 appropriation and the budget
request.
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 $33,315,000. This is the same amount as
the fiscal year 2008 appropriation. The budget request does not
include any funding for this purpose.
The Committee bill includes language requiring that at
least $1,500,000 of the funds recommended to be used for
construction and renovation of Native Hawaiian educational
facilities.
The Committee bill includes also language stipulating that
$1,500,000 shall be used for a grant to the Center of
Excellence at the University of Hawaii School of Law, for the
Native Hawaiian Law School Center of Excellence. This
repository houses a compilation of historical and cultural
documents that facilitates preservation and examination of laws
of great significance to Native Hawaiians.
Alaska Native Educational Equity
The Committee recommends $33,315,000, the same as the
fiscal year 2008 level, for the Alaska Native educational
equity assistance program. The budget request did not include
any funds 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 that
allows funding provided by this program to be used for
construction. The Committee expects the Department to use some
of these funds to address the construction needs of rural
schools.
Rural Education
The Committee recommends $171,854,000, the same as the
budget request and the fiscal year 2008 appropriation, for
rural education programs.
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 $57,113,000, the same as the
budget request and the fiscal year 2008 level, for the
comprehensive centers program.
These funds provide continued support to a network of 21
comprehensive centers that are operated by research
organizations, agencies, institutions of higher education or
partnerships thereof, and provide training and technical
assistance on various issues to States, LEAs, and schools as
identified through needs assessments undertaken in each region.
The system includes 16 regional centers, which are charged with
providing intensive technical assistance to State educational
agencies to increase their capacity to assist LEAs and schools
with meeting the goals of No Child Left Behind, and five
content centers, which are organized by topic area.
Indian Education
Appropriations, 2008.................................... $119,564,000
Budget estimate, 2009................................... 119,564,000
Committee recommendation................................ 119,564,000
The Committee recommends $119,564,000, the same as the
budget request and the fiscal year 2008 appropriation, for
Indian Education programs.
Grants to Local Education Agencies
For grants to local educational agencies, the Committee
recommends $96,613,000, the same as the fiscal year 2008
funding level and the budget request.
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 Department of the Interior/Bureau of Indian Education, and
in some cases directly to Indian tribes.
Special Programs for Indian Children
The Committee recommends $19,060,000, the same as the
fiscal year 2008 funding level and the budget request, for
special programs for Indian children.
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 $3,891,000, the same as the budget
request and the fiscal year 2008 appropriation, for national
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, 2008.................................... $985,517,000
Budget estimate, 2009................................... 867,517,000
Committee recommendation................................ 944,314,000
The Committee recommends an appropriation of $944,314,000
for programs within the innovation and improvement account. The
comparable fiscal year 2008 funding level for these programs
was $985,517,000, and the budget request is $867,517,000.
Troops-to-Teachers
The Committee recommends an appropriation of $14,389,000,
the same as the fiscal year 2008 appropriation and the budget
request, to support the Defense Department's Troops-to-Teachers
program.
This program 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 or bonuses, 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 $43,707,000, the same as the
budget request and the fiscal year 2008 appropriation, for the
transition to teaching program.
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 $23,581,000, the same as the
fiscal year 2008 level, for the National Writing Project. 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 $120,000,000 for the teaching of
traditional American history program. The comparable fiscal
year 2008 funding level was $117,904,000, and the budget
request was $50,000,000. 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. Grants are awarded
for 3 years, with 2 additional years allowed for grantees that
are performing effectively.
The Committee bill retains language that allows the
Department to reserve up to 3 percent of funds appropriated for
this program for national activities.
School Leadership
The Committee recommends $19,220,000 for the school
leadership program. The fiscal year 2008 level was $14,474,000,
and the budget request proposes to eliminate funding for this
program. The 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 $10,649,000 for the advanced
credentialing program. The comparable fiscal year 2008 funding
level was $9,649,000. The budget request proposes to eliminate
funds for this program.
The Committee includes bill language directing all of the
funding for this program to the National Board for Professional
Teaching Standards [NBPTS]. 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 Committee includes bill language directing that the
recommended increase over the fiscal year 2008 level should be
used to develop a National Board certification for principals.
Adjunct Teacher Corps
The budget includes $10,000,000 for a new program, the
Adjunct Teacher Corps Initiative, which would create
opportunities for professionals to teach secondary school
courses in core academic subjects. The Committee does not
recommend any funding for this program.
Charter Schools
The Committee recommends a total of $216,031,000 for the
support of charter schools. The fiscal year 2008 appropriation
was $211,031,000. The budget request includes a total of
$272,642,000, divided between the Charter Schools program and
the Credit Enhancement for Charter Schools Facilities program.
The Committee includes bill language requiring that a
minimum of $195,000,000 of the recommended $216,031,000 be used
for the Charter Schools grants program, overriding the
authorized minimum of $200,000,000. The Secretary may use up to
the excess amount ($21,031,000) for the State facilities and
Credit Enhancement for Charter Schools Facilities programs.
In fiscal year 2008, the Secretary used $12,731,000 for the
State facilities program and $8,300,000 for the credit
enhancement program.
The budget request includes $236,031,000 for the Charter
Schools program, with $221,249,000 to be used for the Charters
Schools grants program and $14,782,000 for the State facilities
program. Separately, the budget request includes $36,611,000
for the credit enhancement program.
The Charter Schools grants program supports the planning,
development, and initial implementation of charter schools.
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.
Under the State facilities program, the Department awards 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.
The credit enhancement program provides assistance to help
charter schools meet their facility needs. Funds are provided
on a competitive basis to public and nonprofit entities, 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 $25,819,000, the same as the
budget request and the fiscal year 2008 appropriation, for the
voluntary public school choice program.
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 $104,829,000, the same as the
budget request and the fiscal year 2008 appropriation, for the
magnet schools assistance program.
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, and the purchase of
computers and other educational materials and equipment.
Fund for the Improvement of Education
The Committee recommends an appropriation of $196,337,000
for the Fund for the Improvement of Education [FIE]. The fiscal
year 2008 appropriation was $253,551,000, and the budget
request was $52,300,000.
For programs of national significance authorized under
section 5411 of the Elementary and Secondary Education Act
[ESEA], the Committee includes $700,000 for a clearinghouse
that would provide information on planning, designing,
financing, building, maintaining, and operating safe, healthy,
high-performance schools. These funds should be added to the
$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 comparable
funding level in FIE in fiscal year 2008 was $688,000.
The Committee recommendation includes $11,790,000 for Teach
for America and $3,930,000 for Reach Out and Read. These are
the same amounts as the fiscal year 2008 levels. The budget
request does not include any funding specifically for either
program.
Within programs of national significance, the Committee
also includes resources for evaluation and data quality
initiatives, peer review, and other grant activities authorized
under section 5411 of the ESEA. No funds are included for full-
service community schools demonstrations.
The budget request proposes funding for the Language
Teacher Corps, the Teacher to Teacher initiative, comprehensive
assessment systems, early reading improvements, and teaching
improvement. The Committee recommendation does not include
funding for these activities.
Within the total amount for FIE, the Committee
recommendation also includes funding for separately authorized
programs as described in the paragraphs below. The budget
request does not include funding for any of them. For each
program, the Committee-recommended funding level is the same as
the fiscal year 2008 appropriation.
The Committee recommends $24,606,000 for the contract to
Reading Is Fundamental Inc. [RIF] to provide reading-motivation
activities. RIF, a private nonprofit organization, helps
prepare young children and motivate older children to read,
through activities including the distribution of books.
The Committee recommends $10,700,000 for the Ready to Teach
program. 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 recommends $8,754,000 for the Education
through Cultural and Historical Organizations [ECHO] Act of
2001. Programs authorized under ECHO provide a broad range of
educational, cultural, and job training opportunities for
students from communities in Alaska, Hawaii, Massachusetts, and
Mississippi.
The Committee has included $37,533,000 for arts in
education. The recommendation includes $7,954,000 for VSA arts,
a national organization that supports the involvement of
persons with disabilities in arts programs, and $6,183,000 for
the John F. Kennedy Center for the Performing Arts. Additional
funds are provided for professional development, model arts
programs and other activities.
The Committee recommends $38,908,000 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 Committee includes $1,846,000 for the women's
educational equity program. This program supports projects that
assist in the local implementation of gender equity policies
and practices.
The Committee recommendation includes $1,447,000 for
activities authorized by the Excellence in Economic Education
Act. 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 $1,945,000 to carry
out the American History and Civics Education Act of 2004. 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.
In addition, the Committee recommends $5,913,000, a
$1,000,000 increase over the fiscal year 2008 level, for the
mental health integration in schools program. 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 and Communities.
The Committee recommendation also includes bill language
requiring that funds be provided to the following organizations
in the amounts specified:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
Acelero Learning, Las Vegas, NV, for early education $500,000
programs.............................................
Alaska PTA, Anchorage, AK, to train parents in their 250,000
roles and responsibilities under the No Child Left
Behind Act...........................................
Audubon Society of Rhode Island, Smithfield, RI, to 150,000
develop the Environmental Education for Urban Schools
Initiative...........................................
Big Brothers and Big Sisters of Southeastern 100,000
Pennsylvania, Philadelphia, PA, for recruitment,
placement and oversight of school-based mentoring
programs.............................................
Bishop Museum, Honolulu, HI, for educational 200,000
programming..........................................
Bossier Parish School Board, Benton, LA, for 100,000
acquisition of equipment and technology upgrades.....
Boys & Girls Club of Greater Milwaukee, Milwaukee, WI, 300,000
to expand an early literacy program for child- ren..
Boys and Girls Club of Kootenai County, Post Falls, 100,000
ID, to expand education, health, and art programs,
including the purchase of equipment..................
Boys and Girls Clubs of Greater Washington-Virginia, 100,000
Alexandria, VA, for character, leadership, education
and career development programs......................
Bridgeport Public Schools, Bridgeport, CT, for 150,000
professional development for teachers and
administrators in Bridgeport, CT.....................
Brockton Area Private Industry Council, Brockton, MA, 150,000
for workforce development programs for at-risk youth.
Cabrini College, Radnor, PA, for professional 100,000
development for K-12 teachers........................
Cedar Rapids Symphony Orchestra, Cedar Rapids, IA, to 400,000
support the Residency program........................
Center for Advancing Partnerships in Education, 100,000
Allentown, PA, to develop a foreign language distance
learning program and for teacher training............
Child and Family Network Centers--Leveling the Playing 100,000
Field: Start Early, Finish Strong [SEFS], Alexandria,
VA, to expand preschool programs for at-risk children
Children Northwest, Vancouver, WA, to expand Early 140,000
Learning and Teaching Career Academies in Southwest
Washington...........................................
Children's Literacy Initiative, Philadelphia, PA, to 100,000
improve the reading readiness and early literacy of
children.............................................
City of Compton, Compton, CA, for educational 500,000
programming at Tomorrow's Aeronautical Museum........
City of Holyoke, Holyoke, MA, to develop a full- 250,000
service community school pilot project...............
City of Long Beach, Long Beach, CA, for an at-risk 1,250,000
youth mentoring program..............................
City of Los Angeles, Los Angeles, CA, for the LA's 250,000
BEST afterschool enrichment program..................
City of Moultrie, Moultrie, GA, for technology 100,000
upgrades, including purchase of equipment and
professional development.............................
City of Presque Isle, Recreation and Parks Department, 250,000
Presque Isle, ME, for afterschool arts and physical
activity programs....................................
City of Saint Paul, St. Paul, MN, to provide tutoring, 100,000
mentoring and other educational programs and
resources for afterschool programs...................
City of Springfield, Springfield, MO, for development, 600,000
expansion, equipment and technology for the Ready to
Learn program........................................
City of Vernonia School District, Vernonia, OR, for 200,000
the purchase of school equipment and supplies........
City Year New Hampshire, Stratham, NH, to expand 150,000
education and youth development programs.............
Civic League of Greater New Brunswick, New Brunswick, 200,000
NJ, for the Academy of After School Excel- lence....
Clark County School District, Las Vegas, NV, for 900,000
school counseling and dropout prevention services....
Cleveland Avenue YMCA, Montgomery, AL, for after 100,000
school math and science tutoring programs............
Cleveland Metropolitan School District, Cleveland, OH, 100,000
for technology upgrades, including purchase of
equipment to improve math, science and language
proficiency..........................................
Connecticut Humanities Council, Middletown, CT, for 250,000
curriculum development...............................
Connecticut Science Center, Hartford, CT, for a 100,000
science and technology learning center...............
Cook Inlet Tribal Council, Anchorage, AK, for 300,000
educational programs for low performing students in
the Ancorhage School District........................
Coppin State University, Baltimore, MD, to support the 300,000
Urban Education Corridor program.....................
County of Amador, Jackson, CA, for the College 250,000
Preparation Initiative to provide educational
programming..........................................
County of Glacier School District #9, Browning, MT, 400,000
for academic programs................................
Cristo Rey Network, Chicago, IL, for feasibility 100,000
studies of potential Iowa school sites...............
Delaware Department of Education, Dover, DE, to 200,000
provide translators and instructional programs for
English language learners............................
DePaul University, Chicago, IL, for math and science 750,000
teacher education in Chicago Public Schools..........
Des Moines Community School District and Urban Dreams, 300,000
Des Moines, IA, to continue a demonstration on full
service community schools............................
Des Moines Community School District to expand pre- 750,000
kindergarten programs................................
Dinwiddie County Public Schools, Dinwiddie, VA, for 100,000
educational programming at a library/media center,
including the purchase of equipment..................
Early Childhood and Family Learning Center Foundation, 300,000
New Orleans, LA, for educational programs............
East Stroudsburg University, East Stroudsburg, PA, for 100,000
math and science curriculum development and
professional development for area teachers...........
ECHO Center, Burlington, VT, for educational 500,000
programming..........................................
Economic Opportunity Foundation, Inc. Head Start 100,000
Bryant Program, Kansas City, KS, for early education
programs.............................................
Eden Housing, Inc., Hayward, CA, to expand afterschool 100,000
programs.............................................
Elko County School District, Elko, NV, to enhance 650,000
distance education capabilities, including the
purchase of equipment................................
Esperanza, Philadelphia, PA, to expand programs for 125,000
Latino at-risk youth in Chelsea, MA..................
Fairplex Child Development Center, Pomona, CA, to 100,000
expand the Early Childhood Education Family Literacy,
Parenting and Violence Prevention Program............
Falcon School District, Falcon, CO, for the D-49 K-12 100,000
Science, Technology, Engineering & Math Initiative...
Foundation of Community Empowerment, Dallas, TX, for 400,000
educational activities for early childcare providers
to prepare students for school.......................
Galena City School District, Galena, AK, to continue 510,000
educational programs at a boarding school for low
performing students from rural Alaska................
George Eastman House International Museum of 300,000
Photography and Film, Rochester, NY, for educational
programs.............................................
Grand County School District, Moab, UT, for school- 200,000
based mentoring programs for low performing students.
Herring Gut Learning Center, Port Clyde, ME, for 100,000
science curriculum development for Maine students in
grades 6-12..........................................
Housatonic Community College, Bridgeport, CT, for the 300,000
Middle College Program...............................
Institute for Student Achievement, Lake Success, NY, 250,000
for program expansion................................
Iowa Association of School Boards, Des Moines, IA, for 3,500,000
continuation and expansion of the Skills Iowa program
Iowa Department of Education to continue the Harkin 5,750,000
grant program........................................
Kansas Children's Discovery Center, Topeka, KS, for 100,000
exhibit development for children's interactive
educational development..............................
Kauai Economic Development Board, Lihue, HI, for math 300,000
and science education................................
KIPP Foundation, San Francisco, CA, for academic and 100,000
afterschool programs in Memphis and Nashville, TN....
Las Vegas Natural History Museum, Las Vegas, NV, to 150,000
expand natural history education programs............
Leeward Community College, Pearl City, HI, to provide 250,000
college preparatory education for Filipino stu-
dents................................................
Lehigh Carbon Community College, Schnecksville, PA, to 100,000
provide science, technology, engineering and math
programs to area high school students................
Libby School District #4, Libby, MT, for academic 400,000
programs.............................................
Lincoln County School District, Panaca, NV, to expand 25,000
early education services, including the purchase of
equipment............................................
Literacy Council of Alaska, Fairbanks, AK, to provide 100,000
educational materials for low-income students and
their families.......................................
Loess Hills Area Education Agency in Iowa for a 750,000
demonstration in early childhood education...........
Loras College, Dubuque, IA, for literacy programs..... 250,000
Louisiana Tech University, Ruston, LA, for a program 700,000
in K-12 cyberspace education in cooperation with
members of the Consortium for Education, Research and
Technology of North Louisiana........................
Lower Pioneer Valley Educational Collaborative, West 200,000
Springfield, MA, for the continued development of an
online education center..............................
Massachusetts 2020 Foundation, Boston, MA, for the 200,000
continued development of an extended learning time
initiative...........................................
Maui Economic Development Board, Kihei, HI, for 300,000
engaging girls in STEM education.....................
McWane Science Center, Birmingham, AL, for teacher 100,000
training and purchase of equipment...................
Mentoring Partnership of Southwestern Pennsylvania, 100,000
Pittsburgh, PA, for recruitment, placement, and
oversight of school-based mentoring programs.........
Metropolitan Wilmington Urban League, Wilmington, DE, 200,000
to expand the Achievement Matters! program...........
Milwaukee Public Schools, Milwaukee, WI, to strengthen 350,000
the Science, Technology, Engineering and Math (STEM)
curriculum...........................................
Milwaukee Public Schools, Milwaukee, WI, to support 1,200,000
afterschool activities for youth.....................
Mississippi Council on Economic Education, Jackson, 250,000
MS, for Achieving Comprehensive Economic and
Financial Literacy of Mississippi Students...........
Mississippi State University, Mississippi State, MS, 300,000
for enhancing K-12 science and math preparation,
including purchase of equipment......................
Mississippi University for Women, Columbus, MS, for 300,000
strengthening partnerships between K-12 parents,
children's teachers, principals, superintendents and
other school officials, including purchase of
equipment............................................
Museum of Fine Arts, Boston, MA, for educational 250,000
programming..........................................
National Council of La Raza in Washington, DC, for the 500,000
Center for Early Childhood Education.................
Native American Indian, Alaskan, and Hawaiian 300,000
Educational Development Center, Sheridan, WY, to
expand professional development in early literacy and
math programs for teachers...........................
Nevada Humanities, Reno, NV, to develop and expand a 150,000
comprehensive online encyclopedia....................
Nevada Speech and Hearing Association, Reno, NV, to 25,000
recruit and train special education teachers.........
New England Center for Children, Inc., Southborough, 200,000
MA, to provide equipment for training programs to
support teachers of children with autism.............
New Mexico Mathematics, Engineering, Science 250,000
Achievement, Inc. [NM MESA], Albuquerque, NM, to
prepare students from under-represented populations
to pursue STEM college majors........................
New School University, New York, NY, for the Institute 750,000
for Urban Education..................................
New York Hall of Science, Queens, NY, for science 500,000
exhibits and educational programming.................
North Carolina Technology Association, Raleigh, NC, 100,000
for a technology demonstration project for 9-12 grade
students.............................................
Nye County School District, Pahrump, NV, to expand 150,000
career and technical programs, including the purchase
of equipment.........................................
Operation Shoestring, Jackson, MS, for after school 200,000
summer enrichment programs...........................
Pacific Islands Center for Educational Development in 500,000
American Samoa, Pago Pago, America Samoa, for program
development..........................................
Parents as Teachers National Center, St. Louis, MO, to 250,000
develop research-based materials and training for
home visiting professionals for families of children
with autism..........................................
Parents for Public Schools of Jackson, Inc., Jackson, 50,000
MS, for arts education programs......................
PE4life Foundation, Kansas City, MO, for expansion and 500,000
assessment of PE4life programs across Iowa...........
Pennsylvania State University, University Park, PA, 100,000
for a youth mentoring program........................
Pollard Foundation, Las Vegas, NV, to improve math, 200,000
science and literacy instruction at the Rainbow
Dreams Academy.......................................
Polynesian Voyaging Society, Honolulu, HI, for 250,000
educational programs.................................
Project GRAD Ohio, Columbus, OH, to help students 100,000
graduate from high school ready for college..........
Project HOME, Philadelphia, PA, for after school and 100,000
summer programs......................................
Roads to Success, New York, NY, to support college 100,000
scholarships for rural, low-income high school
graduates in Pennsylvania............................
RuralCap of Alaska, Anchorage, AK, for distance 500,000
learning for head start teachers and parents as
teachers programs, including the purchase of
equipment............................................
Rutland City Public Schools, Rutland, VT, for summer 150,000
learning programs....................................
Saint Bernard Parish School Board, Chalmette, LA, for 750,000
educational programming, including the purchase of
educational equipment for a cultural arts facility...
Saint Joseph's University, Philadelphia, PA, to 100,000
develop a Public Education Partnership to provide
professional development to area principals and
teachers.............................................
Saint Louis Community College, St. Louis, MO, to link 750,000
elementary and secondary inner city and rural school
students with industry to promote STEM and life
science academic study...............................
Saint Mary's College, Notre Dame, IN, to expand 200,000
tutoring and mentoring program for disadvantaged
students in K-8 elementary schools in South Bend, IN.
Salt Lake City School District, Salt Lake City, UT, 100,000
for a K-12 school-to-work program for at risk stud-
ents.................................................
San Francisco District Attorney's Office, San 250,000
Francisco, CA, for the Academic Recovery Center at-
risk youth mentoring and education program...........
Self Enhancement, Inc., Portland, OR, for innovative 100,000
education programs for inner city youth..............
Shiloh Economic and Entrepreneurial Lifelong 100,000
Development Corporation, Planfield, NJ, for the
Titans for Tomorrow afterschool program..............
Skills Alaska, Anchorage, AK, for a student/teach 1,000,000
enhancement program across Alaska....................
SMART (Start Making A Reader Today), Portland, OR, for 100,000
children's literacy programs.........................
Smith Center for the Performing Arts, Las Vegas, NV, 200,000
to create arts educational programs..................
SouthCoast Connected, New Bedford, MA, for expansion 150,000
of programs designed to reduce the teen dropout rate.
SouthEastern Pennsylvania Consortium for Higher 200,000
Education, Glenside, PA, for the Institute of
Mathematics and Science to provide professional
development to K-12 teachers.........................
Thiel College, Greenville, PA, for curriculum 100,000
development, including the purchase of equipment to
support a distance learning partnership with area K-
12 schools...........................................
Tulsa Public Schools, Tulsa, OK, for innovative 100,000
programming for students at risk of dropping out,
including curriculum development.....................
United Way of Southeastern Pennsylvania, Philadelphia, 100,000
PA, for recruitment, placement, and oversight of
school-based mentoring programs......................
University of Mississippi, University, MS, to enhance 300,000
mathematics preparation..............................
University of Nebraska Kearney, Kearney, NE, to 100,000
develop early childhood education programs and expand
online educational access to the underserved.........
University of Nebraska-Omaha, Omaha, NE, to develop 500,000
and implement a training program centered on civic
leadership...........................................
University of New Orleans, New Orleans, LA, for 450,000
supporting and developing charter and district-run
public schools in New Orleans through teacher
education, leadership preparation, applied research
and policy, in cooperation with Tulane University....
University of Northern Colorado, Greeley, CO, to 150,000
establish the Center for Excellence and Innovation in
Education............................................
University of Southern Mississippi, Hattiesburg, MS, 250,000
for gifted education programs at the Frances Kranes
Center for Gifted Studies............................
University of Southern Mississippi, Hattiesburg, MS, 205,000
for K-12 arts and science curriculum and content
standards development................................
University of Southern Mississippi, Hattiesburg, MS, 300,000
for math science literacy enhancement................
University of the Sciences in Philadelphia, 100,000
Philadelphia, PA, for a science education partnership
which will provide professional development to area
teachers.............................................
Washington Jesuit Academy, Washington, DC, for 250,000
mentoring activities.................................
Washoe County School District, Reno, NV, for dropout 900,000
prevention and intervention services.................
Western Folklife Center, Elko, NV, for educational 100,000
programming..........................................
Widener University, Chester, PA, for curriculum 100,000
development and teacher training.....................
YWCA Anchorage, Anchorage, AK, for after school 100,000
education programs...................................
YWCA of Seattle, King County, and Snohomish County, 300,000
Seattle, WA, to support and expand the School's Out
Washington program...................................
------------------------------------------------------------------------
Teacher Incentive Fund
The Committee recommendation includes $97,270,000, the same
as the fiscal year 2008 level, for the teacher incentive fund
program. The budget request is $200,000,000.
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 nonprofit
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.
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 a program
evaluation.
Ready-to-Learn Television
The Committee recommends an appropriation of $27,000,000
for the Ready-to-Learn Television program. The comparable
funding level for fiscal year 2008 was $23,831,000, the same as
the budget request.
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 expects the increase over fiscal year 2008 to be used
for Ready to Learn outreach programs by the Corporation for
Public Broadcasting.
Congressional Fellowships
The Committee recommendation includes $1,942,000, the same
as the fiscal year 2008 level, for Congressional Fellowships.
The budget request did not include any funds for this purpose.
These funds are provided to the Close Up Foundation of
Washington, DC, which offers 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
The Committee recommends $43,540,000 for Advanced Placement
[AP] and International Baccalaureate [IB] programs, as
authorized under the America COMPETES Act, as well as for
activities authorized by the ESEA. The budget request is
$70,000,000. The comparable funding level for fiscal year 2008
was $43,540,000 for activities authorized under the ESEA only.
The Committee includes bill language requested by the
administration stating that fiscal year 2009 funds will first
be used to pay continuation costs under the ESEA Advanced
Placement Incentive [API] Grant program, which are used to
expand access for low-income individuals to advanced placement
programs, and to meet State needs for AP test fees. The balance
of the recommended funds should be allocated under the new
America COMPETES authority, which targets Federal support more
specifically on preparing teachers to teach classes in math,
science and critical foreign languages, and on encouraging more
students from high-need schools to take and pass AP and IB
courses in those subjects.
Under the new program, the Education Department will make
competitive grants to State educational agencies, LEAs or
eligible partnerships. Grantees must provide a 2-to-1 match for
Federal funds.
The Committee estimates that approximately $12,000,000
would be needed to fund the test fees program and $11,045,000
for the API continuation grants, leaving approximately
$20,495,000 for new grants under the America COMPETES
authority.
Safe Schools and Citizenship Education
Appropriations, 2008.................................... $693,403,000
Budget estimate, 2009................................... 281,963,000
Committee recommendation................................ 666,384,000
Safe and Drug-Free Schools and Communities
The Committee recommends a total of $666,384,000 for
activities to promote safe schools and citizenship education.
The comparable fiscal year 2008 funding level was $693,403,000
and the budget request is $281,963,000.
State Grant Program.--The Committee recommends
$294,759,000, the same as the fiscal year 2008 level, for the
Safe and Drug-Free Schools and Communities State grant program.
The budget request is $100,000,000. This formula-based State
grant program provides resources to Governors, State
educational agencies, and local educational agencies for
developing and implementing a wide range of activities that
help create and maintain safe and drug-free learning
environments in and around schools.
National Programs.--The Committee has included $128,164,000
for the national programs portion of the Safe and Drug-Free
Schools and Communities program. The comparable funding level
for fiscal year 2008 was $137,664,000, and the budget request
is $181,963,000.
The Committee recommendation includes $1,474,000, the same
as the fiscal year 2008 level, for Project SERV (School
Emergency Response to Violence), which provides education-
related services to LEAs and institutions of higher education
in which the learning environment has been disrupted due to a
violent or traumatic crisis. These funds are available until
expended. The budget request is $5,000,000. The Committee
believes its recommended level is sufficient, given the
carryover of funds from previous years.
The Committee continues to be concerned about the
increasing problem of alcohol and drug abuse on college
campuses. The Committee directs the Department to use $850,000
to identify, and provide recognition of, promising and model
alcohol and drug abuse prevention and education programs in
higher education. The Committee includes these funds within the
postsecondary alcohol prevention efforts proposed in the budget
request.
The Committee includes $1,400,000 for student drug testing,
to be used for the Student Drug Testing Institute, data
collection, and the final contract year of an impact
evaluation. The fiscal year 2008 level for student drug testing
was $10,639,900. The Committee also includes funds for school
emergency preparedness activities, Safe Schools/Healthy
Students, and other activities.
The Committee recommends $23,824,000 within the national
programs account, the same as the budget request, to provide
support for the design and implementation of character
education programs.
Bullying.--The Committee continues to be concerned about
the prevalence of bullying in schools, and it urges Federal
support for the implementation of effective, research-based,
and comprehensive bullying prevention programs.
Threat Assessments.--The Committee notes that research
shows that threat assessment techniques are more effective in
preventing school violence and shootings than zero tolerance
measures and similar disciplinary strategies. The Committee
recommends the adoption of standardized, research-based threat
assessment techniques, which include the creation of
interdisciplinary school-based threat assessment teams that
address threats on a case-by-case basis.
Alcohol Abuse Reduction
The Committee recommends $33,000,000 for grants to LEAs to
develop and implement programs to reduce underage drinking in
secondary schools. The comparable funding level for fiscal year
2008 was $32,423,000. 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 to continue to work together on this effort.
Mentoring
The Committee recommends $48,544,000, the same as the
fiscal year 2008 level, 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 budget request did not include any funds for
this purpose.
Character Education
The Committee recommendation does not include funds for
character education within this account. Instead, the Committee
recommends $23,824,000 for this purpose within the national
programs account, as the budget requests.
Elementary and Secondary School Counseling
The Committee recommends $52,000,000 to establish or expand
counseling programs in elementary and secondary schools. The
fiscal year 2008 funding level was $48,617,000. The budget
request does not include any funds for this program. As
authorized by the No Child Left Behind Act, all amounts
appropriated up to $40,000,000 must be used only for elementary
school counseling programs.
Carol M. White Physical Education for Progress Program
The Committee recommends $78,000,000 to help LEAs and
community-based organizations initiate, expand and improve
physical education programs for students in grades K-12. The
comparable funding level for fiscal year 2008 was $75,655,000.
The budget request does not include any funding for this
program. Provision of this funding will help schools and
communities 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 $31,917,000, the same as the
fiscal year 2008 level, 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 budget request proposed to eliminate funding
for this purpose.
The Committee recommends $20,056,000 for the We the People
programs, which are directed by statute to the Center for Civic
Education, and $11,861,000 for the Cooperative Education
Exchange. Of the latter funds, $4,448,000 is directed by
statute to the Center for Civic Education and an equivalent
amount to the National Council on Economic Education, and
$2,965,000 is for a competitive grant program to improve public
knowledge, understanding and support of the Congress and the
State legislatures.
English Language Acquisition
Appropriations, 2008.................................... $700,395,000
Budget estimate, 2009................................... 730,000,000
Committee recommendation................................ 730,000,000
The Committee recommends an appropriation of $730,000,000,
the same as the budget request, for English language
acquisition. The fiscal year 2008 level was $700,395,000.
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 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.
The Committee recognizes that in making State allotments
under subpart 1, part A of title III, the No Child Left Behind
Act directs the Secretary to determine the number of limited
English proficient and immigrant children in all States, using
``the more accurate'' of either: (1) data from the American
Community Survey [ACS], as administered by the Bureau of the
Census, or (2) the number of children assessed for English
language proficiency as required under section 1111(b)(7). The
Committee is concerned that the Secretary's use of the ACS,
which reflects a limited sample size of individuals and is
based on self-reported data, can be an inaccurate measure of
the actual number of limited-English-proficient children in the
States, leading to fluctuations in State allocations and
jeopardizing efforts to sustain high-quality language
instruction educational programs for English language learners.
Therefore, the Committee instructs the Secretary to utilize the
following interim methodology in determining future State
allocations under subpart 1, part A of title III, until such
time that Congress has reauthorized the No Child Left Behind
Act. In the event that a State experiences a drastic
fluctuation in the estimated number of limited-English-
proficient and immigrant children in a given year (as estimated
by the ACS) such that the fluctuation would result in a greater
than 10 percent decrease in the State's title III allotment
from the previous fiscal year, the Committee instructs the
Secretary to make a determination for the State involved using
an average of the most recent 3 years of data (based on the
ACS) on the number of limited-English-proficient and immigrant
children residing in such State.
Special Education
Appropriations, 2008.................................... $11,993,683,000
Budget estimate, 2009................................... 12,335,943,000
Committee recommendation................................ 12,511,631,000
The Committee recommends $12,511,631,000 for special
education programs authorized by the Individuals with
Disabilities Education Act [IDEA] and Special Olympics Sport
and Empowerment Act of 2004. The comparable fiscal year 2008
funding level is $11,993,683,000 and the budget request
includes $12,335,943,000 for such programs.
Grants to States
The Committee recommends $11,424,511,000 for special
education grants to States, as authorized under part B of the
IDEA. The comparable fiscal year 2008 funding level is
$10,947,511,000 and the budget request includes
$11,284,511,000. 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 2009-2010 academic year. Of the
funds available for this program, $3,777,067,000 will become
available on July 1, 2009 and $7,647,444,000 will become
available on October 1, 2009. These funds will remain available
for obligation until September 30, 2010.
The budget request proposes to continue language capping
the Department of the 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 $374,099,000 for preschool grants.
The comparable fiscal year 2008 funding level and the budget
request both are $374,099,000. 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 the bulk
of the funds to local educational agencies. States must 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 $443,200,000 for the grants for
infants and families program under part C of the IDEA. The
comparable fiscal year 2008 funding level and the budget
request both are $435,654,000 for this purpose. 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 recommends $48,000,000 for the State
personnel development program. The comparable fiscal year 2008
funding level is $22,598,000 and the budget request includes
$48,000,000 for this purpose. 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.
Technical Assistance and Dissemination
The Committee recommends $49,049,000 for technical
assistance and dissemination. The comparable fiscal year 2008
funding level and the budget request are $48,049,000 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. The Committee intends that the increase provided
above last year's funding level be used to increase technical
assistance support for evidence-based practices that will help
improve the instructional practices of teachers educating
students with disabilities.
Personnel Preparation
The Committee recommends $93,153,000 for the personnel
preparation program. The comparable fiscal year 2008 funding
level and the budget request both are $88,153,000 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 program has
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 $27,528,000 for parent information
centers. The comparable fiscal year 2008 funding level and the
budget request both are $26,528,000 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.
The Committee recognizes the importance of transition
services for children with disabilities. The Committee also is
aware that parent centers have the specialized expertise and
resources needed to conduct transition-focused parent-
information and training activities that will meet the needs of
transition-aged youth with disabilities in every State. With
increased funding, the Committee intends that the Department
address this important priority and encourages the Office of
Special Education Programs to collaborate with the
Rehabilitation Services Administration in carrying out this
effort.
Technology and Media Services
The Committee recommends $40,301,000 for technology and
media services. The comparable fiscal year 2008 funding level
is $39,301,000 and the budget request includes $30,949,000 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 $13,500,000 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 Committee also recommends $1,474,000 for support of the
Reading Rockets program, administered by the Greater Washington
Educational Television Association.
Special Olympics
The Committee recommendation includes $11,790,000 for
Special Olympics education activities, the same amount as the
fiscal year 2008 level. 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 activities that can be integrated
into classroom instruction and are consistent with academic
content standards.
The Committee bill allows funds to be used to support
Special Olympics National and Winter Games hosted in the United
States, including up to $3,000,000 for the 2009 World Winter
Games in Idaho.
Rehabilitation Services and Disability Research
Appropriations, 2008.................................... $3,276,767,000
Budget estimate, 2009................................... 3,318,856,000
Committee recommendation................................ 3,379,109,000
The Committee recommends $3,379,109,000 for rehabilitation
services and disability research. The comparable fiscal year
2008 funding level is $3,276,767,000 and the budget request
includes $3,318,856,000 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 recommends $2,974,635,000 for vocational
rehabilitation grants to States. The Committee recommends the
full amount authorized by the Rehabilitation Act of 1973. The
comparable funding level for fiscal year 2008 is $2,874,043,000
for this program. The President's budget proposes to eliminate
the increase provided by the consumer price index adjustment
authorized by the authorizing statute. The Committee rejects
this proposal.
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 2009 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 State Grants
The Committee recommends $11,576,000 for the client
assistance State grants program. The comparable fiscal year
2008 funding level and the budget request both are $11,576,000
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 $37,766,000 for training
rehabilitation personnel. The comparable fiscal year 2008
funding level and the budget request both are $37,766,000 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 $8,901,000 for demonstration
and training programs for persons with disabilities. The
comparable fiscal year 2008 funding level is $10,151,000 and
the budget request includes $8,826,000 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.
The Committee recommends continued support for parent
training and information centers, as proposed in the budget
request. The Committee expects the Rehabilitation Services
Administration to coordinate with the Office of Special
Education Programs in carrying out this activity.
The Committee recommendation also includes bill language
requiring that funds be provided to the following organizations
in the amounts specified:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
Alaska Adaptive Recreation Alliance, Anchorage, AK, $600,000
for programs to provide adaptive and therapeutic
recreation to the disabled in Alaska.................
Alaska Statewide Independent Living Council, 300,000
Anchorage, AK, for independent living programs for
rural and remote areas...............................
Arc of New London County, Norwich, CT, for adult 250,000
vocational training..................................
Cumberland Perry Association for Retarded Citizens, 100,000
Carlisle, PA, to support educational programming for
young adults with disabilities.......................
Enable America, Inc., Tampa, Florida, for civic/ 600,000
citizenship demonstration project for disabled adults
------------------------------------------------------------------------
Migrant and Seasonal Farmworkers
The Committee recommends $2,239,000 for migrant and
seasonal farmworkers, the same amount as the comparable fiscal
year 2008 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 $2,474,000 for recreational
programs, the same amount as the comparable fiscal year 2008
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 $17,201,000 for protection and
advocacy of individual rights. The comparable fiscal year 2008
funding level and the budget request both are $16,201,000 for
this purpose.
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 $19,197,000 for projects with
industry. The comparable fiscal year 2008 funding level is
$19,197,000 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 recommends $29,181,000 for the supported
employment State grant program. The comparable fiscal year 2008
funding level is $29,181,000 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 $22,193,000 for independent living
State grants. The comparable funding level for fiscal year 2008
and the budget request both are $22,193,000 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 $73,334,000 for independent living
centers. The comparable fiscal year 2008 funding level and the
budget request both are $73,334,000 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 $32,320,000 for independent living
services to older blind individuals. The comparable fiscal year
2008 funding level and the budget request both are $32,320,000
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 $622,000 for program improvement
activities, the same amount as the comparable fiscal year 2008
funding level. The budget request includes $800,000 for
authorized activities. In fiscal year 2009, 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.
Evaluation
The Committee recommends $1,447,000 for evaluation
activities, the same amount as the comparable fiscal year 2008
funding level. The budget request includes $1,947,000 for such
activities.
These funds support evaluations of the impact and
effectiveness of programs authorized by the Rehabilitation Act.
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 $8,362,000 for the Helen Keller
National Center for Deaf-Blind Youth and Adults, the same
amount as the comparable fiscal year 2008 funding level. The
budget request includes $7,862,000 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 that provide referral and counseling
assistance to deaf-blind persons; and an affiliate network of
agencies. The center serves approximately 120 persons with
deaf-blindness at its headquarters facility and provides field
services to approximately 2,000 individuals and families and
approximately 1,100 organizations.
National Institute on Disability and Rehabilitation Research
The Committee recommends $107,741,000 for the National
Institute on Disability and Rehabilitation Research [NIDRR].
The comparable fiscal year 2008 funding level and the budget
request both are $105,741,000 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 recommends funds above the budget request to
restore the number of rehabilitation research and training
centers, focusing on the issues of traumatic brain injury,
arthritis, neuromuscular disease and spinal cord injury.
Centers on these topics were previously funded by NIDRR. NIDRR
shall award funds for these centers on a competitive basis.
While mental health and physical health are clearly
connected, there is a lack of research at the nexus of these
care systems and the role they play for people with
disabilities. The Committee encourages NIDRR to pursue mental
health-related research proposals through its investigator-
initiated and other grants programs, including sponsoring
studies that will demonstrate the impact of socio-emotional,
behavioral and attitudinal aspects of disability. In
particular, specific initiatives that directly address societal
barriers, such as stigmatization and discrimination, and their
impact on people with physical, mental and neurological
disabilities as well as strategies to support the improved
function, rehabilitation and future employment of individuals
with disabilities are highly recommended.
The Committee encourages NIDRR to continue supporting
research on effective training for professional service
providers who work with individuals with disabilities. Many
fundamental programs that are committed to supporting the
progress and success of individuals with disabilities in the
areas of rehabilitation, employment, education, and general
health and functioning rely heavily on professionals who are
well-trained and knowledgeable about disability. Given the
current shortage of such professionals, it is important to
evaluate the processes for training these professionals who are
skilled to work on disability issues. Assessments and
evaluations of training programs on disability would offer a
unique insight into the preparation of this vital portion of
the workforce that plays a significant role in the lives of
people with disabilities.
Assistive Technology
The Committee recommends $29,920,000 for assistive
technology, the same amount as the comparable fiscal year 2008
funding level. The budget request includes $25,655,000 for the
State grant program and national 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 supports 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.
The Committee recommendation includes $24,620,000 for State
grant activities authorized under section 4, $4,265,000 for
protection and advocacy systems authorized by section 5, and
$1,035,000 for technical assistance activities authorized under
section 6.
Special Institutions for Persons With Disabilities
AMERICAN PRINTING HOUSE FOR THE BLIND
Appropriations, 2008.................................... $21,616,000
Budget estimate, 2009................................... 21,616,000
Committee recommendation................................ 22,500,000
The Committee recommends $22,500,000 to help support the
American Printing House for the Blind [APH]. The comparable
fiscal year 2008 funding level and budget request both are
$21,616,000 for this purpose.
The American Printing House for the Blind 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.
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF
Appropriations, 2008.................................... $59,695,000
Budget estimate, 2009................................... 59,195,000
Committee recommendation................................ 62,000,000
The Committee recommends $62,000,000 for the National
Technical Institute for the Deaf [NTID]. The comparable fiscal
year 2008 funding level is $59,695,000 and the budget request
includes $59,195,000 for this purpose. Within the Committee
recommendation, $1,175,000 is available for improvements to the
campus infrastructure of NTID.
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, 2008.................................... $113,384,000
Budget estimate, 2009................................... 119,384,000
Committee recommendation................................ 124,000,000
The Committee recommends $124,000,000 for Gallaudet
University. The comparable fiscal year 2008 funding level is
$113,384,000 and the budget request includes $119,384,000 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 $6,000,000 earmarked in bill
language for construction-related activities connected to soil
instability and associated building damage on campus. The
Committee recommendation includes the requested funding and
language for these activities. The Committee provided
additional funds in the 2008 bill to allow Gallaudet to begin
addressing this issue.
Career, Technical, and Adult Education
Appropriations, 2008.................................... $1,941,642,000
Budget estimate, 2009................................... 574,590,000
Committee recommendation................................ 1,863,162,000
The Committee recommends a total of $1,863,162,000 for
career, technical and adult education. The comparable funding
level in fiscal year 2008 is $1,941,642,000 and the budget
request includes $574,590,000 for this account. The
recommendation consists of $1,271,694,000 for career and
technical education, $567,468,000 for adult education and
$24,000,000 for other activities.
Career and Technical Education
The Committee recommends $1,271,694,000 for career and
technical education, the same amount as the comparable fiscal
year 2008 funding level. The budget request does not propose
any funds for these activities.
State Grants.--The Committee recommends $1,160,911,000 for
State grants, the same amount as the comparable fiscal year
2008 funding level. The budget request does not propose 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 career and technical education
and provide equal access to career and technical 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, with
special provisions for small States and a fiscal year 1998 base
guarantee.
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, $369,911,000 will
become available on July 1, 2009 and $791,000,000 will become
available on October 1, 2009. These funds will remain available
for obligation until September 30, 2010.
Tech-Prep Education State Grants.--The Committee recommends
$102,923,000 for tech-prep programs, the same amount as the
comparable fiscal year 2008 funding level. The budget request
proposes to eliminate funding for this program. This program is
designed to link academic and career and technical education
and to provide a structural link between secondary schools and
postsecondary education institutions. Funds are distributed to
the States through the same formula as the 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.--The Committee recommends $7,860,000 for
national research programs and other national activities, the
same amount as the comparable fiscal year 2008 funding level.
The budget request proposes to eliminate funding for this
program.
Funds should be used to support the national research
center on career and technical education, as well as other
activities that will help improve career and technical
education programs in high schools and community colleges.
ADULT EDUCATION
The Committee recommends $567,468,000 for adult education,
the same amount as the comparable fiscal year 2008 funding
level. The budget request includes $574,590,000 for this
purpose. The authorizing statute for adult education programs
expired on September 30, 2004. Descriptions of these programs
provided below assume the continuation of current law.
The Committee recognizes the importance of the Adult
Education and Family Literacy Act programs. To ensure that
funding for these programs is benefiting as many students as
possible, the Committee requests that the Department evaluate
and report on whether the amount of funding for State grants
that is allowed to be set aside for State leadership activities
and State program administration is appropriate and how these
set-asides impact the assistance reaching students. The
Committee expects the Department to include the requested
information in the fiscal year 2010 budget justification.
Adult Education State Programs.--For adult education State
programs, the Committee recommends $554,122,000, the same
amount as both the comparable fiscal year 2008 funding level
and the budget request. 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 Leadership Activities.--The Committee recommends
$6,878,000 for national leadership activities, the same amount
as the comparable funding level for fiscal year 2008. The
budget request includes $14,000,000 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
$6,468,000 for the National Institute for Literacy, authorized
under section 242 of the Adult Education and Family Literacy
Act. The comparable fiscal year 2008 funding level and the
budget request both are $6,468,000 for this purpose. The
Institute provides national leadership on issues related to
literacy, coordinates literary services and policy, and serves
as a national resource for adult education and literacy
programs. The center also engages in a variety of capacity-
building activities that support the development of State,
regional, and national literary services.
Smaller Learning Communities
The Committee does not recommend funds for this program, as
proposed in the budget request. The comparable fiscal year 2008
funding level is $80,108,000. 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 recommends $24,000,000 for education and
training for incarcerated youth offenders. The comparable
funding level for fiscal year 2008 is $22,372,000, while the
budget request does not include any funds for this purpose.
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, 2008.................................... $16,081,136,000
Budget estimate, 2009................................... 17,921,492,000
Committee recommendation................................ 18,761,809,000
The Committee recommends an appropriation of
$18,761,809,000 for student financial assistance. Program
authorities and descriptions assume the continuation of current
law.
Federal Pell Grant Program
For Pell grant awards in the 2009/2010 academic year, the
Committee recommends $16,890,000,000 to increase the maximum
discretionary Pell grant award level to $4,310. Additional
mandatory funding provided in the College Cost Reduction and
Access Act would increase this maximum award by $490, to a
total of $4,800.
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.
Federal Supplemental Educational Opportunity Grants
The Committee recommends $757,465,000 for Federal
supplemental educational opportunity grants [SEOG], the same as
the fiscal year 2008 level. The budget did not include funds
for this program. This program provides funds to postsecondary
institutions for need-based grants to undergraduate students.
Institutions must contribute 25 percent toward 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 $980,492,000 for the Federal
work-study program, the same amount as the budget request and
the fiscal year 2008 level.
This program provides grants to more than 3,300
institutions to help an estimated 800,000 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.
Federal Perkins Loans
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 $70,000,000 for loan
cancellations, $5,673,000 over the comparable fiscal year 2008
level. The administration did not request funds for this
program. 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 is aware that institutions, in complying with
the Perkins loan cancellations provisions, are seeing their
overall Perkin revolving loan accounts decrease. The Committee
realizes that this $5,000,000 increase is not sufficient to
make the participating institutions whole and will continue to
address the shortfall issue over the next few years.
The Committee bill does not include any funds for Federal
Perkins loans capital contributions. The fiscal year 2008 bill
did not include such funds and the budget request does not
provide any funds for this purpose.
Leveraging Educational Assistance Partnership Program
For the leveraging educational assistance partnership
[LEAP] program, the Committee recommends $63,852,000, the same
amount as the comparable funding level for fiscal year 2008.
The budget proposes to eliminate funding for this program.
The LEAP program provides a Federal match to States as an
incentive for providing need-based grant and work-study
assistance to eligible postsecondary students.
Loans for Short-Term Training
Appropriations, 2008....................................................
Budget estimate, 2009................................... $3,000,000
Committee recommendation................................................
The Committee recommendation does not include funds for a
new program designed to help individuals acquire or upgrade
specific-job related skills through short-term training
programs. The budget proposed $3,000,000 for this new program.
The Committee notes that this program is not authorized and
will reconsider funding after legislation is submitted to the
Congress and considered by the authorizing committees.
Student Aid Administration
Appropriations, 2008.................................... $695,843,000
Budget estimate, 2009................................... 714,000,000
Committee recommendation................................ 704,843,000
The Committee recommends $704,843,000 for the Student Aid
Administration account, 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.
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, 2008.................................... $2,021,852,000
Budget estimate, 2009................................... 1,733,684,000
Committee recommendation................................ 1,856,214,000
The Committee recommends an appropriation of $1,856,214,000
for higher education programs. The administration requested
$1,733,684,000 and the fiscal year 2008 level was
$2,021,852,000 for programs in this account.
Aid for Institutional Development
The Committee recommends $362,586,000, the same as the
administration's request. The Committee recommendation concurs
in the budget request, which reduces aid for institutional
development programs where additional fiscal year 2008 and 2009
funding is available from the College Cost Reduction and Access
Act. The Committee will resume providing funding levels in
fiscal year 2010 that are comparable to the discretionary
program levels provided in fiscal year 2008.
Strengthening Institutions.--The Committee bill includes
$78,146,000, the same as the administration's request. 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 $74,442,000, the same as the administration's
request, for institutions at which Hispanic students make up at
least 25 percent of enrollment. Institutions applying for title
V funds must meet the regular part A requirements. 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.
The College Cost Reduction and Access Act amended title IV
of the Higher Education Act by providing mandatory funding for
a number of higher education programs. That act provided
$100,000,000 in mandatory funding for activities similar to
those described above, except that a priority is placed on
certain science, technology, engineering and mathematics
initiatives.
Strengthening Historically Black Colleges and
Universities.--The Committee recommends $153,095,000, the same
as the administration's request, for part B grants. The College
Cost Reduction and Access Act amended title IV of the Higher
Education Act by providing mandatory funding for a number of
higher education programs. That act provided $85,000,000 in
mandatory funding for historically black colleges and
universities in fiscal year 2009 in addition to the amounts
described above for total fiscal year 2009 funding of
$238,095,000. 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 $56,903,000, the same as the
administration's request, for the part B, section 326 program.
The section 326 program provides 5-year grants to strengthen
historically black graduate institutions [HBGIs]. Grants may be
used for any part B purpose and to establish an endowment.
Strengthening Alaska Native and Native Hawaiian-Serving
Institutions.--The Committee did not recommend funding for this
program, nor did the administration request funding for this
program, since funding for fiscal year 2009 was provided in the
College Cost Reduction and Access Act. The College Cost
Reduction and Access Act amended title IV of the Higher
Education Act by providing mandatory funding for a number of
higher education programs. That act provided $15,000,000 in
mandatory funding for Strengthening Alaska Native and Native
Hawaiian-Serving Institutions in fiscal year 2009.
The Committee has included bill language permitting funds
made available in the College Cost Reduction and Access Act for
this program to be used for any authorized activity in section
317 of the Higher Education Act.
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.
The Committee encourages the Department to use simplified
application forms to permit participating institutions to
obtain continuation funding for successful programs funded
under this program.
Strengthening Tribally Controlled Colleges and
Universities.--The Committee did not recommend funding for this
program, nor did the administration request funding for this
program, since funding for fiscal year 2009 was provided in the
College Cost Reduction and Access Act. The College Cost
Reduction and Access Act amended title IV of the Higher
Education Act by providing mandatory funding for a number of
higher education programs. That act provided $30,000,000 in
mandatory funding for Strengthening Tribally Controlled
Colleges and Universities in fiscal year 2009.
Tribal colleges and universities rely on a portion of the
funds provided to address developmental needs, including
faculty development, curriculum and student services.
International Education and Foreign Language Studies
The bill includes a total of $108,983,000 for international
education and foreign language programs, which is the same as
the fiscal year 2008 level. The administration requested
$108,983,000.
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 $93,941,000
for domestic program activities related to international
education and foreign language studies, including international
business education, under title VI of the HEA. This is the same
as the fiscal year 2008 level. 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 $13,372,000 for
overseas programs authorized under the Mutual Educational and
Cultural Exchange Act of 1961, popularly known as the
Fulbright-Hays Act, the same as the fiscal year 2008 level and
the administration request. 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 $1,670,000 for the Institute for International
Public Policy, the same as the administration request. 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 $63,652,000 for the Fund for the
Improvement of Postsecondary Education [FIPSE]. 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 recommends $1,000,000 to initiate and
carryout the scholarship program authorized in the Federal Mine
Safety and Health Act, as modified in this bill. These
modifications require authorized scholarships to be referred to
as ``Erma Byrd Scholarships''; alter the eligibility
requirements related to work experience and programs of study;
and allow contributions from private sources to be used for
such scholarships. The Committee intends for the CDC/National
Institute of Occupational Safety and Health and Department of
Labor to collaborate with the Department of Education in
implementing this program.
The Committee recommendation also includes bill language
requiring that funds be provided to the following organizations
in the amounts specified:
------------------------------------------------------------------------
Committee
Project recommendation
------------------------------------------------------------------------
AIB College of Business, Des Moines, IA, to continue $400,000
recruiting and training captioners and court
reporters and to provide scholarships to students....
Albright College, Reading, PA, for laboratory 100,000
equipment acquisition................................
Alcorn University, Lorman, MS, for curriculum 250,000
improvements.........................................
Alvernia College, Reading, PA, for scholarships and 100,000
nursing education programs...........................
American Prosthodontic Society Foundation, Osceola 100,000
Mills, PA, for scholarships and program costs related
to prosthetic dentistry and clinical prosthodontics..
Armstrong Atlantic State University, Savannah, GA, for 100,000
technology upgrades, including the purchase of
equipment and professional development...............
Assumption College, Worcester, MA, for the acquisition 150,000
of educational equipment and information technology..
Black Mountain Institute, Las Vegas, NV, for 100,000
undergraduate and graduate instruction in literature,
humanities, creative writing, translation and for
international and study abroad programs..............
Bloomsburg University of Pennsylvania, Bloomsburg, PA, 100,000
for computer forensic science education programs.....
Blue Mountain Community College, Hermiston, OR, for 300,000
curriculum development, including purchase of
equipment............................................
Briar Cliff University, Sioux City, IA for equipment.. 200,000
Buena Vista University, Storm Lake, IA, for support 250,000
for students with disabilities.......................
Caldwell College, Caldwell, NJ, for an Autism Teacher 250,000
Doctorate Program at the Center for Excellence in
Teaching, which may include equipment for distance
learning activities..................................
California Maritime Academy, Vallejo, CA, for an 500,000
emergency response training program, which may
include the acquisition of software and technology...
California University of Pennsylvania, California, PA, 100,000
for curriculum development and teacher training to
enhance math and science instruction.................
Cape Girardeau Career and Technology Center, Cape 300,000
Girardeau, MO, for equipment and technology upgrades,
including the purchase of equipment..................
Center for Education, Business, and the Arts [CEBA], 100,000
St. George, UT, for an educational program in
business entrepreneurship at Dixie State College.....
Cheyney University of Pennsylvania, Cheyney, PA, to 100,000
develop model best practices in early childhood
education, curriculum instruction and assessment.....
Clark University, Worcester, MA, for information 200,000
technology and educational equipment.................
Cleveland Chiropractic College, Overland Park, KS, for 200,000
curriculum development...............................
Coe College, Cedar Rapids, IA, for the Science and 500,000
Technology Enhancement Initiative....................
Coffeyville Community College, Coffeyville, KS, to 450,000
establish an endowed scholarship program for Kansas
residents............................................
College of DuPage, Glen Ellyn, IL, for support of a 300,000
veteran counseling degree and certificate program....
Colorado State University--Pueblo, Pueblo, CO, for 150,000
science, technology, engineering and mathematics
programs, including equipment........................
Connecticut State University System, Hartford, CT, for 400,000
nursing education programs...........................
Daniel Webster College, Nashua, NH, for technology 200,000
upgrades, including the purchase of equipment........
Dartmouth College, Hanover, NH, to continue an 300,000
interdisciplinary initiative on engineering and
medicine, including the purchase of equipment........
Deaf West Theater, North Hollywood, CA, for 250,000
educational programming..............................
Delaware County Community College, Media, PA, for 100,000
technology upgrades, including the purchase of
equipment............................................
DeSales University, Center Valley, PA, for technology 100,000
upgrades including the purchase of equipment.........
Dickenson County Industrial Development Authority--The 100,000
Dickenson Center for Education and Research,
Clintwood, VA, for technology upgrades, including the
purchase of equipment................................
Dowling College, Oakdale, NY, to create and establish 200,000
a school of Banking and Financial Services...........
Duquesne University, Pittsburgh, PA, for professional 100,000
development and research training in computational
sciences.............................................
Eastern Iowa Community College, Davenport, IA, for the 300,000
creation of a center on sustainable energy, including
equipment............................................
Eastern University, St. Davids, PA, for an initiative 100,000
to increase minority access to higher education......
Edinboro University of Pennsylvania, Edinboro, PA, for 100,000
a nursing education program and equipment acquisition
Edward M. Kennedy Institute for the Senate, Boston, 1,000,000
MA, for planning and design..........................
Elizabethtown College, Elizabethtown, PA, for 100,000
technology infrastructure upgrades and acquisition...
Emerson College, Boston, MA, for educational equipment 100,000
and technology infrastructure........................
Emmanuel College, Boston, MA, for educational 325,000
equipment and technology infrastructure..............
Endicott College, Beverly, MA, for expansion of higher 200,000
education programs...................................
George Meany Center for Labor Studies--the National 500,000
Labor College, Silver Spring, MD, for curriculum
development..........................................
George Washington University, Washington, DC, to 148,000
provide D.C. public school students opportunities to
pursue health professions careers....................
Green River Community College, Auburn, WA, for support 300,000
of the Computer Reporting Technologies program.......
Hawaii Community College, Waipahu, HI, to provide 200,000
cultural education...................................
Henry Kuualoha Giugni Archives, University of Hawaii, 250,000
Honolulu, HI, for cultural education.................
Houston Community College, Houston, TX, for curriculum 200,000
development and purchase of equipment for the
Accelerated Nursing Proficiency Center...............
Huntingdon College Institute, Montgomery, AL, for 200,000
teacher training and purchase of equipment...........
Immaculata University, Immaculata, PA, for nursing 100,000
education programs...................................
Indiana University of Pennsylvania, Indiana, PA, for 100,000
curriculum development for a mine safety course and
research on use of mine maps.........................
Iowa Western Community College, Council Bluffs, IA, 450,000
for health technology equipment......................
Jobs for Mississippi Graduates, Inc., Jackson, MS, for 100,000
Reaching Up for Success dropout prevention program...
Keystone College, La Plume, PA, for technology 100,000
upgrades including the purchase of equipment.........
Lackawanna College, Scranton, PA, for technology 100,000
upgrades, including the purchase of equipment........
Lafayette College, Easton, PA, for technology 100,000
upgrades, including the purchase of equipment........
Lehigh University, Bethlehem, PA, to develop 100,000
programming for a Center for Developing Urban
Educational Leaders..................................
Lesley University, Cambridge, MA, for educational 200,000
equipment and information technology.................
Lincoln University, Lincoln University, PA, to support 100,000
a distance learning initiative, including the
purchase of equipment................................
Lyndon State College, Lyndonville, VT, for a center 350,000
for rural students...................................
Mansfield University of Pennsylvania, Mansfield, PA, 100,000
for nursing education programs, including the
purchase of equipment................................
Marywood University, Scranton, PA, for campus-based 100,000
autism education programs............................
McNeese State University, Lake Charles, LA, to provide 200,000
professional development to improve student writing..
Michigan Community College Association, Lansing, MI, 1,700,000
for an alternative energy training initiative........
MidAmerican Nazarene University, for technology 150,000
acquisition to expand distance education for teachers
in western Kansas, including the purchase of
equipment............................................
Middle Tennessee State University, Murfreesboro, TN, 400,000
for a comprehensive math and science teacher training
program, including scholarships......................
Midland College, Midland, TX, for technology upgrades, 100,000
including purchase of equipment......................
Millikin University, Decatur, IL, for a nursing 500,000
training program.....................................
Missouri State University, Springfield, MO, for 500,000
equipment and technology upgrades, including the
purchase of equipment................................
Montclair State College, Upper Montclair, NJ, for a 200,000
Minority Teacher Recruitment, Development and
Retention program....................................
Montgomery County Community College, Blue Bell, PA, 100,000
for curriculum development and equipment acquisition
to support a health services initiative..............
Morehouse College, Atlanta, GA, to establish a 100,000
research initiative to improve college graduation
rates of minority males..............................
Mott Community College, Flint, MI, for the Center for 200,000
Advanced Manufacturing...............................
Mount Aloysius College, Cresson, PA, for college 100,000
preparation programs.................................
Muhlenberg College, Allentown, PA, for a civic 100,000
engagement and service learning program..............
Murray State University, Hopkinsville, KY, to purchase 100,000
equipment for the Breathitt Veterinary Clinic........
Neumann College, Aston, PA, for technology and 100,000
equipment acquisition to support a health care
workforce training initiative........................
Nevada State College, Henderson, NV, for teacher 300,000
preparation programs.................................
Nevada Volunteers, Fallon, NV, to expand service- 250,000
learning programs....................................
North Central Missouri College, Trenton, MO, for 1,600,000
technology upgrades, including the purchase of
equipment for the Allied Health building.............
North Dakota State College of Science, Wahpeton, ND, 1,000,000
for a Center for Nanoscience Technology Train- ing..
Northampton Community College, Bethlehem, PA, for 100,000
technology and equipment upgrades and acquisition....
Northeast Community College, Norfolk, NE, for improved 700,000
access to postsecondary educational opportunities,
including distance learning and other equipment......
Northern Essex Community College, Lawrence, MA, for 200,000
educational equipment................................
Northwest Nazarene University, Nampa, ID, for 200,000
technology upgrades, including the purchase of
equipment............................................
Northwestern College, Orange City, IA, for nurse 450,000
training programs....................................
Olivet Nazarene University, Bourbonnais, IL, for nurse 300,000
education equipment..................................
Oregon Institute of Technology, Klamath Falls, OR, for 100,000
the Health Informatics Simulation Lab................
Peninsula College, Port Angeles, WA, for equipment for 500,000
the Peninsula College Science & Technology Building,
and to support the Peninsula College Collaborative
Mentoring Model......................................
Pennsylvania Highlands Community College, Johnstown, 100,000
PA, for technology and equipment upgrades and
acquisition..........................................
Plymouth State University, Plymouth, NH, for a 200,000
collaborative research institute for sustainable
rural economies......................................
Point Park University, Pittsburgh, PA, for technology 100,000
upgrades including the purchase of equipment.........
Portland State University, Portland, OR, for support 150,000
of the Science Research Teaching Center..............
Qunsigamond Community College, Worcester, MA, for the 150,000
procurement of educational equipment and information
technology to support academic expansion.............
Rutgers University, Camden, NJ, for the Camden 100,000
Children's Initiative, which may include scholarships
and fellowships......................................
Saint Bonaventure University, St. Bonaventure, NY, for 300,000
the Father Mychal Judge program, which may include
student scholarships and travel costs for student
exchanges and visiting professorships................
Saint Mary's University of Minnesota, Minneapolis, MN, 200,000
for technology upgrades, including the purchase of
equipment............................................
Saint Vincent College, Latrobe, PA, for educational 100,000
programs, including the purchase of equipment........
Security on Campus, Inc., King of Prussia, PA, for 25,000
development and implementation of a sexual assault
awareness and training program.......................
Sedgwick County Government, KS, to establish an 500,000
advanced education in general dentistry residency
program..............................................
Seminole State College, Seminole, OK, for a distance 100,000
learning program and technology upgrades, including
the purchase of equipment............................
Sitting Bull College, Fort Yates, ND, for a Student 250,000
Record and Data Management System....................
Southeastern Community College, West Burlington, Iowa, 100,000
for nursing education equipment......................
Southern Oregon University, Ashland, OR, for 300,000
technology infrastructure and equipment acquisition..
Southern Utah University, Cedar City, UT, to enhance 100,000
the academic skills and training of science teachers
in rural Utah, including the purchase of equipment...
Spelman College, Atlanta, GA, for programs to recruit 100,000
and increase graduate rates for students pursuing
science, mathematics, or dual-engineering degrees....
Susquehanna University, Selinsgrove, PA, for science 100,000
laboratory technology, including the purchase of
equipment............................................
Texas Woman's University, Denton, TX, for curriculum 150,000
development and technology upgrades, including the
purchase of equipment................................
Tougaloo College, Tougaloo, MS, for applied 300,000
undergraduate level community based research programs
and partnerships.....................................
Troy University, Montgomery, AL, for technology 250,000
upgrades, including the purchase of equipment........
Truckee Meadows Community College, Reno, NV, for 300,000
recruiting, mentoring and providing supportive
services.............................................
Turtle Mountain Community College, Belcourt, ND, to 500,000
expand its Nursing Program, including equip- ment...
Union Graduate College, Schenectady, NY, for program 300,000
support of a Masters degree in Emerging Energy
Systems..............................................
University of Alaska, Anchorage, AK, to continue the 1,050,000
Alaska science and engineering program for Alaska
students.............................................
University of Arizona, Tucson, AZ, for the Integrative 500,000
Medicine in Residency program........................
University of Hawaii at Hilo Clinical Pharmacy 1,000,000
Training Program, Hilo, HI, for clinical pharmacy
training program and applied rural science program...
University of Hawaii School of Law, Honolulu, HI, for 250,000
health policy center.................................
University of Maine, Orono, ME, for technology 300,000
upgrades, including the purchase of equipment........
University of Maryland College Park, College Park, MD, 1,000,000
to develop and administer a public service fellowship
program..............................................
University of Montana, Missoula, MT, to establish the 250,000
Institute for Leadership and Public Service to
fulfill the purposes of the Mansfield Center.........
University of New Hampshire, Manchester, NH, for 250,000
technology upgrades, including the purchase of
equipment............................................
University of Northern Colorado, Greeley, Colorado, 300,000
for professional development at the National Center
on Severe & Sensory Disabilities.....................
University of Northern Iowa, Cedar Falls, IA, for 500,000
equipment............................................
University of Pittsburgh, Pittsburgh, PA, to support a 100,000
Center for Global Value and Innovation Networks......
University of Scranton, Scranton, PA, for a health 100,000
profession education and training initiative.........
University of South Dakota, Vermillion, SD, for 430,000
graduate programs on the digital preservation of
recorded oral histories..............................
University of South Dakota, Vermillion, SD, for 400,000
equipment and wiring for the Research, Education and
Economic Development Network.........................
University of Southern Maine, Portland, ME, for 350,000
technology upgrades, including the purchase of
equipment............................................
University of Utah, Salt Lake City, UT, for distance 100,000
learning for community of caring schools, including
technology upgrade and purchase of equipment.........
University of Wisconsin-Platteville, Platteville, WI, 300,000
for program support for entrepreneurial education....
University of Wisconsin-Green Bay, Green Bay, WI, for 300,000
a comprehensive academic enrichment program to
prepare low-income and first-generation high school
students for college.................................
Upper Iowa University, Fayette, IA, for equipment..... 250,000
Utah Valley University, Orem, UT, to improve education 300,000
and training programs for nursing graduates,
including the purchase of equipment..................
Valley City State University, Valley City, ND, for a 400,000
Center for Technology and Engineering Education......
Virginia Department of Correctional Education-- 100,000
Workforce and Community Transition Training for
Incarcerated Youth Offenders Program, Richmond, VA,
to improve access to postsecondary education for
incarcerated individuals.............................
Virginia Foundation for Community College Education-- 100,000
Great Expectations Program, Richmond, VA, to improve
access to postsecondary education for foster care
youth................................................
Voices of September 11th, New Canaan, CT, for graduate 300,000
education on digital archiving in relationship to the
9/11 Living Memorial Project.........................
Washington & Jefferson College, Washington, PA, for 100,000
science education outreach programs..................
West Chester University, West Chester, PA, for 100,000
technology infrastructure upgrades and acquisition...
Western Kentucky University Research Foundation, 2,500,000
Bowling Green, KY, for technology upgrades, including
the purchase of equipment............................
Western Oklahoma State College, Altus, OK, for 100,000
technology upgrades, including the purchase of
equipment............................................
Wheelock College, Boston, MA, for continued 100,000
development of science programs for K-12 teachers....
Wilson College, Chambersburg, PA, for science 100,000
laboratory equipment acquisition.....................
Wisconsin Association of Independent Colleges and 300,000
Universities, Madison, WI, for consolidated
administrative support functions for independent
colleges and universities............................
Wofford College, Spartanburg, SC, for technology 300,000
upgrades, including the purchase of equipment........
Year Up Providence, Providence, RI, for a bridge to 600,000
career and college program...........................
------------------------------------------------------------------------
Minority Science and Engineering Improvement
The Committee recommends $8,577,000 for the Minority
Science and Engineering Improvement program [MSEIP], the same
as the fiscal year 2008 level and the administration request.
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 Career and Technical Institutions
The Committee recommends $7,546,000 for tribally controlled
postsecondary vocational institutions, the same as the fiscal
year 2008 level. The administration did not request funding for
this program. 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.
Federal TRIO Programs
The Committee recommends $838,178,000 for Federal TRIO
Programs, an increase of $10,000,000 over the fiscal year 2008
level and the administration request.
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.
Gaining Early Awareness and Readiness for Undergraduate Programs
[GEARUP]
The Committee recommends $308,423,000 for GEARUP, an
increase of $5,000,000 over the fiscal year 2008 level and the
administration request.
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 administration did not request funding
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 2009, and continue support for the 2006,
2007, and 2008 cohorts of students in their fourth, third and
second years of study, respectively.
Javits Fellowships
The Committee recommends $9,530,000 for the Javits
Fellowships program, the same as the fiscal year 2008 level.
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 2009
appropriation support fellowships for the 2010-2011 academic
year.
Graduate Assistance in Areas of National Need [GAANN]
The Committee recommends $29,542,000 for graduate
assistance in areas of national need, the same as the fiscal
year 2008 level. 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 2007, the Secretary designated the
following areas of national need: biology, chemistry, computer
and information sciences, engineering, mathematics, physics,
and nursing. Recipients must demonstrate financial need and
academic excellence, and seek the highest degree in their
fields.
Teacher Quality Enhancement Grants
The Committee recommends $47,540,000 for the teacher
quality enhancement grants program. This amount is $13,878,000
above the fiscal year 2008 level. The administration did not
request 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 and intends for the Secretary to utilize
this flexibility and the additional funds provided to initiate
a partnership grant competition focused on residency programs,
professional development schools or other models that have been
proven effective in helping meet the challenge of placing
highly qualified teachers in high-need classrooms.
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.
BA Degrees in STEM and Critical Foreign Languages
The Committee recommendation includes $983,000 for this
activity, the same as the fiscal year 2008 level.
Under this program grants are awarded on a competitive
basis, to eligible recipients to implement teacher education
programs that promote effective teaching skills and lead to a
baccalaureate degree in science, technology, engineering,
mathematics, or a critical foreign language with concurrent
teacher certification.
MA Degrees in STEM and Critical Foreign Languages
The Committee recommendation includes $983,000 for this
activity, the same as the fiscal year 2008 level.
Under this program grants are awarded, on a competitive
basis, to eligible recipients to develop and implement part-
time master's degree programs in science, technology,
engineering, mathematics, or critical foreign language
education for teachers in order to enhance the teacher's
content knowledge and teaching skill.
Child Care Access Means Parents in Schools
The Committee recommends an appropriation of $15,534,000
for the Child Care Access Means Parents in School [CCAMPIS]
program, the same as the fiscal year 2008 level and the
administration request. 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 did not include funding for
this new initiative. The administration had requested
$24,000,000. This program funds 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 postsecondary education in critical
needs languages.
Demonstration Projects to Ensure Quality Higher Education for Students
With Disabilities
The Committee recommends $6,755,000 for this program, the
same amount as the comparable fiscal year 2008 funding level.
The administration did not request 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.
Underground Railroad Program
The Committee recommendation includes $1,945,000 for the
Underground Railroad Program, the same as the fiscal year 2008
level. The administration did not request funding for this
program. 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 $609,000 for data collection
associated with the Government Performance and Results Act data
collection and to evaluate programs authorized by the Higher
Education Act, the same as the fiscal year 2008 level. 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 includes $953,000 for B.J.
Stupak Scholarships, the same as the fiscal year 2008 level.
Thurgood Marshall Legal Educational Opportunity Program
The Committee recommendation includes $2,895,000 for the
Thurgood Marshall Educational Opportunity Program, the same as
the fiscal year 2008 level.
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, 2008.................................... $233,244,000
Budget estimate, 2009................................... 233,245,000
Committee recommendation................................ 233,244,000
The Committee recommends an appropriation of $233,244,000
for Howard University. The comparable fiscal year 2008 funding
level is $233,244,000 and the budget request includes
$233,245,000 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 approximately 50 percent of the university's
projected educational and general expenditures, excluding the
hospital. The Committee recommends, within the funds provided,
not less than $3,464,000 shall be for the endowment program.
Howard University Hospital.--Within the funds provided, the
Committee recommends $28,946,000 for the Howard University
Hospital, the same amount as the fiscal year 2008 funding level
and the budget request. 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, 2008.................................... $473,000
Budget estimate, 2009................................... 461,000
Committee recommendation................................ 461,000
Federal Administration.--The Committee bill includes
$461,000 for Federal administration of the CHAFL program. The
comparable fiscal year 2008 funding level is $473,000 and the
budget request includes $461,000 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 2009. 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, 2008.................................... $185,000
Budget estimate, 2009................................... $10,354,000
Committee recommendation................................ $10,354,000
The Committee recommends $10,354,000 for the Historically
Black College and University [HBCU] Capital Financing Program,
the same amount as the budget request. The fiscal year 2008
funding level is $185,000 and the budget request includes
$10,354,000 for this activity.
The budget proposes $10,000,000 to pay for the subsidy
costs of up to $100,000,000 in guaranteed loan authority under
this program. The budget also proposes bill language to
increase the amount of loans that can be made under this
program, as well as eliminate the caps that would otherwise
limit the borrowing that could be undertaken by private and
public HBCUs. The Committee has provided the requested funds
and slightly modified bill language.
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 Sciences
Appropriations, 2008.................................... $546,105,000
Budget estimate, 2009................................... 658,247,000
Committee recommendation................................ 642,442,000
The Committee recommends $642,442,000 for the Institute of
Education Sciences. The comparable fiscal year 2008 funding
level is $546,105,000 and the budget request includes
$658,247,000 for authorized activities. This account supports
education research, data collection and analysis activities,
and the assessment of student progress.
RESEARCH, DEVELOPMENT AND DISSEMINATION
The Committee recommends $167,535,000 for education
research, development and national dissemination activities.
The comparable fiscal year 2008 amount is $159,696,000 and the
budget request includes $167,196,000 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 requests that the National Board for
Education Sciences, as the body responsible for oversight of
the Institute of Education Sciences, convene a blue-ribbon
panel of leading experts in rigorous, particularly randomized,
evaluations to assess the What Works Clearinghouse. While the
Committee believes a comprehensive assessment should be
undertaken given the significant investment made in the
Clearinghouse, an immediate priority should be a focused study
addressing the fundamental question of whether the
Clearinghouse's evidence review process and reports are
scientifically valid--that is, provide accurate information
about the strength of evidence of meaningful effects on
important educational outcomes. The Committee requests that the
Board convene the panel within 60 days of enactment of this
act, and that the panel complete its work and submit a report,
including any recommendations for improvements in the
Clearinghouse, to the Board, the Director, and Congress no
later than 4 months thereafter. The Committee intends for panel
members to be free of conflicts of interest.
STATISTICS
The Committee recommends $88,449,000 for data gathering and
statistical analysis activities of the National Center for
Education Statistics [NCES]. The comparable fiscal year 2008
funding level is $88,449,000 and the budget request includes
$104,593,000 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.
REGIONAL EDUCATIONAL LABORATORIES
The Committee recommends $67,569,000 to continue support
for the regional educational laboratories, the same amount as
the budget request. The comparable fiscal year 2008 funding
level is $65,569,000. 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 recommends additional funds for the laboratories
to increase their capacity to provide timely responses to
requests for assistance on issues of urgent regional need.
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
continues to believe 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.
RESEARCH AND INNOVATION IN SPECIAL EDUCATION
The Committee recommends $70,585,000 for research and
innovation in special education, the same amount as the fiscal
year 2008 level and the budget request. The National Center for
Special Education Research addresses 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 are
available for obligation for 2 fiscal years.
SPECIAL EDUCATION STUDIES AND EVALUATIONS
The Committee recommends $9,460,000 for special education
studies and evaluations, the same amount as the fiscal year
2008 level and the budget request.
This program supports 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 $100,000,000 for
statewide data systems. The comparable funding level for fiscal
year 2008 is $48,293,000 and the budget request includes
$100,000,000 for this purpose.
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.
Beginning in 2008, bill language also allowed funds to be used
for statewide data coordinators, who would improve the State's
capability to use, report and maintain high quality data in
their systems. Also starting in 2008, bill language allows the
Department to use funds to coordinate data collection and
reporting with private sector initiatives, in order to help
reduce the reporting burden on States and schools, while
improving data accuracy and maintaining access to the data for
research purposes.
The budget request proposes legislative language that would
allow funds to be used to expand State data systems to include
postsecondary and workforce information. The Committee
understands that a priority in the competition for fiscal year
2009 funds would be placed on funding States that currently
lack data systems or have less-developed systems. The Committee
includes the proposed bill language with the understanding that
the Department will first use funds for the priority described
in the preceding sentence.
ASSESSMENT
The Committee recommends $138,844,000 for assessment. The
comparable fiscal year 2008 funding level is $104,053,000 and
the budget request includes $138,844,000 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.
Within the funds appropriated, the Committee recommends
$8,723,000 for the National Assessment Governing Board [NAGB],
which is responsible for formulating policy for NAEP. The
comparable fiscal year 2008 amount is $5,932,000 and the budget
request includes $8,723,000 for NAGB.
Departmental Management
PROGRAM ADMINISTRATION
Appropriations, 2008.................................... $411,274,000
Budget estimate, 2009................................... 444,439,000
Committee recommendation................................ 427,939,000
The Committee recommends $427,939,000 for program
administration. The comparable fiscal year 2008 funding level
is $411,274,000 and the budget request includes $444,439,000
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 $7,939,000 for building
renovations and related expenses associated with relocation of
Department staff from several regional offices. The Committee
recommends $7,939,000 for this purpose and makes the funds
available until expended, as proposed in the budget request.
OFFICE FOR CIVIL RIGHTS
Appropriations, 2008.................................... $89,612,000
Budget estimate, 2009................................... 101,040,000
Committee recommendation................................ 89,612,000
The Committee recommends $89,612,000 for the Office for
Civil Rights [OCR]. The comparable fiscal year 2008 amount is
$89,612,000 and the budget request includes $101,040,000 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.
OFFICE OF THE INSPECTOR GENERAL
Appropriations, 2008.................................... $50,849,000
Budget estimate, 2009................................... 54,539,000
Committee recommendation................................ 54,539,000
The Committee recommends $54,539,000 for the Office of the
Inspector General. The comparable fiscal year 2008 amount is
$50,849,000 and the budget request includes $54,539,000 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 included in last
year's bill, prohibiting the use of funds for rulemaking under
section 496 of the Higher Education Act until legislation
specifically requiring such changes is enacted (sec. 305).
TITLE IV
RELATED AGENCIES
Committee for Purchase From People Who Are Blind or Severely Disabled
Appropriations, 2008.................................... $4,907,000
Budget estimate, 2009................................... 5,094,000
Committee recommendation................................ 5,094,000
The Committee recommends $5,094,000 for fiscal year 2009
for the Committee for Purchase From People Who Are Blind or
Severely Disabled, the same as the fiscal year 2009 budget
request. The fiscal year 2008 comparable level is $4,907,000.
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, 2008.................................... $856,331,000
Budget estimate, 2009................................... 829,680,000
Committee recommendation................................ 888,462,000
The Committee recommends $888,462,000 for the Corporation
for National and Community Service in fiscal year 2009. The
fiscal year 2008 comparable level is $856,331,000 and the
budget for fiscal year 2009 included $829,680,000.
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 103-982) 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 $307,585,000 for fiscal year 2009
for the domestic volunteer service programs of the Corporation
for National and Community Service. The comparable level for
fiscal year 2008 is $307,585,000 and $265,621,000 is the
administration request for fiscal year 2009. The Corporation
administers programs authorized under the Domestic Volunteer
Service Act include: the Volunteers in Service to America
Program [VISTA]; the Foster Grandparent Program [FGP]; the
Senior Companion Program [SCP]; and the Retired and Senior
Volunteer Program [RSVP].
VISTA
The Committee recommends $93,800,000 for the Volunteers in
Service to America [VISTA] Program. This amount is equal to the
comparable funding level for fiscal year 2008. The budget
request for fiscal year 2009 is $91,618,000.
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 $213,785,000 for the National
Senior Volunteer Corps programs, the same as the comparable
level in fiscal year 2008. The fiscal year 2009 budget request
is $174,003,000.
The Committee has included the following activities in the
following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year--
------------------------------------ Committee
Programs 2009 President's recommendation
2008 comparable request
----------------------------------------------------------------------------------------------------------------
Foster Grandparent Program................................ 108,999 68,174 108,999
Senior Companion Program.................................. 46,144 46,144 46,144
Retired Senior Volunteer Program.......................... 58,642 59,685 58,642
----------------------------------------------------------------------------------------------------------------
The maximum total dollars which may be used in fiscal year
2009 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
2008.
Further, funds appropriated for fiscal year 2009 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.
NATIONAL AND COMMUNITY SERVICE PROGRAMS
The Committee recommends $502,650,000 for the programs
authorized under the National Community Service Act of 1990.
The comparable level for fiscal year 2008 is $475,159,000 and
the administration request for fiscal year 2009 is
$485,832,000. Programs administered by the Corporation that are
authorized under the National and Community Service Act
include: AmeriCorps State and National, 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 the following
activities at the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year--
------------------------------------ Committee
Programs 2009 budget recommendation
2008 comparable request
----------------------------------------------------------------------------------------------------------------
National Service Trust.................................... 122,539 132,110 132,110
AmeriCorps State and National Grants...................... 256,805 274,185 271,007
Innovation, Demonstration, and Assistance Activities...... 18,893 20,460 18,893
Evaluation................................................ 3,891 4,500 3,891
National Civilian Community Corps......................... 23,782 9,836 27,500
Learn and Serve America................................... 37,459 32,099 37,459
State Commission Admininstrative Grants................... 11,790 12,642 11,790
----------------------------------------------------------------------------------------------------------------
The Committee directs the Corporation to include a 5-year
detail of member service in the annual congressional budget
justification. The detail should include the number of members,
grant cost, and Trust cost broken out by both program (VISTA,
NCCC, State, and National, et cetera) and by level of service
(full time, part time, quarter time, et cetera).
Within the amount provided for AmeriCorps grants, the
Committee is providing $55,000,000 for national direct
grantees.
The Committee notes that the administration's plans to
reduce the number of NCCC campuses from five to three have been
rejected by the Congress for the last 3 fiscal years. This year
is no exception. Despite the consistent rejection of these
campus eliminations, the Committee is aware of plans within the
Corporation to close the Perry Point, MD campus beginning in
August 2008. The Committee directs the Corporation to maintain
all five campuses until such time as Congress affirmatively
approves a reduction.
The Committee expects a spending plan for innovation
activities 60 days after enactment of this act.
SALARIES AND EXPENSES
The Committee recommends an appropriation of $71,715,000
for the Corporation's salaries and expenses. The comparable
level for fiscal year 2008 is $67,759,000 and the
administration request for fiscal year 2009 is $71,715,000. 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 $6,512,000 for
the Office of Inspector General [OIG]. The comparable level for
fiscal year 2008 was $5,828,000 and the administration request
for fiscal year 2009 is $6,512,000.
The goals of the Office of Inspector General are to
increase organizational efficiency and effectiveness and to
prevent fraud, waste, and abuse.
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 Trust
reports annually and to notify the Committees on Appropriations
on the accuracy of the reports.
ADMINISTRATIVE PROVISIONS
The Committee has included eight administrative provisions
carried in prior year appropriations acts: language regarding
qualified student loans eligible for education awards; the
availability of funds for the placement of volunteers with
disabilities; language regarding the Corporation to make
significant changes to program requirements or policy through
public rulemaking and public notice and grant selection
process; language allowing Professional Corps programs to apply
for State formula grant funding; language allowing the
Corporation to accept voluntary services from organizations;
language authorizing fixed price grants in certain programs;
language authorizing an escalating match; and language
streamlining State Commission applications.
In addition, the Committee has included bill language
providing for a small State minimum of $500,000 in State
formula funds.
The Committee has included bill language giving the
Corporation flexibility to extend member service terms for up
to 6 months. The Committee appreciates the leadership role
AmeriCorps has taken in responding to natural disasters and
encourages the Corporation to make full use of this authority.
The Committee has included a provision requiring that
donations supplement and not supplant operations.
The Committee has rejected the administration's proposed
consolidation of Learn and Serve community and school based
grant competition, as well as the proposed transfer authority
for $2,000,000 from operating expenses to fund a new program.
The Committee encourages the administration to request new
programs in budget authority rather than transfer authority.
The Committee has rejected language proposed in the
President's budget to restrict the ability of grantees to use
all other Federal grant funds as a match for AmeriCorps funds.
The Committee notes that the 1990 Act explicitly makes this
authority available to grantees. The Corporation and its
Inspector General shall take no action to restrict this
authority unless and until the authorizing committees of
Congress have changed the statute.
Corporation for Public Broadcasting
Appropriations, 2009.................................... $393,012,000
Appropriations, 2010.................................... 420,000,000
Budget estimate, 2011...................................................
Committee recommendation................................ 430,000,000
The Committee recommends $430,000,000 be made available for
the Corporation for Public Broadcasting [CPB], as an advance
appropriation for fiscal year 2011. The comparable funding
level provided last year was $420,000,000 for fiscal year 2010.
The budget request does not include advance funds for this
program.
In addition, the Committee recommends $29,181,000 be made
available in fiscal year 2009 for the conversion to digital
broadcasting, the same as the comparable funding level for
fiscal year 2008. The budget request included authority to
permit CPB to spend up to $40,000,000 in previously
appropriated fiscal year 2009 funds for digital conversion
activities.
Further, the Committee recommends $26,283,000 be made
available in fiscal year 2009 for the radio interconnection
system replacement project, the same as the comparable level in
fiscal year 2008. The budget request for fiscal year 2009
includes authority, rejected by the Committee, to permit CPB to
spend up to $27,000,000 in previously appropriated fiscal year
2009 funds for the radio interconnection system replacement
project.
Federal Mediation and Conciliation Service
Appropriations, 2008.................................... $43,035,000
Budget estimate, 2009................................... 44,826,000
Committee recommendation................................ 44,826,000
The Committee recommends $44,826,000 for fiscal year 2009
for the Federal Mediation and Conciliation Service [FMCS]. The
comparable funding level for fiscal year 2008 was $43,035,000
and the budget request for fiscal year 2009 includes
$44,826,000 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.
Federal Mine Safety and Health Review Commission
Appropriations, 2008.................................... $7,955,000
Budget estimate, 2009................................... 8,653,000
Committee recommendation................................ 8,653,000
The Committee recommends $8,653,000 for fiscal year 2009
for the Federal Mine Safety and Health Review Commission. The
comparable funding level for fiscal year 2008 was $7,955,000
and the fiscal year 2009 budget request includes $8,653,000.
The Federal Mine Safety and Health Review Commission
provides administrative trial and appellate review of legal
disputes under the Federal Mine Safety and Health Act of 1977.
The five-member Commission provides review of the Commission's
administrative law judge decisions.
Institute of Museum and Library Services
Appropriations, 2008.................................... $263,508,000
Budget estimate, 2009................................... 271,246,000
Committee recommendation................................ 258,960,000
The Committee recommends $258,960,000 for fiscal year 2009
for the Institute of Museum and Library Services. The
comparable funding level for fiscal year 2008 is $263,508,000
and the administration request for fiscal year 2009 is
$271,246,000.
The Committee recommendation includes the following
activities in the following amounts:
[In thousands of dollars]
----------------------------------------------------------------------------------------------------------------
Fiscal year--
Programs ------------------------------------ Committee
2008 comparable 2009 request recommendation
----------------------------------------------------------------------------------------------------------------
Library Services Technology Grants to States.............. 160,885 171,500 171,500
Native American Libraries................................. 3,574 3,717 3,717
National Leadership Grants for Libraries.................. 12,159 12,715 12,159
Laura Bush 21st Century................................... 23,345 26,500 23,345
Museums for America....................................... 16,852 22,165 16,852
Museum Assessment Program................................. 434 500 434
21st Century Museum Professionals......................... 965 2,141 965
Conservation Project Support.............................. 2,724 3,801 2,724
Conservation Assessment Program........................... 793 814 793
Native American & Native Hawaiian Museums................. 895 945 945
National Leadership Grants for Museums.................... 7,782 8,181 7,782
Museum Grants for African American History & Culture...... 827 1,350 827
Administration............................................ 13,987 16,917 16,917
----------------------------------------------------------------------------------------------------------------
Medicare Payment Advisory Commission
Appropriations, 2008.................................... $10,560,000
Budget estimate, 2009................................... 11,403,000
Committee recommendation................................ 11,403,000
The Committee recommends $11,403,000 for fiscal year 2009
for the Medicare Payment Advisory Commission [MedPAC]. The
comparable funding level for fiscal year 2008 is $10,560,000
and the administration request for fiscal year 2009 is
$11,403,000.
The Medicare Payment Advisory Commission was established by
Congress as part of the Balanced Budget Act of 1997 (Public Law
105-933). Congress merged the Physician Payment Review
Commission with the Prospective Payment Assessment Commission
to create MedPAC.
National Council on Disability
Appropriations, 2008.................................... $3,059,000
Budget estimate, 2009................................... 3,206,000
Committee recommendation................................ 3,206,000
The Committee recommends $3,206,000 for fiscal year 2009
for the National Council on Disability. The comparable funding
level for fiscal year 2008 is $3,059,000 and the administration
request for fiscal year 2009 is $3,206,000.
The Council is mandated to make recommendations to the
President, the Congress, the Rehabilitation Services
Administration, and the National Institute on Disability and
Rehabilitation Research on the public issues of concern to
individuals with disabilities. The Council gathers information
on the implementation, effectiveness, and impact of the
Americans with Disabilities Act and looks at emerging policy
issues as they affect persons with disabilities and their
ability to enter or reenter the Nation's work force and to live
independently.
National Labor Relations Board
Appropriations, 2008.................................... $251,762,000
Budget estimate, 2009................................... 262,595,000
Committee recommendation................................ 262,595,000
The Committee recommends $262,595,000 for fiscal year 2009
for the National Labor Relations Board [NLRB]. The comparable
funding level for fiscal year 2008 is $251,762,000 and the
administration request for fiscal year 2009 is $262,595,000.
The NLRB is a law enforcement agency that adjudicates
disputes under the National Labor Relations Act. The mission of
the NLRB is to carry out the statutory responsibilities of the
National Labor Relations Act as efficiently as possible and in
a manner that gives full effect to the rights afforded to
employees, unions, and employers under the act.
National Mediation Board
Appropriations, 2008.................................... $12,685,000
Budget estimate, 2009................................... 12,432,000
Committee recommendation................................ 12,992,000
The Committee recommends $12,992,000 for fiscal year 2009
for the National Mediation Board [NMB]. The comparable funding
level for fiscal year 2008 is $12,685,000 and the
administration request for fiscal year 2009 is $12,432,000.
The National Mediation Board protects interstate commerce
as it mediates labor-management relations in the railroad and
airline industries under the Railway Labor Act. The Board
mediates collective bargaining disputes, determines the choice
of employee bargaining representatives through elections, and
administers arbitration of employee grievances.
The Committee appreciates the work the NMB did in fiscal
year 2008 to work down the backlog of arbitration cases.
However, the Committee is concerned that arbitration cases are
only heard 6 to 8 months out of the year because of
insufficient funding. The Committee intends the additional
funding to be used to increase the number of arbitration cases
heard and closed.
Occupational Safety and Health Review Commission
Appropriations, 2008.................................... $10,509,000
Budget estimate, 2009................................... 11,186,000
Committee recommendation................................ 11,186,000
The Committee recommends $11,186,000 for fiscal year 2009
for the Occupational Safety and Health Review Commission. The
comparable funding level for fiscal year 2008 is $10,509,000
and the administration request for fiscal year 2009 is
$11,186,000.
The Commission serves as a court to justly and
expeditiously resolve disputes between the Occupational Safety
and Health Administration [OSHA] and employers charged with
violations of health and safety standards enforced by OSHA.
Railroad Retirement Board
DUAL BENEFITS PAYMENTS ACCOUNT
Appropriations, 2008.................................... $76,620,000
Budget estimate, 2009................................... 72,000,000
Committee recommendation................................ 72,000,000
The Committee recommends $72,000,000 for fiscal year 2009
for the Dual Benefits Payments Account. Of these funds,
$5,000,000 is from income taxes on vested dual benefits. The
comparable funding level for fiscal year 2008 is $76,620,000
and the administration request for fiscal year 2009 is
$72,000,000.
This appropriation provides for vested dual benefit
payments authorized by the Railroad Retirement Act of 1974, as
amended by the Omnibus Reconciliation Act of 1981. This
separate account, established for the payment of dual benefits,
is funded by general fund appropriations and income tax
receipts of vested dual benefits.
FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT ACCOUNT
Appropriations, 2008.................................... $150,000
Budget estimate, 2009................................... 150,000
Committee recommendation................................ 150,000
The Committee recommends $150,000 for fiscal year 2009 for
interest earned on non-negotiated checks, the same as the
comparable funding level for fiscal year 2008 and the
administration request.
LIMITATION ON ADMINISTRATION
Appropriations, 2008.................................... $101,882,000
Budget estimate, 2009................................... 105,463,000
Committee recommendation................................ 105,463,000
The Committee recommends $105,463,000 for fiscal year 2009
for the administration of railroad retirement/survivor benefit
programs. The comparable funding level for fiscal year 2008 is
$101,882,000 and the administration request for fiscal year
2009 is $105,463,000.
The Board administers comprehensive retirement-survivor and
unemployment-sickness insurance benefit programs for the
Nation's railroad workers and their families. This account
limits the amount of funds in the railroad retirement and
railroad unemployment insurance trust funds that may be used by
the Board for administrative expenses.
The Committee has included language to prohibit funds from
the railroad retirement trust fund from being spent on any
charges over and above the actual cost of administering the
trust fund, including commercial rental rates.
LIMITATION ON THE OFFICE OF THE INSPECTOR GENERAL
Appropriations, 2008.................................... $7,048,000
Budget estimate, 2009................................... 7,806,000
Committee recommendation................................ 7,806,000
The Committee recommends $7,806,000 for fiscal year 2009
for the Office of the Inspector General. The comparable funding
level for fiscal year 2008 is $7,048,000 and the administration
request for fiscal year 2009 is $7,806,000.
The Committee has deleted language prohibiting funds from
being transferred from the Railroad Retirement Board to the
Office of the Inspector General. The Committee expects the
relationship between the Board and the Inspector General to be
guided by the laws governing each.
Social Security Administration
PAYMENTS TO SOCIAL SECURITY TRUST FUNDS
Appropriations, 2008.................................... $28,140,000
Budget estimate, 2009................................... 20,406,000
Committee recommendation................................ 20,406,000
The Committee recommends an appropriation of $20,406,000
for payments to Social Security trust funds. The comparable
fiscal year 2008 funding level is $28,140,000 and the budget
request includes $20,406,000 for this purpose. This amount
reimburses the old age and survivors and disability insurance
trust funds for special payments to certain uninsured persons,
costs incurred administering pension reform activities, and the
value of the interest for benefit checks issued but not
negotiated. This appropriation restores the trust funds to the
same financial position they would have been in had they not
borne these costs and were properly charged to the general
funds.
SUPPLEMENTAL SECURITY INCOME
Appropriations, 2008.................................... $26,946,171,000
Budget estimate, 2009................................... 30,414,000,000
Committee recommendation................................ 30,429,875,000
The Committee recommends an appropriation of
$30,429,875,000 for supplemental security income. This is in
addition to the $14,800,000,000 appropriated last year as an
advance for the first quarter of fiscal year 2009. The
comparable fiscal year 2008 funding level is $26,946,171,000
and the budget request includes $30,414,000,000. The Committee
also recommends an advance appropriation of $15,400,000,000 for
the first quarter of fiscal year 2010 to ensure uninterrupted
benefits payments. The program level supported by the Committee
recommendation is $45,829,875,000, compared to the total
program level requested in the budget of $45,814,000,000.
These funds are used to pay benefits under the SSI Program,
which was established to ensure a Federal minimum monthly
benefit for aged, blind, and disabled individuals, enabling
them to meet basic needs. It is estimated that more than 7
million persons will receive SSI benefits each month during
fiscal year 2009. In many cases, SSI benefits supplement income
from other sources, including Social Security benefits. The
funds are also used to reimburse the Social Security trust
funds for the administrative costs for the program with a final
settlement by the end of the subsequent fiscal year as required
by law, to reimburse vocational rehabilitation agencies for
costs incurred in successfully rehabilitating SSI recipients
and for research and demonstration projects.
Beneficiary Services
The Committee recommends $3,000,000 for beneficiary
services, as proposed in the budget request. The comparable
fiscal year 2008 funding level is $36,000,000. This amount is
available for payments to Employment Networks for successful
outcomes or milestone payments under the Ticket to Work program
and for reimbursement of State vocational rehabilitation
agencies and alternate public or private providers.
Research and Demonstration Projects
The Committee recommendation includes $35,000,000 for
research and demonstration projects conducted under sections
1110, 1115 and 1144 of the Social Security Act. The comparable
fiscal year 2008 funding level is $26,651,000 and the budget
request includes $35,000,000 for authorized activities.
This amount will support SSA's efforts to strengthen its
policy evaluation capability and implement outreach activities
to certain low-income individuals who may be eligible for
assistance with medical expenses. These funds also will enable
SSA to focus on: retirement and disability policy research,
effective return-to-work strategies for disabled beneficiaries
and activities that maintain and strengthen the capacity of SSA
to analyze data and respond to information requests from the
Congress.
Administration
The Committee recommendation includes $3,164,875,000 for
payment to the Social Security trust funds for the SSI
Program's share of SSA's base administrative expenses. The
comparable fiscal year 2008 amount is $3,018,520,000 and the
budget request includes $3,149,000,000 for such activities.
LIMITATION ON ADMINISTRATIVE EXPENSES
Appropriations, 2008.................................... $9,775,578,000
Budget estimate, 2009................................... 10,327,000,000
Committee recommendation................................ 10,377,000,000
The Committee recommends a program funding level of
$10,377,000,000 for the limitation on administrative expenses.
The comparable fiscal year 2008 funding level is $9,775,578,000
and the budget request includes $10,327,000,000 for this
purpose. The comparable fiscal year 2008 level includes
$31,000,000 for one-time costs associated with the Economic
Stimulus Act of 2008.
This account provides resources from the Social Security
trust funds to administer the Social Security retirement and
survivors and disability insurance programs, and certain Social
Security health insurance functions. As authorized by law, it
also provides resources from the trust funds for certain
nontrust fund administrative costs, which are reimbursed from
the general funds. These include administration of the
supplemental security income program for the aged, blind, and
disabled; work associated with the Pension Reform Act of 1984;
and the portion of the annual wage reporting work done by the
Social Security Administration for the benefit of the Internal
Revenue Service. The dollars provided also support automated
data processing activities and fund the State disability
determination services which make initial and continuing
disability determinations on behalf of the Social Security
Administration. Additionally, the limitation provides funding
for computer support, and other administrative costs.
The Committee recommendation includes $9,991,000,000 for
routine operating expenses of the agency, as well as the
resources related to program integrity activities and those
derived from the user fees discussed below.
The Committee recommends $50,000,000 more than the budget
request to ensure that the backlog of disability claims will
continue to decrease, a process set in place with last year's
appropriation of $150,000,000 more than the President's
request. The Committee is pleased that SSA has used the
additional funding provided by the Committee last year to begin
to address the unacceptable delays applicants are encountering
in obtaining disability benefits. In fiscal year 2008, SSA has
devoted sufficient funds to the State Disability Determination
Services [DDS] to ensure that the backlog of initial disability
claims did not grow larger. The Committee is aware that the
agency has also begun to take steps to improve the much longer
delays that have developed in the hearing process for
beneficiaries who appeal an initial unfavorable decision by a
State DDS.
The Committee supports Social Security's efforts to reduce
the hearings backlog; in particular, the Committee is gratified
that the agency has recognized the need for increased
adjudicatory capacity. The agency has taken encouraging first
steps by approving the hiring of 189 new administrative law
judges by the end of the current fiscal year. The Committee
notes that the flexibility provided by electronic folders and
video technologies allows new administrative law judges to be
directed to areas with a significant backlog and innovative
organizational structures.
The Committee also supports the expansion of automation at
the agency to improve business processes and eliminate
unnecessary delays caused by the tracking, transportation, and
retrieval of paper files. The Committee will continue to
closely monitor Social Security's activities to assure that
increased funds provided to the agency to reduce the disability
backlog, particularly at the hearing level, achieve that goal
in a reasonable period of time.
The budget request includes bill language earmarking not
less than $264,000,000 of funds available within this account
for continuing disability reviews and redeterminations of
eligibility under Social Security's disability programs. An
additional $240,000,000 earmark for continuing disability
reviews and redeterminations of eligibility also was proposed
in the budget request. The Committee recommendation includes
the requested resources and earmarking language.
Social Security Advisory Board
The Committee has included not less than $2,000,000 within
the limitation on administrative expenses account for the
Social Security Advisory Board for fiscal year 2009.
User Fees
In addition to other amounts provided, the Committee
recommends $146,000,000 for administrative activities funded
from user fees. Of this amount, $145,000,000 is derived from
fees paid to SSA by States that request SSA to administer State
SSI supplementary payments. The remaining $1,000,000 will be
generated from a fee payment process for non-attorney
representatives of claimants.
OFFICE OF THE INSPECTOR GENERAL
Appropriations, 2008.................................... $91,915,000
Budget estimate, 2009................................... 98,127,000
Committee recommendation................................ 98,127,000
The Committee recommends $98,127,000 for activities for the
Office of the Inspector General, the same amount as the budget
request. The comparable fiscal year 2008 funding level is
$91,915,000 for this office. This includes a general fund
appropriation of $28,000,000 together with an obligation
limitation of $70,127,000 from the Federal old-age and
survivors insurance trust fund and the Federal disability
insurance trust fund.
TITLE V--GENERAL PROVISIONS
The Committee recommendation includes provisions which:
authorize transfers of unexpended balances (sec. 501); limit
funding to 1 year availability unless otherwise specified (sec.
502); limit lobbying and related activities (sec. 503); limit
official representation expenses (sec. 504); prohibit funding
of any program to carry out distribution of sterile needles for
the hypodermic injection of any illegal drug (sec. 505);
clarify Federal funding as a component of State and local grant
funds (sec. 506); limit use of funds for abortion (sec. 507 and
sec. 508); restrict human embryo research (sec. 509); limit the
use of funds for promotion of legalization of controlled
substances (sec. 510); prohibits the use of funds to promulgate
regulations regarding the individual health identifier (sec.
511); limits use of funds to enter into or review contracts
with entities subject to the requirement in section 4212(d) of
title 38, United States Code, if the report required by that
section has not been submitted (sec. 512); prohibits transfer
of funds made available in this Act to any department, agency,
or instrumentality of the U.S. Government, except as otherwise
provided by this or any other act (sec. 513); prohibits Federal
funding in this act for libraries and elementary and secondary
schools unless they are in compliance with the Children's
Internet Protection Act (sec. 514 and sec. 515); maintains a
procedure for reprogramming of funds (sec. 516); prohibits
candidates for scientific advisory committees from having to
disclose their political activities (sec. 517); requires the
Secretaries of Labor, Health and Human Services, and Education
to submit a report on the number and amounts of contracts,
grants, and cooperative agreements awarded by the Departments
on a non-competitive basis (sec. 518); continues a provision
prohibiting the use of funds for a grant or contract exceeding
$5,000,000 unless the prospective contractor or grantee, makes
certain certifications regarding Federal tax liability (sec.
519); and maintains certain assistance, programs and benefits
for Afghan aliens granted special immigration status (sec.
520).
COMPLIANCE WITH PARAGRAPH 7, RULE XVI, OF THE STANDING RULES OF THE
SENATE
Paragraph 7 of rule XVI requires that Committee report on
general appropriations bills identify each Committee amendment
to the House bill ``which proposes an item of appropriation
which is not made to carry out the provisions of an existing
law, a treaty stipulation, or an act or resolution previously
passed by the Senate during that session.''
The Committee is filing an original bill, which is not
covered under this rule, but reports this information in the
spirit of full disclosure.
The Committee recommends funding for the following programs
and activities which currently lack authorization: No Child
Left Behind Act; Workforce Investment Act; Trade Act of 2002;
Homeless Veterans Reintegration Program; Trafficking Victims
Protection Reauthorization Act of 2005; Title VII of the Public
Health Service Act; Universal Newborn Hearing Screening; Organ
Transplantation; Rural Hospital Flexibility Grants; Denali
Commission; Family Planning; State Offices of Rural Health;
Nurse Reinvestment Act; Public Health Improvement Act; Trauma/
EMS; Community Health Centers; National Health Service Corps;
Children's Hospital Graduate Medical Education; Healthy Start;
Telehealth; Health Professions Education Partnership Act;
Children's Health Act; Women's Health Research and Prevention
Amendments of 1998; Bioterrorism; Birth Defects Prevention,
Preventive Health Amendments of 1993; Substance Abuse and
Mental Health Services Programs, except for Stop Act programs;
Agency for Healthcare Research and Quality; Low Income Home
Energy Assistance Program; Refugee and Entrant Assistance
programs; Child Abuse prevention; Adoption Incentives; Runaway
and Homeless Youth; Child Care and Development Block Grant;
Family violence programs; Developmental Disabilities programs;
Native American Programs; Community Services Block Grant; Rural
Facilities; Individual Development Accounts; Community Economic
Development; Alzheimer's Disease Demonstration Grants; Title V
of the Public Health Services Act; Adolescent Family Life;
Office of Minority Health; Office of Disease Prevention
Services; Rehabilitation Services and Disability Research,
except sections 4, 5, and 6 of the Assistive Technology
Program; Higher Education Act; National Technical Institute for
the Deaf; Gallaudet University; Corporation for National and
Community Service; Corporation for Public Broadcasting; and
National Council on Disability.
COMPLIANCE WITH PARAGRAPH 7(c), RULE XXVI OF THE STANDING RULES OF THE
SENATE
Pursuant to paragraph 7(c) of rule XXVI, on June 26, 2008,
the Committee ordered reported an original bill (S. 3230)
making appropriations for the Departments of Labor, Health and
Human Services, and Education, and related agencies for the
fiscal year ending September 30, 2009, and authorized the
chairman of the committee or the chairman of the subcommittee
to offer the text of the Senate bill as a committee amendment
in the nature of a substitute to the House companion measure,
with the bill subject to amendment and subject to the budget
allocations, by a recorded vote of 26-3, a quorum being
present. The vote was as follows:
Yeas Nays
Chairman Byrd Mr. Gregg
Mr. Inouye Mr. Brownback
Mr. Leahy Mr. Allard
Mr. Harkin
Ms. Mikulski
Mr. Kohl
Mrs. Murray
Mr. Dorgan
Mrs. Feinstein
Mr. Durbin
Mr. Johnson
Ms. Landrieu
Mr. Reed
Mr. Lautenberg
Mr. Nelson
Mr. Cochran
Mr. Stevens
Mr. Specter
Mr. Domenici
Mr. Bond
Mr. McConnell
Mr. Shelby
Mr. Bennett
Mr. Craig
Mrs. Hutchison
Mr. Alexander
COMPLIANCE WITH PARAGRAPH 12, RULE XXVI OF THE STANDING RULES OF THE
SENATE
Paragraph 12 of rule XXVI requires that Committee reports
on a bill or a joint resolution repealing or amending any
statute include ``(a) the text of the statute or part thereof
which is proposed to be repealed; and (b) a comparative print
of that part of the bill or joint resolution making the
amendment and of the statute or part thereof proposed to be
amended, showing by stricken through type and italics, parallel
columns, or other appropriate typographical devices the
omissions and insertions which would be made by the bill or
joint resolution if enacted in the form recommended by the
committee.''
TITLE 42--THE PUBLIC HEALTH AND WELFARE
* * * * * * *
CHAPTER 7--SOCIAL SECURITY
* * * * * * *
SUBCHAPTER XIX--GRANTS TO STATES FOR MEDICAL ASSISTANCE PROGRAMS
* * * * * * *
Sec. 1396r-8. Payment for covered outpatient drugs
(a) * * *
* * * * * * *
(c) Determination of amount of rebate
(1) Basic rebate for single source drugs and innovator
multiple source drugs
(A) In general
* * * * * * *
(C) ``Best price'' defined
* * * * * * *
(D) Limitation on sales at a nominal
price.--
(i) In general.--For purposes of
subparagraph (C)(ii)(III) and
subsection (b)(3)(A)(iii)(III), only
sales by a manufacturer of covered
outpatient drugs at nominal prices to
the following shall be considered to be
sales at a nominal price or merely
nominal in amount:
(I) A covered entity
described in section 340B(a)(4)
of the Public Health Service
Act.
(II) An intermediate care
facility for the mentally
retarded.
(III) A State-owned or
operated nursing facility.
(IV) An entity that--
(aa) is described
in section 501(c)(3) of
the Internal Revenue
Code of 1986 and exempt
from tax under section
501(a) of such Act or
is State-owned or
operated; and
(bb) would be a
covered entity
described in section
340(B)(a)(4) of the
Public Health Service
Act insofar as the
entity provides the
same type of services
to the same type of
populations as a
covered entity
described in such
section provides, but
does not receive
funding under a
provision of law
referred to in such
section;
(V) A public or nonprofit
entity, or an entity based at
an institution of higher
learning whose primary purpose
is to provide health care
services to students of that
institution, that provides a
service or services described
under section 1001(a) of the
Public Health Service Act, 42
U.S.C. 300.
[(IV)] (VI) Any other
facility or entity that the
Secretary determines is a
safety net provider to which
sales of such drugs at a
nominal price would be
appropriate based on the
factors described in clause
(ii).
(ii) Factors.--The factors
described in this clause with respect
to a facility or entity are the
following:
(I) The type of facility or
entity.
(II) The services provided
by the facility or entity.
(III) The patient
population served by the
facility or entity.
(IV) The number of other
facilities or entities eligible
to purchase at nominal prices
in the same service area.
(iii) Nonapplication.--Clause (i)
shall not apply with respect to sales
by a manufacturer at a nominal price of
covered outpatient drugs pursuant to a
master agreement under section 8126 of
title 38, United States Code.
(iv) Rule of Construction.--Nothing
in this subparagraph shall be construed
to alter any existing statutory or
regulatory prohibition on services with
respect to an entity described in
clause (i)(IV), including the
prohibition set forth in section 1008
of the Public Health Service Act.
* * * * * * *
MEDICAID IMPROVEMENT FUND
Sec. 1941. (a) Establishment.--The Secretary shall
establish under this title a Medicaid Improvement Fund (in this
section referred to as the ``Fund'') which shall be available
to the Secretary to improve the management of the Medicaid
program by the Centers for Medicare & Medicaid Services,
including oversight of contracts and contractors and evaluation
of demonstration projects. Payments made for activities under
this subsection shall be in addition to payments that would
otherwise be made for such activities.
(b) Funding.--
(1) In general.--There shall be available to the
Fund, for expenditures from the Fund--
(A) for fiscal year 2014, $100,000,000; and
(B) for fiscal years 2015 through 2018,
$150,000,000.
(2) Funding limitation.--Amounts in the Fund shall
be available in advance of appropriations but only if
the total amount obligated from the Fund does not
exceed the amount available to the Fund under paragraph
(1). The Secretary may obligate funds from the Fund
only if the Secretary determines (and the Chief Actuary
of the Centers for Medicare & Medicaid Services and the
appropriate budget officer certify) that there are
available in the Fund sufficient amounts to cover all
such obligations incurred consistent with the previous
sentence.
MEDICAID IMPROVEMENT FUND
Sec. 1942. (a) Establishment.--The Secretary shall
establish under this title a Medicaid Improvement Fund (in this
section referred to as the ``Fund'') which shall be available
to the Secretary to improve the management of the Medicaid
program by the Centers for Medicare & Medicaid Services,
including oversight of contracts and contractors and evaluation
of demonstration projects. Payments made for activities under
this subsection shall be in addition to payments that would
otherwise be made for such activities.
(b) Funding.--
(1) In general.--There shall be available to the
Fund, for expenditures from the Fund, $50,000,000 for
each of fiscal years 2013 through 2015.
(2) Funding limitation.--Amounts in the Fund shall
be available in advance of appropriations but only if
the total amount obligated from the Fund does not
exceed the amount available to the Fund under paragraph
(1). The Secretary may obligate funds from the Fund
only if the Secretary determines (and the Chief Actuary
of the Centers for Medicare & Medicaid Services and the
appropriate budget officer certify) that there are
available in the Fund sufficient amounts to cover all
such obligations incurred consistent with the previous
sentence.
* * * * * * *
OMNIBUS BUDGET RECONCILIATION ACT OF 1990, PUBLIC LAW 101-508
SEC. 4734. TREATMENT OF CERTAIN COUNTY-OPERATED HEALTH INSURING
ORGANIZATIONS.
Section 9517(c) of the Consolidated Omnibus Budget
Reconciliation Act of 1985 is amended--
(1) in paragraph (2)(A), by inserting ``and in
paragraph (3)'' after ``subparagraph (B)'', and
(2) by adding at the end the following new
paragraph:
``(3)(A) Subject to subparagraph (C), in the case
of up to 3 health insuring organizations which are
described in subparagraph (B), in the case of any
health insuring organization described in such
subparagraph that is operated by a public entity
established by Ventura County, and in the case of any
health insuring organization described in such
subparagraph that is operated by a public entity
established by Merced County, which first become
operational on or after January 1, 1986, and which are
designated by the Governor, and approved by the
Legislature, of California, the amendments made by
paragraph (1) shall not apply.
``(B) * * *
* * * * * * *
``(C) Subparagraph (A) shall not apply with respect
to any period for which the Secretary of Health and
Human Services determines that the number of medicaid
beneficiaries enrolled with health insuring
organizations described in subparagraph (B) exceeds [14
percent] 16 percent of the number of such beneficiaries
in the State of California.
* * * * * * *
CONSOLIDATED APPROPRIATIONS ACT, 2008, PUBLIC LAW 110-161
DIVISION G--DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND
EDUCATION, AND RELATED AGENCIES APPROPRIATIONS ACT, 2008
* * * * * * *
TITLE II
DEPARTMENT OF HEALTH AND HUMAN SERVICES
* * * * * * *
General Provisions
* * * * * * *
Sec. 223. There is hereby established in the Treasury of
the United States a fund to be known as the ``Nonrecurring
expenses fund'' (the Fund): Provided, That unobligated balances
of expired discretionary funds appropriated for this or any
succeeding fiscal year from the General Fund of the Treasury to
the Department of Health and Human Services by this or any
other Act , with respect to this or any succeeding fiscal year,
may be transferred (not later than the end of the fifth fiscal
year after the last fiscal year for which such funds are
available for the purposes for which appropriated) into the
Fund: Provided further, That amounts deposited in the Fund
shall be available until expended, and in addition to such
other funds as may be available for such purposes, for capital
acquisition necessary for the operation of the Department,
including facilities infrastructure and information technology
infrastructure, subject to approval by the Office of Management
and Budget: Provided further, That amounts in the Fund may be
obligated only after the Committees on Appropriations of the
House of Representatives and the Senate are notified at least
15 days in advance of the planned use of funds.
The Committee bill as recommended contains no such
provisions.
BUDGETARY IMPACT OF BILL
PREPARED IN CONSULTATION WITH THE CONGRESSIONAL BUDGET OFFICE PURSUANT TO SEC. 308(a), PUBLIC LAW 93-344, AS
AMENDED
[In millions of dollars]
----------------------------------------------------------------------------------------------------------------
Budget authority Outlays
---------------------------------------------------
Committee Amount of Committee Amount of
allocation bill allocation bill
----------------------------------------------------------------------------------------------------------------
Comparison of amounts in the bill with Committee allocations
to its subcommittees of amounts in the budget resolution
for 2009: Subcommittee on Labor, HHS, Education:
Mandatory............................................... 478,375 478,375 478,340 \1\478,340
Discretionary........................................... 152,661 153,128 150,532 \1\150,947
Projection of outlays associated with the recommendation:
2009.................................................... ........... ........... ........... \2\541,453
2010.................................................... ........... ........... ........... 64,858
2011.................................................... ........... ........... ........... 14,172
2012.................................................... ........... ........... ........... 3,217
2013 and future years................................... ........... ........... ........... 747
Financial assistance to State and local governments for NA 281,640 NA 254,894
2009.......................................................
----------------------------------------------------------------------------------------------------------------
\1\Includes outlays from prior-year budget authority.
\2\Excludes outlays from prior-year budget authority.
NA: Not applicable.
NOTE.--Consistent with the funding recommended in the bill for continuing disability reviews and Supplemental
Security Income [SSI] redeterminations, control of health care fraud and abuse, and reviews of improper
unemployment insurance payments, and in accordance with subparagraphs A, C, and D of section 312(c)(2) of
Senate Concurrent Resolution 70 (110th Congress), the Committee anticipates that the Budget Committee will
file a revised section 302(a) allocation for the Committee on Appropriations reflecting an upward adjustment
of $478,000,000 in budget authority plus associated outlays.
DISCLOSURE OF CONGRESSIONALLY DIRECTED SPENDING ITEMS
The Constitution vests in the Congress the power of the
purse. The Committee believes strongly that Congress should
make the decisions on how to allocate the people's money.
As defined in Rule XLIV of the Standing Rules of the
Senate, the term ``congressional directed spending item'' means
a provision or report language included primarily at the
request of a Senator, providing, authorizing, or recommending a
specific amount of discretionary budget authority, credit
authority, or other spending authority for a contract, loan,
loan guarantee, grant, loan authority, or other expenditure
with or to an entity, or targeted to a specific State, locality
or congressional district, other than through a statutory or
administrative, formula-driven, or competitive award process.
For each item, a Member is required to provide a
certification that neither the Member nor the Senator's
immediate family has a pecuniary interest in such
congressionally directed spending item. Such certifications are
available to the public on the website of the Senate Committee
on Appropriations (www.appropriations.senate.gov/senators.cfm).
Following is a list of congressionally directed spending
items included in the Senate recommendation discussed in this
report, along with the name of each Senator who submitted a
request to the Committee of jurisdiction for each item so
identified. Neither the Committee recommendation nor this
report contains any limited tax benefits or limited tariff
benefits as defined in rule XLIV.
CONGRESSIONALLY DIRECTED SPENDING ITEMS
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Account Project Funding Member
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
AOA............................. Cedar Crest College, Allentown, PA, for a seniors outreach program............................ $100,000 Senator Specter
AOA............................. Jewish Family Service of Saint Paul, St. Paul, MN, for a Naturally Occurring Retirement 125,000 Senator Coleman
Community demonstration project.
AOA............................. Jewish Family & Child Service, Portland, OR, for senior programs and services................. 100,000 Senators Smith, Wyden
AOA............................. Jewish Family Service of Greater New Orleans, Metairie, LA, for a Community Nursing Elder 250,000 Senators Landrieu, Vitter
Trauma Response Program demonstration project.
AOA............................. Jewish Federation of Greater Atlanta, Atlanta, GA, for a Naturally Occurring Retirement 100,000 Senator Chambliss
Community.
AOA............................. Jewish Federation of Greater Indianapolis, Indianapolis, IN, for services at a naturally 200,000 Senator Lugar
occurring retirement community.
AOA............................. Legal Services of Northern California, Inc., Sacramento, CA, to provides free legal 250,000 Senator Feinstein
consultation for older Californians.
AoA............................. Nevada Rural Counties RSVP, Carson City, NV, to provide home services to seniors in rural 100,000 Senator Reid
areas.
AOA............................. Town of North Hempstead, NY, for the Project Independence naturally occurring retirement 350,000 Senator Schumer
communities demonstration project.
AOA............................. University of Wisconsin--Oshkosh, Oshkosh, WI, for a demonstration training program that 350,000 Senator Kohl
prevents elder abuse and neglect.
AOA............................. Utah Department of Human Services, Division of Aging and Adult Services, Salt Lake City, UT, 100,000 Senator Hatch
for senior counseling services on Medicare, Medicaid and private insurance options.
CDC............................. A Voice for All, Wilmington, DE, for speech and language evaluations for persons with 400,000 Senator Harkin
disabilities.
CDC............................. Albert Einstein Healthcare Network, Philadelphia, PA, for a college student health screening 100,000 Senator Specter
program.
CDC............................. Boys and Girls Club of Alaska, Anchorage, AK, for a rural Alaska youth fitness initiative..... 750,000 Senator Stevens
CDC............................. Cascade AIDS, Portland, OR, for HIV/AIDS education, outreach and prevention services.......... 200,000 Senator Smith
CDC............................. Clearbrook, Inc., Wilkes Barre, PA, for substance abuse and treatment program................. 100,000 Senator Specter
CDC............................. Community Health Centers in Hawaii for Childhood Rural Asthma Project, Honolulu, HI, for 175,000 Senators Inouye, Akaka
childhood rural asthma project.
CDC............................. Cornelia de Lange Syndrome Foundation, Avon, CT, for awareness and education activities....... 250,000 Senators Dodd, Lieberman
CDC............................. Drexel University School of Public Health, Philadelphia, PA, to investigate a polycythemia 262,000 Senator Specter
vera cluster in Northeast, Pennsylvania.
CDC............................. Eastern Maine Healthcare Systems, Brewer, ME, for a childhood obesity program................. 300,000 Senators Snowe, Collins
CDC............................. Friends of the Congressional Glaucoma Caucus Foundation, Lake Success, NY, for the New Jersey 100,000 Senators Menendez, Lautenberg
Mobile Glaucoma Screening Program.
CDC............................. Grinnell Regional Medical Center, Grinnell, IA, for a wellness initiative..................... 250,000 Senator Harkin
CDC............................. Hackensack University Medical Center, Hackensack, NJ, for a study on possible environmental 100,000 Senators Lautenberg, Menendez
factors of autism and neurodevelopmental disorders in New Jersey.
CDC............................. Healthy Northeast Pennsylvania Initiative, Clarks Summit, PA, for obesity prevention and 100,000 Senator Specter
education programs.
CDC............................. International Rett Syndrome Foundation (IRSF), Richmond, VA, for a health education program... 150,000 Senators Kennedy, Kerry
CDC............................. Iowa Chronic Care Consortium, Des Moines, Iowa, for a preventative health demonstration 200,000 Senators Harkin, Grassley
program.
CDC............................. Iowa Department of Public Health, Des Moines, IA, to continue the Harkin Wellness Grant 1,000,000 Senator Harkin
program.
CDC............................. Kaweah Delta Hospital Foundation, Visalia, CA, for a comprehensive asthma management program.. 100,000 Senator Boxer
CDC............................. La Crosse County Health Department, La Crosse, WI, for a program to prevent childhood obesity. 350,000 Senator Kohl
CDC............................. Latino Leadership Alliance Foundation, New Brunswick, NJ, to establish a Latino Leadership 200,000 Senators Lautenberg, Menendez
Alliance Health Initiative that will educate and inform the Latino Community on the
importance of proper preventive health care.
CDC............................. Mary Bird Perkins Cancer Center, Baton Rouge, LA, to expand early detection cancer screenings. 300,000 Senators Landrieu, Vitter
CDC............................. Mount Sinai, New York, NY, for firefighter and emergency responder health monitoring program 400,000 Senator Landrieu
in Louisiana.
CDC............................. Nevada Cancer Institute, Las Vegas, NV, for equipment and screening services.................. 400,000 Senator Reid
CDC............................. New England Coalition for Health Promotion and Disease Prevention, Providence, RI, for 100,000 Senators Kennedy, Kerry
continued development of obesity and disease prevention programs.
CDC............................. Oglala Sioux Tribe, Pine Ridge, SD, for the Oyate Bli Helya diabetes program.................. 400,000 Senator Johnson
CDC............................. Ohio Patient Safety Institute, Columbus, OH, for patient safety programs...................... 200,000 Senator Brown
CDC............................. Pennsylvania Breast Cancer Coalition, Ephrata, PA, for breast cancer awareness outreach....... 50,000 Senators Specter, Casey
CDC............................. Providence Health Care System, Portland, OR, for a multiple sclerosis registry................ 200,000 Senators Smith, Wyden
CDC............................. Rich Center for Autism/Youngstown State University, Youngstown, OH, to improve outreach and 100,000 Senators Voinovich, Brown
early treatment interventions for children with autism.
CDC............................. Saint Elizabeth's Hospital of Wabasha, Inc., Wabasha, MN, to expand primary prevention 100,000 Senators Coleman, Klobuchar
services and chronic disease management programs.
CDC............................. Shelburne Farms, Shelburne, VT, for nutritional educational programming....................... 500,000 Senator Leahy
CDC............................. South Dakota State University, Brookings, SD, for multidisciplinary research on health 300,000 Senators Johnson, Thune
promotion.
CDC............................. Southeastern Center for Emerging Biologic Threats, Emory University, Atlanta, GA, for programs 100,000 Senators Isakson, Chambliss
related to bioterrorism and emerging biologic threats.
CDC............................. Southern Nevada Health District, Las Vegas, NV, for management of the hepatitis C outbreak in 550,000 Senator Reid
Southern Nevada.
CDC............................. St. Louis Regional Asthma Consortium, St. Louis, MO, for asthma management for at-risk 750,000 Senator Bond
children.
CDC............................. State of Alaska Department of Health and Social Services, Anchorage, AK, for a program to 500,000 Senator Stevens
prevent, control, and reduce incidence of obesity.
CDC............................. Texas Tech University Health Sciences Center, El Paso, TX, for Border Health Research......... 300,000 Senator Hutchison
CDC............................. University of North Carolina-Chapel Hill in conjunction with East Carolina University, Chapel 325,000 Senator Dole
Hill, NC, to study racial disparities in cardiovascular disease.
CDC............................. University of Wisconsin--Milwaukee, Milwaukee, WI, to support and expand public health 300,000 Senator Kohl
training pro- grams.
CDC............................. Wheeling Jesuit University, Wheeling, WV, for the Mining and Industry Safety Technology and 3,000,000 Senator Byrd
Training Innovation Center.
CDC............................. Yale New Haven Health System, New Haven, CT, for emergency preparedness education and training 250,000 Senators Dodd, Lieberman
activities at the Connecticut Center for Public Health Preparedness.
Child Abuse..................... Addison County Parent/Child Center, Middlebury, Vermont, to support and expand parental 250,000 Senator Sanders
education activities.
Child Abuse..................... Anchorage's Promise, Anchorage, AK, for a child mentoring and support program................. 115,000 Senator Stevens
Child Abuse..................... Catholic Community Services, Juneau, AK, to implement child abuse delivery programs in 400,000 Senator Stevens
Southeast Alaska.
Child Abuse..................... Contra Costa County, Martinez, CA, for a comprehensive plan to diminish the effects of 100,000 Senator Boxer
domestic violence on children.
Child Abuse..................... Crisis Shelter of Lawrence County, New Castle, PA, for abuse victim services.................. 100,000 Senators Specter, Casey
Child Abuse..................... Young Women's Resource Center, Des Moines, IA, for a child abuse prevention training program.. 100,000 Senator Harkin
CMHS............................ 2-1-1 Maine, Inc., Portland, ME, for a 2-1-1 telephone number enabling access to health and 200,000 Senators Snowe, Collins
social services in the community.
CMHS............................ Children's Health Fund, New York, NY, for support services for the Mississippi Gulf Coast 250,000 Senator Cochran
Children's Health Project, Gulfport, MS.
CMHS............................ City of San Diego, San Diego, CA, to address the risks of homelessness, violence and drug 100,000 Senator Boxer
abuse among returning veterans.
CMHS............................ Highline-West Seattle Mental Health, Seattle, WA, for mental health programs.................. 450,000 Senators Murray, Cantwell
CMHS............................ Jewish Family Service of MetroWest, Florham Park, NJ, for the Mental Health Intervention and 200,000 Senators Lautenberg, Menendez
Homelessness Prevention Project.
CMHS............................ Marion County, Salem, OR, for mental health treatment programs................................ 150,000 Senators Smith, Wyden
CMHS............................ Midwest Rural Telemedicine Consortium, Des Moines, IA, for the Mental Health Outreach 500,000 Senator Harkin
Initiative.
CMHS............................ One Sky Center, Portland, OR, for substance abuse and mental health programs.................. 200,000 Senators Smith, Wyden
CMHS............................ Roberta's House, Baltimore, MD, for mental health services for children and families.......... 300,000 Senators Mikulski, Cardin
CMHS............................ Rosebud Sioux Tribe, Rosebud, SD, for suicide prevention services............................. 200,000 Senators Thune, Johnson
CMHS............................ Turnaround for Children, Inc., Manhattan, NY, for crisis intervention and treatment services 250,000 Senator Schumer
for students.
CMHS............................ United Way of Anchorage, Anchorage, AK, for the 2-1-1 project to provide a statewide health 600,000 Senator Stevens
and human services management system for Alaska.
CMHS............................ United Way of Greater St. Louis, Inc., St. Louis, MO, for the 2-1-1 project for outreach, 250,000 Senator Bond
community education and expansion of statewide health and human services management systems.
CMHS............................ University of South Florida, Tampa, FL, for mental health program for disabled veterans....... 100,000 Senator Martinez
CMS............................. Bi-State Primary Care Association, Concord, NH, to treat uninsured patients................... 650,000 Senators Gregg, Sununu
CMS............................. City of Milwaukee, Milwaukee, WI, to improve access to and utilization of primary and 180,000 Senator Kohl
preventive health care among low-income residents.
CMS............................. Hospice Foundation of America, Washington, DC, for education programs......................... 250,000 Senator Harkin
CMS............................. Medicare Chronic Care Practice Research Network, Sioux Falls, SD, to evolve and continue the 700,000 Senator Johnson
Medicare Coordinated Care Demonstration project.
CMS............................. University of Pittsburgh Medical Center, Pittsburgh, PA, to develop a comprehensive health 100,000 Senator Specter
care delivery model.
CSAP............................ Hamakua Health Center, Honokaa, HI, for a youth anti-drug program............................. 200,000 Senator Inouye
CSAP............................ Mothers Against Drunk Driving, Louisiana Chapter, Baton Rouge, LA, for substance abuse 100,000 Senator Vitter
prevention focusing on underage drinking.
CSAP............................ West Virginia Prevention Resource Center, Charleston, WV, for drug abuse prevention........... 1,000,000 Senator Byrd
CSAT............................ Akeela House Recovery Center, Anchorage, AK, for residential substance abuse treatment........ 500,000 Senator Stevens
CSAT............................ Arlington County--Mental Health and Substance Abuse Crisis Intervention and Diversion Program, 150,000 Senator Webb
Arlington, VA, for the treatment of persons with mental health and substance abuse issues in
Arlington County.
CSAT............................ Chrysalis House, Lexington, KY, for a substance abuse program for women and children.......... 100,000 Senator Bunning
CSAT............................ Maniilaq Association, Kotzebue, AK, for residential substance abuse treatment................. 200,000 Senator Stevens
CSAT............................ Metro Homeless Youth Services of Los Angeles, Los Angeles, CA, to expand services for homeless 150,000 Senator Boxer
youth with substance abuse problems.
CSAT............................ Prairie Center Health Systems, Urbana, IL, for outpatient and inpatient detoxification 500,000 Senator Durbin
services for meth-addicted patients.
CSAT............................ Rosebud Sioux Tribe, Rosebud, SD, for a substance abuse treatment program..................... 200,000 Senators Johnson, Thune
CSAT............................ Vinland National Center, Independence, MN, for substance abuse and parenting treatment 100,000 Senator Coleman
services.
CSAT............................ Virginia Department of Mental Health, Mental Retardation, and Substance Abuse Services, 300,000 Senator Webb
Richmond, VA, to provide treatment services for addiction to prescription pain medication.
ETA............................. Aerospace Worker Joint Apprenticeship Training Committee (AWJATC), Seattle, WA, for skills 500,000 Senator Murray
training for the aerospace industry.
ETA............................. Bay Area Workforce Development Board, Green Bay, WI, to address re-entry planning, family 250,000 Senator Kohl
reunification, mentoring and life skills intervention for incarcerated women.
ETA............................. Blackhawk Technical College, Janesville, WI, for employment and training activities........... 1,000,000 Senator Kohl
ETA............................. Brevard Workforce Development Board, Rockledge, FL, for retraining of aerospace industry 250,000 Senators Bill Nelson, Martinez
workers.
ETA............................. Central Council of Tlingit-Haida Indian Tribes of Alaska, Juneau, AK, for job training 250,000 Senator Stevens
programs.
ETA............................. City of Baltimore, Baltimore, MD, for the City of Baltimore's YouthWorks summer job program... 1,250,000 Senators Mikulski, Cardin
ETA............................. City of Jackson, MS, for the Jackson Transitional Job Project for job training and employment 100,000 Senators Cochran, Wicker
programs for the Homeless.
ETA............................. City of Lewiston, ME, for job training programs............................................... 350,000 Senators Snowe, Collins
ETA............................. City of Milwaukee, WI, for youth internships and occupational training in the green-collar 400,000 Senator Kohl
employment sector.
ETA............................. City of Oakland, CA, for the Oakland Green Jobs Initiative.................................... 300,000 Senator Boxer
ETA............................. City of Santa Ana, CA, for employment and job training services............................... 750,000 Senator Feinstein
ETA............................. Community College of Allegheny County, Pittsburgh, PA, for job training....................... 100,000 Senator Specter
ETA............................. Community College of Beaver County, Monaca, PA, for job training.............................. 100,000 Senators Specter, Casey
ETA............................. Community Solutions for Clackamas County, Oregon City, OR, for the Working for Independence 200,000 Senators Wyden, Smith
job training and workforce development program.
ETA............................. Community Transportation Association of America, Washington, DC, for the continuation of the 450,000 Senator Harkin
Joblinks program.
ETA............................. Congreso de Latinos Unidos, Philadelphia, PA, for job training................................ 100,000 Senators Specter, Casey
ETA............................. Des Moines Area Community College, Des Moines, IA, for Project Employment..................... 400,000 Senators Harkin, Grassley
ETA............................. Eisenhower Foundation, Washington, DC, to replicate and evaluate job-training and supportive 350,000 Senator Harkin
services programs for disadvantaged workers in Des Moines, Iowa.
ETA............................. Esperanza, Philadelphia, PA, for workforce development........................................ 100,000 Senator Specter
ETA............................. Florida Community College at Jacksonville, Jacksonville, FL, for employment, training and 100,000 Senator Martinez
assessment programs for veterans recently returning to civilian life.
ETA............................. Goodwill Industries Inc., Chicago, IL, to expand the Goodwill Works initiative................ 250,000 Senator Durbin
ETA............................. Goodwill Industries of Southeastern Wisconsin, Inc., Milwaukee, WI, to provide training, 300,000 Senator Kohl
employment and supportive services, including for individuals with disabilities.
ETA............................. Groden Center, Providence, RI, for job readiness training for adults with Asperger's Syndrome. 350,000 Senator Reed
ETA............................. Groundwork Providence, Providence, RI, for workforce training................................. 150,000 Senator Reed
ETA............................. Harrisburg Area Community College, Harrisburg, PA, for job training........................... 100,000 Senators Specter, Casey
ETA............................. Hawkeye Community College, Waterloo, IA, for an Advanced Manufacturing Training Center........ 250,000 Senators Harkin, Grassley
ETA............................. Healthcare Industry Grant Corporation, Dorchester, MA, for an incumbent health care worker 200,000 Senators Kennedy, Kerry
skills training program.
ETA............................. Hispanic Center, Pittsburgh, PA, for job training............................................. 100,000 Senator Specter
ETA............................. Impact Services Corporation, Philadelphia, PA, for workforce development...................... 100,000 Senators Specter, Casey
ETA............................. Iowa Central Community College, Fort Dodge, IA, for job training activities................... 250,000 Senators Harkin, Grassley
ETA............................. Jobs for Maine's Graduates, Inc., Augusta, ME, for career development for at-risk youth....... 300,000 Senators Snowe, Collins
ETA............................. Kentucky Community and Technical College System, Louisville, KY, for career training programs 100,000 Senator Bunning
for disabled veterans.
ETA............................. Kershaw County, Camden, SC, for workforce training programs in partnership with Kershaw, Lee, 250,000 Senator Graham
and Central Carolina Technical College.
ETA............................. Manufacturers Association of Central New York, Syracuse, NY, to improve employment and 300,000 Senator Schumer
training in the manufacturing sector.
ETA............................. Maui Community College Remote Rural Hawaii Job Training Project, Kahului, HI, for training and 2,200,000 Senator Inouye
education.
ETA............................. Maui Community College Training & Education Opportunities, Kahului, HI, for training and 2,000,000 Senator Inouye
education.
ETA............................. Maui Economic Development Board, Kihei, HI, for high tech training............................ 475,000 Senator Inouye
ETA............................. Maui Economic Development Board, Kihei, HI, for rural computer utilization training program... 300,000 Senator Inouye
ETA............................. Maui Economic Development Board, Kihei, HI, to integrate job training activities in a health 150,000 Senator Inouye
center.
ETA............................. Minnesota State Colleges and Universities, Office of the Chancellor, St. Paul, MN, to continue 1,000,000 Senators Coleman, Klobuchar
a statewide veterans re-entry education program.
ETA............................. Minot State University, Minot, ND, for the Job Corps Executive Management Program............. 650,000 Senators Dorgan, Conrad
ETA............................. Mississippi State University, Mississippi State, MS, for the Mississippi Integrated Workforce 400,000 Senators Cochran, Wicker
Performance System.
ETA............................. Mississippi Valley State University, Itta Bena, MS, for training and development at the 150,000 Senators Cochran, Wicker
Automated Identification Technology [AIT]/Automatic Data Collection [ADC] Program.
ETA............................. Montana AFL-CIO, Helena, MT, for workforce development and training activities................ 200,000 Senator Baucus
ETA............................. Nevada Partners for a Skilled Workforce, North Las Vegas, NV, for the Build Nevada Initiative. 500,000 Senator Reid
ETA............................. Nine Star Enterprises, Anchorage, AK, for a job training initiative........................... 125,000 Senator Stevens
ETA............................. Northwestern Alaska Career and Technical Center, Nome, AK, for job training programs for high 200,000 Senator Stevens
school students.
ETA............................. NW Works--Autism Inclusion Initiative, Winchester, VA, for program development, training and 100,000 Senator Warner
acquisition of equipment.
ETA............................. Penn Asian Senior Services, Jenkintown, PA, for job training.................................. 100,000 Senator Specter
ETA............................. Pennsylvania Association for Individuals with Disabilities, Johnstown, PA, for job training... 100,000 Senator Specter
ETA............................. Philadelphia Shipyard Development Corporation, Philadelphia, PA, for job training............. 200,000 Senator Specter
ETA............................. Project ARRIBA, El Paso, TX, for workforce development and economic opportunities in the West 100,000 Senators Hutchison, Cornyn
Texas region.
ETA............................. Rapides Parish Police Jury Office of Economic and Workforce Development, Alexandria, LA, for 300,000 Senator Landrieu
workforce development, employer-based training and education and work-based training for out-
of-school youth.
ETA............................. ReCycle North, Burlington, VT, for workforce development and training activities.............. 500,000 Senator Leahy
ETA............................. Roca, Inc., Chelsea, MA, for a transitional employment program for high-risk youth and young 150,000 Senators Kennedy, Kerry
adults ages 16-24.
ETA............................. Rural Opportunities Inc., Harrisburg, PA, for workforce development........................... 100,000 Senator Specter
ETA............................. San Francisco Department of Economic and Workforce Development, San Francisco, CA, for the 250,000 Senator Boxer
Green Jobs Workforce Development Training Pilot project.
ETA............................. Seattle-King County Workforce Development Council, Seattle, WA, for demand side workforce 150,000 Senator Murray
development approach training.
ETA............................. Sinclair Community College, Dayton, OH, for workforce development and training activities..... 150,000 Senator Brown
ETA............................. South Carolina Association of Community Development Corporation, Charleston, SC, for 300,000 Senator Graham
development of self-employment job centers.
ETA............................. Southwest Alaska Vocation and Education Center, King Salmon, AK, for workforce development and 200,000 Senator Stevens
training.
ETA............................. United Auto Workers Region 9, Local 624, New York, for incumbent worker training.............. 450,000 Senator Schumer
ETA............................. University of Maryland, Baltimore, MD, For the Life Sciences Workforce Training Center........ 1,500,000 Senator Mikulski
ETA............................. University of Southern Mississippi, Hattiesburg, MS, for workforce training in Marine 250,000 Senator Cochran
Composite.
ETA............................. University of West Florida, Pensacola, FL, to provide job training programs for veterans...... 100,000 Senator Martinez
ETA............................. Vermont Agency of Human Services, Waterbury, VT, for an employment services program for 1,000,000 Senator Leahy
veterans with disabilities.
ETA............................. Vermont Association of Business, Industry & Rehabilitation, Williston, VT, for employment 200,000 Senator Leahy
services to at-risk populations.
ETA............................. Vermont HITEC, Williston, VT, for health care training........................................ 1,000,000 Senator Leahy
ETA............................. Washington State Board for Community & Technical Colleges, Federal Way, WA, for training, on- 75,000 Senator Cantwell
the-job support and career development services in the long-term care sector in Washington
State.
ETA............................. Washington Technology Center, Seattle, WA, for a workforce training and retention project..... 50,000 Senator Cantwell
ETA............................. Washington Workforce Association, Vancouver, WA, to prepare students to enter secure, local, 450,000 Senator Murray
high-demand occupations in Washington's workforce through job shadowing, internships, and
scholarships.
ETA............................. YouthCare, Seattle, WA, for a technology training program for homeless and out-of-school youth 100,000 Senator Murray
FIE............................. Acelero Learning, Las Vegas, NV, for early education programs................................. 500,000 Senator Reid
FIE............................. Alaska PTA, Anchorage, AK, to train parents in their roles and responsibilities under the No 250,000 Senator Stevens
Child Left Behind Act.
FIE............................. Audubon Society of Rhode Island, Smithfield, RI, to develop the Environmental Education for 150,000 Senator Reed
Urban Schools Initiative.
FIE............................. Big Brothers and Big Sisters of Southeastern Pennsylvania, Philadelphia, PA, for recruitment, 100,000 Senator Specter
placement and oversight of school-based mentoring programs.
FIE............................. Bishop Museum, Honolulu, HI, for educational programming...................................... 200,000 Senator Inouye
FIE............................. Bossier Parish School Board, Benton, LA, for acquisition of equipment and technology upgrades. 100,000 Senator Vitter
FIE............................. Boys & Girls Club of Greater Milwaukee, Milwaukee, WI, to expand an early literacy program for 300,000 Senator Kohl
children.
FIE............................. Boys and Girls Club of Kootenai County, Post Falls, Idaho, to expand education, health, and 100,000 Senators Crapo, Craig
art programs, including the purchase of equipment.
FIE............................. Boys and Girls Clubs of Greater Washington-Virginia, Alexandria, VA, for character, 100,000 Senators Warner, Webb
leadership, education and career development programs.
FIE............................. Bridgeport Public Schools, Bridgeport, CT, for professional development for teachers and 150,000 Senators Lieberman, Dodd
administrators in Bridgeport, CT.
FIE............................. Brockton Area Private Industry Council, Brockton, MA, for workforce development programs for 150,000 Senators Kennedy, Kerry
at-risk youth.
FIE............................. Cabrini College, Radnor, PA, for professional development for K-12 teachers................... 100,000 Senator Specter
FIE............................. Cedar Rapids Symphony Orchestra, Cedar Rapids, IA, to support the Residency program........... 400,000 Senator Harkin
FIE............................. Center for Advancing Partnerships in Education, Allentown, PA, to develop a foreign language 100,000 Senators Specter, Casey
distance learning program and for teacher training.
FIE............................. Child and Family Network Centers--Leveling the Playing Field: Start Early, Finish Strong 100,000 Senators Warner, Webb
[SEFS], Alexandria, VA, to expand preschool programs for at-risk children.
FIE............................. Children Northwest, Vancouver, WA, to expand Early Learning and Teaching Career Academies in 140,000 Senator Murray
Southwest Washington.
FIE............................. Children's Literacy Initiative, Philadelphia, PA, to improve the reading readiness and early 100,000 Senators Specter, Casey
literacy of children.
FIE............................. City of Compton, Compton, CA, for educational programming at Tomorrow's Aeronautical Museum... 500,000 Senator Feinstein
FIE............................. City of Holyoke, Holyoke, MA, to develop a full-service community school pilot project........ 250,000 Senators Kennedy, Kerry
FIE............................. City of Long Beach, Long Beach, CA, for an at-risk youth mentoring program.................... 1,250,000 Senator Feinstein
FIE............................. City of Los Angeles, Los Angeles, CA, for the LA's BEST afterschool enrichment program........ 250,000 Senator Feinstein
FIE............................. City of Moultrie, Moultrie, GA, for technology upgrades, including purchase of equipment and 100,000 Senator Chambliss
professional development.
FIE............................. City of Presque Isle, Recreation and Parks Department, Presque Isle, ME, for afterschool arts 250,000 Senators Snowe, Collins
and physical activity programs.
FIE............................. City of Saint Paul, St. Paul, MN, to provide tutoring, mentoring and other educational 100,000 Senator Klobuchar
programs and resources for afterschool programs.
FIE............................. City of Springfield, Springfield, MO, for development, expansion, equipment and technology for 600,000 Senator Bond
the Ready to Learn program.
FIE............................. City of Vernonia School district, Vernonia, OR, for the purchase of school equipment and 200,000 Senator Wyden
supplies.
FIE............................. City Year New Hampshire, Stratham, NH, to expand education and youth development programs..... 150,000 Senator Gregg
FIE............................. Civic League of Greater New Brunswick, New Brunswick, NJ, for the Academy of After School 200,000 Senators Lautenberg, Menendez
Excellence.
FIE............................. Clark County School District, Las Vegas, NV, for school counseling and dropout prevention 900,000 Senator Reid
services.
FIE............................. Cleveland Avenue YMCA, Montgomery, AL, for after school math and science tutoring programs.... 100,000 Senator Sessions
FIE............................. Cleveland Metropolitan School District, Cleveland, OH, for technology upgrades, including 100,000 Senators Voinovich, Brown
purchase of equipment to improve math, science and language proficiency.
FIE............................. Connecticut Humanities Council, Middletown, CT, for curriculum development.................... 250,000 Senators Dodd, Lieberman
FIE............................. Connecticut Science Center, Hartford, CT, for a science and technology learning center........ 100,000 Senators Lieberman, Dodd
FIE............................. Cook Inlet Tribal Council, Anchorage, AK, for educational programs for low performing students 300,000 Senator Stevens
in the Anchorage school district.
FIE............................. Coppin State University, Baltimore, MD, to support the Urban Education Corridor program....... 300,000 Senator Mikulski
FIE............................. County of Amador, Jackson, CA, for the College Preparation Initiative to provide educational 250,000 Senator Feinstein
program- ming.
FIE............................. County of Glacier School District #9, Browning, MT, for academic programs..................... 400,000 Senator Baucus
FIE............................. Cristo Rey Network, Chicago, IL, for feasibility studies of potential Iowa school sites....... 100,000 Senator Harkin
FIE............................. Delaware Department of Education, Dover, DE, to provide translators and instructional programs 200,000 Senators Carper, Biden
for English language learners.
FIE............................. DePaul University, Chicago, IL, for math and science teacher education in Chicago Public 750,000 Senator Durbin
Schools.
FIE............................. Des Moines Community School District and Urban Dreams, Des Moines, IA, to continue a 300,000 Senator Harkin
demonstration on full service community schools.
FIE............................. Des Moines Community School District to expand pre-kindergarten programs...................... 750,000 Senator Harkin
FIE............................. Dinwiddie County Public Schools, Dinwiddie, VA, for educational programming at a library/media 100,000 Senator Webb
center, including the purchase of equipment.
FIE............................. Early Childhood and Family Learning Center Foundation, New Orleans, LA, for educational 300,000 Senator Landrieu
programs.
FIE............................. East Stroudsburg University, East Stroudsburg, PA, for math and science curriculum development 100,000 Senator Specter
and professional development for area teachers.
FIE............................. ECHO Center, Burlington, VT, for educational programming...................................... 500,000 Senator Leahy
FIE............................. Economic Opportunity Foundation, Inc. Head Start Bryant Program, Kansas City, KS, for early 100,000 Senator Roberts
education programs.
FIE............................. Eden Housing, Inc., Hayward, CA, to expand afterschool programs............................... 100,000 Senator Boxer
FIE............................. Elko County School District, Elko, NV, to enhance distance education capabilities, including 650,000 Senator Reid
the purchase of equipment.
FIE............................. Esperanza, Philadelphia, PA, to expand programs for Latino at-risk youth in Chelsea, MA....... 125,000 Senators Kennedy, Kerry
FIE............................. Fairplex Child Development Center, Pomona, CA, to expand the Early Childhood Education Family 100,000 Senator Boxer
Literacy, Parenting and Violence Prevention Program.
FIE............................. Falcon School District, Falcon, CO, for the D-49 K-12 Science, Technology, Engineering & Math 100,000 Senator Allard
Initia- tive.
FIE............................. Foundation of Community Empowerment, Dallas, TX, for educational activities for early 400,000 Senator Cornyn
childcare providers to prepare students for school.
FIE............................. Galena City School District, Galena, AK, to continue educational programs at a boarding school 510,000 Senator Stevens
for low performing students from rural Alaska.
FIE............................. George Eastman House International Museum of Photography and Film, Rochester, NY, for 300,000 Senator Schumer
educational programs.
FIE............................. Grand County School District, Moab, UT, for school-based mentoring programs for low performing 200,000 Senator Bennett
stu- dents.
FIE............................. Herring Gut Learning Center, Port Clyde, ME, for science curriculum development for Maine 100,000 Senators Snowe, Collins
students in grades 6-12.
FIE............................. Housatonic Community College, Bridgeport, CT, for the Middle College Program.................. 300,000 Senators Dodd, Lieberman
FIE............................. Institute for Student Achievement, Lake Success, NY, for programs............................. 250,000 Senator Schumer
FIE............................. Iowa Association of School Boards, Des Moines, IA, for continuation and expansion of the 3,500,000 Senator Harkin
Skills Iowa program.
FIE............................. Iowa Department of Education to continue the Harkin grant program............................. 5,750,000 Senator Harkin
FIE............................. Kansas Children's Discovery Center, Topeka, KS, for exhibit development for children's 100,000 Senator Roberts
interactive educational development.
FIE............................. Kauai Economic Development Board, Lihue, HI, for math and science education................... 300,000 Senators Inouye, Akaka
FIE............................. KIPP Foundation, San Francisco, CA, for academic and afterschool programs in Memphis and 100,000 Senator Alexander
Nashville, TN.
FIE............................. Las Vegas Natural History Museum, Las Vegas, NV, to expand natural history education programs. 150,000 Senator Reid
FIE............................. Leeward Community College, Pearl City, HI, to provide college preparatory education for 250,000 Senator Inouye
Filipino stu- dents.
FIE............................. Lehigh Carbon Community College, Schnecksville, PA, to provide science, technology, 100,000 Senator Specter
engineering and math programs to area high school students.
FIE............................. Libby School District #4, Libby, MT, for academic programs.................................... 400,000 Senator Baucus
FIE............................. Lincoln County School District, Panaca, NV, to expand early education services, including the 25,000 Senator Reid
purchase of equipment.
FIE............................. Literacy Council of Alaska, Fairbanks, AK, to provide educational materials for low-income 100,000 Senator Stevens
students and their families.
FIE............................. Loess Hills Area Education Agency in Iowa for a demonstration in early childhood education.... 750,000 Senators Harkin, Grassley
FIE............................. Loras College, Dubuque, IA, for literacy programs............................................. 250,000 Senator Harkin
FIE............................. Louisiana Tech University, Ruston, LA, for a program in K-12 cyberspace education in 700,000 Senators Landrieu, Vitter
cooperation with members of the Consortium for Education, Research and Technology of North
Louisiana.
FIE............................. Lower Pioneer Valley Educational Collaborative, West Springfield, MA, for the continued 200,000 Senators Kennedy, Kerry
development of an online education center.
FIE............................. Massachusetts 2020 Foundation, Boston, MA, for the continued development of an extended 200,000 Senators Kennedy, Kerry
learning time initiative.
FIE............................. Maui Economic Development Board, Kihei, HI, for engaging girls in STEM education.............. 300,000 Senator Inouye
FIE............................. McWane Science Center, Birmingham, AL, for teacher training and purchase of equipment......... 100,000 Senator Sessions
FIE............................. Mentoring Partnership of Southwestern Pennsylvania, Pittsburgh, PA, for recruitment, 100,000 Senator Specter
placement, and oversight of school-based mentoring programs.
FIE............................. Metropolitan Wilmington Urban League, Wilmington, DE, to expand the Achievement Matters! 200,000 Senators Carper, Biden
program.
FIE............................. Milwaukee Public Schools, Milwaukee, WI, to strengthen the Science, Technology, Engineering 350,000 Senator Kohl
and Math [STEM] curriculum.
FIE............................. Milwaukee Public Schools, Milwaukee, WI, to support afterschool activities for youth.......... 1,200,000 Senator Kohl
FIE............................. Mississippi Council on Economic Education, Jackson, MS, for Achieving Comprehensive Economic 250,000 Senator Cochran
and Financial Literacy of Mississippi Students.
FIE............................. Mississippi State University, Mississippi State, MS, for enhancing K-12 science and math 300,000 Senators Cochran, Wicker
preparation, including purchase of equipment.
FIE............................. Mississippi University for Women, Columbus, MS, for strengthening partnerships between K-12 300,000 Senators Cochran, Wicker
parents, children's teachers, principals, superintendents and other school officials,
including purchase of equipment.
FIE............................. Museum of Fine Arts, Boston, MA, for educational programming.................................. 250,000 Senators Kennedy, Kerry
FIE............................. National Council of La Raza in Washington, DC, for the Center for Early Childhood Education... 500,000 Senators Menendez, Bingaman
FIE............................. Native American Indian, Alaskan, and Hawaiian Educational Development Center, Sheridan, WY, to 300,000 Senator Enzi
expand professional development in early literacy and math programs for teachers.
FIE............................. Nevada Humanities, Reno, NV, to develop and expand a comprehensive online encyclopedia........ 150,000 Senator Reid
FIE............................. Nevada Speech and Hearing Association, Reno, NV, to recruit and train special education 25,000 Senator Reid
teachers.
FIE............................. New England Center for Children, Inc., Southborough, MA, to provide equipment for training 200,000 Senators Kennedy, Kerry
programs to support teachers of children with autism.
FIE............................. New Mexico Mathematics, Engineering, Science Achievement, Inc. [NM MESA], Albuquerque, NM, to 250,000 Senator Bingaman
prepare students from under-represented populations to pursue STEM college majors.
FIE............................. New School University, New York, NY, for the Institute for Urban Education.................... 750,000 Senator Schumer
FIE............................. New York Hall of Science, Queens, NY, for science exhibits and educational programming........ 500,000 Senator Schumer
FIE............................. North Carolina Technology Association, Raleigh, NC, for a technology demonstration project for 100,000 Senator Burr
9-12 grade students.
FIE............................. Nye County School District, Pahrump, NV, to expand career and technical programs, including 150,000 Senator Reid
the purchase of equipment.
FIE............................. Operation Shoestring, Jackson, MS, for after school summer enrichment programs................ 200,000 Senator Cochran
FIE............................. Pacific Islands Center for Educational Development in American Samoa, Pago Pago, America 500,000 Senator Inouye
Samao, for program development.
FIE............................. Parents as Teachers National Center, St. Louis, MO, to develop research-based materials and 250,000 Senator Bond
training for home visiting professionals for families of children with autism.
FIE............................. Parents for Public Schools of Jackson, Inc., Jackson, MS, for arts education programs......... 50,000 Senator Cochran
FIE............................. PE4life Foundation, Kansas City, MO, for expansion and assessment of PE4life programs across 500,000 Senator Harkin
Iowa.
FIE............................. Pennsylvania State University, University Park, PA, for a youth mentoring program............. 100,000 Senator Specter
FIE............................. Pollard Foundation, Las Vegas, NV, to improve math, science and literacy instruction at the 200,000 Senator Reid
Rainbow Dreams Academy.
FIE............................. Polynesian Voyaging Society, Honolulu, HI, for educational programs........................... 250,000 Senator Inouye
FIE............................. Project GRAD Ohio, Columbus, OH, to help students graduate from high school ready for college. 100,000 Senator Brown
FIE............................. Project HOME, Philadelphia, PA, for after school and summer programs.......................... 100,000 Senator Specter
FIE............................. Roads to Success, New York, NY, to support college scholarships for rural, low-income high 100,000 Senator Specter
school graduates in Pennsylvania.
FIE............................. RuralCap of Alaska, Anchorage, AK, for distance learning for head start teachers and parents 500,000 Senator Stevens
as teachers programs, including the purchase of equipment.
FIE............................. Rutland City Public Schools, Rutland, Vermont, for summer learning programs................... 150,000 Senator Sanders
FIE............................. Saint Bernard Parish School Board, Chalmette, LA, for educational programming, including the 750,000 Senator Landrieu
purchase of educational equipment for a cultural arts facility.
FIE............................. Saint Joseph's University, Philadelphia, PA, to develop a Public Education Partnership to 100,000 Senator Specter
provide professional development to area principals and teachers.
FIE............................. Saint Louis Community College, St. Louis, MO, to link elementary and secondary inner city and 750,000 Senator Bond
rural school students with industry to promote STEM and life science academic study.
FIE............................. Saint Mary's College, Notre Dame, IN, to expand tutoring and mentoring program for 200,000 Senator Lugar
disadvantaged students in K-8 elementary schools in South Bend, IN.
FIE............................. Salt Lake City School District, Salt Lake City, UT, for a K-12 school-to-work program for at- 100,000 Senator Hatch
risk stu- dents.
FIE............................. San Francisco District Attorney's Office, San Francisco, CA, for the Academic Recovery Center 250,000 Senator Feinstein
at-risk youth mentoring and education program.
FIE............................. Self Enhancement, Inc., Portland, OR, for innovative education programs for inner city youth.. 100,000 Senators Smith, Wyden
FIE............................. Shiloh Economic and Entrepreneurial Lifelong Development Corporation, Planfield, NJ, for the 100,000 Senators Menendez, Lautenberg
Titans for Tomorrow afterschool program.
FIE............................. Skills Alaska, Anchorage, AK, for a student/teach enhancement program across Alaska........... 1,000,000 Senator Stevens
FIE............................. SMART (Start Making A Reader Today), Portland, OR, for children's literacy programs........... 100,000 Senators Smith, Wyden
FIE............................. Smith Center for the Performing Arts, Las Vegas, NV, to create arts educational programs...... 200,000 Senator Reid
FIE............................. SouthCoast Connected, New Bedford, MA, for expansion of programs designed to reduce the teen 150,000 Senators Kennedy, Kerry
dropout rate.
FIE............................. SouthEastern Pennsylvania Consortium for Higher Education, Glenside, PA, for the Institute of 200,000 Senators Specter, Casey
Mathematics and Science to provide professional development to K-12 teachers.
FIE............................. Thiel College, Greenville, PA, for curriculum development and including the purchase of 100,000 Senators Specter, Casey
equipment to support a distance learning partnership with area K-12 schools.
FIE............................. Tulsa Public Schools, Tulsa, OK, for innovative programming for students at risk of dropping 100,000 Senator Inhofe
out, including curriculum development.
FIE............................. United Way of Southeastern Pennsylvania, Philadelphia, PA, for recruitment, placement, and 100,000 Senator Specter
oversight of school-based mentoring programs.
FIE............................. University of Mississippi, University, MS, to enhance mathematics preparation................. 300,000 Senators Cochran, Wicker
FIE............................. University of Nebraska Kearney, Kearney, NE, to develop early childhood education programs and 100,000 Senators Hagel, Ben Nelson
expand online educational access to the underserved.
FIE............................. University of Nebraska-Omaha, Omaha, NE, to develop and implement a training program centered 500,000 Senator Ben Nelson
on civic leadership.
FIE............................. University of New Orleans, New Orleans, LA, for supporting and developing charter and district- 450,000 Senator Landrieu
run public schools in New Orleans through teacher education, leadership preparation, applied
research and policy, in cooperation with Tulane University.
FIE............................. University of Northern Colorado, Greeley, CO, to establish the Center for Excellence and 150,000 Senator Salazar
Innovation in Education.
FIE............................. University of Southern Mississippi, Hattiesburg, MS, for gifted education programs at the 250,000 Senator Cochran
Frances Kranes Center for Gifted Studies.
FIE............................. University of Southern Mississippi, Hattiesburg, MS, for K-12 arts and science curriculum and 205,000 Senators Cochran, Wicker
content standards development.
FIE............................. University of Southern Mississippi, Hattiesburg, MS, for math science literacy enhancement.... 300,000 Senators Cochran, WIcker
FIE............................. University of the Sciences in Philadelphia, Philadelphia, PA, for a science education 100,000 Senator Specter
partnership which will provide professional development to area teachers.
FIE............................. Washington Jesuit Academy, Washington, DC, for mentoring activities........................... 250,000 Senators Ben Nelson, Harkin
FIE............................. Washoe County School District, Reno, NV, for dropout prevention and intervention services..... 900,000 Senator Reid
FIE............................. Western Folklife Center, Elko, NV, for educational programming................................ 100,000 Senator Reid
FIE............................. Widener University, Chester, PA, for curriculum development and teacher training.............. 100,000 Senator Specter
FIE............................. YWCA Anchorage, Anchorage, AK, for after school education programs............................ 100,000 Senator Stevens
FIE............................. YWCA of Seattle, King County, and Snohomish County, Seattle, WA, to support and expand the 300,000 Senator Murray
School's Out Washington program.
FIPSE........................... AIB College of Business, Des Moines, IA, to continue recruiting and training captioners and 400,000 Senator Harkin
court reporters and to provide scholarships to students.
FIPSE........................... Albright College, Reading, PA, for laboratory equipment acquisition........................... 100,000 Senators Specter, Casey
FIPSE........................... Alcorn University, Lorman, MS, for curriculum improvements.................................... 250,000 Senator Cochran
FIPSE........................... Alvernia College, Reading, PA, for scholarships and nursing education programs................ 100,000 Senator Specter
FIPSE........................... American Prosthodontic Society Foundation, Osceola Mills, PA, for scholarships and program 100,000 Senator Specter
costs related to prosthetic dentistry and clinical prosthodontics.
FIPSE........................... Armstrong Atlantic State University, Savannah, GA, for technology upgrades, including the 100,000 Senators Chambliss, Isakson
purchase of equipment and professional development.
FIPSE........................... Assumption College, Worcester, MA, for the acquisition of educational equipment and 150,000 Senators Kennedy, Kerry
information technology.
FIPSE........................... Black Mountain Institute, Las Vegas, NV, for undergraduate and graduate instruction in 100,000 Senator Reid
literature, humanities, creative writing, translation and for international and study abroad
programs.
FIPSE........................... Bloomsburg University of Pennsylvania, Bloomsburg, PA, for computer forensic science education 100,000 Senator Specter
pro- grams.
FIPSE........................... Blue Mountain Community College, Hermiston, OR, for curriculum development, including purchase 300,000 Senator Smith
of equipment.
FIPSE........................... Briar Cliff University, Sioux City, IA for equipment.......................................... 200,000 Senators Harkin, Grassley
FIPSE........................... Buena Vista University, Storm Lake, IA, for support for students with disabilities............ 250,000 Senator Harkin
FIPSE........................... Caldwell College, Caldwell, NJ, for an Autism Teacher Doctorate Program at the Center for 250,000 Senators Lautenberg, Menendez
Excellence in Teaching, which may include equipment for distance learning activities.
FIPSE........................... California Maritime Academy, Vallejo, CA, for an emergency response training program, which 500,000 Senator Feinstein
may include the acquisition of software and technology.
FIPSE........................... California University of Pennsylvania, California, PA, for curriculum development and teacher 100,000 Senators Specter, Casey
training to enhance math and science instruction.
FIPSE........................... Cape Girardeau Career and Technology Center, Cape Girardeau, MO, for equipment and technology 300,000 Senator Bond
upgrades, including the purchase of equipment.
FIPSE........................... Center for Education, Business, and the Arts (CEBA), St. George, UT, for an educational 100,000 Senator Hatch
program in business entrepreneurship at Dixie State College.
FIPSE........................... Cheyney University of Pennsylvania, Cheyney, PA, to develop model best practices in early 100,000 Senator Specter
childhood education, curriculum instruction and assessment.
FIPSE........................... Clark University, Worcester, MA, for information technology and educational equipment......... 200,000 Senators Kennedy, Kerry
FIPSE........................... Cleveland Chiropractic College, Overland Park, KS, for curriculum development................. 200,000 Senator Brownback
FIPSE........................... Coe College, Cedar Rapids, IA, for the Science and Technology Enhancement Initiative.......... 500,000 Senators Harkin, Grassley
FIPSE........................... Coffeyville Community College, Coffeyville, KS, to establish an endowed scholarship program 450,000 Senator Brownback
for Kansas residents.
FIPSE........................... College of DuPage, Glen Ellyn, IL, for support of a veteran counseling degree and certificate 300,000 Senator Durbin
program.
FIPSE........................... Colorado State University-Pueblo, Pueblo, CO, for science, technology, engineering and 150,000 Senator Salazar
mathematics programs, including equipment.
FIPSE........................... Connecticut State University System, Hartford, CT, for nursing education programs............. 400,000 Senators Dodd, Lieberman
FIPSE........................... Daniel Webster College, Nashua, NH, for technology upgrades, including the purchase of 200,000 Senator Sununu
equipment.
FIPSE........................... Dartmouth College, Hanover, NH, to continue an interdisciplinary initiative on engineering and 300,000 Senator Gregg
medicine, including the purchase of equipment.
FIPSE........................... Deaf West Theater, North Hollywood, CA, for educational programming........................... 250,000 Senator Boxer
FIPSE........................... Delaware County Community College, Media, PA, for technology upgrades, including the purchase 100,000 Senator Specter
of equipment.
FIPSE........................... DeSales University, Center Valley, PA, for technology upgrades including the purchase of 100,000 Senators Specter, Casey
equipment.
FIPSE........................... Dickenson County Industrial Development Authority--The Dickenson Center for Education and 100,000 Senators Warner, Webb
Research, Clintwood, VA, for technology upgrades, including the purchase of equipment.
FIPSE........................... Dowling College, Oakdale, NY, to create and establish a school of Banking and Financial 200,000 Senator Schumer
Services.
FIPSE........................... Duquesne University, Pittsburgh, PA, for professional development and research training in 100,000 Senators Specter, Casey
computational sciences.
FIPSE........................... Eastern Iowa Community College, Davenport, IA, for the creation of a center on sustainable 300,000 Senator Harkin
energy, including equipment.
FIPSE........................... Eastern University, St. Davids, PA, for an initiative to increase minority access to higher 100,000 Senator Specter
education.
FIPSE........................... Edinboro University of Pennsylvania, Edinboro, PA, for a nursing education program and 100,000 Senator Specter
equipment acquisition.
FIPSE........................... Edward M. Kennedy Institute for the Senate, Boston, MA, for planning and design............... 1,000,000 Senators Kerry, Byrd, Harkin, Durbin,
Mikulski, Dodd
FIPSE........................... Elizabethtown College, Elizabethtown, PA, for technology infrastructure upgrades and 100,000 Senators Specter, Casey
acquisition.
FIPSE........................... Emerson College, Boston, MA, for educational equipment and technology infrastructure.......... 100,000 Senators Kennedy, Kerry
FIPSE........................... Emmanuel College, Boston, MA, for educational equipment and technology infrastructure......... 325,000 Senators Kennedy, Kerry
FIPSE........................... Endicott College, Beverly, MA, for expansion of higher education programs..................... 200,000 Senators Kennedy, Kerry
FIPSE........................... George Meany Center for Labor Studies--The National Labor College, Silver Spring, MD, for 500,000 Senator Harkin
curriculum development.
FIPSE........................... George Washington University, Washington, DC, to provide DC public school students 148,000 Senator Hatch
opportunities to pursue health professions careers.
FIPSE........................... Green River Community College, Auburn, WA, for support of the Computer Reporting Technologies 300,000 Senator Murray
pro- gram.
FIPSE........................... Hawaii Community College, Waipahu, HI, to provide cultural education.......................... 200,000 Senator Inouye
FIPSE........................... Henry Kuualoha Giugni Archives, University of Hawaii, Honolulu, HI, for cultural education.... 250,000 Senators Inouye, Akaka
FIPSE........................... Houston Community College, Houston, TX, for curriculum development and purchase of equipment 200,000 Senator Hutchison
for the Accelerated Nursing Proficiency Center.
FIPSE........................... Huntingdon College Institute, Montgomery, AL, for teacher training and purchase of equipment.. 200,000 Senator Sessions
FIPSE........................... Immaculata University, Immaculata, PA, for nursing education programs......................... 100,000 Senators Specter, Casey
FIPSE........................... Indiana University of Pennsylvania, Indiana, PA, for curriculum development for a mine safety 100,000 Senators Specter, Casey
course and research on use of mine maps.
FIPSE........................... Iowa Western Community College, Council Bluffs, IA, for health technology equipment........... 450,000 Senators Harkin, Grassley
FIPSE........................... Jobs for Mississippi Graduates, Inc., Jackson, MS, for Reaching Up for Success dropout 100,000 Senators Cochran, Wicker
prevention program.
FIPSE........................... Keystone College, La Plume, PA, for technology upgrades including the purchase of equipment... 100,000 Senator Specter
FIPSE........................... Lackawanna College, Scranton, PA, for technology upgrades, including the purchase of equipment 100,000 Senators Specter, Casey
FIPSE........................... Lafayette College, Easton, PA, for technology upgrades, including the purchase of equipment... 100,000 Senator Specter
FIPSE........................... Lehigh University, Bethlehem, PA, to develop programming for a Center for Developing Urban 100,000 Senators Specter, Casey
Educational Leaders.
FIPSE........................... Lesley University, Cambridge, MA, for educational equipment and information technology........ 200,000 Senators Kennedy, Kerry
FIPSE........................... Lincoln University, Lincoln University, PA, to support a distance learning initiative, 100,000 Senator Specter
including the purchase of equipment.
FIPSE........................... Lyndon State College, Lyndonville, VT, for a center for rural students........................ 350,000 Senator Leahy
FIPSE........................... Mansfield University of Pennsylvania, Mansfield, PA, for nursing education programs, including 100,000 Senator Specter
the purchase of equipment.
FIPSE........................... Marywood University, Scranton, PA, for campus-based autism education programs................. 100,000 Senators Specter, Casey
FIPSE........................... McNeese State University, Lake Charles, LA, to provide professional development to improve 200,000 Senators Landrieu, Vitter
student writing.
FIPSE........................... Michigan Community College Association, Lansing, MI, for an alternative energy training 1,700,000 Senators Stabenow, Levin
initiative.
FIPSE........................... MidAmerican Nazarene University, for technology acquisition to expand distance education for 150,000 Senator Brownback
teachers in western Kansas, including the purchase of equipment.
FIPSE........................... Middle Tennessee State University, Murfreesboro, TN, for a comprehensive math and science 400,000 Senator Alexander
teacher training program, including scholarships.
FIPSE........................... Midland College, Midland, TX, for technology upgrades, including purchase of equipment........ 100,000 Senator Cornyn
FIPSE........................... Millikin University, Decatur, IL, for a nursing training program.............................. 500,000 Senator Durbin
FIPSE........................... Missouri State University, Springfield, MO, for equipment and technology upgrades, including 500,000 Senator Bond
the purchase of equipment.
FIPSE........................... Montclair State College, Upper Montclair, NJ, for a Minority Teacher Recruitment, Development 200,000 Senators Lautenberg, Menendez
and Retention program.
FIPSE........................... Montgomery County Community College, Blue Bell, PA, for curriculum development and equipment 100,000 Senator Specter
acquisition to support a health services initiative.
FIPSE........................... Morehouse College, Atlanta, GA, to establish a research initiative to improve college 100,000 Senators Chambliss, Isakson
graduation rates of minority males.
FIPSE........................... Mott Community College, Flint, MI, for the Center for Advanced Manufacturing.................. 200,000 Senators Levin, Stabenow
FIPSE........................... Mount Aloysius College, Cresson, PA, for college preparation programs......................... 100,000 Senators Specter, Casey
FIPSE........................... Muhlenberg College, Allentown, PA, for a civic engagement and service learning program........ 100,000 Senators Specter, Casey
FIPSE........................... Murray State University, Hopkinsville, KY, to purchase equipment for the Breathitt Veterinary 100,000 Senator Bunning
Clinic.
FIPSE........................... Neumann College, Aston, PA, for technology and equipment acquisition to support a health care 100,000 Senators Specter, Casey
workforce training initiative.
FIPSE........................... Nevada State College, Henderson, NV, for teacher preparation programs......................... 300,000 Senator Reid
FIPSE........................... Nevada Volunteers, Fallon, NV, to expand service-learning programs............................ 250,000 Senator Reid
FIPSE........................... North Central Missouri College, Trenton, MO, for technology upgrades, including the purchase 1,600,000 Senator Bond
of equipment for the Allied Health building.
FIPSE........................... North Dakota State College of Science, Wahpeton, ND, for a Center for Nanoscience Technology 1,000,000 Senators Dorgan, Conrad
Training.
FIPSE........................... Northampton Community College, Bethlehem, PA, for technology and equipment upgrades and 100,000 Senator Specter
acquisi- tion.
FIPSE........................... Northeast Community College, Norfolk, NE, for improved access to postsecondary educational 700,000 Senators Ben Nelson, Hagel
opportunities, including distance learning and other equipment.
FIPSE........................... Northern Essex Community College, Lawrence, MA, for educational equipment..................... 200,000 Senators Kennedy, Kerry
FIPSE........................... Northwest Nazarene University, Nampa, ID, for technology upgrades, including the purchase of 200,000 Senators Crapo, Craig
equip- ment.
FIPSE........................... Northwestern College, Orange City, IA, for nurse training programs............................ 450,000 Senator Harkin
FIPSE........................... Olivet Nazarene University, Bourbonnais, IL, for nurse education equipment.................... 300,000 Senator Durbin
FIPSE........................... Oregon Institute of Technology, Klamath Falls, OR, for the Health Informatics Simulation Lab.. 100,000 Senators Wyden, Smith
FIPSE........................... Peninsula College, Port Angeles, WA, for equipment for the Peninsula College Science & 500,000 Senators Murray, Cantwell
Technology Building, and to support the Peninsula College Collaborative Mentoring Model.
FIPSE........................... Pennsylvania Highlands Community College, Johnstown, PA, for technology and equipment upgrades 100,000 Senator Specter
and acquisition.
FIPSE........................... Plymouth State University, Plymouth, NH, for a collaborative research institute for 200,000 Senator Gregg
sustainable rural economies.
FIPSE........................... Point Park University, Pittsburgh, PA, for technology upgrades including the purchase of 100,000 Senator Specter
equipment.
FIPSE........................... Portland State University, Portland, OR, for support of the Science Research Teaching Center.. 150,000 Senators Wyden, Smith
FIPSE........................... Qunsigamond Community College, Worcester, MA, for the procurement of educational equipment and 150,000 Senators Kennedy, Kerry
information technology to support academic expansion.
FIPSE........................... Rutgers University, Camden, NJ, for the Camden Children's Initiative, which may include 100,000 Senators Lautenberg, Menendez
scholarships and fellowships.
FIPSE........................... Saint Bonaventure University, St. Bonaventure, NY, for the Father Mychal Judge program, which 300,000 Senator Schumer
may include student scholarships and travel costs for student exchanges and visiting
professorships.
FIPSE........................... Saint Mary's University of Minnesota, Minneapolis, MN, for technology upgrades, including the 200,000 Senators Coleman, Klobuchar
purchase of equipment.
FIPSE........................... Saint Vincent College, Latrobe, PA, for educational programs, including the purchase of 100,000 Senator Specter
equipment.
FIPSE........................... Security on Campus, Inc., King of Prussia, PA, for development and implementation of a sexual 25,000 Senator Specter
assault awareness and training program.
FIPSE........................... Sedgwick County Government, KS, to establish an advanced education in general dentistry 500,000 Senator Brownback
residency program.
FIPSE........................... Seminole State College, Seminole, OK, for a distance learning program and technology upgrades, 100,000 Senator Inhofe
including the purchase of equipment.
FIPSE........................... Sitting Bull College, Fort Yates, ND, for a Student Record and Data Management System......... 250,000 Senators Dorgan, Conrad
FIPSE........................... Southeastern Community College, West Burlington, Iowa, for nursing education equipment........ 100,000 Senators Harkin, Grassley
FIPSE........................... Southern Oregon University, Ashland, OR, for technology infrastructure and equipment 300,000 Senators Smith, Wyden
acquisition.
FIPSE........................... Southern Utah University, Cedar City, UT, to enhance the academic skills and training of 100,000 Senator Hatch
science teachers in rural Utah, including the purchase of equipment.
FIPSE........................... Spelman College, Atlanta, GA, for programs to recruit and increase graduate rates for students 100,000 Senators Chambliss, Isakson
pursuing science, mathematics, or dual-engineering degrees.
FIPSE........................... Susquehanna University, Selinsgrove, PA, for science laboratory technology, including the 100,000 Senators Specter, Casey
purchase of equipment.
FIPSE........................... Texas Woman's University, Denton, TX, for curriculum development and technology upgrades, 150,000 Senator Hutchison
including the purchase of equipment.
FIPSE........................... Tougaloo College, Tougaloo, MS, for applied undergraduate level community based research 300,000 Senator Cochran
programs and partnerships.
FIPSE........................... Troy University, Montgomery, AL, for technology upgrades, including the purchase of equipment. 250,000 Senators Sessions, Shelby
FIPSE........................... Truckee Meadows Community College, Reno, NV, for recruiting, mentoring and providing 300,000 Senator Reid
supportive services.
FIPSE........................... Turtle Mountain Community College, Belcourt, ND, to expand its Nursing Program, including 500,000 Senators Dorgan, Conrad
equipment.
FIPSE........................... Union Graduate College, Schenectady, NY, for program support of a Masters degree in Emerging 300,000 Senator Schumer
Energy Systems.
FIPSE........................... University of Alaska, Anchorage, AK, to continue the Alaska science and engineering program 1,050,000 Senator Stevens
for Alaska students.
FIPSE........................... University of Arizona, Tucson, AZ, for the Integrative Medicine in Residency program.......... 500,000 Senator Harkin
FIPSE........................... University of Hawaii at Hilo Clinical Pharmacy Training Program, Hilo, HI, for clinical 1,000,000 Senators Inouye, Akaka
pharmacy training program and applied rural science program.
FIPSE........................... University of Hawaii School of Law, Honolulu, HI, for health policy center.................... 250,000 Senator Inouye
FIPSE........................... University of Maine, Orono, ME, for technology upgrades, including the purchase of equipment.. 300,000 Senators Snowe, Collins
FIPSE........................... University of Maryland College Park, College Park, MD, to develop and administer a public 1,000,000 Senators Mikulski, Cardin
service fellowship program.
FIPSE........................... University of Montana, Missoula, MT, to establish the Institute for Leadership and Public 250,000 Senator Tester
Service to fulfill the purposes of the Mansfield Center.
FIPSE........................... University of New Hampshire, Manchester, NH, for technology upgrades, including the purchase 250,000 Senator Sununu
of equipment.
FIPSE........................... University of Northern Colorado, Greeley, Colorado, for professional development at the 300,000 Senator Allard
National Center on Severe & Sensory Disabilities.
FIPSE........................... University of Northern Iowa, Cedar Falls, IA, for equipment................................... 500,000 Senators Harkin, Grassley
FIPSE........................... University of Pittsburgh, Pittsburgh, PA, to support a Center for Global Value and Innovation 100,000 Senators Specter, Casey
Networks.
FIPSE........................... University of Scranton, Scranton, PA, for a health profession education and training 100,000 Senators Specter, Casey
initiative.
FIPSE........................... University of South Dakota, Vermilion, SD, for equipment and wiring for the Research, 400,000 Senator Johnson
Education and Economic Development Network.
FIPSE........................... University of South Dakota, Vermilion, SD, for graduate programs on the digital preservation 430,000 Senator Johnson
of recorded oral histories.
FIPSE........................... University of Southern Maine, Portland, ME, for technology upgrades, including the purchase of 350,000 Senators Snowe, Collins
equip- ment.
FIPSE........................... University of Utah, Salt Lake City, UT, for distance learning for community of caring schools, 100,000 Senator Hatch
including technology upgrade and purchase of equipment.
FIPSE........................... University of Wisconsin-Platteville, Platteville, WI, for program support for entrepreneurial 300,000 Senator Kohl
education.
FIPSE........................... University of Wisconsin-Green Bay, Green Bay, WI, for a comprehensive academic enrichment 300,000 Senator Kohl
program to prepare low-income and first-generation high school students for college.
FIPSE........................... Upper Iowa University, Fayette, IA, for equipment............................................. 250,000 Senator Harkin
FIPSE........................... Utah Valley University, Orem, UT, to improve education and training programs for nursing 300,000 Senators Bennett, Hatch
graduates, including the purchase of equipment.
FIPSE........................... Valley City State University, Valley City, ND, for a Center for Technology and Engineering 400,000 Senators Dorgan, Conrad
Education.
FIPSE........................... Virginia Department of Correctional Education--Workforce and Community Transition Training for 100,000 Senator Webb
Incarcerated Youth Offenders Program, Richmond, VA, to improve access to postsecondary
education for incarcerated individuals.
FIPSE........................... Virginia Foundation for Community College Education--Great Expectations Program, Richmond, VA, 100,000 Senators Webb, Warner
to improve access to postsecondary education for foster care youth.
FIPSE........................... Voices of September 11th, New Canaan, CT, for graduate education on digital archiving in 300,000 Senators Dodd, Lieberman
relationship to the 9/11 Living Memorial Project.
FIPSE........................... Washington & Jefferson College, Washington, PA, for science education outreach programs....... 100,000 Senator Specter
FIPSE........................... West Chester University, West Chester, PA, for technology infrastructure upgrades and 100,000 Senators Specter, Casey
acquisition.
FIPSE........................... Western Kentucky University Research Foundation, Bowling Green, KY, for technology upgrades, 2,500,000 Senator McConnell
including the purchase of equipment.
FIPSE........................... Western Oklahoma State College, Altus, OK, for technology upgrades, including the purchase of 100,000 Senator Inhofe
equip- ment.
FIPSE........................... Wheelock College, Boston, MA, for continued development of science programs for K-12 teachers. 100,000 Senators Kennedy, Kerry
FIPSE........................... Wilson College, Chambersburg, PA, for science laboratory equipment acquisition................ 100,000 Senator Specter
FIPSE........................... Wisconsin Association of Independent Colleges and Universities, Madison, WI, for consolidated 300,000 Senator Kohl
administrative support functions for independent colleges and universities.
FIPSE........................... Wofford College, Spartanburg, SC, for technology upgrades, including the purchase of equipment 300,000 Senator Graham
FIPSE........................... Year Up Providence, Providence, RI, for a bridge to career and college program................ 600,000 Senator Reed
HRSA............................ Access Community Health Network, Chicago, IL, for construction at Holy Cross Hospital......... 500,000 Senator Durbin
HRSA............................ Access to Healthcare Network, Reno, NV, to expand the Access to Healthcare Network into 600,000 Senator Reid
Northern NV rural counties.
HRSA............................ Adams State College, Alamosa, CO, for construction of a health education facility............. 150,000 Senators Salazar, Allard
HRSA............................ Advocate Lutheran General Hospital, Park Ridge, IL, for construction.......................... 300,000 Senator Durbin
HRSA............................ Advocates for a Healthy Community, Springfield, MO, for construction, renovation and equipment 1,500,000 Senator Bond
HRSA............................ Alaska Brain Injury Network, Anchorage, AK, for brain injury programs and outreach services... 100,000 Senator Stevens
HRSA............................ Alaska Native Tribal Health Consortium, Anchorage, AK, for a statewide electronic medical 1,500,000 Senator Stevens
records and health information system.
HRSA............................ Alaska Native Tribal Health Consortium, Anchorage, AK, for parallel development of an e-Health 1,500,000 Senator Stevens
electronic Network.
HRSA............................ Allegheny General Hospital, Pittsburgh, PA, for construction, renovation and equipment........ 100,000 Senator Specter
HRSA............................ Allen Institute for Brain Science, Seattle, WA, for equipment................................. 500,000 Senators Murray, Cantwell
HRSA............................ Allen Memorial Hospital, Waterloo, Iowa, for construction, renovation and equipment........... 250,000 Senators Harkin, Grassley
HRSA............................ Allied Services Foundation, Clarks Summit, PA, for renovations and equipment.................. 100,000 Senators Specter, Casey
HRSA............................ Altoona Regional Health System, Altoona, PA, for renovation and equipment..................... 100,000 Senators Specter, Casey
HRSA............................ Anchorage Neighborhood Health Center, Anchorage, AK, for construction, renovation and 400,000 Senators Murkowski, Stevens
equipment.
HRSA............................ Association of Utah Community Health, Salt Lake City, UT, for an electronic health records 500,000 Senators Bennett, Hatch
system for Utah Community Health Centers.
HRSA............................ AtlantiCare Regional Medical Center, Egg Harbor Township, NJ, for construction of the Cancer 400,000 Senators Lautenberg, Menendez
Care Institute.
HRSA............................ Barnes-Kasson County Hospital, Susquehanna, PA, for renovations and equipment................. 100,000 Senators Specter, Casey
HRSA............................ Bartlett Regional Hospital, Juneau, AK, for renovation and equipment.......................... 500,000 Senator Stevens
HRSA............................ Bayside Family Healthcare, North Kingstown, RI, to implement the NextGen Practice Management 100,000 Senators Whitehouse, Reed
System and Electronic Health Records.
HRSA............................ Beebe Medical Center, Lewes, DE, for the construction of a new School of Nursing.............. 500,000 Senators Biden, Carper
HRSA............................ Benefis Healthcare Foundation, Great Falls, MT, for health information technology in critical 150,000 Senator Baucus
access hospitals.
HRSA............................ Bethune Cookman University, Daytona Beach, FL, for equipping a nurse-managed health facility.. 100,000 Senator Bill Nelson
HRSA............................ Billings Clinic, Billings, MT, for equipment.................................................. 150,000 Senators Baucus, Tester
HRSA............................ Bingham Memorial Hospital, Blackfoot, ID, for construction, renovation and equipment.......... 200,000 Senators Crapo, Craig
HRSA............................ Bi-State Primary Care Association, Concord, NH, for renovation and equipment.................. 250,000 Senator Sununu
HRSA............................ Bi-State Primary Care Association, Montpelier, VT, for construction, renovation and equipment. 550,000 Senator Sanders
HRSA............................ Bloomsburg Hospital, Bloomsburg, PA, for construction, renovation and equipment............... 100,000 Senators Specter, Casey
HRSA............................ Blue Mountain Diagnostic Imaging, Inc. [BMDI], Pendleton, OR, for equipment................... 100,000 Senator Wyden
HRSA............................ Bois Forte Reservation Tribal Council, Tower, MN, for renovation and equipment................ 300,000 Senator Coleman
HRSA............................ Boston Foundation for Sight, Needham Heights, MA, for the acquisition of medical equipment.... 150,000 Senators Kennedy, Kerry
HRSA............................ Boston Medical Center, Boston, MA for facilities and equipment for the J. Joseph Moakley 350,000 Senator Kennedy
Medical Services Building.
HRSA............................ Boulder City Hospital, Boulder City, NV, for construction of an emergency department.......... 500,000 Senator Reid
HRSA............................ Boys Town National Research Hospital, Omaha, NE, for construction, renovation and equipment... 500,000 Senators Harkin, Ben Nelson
HRSA............................ Bradford Regional Medical Center, Bradford, PA, for renovation and equipment.................. 100,000 Senator Specter
HRSA............................ Broadlawns Medical Center, Des Moines, IA, for equipment...................................... 500,000 Senator Harkin
HRSA............................ Bucknell University Geisinger Health System, Lewisburg, PA, for the training of health 150,000 Senators Casey, Specter
professionals.
HRSA............................ Butler Health System, Butler, PA, for renovation and equipment................................ 100,000 Senators Specter, Casey
HRSA............................ Caring Health Center, Inc., Springfield, MA, for construction................................. 200,000 Senators Kennedy, Kerry
HRSA............................ Carnegie Mellon University, Washington, DC, for renovation and equipment...................... 100,000 Senator Specter
HRSA............................ Carolinas HealthCare System, Charlotte, NC, for construction, renovation and equipment........ 100,000 Senator Burr
HRSA............................ Catholic Health System, Buffalo, NY, for equipment............................................ 150,000 Senator Schumer
HRSA............................ Centenary College of Louisiana, Shreveport, LA, for construction, renovation and equipment of 1,000,000 Senators Landrieu, Vitter
a health training facility.
HRSA............................ Center for Asbestos Related Disease, Libby, MT, for construction, renovation and equipment.... 200,000 Senators Baucus, Tester
HRSA............................ Central Carolina Technical College, Sumter, SC, for construction, renovation and equipment.... 250,000 Senator Graham
HRSA............................ Central Wyoming College, Riverton, WY, for construction, renovation and equipment............. 450,000 Senators Barrasso, Enzi
HRSA............................ Central Wyoming College, Riverton, WY, for the Virtual Medical Skills Center for Training 200,000 Senators Enzi, Barrasso
Nurses in Rural Health Care.
HRSA............................ Charles Cole Memorial Hospital, Coudersport, PA, for rural training assistance................ 100,000 Senators Specter, Casey
HRSA............................ Chester County Hospital, West Chester, PA, for construction renovation and equipment.......... 100,000 Senators Specter, Casey
HRSA............................ Chiesman Foundation for Democracy, Inc., Rapid City, SD, to establish a Center for Fetal 750,000 Senator Johnson
Alcohol Spectrum Disorders.
HRSA............................ Children's Health Fund, New York, NY, to provide comprehensive primary care to medically 250,000 Senator Cornyn
underserved children at elementary schools in the Austin, TX Independent School District.
HRSA............................ Children's Institute of Pittsburgh, Pittsburgh, PA, for treating children and adolescents with 200,000 Senator Casey
Autism Spectrum Disorders.
HRSA............................ Children's Home Society of Idaho, Boise, ID, for construction, renovation and equipment....... 100,000 Senators Crapo, Craig
HRSA............................ Children's Hospital of Philadelphia, Philadelphia, PA, for renovation and equipment........... 100,000 Senator Specter
HRSA............................ Children's Hospital of Pittsburgh, Pittsburgh, PA, for construction, renovation and equipment. 100,000 Senators Specter, Casey
HRSA............................ Children's Hospitals & Clinics, Minneapolis, MN, for equipment................................ 250,000 Senators Coleman, Klobuchar
HRSA............................ Children's Medical Center, Dallas, TX, for construction, renovation and equipment............. 150,000 Senator Hutchison
HRSA............................ Children's Medical Research Institute, Oklahoma City, OK, for renovation and equipment........ 100,000 Senator Inhofe
HRSA............................ Children's Memorial Hospital, Chicago, IL, for construction, renovation and equipment......... 500,000 Senator Durbin
HRSA............................ Children's Mercy Hospitals and Clinics, Kansas City, MO, for construction, renovation and 1,000,000 Senator Bond
equipment.
HRSA............................ Children's Square, Council Bluffs, IA, for construction, renovation, and equipment............ 500,000 Senators Grassley, Harkin
HRSA............................ CHOICE Regional Health Network, Olympia, WA, for the Emergency Department Care Coordination 350,000 Senator Murray
Pro- gram.
HRSA............................ Christ Hospital, Jersey City, NJ, for the Emergency Department Renovation and Equipment 300,000 Senators Lautenberg, Menendez
Project.
HRSA............................ Christiana Care Health System, Wilmington, DE, to renovate and expand Wilmington Hospital's 300,000 Senators Biden, Carper
Emergency Department.
HRSA............................ CHRISTUS Santa Rosa Hospital, San Antonio, TX, for renovation and equipment................... 150,000 Senator Hutchison
HRSA............................ CHRISTUS St. Francis Cabrini Hospital, Shreveport, LA, for construction, renovation and 100,000 Senators Vitter, Landrieu
equipment.
HRSA............................ City Finance Office dba Community Memorial Hospital, Redfield, SD, for facility renovation and 300,000 Senator Johnson
construction.
HRSA............................ City of Baltimore, Baltimore, MD, for construction for Healthcare for the Homeless center..... 1,250,000 Senators Mikulski, Cardin
HRSA............................ City of Newark, Newark, NJ, for an electronic medical record system........................... 150,000 Senators Lautenberg, Menendez
HRSA............................ City of San Jose, San Jose, CA, for a healthcare for the homeless program, including equipment 500,000 Senator Feinstein
HRSA............................ Clarian Health, Indianapolis, IN, for construction, renovation and equipment.................. 100,000 Senator Bayh
HRSA............................ Clarion Health System, Clarion, PA, for renovation and equipment.............................. 100,000 Senator Specter
HRSA............................ Clearfield Hospital, Clearfield, PA, for construction, renovation and equipment............... 100,000 Senator Specter
HRSA............................ Coffeyville Regional Medical Center, Coffeyville, KS, for construction, renovation and 350,000 Senators Brownback, Roberts
equipment.
HRSA............................ Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, for The Women's Cancer Genomics Center. 750,000 Senator Schumer
HRSA............................ College of St. Scholastica, Inc., Duluth, MN, for a rural health and technology demonstration 250,000 Senators Coleman, Klobuchar
project.
HRSA............................ Colorado Community Health Network, Denver, CO, for equipment.................................. 200,000 Senator Salazar
HRSA............................ Commonwealth Medical Education, Scranton, PA, for equipment and construction.................. 1,000,000 Senators Specter, Casey
HRSA............................ Communicare Inc., Columbia, SC, for automated pharmacy equipment.............................. 200,000 Senator Graham
HRSA............................ Community Care Network, Montgomery, AL, for the purchase of a mobile medical unit and 100,000 Senator Sessions
acquisition of equipment.
HRSA............................ Community Colleges of Spokane, Spokane, WA, for renovation and equipment for allied health 285,000 Senators Murray, Cantwell
education.
HRSA............................ Community Health and Social Services, Detroit, MI, to construct a health clinic............... 500,000 Senators Levin, Stabenow
HRSA............................ Community Health Care, Inc, Davenport, IA, for equipment...................................... 200,000 Senator Harkin
HRSA............................ Community Health Center of Fort Dodge, IA, for equipment...................................... 150,000 Senator Harkin
HRSA............................ Community Health Center of the Black Hills, Rapid City, SD, for facilities and equipment...... 200,000 Senators Johnson, Thune
HRSA............................ Community Health Centers of Southeastern Iowa, Burlington, IA, for construction, renovation 200,000 Senator Harkin
and equipment.
HRSA............................ Community Health Centers of Southern Iowa, Leon, IA, for equipment............................ 130,000 Senator Harkin
HRSA............................ Community HealthCare Association of the Dakotas, Bismarck, ND, for Electronic Medical Record 200,000 Senators Dorgan, Conrad
Implementation.
HRSA............................ Community HealthCare Association of the Dakotas, Sioux Falls, SD, for rural health and dental 250,000 Senators Johnson, Thune
services in a mobile dental unit.
HRSA............................ Community HealthCare Association of the Dakotas, Sioux Falls, SD, to purchase and equip a 200,000 Senator Thune
mobile health unit.
HRSA............................ Community Medical Center, Missoula, MT, for equipment......................................... 100,000 Senator Baucus
HRSA............................ Community Medical Center, Scranton, PA, for renovation and equipment.......................... 100,000 Senator Specter
HRSA............................ Comprehensive Community Action, Cranston, RI, to implement an integrated electronic health 300,000 Senators Reed, Whitehouse
record and practice management system.
HRSA............................ Concord Hospital, Concord, NH, for construction, renovation and equipment..................... 300,000 Senator Gregg
HRSA............................ Cook Children's Medical Center, Fort Worth, TX, for renovation and equipment.................. 150,000 Senator Hutchison
HRSA............................ Cornerstone Care Inc., Burgettstown, PA, for construction, renovation and equipment........... 100,000 Senator Specter
HRSA............................ Council Bluffs Community Health Center, Council Bluffs, IA, for construction, renovation and 200,000 Senator Harkin
equipment.
HRSA............................ Creighton University, Omaha, NE, for construction, renovation and equipment................... 100,000 Senators Hagel, Ben Nelson
HRSA............................ Crescent Community Health Center, Dubuque, IA, for construction, renovation and equipment..... 200,000 Senator Harkin
HRSA............................ Crider Health Center, Wentzville, MO, for construction, renovation and equipment.............. 1,000,000 Senator Bond
HRSA............................ Crozer-Chester Medical Center, Upland, PA, for renovation and equipment....................... 100,000 Senator Specter
HRSA............................ Delaware Valley Community Health, Philadelphia, PA, for renovation and equipment.............. 100,000 Senator Specter
HRSA............................ Delta State University, Cleveland, MS, for construction, renovation and equipment, including 250,000 Senator Cochran
design.
HRSA............................ Denver Health and Hospital Authority, Denver, CO, for construction............................ 150,000 Senator Salazar
HRSA............................ Driscoll Children's Hospital, Corpus Christi, TX, for renovation and equipment................ 150,000 Senator Hutchison
HRSA............................ DuBois Regional Medical Center, DuBois, PA, for renovation and equipment...................... 100,000 Senators Specter, Casey
HRSA............................ East Carolina University, Greenville, NC, for construction, renovation and equipment.......... 200,000 Senators Burr, Dole
HRSA............................ Eastern Shore Rural Health System, Nassawadox, VA, to construct the Onley Community Health 300,000 Senators Webb, Warner
Center.
HRSA............................ Ed Roberts Campus, Berkeley, CA, for construction, renovation and equipment................... 250,000 Senator Boxer
HRSA............................ Elk Regional Health Center, St. Marys, PA, for renovation and equipment....................... 100,000 Senators Specter, Casey
HRSA............................ Elliot Health System, Manchester, NH, for an electronic medical records system................ 225,000 Senator Sununu
HRSA............................ Endless Mountains Health Systems, Montrose, PA, for construction, renovation and equipment.... 100,000 Senator Specter
HRSA............................ Ephrata Hospital, Ephrata, PA, for renovation and equipment................................... 100,000 Senator Specter
HRSA............................ Excela Health, Latrobe, PA, for construction, renovation and equipment........................ 100,000 Senator Specter
HRSA............................ Family Medicine Residency of Idaho, Boise, Idaho, to recruit family physicians to rural Idaho. 100,000 Senators Crapo, Craig
HRSA............................ Fletcher Allen Health Care, Burlington, VT, for construction and equipment.................... 200,000 Senator Leahy
HRSA............................ Fletcher Allen Health Care, Burlington, VT, for training...................................... 500,000 Senator Leahy
HRSA............................ Fox Chase Cancer Center, Philadelphia, PA, for renovation and equipment....................... 100,000 Senators Specter, Casey
HRSA............................ Franklin Pierce University, Rindge, NH, for nurse training outreach programs, including 400,000 Senators Gregg, Sununu
renovation and equipment.
HRSA............................ Free Clinic of Pierce and Saint Croix, River Falls, WI, to expand care in rural areas......... 160,000 Senator Kohl
HRSA............................ Free Clinics of Iowa in Des Moines, to support a network of free clinics...................... 400,000 Senator Harkin
HRSA............................ Friendship House, Scranton, PA, to create an advanced Regional Center for Autism Spectrum 150,000 Senator Casey
Disorders.
HRSA............................ Fulton County Medical Center, McConnellsburg, PA, for construction, renovation and equipment.. 100,000 Senator Specter
HRSA............................ Gadsden County, Quincy, FL, for repairs and renovations of the Gadsden County Community 100,000 Senator Bill Nelson
Hospital.
HRSA............................ Garfield Memorial Hospital, Panguitch, UT, for renovation and equipment....................... 100,000 Senator Hatch
HRSA............................ Geisinger Health System, Harrisburg, PA, for post traumatic stress disorder related activities 100,000 Senator Specter
HRSA............................ Generations, Inc., Camden, NJ, for construction and operations of the Nex Generation Health 100,000 Senators Menendez, Lautenberg
Services Center.
HRSA............................ Georgia Southern University, Statesboro, GA, for rural health outreach and training........... 100,000 Senators Chambliss, Isakson
HRSA............................ Georgia State University, Atlanta, GA, for health outreach and training....................... 100,000 Senators Chambliss, Isakson
HRSA............................ Good Samaritan Health Services Foundation, Lebanon, PA, for renovation and equipment.......... 100,000 Senator Specter
HRSA............................ Good Shepherd Home, Inc., Allentown, PA, for renovation and equipment......................... 100,000 Senator Specter
HRSA............................ Goodall Hospital, Sanford, ME, for an electronic health records system........................ 300,000 Senators Snowe, Collins
HRSA............................ Grady Memorial Hospital, Atlanta, GA, for renovation and equipment............................ 100,000 Senators Isakson, Chambliss
HRSA............................ Grand View Hospital, Inc., Sellersville, PA, for renovation and equipment..................... 100,000 Senator Specter
HRSA............................ Great Brook Valley Health Center, Worcester, MA, for new facility construction................ 150,000 Senators Kennedy, Kerry
HRSA............................ Greater Hudson Valley Family Health Center, Inc., Newburgh, NY, for construction, renovation 400,000 Senator Schumer
and equipment.
HRSA............................ Greater Sioux Community Health Center, Sioux Center, IA, for equipment........................ 100,000 Senator Harkin
HRSA............................ Gundersen Lutheran Hospital, La Crosse, WI, for health care IT improvements................... 300,000 Senator Kohl
HRSA............................ Hamot Medical Center, Erie, PA, for construction, renovation and equipment.................... 100,000 Senator Specter
HRSA............................ Hampton University, Hampton, VA, for construction and equipment for the development of a new 400,000 Senator Webb
proton beam therapy facility to treat cancer.
HRSA............................ Harrington Memorial Hospital, Southbridge, MA, for the acquisition of medical equipment....... 200,000 Senators Kennedy, Kerry
HRSA............................ Harris County Hospital District, Houston, TX, for renovation and equipment.................... 150,000 Senator Hutchison
HRSA............................ Hazleton General Hospital--Health Corp (Northeastern PA), Hazleton, PA, for renovation and 100,000 Senator Specter
equipment.
HRSA............................ Health and Hospital Corporation of Marion County, Indianapolis, IN, for facility planning, 150,000 Senator Bayh
construction, renovation and equipment.
HRSA............................ Health Care of Southeastern Massachusetts, Brockton, MA, for equipment........................ 150,000 Senators Kennedy, Kerry
HRSA............................ HealthEast Care System, St. Paul, MN, for construction, renovation and equipment.............. 325,000 Senators Coleman, Klobuchar
HRSA............................ HealthPoint Kentucky, Newport, KY, for an electronic medical records system................... 100,000 Senator Bunning
HRSA............................ HealthShare Montana, Bozeman, MT, for equipment and training.................................. 750,000 Senators Tester, Baucus
HRSA............................ Hickman Community Hospital, Centerville, TN, for construction and renovation and equipment.... 550,000 Senators Alexander, Corker
HRSA............................ Holy Redeemer Health System, Huntington Valley, PA, for construction, renovation and equipment 100,000 Senator Specter
HRSA............................ Holy Spirit Healthcare System, Camp Hill, PA, for renovation and equipment.................... 100,000 Senators Specter, Casey
HRSA............................ Hormel Institute, Mower, MN, for biomedical equipment......................................... 100,000 Senators Klobuchar, Coleman
HRSA............................ Horn Memorial Hospital, Ida Grove, IA, for equipment.......................................... 250,000 Senator Harkin
HRSA............................ Indiana Regional Medical Center, Indiana, PA, for renovation and equipment.................... 100,000 Senators Specter, Casey
HRSA............................ Inova Health System--The Claude Moore Health Education Center's Simulation Center, Falls 100,000 Senators Warner, Webb
Church, VA, for construction, renovation and equipment.
HRSA............................ Intermountain Healthcare, Salt Lake City, UT, for an electronic medical records and pharmacy 300,000 Senators Bennett, Hatch
bar coding systems.
HRSA............................ Iowa Caregivers Association, Des Moines, IA, for training and support of certified nurse 350,000 Senator Harkin
assistants.
HRSA............................ Iowa Dental Foundation, Johnston, IA, for portable dental equipment........................... 250,000 Senator Harkin
HRSA............................ Iowa Nebraska Primary Care Association, Des Moines, IA, for health information technology 260,000 Senator Harkin
equipment and coordination of programs.
HRSA............................ Iowa State University, Ames, IA, for construction of a biosafety level 3 lab.................. 500,000 Senators Harkin, Grassley
HRSA............................ Jackson State University, Jackson, MS, for the Institute of Epidemiology and Health Services 500,000 Senators Cochran, Wicker
Research.
HRSA............................ Jameson Memorial Hospital, New Castle, PA, for construction, renovation and equipment......... 100,000 Senators Specter, Casey
HRSA............................ JC Blair Memorial Hospital, Huntingdon, PA, for renovation and equipment...................... 100,000 Senator Specter
HRSA............................ Jefferson Regional Medical Center, Pittsburgh, PA, for construction, renovation and equipment. 100,000 Senators Specter, Casey
HRSA............................ Jersey Shore Hospital, Jersey Shore, PA, for renovation and equipment......................... 100,000 Senator Specter
HRSA............................ Jewish Renaissance Medical Center, Perth Amboy, NJ, for construction of the Medical Arts 100,000 Senators Menendez, Lautenberg
Building.
HRSA............................ Joseph Richey House, Inc., Baltimore, MD, for construction of Dr. Bob's Place Children's 750,000 Senators Mikulski, Cardin
Hospice.
HRSA............................ Kadlec Health System, Richland, WA, for construction and equipment............................ 150,000 Senators Murray, Cantwell
HRSA............................ Kane Community Hospital, Kane, PA, for construction, renovation and equipment................. 100,000 Senator Specter
HRSA............................ King's Daughters Regional Medical Center, Brookhaven, MS, for an electronic medical records 500,000 Senators Wicker, Cochran
system, including renovation and equipment.
HRSA............................ La Clinica de Familia, Inc., Las Cruces, NM, for construction of the Chaparral Dental Center.. 775,000 Senator Bingaman
HRSA............................ Lahey Clinic, Burlington, MA, for the expansion and renovation of emergency and trauma care 200,000 Senators Kennedy, Kerry
facilities.
HRSA............................ Lane County, Eugene, OR, for construction of the Springfield Community Health Center.......... 100,000 Senators Wyden, Smith
HRSA............................ Laramie County Community College, Cheyenne, WY, for renovation, equipment and training........ 400,000 Senators Barrasso, Enzi
HRSA............................ Lawndale Christian Health Center, Chicago, IL, for construction and equipment................. 400,000 Senator Durbin
HRSA............................ Lehigh Valley Hospital, Allentown, PA, to provide healthcare access........................... 100,000 Senator Specter
HRSA............................ Lewis-Clark State College, Lewiston, ID, to prepare nursing students for careers in nursing... 100,000 Senators Crapo, Craig
HRSA............................ Lincoln County, Newport, OR, for an electronic medical records system, including equipment 250,000 Senators Smith, Wyden
acquisition and renovation.
HRSA............................ Linn Community Care, Cedar Rapids, IA, for construction, renovation and equipment............. 262,000 Senator Harkin
HRSA............................ Lou Ruvo Brain Institute, Las Vegas, NV, for construction, renovation and equipment........... 600,000 Senators Reid, Ensign
HRSA............................ Lourdes Health System, Camden, NJ, for equipment.............................................. 100,000 Senators Menendez, Lautenberg
HRSA............................ Lowell General Hospital, Lowell, MA, for construction of new medical facilities............... 150,000 Senators Kennedy, Kerry
HRSA............................ Lower Brule Sioux Tribe, Lower Brule, SD, for the Community Health Representative program..... 200,000 Senator Johnson
HRSA............................ Manchester Community Health Center, Manchester, NH, for construction, renovation and equipment 200,000 Senator Sununu
HRSA............................ Marian Community Hospital, Carbondale, PA, for renovation and equipment....................... 100,000 Senator Specter
HRSA............................ Marillac Center, Overland Park, KS, for construction, renovation and equipment................ 200,000 Senator Roberts
HRSA............................ Marquette University, Milwaukee, WI, for a dental health outreach program..................... 250,000 Senator Kohl
HRSA............................ Marshall University in Huntington, WV, for the Translational Genomic Research Institute....... 3,500,000 Senator Byrd
HRSA............................ Maui Community Health Center, Kahului, HI, for construction, renovation and equipment......... 200,000 Senator Inouye
HRSA............................ Maui Medical Center, Maui, HI, for equipping a robotics and nurse training lab................ 200,000 Senator Inouye
HRSA............................ Meadville Medical Center, Meadville, PA, for construction, renovation and equipment........... 100,000 Senator Specter
HRSA............................ Meharry Medical College, Nashville, TN, for construction, renovation and equipment............ 600,000 Senator Alexander
HRSA............................ Memorial Hospital at Gulfport, Gulfport, MS, for construction, renovation and equipment....... 500,000 Senators Wicker, Cochran
HRSA............................ Memorial Hospital, Carthage, IL, for equipment................................................ 400,000 Senator Durbin
HRSA............................ Memorial Hospital, York, PA, for renovation and equipment..................................... 100,000 Senator Specter
HRSA............................ Mercy Health Foundation, Durango, CO, for renovation and equipment............................ 150,000 Senators Salazar, Allard
HRSA............................ Mercy Health Partners, Scranton, PA, for renovation and equipment............................. 100,000 Senator Specter
HRSA............................ Mercy Memorial Health Center, Ardmore, OK, for construction, renovation and equipment......... 100,000 Senator Inhofe
HRSA............................ Mercy Philadelphia Hospital, Philadelphia, PA, for construction, renovation and equipment..... 100,000 Senators Specter, Casey
HRSA............................ Meridian Health, Neptune, NJ, for the Jersey Shore University Medical Center Comprehensive 350,000 Senators Lautenberg, Menendez
Expansion and Renovation Project.
HRSA............................ Messiah College, Grantham, PA, for renovation and equipment................................... 100,000 Senators Specter, Casey
HRSA............................ Methodist University, Fayetteville, NC, for construction, renovation and equipment............ 175,000 Senator Dole
HRSA............................ Miami Jewish Home and Hospital, Miami, FL, for health education for those living in the Little 75,000 Senator Bill Nelson
Haiti area.
HRSA............................ Mid Valley Hospital, Peckville, PA, for renovation and equipment.............................. 100,000 Senators Specter, Casey
HRSA............................ Middletown Regional Health System, Franklin, OH, for construction of a nursing school......... 200,000 Senators Brown, Voinovich
HRSA............................ Midwest Community Clinic, Midwest, WY, for construction, renovation, and equipment............ 300,000 Senator Enzi
HRSA............................ Miles Community College, Miles City, MT, to expand the Healthcare Connections to Career 100,000 Senators Baucus, Tester
Pathways program.
HRSA............................ Miles Perret Cancer Services, Lafayette, LA, for purchase and equipping of a mobile unit for 300,000 Senators Landrieu, Vitter
use in rural areas.
HRSA............................ Mind Research Network (MRN), Albuquerque, NM, for construction, renovation and equipment...... 3,000,000 Senator Domenici
HRSA............................ Minot State University, Minot, ND, for the Great Plains Autism Treatment Program.............. 750,000 Senators Dorgan, Conrad
HRSA............................ Misericordia University, Dallas, PA, for construction, renovation and renovation.............. 100,000 Senators Specter, Casey
HRSA............................ Mississippi Primary Health Care Association, Jackson, MS, for construction, renovation and 250,000 Senator Cochran
equipment.
HRSA............................ Molokai Community Health Center, Molokai, HI, to construct facilities......................... 250,000 Senator Inouye
HRSA............................ Monongahela Valley Hospital, Monongahela, PA, for renovation and equipment.................... 100,000 Senators Specter, Casey
HRSA............................ Monroe Clinic, Monroe, WI, for critical health care IT improvements, including an electronic 280,000 Senator Kohl
medical records system, in South Central Wisconsin.
HRSA............................ Montgomery College, Rockville, MD, for equipment for the biotechnology laboratory............. 750,000 Senator Mikulski
HRSA............................ Moses Taylor Hospital, Scranton, PA, for renovation and equipment............................. 100,000 Senators Specter, Casey
HRSA............................ Mount Nittany Medical Center, State College, PA, for renovation and construction.............. 100,000 Senators Specter, Casey
HRSA............................ Myrna Brind Center for Integrative Medicine, Philadelphia, PA, to develop three models of 100,000 Senator Specter
integrative programs of clinical excellence.
HRSA............................ Nationwide Children's Hospital Research Institute, Columbus, OH, for construction, renovation 100,000 Senators Voinovich, Brown
and equipment.
HRSA............................ Nazareth Hospital, Philadelphia, PA, for renovation and equipment............................. 100,000 Senators Specter, Casey
HRSA............................ Nebraska Hospital Association, Lincoln, NE, to expand the Nebraska Statewide Telehealth 100,000 Senators Hagel, Ben Nelson
Network, including renovation and equipment.
HRSA............................ Neurosciences Institute, Morgantown, WV, for construction, renovation and equipment........... 5,000,000 Senator Byrd
HRSA............................ Nevada System of Higher Education, Las Vegas, NV, for equipment purchase for nursing and 1,000,000 Senator Reid
medical clinical skills labs.
HRSA............................ New Mexico State University, Las Cruces, NM, for Graduate Psychology Education................ 100,000 Senator Bingaman
HRSA............................ New York University Medical Center, New York, NY, for construction, renovation and equipment 750,000 Senator Schumer
at the emergency department.
HRSA............................ New York-Presbyterian Hospital, NY, for cardiac care telemetry................................ 250,000 Senator Schumer
HRSA............................ Newark Beth Israel Medical Center, Newark, NJ, for construction, equipment and renovation..... 300,000 Senators Lautenberg, Menendez
HRSA............................ Newton Memorial Hospital, Newton, NJ, for equipment........................................... 200,000 Senators Lautenberg, Menendez
HRSA............................ Niagara University, Niagara Falls, NY, for the Nursing Leadership project..................... 100,000 Senator Schumer
HRSA............................ Norman Regional Health System, Norman, OK, for a medical health records system, including 100,000 Senator Inhofe
acquisition of equipment.
HRSA............................ Northeast Regional Cancer Institute, Scranton, PA, for cancer epidemiology research programs.. 100,000 Senators Specter, Casey
HRSA............................ Northwest Hospital and Medical Center, Seattle, WA, for construction and equipment to support 1,000,000 Senator Murray
the establishment of a Community Health Education and Simulation Center.
HRSA............................ Northwest Kidney Centers, Seattle, WA, for equipment.......................................... 200,000 Senator Murray
HRSA............................ Norton Community Hospital Women's Center/Technology Enhancement Project, Norton, VA, for 100,000 Senators Warner, Webb
renovation and equipment.
HRSA............................ Nova Southeastern University, Fort Lauderdale, FL, for nurse education and training........... 75,000 Senator Bill Nelson
HRSA............................ Nugen's Ranch Substance Abuse Treatment Facility, Wasilla, AK, for construction, renovation 300,000 Senator Stevens
and equipment.
HRSA............................ Oglala Lakota College, Kyle, SD, for a nursing education program.............................. 600,000 Senator Johnson
HRSA............................ Ohio Valley General Hospital, McKees Rocks, PA, for renovation and equipment.................. 100,000 Senators Specter, Casey
HRSA............................ Ohio Valley Medical Center, Wheeling, WV, for construction, renovation and equipment.......... 6,000,000 Senator Byrd
HRSA............................ Oklahoma Medical Research Foundation, Oklahoma City, OK, for renovation and equipment......... 150,000 Senator Inhofe
HRSA............................ Oklahoma State University Center for Health Sciences, Tulsa, OK, to purchase and equip a 100,000 Senator Inhofe
mobile health unit.
HRSA............................ Olympic Medical Center, Port Angeles, WA, for an electronic medical records/practice 650,000 Senators Murray, Cantwell
management sys- tem.
HRSA............................ Orange County, Orlando, FL, for the renovation at the Primary Care Access Network............. 100,000 Senators Bill Nelson, Martinez
HRSA............................ Ottumwa Regional Health Center, Ottumwa, IA, for equipment.................................... 60,000 Senators Harkin, Grassley
HRSA............................ Palmer College of Chiropractic in Davenport, IA, and the Myrna Brind Center of Integrative 400,000 Senator Harkin
Medicine in Philadelphia, PA, to develop a model integrative health care program for the
treatment of pain.
HRSA............................ Paoli Hospital, Paoli, PA, for construction, renovation and equipment......................... 100,000 Senator Specter
HRSA............................ Parkland Health & Hospital System, Dallas, TX, to purchase and equip a mobile health unit..... 250,000 Senator Cornyn
HRSA............................ Parkland Health & Hospital System, Dallas, TX, for renovation and equipment................... 150,000 Senator Hutchison
HRSA............................ Penn State Hershey Medical Center, Hershey, PA, for healthcare services....................... 100,000 Senators Specter, Casey
HRSA............................ Pennsylvania Psychiatric Institute, Harrisburg, PA, for equipment............................. 100,000 Senator Specter
HRSA............................ Peoples Community Health Clinic, Waterloo, IA, for equipment.................................. 60,000 Senator Harkin
HRSA............................ Philadelphia University, Philadelphia, PA, for equipment...................................... 100,000 Senator Specter
HRSA............................ Phoebe Putney Memorial Hospital, Albany, GA, to partner with the Dougherty County School 100,000 Senator Chambliss
System to implement health programs for school children.
HRSA............................ Pinnacle Health System, Harrisburg, PA, for construction, renovation and equipment............ 100,000 Senators Specter, Casey
HRSA............................ Pioneer Valley Life Science Institute, Springfield, MA, for the construction and continued 400,000 Senators Kennedy, Kerry
development of biomedical research facilities.
HRSA............................ Pocono Medical Center, Stroudsburg, PA, for construction, renovation and equipment............ 100,000 Senators Specter, Casey
HRSA............................ Pottsville Hospital, Pottsville, PA, for construction, renovation and equipment............... 100,000 Senator Specter
HRSA............................ Primary Care Association of Hawaii, Honolulu, HI, to provide service enhancements and outreach 1,100,000 Senators Inouye, Akaka
HRSA............................ Primary Health Care, Inc, Des Moines, IA, for construction, renovation and equipment.......... 200,000 Senator Harkin
HRSA............................ Prince George's County, Upper Marlboro, MD, for dental equipment.............................. 500,000 Senator Cardin
HRSA............................ Provena Covenant Medical Center, Urbana, IL, for construction, renovation and equipment....... 200,000 Senator Durbin
HRSA............................ Providence Community Health Center, Providence, RI, to install an electronic health records 100,000 Senators Whitehouse, Reed
system.
HRSA............................ Providence Health System, Anchorage, AK, for physician recruitment and retention.............. 1,000,000 Senator Stevens
HRSA............................ Providence Health System, Olympia, WA, to create a Nursing Education to Practice Bridge 100,000 Senator Murray
Program.
HRSA............................ Public Health Foundation of Columbia County, Portland, OR, for construction and equipment..... 250,000 Senators Smith, Wyden
HRSA............................ Reading Hospital and Medical Center, Reading, PA, for renovation and equipment................ 100,000 Senators Specter, Casey
HRSA............................ RelateNow, New Glarus, WI, to provide online treatment services for rural families of children 300,000 Senator Kohl
with au- tism.
HRSA............................ Resurrection Health Care, Oak Park, IL, to expand nursing programs............................ 300,000 Senator Durbin
HRSA............................ Rhode Island College Foundation, Providence, RI, to upgrade the School of Nursing clinical 300,000 Senator Reed
laboratory.
HRSA............................ Rice University, Houston, TX, for construction, renovation and equipment...................... 400,000 Senator Hutchison
HRSA............................ Richardton Memorial Hospital and Health Center, Richardton, ND, for planning, renovation and 850,000 Senators Dorgan, Conrad
equip- ment.
HRSA............................ River Hills Community Health Center, Ottumwa, IA, for equipment............................... 200,000 Senator Harkin
HRSA............................ Riverside Healthcare, Kankakee, IL, for a patient safety program, including equipment......... 300,000 Senator Durbin
HRSA............................ Robert Morris University, Moon Township, PA, for renovation and equipment..................... 100,000 Senator Specter
HRSA............................ Rosebud Sioux Tribe, Rosebud, SD, for medical equipment....................................... 200,000 Senator Johnson
HRSA............................ Sac and Fox Tribe of the Mississippi, Tama, IA, for a Tribal Health Care Clinic............... 650,000 Senators Harkin, Grassley
HRSA............................ Sacred Heart Hospital of Allentown, Allentown, PA, for renovation and equipment............... 100,000 Senators Specter, Casey
HRSA............................ Saint Ambrose University, Davenport, IA, for the construction of a Center for Health Sciences 500,000 Senators Harkin, Grassley
Education.
HRSA............................ Saint Bernard Parish, Chalmette, LA, for construction, renovation and equipment of a medical 850,000 Senators Landrieu, Vitter
facility.
HRSA............................ Saint Clare Hospital, Baraboo, WI, for equipment.............................................. 350,000 Senator Kohl
HRSA............................ Saint Francis Hospital Foundation, Wilmington, DE, to make capital infrastructure improvements 300,000 Senators Biden, Carper
to St Francis Hospital.
HRSA............................ Saint Joseph Health Services, North Providence, RI, for renovations to the emergency room..... 650,000 Senator Reed
HRSA............................ Saint Joseph Hospital, Nashua, NH, for electronic medical records technology, including 425,000 Senators Gregg, Sununu
renovation and equipment.
HRSA............................ Saint Luke's Episcopal Hospital, Houston, TX, for renovation and equipment.................... 150,000 Senator Hutchison
HRSA............................ Saint Luke's Hospital, Allentown Campus, Allentown, PA, for renovation and equipment.......... 100,000 Senator Specter
HRSA............................ Saint Mary Medical Center, Langhorne, PA, for renovations and construction.................... 100,000 Senator Specter
HRSA............................ Saint Mary's Hospital, Madison, WI for equipment at the Sun Prairie Emergency Center.......... 300,000 Senator Kohl
HRSA............................ Saint Patrick Hospital and Health Sciences Center, Missoula, MT, for construction, renovation 150,000 Senator Baucus
and equipment.
HRSA............................ Saint Vincent Health Center, Erie, PA, for renovation and equipment........................... 100,000 Senator Specter
HRSA............................ Saint Vincent Healthcare Foundation, Billings, MT, for equipment for the Pediatric Project.... 150,000 Senator Baucus
HRSA............................ San Francisco Community Clinic Consortium, San Francisco, CA, for facilities and equipment.... 500,000 Senator Feinstein
HRSA............................ Seattle Biomedical Research Institute, Seattle, WA, for equipment............................. 250,000 Senator Murray
HRSA............................ Seattle Cancer Care Alliance, Seattle, WA, for construction, renovation and equipment......... 800,000 Senator Murray
HRSA............................ Sedgwick County Government, Wichita, KS, for the Healthy Babies Program....................... 150,000 Senator Roberts
HRSA............................ Sharon Regional Health System, Sharon, PA, for construction, renovation and equipment......... 100,000 Senator Specter
HRSA............................ Shawnee Mission Medical Center, for renovation and equipment.................................. 200,000 Senator Brownback
HRSA............................ Shelby County, Memphis, TN, for construction, renovation and equipment........................ 500,000 Senators Alexander, Corker
HRSA............................ Sinai Health System, Chicago, IL, for equipment............................................... 500,000 Senator Durbin
HRSA............................ Siouxland Community Health Center, Sioux City, IA, for construction, renovation and equipment. 200,000 Senator Harkin
HRSA............................ Sisters of Providence Health System, Springfield, MA, for construction of a new health clinic. 200,000 Senators Kennedy, Kerry
HRSA............................ Soldiers + Sailors Memorial Hospital, Wellsboro, PA, for renovations and equipment............ 100,000 Senator Specter
HRSA............................ Somerset Hospital, Somerset, PA, for renovation and equipment................................. 100,000 Senators Specter, Casey
HRSA............................ South County Hospital, Wakefield, RI, for electronic health record project.................... 900,000 Senators Reed, Whitehouse
HRSA............................ South Lane Mental Health, Cottage Grove, OR, for construction, renovation and equipment....... 150,000 Senators Smith, Wyden
HRSA............................ South Shore Regional Health Information Organization, Quincy, MA, for the continued 150,000 Senators Kennedy, Kerry
development and deployment of an electronic medical recordkeeping system.
HRSA............................ Southern Methodist University, Dallas, TX, for construction, renovation and equipment......... 200,000 Senator Hutchison
HRSA............................ Southern New Hampshire Medical Center, Nashua, NH, for electronic medical records technology, 425,000 Senators Gregg, Sununu
including renovation and equipment.
HRSA............................ Southern Utah University, Cedar City, UT, for construction, renovation and equipment.......... 400,000 Senator Bennett
HRSA............................ Southern Vermont College, Bennington, VT, for a patient navigator program..................... 250,000 Senator Leahy
HRSA............................ Southwestern Mental Health Center, Inc., Luverne, MN, for construction, renovation and 200,000 Senator Coleman
equipment.
HRSA............................ Sparks Regional Medical Center, Fort Smith, AR, to obtain equipment for the cancer center..... 1,000,000 Senators Lincoln, Pryor
HRSA............................ Spokane County Medical Society Foundation, Spokane, WA, for Project Access.................... 100,000 Senator Murray
HRSA............................ State of New Mexico, Santa Fe, NM, to collect and analyze data about the need and potential 100,000 Senator Bingaman
locations for a dental school within the State.
HRSA............................ Staten Island University Hospital, Staten Island, NY, for construction, renovation and 500,000 Senator Schumer
equipment for the emergency department.
HRSA............................ Stoughton Hospital, Stoughton, WI, for installation of a comprehensive electronic health 300,000 Senator Kohl
records system.
HRSA............................ Straub Hospital Burn Center, Honolulu, HI, for equipment...................................... 100,000 Senator Inouye
HRSA............................ Sullivan County Medical Center, Laporte, PA, for renovation and equipment..................... 100,000 Senators Specter, Casey
HRSA............................ Sumter Regional Hospital, Americus, GA, for construction, renovation and equipment............ 100,000 Senators Isakson, Chambliss
HRSA............................ Susquehanna Health, Williamsport, PA, for renovation and equipment............................ 100,000 Senators Specter, Casey
HRSA............................ Swope Health Quindaro, KS, for an electronic medical records system, including equipment 250,000 Senator Brownback
acquisition and renovation.
HRSA............................ Systems Unlimited, Inc., Iowa City, IA, for construction, renovation, and equipment........... 250,000 Senators Harkin, Grassley
HRSA............................ Tabitha, Inc., d.b.a., Tabitha Health Care Services, Lincoln, NE, for equipment............... 800,000 Senator Ben Nelson
HRSA............................ Temple University Health System, Philadelphia, PA, for renovations and equipment.............. 100,000 Senators Specter, Casey
HRSA............................ Tennessee Tech University, Cookeville, TN, for construction and renovation.................... 500,000 Senator Alexander
HRSA............................ Texas A&M University, College Station, TX, for renovation and equipment....................... 200,000 Senator Hutchison
HRSA............................ Texas Children's Hospital, Houston, TX, for construction, renovation and equipment............ 150,000 Senator Hutchison
HRSA............................ Texas Health Institute, Austin, TX, for renovation and equipment.............................. 200,000 Senator Hutchison
HRSA............................ The Lakes Community Health Center, Iron River, WI, for construction, renovation and equipment. 300,000 Senator Kohl
HRSA............................ The Manor, Jonesville, MI, for construction of a Treatment and Counseling Center.............. 600,000 Senators Levin, Stabenow
HRSA............................ Thomas Jefferson University Hospital, Philadelphia, PA, for renovation and equipment.......... 100,000 Senator Specter
HRSA............................ Thomas Jefferson University, Philadelphia, PA, for renovation and equipment................... 100,000 Senators Specter, Casey
HRSA............................ Thundermist Health Center, West Warwick, RI, for construction, renovation and equipment....... 350,000 Senators Reed, Whitehouse
HRSA............................ Tougaloo College, Tougaloo, MS, for renovation and equipment.................................. 245,000 Senator Cochran
HRSA............................ Touro University Nevada, Henderson, NV, for construction of a Gerontology Center.............. 400,000 Senator Reid
HRSA............................ Towson University, Baltimore, MD, for a Center for Adults with Autism Spectrum Disorders...... 500,000 Senator Cardin
HRSA............................ Trinity Health, Minot, ND, for the Rural Radiology Outreach Initiative, including equipment... 850,000 Senators Dorgan, Conrad
HRSA............................ Tri-Town Community Economic Opportunity Committee, Johnston, RI, for construction, equipment 350,000 Senator Reed
and renovation of health care facilities.
HRSA............................ Tufts New England Medical Center, Boston, MA, for construction, renovation and equipment...... 200,000 Senators Kennedy, Kerry
HRSA............................ Tyrone Hospital, Tyrone, PA, for construction, renovation and equipment....................... 100,000 Senator Specter
HRSA............................ UMass Memorial Healthcare, Boston, MA, for upgrades to information technology................. 250,000 Senators Kennedy, Kerry
HRSA............................ United Community Health Center, Storm Lake, IA, for construction, renovation and equipment.... 200,000 Senator Harkin
HRSA............................ University Medical Center at Brackenridge, Austin, TX, for renovation and equipment........... 150,000 Senator Hutchison
HRSA............................ University of Alabama, Tuscaloosa, Tuscaloosa, AL, for construction, renovation and equipment. 9,400,000 Senator Shelby
HRSA............................ University of Alabama, Tuscaloosa, Tuscaloosa, AL, for physician recruitment programs......... 250,000 Senator Sessions
HRSA............................ University of Delaware, Newark, DE, for the Delaware Biotechnology Institute, including 200,000 Senators Carper, Biden
equipment.
HRSA............................ University of Dubuque, Dubuque, IA, for construction of a community wellness center........... 500,000 Senators Harkin, Grassley
HRSA............................ University of Georgia, Athens, GA, for construction, renovation and equipment................. 100,000 Senator Chambliss
HRSA............................ University of Hawaii at Hilo, Honolulu, HI, for a nurse training program...................... 150,000 Senator Inouye
HRSA............................ University of Iowa, Iowa City, IA, for the Iowa Institute for Biomedical Discovery............ 2,000,000 Senators Harkin, Grassley
HRSA............................ University of Iowa, Iowa City, IA, for the School of Public Health............................ 1,000,000 Senators Harkin, Grassley
HRSA............................ University of Kansas Medical Center, Kansas City, KS, for renovation and equipment............ 300,000 Senator Roberts
HRSA............................ University of Kentucky Research Foundation, Lexington, KY, for construction, renovation, and 2,000,000 Senator McConnell
equipment at the University of Kentucky College of Nursing.
HRSA............................ University of Kentucky Research Foundation, Lexington, KY, for renovation and equipment....... 1,500,000 Senator McConnell
HRSA............................ University of Kentucky Research Foundation, Lexington, KY, to establish a program to reduce 1,000,000 Senator McConnell
the risk of hearth disease in rural areas.
HRSA............................ University of Louisiana at Monroe, Monroe, LA, to purchase a mobile dental unit for use in 400,000 Senators Landrieu, Vitter
rural Loui- siana.
HRSA............................ University of Louisville Research Foundation, Louisville, KY, for construction, renovation and 1,000,000 Senator McConnell
equipment.
HRSA............................ University of Louisville Research Foundation, Louisville, KY, for construction, renovation and 6,000,000 Senator McConnell
equipment to expand cardiovascular facilities.
HRSA............................ University of Louisville Research Foundation, Louisville, KY, for renovation and equipment to 2,000,000 Senator McConnell
support the computational biology initiative.
HRSA............................ University of Minnesota, Minneapolis, MN, for equipment for the Virginia Regional Medical 100,000 Senator Klobuchar
Center.
HRSA............................ University of Mississippi Medical Center, Jackson, MS, for construction, renovation and 3,000,000 Senators Cochran, Wicker
equipment for the Arthur C. Guyton Laboratory Building.
HRSA............................ University of Mississippi School of Pharmacy, Oxford, MS, for construction, renovation and 6,000,000 Senator Cochran
equipment.
HRSA............................ University of Mississippi, National Center for Natural Products Research, MS, for 1,000,000 Senators Cochran, Wicker
construction, renovation and equipment for Phase II of the National Center for Natural
Products Research--Drug Development, Construction.
HRSA............................ University of Mississippi, Oxford, MS, for the Center for Pharmaceutical Marketing and 250,000 Senator Cochran
Management.
HRSA............................ University of Mississippi, Oxford, MS, for the Center for Thermal Pharmaceutical Processing... 650,000 Senators Cochran, Wicker
HRSA............................ University of Nevada School of Medicine, Reno, NV, for the Center for Molecular Medicine, 500,000 Senator Reid
including equipment.
HRSA............................ University of New England, Biddeford, ME, for technology upgrades, including the purchase of 350,000 Senators Snowe, Collins
equip- ment.
HRSA............................ University of North Carolina at Wilmington, Wilmington, NC, for construction, renovation and 175,000 Senator Dole
equipment.
HRSA............................ University of North Texas, Denton, TX, for construction, renovation and equipment............. 250,000 Senator Hutchison
HRSA............................ University of Oklahoma, Norman, OK, for renovation and equipment.............................. 150,000 Senator Inhofe
HRSA............................ University of Pennsylvania School of Medicine, Philadelphia, PA, for construction, renovation 100,000 Senators Specter, Casey
and equipment.
HRSA............................ University of Pittsburgh (Simmons Center), Pittsburgh, PA, for construction, renovation and 100,000 Senator Specter
equipment.
HRSA............................ University of Pittsburgh Cancer Institute, Pittsburgh, PA, for construction, renovations, and 100,000 Senators Specter, Casey
equipment.
HRSA............................ University of Pittsburgh Medical Center, Pittsburgh, PA, for renovation and equipment......... 100,000 Senator Specter
HRSA............................ University of South Dakota, Vermilion, SD, for construction and equipment..................... 300,000 Senator Johnson
HRSA............................ University of Southern Mississippi, Hattiesburg, MS, for construction, renovation and 1,600,000 Senator Cochran
equipment, including design.
HRSA............................ University of Texas at Dallas, Dallas, TX, for renovation and equipment....................... 400,000 Senator Hutchison
HRSA............................ University of Texas Health Science Center at Houston, Houston, TX, for construction, 300,000 Senator Hutchison
renovation and equipment.
HRSA............................ University of Texas Health Science Center at Tyler, Tyler, TX, for renovation and equipment... 250,000 Senator Hutchison
HRSA............................ University of Texas M.D. Anderson Cancer Center, Houston, TX, for renovation and equipment.... 200,000 Senator Hutchison
HRSA............................ University of Texas M.D. Anderson Cancer Center, Houston, TX, for renovation and equipment for 250,000 Senator Hutchison
the center for targeted therapy.
HRSA............................ University of Washington, Seattle, WA, for the Bothell nursing consortium..................... 100,000 Senator Cantwell
HRSA............................ University of Wisconsin-Eau Claire, Eau Claire, WI, to expand the Campus Autism Program, 280,000 Senator Kohl
including facilities.
HRSA............................ University of Wyoming, Center for Rural Health Research and Education, Laramie, WY, for health 250,000 Senator Barrasso
information technology.
HRSA............................ Utah Department of Health, Salt Lake City, UT, for health education and screening for citizens 400,000 Senators Bennett, Hatch
exposed to uranium mill tailings.
HRSA............................ Utah Department of Health, Salt Lake City, UT, for renovation and equipment................... 300,000 Senators Bennett, Hatch
HRSA............................ Vermont Information Technology Leaders, Montpelier, VT, for the implementation of a statewide 1,000,000 Senator Leahy
electronic medical record system.
HRSA............................ Volunteers of America, Dakotas, Sioux Falls, SD, for construction and program expansion of 750,000 Senator Johnson
residential drug treatment.
HRSA............................ Wake County, Raleigh, NC, for construction, renovation and equipment.......................... 200,000 Senators Dole, Burr
HRSA............................ Washington County, Plymouth, NC, for construction, renovation and equipment................... 125,000 Senator Dole
HRSA............................ Washington State University, Spokane, WA, to support distance learning at the Nursing College. 1,000,000 Senator Murray
HRSA............................ Wayne Memorial Hospital, Honesdale, PA, for renovations and equipment......................... 100,000 Senator Specter
HRSA............................ Wayne Memorial Hospital, Jesup, GA, for construction, renovation and equipment................ 100,000 Senators Chambliss, Isakson
HRSA............................ Weber County, Ogden, UT, for renovation and equipment to improve health literacy.............. 200,000 Senators Bennett, Hatch
HRSA............................ Wentworth-Douglass Hospital, Dover, NH, for electronic medical records technology, including 425,000 Senators Gregg, Sununu
renovation and equipment.
HRSA............................ Wesley College, Dover, DE, for renovation and equipping of the nursing school................. 350,000 Senators Carper, Biden
HRSA............................ West Virginia University, Morgantown, WV, for construction of a Multiple Sclerosis Center..... 3,500,000 Senator Byrd
HRSA............................ WestCare Nevada, Inc., Las Vegas, NV, for construction and renovation at the Community Triage 150,000 Senator Reid
Center.
HRSA............................ Westchester County Department of Labs & Research, Valhalla, NY, for construction, renovation 750,000 Senator Schumer
and equipment.
HRSA............................ Westminster College, Salt Lake City, UT, for renovation and equipment......................... 300,000 Senator Bennett
HRSA............................ Westside Healthcare Association, Milwaukee, WI, for construction at the Lisbon Avenue Health 300,000 Senator Kohl
Center.
HRSA............................ White River Medical Center, Batesville, AR, for construction, renovation and equipment........ 1,000,000 Senators Lincoln, Pryor
HRSA............................ Whittier Street Health Center, Roxbury, MA, for construction of a new medical facility........ 200,000 Senators Kennedy, Kerry
HRSA............................ William Penn University, Oskaloosa, IA, for the Nursing and Sciences Teaching Laboratories.... 500,000 Senators Harkin, Grassley
HRSA............................ Wills Eye Health System, Philadelphia, PA, for renovation and equipment....................... 100,000 Senator Specter
HRSA............................ Windemere Rehabilitation Center, Oak Bluffs, MA, for construction, renovation and equipment... 250,000 Senators Kennedy, Kerry
HRSA............................ Wistar Institute, Philadelphia, PA, for renovation and equipment.............................. 100,000 Senator Specter
HRSA............................ Wolfson Children's Hospital, Jacksonville, FL, to purchase equipment.......................... 250,000 Senators Bill Nelson, Martinez
HRSA............................ World Impact's Good Samaritan Clinic, Wichita, KS, for construction, renovation and equipment. 150,000 Senators Roberts, Brownback
HRSA............................ Wyoming Valley Health Care System Hospital, Wilkes-Barre, PA, for renovation and equipment.... 100,000 Senators Specter, Casey
HRSA............................ Xavier University, New Orleans, LA, for design and construction for the Industry Center for 400,000 Senators Landrieu, Vitter
Pharmaceutical Bioscience/Biotech Infrastructure.
HRSA............................ Yukon-Kuskokwin Health Corporation, Bethel, AK, for renovation and equipment.................. 1,550,000 Senator Stevens
OMH............................. Commonwealth of Massachusetts Department of Public Health, Boston, MA, for the continued 250,000 Senators Kennedy, Kerry
development of a program to reduce health disparities and infant mortality.
OS.............................. Community Transportation Association of America, Washington, DC, for technical assistance to 750,000 Senator Harkin
human services transportation providers on ADA requirements.
Rehab Services.................. Alaska Adaptive Recreation Alliance, Anchorage, AK, for programs to provide adaptive and 600,000 Senator Stevens
therapeutic recreation to the disabled in Alaska.
Rehab Services.................. Alaska Statewide Independent Living Council, Anchorage, AK, for independent living programs 300,000 Senator Stevens
for rural and remote areas.
Rehab Services.................. Arc of New London County, Norwich, CT, for adult vocational training.......................... 250,000 Senators Dodd, Lieberman
Rehab Services.................. Cumberland Perry Association for Retarded Citizens, Carlisle, PA, to support educational 100,000 Senator Specter
programming for young adults with disabilities.
Rehab Services.................. Enable America, Inc., Tampa, Florida, for civic/citizenship demonstration project for disabled 600,000 Senator Harkin
adults.
SSR............................. A+ For Abstinence, Waynesboro, PA, for abstinence education and related services.............. 25,000 Senator Specter
SSR............................. Catholic Social Services, Wilkes Barre, PA, for abstinence education and related services..... 25,000 Senator Specter
SSR............................. City of Chester, Bureau of Health, Chester, PA, for abstinence education and related services. 25,000 Senator Specter
SSR............................. Connecticut Council of Family Service Agencies, Wethersfield, CT, for the Empowering People 400,000 Senators Dodd, Lieberman
for Success welfare-to-work initiative.
SSR............................. Creative Visions in Des Moines, IA, for a family unification project for incarcerated 150,000 Senator Harkin
individuals.
SSR............................. Crozer Chester Medical Center, Upland, PA, for abstinence education and related services...... 25,000 Senator Specter
SSR............................. Desormeaux Foundation, Lafayette, LA, for an expectant mother education and aid program....... 100,000 Senator Vitter
SSR............................. Elijah's Promise, New Brunswick, NJ, for the Healthy Kitchens-Healthy Lives program........... 50,000 Senators Lautenberg, Menendez
SSR............................. Family Services and Childrens Aid Society, Oil City, PA, for abstinence education and related 25,000 Senator Specter
services.
SSR............................. Family, Inc., Council Bluffs, IA, for the FAMILY program...................................... 350,000 Senators Harkin, Grassley
SSR............................. Guidance Center, Ridgeway, PA, for abstinence education and related services.................. 25,000 Senator Specter
SSR............................. Horizons for Homeless Children, Roxbury, MA, for continued development of programs designed to 150,000 Senators Kennedy, Kerry
support homeless children.
SSR............................. Iowans for Social and Economic Development [ISED], Des Moines, IA, for a Comprehensive Asset 200,000 Senator Harkin
Development Project.
SSR............................. Keystone Central School District, Mill Hall, PA, for abstinence education and related serv- 25,000 Senator Specter
ices.
SSR............................. Keystone Economic Development Corporation, Johnstown, PA, for abstinence education and related 25,000 Senator Specter
services.
SSR............................. LaSalle University, Philadelphia, PA, for abstinence education and related services........... 25,000 Senator Specter
SSR............................. Local Initiatives Support Coalition Rhode Island, Providence, RI, for child care professional 200,000 Senator Reed
development and programmatic activities.
SSR............................. Louisiana Association of United Ways, New Orleans, LA, to expand the capacity of the Louisiana 400,000 Senators Landrieu, Vitter
2-1-1 system.
SSR............................. Marcus Institute, Atlanta, GA, for services for children and adolescents with developmental 100,000 Senators Isakson, Chambliss
disabilities.
SSR............................. Monterey County Probation Department, Salinas, CA, for a gang prevention and intervention 1,500,000 Senator Feinstein
program.
SSR............................. My Choice, Inc., Athens, PA, for abstinence education and related services.................... 25,000 Senator Specter
SSR............................. Nassau County Coalition Against Domestic Violence, Inc., HEMPSTEAD, NY, to provide legal 400,000 Senator Schumer
services to low-income victims of domestic violence.
SSR............................. Neighborhood United Against Drugs, Philadelphia, PA, for abstinence education and related 25,000 Senator Specter
services.
SSR............................. New Brighton School District, Brighton, PA, for abstinence education and related services..... 25,000 Senator Specter
SSR............................. Nueva Esperanza, Philadelphia, PA, for abstinence education and related services.............. 25,000 Senator Specter
SSR............................. Ohio United Way, Columbus, OH, to expand the capacity of the 2-1-1 system..................... 400,000 Senator Brown
SSR............................. One Family, Inc., Boston, MA, for continued development of programs to designed to end family 250,000 Senators Kennedy, Kerry
homelessness.
SSR............................. Progressive Believers Ministries, Glenside, PA, for abstinence education and related services. 25,000 Senator Specter
SSR............................. School District of Philadelphia, Philadelphia, PA, for abstinence education and related 25,000 Senator Specter
services.
SSR............................. Shepherd's Maternity House, Inc., East Stroudsburg, PA, for abstinence education and related 25,000 Senator Specter
services.
SSR............................. Sheriffs Youth Programs of Minnesota, Inver Grove Heights, MN, for expansion and related 150,000 Senators Coleman, Klobuchar
expenses for foster care services.
SSR............................. Simpson College, Indianola, IA, for Urban Studies Institute................................... 200,000 Senator Harkin
SSR............................. Southern Penobscot Regional Program for Children with Exceptionalities, Bangor, ME, for 200,000 Senators Snowe, Collins
services for families with autistic children.
SSR............................. Tender Care Pregnancy Center, Inc., Hanover, PA, for abstinence education and related services 25,000 Senator Specter
SSR............................. The Jimmie Hale Mission, Birmingham, AL, for services for homeless families................... 100,000 Senator Sessions
SSR............................. TLC for Children and Families, Inc, Olathe, KS, for a transitional living program for at-risk 200,000 Senator Brownback
youth.
SSR............................. Tuscarora Intermediate Unit, McVeytown, PA, for abstinence education and related services..... 25,000 Senator Specter
SSR............................. United Way of the Capital Area, Jackson, MS, for 2-1-1 Mississippi for social services 250,000 Senator Cochran
programs.
SSR............................. Urban Family Council, Philadelphia, PA, for abstinence education and related services......... 25,000 Senator Specter
SSR............................. Washington Hospital Teen Outreach, Washington, PA, for abstinence education and related 25,000 Senator Specter
services.
SSR............................. Women's Care Center of Erie County, Inc., Erie, PA, for abstinence education and related 25,000 Senator Specter
services.
SSR............................. York County Human Life Services, York, PA, for abstinence education and related services...... 25,000 Senator Specter
SSR............................. Zuni Tribe, Zuni, NM, for a program to assist foster children................................. 275,000 Senator Bingaman
NATIONAL PROGRAMS AND ACTIVITIES
DOL Departmental Management..... International Program for the Elimination of Child Labor for the U.S. contribution to a 42,784,000 Senator Harkin
multinational effort to combat child labor, consistent with Executive Order 12216 and the
Trafficking Victims Protection Reauthorization Act of 2005.
ETA............................. Denali Commission for job training activities under the Denali Commission Act of 1998......... 6,754,894 Senator Stevens
FIE............................. Reach Out and Read for literacy activities.................................................... 3,930,000 Senators Cochran, Bennett, Domenici, Durbin,
Lautenberg, Leahy, Reed, Akaka, Bingaman,
Boxer, Brown, Bunning, Burr, Cantwell,
Casey, Chambliss, Clinton, Coleman,
Collins, Cornyn, Dodd, Dole, Graham,
Grassley, Hatch, Kennedy, Kerry, Klobuchar,
Levin, Lincoln, Lugar, Martinez, Menendez,
Murkowski, Bill Nelson, Pryor, Rockefeller,
Salazar, Sanders, Schumer, Sessions, Smith,
Snowe, Stabenow, Voinovich, Whitehouse,
Wyden
FIE............................. Teach for America for recruiting and training recent college graduates to teach in high-need 11,790,000 Senators Harkin, Cochran, Durbin, Kohl,
schools. Lautenberg, Mikulski, Boxer, Burr, Casey,
Clinton, Dole, Kerry, Lieberman, Lincoln,
Menendez, Reid, Schumer, Snowe, Stabenow
Higher Education................ Thurgood Marshall Legal Scholarships Program for activities authorized under the Higher 2,895,000 Senator Cochran
Education Act.
HRSA............................ Delta Health Alliance, Inc. to improve the delivery of public health services in the 25,000,000 Senator Cochran
Mississippi Delta region under title III of the Public Health Service Act.
HRSA............................ Denali Commission to support health projects and economic development activities for the 38,597,000 Senator Stevens
arctic region under the Denali Commission Act of 1998.
HRSA............................ Native Hawaiian Health Care to provide primary health promotion and disease prevention 13,952,000 Senators Inouye, Akaka
services to Native Hawaiians through regional clinics under the Native Hawaiian Health Care
Act of 1988.
Innovation and Improvement...... Close Up Fellowships Program for activities authorized under the Elementary and Secondary 1,942,000 Senators Harkin, Lautenberg
Education Act.
Innovation and Improvement...... Exchanges with Historic Whaling and Trading Partners Program for activities authorized under 8,754,000 Senators Cochran, Inouye, Stevens, Akaka,
the Elementary and Secondary Education Act. Kennedy
Innovation and Improvement...... John F. Kennedy Center for the Performing Arts for activities in the Arts in Education program 6,183,000 Senators Bennett, Bingaman, Kennedy
authorized by the Elementary and Secondary Education Act.
Innovation and Improvement...... National Board for Professional Teaching Standards for activities authorized under the 10,649,000 Senators Harkin, Cochran, Bennett, Wicker
Elementary and Secondary Education Act.
Innovation and Improvement...... National Writing Project for activities authorized under the Elementary and Secondary 23,581,000 Senators Cochran, Bennett, Domenici, Durbin,
Education Act. Johnson, Lautenberg, Leahy, Reed, Akaka,
Baucus, Biden, Bingaman, Boxer, Bunning,
Cardin, Casey, Clinton, Coleman, Collins,
Dodd, Dole, Hagel, Kennedy, Kerry,
Klobuchar, Levin, Lieberman, Lincoln,
Lugar, Menendez, Pryor, Rockefeller,
Sanders, Schumer, Smith, Snowe, Stabenow,
Whitehouse, Wicker, Wyden
Innovation and Improvement...... Reading is Fundamental for literacy activities................................................ 24,606,000 Senators Cochran, Bennett, Durbin, Gregg,
Johnson, Leahy, Akaka, Baucus, Bennett,
Bingaman, Boxer, Brown, Bunning, Cantwell,
Cardin, Casey, Clinton, Coleman, Collins,
Dodd, Dole, Ensign, Graham, Gregg, Hatch,
Kennedy, Kerry, Klobuchar, Lautenberg,
Levin, Lieberman, Lincoln, Lugar, Martinez,
Menendez, Murkowski, Bill Nelson, Pryor,
Roberts, Rockefeller, Salazar, Sanders,
Schumer, Sessions, Smith, Snowe, Stabenow,
Tester, Voinovich, Warner, Webb,
Whitehouse, Wicker, Wyden
Innovation and Improvement...... VSA arts for activities in the Arts in Education program authorized by the Elementary and 7,954,000 Senators Cochran, Bennett, Bingaman, Kennedy
Secondary Education Act.
Mine Safety and Health United Mine Workers of America for mine rescue team training activities authorized under the 1,900,000 Senators Specter, Byrd
Administration. Mine Safety and Health Act.
Occupational Safety and Health Institutional Competency Grants under the Susan Harwood Training Program authorized under the 3,200,000 Senators Harkin, Specter
Administration. Occupational Safety and Health Act.
Safe Schools and Citizenship Center for Civic Education for two programs--We the People and Cooperative Education Exchange-- 24,504,000 Senators Cochran, Durbin, Feinstein,
Education. that are authorized in the Elementary and Secondary Education Act as part of the Civic Johnson, Leahy, Reed, Akaka, Baucus, Bayh,
Education Program. Biden, Bingaman, Boxer, Brown, Bunning,
Cantwell, Cardin, Clinton, Coleman,
Collins, Dodd, Dole, Ensign, Graham, Hagel,
Kennedy, Kerry, Kyl, Levin, Lieberman,
Lincoln, Lugar, Martinez, Menendez,
Murkowski, Bill Nelson, Pryor, Roberts,
Rockefeller, Salazar, Schumer, Smith,
Snowe, Sessions, Stabenow, Tester, Webb,
Whitehouse, Wicker, Wyden
Safe Schools and Citizenship National Council on Economic Education for the Cooperative Education Exchange program, which 4,448,000 Senators Cochran, Durbin, Feinstein,
Education. is authorized in the Elementary and Secondary Education Act as part of the Civic Education Johnson, Leahy, Reed, Akaka, Baucus, Bayh,
Program. Biden, Bingaman, Boxer, Brown, Bunning,
Cantwell, Cardin, Clinton, Coleman,
Collins, Dodd, Dole, Ensign, Graham, Hagel,
Kennedy, Kerry, Kyl, Levin, Lieberman,
Lincoln, Lugar, Martinez, Menendez,
Murkowski, Bill Nelson, Pryor, Roberts,
Rockefeller, Salazar, Schumer, Smith,
Snowe, Sessions, Stabenow, Tester, Webb,
Whitehouse, Wicker, Wyden
School Improvement.............. Alaska Native Educational Equity for activities authorized under the Elementary and Secondary 33,315,000 Senators Inouye, Stevens
Education Act.
School Improvement.............. Education for Native Hawaiians for activities authorized under the Elementary and Secondary 33,315,000 Senators Inouye, Stevens, Akaka
Education Act.
Special Education............... Recording for the Blind and Dyslexic, Inc. for development, production, and circulation of 13,500,000 Senators Harkin, Specter
recorded educational materials as authorized under section 674(c)(1)(D) of the Individuals
with Disabilities Education Act.
Special Education............... Special Olympics for Special Olympics educational programs that can be integrated into 11,790,000 Senators Harkin, Craig, Ben Nelson
classroom instruction and for activities to increase the participation of individuals with
intellectual disabilities, as authorized under the Special Olympics Sport and Empowerment Act.
Special Education............... Washington Educational Television Association for a national program to provide information on 1,474,000 Senator Cochran
diagnosis, intervention, and teaching strategies for children with disabilities authorized
under Public Law 105-78.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
COMPARATIVE STATEMENT OF NEW BUDGET (OBLIGATIONAL) AUTHORITY FOR FISCAL YEAR 2008 AND BUDGET ESTIMATES AND AMOUNTS RECOMMENDED IN THE BILL FOR FISCAL
YEAR 2009
[In thousands of dollars]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Senate Committee recommendation
Committee compared with (+ or -)
Item 2008 comparable Budget estimate recommendation -----------------------------------
2008 comparable Budget estimate
--------------------------------------------------------------------------------------------------------------------------------------------------------
TITLE I -- DEPARTMENT OF LABOR
EMPLOYMENT AND TRAINING ADMINISTRATION
TRAINING AND EMPLOYMENT SERVICES
Grants to States:
Adult Training, current year.............................. 149,540 ................ 152,199 +2,659 +152,199
Advance from prior year............................... (699,561) (712,000) (712,000) (+12,439) ................
Fiscal year 2010...................................... 712,000 712,000 712,000 ................ ................
-----------------------------------------------------------------------------------------
Adult Training...................................... 861,540 712,000 864,199 +2,659 +152,199
Youth Training............................................ 924,069 840,500 930,500 +6,431 +90,000
Dislocated Worker Assistance, current year................ 335,840 94,956 351,811 +15,971 +256,855
Advance from prior year............................... (833,185) (848,000) (848,000) (+14,815) ................
Fiscal year 2010...................................... 848,000 848,000 848,000 ................ ................
-----------------------------------------------------------------------------------------
Dislocated Worker Assistance........................ 1,183,840 942,956 1,199,811 +15,971 +256,855
=========================================================================================
Subtotal, Grants to States........................ 2,969,449 2,495,456 2,994,510 +25,061 +499,054
Current Year.................................. (1,409,449) (935,456) (1,434,510) (+25,061) (+499,054)
Fiscal year 2010.............................. (1,560,000) (1,560,000) (1,560,000) ................ ................
Federally Administered Programs:
Dislocated Worker Assistance National Reserve:
Current year.......................................... 68,867 68,867 70,092 +1,225 +1,225
Advance from prior year............................... (208,296) (212,000) (212,000) (+3,704) ................
Fiscal year 2010...................................... 212,000 212,000 212,000 ................ ................
-----------------------------------------------------------------------------------------
Dislocated Worker Assistance Nat'l Reserve.......... 280,867 280,867 282,092 +1,225 +1,225
Less Community-based Job Training Grants (NA)......... (-122,816) ................ (-125,000) (-2,184) (-125,000)
-----------------------------------------------------------------------------------------
Dislocated Worker Assistance Nat'l Reserve.......... 158,051 280,867 157,092 -959 -123,775
-----------------------------------------------------------------------------------------
Total, Dislocated Worker Assistance............... 1,464,707 1,223,823 1,481,903 +17,196 +258,080
Native Americans.......................................... 52,758 45,000 52,758 ................ +7,758
Migrant and Seasonal Farmworkers.......................... 79,668 ................ 82,740 +3,072 +82,740
Women in apprenticeship................................... 983 ................ 983 ................ +983
YouthBuild................................................ 58,952 50,000 58,952 ................ +8,952
=========================================================================================
Subtotal, Federally Administered Programs............... 473,228 375,867 477,525 +4,297 +101,658
Current Year........................................ (261,228) (163,867) (265,525) (+4,297) (+101,658)
Fiscal year 2010.................................... (212,000) (212,000) (212,000) ................ ................
National Activities:
Pilots, Demonstrations and Research................... 48,508 16,000 31,438 -17,070 +15,438
Reintegration of Ex-Offenders......................... 73,493 39,600 103,493 +30,000 +63,893
Evaluation............................................ 4,835 9,000 4,835 ................ -4,165
Community-based Job Training Grants................... ................ 125,000 ................ ................ -125,000
Community-based Job Training Grants (NA)\1\....... (122,816) ................ (125,000) (+2,184) (+125,000)
-----------------------------------------------------------------------------------------
Subtotal, program level......................... 122,816 125,000 125,000 +2,184 ................
Denali Commission..................................... 6,755 ................ 6,755 ................ +6,755
-----------------------------------------------------------------------------------------
Subtotal, National activities....................... 133,591 189,600 146,521 +12,930 -43,079
=========================================================================================
Total, Training and Employment Services............. 3,576,268 3,060,923 3,618,556 +42,288 +557,633
Current Year.................................... (1,804,268) (1,288,923) (1,846,556) (+42,288) (+557,633)
Fiscal year 2010................................ (1,772,000) (1,772,000) (1,772,000) ................ ................
COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS.............. 521,625 350,000 571,925 +50,300 +221,925
FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES.................. 888,700 958,800 958,800 +70,100 ................
STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS
Unemployment Insurance (UI):
State Operations.......................................... 2,454,134 2,583,145 2,782,145 +328,011 +199,000
Additional UI Program Integrity........................... ................ 40,000 40,000 +40,000 ................
National Activities....................................... 9,727 12,893 9,727 ................ -3,166
-----------------------------------------------------------------------------------------
Subtotal, Unemployment Insurance........................ 2,463,861 2,636,038 2,831,872 +368,011 +195,834
Employment Service:
Allotments to States:
Federal Funds......................................... 22,483 ................ 22,883 +400 +22,883
Trust Funds........................................... 680,893 ................ 680,893 ................ +680,893
-----------------------------------------------------------------------------------------
Subtotal, Allotments to States...................... 703,376 ................ 703,776 +400 +703,776
ES National Activities.................................... 19,677 20,026 20,026 +349 ................
-----------------------------------------------------------------------------------------
Subtotal, Employment Service............................ 723,053 20,026 723,802 +749 +703,776
Federal Funds....................................... 22,483 ................ 22,883 +400 +22,883
Trust Funds......................................... 700,570 20,026 700,919 +349 +680,893
Foreign Labor Certification:
Federal Administration.................................... 41,487 59,497 54,497 +13,010 -5,000
Grants to States.......................................... 12,517 18,473 15,740 +3,223 -2,733
-----------------------------------------------------------------------------------------
Subtotal, Foreign Labor Certification................... 54,004 77,970 70,237 +16,233 -7,733
One-Stop Career Centers/Labor Market Information.............. 52,059 48,880 52,059 ................ +3,179
Work Incentives Grants........................................ 14,393 ................ 14,393 ................ +14,393
=========================================================================================
Total, State Unemployment & Employment Services......... 3,307,370 2,782,914 3,692,363 +384,993 +909,449
Federal Funds....................................... 88,935 48,880 89,335 +400 +40,455
Trust Funds......................................... (3,218,435) (2,734,034) (3,603,028) (+384,593) (+868,994)
ADVANCES TO THE UI AND OTHER TRUST FUNDS\2\................... 437,000 422,000 422,000 -15,000 ................
PROGRAM ADMINISTRATION
Adult Employment and Training................................. 42,683 48,544 42,683 ................ -5,861
Trust Funds............................................... 7,709 8,655 7,709 ................ -946
Youth Employment and Training................................. 10,789 12,932 10,789 ................ -2,143
Employment Security........................................... 6,243 3,705 3,705 -2,538 ................
Trust Funds............................................... 34,168 37,023 37,023 +2,855 ................
Apprenticeship Services....................................... 21,166 23,130 21,166 ................ -1,964
Executive Direction........................................... 6,025 7,734 6,025 ................ -1,709
Trust Funds............................................... 2,053 2,288 2,053 ................ -235
-----------------------------------------------------------------------------------------
Total, Program Administration........................... 130,836 144,011 131,153 +317 -12,858
Federal Funds....................................... 86,906 96,045 84,368 -2,538 -11,677
Trust Funds......................................... 43,930 47,966 46,785 +2,855 -1,181
=========================================================================================
Total, Employment and Training Administration........... 8,861,799 7,718,648 9,394,797 +532,998 +1,676,149
Federal Funds....................................... 5,599,434 4,936,648 5,744,984 +145,550 +808,336
Current Year.................................... (3,827,434) (3,164,648) (3,972,984) (+145,550) (+808,336)
Fiscal year 2010................................ (1,772,000) (1,772,000) (1,772,000) ................ ................
Trust Funds......................................... 3,262,365 2,782,000 3,649,813 +387,448 +867,813
EMPLOYEE BENEFITS SECURITY ADMINISTRATION
SALARIES AND EXPENSES
Enforcement and Participant Assistance\3\..................... 116,590 122,792 116,590 ................ -6,202
Policy and Compliance Assistance.............................. 17,545 18,851 17,545 ................ -1,306
Executive Leadership, Program Oversight and Admin............. 5,178 6,228 5,178 ................ -1,050
-----------------------------------------------------------------------------------------
Total, EBSA............................................. 139,313 147,871 139,313 ................ -8,558
PENSION BENEFIT GUARANTY CORPORATION\3\
Pension insurance activities.................................. (74,884) (68,548) (68,548) (-6,336) ................
Pension plan termination...................................... (218,553) (240,406) (240,406) (+21,853) ................
Operational support........................................... (133,210) (135,768) (135,768) (+2,558) ................
-----------------------------------------------------------------------------------------
Total, PBGC (Program level)............................. (426,647) (444,722) (444,722) (+18,075) ................
EMPLOYMENT STANDARDS ADMINISTRATION
SALARIES AND EXPENSES
Enforcement of Wage and Hour Standards........................ 175,658 193,092 193,092 +17,434 ................
Office of Labor-Management Standards.......................... 44,938 58,256 44,938 ................ -13,318
Federal Contractor EEO Standards Enforcement.................. 81,001 89,013 81,001 ................ -8,012
Federal Programs for Workers' Compensation.................... 100,086 108,031 100,086 ................ -7,945
Trust Funds............................................... 2,022 2,179 2,022 ................ -157
Program Direction and Support................................. 17,220 18,089 17,220 ................ -869
-----------------------------------------------------------------------------------------
Total, ESA salaries and expenses........................ 420,925 468,660 438,359 +17,434 -30,301
Federal Funds....................................... 418,903 466,481 436,337 +17,434 -30,144
Trust Funds......................................... 2,022 2,179 2,022 ................ -157
SPECIAL BENEFITS
Federal employees' compensation benefits...................... 200,000 160,000 160,000 -40,000 ................
Longshore and harbor workers' benefits........................ 3,000 3,000 3,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Special Benefits................................. 203,000 163,000 163,000 -40,000 ................
SPECIAL BENEFITS FOR DISABLED COAL MINERS
Benefit payments.............................................. 271,000 245,000 245,000 -26,000 ................
Administration................................................ 5,221 5,130 5,130 -91 ................
-----------------------------------------------------------------------------------------
Subtotal, fiscal year 2009 program level................ 276,221 250,130 250,130 -26,091 ................
Less funds advanced in prior year................... -68,000 -62,000 -62,000 +6,000 ................
-----------------------------------------------------------------------------------------
Total, Current Year, fiscal year 2009................... 208,221 188,130 188,130 -20,091 ................
New advances, 1st quarter fiscal year 2010.......... 62,000 56,000 56,000 -6,000 ................
-----------------------------------------------------------------------------------------
Total, Special Benefits for Disabled Coal Miners........ 270,221 244,130 244,130 -26,091 ................
ADMINISTRATIVE EXPENSES, ENERGY EMPLOYEES OCCUPATIONAL ILLNESS
COMPENSATION FUND
Part B Administrative Expenses................................ 49,387 49,654 49,654 +267 ................
BLACK LUNG DISABILITY TRUST FUND
Benefit payments and interest on advances..................... 1,009,763 1,014,317 1,014,317 +4,554 ................
Employment Standards Admin., Salaries and expenses............ 32,761 32,308 32,308 -453 ................
Departmental Management, Salaries and expenses................ 24,785 24,694 24,694 -91 ................
Departmental Management, Inspector General.................... 335 325 325 -10 ................
-----------------------------------------------------------------------------------------
Subtotal, Black Lung Disability......................... 1,067,644 1,071,644 1,071,644 +4,000 ................
Treasury Department Administrative Costs...................... 356 356 356 ................ ................
-----------------------------------------------------------------------------------------
Total, Black Lung Disability Trust Fund................. 1,068,000 1,072,000 1,072,000 +4,000 ................
=========================================================================================
Total, Employment Standards Administration.............. 2,011,533 1,997,444 1,967,143 -44,390 -30,301
Federal Funds....................................... 2,009,511 1,995,265 1,965,121 -44,390 -30,144
Current year.................................... (1,947,511) (1,939,265) (1,909,121) (-38,390) (-30,144)
Fiscal year 2010................................ (62,000) (56,000) (56,000) (-6,000) ................
Trust Funds......................................... 2,022 2,179 2,022 ................ -157
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA)
SALARIES AND EXPENSES
Safety and Health Standards................................... 16,597 17,204 17,204 +607 ................
Federal Enforcement........................................... 182,136 194,000 195,000 +12,864 +1,000
State Programs................................................ 89,502 91,093 91,093 +1,591 ................
Technical Support............................................. 21,681 22,632 22,632 +951 ................
Compliance Assistance:
Federal Assistance........................................ 71,390 76,541 71,390 ................ -5,151
State Consultation Grants................................. 52,425 54,531 52,425 ................ -2,106
Training Grants........................................... 9,939 ................ 9,939 ................ +9,939
-----------------------------------------------------------------------------------------
Subtotal, Compliance Assistance......................... 133,754 131,072 133,754 ................ +2,682
Safety and Health Statistics.................................. 31,522 34,128 34,128 +2,606 ................
Executive Direction and Administration........................ 10,809 11,545 10,809 ................ -736
=========================================================================================
Total, OSHA............................................. 486,001 501,674 504,620 +18,619 +2,946
MINE SAFETY AND HEALTH ADMINISTRATION
SALARIES AND EXPENSES
Coal Enforcement.............................................. 150,123 144,982 154,491 +4,368 +9,509
Metal/Non-Metal Enforcement................................... 74,420 82,427 82,427 +8,007 ................
Standards Development......................................... 3,180 2,831 2,831 -349 ................
Assessments................................................... 6,134 5,948 6,134 ................ +186
Educational Policy and Development............................ 36,239 36,366 38,605 +2,366 +2,239
Technical Support............................................. 29,476 29,117 30,117 +641 +1,000
Program evaluation and information resources [PEIR]........... 15,936 16,514 16,514 +578 ................
Program Administration........................................ 16,339 13,876 15,776 -563 +1,900
=========================================================================================
Total, Mine Safety and Health Administration............ 331,847 332,061 346,895 +15,048 +14,834
BUREAU OF LABOR STATISTICS
SALARIES AND EXPENSES
Employment and Unemployment Statistics........................ 167,542 183,906 183,906 +16,364 ................
Labor Market Information...................................... 75,721 78,264 82,764 +7,043 +4,500
Prices and Cost of Living..................................... 177,986 198,464 198,464 +20,478 ................
Compensation and Working Conditions........................... 82,251 86,281 87,281 +5,030 +1,000
Productivity and Technology................................... 10,870 11,706 11,706 +836 ................
Executive Direction and Staff Services........................ 30,431 34,185 34,185 +3,754 ................
=========================================================================================
Total, Bureau of Labor Statistics....................... 544,801 592,806 598,306 +53,505 +5,500
Federal Funds....................................... 469,080 514,542 515,542 +46,462 +1,000
Trust Funds......................................... 75,721 78,264 82,764 +7,043 +4,500
OFFICE OF DISABILITY EMPLOYMENT POLICY
SALARIES AND EXPENSES......................................... 26,679 12,441 26,679 ................ +14,238
DEPARTMENTAL MANAGEMENT
SALARIES AND EXPENSES
Executive Direction........................................... 22,831 29,714 22,831 ................ -6,883
Departmental IT Crosscut...................................... 19,651 29,846 22,659 +3,008 -7,187
Departmental Management Crosscut.............................. 491 758 758 +267 ................
Legal Services................................................ 89,020 100,532 100,532 +11,512 ................
Trust Funds............................................... 303 327 327 +24 ................
International Labor Affairs................................... 81,074 14,822 86,074 +5,000 +71,252
Administration and Management................................. 32,291 34,370 32,291 ................ -2,079
Adjudication.................................................. 27,056 30,064 27,056 ................ -3,008
Women's Bureau................................................ 9,660 10,237 10,237 +577 ................
Civil Rights Activities....................................... 6,332 7,038 6,332 ................ -706
Chief Financial Officer....................................... 5,243 5,775 5,243 ................ -532
-----------------------------------------------------------------------------------------
Total, Salaries and expenses............................ 293,952 263,483 314,340 +20,388 +50,857
Federal Funds....................................... 293,649 263,156 314,013 +20,364 +50,857
Trust Funds......................................... 303 327 327 +24 ................
OFFICE OF JOB CORPS
Administration................................................ 28,079 29,374 28,872 +793 -502
Operations.................................................... 878,733 834,325 916,684 +37,951 +82,359
Advance from prior year................................... (580,675) (591,000) (591,000) (+10,325) ................
Fiscal year 2010.......................................... 591,000 591,000 591,000 ................ ................
Construction and Renovation................................... 12,694 10,000 13,960 +1,266 +3,960
Advance from prior year................................... (98,253) (100,000) (100,000) (+1,747) ................
Fiscal year 2010.......................................... 100,000 100,000 100,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Job Corps........................................ 1,610,506 1,564,699 1,650,516 +40,010 +85,817
Current Year........................................ (919,506) (873,699) (959,516) (+40,010) (+85,817)
Fiscal year 2010.................................... (691,000) (691,000) (691,000) ................ ................
VETERANS EMPLOYMENT AND TRAINING
State administration, Grants.................................. 161,894 168,894 168,894 +7,000 ................
Federal Administration........................................ 33,282 34,625 34,625 +1,343 ................
National Veterans Training Institute.......................... 1,949 1,949 1,949 ................ ................
Homeless Veterans Program..................................... 23,620 25,620 25,620 +2,000 ................
Veterans Workforce Investment Programs........................ 7,351 7,351 7,351 ................ ................
-----------------------------------------------------------------------------------------
Total, Veterans Employment and Training................. 228,096 238,439 238,439 +10,343 ................
Federal Funds....................................... 30,971 32,971 32,971 +2,000 ................
Trust Funds......................................... 197,125 205,468 205,468 +8,343 ................
OFFICE OF INSPECTOR GENERAL
Program Activities............................................ 68,848 76,326 76,326 +7,478 ................
Trust Funds............................................... 5,542 5,815 5,815 +273 ................
-----------------------------------------------------------------------------------------
Total, Office of the Inspector General.................. 74,390 82,141 82,141 +7,751 ................
Federal funds....................................... 68,848 76,326 76,326 +7,478 ................
Trust funds......................................... 5,542 5,815 5,815 +273 ................
=========================================================================================
Total, Departmental Management.......................... 2,206,944 2,148,762 2,285,436 +78,492 +136,674
Federal Funds....................................... 2,003,974 1,937,152 2,073,826 +69,852 +136,674
Current Year.................................... (1,312,974) (1,246,152) (1,382,826) (+69,852) (+136,674)
Fiscal year 2010................................ (691,000) (691,000) (691,000) ................ ................
Trust Funds......................................... 202,970 211,610 211,610 +8,640 ................
=========================================================================================
Total, Title I, Department of Labor..................... 14,608,917 13,451,707 15,263,189 +654,272 +1,811,482
Federal Funds....................................... 11,065,839 10,377,654 11,316,980 +251,141 +939,326
Current Year.................................... (8,540,839) (7,858,654) (8,797,980) (+257,141) (+939,326)
Fiscal year 2010................................ (2,525,000) (2,519,000) (2,519,000) (-6,000) ................
Trust Funds......................................... 3,543,078 3,074,053 3,946,209 +403,131 +872,156
TITLE II--DEPARTMENT OF HEALTH AND HUMAN SERVICES
HEALTH RESOURCES AND SERVICES ADMINISTRATION
HEALTH RESOURCES AND SERVICES
Bureau of Primary Health Care
Community health centers...................................... 2,065,022 2,091,792 2,215,022 +150,000 +123,230
Free Clinics Medical Malpractice.............................. 39 40 39 ................ -1
National Hansen's Disease Program............................. 15,693 16,109 16,109 +416 ................
Buildings and Facilities.................................. 157 100 100 -57 ................
Payment to Hawaii, treatment of Hansen's...................... 1,961 1,976 1,976 +15 ................
-----------------------------------------------------------------------------------------
Subtotal, Bureau of Primary Health Care................. 2,082,872 2,110,017 2,233,246 +150,374 +123,229
Bureau of Health Professions
National Health Service Corps:
Field placements.......................................... 39,736 25,729 39,736 ................ +14,007
Recruitment............................................... 83,741 95,230 95,230 +11,489 ................
-----------------------------------------------------------------------------------------
Subtotal, National Health Service Corps................. 123,477 120,959 134,966 +11,489 +14,007
Health Professions
Health Professions, Training for Diversity:
Centers of excellence..................................... 12,773 ................ 12,773 ................ +12,773
Health careers opportunity program........................ 9,825 ................ 9,825 ................ +9,825
Faculty loan repayment.................................... 1,266 ................ 1,266 ................ +1,266
Scholarships for disadvantaged students................... 45,842 ................ 45,842 ................ +45,842
-----------------------------------------------------------------------------------------
Subtotal, Training for Diversity........................ 69,706 ................ 69,706 ................ +69,706
Training in Primary Care Medicine and Dentistry............... 47,998 ................ 48,851 +853 +48,851
Interdisciplinary Community-Based Linkages:
Area health education centers............................. 28,180 ................ 28,180 ................ +28,180
Allied health and other disciplines....................... 8,803 ................ 8,803 ................ +8,803
Geriatric programs........................................ 30,997 ................ 30,997 ................ +30,997
-----------------------------------------------------------------------------------------
Subtotal, Interdisciplinary Community Linkages.......... 67,980 ................ 67,980 ................ +67,980
Public health, preventive medicine and dental programs........ 8,273 ................ 9,000 +727 +9,000
Nursing Programs:
Advanced Education Nursing................................ 61,875 ................ 67,000 +5,125 +67,000
Nurse education, practice, and retention.................. 36,640 37,291 37,291 +651 ................
Nursing workforce diversity............................... 15,826 16,107 16,107 +281 ................
Loan repayment and scholarship program.................... 30,512 43,744 30,512 ................ -13,232
Comprehensive geriatric education......................... 3,333 3,392 5,742 +2,409 +2,350
Nursing faculty loan program.............................. 7,860 9,319 11,000 +3,140 +1,681
-----------------------------------------------------------------------------------------
Subtotal, Nursing programs.............................. 156,046 109,853 167,652 +11,606 +57,799
=========================================================================================
Subtotal, Health Professions............................ 350,003 109,853 363,189 +13,186 +253,336
Children's Hospitals Graduate Medical Education............... 301,646 ................ 310,000 +8,354 +310,000
Patient Navigator............................................. 2,948 ................ 4,000 +1,052 +4,000
National Practitioner Data Bank............................... 18,570 18,900 18,900 +330 ................
User Fees................................................. -18,570 -18,900 -18,900 -330 ................
Health Care Integrity and Protection Data Bank................ 3,758 ................ 3,758 ................ +3,758
User Fees................................................. -3,758 ................ -3,758 ................ -3,758
-----------------------------------------------------------------------------------------
Subtotal, Bureau of Health Professions.................. 778,074 230,812 812,155 +34,081 +581,343
Maternal and Child Health Bureau
Maternal and Child Health Block Grant......................... 664,268 664,268 664,268 ................ ................
Sickle cell anemia demonstration program...................... 2,653 2,184 3,500 +847 +1,316
Traumatic Brain Injury........................................ 8,754 ................ 8,754 ................ +8,754
Autism and other developmental disorders...................... 36,354 36,354 42,000 +5,646 +5,646
Newborn screening............................................. 1,887 1,887 1,887 ................ ................
Congenital disabilities....................................... ................ ................ 1,000 +1,000 +1,000
Healthy Start................................................. 99,744 99,744 99,744 ................ ................
Universal Newborn Hearing..................................... 11,790 ................ 11,790 ................ +11,790
Emergency medical services for children....................... 19,454 ................ 20,000 +546 +20,000
-----------------------------------------------------------------------------------------
Subtotal, Maternal and Child Health Bureau.............. 844,904 804,437 852,943 +8,039 +48,506
HIV/AIDS Bureau
Ryan White AIDS Programs:
Emergency Assistance...................................... 627,149 619,424 619,424 -7,725 ................
Comprehensive Care Programs............................... 1,195,248 1,209,487 1,209,487 +14,239 ................
AIDS Drug Assistance Program [ADAP] (NA).............. (794,376) (814,546) (800,422) (+6,046) (-14,124)
Early Intervention Program................................ 198,754 198,754 198,754 ................ ................
Children, Youth, Women, and Families...................... 73,690 73,690 73,690 ................ ................
AIDS Dental Services...................................... 12,857 12,857 12,857 ................ ................
Education and Training Centers............................ 34,094 28,700 34,094 ................ +5,394
-----------------------------------------------------------------------------------------
Subtotal, Ryan White AIDS programs...................... 2,141,792 2,142,912 2,148,306 +6,514 +5,394
Evaluation Tap Funding (NA)............................... (25,000) (25,000) (25,000) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Ryan White AIDs program level................. (2,166,792) (2,167,912) (2,173,306) (+6,514) (+5,394)
-----------------------------------------------------------------------------------------
Subtotal, HIV/AIDS Bureau............................... 2,141,792 2,142,912 2,148,306 +6,514 +5,394
Healthcare Systems Bureau
Organ Transplantation......................................... 22,646 23,049 25,049 +2,403 +2,000
National Cord Blood Inventory................................. 8,843 11,966 12,000 +3,157 +34
Bone Marrow Program........................................... 23,517 22,701 23,517 ................ +816
Office of Pharmacy Affairs.................................... ................ ................ 2,940 +2,940 +2,940
Poison control................................................ 26,528 10,000 26,528 ................ +16,528
-----------------------------------------------------------------------------------------
Subtotal, Healthcare systems bureau..................... 81,534 67,716 90,034 +8,500 +22,318
Rural Health Programs
Rural outreach grants......................................... 48,031 ................ 51,434 +3,403 +51,434
Rural Health Research......................................... 8,584 8,737 9,000 +416 +263
Rural Hospital Flexibility Grants............................. 37,865 ................ 39,200 +1,335 +39,200
Delta Health Initiative....................................... 24,563 ................ 25,000 +437 +25,000
Rural and community access to emergency devices............... 1,461 ................ 1,461 ................ +1,461
State Offices of Rural Health................................. 7,999 8,141 7,999 ................ -142
Black lung clinics............................................ 5,788 5,886 7,200 +1,412 +1,314
Radiation Exposure Screening and Education Program............ 1,884 1,904 2,000 +116 +96
-----------------------------------------------------------------------------------------
Subtotal, Rural health programs......................... 136,175 24,668 143,294 +7,119 +118,626
Denali Commission............................................. 38,597 ................ 39,283 +686 +39,283
Family Planning............................................... 299,981 299,981 299,981 ................ ................
Health care-related facilities and activities................. 304,475 ................ 170,597 -133,878 +170,597
Telehealth.................................................... 6,700 6,819 8,000 +1,300 +1,181
Parklawn replacement.......................................... ................ 36,062 5,000 +5,000 -31,062
Program management............................................ 141,087 141,087 141,087 ................ ................
=========================================================================================
Total, Health resources and services.................... 6,856,191 5,864,511 6,943,926 +87,735 +1,079,415
Total, Health resources & services program level........ (6,881,191) (5,889,511) (6,968,926) (+87,735) (+1,079,415)
Total, Evaluation tap funding....................... (25,000) (25,000) (25,000) ................ ................
HEALTH EDUCATION ASSISTANCE LOANS PROGRAM ACCOUNT
HEAL Liquidating account...................................... (1,000) (1,000) (1,000) ................ ................
HEAL Program management....................................... 2,847 2,906 2,847 ................ -59
-----------------------------------------------------------------------------------------
Total, HEAL............................................. 2,847 2,906 2,847 ................ -59
VACCINE INJURY COMPENSATION PROGRAM TRUST FUND
Post-fiscal year 1988 claims.................................. 119,000 257,424 257,424 +138,424 ................
HRSA administration........................................... 5,404 4,528 7,000 +1,596 +2,472
-----------------------------------------------------------------------------------------
Total, Vaccine Injury Compensation Trust Fund........... 124,404 261,952 264,424 +140,020 +2,472
=========================================================================================
Total, Health Resources & Services Administration....... 6,983,442 6,129,369 7,211,197 +227,755 +1,081,828
Total, HRSA program level............................... (7,009,442) (6,155,369) (7,237,197) (+227,755) (+1,081,828)
CENTERS FOR DISEASE CONTROL AND PREVENTION
DISEASE CONTROL, RESEARCH, AND TRAINING
Infectious Diseases........................................... 1,891,742 1,857,183 1,896,742 +5,000 +39,559
Evaluation Tap Funding.................................... (12,794) (12,794) (12,794) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Infectious disease program level.............. (1,904,536) (1,869,977) (1,909,536) (+5,000) (+39,559)
Health Promotion
Chronic disease prevention, health promotion and genomics..... 833,827 805,321 855,661 +21,834 +50,340
Birth defects, developmental disabilities, disability and 127,366 126,752 133,905 +6,539 +7,153
health.......................................................
-----------------------------------------------------------------------------------------
Subtotal, Health promotion program level................ 961,193 932,073 989,566 +28,373 +57,493
Health Information and Service................................ 89,867 132,970 284,355 +194,488 +151,385
Evaluation Tap Funding.................................... (186,910) (151,385) ................ (-186,910) (-151,385)
-----------------------------------------------------------------------------------------
Subtotal, Health Information and Service................ (276,777) (284,355) (284,355) (+7,578) ................
Environmental Health and Injury
Environmental health.......................................... 154,486 136,606 156,665 +2,179 +20,059
Injury prevention and control................................. 134,837 134,266 136,837 +2,000 +2,571
-----------------------------------------------------------------------------------------
Subtotal, Environmental health and injury............... (289,323) (270,872) (293,502) (+4,179) (+22,630)
Occupational Safety and health\4\............................. 230,486 183,573 240,461 +9,975 +56,888
Energy employees occupational illness compensation 55,358 55,358 55,358 ................ ................
program\5\...............................................
World Trade Center (emergency)............................ 56,500 ................ ................ -56,500 ................
Evaluation Tap Funding.................................... (94,969) (87,480) (94,969) ................ (+7,489)
-----------------------------------------------------------------------------------------
Subtotal, Program level................................. (437,313) (326,411) (390,788) (-46,525) (+64,377)
Global health................................................. 302,371 302,025 312,301 +9,930 +10,276
Terrorism preparedness and response........................... 1,479,454 1,419,264 1,508,123 +28,669 +88,859
Public health research........................................ ................ ................ ................ ................ ................
Evaluation Tap Funding.................................... (31,000) (31,000) (31,000) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Public health research program level.......... (31,000) (31,000) (31,000) ................ ................
Public health improvement and leadership...................... 224,899 182,143 203,448 -21,451 +21,305
Preventive health and health services block grant............. 97,270 ................ 97,270 ................ +97,270
Buildings and facilities...................................... 55,022 ................ 150,000 +94,978 +150,000
Business services............................................. 371,847 337,906 337,906 -33,941 ................
-----------------------------------------------------------------------------------------
Total, Centers for Disease Control...................... 6,105,332 5,673,367 6,369,032 +263,700 +695,665
Discretionary....................................... 6,049,974 5,618,009 6,313,674 +263,700 +695,665
Evaluation Tap Funding (NA)......................... (325,673) (282,659) (138,763) (-186,910) (-143,896)
=========================================================================================
Total, Centers for Disease Control program level........ (6,431,005) (5,956,026) (6,507,795) (+76,790) (+551,769)
Discretionary....................................... 6,375,647 5,900,668 6,452,437 +76,790 +551,769
NATIONAL INSTITUTES OF HEALTH
National Cancer Institute..................................... 4,805,088 4,809,819 4,958,594 +153,506 +148,775
National Heart, Lung, and Blood Institute..................... 2,922,112 2,924,942 3,006,344 +84,232 +81,402
National Institute of Dental & Craniofacial Research.......... 390,158 390,535 401,405 +11,247 +10,870
National Institute of Diabetes and Digestive and Kidney 1,706,684 1,708,487 1,755,881 +49,197 +47,394
Diseases [NIDDK].............................................
Juvenile diabetes (mandatory)............................. (150,000) (150,000) (150,000) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, NIDDK......................................... (1,856,684) (1,858,487) (1,905,881) (+49,197) (+47,394)
National Institute of Neurological Disorders & Stroke......... 1,543,901 1,545,397 1,588,405 +44,504 +43,008
National Institute of Allergy and Infectious Diseases......... 4,265,896 4,268,778 4,388,828 +122,932 +120,050
Global HIV/AIDS Fund Transfer............................. 294,759 300,000 300,000 +5,241 ................
-----------------------------------------------------------------------------------------
Subtotal, NIAID......................................... 4,560,655 4,568,778 4,688,828 +128,173 +120,050
National Institute of General Medical Sciences................ 1,935,808 1,937,690 1,991,609 +55,801 +53,919
Eunice Kennedy Shriver National Institute of Child Health & 1,254,708 1,255,920 1,290,873 +36,165 +34,953
Human Development............................................
National Eye Institute........................................ 667,116 667,764 687,346 +20,230 +19,582
National Institute of Environmental Health Sciences........... 642,253 642,875 660,767 +18,514 +17,892
National Institute on Aging................................... 1,047,260 1,048,278 1,077,448 +30,188 +29,170
National Institute of Arthritis and Musculoskeletal and Skin 508,586 509,080 523,246 +14,660 +14,166
Diseases.....................................................
National Institute on Deafness and Other Communication 394,138 395,047 406,000 +11,862 +10,953
Disorders....................................................
National Institute of Nursing Research........................ 137,476 137,609 141,439 +3,963 +3,830
National Institute on Alcohol Abuse and Alcoholism............ 436,259 436,681 448,834 +12,575 +12,153
National Institute on Drug Abuse.............................. 1,000,700 1,001,672 1,029,539 +28,839 +27,867
National Institute of Mental Health........................... 1,405,476 1,406,841 1,445,987 +40,511 +39,146
National Human Genome Research Institute...................... 486,779 487,878 501,411 +14,632 +13,533
National Institute of Biomedical Imaging and Bioengineering... 298,645 300,254 307,254 +8,609 +7,000
National Center for Research Resources........................ 1,149,446 1,160,473 1,192,576 +43,130 +32,103
National Center for Complementary and Alternative Medicine.... 121,577 121,695 125,082 +3,505 +3,387
National Center on Minority Health and Health Disparities..... 199,569 199,762 205,322 +5,753 +5,560
John E. Fogarty International Center.......................... 66,558 66,623 68,476 +1,918 +1,853
National Library of Medicine.................................. 320,507 323,046 329,996 +9,489 +6,950
Evaluation Tap Funding.................................... (8,200) (8,200) (8,200) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, NLM........................................... 328,707 331,246 338,196 +9,489 +6,950
Office of the Director........................................ 1,109,099 1,056,797 1,275,281 +166,182 +218,484
Common fund............................................... (495,608) (533,877) (568,119) (+72,511) (+34,242)
Buildings and Facilities...................................... 118,966 125,581 146,581 +27,615 +21,000
=========================================================================================
Total, National Institutes of Health [NIH].............. 29,229,524 29,229,524 30,254,524 +1,025,000 +1,025,000
Global HIV/AIDS Fund Transfer....................... -294,759 -300,000 -300,000 -5,241 ................
Evaluation Tap Funding.............................. (8,200) (8,200) (8,200) ................ ................
Total, NIH, Program Level............................... (28,942,965) (28,937,724) (29,962,724) (+1,019,759) (+1,025,000)
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION
[SAMHSA]
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES
Mental Health:
Programs of Regional and National Significance............ 299,279 155,319 311,782 +12,503 +156,463
Mental Health block grant................................. 399,735 399,735 399,735 ................ ................
Evaluation Tap Funding................................ (21,039) (21,039) (21,039) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Program level............................. (420,774) (420,774) (420,774) ................ ................
Children's Mental Health.................................. 102,260 114,486 102,260 ................ -12,226
Grants to States for the Homeless [PATH].................. 53,313 59,687 59,687 +6,374 ................
Protection and Advocacy................................... 34,880 34,000 35,880 +1,000 +1,880
-----------------------------------------------------------------------------------------
Subtotal, Mental Health................................. 889,467 763,227 909,344 +19,877 +146,117
-----------------------------------------------------------------------------------------
Subtotal, Program level................................. (910,506) (784,266) (930,383) (+19,877) (+146,117)
Substance Abuse Treatment:
Programs of Regional and National Significance............ 395,544 325,656 378,988 -16,556 +53,332
Evaluation Tap Funding................................ (4,300) (11,192) (6,000) (+1,700) (-5,192)
-----------------------------------------------------------------------------------------
Subtotal, Program level............................. (399,844) (336,848) (384,988) (-14,856) (+48,140)
Substance Abuse block grant............................... 1,679,528 1,699,391 1,699,391 +19,863 ................
Evaluation Tap Funding................................ (79,200) (79,200) (79,200) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Program level............................. (1,758,728) (1,778,591) (1,778,591) (+19,863) ................
-----------------------------------------------------------------------------------------
Subtotal, Substance Abuse Treatment................. 2,075,072 2,025,047 2,078,379 +3,307 +53,332
-----------------------------------------------------------------------------------------
Subtotal, Program level............................. (2,158,572) (2,115,439) (2,163,579) (+5,007) (+48,140)
Substance Abuse Prevention: Programs of Regional and National 194,120 158,040 191,271 -2,849 +33,231
Significance.................................................
Program Management............................................ 75,381 75,381 77,381 +2,000 +2,000
Evaluation Tap funding (NA)............................... (17,750) (21,750) (22,750) (+5,000) (+1,000)
-----------------------------------------------------------------------------------------
Subtotal, Program level................................. 93,131 97,131 100,131 +7,000 +3,000
St. Elizabeth's Hospital--Environmental remediation........... ................ 772 772 +772 ................
Data evaluation............................................... ................ 2,500 2,500 +2,500 ................
=========================================================================================
Total, SAMHSA........................................... 3,234,040 3,024,967 3,259,647 +25,607 +234,680
Evaluation Tap funding.............................. (122,289) (133,181) (128,989) (+6,700) (-4,192)
Total, SAMHSA program level............................. (3,356,329) (3,158,148) (3,388,636) (+32,307) (+230,488)
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
HEALTHCARE RESEARCH AND QUALITY
Research on Health Costs, Quality, and Outcomes:
Federal Funds............................................. ................ ................ 90,598 +90,598 +90,598
Evaluation Tap funding (NA)............................... (276,564) (267,664) (185,966) (-90,598) (-81,698)
Clinical effectiveness research (NA).................. (30,000) (30,000) (30,000) ................ ................
Patient safety research (NA).......................... (78,934) (76,875) (76,875) (-2,059) ................
-----------------------------------------------------------------------------------------
Subtotal, Program level............................. (276,564) (267,664) (276,564) ................ (+8,900)
Medical Expenditures Panel Surveys:
Federal Funds............................................. ................ ................ ................ ................ ................
Evaluation Tap funding (NA)............................... (55,300) (55,300) (55,300) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Medical Expenditures Panel Surveys............ (55,300) (55,300) (55,300) ................ ................
Program Support:
Federal Funds............................................. ................ ................ ................ ................ ................
Evaluation Tap funding (NA)............................... (2,700) (2,700) (2,700) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Program support............................... (2,700) (2,700) (2,700) ................ ................
=========================================================================================
Total, AHRQ............................................. ................ ................ 90,598 +90,598 +90,598
Evaluation Tap funding (NA)......................... (334,564) (325,664) (243,966) (-90,598) (-81,698)
-----------------------------------------------------------------------------------------
Total, AHRQ program level............................... (334,564) (325,664) (334,564) ................ (+8,900)
=========================================================================================
Total, Public Health Service appropriation.............. 45,552,338 44,057,227 47,184,998 +1,632,660 +3,127,771
Total, Public Health Service program level.............. (46,074,305) (44,532,931) (47,430,916) (+1,356,611) (+2,897,985)
CENTERS FOR MEDICARE AND MEDICAID SERVICES
GRANTS TO STATES FOR MEDICAID
Medicaid current law benefits................................. 194,058,667 203,558,372 203,558,372 +9,499,705 ................
State and local administration................................ 10,124,800 10,303,098 10,303,098 +178,298 ................
Vaccines for Children......................................... 2,702,206 2,766,230 2,766,230 +64,024 ................
-----------------------------------------------------------------------------------------
Subtotal, Medicaid program level........................ 206,885,673 216,627,700 216,627,700 +9,742,027 ................
Less funds advanced in prior year................... -65,257,617 -67,292,669 -67,292,669 -2,035,052 ................
-----------------------------------------------------------------------------------------
Total, Grants to States for medicaid.................... 141,628,056 149,335,031 149,335,031 +7,706,975 ................
New advance, 1st quarter............................ 67,292,669 71,700,038 71,700,038 +4,407,369 ................
State Children's Health Insurance program shortfall payment ................ ................ ................ ................ ................
[SCHIP] (emergency)..........................................
PAYMENTS TO HEALTH CARE TRUST FUNDS
Supplemental medical insurance................................ 140,704,000 147,716,000 147,716,000 +7,012,000 ................
Hospital insurance for the uninsured.......................... 269,000 351,000 351,000 +82,000 ................
Federal uninsured payment..................................... 237,000 263,000 263,000 +26,000 ................
Program management............................................ 192,000 206,000 206,000 +14,000 ................
General revenue for Part D benefit............................ 46,299,000 44,999,000 44,999,000 -1,300,000 ................
General revenue for Part D administration..................... 744,000 547,000 547,000 -197,000 ................
HCFAC reimbursement........................................... ................ 198,000 198,000 +198,000 ................
Quinquennial adjustment....................................... ................ 1,028,000 1,028,000 +1,028,000 ................
-----------------------------------------------------------------------------------------
Subtotal, Payments to Trust Funds, current law.......... 188,445,000 195,308,000 195,308,000 +6,863,000 ................
Less funds advanced in prior year................... ................ ................ ................ ................ ................
-----------------------------------------------------------------------------------------
Total, Payments to Trust Funds, current law............. 188,445,000 195,308,000 195,308,000 +6,863,000 ................
PROGRAM MANAGEMENT
Research, Demonstration, Evaluation........................... 31,300 31,300 33,530 +2,230 +2,230
Medicare Operations........................................... 2,158,906 2,339,729 2,300,729 +141,823 -39,000
Revitalization plan........................................... ................ ................ ................ ................ ................
State Survey and Certification................................ 281,186 293,128 293,128 +11,942 ................
High risk insurance pools..................................... 49,127 ................ ................ -49,127 ................
Federal Administration........................................ 631,132 643,187 643,187 +12,055 ................
=========================================================================================
Total, Program management, Limitation on new BA......... 3,151,651 3,307,344 3,270,574 +118,923 -36,770
Survey and Certification user fee................... ................ (-35,000) ................ ................ (+35,000)
-----------------------------------------------------------------------------------------
Total, Program management, program level................ (3,151,651) (3,272,344) (3,270,574) (+118,923) (-1,770)
HEALTH CARE FRAUD AND ABUSE CONTROL
Part D drug benefit/medicare advantage [MIP].................. ................ 147,038 147,038 +147,038 ................
HHS Office of Inspector General............................... ................ 18,967 18,967 +18,967 ................
Department of Justice......................................... ................ 18,967 18,967 +18,967 ................
Medicaid/SCHIP................................................ ................ 13,028 13,028 +13,028 ................
-----------------------------------------------------------------------------------------
Total, Health Care Fraud and Abuse Control.............. ................ 198,000 198,000 +198,000 ................
=========================================================================================
Total, Center for Medicare and Medicaid Services........ 400,517,376 419,848,413 419,811,643 +19,294,267 -36,770
Federal funds....................................... 397,365,725 416,343,069 416,343,069 +18,977,344 ................
Current year.................................... (330,073,056) (344,643,031) (344,643,031) (+14,569,975) ................
New advance, fiscal year 2010................... (67,292,669) (71,700,038) (71,700,038) (+4,407,369) ................
Trust Funds......................................... 3,151,651 3,505,344 3,468,574 +316,923 -36,770
ADMINISTRATION FOR CHILDREN AND FAMILIES
PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY
SUPPORT PROGRAMS
Payments to territories....................................... 35,000 35,000 35,000 ................ ................
Repatriation.................................................. 1,000 1,000 1,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Welfare payments.............................. 36,000 36,000 36,000 ................ ................
Child Support Enforcement:
State and local administration............................ 3,468,970 3,215,078 3,215,078 -253,892 ................
Federal incentive payments................................ 483,000 498,000 498,000 +15,000 ................
Access and visitation..................................... 10,000 10,000 10,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Child Support Enforcement..................... 3,961,970 3,723,078 3,723,078 -238,892 ................
=========================================================================================
Total, Family support payments program level............ 3,997,970 3,759,078 3,759,078 -238,892 ................
Less funds advanced in previous years............... -1,000,000 -1,000,000 -1,000,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Family support payments, current year............ 2,997,970 2,759,078 2,759,078 -238,892 ................
New advance, 1st quarter, fiscal year 2010.......... 1,000,000 1,000,000 1,000,000 ................ ................
LOW-INCOME HOME ENERGY ASSISTANCE [LIHEAP]
Formula grants................................................ 1,980,000 1,700,000 1,980,000 ................ +280,000
Contingency fund.............................................. 340,328 300,000 590,328 +250,000 +290,328
Emergency allocation.......................................... 250,000 ................ ................ -250,000 ................
-----------------------------------------------------------------------------------------
Total, LIHEAP........................................... 2,570,328 2,000,000 2,570,328 ................ +570,328
REFUGEE AND ENTRANT ASSISTANCE
Transitional and Medical Services............................. 296,057 287,000 287,000 -9,057 ................
Victims of Trafficking........................................ 9,814 9,814 9,814 ................ ................
Social Services............................................... 154,005 154,005 154,005 ................ ................
Preventive Health............................................. 4,748 4,748 4,748 ................ ................
Targeted Assistance........................................... 48,590 48,590 48,590 ................ ................
Unaccompanied minors.......................................... 132,600 114,070 120,070 -12,530 +6,000
Victims of Torture............................................ 9,817 9,817 10,817 +1,000 +1,000
-----------------------------------------------------------------------------------------
Total, Refugee and entrant assistance................... 655,631 628,044 635,044 -20,587 +7,000
PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT BLOCK
GRANT
Child Care and Development Block Grant........................ 2,062,081 2,062,081 2,137,081 +75,000 +75,000
-----------------------------------------------------------------------------------------
Total, Child Care and Development Block Grant........... 2,062,081 2,062,081 2,137,081 +75,000 +75,000
SOCIAL SERVICES BLOCK GRANT (TITLE XX)........................ 1,700,000 1,700,000 1,700,000 ................ ................
CHILDREN AND FAMILIES SERVICES PROGRAMS
Programs for Children, Youth and Families:
Head Start, current funded................................ 5,489,176 5,637,771 5,715,771 +226,595 +78,000
Advance from prior year............................... (1,388,800) (1,388,800) (1,388,800) ................ ................
Fiscal year 2010...................................... 1,388,800 1,388,800 1,388,800 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Head Start, program level................. 6,877,976 7,026,571 7,104,571 +226,595 +78,000
Consolidated Runaway, Homeless Youth Program.............. 96,128 96,128 96,128 ................ ................
Prevention grants to reduce abuse of runaway youth........ 17,221 17,221 17,221 ................ ................
Child Abuse State Grants.................................. 26,535 26,535 26,535 ................ ................
Child Abuse Discretionary Activities...................... 27,135 27,135 27,575 +440 +440
Home Visitation Initiative................................ 10,000 10,000 12,000 +2,000 +2,000
Community based child abuse prevention.................... 41,689 41,689 41,689 ................ ................
Abandoned Infants Assistance.............................. 11,628 11,628 11,628 ................ ................
Child Welfare Services.................................... 281,744 281,744 281,744 ................ ................
Child Welfare Training.................................... 7,207 7,207 7,207 ................ ................
Adoption Opportunities.................................... 26,379 26,379 26,379 ................ ................
Adoption Incentive........................................ 4,323 19,674 15,000 +10,677 -4,674
Adoption Awareness........................................ 12,453 12,453 12,453 ................ ................
Compassion Capital Fund................................... 52,688 75,000 42,688 -10,000 -32,312
Social Services and Income Maintenance Research............... 15,194 ................ 6,575 -8,619 +6,575
Evaluation tap funding.................................... (6,000) (5,762) (5,762) (-238) ................
-----------------------------------------------------------------------------------------
Subtotal, Program level................................. (21,194) (5,762) (12,337) (-8,857) (+6,575)
Developmental Disabilities Programs:
State Councils............................................ 72,482 72,482 74,482 +2,000 +2,000
Protection and Advocacy................................... 39,024 39,024 40,024 +1,000 +1,000
Voting access for individuals with disabilities........... 17,410 17,410 17,410 ................ ................
Developmental Disabilities Projects of National 14,162 14,162 14,162 ................ ................
Significance.............................................
University Centers for Excellence in Developmental 36,943 36,943 38,943 +2,000 +2,000
Disabilities.............................................
-----------------------------------------------------------------------------------------
Subtotal, Developmental disabilities programs........... 180,021 180,021 185,021 +5,000 +5,000
Native American Programs...................................... 45,523 45,523 45,523 ................ ................
Community Services:
Community Services Block Grant Act programs:
Grants to States for Community Services............... 653,800 ................ 653,800 ................ +653,800
Economic Development.................................. 31,467 ................ 31,467 ................ +31,467
Rural Community Facilities............................ 7,860 ................ 8,500 +640 +8,500
-----------------------------------------------------------------------------------------
Subtotal, Community Services Block Grant............ 693,127 ................ 693,767 +640 +693,767
Job Opportunities for Low-Income Individuals.......... 5,288 ................ 5,288 ................ +5,288
Individual Development Account Initiative............. 24,025 24,025 24,025 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Community Services........................ 722,440 24,025 723,080 +640 +699,055
Domestic Violence Hotline..................................... 2,918 2,918 3,500 +582 +582
Family Violence/Battered Women's Shelters..................... 122,552 122,552 125,000 +2,448 +2,448
Mentoring Children of Prisoners............................... 48,628 50,000 48,628 ................ -1,372
Independent Living Training Vouchers.......................... 45,351 45,351 45,351 ................ ................
Abstinence Education.......................................... 108,900 136,664 80,417 -28,483 -56,247
Evaluation Tap Funding.................................... (4,500) (4,410) (4,410) (-90) ................
-----------------------------------------------------------------------------------------
Subtotal, Program level................................. (113,400) (141,074) (84,827) (-28,573) (-56,247)
Faith-Based Center............................................ 1,362 1,362 1,362 ................ ................
Disaster human services case management....................... ................ 10,000 ................ ................ -10,000
Program Direction............................................. 184,496 195,430 196,930 +12,434 +1,500
=========================================================================================
Total, Children and Families Services Programs.......... 8,970,491 8,493,210 9,184,205 +213,714 +690,995
Current Year........................................ (7,581,691) (7,104,410) (7,795,405) (+213,714) (+690,995)
Fiscal year 2010.................................... (1,388,800) (1,388,800) (1,388,800) ................ ................
Evaluation Tap funding.............................. (10,500) (10,172) (10,172) (-328) ................
Total, Program level.................................... 8,980,991 8,503,382 9,194,377 +213,386 +690,995
PROMOTING SAFE AND STABLE FAMILIES............................ 345,000 345,000 345,000 ................ ................
Discretionary Funds....................................... 63,311 63,311 73,311 +10,000 +10,000
PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION ASSISTANCE
Foster Care................................................... 4,581,000 4,449,000 4,449,000 -132,000 ................
Adoption Assistance........................................... 2,156,000 2,283,000 2,283,000 +127,000 ................
Independent living............................................ 140,000 140,000 140,000 ................ ................
-----------------------------------------------------------------------------------------
Total, Payments to States............................... 6,877,000 6,872,000 6,872,000 -5,000 ................
Less Advances from Prior Year....................... -1,810,000 -1,776,000 -1,776,000 +34,000 ................
-----------------------------------------------------------------------------------------
Total, payments, current year................... 5,067,000 5,096,000 5,096,000 +29,000 ................
New Advance, 1st quarter.................... 1,776,000 1,800,000 1,800,000 +24,000 ................
=========================================================================================
Total, Administration for Children & Families........... 27,207,812 25,946,724 27,300,047 +92,235 +1,353,323
Current year........................................ (23,043,012) (21,757,924) (23,111,247) (+68,235) (+1,353,323)
Fiscal year 2010.................................... (4,164,800) (4,188,800) (4,188,800) (+24,000) ................
Evaluation Tap funding.............................. (10,500) (10,172) (10,172) (-328) ................
Total, Administration for Children & Families........... 27,218,312 25,956,896 27,310,219 +91,907 +1,353,323
ADMINISTRATION ON AGING
AGING SERVICES PROGRAMS
Grants to States:
Supportive Services and Centers........................... 351,348 351,348 361,348 +10,000 +10,000
Preventive Health......................................... 21,026 ................ 21,026 ................ +21,026
Protection of Vulnerable Older Americans--Title VII....... 20,633 20,633 22,133 +1,500 +1,500
Family Caregivers......................................... 153,439 153,439 155,000 +1,561 +1,561
Native American Caregivers Support........................ 6,316 6,316 6,316 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Caregivers.................................. 159,755 159,755 161,316 +1,561 +1,561
Nutrition:
Congregate Meals...................................... 410,716 410,716 434,269 +23,553 +23,553
Home Delivered Meals.................................. 193,858 193,858 205,005 +11,147 +11,147
Nutrition Services Incentive Program.................. 153,429 153,429 162,207 +8,778 +8,778
-----------------------------------------------------------------------------------------
Subtotal, Nutrition................................. 758,003 758,003 801,481 +43,478 +43,478
-----------------------------------------------------------------------------------------
Subtotal, Grants to States.......................... 1,310,765 1,289,739 1,367,304 +56,539 +77,565
Grants for Native Americans................................... 26,898 26,898 26,898 ................ ................
Program Innovations........................................... 14,655 32,918 10,102 -4,553 -22,816
Aging Network Support Activities.............................. 31,589 13,133 43,692 +12,103 +30,559
Alzheimer's Disease Demonstrations............................ 11,464 ................ 11,464 ................ +11,464
Program Administration........................................ 18,064 18,696 18,696 +632 ................
-----------------------------------------------------------------------------------------
Total, Administration on Aging.......................... 1,413,435 1,381,384 1,478,156 +64,721 +96,772
OFFICE OF THE SECRETARY
GENERAL DEPARTMENTAL MANAGEMENT
General Departmental Management:
Federal Funds............................................. 173,952 182,743 179,992 +6,040 -2,751
Trust Funds............................................... 5,691 5,851 5,851 +160 ................
-----------------------------------------------------------------------------------------
Subtotal................................................ 179,643 188,594 185,843 +6,200 -2,751
Adolescent Family Life (Title XX)............................. 29,778 30,307 29,778 ................ -529
Minority health............................................... 48,738 42,686 49,988 +1,250 +7,302
Office of Women's Health...................................... 31,033 28,458 31,033 ................ +2,575
Minority HIV/AIDS............................................. 50,984 51,891 50,984 ................ -907
Afghanistan................................................... 5,789 5,789 5,789 ................ ................
Transformation of the Commissioned Corps...................... 4,119 30,159 10,000 +5,881 -20,159
Embryo adoption awareness campaign............................ 3,930 1,980 4,200 +270 +2,220
Evaluation tap funding [ASPE] (NA)............................ (46,756) (46,756) (46,756) ................ ................
-----------------------------------------------------------------------------------------
Total, General Departmental Management.................. 354,014 379,864 367,615 +13,601 -12,249
Federal Funds....................................... (348,323) (374,013) (361,764) (+13,441) (-12,249)
Trust Funds......................................... 5,691 5,851 5,851 +160 ................
Evaluation tap funding.............................. (46,756) (46,756) (46,756) ................ ................
OFFICE OF MEDICARE HEARINGS AND APPEALS....................... 63,864 65,344 63,864 ................ -1,480
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION 41,661 18,151 60,561 +18,900 +42,410
TECHNOLOGY...................................................
Evaluation tap funding.................................... (18,900) (48,000) ................ (-18,900) (-48,000)
-----------------------------------------------------------------------------------------
Total, Health Information Tech. program level........... (60,561) (66,151) (60,561) ................ (-5,590)
OFFICE OF INSPECTOR GENERAL
Inspector General Federal Funds............................... 43,231 46,058 46,058 +2,827 ................
HIPAA funding (NA)........................................ (169,736) (193,965) (193,965) (+24,229) ................
Medicaid integrity program: Deficit Reduction Act (Public Law (25,000) (25,000) (25,000) ................ ................
109-171) (NA)................................................
-----------------------------------------------------------------------------------------
Total, Inspector General program level.................. (237,967) (265,023) (265,023) (+27,056) ................
OFFICE FOR CIVIL RIGHTS:
Federal Funds............................................. 31,075 36,785 36,785 +5,710 ................
Trust Funds............................................... 3,224 3,314 3,314 +90 ................
-----------------------------------------------------------------------------------------
Total, Office for Civil Rights.......................... 34,299 40,099 40,099 +5,800 ................
RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS
Retirement payments........................................... 311,904 339,352 339,352 +27,448 ................
Survivors benefits............................................ 18,725 19,474 19,474 +749 ................
Dependents' medical care...................................... 66,549 75,868 75,868 +9,319 ................
-----------------------------------------------------------------------------------------
Total, Medical benefits for Commissioned Officers....... 397,178 434,694 434,694 +37,516 ................
PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND
Assistant Secretary for Preparedness and Response
Operations/preparedness and emergency operations.............. 27,536 49,207 27,536 ................ -21,671
National disaster medical system.............................. 45,999 53,000 45,999 ................ -7,001
Hospital Preparedness Grants.................................. 423,399 361,660 361,660 -61,739 ................
Advanced research and development............................. 101,544 275,000 175,000 +73,456 -100,000
Bioshield management.......................................... 21,243 22,360 21,743 +500 -617
International early warning surveillance...................... 8,690 9,030 8,690 ................ -340
Policy, strategic planning, and communications................ 4,292 5,330 4,292 ................ -1,038
-----------------------------------------------------------------------------------------
Subtotal, AS for Preparedness and Response.............. 632,703 775,587 644,920 +12,217 -130,667
Assistant Secretary for Resources and Technology.............. 8,906 11,980 8,906 ................ -3,074
Office of Public Health and Science........................... 9,578 15,110 9,578 ................ -5,532
Office of the Secretary
Pandemic influenza preparedness............................... 74,809 585,091 585,091 +510,282 ................
All other Office of the Secretary activities.................. 3,263 8,063 3,263 ................ -4,800
-----------------------------------------------------------------------------------------
Subtotal, Office of the Secretary....................... 78,072 593,154 588,354 +510,282 -4,800
=========================================================================================
Total, PHSSEF........................................... 729,259 1,395,831 1,251,758 +522,499 -144,073
=========================================================================================
Total, Office of the Secretary.......................... 1,663,506 2,380,041 2,264,649 +601,143 -115,392
Federal Funds....................................... 1,590,727 2,305,532 2,191,620 +600,893 -113,912
Trust Funds......................................... 72,779 74,509 73,029 +250 -1,480
=========================================================================================
Total, Title II, Dept of Health & Human Services........ 476,354,467 493,613,789 498,039,493 +21,685,026 +4,425,704
Federal Funds....................................... 473,130,037 490,033,936 494,497,890 +21,367,853 +4,463,954
Current year.................................... (401,672,568) (414,145,098) (418,609,052) (+16,936,484) (+4,463,954)
Emergency appropriations.................... (306,500) ................ ................ (-306,500) ................
Fiscal year 2010................................ (71,457,469) (75,888,838) (75,888,838) (+4,431,369) ................
Trust Funds......................................... 3,224,430 3,579,853 3,541,603 +317,173 -38,250
TITLE III--DEPARTMENT OF EDUCATION
EDUCATION FOR THE DISADVANTAGED
Grants to Local Educational Agencies (LEAs):
Basic Grants:
Advance from prior year............................... (1,353,584) (633,827) (633,827) (-719,757) ................
Forward funded........................................ 5,960,189 5,960,119 5,632,145 -328,044 -327,974
Current funded........................................ 3,930 4,000 4,000 +70 ................
-----------------------------------------------------------------------------------------
Subtotal, Basic grants current year appropriations.. 5,964,119 5,964,119 5,636,145 -327,974 -327,974
Subtotal, Basic grants total funds available.... (7,317,703) (6,597,946) (6,269,972) (-1,047,731) (-327,974)
Basic Grants fiscal year 2010 Advance..................... 633,827 633,827 961,801 +327,974 +327,974
-----------------------------------------------------------------------------------------
Subtotal, Basic grants, program level................... 6,597,946 6,597,946 6,597,946 ................ ................
Concentration Grants:
Advance from prior year............................... (1,365,031) (1,365,031) (1,365,031) ................ ................
Fiscal year 2010 Advance.............................. 1,365,031 1,365,031 1,365,031 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Concentration Grants program level........ 1,365,031 1,365,031 1,365,031 ................ ................
Targeted Grants:
Forward funded........................................ ................ 406,026 ................ ................ -406,026
Advance from prior year............................... (2,332,343) (2,967,949) (2,967,949) (+635,606) ................
Fiscal year 2010 Advance.............................. 2,967,949 2,967,949 3,283,462 +315,513 +315,513
-----------------------------------------------------------------------------------------
Subtotal, Targeted Grants program level............. 2,967,949 3,373,975 3,283,462 +315,513 -90,513
Education Finance Incentive Grants:
Advance from prior year............................... (2,332,343) (2,967,949) (2,967,949) (+635,606) ................
Fiscal year 2010 Advance.............................. 2,967,949 2,967,949 3,283,462 +315,513 +315,513
-----------------------------------------------------------------------------------------
Subtotal, Education Finance Incentive Grants........ 2,967,949 2,967,949 3,283,462 +315,513 +315,513
=========================================================================================
Subtotal, Grants to LEAs, program level............. 13,898,875 14,304,901 14,529,901 +631,026 +225,000
Even Start.................................................... 66,454 ................ 66,454 ................ +66,454
School improvement grants..................................... 491,265 491,265 491,265 ................ ................
Reading First State Grants.................................... 393,012 1,000,000 ................ -393,012 -1,000,000
Early Reading First........................................... 112,549 112,549 112,549 ................ ................
Striving readers\6\........................................... 35,371 100,000 35,371 ................ -64,629
Math Now...................................................... ................ 95,000 ................ ................ -95,000
Literacy through School Libraries............................. 19,145 19,145 19,145 ................ ................
Pell grants for Kids.......................................... ................ 300,000 ................ ................ -300,000
State Agency Programs:
Migrant................................................... 379,771 399,771 389,771 +10,000 -10,000
Neglected and Delinquent/High Risk Youth.................. 48,927 51,927 48,927 ................ -3,000
-----------------------------------------------------------------------------------------
Subtotal, State Agency programs......................... 428,698 451,698 438,698 +10,000 -13,000
Evaluation.................................................... 9,167 9,167 9,167 ................ ................
Comprehensive School Reform Demonstration..................... 1,605 ................ ................ -1,605 ................
Migrant Education:
High School Equivalency Program........................... 18,226 18,226 18,226 ................ ................
College Assistance Migrant Program........................ 15,108 15,108 15,108 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Migrant Education............................. 33,334 33,334 33,334 ................ ................
=========================================================================================
Total, Education for the disadvantaged.................. 15,489,475 16,917,059 15,735,884 +246,409 -1,181,175
Current Year........................................ (7,554,719) (8,982,303) (6,842,128) (-712,591) (-2,140,175)
Fiscal year 2010.................................... (7,934,756) (7,934,756) (8,893,756) (+959,000) (+959,000)
Subtotal, forward funded........................ (7,376,594) (8,409,108) (6,663,933) (-712,661) (-1,745,175)
IMPACT AID
Basic Support Payments........................................ 1,105,535 1,105,535 1,105,535 ................ ................
Payments for Children with Disabilities....................... 48,602 48,602 48,602 ................ ................
Facilities Maintenance (sec. 8008)............................ 4,864 4,864 4,864 ................ ................
Construction (sec. 8007)...................................... 17,509 17,509 17,509 ................ ................
Payments for Federal Property (sec. 8002)..................... 64,208 64,208 64,208 ................ ................
-----------------------------------------------------------------------------------------
Total, Impact aid....................................... 1,240,718 1,240,718 1,240,718 ................ ................
SCHOOL IMPROVEMENT PROGRAMS
State Grants for Improving Teacher Quality.................... 1,500,249 1,400,248 1,500,249 ................ +100,001
Advance from prior year................................... (1,435,000) (1,435,000) (1,435,000) ................ ................
Fiscal year 2010.......................................... 1,435,000 1,435,000 1,435,000 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, State Grants for Improving Teacher Quality, 2,935,249 2,835,248 2,935,249 ................ +100,001
program level..........................................
Mathematics and Science Partnerships.......................... 178,978 178,978 178,978 ................ ................
Educational Technology State Grants........................... 267,494 ................ 267,494 ................ +267,494
Supplemental Education Grants................................. 17,687 17,687 17,687 ................ ................
21st Century Community Learning Centers....................... 1,081,166 800,000 1,081,166 ................ +281,166
State Assessments/Enhanced Assessment Instruments............. 408,732 408,732 410,732 +2,000 +2,000
Javits gifted and talented education.......................... 7,463 ................ 7,463 ................ +7,463
Foreign language assistance................................... 25,655 25,655 27,000 +1,345 +1,345
Education for Homeless Children and Youth..................... 64,067 64,067 64,067 ................ ................
Training and Advisory Services (Civil Rights)................. 6,989 6,989 6,989 ................ ................
Education for Native Hawaiians................................ 33,315 ................ 33,315 ................ +33,315
Alaska Native Education Equity................................ 33,315 ................ 33,315 ................ +33,315
Rural Education............................................... 171,854 171,854 171,854 ................ ................
Comprehensive Centers......................................... 57,113 57,113 57,113 ................ ................
=========================================================================================
Total, School improvement programs...................... 5,289,077 4,566,323 5,292,422 +3,345 +726,099
Current Year........................................ (3,854,077) (3,131,323) (3,857,422) (+3,345) (+726,099)
Fiscal year 2010.................................... (1,435,000) (1,435,000) (1,435,000) ................ ................
Subtotal, forward funded................................ (3,672,540) (3,023,879) (3,674,540) (+2,000) (+650,661)
INDIAN EDUCATION
Grants to Local Educational Agencies.......................... 96,613 96,613 96,613 ................ ................
Federal Programs:
Special Programs for Indian Children...................... 19,060 19,060 19,060 ................ ................
National Activities....................................... 3,891 3,891 3,891 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Federal Programs.............................. 22,951 22,951 22,951 ................ ................
=========================================================================================
Total, Indian Education................................. 119,564 119,564 119,564 ................ ................
INNOVATION AND IMPROVEMENT
Troops-to-Teachers............................................ 14,389 14,389 14,389 ................ ................
Transition to Teaching........................................ 43,707 43,707 43,707 ................ ................
Writing instruction........................................... 23,581 ................ 23,581 ................ +23,581
Teaching of Traditional American History...................... 117,904 50,000 120,000 +2,096 +70,000
School Leadership............................................. 14,474 ................ 19,220 +4,746 +19,220
Advanced Credentialing........................................ 9,649 ................ 10,649 +1,000 +10,649
Adjunct Teacher Corps......................................... ................ 10,000 ................ ................ -10,000
Charter Schools Grants........................................ 211,031 236,031 216,031 +5,000 -20,000
Credit Enhancement for Charter School Facilities.............. ................ 36,611 ................ ................ -36,611
Voluntary Public School Choice................................ 25,819 25,819 25,819 ................ ................
Magnet Schools Assistance..................................... 104,829 104,829 104,829 ................ ................
Fund for the Improvement of Education [FIE]................... 253,551 52,300 196,337 -57,214 +144,037
Teacher Incentive Fund Current funded......................... 97,270 200,000 97,270 ................ -102,730
Ready-to-Learn television..................................... 23,831 23,831 27,000 +3,169 +3,169
Congressional Fellowships..................................... 1,942 ................ 1,942 ................ +1,942
Advanced Placement & International Baccalaureate program...... ................ 70,000 43,540 +43,540 -26,460
Advanced Placement............................................ 43,540 ................ ................ -43,540 ................
=========================================================================================
Total, Innovation and Improvement....................... 985,517 867,517 944,314 -41,203 +76,797
SAFE SCHOOLS AND CITIZENSHIP EDUCATION
Safe and Drug Free Schools and Communities:
State Grants, forward funded.............................. 294,759 100,000 294,759 ................ +194,759
National Programs............................................. 137,664 181,963 128,164 -9,500 -53,799
Alcohol Abuse Reduction....................................... 32,423 ................ 33,000 +577 +33,000
Mentoring Programs............................................ 48,544 ................ 48,544 ................ +48,544
Character education........................................... 23,824 ................ ................ -23,824 ................
Elementary and Secondary School Counseling.................... 48,617 ................ 52,000 +3,383 +52,000
Carol M. White Physical Education Program..................... 75,655 ................ 78,000 +2,345 +78,000
Civic Education............................................... 31,917 ................ 31,917 ................ +31,917
=========================================================================================
Total, Safe Schools and Citizenship Education........... 693,403 281,963 666,384 -27,019 +384,421
Current Year........................................ (693,403) (281,963) (666,384) (-27,019) (+384,421)
Subtotal, Forward funded................................ (294,759) (100,000) (294,759) ................ (+194,759)
ENGLISH LANGUAGE ACQUISITION
Current funded................................................ 45,003 ................ ................ -45,003 ................
Forward funded................................................ 655,392 730,000 730,000 +74,608 ................
=========================================================================================
Total, English Language Acquisition..................... 700,395 730,000 730,000 +29,605 ................
SPECIAL EDUCATION
State Grants:
Grants to States Part B current year...................... 4,091,067 3,637,067 3,777,067 -314,000 +140,000
Part B advance from prior year........................ (5,424,200) (6,856,444) (6,856,444) (+1,432,244) ................
Grants to States Part B (fiscal year 2010)................ 6,856,444 7,647,444 7,647,444 +791,000 ................
-----------------------------------------------------------------------------------------
Subtotal, Grants to States, program level............... 10,947,511 11,284,511 11,424,511 +477,000 +140,000
Preschool Grants.......................................... 374,099 374,099 374,099 ................ ................
Grants for Infants and Families........................... 435,654 435,654 443,200 +7,546 +7,546
-----------------------------------------------------------------------------------------
Subtotal, State grants, program level................... 11,757,264 12,094,264 12,241,810 +484,546 +147,546
IDEA National Activities (current funded):
State personnel development............................... 22,598 48,000 48,000 +25,402 ................
Technical Assistance and Dissemination.................... 48,049 48,049 49,049 +1,000 +1,000
Personnel Preparation..................................... 88,153 88,153 93,153 +5,000 +5,000
Parent Information Centers................................ 26,528 26,528 27,528 +1,000 +1,000
Technology and Media Services............................. 39,301 30,949 40,301 +1,000 +9,352
-----------------------------------------------------------------------------------------
Subtotal, IDEA special programs......................... 224,629 241,679 258,031 +33,402 +16,352
Special Olympics.............................................. 11,790 ................ 11,790 ................ +11,790
=========================================================================================
Total, Special education................................ 11,993,683 12,335,943 12,511,631 +517,948 +175,688
Current Year........................................ (5,137,239) (4,688,499) (4,864,187) (-273,052) (+175,688)
Fiscal year 2010.................................... (6,856,444) (7,647,444) (7,647,444) (+791,000) ................
Subtotal, Forward funded................................ (4,900,820) (4,446,820) (4,594,366) (-306,454) (+147,546)
REHABILITATION SERVICES AND DISABILITY RESEARCH
Vocational Rehabilitation State Grants........................ 2,874,043 2,974,635 2,974,635 +100,592 ................
Client Assistance State grants................................ 11,576 11,576 11,576 ................ ................
Training...................................................... 37,766 37,766 37,766 ................ ................
Demonstration and training programs........................... 10,151 8,826 8,901 -1,250 +75
Migrant and seasonal farmworkers.............................. 2,239 ................ 2,239 ................ +2,239
Recreational programs......................................... 2,474 ................ 2,474 ................ +2,474
Protection and advocacy of individual rights [PAIR]........... 16,201 16,201 17,201 +1,000 +1,000
Projects with industry........................................ 19,197 ................ 19,197 ................ +19,197
Supported employment State grants............................. 29,181 ................ 29,181 ................ +29,181
Independent living:
State grants.............................................. 22,193 22,193 22,193 ................ ................
Centers................................................... 73,334 73,334 73,334 ................ ................
Services for older blind individuals...................... 32,320 32,320 32,320 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Independent living............................ 127,847 127,847 127,847 ................ ................
Program Improvement........................................... 622 800 622 ................ -178
Evaluation.................................................... 1,447 1,947 1,447 ................ -500
Helen Keller National Center for Deaf/Blind Youth and Adults.. 8,362 7,862 8,362 ................ +500
National Inst. Disability and Rehab. Research [NIDRR]......... 105,741 105,741 107,741 +2,000 +2,000
Assistive Technology.......................................... 29,920 25,655 29,920 ................ +4,265
-----------------------------------------------------------------------------------------
Subtotal, Discretionary programs........................ 402,724 344,221 404,474 +1,750 +60,253
=========================================================================================
Total, Rehabilitation services.......................... 3,276,767 3,318,856 3,379,109 +102,342 +60,253
SPECIAL INSTITUTIONS FOR PERSONS WITH DISABILITIES
AMERICAN PRINTING HOUSE FOR THE BLIND......................... 21,616 21,616 22,500 +884 +884
NATIONAL TECHNICAL INSTITUTE FOR THE DEAF [NTID]:
Operations................................................ 58,020 58,020 60,825 +2,805 +2,805
Construction.............................................. 1,675 1,175 1,175 -500 ................
-----------------------------------------------------------------------------------------
Total, NTID............................................. 59,695 59,195 62,000 +2,305 +2,805
GALLAUDET UNIVERSITY:
Operations................................................ 113,384 113,384 118,000 +4,616 +4,616
Construction.............................................. ................ 6,000 6,000 +6,000 ................
-----------------------------------------------------------------------------------------
Total, Gallaudet........................................ 113,384 119,384 124,000 +10,616 +4,616
=========================================================================================
Total, Special Institutions for Persons with 194,695 200,195 208,500 +13,805 +8,305
Disabilities...........................................
CAREER AND ADULT EDUCATION
Career Education:
Basic State Grants/Secondary & Technical Education:
State Grants, current funded.......................... 369,911 ................ 369,911 ................ +369,911
Advance from prior year............................... (791,000) (791,000) (791,000) ................ ................
Fiscal year 2010...................................... 791,000 ................ 791,000 ................ +791,000
-----------------------------------------------------------------------------------------
Subtotal, Basic State Grants, program level......... 1,160,911 ................ 1,160,911 ................ +1,160,911
Tech-Prep Education State Grants.......................... 102,923 ................ 102,923 ................ +102,923
National Programs......................................... 7,860 ................ 7,860 ................ +7,860
-----------------------------------------------------------------------------------------
Subtotal, Careeer Education............................. 1,271,694 ................ 1,271,694 ................ +1,271,694
Adult Education:
State Grants/Adult basic and literacy education:
State Grants, current funded.......................... 554,122 554,122 554,122 ................ ................
National Programs:
National Leadership Activities........................ 6,878 14,000 6,878 ................ -7,122
National Institute for Literacy....................... 6,468 6,468 6,468 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, National programs......................... 13,346 20,468 13,346 ................ -7,122
=========================================================================================
Subtotal, Adult education........................... 567,468 574,590 567,468 ................ -7,122
Smaller Learning Communities, current funded.................. 4,006 ................ ................ -4,006 ................
Smaller Learning Communities, forward funded.................. 76,102 ................ ................ -76,102 ................
State Grants for Incarcerated Youth Offenders................. 22,372 ................ 24,000 +1,628 +24,000
=========================================================================================
Total, Career and adult education....................... 1,941,642 574,590 1,863,162 -78,480 +1,288,572
Current Year........................................ (1,150,642) (574,590) (1,072,162) (-78,480) (+497,572)
Fiscal year 2010.................................... (791,000) ................ (791,000) ................ (+791,000)
Subtotal, forward funded................................ (1,146,636) (574,590) (1,072,162) (-74,474) (+497,572)
STUDENT FINANCIAL ASSISTANCE
Pell Grants--maximum grant (NA)............................... (4,241) (4,310) (4,310) (+69) ................
Pell Grants................................................... 14,215,000 16,941,000 16,890,000 +2,675,000 -51,000
Federal Supplemental Educational Opportunity Grants........... 757,465 ................ 757,465 ................ +757,465
Federal Work Study............................................ 980,492 980,492 980,492 ................ ................
Federal Perkins loan cancellations............................ 64,327 ................ 70,000 +5,673 +70,000
LEAP program.................................................. 63,852 ................ 63,852 ................ +63,852
=========================================================================================
Total, Student Financial Assistance..................... 16,081,136 17,921,492 18,761,809 +2,680,673 +840,317
LOANS FOR SHORT-TERM TRAINING PROGRAM......................... ................ 3,000 ................ ................ -3,000
STUDENT AID ADMINISTRATION.................................... 695,843 714,000 704,843 +9,000 -9,157
HIGHER EDUCATION
Aid for Institutional Development:
Strengthening Institutions................................ 78,146 78,146 78,146 ................ ................
Hispanic Serving Institutions............................. 93,256 74,442 74,442 -18,814 ................
Mandatory Funding (non-add)........................... (100,000) (100,000) (100,000) ................ ................
Strengthening Historically Black Colleges [HBCUs]......... 238,095 153,095 153,095 -85,000 ................
Mandatory Funding (non-add)........................... (85,000) (85,000) (85,000) ................ ................
Strengthening Historically Black Graduate Institutions.... 56,903 56,903 56,903 ................ ................
Strengthening Alaska Native and Native Hawaiian-Serving 11,579 ................ ................ -11,579 ................
Institutions.............................................
Mandatory Funding (non-add)........................... (15,000) (15,000) (15,000) ................ ................
Strengthening Tribal Colleges............................. 23,158 ................ ................ -23,158 ................
Mandatory Funding (non-add)........................... (30,000) (30,000) (30,000) ................ ................
-----------------------------------------------------------------------------------------
Subtotal, Aid for Institutional development......... 501,137 362,586 362,586 -138,551 ................
International Education and Foreign Language:
Domestic Programs......................................... 93,941 94,941 93,941 ................ -1,000
Overseas Programs......................................... 13,372 13,372 13,372 ................ ................
Institute for International Public Policy................. 1,670 1,670 1,670 ................ ................
-----------------------------------------------------------------------------------------
Subtotal, International Education & Foreign Lang........ 108,983 109,983 108,983 ................ -1,000
Fund for the Improvement of Postsec. Ed. [FIPSE].............. 120,333 37,433 63,652 -56,681 +26,219
Minority Science and Engineering Improvement.................. 8,577 8,577 8,577 ................ ................
Tribally Controlled Postsec Voc/Tech Institutions............. 7,546 ................ 7,546 ................ +7,546
Federal TRIO Programs......................................... 828,178 828,178 838,178 +10,000 +10,000
GEAR UP....................................................... 303,423 303,423 308,423 +5,000 +5,000
Byrd Honors Scholarships...................................... 40,284 ................ 41,000 +716 +41,000
Javits Fellowships............................................ 9,530 9,844 9,530 ................ -314
Graduate Assistance in Areas of National Need................. 29,542 32,517 29,542 ................ -2,975
Teacher Quality Enhancement Grants............................ 33,662 ................ 47,540 +13,878 +47,540
BA Degrees in STEM & Critical Foreign Languages............... 983 ................ 983 ................ +983
MA Degrees in STEM & Critical Foreign Languages............... 983 ................ 983 ................ +983
Child Care Access Means Parents in School..................... 15,534 15,534 15,534 ................ ................
Advancing America thru foreign language partnerships.......... ................ 24,000 ................ ................ -24,000
Demonstration in Disabilities/Higher Education................ 6,755 ................ 6,755 ................ +6,755
Underground Railroad Program.................................. 1,945 ................ 1,945 ................ +1,945
GPRA data/HEA program evaluation.............................. 609 1,609 609 ................ -1,000
B.J. Stupak Olympic Scholarships.............................. 953 ................ 953 ................ +953
Thurgood Marshall Legal education opportunities............... 2,895 ................ 2,895 ................ +2,895
=========================================================================================
Total, Higher education................................. 2,021,852 1,733,684 1,856,214 -165,638 +122,530
HOWARD UNIVERSITY
Academic Program.............................................. 200,834 200,699 200,834 ................ +135
Endowment Program............................................. 3,464 3,600 3,464 ................ -136
Howard University Hospital.................................... 28,946 28,946 28,946 ................ ................
-----------------------------------------------------------------------------------------
Total, Howard University................................ 233,244 233,245 233,244 ................ -1
COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS [CHAFL]......... 473 461 461 -12 ................
HBCU CAPITAL FINANCING PROGRAM
HBCU Federal Administration................................... 185 354 354 +169 ................
HBCU Loan Subsidies........................................... ................ 10,000 10,000 +10,000 ................
-----------------------------------------------------------------------------------------
Total, HBCU Capital Financing Program................... 185 10,354 10,354 +10,169 ................
INSTITUTE OF EDUCATION SCIENCES
Research, development and dissemination....................... 159,696 167,196 167,535 +7,839 +339
Statistics.................................................... 88,449 104,593 88,449 ................ -16,144
Regional Educational Laboratories............................. 65,569 67,569 67,569 +2,000 ................
Research in special education................................. 70,585 70,585 70,585 ................ ................
Special education studies and evaluations..................... 9,460 9,460 9,460 ................ ................
Statewide data systems........................................ 48,293 100,000 100,000 +51,707 ................
Assessment:
National Assessment....................................... 98,121 130,121 130,121 +32,000 ................
National Assessment Governing Board....................... 5,932 8,723 8,723 +2,791 ................
-----------------------------------------------------------------------------------------
Subtotal, Assessment.................................... 104,053 138,844 138,844 +34,791 ................
=========================================================================================
Total, IES.............................................. 546,105 658,247 642,442 +96,337 -15,805
DEPARTMENTAL MANAGEMENT
PROGRAM ADMINISTRATION:
Salaries and Expenses..................................... 409,211 436,500 420,000 +10,789 -16,500
Building Modernization.................................... 2,063 7,939 7,939 +5,876 ................
-----------------------------------------------------------------------------------------
Total, Program administration........................... 411,274 444,439 427,939 +16,665 -16,500
OFFICE FOR CIVIL RIGHTS....................................... 89,612 101,040 89,612 ................ -11,428
OFFICE OF THE INSPECTOR GENERAL............................... 50,849 54,539 54,539 +3,690 ................
-----------------------------------------------------------------------------------------
Total, Departmental management.......................... 551,735 600,018 572,090 +20,355 -27,928
Total: No Child Left Behind Act......................... 24,393,685 24,665,134 24,604,822 +211,137 -60,312
=========================================================================================
Total, Title III, Department of Education............... 62,055,509 63,027,229 65,473,145 +3,417,636 +2,445,916
Current Year........................................ (45,038,309) (46,010,029) (46,705,945) (+1,667,636) (+695,916)
Emergency appropriations........................ ................ ................ ................ ................ ................
Fiscal year 2010.................................... (17,017,200) (17,017,200) (18,767,200) (+1,750,000) (+1,750,000)
TITLE IV--RELATED AGENCIES
COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY 4,907 5,094 5,094 +187 ................
DISABLED.....................................................
CORPORATION FOR NATIONAL AND COMMUNITY SERVICE
OPERATING EXPENSES
Domestic Volunteer Service Programs:
Volunteers in Service to America [VISTA].................. 93,800 91,618 93,800 ................ +2,182
National Senior Volunteer Corps:
Foster Grandparents Program........................... 108,999 68,174 108,999 ................ +40,825
Senior Companion Program.............................. 46,144 46,144 46,144 ................ ................
Retired Senior Volunteer Program...................... 58,642 59,685 58,642 ................ -1,043
-----------------------------------------------------------------------------------------
Subtotal, Senior Volunteers......................... 213,785 174,003 213,785 ................ +39,782
=========================================================================================
Subtotal, Domestic Volunteer Service Programs....... 307,585 265,621 307,585 ................ +41,964
National and Community Service Programs:
National service trust.................................... 122,539 132,110 132,110 +9,571 ................
AmeriCorps grants......................................... 256,805 274,185 271,007 +14,202 -3,178
Innovation, assistance, and other activities.............. 18,893 20,460 18,893 ................ -1,567
Evaluation................................................ 3,891 4,500 3,891 ................ -609
National Civilian Community Corps......................... 23,782 9,836 27,500 +3,718 +17,664
Learn and Serve America: K-12 and Higher Ed............... 37,459 32,099 37,459 ................ +5,360
State Commission Administrative Grants.................... 11,790 12,642 11,790 ................ -852
-----------------------------------------------------------------------------------------
Subtotal, National & Community Service Programs......... 475,159 485,832 502,650 +27,491 +16,818
Salaries and expenses......................................... 67,759 71,715 71,715 +3,956 ................
Office of the Inspector General............................... 5,828 6,512 6,512 +684 ................
=========================================================================================
Total, Corp. for National and Community Service......... 856,331 829,680 888,462 +32,131 +58,782
CORPORATION FOR PUBLIC BROADCASTING:
Fiscal year 2011 (current) with fiscal year 2010 420,000 ................ 430,000 +10,000 +430,000
comparable...............................................
Fiscal year 2010 advance with fiscal year 2009 comparable (400,000) (420,000) (420,000) (+20,000) ................
(NA).....................................................
Rescission of fiscal year 2010 funds (NA)............. ................ (-220,000) ................ ................ (+220,000)
-----------------------------------------------------------------------------------------
Subtotal, fiscal year 2010 program level............ 400,000 200,000 420,000 +20,000 +220,000
Fiscal year 2009 advance with fiscal year 2008 comparable (393,012) (400,000) (400,000) (+6,988) ................
(NA).....................................................
Rescission of fiscal year 2009 funds (NA)............. ................ (-200,000) ................ ................ (+200,000)
-----------------------------------------------------------------------------------------
Subtotal, fiscal year 2009 program level............ 393,012 200,000 400,000 +6,988 +200,000
Digitalization program, current funded.................... 29,181 ................ 29,181 ................ +29,181
Previously appropriated funds (NA).................... ................ (40,000) ................ ................ (-40,000)
Interconnection, current funded........................... 26,283 ................ 26,283 ................ +26,283
Previously appropriated funds (NA).................... ................ (27,000) ................ ................ (-27,000)
-----------------------------------------------------------------------------------------
Subtotal, fiscal year 2009 appropriation............ 55,464 ................ 55,464 ................ +55,464
FEDERAL MEDIATION AND CONCILIATION SERVICE.................... 43,035 44,826 44,826 +1,791 ................
FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION.............. 7,955 8,653 8,653 +698 ................
INSTITUTE OF MUSEUM AND LIBRARY SERVICES...................... 263,508 271,246 258,960 -4,548 -12,286
MEDICARE PAYMENT ADVISORY COMMISSION.......................... 10,560 11,403 11,403 +843 ................
NATIONAL COMMISSION ON LIBRARIES AND INFO SCIENCE............. 393 ................ ................ -393 ................
NATIONAL COUNCIL ON DISABILITY................................ 3,059 3,206 3,206 +147 ................
NATIONAL LABOR RELATIONS BOARD................................ 251,762 262,595 262,595 +10,833 ................
NATIONAL MEDIATION BOARD...................................... 12,685 12,432 12,992 +307 +560
OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION.............. 10,509 11,186 11,186 +677 ................
RAILROAD RETIREMENT BOARD
Dual Benefits Payments Account................................ 77,620 72,000 72,000 -5,620 ................
Less Income Tax Receipts on Dual Benefits..................... -6,000 -5,000 -5,000 +1,000 ................
-----------------------------------------------------------------------------------------
Subtotal, Dual Benefits................................. 71,620 67,000 67,000 -4,620 ................
Federal Payment to the RR Retirement Account.................. 150 150 150 ................ ................
Limitation on Administration.................................. 101,882 105,463 105,463 +3,581 ................
Inspector General......................................... 7,048 7,806 7,806 +758 ................
SOCIAL SECURITY ADMINISTRATION
Payments to Social Security Trust Funds....................... 28,140 20,406 20,406 -7,734 ................
SUPPLEMENTAL SECURITY INCOME
Federal benefit payments...................................... 40,675,000 42,027,000 42,027,000 +1,352,000 ................
Beneficiary services.......................................... 36,000 3,000 3,000 -33,000 ................
Research and demonstration.................................... 26,651 35,000 35,000 +8,349 ................
Administration................................................ 3,018,520 3,149,000 3,164,875 +146,355 +15,875
-----------------------------------------------------------------------------------------
Subtotal, SSI program level............................. 43,756,171 45,214,000 45,229,875 +1,473,704 +15,875
Less funds advanced in prior year................... -16,810,000 -14,800,000 -14,800,000 +2,010,000 ................
-----------------------------------------------------------------------------------------
Subtotal, regular SSI current year...................... 26,946,171 30,414,000 30,429,875 +3,483,704 +15,875
-----------------------------------------------------------------------------------------
Total, SSI, current request............................. 26,946,171 30,414,000 30,429,875 +3,483,704 +15,875
New advance, 1st quarter, fiscal year 2010.......... 14,800,000 15,400,000 15,400,000 +600,000 ................
-----------------------------------------------------------------------------------------
Total, SSI program...................................... 41,746,171 45,814,000 45,829,875 +4,083,704 +15,875
LIMITATION ON ADMINISTRATIVE EXPENSES
OASDI Trust Funds............................................. 4,910,772 5,138,500 5,163,625 +252,853 +25,125
Economic Stimulus (Public Law 110-185) (emergency)........ 31,000 ................ ................ -31,000 ................
HI/SMI Trust Funds............................................ 1,679,661 1,869,000 1,878,000 +198,339 +9,000
Social Security Advisory Board................................ 2,000 2,000 2,000 ................ ................
SSI........................................................... 3,018,520 2,931,500 2,947,375 -71,145 +15,875
-----------------------------------------------------------------------------------------
Subtotal, regular LAE................................... 9,641,953 9,941,000 9,991,000 +349,047 +50,000
Additional Program Integrity Funding:
OASDI Trust Funds......................................... ................ 217,500 217,500 +217,500 ................
SSI....................................................... ................ 22,500 22,500 +22,500 ................
-----------------------------------------------------------------------------------------
Subtotal, additional CDR funding........................ ................ 240,000 240,000 +240,000 ................
User Fees:
SSI User Fee activities................................... 132,642 145,000 145,000 +12,358 ................
SSPA User Fee Activities.................................. 983 1,000 1,000 +17 ................
-----------------------------------------------------------------------------------------
Subtotal, User fees..................................... 133,625 146,000 146,000 +12,375 ................
=========================================================================================
Total, Limitation on Administrative Expenses............ 9,775,578 10,327,000 10,377,000 +601,422 +50,000
OFFICE OF THE INSPECTOR GENERAL
Federal Funds................................................. 25,989 28,000 28,000 +2,011 ................
Trust Funds................................................... 65,926 70,127 70,127 +4,201 ................
-----------------------------------------------------------------------------------------
Total, Office of the Inspector General.................. 91,915 98,127 98,127 +6,212 ................
Adjustment: Trust fund transfers from general revenues........ -3,018,520 -3,149,000 -3,164,875 -146,355 -15,875
=========================================================================================
Total, Social Security Administration................... 48,623,284 53,110,533 53,160,533 +4,537,249 +50,000
Federal funds....................................... 41,964,925 46,008,406 46,024,281 +4,059,356 +15,875
Current year.................................... (27,164,925) (30,608,406) (30,624,281) (+3,459,356) (+15,875)
New advances, 1st quarter....................... (14,800,000) (15,400,000) (15,400,000) (+600,000) ................
Trust funds......................................... 6,658,359 7,102,127 7,136,252 +477,893 +34,125
Total, Title IV, Related Agencies....................... 50,744,152 54,751,273 55,333,793 +4,589,641 +582,520
Federal Funds....................................... 43,966,303 47,524,474 48,072,869 +4,106,566 +548,395
Current Year.................................... (28,746,303) (32,124,474) (32,242,869) (+3,496,566) (+118,395)
Fiscal year 2010 Advance........................ (14,800,000) (15,400,000) (15,400,000) (+600,000) ................
Fiscal year 2011 Advance........................ (420,000) ................ (430,000) (+10,000) (+430,000)
Trust Funds......................................... 6,777,849 7,226,799 7,260,924 +483,075 +34,125
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\1\Funding from the Dislocated Worker National Reserve.
\2\Two year availability.
\3\Does not include a $7 million transfer from PBGC in the fiscal year 2007 Supp that is available through fiscal year 2008.
\4\Includes Mine Safety and Health.
\5\Funds formerly provided by the Department of Labor through interagency agreement.
\6\Funding for Striving readers was first forward funded in the fiscal year 2006 conference agreement.